ARJOHUNTLEIGH Lifeguard Model LG50 Instructions for Use June 2018

WARNING

To avoid injury, always read this Instructions for Use and accompanied 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 2000. 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. 2

Content Content������������������������������������������������������������������������������������������������������������������������������������������3 Warning and Cautions�������������������������������������������������������������������������������������������������������������������4 Introduction������������������������������������������������������������������������������������������������������������������������������������5 Clinical Applications�����������������������������������������������������������������������������������������������������������������������6 Operation���������������������������������������������������������������������������������������������������������������������������������������7 Accessories���������������������������������������������������������������������������������������������������������������������������������14 Decontamination�������������������������������������������������������������������������������������������������������������������������16 Care and Preventive Maintenance����������������������������������������������������������������������������������������������17 Warranty and Service������������������������������������������������������������������������������������������������������������������19 Dimensions and Data������������������������������������������������������������������������������������������������������������������20

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Warning and Cautions WARNING

WARNING

Always apply the brakes when the Lifeguard trolley is stationary.

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

WARNING

CAUTION

Raise the safety sides before moving the Lifeguard trolley with a patient.

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

WARNING

Children and restless or disorientated patients should not be left unattended at any time.

NOTE

WARNING

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

Before turning (rolling) a patient on the Lifeguard trolley or performing a lateral transfer, adjust the mattress platform to a comfortable working height; be aware that the Lifeguard trolley may overbalance if the patient’s weight is not evenly distributed across the mattress platform.

General Warnings WARNING

The age, size and condition of the patient should be assessed by a competent clinically qualified person before using the Lifeguard trolley, giving particular consideration to appropriate use of the safety sides.

WARNING

Do not use accessories that are not designed or approved for use with the Lifeguard trolley.

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Introduction Fig. 1

This manual gives instructions for the use and maintenance of the Lifeguard® patient trolleys, model numbers LG20 (See Fig. 1) and LG50 (See Fig. 2). All Lifeguard trolley models have a radio translucent mattress platform. A full-length X-ray cassette tray can be supplied as an option.

Fig. 2

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Clinical Applications Area of Use A & E departments, admissions, day surgery and general hospital areas.

Indications

Fig. 3

The Lifeguard trolleys may be used for general and emergency admissions, examination, diagnostic X-ray and initial treatment. They are also appropriate for patient transfer between departments, wards and theatre.

Contra-indications Fig. 4

The maximum safe working load for Lifeguard LG50 is 250 kg. (See Fig. 3) The maximum safe working load for Lifeguard LG20 is 180 kg. (See Fig. 4)

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Operation Safety For the safety of operator, patient and equipment: • Always use a mattress of the correct size and type for the Lifeguard trolley. • Do not expose the equipment, especially the mattress, to naked flames, cigarettes etc. • Before operating the Lifeguard trolley, make sure that the patient is positioned correctly to avoid entrapment and imbalance. • When the Lifeguard trolley is operated, check that no obstacles are in its path. • Keep these instructions handy for reference.

Mattress The mattress is secured to the platform by means of hook and loop tapes on the mattress underside and the laminate top.

Push Bar Handles

Fig. 5

Adjust the height of the handles (2 Steps) (See Fig. 5) 1. Press the spring-loaded release button (A) and raise or lower the handle as required (B). 2. Let go of the button to lock the handle in the high or low position.

Breaks and Steering (See Fig. 6) (See Fig. 7)

Fig. 6

LG50

Free

Linked brake pedals are situated at the head end of the Lifeguard trolley; model LG50 has additional pedals at the foot end. Brake

Steer

Brake

Steer

Fig. 7

LG20

Free

• When the pedals are horizontal, the castors are free to rotate and swivel. • When the pedals are in the BRAKE position, the brakes are applied on all four castors. • When the pedals are in the STEER position, one foot end castor is prevented from swivelling and the Lifeguard trolley can be pushed from the head end.

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Easitrack® 5th Wheel Steering System (Optional) When the pedals are in the STEER position, the central 5th wheel is prevented from swivelling; the Lifeguard trolley will keep on a straight course in any direction and can be steered by pivoting about the 5th wheel.

Height and Tilt Adjustment Model LG50 Fig. 8

The height and the tilt angle of the mattress platform are adjusted using a group of five foot pedals on either side of the Lifeguard trolley. The three pedals marked with a black in the bottom row are used to raise the platform. The two pedals marked with a red in the top row are used to lower the platform. (See Fig. 8)

Tilt Adjustment (See Fig. 8) Raise one end of the platform • Operate the “raise” pedal (black ) nearest that end of the Lifeguard trolley with a pumping action. Lower one end of the platform • Press down on the “lower” pedal (red ) nearest that end of the Lifeguard trolley and keep it pressed. NOTE There is an additional “lower” pedal (red ) that enables head down tilt to be applied from the head end of the Lifeguard trolley.

Height Variation Raise the platform • Operate the central “raise” pedal (black pumping action.

) with a

Lower the platform • Press down both “lower” pedals (red them pressed.

) and keep

If the platform is raised or lowered when tilted, the tilt angle will be maintained until the leading end reaches the limit of travel, when the platform will return to the horizontal condition. 8

Fig. 9

Height and Tilt Adjustment Model LG20 Tilt Adjustment (See Fig. 9) The angle of head down tilt is adjustable by raising the lever located just underneath the head end of the mattress platform. (3 Steps) 1. Take the weight of the mattress platform and raise the lever. 2. Lift or lower the mattress platform to adjust the amount of tilt. 3. Release the lever when the required angle has been reached.

Fig. 10

Height Variation (See Fig. 10) The height of the mattress platform can be adjusted from either side of the Lifeguard trolley by using the two foot pedals (A) and (B). Raise the platform • Operate the foot pedal (A) with a pumping action. Lower the platform (2 Steps) 1. Raise pedal (A) or press pedal (B) down and keep it pressed. 2. Release the pedal when the platform is at the desired height or has reached the lowest position.

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Backrest Fig. 11

NOTE The amount of effort needed to raise or lower the backrest will vary depending on patient weight and mobility. With a very heavy patient, the backrest may fall quickly if it is not supported when released.

Adjust the backrest (2 Steps) (See Fig. 11) 1. Grasp the handle firmly, press the release knob and lift the backrest assisted by the gas spring or push it down against the action of the gas spring. 2. Let go of the release knob to lock the backrest at any angle.

Fig. 12

Safety Sides (See Fig. 12) Raise the safety side • Hold the top rail and lift until it locks into position at maximum height.

Lower the safety side • Hold the top rail with one hand, pull the release button at the foot end and lower the rail toward the head.

X-Ray Photography (Optional) The mattress and platform are radio translucent. A full-length cassette tray can be included as a factoryfitted option, which can be accessed from either side of the Lifeguard trolley. Fig. 13

Load or unload cassettes (2 Steps) (See Fig. 13) 1. Lower the tray by turning the handles at both ends of the Lifeguard trolley to the vertical position. 2. Load or unload the cassette and raise the tray again by turning the handles to the horizontal position.

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Fig. 14

Oxygen Therapy Equipment WARNING

Ensure that the oxygen line does not become entangled or trapped which could cause damage to the line or loss of supply. Ensure that when the Lifeguard trolley is operated it does not collide with the installed equipment, especially at low height.

Model LG50 Fig. 15

A recess in the base of the Lifeguard trolley will accommodate a size D, E or F oxygen cylinder. The stainless steel liner can be lifted out for cleaning. In addition, facilities are provided for the installation and use of oxygen therapy systems. A short rail (Medirail) is provided at the head end of the Lifeguard trolley to accommodate the flow meter and injection suction unit. (See Fig. 14)

Fig. 16

A universal mounting bracket is installed in the base of the Lifeguard trolley to accept the suction receiver jar. (See Fig. 15) If the mounting bracket is not already fitted, remove the plastic cover from the hole in the base cover moulding and attach the bracket with two 6 mm Button Head screws and nuts using the pre-drilled holes in the base frame.

Model LG20 The oxygen cylinder holder is mounted on the base of the Lifeguard trolley. It will accommodate a size D, E or F oxygen cylinder. (See Fig. 16)

Fig. 17

NOTE There is an optional Medirail that can be attached to the head end of the mattress platform on Lifeguard trolley model LG20. (See Fig. 16)

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IV Drip Rod MB-ACC32

Fig. 18

Install the IV pole in one of the four tubular sockets at the corners of the platform (A). (See Fig. 18)

WARNING

The maximum total load on the hooks must not exceed 5 kg. The maximum load attached to the lower tube must not exceed 10 kg.

Adjust the height

Fig. 19

E

C A

D

B

(5 Steps) (See Fig. 18) 1. Hold the telescoping IV pole firmly. 2. Loosen the locking collar (B). 3. Lift or lower the inner IV pole as required (C). 4. Re-tighten the locking collar firmly (D). 5. Fold out the hooks (E). NOTE Be careful not to lift the IV pole out of the socket when raising the hook.

Fig. 20

Storage Adjust the IV pole to minimum length and tighten the locking collar. The IV pole (A) is stored in a recess on the base of the Lifeguard trolley (See Fig. 20) or in a tube underneath the mattress platform (See Fig. 21).

Model LG50

Fig. 21

Model LG20

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IV Drip Rod 799.501

Fig. 22

The built-in IV pole is located at the head end of the Lifeguard trolley.

WARNING

Do not exceed the maximum safe load of 5 kg. Lift the IV pole to the vertical position (A) and allow it to drop into the tubular socket on the platform (B). (See Fig. 23)

Fig. 23 A

B

D E

C

Adjust the height (4 Steps) (See Fig. 23) 1. Hold the telescoping IV pole firmly. 2. Loosen the locking collar (C). 3. Lift or lower the hook as required (D). 4. Re-tighten the locking collar firmly (E). NOTE Be careful not to lift the IV pole out of the socket when raising the hook.

Storage Adjust the IV pole to minimum height and tighten the locking collar, then lift the IV pole out of the socket and fold it down.

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Accessories A range of accessories, including mattresses, is available from ArjoHuntleigh. Details are available on request. Accessories currently available for Lifeguard LG20 and LG50 are shown in the table below. ACCESSORY NAME Loose drip rod Foot end panel & bow Foot panel with monitor table Clip-on table Arm rest Safety side pads (grey) DIN rail kit (head end) Oxygen bottle holder (PD size) DIN rail kit (foot end) Mattress with two-way stretch cover - 65 mm thick Mattress with two-way stretch cover - 80 mm thick Two part transfer mattress Two part transfer mattress "Pennyla" Bi-Flex pressure reducing mattress Bi-Flex pressure redistribution mattress

PRODUCT CODE 157003 157009 157018 157021 157006PE02 99901PE16 LG/ACC03 LG/ACC04 LG/ACC05 LGMAT/10 LGMAT/12 LGMAT/13 LGMAT/13PN TRM2 TRM3

Some accessories may not be available in all markets. ArjoHuntleigh reserves the right to alter specifications and availability without notification. The following section describes some commonly used accessories. Other accessories are supplied with instructions for use.

LGMAT/10 The LGMAT/10 is a one piece mattress with two-way stretch anti-static PU cover, used to provide the patient with adequate comfort during transport and to facilitate cleaning and disinfection.

LGMAT/12 The LGMAT/12 is a one piece, twin-foam mattress with two-way stretch antistatic PU cover, used to provide the patient with increased comfort during transport and to facilitate cleaning and disinfection.

LGMAT/13 The LGMAT/13 transfer mattress is designed to allow patients to be moved easily and with minimal discomfort from a Lifeguard trolley to an adjacent surface. 14

Foot Panel with Monitor Table 157018 Install the foot panel in the square sockets at the end of the mattress platform, with the clipboard on the outside.

Fig. 24

! Fig. 25

WARNING

Maximum safe working load 12 kg evenly distributed.

Use the monitor table (2 Steps) (See Fig. 23) 1. Place the clipboard in a horizontal position. 2. Use the straps to secure the monitor to the table.

Remove the foot panel • Lift it out of the sockets.

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Decontamination The following processes are recommended, but should be adapted to comply with the local or national guidelines (Decontamination of Medical Devices) which may apply within the Healthcare Facility or the country of use. If you are uncertain, you should seek advice from your local Infection Control Specialist.

Chemical disinfection (4 Steps)

Protective clothing should always be worn when carrying out decontamination procedures.

To protect the integrity of the cover we recommend a chlorine-releasing agent, such as sodium hypochlorite, at a strength of 1,000ppm available chlorine (this may vary from 250ppm to 10,000ppm depending on local policy and contamination status). 1. Wipe all cleaned surfaces with the solution, rinse and dry thoroughly. 2. Alcohol based disinfectants (maximum strength 70%) may be used as an alternative. 3. Ensure the product is dry before storage. 4. If an alternative disinfectant is available and selected from the wide variety, we recommend that suitability for use is confirmed with the chemical supplier prior to use.

CAUTION

Clean the mattress

The Lifeguard system should be routinely decontaminated between patients and at regular intervals while in use; as is good practice for all reusable medical devices.

WARNING

Do not use Phenol-based solutions or abrasive compounds or pads during the decontamination process as these will damage the surface coating. Do not boil or autoclave the cover.

Clean (2 Steps) 1.

2.

Clean all exposed surfaces and remove any organic debris by wiping with a cloth moistened with a simple (neutral) detergent and water. Dry thoroughly.

(2 Steps) 1. 2.

Wipe all surfaces with a disposable cloth soaked in a neutral detergent and hand hot water. Rinse with clean water and dry with disposable paper towels.

Disinfect the mattress • Wipe all surfaces with a solution of sodium dichloroisocyanurate (NaDCC) at a concentration of 1,000ppm (0.1%) available chlorine.

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Care and Preventive Maintenance This product is subject to wear and tear during use. To ensure that it continues to perform within its original specification, preventive maintenance procedures should be carried out at the intervals shown.

WARNING

This list indicates the minimum level of preventive maintenance recommended by the manufacturer. More frequent inspections should be carried out when the product is subjected to heavy use or aggressive environments, or where required by local regulations. Failure to carry out these checks, or continuing to use the product if a fault is found, may compromise the safety of both the patient and carer/user. Preventive maintenance can help to prevent accidents. Actions to be done by carer/user Clean and disinfect as shown in “Decontamination” on page 16. Check operation of safety sides Visually check castors Inspect the mattress as described on the next page Check safety side pads (if fitted)

Daily

Weekly

Yearly

X X X X X

If the result of any of these tests is unsatisfactory, contact ArjoHuntleigh or an approved service agent.

WARNING

The procedures below must be carried out by suitably trained and qualified personnel. Failure to do so may result in injury or an unsafe product. Actions to be done by carer/user Daily Check the operation of the lifting mechanism as described below Check the operation of the backrest raise and lower Check operation of castors, paying special attention to braking and steering functions Check the hydraulic pump for leaks Check all nuts, bolts and other fasteners are present and correctly tightened Check all accessories, paying particular attention to fasteners and moving parts

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Weekly

Yearly X X X X X X

Mattress Check the cover, especially around the seams, for cuts or splits that may allow fluid ingress. Replace the cover if necessary. Unzip the cover and inspect the mattress core for signs of fluid ingress, e.g. staining or dampness. Replace the complete mattress if necessary.

Lifting Mechanism Check the operation. A steady firm resistance should be felt over the full stroke of the “raise” pedals. If the pedal pressure is variable or yielding, this may indicate the presence of air in the system and can be remedied as follows:

(3 Steps) 1. 2. 3.

Raise the platform to full height. Continue pumping for four or five pedal strokes then lower the platform fully. Repeat this action two or three times. If firm and steady pedal operation is not restored, contact ArjoHuntleigh or an approved service agent.

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Warranty and Service ArjoHuntleigh standard terms and conditions apply to all sales. A copy is available on request. These contain full details of warranty terms and do not limit the statutory rights of the consumer. For service, maintenance and any questions regarding this product, please contact your local ArjoHuntleigh office or authorised distributor. A list of ArjoHuntleigh offices can be found at the back of this manual.

Product Lifetime The lifetime of this product is typically ten (10) years. “Lifetime” is defined as the period during which the product will maintain the specified performance and safety, provided it has been maintained and operated in conditions of normal use in accordance with the requirements in these instructions.

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Dimensions and Data Overall length Overall width Height of mattress platform (max.) Height of mattress platform (min.) Tilt (max.) head down Tilt (max.) foot down Backrest adjustment Castors (diameter) Product weight (approximate) Product weight with X-ray cassette tray Safe working load

Mattress size

Model LG50 211 cm 77 cm 93 cm 56 cm 12° 12° 0 to 87° 20 cm 138 kg

Model LG20 211 cm 77 cm 92 cm 60 cm 12° N/A 0 to 87° 20 cm 120 kg

145 kg

127 kg

250 kg

180 kg

195 x 67 x 6.5 cm 195 x 67 x 6.5 cm 195 x 67 x 7.5 cm 195 x 67 x 7.5 cm 195 x 67 x 8 cm 195 x 67 x 8 cm 195 x 67 x 13 cm 195 x 67 x 13 cm

Storage Handle with care. Do not drop. Avoid shock or violent impact. This equipment should be stored in a clean, dry and well-ventilated area which meets the following conditions: • Temperature: -10°C to +50°C • Relative humidity: 20% to 90% at 30°C, non-condensing • Atmospheric pressure: 700hPa to 1060hPa

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