
Posey Company • 5635 Peck Road, Arcadia, CA 91006-0020 USA • www.posey.com
Phone: 1.800.447.6739 or 1.626.443.3143 • Fax: 1.800.767.3933 or 1.626.443.5014
MDSS GmbH
Schiffgraben 41
D-30175 Hannover, Germany
EC REP
ApplicAtion
instructions
• ereisariskofchestcompressionorsuocation,ifthe
patient’sbodyweightissuspendedothechairseat.Use
extremecautionwithchaircushions.Ifacushion
dislodges,strapsmayloosenandallowthepatienttoslide
otheseat(g.6).
• Monitorperfacilitypolicytoensurethatthepatient
cannotslidedown,orfallothechairseatandbecome
suspended(g.6).
• STOPUSEATONCE:ifthepatientisatrisktoslide
forwardordowninthedevice.
NOTE:Arestraintwithapelvicpiecewillhelptoreduce
theriskofsliding.SeePoseyCatalog.
• Beforeleavingthepatientunattended,explainthe
purposeforthebelt.Makesurethepatientunderstands:
• theneedtocallforassistancebeforeexitingthechair;
and
• howtoself-releaseinanemergency.
1. Remove the airline buckle from the strap by unfastening the
snaps (4222only).
2. From the rear of the wheelchair, wrap
the strap around the vertical bar
located behind and under the seat
(fig. 1).
3. read the strap through the metal
D-ring and pull until secure (fig. 2).
4. Bring the strap up between the seat
and the wheelchair sides and across
the patient’s thighs at a 45-degree
angle (fig. 3).
5. Check that the straps are secure and
will not change position, loosen, or
tighten if the patient pulls on them, or
if the chair is tilted or adjusted.
6. Position the patient as far back in the
seat as possible, with the buttocks
against the back of the chair.
7. Connect the airline buckle or the
hook and loop fastener so the belt is
across the patient’s
lower lap (figs. 4
and 5). e belt
must be snug,
but not interfere
with breathing.
To check for
proper fit, slide an
open hand (flat) between the belt and the patient.
Applicable Products:
REF
4222, 4228, 4228l
DEscription oF proDuct: Self-Releasing Chair Belt. For wheelchair use only.
rx onlY
sElF-rElEAsinG cHAir BElts
© 2009 Posey Company. All rights reserved.
I9298 040609
4222
posEY sElF-rElEAsinG
cHAir BElts
REF
4222 Self-Releasing Easy-Apply
Belt, Rear Slide Buckle
REF
4228 Self Releasing
Polypropylene Belt, Rear
Slide Buckle
REF
4228L Self Releasing
Polypropylene Belt-Long,
Rear Slide Buckle
ApplicAtion instructions (Repeat steps 2-4 on both
sides of the wheelchair):
FiG. 4
FiG. 2
FiG. 1
ADDitionAl sAFEtY AnD lAunDErinG
instructions on otHEr siDE
FiG. 5
inDicAtions For usE:
• Patientsneedingaremindertocallforassistancebeforeexitingachair,andareabletofollow
instructions.
• Patientsneedingapositioningdeviceforaddedsafetywhileinachair.
is product is designed for self-release. If the patient is not able to easily self-
release, it is considered a restraint and must be prescribed by a physician.
contrAinDicAtions:
• DONOT use on a patient who is or becomes highly aggressive, combative, agitated, or
suicidal.
• DONOT use on patients with: ostomy, colostomy, or G-tubes; hernias, severe Cardio
Obstructive Pulmonary Disease (COPD); or with post-surgery tubes, incisions or monitoring
lines. ese could be disrupted by a restraint.
• DONOT use on a patient who is unwilling or unable to follow instructions, and is at risk of a
fall or re-injury from self-release.
ADVErsE rEActions
• Severeemotional,psychological,orphysicalproblemsmayoccur:iftheapplieddeviceis
uncomfortable; or if it severely limits movement. If symptoms of these problems ever appear
for any reason, get help from a qualified medical authority and find a less restrictive, product or
intervention.
Before use, check device for damage and that hook
and loop (4228and4228Lonly) adheres securely. Discard if
you have any questions about patient safety.
FiG. 6
FiG. 3
45˚
Heedthesewarningstoreducetheriskofseriousinjuryor
death:
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