AvantGuard 1600 LI160Ax User Manual Rev 007

PROPRIETARY AND CONFIDENTIAL DRAFT: 28 October 2011 Manufacturer: Hill-Rom S.A.S. B.P. 14 - Z.I. du Talhouët 56330 PLUVIGNER - FRANCE Tel: + 33 (0)2 97 50 92 12 Fax: + 33 (0)2 97 50 92 03 www.hill-rom.com Seventh edition First printing 2008 Printed in Europe 149214 Rev.007/September 2011 The information contained in this manual is confidential and may not be reproduced or divulged in any form or by any means without the prior written permission of Hill-Rom. Hill-Rom®, AvantGuard®, Duo® 2, EasyChair®, Simcair®, Respistar®, Primo™, ClinActiv® and Zephyr™ are registered trademarks of Hill-Rom Services, Inc. Thermo Contour® is a registered trademark of Barrington Healthcare International Ltd. Hill-Rom reserves the right to make changes to the design, characteristics and models without prior notice. The only warranty HillRom makes is the express written warranty extended on the sale or rental of its products. To order copies of this manual, refer to the last page, identify your national Hill-Rom representative and order the article with the part number 149214. Certain photographs in this manual are not contractual. © 2011 by Hill-Rom Services, Inc. ALL RIGHTS RESERVED.

149214(7) - AvantGuard® 1600 Electric bed User Manual

PROPRIETARY AND CONFIDENTIAL DRAFT: October 28, 2011

Chapter 1: Introduction Definition of symbols... 1-1 General bed symbolization... 1-2 Applications... 1-4

Introduction Overview

Before placing the patient on the bed... 1-4 Bed model and country of use... 1-4 Installation... 1-5

Symbol definitions Installing the bed

Table of Contents

First-time installation... 1-5 Connection to the Mains Power Supply... 1-5 Chapter 2: Product overview Introduction... 2-1

Accessories Safety, Precautions

Split siderails... 3-1 Patient position reference mark... 3-4 CPR... 3-4 Electrical function controls... 3-5 Electrical function management... 3-6 Raising/lowering the sleep surface... 3-8 Bed not in lowered position indicator... 3-9 Raising/lowering the head section... 3-9 Raising/lowering the thigh section... 3-11 Return to flat sleep surface... 3-11 Electric Trendelenburg/Reverse Trendelenburg... 3-12 Securing the power cable... 3-13 Brake and steer system... 3-14 Equipotential terminal... 3-17 Restraining strap attachment points... 3-18 Sleep surface... 3-19 Casters... 3-19

Cleaning, maintenance, Spare parts

Chapter 3: Instructions for use Standard functions... 3-1

Use

Functional Symbols... 2-1 Overview... 2-9

Specifications, Warranties

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PROPRIETARY AND CONFIDENTIAL DRAFT: October 28, 2011 Equipment varies depending on bed model*... 3-20 Side control pendant*... 3-20 Foot control pendant*... 3-21 Control unit on a flexible arm*... 3-22 Patient head siderail keypad*... 3-23 Caregiver foot siderail keypad*... 3-24 Caregiver head siderail keypad*... 3-24 Bilateral HiLow pedal with caregiver mode*... 3-24 Caregiver mode foot control*... 3-25 Foot section... 3-25 EasyChair®* position... 3-26 Shock position (emergency Trendelenburg)*... 3-27 Weigh system*... 3-28 Foot end bed extension*... 3-34 Linen holder*... 3-34 Handling the headboard and footboard... 3-35 Battery backup*... 3-38 Accessory support bar*... 3-39 Medical device support rail*... 3-39 X-ray-transparent head section*... 3-40 Chapter 4: Cleaning, maintenance and spare parts Cleaning... 4-1 General Cleaning... 4-1 Safety recommendations... 4-1 Dry steam cleaning... 4-2 Recommendations for cleaning and disinfection... 4-3 Maintenance... 4-6 Safety Recommendations... 4-6 Preventive maintenance... 4-6 Chapter 5: Accessories Accessories... 5-1 Accessory holder recap (accessory support bar/medical device support rail)... 5-4 Patient helpers... 5-5 Telescopic IV pole... 5-8 Fixed IV pole with two hooks (AD147A)... 5-9 Page ii

149214(7) - AvantGuard® 1600 Electric Bed User Manual

Accessories Safety, Precautions Specifications, Warranties

Page iii

Cleaning, maintenance, Spare parts

149214(7) - AvantGuard® 1600 Electric Bed User Manual

Use

Braking and steering... 6-1 Electric Trendelenburg/Reverse Trendelenburg and position “Shock” . 6-1 Built-in split siderails... 6-2 Bed position... 6-3 Adjustable head section... 6-3 Mattress... 6-4 Cleaning and recommended cleaning fluids... 6-5 Electrical function management... 6-5 Electrical safety precautions... 6-6 Abnormal use... 6-7 Parts and accessories... 6-8 Patient helpers... 6-8 De-commissioning... 6-8 Transport, storage... 6-9 Instructions for use... 6-10

Introduction Overview

Chapter 6: Safety tips and precautions Safety tips/General precautions for use... 6-1

Symbol definitions Installing the bed

PROPRIETARY AND CONFIDENTIAL DRAFT: October 28, 2011 Monitor Stand (AD128A)... 5-9 Oxygen cylinder holder (AC959A/AD101A/AD102A)... 5-10 Removable frame (AD142A)... 5-11 Label holder (AC923A)... 5-12 Equipotential cable (AD968A)... 5-12 Syringe-driver tray (AC963A)... 5-13 Control unit on flexible arm with/without EasyChair® (AD218A/AD219A)... 5-13 Side control pendant with/without EasyChair® (AD220A/AD221A) . 5-14 Connection kit for control pendant (AD225A)... 5-14 5th wheel with controlled release (AD180A)... 5-15 Accessory support rail (head end) (AD216A)... 5-15 Drainage bag attachments (foot end) (AD215A)... 5-17 Perfusion line manager (AD222A)... 5-18 Bilateral HiLow pedal with caregiver mode (AD171A)... 5-18 Caregiver mode foot control (AD179A)... 5-19 Mattress... 5-20

PROPRIETARY AND CONFIDENTIAL DRAFT: October 28, 2011 Chapter 7: Specifications and warranty Specifications... 7-1 Technical specifications... 7-1 Dimensions... 7-2 Specifications... 7-2 Electromagnetic conformance... 7-3 Complies with electromagnetic emission standards... 7-3 Compliance with electromagnetic immunity... 7-3 Recommended separation distances... 7-6 Warranty and after sales service conditions... 7-7 Compliance... 7-7 Declaration of conformity... 7-8

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149214(7) - AvantGuard® 1600 Electric Bed User Manual

PROPRIETARY AND CONFIDENTIAL DRAFT: 28 October 2011

Definition of symbols This manual contains different typefaces and icons designed to improve readability and increase understanding of its content. Here are some examples: • standard text: normal character style used for regular information, • boldface text: emphasizes a word or phrase, • NOTE: sets apart special information or clarifications on important instructions. • The symbols below represent different risks or hazards: Symbol

Description Warning/Caution

• WARNING: identifies situations or actions that may affect patient or user safety. Disregarding a warning could result in patient or user injury. • CAUTION: highlights certain procedures or precautions that personnel must follow to avoid equipment damage. Caught Hazard Warning

Chemical Hazard Warning

Electric Shock Hazard

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Symbol definitions Installing the bed

Chapter 1 Introduction

PROPRIETARY AND CONFIDENTIAL DRAFT: 28 October 2011

General bed symbolization Symbol

Description Attention, read the safety instructions carefully. Caution: to prevent electric shock, do not remove cover. Refer to the service manual. This box contains lead acid batteries. Check before disposal for compliance with the local environmental policy. No battery

Keep area clear of objects DO NOT BIN, follow the local recycling regulations. Danger - abnormal use Recyclable Material

Safety Earth

Equipotential terminal

Type B device Direct Current Page 1 - 2

149214(7) - AvantGuard® 1600 Electric bed User Manual

PROPRIETARY AND CONFIDENTIAL DRAFT: 28 October 2011 Symbol definitions Installing the bed

Alternating Current Earth leakage circuit breaker rating Safe working load Maximum patient weight EC directive 93/42/EEC compliant bed NF MEDICAL “Hospital beds” compliant

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PROPRIETARY AND CONFIDENTIAL DRAFT: 28 October 2011

Applications The “AvantGuard® 1600 LI160A2” medical beds with emergency Trendelenburg/Reverse Trendelenburg are variable-height beds for intensive care, for adult patients (emergency Trendelenburg function with battery backup is a mandatory requirement: SHOCK). They are also designed for medical, post-operative and obstetric wards administering intensive care and for the application of advanced specialised techniques, the easy intervention of caregivers, the use of monitoring equipment and the transfer of patients (examination wards, etc.) The “AvantGuard® 1600 LI160A1” medical beds with comfort Trendelenburg/Reverse Trendelenburg are variable height beds for general medical care for adult patients. They are designed for medical, post-operative and obstetric wards administering general care and for the easy intervention of caregivers, the use of monitoring equipment and the transfer of patients (examination wards, etc.).

Before placing the patient on the bed Carry out individual risk assessments including but not limited to: • caught hazard, • potential falls from the bed, • patient in state of confusion, • patient's learning ability, • children (under 12 years of age or under 1.46 m), • persons lacking the mental capacity to recognise unsafe actions, • unauthorised persons. All persons having access to the bed’s controls must be capable of using them in a safe and controlled manner. In case of doubt, the bed’s controls must be locked.

Bed model and country of use Certain bed features may be available or not, depending on the destination country. These features are identified with an asterisk (*). To identify your bed model and serial number (HRP000000), refer to the identification label (See “Overview” page 2-9). Your bed, P/N LI160Ax, is composed of a chassis/sleep surface (reference: CS160Ax) and two endboards (a headboard and a footboard).

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149214(7) - AvantGuard® 1600 Electric bed User Manual

PROPRIETARY AND CONFIDENTIAL DRAFT: 28 October 2011 Symbol definitions Installing the bed

Installation First-time installation Before using the bed, it is essential to have a thorough understanding of this manual. This manual contains instructions for general use and maintenance and the guarantees for improved safety. Caregivers must have access to this manual. Caregivers must be informed of the risks related to the use of electric beds. The many sources and types of accessories, hardware, or medical devices that may be used together with this bed prevents Hill-Rom from being able to guarantee both the safety and conformity of all possible combinations of use. It is therefore the operator who creates these device combinations who must ensure that safety and conformity requirements are met. Before installing the bed for the first time and after bringing the bed and its accessories out of storage: • wait until the bed and its various parts reach room temperature, • remove the transport chocks used to block the weigh system* (if the bed is fitted with this function), • connect the bed to the mains power supply (See “Connection to the Mains Power Supply” page 1-5), • wait 12 hours until the battery is fully charged before using the bed without the mains power supply, • make sure that all of the beds functions are working properly, • make sure that the bed has been cleaned and disinfected (See “Cleaning” page 4-1).

Connection to the Mains Power Supply The mains power supply for the bed must comply with the relevant standards: • NF C 15-100 and NF C 15-211 (France), • IEC 364 (International Electrotechnical Commission) for other locations. Check that the bed’s voltage rating as indicated on the identification label (See “Overview” page 2-9) corresponds to the voltage supply of the hospital. The power supply should be equipped with an earth leakage circuit breaker rated at 30 mA maximum, in compliance with IEC 364-5-53.

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PROPRIETARY AND CONFIDENTIAL DRAFT: 28 October 2011 NOTES:

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149214(7) - AvantGuard® 1600 Electric bed User Manual

PROPRIETARY AND CONFIDENTIAL DRAFT: 28 October 2011

Chapter 2 Product overview Introduction Manual Controls The following labels located next to the relevant control identify manual operations. Emergency lowering of head section (CPR))

Mechanically adjustable foot section*

Angle Indicators Trendelenburg/Reverse Trendelenburg

Head section

NOTE: These indicators are not measuring devices.

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Introduction Overview

Functional Symbols

PROPRIETARY AND CONFIDENTIAL DRAFT: 28 October 2011 Warning and safety labels No objects label

This label indicates that nothing should be left on the frame. Headboard positioning label

This label shows how the correct position of the headboard can be checked. Brake/steer bar position (foot end)

This label shows the three positions of the brake/steer bar. • STEERING •

NEUTRAL

•

STOP No Hand Placement Label

This label shows where hands should not be placed. Locking out electrical functions

Lockout on: reduced risks due to movements (see page 6-5).

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149214(7) - AvantGuard® 1600 Electric bed User Manual

PROPRIETARY AND CONFIDENTIAL DRAFT: 28 October 2011 Linen holder* label

Do not use the linen holder as a seat, as a foot step, or exceed the maximum load that can be placed on it. Introduction Overview

Patient helper position label

4 1 2

3

This label indicates the following positions: • position 1 (blue): tuck-away position, • position 2 (blue): normal (egress) position, • position 3 (yellow): patient transfer aid position, • position 4 (red): “incorrect”, risk of bed tipping. NOTE: Refer to “Adjustable patient helper (AD081)” page 5-5 for the correct installation of the patient helper and for instructions on safe use. “Oxygen tents prohibited” label

This label indicates that the bed must never be used with an oxygen tent or in explosive atmospheres (presence of inflammable gases or vapors). Use only nasal tubes and oxygen masks. For reasons of safety, masks and tubes should always be kept at a higher level than the sleep surface.

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PROPRIETARY AND CONFIDENTIAL DRAFT: 28 October 2011 Mattress dimensions label

This label shows the recommended mattresses for optimal patient safety. Authorisation label for the foot control pendant*

This label indicates that only caregivers are authorised to use the foot control pendant. Endboard lock label

This label indicates that the endboard handles must always be in the locked position.

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149214(7) - AvantGuard® 1600 Electric bed User Manual

PROPRIETARY AND CONFIDENTIAL DRAFT: 28 October 2011 Instructions label for the weigh system*

Introduction Overview

This label, which is located close to the weigh system keypad, gives instructions on the correct use of the weigh system. The following labels show that the Class III weigh system is certified: – OIML R76/EN45501 – EEC 09/23 Metrological certification label of the weigh system*

In-service inspection label*

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PROPRIETARY AND CONFIDENTIAL DRAFT: 28 October 2011 Latitude/altitude label*

This label is affixed by the manufacturer, Hill-Rom. It shows the geoposition data used to adjust the terrestrial gravity value to the place of use after delivery. If the bed is moved to another place of use, refer to local regulations to check whether the terrestrial gravity setting needs to be adjusted. Earth protection value label

This label shows the earth electrical continuity values and earth leakage current values.

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149214(7) - AvantGuard® 1600 Electric bed User Manual

PROPRIETARY AND CONFIDENTIAL DRAFT: 28 October 2011 Electrical controls Symbol

Name

Symbol

Name

Raise/Lower HiLow

Lock/Unlock HiLow

Raise/Lower head section

Lock/Unlock adjustable head section

b

Raise/Lower thigh section

Lock/Unlock adjustable thigh section b

Raise/Lower foot section

Set to SHOCK position (emergency Trendelenburg)

Reverse Trendelenburg

Trendelenburg

Return to flat position

Bed not in lowered position indicator

a

a, b

b

b

b

Set to EasyChair position

Switch on and power on indicator light

Control lock/unlock key

Battery charge indicator

a,b

b, c

a,b

Zero indicator (-/+ 0.25e )

Zero setting/tare balancing

Temporary indicator (100 g intervals) and indicator light

Changing items and indicator light

a, b

a, b

Weigh patient

a, b

a, b

a, b

a. Equipment varies depending on bed model. b. Function available only to caregivers. c. This may be an indicator or a control button, depending on its position.

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Introduction Overview

b

PROPRIETARY AND CONFIDENTIAL DRAFT: 28 October 2011 Bilateral HiLow pedal with caregiver mode* Raise

Lower

Function management key under the pedal* (reserved for caregivers)

Caregiver mode pedal*

Function management key under the pedal* (reserved for caregivers)

Power supply unit Battery installed This label confirms that the bed’s operational functions remain available in the event of a power outage.

No battery

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149214(7) - AvantGuard® 1600 Electric bed User Manual