Liko SilhouetteSling 22 Manual

Liko SilhoueeSling is a pliable sling which adapts to the
body and requires minimal space in the wheelchair.
It provides for a slightly reclined sing posture and excellent
support for the enre body, which is good for paents with
reduced head and torso stability. The paent can hold the
arms either outside or inside the sling. The head support is
adjustable.
Design and material make SilhoueeSling parcularly
suitable for liing to moulded seats, since the sling is usually
le in the wheelchair aer the liing operaon is completed.
This makes it very popular in care and rehabilitaon
situaons, where sing shells and moulded seats are
commonly used.
SilhoueeSling can also be used in bathing and showering
situaons.
A properly ed and carefully applied sling will give the
paent an excellent sense of security, as well as a high
degree of comfort.
Sizes
The SilhoueeSling is available in dierent sizes. It is important
to choose the correct size in order to achieve the highest level
of comfort and safety. A sling which is too large increases the
risk of the paent sliding out of it, while one which is too small
can cut into the groin and cause discomfort.
Fabrics
SilhoueeSling is made of a comfortable, pliable net polyester
fabric which allows body heat and moisture to pass through.
The sling’s li straps are always made of durable polyester and
are very secure.
Product Descripon
Liko™ SilhoueeSling, Mod. 22
Instrucon Guide
7EN160137 Rev. 7
ENGLISH
is a warning triangle used for situations which require extra care and attention.
In this document, the person being lifted is referred to as the patient and the person helping is referred to as the caregiver.
Read the instruction guide for both the sling and the lift being used.

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Liko™ SilhoueeSling • 7EN160137 Rev. 7
Table of Contents
Safety Instrucons ........................................................................................................................... 3
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 SilhoueeSling to a Sling Bar with 4 Hooks (Twin Bars and Cross Bars) ................ 6
Liing from a Sing Posion ........................................................................................................... 7
Liing to a Sing Posion ............................................................................................................... 8
Removing the Sling in a Chair/Wheelchair ...................................................................................... 8
Liing from the Bed .......................................................................................................................... 9
Liing to the Bed .............................................................................................................................. 9
Removing the Sling when the Paent is Sing in Bed ..................................................................... 9
Removing the Sling when the Paent is Lying in Bed ..................................................................... 10
Fing Advice ............................................................................................................................. 10-11
Dierent Ways of Connecng Leg Supports ................................................................................... 10
Adjustment of Head Support.......................................................................................................... 11
Dierent Sing Posions Depending on Choice of Sling Bar ......................................................... 11
The Paent does not Sit Well in the Sling – Why is This? ............................................................... 11
Shortening Posion ........................................................................................................................ 11
Overview Liko™ SilhoueeSling, Mod. 22 ...................................................................................... 12
Recommended Combinaons ........................................................................................................ 12

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Liko™ SilhoueeSling • 7EN160137 Rev. 7 www.hill-rom.com I www.liko.com
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.
• For safety and hygiene reasons, use individual slings.
• Before liing, plan the liing operaon so that it can be done as safely and smoothly as possible.
• Before liing, check that the liing accessory hangs vercally and can move freely.
• Although Liko’s sling bars are equipped with latches, special cauon must be exercised: Before the paent is lied from the
underlying surface, but aer the straps have been fully extended, make sure the straps are properly connected to the sling
bar.
• 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.
• 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.
Safety Instrucons
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.
Medical Device Class I
Liko SilhoueeSling complies with the harmonized standard ISO10535:2006.
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.
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

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Liko™ SilhoueeSling • 7EN160137 Rev. 7
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 1-3 years with 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”.
Denions
1. Size marking
2. Product label
3. Serial number
4. Label: Periodic Inspecon
5. Label: Individual marking (Belongs to)
6. Upper strap loop
7. Head support
8. Torso loop
9. Lower edge
10. Leg support
11. Shortening posion
12. Leg support loop
21
4
6
7
8
9
10
11
3
12
5

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Liko™ SilhoueeSling • 7EN160137 Rev. 7 www.hill-rom.com I www.liko.com
Sling bar Sling loops to sling bar hooks Correct
SlingGuard™
Universal
SlingGuard™ Twin
Universal Twin
Cross-bar
Wrong!
How to Aach a Sling to Dierent Sling Bars

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Liko™ SilhoueeSling • 7EN160137 Rev. 7
How to Aach a SilhoueeSling to a Sling Bar with 4 Hooks
(Twin Bars and Cross Bars)
The illustraons 1, 2, and 3 shows a twin bar but this
also applies to a Cross-bar.
1.
2. 3.
Upper strap loop
Leg support loop
Torso loop
B
B
C
C
A
A
A
C
B
BB
AA
C
C

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Liko™ SilhoueeSling • 7EN160137 Rev. 7 www.hill-rom.com I www.liko.com
Insert the leg supports under each thigh. Tip: The applicaon
of the leg supports is facilitated if the paent’s legs are
slightly raised from the seat. This can be achieved by placing
the paent’s feet on the foot-rests or on your own leg, as
illustrated.
Place the sling behind the paent’s back with the product
label outwards. Fold up the lower edge of the sling around
your nger ps to facilitate guiding the sling into place.
Using the palm of your hand, push the lower edge of the
sling down to the level of the paent’s coccyx - this is very
important. Tip: Correct posioning is facilitated if the paent
leans/is leaned forward slightly.
Pull the leg supports forward to smooth out any creases in
the back. Tip: A gentle hold under the knee-cap makes it
easier to pull the leg supports forward. Check that both leg
supports protrude the same distance.
Pull the sling’s leg supports forward along the outside of the
paent’s thighs. Place the palm of your hand between the
paent’s body and the sling and push the leg support’s lower
edge down towards the seat. Simultaneously, pull the leg
support forward with the other hand to stretch it.
The paent is usually lted forward during the applicaon, and it is then important that a caregiver stand in front of the
paent to prevent him/her from falling forwards.
Liing from a Sing Posion
Make sure the fabric lies at and that it reaches properly
around the leg. Prepare the connecon of the leg supports.
The most common way of applying the sling is with crossed
leg supports. For alternave methods, see page 10.
First, connect the torso loops to the sling bar. The paent’s
arms can be placed either inside or outside the sling. Then
connect the upper strap loops to the sling bar. Choose loops
according to the paent’s needs, see Adjustment of head
support, page 11. Finally, connect the leg support loops to the
sling bar. See page 5-6 for instrucons on how to aach the
sling loops to dierent sling bars. Li the paent.

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Liko™ SilhoueeSling • 7EN160137 Rev. 7
Liing to a Sing Posion
When placing a paent in a wheelchair, it is important that the paent gets far enough back in the chair to sit well. This can
be accomplished in several ways.
When placing a paent in a wheelchair: Lean the chair
backwards during the lowering of the paent. Let the
buocks slide down the backrest during the last part.
Control the angle of the wheelchair with your foot on the
pping support.
Alternave: Apply slight pressure under the paent’s knees
during the lowering sequence, so that the buocks are
guided towards the backrest of the chair.
Most oen the SilhoueeSling is le in the chair aer completed li and then the strap loops and also the leg supports can be
folded away and stashed in the chair.
Carefully remove the leg support. The gentlest way of doing
this is by pulling out the leg support loops under the fabric
part of the leg support.
Remove the sling by carefully pulling it up.
Removing the Sling in a Chair/Wheelchair

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Liing to the Bed
Think about your own work posture as well as the comfort of the paent. Use the bed’s raising and lowering funcons.
Removing the Sling when the Paent is Sing in Bed
Posion the paent above the bed.
Raise the head end of the bed. Lower
the paent onto the bed.
Remove the leg supports by pulling out
the leg support loops under the fabric part
of the leg support. Tip: This is facilitated if
the paent’s legs are bent.
Remove the sling by carefully pulling
it up.
We recommend applying the sling when the paent is lying horizontally, as this is the easiest procedure. In some cases, e.g.,
if the paent cannot lie horizontally, the sling can be applied with the paent sing up in bed (see Alternave method of
applying the sling below).
Think about your own work posture as well as the comfort of the paent. Use the bed’s raising and lowering funcons.
Liing from the Bed
Turn the paent towards you to prevent
him or her from falling out of the bed.
Insert the sling’s edge under the paent
with the lower edge level with the
coccyx. The upper edge of the head
support should then not be lower than
the head in order to give enough head
support during the li. Fold the sling
so that its centre corresponds to the
paent’s spine when the paent is turned
back again gently. Carefully pull the sling
out from the other side.
Alternave method of applying the sling: Raise the head end of the bed behind the paent. Lay the sling on the bed with
the product label facing down towards the maress. Slide the sling down behind the paent’s back so that the lower edge
is in level with the coccyx. Tip! The applicaon is facilitated if the paent leans/is leaned forward.
Raise the head end of the bed.
First, connect the torso loops to the
sling bar and then the upper strap
loops. Choose loops according to
the paent’s needs, see Adjustment
of head support, page. 11. Finally,
connect the leg support loops to the
sling bar. See page 5-6 for instrucons
on how to aach the sling loops to
dierent sling bars. Li the paent.
Insert the leg supports under the legs.
This is best done by pressing the leg
support down against the maress
while inserng it under the thigh.
Make sure the fabric lies at and that
it reaches properly around the leg.
The leg supports can be connected in
dierent ways, see page 10.
If the bed is not equipped with a head end that can be raised/lowered, special aenon must be paid during the rst
part of the li, in order for the paent’s neck not to be strained. The caregiver should then support the neck manually.
If the bed is not equipped with a head end that can be raised/lowered, special aenon must be paid during the
last part of the lowering, in order for the paent’s neck not to be strained. The caregiver should then support the neck
manually.

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Liko™ SilhoueeSling • 7EN160137 Rev. 7
Removing the Sling when the Paent is Lying in Bed
Posion the paent above the bed. Raise the head end of
the bed. Lower the paent onto the bed.
Lower the head end of the bed.
Place the leg support loops under the leg supports between
the paent’s legs.
Grasp the edge of the sling. Push in the sling under itself.
Press the sling against the maress and in under the
paent.
Carefully turn the paent onto the side. Grasp the sling
from below and remove it carefully.
Fing Advice
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.
Overlapped under both thighs.
This can be appropriate, for example
when liing a paent with amputated
legs. Tip: In order to avoid the paent’s
sing posture being too reclined,
Extension Loops can be aached to the
leg support loops.
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.
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

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The Paent does not Sit Well in the Sling – Why is This?
The lower edge of the sling is at the same level
as the coccyx. The leg supports are properly
posioned under the legs.
RIGHT!
A. Risk of sliding out. The buocks hang down. The sling may be too
large. It can also be due to the fact that the sling has not been
pulled down the paent’s back suciently.
Before liing, check that the lower edge is stretched and that the
fabric reaches properly around the legs.
B. A sling that is too small can cause the leg supports to cut into the
groin, causing discomfort and the sling bar to be too close to the
face and/or the head to get sucient support.
WRONG!
A. B.
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, we recommend 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.
SilhoueeSling in combinaon with Liko Sling Cross-bar
450/670 provides a more reclined sing posture.
Universal SlingBar 350/450 in combinaon with SideBars
provides the same degree of reclined sing posture.
Dierent Sing Posions Depending on Choice of Sling Bar
SilhoueeSling in combinaon with Liko
Universal SlingBar 350/450 or SlingGuard
450 provides a slightly reclined sing
posture.
Adjustment of Head Support
The head support of the SilhoueeSling can be adjusted for two dierent posions.
Alternave 1: The outer loop of the upper strap loop is connected to the sling bar. The paent’s head will then be in a slightly
reclined posture.
Alternave 2: The inner loop of the upper strap loop is connected to the sling bar. The paent’s head will then be in a more
upright posture.
The following are general advice since the same principles are valid for several sling models.

© Copyright Liko R&D AB 2018
¹ Arms outside the sling
² Sling bar 450 relates to Universal SlingBar 450 Prod. No. 3156075, 3156085, and 3156095, SlingBar Standard 450 Prod. No. 3156001,
3156003, 3156007, and 3156016, and also SlingGuard 450 Prod. No. 3308020 and 3308520.
³ Twin bar 670 relates to Universal TwinBar 670 Prod. No 3156077, and 3156087, and also SlingGuard 670 Twin Prod. No. 3308040 and
3308540.
⁴ Sling bar 350 relates to Universal SlingBar 350 Prod. No. 3156074, 3156084, and 3156094, and also SlingGuard 350 Prod. No. 3308010 and
3308510.
⁵ Sling bar 600 relates to Universal SlingBar 600 Prod. No. 3156076 and 3156086, and also SlingGuard 600 Prod. No. 3308030 and 3308530.
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
Overview Liko™ SilhoueeSling, Mod. 22
¹The indicated paent weight is only a guideline – there may be deviaons.
²For retained maximum load, li/accessories intended for the same load or more are required.
Product Prod. No. Size Paent’s Weight¹ Max. Load²
Liko SilhoueeSling 3522603 XS Extra Small 20-28 kg (44-62 lbs) 200 kg (440 lbs)
Liko SilhoueeSling 3522604 S Small 25-50 kg (55-110 lbs) 200 kg (440 lbs)
Liko SilhoueeSling 3522605 M Medium 45-75 kg (99-165 lbs) 200 kg (440 lbs)
Liko SilhoueeSling 3522306 L Large 65-100 kg (143-220 lbs) 200 kg (440 lbs)
3/6 Net polyester
3522- 05 Indicates size
Liko AB
Nedre vägen 100
SE-975 92 Luleå, Sweden
[phone]
www.hill-rom.com I www.liko.com
Recommended combinaons of
the Liko SilhoueeSling and Liko’s
sling bars: Mini 220 Sling bar 350⁴ Sling bar 450² Sling bar 600⁵ Wide 670 Twin bar 670 ³ Sling Cross-bar 450 Sling Cross-bar 670 Univ. SideBars + Universal 350 SideBars + Standard 450 Univ. SideBars + Universal 450
SilhoueeSling, XS 11243313111
SilhoueeSling, S 2 1133313111
SilhoueeSling, M 2 ¹1132212111
SilhoueeSling, L 2 ¹1¹1311121¹ 1 1