User Manual - SMT Health Systems
Contents
1. Ceiling Lift User Manual Sw B uus Systems making healthcare simple For Technical Support Call SMT HEALTH SYSTEMS 1380 Legion Rd Detroit Lakes MN 56501 1 800 725 7761 Ask for Ceiling Lift Tech Support Or Call your local SMT Representative www smths com GH2 Service manual GH2 Service manual Guldmann 1071 07 06 GH2 Service manual GH2 Demounting of covers Opening of end cover To open the end cover press against the grooved marks as shown in the illustration and pull outwards It might be necessary to press hard Demounting of side cover Tip up the end covers and loosen two setscrews in each end with a 3 mm ys Allen key Demounting of side covers Move the side covers slightly apart from one another and demount the end covers Then demount the side covers Guldmann 1071 07 06 GH2 Service manual GH2 Replacement of batteries Demounting of batteries Turn the yellow battery lock anti clockwise and demount the batteries Demounting of battery connections Remove the female push on terminals from the batteries Note the position of wires and polarity of connections Mounting of new batteries Mount the batteries in reverse order of the demounting The wires of the lower battery MUST be placed in the gap in order not to be jammed Guldmann 1071 07 06 GH2 Service manual Positioning of batteries Position the poles2. polyester polyester net polyester net polyester polyester net polyester net net 281001 281011 281021 281531 281541 283001 283011 283021 283031 283041 270001 270011 270021 270031 270041 270102 270112 270122 270132 270142 2 1031 2 1041 2 1132 2 1142 2 2001 272011 272021 272031 272041 272102 272112 272122 272132 272142 290041 x Basic High XXXL can lift up to 1000 Ibs xx Sit On slings are available in two all size models Standard and Wide Guidelines on choosing the size of a sling Material Nylon Kids 4 6 18 1 3 235 8 97 s 11 s Kids Kids XS 9 6 10 10 14 21 5 s 309 s 269 s 314 s 29 s 327 s 31 s 34 s 11 139 s 13 15 13 14 5 s 14 s 15 s Special woven polyester Polyester 281551 281561 283051 283061 2 0051 2 0061 2 0152 2 0162 2 1051 2 1061 2 1152 2 1162 272051 272061 272152 272162 290051 290061 291052 292052 M L 33 s 367 s 153 s 16 s 35 5 387 8 164 8 17 9 a Use the colored loops to balance the user s position during lift and transfer 281571 283071 270071 270172 271071 271172 272071 272172 281581 283081 270081 270182 271081 271182 272081 21 2182 291082 292082 273031 TUV cE XL XXL XXXL 37 3 8 40 1 8 17 S s 19 s 37 3 8 401 8 18 s 20 s 37 3 s 40 1 8 219 s 227 s 117 fF b f Ly Cc I d Trainer cuff support system changes the dyn
3. Br 30 Sling inspection checklist uis oce roe m cade dete dune ev Ron RC Phan 30 Safe Operating Practices with Slings i i sk eo o eek ek RR RO RR RR RC 31 WARRAN TIE m 34 10 90 8001 89 UUEWPInO Guldmann GB 1005 06 07 ACTIVE MICRO PL Place the sling on the user s shoulders and or the wheelchair s backrest To ensure sling is centered the center stripe should follow the user s backbone Use the correct hanger width Have the user lean forward Position the upper edge of the sling at the lower edge of the shoulder blade However not higher up than a minimum of Pass the upper straps under the armpits two finger widths between sling and armpit Tighten the support belt If it is tight it provides support around the upper body to prevent sliding out of the sling Place the leg support under the thighs and as far up towards the crotch as possible Try to lift using your legs and not your arms and back Cross the les straps before attaching to the hanger Check that the length of the upper lifting strap fits the length of the leg support Lift until all straps are taut check the straps mountings If you are lifting a user with low muscle tone you should hold his her legs knees together Active Micro Plus can be applied from a sitting position in bed Guldmann GB 1005 06 07 Guldmann GB 1005 06 07 ACTIVE TRAINER Put the
4. and hold together the upper and lower straps on each side Lift until all the straps are taut and check all mountings Check that the Velcro straps that hold the back and leg parts together have not become caught in the hanger Note You must not lift using these Velcro straps It is a good idea to lower the height of the bed first before you lift the user It feels more secure and you do not need to lift higher than necessary Do these stages in reverse when the user is being put back into bed When putting user into a wheelchair tip the chair slightly backwards and push against the users knees to get the user as far back in the chair as possible 20 Guldmann GB 1005 06 07 Guldmann GB 1005 06 07 Turner is a triangular turning sling with two lifting straps on one side and one fastening strap to attach to the bed on the other side TURNER The user lies on his her back in the middle AC The carer places his her hand on the NE fastening strap for the bed which is now passed under the user s back at the same time as using the palm of the Uy hand to press the sling down into the mattress compressing the mattress to pa ss create space allowing carer s hand and sling to pass beneath the user v b The fastening strap is pulled as far as possible out on the other side to be attached to the frame of the bed ges Wa A 7 ee 21 The user
5. emergency stop service needed direction of travel 5 Emergency Stop I understand the emergency stop lowering device should only be used in an emergency The first pull on the emergency stop will STOP the hoist The second pull and continuous light pull will result in slow bleed or lowering of the hoist I understand that the emergency stop must be reset in order to connect power 6 Reconnect Power To reconnect power after the emergency red cord has been pulled place the motor directly overhead PUSH the yellow safety cut off up The yellow safety cut off 1s attached to the red emergency strap To reach use the hangar bar or index finger Push the yellow safety cut off up until it clicks Push up twice on the hand control to fully re engage the lift action 7 Hand Control Pressing the up or down button on the hand control automatically switches on the GH2HD hoist The control will automatically switch off after approximately one minute when not in use When the hand control is activated the hoist motor indicates connection activation by means of a green ring which lights up 8 Load I understand there must be a load on the strap corresponding to the weight of Guldmann s lifting hanger before the lifting lowering function will operate 9 Strap Routinely look at the lifting strap for fraying and wear before using the hoist Any irregularity means SHOULD NOT use the hoist Contact my supervisor to have the st
6. TRAINER SPECIAL ORDER CHART ere mem J H I F G K E D C B A Height PATIENT Height up to the underarm Height to navel FACILITY Navel to armpit Chest circumference Waist circumference DATE Crotch to top of knee Top of the knee to the top of the head Top of the knee to the waist Distance between the center points of the thighs while standing Circumference around the leg from just above the knee to about 7 above the knee 3 to 4 for child one measurement at the middle of that area Position of the ostomy Draw in if applicable For Technical Support Call SMT HEALTH SYSTEMS 1380 Legion Rd Detroit Lakes MN 56501 1 800 725 7761 Ask for Ceiling Lift Tech Support Or Call your local SMT Representative www smths com oM Si Z4 B Health Systems Guldmann ii 4 onf 0 G i9C 8 od b i en n 7 ZLKSLLLGLG SM rmm Systems making healthcare simple 1 800 725 7761 5ee more of our products at www smths com
7. leg parts together have not become caught in the hanger Note You must not lift using these Velcro straps It is a good idea to lower the height of the bed first whenever possible before you lift the user It feels more secure and you do not need to lift higher than necessary Do these stages in reverse when the user is being put back into bed When putting user into a wheelchair tip the chair slightly backwards and push against the users knees to get the user as far back in the chair as possible 18 Guldmann GB 1005 06 07 Guldmann GB 1005 06 07 TOM SIT ON HIGH Sit On slings must always be put on in a lying position Bend or cross one leg upper towards the side you wish to roll the user Pass the arm on the same side forward over the chest Have the user turn his her head in the same direction The center stripe should end approximately at the end of the spine beginning of the pelvis The lower edge of the sling should be positioned two finger widths from the back of the knee The upper edge of the sling will support the head Turn the user onto his her back and pull the sling out on the other side Mount the lifting strap on the hanger Change the bed s position to sitting Lifting using the Custom Sit On High sling should always take place from a sitting position Make sure to use the correct lifting hanger 19 Attach the Velcro straps that will connect
8. of the batteries as illustrated ALWAYS BE SURE that polarity is as shown in the illustration Check that the wires are placed in the gap without being jammed between battery and chassis Guldmann 1071 07 06 GH2 Service manual GH2 Replacement of strap Unplug the lifting motor and drive motor if installed Pull the wires of lifting motor and drive motor if installed out of the wire groove Demounting of bracket for the printed circuit board To release the bracket for the printed circuit board pull the front hook outwards as shown in the illustration Then pull the bracket towards the front hook and outwards in order to disengage the hooks at the end of the bracket Guldmann 1071 07 06 GH2 Service manual Tilt bracket for the printed circuit board Tilt the bracket Then demount strap tightener and spring Removal of retaining ring Remove the retaining ring with retaining ring pliers no 2 for the outer retaining rings diameter 26 mm 1 1 16 Demount the reel plate Demounting of strap Demount the strap with sole and cylinder pin Guldmann 1071 07 06 Guldmann 1071 07 06 GH2 Service manual e 2 T mi E gt 1 EL TE J Mounting of new strap IMPORTANT The strap MUST be mounted as shown in the illustration Be sure to position the plane surface of contact anticlock wise i e against the pulling direction then secure t
9. of the turn table If this is not the case the rail system must be adjusted and if the turntable turns too much the cover plates must be removed and the end stop adjusted Guldmann ABC Slings Item nos XXXXX XXX ACTIVE ACTIVE BASIC BASIC Micro Plus Trainer Basic High Polyester Polyester Polyester Net Polyester Net Size XS XXL Size Kids XL Size Kids XXL Size Kids XXXL BASIC CUSTOM CUSTOM CUSTOM Low Amputee Sit On Sit On High Polyester Net Polyester Net Net Size XS XXL Size S L Size Standard Wide Size Standard Wide D 2 4 MEN TURNER LIMB SLING REPOSITIONING SLING Polyester Polyester Polyester Guldmann GB 1005 06 07 Guldmann GB 1005 06 07 ONTENT BOBVEOMICEO PIUS cme ache iE Doe baad ee oo eee ae de FO SIR mol eee eee eee 5 7 BAsiG as 9 Basic MGM sicaceou eed base chew eboes sks Ge TOIT bees Shae a Oe ee es 11 Esc 19 Custom Amputee NNTECCPECTERTESTUOS TOS eee ne 6 ae EI ee os eee ae eee 15 CUSIONI SEO 17 Custom SION HIgh i 4x 4 47 6 ohne aes bb bee oO Ge wk ekaa Pe eee ee A 19 ur prr 21 Limb sling at the bed ia uada adeo edo B e Ade sh Hoc d ar d ORE ORG eto 23 Limb sling at the wheel chair III 26 FREDOSHIOMING SINO MPTMKCMTPTITTC 27 Repositioning sling use of different lifting hangers when repositioning patients 29 Laundering recommendation is 46a wow ege tor Us BD ra ee doge we Rohs Ba amp
10. should follow the user s backbone Use the correct hanger width Have the user lean forward Put your hand in the sling pocket and allow your hand and the sling to follow the back down to the chair cushion Hold your hand between the user s hip and the inside of the sling at the back support and press down the sling At the same time pull the leg support forward towards the knees with your other hand Place the leg support under the thighs Try to lift with your legs and not with arms and back If the legs are heavy ask a colleague to help you to lift Cross the leg straps before attaching to the hanger Check that the length of the upper lifting straps fits the leg support s lifting strap Lift until all the straps are taut and check all mountings To lift user evenly match the colors on the loops of each strap such as grey to grey or green to green To modify user s position or comfort differing loop colors can be used consult with your Guldmann representative for assistance Do not lift higher than necessary When putting user into a wheelchair tip the chair slightly backwards and push against the user s knees to get the user as far back in the chair as possible Make sure to use the correct lifting hanger Basic High can be applied from a lying position in bed as well as a sitting position in bed 12 Guldmann GB 1005 06 07 Guldmann GB 1005 06 07 BASIC L
11. station thereby ensuring that the cable connections are correct Check batteries Measure battery voltage on both batteries without load It must be above 12 0V and the difference between the two batteries must be max 0 3V Now measure the vol tage with load 60 80 kg 132 176lbs The rate of speed at which the voltage drops must be the same on both batteries and the difference between the two batteries must be max 0 3V Check emergency stop and emergenoy lowering func tion with a load corresponding to 85 kg 187lbs Check endstop down first without load on the lifting strap It should not be possible to lower Then test with the weight of the lifting hanger on the strap It should now be possible to lower Check endstop up Run lifting strap all the way up and against the stop This should cause the micro switch to stop the lifting function immediately The same should apply when the strap is at an angle of more than 45 relative to the hoist lengthways and 10 crossways Check lifting strap for correct installation and check for cut threads If the edges of the strap are very worn due to swings or if there are any other signs of wear the strap should be replaced Also check the hoist to identify any sharp edges or burrs Any defects must be repaired before fitting of the new strap Follow the instructions on the fitting of lifting straps Check trolley as regards the fitting of the trolley to the hoist locking rings must be
12. user has heavy or very heavy thighs or very compromised skin integrity 24 Guldmann GB 1005 06 07 Guldmann GB 1005 06 07 9 The lower leg is lifted with the limb P sling and the leg strap of the lifting sling is placed beneath the thigh ee 4 i SULS b The Limb lifter is lowered and removed The same process is done for the opposite leg N i e 9 25 IME ING AT THE WHEEL CHAIR The Limb lifter is lead under the thigh at the back of the knee joint C The Limb lifter is pulled through taking care not to shear the user s skin so that it is centralized in relation to the thigh lengthwise The Limb lifter is mounted to the lifting hanger and the thigh can now be lifted slightly from the seat The sling s limb strap can now be placed either beneath the user s thigh or be drawn out without putting strain on the skin 26 Y J N E SS je EA Guldmann GB 1005 06 07 Guldmann GB 1005 06 07 REPOSITIONIN LIN The repo sling is placed under the patient centralized at the mattress and so that the top of the sling is in line with the top of the patient s head It is fine with exceeding textile higher than the head aie ae T 2 4 RT fo eee n ee By rolling the patient he is placed in the position prepared for side lying and as a general rule the strap no 2 and 3 counted from the patient s head are used When the pa
13. Guldmann lifting equipment is designed to be used for the lifting transferring and transporting of persons with a physical handicap who are not able to physically self transfer or who are temporarily incapacitated by illness anesthesia or other causes This lifting equipment is designed to relieve the users their caregivers and nursing personnel in the task of lifting elderly or handicapped people thereby minimizing the risk of back injury during such lifting and transfer operations If the product is used irresponsibly or for any use other than that described above or in the enclosed written instructions the manufacturer s warranty will be nullified and rendered void There are no warranties which extend beyond the description in the enclosed written instructions Guldmann warrants that its lifting equipment is free from defects in materials and workmanship under normal use Guldmann warrants that the lifting equipment itself will perform substantially in accordance with the specifications set forth in the documentation provided with the equipment The above express warranties are made for a period of 365 days from the date the lifting equipment is delivered to you as the first user Your distributor will replace any lifting equipment which proves defective in materials or workmanship without additional charge on an exchange basis Your distributor will either replace or repair without additional charge any Guldmann lifting equipme
14. OW Place the sling on the user s shoulders and or the wheelchair s backrest To ensure the sling is centered the center stripe should follow the user s backbone If you have the correct hanger width put arms for example outside Have the user lean forward Put your hand in the sling pocket and allow your hand and the sling to follow the back down to the chair cushion Hold your hand between the user s hip and the inside of the sling at the back support and press down the sling At the same time pull the leg support forward towards the knees with your other hand 13 Place the leg support under the thighs Cross the leg straps before attaching to the hanger Try to lift with your legs and not with arms and back If the legs are heavy ask a colleague to help you to lift If support is required for the neck a neck support cushion is available as an accessory Check that the length of the upper lifting straps fits the lifting strap of the leg supports Lift until all the straps are taut and check all mountings To lift user evenly match the colors on the loops of each strap such as grey to grey or green to green To modify user s position or comfort differing loop colors can be used consult with your Guldmann representa tive for assistance Do not lift higher than necessary It is the functional level that determines whether the arms should be inside or outside the sling U
15. acement You must insure any defective item being returned because Guldmann does not assume the risk of loss or damage while in transit Do not return items or warranty service to Guldmann The warranties set forth above are in lieu of all other express and implied warranties whether oral written or implied and the remedies set forth above are your sole and exclusive remedies Only an authorized officer of Guldmann may make modifications to this warranty or additional warranties binding on Guldmann Accordingly additional statements such as advertising or presentations whether oral or written do not constitute warranties by Guldmann and should not be relied upon as such The warranty gives you specific legal rights and you may also have the other rights which vary from state country to state country 35 Time to care l V Guldmann A S Corporate Office Graham Bells Vej 21 23A DK 8200 rhus N Tel 45 8741 3100 Fax 45 8741 3131 E mail info guldmann com www guldmann com Guldmann Inc 5525 Johns Road Suite 905 Tampa FL 33634 Tel 800 664 8834 Tel 813 880 0619 Fax 813 880 9558 E mail info guldmann net www guldmann net Guldmann GB 1005 06 07 Sling Inspection Check List Guldmann Sling Part Number serial Number Inspected By Inspection Date Comments 1 Is the sling s label present legible and complete O Yes No Missing illegible or incomplete sling labels could compromise identifica
16. amic of the ambulating experience The design of this harness with the gripping cuffs supports the individual from the thigh eliminating the pressure between the legs and permitting easy access for personal hy giene Take a look opecific weight bearing activity can be achieved when used in conjunction with a scale not shown Multiple adjustments for height Open torso design allows for a more natural free dom of movement and ostomy access Cuff support allows for freedom of movement hygiene access and more patient dignity Comfortable support for return ing to a seated position or com mode Sling can be applied from either a standing or seated position 1380 Legion Road Detroit Lakes MN 56501 a AP Toll Free 1 800 725 7761 2 Local 218 847 3386 m P T j E Health Systems www smths com THE VOLARO GAIT TRAINER INDICATIONS AND TREATMENT ACTIVITIES Indications for Use Any physical impairment to sitting upright standing walking Limited weight bearing status lower extremities and limited upper body strength Hemiplegia Abnormal gait related to head injury progressive neurological diseases ie Parkinson s tardive dyskinesia peripheral neuropathies Guilliane Barre Lower body amputations with or without prosthetics Fear or history of falling Variable cognition to follow directions safety instructions to ambulate safely with single as sist Q Combative residents who put staff at risk
17. application supine to side lying raising in bed WC to and from bed Bed to and from wheelchair a Correctly places and removes the sling with the patient in the bed and chair b Attaches sling to the Guldmann lift unit by the appropriate sling loops and hanger bar hooks c Raises and lower the patient with the hand unit control and keeps one hand on the patient Supine to and from side lying For Turning Sling triangle or Repositioning Sling a Places the sling correctly under around the patient In the bed b Anchors the sling to the bed frame for Turner triangle sling c Attaches the sling to hanger bar by the correct hooks d Rolls the patient with the hand unit control and keeps hand s on the patient Positioning patient in bed a Places the sling correctly around the patient in the bed b Attaches sling to the hanger bar by the correct hooks c Raises and lowers the patient with the hand unit and moves the patient to appropriate position and location in the bed Bariatric patients Identifies appropriate equipment including hanger bar sling motor unit or need for additional motor Limb sling a Places the sling correctly on the limb b Attaches the sling to the hanger bar appropriately c Supports limb appropriately with manual contact locations Care of the equipment Understands policy for the sling care during patient s admission and after discharge Understands who should be contacted for the maintenanc
18. d dynamic standing balance with functional activities D Ambulation in parallel bars and or free space with or without gait aid and being hands on to specific movements or extremities or hands off and assessing quality of movement from multiple angles in front side and behind resident Ambulation up down stairs with maximal to minimal support with or without gait aid High level balance activities with maximal to minimal support like kicking or catching ball and supported sitting on therapy ball to gain core strength Q Trialing new gait aids to determine support given and needed without risk of falls QO Ambulation or standing activities with bariatric residents with dignity vs including 2 4 caregivers to keep resident in standing while attempting functional activities Q Training with residents on how to get up from falls on ground without having to lift patient from floor d d 1380 Legion Road Detroit Lakes MN 56501 G Ww Toll Free 1 800 725 7761 Local 218 847 3386 DET f Health Systema www smths com WOO SU WS Sales XE J GVEC G8E 888 1 SSOUJEH 1SISSV 994 0 19 7 S27 008 1 LOS9S UW Sexe1 oneq Buren Joules IEc OJE JOA VIQe4yJewWsy oul Duionpoulu OY uolbe 08E 1 suleis S YESH LNS 00 899 uoe4 eoueJejunour uiui Ajroeds ISNIN eyejduue Duizis Bulls 40 e9 Sql 00p oujeueg uiojsno ezis syno Bay ym o jeure1 yeo ojejoA LINS 80 0011Z 0089x3 3 wm3 cere 9herxezs su
19. e of the equipment Demonstrates knowledge of how to engage motor for recharging if applicable Motor malfunction Demonstrates competency in operating the lift device manually if there was a motor malfunction Instructor Date Common Replacement Parts Part G127725 G120001 4023US G123753 G12385 2746 G935054 3 G93452 2000 G21187 G12444 G12442 G937000 G935046 G935047 G12387 G12330 G12376 Description Emergency Pull Tab GH2HD with snap hook for all rail types Incl charger chg station and handcontrol Charger for GH2 24 V DC Charging kit GH2 Mini Maxi Jumbo straight rails Battery 12 V for GH2 2 per Motor Guldmann Hand Control for GH2 2 functions Circuit Board GH2HD Lifting Hanger Standard Cover Plate for Mini Rail Cover Plate for Maxi Rail Transformer for Combi Lock Flush Mount Control for Combi Lock Flush Mount Control for Turntable Charging kit for room covering system with Mini Maxi and Jumbo rails use ONLY W 12354 Trolley End Stop Plastic Rosette White Tech Support 1 800 725 7761 When Calling Tech Support please be sure to have your product Serial and Model available Slings ABC Max lifting capacity for all Guldmann ABC slings 250 kg ACTIVE Micro plus Micro plus Trainer BASIC Basic Basic Basic Low Basic Low Basic High Basic High Basic High CUSTOM Amputee Sit On Sit On High polyester polyester
20. ery flexible Mounting of end cover Fit the end cover into the slot on one side by means of the hinge in the corner of the cover Position the end cover at an angle of approximately 45 as shown in the illustration in order to ensure that the hinge in the opposite corner of the cover faces the groove in the slot GH2 Service manual Bend the end cover and fit It into the slot on the other side through the groove Guldmann 1071 07 06 Guldmann 1071 07 06 Main inspection of GH2 GH2 HD and rail system Performance testing GH2 ang GH2 HD The performance test provides a first hand impression of the status of the entire system A note is made of any instances of non compliance which are subsequently investigated further during the main inspection The hoist is run through the entire system by the tech nician who makes a general observation of the system while all system functions are tested Testing of up down function Testing of drive motor if any Checking of any undesired noises from the wheels Checking of any undesired noises from the gears motor Testing of Combi lock switch tracks and turntables if any Main inspection GH2 and GH2 HD Remove covers and follow the procedure below if necessary together with the electrical functional descrip tion for GH2 ang GH2 HD Check transformer min 24 V AC Check voltage from the transformer to the charging station including any room covering charging
21. fitted at either end of the axle which holds the trolley Check coating if the hoist is coated It must be ensured that the coating remains functional If not the hoist must be recoated using Silicone Spray Sil Slip A Fit covers Carry out performance test of the entire system with rated load Rail system in general Carry out a performance test of the entire system with rated load Check that the system is completely level Check the bracket to ensure it has been correctly tightened Check rail connections to ensure correct positioning of cylinder pins and rail connectors Retighten all endstops and check for installing safety split pin The rail system should be marked with the maximum load cf the distance between the fittings Combi locks Function test including checking the diode function on the manual control Check transformer 24 volt AC Check attachment to rail remove covers Check that the tongue does not subject the safety lock on the traverse rail to a maximum load the safety lock must not fully open If this is the case the combi lock must be adjusted Both safety locks must be checked manually and elec tronically must return normally without problems Switch track manual electrical Function testing Check transformer 24 V AC Turntable Function testing Check transformer 24 V AC Check endstop function the turntable rail must be completely in line with rails on either side
22. he strap with the original cylinder pin The length of the folded part of the strap should be 100 mm 4 Mount the strap as shown in the previous illustration Mounting of strap tightener Reinstall reel plate and retaining ring CAREFULLY Mount spring and strap tightener The strap tightener should be positioned UNDERNEATH the strap If necessary lift the strap with the 3 mm 1 8 Allen key when mounting the strap tightener Push down strap tightener Before mounting bracket for the printed circuit board push the strap tightener slightly down as shown in the illustra tion If necessary the 3 mm s Allen key can be used as leverage by placing it above the strap tightener and below the emergency stop switch GH2 Service manual Mounting of bracket for the printed circuit board Only when the strap tightener has been pulled down the bracket for the printed circuit board can be mounted wit hout the micro switch on the back of the printed circuit board being jammed behind the strap tightener Note Make sure that the hooks at the end of bracket of the prin ted circuit board have engaged with the side plate before the front hook is engaged Inspecting the strap tightener Check through spyhole in the bracket that the lever of the micro switch rests ON TOP of the strap tightener Check the function of the micro switch by tightening and slack ening the strap When pulling the strap lightly the micro switch sho
23. height as the top of the user s head Place the sling over the user so that the center follows the user s spine Turn the user onto his her back and pull out the remaining part of the lifting sling ___ 4 Bring the lifting hanger over the center of the person to be lifted ___5 Elevate the head of the bed so that the user is sitting up slightly once the sling is under the patient ____6 Place the leg straps beneath the user s thighs and cross them over each other ____7 If possible raise the bed so that the patient s knees are slightly bent ____ 8 All four lifting straps are now ready to be attached and the lifting sling can be mounted on the lifting hanger SIGNATURE Name 4 15 First Last Department Unit Date Signature of Trainer Date Guldmann Lift Competency Checklist Staff Name Please Initial Date below Critical Elements Policy for when to use Guldmann Lift Demonstrates understanding of when the lift is appropriate for use with patient Explains equipment to patient provides an overview of the equipment operations to the patient both prior to and during use Safe patient handling Demonstrates proper body mechanics practices when positioning sling and operating lift For example raises bed to appropriate height minimizes reaching by working close to patient and devices and avoids bending and twisting Sling Selection Identifies the appropriate sling for a specific patient s medical condition weight and
24. hrough tactile inspection Visual inspection alone may not reveal all forms of sling damage Once signs of damage have been identified do not down grade the work load limit of the sling with the intent of con tinuing to use it but at limited capacity or frequency The operating rule and standard is intact use damage do not use Sling inspections must be documented through written in spection records The documentation must include informa tion such as the name of manufacturer the sling stock num ber the unique sling identification number important in dif ferentiating similar slings as well as the condition of the sling Other important information might also include the date it was received or put into use at your facility and any special features Remove the slings from service if any of the following con ditions exist 1 Chemical or caustic burns Snags punctures tears or cuts Melting or charring of any part of the sling Broken or worn stitches Missing illegible or incomplete sling tag Knots in any part of the sling Abrasion Other visible damage that causes doubt as to the strength of the sling CON O1 B amp B W PO Sling inspection is done for the protection of the patient the care giver and the overall hospital site safety A sling in spection system has additional benefit Systematic sling in spection will assist in the identification of damage trends potentially leading
25. is now put in a preparatory D gt position for one sided turning ZA CEN Ley Ne C d The user s arms are put on his her chest and legs are crossed The sling s lifting strap is now mounted onto the hanger in a ceiling or floor lift The lift is now activated while the carer y supports the user s shoulders and hips QN UN x This will improve the user s comfort while turning de j lt Xs Do not operate the hanger higher up 2 WI J than necessary IT ID It is a good idea to support the user s The user is now turned to the other side 22 Guldmann GB 1005 06 07 Guldmann GB 1005 06 07 IME ING AT THE BED If necessary the stiffener can be placed before use The Limb sling is placed beneath the lower leg where it is most appropriate for the care task to be done However it ought not to be placed too close to the ankle joint Y QN 2 NE AY The Limb sling is pulled under the leg taking care to keep a hand between the sling fabric and user s skin and is placed centrally beneath the lower leg so that even amounts of sling are on each side 23 Sey pene bm D bu The Limb sling is now mounted to the lifting hanger If the Limb sling is used in connection with personal hygiene for bariatric patients it can also be used as assistance to separate the thighs The Limb sling can also be utilized when fitting a lifting sling if the
26. nd allow your hand and the sling to follow the back down to the chair cushion Hold your hand between the user s hip and the inside of the sling at the back support and press down the sling At the same time pull the leg support forward towards the knees with your other hand Place the leg support under the thighs Try to lift with your legs and not with arms and back If the legs are heavy ask a colleague to help you to lift Cross the leg straps before attaching to the hanger Check that the length of the upper lifting straps fits the lifting strap of the leg supports Lift until all the straps are taut and check all mountings To lift user evenly match colors on the loops of each strap such as grey to grey or green to green To modify user s position or comfort differing loop colors can be used consult with your Guldmann representa tive for assistance Do not lift higher than necessary When putting user into a wheelchair tip the chair slightly backwards and push against the user s knees to get user as far back in the chair as possible Make sure to use the correct lifting hanger Basic Basic can be applied from a lying position in bed as well as a sitting position in bed 10 Guldmann GB 1005 06 07 Guldmann GB 1005 06 07 BASIC HIGH Place the sling on the user s shoulders and or the wheelchair s backrest To ensure the sling is centered the center stripe
27. ng with the intent of continuing to use it but at limited capacity or frequency This is sometimes done to get more service life out of a damaged sling The operating rule and standard should be intact use damage do not use Consider the practice of documenting sling inspections through written inspection records The documentation should include information such as the name of manufacturer the sling stock number width and length the unique sling identification number important in differentiating similar slings as well as the condition of the sling Other important information might also include the date it was received or put into use at your facility and any spe cial features if applicable A beneficial outcome of an inspection program would be the realization of repetitive forms of damage and the analysis that would lead to specific recommendations Not intended to represent all potential inspection steps Potential damagemay vary Judgment of inspector site prevails 32 Guldmann GB 1005 06 07 Guldmann GB 1005 06 07 Sample visual examples of synthetic sling damage Chemical caustic burns Broken stitching Crushed Frayed webbing Knots Melting Charring sample visual images not intended to represent all types of potential damage 33 S A AND COUNTRIES OUTSIDE THE E A USERS GUIDE Before using the product read the entire operation manual including all warranties B WARRANTIES The
28. noBeruw tieuen eo orioNINS 8000 O08S ma Sezer TSS SURO BOT UUM SURI ORIOAINS zoo OSes PP Ve OZ WnlpelN eziS sno Ha YM IN Joules 3e ojejoA LINS LOOLZ 00 62 a OZ 9L IIewWS ezis syno De1uiw S soured 3e 6 oJe OA LIAS 000LZ 00 60 o PIIYD ezis SIND 5e1 uu pIiuO JeureJ L e o4e oA LINS 9 0001Z 231dus aseoyieay Sureuu A Wi 142JS S VH a L1 Guldmann Slings Basic Basic L Net P M 271031 Basic Low XS Polyester Padded Legs 271032 Basic Low XS Net Basic Low XS Net E Pediatrie sinos oo 272012 Basic High 6 10 Net Divided Leg Standard Back Divided Leg Low Back f Divided Leg High Back O 273021 Sling Poly XXL 273031 Sling Poly XXXL 273041 Sling Poly XXXXL Bariatric Slings Toileting Sling 281081 Active Micro Plus XXL Polyester Padded legs and back with support belt 290041 Custom Amputee S Polyester Padded Legs 290051 Custom Amputee M Polyester Padded Legs 290061 Custom Amputee L Polyester Padded Legs 291052 Custom Sit On Net Standard 291082 Custom Sit On Net Wide s de Hammock Standard Back 292052 Custom Sit On High Net Standard p Hammock High Back 292082 Custom Sit On High Net Wide Tk e i Health Systems Detroit Lakes MN 56501 Toll Free 1 800 725 7761 GAIT
29. nt that does not perform in substantial accordance with the specifications of the document Guldmann does not warrant that the functions contained in the lifting devices will meet your requirements or that the operation of the services will be uninterrupted or error free The warranty does not cover any of the part of the lifting equipment which has been subject to damage or abuse by you The warranty does not cover any part of the lifting equipment which has been altered or changed in any way by you or others Guldmann is not responsible for problems caused by changes in the operating charasteristics of the operating system which are made after the delivery of the lifting equipment Any implied warranties including any warranties of merchant abillity or fitness for a particular purpose are limited to the term of the express warranties 34 Guldmann GB 1005 06 07 Guldmann GB 1005 06 07 Guldmann shall not in any case be liable for special incidental consequential indirect or other similar damages arising from any breach of these warranties even if Guldmann or its agent has been advised of the possibillity of such damages You must call Guldmann or your distributor for an authorization to return any defective item during the warranty period If your distributor is unable to correct your problem by telephone you will be provided with a return authorization number and address for returning the defective item for warranty service or repl
30. om service if damage is detected The sling user should also determine that the sling is proper for the patient conditions care task required and the required weight capacity 31 3 Periodic Your facility might want to consider implementing a program for a periodic level of inspection at regular intervals The interval should be based upon the frequency of use severity of the service cycle and information derived through the inspection process Recommendations to prevent damage and enhance service life could be made by staff that perform the periodic inspections If written inspection records are maintained they should always reference the unique sling identification number and be updated to record the condition of the sling Not intended to represent all potential inspection steps or all potential aspects of product management program Judgment of inspector site prevails Guldmann Sling inspection technique The sling inspection procedure should be thorough systematic and con sistent both visual and hands on inspection techniques are recommen ded Certain forms of damage are far more discernable through hands on inspection than by visual inspection For example fabric stiffness crushed webbing as well as thinning fabric can be identified through tactile inspec tion Visual inspection alone may not reveal all forms of sling damage Once signs of damage have been identified do not downgrade the work load limit of the sli
31. rap replaced 10 Safety The hoist system is mechanically protected against derailment or jamming If I utilize the hoist properly and annual maintenance is done the expected lifetime of the hoist is fifteen years The lift must be used only to lift people 11 Cleaning Use a damp cloth to wipe the motor or rail Never use chemicals I can demonstrate performance of the following SLING SEATED POSITION 1 Move the lifting hangar to the same height as the person s chest 2 Place the lifting sling behind the user s back between the back of the chair and the user s back Push the sling down the patient s back completely to the chair seat 3 Draw the sling leg portion along the outer sides of the user s shins and beneath the thighs between the hollow of the knees and the hip joints 4 CROSS the leg straps over each other in front of the patient 5 Attach the hooks at closest point front straps to front and back straps to back hooks ____ 6 The lifting hanger should be at the same height as the person s chest and should not be moved closer to the user than approximately mid thigh position 7 Patient can put hands on hanger bar or on lap or cross chest SLING SUPINE PRONE POSITION ____1 Make sure bed is in position under the rail so that the patient s hips are directly under the rail ____ 2 Turn the user onto his her side 3 The lifting High Back sling should be placed so that its top is at the same
32. sers with paralysis should have the para lyzed arm on the inside of the sling where it will be supported When putting user into a wheelchair tip the chair slightly backwards and push against the user s knees to get the user as far back in the chair as pos sible Make sure to use the correct lifting hanger Basic Low can be applied from a lying position in bed as well as a sitting position in bed 14 Guldmann GB 1005 06 07 Guldmann GB 1005 06 07 Place the sling on the user s shoulders and or the wheelchair s backrest Do you have the correct hanger width for stability Have the user lean forward Put your hand in the sling pocket and allow your hand and the sling to follow the back down to the chair cushion Hold your hand between the user s hip and the inside of the sling against the back support and press down the sling At the same time pull the leg support forward towards the knees with your other hand 15 Always begin by placing the leg support on the side that the stump is shortest C Have the user lean over towards the opposite side Place the leg support underneath with your hand held flat Then get the user to lean over to the other N side and pull the leg support forward Repeat the process with the other leg sup y port which should be layered underneath the first or upper leg support When both the leg supports are in place under the user put the top one
33. sling on from the front and have the user put his her arms through the lifting straps Then cross the support straps behind the user If leg straps are used pass them under the thigh and attach them to the sling Be careful that they are not too tight fitting in the crotch Use the correct hanger width As an alternative the sling can be suspended on the lifting hanger It is then attached from the front When using the hanger bar with Active Trainer position the hanger bar to the rear of the user s head while attaching the straps and prior to the user coming to standing Check that the support straps are correctly tensioned There should be no more than max 15 cm 6 inch space at the back where the rear straps cross in between the two halves of the trainer sling Make sure that the size of the lifting hanger fits the user Have the user lean slightly forward and lift a bit until the strap stretches Check the tension of the support straps again Then start the actual lift You must not lift to such a height that the user is lifted off the floor Guldmann GB 1005 06 07 Guldmann GB 1005 06 07 BASIC BASI Place the sling on the user s shoulders and or the wheelchair s backrest To ensure the sling is centered the center stripe should follow the user s backbone Use the correct hanger width Have the user lean forward Put your hand in the sling pocket a
34. te sling label s could compromise identification of appropriate size of the sling function of sling and or weight limit capacity of the sling Are the lifting straps and stitches intact Look for broken or worn stitches Look for knots in straps Look for tears or fraying of straps Look for snags or punctures or holes Look for any particles in fabric of straps Is the fabric intact Look for abnormal wear patterns excessive wear abrasive evidence Look for cuts or frayed fabric Look for unusual or significant discoloration Look for snags punctures tears holes Look for frayed or insecure seams Look for any acid caustic thermal burns Look for changes in material consistency e g increased stiffness Look for any imbedded particles Are slings the original size and length without the use of knots pins tape or other methods to change the shape shorten or lengthen them Not intended to represent all potential inspection steps Potential damage may vary Judgment of inspector site prevails Guldmann GB 1005 06 07 Guldmann GB 1005 06 07 SND p ee NS AFE OPERATING PRACTICES WITH SLIN Considerations for damaged or defective slings and taking them out of service Consider removal of slings from service if any of the following conditions exist chemical or caustic burns melting or charring of any part of the sling snags punctures tears or cuts broken or worn stitches missing illegible or incomple
35. te sling tag knots in any part of the sling abrasion other visible damage that causes doubt as to the strength of the sling Sling inspection is done for the protection of the patient the caregiver and the overall hospital site safety A sling inspection system has additional benefit Systematic sling inspection will assist in the identification of damage trends potentially leading to cost effective suggestions and results The inspection process can also help to identify inventory duplicity in certain sling types and sizes Sling inspection system Development of a specific procedure and program for the inspection of slings at your facility is your best safeguard Consider employing a three part system of inspection Slings that are removed from service and are not capa ble of repair should be disposed of so they are unfit for any future use and can not find a way back into active inventory 1 Initial This level of inspection is done at the time that the sling is received into your facility The inspector should insure that no damage has occurred during transit and also verify that the sling work load limits match those contained in the manufacturer s catalogue If your facility documents the sling inspection process through written inspection records the paper trail should begin at this stage 2 Frequent The frequent level of inspection should be done by the sling user before each use The sling should be examined and removed fr
36. through the inner strap guide and the bottom one through the outer strap guide It means that the leg support that you started with will always go though the inner strap guide Do not lift higher than necessary Lift until all the straps are taut and check all mountings When the user is lifted he she will be tilted backwards for safety reasons and appropriate weight distribution 16 Guldmann GB 1005 06 07 Guldmann GB 1005 06 07 TOM SIT ON Sit On slings must always be put on in a lying position Bend or cross one leg upper towards the side you wish to roll the user Pass the arm on the same side forward over the chest Have the user turn his her head in the AA same direction The center stripe should end approximately at the end of spine beginning of the pelvis The lower edge of the sling should be positioned two finger widths from the back of the knee Turn the user onto his her back and pull the sling out on the other side Mount the lifting strap on the hanger Change the bed s position to sitting Lifting using the Sit On sling should always take place from a sitting position Make sure to use the correct lifting hanger 17 Lift until all straps are taut but user is still sitting on the bed Check all mountings Attach the Velcro straps that will connect and hold together the upper and lower straps on each side Check that the Velcro straps that hold the back and
37. tient has been rolled to side lying place relevant pillows to support the patient 27 n LB gt V Htm Hereafter the straps are removed from the lifting hanger 28 a Guldmann GB 1005 06 07 Guldmann GB 1005 06 07 Repositioning sling use of different lifting hangers when repositioning patients The 2 straps nearest to the head of the patient are mounted in the cross hanger s two lifting hooks closest to the head of the patient The 2 straps closest to the feet of the patient are mounted to the cross hanger s two lifting hooks closest to the patient s feet When the standard lifting hanger is placed perpendicular to the patient The 3 6 straps closest to the head of the patient are mounted in the hangers two lifting hooks closest to the head of the patient Always mount the head straps at last The 2 bottom straps are placed at the two hooks furthest from the head of the patient When the standard lifting hanger is placed parallel to the patient The straps are now placed similar to first drawing on this page illustrating use of the cross hanger 29 LAUNDERING RECOMMENDATION w g LING INSPECTION CHECKLIST Before using a Guldmann sling accessory check the following Is the sling clean Follow facility specific infection control and laundering procedures Is the sling s label present legible and complete Missing illegible or incomple
38. tion of an appropriate size of the sling function of sling and or weight limit capacity of the sling 2 Are the lifting straps and stitches intact O Yes No Check sling is free of broken or worn stitches Check sling is free of knots in straps Check sling is free of tears or fraying of straps Check sling is free of snags or punctures or holes Check sling is free of any particles in fabric of straps 3 Is the fabric intact O Yes No Check sling is free of abnormal wear patterns excessive wear abrasive evi dence Check sling is free of cuts or frayed fabric Check sling is free of unusual or significant discoloration Check sling is free of snags punctures tears holes Check sling is free of frayed or insecure seams Check sling is free of any acid caustic thermal burns Check sling is free of any imbedded particles 4 Mark the sling label with the month and year of the inspection when available GTD 080802 01 Sling Periodic Inspection Guldmann Inspection must be performed every 6 months The sling inspection procedure should be thorough system atic and consistent both visual and hands on inspection techniques are required Certain forms of damage are far more discernable through hands on inspection than by visual inspection For example fabric stiffness crushed webbing as well as thinning fabric can be identified t
39. to cost effec tive suggestions and results The inspection process can also help to identify inventory duplicity in certain sling types and sizes NB Inspections should be perfor med by a person who is suitably and properly qualified and well acquainted with the design use and care of the slings GTD 080801 01 Name Department Shift Guldmann In service Checklist have received training in how to operate the Guldmann Lift System I understand and can perform the following HOIST 1 Lifiting Capacity I understand that the GH2HD has a lifting capacity of 550lbs The hoist will provide approximately 92 lifts up and down at a distance of I meter 1871bs ona single charge The hoist will not drop a patient who exceeds the load limit the hoist will simply not activate 2 Battery Connection I understand that the GH2HD is equipped with batteries which require regular recharging I understand the battery is charging at any point along the rail The rail 1s connected to the electrical 110 power supply The battery can be replaced only by duly trained maintenance 3 Charging The GH2HD hoist batteries are continually recharged anywhere on the rail When the batteries are getting low the green ring will begin to blink on and off The lift will continue to operate for about 20 lifts even when the green light 1s blinking 4 Pictograms I understand the Pictograms on the motor which indicate charging emergency lowering
40. uld make a click Guldmann 1071 07 06 Guldmann 1071 07 06 GH2 Service manual GH2 Replacement of the hand control Demounting of hand control Unscrew fork terminal and remove it from the emergency stop switch and remove the 6 way connector from the printed circuit board Disengage the hook of the wire suspension and push the wire suspension sideways out of the chassis Wire suspension The route of the wire through the labyrinth of the wire suspension Mounting of wire suspension IMPORTANT Make sure that the chassis does not cut into the wire when mounting the wire suspension Press the wire into position in the track before CAREFULLY pushing the wire suspension into position Check that the hook is engaged behind the chassis Insert the 6 way connector into the printed circuit board Guldmann 1071 07 06 GH2 Service manual GH2 Mounting of side covers and end covers Side covers Position the side covers with the lobes facing the recepta cles on the chassis Make sure that the tension pieces are located behind the lobes Check that wires are not being jammed Make sure that the wire of the power intake is positioned correctly in the opening on top of the chassis When both side covers have been mounted tighten sets crews in the tension pieces lightly End covers It is possible to mount the end covers after having mounted the side covers because the end covers are v
41. with attempts to ambulate Q Bariatric residents with difficulty with sit stand and ambulation D D DD D D D Contraindications and or Precautions for Use D Wounds on thighs that would be covered by leg straps and cause pressure 0 New amputees with low tissue tolerance or new hip ORIF with weight bearing precautions may need leg cuff only on unaffected leg D Inadequate head control to keep head midline and upright away from harness straps Q Moderate to severely impaired cognition where resident is unable to follow one step direc tions with consistency to understand the process of ambulation or support of the harness D Limited core strength to hold torso head upright and over hips to promote weight bearing stance May need to start in standing frame to increase standing tolerance before using walking harness Treatment Activities D Supported sitting activities on mat or edge of bed with harness providing stabilization while therapist addresses upper and lower gross fine motor activities Supported transfer training with sliding board without risk of coming off board Supported pivot transfer training with new amputees for chair mat wheelchair tub without risk of falls Q Supported standing activities with variable weight bearing capacities resident NWTB bilat erally to total weight bearing bilaterally or unilaterally with therapist support Q Supported standing activities in room at sink closet or edge of bed with work on static an
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