Liko Hygiene SafetySling 45 Manual

Product Descripon
This instrucon guide is valid for Liko HygieneSling with
SafetyBelt, Liko Hygiene SafetySling, and Teddy Hygiene
SafetySling, 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 can work perfectly
well 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.
Liko HygieneSling in size XS is made of a Teddy bear
paerned knied polyester fabric and this is why this sling
is called Teddy HygieneSling. In this size, the leg supports
are reinforced and padded with a teddy bear paerned
warp-knied polyester fabric.
Slings in sizes S to XL are 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 paents with poor muscle tone, it is
recommended to use a smaller size of HygieneSling or
HygieneSling with SafetyBelt, Mod. 45 and 46.
For paents who tend to sink down in the sling, the safety
belt distributes pressure and provides extra support during
the li. Model 46 is also equipped with an extra back
support.
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.
Symbol descripon
is a warning triangle used for situaons which require extra care and aenon.
reference to read instrucon guide for detailed informaon
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. 9
ENGLISH
Liko™ HygieneSling with SafetyBelt, Mod. 45
Liko™ Hygiene SafetySling, Mod. 46
Teddy Hygiene SafetySling, Mod. 46
Instrucon Guide
Mod. 45 Mod. 46

2www.hill-rom.com I www.liko.comLiko™ HygieneSling • 7EN160166 Rev. 9
Table of Contents
Safety Instrucons ........................................................................................................................ 3-4
Care and Maintenance ..................................................................................................................... 4
Denions ....................................................................................................................................... 4
How to Aach a Sling to Dierent Sling Bars ................................................................................... 5
How to Aach a HygieneSling to a Sling Bar with 4 Hooks (Twin Bars) ............................................ 6
Liing from Wheelchair to Toilet ...................................................................................................... 7
Return from Toilet to Wheelchair .................................................................................................... 8
Advice for Trial Fing .................................................................................................................. 9-10
Dierent Ways of Connecng Leg Supports ..................................................................................... 9
Shortening Posion ....................................................................................................................... 10
Descripon of SafetyBelt ............................................................................................................... 10
Adapt the Length of the Strap to the Paent’s Girth ...................................................................... 11
Alternave Slings for Liing to and from the Toilet ....................................................................... 11
Overview, Liko™ HygieneSling Mod. 45, 46 .................................................................................... 12
Recommended combinaons ........................................................................................................ 12

3www.hill-rom.com I www.liko.comLiko™ HygieneSling • 7EN160166 Rev. 9
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.
Medical Device Class I Product
Liko HygieneSling complies with the harmonized standard ISO10535:2006
The management system for both manufacturing and development of the product is cered in accordance with ISO9001
and its equivalent for the medical device industry, ISO13485. The management system is also cered in accordance with the
environmental standard ISO14001.
PATENT www.hill-rom.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.
Design and Quality by Liko in Sweden
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.
IMPORTANT!
Liing and transferring a paent always involves a certain risk. Read the instrucon guide for both the li and liing
accessories before use. It is important to completely understand the contents of the instrucon guide. The equipment
should be used only by trained personnel. Ensure that the liing accessories are suitable for the li being 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 handle the liing situaon.
Safety Instrucons

4www.hill-rom.com I www.liko.comLiko™ HygieneSling • 7EN160166 Rev. 9
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. Back support (Mod. 46)
7. Waist belt
8. Leg support
9. Shortening posion
10. Leg support loop
11. Size marking
12. Lower edge
13. Handle
14. D-ring
15. Inner belt loop
16. Outer belt loop
17. Loop strap
Care and Maintenance
Check the sling before each use. Check the following points with regard to wear and damage:
• Fabric
• Straps
• Seams
• Suspension 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”.
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.
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. See Liko’s protocol ”Periodic Inspecon Liko Texle Products”.
11
12
13
10
1
8
7
7
4
6
5
23
15
16
17
9
14

5www.hill-rom.com I www.liko.comLiko™ HygieneSling • 7EN160166 Rev. 9
Sling bar Sling loops to sling bar hooks Correct
SlingGuard™
Universal
SlingGuard™ Twin
Universal Twin
Wrong!
How to Aach a Sling to Dierent Sling Bars

6www.hill-rom.com I www.liko.comLiko™ HygieneSling • 7EN160166 Rev. 9
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

7www.hill-rom.com I www.liko.comLiko™ HygieneSling • 7EN160166 Rev. 9
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 5-6 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.

8www.hill-rom.com I www.liko.comLiko™ HygieneSling • 7EN160166 Rev. 9
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 7. Connect all of the loops. See page 5-6
for instrucons on how to aach the sling loops
to dierent sling bars. Li the paent.
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 5-6 for instrucons on
how to aach the sling loops to dierent
sling bars. Li the paent.

9www.hill-rom.com I www.liko.comLiko™ HygieneSling • 7EN160166 Rev. 9
In most cases, and especially in the case
of paents 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 sing
posture is either a result of the leg
supports 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 mus-
cle 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.

10
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
www.hill-rom.com I www.liko.comLiko™ HygieneSling • 7EN160166 Rev. 9
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.

11 www.hill-rom.com I www.liko.comLiko™ HygieneSling • 7EN160166 Rev. 9
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.liko.com for more informaon. Following is a sampling of possible alternave slings:
Liko HygieneSling, Mod. 40
Liko HygieneSling with Belt, Mod. 41
Liko HygieneVest™, Mod. 50
Liko HygieneVest™ High Back, Mod. 55
Liko OriginalSling, Mod. 10/11
Liko ComfortSling Plus with Hygiene Opening, Mod. 310
Liko ComfortSling Plus High with Hygiene Opening, Mod. 360
Liko MasterVest™, Mod. 60
Liko MasterVest™ front closure, Mod. 64
Alternave Slings for Liing to and from the Toilet

© Copyright Liko R&D AB 2018
Product Prod. No. Prod. No. Size Paent weight¹ Maximum load²
Teddy HygieneSling 3546813 XS < 30 kg (66 lbs.) 200 kg (440 Ibs.)
Liko HygieneSling 3545134 3546134 S 25-50 kg (55-110 lbs.) 200 kg (440 Ibs.)
Liko HygieneSling 3545135 3546135 M 40-90 kg (88-198 lbs.) 200 kg (440 Ibs.)
Liko HygieneSling 3545136 3546136 L 80-120 kg (176-264 lbs.) 200 kg (440 Ibs.)
Liko HygieneSling 3545137 XL 100- kg (220- lbs.) 300 kg (660 Ibs.)
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, 46
5 Liko HygieneSling with SafetyBelt
6 Liko HygieneSling with SafetyBelt and extra back support
1 Polyester 8 Teddy bear paerned knied polyester
354- - -5 Size
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, and also SlingGuard 350 Prod. No. 3308010
and 3308510.
⁴ Sling bars 600 relates to Universal SlingBar 600 Prod. No. 3156076 and 3156086, and also SlingGuard 600 Prod. No. 3308030 and
3308530.
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
1 Reinforced leg supports
3 Reinforced, corduroy-lined leg supports
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
Liko AB
Nedre vägen 100
SE-975 92 Luleå, Sweden
[phone]
www.hill-rom.com I www.liko.com
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 Wide 670 Twin bars 670²
Teddy HygieneSling, Mod 46, XS 1122344
Liko HygieneSling, Mod. 45/46, S 1121344
Liko HygieneSling, Mod. 45/46, M 1111333
Liko HygieneSling, Mod. 45/46, L 1111222
Liko HygieneSling, Mod. 45, XL 2 111222