Citadel Plus Quick Reference Guide Rev A Feb 2016

IMPORTANT! This Quick Reference Guide (QRG) is intended to assist the user in understanding the basic functions of this product. The QRG does not replace the safety warnings, cautions and other important information provided in the Instructions for Use (IFU) supplied with the equipment; copies of the IFU are available upon request from ArjoHuntleigh. Some of the functions should only be used by clinically-qualified personnel. The care giver should make sure they have read and understood the IFU before using this equipment. A clinically-qualified person should assess the age, height and medical condition of the patient to ensure they can use the product safely. Place the mattress platform in the low height position when the patient is unattended.

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Citadel Plus Bariatric Care System

General Product Information Safe working load (SWL) ...522 kg (1150 lb) Maximum patient weight...454 kg (1000 lb) Refer to the Citadel™ Plus Bariatric Care System Instructions for Use for instructions and information on optional handset, function buttons and features.

Attendant Control Panel

Nurse Control Panel

Patient Control Panel

Power On Indicator - Indicator LED lights when the bed is connected to the electricity supply. Battery Indicator - Indicates status of the battery system. Anti-Entrapment System (AES) Indicator - Indicates status of the antientrapment system. Deck Height - These buttons raise and lower the deck. When the deck is lowered to 38 cm (15 in) above the floor (40 cm [16 in] on beds with 150 mm [6 in] castors), it will pause then continue to lower until it reaches its minimum height. At minimum height, clearance underneath the side rails is reduced. Keep your feet away from the areas below the side rails and take extra care when using patient hoists or similar equipment.

Citadel Plus Bariatric Care System

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Backrest Angle - These buttons raise and lower the backrest. The backrest will pause when it reaches an angle approximately 30º above the horizontal.

Thigh Section - These buttons raise and lower the thigh section. When the thigh section is first raised from the flat position, the calf section will be in the fowler position (angled downwards).

Calf Section - These buttons raise and lower the calf section.

Trendelenburg - This button lowers the head end of the deck (Trendelenburg position). When returning from a tilted position, the deck will pause at the level (no tilt) position. Reverse Trendelenburg - This button lowers the foot end of the deck (reverse Trendelenburg position). When returning from a tilted position, the deck will pause at the level (no tilt) position. CPR Position - Press and hold the CPR button to flatten the deck (and lower it if necessary) to enable cardio-pulmonary resuscitation to be performed. The CPR button overrides all lockout settings. Function Lockout - Function lockout can be used to prevent operation of the controls. To lock (prevent) or unlock (allow) functions: • Press the Function Lockout button. The LED indicator above the button will light. • Press the ACP button(s) corresponding to the function(s) to be locked or unlocked. The lock indicator LED above each function button shows its current status: • LED on = function locked • LED off = function unlocked • When all functions are locked or unlocked as required, press the Function Lockout button again or wait for five seconds. The indicator LED above the Function Lockout button will turn off and the lockout settings are stored. 4

Citadel Plus Bariatric Care System

When a function is locked, any associated functions are automatically disabled, example, locking the backrest also disables Auto-Chair. Function lockout settings are retained if the bed is disconnected from the electricity supply. Under Bed Light - The under bed light illuminates the floor on either side of the bed. Press this button to turn the under bed lights on or off. The indicator LED above the button will light when the under bed lights are on. Nurse Call - Press the Nurse Call button to request assistance. The indicator LED above the button will light to confirm operation. At the nurse’s station, the call location will be displayed and / or an audible alert will sound, depending on the type of nurse call system. Procedures to reset nurse call vary from one system to another. Refer to the manufacturer’s instructions for use. Nurse call is only available on certain models. Auto-Chair - The Auto-Chair up button simultaneously raises the backrest and thigh sections, pausing when the backrest reaches 45º. Continue to hold the button down to lower the foot end of the deck into a chair position. When the backrest and thigh sections are raised, pressing the AutoChair up button again lowers the foot end of the mattress platform into a chair position; if the backrest angle is greater than 45º, it will return to 45º to prevent the patient from tipping forwards. Auto-Chair Down - The Auto-Chair Down button returns the deck to a flat and level position.

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Weigh Scale Panels (With and Without Unit Selection) Scale Readings - Scales / patient weights are for reference only. Scale readings should not be relied upon for medication dosage. All equipment on the weighed portion of the unit is included in weight displayed. The weighing system should only be used by staff trained in the correct use of the weighing function. The weighing system should only be used in closely supervised environments, where factors influencing patient weight (such as additions to the bed) can be controlled as described in the following instructions for use.

100 500

Approval No. UK2823 2009/23/EC Max 270 kg Min 10 kg e = 500 g

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Weigh Scale Panels (Dependent on country)

Display - indicates the patient’s weight. It can also be used to show other information, example, bed section angles and error codes. Weigh - This button is used to calculate and display the current patient weight. Weight is displayed for 10 seconds after a button press. Auto Compensation (tare) - This button allows items to be added to or removed from the bed without affecting the indicated patient weight. Zero - This button is used to reset the weighing system when the bed is first set up and before a new patient is placed on bed. Select Units - If available, this button will change the weight readings to either pounds or kilograms. An indicator LED next to the display will light to show the selected units (lb or kg).

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Citadel Plus Bariatric Care System

100 500

Select Weight Display - If available, this button allows the patient weight to be displayed rounded to the nearest 100 g or 500 g.

VariZone™ Mute Button - This button will mute the bed exit alarm for three minutes.

Weighing Scale Readings - Scales / patient weights are for reference only. Scale readings should not be relied upon for medication dosage. All equipment on the weighed portion of the unit is included in weight displayed. The weighing system cannot be zeroed if a mattress or accessories weighing more than 50 kg (110 lb) are fitted. To make sure the bed can be zeroed correctly, only use ArjoHuntleigh approved mattresses. To calculate and display the patient’s weight: 1. With the patient centered on the bed, press the Weigh button once. 2. The display will show a moving circular pattern until a stable weight reading is obtained. 3. The patient’s weight will be displayed for ten seconds then the display will go blank.

VariZone Patient Movement Detection / Exit Detection

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Patient movement detection controls

In Bed - this button activates / deactivates patient movement detection and increases the sensitivity of the system.

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Patient movement detection threshold display - an indicator LED shows the current system status and the selected sensitivity of patient movement detection.

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Egress - this button activates / deactivates patient movement detection and decreases the sensitivity of the system. Patient movement detection - to activate patient movement detection, press and hold either the In Bed button or Egress button for two seconds. To increase the patient movement detection threshold: Press and hold the Egress button; the flashing indicator LED will move towards the right. When the required threshold is reached, release the button.

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To reduce the patient movement detection threshold:

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Press and hold the In Bed button; the flashing indicator LED will move towards the left. When the required threshold is reached, release the button.

To cancel the alarm or deactivate patient movement detection: Press the In Bed button or Egress button once. VariZone Mute Button - When the VariZone alarm is triggered, pressing the mute button will silence the audio portion of the alarm for three minutes. When the VariZone alarm is triggered and is muted, adding the patient weight +/10% back onto the bed will clear the alarm and re-enable VariZone to the last VariZone setting.

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Citadel Plus Bariatric Care System

CPR Backrest Release The backrest can fall quickly; keep hands clear to avoid injury. The CPR backrest release should only be used in an emergency; repeated everyday use can cause permanent wear. CPR backrest release handles are located below the calf section on either side of the bed. If the patient suffers a cardiac arrest, pull the CPR backrest release handle. This will lower the backrest to enable cardiopulmonary resuscitation to be performed.

Max 522 kg (1150 lb)

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CPR

To extend the bed frame:

Pull Out

Pull Out

To retract the bed frame:

Pull Out

Citadel Plus Bariatric Care System

Push In

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To extend the deck:

2

Pull Out

Pull Out

To retract the deck:

4

Pull Out

Push In

After extending the deck make sure the calf extension sheet is clipped over the end of the deck frame.

Bed Length Adjustment Install a suitable foam mattress extension (squab) at the foot end when the bed is extended with a foam mattress. Always adjust the bed frame and deck to the same length and make sure both are latched securely in position. Take care not to pinch your fingers when lifting the catch bar. The length of the bed is adjustable to two set positions and an additional transport position. These are typically used as follows: 1. Transport, for maneuvering the bed in confined spaces. No mattress should be sized for this length as it is only to be used as a temporary transport length, when necessary. 2. Standard length, for normal use. Sets deck length at 202 cm (80 in). 3. Extended, to accommodate very tall patients. Sets deck length at 214 cm (84 in).

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Citadel Plus Bariatric Care System

Bed Width Adjustment To extend the width of the frame: 1. Locate the eight width extension latches located behind the extension symbol (four per side).

Patient Left Side Labels

Patient Right Side Labels

2. Squeeze extension latch to unlock and pull section until fully extended.

Unlock width extension

3. To retract, squeeze handle and push the section inward until fully aligned with mattress rail. 4. Repeat this step for all eight extension handles. Make sure all eight width extension sections are extended. Using the bed without all extensions in the same position may cause damage to the bed as well as create an unsafe condition.

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Foot Pedal for Adjustment of Bed Height (Optional Feature) Bed height can be adjusted from bed control panels and from the foot pedal located near the foot end of the bed.

Foot Pedal Adjustment Label

Lift cover of pedal with foot and press left side to raise the bed height. Press right side of pedal to lower bed height.

Brakes and Steering Operate the brake pedals with your feet while wearing suitable shoes. Do not operate the pedals with your hands. The steering caster may be at either end of the bed, as specified by the customer. The pedals have three positions as shown below: • BRAKE: brakes are applied on all four casters. • FREE: all four casters are free to rotate and swivel. • STEER: all four casters can rotate, but the steering caster (see below) is locked so that it cannot swivel. This helps to keep the bed on a straight line.

BRAKE

FREE

STEER

Brakes and Steering

Using the Steering Caster Position the bed so that all the casters line up in the direction of travel. Raise the pedals to lock the steering caster and move the bed by pushing it from the opposite end of the steering caster.

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Citadel Plus Bariatric Care System

Auxiliary Power Outlet and Skin IQ™ Family Power Cable

Auxiliary power outlet located on underside of foot board weldment

Skin IQ Family power cable located behind foot board weldment

Auxiliary Power Outlet Do not connect any critical or life-sustaining equipment to auxiliary outlet. These devices should be connected to hospital outlets. Devices connected to this outlet shall not exceed: • 115 VAC / 7A • 230 VAC / 4A This outlet does not remain powered when the bed is on battery backup. Skin IQ Family Power Cable The cable should only be used to power the Skin IQ Family of products.

Backup Battery The backup battery will power Skin IQ Family for only four hours before shutting off to preserve battery life for emergency bed functions. Skin IQ Family is only powered if plugged into the bed’s Skin IQ Family 12 VDC power cable. When the bed is unplugged from mains power, it enters a low-power mode to conserve battery power. In this state, the under bed lights, the indicator LEDs on the control panels and the weighing system display are turned off. Pressing any of the control buttons brings the bed out of low-power mode. The bed will return to low-power mode two minutes after the last control button was pressed.

Citadel Plus Bariatric Care System

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Operating Power Drive

2

1

WAKE UP - Squeeze Left Trigger Once

Engage Drive Wheel

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3

Squeeze and Hold Left Trigger Trigger must be engaged for entire duration of power drive use

Select Direction

5

Squeeze Right Hand Trigger To Increase Forward Speed

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Citadel Plus Bariatric Care System

Getinge Group is a leading global provider of products and systems that contribute to quality enhancement and cost efficiency within healthcare and life sciences. We operate under the three brands of ArjoHuntleigh, Getinge and Maquet. Getinge provides solutions for infection control within healthcare and contamination prevention within life sciences. Maquet specializes in solutions, therapies and products for surgical interventions, interventional cardiology and intensive care.

ArjoHuntleigh focuses on patient handling and hygiene, disinfection, DVT prevention, medical beds, therapeutic surfaces and diagnostics.

ArjoHuntleigh AB Hans Michelsensgatan 10 211 20 Malmö, Sweden www.arjohuntleigh.com

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