Enterprise 9000 Instructions for Use Sept 2012

Warnings, Cautions and Notes

WARNINGS given in these instructions identify possible hazards in procedures or conditions, which if not correctly followed, could result in death, injury or other serious adverse reactions. Cautions given in these instructions identify possible hazards in procedures or conditions, which if not correctly followed, could result in equipment damage or failure. Notes given in these instructions (indicated by ) are used to explain or amplify a procedure or condition. marked with this symbol refer to optional features that are  Items not available on all beds. General Warnings

WARNING Read and understand these instructions before operating the bed. You must be trained in the proper use of this product, its functions and controls, and any accessories. These instructions are mandatory for the safe and effective use of this product, including the safety of patients and carers. Unauthorised modifications or repairs to this product may affect its safety and will invalidate any warranty. ArjoHuntleigh accepts no liability for any incident, accident or reduction in performance that may occur as a result of such repairs or modifications. To avoid the risk of electric shock, this product must be connected to an electricity supply with a protective earth. Do not use accessories that have not been designed or approved for use with this bed. Electrical equipment can be hazardous if misused. Do not use electrically powered beds in the presence of flammable gases such as anaesthetic agents. Do not use electrically powered beds in operating theatres. To disconnect the bed from the electricity supply for cleaning or maintenance, remove the power plug from the wall socket.

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WARNING ELECTROMAGNETIC COMPATIBILITY (EMC) This product complies with the requirements of applicable EMC standards. However, medical electrical equipment requires special precautions regarding electromagnetic compatibility and should be installed and used in accordance with the EMC information in the product service manual. Medical electrical equipment can be affected by portable and mobile RF communications equipment, e.g. cellular telephones.

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1. Introduction These instructions contain information for the installation, use and maintenance of the ArjoHuntleigh Enterprise® 9000 range of acute care hospital beds. These beds have multiple functions to provide the optimum nursing position for both patient and carer. Enterprise® 9000 range beds have the following features:  Integrated patient weighing system with patient egress detection  Infra red anti-entrapment system  Electrical adjustment of bed height, leg section elevation and kneebreak angle  Electrically operated retracting backrest  Bio-Contour advanced profiling system  Electrical adjustment of head down tilt (Trendelenburg) and foot down tilt (reverse Trendelenburg)  Fowler (chair) or Vascular position selectable by carer  Mattress support surface with removable plastic panels  Integrated mattress platform extension  Pull-out bedstripper  Radio-translucent backrest with X-ray cassette tray   Accessory (DIN) or drainage bag rails below mattress platform   Available with various combinations of bed length and head end panel as shown in the table:

Standard length mattress platform

9000B

9000D



 

Short mattress platform



Head end panel on base Head end panel on mattress platform



9000K

 

These illustrations in these instructions show model 9000B; the other models are installed and used in the same way.

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and serial number can be found on the The model number specification label; this is located on the power supply bracket below the head end panel.

Specification label

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Product overview

1. Head end panel

12. Castor

2. Head end safety side

13. Bedstripper

3. Nurse’s controls

14. CPR release lever

4. Backrest section

15. Weighing system controls

5. Attendant Control Panel (ACP)

16. Accessory rail

6. Patient’s controls

17. Safety side release

7. Seat section

18. Foot end safety side

8. Upper leg (thigh) section

19. Anti-entrapment sensor

9. Lower leg (calf) section

20. Brake/steer pedal

10. Foot end panel

21. Lifting pole/accessory socket

11. Accessory socket

22. Roller buffer

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2. Clinical applications Areas of use

General medicine, general and specialist surgery, care of the elderly, HDU, ITU, coronary care and oncology.

Indications

The bed is appropriate for high dependency patients who pose a movement and handling risk and / or whose clinical condition requires that they are positioned with minimal physical handling. Patients with a moderate amount of independence can, at the carer’s discretion, use the controls to adjust their own position. The mattress platform can be positioned to assist with clinical procedures such as intubation; contact ArjoHuntleigh for further information.

Contraindications

The total safe working load of the bed is 250kg.

The bed is intended for use by patients over the age of twelve years. The age, size and condition of the patient must be assessed by a clinically qualified person before using the bed.

WARNING The use of head down tilt (Trendelenburg) or foot down tilt (reverse Trendelenburg) may be contra-indicated for certain medical conditions. The tilt facility should only be used under the guidance of a clinically qualified person after assessment of the patient’s condition.

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3. Installation Weighing system

Position the bed on a flat, level surface and apply the brakes (refer to Chapter 4). Remove the four transport locking bolts (A) and washers (B); there are two locking bolts at the head end of the bed and two at the foot end. Retain the bolts and washers in case the bed needs to be transported at a later date.

B

B

A

A

Removing the transport bolts Caution To prevent damage to the weighing mechanism, replace the transport locking bolts and washers before transporting the bed by road. This is not necessary when moving the bed short distances over smooth surfaces.

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Caution Before using the bed, make sure that the “Power In” rating shown on the specification label (see page 5) is compatible with the local electricity supply. Electrical supply

Connect the electrical supply cable to a suitable outlet socket. The electrical supply cable is fitted with a plastic hook. When not in use or before moving the bed, clip the hook (C) onto the head end panel, coil up the cable and place it over the hook. C

D

Cable storage and equipotential terminal

WARNING Make sure that the coiled electrical supply cable is not stretched excessively. Do not allow the electrical supply cable to trail on the floor where it may cause a trip hazard. Make sure that the electrical supply cable does not become entangled with moving parts of the bed. Before moving the bed, disconnect the electrical supply cable from the electricity supply and store it as shown above.

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Caution Do not allow the electrical supply cable to touch the bed frame as this may affect the accuracy of the weighing system. An equipotential terminal (D) is located at the head end of the bed, above the roller buffer on the patient’s right side. When other electrical equipment is within patient / user reach, the potential difference between this equipment can be equalised by interconnecting the equipotential terminals of each piece of equipment. Caution Before the first use, or if the bed has been unused for more than three months, connect the bed to the electricity supply for 24 hours to recharge the backup battery. Failure to do this may reduce the life of the battery. Model 9000D beds should be positioned with the roller buffers at least 20cm from the rear wall to prevent the head end panel striking the wall when the bed is in head down tilt (Trendelenburg).

Recommended positioning for Model 9000D

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4. Operation Safety

 Always use a mattress of the correct size and type. A range of suitable pressure reducing and pressure relieving mattresses is available from ArjoHuntleigh.  To reduce the risk of injury due to falls, leave the bed at minimum height when the patient is unattended.  Where risk assessment indicates that a patient is at high risk of entrapment owing to their medical condition or other circumstances, and where there is no medical benefit from their being left in a contoured position, place the mattress platform in the flat position when the patient is left unattended.  Patients should not be left in the Trendelenburg position when unattended.  It is recommended to use the Function Lockout facility on the Attendant Control Panel (ACP) to prevent unintended movement.  When the bed is operated, make sure that obstacles such as bedside furniture do not restrict movement.  Before operating the bed, make sure that the patient is positioned correctly to avoid entrapment or imbalance.  Always apply the brakes when the bed is stationary.  Keep these instructions in a safe place – you may need to refer to them later.

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Brakes and steering

There are four linked brake levers, two at either end of the bed. Each lever has a red pedal and a green pedal.  Red pedal down - brakes are applied on all four castors.  Lever horizontal - all four castors can rotate and swivel.  Green pedal down – the steering castor is locked so that it cannot swivel; this is the head end castor on the patient’s right unless otherwise specified. When moving the bed, push it in the direction of travel so that the castors are all in line; then press the green pedal down to engage the steering castor. Push the bed from the opposite end to where the steering castor is located.

BRAKE



FREE

STEER

In these illustrations, the red pedal is shown in darker grey.

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Safety sides

WARNING Safety sides must only be used with a mattress of the correct size and which is approved for use with the bed. The maximum recommended mattress thickness for use with safety sides is 180mm. The clinically qualified person responsible should consider the age, size and condition of the patient before allowing the use of safety sides. Safety sides are not intended to restrain patients who make a deliberate attempt to exit the bed. Ensure that the locking mechanism is securely engaged when the safety sides are left in the raised position. Safety side contact points are identified by this symbol. Keep hands and fingers away from these areas. When choosing bed and mattress combinations, it is important to assess the use of safety sides based on clinical assessment of each individual patient and in line with local policy. When assessing the suitability of a mattress for use with safety sides, the following factors should be considered:  The bed is designed to provide an acceptable safety side height when used with a foam mattress up to 180mm thick.  Specialist powered air / foam replacement mattresses will typically envelop the patient when loaded and can generally be deeper than a foam mattress without compromising safety. All ArjoHuntleigh specialist mattress replacements will maintain sufficient clearance between patients and safety side tops to preserve the function of the safety side. Other makes of specialist mattress replacement must be assessed individually prior to use to verify sufficient clearance is maintained.  When using a powered mattress overlay on top of a foam mattress, it may be necessary (based on risk assessment) to use a lower profile foam mattress to maintain a 180mm combination height.

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Safety sides operation

To lower the side: Hold either safety side handle (E). Pull the release lever (F) and lower the safety side. The safety side folds down below the mattress platform. To raise the side: Hold either safety side handle (E). Pull the safety side up and away from the bed until it locks in the raised position.

E E

F

Safety side operation – head end



Both the head end and foot end safety sides operate in the same way.

Caution Do not use the safety sides to lift or move the bed.

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Bedstripper

The bedstripper is used for supporting clean linen when the bed sheets are being changed. It may be equipped with a folding frame to support a duvet. To prepare the bedstripper for use, pull it out from below the foot end panel (G). After use, push the bedstripper back under the foot end panel until it latches in the closed position.

G

Bedstripper - extended

Caution The bedstripper load should not exceed 20kg. Make sure the bed is level before using the bedstripper.

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Extending the To extend the mattress platform: mattress If the bed is tilted, use the bed controls to level the platform mattress platform - refer to Chapter 5, Power Operation. Pull down the catches (H) on the underside of the mattress platform and rotate them a quarter turn to unlock the extension. Pull the extension out as far as it will go (I). Rotate the catches (H) until they spring back up into the locked position.

I H

Mattress platform - extended To retract the mattress platform: Pull down the catches (H) on the underside of the mattress platform and rotate them a quarter turn to unlock the extension. Push the extension back in as far as it will go. Rotate the catches (H) until they spring back up into the locked position.

WARNING Always install a suitable mattress extension (squab) when the bed is extended.

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Emergency CPR function

Manual CPR release handles are situated either side of the bed, below the calf section. To lower the backrest in an emergency, pull the CPR release handle (J). Alternatively, press and hold the CPR button on the Attendant Control Panel; refer to Chapter 5 - Power Operation.



The backrest will lower more quickly when using the manual CPR release lever.

J

CPR emergency release handle

WARNING The backrest can fall quickly. Keep hands clear to avoid trapping.

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End panels

The end panels can be easily lifted off the bed for fast access to the patient.  One or both end panels may be held in place with spring catches. To remove this type of panel: 1. Foot end panel only: pull out the bedstripper to gain access to the catches (K). 2. Pull out the two catches (K) and rotate them a quarter turn. 3. Lift the end panel away from the bed (L). 4. Return the bedstripper to the closed position.

L

K

End panel removal To replace the end panels: 1. Replace the end panels on the bed. 2. Foot end panel only: pull out the bedstripper to gain access to the catches (K). 3. Rotate the catches (K) until they spring back into the locked position. 4. Return the bedstripper to the closed position.

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X-ray cassette The X-ray cassette tray allows thoracic X-ray photography with the backrest at any angle and without the patient tray  moving from the bed.

WARNING Position the mattress platform at an ergonomic height to allow easy loading and removal of X-ray cassettes. Return the X-ray cassette tray to its closed position below the backrest before raising or lowering the backrest. Do not sit or place heavy objects on the X-ray cassette tray. Ensure the X-ray cassette tray is held securely in place by the catch at all times. Operation

Apply the brakes. Remove the head end panel from the bed. Pull the knob (M) to release the catch and slide the cassette tray out (N) as far as will go. It may be necessary to raise the backrest slightly to allow the tray to slide out.

N

M

X-ray cassette tray operation

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Release the knob to hold the tray in the fully open position (P). Position the X-ray cassette (Q) on the tray with its bottom edge against the lip at the foot end of the tray.

Q

P

Positioning the X-ray cassette Pull the knob and slide the tray underneath the backrest. Release the knob to hold the tray in one of the five latching positions. The bottom edge of the X-ray cassette at each latching position is indicated by labels below the backrest; use these to determine which position provides best coverage of the area to be X-rayed.

4

3

2

1

0

Position indicator label (patient’s right side) After use, pull the tray out to the fully open position and remove the X-ray cassette. Return the tray to the closed position below the backrest and replace the head end panel.

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