Posey 2530, 2540, 25281 Soft Limb Holder Instructions

Posey 2530, 2540, 25281 Soft Limb Holder

Specifications

• Product Name: Limb Holders for Wrist and Ankle
• Intended Use: Limiting limb movement for patients on beds and stretchers
• Models Available: REF 2530 Foam Adjustable Limb Holders, REF 2540 Deluxe Quilted Limb Holders, REF 25281 Foam Adjustable Limb Holder

Product Usage Instructions

• Application Instructions for Wrist and Ankle
  • Description: Limb holder for limiting limb movement. For bed and stretcher use only.
  • Indications for Use: Compliance with CMS guidelines and state laws.
  • Contraindications: Do not use with individuals exhibiting highly aggressive or combative behavior, self-destructive behavior, or deemed an immediate risk to self or others.
• Application Instructions
  • Triangulation Process (Method a): Attach straps at different points along the frame to restrict the patient’s range of motion.
  • Increase Patient’s Range of Motion (Method b): Place straps together and attach them to a single point along the frame to increase range of motion.
  • Wrap Limb Holder Cuff: Securely wrap around the patient’s wrist/ankle ensuring proper fit without compromising circulation.
  • Secure Fastener: Fasten the hook-and-loop securely but not too tight.
  • Adjust Straps: Adjust for desired freedom of movement.
• To Limit Lower Limb Range of Motion for Legs
  • Attach the cuff secured to the bottom right side to the left ankle.
  • Crisscross straps and attach the cuff secured to the bottom left side to the right ankle.
  • Adjust connecting straps as necessary.
• Precautions
  • Serious injury may occur if the cuffs restrict circulation. Check for cracks, tears, wear, and secure fastening before each use. Discard if damaged or unable to lock.
• Additional Safety Instructions
  • Refer to FDA Hospital Bed Safety Guidelines and Bed Manufacturer Instructions for Bed Safety. Additional restraints may be required.

FAQs

• Q: Can this device be used on patients with aggressive behavior?
  • A: No, do not use this device with individuals exhibiting highly aggressive or combative behavior.
• Q: How tight should the straps be fastened?
  • A: The straps must be snug but should not compromise circulation. Fasten securely but not too tight.

DESCRIPTION OF PRODUCT

• Limb holder for limiting limb movement. For bed and stretcher use only.

Indications for Use

• Patients assessed to be at risk of disrupting life-saving treatments (e.g., pulling tubes or lines) or in danger of injury to themselves or to others.
• Follow your hospital’s restraint policies and procedures which comply with CMS guidelines and state laws.

Contraindications

• Do not use this device with someone who has continued highly aggressive or combative behavior, self-destructive behavior, or is deemed to be an immediate risk to others or to yourself.

Application Instructions

Use method a. or b. below to attach straps to the frame (repeat steps 1-5 on each side):

1. 1a. Triangulation process; to restrict patient’s range of motion: Separate the straps and attach at different points along the frame that moves with the patient (Fig. 1) of the patient’s reach, using quick-release ties (do not attach to side rail or head/footboard) (Fig. 2).
   • 1b. To increase the patient’s range of motion: Place the straps together and attach to a single point along a part of the frame that moves with the patient, out of the patient’s reach, using quick-release ties.
2. Wrap the limb holder cuff around the patient’s wrist/ankle so the buckle and connecting strap is on the ulnar side of the wrist or lateral malleolus of the ankle (Fig 3).
3. Secure the hook-and-loop fastener. Slide ONE finger (flat) between the cuff and the inside of the patient’s wrist/ankle to ensure proper fit (Fig 4). The strap must be snug, but not compromise circulation.
4. Feed the wrist/ankle strap through the toothless opening of the buckle, and then between the sliding metal bar and the teeth (fig. 5). Insert ONE finger (flat) under the buckle and pull the strap snugly, but not so tight as to restrict circulation (fig. 6).
5. Adjust the strap(s) to allow desired freedom of movement, without compromising patient or caregiver safety.
   • To remove cuffs: Release hook-and-loop fasteners.

Posey Limb Holders

• REF 2530 Foam Adjustable Limb Holders
• REF 2540 Deluxe Quilted Limb Holders
• REF 25281 Foam Adjustable Limb Holder

To limit lower limb range of motion for legs:

1. Attach the cuff that is secured to the bottom right side of the frame to the left ankle.
2. Crisscross the straps and attach the cuff secured to the bottom left side of the frame to the right ankle.
3. Adjust connecting straps as necessary.

Precautions

• Avoid using on a patient with a dislocation or fracture on the restrained limb, or if an IV or wound site could be compromised by the device.
• Check the patient regularly to ensure that circulation is not impaired. Serious injury may occur if the cuffs restrict circulation when the limb holder is applied.
• Before each use, check cuffs and straps for cracks, tears, excessive wear or stretch, broken buckles or locks, and/or that hook-and-loop adheres securely as these may allow the patient to remove the cuff. Discard if the device is damaged or if unable to lock.
• Additional or different body or limb restraints may be needed (See Posey Catalog):
  • If the patient pulls violently against the bed straps.
  • To reduce the risk ofthe patient getting access to the line/ wound/tube site.
  • To prevent the patient from flailing or bucking up and down and causing self-injury.

Bed Safety

• Refer to the Food and Drug Administration (FDA) for the most recent Hospital Bed Safety Guidelines as well as the Bed Manufacturer for their Instructions for Use.
• For RX PRODUCTS ONLY. Federal law (USA) restricts RX devices to sale by or on the order of a physician. For use in a licensed healthcare facility only.
• STAFF TRAINING: TIDI offers in-service training aids at no charge. Contact TIDI online at www.tidiproducts.com or call toll-free at 1.800.521.1314.
• BEFORE APPLYING ANY RESTRAINT: Follow your hospital’s restraint policies and procedures that are compliant with USA CMS guidelines and state laws or other governing agencies outside the USA.

ADDITIONAL WARNINGS

1. ALWAYS monitor patients per facility policy. Improper application or use of any restraint may result in serious injury or death. Be aware that constant monitoring may be required for:
   • Aggressive or agitated patients; and
   • Patients in a supine position; ensure that being in this position would not cause any complications for those who are at risk of vomiting while being restrained.
2. NEVER alter or repair this product. ALWAYS Inspect before each use: Check for broken stitches or parts; torn, cut, or frayed material; or locks, buckles, or hook-and-loop fasteners that do not hold securely. DO NOT use soiled or damaged products. Doing so may result in serious injury or death. Dispose of damaged products per facility policy for BIOHAZARDOUS material.
3. ALWAYS secure straps to a part of the frame that moves with the patient (not foot/headboard or side rails), out of the patient’s reach, using quick-release ties (see drawing below) or buckles. These allow easy release in the event of an accident or fire. Test to make sure straps cannot tighten, loosen, or slip and create excess slack. If this occurs, the patient may slide off the chair or bed, increasing the risk of serious injury or suffocation. Restraint release is an important part of facility fire and disaster drills. Straps can be cut with scissors in an emergency.
4. NEVER secure the restraint strap to the side rail or head/footboard.
5. NEVER use Posey products on toilets, or on any chair or furniture that does not allow proper application as directed in the Application Instructions. DO NOT use it at home.
6. NEVER expose this product to open flame, fire, smoking materials, or high heat sources. Some products may melt ignite and burn. The facility smoking/no smoking policy should be strictly enforced.
7. NEVER use a Posey product as a seat belt in a moving vehicle. Posey products are not designed to withstand the force of a crash or sudden stop.
8. Test Zippers or hook-and-loop fasteners before each use. DISCARD the device if it does not fasten securely.

LAUNDERING INSTRUCTIONS (if applicable):

• Fasten all buckles and locks to reduce the risk of damage during wash and dry cycles. DO NOT put buckles or locks through extractors. For maximum life, launder in a laundry bag.
• Stainless Steel Locks: Posey recommends that locks be treated with a dry film lubricant (silicone) after each cleaning. For best results, spray a small amount into the lock. Work the action of the lock with a key several times to ensure that all the surfaces are well-lubricated.
• Before laundering, zip up and turn the product inside out to protect the zipper.
• Hook-and-loop fasteners may collect lint after repeated use or laundering, reducing grip strength. Fasten the “hook” to the “loop” before laundering to help prevent lint buildup. As needed, use a stiff-bristle brush to remove lint from the “hook” side.
• These products, other than foam products, can be machine washed under CDC guidelines for material soiled with blood or bodily fluid.
• For non-contaminated material, use lower temperature wash and dry cycles to extend product life.
• For foam products:
• Make sure products are completely dry before use.

STORAGE AND HANDLING:

• This device is designed for use in normal indoor environments.
• This device may be stored in ambient warehouse temperatures at normal humidity levels. Avoid excess moisture or high humidity that may damage product materials.

HOW TO TIE THE POSEY QUICK-RELEASE TIE

1. Wrap strap once around the frame that moves with the patient (do not attach to side rail or head/footboard), leaving at least an 8” (20 cm) tail. Fold the loose end in half to create a loop and cross it over the other end.
2. Insert the folded strap where the straps cross over each other as if tying a shoelace. Pull on the loop to tighten.
3. Fold the loose end in half to create a second loop.
4. Insert the second loop into the first loop.
5. Pull on the loop to tighten. Test to make sure the strap is secure and will not slide in any direction.
6. Repeat on the other side. Practice quick-release ties to ensure the knot releases with one pull on the loose end of the strap.

Report any serious incident related to device use to TIDI Products and the Member State Competent Authority. Translations of this document in French, Spanish, Dutch, German, Italian, and Portuguese are located at www.tidiproducts.com/IFU.

DISPOSAL: Dispose of the product according to local or facility guidelines if the product is worn or damaged.

CONTACT

• TIDI Products, LLC
• 570 Enterprise Drive, Neenah, WI 54956 USA
• Phone: 1.800.521.1314
• International: +1.920.751.4036
• www.tidiproducts.com.
• EC REP
  • MDSS GmbH
  • Schiffgraben 41
  • 30175 Hannover, Germany
  • UK Responsible Person
  • Emergo Consulting (UK) Limited
  • c/o Cr360 – UL International
  • Compass House, Vision Park Histon
  • Cambridge CB249BZ
  • United Kingdom
  • © 2023 TIDI Products, LLC. All rights reserved. Posey is a registered trademark of TIDI Products, LLC.

References

• Posey | First in Patient Safety
• Medical Products for Staff & Patient Safety | TIDI Products

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