Alto Lifter with Powered Pivot Frame -  The Ultimate Lifting System. All powered functions, including the Powered Pivoting System are controlled via the handset enabling routines and patient positioning to be carried out without manual lifting - Medium size heavy duty mobile patient lifting hoist with a safe working load of 200kg. Ideal lifting solution for use in hospitals, nursing homes, aged care facilities and in the home environment. The wider style pivot frame offers greater comfort for all resident groups especially heavier clients.