ARJOHUNTLEIGH Walker Instructions for Use Nov 2014

WARNING To avoid injury, always read this Instruction for Use and accompanying documents before using the product. Mandatory to read the Instructions for Use

Design Policy and Copyright ® and ™ are trademarks belonging to the ArjoHuntleigh group of companies. © ArjoHuntleigh AB 2014. As our policy is one of continuous improvement, we reserve the right to modify designs without prior notice.The content of this publication may not be copied either whole or in part without the consent of ArjoHuntleigh AB.

Contents Foreword... 4 Intended Use... 5 Safety Instructions ... 6 Preparations... 7 Parts Designation... 8 Product Description/Functions ... 10 Using the Walker... 13 Cleaning and Disinfection Instructions... 15 Battery Instructions ... 17 Troubleshooting ... 18 Care and Preventive Maintenance... 19 Technical Specifications ... 22 Overall Dimensions... 24 Labels ... 26 Electromagnetic Compatibility... 28 Parts and Accessories ... 30 ArjoHuntleigh Addresses ...Last Page

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Foreword Definitions in this IFU

Thank you for Purchasing ArjoHuntleigh Equipment Your Walker aid is a part of a series of quality products designed especially for hospitals, nursing homes and other health care use.

WARNING Means: Safety warning. Failure to understand and obey this warning may result in injury to you or to others.

Please contact us if you have any questions about the operation or maintenance of your ArjoHuntleigh equipment.

CAUTION Means: Failure to follow these instructions may cause damage to all or parts of the system or equipment.

Please Read this Instructions for Use Thoroughly! Please read this Instructions for Use (IFU) in its entirety before using your Walker aid. Information in this IFU is crucial to the proper operation and maintenance of the equipment, will help protect your product, and make sure that the equipment performs to your satisfaction. Some of the information in this IFU is important for your safety and must be read and understood to help prevent possible injury.

NOTE Means: This is important information for the correct use of this system or equipment.

Unauthorized modifications on any ArjoHuntleigh equipment may affect its safety. ArjoHuntleigh will not be held responsible for any accidents, incidents or lack of performance that occur as a result of any unauthorized modification to its products.

Means: The name and address of the manufacturer.

Service and Support A service routine has to be done on your Walker aid to ensure the safety and operating procedures of your product. See section Care and Preventive Maintenance on page 19. If you require further information, please contact ArjoHuntleigh for comprehensive support and service programs to maximize the long-term safety, reliability and value of the product. Contact ArjoHuntleigh for replacement parts. The contact information is found on the last page of this IFU.

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Intended Use This equipment is intended for therapeutic raising and walking training of adult residents under the supervision of trained caregivers with the adequate knowledge of the care environment, its common practises and procedures, and in accordance with the guidelines in Instructions for Use. The Walker should only be used for the purpose specified in its Instructions for Use. Any other use is prohibited.

Resident Assessment We recommend that facilities establish regular assessment routines. Caregivers should assess each resident according to the following criteria prior to use: • •

The resident’s weight should not exceed 136 kg / 300 lbs. The resident must be able to stand and sit in an upright position, normally defined as active

•

The resident must understand and be able to respond to instructions to stand and stay seated in an upright position. • The resident’s length must be in the range of 140 and 195 cm (4 feet 7 inches - 6 feet 4 inches). If the resident does not meet these criteria an alternative equipment/system shall be used.

Installation and Service Requirements The expected lifetime of this equipment, unless otherwise stated, is ten (10) years, subject to preventive maintenance being carried out in accordance with the instructions for care and maintenance found in the Instructions for Use.

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Safety Instructions WARNING

WARNING

To avoid explosion or fire, never use the equipment in oxygen rich environment, in presence of heat source or flammable anaesthetic gases.

To avoid the device in use from tipping, do not raise or lower other equipment close to it and be aware of stationary object when lowering.

WARNING

WARNING

To avoid injury, make sure that the patient is not left unattended at any time.

To avoid entrapment of the patient's or caregiver's legs or feet, make sure that they are kept clear of all obstacles.

WARNING To prevent cross-contamination, always follow the disinfection instructions in this IFU.

WARNING To avoid entrapment, make sure to keep the patient's hair, arms and feet close to the body and use designated grab supports during any movement.

WARNING To avoid the device from tipping and the patient from falling, do not use the equipment on floor with recessed drains, holes or slopes exceeding a ratio of 1:50 (1.15°).

WARNING To avoid falling, make sure that the patient is positioned correctly and that the safety belt is being used, properly fastened and tightened.

WARNING To avoid falling during transfer, always make sure that the brakes are applied on all equipment being used.

WARNING To avoid falling during patient transfer, always make sure that the brakes on the equipment receiving the patient are applied. 6

Preparations and service. The telephone number appears on the last page of this IFU.

Actions Before First Use (9 steps) 1 Visually check the package for damage. 2

The package should be recycled according to local regulations.

3

Check that all parts of the product are supplied. Compare with Parts Designation on page 8. If any part is missing or damaged - do NOT use the product!

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Walker Directions The directions right, left, rear and front given in this IFU refers to the directions in below illustration. (See Fig. 1) Avoid to move the lift backwards when using it together with a patient. See illustration below for correct walking direction, (See Fig. 2).

Unpack the battery charger. Select and attach the adapter correctly suited to your power outlet. See Battery Charger IFU.

5

Charge the battery for 24 h.

6

Disinfect the product according to Cleaning and Disinfection Instructions on page 15.

7

Prepare an area, dry with good ventilation for storage of the lift.

8

Choose a designated area where the IFU should be kept, accessible at all times for the users.

9

If you have any questions, please contact your local ArjoHuntleigh representative for support and service. The telephone number appears on the last page of this IFU.

Fig. 1

Left

Fig. 2

(6 steps) 1 Check that all parts of the lift are in place. Carry out a thorough inspection of the sling for damage.

3

If any part is missing or damaged - do NOT use the lift!

4

WARNING To prevent cross-contamination, always follow the disinfection instructions in this IFU. The lift shall be disinfected and wiped dry before every use to prevent cross-contamination.

5

Make sure the battery is fully charged.

6

If you have any questions, please contact your local ArjoHuntleigh representative for support

Right

Rear

Actions Before Every Use

2

Front

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Parts Designation 1

Castor with brake (all four castors)

2

Pillar (Electrical)

3

Hand control (Electrical)

4

Battery (Electrical)

5

Hand grip

6

Support table

7

Safety belt

8

Suspension straps

9

Spade seat

10 Straight steering device 11 Quick coupling 12 Lowering button (Hydraulic) 13 Hand pump for raising (Hydraulic) 14 Pillar (Hydraulic) Type B. Applied part: protection against electric shock in accordance with EN 60601-1.

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Product Description/Functions Fig. 1

Fig. 2

Manual Raising and Lowering (2 steps) 1 The support table is raised by using the hand pump. Pump evenly, using the full range of movement. (See Fig. 1) 2

The support table is lowered by pressing the Lowering button. (See Fig. 2)

Electric Raising and Lowering

Fig. 3

(2 steps) 1 Unhook the hand control from its holder. (See Fig. 3) 2 To raise the support table, press the Up arrow button on the hand control. To lower the support table press the Down arrow button.

Castor Brake

Fig. 4

(2 steps) 1 Apply brakes on the castors by pressing the lock tabs (A) with your foot. (See Fig. 4)

A

2 B

The castors brakes are released by pressing down the centre tabs (B).

Straight Steering (1 steps) To facilitate a transfer, for example in a corridor, the rear castors on the Walker aid are fitted with straight steering devices.

Fig. 5

1

Hand Grips

Fig. 6 B A

Fig. 7

Press the green tab with your foot to activate straight steering. (See Fig. 5)

(2 steps) The two hand grips are ergonomically designed to provide a firm grip for the patient. 1 Loosen the locking lever (A) and adjust the hand grips (B) in both position and angle. Fasten the locking lever. (See Fig. 6) 2 Place the locking lever (A) in desired position by pushing it down while turning it. (See Fig. 7)

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Safety Belt and Suspension Straps As standard equipment the Walker aid has an individually adjustable safety belt and two suspension straps for body weight reduction and added patient security. Safety Belt (4 steps) Depending on what fits the patient the most, the safety belt can be straight across or crossed over the support table. 1

The safety belt is attached to the knob on the front of the support table (A). (See Fig. 1 & Fig. 2)

2

Pass the safety belt over the support table, behind the patient’s back and over the support table again.

3 Attach to the other knob on the front of the support table (B). Fig. 1 A

Fig. 2

4

B

Make sure the padding is placed in a convenient position. Adjust safety belt by releasing the velcro in the padding.

Suspension Straps, Male Patient (3 steps) 1 Attach the suspension strap to the knob (C). (See Fig. 3) NOTE The suspension strap is attached with its adjustment holes on the rear knobs (C), behind the patient.

Fig. 3 D

Fig. 4 D

2

Pass it under the patient and attach it to the knob in front (D).

3

Repeat on the other side of the Walker aid.

Suspension Straps, Female Patient (3 steps) 1 Attach the suspension strap to the knob (C). (See Fig. 4) NOTE

C

The suspension strap is attached with its adjustment holes on the rear knobs (C), behind the patient.

C 2

Pass it under the patient and attach it to the knob on the other side (D).

3

Repeat on the other side of the Walker aid.

Spade Seat Fig. 5

(3 steps) The spade seat is used when lifting the patient. 1 Attach the spade seat to the support table by gently pushing it into the quick coupling. (See Fig. 5) Continue with the steps on the next page.

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Fig. 6

2

Before lifting the patient, make sure the spade is securely supported and locked by the quick coupling. (See Fig. 6)

3

Loosen the spade seat by pressing the ejector and lift the quick coupling upwards, holding the spade seat with the other hand. (See Fig. 7)

Fig. 7

Fig. 1

Emergency Stop If, for any reason, the Walker aid does not respond to the control buttons, you can quickly stop lift movement by pressing the button on the battery and disconnect it. (See Fig. 1)

Emergency High/Low (4 steps) If, for any reason, the Walker aid does not respond to the control buttons, raise or lower the Walker aid by using the Emergency High/Low. 1 Unplug the hand control. (See Fig. 2) Fig. 2

2

Control the Walker aid by pressing a blunt, thin object into the holes at the panel. (i.e. a pen). (See Fig. 3) CAUTION Do not use an object with sharp tip when pressing in the holes.

3

Press it into the hole next to the “up arrow” in order to raise the Walker aid.

4 Press it into the hole next to the “down arrow” in order to lower the Walker aid. Fig. 3

NOTE A continuous beeping sound is heard during action “up” and “down”. Contact your local ArjoHuntleigh representative before re-using the Walker aid.

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Using the Walker From Wheelchair or Bed Without Heavy Lifting Fig. 1

(19 steps) 1 Attach the spade seat and the safety belts to the Walker aid. (Let the belts hang on the knob from where you attach it.) (See Fig. 1) 2

Brake the wheels on the wheelchair/bed.

3

Make sure the patient is sitting safely in the wheelchair or on the bedside.

4

Move the Walker aid so the spade seat is next to the wheelchair seat/bedside.

5

Adjust the spade seat height so it is in level with the wheelchair seat /bedside.

6

If possible, move the spade seat gently in over the wheelchair/ bed.

7 Apply brakes on all castors of the Walker aid. 8 Let the patient grip the hand grips. If necessary, adjust these. Fig. 2

9

Move the patient over onto the spade seat. (See Fig. 2) NOTE Be carefully while transferring patient to/from the spade or attaching the suspension straps. Make sure the patient’s skin is not pinched by the spade seat or suspension straps

10 Attach and adjust the safety belt. 11 Raise the patient to suitable height.

WARNING To avoid the device in use from tipping, do not raise or lower other equipment close to it and be aware of stationary object when lowering. 12 Release the castor brakes and pull the Walker aid out from the wheelchair/bed. 13 Apply brakes on all castors of the Walker aid. Continue with the steps on the next page.

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Fig. 3

14 Attach and adjust the suspension straps. (See Fig. 3) NOTE The suspension strap is attached with its adjustment holes on the rear knobs, behind the patient.

Fig. 4

15 Loosen the spade seat. (See Fig. 4)

Fig. 5

16 Adjust the height of the Walker aid. The height adjustment permits variable body weight reduction. (See Fig. 5) 17 Readjust the hand grips.

Fig. 6

18 The training may start. (See Fig. 6) 19 If desired, apply straight steering.

WARNING To avoid entrapment, make sure to keep the patient's hair, arms and feet close to the body and use designated grab supports during any movement.

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Cleaning and Disinfection Instructions ArjoHuntleigh Disinfectant

Accessories for Disinfecting Walker

For optimal performance use only ArjoHuntleigh Disinfectant.

•

Protective gloves

• • • • • •

Protective glasses Spray bottle with disinfectant Spray bottle with water Cloth – wet and dry Disposable towels Soft bristled brush

For any questions regarding the proper disinfection procedure or for liquid product ordering information (see Parts and Accessories on page 30), contact ArjoHuntleigh Customer Service. Disinfection will minimize cross-contamination and removing tissue residue.

WARNING

To avoid eye and skin damage, always use protective glasses and gloves. If contact occurs rinse with plenty of water. If eyes or skin becomes irritated, contact a physician. Always read the IFU and the Material Safety Data Sheet (MSDS) of the disinfectant. CAUTION To avoid damage on the equipment only use ArjoHuntleigh branded disinfectants.

WARNING To prevent cross-contamination, always follow the disinfection instructions in this IFU.

WARNING To avoid eye or skin irritation, never disinfect in the presence of a patient.

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Always Follow these 11 Steps for Proper Disinfection

9 If disinfectant cannot be removed, spray water on the affected part and wipe off with disposable towels.

If ArjoHuntleigh Shower Panels is used, see respective IFU.

10 Repeat previous step until all of the disinfectant has been removed.

NOTE Remove any removable parts, such as battery and suspension straps, and clean these separately according to the cleaning instructions.

11 Let all parts dry.

Removing visual residue (Step 1 of 11) 1 Clean the Walker aid and its removable parts from visible residue using a cloth soaked in water, alternatively spray with water and wipe with a clean cloth. Start from top and move downwards.

Cleaning (Step 2 to 5 of 11) 2 Spray disinfectant on the Walker aid and its removed parts. 3

Use a brush or a cloth if needed for cleaning to remove any deposits.

4

Use a new wet cloth to wipe off all traces of disinfectant or if more suitable by spraying water and wipe with a clean cloth.

5

Repeat previous step until all of the disinfectant has been removed.

Disinfection (Step 6 to 11 of 11) 6 Spray disinfectant on the Walker aid and its removed parts. 7

Allow appropriate contact time of the disinfectant according to the instructions on the bottle.

8

Use a new wet cloth to wipe off all traces of disinfectant or if more suitable by spraying water and wipe with a clean cloth.

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Battery Instructions Storage of Battery

WARNING

•

To avoid bodily injury, do NOT crush, puncture, open, dismantle or otherwise mechanically interfere with the battery.

•

The battery is delivered charged but we recommend you to recharge the battery when received due to a slow self discharge. The battery will slowly self discharge when not used. A battery during storage and transport should be in a temperature range of -0° C to +30 °C (32 °F to 86 °F), cooler temperatures will extend its service life. For maximum battery performance do not store the battery above 50 °C (122 °F).

• Should the battery casing crack and cause contents to come in contact with skin or clothing, rinse immediately with plenty of water.

•

• If contents come in contact with the eyes, rinse immediately with plenty of water and seek medical attention.

•

Inhalation of the contents can cause respiratory irritation. Provide fresh air and medical attention.

Installation of Charger

• •

How to Charge the Battery

•

See NDA-X200, Battery Charger IFU.

Be careful not to drop the battery. Contact the appropriate local authority for advice when disposing batteries. Check label on the battery.

See NDA-X200 Battery Charger IFU.

Low Charge Warning If the battery needs charging a buzzing tone is heard when the lift is activated. At this time, there will be enough battery power to complete the immediate task.

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Troubleshooting PROBLEM

ACTION

The lift continues to raise or descend after the hand control button is released.

Activate the red emergency Stop button and pull the battery out - remove the patient from the lift and contact qualified personnel.

The lift does not raise or descend when the hand control button is pressed.

• • •

Make sure that the battery is fully engaged in the battery compartment. Make sure that the hand control connection plug is properly engaged in the socket. Make sure that the battery is charged.

WARNING To avoid injury, make sure that the patient is not left unattended at any time. •

Use the emergency lowering to descend the patient, see Emergency High/Low on page 12. Contact qualified personnel as soon as the patient is removed from the lift.

The lift is hard to manoeuvre during the transfer.

• • •

Make sure all brakes are released. Make sure all castors role and swivel freely. If the problem persists, remove the patient from the lift and contact qualified personnel.

The lift is making abnormal sounds during lifting or transfer.

Remove the patient from the lift and contact qualified personnel.

The lift beeps shortly once every minute when not operated.

Contact qualified personnel.

It is only possible to lower the lift.

The lifting device of this equipment is equipped with a safety nut. If the safety nut will be activated it will only be possible to lower the equipment into a safe position. In case of this scenario stop using the equipment and contact qualified personnel for repair.

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Care and Preventive Maintenance The Walker aid is subject to wear and tear, and the following actions must be performed when specified to make sure the product remains within its original manufacturing specification.

WARNING To avoid malfunction resulting in injury, make sure to conduct regular inspections and follow the recommended maintenance schedule. In some cases due to heavy use of the product and exposure to aggressive environment more frequent inspections should be carried out. Local regulations and standards may be more stringent than the recommended maintenance schedule. Preventive Maintenance Schedule: Walker aid CAREGIVER OBLIGATIONS Action/Check Cleaning/Disinfection Visually check all exposed parts

Every DAY

Every WEEK

Every YEAR

Every 2nd YEAR

X X

Visually check mechanical attachments Visually check battery and battery charger (Electrical version)

X X

Check hand control and cable (Electrical version) Check the safety belt and suspension straps Perform functionality test Check and clean castors Yearly checks by qualified personnel only Replace safety belt and suspension strap

X X X X X

WARNING To avoid injury to both the patient and the caregiver, never modify the equipment or use incompatible parts.

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X

Caregiver Obligations Fig. 1

Caregiver obligations shall be carried out by personnel with sufficient the Walker aid knowledge following the instructions in this IFU. Daily • Disinfect: The Walker aid has to be cleaned immediately after every use. ArjoHuntleigh disinfectant should be used in recommended concentrations labelled on the disinfectant bottle. CAUTION Do not use petroleum based solvents, trichlorethylene etc., since they may damage the plastic.

Fig. 2

Fig. 3

Every week • Visually check all exposed parts: Examine the Walker aid for damage. Visually check all exposed parts, especially where personal contact is made by either the patient or caregiver. • Make sure no cracks, sharp edges or unhygienic areas that could cause the patient or user injury. • Replace damaged parts. • Visually check mechanical attachments: Visual check that all screws and nuts are tightened and that there are no gaps. (See Fig. 1) • Check the hydraulic system is working smoothly (raising and lowering). •

•

Fig. 4

•

•

Visually check the battery and the battery charger: Check the cable condition as well. Withdraw and replace immediately if damaged. (Electric version) (See Fig. 2) Check hand control and cable: Visually check the condition of the hand control and its cable. If found cut or damaged, replace. (Electric version) (See Fig. 3) Visually check the safety belt and suspension straps: Check the complete length for fraying, cuts, crack, tears, that no inner fabric is showing and that no other damage is visible. If the safety belt or suspension strap is found damaged, replace it. (See Fig. 4) Perform functionality test: Test up/down motion by pressing up/down. Test emergency High/Low. Continue with the steps on the next page.

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Fig. 5

•

Check and clean the castors: Make sure the castors are properly fixed and are rolling and swivelling freely (the function can be affected by soap, hair, dust and chemicals from floor cleaning). (See Fig. 5)

• •

If the function is disturbed, clean the castors with water. Visual check that the castors are tightened to the chassis.

Yearly Checks by Qualified Personnel Only The Walker aid must be serviced once a year in accordance with the Maintenance and Repair Manual. Contact your local ArjoHuntleigh service representative to sign for a service agreement.

WARNING To avoid injury and/or unsafe product, the maintenance activities must be carried out at the correct frequency by qualified personnel using correct tools, parts and knowledge of procedures. Qualified personnel must have documented training in maintenance of this device. NOTE All Caregiver Obligations are to be checked when performing the Qualified Personnel Service. For details, see separate service instructions.

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