Levabo TURN ALL User manual
Turn All userguide 3C EN 2021.05.21 Rev.4
Automated lateral turning system 3C
EN
medical cushions
®
Patent pending
2Turn All userguide 3C EN 2021.05.21 Rev.4
1 piece. Turn All®Pump System
1 piece. power cord to the pump
system
1 piece. Turn All®lift mattress
1 piece. Turn All®Cover
The lift mattress is supplied
pre-assembled inside the cover
1 piece. user manual.
About using and installing
the system
This operator’s manual provides some
important information about working
with the Turn All®system.
Please read the instructions before
attempting to use this device.
These operating instructions are part of
the product and must be kept close to
the system so that it can be consulted
at any time by personnel and operators.
If the system is transferred to a third
party, the instructions must
accompany it.
The illustrations in these instructions
are intended to provide a clear
demonstration of the current situation
and are therefore not necessarily to the
correct scale, they may vary slightly
from the actual design of the device.
All information and advice in this manual
has been prepared in accordance with
the applicable standards.
Contents of the Turn All®
system
3Turn All userguide 3C EN 2021.05.21 Rev.4
Table of contents
Contents of the Turn All®system.......................................................................................2
About using and installing the system ...............................................................................2
About positioning patients and the Turn All®system .........................................................4
Turn All®system function ..................................................................................................5
Installation of the Turn All®system ....................................................................................6
Getting the Turn All®system on a bed...............................................................................6
Important information! Regarding the hose connection .....................................................7
Starting and adjusting the Turn All®system.......................................................................8
Using the Turn All®system for static lifting.........................................................................9
Indications and contraindications....................................................................................10
Allowed uses / locations .................................................................................................11
Safety.............................................................................................................................12
Warranty and liability provisions ......................................................................................13
Cleaning and disinfection................................................................................................14
Notication of accidental events......................................................................................16
Technical data ................................................................................................................16
Approvals, standards and regulations .............................................................................17
Turn All®product range...................................................................................................18
Explanation of symbols on the packaging .......................................................................18
Declaration of Conformity (CE)........................................................................................19
4Turn All userguide 3C EN 2021.05.21 Rev.4
Benets of the Turn All®system
• Comprehensive pressure relief
• Prevention of pressure injuries / ulcers
• Treatment of existing injuries / ulcers
• Comfortable and doesn’t interrupt
normal sleep
• Quiet when used
• Bariatric/heavy patients can be
carefully and easily turned thereby
protecting the health and wellbeing of
staff working with them
• Full overview as the patient is always
lying on their back on the mattress
• Gentle positioning even for patients
in pain
• Slight lifting of the mattress, on the
reverse side of the primary lift side,
provides support and reassurance as
well as decreases the risk of shear,
see figure. page 5
• Time saving results in more care time
available for the patient
• Improved microclimate and blood
circulation
• Robust, durable and reliable
• Can be integrated into any bed
with removable mattres.
About positioning patients
and the Turn All®system
Pressure ulcers are areas of the skin
where the skin or underlying tissue is
damaged.
In the case of immobility and risk of
skin damage, pressure ulcers can
occur within 10 - 15 minutes, which is
why a quick and preventative effort is
important. Most pressure ulcers can be
prevented!
Pressure ulcers can occur anywhere on
the body, but particularly vulnerable are
those places on the body where bone
protrusions increase pressure against
the substrate. It is therefore important to
focus on relieving these vulnerable areas
in the prevention of pressure ulcers.
Older people and bedbound patients
are at particular risk of developing
pressure ulcers.
Paralysis, poor nutritional status
and diseases such as Diabetes and
Atherosclerosis also increase the risk of
pressure ulcers. At high risk are those
who are unable to change or ask for a
change of position for themselves.
It is therefore important in the prevention
of pressure ulcers that relatives or staff
frequently turn and relieve patients in the
supine and sitting position. At the same
time, it is important to avoid friction
against the substrate which may result
in shear (loosened skin). The need for
relief and reversal is individual, but the
most frequent interval for reversal is
1½ - 2 hours.
The Turn All®system that can
automatically turn the patient is a big
help.
The system frees up caregiver
resources thereby helping both staff
and patients.
Turn All userguide 3C EN 2021.05.21 Rev.4
Static side position, like a cushion.
30, 60 or 90 minutes
lateral side position
15 minutes supine position
15 minutes supine
position. Then the
sequence is repeated .
The illustration below shows the
sequence of the automatic positioning
in the Turn All®system.
30, 60 or 90 minutes
lateral side position
5
Turn All®system function
Dynamic mode - Automatic
The Turn All®system is an automatic side
positioning system, for the patient in need of
pressure ulcer prevention or treatment.
Positioning is carried out easily and quietly.
The system takes approx. 7-14 minutes for
a change of position. Due to this very slow
and even change of position, the system is
perceived as very comfortable by the
patient.
The system is based on an air chamber
system that lifts the patient lying on it
alternately on the right and left sides.
The system thereby places the patient in a
30° side position, alternately right and
left side.
Static mode - Manual adjustment
In Static mode, the system is used as an
inclined cushion (without automation), where
the slope is manually controlled 0-30°.
The slope is determined by how much air is
pumped into the system.
6Turn All userguide 3C EN 2021.05.21 Rev.4
Getting the Turn All®system
on a bed
Remove the mattress from the bed
(Figure 1).
Place the Turn All®system (A) on the
bed base, orienting the system so that
the hose connection (B) is at the foot
end of the bed (Figure 1.2).
Attach the Turn All®system to the bed
base using the straps (H) on the cover
(Figure 1.2).
Put the mattress back onto the bed on
top of the Turn All®system (Figure 1.3).
The Turn All®pump (C) is placed on
the bed end using the two braces on
the back of the pump (Figure 1) (Figure
1.3).
Insert the hose connection (B) into the
pump (C) (Figure 2) and (Figure 3)
page 7.
Installation of the Turn All®
system
Figure 1
A
BH
C
Turn All®
Turn All®
Bed
Bed
Bed
Mattress
Mattress
Figure 1.3
Figure 1.2
7Turn All userguide 3C EN 2021.05.21 Rev.4
Lift right side Lift left sideFigure 2 Figure 3
B B
Important information! Regarding
the hose connection
The orientation of the hose connection
(B) determines which side of the
mattress is lifted rst.
This is important if the system is to be
used for static lifting of the patient on
one side, such as a sloped cushion.
See section “Using the Turn All®System
for Static Lifting” on page 9.
The hose connection (B) is marked with
the letters “R” on the right
and ”L” for the left.
B
B
If the lift must start on the right side of
the bed, seen from the foot end, the
hose connection with the letter “R” is
turned towards the text “Start side” on
the pump, as shown in (Figure 2).
If the lift must start on the left side of
the bed, seen from the foot end, the
hose connection with the letter “L” is
turned towards the text “Start side” on
the pump, as shown in (Figure 3).
C C
8Turn All userguide 3C EN 2021.05.21 Rev.4
Connect the power cord to the
pump (Figure 7)
Connect the power cord to the mains.
Turn on the pump on the “POWER”
button (D) (Figure 4).
Set the timer “G” with the “+” and “-”
buttons.
The number in the timer “G” indicates
how many hours the system should run
automatically.
The Turn All®system now runs
automatically. One side of the mattress
is now lifted for 30/60/90 minutes, then
lying at for 15 minutes, then the other
side is lifted for 30/60/90 minutes, then
lying at for 15 minutes.
This sequence is repeated for the
number of hours set in the timer
”G”, then returned to lying at. See
illustration on page 5.
IMPORTANT. When not in use after
automatic operation, the system is
turned off by the POWER button (D),
and then by the mains socket.
Disconnect hose connection (B) from
the pump (C).
DO NOT install the cover (E) on hose
connection (B).
Starting and adjusting the
Turn All®system
Figure 4
D
GTimer window, shows
the number of hours
the system runs
automatically.
LED lights when
the system is on.
Select turning cycle
30, 60 or 90 minutes.
See page 5.
The “+” and “-”buttons
are used to set how
many hours the system
should run automatically.
POWER
Turns the system
on / off.
+ -
9Turn All userguide 3C EN 2021.05.21 Rev.4
Using the Turn All®system
for static lifting
If the Turn All®system is to be used for
a static lift as an inclined cushion, the
hose connection is reversed according
to the side that is to be lifted.
See section “Important! About the hose
connection ”page 7.
The pump is started and pumped until
the desired lift height is reached.
Then disconnect the hose connection
(B) from the pump (C) (Figure 5).
The hose connection (B) is now closed
with the cover (E) (Figure 6).
When the cover (E) is mounted on the
hose connection (B), the pump (C) is
turned off by the “POWER” button (D).
The Turn All®system will now remain
in this position until the cover (E) is
removed again and the air is thereby
eliminated from the system.
Make sure the air chambers are com-
pletely emptied before re-attaching the
hose connection (B) to the pump (C).
Figure 5
Figure 6
Figure 7
B
B
C
E
10 Turn All userguide 3C EN 2021.05.21 Rev.4
Indications and
contraindications
Indications / Purpose
Pressure ulcer prevention and
treatment.
Existing pressure ulcers and risk of
development of pressure ulcers.
Risk of pressure ulcer.
The Turn All®system can be used
in beds with or without adjustable
surfaces.
When using the Turn All®system in
beds with adjustable surfaces, be sure
to follow guidelines to avoid shear.
The Turn All system is suitable for the
prevention of pressure ulcers including
all levels of skin damage risk.
The product can be used with all
grades of pressure ulcer.
However, it is important that the person
responsible for treatment is consulted
and their recommendation/s followed.
The system is designed for patients
with a body weight of up to 317 kg.
The Turn All®system is suitable and
recommended:
•For people with moderate to high risk
of pressure ulcers, according to the
Braden scale
•For persons whose disability or
sickness means they must spend
long periods lying down
•For people who cannot change their
position when lying down
•For people who have suffered from
one stroke with partial paralysis
•For people with spinal cord injury,
who want to change their position
when lying down, using theirs arms.
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