Liko Overhead Lifts Design Planning Guide PDF
Liko Overhead Lifts Design Planning Guide PDF
++ Lift System Support • What will need to be accessed by the patient being lifted (bed, chairs, bathrooms,
doorways)?
Components and their
• How much space will be needed for lifting and transferring within the room?
Application
• Are there any interior room walls (bathroom), booms, or ceiling installed
++ Ceiling Bracket/ equipment?
++ Wall Bracket/
Upright Support
Overhead Lift Customer Needs
Safe patient handling (SPH) is a policy and practice that replaces manual
++ Rails lifting and moving tasks for healthcare professionals with machines and
++ Traverse Rail Carriers training, resulting in comfortable and safe mobility for the patient without
risk of injury to the care-provider. Safe patient handling incorporates
++ Switches knowledge of human anatomy and physiology with technologies that
ease the stress of repetitive motions and dangerous lifting tasks.
++ Lift Motor Carriages
(http://assembly.state.ny.us/member_files/025/20110527a/index.pdf, Last Accessed 09-06-2012)
++ Hill-Rom’s Online Toolbox We can partner with you to help design and plan your custom lifting
environment. Our portfolio of solutions includes lifts (overhead, mobile and
sit-to-stand) and over 300 soft accessory products. There are products to
meet the needs of most patients, lifting situations and care environments.
From bariatric to pediatric, from critical care to rehab…Hill-Rom’s Liko®
portfolio has a solution to meet your needs.
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Clinical Applications
The following are ceiling lift coverage recommendations by clinical unit/area. The coverage recommendations should be
considered advisory and are not intended to be used as regulatory or accreditation requirements. The information in this table
however, may be used to support overhead lift recommendations with consideration to patient needs by clinical unit/area.
Insufficient coverage of patients or clinical unit/area presents an risk for staff or patient injury.
Once the lifting needs of the facility have been established contact your Hill-Rom sales representative to get some budgetary
costs for the project and compare the numbers with the facility’s project budget.
*The lift system support method (see section on System Anatomy and Support Components starting on page 16) may impact the installation costs and coordination requirements with
mechanical, electrical and plumbing (MEP). Consider the various methods for supporting the lift system(s) to best meet the project and needs of the facility.
*Also consider the various esthetic solutions to hide the lift system such as recessing the rails, recessing the wall supports and utilizing a cabinet to store the lift motor.
Request For Quote (RFQ) – If requesting a quote from Hill-Rom, provide the building plans in AutoCAD format for each floor
requiring lift systems. If available, provide floor plans, reflective ceiling plans, interior elevation details and building sections.
Helpful Link
http://www.liko.se/na/north-america/My-Workplace/ArchitectConstruction-Market/
Personal-project-assistance/
Shop drawings and final coordination
Installation
Note: Installation must be performed by a Hill-Rom certified installer for Liko® products in accordance with Liko specifications and applicable building codes.
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Standard installation that is provided by Hill-Rom includes:
• Installation team will participate in project-related, pre-installation meetings/call as needed.
• Installation of each system includes labor, attachment material/hardware to the building structure, lateral bracing, and final load testing.
• Final load testing will be completed to factory specification/equipment limits at attachment points on each installed system.
• A written load test report for each installed system certifying the lift system is ready for use.
• Installation of charging station(s) per plans or by location determined by the Owner/General Contractor.
• An installation schedule to be determined based on mutually agreed upon plans with Hill-Rom and the Owner/General Contractor prior to start.
• Install Charging Station(s) per plans or by location determined by the Owner/GC.
• Installation schedule to be determined based on mutually agreed upon schedule with Hill-Rom Liko and Owner/GC prior to start.
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Design and Layout Options
Hill-Rom’s overhead lift systems are available in two main installation options: (1) a single rail, or (2) a traverse system.
The Single Rail option may include combinations of straight The Traverse System option consists of a moveable
or curved rails. This system is usually intended for lifting traversing rail mounted on two fixed rails. This design
between two fixed points, for example a bed and a chair. allows for an increased coverage area to include chairs,
couches, sink, etc. While the single rail system provides basic
The rail can be straight or with curves. A curved rail,
patient transfers, the traverse system can provide additional
however, must always be supported by ceiling attachments.
functions such as patient repositioning and in-room
The straight rail is a simple, effective and economical
ambulation (walking) training.
solution to provide basic patient transfers.
The traverse system is the most common type of rail system
and offers the most flexibility for patient care.
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Bariatric Considerations
The following information is included to reinforce adequate NO: 30-31, Accessed: http://www.nursingtimes.net/nursing-
planning and designing of lift systems to (1) accommodate practice-clinical-research/the-impact-of-staff-behaviour-on-
the local patient population and (2) drive awareness of the patient-dignity-in-acute-hospitals/200209.article.) In addition,
clinical needs for this specialty patient population. More sub-optimal patient movement and transfers is also possible.
considerations are required than just lifting capacity to meet By utilizing a bariatric, overhead system, patient handling
the needs of bariatric/obese patients. This segment will tasks may be performed with fewer staff and may lessen the
include: feeling of exposure to the patient.
• Bariatric patient population growth and clinical care;
Designing and planning health care facilities has a direct
• Recommendations by the Facility Guidelines Institute; impact on the cost and quality of care, staff and patient
• And, details of the UltraTwin® system’s “tilt in space” capability. safety, morale and accessibility. A 2009 study conducted by
According to the CDC (Center for Disease Control), more than the Research Triangle Institute and the Centers for Disease
one-third (35.7%) of U.S. adults are obese (citation: http:// Control and Prevention (CDC) lists the total health care cost
www.cdc.gov/obesity/data/adult.html, accessed 09-12- associated with obesity in the US at $147 billion dollars a year,
2012) up from roughly 15% in 1992 (citation: http://www. which includes Medicare, Medicaid, and private insurance
usatoday.com/news/health/weightloss/2010-01-13-obesity- payments.
Citation: Centers for Disease Control and Prevention Division of Media Relations, “Study
rates_N.htm, accessed 09-12-2012) (20 years ago). The obese Estimates Medical Cost of Obesity May Be as High as $147 Billion Annually,” 27 July 2009,
population rates continues to increase every year presenting http://www.cdc.gov/media/pressrel/2009/r090727.htm (last accessed Sept. 12, 2012)
a growing need to equip facilities with the capability of safely,
The Facility Guidelines Institute’s Patient Handling and
caring for the population today and the patient population
Movement Assessment (PHAMA): A White Paper is a good
anticipated in the future.
resource for the design team to incorporate patient handling
Although the care-needs of bariatric patients are much equipment into the health care environment.
the same as average weight patients, the activity of care The PHAMA has two distinct yet interdependent phases. The first phase
requires more planning and time to complete. A bariatric includes a patient handling needs assessment to identify appropriate
overhead system will allow the caregiver the capability to patient handling and patient movement equipment for each service
area in which patient handling and movement occurs. The second
perform patient handling tasks safely and more efficiently
phase includes definition of space requirements and structural and
than performing the tasks manually. Equipping the room other design considerations to accommodate incorporation of such
appropriately to support a bariatric patient provides the patient handling and movement equipment.
capability for the patient to safely work towards goals of Citation: http://www.fgiguidelines.org/pdfs/FGI_PHAMA_whitepaper_042810.pdf, pg. 7 of
28, (last accessed Sept. 12, 2012)
Activities for Daily Living (ADL) determined by the nursing
care plan (such as: independently getting in and out of a chair The 2010 FGI Guidelines include patient room
or commode, the ability to get washed and dressed, or walk recommendations such as:
(ambulate, be mobile) with minimal assistance. • Private room, with minimum clear floor area of 200 square feet
(renovation exclusion is 150 square feet);
Safeguarding patient dignity is a concern for all patients.
• Minimum clear dimension of 5 feet on both sides and foot of the
Providing an equivalent patient experience for bariatric bed;
patients in comparison to average weight patients can
• Equipment and supply storage not less than 25 square feet per
present a challenge. Conducting patient handling tasks patient bed.
such as maneuvering (repositioning/transfers) or showering/
bathing requires additional staff and more personal exposure As well as recommendations for bariatric accommodations in
of the patient. Manually conducting those tasks may be staff/patient interaction areas including: patient assessment
experienced as uncomfortable or invasive. (citation: “The areas, rehab areas, food service areas, family interaction areas,
impact of staff behavior on patient dignity in acute hospitals.”, diagnostic & treatment areas, surgical and Pre/Post-Operative
Lesley Baillie, PhD, MSc, BA, RGN, VOL: 103, ISSUE: 34, PAGE care areas, toilet rooms and waiting and family lounges.
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Hill-Rom’s Liko® UltraTwin™ System
Lifting bariatric patients requires For this reason, Hill-Rom’s UltraTwin™ an optional UltraTwist™ accessory
specifically designed equipment and system is recommended for patients providing the ability to rotate a
special techniques. As detailed on page from 550 lbs to 1,100 lbs. patient 360 degrees. Please see the
5 of this document, the Hill-Rom below image and link that shows this
The UltraTwin™ system consists of
lift system capacity ranges from application in action.
twin lift motors, specialty slings that
440 lbs to 1,100 lbs. With Hill-Rom’s
accommodate bariatric weights and
experience and understanding of the
issues surrounding heavy lifting, the
UltraTwin™ system was developed.
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Ceiling Mounted Lift System Configurations
A basic single rail system allows a lifting area that is directly below the rail and is used to lift and move between two fixed
points. The inclusion of a curve in the rail is possible and will allow for storage options for the motor, such as into a headwall or
cabinet. Above are two examples of ceiling mounted, standard single rail lift system configurations.
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Ceiling Mounted Lift System Configurations (cont.)
As with the fixed rail system, there are storage options for the
motor, including into a headwall or cabinet.
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Ceiling Mounted Lift System Configurations (cont.)
Above are two drawing examples of ceiling mounted traverse rail systems with complete room coverage: patient room and
bathroom. The example on the left is a full coverage configuration and requires the bathroom walls to be lowered 7" to 14".
This example works well with a new construction project and is an alternative to the use of switches or a turntable as shown in
the other images.
The configuration on the right allows for full patient room coverage that then connects to a rail switch and a single rail with
turntable option to allow coverage to commode, shower and sink. The turntable option can be electric or manual. This option
also entails a bathroom door header integration option as shown in the center image.
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Ceiling Mounted Lift System Configurations (cont.)
Door header to
extend above rail
Esthetic trim to
match door color
Liko Rail
extending thru door
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Ceiling Mounted Lift System Configurations (cont.)
UltraTwin™ option
The UltraTwin™ system was specifically designed for the bariatric population. As a two-motor system, it offers better clinical
positioning of a patient during lifting. With two motors the user can adjust the head to chest section independently from the
mid to lower section, mitigating compression of the patient.
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Ceiling Mounted Lift System Configurations (cont.)
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Wall Mounted Lift System Configurations
UltraTwin™ System Straight Rail System UltraTwin™ System Traverse Rail System
– Wall Mounted – Wall Mounted
Here are some examples of wall mounted bariatric configurations. Based on need, there are a variety of wall mounted options
instead of ceiling mounted configurations.
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System Anatomy Pendant plate
attachment may
vary based on
region and need
Liko Traverse
Rail Carrier
Liko Slingbar
Liko Slingbar
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Lift System Support Components and their Application
Pendants
There are different attachments for ceiling mounted systems. Pendants are a solution in a room with high ceiling, suspended
ceiling or where ceiling mounted sprinkler systems or lamps etc. might be an obstacle.
Pendant, Adjustable (90 – 310 mm) Pendant, Adjustable (300 – 2100 mm)
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Ceiling Bracket/Threaded Rod
Ceiling brackets are developed for ceilings with no or minor obstacles. Threaded rods are mostly used for ceiling attachments
to wooden beams.
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Wall Bracket/Upright Support
Rail attachment components in a suspended system are wall brackets or upright supports. For both these solutions, bayonet
rails are necessary as a connection between the attachments and the rail.
Upright Support Bayonet Rail Wall Bracket – Turntable Wall Bracket – Parallel
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Rails
Liko has five different rail models H70, H100, H140, H160 and H180. The strength is related to the height H (mm) of the rail
profile. A larger height (H) increases the strength of the rail. All rails are made out of anodized aluminum and they are available
in two colors; white and natural aluminum. These rail models are used in different combination in all Liko Overhead systems.
H70 Rail H100 Rail 140 Rail H160 Rail H180 Rail
70mm (2.75") 100mm (4") 140mm (5.5") 160mm (6.25") 180mm (7")
Notes:
• Switches only work with H70 Rail
• 90 & 45 degree curves are only available as H70 Rail
• H180 cannot be pendant mounted
Rail Application
All rails are equipped with end stops and end bolts to retain the motor carriages within the rail
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Traverse Rail Carriers
Liko has various models of traverse rail carriers for different installation solutions. It is important to choose the correct width of
traverse rail carrier, which is based upon the distance between the primary rails in the traverse system, which allows a secure,
smooth and easy movement of the secondary rail. The result of a traverse installation with traverse rail carriers that aren’t wide
enough is a bumpy asynchronous motion when moving the secondary rail.
There are other optional Traverse Rail Carriers that allow for either a lowered or raised rail profile.
Raised
Low
Extra Low
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Traverse Rail Carriers (cont.)
Traverse Rail Carrier Applications
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Switches
Traverse Switch Side Rail Switch, Manual Side Rail Switch, Electrical
Switch Application
Liko® Traverse Switch is a device for The Side Rail Switch splits one track Liko’s Turntable is a device for
transferring a lift motor between a into two and allows the rails to go into transferring a lift motor from one
traverse system and a straight rail different directions. overhead lift system to another and
system. The Liko Traverse Switch can is especially adapted for straight rail
be operated with a hand control and systems. The electrical Turntable can
a mains connected control box or be operated using a Likorall lift motor
operated from a Likorall™ lift motor equipped with a special hand control.
equipped with a special hand control The electrical Turntable can also be
and a MultiStation. connected to an electrical outlet and be
operated using a mains operated hand
control. The mechanical Turntable is
operated manually by pulling the cords.
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Lift Motor Carriages
The Liko lift motor is mounted to a carriage. There are various models of carriages available, depending on need.
Carriage w/out Brake Quick Release Adapter Carriage Carriage w/90 degree Turning
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Charging Options
On-Wall Charging In-Rail Charging On-Rail Charging (rail mounted multi station)
On-Rail Charging
There are three methods for charging the Overhead Lift System:
• Lift Motor can be charged by placing the hand control unit in the wall mounted charger;
• By On-Rail charging with the use of a MultiStation connected to a power source that allows the lift motor to be parked below
the MultiStation location;
• By In-Rail charging which allows the lift motor to be continuously charged no matter where it resides along the rail system.
Note: Hill-Rom offers numerous charging configurations for the Liko overhead systems. Contact your local rep for more options with charging.
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Slings and Lifting Accessories
Hill-Rom has the largest assortment of slings and lifting accessories in the industry. All sling models have unique features
to fit different lifting requirements, from basic lifting needs to highly specialized ones, including narrower applications all
the way to bariatric ones.
In sizes that range from small and medium slim to XXX Large, with fabrics from polyester to cotton, Hill-Rom has a sling
that meets every need. We include detailed instruction with every sling and mark each individually with the model, size
and version. We even include laundering instructions.
Below are a few images of the most popular slings and their applicability.
When it comes to lifting accessories, Hill-Rom has a nice selection designed to support and enhance the safe patient
handling procedure. From different models of the universal slingbar, to quick disconnect options, to the Repo Sheet, to
padded cases, to the digital LikoScale™ that can be incorporated with all lifts, Hill-Rom offers a wide and varied assortment
of lifting accessories.
Below are a few images of the most popular lifting accessories and their applicability.
Padded Case
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Hill-Rom’s Online Toolbox
Hill-Rom offers an online toolbox for its Architectural Products, Liko® Overhead
Ceiling Lifts and NaviCare® Nurse Call product lines.
Available for you are drag and drop product drawings in multiple file formats, CSI specification sheets, product brochures, links
to our AIA accredited CEU courses, downloadable software tools, the ability to save and manage your Project Folders and the
option to Request a Quote.
Elements® Headwall In-Wall Elements® Headwall On-Wall Latitude® Arm System Contour® Headwall
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Hill-Rom reserves the right to make changes without notice in design,
specifications and models. The only w
arranty Hill-Rom makes is the
express written warrantyextended on the sale or rental of its products.
©2012 Liko R&D AB. ALL RIGHTS RESERVED.
179197 rev 1 E 11/07/2012 ENG – US
www.hill-rom.com
USA 800-445-3730
CANADA 800-267-2337