Cascade Elite Transfer Lift System Safe Operation, Daily Maintenance Instructions, & Parts Breakdown PENNER PATIENT CARE, INC Box 53 / 0 Grant St. Aurora, NE 6888 480745 Revision A 06/5/09-866-PENNERS -866-736-6377-800-73-077 E-mail Address: pennersales@hamilton.net Web Site: www.pennerpatientcare.com
Table of Contents Transfer Technical Information 3 Transfer Lift Technical Description 3 Introduction 3 Regulatory Data 4 WARNING 4 CAUTION 4 Left or Right 4 Safety Information and Patient Assessment 5 Training of Personnel 5 Patient Assessment for the Transfer Lift System 5 Penner Transfer Lift Criteria 5 Preparation to Transfer into Bath 6 Transferring from Bed To Bath 6 Belting Techniques and Transfer Procedure 7-8 Penner Transfer Procedure 9-0 Weighing Procedure Operating Controls General Precautions and Maintenance 3 System Cleaning (After Every Bath) 3 Daily Safety Checklist 4 Parts List Elite Penner Elite Transfer 5 Parts List Elite Penner Elite Transfer 6 Exploded View Elite Transfer Base 7 Exploded View Elite Transfer Pillar, Actuator, and Covers 8 Exploded View Elite Transfer Scale and Chair Components 9 Exploded View Elite Transfer Non-Scale Components 0 Contact Information
Transfer Technical Identification Manufacturer: Penner Manufacturing Inc 0 Grant St / PO Box 503 Aurora, NE 6888 (40) 694-5003 Cascade Elite Transfer Lift Models: Model # 48000- Model # 48000-L Model # 483000- Model # 483000-L Transfer Electric Cascade Elite Without Scale R/H Transfer Electric Cascade Elite Without Scale L/H Transfer Electric Cascade Elite With Scale R/H Transfer Electric Cascade Elite With Scale R/H Transfer Charger Ratings: Transfer Ratings: Input 0 Volts AC (For charging only) Output.5 Amp 4 Volts DC (Rechargeable) 5.Amp 400 Lbs. Maximum Capacity Duty: 0% Int.; min on / 9 min off 6 inches Minimum clearance from floor 39 ½ inches Maximum clearance from floor WARNING This equipment is not suitable for use in the presence of a flammable anesthetic Mixture with air or with oxygen or nitrous oxide Transfer Lift Technical Description The Cascade Transfer Lift System is used with Whirlpool or Aqua-Aire (air bubbling) bathing system intended for use in nursing homes, hospitals, and assisted living facilities to transfer or lift patients under the direct supervision of trained staff. The Transfer is available with or without scale. The Transfer Lift has two locking casters on the rear (or end with pillar). All Transfers have Swing-away and removable arms. All have a option of an open concept seat. Introduction The Cascade Patient Transfer Lift System is designed to significantly improve the efficiency and environmental safety of your nursing care operation. However, the benefits designed into the Transfer Lift System will be realized only if the system is operated and cared for properly. The purpose of this manual is to provide you with a recommended procedure to help you obtain the maximum efficiency and safety from your Transfer Lift System. 3
Regulatory Data In Accordance with the Standard For Safety of Medical Electrical Equipment UL 60600-, CSA C. NO. 60., IEC 6060- UL Classification: Class I Internally Powered Equipment Type B Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide. 6LN» MEDICAL EQUIPMENT WITH RESPECT TO ELECTRIC SHOCK FIRE AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH UL60-, UL6060-, IEC6060-, AND CAN/CSA C. NO. 60. Symbols and Term WARNING The warning symbol identifies important safety messages. Failure to obey a safety warning may result in injury to you or to others. CAUTION The caution heading identifies important maintenance and operation information. Failure to obey a caution warning may result in damage to the Penner Transfer System and may void the warranty. Left or Right When the terms left or right are used with reference to the tub, this means left or right as you look at the control panel from the seat end of the tub. On the Transfer, left or right is as the resident sits. 4
Safety Information and Patient Assessment for the Penner Transfer Lift Systems. Penner Transfer Lifts are designed and manufactured to meet or exceed the safety requirements for patient care equipment. In addition, they have been tested to insure their safety. It is important, however to know that materials can fail due to normal wear caused by use over time. Therefore before each patient transfer, it is required that the nursing staff inspect for proper operation and missing or worn parts such as belts. It is also required that a qualified maintenance staff inspect the lift at least monthly for missing parts or excessive wear that might cause the transfer lift to fail. A permanent record of each inspection and repairs should be kept by the facility. Training of personnel Only personnel who have been thoroughly trained in the operation of the Penner Transfer Lift System should operate this equipment. Operation of this equipment by untrained personnel could result in injury to the operator or patient. Your Penner Patient Care distributor is available at your request to provide complete in-service training on the equipment s proper operation. Patient Assessment for the Penner Transfer Lift Systems. Before using the Penner Transfer Lift System, patients must be assessed by The facility s professional nursing or professional rehabilitation staff to determine which patients are suitable for transfer, which type of Transfer to use, and the number of staff members necessary to transfer each patient. Although one person can perform patient transfers, certain patients or situations may require the help of one or more additional staff members. For example, patients with unpredictable behavior due to dementia may require additional help if their behavior poses risk of injury to themselves or to staff members, patients being transported in the Penner Transfer with or without scale outside of the patient s room. The above information must be recorded in the patient s record and must be communicated to the staff. Penner Transfer Lift Criteria The Patient Must: a. Have no injuries or medical conditions that might be aggravated by the Penner Transfer Lift procedure. b. Weight less than 400 pounds. c. Be able to follow simple directions. d. Be able to sit upright or restrained by the optional Chest Belt. e. Evaluated for safety of extremities that are rigid or any problem he or she has that could cause injury or conflict with the safe operation of the Penner Transfer Lift. 5
Preparation to Transfer into Bath Non- Ambulatory Resident Before Starting to Transfer the Patient from Bed to Bath, prepare and fill the Bathing system by following the operators manual instructions that came with your Cascade tub. If you do not have one, call your Penner Patient Care Distributor to obtain one. Make sure bathing area is clear of all unneeded equipment. Open the water door to its widest position. Transferring from Bed to Bath, and/or Lifting with Standard Cascade Transfer System.. The arm rests of Penner Transfers or Lift chairs can swing upwards and back, or be removed to provide a variety of options in providing care Figure. Push the Penner Transfer to the resident s bed and position it for a normal bed-to-wheel chair transfer. 3. Lock the brakes of all transport and lift equipment being used before lifting or transporting the resident into the Cascade bathing system. Figure WARNING Failure to lock the caster brakes of any lift or transfer equipment before the resident is transferred, could result in Injury to the operator or patient. Figure 3 6
Belting Technique and Transfer Procedure with the Penner Lift or Transfer Figure 4 Figure 5. Route the belt through the slots of the chair frame prior to placing the resident into the chair.. Transfer the resident into the Penner Lift or Transfer using the proper nursing transfer techniques. Bring the seat belt around the resident, to the D-ring connector. WARNING Failure to secure the resident properly with the seat belt could result in injury to the resident or operator. 3. Connect the belt to the D-ring a) Use the technique as shown at the right. b) Adjust the belt to insure safety while transferring. c) For residents who are unable to support themselves in an upright position, Penner supplies the second belt (chest belt), which allows you to secure the resident in an upright position. The chest belt should be placed across the chest of the resident and through the chair frame belt slots, and secured in the same manner as described above. Figure 6 7
Belting Technique and Transfer Procedure with the Penner Transfer Lift System continued WARNING Failure to insure hands, arms and legs are clear of any objects when transporting or lifting could result in injury to the resident or operator. 4. Unlock the caster brakes and push the resident to the bathing area, being careful to avoid objects in the hallways or uneven floors. 5. If the Residents feet are touching the floor, raise the lift until they clear the floor. Always transport in the lowest position. WARNING Failure to transport in the lowest position with residents feet clearing the floor could result in injury to the resident or operator. 8
Penner Transfer Procedure 6. At the bathing area, position the Penner Transfer near the access water door of the Cascade tub. Ensure the water door is open wide to allow easy access. Use the remote control to stop the transfer if needed anytime during raising or lowering. 7. With Resident properly secured with belting, facing the deck of the tub, raise the Transfer to the appropriate height to clear the top of the seat inside the tub. Unlock the casters and slowly move the transfer to a position to place the resident into the tub. Move the Transfer Carefully into the Cascade tub, ensuring the base guides of the Transfer aligns with the legs of the Cascade tub. On Side Entry tubs, turn the Transfer at an angle and bring the legs and feet in first. On End Opening tubs, lift the legs and feet in first. Assist placing the resident s legs into the foot well of the tub and position the resident to face the Service deck of the tub. Position the Transfer chair in center of the tub and as far Forward As it will go. Always ensure the residents limbs are clear and no objects Interferer with it s operation. 8. Once the Transfer is in the correct position lower the resident by pressing the down DN button until the chair is just above the seat of the Cascade tub. Lock the casters and again ensure the residents hands, arms, and legs are all clear. Close the water door and lock it by pressing the handle downward. 9. You may now fill the tub per your operators manual that came with your Cascade tub. Monitor all water temperatures on the temperature gauges and by allowing the water to run over your wrist. 9
Penner Transfer Lift Procedure (continued) 0. Follow the Bathing Procedure as outlined in your Safe Operation & Maintenance Instructions that was included with your Tub. If you do not have this manual, one may be acquired through your Penner Patient Care Distributor. Upon completion Ensure the residents hands, arms, and legs are clear before raising. Push the UP button to raise the resident slightly if needed. Now drain the water from the tub. You may now rinse the residents body with the shower sprayer.. Pat the resident dry with a soft towel. No rubbing is necessary.. You may now open the water door by pulling up on the lock at the same time your pulling up on the door handle. Use the towel to dry and clean the underside of the chair. This will prevent water from dripping on the floor and residue buildup under the seat. 3. Before you move the Transfer away from the tub, make sure the lower extremities have been towel dried so the bath room floor stays dry. Insure the Transfer Is raised high enough to clear the tub seat. You may now unlock the casters and move the Transfer out of the tub and away, ensuring the resident is still belted correctly and the residents hands, arms, and legs are all clear. 4. Once the Transfer is clear of the tub, lower the Transfer to the lowest position and push the resident back to their area. 5. Position the Penner Transfer for a transfer back to bed or to another chair. Lock the casters. 6. Release the seat belts from around the resident and transfer the resident using proper nursing techniques and assistance if required. 0
Weighing Procedure Figure 7. Before seating the resident in the chair, ensure all belts are on the chair and the patient is properly secured.. Press the ON / ZERO button once to turn on. Press again to zero. 3. The scale weighs in increments of ½ Lb. accuracy +/- Lb. 4. The indicator should show 0. This should only need to be done once a day or when seat empty indicates anything other than zero. 5. If indicator reads anything other than zero, start over and zero again. If it does not read 0 the scale may need to be recalibrated. Note: Negative weights are indicated by the weight flashing on and off. 6. Pressing the Penner Patient Care Logo recalls the last weight which was Held. 7. Press the Lb./Kg. button and hold to convert to Lb. or Kg. 8. Once the patient is in the seat, ensure that the arms, legs, or feet are not touching anything. This would give an inaccurate reading. 9. After the resident is stabilized the scale indicates HOLD, a reading of the weight may now be taken. 0. The battery for the Scale read out is located in the bottom of the read out. There are four AA batteries.
Operating Controls Penner Transfer System Control Unit- Transfer. Can be accessed by carefully removing the protective aluminum cover on the back of the Transfer system. Wall Charging Unit- Mounts on the wall for easy charging of batteries. Control Unit ( bottom view) Pillar Actuator, Battery, and Hand Control plugs in here. Transfer Battery (two each) Sets into top of Control Unit. Must be charged Daily on wall charger. Hand Control To raise or lower system. Plugs into Control Unit. AC Adapter- For wall charging unit, however can be used on the Control Unit of the Transfer for charging only. Caution- The Transfer Lift is intended to be operated by internal power only. The Transfer becomes less mobile when AC adapter is plugged into the Control Unit instead of Wall Charger. Figure 8 WARNING If any part of the Transfer system is not functioning properly, cease all transferring activities until the problem is corrected by maintenance. The system must be maintained on a scheduled basis to ensure it is functioning properly. Failure to heed these precautions could result in injury to the operator or resident.
General Precautions and Maintenance of the Penner Transfer System Cleaning (After Every Bath). Clean and disinfect the Transfer after every bath with Penner Cleaner/Disinfectant as follows:. Note. Penner Cleaner/Disinfectant is a special non-abrasive cleaning and disinfecting solution that will not harm the tub s fiberglass surface. Penner Cleaner/Disinfectant is the only cleaning solution designed and recommended for use with your bathing and transfer system. 3. Position the Transfer seat chair frame in the tub, then using a longhandled brush (available from your Penner distributor) thoroughly scrub all the surfaces of the Transfer seat frame. 4. Disinfect the chair by positioning it in the tub with the door closed. With a small amount of disinfectant solution in the bottom of the tub, use the brush to scrub its surfaces. Allow for proper disinfectant contact time (Usually 0 minutes or as recommended by the disinfectant s manufacturer). 5. Thoroughly rinse all cleaned components of the Transfer System Chair, and dry completely before moving the Transfer Lift out of the tub. WARNING Housekeeping personnel should wear protective glasses and gloves to prevent disinfectant from damaging their eyes or skin. If disinfectant gets on the skin or in the eyes, rinse thoroughly with plenty of water. Seek medical advice if irritation occurs.. 3
Daily Safety Checklist CHECK THE FOLLOWING ITEMS CH DAY BEFORE USING YOUR PENNER TRANSFER SYSTEM. Perform the following safety checks for the Penner Transfer:. Seat Belts Check the condition of the seat belt(s) for signs of excessive wear.. Function Check all functions and brakes on the Penner Transfer, ensure it is operating properly. 3. Check that the Batteries are fully charged. WARNING If during the safety checks you find parts are missing, are excessively worn, do not function properly, or do not meet the recommended safe operating levels, do not operate the equipment until the maintenance department has taken the appropriate corrective action. 4
Penner Cascade Elite Transfer Parts List INDEX Component Description Qty UM 380350 BOOT CASTER MOUNTING LG GREY 380405 WASHER 3/8" FLAT SS /8" THICK 6 3 380360 CASTER RR TOTAL LOCK POLY 4 4058 WASHER 3/8 FLAT SS 4 5 3845 WASHER LOCK 3/8" SS 8 6 38400 SCREW 3/8-6 X /4" HXHD SS 4 7 38475 WASHER FLAT 7/6" SS /8 THICK 7 8 38450 WASHER LOCK 7/6" SS 4 9 3845 SCREW 7/6-4 X /4" HXHD G8 7 0 400600 SCR /4-0 X 3/4 HXHD SS 400550 WASHER /4 FLAT SS 380355 CASTER FRONT SWIVEL NON-BRAKE 3 380407 WASHER ALIGNMENT COMPLETE 4 380345 BOOT CASTER MOUNTING SM GREY 3 5 480 INSIDE TUBE 6 48095 BRING - LOWER ELITE 7 390640 SCREW /4-0 X / TR HD PH SS 9 8 48090 BRING - TOP ELITE 9 480 OUTSIDE TUBE 0 480350 EXTENSION - ACTUATOR 40509 NUT 5/6-8 HEX SS 3807 BATTERY ELECTRIC TRANSFER 3 4885- CAP BATTERY BLUE ELITE TRAN 3 4885- CAP BATTERY BRWN ELITE TRAN 4 3847 WASHER /" X.88 OD 4 5 39046 BALL CHAIN #0 SS 0.5 FT 6 050 SCREW 0-4X3/8 PN/PHHD SS TAP 7 39047 COUPLING END #0 BALL CHAIN SS 8 0550 NUT 0-4 HEX SS 9 38097 RESTRAINT CORD ELECT TRASFER 30 4803 BATTERY & MOBILETTE COVER 3 4806 MOBILETTE CONTROLLER (NO BUTTON) 3 488 SPACER - ACTUATOR PIN BOTTOM 33 3804 SCREW 3/8 X 6 X /"HXHD SS 34 360679 SCREW - 5/6-8 X " HXHD SS 5
Penner Cascade Elite Transfer Parts List INDEX Component Description Qty UM 35 38 HAND CONTROL SW/ COMPLETE 36 48 ACTUATOR ELITE TRANSFER 37 38040 NUT 3/8 X 6 HX SS 8-8 NYLOCK 38 480365 ADAPTER -ACTUATOR 39 4850- CHAIR COMP BLUE W/O HOLE 39 4850- CHAIR COMP BRWN W/O HOLE 39 485- CHAIR COMP BLUE W/HOLE 39 485- CHAIR COMP BRWN W/HOLE 40 486- ARM REST L/H BLUE TRAN 40 486- ARM REST L/H BRWN TRAN 4 4860- ARM REST R/H BLUE TRAN 4 4860- ARM REST R/H BRWN TRAN 4 48000 SCREW MX.75X5mm SK FH 4 43 480370 PLATE - FRONT LOAD CELL 44 38500 SCREW 3/8-6 X " HX HD GRD 8 4 45 38074E LOAD CELL FOR PSC48 46 4884- COVER W/SCALE BLU TRAN ELITE 47 480 SPACER - ACTUATOR PIN TOP 46 4884- COVER W/SCALE BRWN TRAN ELITE 48 480300 SCALE BASE WELDMENT 49 48005 SCREW 5/6-8X GD8 HXHD 50 4000 WASHER 5/6 FLAT SS 54 4800 SCREW MX.75X30 HEX CAP 4 55 PSC48 SCALE PENNER ELEC TRANSFER 56 38 HAND CONTROL SW/ COMPLETE 57 35090 SCREW 0-3 X /4 PHIL PNHD SS 8 60 3848 /-3 X -/8 HHCS SS 4 6 4883- COVER W/O SCALE BLU TRAN ELITE 6 4883- COVER W/O SCALE BRWN TRAN ELIT RIGHT 48000 BASE FRAME RIGHT TRANS ELITE ( Shown ) LEFT *48000L BASE FRAME LEFT TRANS ELITE WIDE *48000W BASE FRAME WIDE TRANS ELITE RIGHT 48000E BASE FRAME TRANS ELITE EO LEFT *48000EL BASE FRAME TRANS ELITE EO LEFT *386 WALL CHARGER *38 ADAPTER AC ELEC TRANSFER *40000 BELT CASCADE 78" * NOT SHOWN 6
Penner Cascade Elite Transfer (With Standard Right Hand Tub Entry Base) 7
Penner Cascade Elite Transfer 8
Penner Cascade Elite Transfer with Scale 9
Penner Cascade Elite Transfer without Scale 0
Penner Cascade Elite End Opening (Transfer Unique Differences) Shown with 4800E Right Hand Base Figure Figure Figure 4 Figure 3 INDEX 3 4 5 6 7 8 9 0 Component 38500 48095 380350 38097 380403 380407 380365 38450 3845 38400 380650 Description BOOT CASTER MOUNTING LG GREY CHAIR BRACKET - EO ELITE BOOT CASTER MOUNTING LG GREY GLIDE - FRONT EO SCREW /4-0 X /" PHFTHD SS WASHER ALIGNMENT COMPLETE CASTER FRONT 4" NON-BRAKE WASHER LOCK 7/6" SS SCREW 7/6-4 X /4" HXHD G8 SCREW 3/8-6 X /4" HXHD SS CASTER RR TOTAL LOCK POLY
Your Penner Distributor and his personnel are trained to provide in-service instruction and maintenance on your Penner Transfer System. If you have any questions about the operation or maintenance of your System, please contact your Penner Distributor. For your nearest Penner distributor, contact. Penner Patient Care, Inc at -866-736-6377 OR -800-73-077.