Maxi Twin
Contents
1. Powered DPS spreader bar if fitted Using the loop spreader bar To lift from a Chair To lift from a bed coooocccccccccccccncncnnnnnannns To raise from the floor Lifter Battery charging Care of your Maxi Twin Sling care and cleaning Lifter care and cleaning Periodic Testing Service Advice ccooccccccoccccnnnccnonanicnnanos Technical Specification Component weights Electrical Maximum capacities Lifter Dimensions Foreword Thank you for purchasing ARJO equipment Your Maxi Twin is part of a series of quality products designed especially for hospitals nursing homes and other health care uses We are dedicated to serving your needs and providing the best products available along with training that will bring your staff maximum benefit from every ARJO product Please contact us if you have any questions about the operation or maintenance of your ARJO equipment All references to the patient in these instructions refer to the person being lifted and references to the attendant refer to the person who operates the Maxi Twin Techniques described in these instructions for fitting slings and lifting patients from a reclining position can be used for patients regardless of where they may be lying on the bed or on the floor Similarly lifting a patient from a chair emp2. 19 Warning Always check that all the A sling attachment loops are fully in position before and during the commencement of the lifting cycle and in tension as the patient s weight is gradually taken up When lowering the Lifter ensure that the patient s or attendant s legs and feet are well clear of the moving parts Apart from the methods listed above the loop spreader bar with loop slings is also extremely useful for lifting patients who have contracted legs where the patient leg position prohibits the use of the DPS spreader bar Attach the sling in the normal manner as described in lifting from the bed To lift from a bed Place the sling under the patient as if it were a drawsheet Flex the patient s legs and bring the sling leg pieces under the thighs attach the sling to the spreader bar using any of the methods 1 3 above four points of the sling are securely A Warning IMPORTANT Check that all connected before lifting Using your Maxi Twin To raise from the floor Some attendants prefer to use a larger sling for this operation Raise and support the patient into a sitting or half sitting position Feed the sling down the patient s back bring the leg pieces of the sling into position Raise the patient s legs over the chassis and bring the lifter into position With the jib as low as possible attach the shoulder loops Bend up the patient s knees to connect up the le
3. 70 Tel 08702 430430 Fax 23 05 11 99 Fax 01452 428344 E post kundservice arjo se IRELAND BELGIQUE BELGIE ARJO Ireland Ltd EA House ARJO N V Hospital Equipment S A Damastown Industrial Estate Ternesselei 243 Mulhuddart Dublin 15 Eire 2160 WOMMELGEM Tel 00 35 3145 65565 Tel 03 353 91 00 Fax 00 35 3145 65575 Fax 03 353 91 01 Email info arjo be HONG KONG ARJO Far East Ltd CANADA 1001 1003 APEC Plaza ARJO Canada Inc 49 Hoi Yuen Road Kwun Tong 1575 South Gateway Road Kowloon HONG KONG Unit C Mississauga ONTARIO Tel 852 2908 9553 L4W 5J1 Fax 852 2508 1416 Tel 1 800 665 4831 Fax 1 800 309 1116 ITALIA ARJO Italia SPA CESK REPUBLIKA Via Tor Vergata ARJO Hospital Equipment s r o 432 00133 ROMA Hlinky 118 CZ 603 00 Brno Tel 06 87426211 Tel 549 254 252 Fax 06 87426222 Fax 541 213 550 Email promo arjo it DEUTSCHLAND NEDERLAND ARJO GmbH ARJO NEDERLAND B V Christof Ruthof Weg 6 De Blomboogerd 8 55252 Mainz Kastel Germany 4003 BX TIEL Tel 49 0 61 34 186 211 Postbus 6116 Fax 49 0 61 34 186 209 4000 HC TIEL Email info arjo de Tel 31 0 344 64 08 00 Fax 31 0 344 64 08 85 Email info arjo nl ARJO BSI BSI BSI a S FM 21964 MD 76970 EMS73184 ISO 9001 2000 ISO 13485 ISO 14001 ARJO UK Branch of ARJO MED AB LTD www arjo com If your country is not listed here please contact your local distributor or ARJO International AB Box 61 S 241 21 ESL V SWEDEN Tel 46 413 64500 Fax
4. only ARJO slings that have been specifically designed for the Maxi Twin Warning Before lifting a patient a clinical assessment of the patients condition and suitability to be lifted should be carried out by a qualified person Warning Patients with spasms can be lifted but special attention should be paid to supporting the patient s legs Warning Do not overload the Maxi A Twin beyond the approved lifting capacity of the lowest rated attachment accessory The Maxi Twin may be used on gentle slopes with caution Care should be taken when manually lifting alternative optional components e g spreader bars to avoid injury Do not attempt to manually lift the complete lifter Caution Although manufactured to a high standard the Maxi Twin and accessories should not be left for extended periods in humid or wet areas Do not under any circumstances spray the Maxi Twin or accessories excluding slings or ARJO approved wet environment equipment with water e g under the shower Warning It is advisable to familiarise yourself and understand the operation of the various controls and features of the Maxi Twin and ensure that any action or check specified is carried out before commencing to lift a patient Warning The ARJO Maxi Twin has been designed as a mobile lifter for raising and transporting patients in hospitals and care facility environments and should only be used for this purpose T
5. patient as before by using the rolling or sitting up method Depending on circumstances space and or position of patient etc approach the patient with the open part of the chassis Open the chassis legs if necessary The patient s head and shoulders could be raised on pillows for comfort if required but this is not essential when connecting up the sling to the spreader bar Using your Maxi Twin With the open part of the spreader bar pointing down towards the shoulders attach the shoulder strap attachment clips Once connected raise the hip and knee into maximum flexion and push down on the positioning handle in order to connect the leg strap attachment clips This will have the effect of raising the patient s head and shoulders slightly Warning IMPORTANT Always check that the sling attachment clips are fully in position before and during the commencement of the lifting cycle and in tension as the patient s weight is gradually taken up A When lifting from the floor some attendants prefer to connect the leg pieces first This in particular applies to the very large patient with large thighs In this case raise the hip and knee into maximum flexion and attach the leg straps first then tilt the spreader bar towards the shoulders to enable the shoulder straps to be connected 16 When all the straps have been properly connected raise the patient from the floor in asemi recumbent position Supp
6. surface disinfectant wipes that are supplied impregnated with a 70 v v solution of Isopropyl Alcohol Note A rubbing action will be necessary when using the wipes to promote effective disinfection of the surfaces Warning IMPORTANT Cleaning and disinfection products must be used in accordance with the manufacturers instructions and suitable eye hand and clothing protection must be worn at all times when handling disinfectants Care of your Maxi Twin Note 70 v v Isopropyl Alcohol wipes have been proved to be effective against MRSA and several other micro organisms under light soiling conditions The following checks should be carried out daily Ensure that the battery pack is always in a good state of charge Warning Ensure that the castors are firmly secured to the chassis Carefully inspect all parts in particular where there is personal contact with the patient s body ensure that no cracks or sharp edges have developed which could injure the patient s skin or become unhygienic Check that all external fittings are secure and that all screws and nuts are tight Ensure that all instruction labels are firmly attached and in good readable condition Periodic Testing To be carried out at weekly intervals Periodic testing of the operational functions is advisable from time to time to ensure everything operates satisfactorily Test for full and efficient movement of the lift lower mech
7. 46 413 555586 ARJO MED AB LTD OSTERREICH ARJO GmbH F hrenweg 5 A 6065 THAUR Austria Tel 43 0 5223 493350 Fax 43 0 5223 493350 75 Email office arjo at POLSKA Getinge POLAND Sp z 0 0 02 387 Warszawa ul Lirowa 27 Poland Tel 48 22 882 06 26 28 Fax 48 22 882 24 52 Email wysokinski getinge pl SCHWEIZ SVIZZERA ARJO INTERNATIONAL AG Florenzstr 1d Postfach CH 4023 BASEL Switzerland Tel 41 0 61 337 9797 Fax 41 0 61 331 4780 Email arjo international arjo com SCHWEIZ ARJO SIC AG Florenzstr 1d Postfach 4023 BASEL Tel 41 0 61 337 97 77 Fax 41 0 61 311 97 42 Email arjo sic arjo ch USA ARJO Inc 50 North Gary Avenue Roselle IL 60172 Tel 1 800 323 1245 Fax 1 888 594 ARJO 2756 GETINGE GETINGE GROUP is a leading global provider of equipment and systems that contribute to quality enhancement and cost efficiency within healthcare and life sciences Equip ment services and technologies are supplied under the brands ARJO for patient hygiene patient handling and wound care GETINGE for infection control and prevention within healthcare and life science and MAQUET for surgical workplaces cardiopulmonary and critical care
8. ARJO Maxi Twin lin Operating and Product Care Instructions KTX82538 GB Issue 2 March 2006 Introduction GETINGE GROUP is a leading global provider of equipment and systems that contribute to quality enhancement and cost efficiency within healthcare and life sciences Equipment services and technologies are supplied under the brands ARJO for patient hygiene patient handling and wound care GETINGE for infection control and prevention within healthcare and life science and MAQUET for surgical workplaces cardiopulmonary and critical care The vertical and horizontal lines printed in the margins adjacent to the text illustrations in these instructions are for ARJO use only and should be disregarded by the reader Some of the information contained in these instructions may become outdated due to improvements made to the product in the future If you have any questions regarding these instructions or your lifter please contact ARJO or their approved distributor ARJO Med AB LTD ARJO products are patented or patent pending Patent information is available by contacting ARJO Med ABLTD Our policy is one of continuous development and we therefore reserve the right to make technical alterations without notice The content of this publication may not be copied either whole or in part without the consent of ARJO Med AB LTD ARJO Med AB LTD strongly advise and warn that only ARJO Company Designated Parts
9. anism Raise and lower the jib using the control handset to check for full and efficient movement Emergency Stop Test the emergency stop facility by operating the control handset to lift or lower the jib and whilst operating press the emergency stop button Powered movement should stop immediately Reset the button and repeat for chassis legs opening closing function Reset the button System Failure Lower Override Test this function simply by ensuring the jib is well above its lowest position then operate the system failure lower override control The jib will lower without the need to operate the control handset The lower override facility will still operate even with the handset control cable unplugged 23 Adjustable Width Chassis Function Open and close the chassis legs using the control handset to check for full and efficient movement General lifter Condition A general visual inspection of all external parts should be carried out and all functions should be tested for correct operation to ensure that no adverse damage has occurred during use Warning If in any doubt about the correct functioning of the Maxi Twin withdraw it from use and contact ARJO Service Department A Servicing Advice Warning ARJO recommend that the Maxi Twin is maintained at regular intervals see ARJO Maxi Twin Preventive maintenance schedule ARJO Literature Part No KMX82171 Maxi Twin With regular use the follo
10. ar movement in the required direction Powered movement will continue until pressure is released from the control switch P1396amaxB Raise Button Lower Recline Chassis leg close button Chassis leg open Button Warning To stop any powered movement release pressure from the control switch or press the emergency stop button The spreader bar will remain firmly in position once powered movement has ceased Warning Before and during operating the powered DPS spreader bar ensure all obstructions are well clear of the spreader bar support frame and jib The actuator covers contain Warning moving parts care must be taken not to damage these covers Should the covers become damaged withdraw the lifter from use and arrange replacement of the actuator before re using the lifter Using your Maxi Twin Using the loop spreader bar Warning the above figure When attaching a loop sling to the loop spreader bar always ensure the sling attachment loops are positioned correctly into the retaining hooks and that the retaining hooks gates move freely as shown below retaining hook gate loop sling attachment hook The slings to be used with the loop spreader bar are the ARJO loop slings They are available in different sizes small medium large and extra large etc all colour coded A range of more specialised slings are available please contact ARJO or their authori
11. ccessories additional optional sub assemblies may reduce the maximum capacity Always refer to the maximum weight limit printed on the label fixed to the lowest rated fitted attachment The use of low height castors does not affect the lifting capacities 26 Technical Specification Lifter Dimensions All dimension shown in millimetres dimension b DPS amp powered DPS spreader 830 S amp M loop spreader 1000 L loop spreader 1170 27 Notes 28 Notes 29 Notes 30 Notes 31 AUSTRALIA ESPANA ARJO Hospital Equipment Pty Ltd ARJO SPAIN S A 205 Queensport Road Murarrie C San Rafael n 6 Brisbane QLD 4172 28108 ALCOBENDAS MADRID Tel 61 7 3395 6311 SPAIN Fax 61 7 3395 6712 Tel 34 902 300 126 Fax 34 902 300 191 SVERIGE Email arjospain arjospain es ARJO SCANDINAVIA AB Box 61 241 21 Eslov Sweden FRANCE Tel 46 413 645 00 ARJO Equipements Hospitaliers S A Fax 46 413 645 83 45 Avenue de l europe E post kundservice arjo se Eurocit BP133 F 59436 RONCQ CEDEX DANMARK FRANCE ARJO SCANDINAVIA Tel 03 20 28 13 13 Postboks 51 4632 Bj verskov Fax 03 20 28 13 14 Tel 45 93 27 37 Email info arjo fr Fax 45 93 27 39 E post kundservice arjo se GREAT BRITAIN ARJO NORGE St Catherine Street ARJO SCANDINAVIA Gloucester GL1 2SL Enebakkveien 117 d 0680 Oslo ENGLAND U K Tel 98 28 11
12. d for a long period should be kept in a cool place between 0 C 32 C and 25 C 77 C Batteries that are charged for the first time or after a long period of storage must be charged for 14 hours or until the LED turns green Care of your Maxi Twin How often the following actions are taken depends on how often the equipment is used Unless otherwise stated before each and every use follow the cleaning care and inspection procedures described in this section Sling care and cleaning A Warning The slings should be checked before and after use with each patient and if necessary washed according to instructions on the sling This is especially important when using the same equipment for another patient to minimise the risk of cross infection Also refer to sling instruction sheet MAX 01510 INT With regard to laundering slings should not be classified as linen but as an accessory to a patient transfer lifter and therefore classified as a medical device Slings should be cleaned and disinfected only in strict accordance with the manufacturers instructions Mechanical pressure should be avoided during the washing and drying procedure e g rolling or pressing as these can damage parts vital to the safe and comfortable operation of the sling Washing and drying temperatures must not exceed 80 C 176 F Wash using normal detergents do not iron Also refer to Sling Instruction sheet MAX 01510 INT It is es
13. ds and straps do not show signs of fraying tearing or other damage and that there is no damage i e cracking bending breaking to the attachment clips If any form of damage is found do not use the sling The expected life for other consumable products such as batteries fuses lamps gel cushions filters seal kits seat inserts mattresses safety belts padded covers straps and cords is dependent upon the care and usage of the equipment concerned Consumables must be maintained in accordance with published Operating and Product Care Instructions and the Preventive Maintenance Schedule The date of manufacture is shown in the first 6 digits of the serial number e g GB0521 123456 GB country of manufacture 05 year 2005 and 21 21st week of that year The remaining digits are the machine identification number Policy on number of staff members required for resident patient transfer ARJO s passive and active series of lifters are designed for safe usage with one caregiver There are circumstances such as combativness obesity contractures etc of the individual that may dictate the need for a two person transfer It is the responsibility of each facility and a professional medical person to make a determination if a one or two person transfer is more appropriate based on task resident load environment capability and skill level of the staff member Safety Instructions Before using your Maxi Twi
14. e The fundamental difference being the powered DPS spreader bar has the added advantage of enabling the patient positioning manoeuvre to be performed with minimal physical effort by the attendant Rotation of the powered spreader bar is manual and is the same as the manual patient positioning spreader bar Warning Before using your lifter when fitted with the powered DPS spreader bar familiarise yourself with the various parts then read and thoroughly understand the following operating instructions The powered DPS spreader bar must be used in accordance with the following instructions and in conjunction with the instructions previously operating described for the manually operated non powered four point spreader bar The lifting capacity of the lifter when fitted with the powered DPS spreader bar remains the same as the non powered patient positioning spreader bar version 17 The powered DPS is fully waterproof and is classified by ARJO as a wet environment unit and has a blue and white circular label to qualify this attached See Labels Section This label signifies that the lower end of the unit may be immersed in bath water or used for showering To operate the powered patient positioning function ensure the isolator cut off switch is in the on position When ready to perform the patient positioning function as described previously operate the powered DPS control button to achieve spreader b
15. e to attach the shoulder clips of the sling to the spreader bar To accomplish this you may have to put the patients feet on or over the chassis Warning When fitting and lifting using the sling with the DPS spreader bar ensure the patients hands and arms are at all times kept inside the sling Do not allow the patient to hold on to the hanger frame Once the Maxi Twin is in position attach the shoulder strap attachment clips to the pegs on the spreader bar Note The chassis rear castors have brakes which can be foot operated when required Do not apply the castor brakes at this stage as the position of the patient will adjust to his her own centre of gravity when lifted Using your Maxi Twin Warning Apply the castor brakes when leaving the patient unattended or to keep the Maxi Twin in position on a sloping surface Press down on the positioning handle of the spreader bar and attach the leg strap attachment clips If necessary lower the spreader bar using the handset control being careful not to lower it onto the patient Although if this should happen do not continue to press the handset lowering button Note If the handset button is released during lifting or lowering powered motion will stop immediately Warning IMPORTANT Always check that the sling attachment clips are fully in position before and during the commencement of the lifting cycle and in tension as the patien
16. ecial purpose slings are available as accessories for these or for special size slings contact your ARJO representative Warning Only use ARJO supplied slings that are designed to be used with Maxi Twin The sling profiles illustrated will help to identify the various ARJO slings available If ARJO Flites disposable slings are to be used with the Maxi Twin then always refer to the separate operating instructions for ARJO Flites literature reference part No MAX01720 as well as these instructions before using Warning ARJO slings with head support have two pockets at the head section which contain plastic reinforcement pieces during use Always ensure these reinforcement pieces have been inserted into the sling pockets before using the sling Product Description Function epxew zz dw ERO RROD EON eee ISLER RRRS O RaR CSS OS SS IN reses cesos SNS EEE RRR EEE RE EEELERB PKR KRY SRR de Se In th A ELTERN SS Rd ing wi t mesh sl In head support Toilet sl Four point amputee sling Four po int Four point toiletting sling With headrest Four po unpadded sling E x O Lo lt de O 0 3 Q Cc O O Ke YN DL ing prof th head support t Padded ing wi in sling General purpose ARJO standard sl sl Four po Controls and features Control Handset Raising and lowering the jib and opening and closing the chas
17. g pieces Warning Check all the loops are A securely attached before lifting When lifting or lowering a patient who is supported by a sling it is not necessary to use the brakes this allows the Lifter to move to the correct position relative to the centre of gravity of the patient when leaving the patient unattended or to keep the Maxi Twin in position on a sloping surface A Warning Apply the castor brakes When the patient has been returned to the bed he she may be reclined before the sling is detached Warning When lowering the jib ensure A that the patient s or attendant s legs and feet are well clear of the moving parts Lifter Battery Charging Installation A Warning The battery charger is designed for dry surroundings and may not be installed in bathrooms or any other wet areas The charger is to be plugged in a standard power outlet The charger is not allowed to be used in a residential environment Charging Batteries General The charger converts mains voltage to low DC voltage The charger must only be used for Arjo s battery type NEA0100 The charger is ready for use as soon as it is plugged in A green indicator shows that the charger is ready for charging there is no ON OFF button on the charger Charging intervals To prolong the life of batteries charge at regular intervals If the lifter is used frequently it is recommended to use two batteries one in
18. he ARJO Maxi Twin can be supplied with a variety of optional attachments which may not be described in these instructions If your Maxi Twin has been fitted with an alternative optional sub assembly then always refer to the separate relevant operating instructions supplement as well as these instructions before attempting to operate the lifter This product is intended to be operated entirely by an attendant No functions regarding the control of this product should be performed by the patient A second attendant may be required with certain patients Product Description Function Parts referred to in this manual Mast Lifter manoeuvring handle i 8 2 Jib 9 3 Adjustable chassis legs 40 4 _Braked castors rear 41 5 Non braked castors front 42 6 Powered DPS spreader bar 13 7 Control handset Handset hang point Lifter battery pack Main lift actuator Emergency stop button Reset button System failure lower override Pivot pin quick release pin Product Description Function Slings Note All Maxi Twin slings will support 170 KG 374lbs all slings are coded for size by having different coloured edge binding as follows Teal Extra Extra Small XXS Brown Extra small XS Red Small S Yellow Medium M Green Large L Purple Large Large LL Blue Extra Large XL A label is fitted to the hanger frame for quick colour to size reference see Labels section A range of sp
19. he top of the main lift actuator housing a green and white identification label is positioned near the control for quick and easy recognition Pull the control up to operate release the control during use and lowering will stop Automatic cut out not an operator control but a function built into the lifter electronics If the lifter is inadvertently overloaded trying to lift a patient heavier than permitted an automatic cut out operates to prevent the lifter lifting a load in excess of one and a half times the maximum rated load this will stop the lift motion automatically If this occurs when pressure is released from the lift button on the handset after a short delay the electronics will reset and enable the patient to be lowered only by pressing the lower button Remove the patient from the lifter Adjustable width chassis legs By operating the appropriate button on the control handset the chassis legs can be opened to any variable width When pressure is released from the button movement will stop and the chassis legs will remain securely in position Always transport with the chassis legs in the narrow closed position Chassis castor Brakes The chassis rear castors have brakes which can be foot operated if required for example when leaving the patient unattended or to keep the Maxi Twin in position mP1332e f Product Description Function Jib and spreader bars If your Maxi Twin has not been sup
20. ient handling products meet the requirements of Electromagnetic Compatibility EMC as stated in clause 12 5 of the Medical Devices Directive 93 42 EEC Although compliant with EMC requirements there is a remote chance that close proximity usage may A affect over sensitive electrical equipment Conforms to UL 2601 1 and CAN CSA C22 2 No 601 1 M90 Duty cycle Mast Lift Actuator ee 10 6 min hr V Chassis Actuator 10 6 min hr Powered DPS u u died nn 10 6 min hr Environment Air humidity storage eee 80 20 C 68 F Usage temperature range ambient ccceeeeeeeeeeeeeeeeeeteeeees 5 C 41 F to 35 C 95 F Optimum usage temperature ambient 444444444H 0 20 C 68 F to 25 C 77 F Storage and transportation temperature ambient 10 C 14 F to 45 C 113 F Maximum Capacities of Maxi Twin The Maxi Twin should not be loaded with a weight in excess of the lowest rated attachment fitted see table below for lifter and attachments maximum lifting capacities kg Ibs AM BJ 11010 ESPREEREFREFCRERLPEFFFERFEEFEEHFGEFFFFEFPLPPERFERLFETIEFEFERFLPERFFEFPLEFERFFRFTEFFEFFBFEEBERFEEERREELTETFFFTFFBEFTERFEN 170 374 Powered DPS Spreaders iraina e a aaa aa raea paaa a a e aa aaa apa a Tera 170 374 DPS SprEaderS arista larisa arta 170 374 LOOP SpreaderS cnica rd 170 374 The capacities given are correct for the lifter configurations listed but some a
21. in When lifting from the bed some attendants prefer to connect the leg pieces first This particularly applies to patients with large thighs In this case raise the hip and knee into maximum flexion and attach the leg strap attachment clips then tilt the spreader bar towards the shoulders for connection Warning IMPORTANT Always check that the sling attachment clips are fully in position before and during the commencement of the lifting cycle and in tension as the patient s weight is gradually taken up Lift the patient using the handset control and adjust to a comfortable position for transfer The specially designed sling together with its integral head support enables one person to carry out the complete lifting function without additional help If returning the patient to a bed move into the desired position above the bed adjusting the sling position as necessary and then lower using the handset control Warning When lowering the lifter A ensure that the patient s or attendant s legs and feet are well clear of the moving parts Only when the patient s body weight is fully supported by the bed may the sling leg connection clips be detached followed by the shoulder connections Move the Maxi Twin away before removing the sling from under the patient If transferring the patient to a chair refer to the section To Lift from a Chair To raise from the floor Put the sling around the
22. loys the same techniques as when lifting a patient from a wheelchair or from a sitting position on the edge of a bed Note The need for a second attendant to support the patient must be assessed for each individual case These instructions specifically show both the four point clip attachment slings being used with the standard Dynamic Positioning System DPS and the loop attachment slings with the three point spreader bar The same methods and techniques described for the standard DPS can also be applied to the optional Open Style DPS Conditions e The unit is cared for and serviced in accordance with recommended published Operating and Product Care Instructions and the Preventive Maintenance Schedule e The unit is maintained to the minimum requirements as published in the Preventive Maintenance Schedule e The servicing and product care in accordance with ARJO requirements must begin on first use of the unit by the customer e The equipment must be used for its intended purpose only and is operated within the published limitations e Only ARJO designated spare parts should be used Operational Life The expected operational life of your ARJO lifter is 10 ten years from the date of manufacture providing the following conditions are adhered to The operational life of the sling is dependent on the actual use conditions Therefore Before use always make sure that the sling loops cor
23. n familiarise yourself with the various parts and controls and please read this manual thoroughly in its entirety before using your Maxi Twin Information in the manual is crucial to the proper operation and maintenance of the equipment and will help protect your product and ensure that the equipment performs to your satisfaction Some of the information in this booklet is important for your safety and must be read and understood to help prevent possible injury If there is anything in the manual that is confusing or difficult to understand please call ARJO Ltd or their appointed distributor the telephone number appears on the last page of this manual Symbols used adjacent to the text in these instructions Warning Means failure to understand and obey this warning may result in injury to you or to others Caution Means failure to follow these instructions may cause damage to all or parts of the system or equipment Note Means this is important information for the correct use of this system or equipment This product has been designed and manufactured to provide you with trouble free use however this product does contain components that with regular use are subject to wear Warning SOME OF THESE PARTS ARE SAFETY CRITICAL TO THE OPERATION OF THE LIFTER AND WILL NEED EXAMINING AND SERVICING ON A REGULAR BASIS AND MUST BE REPLACED WHEN NECESSARY See also Care of your Maxi Twin section Warning Use
24. operation and one being charged It is recommended that batteries not in use are left in the charger there is no risk of overcharging the batteries Note A buzzing tone will be heard when the battery needs charging Charging procedure 1 Plug in the charger in a power outlet 2 The LED will show a green light 3 Connect the charger cable to the battery 21 4 The LED will show a yellow light 5 The charger will charge the battery for 14 hours and the LED will switch from yellow to green to indicate that the battery is fully charged Fitting the battery to the lifter When the battery pack is fully charged remove it from the charger unit and insert it into the battery position of the Maxi Twin situated on the side of the main lift actuator housing Note The battery is shaped so that only correct fitment to the lifter is possible with the raised edge of the battery upper most Push the battery firmly into place Electrical connection will be made automatically Maintenance The charger does not require any maintenance A Warning In case of a malfunction do not attempt to open the charger cover All repairs must be carried out by Arjo authorised personnel Storage of batteries Batteries are charged when delivered but we recommend you charge the batteries when received due to a low self discharge The batteries will slowly discharge when not used Batteries that will not be use
25. orting the head can be comfortable and reassuring for the patient The leg sections of the sling will tend to be fairly high in the crotch so straighten them out for added comfort The patient may be positioned in a chair or placed onto a bed If the patient is prone to extensor spasm he she may be lifted by the Maxi Twin but special attention should be paid to supporting the head during the early part of the lift When lifting patient s with leg amputations use an amputee sling available as an accessory from ARJO Ltd This sling is specially designed to accommodate the differing patient centre of gravity Warning When lowering the lifter ensure that the patient s or attendant s legs and feet are well clear of the moving parts Transportation of a patient should always be done with the chassis legs parallel closed manoeuvrability will be easier especially through doorways with the chassis legs closed The patient should be positioned facing the attendant Apply the chassis brakes if leaving the patient unattended Using your Maxi Twin Powered DPS spreader bar if fitted If your lifter has been supplied fitted with a powered DPS spreader bar the use of this type of spreader bar including sling positioning with patient sling connection to the spreader bar and patient handling is the same as the non powered DPS spreader bar described previously in these instructions Sling attachment positioning handl
26. patient s back Position the sling carefully so that when rolled back the patient will lie centrally on the sling and check that the head support area of the sling covers the patient s neck N Cro if P1133maxb Note When rolling the patient back onto the sling roll the patient slightly in the opposite direction so that the folded part of the sling can be brought out Alternatively the patient can be brought into a sitting posture then position the sling as detailed in the section To Lift From A Chair Approach the bed with the open side of the spreader bar towards the patient s head 14 Using the adjustable width chassis it is possible to make adjustments to chassis leg widths to assist manoeuvrability around obstructions for example bed legs Position the Maxi Twin so that the spreader bar is just above and centrally situated over the patient Warning Care must be taken not to lower the spreader bar onto the patient Using the positioning handle tilt the spreader bar until the shoulder attachment points can be connected to the sling shoulder strap attachment clips Press down on the positioning handle until connection of the sling leg pieces is possible The leg pieces must be brought under the thighs to connect up this may involve lifting one leg at a time to connect up You may need to lower the spreader bar a little more using the handset control Using your Maxi Tw
27. plied with a dedicated or permanently attached spreader bar then it will be supplied with the quick release system jib This jib is fitted with a carrier able to accommodate any of the Maxi Twin Loop spreader bars see Using your Maxi Twin section for full instructions on fitting or changing attachments The illustration below shows the two systems available Quick release v 8 8 E 5 8 8 Q E Dedicated 1 Caution The locking pin used with the quick release system must not be used with DPS spreader bars Using your Maxi Twin Before approaching the patient Ensure the battery pack supplied is fully charged before use for charging see instructions in Lifter Battery Charging section When the battery pack is fully charged remove it from the charger unit and insert it into the battery position of the Maxi Twin situated on the side of the main lift actuator housing Note The battery is shaped so that only correct fitment to the lifter is possible with the raised edge of the battery upper most Push the battery firmly into place Electrical connection will be made automatically Ensure a selection of sling types and sizes are easily available for all types of lift likely to be encountered when using the ARJO Maxi Twin The attendant should always tell the patient what they are going to do and have the correct size sling ready Where possible always approach the pa
28. sed distributors for details The loop sling is available with or without head support A mesh sling is also available in all sizes with or without head support Before attaching the sling ensure the spreader bar is rotated into position so the eventual lift will resemble 18 To Lift from a Chair Method 1 Easing the patient forward if necessary slide the sling down the patient s back until seam C reaches the base of the spine Take attachment points B and loop the tails of the sling underneath the patient s thighs ensuring the sling pieces are not twisted underneath the patient Hook the loops onto the opposite side outer hooks on the spreader bar METHOD 1 Method 2 As method 1 above but pass each tail portion of the sling under both thighs and then out the other side before attaching points B to the outer hooks on the spreader bar Using your Maxi Twin METHOD 2 mt008c Method 3 As method 1 above but loop a tail portion of the sling under each thigh and attach to the same side hook as the shoulder attachment left straps to left hook and right straps to right hook This method holds the legs in abduction and is useful for toiletting METHOD 3 Once the sling has been positioned and attached securely to the spreader bar then lifting can be carried out using the control handset For general patient manoeuvring and transportation see also section Using the DPS spreader bar
29. sential that the sling attachment cords the slings their straps and attachment clips are carefully inspected before each and every use If the slings cords or straps are frayed or the clips damaged the sling or attachment cord should be withdrawn from use immediately and replaced 22 Lifter care and cleaning Warning It is recommended that patient lifters equipment accessories are regularly cleaned and or disinfected between each patient use if necessary or daily as a minimum If the lifter and or equipment needs cleaning or is suspected of being contaminated follow the cleaning and or disinfection procedures recommended below before re using the equipment For cleaning your lifter equipment and accessories wipe down with a damp cloth using warm water to which a disinfectant cleaner has been added e g ARJO CLEAN disinfectant cleaner or equivalent Note ARJO CLEAN disinfectant cleaner is available from ARJO Ltd or their approved distributors Caution Do not over wet areas of the product which could cause problems with electrical components or internal corrosion If a hot air dryer is used to dry the lifter the temperature must not exceed 80 C 176 F Do not use petroleum based solvents or similar since this may damage plastic parts Warning For disinfection of contaminated lifters equipment and accessories use the preferred method of wiping the product completely with hard
30. sis legs is achieved by pressing the appropriate button on the control handset Note icons with direction arrows are printed on each button for quick reference Raise Button P1396amaxB Lower Button Sit up Recline Chassis Chassis leg open leg close Button button If pressure is released during any function powered motion will cease immediately Do not drop the handset into water e g bath etc although if this does happen inadvertently no harm will come to patient or attendant When not in use the handset can be conveniently kept ready for use by hooking it over the handset hang point at the top of the mast Product Description Function Emergency Stop Button Red see below If in an emergency you have to immediately stop any powered movement other than by releasing pressure on the control handset button press the emergency stop button situated on the side of the main lift actuator cover Once the emergency stop button has been operated it will have to be reset before any powered movement can be utilised System Failure Lower Override Emergency Stop System Failure Lower Override see above This can be used in the event of main control failure In the unlikely event that the control handset fails to operate the lifter with a patient still supported by the sling provision for lowering has been made using the System Failure Lower Override control situated on t
31. the attachment carefully for future use Fitting an attachment is the reverse of the above procedure carefully lift the attachment up into position depress the button on the end of the locking pin and push the locking pin into position Finally replace the R clip through the end of the locking pin Using your Maxi Twin Correctly installed the two balls on the locking pin shaft should be clearly visible and the R clip fitted as illustrated below Warning Before use always check that the locking pin is pushed fully into position and the R clip is fitted Warning Care must be taken when the weight of the attachment comes away from the jib For larger attachments or if in any doubt about being able to lift and hold the attachment securely use more than one person for the operation or support the attachment on a bed or chair Using the DPS spreader bar Ensure the DPS spreader bar is securely connected to the jib before commencing with the lifting procedure To Lift from a Chair Place the sling around the patient so that the base of his her spine is covered and the head support area is behind the head Pull each leg piece under the thigh so that it emerges on the inside of the Ensure the positioning handle on the spreader bar is facing away from the patient and that the wide part of the spreader bar is at or just below shoulder level Ensure that the Maxi Twin is close enough to be abl
32. tient from the front Warning To ensure maximum patient comfort do not allow the patient to hold onto the spreader bar A If required the chassis legs may be opened to go around a chair or wheelchair Powered opening V chassis Select the appropriate button on the control handset and keep it depressed until the required width is achieved To close press the appropriate button Movement will stop if pressure is released whether opening or closing A Warning When opening or closing the legs on a powered chassis care must be taken not to allow anyone to stand in the way of the moving chassis legs Transport the Maxi Twin with the chassis legs in parallel closed position only 11 Maxi Twin quick release system If your Maxi Twin has not been supplied with a dedicated or permanently attached spreader bar then it will be supplied with the quick release system jib If you need to fit or change the attachment i e spreader bar proceed as follows R clip 9 2 2 E Ss S 2 E y S 2 E To remove an existing attachment first remove the R clip from the locking pin Then support the attachment and depress the button on the end of the locking pin shown in A above Keeping the attachment supported and the button depressed withdraw the locking pin shown in B above then lower the attachment down and away from the jib shown in C above Store
33. ts weight is gradually taken up Raise the patient by operating the handset control move the lifter away from the chair then carefully lift the positioning handle until the patient is reclined in the sling the head support will now come into use This is the most comfortable position for transportation as it reduces pressure on the thighs The angle of recline can be adjusted for increased comfort if the patient is restless 13 Before transportation turn the patient to face the attendant at approximately normal chair height This gives confidence and dignity and also improves the Maxi Twin mobility Remember to release the brakes ifthey have been applied before attempting to transport the patient When lowering the patient back into a chair or when transferring from bed to chair push down on the positioning handle to put the patient into a good sitting position This avoids further lifting effort Take care not to push down too quickly as this may jerk the patient s head forward Warning When lowering the lifter ensure that the patient s or attendant s legs and feet are well clear of the moving mast Using your Maxi Twin To Lift from a Bed Before lifting a person from a bed ensure there is sufficient clearance underneath to accommodate the Maxi Twin chassis legs Position the patient onto the sling by rolling the patient towards you then folding the sling in half and placing it behind the
34. uct name label Silverset label Sling size guide and safe working load label Battery part number label Battery information and recycle label Read operating instructions label 25 Technical Specification Component Weights kg Ibs Maxi Twin lifter only no spreader bar or Dattery oooooocccccccccccnnccccccnnconancanannncccnnnncncnnnns 41 7 92 Medium powered DPS Spreadet cccccceeeeeeeeeeeeeeeceeeaeeceeeeeeeeeeeeeeecceaaeeeeeeeeeeeeees 6 9 15 2 Medium DPS Spreader cion tit 5 11 Smalll00p Spreader riera iii 1 7 3 7 Medium loop Spreader oooooccccccccccccccnconcnonncnnnnnncnnnnnnnnnnnnnnnnnnnnnnnnn cnn nn e e aaa Ranai aane 1 9 4 2 Large loop SPreader ceccecccceceeeeeeeeeeeeeeeeeeeeeeeeeeeeeeaaaaaaaaeeeeeeeeeeeeseggeccneaaeeeeeeeeeeeeeees 2 8 6 2 Battery pack unida e nee a rare 1 5 3 3 Electrical Battery type and part number uusnssnnnnnnnnennnnnnnnnnnnnnnnnnnn Rechargable NiMH NEA0100 083 Battery Capacity asii aio een 2 5Ah Battery charger part number uususssennnnnnnnnennnnnnnnnnnnnnnnnn nennen GB EU US AUS NEA2000 NEA1000 NEA4000 NEA6000 Lifter protection class uuuu22424444nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn namen IPX 4 Handset protection class 2224444000nnnnnnnnnnnnnnnnnnnnnnnnnnnnnn IPX 7 Lifter nominal voltage euere ie EEE ina 24V DC Medical Equipment type B protection against electrical shock in accordance with IEC 60601 1 ARJO pat
35. which are designed for the purpose should be used on equipment and other appliances supplied by ARJO to avoid injuries attributable to the use of inadequate parts Un authorised modifications on any ARJO Med AB LTD equipment may affect it s safety and are in breach of any warranty on it ARJO Med AB LTD will not be held responsible for any accidents incidents or lack of performance that occur as a result of any unauthorised modification to it s products The ARJO Company s Conditions of sale make specific provision confirming no liability in such circumstances Maxi Twin and Flites are trademarks of the ARJO Group Contents SECTION ForeWord iii Safety Instructions nmsersssnnnnnen nennen Product description function Parts referred to in this manual A ne Control Handset Emergency stop button red System failure lower override Automatic cutout ueeeennnennnnnnn Adjustable width chassis legs Chassis castor Brakes Jib and spreader bars Using your Maxi Twin neeese Before approaching the patient Powered opening V chassis Maxi Twin quick release system Using the DPS spreader bar To lift from a chair To lift from a bed coooocccccccccccccncncccnnnannn To raise from the floor
36. wing items are subject to wear slings batteries straps castors These items must be regularly checked as described previously and replaced as necessary Warning UKLIFTERS ONLY Important legislation came into force on 5th December 1998 which has an impact on the schedule of service for your patient lifter s variable height baths and other raising and lowering equipment The Lifting Operations and Lifting Equipment Regulations LOLER 1998 and The Provision and Use of Work Equipment Regulations PUWER 98 must be satisfied by the duty holder A scheme of six monthly thorough examinations has been devised to comply with the law and details can be obtained from ARJO Service UK Care of your Maxi Twin Parts list and circuit diagrams are available from ARJO or their approved distributors on request available from ARJO or their approved distributors A Warning Spare parts if required are Special tools are required for certain component replacement Warning The simplest safest and most effective way to maintain your product in good working order is to have it methodically and professionally serviced by an ARJO approved engineer using ARJO approved spare parts For information on service and maintenance contracts please contact your local ARJO distributor 24 Labels Key to labels 1 2 3 4 5 6 7 8 9 Serial number label Emergency lower override label ARJO logo Prod
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