LINET MULTICARE X Turn to Better Care User Manual

LINET MULTICARE X Turn to Better Care

DISCOVER THE EFFECTS OF FRAME-BASED LATERAL TILT

Improve Pulmonary Outcomes
The frame-based lateral tilt guided by Electrical Impedance Tomography provides support for pulmonary complications of patients and provides immediate feedback on the treatment.

Moving Immobile Patient
Microshifting, gentle, and precise step-by-step lateral tilt, enables the positioning of haemodynamically unstable patients while maintaining their spinal alignment.

Easier Patient
Transfer
Frame-based lateral tilt enables easier and smoother patient transfer.

Mobilizing Patient Early
The lateral tilt ensures ergonomic position nose over toes and the Mobi-Lift® handle reduces the effort of standing up for the patient as well as the number of caregivers required to support early mobilization.

Safe Patient Handling
Frame-based lateral tilt reduces the risk of injuries for caregivers and makes routine care tasks easier and safer.

TURN TO BETTER CARE

Enhanced Patient Outcomes
Improved Caregiver & Hospital Workflow

IMPROVE PULMONARY OUTCOMES

Individualized support of pulmonary outcomes by the use of programmable Automatic Lateral Therapy (ALT) and Electrical Impedance Tomography (EIT).

CHALLENGE

• Mechanical ventilation complications— Lung overdistension, barotrauma, lung collapse, and blood desaturation
• The daily costs of ventilating patients equate to:
• $1,909 – 2,304/day in the US 2— £1,738/day in the UK 3
• 1,580–€1,654/day in Europe 4
• 40% Therapy (ALT) guided by Electrical Impedance Tomography (EIT ).5
• ALT guided by EIT allows precise ventilation management that is

The synergy between the two complementing technologies (AIT & EIT) creates a closed-loop system that allows individualized medical intervention by precise positioning with immediate feedback by real-time visualisation of the effect of therapy.

INDIVIDUALIZED RESPIRATORY CARE

• Initial status. The impedance (that reflects aeration) of each lung is provided in a separate graph for clarity – these values may overlap. The oscillation is tidal volume.
• The upper lung (left) gains volume due to increased transpulmonary pressure (Ptp). Adequate Positive End-Expiratory Pressure is necessary to prevent the lower lung from derecruitment.
• After the return to supine, the lung may lose some volume but is still recruited relative to the initial status. The red arrow represents the volume gain.
• Now the right lung is the upper lung and gains volume due to increased (Ptp). The blue arrow represents the volume gain of the right lung relative to the initial status.

Lateral Tilt Physiology

• Hospital Acquired Pneumonia (HAP) and Ventilator Acquired Pneumonia (VAP) are common complications in critically ill patients. This can lead to the collapse of the lungs or lobes of the lung and non-homogeneity of the lungs.
• In lateral tilt, the same principles apply. Hence the upper lung tends to be more distended. (illustrated schematically and in EIT image) This distending can serve as an opening maneuver. However, adequate PEEP must be set to prevent the lower lung from collapsing.
• Consequently, the alveoli in the lower (dependent) regions are less distended than ventral ones and may even collapse. On the contrary, the upper (non-dependent) regions may be overdistended.

Solution Attributes

Prone Position
New mattress mode allows you to select a setting designed to aid prone nursing which can also be combined with Automatic Lateral Therapy.

Postural Drainage
Thanks to the combination of reverse Trendelenburg and lateral tilt, airway hygiene (postural drainage) can be easily performed.

EARLY MOBILIZATION
Our unique Early Mobilization Program with features such as Microshifting and Mobi-Lift® helps patients recover earlier and saves significant costs to the hospital.

CHALLENGE

• Up to 17 % of muscles atrophy after 3 days of immobility 6
• Prolonged bed rest is a leading risk factor for developing several physical and psychological complications that delay the recovery process 6
• Increased costs for the hospital

Early Mobilization Program

See below a few examples of how Multicare® X can help in individual steps of the Early Mobilization Program. To find all the benefits watch our Early Mobilization video or read the brochure.

Level 1: Moving Immobile Patient

Level 2: Muscle Strengthening Exercises

Level 3: Improving Patient Confidence

Level 4: Helping Patient Stand Up

Less demanding standing procedure

PRESSURE INJURY

PREVENTION

The new fully-automatic Optimal Immersion mattress solution Opticare® X and 3-cell alternating Virtuoso® surface family bring advanced premium pressure care.

CHALLENGE

• The overall prevalence of pressure injuries at ICU lies somewhere around 27% 9
• Pressure injuries (PI) can happen within 10 minutes of immobilization for patients with high-risk development of PI 10
• Patients with HAPI have a higher number of readmissions and higher mortality, mainly with category 4 mortality is around 22%. Treating HAPI can triple hospitalization costs 11

SOLUTION
Addressing the challenging topic of pressure injuries with a combined solution of Multicare® X and fully automatic mattress Opticare® X allowing the adjustment of the settings with the press of a single button from one screen.

Sophisticated technology inside
Multicare® X & Opticare® X

Simple user interface outside

One-Button Automatic Opticare® X’s Modes

Benefits of Multicare® X bed frame

OPTICARE X
Fully automatic mattress Opticare® X allows the adjustment of settings easily from one screen to meet the current clinical needs of the patient.

Optimal Immersion
Optimal Immersion is designed to provide the most optimal pressure redistribution possible without the risk of bottoming out.

Opticare® X Automatic Modes

Solution Features

VIRTUOSO
The Virtuoso® mattress system has been designed to meet the most demanding nursing needs when caring for patients with a high risk of pressure injuries.

3-cell alternating technology
The patient body weight is distributed evenly across two-thirds of the surface thus allowing the mattress to be soft and comfortable without compromising its clinical benefits.

Virtuoso® Modes

FALLS PREVENTION

Sophisticated features such as the side rails concept and i-Brake® support patient’s recovery in every situation.

CHALLENGE

• Patient falls are the most common adverse events reported in hospitals leading to up to 1 million patient falls in the USA per year 14
• Injury from falls can prolong hospital stay by 11.5 days on average 15
• Almost every third fall in the hospital leads to injury and the average cost of injury fall is $ 14,056 16
• Almost 75% of falls are unwitnessed 17

SOLUTION
Profound side rails concept, Multizone Bed Exit Alarm or i-Brake® – those are just a few solutions contributing to patient safety.

Predicts situations when the patient wants to leave the bed by monitoring their motion activity in two modes.

• Constant gap
• 45cm height allowing safe use of the highest mattresses
• 3/4 non-restrictive side rails
• Safety double mechanism — Siderails down sensors
• Zoned Cover® designed to keep the centre of the mattress slippery with more “grippy” sides facilitating safe patient transfer.
• Automatically engaged brake mitigates the risk of patient fall caused by an unstable bed.
• Disabling all patient controls with the press of a single button reduces the risk of unwanted positioning of the bed by the patient.

IMPROVE PATIENT EXPERIENCE
Features such as Ergoframe®, Opticare® X Mobile Mode and USB integration can support patients physically and psychologically, improving their well-being and enhancing recovery.

CHALLENGE 18

•  Sleep deprivation with noise
• Restriction of movement caused by perfusion lines, tubes and cables
• Pain & Anxiety

SOLUTION
Set of business class level features increasing patient’s comfort and autonomy, supporting well-being and faster recovery.

The Positive Effects of Ergoframe
Ergoframe® reduces patient discomfort during positioning of the back and thigh rest.

Bed with Ergoframe® Minimizes patient migration to the foot section, increases comfort in sitting position and protects patient of pressure injuries risk while positioning. Standard bed  Most affected areas by extensive pressure and shearing forces.

SAFE PATIENT MOVING & HANDLING
Frame-based lateral tilt allows easier patient manipulation and reduces physical strain applied on the caregiver’s back.

CHALLENGE

• The average MSD claim costs are reported between $6,190 to $93,225 (US) 19
• The average low-back claim costs ranged from $2,270 to $14,235 (US) 19
• 40% of sickness/absence in the NHS was related to musculoskeletal conditions in 2019 (UK) 20
• 47% back pain/injuries are the most frequent MSD of health care workers leading to a high increase of lack of time or staff 21
• Need to reposition patient up to 35 times during 12h shift 22

SOLUTION
67% Decrease in the average force needed to turn the patient from the supine position onto their side when using lateral tilt.12

Lateral tilt helps in

Combined Tilting

EASY PATIENT TRANSPORTATION
Effortless transportation thanks to the motorized i-Drive Power® 5th castor in combination with a 30% lighter bed frame.

CHALLENGE

• Pushing of occupied bed and patient transfer to stretcher/bed are high-risk tasks for developing MSD 23
• Maneuverability of the bed in narrow hospital corridors
• Number of caregivers providing transfer: recommended 4 in case of a patient over 71.4kg 24

SOLUTION
30% Lighter bed frame in comparison with other ICU beds on the market and i-Drive Power® system for easier manipulation and with a minimum 5km range reduces the need to transfer the patient from the bed to a stretcher and back.25

SIMPLIFY CAREGIVER PROCEDURES

The bed and integrated mattress can be intuitively and predictively controlled from one screen, which makes routine and advanced procedures more efficient for caregivers.

CHALLENGE

• Responsibility for high acuity levels of patients
• The high volume of differing medical devices
• Alarm fatigue
• Complex procedures— Documentation errors

SOLUTION
Simplified and easy-to-use controls of the bed and mattress thanks to the new 10“ Multiboard X screen ergonomically positioned with the back rest at 30°.

Multiboard X – all controls on one screen

HOSPITAL OPERATIONS EFFICIENCY
Lateral tilt makes time-consuming routine tasks more efficient and our smart care solutions help with administration and patient overview.

CHALLENGE

• Nurses feeling the burden of administrative tasks alongside caring for patients
• Long cleaning procedures due to high cleaning requirements
• A cost-efficient technological upgrade of surfaces
• Time-consuming patient repositioning

SOLUTION
Save time for caregivers thanks to frame-based lateral tilt and LINIS SafetyPort®.

Save ~9 hours of nursing time per day with lateral tilt 27

Study across three facilities compared the time and resources needed to reposition patients with LINET®’s frame-based tilt vs. a static frame resulting in net time savings of ~9 hours of nursing time per day which can be used for other important activities.

LINKS SafetyPort
LINIS SafetyPort® collects data from 39 data points in the areas of patient safety, mobilization, bed management and bed utilization.

KEY FEATURES OVERVIEW

Intuitive controls
Multiboard X
A new 10“ screen with intuitive and predictive controls makes daily nursing tasks easier.

Easy transport
i-Drive
Effortless transport and easier maneuverability of the bed with motorized i-Drive Power®.

Better patient comfort
Ergoframe
Unique LINET´s frame design increases patient comfort and reduces shear forces and friction during positioning.

Patient falls prevention
i-Brake
Automatically engaged brake reduces the risk of patient falls caused by an unstable bed.

Effortless patient handling
Lateral tilt
Frame-based lateral tilt in combination with foot controls makes it easier and safer for the nurse to provide daily care and attend to the patient.

Easier mobilization
Mobi-Lift
The patient can hold onto the Mobi-Lift handle while sitting at the edge of the bed or attempting to stand.

Pulmonary support
Automatic Lateral Therapy
ALT can be programmed to perform tilting cycles according to the individual clinical needs of the patient.

Stay in touch
Integrated USB
Patients can use a charging port directly from the bed‘s head side rail to stay in touch with their family & friends.

Pressure injuries prevention
Opticare X
Patented sensor technology in a new generation of fully automatic integrated mattress Opticare® X.

Maximum safety
Siderails concept
The unique concept of Multicare® X side rails:

• 45cm height
• Constant gap
• Safety double mechanism
• Siderails down sensors
• 3/4 non-restrictive

Unique surface
Opticare® X Zoned Cover®
Dartex® Zoned Coatings are designed with a glide centre for easier patient repositioning and “grippy” edges supporting safe patient mobilization.

Special positioning

Combined tilting
Combined position of lateral tilt and anti-Trendelenburg for easier postural drainage and physiotherapy.

TECHNICAL OVERVIEW

Safety Siderail Height above Mattress Support

Technology

|

Optimal Immersion

|

3-cell alternating

Integrated

|

Yes

|

No

Microclimate Management|

Yes

|

Yes

Modes

| MAX, Mobile, Optimize, Prone| MAX, CLP,

Alternating Pressure Therapy, Transport

Prone nursing

|

Automatic mode

| Manual deflation of selected cells

CPR

| 1 button CPR, automatic inflation after 60 minutes| Operated by one hand

CPR deflation time

|

max. 30s

|

30s

Safe working load

|

250kg

|

254kg

Length

|

195cm – 214cm

|

204cm

Width

|

87cm

|

90cm

Height

|

23cm

|

23cm

Weight

|

15kg

|

13kg

LINET spol. s r.o.
tel.: +420 312 576 400 | fax: +420 312 522 668 | e-mail: info@linet.com | www.linet.com

References

• MULTICARE X
• Our contemporary understanding of the aetiology of pressure ulcers/pressure injuries - PubMed
• LINET | LINET
• Patient handling tasks with high risk for musculoskeletal disorders in critical care - PubMed
• Development and validation of a questionnaire for quantitative assessment of perceived discomforts in critically ill patients - PubMed
• AORN ergonomic tool 1: Lateral transfer of a patient from a stretcher to an OR bed - PubMed
• The effect of increased mobility on morbidity in the neurointensive care unit - PubMed
• Falls in hospital increase length of stay regardless of degree of harm - PubMed
• Prevalence of Musculoskeletal Disorders for Nurses in Hospitals, Long-Term Care Facilities, and Home Health Care: A Comprehensive Review - PubMed
• One-year resource utilisation, costs and quality of life in patients with acute respiratory distress syndrome (ARDS): secondary analysis of a randomised controlled trial - PubMed
• Mechanical ventilation and the daily cost of ICU care - PubMed
• Home - PMC - NCBI

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