McMonty Instructions for Use Rev D

ASSEMBLING THE MCMONTY CORRECTLY

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While every effort is made to deliver all devices fully assembled, in some instances this isn’t possible. These instructions are to guide you through the assembly process to ensure the device is put together correctly. Once assembled, ensure the device follows your facility’s typical process for electrical medical devices e.g.,

test & tagging and asset numbering. It is the independent facility’s responsibility to ensure that the device is correctly put together following each step of these instructions.

To access online setup instructions, scan the QR Code 2

DEVICE OVERVIEW

• The Medihood McMonty is a Personal Isolation Device.

• The McMonty should not be used with patients who have

• It’s designed to contain and treat infectious droplets and

a history of claustrophobia, dementia, are showing active

aerosols expired by a patient to minimise exposure risk to

signs of delirium or who are at risk of harming

staff and other patients in the vicinity.

themselves.

• The McMonty is designed to be used with one patient at

• The frame is able to be cleaned and reused between

a time and is comprised of a frame, a fan-filter unit and a

patients, though the hoods are single-use and are

single-use PVC hood.

required to be changed between patients (pp. 8-10)

• The hood contains the air, while the fan draws the air out of the unit and through a H13 high efficiency particulate air (HEPA) filter to remove 99.97% of particulate matter. • While the McMonty will dramatically improve air quality and minimise infection risk, it is not a substitute for PPE.

• The filter has a lifespan of 6,000 hours before needing to be replaced (p. 12). • The hoods are manufactured out of PVC and do not contain any latex products. • The McMonty does not require any recalibration or

• Full PPE should be worn at all times when dealing with

servicing beyond routine preventative maintenance such

infectious patients as per local guidelines and policies.

as visual inspections of high wear components (outlined

• The McMonty is not a sealed device and as such carries no risk of asphyxiation, hypercarbia or hypoxia – even in the event of a power outage. • The fan motor is of a very high quality and has been designed to run continuously with no maximum runtime. • The fan has a protective housing as a redundancy to ensure that if there ever is a fault, there is no risk of

injury to a patient or staff member. • The McMonty is of significant benefit when treating

throughout this document). • Always follow manufacturer guidance and ensure compliance with these instructions to prevent misuse and to minimise any operator error. • Noncompliance with these instructions may result in damage to the device, injury and/or exposure risk to a patient or staff member.

• Based on currently available data the device life is two years.

patients displaying aerosol generating behaviours (AGBs) and when administering aerosol generating procedures (AGPs).

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MCMONTY SET UP (ONCE ASSEMBLED)

STEP.01

STEP.05

Pull up and lock the folding side arms into position. Check that

Continue to loop all vinyl tabs into position along the

they are locked into place before proceeding to the next step.

hoop.

STEP.02

STEP.06

Arrange the PVC hood to ensure that the Velcro seam is at the

Extend the outermost, larger hoop (hoop 2) horizontally.

top, and the Vinyl tabs are exposed on the outside. Line up the

Follow the same process of attaching the vinyl tabs,

small white centre tab with the small metal groove in the middle

starting with the center vinyl tab.

of the metal frame (above the fan) and attach by pressing the Velcro pieces together.

STEP.03

STEP.07 Check that the hood is set up evenly along the hoops and check the integrity of the hood by looking for holes, rips

Tuck the PVC inside the side arms, so that the PVC hood is inside

or tears prior to use (none of which should be present).

the hoops entirely.

STEP.08

STEP.04

A visual inspection should be undertaken monthly to ensure

Extend the innermost, slightly smaller polycarbonate hoop (hoop

there are no fine cracks forming in the backboard or hoops (high

1). Pull out the middle of the PVC hood and secure the vinyl tab

wear areas). If fine cracks are beginning to form, please be sure

around the hoop by pushing the pointed arrow-end through the

to order replacement parts from Medihood.

hole at the other end of the tab/arrow. You can pull the hoop slightly if reaching the top is difficult.

Note: Ensure that there is adequate space behind the McMonty or in

The hoops are flexible and designed not to break when pulled

front of the patient bed to ensure quick access to the patient’s

down gently.

head if it’s required in an emergency. The McMonty should not be in the way of any other critical medical equipment e.g. suctioning equipment, O2, etc. 4

TURNING ON THE MCMONTY [email protected] medihood.com.au

The device will automatically

It’s recommended to keep the fan

To provide those in the vicinity

power on when connected to a

running even when the hood is

with as much protection as

power supply.

open.

possible, keep the power supply switched on wherever possible –

There is an indicator light on the

When the hood is open, the

including when setting up and

device to provide a visual

device will operate in a similar

when cleaning.

indication that the fan is

fashion to an air purifier and will

operational.

continue to minimise exposure to a patient’s expired aerosols.

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POSITIONING THE MCMONTY

The further forward the hood is over

Ensure that there is enough space at

The skirt of the hood should sit on

the patient, the more effective it will

the back of the bed to access

the top of the patient’s legs or

be.

oxygen/suctioning equipment and

bedsheets.

Before raising (or lowering) the bed

that there is enough space to push

It should not be tucked under the

ensure that the side rails of the bed

the McMonty back, away from the

patient’s legs or the mattress.

won’t knock the folding metal side

bed if emergency access to the

If there is a gap between the hood

arms of the device.

patient’s head is required.

and the patient/bed, raise the bed

A collision could potentially cause

slightly, checking first that the

The McMonty to either lift or tilt

bed/side rails won’t collide with the

sideways.

side arms.

PVC hood touching bed, minimising gaps

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6

When administering an aerosol generating procedure (AGP) try not to open the hood to access a patient wherever possible (e.g. during nebulisation; NIV).

PATIENT CARE WHEN USING THE MCMONTY

It’s ideal to wait 10 minutes after an AGP has concluded before opening the hood.

This will at times be impractical and you may need to access the patient during administration of an AGP.

If this is the case, leave the fan running and open the hood. Attend to the patient (e.g. reposition the patient in bed; adjust CPAP mask) and then close the hood again.

With the fan running, the fan will still draw air up and away from

Hood Closed

Hood Open

the healthcare worker – even with the hood open.

From outside the hood the patient will be able to be accessed via the side access flaps, thus allowing you to leave the hood closed. This is useful for procedures such as mouth care, suctioning, changing over to a nasal cannula, etc.

There are times where the hood will need to be opened to fully access a patient, such as during repositioning, performing a full

It’s important to explain to the patient that the bed will be raised while using the McMonty. In order to safely leave the bed, a patient will need to call for assistance or lower the bed. It’s advisable to minimise any time outside of the hood for an infectious patient as this will lead to increased exposure of those in the vicinity.

wash, CXR, etc.

In these instances, leave the fan on and pull the hood back down

**Cluster patient care wherever possible to avoid constant opening of the hood**

as soon as practicable. 7

AFTER USE

McMonty hoods (the PVC component) are single use and may be used only with a single patient until no longer required.

The hoods should never be reused. Once a patient has been discharged or is deemed to no longer be infectious and therefore no longer require the use of the McMonty, the hood is to be disposed of in infectious waste (yellow bin).

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8

CLEANING THE FRAME

Perform a terminal clean in the patient bed area/bay at the end of patient use (i.e. perform the clean when the bed has been vacated by the patient). Always clean with full PPE as per local policies/guidelines. Methodically clean all surfaces including components of the device including the fan/filter housing, the power cord and as far into the fan cover as you can reach without putting too much pressure on the cover which may result in damage to the part. A full clean should take one person approx. 5-10 minutes. On the next page are guidelines regarding cleaning solution selection.

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RECOMMENDED CLEANING PRODUCTS

The following items are recognized

To find out if another cleaning

If a patient has been isolated using

by the TGA as being suitable for

product is suitable for use after a

the McMonty for an infection other

disinfection of the McMonty frame

COVID-19 positive patient, please

than COVID-19, be sure to consult

after use with a COVID-positive

consult the TGA’s ‘disinfectants for

your local infection control team to

patient as of March 2022.

use against COVID-19 in the ARTG for

determine the correct cleaning and

Clinell Universal Sanitising Wipes

legal supply in Australia’ database:

disinfection solution.

and Spray

https://www.tga.gov.au/disinfectant s-use-against-covid-19-artg-legal-

Oxivir Tb Wipes Actichlor Plus Hospital Grade Disinfectant Tablets

supply-australia.

Only use cleaning products approved by your facility’s IPAC team for the relevant infection to ensure safety of

COVID-19 Stock Image. Source: CDC Image Library

the user and those in the vicinity.

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10

FILTER REPLACEMENT

STEP 1

STEP 5

Remove the new filter from the box and unwrap

Ensure that the rubber collar is completely over

in preparation.

both the bottom of the fan housing and the top

At this point, make sure that the power is

of the new filter.

switched off and the power plug is pulled out of

Tighten the fastening bolt by turning clockwise.

the wall socket.

Ensure it’s tight so that there is no opportunity for aerosol leakage or for the filter to separate

STEP 2 EVERY 6,000 HOURS OF D E V I C E O P E R AT I O N 2 PERSON JOB

E N S U R E A D E Q U AT E P P E ( A S PER LOCAL POLICIES/GUIDELINES) IS DONNED WHEN CHANGING T H E F I LT E R

from the device.

Place a plastic bag over the used filter to contain

any particulate matter than may shake loose

STEP 6

when the filter is removed.

The used filter must be disposed of in infectious

With the aid of another staff member, loosen the

waste (yellow bin).

lower fastening bolt by turning counter-clockwise.

STEP 3 Pull the old filter off, while the other staff member

Fan Housing Hour Meter

holds the rubber collar connecting the filter to the fan housing.

Fastening Bolt (upper)

Rubber Collar Fastening Bolt (lower)

STEP 4 Tie up the bag that now contains the used filter and have the other staff member push the

Filter

new filter up into the rubber collar (into position). 12

REPLACING POLYCARBONATE HOOPS

Hoop 1 Hoop 2

AS REQUIRED 1 PERSON JOB

STEP 1

Side Arm

Bolt

STEP 2

STEP 3

STEP 4

Remove the old hoops by unbolting

Arrange the new hoops so that the

Fix both hoops back in place with the

Tighten the bolt enough to hold both

from the side arms one side at a time

smaller hoop (hoop 1) is sitting inside

original bolt, making sure that there is

hoops but with allowance to move them.

using a phillips-head screwdriver.

the larger hoop (hoop 2).

a washer between each layer i.e. bolt,

Be sure to retain the existing nylon

washer, hoop 1, washer, hoop 2,

washers for reuse.

washer, side arm.

Visually inspect for cracks in the hoops before each new patient or at least once per month. If any cracks are present, order replacement parts from Medihood by calling 03 8413 6611 13

STEP 1 Remove the fan diffuser cover. Do this by removing the screw at the top of the fan piping.

REPLACING THE CLEAR BACKBOARD

Next, fold the clips on the cover back so that they are pointing towards the back of the device and remove the

cover by pushing it forward from the back of the device. Plastic Rivets

STEP 2 Remove the white plastic rivets around the backboard if

AS REQUIRED 1-2 PERSON JOB

possible.

E N S U R E A D E Q U AT E P P E ( A S PER LOCAL POLICIES/GUIDELINES) IS DONNED WHEN CHANGING THE BACKBOARD

This will be possible even if all rivets weren’t able to be

Pull the backboard firmly away from the metal frame.

removed.

STEP 3 Align the holes in the new backboard with the frame and fasten in place using the new plastic rivets provided. Ensure all studs are pressed in firmly and completely.v

Visually inspect for cracks in the backboard at least once per month. If any cracks are present, order a replacement part from Medihood by calling 03 8413 6611

14

REPLACING THE DIFFUSER COVER AS REQUIRED 2 PERSON JOB E N S U R E A D E Q U AT E P P E ( A S P E R L O C A L P O L I C I E S / P R O C E D U R E S ) I S D O N N E D W H E N R E P L A C I N G T H E F I LT E R C O V E R

STEP 1

Remove the screw at the top of the fan piping using a phillips-head screwdriver.

STEP 2

Fold back the clips on the diffuser cover so that they’re pointing towards the fan/back of the device.

STEP 3

Remove the diffuser cover altogether by pushing the diffuser cover away from the fan. This is easiest to be done from the back of the device. Replace with the new cover by folding the clips back and pushing through the hole in the backboard.

STEP 4

Sufficient pressure will be required to push the diffuser cover collar into the fan piping as there is a thick layer of insulation. Once pushed in, replace the screw at the top of the fan piping.

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REPLACING A COMPLETE FAN UNIT

E N S U R E A D E Q U AT E P P E ( A S P E R L O C A L POLICIES/PROCEDURES) I S D O N N E D W H E N R E P L A C I N G T H E FA N U N I T

AS REQUIRED 2 PERSON JOB

STEP 1

STEP 2

STEP 3

STEP 4

STEP 5

Remove the phillips-head

Use pliers to bend the upper

Repeat the fan strap release

Remove the fan entirely by

Replace the fan with the new fan-

screw from the top of the

mounting bracket away from the

process from step 2 on the

pulling it away from the device

filter unit, making sure to align the

fan piping.

frame to unlock/release the fan

lower mounting bracket and

and fan diffuser cover.

hole at the top of the fan piping with

strap. (see photos)

fan strap.

the screw hole in the fan diffuser

Pull out the fan strap on one side

The fan should now be held in

cover.

of the pipe completely.

place only by the fan diffuser

With another person holding the

cover.

frame and the front of the diffuser cover, push the fan over the diffuser

Mounting strap

cover collar. LOCKED

Mounting bracket

UNLOCKED

STEP 6

STEP 7

STEP 8

Screw the phillips-head screw

Replace the fan straps by

Repeat step 7 with

back into place to secure the

inserting the top strap through

the lower strap and bracket.

fan at the top.

the vertical gap on the other side of the mounting bracket and

The device is now ready for

forcing through as far as possible

use.

to ensure a tight fit. 16

The box that our products arrived in was damaged on delivery - what should we do? Given the sensitivity of the product, the packaging is designed to be manually handled and can withstand typical wear and tear during transit. If the damage is severe, take photos of the boxes and contact Medihood immediately for follow up with the logistics agent.

FAQ

We’ve run out of hoods - can we reuse them? No, the hoods have been designated as a single use item given the high risk application of the device. To discuss how we can assist in the quickest way possible, please contact Medihood.

Our McMonty and/or hoods are damaged – what should we do? If you experience any issues with a Medihood product, please contact Medihood with as much information as possible (description, photos, etc.).

How can I tell what size I have? McMonty frames and hoods have been designed to have different coloured Velcro for the two different sizes. Narrow frames and hoods have black Velcro; Large frames and hoods have white Velcro.

Are McMonty hoods sterile? McMonty hoods are non-sterile but should not be kept in the vicinity of waste – especially infectious or clinical waste. 17

INTERPRETING SYMBOLS

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QUESTIONS? Please feel free to get in touch anytime via the below methods

+61 3 8413 6611

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Manufactured by Medihood Pty Ltd 673 Spencer Street West Melbourne VIC 3003 19