MINUET 2 Instructions for Use Dec 2014

Design Policy and Copyright ® and ™ are trademarks belonging to the ArjoHuntleigh group of companies. © ArjoHuntleigh 2004 As our policy is one of continuous development, we reserve the right to modify designs without prior notice. The content of this publication may not be copied either wholly or in part without the consent of ArjoHuntleigh. Revised

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12/2014

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Contents Warnings, Cautions and Notes ... 3 General Warnings and Cautions ... 4

1.

Introduction ... 6 Product description ... 6 Product overview ... 7

2.

Applications ... 8 Intended use ... 8 Indications ... 8 Contra-indications ... 9

3.

Assembly and Installation ... 11 Mattresses ... 12 Assembling the bed ... 14

4.

Operation ... 20 Control handset... 20 Brakes and castors ... 21 Kneebreak angle ... 22 Extending the bed ... 23

5.

Accessories – Fitting and Operation ... 24 Full-length safety sides ... 26 Safety side height extensions ... 28 Folding steel safety sides ... 30 Pads for full length safety sides CM-ACC03 & CM-ACC26... 33 Lifting poles CM-ACC09... 34 Mobility support handle CM-ACC11 & CM-ACC12 ... 37 Flexible handset holder CM-ACC13 ... 39 IV pole CM-ACC14 ... 41 Mattress pump bracket CM-ACC15 ... 42 Urine bag holder CM-ACC17 ... 43 Egress assist rail ... 44 Mattress retainers CM-ACC24 ... 48

6.

Dismantling the Bed ... 49

7.

Cleaning ... 52

8.

Care and Preventive Maintenance... 53 Preventive maintenance... 53 Troubleshooting guide ... 55

9.

Warranty and Service ... 56

10. Technical Data ... 57 11. Electromagnetic Compatibility (EMC) ... 60

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Warnings, Cautions and Notes WARNINGS given in this manual 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 this manual identify possible hazards in procedures or conditions, which if not correctly followed, could result in equipment damage or failure. Notes given in this manual (indicated by ) are used to explain or amplify a procedure or condition.

 Indicates an optional item.

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General Warnings and Cautions WARNING Keep these instructions in a safe place – you may need to refer to them later on. These instructions are mandatory for the safe and effective use of this product, including the safety of patients and carers. Read and understand these instructions before assembling or operating the bed. You must be trained in the proper use of this product, its functions and controls, and any accessories. The bed must be installed and operated in accordance with information in these instructions. 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 which may occur as a result of such repairs or modifications. Do not smoke or use naked flames near this equipment and do not expose it to extremes of temperature. Do not use accessories that have not been designed and approved for use with the bed. Do not connect the bed to other equipment unless specified in these instructions. This product contains small parts that may present a choking hazard to children if inhaled or swallowed. Keep pets and children away from the bed unless they are supervised by an adult. Electrical equipment can be hazardous if misused. Do not use electrically powered beds in the presence of flammable gases such as anaesthetic agents. Ensure that the bed is assembled and installed in accordance with the instructions given in this manual. Do not use this bed for transporting patients. Always use a mattress of the correct size and type. Suitable pressure reducing and pressure relieving mattresses are available from ArjoHuntleigh. Before operating the bed, make sure that the patient is safely positioned to avoid entrapment or imbalance. When operating the bed, make sure its movement is not restricted by obstacles such as bedside furniture. To reduce the risk of injury due to falls, lower the bed to minimum height whenever the patient is left unattended. Make sure the control handset cable is positioned to avoid a strangulation risk.

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WARNING Do not allow the mains cable to trail on the floor in such a way that it may cause a trip hazard. Do not leave the Minuet 2 bed and accessories for extended periods of time in humid or wet areas. Take care to ensure that the mains cable is not damaged by the bed or other objects being moved over it. When routing cables from other equipment take care to prevent squeezing cables between parts of the bed. This product complies with the requirements of applicable standards for electromagnetic compatibility (EMC). However, medical electrical equipment requires special precautions regarding EMC and should be installed and used in accordance with the information in Chapter 11 of these instructions. Wireless communications equipment such as wireless computer network devices, mobile phones, cordless telephones and their base stations, walkie-talkies, etc. may affect this product. The bed should be kept at least 2.3 metres away from such equipment to minimise the possibility of interference. Do not leave the patient in the tilt position unattended.

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1. Introduction Product description The ArjoHuntleigh Minuet® 2 is a bed with electrically operated functions, intended for use in the care of elderly or disabled persons. It is designed to be dismantled into sections for ease of transportation, but can be easily assembled with a minimum of tools. There are two basic models in the Minuet 2 range: Model 160

Four section bed with electrically adjustable height, backrest and leg elevation.

Model 161

Model 160 with the addition of head down and foot down tilt.

WARNING The tilt function on model 161 does not meet the requirements of the Trendelenburg position. The bed cannot be used in applications that need the patient to be put in the Trendelenburg position. The model number and serial number can be found on the specification label, located at the head end of the mattress platform.

Specification label Features • Push-button control for all electrical functions • Electrically operated adjustment of height, backrest angle and leg elevation • Manual adjustment of kneebreak angle • Extending mattress platform • Castors with integral brakes • Backup battery to allow operation during power failure A range of accessories is available, including safety sides and lifting poles. The fitting and use of these items is described in Chapter 5.

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Product overview

1. Foot end section

9. Head end actuator

2. Calf (lower leg) section

10. Control handset

3. Seat section

11. Thigh (upper leg) section

4. Control box / backup battery

12. Leg section actuator

5. Backrest actuator

13. Leg section ratchet

6. Backrest section

14. Foot end actuator

7. Head end section

15. Castor with brake lever

8. Lifting pole / accessory socket

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2. Applications WARNING To ensure the patient can use the bed safely, their age, size and condition should be assessed by a clinically qualified person.

Intended use

Model 160 is suitable for use in the following areas: •

Long term medical care where medical supervision is required and monitoring is provided if necessary, e.g. nursing homes and geriatric facilities.

•

A domestic area, i.e. home healthcare.

Model 161 is suitable for use in the following area: •

Indications

Long term medical care where medical supervision is required and monitoring is provided if necessary, e.g. nursing homes and geriatric facilities.

The bed is appropriate for situations where assistance is required in positioning the patient, or in reducing lifting and manual handling stresses on the carer. The profiling mattress platform allows the patient to be supported in an upright sitting position. The enhanced support this provides helps to reduce shear and interface pressure on the patient. The head down Tilt option can be used to increase blood flow. The bed cannot be used in applications that need the patient to be put in the Trendelenburg position. The Maximum tilt angle of the Minuet bed frame is 10°. Foot down tilt option can be used to improve patient confort. The variable height feature allows the bed to be raised to provide easy access to the patient for the carer. The bed can then be lowered to make it easier for the patient to get into or out of the bed.

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Contraindications

The bed is intended for use by adults and children over the age of twelve years. Model 160 is not suitable for use in the following situations: •

Intensive/critical care provided in a hospital where 24-hour medical supervision and constant monitoring is required, e.g. ITU, ICU and CCU.

•

Acute care provided in a hospital or other medical facility where medical supervision and monitoring is required, e.g. general medical and surgical wards.

•

Outpatient care.

Model 161 is not suitable for use in the following situations:

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Intensive/critical care provided in a hospital where 24-hour medical supervision and constant monitoring is required, e.g. ITU, ICU and CCU.

•

Acute care provided in a hospital or other medical facility where medical supervision and monitoring is required, e.g. general medical and surgical wards.

•

A domestic area, i.e. home healthcare.

•

Outpatient care.

•

The use of head down Tilt or foot down Tilt may be contraindicated for certain medical conditions. The tilt facility shall only be used under the guidance of a clinically qualified person after assessment of the patients condition.

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This bed is not suitable for patients weighing less than 40kg. The maximum recommended patient weight is 145kg.

The safe working load of the bed is 180kg. The safe working load is calculated as follows (in accordance with EN 60601-2-52): Maximum patient weight …………………..…… 145kg Mattress ………………………………………….. 20kg Accessories (including attached loads) …….… 15kg TOTAL …………………………………………… 180kg

WARNING If the combined weight of the mattress and accessories exceeds 35kg, the maximum patient weight must be reduced accordingly.

The recommended patient height is between 146cm and 190cm. At the discretion of the carer, patients taller than 190cm may be accommodated by extending the bed - refer to “Extending the bed” in Chapter 4. Ensure that the patient’s height does not exceed the “extended length” shown in Chapter 10 Technical Data.

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3. Assembly and Installation WARNING The bed sub-assemblies are heavy. Take appropriate precautions to prevent injury when moving or lifting them. Before commencing assembly, make sure the brakes are applied on all four bed castors. The assembled bed should be positioned so that the mains plug can be reached easily if it needs to be disconnected from the electricity supply. Read these instructions and understand them before you begin to assemble the bed. Work on a suitable surface (e.g. carpet) to prevent damage to the bed components. Make sure you have sufficient space before commencing assembly – the work area must be large enough to turn the bed upright once it is fully assembled.

WARNING Always use the 5mm Allen (hexagon) key supplied when fitting the socket head screws. Using other tools may result in the screws not being fully tightened.



The foot end and head end panels are almost identical. The foot end panel can be identified by the “ArjoHuntleigh” and “Minuet 2” badges attached to it.

The various parts of the bed are moved by electrical devices called actuators. Actuators are positioned at either end of the bed and control bed height. Two actuators are fitted underneath the mattress platform and control the backrest and leg sections. The actuators, control handset and mains cable, are connected to a control box, which is fixed onto the backrest actuator together with the backup battery. 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 at least 24 hours to fully recharge the battery. The bed should be connected to the electricity supply at all times during normal use to keep the backup battery fully charged. Failure to follow these guidelines may reduce the life of the battery.

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Mattresses WARNING Always use a mattress of the correct size and type. Incompatible mattresses can create hazards. Entrapment hazards may exist when using a very soft mattress, even if it is the correct size. Read the instructions for use supplied with the mattress. Where the maximum patient weight specified for the mattress is different to that specified for the bed, the lower value applies. To ensure compliance with EN 60601-2-52, an approved ArjoHuntleigh mattress should be used. Compliance with this standard when using other mattresses must be validated by the user. A label on the mattress platform indicates the supported mattress height when used without safety sides or standard height safety sides:

Mattress size label If fitted, a label on the safety side will indicate if a different mattress height can be used safely: Product Code

Mattress Thickness 150mm

Safety Side Type

CM-ACC00-1.52 Full Length Standard Height Wooden Safety Sides (Grey/Beech) CM-ACC00-3.52 Full Length Standard Height Wooden Safety Sides (Brown/Beech) CM-ACC01-1.52 Full Length Standard Height Wooden Safety Sides (Grey/Cherry) CM-ACC00-1.14 Full Length Extra Height Wooden Safety Sides (Grey/Beech) CM-ACC00-3.14 Full Length Extra Height Wooden Safety Sides (Brown/Beech) CM-ACC01-1.14 Full Length Extra Height Wooden Safety Sides (Grey/Cherry) CM-ACC01-3.14 Full Length Extra Height Wooden Safety Sides (Brown/Cherry) Height Extension for Full Length Standard Height Wooden Safety CM-ACC02-1.52 Sides (grey). Use with overlay between 110-115mm thick Height Extension for Full Length Standard Height Wooden Safety CM-ACC02-3.52 Sides (brown). Use with overlay between 110-115mm thick CM-ACC04-1.52 Full Length Standard Height Steel Safety Sides CM-ACC06-1.52 Steel 3/4 Length Standard Height Folding Safety Sides CM-ACC07-1.52 Steel Extra Height Folding Safety Sides CM-ACC22-1.52 Egress Assist Rail Standard Height (Grey)

150mm 150mm 172mm 172mm 172mm 172mm

CM-ACC23-1.52 Egress Assist Rail Extra Height (Grey)

172mm

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150mm 150mm 150mm 150mm 172mm 150mm

Mattresses and safety sides 

When choosing bed and mattress combinations, it is important to consider the use of safety sides (where fitted) 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: •

If the bed is fitted with standard safety sides, a foam mattress up to 150mm thick can be used.

•

If the bed is fitted with extra-height safety sides, a foam mattress up to 172mm thick can be used.

•

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. Other makes of specialist mattress replacement must be assessed individually prior to use to verify sufficient clearance is maintained.

•

Only use a mattress overlay when combined with Full Length Standard Height Wooden Safety Sides (CMACC00-1.52, CM-ACC00-3.52 or CM-ACC01-1.52) and Safety Side Height Extensions CM-ACC02-1.52 or CMACC02-3.52(see page 29). With this combination the bed can be fitted with a mattress up to 150mm and an overlay between 110mm and 115mm.

•

To ensure compliance with EN 60601-2-52, an approved ArjoHuntleigh mattress should be used. Compliance with this standard when using other mattresses must be validated by the user.

For more information on suitable mattresses and mattress replacements, contact your local ArjoHuntleigh office or approved distributor. A list of ArjoHuntleigh offices can be found at the back of this manual.

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Assembling the bed

The bed is supplied in four main sections, fixed together on two transit brackets (A) for ease of transportation. Remove the cardboard packing block and plastic tie between the mattress platform sections.

1

Lift the two mattress platform sections off the transit brackets and lay them on the floor. The foot end mattress platform section must be lifted off the transit brackets before the head end section. A

B

A

2

B

Remove the two socket head screws (B) from one of the transit brackets (A). Remove the second transit bracket, taking care not to allow the end panel sections to fall. Keep the four socket head screws safe. Two other socket head screws are fitted to holes in the mattress platform sections – remove these before starting assembly. The six socket head screws will be used in assembling the bed. Store the two transit brackets and packaging in a safe place.

WARNING Do not allow the end panel sections to fall when the transit brackets are removed. 746-396-UK-13

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Lay the head end panel section on the floor with the two arms on the frame (C) pointing outwards towards the right as shown.

3

C

Position the bed so that you can work on the underside of the mattress platform whilst assembling the bed. This will make it easier to connect the actuators to the control box.

D

E

D

4

Slide the two side tubes of the head-end mattress platform section over the arms on the head end panel assembly. Fit socket head screws into the two holes (D) on the underside of the head end mattress platform and fix the sections together, fitting the bottom screw first. Tighten both screws firmly.

 Use suitable packing material, e.g. cardboard, to raise the mattress platform sections off the floor by about 1cm; this will help in aligning the fixing holes correctly. Unwrap the mains cable from around the slot (E) on the head end mattress platform section.

WARNING Take care not to pinch hands or fingers, or trap any cables, when sliding the bed sections together.

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F E

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F

Assemble the foot end mattress platform to the head end mattress platform by sliding the two parts together. Make sure the slot in the head end section (E) locates over the bar in the foot end section. Fit socket head screws into the two holes (F) on the underside of the foot end mattress platform to fix the sections together, fitting the bottom screw first. Tighten both screws firmly.

G

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H

G

Assemble the foot end panel to the bed, lining up the fixing holes in the arms with the fixing holes (G) in the foot end mattress platform section. Fit two socket head screws into the holes to fix the two sections together, fitting the bottom screw first. Tighten both screws firmly.

 The foot end mattress platform section has two sets of fixing holes. Use the ones closest to the crossbar as shown. The other holes (H) are used if it is necessary to extend the bed.

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I

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J K Plug the curly cable (I) into the head end height actuator (J). Make sure the plug is fully inserted in the socket. Push in the cable retaining clip (K) until it “clicks” into place. Repeat this procedure for the foot end height actuator.

L M

N

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Squeeze together the split ends of the retaining pins (L) and (M), and partially push them out of the head end cable channel (N) as shown, above left. Do not allow the cables to spring out of the channel. Carefully straighten out the cable(s) from the foot end section, and position them in the head end cable channel alongside the other cables. Refit the two retaining pins to hold all the cables in place within the head end cable channel.

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9

P

O

Insert a small flat-bladed screwdriver into the two slots (O) and prise open the clips holding the retaining strip (P) onto the control box. Pull off the retaining strip and keep it safe. Do not unplug the cables connected to the control box sockets marked 1 and 3.

Q

10

Plug the cable labelled 2 into the control box socket marked 2. Plug the cable labelled 4 into the control box socket marked 4. Make sure all the actuator plugs are pushed fully into their sockets and that the sealing rings (Q) are not visible.

Plug the control handset into the control box socket marked with the symbol shown on the left. Make sure the handset plug is pushed fully into the socket and that the sealing ring is not visible.

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The label on the control box indicates the function of each socket:

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Thread the cables from the actuators and control handset through the holes in the retaining strip. Push the retaining strip over the connector plugs, until the two lugs on the retaining strip “click” into position in the two holes in the control box.

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The retaining strip will also help to secure the backup battery in position.

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•

Check that all six socket head screws holding the bed sections together are fully tightened.

•

Carefully turn the bed upright onto its castors.

•

Remove the plastic ties used to secure the backrest and leg sections to the bed frame during transit.

•

Connect the mains plug to a suitable outlet socket.

•

Install the mattress retainers on the backrest and leg sections refer to Chapter 5 for fitting instructions.

•

Refer to Chapter 4. Check that all the bed’s electrical functions operate satisfactorily over their full range of movement. Make sure that no cables become stretched or trapped in the bed mechanism during operation.

•

Install a suitable, compatible mattress on the bed.

The bed is now ready for use. Read the following chapters for guidance on using the bed and fitting the optional accessories.

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