TurnAid T4 User manual

ORIGINAL
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INSTRUCTION MANUAL
&
ASSEMBLY AND MAINTENANCE MANUAL
FOR
TURNAID T4 TURNING SYSTEM
07.10.2020 © Copyright TurnAid ApS
Certified ISO 13485:2016

ORIGINAL
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LIST OF CONTENTS
1. Manufacturer ........................................................................................................ 3
2. Application............................................................................................................ 3
2.1 Area of application ......................................................................................... 6
3. Accessories ........................................................................................................... 7
4. Important/Warnings ................................................................................................. 7
4.1 Primary Requirements for the bed .................................................................... 9
4.2 Compatibility between the bed and the mattress .............................................. 10
4.3 In General................................................................................................... 11
4.4 Inspection upon receipt................................................................................. 11
4.5 Inspection prior to daily use .......................................................................... 11
5. Descriptions of the functions - Hand/remote control ................................................. 13
6. Operating ........................................................................................................... 16
6.1 In General................................................................................................... 16
6.2 Turning....................................................................................................... 17
6.3 Transfer from side to side in the bed............................................................... 19
6.4 Transfer further up in the bed ........................................................................ 19
6.5 Placement of sling ...................................................................................... . 20
6.6 Mobilising out of the bed ............................................................................... 21
6.7 Transfer from standing in front of the bed to sitting in the middle of the bed ....... 23
6.8 Incorrectly fitted of Turning sheet on the motor rolls ........................................ 23
6.9 Simultaneous use of the functions for TurnAid T4 and Care-Bed ......................... 24
6.10 Simultaneous use of 2 hand controls .............................................................. 24
6.11 Immediately Stop......................................................................................... 24
6.12 Placement of sheet ....................................................................................... 24
6.12.1 Placement of Slide Sheet .................................................................... 25
6.12.2 Placement of Turning Sheet ................................................................ 25
6.12.3 Sheet sizes ..................................................................................... ..27
6.13 Alternating pressure mattresses ..................................................................... 27
6.14 Simultaneous use of TurnAid T4 and catheter bags, probes, drains etc. ............... 27
7. Unpacking and preparation ................................................................................... 27
8. Assembly prior to use........................................................................................... 28
8.1 Requirements for the bed.............................................................................. 28
8.2 Compatibility between the bed and the mattress .............................................. 28
9. Electric connection ............................................................................................... 34
10. Disassembly of TurnAid T4 and transport instructions............................................... 34
11. Maintenance and storage ...................................................................................... 35
12. Cleaning ............................................................................................................. 36
13. Storage .............................................................................................................. 36
14. Maintenance to be undertaken by the owner ........................................................... 37
15. Inspection –In general ........................................................................................ 37
16. Trouble Shooting ................................................................................................. 38
17. Technical specifications ........................................................................................ 39
18. Disposal ............................................................................................................. 39
19. Marking .............................................................................................................. 41
20. Risk Assessment and safety .................................................................................. 41
20.1 Risk Assessment .......................................................................................... 41
20.2 Safety......................................................................................................... 42
21. Warning ............................................................................................................. 43

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1. Manufacturer
Manufacturer of TurnAid T4 System
TurnAid ApS
Vejlevej 15
DK-7160 Tørring, Denmark
Phone: [phone]
Mail: [e-mail]
Web: www.TurnAid.dk
2. Application
This instruction manual is intended for the persons using the Turnaid for care, assembly,
mounting or maintenance.
⚠
ALWAYS READ AND UNDERSTAND THE INSTRUCTION MANUAL BEFORE ASSEMBLY,
MOUNTING, MAINTENANCE OR CARE TASKS
Please pay special attention to chapter 4 (Important/Warnings) and to chapter 21 (Risk Assessment and
Safety).
TurnAid ApS cannot be held responsible if:
• TurnAid T4 is not used as instructed.
• TurnAid T4 is altered/assembled not in accordance with this Instruction manual.
• Maintenance and storage requirements are not followed.
Should you have any comments or corrections to this instruction manual, the
assembly/mounting and maintenance manual, or the TurnAid T4 system itself, please contact
us.
Warranty
For TurnAid T4, TurnAid ApS gives a two-year factory guarantee from supply of the system. The
warranty is invalidated if the TurnAid is not used, assembled/mounted/dismounted or maintained according
to this manual.
The expected useful life of the TurnAid is 10 years.
Only use original spare parts and accessories on the TurnAid.
Description of TurnAid T4 system
The TurnAid T4 consists of:
• 1 set of side rails with integrated electric turning system (right and left side).
• Mounting fitting with electro units: 1 control box, 1 hand control and motor cables.
• 1 Slide sheet
• 1 Turning sheet

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Following accessories are available:
•Slide sheet
•Turning sheet
•Foot control
•Transport and mounting trolley
•Siderail bumpers
•Transport bags
TurnAid T4 is an accessory for mounting on care beds. It combines two well-known basic
functions –bed rail and electric turning system.
The turning system operates two motors, one on each side of the bed, to drive a turning sheet
to move a patient in bed. With a hand control the nursing staff controls the motor rolls.
The turning sheet is attached to each motor roller with Velcro-strips.
A slide sheet is placed on the bed’s mattress. To fix this sheet to the mattress you apply 4 elastic
bands in the sheet corners and to the movable parts of the lying surface you apply 4 Velcro
strips.
TurnAid T4 has three settings:
"bed rail-position"
"working-position"
"folded position"
The TurnAid is adjusted between the settings by unlocking the release handles. Any alteration
between settings is only possible with two hands.
Purpose:
• To provide a gentle and dignified handling of a patient.
• To create a care environment with reduced stress and discomfort.
• The bed/side rails ensure safe environment for the patient and the nursing staff.
• To assist the nursing staff with heavy turns and transfers.
Explanation of Pictograms
Pictogram
Denomination
Description
⚠
Warning
This warning sign calls for your special attention.
CE mark
The mark shows that the product complies with CE requirements.
Declaration of Conformity to be found later in the manual
👉
IMPORTANT
Note especially!
v
Level of sealing
Level of sealing IPX0 => No protection against water destroying
the device. Not suitable for outdoor use.

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Pictogram
Denomination
Description
Type
Type
Describes type of system.
SPEED-control
Possibility to adjust the speed between 100 –75 and 50%
ON
Yellow diode lamp
The ON light diode is yellow when the system is active. If the
system is not active, the light diode will be turned off. When
the yellow ON lamp is glowing, the operator must
immediately operate the TurnAid T4 system.
Red and green push
button
(2nd outermost
switches on foot
control)
Operating buttons for red and green motor roll, respectively –>
tighten turning sheet.
Both rolls cannot be operated at the same time.
If both buttons are pressed at exactly the same time, you will hear a
warning sound, which will stop after 5 seconds. This is the procedure
if something goes wrong when operating the rolls and the system has
to be reset.
Red and green push
button in
continuation of
above push-button
(inner left and right
switches on foot
control)
Operating buttons for red and green motor roll, respectively –>
loosening of turning sheet.
It is possible to operate both buttons at the same time!
TIME OUT
Yellow diode lamp
The TIME OUT light diode flashes when the system has not been
activated for 80 seconds, and the system will give a beep. You can
still operate the rolls.
When the yellow ON lamp is glowing, the operator must immediately
operate the TurnAid T4 system
To proceed, the system can be reactivated by 1 push on the ON
button. If the system is not reactivated, the lamp will illuminate
constantly after 10 seconds, and the system cannot be operated
before reactivation. If you do not reactivate the system, the system
will turn off completely after 60 seconds.
Requirements to Users of TurnAid T4
Operation demands:
Maximum operation ambient humidity and atmospheric pressure range:
Temperature: minus 5 degrees up to 40 degrees Celsius.
HPA - atmosphere pressure: 800 –1060
RH - air humidity: 20% - 90% not condensing
Duty cycle from control box →2min (on)/18min (off)
• Only competent persons should operate the system.
• ONLY competent persons may undertake assembly, mounting, service, and
repair of TurnAid T4.
• The user of TurnAid T4, the person using the bed, is hereafter called the patient.
This person must not operate TurnAid unless a risk assessment has been carried out
and it has been defined that the patient is safe to operate the syste

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2.1 Area of application
TurnAid T4: has a safe patient working load of 40 kg -350 kg
• Minimum: 40 kg
• Maximum: 350 kg
Use TurnAid T4 when the patient is to be transferred/positioned in the bed:
•Between lying on the back, the side, or the stomach.
•Vertically and horizontally in the bed.
•Transfer (as assistance) in and out of bed.
The target group comprises:
✓ Persons, in need of assistance with hygiene, getting dressed etc.
✓ Persons, lifted in and out of their bed (by means of separate lifting device).
✓ Persons mobilised by means of a standing aid.
The typical target group for TurnAid T4 is hence a patient with reduced self-care functions or
a palliative patient.
TurnAid T4 is especially suitable for patients at risk of pressure ulcers (decubitus). The
construction of the system allows a movement in the sheet which reduces the friction
between the patient and the sheet; a friction which often results in tissue damage and causes
pressure ulcers.
⚠Keep the hand control(s) out of the patient’s reach.
👉 Prior to using TurnAid T4, make sure the system is well-suited for the patient.

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3. Accessories
Slide Sheet and Turning Sheet
TurnAid T4 presupposes the use of both a slide sheet and a turning sheet. Extra quantity of these
to be ordered separately as the sheet quantity should fit the number of patients and relevant
care situations. As a minimum, we recommend that you always have an extra set of slide sheet
and turning sheet.
Extra Hand Control
If your supply of TurnAid T4 only comprises 1 hand control, TurnAid T4 can be equipped with an
extra hand control. This means if you have two carers, it is possible to have a hand control each
side of the bed.
Foot Control
TurnAid T4 to be mounted with one or two foot controls. This will ease the operation of the system,
if both hands are required to support the patient. A foot control can be used parallelly with 1-2
handsets. The foot controls are like the handsets secured against incorrect operation –so
simultaneous activation of switches will cause nothing to happen.
4. Important warnings
⚠NEVER use TurnAid T4 otherwise than stated in this instruction manual.
⚠Any children in the vicinity of the TurnAid T4 must be supervised at all times.
⚠Always check the TurnAid T4 according to the maintenance instructions in this instruction
manual.
⚠If the TurnAid is not operating correctly stop using the TurnAid T4 and contact the TurnAid
dealer.
⚠Never move the bed if the TurnAid T4 is plugged into the mains supply.
⚠Only competent carers should operate the TurnAid T4.

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⚠If the TurnAid T4 is being reused for another patient, be aware that it could be contaminated.
⚠An assessment by a competent professional must be carried out on the patient to ensure the
product is suitable.
⚠Do not exceed the duty cycle of the motors.
⚠The TurnAid T4 is intended for interior use only.
⚠A patient showing violent behavior must not use the TurnAid T4.
⚠Ensure mains cable does not get trapped in the TurnAid T4 or the bed.
⚠Avoid spilling liquids or water on the electrical system.
⚠Always fully check electrical system if it gets wet.
⚠Patients must not smoke in a bed fitted with a TurnAid T4.
⚠The TurnAid T4 can be used as a side rail so patients must be assessed for the use of a side rail.
⚠Only competent persons should assemble /disassemble and maintain the TurnAid T4.
⚠NEVER leave TurnAid T4 in "working-position" when a patient is in the bed.
⚠ONLY use TurnAid T4 when correctly mounted.
⚠WARNING: No modification of this equipment is allowed
⚠Keep the hand control(s) out of the patient's reach.
⚠When setting the 3 TurnAid T4 positions ALWAYS pay attention to the following:
o Make sure the patient's fingers, arms, legs, hair and any connected equipment are
not caught during setting of the system.
o Before and after setting ALWAYS check for clearance around the patient.
o ALWAYS check that the release handles are locked correctly after setting.

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o NEVER use force or power when setting the system.
o Do not squeeze own hand/finger between the round metal bars when alternating
position of the system.
⚠Warning: Risk of foot entrapment when used on a low bed.
⚠Warning: Materials used on the TurnAid could cause allergies.
•NEVER pull the patient over the bed side.
•Having terminated turning or repositioning the patient, ALWAYS check that the patient is
positioned safely and correctly.
•Familiarize yourself with the symbols of hand control–see chapter 2 (Explanation of Pictograms).
•Pay attention to the location of the quick guide and use this in case you have doubts during an
operation situation.
•Do NEVER exceed the patient's MAX. weight of 350 kg.
•NO extra persons are allowed in or on the bed besides the patient.
4.1 Primary requirements for the bed
For mounting of TurnAid T4, the care bed must comply with the following demands:
• The Bed must be manufactured according to EN 60601-2-52. If the bed fails to comply with
the standard, we cannot guarantee that TurnAid T4 complies with safety demands.
• DO NOT EXCEED the bed’s max. load and max. user weight when TurnAid T4 is mounted.
The TurnAid T4 system has a total weight of 48,5 kg.
Do not squeeze your hand/finger
between the round metal bars when
alternating position of the system.

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4.2 Compatibility between the bed and the mattress
👉 Observe the following requirements for bed and mattress:
• BED: The TurnAid T4 system is designed for mounting on beds with square side bars on the
lying surface between the headboard and footboard.
•Ensure that the gap between the headboard or footboard and the TurnAid T4 meets the
requirements for gaps to ensure there are no entrapment risks. Here you must observe
a distance of 25 to 60 mm. You can adjust TurnAid T4 length to fit between the
headboard and footboard.
•You can mount TurnAid T4 on beds with various widths. The only requirement is that both
the slide sheet and the turning sheet must fit the width of the bed.
•MATTRESS: The mattress must fit the bed and comply with the demands of the bed
manufacturer.
We recommend that you firmly inflate an alternating pressure mattress before operating the
TurnAid T4. A soft mattress will give an uneven support for the patient and thus increase the
friction onto the mattress. If you inflate the mattress firmly, friction is reduced and turning will
become gentler and more comfortable for the patient. If the mattress is soft, you must ensure
that there is no risk of entrapment due to extra compression at the mattress side.
CHANGE OF MATTRESS: When changing the mattress observe that the height for TurnAid
T4 may have to be altered –see chapter 7.
A too low positioning will make it impossible for the nursing staff to change between "working-
position" and "bed rail- position" as the roll will go against the mattress.

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4.3 In general
⚠Observe the following:
•During assembly/mounting ensure that no parts, fittings or cables are damaged or
squeezed when changing between all the possible positions. This applies for both the bed
and TurnAid T4.
•Leave the bed in a position where no one can get injured. If there is a person in the bed,
TurnAid T4 must be folded to "bed rail-position". In this case, do not forget that the
turning sheet must be tightened as much as possible.
•If there is NO person in the bed, you can leave TurnAid T4 in "folded-position".
•Do NOT expose the connection cable for TurnAid T4 to unnecessary pulls or sharp bends.
In case of a damaged cable, disconnect TurnAid T4 from the power supply and call for a
service technician.
•Connect the TurnAid T4 plug to power from electrical outlet.
•When applying other equipment with tubes, wires, or the like please take special care in
connection with all moving parts. Cf. chapter 6.14.
4.4 Inspection upon receipt
Upon receipt of TurnAid T4 check packaging. If the system shows any sign of damage, please
do not hesitate to contact TurnAid ApS.
4.5 Inspection prior to daily use
1. From top of mattress to top of bed rail ("bed rail-position") there has to be a
minimum of 230 mm.
2. The TurnAid T4 length adjustment bar must be placed at the foot end of the
bed.
3. From the end of the TurnAid T4 to the headboard or footboard of the bed there have
to be min. 25 and 60 mm.

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4. The sheet must be mounted so it goes from the top of the mattress to the top of the rolls.
Make sure, when operating the rolls that direction and side correspond to the symbols on
hand control.
5. Electric parts to be mounted with red roll to red input and green roll to green input. Make
sure there is nothing underneath, above or close to the system which can restrict its
movement, e.g. furniture, window seats, or storage boxes.
6. Avoid that the power cable being damaged in moving parts. Ensure that the bed,
upon which TurnAid T4 is mounted, does not have any cables which could be
damaged by the TurnAid T4.
7. No cables or other equipment to be squeezed or damaged in any other way when
TurnAid T4 is in use.
8. Visually make sure that TurnAid T4 is without damage.
9. The turning sheet is in good condition and goes correctly on the motor rolls.
10. The slide sheet is in good condition and correctly mounted.
11. When connecting the system to the power supply, the function of the hand control(s)
system is correct.
12. The quick guide for use of the system is visible close to the bed and is clean and
undamaged.

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5. Description of functions
TurnAid T4 is designed according to the standard for care beds EN 60601-2-52, and
TurnAid T4 complies with all relevant demands for a bed rail.
When working with TurnAid T4 and the care bed we recommend that you maintain the
bed's height adjustment for the relevant working situations. The bed's height adjustment
is not decisive for TurnAid T4's function, but it is important for the carers working position
and health.
In general, you operate TurnAid T4 by means of a hand control, however the system can
also be operated via foot controls. Especially when turning a person foot control can give
carers 2 free hands to guide and support the patient.

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Speed
Control
FOOT CONTROL
T4
HAND CONTROL T4
LED indicators for speed
The ON lamp lights
when the system is
active. It the system is
not active the lamp
goes out. When the
yellow lamp is on, the
operator must
immediately operatethe
TurnAid T4 system.
Speed control:
Changes between 100 –
75 –50% in speed.
The ON push button:
Activated the system by 2
defined pushes (each of
approx. 1 second) after
each other. The ON button
also serves as a STOP
button; this requires a long
push for more than 2
seconds. The button is also
used for reactivation at
TIME-OUT.
Operating buttons for red
and green motor roll –
tightening of the turning
sheet.
Operating buttons for red
and green motor roll –
loosening of the turning
sheet.
Operating switches
for red and green
motor roll -> for
loosening of turning
sheet = inner left
and inner right
switch.
Operating switches for
red and green motor
roll -> for tightening of
turning sheet = 2nd
outermost left and 2nd
outermost right switch.
ON button = middle foot switch

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These instructions presuppose that TurnAid T4is mounted so right motor roll is GREEN –seen
from the top of the bed –and left motor roll is RED –seen from the top of the bed.
When you fold T4 as shown here in fig. 5.1, the system is in "bed rail- position", and having
ensured that the turning sheet has been reeled in adequately tightly it is safe to leave the patient
without any further precautions.
Fig. 5.2 –“Working-position” (during turning)
the roll in one side is turned from the bottom position to the top position
Now, use TurnAid T4 as help for gentle turning of the patient. If the patient is to be turned by
the motor roll, which is against a wall, do not forget to move the bed away from the wall.
Fig. 5.1 –“Bed-rail position” (during turning)
one side has the roll on top and the other side
operate as bed rail
⚠For alteration of TurnAid T4 to "working-position”, release the two blue handles
and fold the top part for the roll with sheet to go at the top. Please note positions of
your hands in relation to the release handles. The opposite side remains as bed rail so
the patient has a clear view.

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The third position for TurnAid T4 is "folded-position" (out of bed-position).
If the patient cannot get to the bed side independently, the nursing staff may assist by pulling
the person by the sheet. For this, lower TurnAid T4 to "folded-position", fig. 5.3.
⚠When you apply "folded-position" to move the patient out to the side of the bed,
pay attention that the person is not moved over the edge. Also, note standard rules for
any work with sheets and care beds.
Fig. 5.3 –“Folded-position” (out of bed position)
for working with the patient at e.g. washing, dressing, undressing etc.
⚠Move the bed away from the wall, if "folded-position" is required on both sides of the
bed. NEVER leave the patient alone in the bed with "folded-position".
6. Operation
6.1 In general
The next pages will give you various scenarios for operating and transfer situations.
👉 In operation, right side is the green motor roll (seen from the top of the bed) and left
side is the red motor roll (seen from the top of the bed)
👉 For any transfer, consider if the action in question requires the bed to be moved
away from the wall.
⚠During ALL turning and transfers of the patient, ALWAYS note the position of the patient’s

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limbs. Thereby you avoid any unintentional entrapment of the limbs. Before commencing
turning, note that turning of the patient should be made in ONE fluent movement with no
interruptions.
⚠During change of slide or turning sheet or cleaning of the bed, when the patient is in the
bed:
o Remove the care-bed from the wall if it was positioned up against a wall.
o Keep the hand control(s) for TurnAid T4 out of reach of the patient.
We have described the following situations with the use of hand control:
✓Turning.
✓Transfer from side to side in the bed
✓Repositioning further up in the bed.
✓Placement of sling.
✓Mobilising out of the bed.
✓Transfer from standing in front of the bed to sitting in the middle of the bed.
✓Turning sheet is incorrectly fitted on the motor rolls.
✓Simultaneous use of the functions for TurnAid T4 and bed.
✓Simultaneous use of 2 hand controls and 2 foot controls.
✓Emergency Stop.
✓Placement of sheet.
Placement of slide sheet.
Placement of turning sheet.
Sheet sizes.
✓Alternating pressure mattresses.
✓Simultaneous use of TurnAid T4 and catheter bags, probes, drains etc.
Please see www.turnaid.dk for further information.
6.2 Turning
You may use TurnAid T4 for turning the patient from the back onto the side (and back) and
from the side onto the stomach (and back). Following example illustrates turning from the
back to the left side.
•Adjust red motor roll to "working-position", cf. fig. 6.2.1 below, i.e. release the two
blue handles and fold the top part for the roll with sheet to go to the top.
⚠Note the position of the nursing staff’s hands in relation to the handles. Green
motor roll can be set to "bed rail-position" or "working-position".

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Fig. 6.2.1 –“Working-position” during turning
•Power on TurnAid T4 by double-clicking (2 defined pushes) .
•Press to pull the patient towards you. Red motor roll now helps turning the patient
from side to side.
•Before the patient starts to turn, bend his/her leg closest to you and at the same time
place his/her closest arm on his/her stomach or chest.
Fig. 6.2.2 –Initiating turning
•Continue turning of the patient with the motor roll while you support the person's head and
hips until the patient is lying on the side. Then place the patient’s lower legs parallel while
the upper top leg is slightly bent, cf. fig. 6.2.3. If needed, position a cushion along the
patient’s straight leg so the top leg may rest on this upon turning.

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Fig. 6.2.3 –Adjustment at turning
Apply same turning principle in care and hygiene situations.
6.3 Transfer from side to side in the bed
TurnAid T4 works as an aid if the patient is to be transferred onto the bed side.
Small adjustments of the patient's lying position should be made at "bed rail-position" fig.
5.1.
•For easier access to the patient, fold down TurnAid T4 at the side to facilitate access for
nursing staff, cf. fig. 6.3.1. In this case, we describe the scenario from the left side of the
care bed, and the red motor roll is used.
•Power on TurnAid T4 by double-clicking (2 defined pushes) .
•Activate the motor on the side to which you want to move the patient.
•Press –and keep pressing –one of the following to pull the patient towards red
or green side. The motor roll assists in the transfer of the patient in the bed.
👉 NEVER let the patient get into contact with the side rail.
👉 NEVER pull the patient further out than the mattress and lying surface allow.
6.4 Repositioning further up in the bed
When the headrest section of the bed has been raised, the patient will often slide towards the
bottom of the bed. To avoid this, elevate the bed’s knee break section before the headrest
section. Having done so and the patient still slides down in the bed, the turning sheet will typically
follow the person’s body. To reposition the person in the top end of the bed:
•Place the bed platform in a horizontal level.
•If needed, fold TurnAid T4 to "bed rail-position", cf. fig. 6.4.1 below, to lower the
motor rolls (in case they were folded to "working-position").

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Fig. 6.4.1 –”Bed rail-position”
•Power on TurnAid T4 by double-clicking (2 defined pushes) .
•Press simultaneously to completely loosen the turning sheet. (If required,
these two push buttons can be operated simultaneously).
•Place yourself at the top of the bed and alternating press to pull the patient from
side to side while, with a light hand, you guide the turning sheet back towards the top
part of the roll motor.
•Repeat the procedure on the opposite side and so on until the sheet has reached its place.
Fig. 6.4.2 –Transfer further up in the bed
6.5 Placement of sling
When using TurnAid T4, it is simple to place a sling for the patient.
•Power on TurnAid T4 by double-clicking (2 defined pushes) .
•Use the turning function of TurnAid T4 to turn the patient onto the side.
Fig. 6.5.1- Turning onto the side