BHM Junior Instructions for Use rev 5 Sept 2010

Printed in Canada BHM Medical products are patented or patent pending. Our policy is one of continuous development, and we therefore reserve the right to make technical alterations without notice. The content of this publication may not be copied either whole or in part without our consent.

Contents General ...1 Manufacturer Information ... 1 Authorized European Representative ... 1 Service and Support ... 1 Definitions ... 1 Intended Use ... 2 Operational Life ... 2 Policy on Number of Staff Members Required for Patient Transfer 3 Key to Symbols ... 4

Part Designation ...5 Safety Instructions ...6 General ... 6 Safe Working Load ... 6 Shock Prevention ... 7 Equipment Warning Labels ... 7

Compatible Slings ...8 Loop Slings ... 8

Operating the Junior ...9 Assembly Instructions for Junior ... 9 Adjusting the Width of the Legs ... 11 Folding the Lift ... 11 Brakes ... 11 Brakes Application and Release ... 12 Emergency Shut-off ... 12 Raising and Lowering a Patient ... 12 To Raise the Patient ... 12 To Lower the Patient ... 12 Transferring a Patient ... 13 Battery Pack ... 13 Removable Battery Pack ... 13 Emergency Lowering ... 14 Battery Charging ... 14 Maintenance Indicator ... 14 Battery and Battery Charger Safety Practices ... 14

Lifting a Patient ...16 Lifting a Patient from a Chair ... 16 Lifting a Patient from a Bed ... 17 Lifting a Patient from the Floor ... 17

Disinfection, Cleaning and Maintenance ...18 Lift Cleaning and Care ... 18 Preventive Maintenance Schedule ... 19

Troubleshooting ...21 Labels on the Lift ...22 Technical Specifications ...23 Limited Warranty ...25

I

General Thank you for purchasing the Junior.

WARNING: Read before use.

Your Junior is part of a series of quality products designed especially for hospitals, nursing homes and other health care uses.

Before using your Junior, you must read and fully understand these Instructions for Use. You must be trained on the Junior and on any accessories, as well as its functions and controls.

We are dedicated to serving your needs and providing the best products available along with training that will bring your staff maximum benefits from every BHM Medical product. Please contact us if you have any questions about the operation or maintenance of your BHM Medical equipment.

To read the Instructions for Use is mandatory for the safe and effective handling of the Junior, including the safety of the patient and the caregiver.

Manufacturer Information This product is manufactured by: BHM Medical Inc. 2001 Tanguay Street Magog (Quebec) Canada J1X 5Y5

Authorized European Representative Huntleigh Healthcare Ltd. 310-312 Dallow Road Luton, UK LU1 1TD

Service and Support A service routine has to be performed on your Junior by BHM Medical trained personnel to ensure the safety and operation of your product. See chapter “Disinfection, Cleaning and Maintenance”. If you require further information, please contact your local BHM Medical representative, which can offer comprehensive support and service programs to maximize the long-term safety, reliability and value of the product. Contact your local BHM Medical representative for replacement parts.

Definitions WARNING: Failure to understand and follow this instruction may result in injury to yourself and others. CAUTION: Failure to follow these instructions may cause damage to the product(s).

1

General Intended Use

Any references to the “patient” in this document apply equally to a resident at home or in a long term care facility and refer to the person being lifted or transferred.

Junior is a mobile passive lift with a Safe Working Load of 160 kg (350 lb), intended to be used on horizontal surfaces for lifting and transferring in hospitals, nursing homes or other health care facilities where the patient: •

Sits in a wheelchair;

•

Has no capacity to support him/herself;

•

Cannot stand unsupported and is not able to bear weight, not even partially;

•

Is dependant on the caregiver in most situations; or where the patient:

•

Is passive;

•

Might be almost or is completely bedridden;

•

Is often stiff or has contracted joints;

•

Is totally dependent on the caregiver.

References to left or right in these instructions are as viewed from the caregiver’s pushing position, standing at the rear of the Junior, facing forward.

The lift is for transferring patients only. It is to be used for patients within the specified weight limit indicated on the lift (350 lb or 160 kg) and the specified environmental conditions described in this manual.

Right

The Junior must always be handled by a trained caregiver, who shall attend to the patient during lift application and operation, and in accordance with the instructions outlined in these Instructions for Use.

Left

The Junior is intended to be used with loop slings. Use only slings that are designed for Junior.

Operational Life The equipment is designed and tested for a useful life of seven (7) years or 10 000 transfers-whichever comes first-subject to preventative maintenance as specified in the “Disinfection, Cleaning and Maintenance” section in this manual. Time equivalence between the number of transfers versus the number of years is made clear in the table below.

WARNING: Before using the Junior, a clinical assessment of the patient’s suitability for transfer must be carried out by a qualified health professional considering that, among other things, the transfer may induce substantial pressure on the patient’s body.

Years

CAUTION: BHM Medical does not recommend usage of the lift and mounting of the charger in humid, salty, oxidizing and/or chlorinated conditions. In such cases, BHM Medical recommends a proactive regiment of frequent inspections and maintenance to be carried out.

2

Transfers per Day

(10,000 transfers)

4

7

6

4.5

8

3.5

General

WARNING: The manufacturer cannot ensure full safety for a floor lift or an accessory of which the life span has been exceeded. The red indicator light on the floor lift will blink when it is about halfway to its useful life, and again to indicate the end of the useful life period. The operating life of this equipment corresponds directly to the safe operating time period before a complete overhaul is required. Aging of the unit, frequency of use (transfers per day), the weight of the patient and maintenance frequency are factors that have an impact on the lift’s life span. A transfer is defined as the displacement of a patient from one point to another. A transfer cycle includes a lifting and a descending action. The expected life for other consumable products, such as batteries, fuses, lamps, slings, straps and cords is dependent upon the care and usage of the equipment concerned. Consumables must be maintained in accordance with published Instructions for Use and the “Preventive Maintenance Schedule”.

Policy on Number of Staff Members Required for Patient Transfer BHM Medical’s passive and active series of lifts are designed for safe usage with one caregiver. There are circumstances, such as combativness, obesity, contractures etc. of the individual that may dictate the need for a two-person transfer. It is the responsibility of each facility or medical professional to determine if a one or two person transfer is more appropriate, based on the task, resident load, environment, capability, and skill level of the staff members.

3

General Key to Symbols This symbol is accompanied by the name and the address of the authorized representative in the European Community. This symbol is accompanied by a date to indicate the date of manufacture.

The CE mark indicates that the product complies with all the applicable European Directives.

This symbol is accompanied by the manufacturer's catalogue number. Synonyms for "catalogue number" are "reference number" and "reorder number".

This symbol is accompanied by the manufacturer's serial number.

As per the WEEE Directive, this symbol indicates “separate collection” for all batteries and accumulators.

Please refer to Instructions for Use.

The product meets the applicable U.S. and Canadian CSA standards.

This symbol indicates a class II equipment: term referring to electrical equipment in which protection against electric shock does not rely on basic insulation only.

This symbol indicates a type BF applied part.

This symbol indicates a risk of pinching .

Note: When applicable, symbol reference can be found in EN 60601-1 and WEEE Directive.

4

Part Designation 1

2 3 4 5 6 11 7 10 9

8

12

14

13

LEGEND 8. Left leg 9. Right leg 10. Pedal 11. Mast 12. Emergency stop button 13. Down button 14. Up button

1. Handset 2. Charger 3. Battery pack 4. Boom 5. Actuator 6. Emergency lowering 7. Two-point spreader bar

5

Safety Instructions General

The equipment must be used in accordance with the following safety instructions.

WARNING: Only manufacturer designated parts designed for the purpose shall be used for the Junior in order to avoid injuries attributable to the use of inadequate parts.

Anyone using the equipment must also have read and understood the instructions in this manual. If there is anything you are not sure about, contact your local BHM Medical representative.

WARNING: Unauthorized modifications or repairs on the Junior will affect its safety and invalidate any warranty. The manufacturer will not accept responsibility for any accidents, incidents or lack of performance that occur as a result of any such unauthorized modification or repair.

Safe Working Load The Safe Working Load of the Junior is 160 kg (350 lb). WARNING: Do not overload the Junior beyond the approved lifting capacity of the lowest rated attachment/accessory. If the maximum load differs between floor lift, spreader bar and body support unit (i.e. sling), then the lowest maximum load shall always be used.

6

•

Always carry out the recommended “Before every use” inspection prior using the lift.

•

Always maneuver the lift with the handles provided. If necessary, initiate the movement by pushing on the back of the base with your foot. Do not push on the legs.

•

Never attempt to push or pull a loaded lift over a floor obstruction which the castors are unable to ride over easily, including steps, door thresholds or moving sidewalk.

•

Do not push the lift at a speed which exceeds a slow walking pace (3 km/hour or 0.8 meter/second).

•

An assessment of the suitability for transfer of a patient who is connected to electrodes, catheters or other medical devices must be conducted by qualified personnel before performing a transfer.

•

This mobile patient lift must be used by a caregiver trained to these instructions and qualified to work with the patient to be transferred, and should never be used by patients on their own.

Safety Instructions •

Always ensure that controls and safety features are used only in accordance with the rules specified in this manual. Never attempt to force a control or button on the lift.

•

Check nameplate for voltage and cycle requirements. These requirements differ by country. Do not attempt to use the lift in an area that has a different voltage and cycle requirement.

•

While the base of the lift can be opened to ease transfer of a patient, it should be kept closed between transfer points.

•

•

Avoid any impact during transfer.

Do not attempt to expose, service or repair the lift, battery or charger. If any unit is malfunctioning, contact your local BHM Medical representative.

•

Do not put fingers, hands or feet where space is limited (see image below). This could pinch, cut, or seriously harm any body parts. This includes spaces between the lift base and floor (1), between actuator cab and mast tubing (2), between the spreader bar block and the boom tubing (3) and between legs and base while closing (4).

Equipment Warning Labels Inspect all precautionary labels on the equipment. Order and replace all labels that cannot be easily read.

CAUTION: Keep all components of the lift clean and dry, and have electrical and mechanical safety checkpoints done as instructed in the “Disinfection, Cleaning and Maintenance” section of this manual.

Shock prevention •

Do not touch a damaged power cord, it could result in serious injuries and/or electrical shock. If the lift or charger has any exposed or damaged wires, contact your local BHM Medical representative immediately.

7

Compatible Slings

BHM loop sling profiles that can be used with the Junior.

Loop Slings

Hammock (THA-X)

Hygienic (THY-X)

Hammock 6 (THA6-X)

Quick-fit (TIR-X)

Combi 626002

Repositioning 624500

For more information about loop slings and how to use them, refer to the documentation that comes with your sling. For information about how to attach a sling to the lift, read the “Lifting a patient” section.

8

Operating the Junior The Junior has an integrated charger, but a wall charger is available as an option. Unpack the battery pack supplied, and fully charge it as described in the section “Battery Charging”. When the battery pack is fully charged, disconnect the electrical power and wrap the cord around the power cord holder. An electrical connection is made automatically. Ensure that the red emergency stop button (located on the control panel above the battery) is pushed out, and that a sling is available. By using the lift, an operator is able to raise, transfer and lower a patient safely.

2. Place base assembly on the floor and lock both rear casters.

WARNING: Read before use Before using your Junior, you must read and fully understand these Instructions for Use. You must be trained on the Junior and on any accessories, as well as its functions and controls. 3. Remove the shoulder knob and the turning knob from the mast. WARNING: Always carry out the items marked as “Before every use” in the “Preventive Maintenance Schedule” before using the lift.

Assembly instructions for Junior WARNING: It is strongly recommended to unpack the parts with the assistance of another person. 1. Remove all parts from carton and inner boxes, make sure all components are present. Check for any shipping damage. Do not discard carton or packing material until you are completely sure there is no damage to the lift.

9

Operating the Junior 4.

Unfold the lift until it is straightened out.

WARNING: It is strongly recommended to unfold the lift with the assistance of another person.

Fig. B

6.Place battery into the control box.

5. Insert the shoulder knob back to block the mast (Fig. A), then tighten the turning knob (Fig. B). Unstrap the spreader bar from the mast. Insert the straps inside the spreader bar padding and zip it.

Fig. A

10

7. Test for proper leg spread by disengaging the pedal and alternatively pushing down the right side and the left side. Test for proper HI/LOW operation of the boom - Run boom to both its highest and lowest points. The lift is fitted with limit stops; it should cease to function when the boom reaches its highest or lowest travel.

Operating the Junior Adjusting the Width of the Legs

•

The base of the lift can be set with the legs opened or closed. Adjustments are made by changing the position of the pedal. Pressing down the left side of the pedal will close the legs. Pressing down the right side of the pedal will open the legs. There is no locking device to allow a mid run adjustment. The legs must be either fully opened or completely closed to ensure the lift remains fixed.

Fold the lift until the boom touches the floor. WARNING: It is strongly recommended to fold the lift with the assistance of another person.

•

Insert the shoulder knob back in the proper place to block the mast.

Folding the Lift The Junior can be folded. To fold the lift, follow the steps below: •

Attach the spreader bar to the boom with the strap inside the cover.

•

Lower the boom to its lowest position.

•

Lock both rear castors of the lift.

Foot operated brakes are fitted on both rear castors. Brakes should only be used in the following situations:

•

Remove the shoulder knob and the turning knob from the mast.

•

When the lift and the patient are momentarily at rest; for example, during preparation for transferring to a bed or a chair.

•

Whenever movement of the lift has to be halted while transferring a patient.

Brakes

CAUTION: Do not apply the brakes before raising a patient from a stationary position. This will allow the lift to auto-adjust to the patient’s center of gravity, and restrain the patient from swaying.

11

Operating the Junior Brakes Application and Release •

To apply brakes, step on the back portion of pad.

•

To release brakes, step on the front portion of pad or lift with toe of shoe.

Unlocked

WARNING: Do not leave or store the battery under direct sunlight or near a heat source. Do not expose the batteries or battery charger to flames.

Raising and Lowering a Patient

Locked

The electrical actuator can be operated in both directions and allows the operator to raise or lower the patient without any physical effort. The handset can be used to operate the lift.

Emergency Shut-off The user can shut off the electrical power at any time by pressing the red emergency button on the top of the control box. Reset the emergency shut-off by turning the red button clockwise.

UP

First-time users should practice the shut-off maneuver before operating the lift with a patient.

DOWN

To Raise the Patient Press the “UP” button on the handset. Keep your finger on the button until the patient is at the desired height, then release finger pressure to stop the movement.

To Lower the Patient Emergency shutoff button

Press the “DOWN” button on the handset. Keep your finger on the button until the patient is at the desired height, then release finger pressure to stop the movement. Auxiliary “UP” and “DOWN” buttons are located on the control box attached to the mast.

WARNING: Hold the pack firmly to ensure that it does not drop and become damaged or cause injury to you or to others.

These controls serve two functions: They are secondary controls in the event the handset stops functioning, or if two attendants are involved in the transfer: one can use the auxiliary controls, while the other moves into a position where he/she is with the patient continuously.

WARNING: Ensure that the electrical power to the charger unit is switched off before connecting the battery.

When you press two buttons simultaneously, the first function button pressed will override all other functions until you release one button.

12

Operating the Junior Transferring a Patient

Battery Pack

Most patients can be rotated a full 360 degrees with no restriction, even at elevated heights. This makes it easier for a patient normally in a wheelchair to be maneuvered using front or side entry, as required. This ability to rotate patients also allows the caregiver to properly position the patient when performing a transfer to and from a bed.

The battery pack is medically approved according to EN 60601-1, CAN/CSA-C22-2, No. 601-1 M90 and UL 2601-1. The battery pack assembly is composed of two 12 V, 5 Ah (24 V capacity) fuse protected batteries, delivering up to 100 lifts per charge (350 lb or 160 kg). Battery life is variable (2-3 years) and is influenced by proper charging practices and load exertion.

When the patient is in a sling facing the mast, lower the patient to the lowest convenient height above the floor. This will provide added stability and comfort to the patient.

Removable Battery Pack

For information about how to attach a sling to the lift, read the “Lifting a Patient” section.

The removable battery pack reduces the time your lift is out of service because of a discharged battery. To remove a discharged battery pack, push the two side buttons and pull straight out towards you. Replace the pack with a fully charged one from the wall mounted charging unit.

WARNING: Do not attempt to maneuver the lift by pulling on the mast, boom, actuator or patient.

WARNING: Using the handles located on the mast, always maneuver the lift with the legs closed in the travel direction indicated on the figure below.

Travel direction

13

Operating the Junior Emergency Lowering

To ensure that the Junior is always ready for use, it is recommended that a fully charged battery pack always be available. Do this by having additional battery packs or wall chargers available, and keeping one battery pack charging while the other is in use.

The Junior is equipped with a safety feature that allows the boom to be lowered even if the electrical system does not operate. Locate the red emergency lowering device handle directly above the plastic actuator motor cover.

To charge batteries, place the battery pack on the charger integrated (optional wall charger) by plugging the charger into a wall socket. The charger is compatible with universal voltage inputs of 90 V up to 240 V.

Following the direction of the arrow, pull straight up and hold. This will allow the actuator to slowly lower to the desired level (this component is spring loaded and will return to normal and stop the lowering process when released). There must be a load applied on the boom for the emergency lowering device to function.

The charger has two LED indicators: yellow and green. The green light “on” with no battery pack inserted indicates the charger is on and ready for use.The green and yellow light “on” indicates the battery pack is charging. The green light “on” with a battery pack inserted indicates the battery pack in the charger is fully charged and ready for use. Power indicator (green)

WARNING: Gradually pull on the handle. The force exerted on the handle determines the speed of descent. Maintenance indicator

Battery Charging Battery charge indicator (yellow) Charger indicator (green)

The Junior uses sealed lead-acid batteries mounted within the control box. Unlike nickel-cadmium batteries, lead-acid batteries are not subject to a memory effect. Therefore, they should not be completely drained before being recharged. The control box is equipped with an automatic control shut-off after 20 seconds of inactivity to prevent any battery drainage while the lift is in the stand-by mode. Power to the lift is reactivated by pushing any handset button.

Maintenance Indicator The maintenance indicator will light after 16 hours of operation (approx. 4000 up/down cycles). A complete inspection must then be performed by a qualified technician and a proper maintenance done according to findings to prevent accidents. Otherwise, after 19 hours of operation, the indicator will also emit an audible intermittent beep until the counter is reset.

It is recommended that the lift is plugged in a wall socket when it is not used for an extended period of time.

Battery and Battery Charger Safety Practices

To prolong the battery pack life, recharge it before it reaches a low state of battery charge, and certainly before it is totally discharged.

•

14

The battery charger is for indoor use only, and should be used in a dry environment. Do not use it in a bathroom.

Operating the Junior •

Do not charge batteries in unventilated areas.

•

The charger must not be covered or exposed to dust. The metal contacts must be kept clean.

•

The battery charger is for use only with Junior batteries that are supplied by BHM Medical.

•

The battery pack may stay connected to the charger unit without damage when it is fully charged.

•

Do not short-circuit the battery.

•

Do not crush, puncture, open, dismantle or mechanically interfere with the batteries in any other way.

•

The power socket must be easily accessible. If a fault condition occurs, switch off the power cord and remove the connection plug from the socket.

•

Do not store batteries at a temperature higher than 40°C (140°F). Should the battery casing crack and cause contents to come in contact with skin or clothing, rinse immediately with water. If contents come in contact with eyes, rinse immediately with plenty of water and seek medical attention.

•

For recycling and disposal of the batteries, local regulations must be followed. If not, they may explode, leak and cause personal injury. When returning batteries, insulate their terminals with adhesive tape, otherwise, the residual electricity in used batteries may cause fire or explosion. Picture below shows the symbols for disposal and recycling.

CAUTION: Batteries need to be charged for a minimum of eight hours prior to initial use of this lift.

CAUTION: Do not operate the charger with a damaged cord or if the unit’s housing has been damaged. Do not forcibly bend the power cord or place a heavy object on it. This will damage the cord and may cause a fire or electrical shock.

15

Lifting a Patient For detailed instructions on the transfer of patients and use of various slings, refer to the instructions provided by the manufacturer of the slings.

10 Support the patient to stop excessive swinging and to give a feeling of added security. 11 The patient may be transferred to and placed in a chair or on a bed.

Lifting a Patient from a Chair

12 Lower the patient and unfasten the sling from the spreader bar. Move the Junior away before removing the sling from under the patient.

Proper body mechanics and sound ergonomic positioning should be maintained by the caregiver at all times.

.

The lifting techniques described can be used for seated patients regardless of where they may be seated (on the edge of a bed, in a chair, in a wheelchair, etc.).

WARNING: To avoid injury or discomfort, do not lower the spreader bar onto the patient.

WARNING: When using loop slings, always make sure the sling attachment loops are correctly attached and remain in tension as the weight of the patient is gradually taken up. 1

Place the sling around the patient so that the base of his/her spine is covered, and the head support area of the sling is behind the head.

2

Pull each leg strap under the thigh so that it emerges on the inside of the thigh.

3

Ensure the spreader bar is at, or just below, shoulder level.

4

Position the spreader bar close enough to the sling to be able to connect the shoulder strap loops of the sling to the frame.

5

Connect the shoulder straps first, then attach the leg straps (some attendants prefer to connect the leg straps first. This applies in particular to patients with large thighs).

6

Ensure that all loops are securely connected, then raise the patient using the handset.

7

The head support area of the sling should now come into use. This is the most comfortable position for transfers, as it reduces pressure on the patient’s thighs.

8

Before transfer, turn the patient to face the direction of travel, and keep at a normal chair height. This gives confidence and dignity to the patient.

9

Avoid lifting the patient higher than the eyes of the attendant to lessen the impression of height for confused patients.

16

Lifting a Patient Lifting a Patient from a Bed

Lifting a Patient from the Floor

Proper body mechanics and sound ergonomic positioning should be maintained by the caregiver at all times.

Proper body mechanics and sound ergonomic positioning should be maintained by the caregiver at all times.

Before lifting a person from a bed, ensure there is sufficient clearance underneath the bed to accommodate the Junior chassis legs.

Patients being lifted from the floor are normally in this position due to a slip or fall. These patients should only be lifted after examination by qualified medical personnel. The patient can be lifted from a completely reclined position on the floor, but for his comfort, put a pillow under his head first.

1

Position the patient onto the sling by rolling the patient, then folding the sling in half and placing it behind the patient’s back.

2

Position the sling carefully so that, when rolled back, the patient will lay on the center of the sling.

3

Make sure the head support area of the sling covers the patient’s neck.

4

Alternately, the patient can be brought into a sitting posture. Then, position the sling as detailed in the section “Lifting from a chair”.

5

Ensure the spreader bar is just above and centered over the patient.

6

Position the spreader bar close enough to be able to connect the shoulder strap loops and then the sling leg pieces under the thighs by lifting one leg at a time (some attendants prefer to connect the leg straps first. This applies in particular to patients with large thighs).

7

When all the loops are securely attached, raise the patient from the bed.

8

Transfer the patient to where you want to transfer him and lower him.

9

Unfasten the sling from the spreader bar. Move the Junior away before removing the sling from under the patient.

17

1

Place the sling around the patient as in section “Lifting from a Bed”.

2

Adjustment of the spreader bar height may have to be made before connection is possible.

3

Attach the shoulder strap loops first, then connect the leg strap loops (some attendants prefer to connect the leg straps first. This applies in particular to patients with large thighs).

4

When all the loops are securely attached, raise the patient from the floor in a semi-recumbent position.

5

Once raised from the floor, ensure the patient’s legs are clear of the chassis before continuing to lift.

6

The patient may be transferred to and placed in a chair or on a bed. If it is not possible to transfer above the bed due to conflict between patient’s height and bed, lower the patient on a chair and lessen the strap length to reposition the sling.

7

Lower the patient and unfasten the sling from the spreader bar. Move the Junior away before removing the sling from under the patient.