ARJOHUNTLEIGH Childminder 31300E-L & 31301E-L User Manual Dec 2008

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

WARNINGS Do not use accessories which are not designed or approved for use with the equipment. Always use a mattress of the correct size and which has been approved for use with the cot. Always apply the brakes when the cot is stationary. These cots are designed for infants and small children. For the safety of the patient, the clinically qualified person responsible should consider the age, size and condition of the child before deciding that the cot is suitable for use. Always make sure that the operating handset is stored away in the compartment provided and is secured to prevent patient access.

1. Introduction This manual gives instructions for the use and maintenance of Huntleigh Healthcare Childminder™ adjustable height children’s cots, model numbers 31300E/L and 31301E/L. Both models have adjustable sides, removable head and foot end, two way tilt, linked brake castors and electrically powered height adjustment. Model 31301E/L incorporates an adjustable backrest.

Model 31300E/L cot

3

2. Assembly The cot may be delivered in a partly disassembled form. Assemble using the following instructions. Components

Assembling the Cot

Check that for each unit you have the following items:a) 1 Main deck frame and electrical base assembly. b) 2 Side frame assemblies complete with safety sides and side panels. c)

1

Head end (incorporates adjustable backrest on model 31301E/L only).

d)

1

Foot end.

e)

8

M10 Socket screws.

f)

8

M10 Washers.

1. Stand the deck and electrical base assembly on a flat, level floor and apply the brakes. 2. Use the control handset to raise the deck to full height. It should be possible to do this using battery power. If not, temporarily connect the cot to the mains power supply. (See Section 3, Installation.) 3. Fit the two side frame assemblies (b) to the deck frame (with the laminated side panels on the inside), using the eight M10 socket screws (e) and washers (f). The screws will be stiff to turn as they are self locking. Do not fully tighten yet. 4. Raise one safety side fully so that the upper rail is touching both top leg lugs. While in this position, fully tighten the four M10 socket screws. Repeat this operation on the other side.

4

5. Install the foot end, passing it down through the tilt adjusting handle. Locate the pins on the upper rail in the small lugs at the top of the legs. Locate the bottom channel over the cross bar on the deck frame ensuring that the latch (B) is engaged.

6. Install the head end in the same manner as the foot end. On model 31301E/L, ensure that the backrest is inside the cot. 7. Check operation of the tilt mechanism. Check that safety sides can be raised and lowered easily and that side catches function correctly. On model 31301E/L, check the operation of the backrest adjustment mechanism.

5

3. Installation Unwind the mains supply cable from the cable tidy at the head of the cot and connect it to a suitable socket outlet.



A two -pin to three -pin mains safety adaptor (Part No. S5761) is supplied for UK use. If the cot is accidentally moved whilst connected to the mains supply, the lead and adaptor are designed to separate, preventing damage to the 3 pin plug or socket.

WARNING Do not attempt to insert the two-pin mains connector directly into a 13 amp mains outlet. Make sure that the mains cable is not stretched when connected. Make sure that the handset and mains cables cannot become entangled with moving parts of the cot.

Caution When the cot is to be moved, disconnect the mains cable from the socket outlet and store the cable on the cable tidy at the head of the cot. Always remove the cable from the cable tidy when it is connected to the power supply. An equipotential terminal in accordance with the requirements of IEC 601-1 (EN 60601-1) is provided on the mattress deck frame at the head end of the cot.

6

4. Operation Height Adjustment

The height of the cot is adjusted by means of push buttons on the control handset. When a button is pressed, the cot will move in the appropriate direction until the button is released or the limit of travel is reached.

Push button control handset

WARNING When not in use, the control handset should be kept in the storage compartment provided at the foot end of the cot. This compartment has a lock and key to prevent unauthorised use of the control handset. Make sure that the handset is pushed fully into its storage compartment to prevent the locking mechanism from damaging it.

7

Safety sides

Each safety side can be adjusted to three positions. To raise: Lift the side until the catches drop beneath the hooks at maximum, intermediate or low height, then let it down until the hooks are engaged on the catches. To lower: Lift the side slightly to disengage the hooks, raise both catches and allow the side to drop. When moving down from maximum height, the side will lock in the intermediate position unless you continue to hold the catches.

Cot safety side catches

8

Drainage Bag Rail

On each side of the cot is a rail (A) for the support of urine / drainage bags. There is a recess in the bottom rail of each safety side which allows it to be raised or lowered without interfering with the drainage tubes. Ensure that the drainage tubes are passed through both guide hooks (B) and (C) and behind the rail (D).

Drainage tube guides If the safety side is lowered the drainage tubes can be released from the guide hooks and the drainage bag can be passed through the bars of the safety side. This allows the patient to be removed from the cot without having to disconnect the drainage tubes.

9

Two-way tilt

There are eighteen selectable positions between 12° foot-up and 8° foot-down.

WARNING If an adjustable backrest is fitted, make sure the backrest is vertical and the head end is securely latched before operating the tilt mechanism. To adjust: Hold the bow-shaped handle firmly and push aside the child proof safety catch before squeezing the tilt operating lever. Adjust the tilt in either direction to the required angle. Let go of the lever and move the bow shaped handle up and down until the nearest fixed locking position is located.

Two way tilt adjustment

10

Castors and Brakes

There is a bow pedal located at the foot end of the cot that operates all linked castors simultaneously. When the pedal is in the horizontal position, the brakes are free and all the castors are able to rotate and swivel. When the pedal is pressed down, it applies the brakes on all four castors. When the pedal is lifted up, it engages one foot end castor (in line) so that it cannot swivel. The cot can then be pushed and steered from the head end.

FREE

BRAKE Castors, brakes and steering

11

STEER

Removable Head and Foot End

To remove: Release the latch by pressing the chrome button ‘B’ (in the centre of the deck frame cross bar) and lift off the end. To refit: Locate the pins on the upper rail in the small lugs at the top of the legs and locate the bottom channel over the cross bar on the deck frame, ensuring that the latch is engaged. If the head end has an adjustable backrest, install it with the backrest inside the cot.

Removable head or foot end

12

Adjustable Backrest 31301E/L only

Hold the backrest with one hand and use the other to operate the release lever. Adjust the backrest and let go of the lever to lock in the required position.

RELEASE LEVER

Adjustable backrest

WARNING Ensure that the backrest is vertical and the head end is securely latched before operating the tilt mechanism.

13

5. Cleaning WARNING Before cleaning, disconnect the cot from the mains power supply.

 Cleaning

These instructions also apply to accessories but not to mattresses. Wearing protective clothing, clean all surfaces with a disposable cloth soaked in hand-hot water and a neutral detergent. Start by cleaning the upper sections of the cot and work along all horizontal surfaces. Work methodically towards the lower parts of the cot and clean the wheels last. Take extra care when cleaning areas that may trap dust or dirt. Rinse with clean water and dry with disposable paper towels. Allow the cleaned parts to dry before replacing the mattress.

Disinfecting After cleaning the cot as described above, wipe all surfaces with sodium dichloroisocyanurate (NaDCC) at a concentration of 1000ppm (0.1 %) of available chlorine. In the case of pooling body fluids, e.g. blood, the concentration of NaDCC should be increased to 10,000ppm (1%) of available chlorine.

Cautions Do not use phenol based cleaning solutions. Do not use abrasive compounds or pads.

14

6. Maintenance The following preventive maintenance procedures should be carried out at intervals of 12 months.

WARNING Before commencing any maintenance activity, disconnect the cot from the electrical power supply. Avoid skin contact with lubricants. Rubber gloves and protective clothing should be worn when carrying out maintenance work. General

Examine the cot for obvious signs of damage. Make sure that all bolts, nuts and other fixings are tight and not missing

Safety Side Catches

Check that both catches swing freely and drop down to engage the hooks when released. If necessary, remove the safety side and remove the catches. Clean and re-grease the pivots with Shell Rhodina Grease 2 and reassemble the catches and the safety sides. Refer to Section 2, Assembly.

Castors and Brakes

Set the brake bow pedal to each position in turn and check that the brakes and steering lock are working efficiently. In the ‘free’ position, make sure that all four castors turn and swivel easily when the cot is moved. Brakes that fail to lock indicate that the castor is past its working life and should be replaced.

Tilt Mechanism

Check the tilt box mechanism for correct operation. If the tilt box fails to unlock this may be because the release cable has stretched. To remedy this adjust the two nuts which hold the outer cable close to the release lever. Loosen the nuts and take up the slack. Do not overtighten the cable. When operation is satisfactory, re-tighten the nuts. If the lock mechanism fails to engage, first make sure the cable is not over adjusted. Check the plunger and spring for freedom of movement. If it is sticking, clean and regrease with Shell Rhodina Grease 2.

15

Batteries

Every six months, the battery condition should be checked as follows:

WARNING Electrical equipment can be hazardous if misused. The control box covers should only be removed by an approved Huntleigh Healthcare service technician. 1.

Make sure that the cot has been connected to the Mains power supply for 24 hours.

2.

Disconnect the cot from the mains power supply.

3.

Apply a load of 20kg to the mattress platform.

4.

Raise and lower the mattress platform, from minimum to maximum height, three times.

5.

If the cot does not operate satisfactorily, it may mean that the batteries need replacing, consult a Huntleigh Healthcare service technician or agent.

16

7. Accessories, Fitting and Operation Adjustable Backrest

A replacement head end, model 31320, incorporating an adjustable backrest is available as an optional accessory for cot model 31300E/L. Fitting the replacement head end converts the cot to model 31301E/L. Refer to Section 4, Operation.

I.V. Drip Rod

A clamp-on I.V. bracket and rod model 31322 can be attached at the head or foot end as required. Attach the clamp to the rectangular, longitudinal member of the deck frame, between the leg and the guide rod and tighten the clamp screw firmly. Check that the safety side can move up and down without obstruction. Hold the telescoping rod firmly, loosen the locking collar (1) and adjust the telescopic rod to the desired height (2), then re-tighten the locking collar (3).

IV Rod - adjustment

17

Orthopaedic Fracture Frame Model 31321

Installation

The kit comprises: 2 off 6 off 1 off 1 off 4 off 4 off

703-146 518-44 518-45 518-34 518-17 518-20

fracture bow assembly short fracture fitting assembly longitudinal tube assembly cross tube assembly double fracture clamp assembly fracture clamp pulley assembly

Take a fracture bow assembly (703-146) and attach it to the legs of the cot frame, at the head end and with the lugs resting on the top of the cot legs. Tighten the clamps firmly.

Attach fracture bow (703-146) to cot frame Attach the second bow assembly to the foot end. Attach two double fracture clamp assemblies (518-17), open end uppermost, to the top of the bow assemblies one on each and near the middle (A). Install the longitudinal tube (518-45) in the fracture clamps (B). Arrange symmetrically and tighten both screws on each clamp. Install one or more short fracture fitting assemblies (518-44) on the longitudinal tube, pointing left or right as required. Secure the clamp tightly. At the head end or foot end as required, attach two short fracture fittings (518-44) - one on each leg of the cot and pointing outward. Adjust the fracture fittings to the same height and secure firmly. 18

Fracture clamp assembly (518-17) Attach two fracture clamps (518-17), open end uppermost, one to each of the fracture fittings. Install the cross tube assembly (518-34) in the clamps and tighten both screws on each clamp to secure.

Fracture frame components on the cot Attach the third fracture fitting (518-44) as and if required. Attach pulley clamps (518-20) as required. Secure the clamps tightly. Adjust the position of pulleys and other components to suit traction requirements. Always ensure that weights are correctly and securely attached to the traction cord. 19

C.D.H. Frame Model 31323

The specialised C.D.H. frame can be clamped onto the cot when needed. The kit comprises: 1 off 1 off 1 off 2 off

703-149 703-152 703-153 518-20

C.D.H. bow assembly C.D.H. bracket assembly L/H C.D.H. bracket assembly R/H Fracture clamp pulley assembly

Attach the pair of bracket assemblies (703-152 and 703153) to the legs of the cot, at the head and foot end, and on the same side. Fit the brackets with the clamping screws on the outside, the horizontal member uppermost and inside the cot. Adjust the brackets to the same height, just above the middle leg lug, and tighten all four clamp screws firmly. Attach the bow assembly (703-149) to the support brackets, adjust symmetrically and tighten clamp screws firmly.

CDH frame bracket assemblies Attach two pulley clamps (518-20) to the bow assembly. Secure the clamps tightly. Move the pulley clamps to any position around the bow as treatment requires.

20