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6Donotimmobilisetheheaduntilcheckingthecorrectpositionoftheextricationdeviceinrelationtothesizeofthepatient.Takecare
nottocauseheadandneckmovementsthatcouldcompromisethepatient’scondition.Ifthereisagapbetweentheextricationdevice
andthepatient’shead,collarorshoulders,fillthenapespacewiththeappropriatesupportcushion,makingsurenottohyperextendor
flexthepatient’sneck.
Whileoneoperatorholdsthepatient’sheadinpositionandpositionstheflaps,theotheroperatormustsecuretheheadbandbytiltingthe
backslightlydownwards.Thisreducestheriskoftheheadbandslippingoverthehead.
Thenapplythechinstrap,takingcaretosupportthecervicalcollarandtiltittowardsthepatient’sears.Thisavoidsimmobilisingthejawand
preventingthemouthfromopening.Ensurethatthestrapsarecorrectlysecuredandsymmetricallypositioned.
7Whenthestretcherorspineboardhasbeenbroughttotheextricationsite,thefinalstepsoftheapplicationcanbecarriedout,i.e.
furthertighteningoftheextricationstraps,therefore:
1–Tightentheupperbelt(green)
2–Checkandtightenthelowerbelt(red)
3–Checkandtightenthegroinbelts.
Aftercheckingthecorrectapplication,thetwooperatorscangraspthehandlesofthedevicetorotatethepatientsothathisorherback
facestheinsideofthevehicle.Rotationmusttakeplacewithouttwistingthespinalcordorthecervicalspine.
Thetwooperatorscanthengraspthenearesthandleoftheextricationdevicewithonehandandthebackofthepatient’skneeswiththe
other.Aftercoordinatingtheoperationcorrectly,theycanliftthepatient.
Ifneeded,athirdoperatorcouldapplyaspineboard.
Theupperbelt(green)mustbeloosenedimmediatelyafterextricationtoallowforproperexpansionofthechest.
12. CLEANING AND MAINTENANCE
SpencerItaliaS.r.l.declinesallresponsibilityforanydirectorindirectdamagewhichistheconsequenceofimproperuseoftheproductandsparepartsand/orinany
caseofanyrepaircarriedoutbyapersonotherthantheManufacturer,whousesinternalandexternaltechniciansauthorisedtodoso;moreover,doingsowillinvalidate
thewarranty.
• Theoperatormustwearsuitablepersonalprotectiveequipment,suchasgloves,goggles,etc.duringallchecking,maintenanceandcleaningoperations.
• Establishamaintenanceschedule,periodicinspectionsandextendtheaveragelifespan,ifforeseenbytheManufacturerintheUserManual,identifyingareferenceperson
whomeetsthebasicrequirementssetforthintheUserManual.
• The frequency of inspections is determined by factors such as legal requirements, type of use, frequency of use, and environmental conditions during use and storage.
• Repairsof productsmanufacturedbySpencer ItaliaS.r.l. mustbe carried outby the Manufacturer, whoshallmakeuseof specialised internalor externaltechnicians
who, usingoriginalspareparts,shallprovidequalityrepairservice instrictcompliancewiththetechnicalspecificationsindicatedbytheManufacturer.SpencerItaliaS.r.l.
declinesanyresponsibilityforanydirectorindirectdamagewhichisaconsequenceofimproperuseofsparepartsand/oranyrepairworkcarriedoutbyunauthorised
parties.
• Whereforeseen,useonlyoriginalorSpencerItaliaS.r.l.approvedcomponents/sparepartsand/oraccessoriesinordertocarryoutalloperationswithoutcausingalterations
ormodificationstotheproduct.
• Allmaintenanceandoverhaulactivitiesmustberecordedanddocumentedwiththerelevanttechnicaloperationreports.Thisdocumentationmustbekeptforatleast10
yearsaftertheendoftheproduct’slifeandmustbemadeavailabletothecompetentauthoritiesand/ortheManufacturerwhenrequested.
• Cleaning,providedforreusableproducts,mustbecarriedoutinaccordancewiththeManufacturer’sinstructionsintheUserManualinordertoavoidtheriskofcross-in-
fectionduetothepresenceofbodyfluidsand/orresidues.
• Ifrequired,theproductandallitscomponentsmustbewashedandlefttodrycompletelybeforestorage.
12.1 CLEANING
Failuretocarryoutthecorrectcleaningoperationscouldincreasetheriskofcross-infectionduetopresenceofbodyfluidsand/orresidues.
Theoperatormustwearsuitablepersonalprotectiveequipment,suchasgloves,goggles,etc.duringallcheckingandcleaningoperations..
Cleanthedeviceanditspartswithsoapandwaterusingabrushwithmedium-hardbristles.Rinsethoroughlywithlukewarmwater,makingsureyouhaveremovedalltraces
ofsoap,whichmaydeteriorateorcompromiseconditionsanddurability.Avoid using high-pressure water.Letdrycompletelybeforestoring.Dryingafterwashingorafteruse
inawetenvironmentmustbenaturalandnotforced.Donotuseflamesorotherdirectheatsources.
Whendisinfecting,useproductsthatdonothaveasolventorcorrosiveactiononmaterialsconstitutingthedevice,inadditiontobeingclassifiedasmedical-surgicaldevices.
Besuretotakeallprecautionstoensurethatthereisnoriskofcross-infectionorcontaminationofpatientsandoperators.
Afterdisinfection,rinseallpartswithwarmwaterandallowthedevicetodrycompletelybeforestorage,asresidualmoisturemayleadtotheformationofmould..
12.2 ROUTINE MAINTENANCE
Theoperatormustwearsuitablepersonalprotectiveequipment,suchasgloves,goggles,etc.duringallchecking,maintenanceandcleaningoperations.
Thedevicedoesnotrequirearoutinemaintenanceprogram,butchecksmustbemadetoverify:
• All parts are present
• Integrityofthebelts
• Integrityoftheliftinghandles
• Integrityofthegroinbelts
• Integrityandoperationofthebuckles
• Integrityofinternalslats
• Integrityofthechinandforeheadbands
• Generalfunctionalityofthedevice
• Napecushionconditions
• Cleanlinessofthedevice(rememberthatthefailureofcleaningmaycausetheriskofcrossinfections)
• Fulfilmentoftherequirementsoftheusermanualinsection5Warningsand6SpecificWarnings.
• Fulfilmentoftherequirementsofthemanualinsection11Properuse
UseonlyoriginalorSpencerItaliaS.r.l.approvedcomponents/replacementpartsand/oraccessoriestocarryoutanyoperationwithoutcausingalterationsormodifications
tothedevice.Otherwise,wedeclineallresponsibilityregardingincorrectoperationoranydamagecausedbythedevicetothepatientortheoperator,invalidatingthe
warrantyandinvalidatingcompliancewithEURegulation2017/745.
12.3 PERIODIC OVERHAUL
Noperiodicoverhaulisforeseenforthedevice.