Evolution LI156Ex User Manual Rev 002 Feb 2005

Information contained in this manual is subject to modification without notice and implies no obligation on the part of Hill-Rom®. No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, other than for the user’s personal use, without the prior written permission of Hill-Rom®. PLEASE NOTE Persons depicted in the illustrations may be shown working in non-standard working postures in certain situations, for reasons of clarity and visibility. Not all the photographs used in this manual are contractually binding.

MANUFACTURER Hill-Rom B.P. 14 – Z.I. du Talhouët 56330 PLUVIGNER - FRANCE Tel.: (33) 02 97 50 92 12 Fax: (33) 02 97 50 92 03

Version: February 2005

USER MANUAL

USE OF EVOLUTION LI156Ex BEDS The EVOLUTION line of hospital beds includes acute care beds (with mandatory Reverse Trendelenburg tilting) and general-purpose variable height hospital beds for general care, for use in intensive or postoperative care, in ICUs and General Medicine Wards. They can be used both for intensive and non-intensive care and with the highly elaborate techniques developed in special medical units. They are designed with the needs of the whole medical team in mind and facilitate the use of ICU and monitoring equipment and the transfer of patients to examination wards.

TABLE OF CONTENTS 0.

INTRODUCING YOUR MODEL

3

1.

SYMBOLS

5

1.1 1.2

GENERAL SYMBOLS FUNCTION SYMBOLS

5 6

2.

OVERVIEW

8

3.

INSTALLING THE BED

9

3.1 3.2 4.

FIRST STEPS CONNECTION TO THE MAINS POWER SUPPLY

INSTRUCTIONS FOR USE 4.1 SIDERAILS 4.2 ELECTRICAL FUNCTIONS 4.3 ELECTRICAL FUNCTION LOCK-OUT 4.4 SLEEP SURFACE 4.5 HEAD SECTION 4.6 KNEE SECTION 4.7 BRAKE AND STEER SYSTEM 4.8 EQUIPOTENTIAL TERMINAL 4.9 SECURING THE POWER CORD 4.10 HEADBOARD AND FOOTBOARD REMOVAL 4.11 FRAME 4.12 RESTRAINING STRAP POSITIONS 4.13 FOOT END BED EXTENSION (optional) 4.14 LINEN HOLDER (optional) 4.15 BATTERY (optional) 4.16 HAND PENDANT CONTROL SOCKET (optional) 4.17 BEDSIDE CABINET TRANSPORT (optional)

Evolution™ Electric Bed LI156Ex QD1532A(2)

9 9 10 10 12 14 15 17 20 22 23 24 24 25 26 26 27 27 27 28

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USER MANUAL

4.18 LOCKOUT SWITCHES PROTECTION 5.

ACCESSORIES

30

5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8

PATIENT HELPERS VARIABLE HEIGHT I.V. POLE END-BOARD FRAMES (AC930A) BED EXTENSION PANEL (AC992A) EQUIPOTENTIAL CABLE (AC968A) HEADBOARD TRAY (AD083A) HAND PENDANT CONTROL (AD091A) BILATERAL VARIABLE HEIGHT FOOT PEDAL (AD090A) 5.9 HAND PENDANT CONTROL SOCKET (AD089A) 5.10 SIDERAIL PROTECTIVE COVER (AD113A) 5.11 OXYGEN CYLINDER HOLDER (AC959A-AD101A-AD102A) 5.12 ACCESSORY HOLDER 6.

CLEANING 6.1 6.2 6.3

8.

SAFETY TIPS MAINTENANCE ABNORMAL USE TRANSPORT AND STORAGE DE-COMMISSIONING

SPECIFICATIONS

40 41

45 45 50 52 53 53 54 54 55

WARRANTY AND AFTER SALES SERVICE

10. STANDARDS COMPLIANCE

2

39 39 39

SAFETY RECOMMENDATIONS 42 GENERAL ADVICE 42 CLEANING AND DISINFECTING RECOMMENDATIONS 43

8.1. STANDARD FEATURES 8.2 DIMENSIONS 9.

30 33 35 35 36 36 37

42

7. SAFETY TIPS AND PRECAUTIONS 7.1 7.2. 7.3. 7.4. 7.5.

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56 57

Evolution™ Electric Bed LI156Ex QD1532A(2)

USER MANUAL

0. INTRODUCING YOUR MODEL Version LI156Ex

Frame

90 x 200 cm Laminated Hard surface

Yes

Electrical function lock-out

Yes

Adjustable bed-height

Yes

Adjustable head Section

Head Section “CPR” Comfort adjustment

Yes Yes

Adjustable knee section

Power-driven with Auto-contour

Yes

Mechanical

Yes

Adjustable leg section Integral siderails

Yes

Central brake and steer system

Yes

Castors

INTRODUCING YOUR MODEL

Sleep surface dimensions

Ø 150 Single band castors

OPTIONS Trendelenburg / Reverse Trendelenburg (mandatory for acute care) Integral bed extension Integral linen holder Additional control connections Bilateral variable height foot pedal Battery-driven operation Cover for lock-out unit Castors

Ø 150 Double band castors Ø 150 Antistatic double band castors Ø 150 Antistatic single band castors Ø 150 Complete castors Ø 150 Antistatic complete castors

Directional castor at foot end of bed Bedside cabinet transport

Evolution™ Electric Bed LI156Ex QD1532A(2)

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USER MANUAL

INTRODUCING YOUR MODEL

ACCESSORIES AC907A : Raised urine holder AC908A : 2 receptacle bottle holder AC923A : Label holder AC930A : Removable frame AC932A : 3P 1L pivoting stainless steel bottle holder AC938A : 3P 1L pivoting stainless steel bottle holder AC953A : Chrome-plated I.V. hook AC959A : Oxygen cylinder holder AC961A : 3-litre bottle holder for frame AC962A : 3-litre bottle holder for foot end AC963A : Syringe-driver holder AC967A : Monitor stand AC968A : Equipotential cable AC991A : Triangular section drainage holder AC992A : Mattress for bedframe extension AD016A : Semi-spherical drainage holder AD080B : Chrome-plated patient helper AD081C : Chrome-plated adjustable patient helper AD082A : Stainless steel I.V. pole AD083A* : Head-end tray AD098A : Variable Height Electric pedal rd

AD090A : 3 control connection rd

AD091A : 3 control AD113A : Siderail protective cover AD165A : I.V. pole

* Incompatible with the bedside cabinet transport option

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Evolution™ Electric Bed LI156Ex QD1532A(2)

USER MANUAL

1. SYMBOLS 1.1

GENERAL SYMBOLS

DO NOT BIN

Please read carefully

Follow recycling procedure

Safety earth

DO NOT PLACE ANYTHING on this surface

SYMBOLS

Safety instructions:

Equipotential terminal

Class II device

Type B equipment

Direct current

Alternating current

Evolution™ Electric Bed LI156Ex QD1532A(2)

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USER MANUAL

1.2

FUNCTION SYMBOLS

1.2.1 Manual controls The following labels located next to the relevant control identify manual operations.

SYMBOLS

Adjustable Leg section Head Section “CPR”

Trendelenburg/Reverse Trendelenburg (option)

1.2.2 Brake and steer controls STOP

Steer

Brake

Neutral

1.2.3 Angle control 1.2.3.1 Bed without Bedside Cabinet Transport option

Reverse Trendelenburg availability area

Head Section

Knee Section

1.2.3.2 Bed with Bedside Cabinet Transport option

Rev. Trend. and Bedside Cabinet Transport availability area

Head Section

Knee Section

1.2.4 Electrical functions Nurse controls

Height adjustment

6

Head sect. adjustment

Knee sect. adjustment

Evolution™ Electric Bed LI156Ex QD1532A(2)

USER MANUAL Patient controls

Head Section adjustment

Knee section adjustment

Lock-out panels SYMBOLS

Electrical functions released

Electrical functions locked out

Variable Height bilateral pedal (optional) (accessory ref. AD098A)

Down

Up

Hand pendant control (accessory ref. AD091A)

Head Section adjustment – Autocontour

Evolution™ Electric Bed LI156Ex QD1532A(2)

Knee Section adjustment

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USER MANUAL

2. OVERVIEW

Removable headboard

Head Section halflength siderail.

Patient siderail Head Section and Knee Section control Leg Section half-length siderail Integral bed extension (*)

OVERVIEW

I.V. pole and patient helper sockets

Trendelenburg/ Reverse Trendelenburg control (*)

Nurse siderail controls: Variable Height, Head Section and Knee Section

Electrical function lock-out

Hand pendant control storage and socket (*)

Central brake and steer pedal 2 accessory holders

Additional accessory holder zone

Siderail positioning handle

Leg Section control handle.

Restraining strap positions

Head Section CPR handle

Equipotential terminal Reinforced corner post Headboard holders and power cord hook

∅ 150 mm castors

Identification label Battery (*)

Angle indicators

(*) option

8

Bilateral Variable Height foot pedal (*)

Chassis protecting cover

Horizontal symmetrical headboard for "bedside cabinet transport" (*)

Evolution™ Electric Bed LI156Ex QD1532A(2)

USER MANUAL

3. INSTALLING THE BED 3.1

FIRST STEPS

Before installing the bed for the first time or after bringing the bed and its accessories out of storage: -

Ensure that the bed and its various parts are at room temperature Connect the bed to the mains power supply (see sect. 3.2 below) Ensure that all the moving parts are in good working order Ensure that the bed has been cleaned and disinfected (see chapter 6).

3.2

CONNECTION TO THE MAINS POWER SUPPLY

The mains power supply for the bed must comply with French standards NF C 15-100 et NF C 15-211 (230V power point + earth) (France) and CEI 364 for other destinations. Check that the power supply of the bed (identification label – sect. 2) corresponds to the power supply voltage of the hospital. The power supply should be equipped with a maximum 30 mA earth leakage circuit breaker, in compliance with CEI 364-5-53.

Evolution™ Electric Bed LI156Ex QD1532A(2)

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INSTALLING THE BED

Before using the bed, it is essential to have a thorough understanding of this manual. It contains instructions for general use and maintenance and gives you the assurance of improved safety. Nursing staff must be informed of the risks encountered in the use of electric beds. The many sources and types of accessories, hardware or medical devices that may be used jointly with this bed do not enable Hill-Rom to guarantee both the safety and conformity of all the combinations thus created. The operator who creates these device combinations must therefore ensure that security and conformity requirements are met.

USER MANUAL

4. INSTRUCTIONS FOR USE 4.1

SIDERAILS

The siderails are part of the frame. They rotate into position by moving towards the head and foot of the bed in two stages (intermediate and fully raised). When the siderails are lowered, the width of the bed is reduced. When fully raised, the rails ensure patient protection and reduce the risk of falls. In the intermediate position, the rails can help a fully mobile patient get in and out of bed safely and comfortably.

INSTRUCTIONS FOR USE

3 2

1

Nursing staff must decide which rail position is best suited to the patient’s condition. With patients suffering from obsessive behavioural disorders, for instance, it may be better to leave: - the head section rails fully raised - the leg section rails in either an intermediate position or lowered. The Head Section rails should not be used in intermediate position if the Head Section is raised by more than 30°.

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Evolution™ Electric Bed LI156Ex QD1532A(2)

USER MANUAL Always ensure that there are no obstacles (patient’s limbs, objects, accessories, etc.) before raising or lowering a siderail.

4.1.1 Raising a siderail The siderails are located under the bed when not in use. To raise a siderail: -

Pull the rail out from under the bed until fully extended Rotate the rail upwards into the required position (intermediate or fully raised).

INSTRUCTIONS FOR USE

Ensure that the siderail has clicked into position.

CLICK

4.1.2 Lowering a siderail

To lower a siderail: - Hold the rounded end of rail firmly - Pull the beige-coloured lever located on the rail base - Rotate the rail downward into the required position (intermediate or low) - Release the lever - When the rail is fully lowered, push it back into position under the bed.

Evolution™ Electric Bed LI156Ex QD1532A(2)

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3

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USER MANUAL

4.2

ELECTRICAL FUNCTIONS

The power-driven features of the bed are controlled by panels located on the inner and outer sides of the Head Section siderails (patient controls and nurse controls respectively), by a bilateral variable height foot pedal (optional) or by a hand-held unit (accessory).

4.2.1 Controls

INSTRUCTIONS FOR USE

4.2.1.1 Patient controls Patients can use the controls located on the inner side of the Head Section rails to adjust: Head Section inclination and Auto-contour if available (see sect. 4.3) Knee Section Inclination. PLEASE NOTE:

The patient does not have access to the bed height adjustment control.

4.2.1.2 Nurse controls Nursing staff can use the controls located on the outer side of the Head Section rails to adjust: -

-

Bed height Head Section Inclination and auto-contour if available (see sect. 4.3) Knee Section Inclination.

PLEASE NOTE: Use of the nurse controls is reserved for nursing staff only.

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Evolution™ Electric Bed LI156Ex QD1532A(2)

USER MANUAL

4.2.1.3 Control identification Controls are identified in several ways: By colour: Light green arrow: Up Dark green arrow: Down Light brown (background): Patient controls Beige (background): Nurse controls. By embossment: Raised arrows (only for upward movements and on the siderail controls). Raised arrows

Light green

Dark brown

Dark green

4.2.2 Bilateral variable height foot pedal (optional). This pedal is located centrally under the bed chassis. Nursing staff can use this pedal to adjust bed height while keeping their hands free to deal with the patient.

Do not fit accessory AD011A to a LI156Dx or LI156Ex bed (see identification label) that features this option. This accessory may trap or damage the pedal and result in uncontrolled (undesirable) movements.

Evolution™ Electric Bed LI156Ex QD1532A(2)

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INSTRUCTIONS FOR USE

Beige

USER MANUAL

4.3

ELECTRICAL FUNCTION LOCK-OUT See Safety – General precautions for use, section 7.1

INSTRUCTIONS FOR USE

The electrical function lock-out panel can be used to lock out or to release the three power-driven functions either singly or simultaneously. Once a function is locked out, it can no longer be operated using the siderail controls, variable height pedal or hand pendant control.

Controls released Controls locked out To lock out an electrical function: .

- Switch the relevant control switch to lock: To release an electrical function: - Switch the relevant control switch to unlock:

.

IMPORTANT: Locking out the Knee Section adjustment control will also lock out the Auto-contour feature (see sect. 4.5.3.). Locking out the height adjustment control will also lock out the Reverse Trendelenburg option when the bed is in a raised position. Locking out the Head Section does not lock out the Auto-contour Knee Section. When the patient is restrained by the straps, the electrical functions must be locked out.

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Evolution™ Electric Bed LI156Ex QD1532A(2)

USER MANUAL

4.4

SLEEP SURFACE

4.4.1 Power-driven variable height adjustment

or

Sleep surface height can be adjusted using the nurse controls, the hand pendant control or the bilateral foot pedal (optional).

4.4.2 Variable Height bilateral pedal (option). This pedal is located centrally under the bed chassis. Adjust the height of the sleep surface by: - pressing your foot on the corresponding control arrow.

Down

Up

The Variable Height pedal uses the same colours as for the siderail controls (see section 4.2.1.3). Do not fit accessory AD011A to a LI156Dx or LI156Ex bed (see identification label) that features this option. This accessory may trap or damage the pedal and result in uncontrolled (undesirable) movements. Evolution™ Electric Bed LI156Ex QD1532A(2)

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INSTRUCTIONS FOR USE

Always ensure that there are no objects or children under the bed before operating the sleep surface height adjustment control. - Make sure that the bed and accessories (patient helper, I.V. pole, etc.) cannot strike any fittings (light fittings, service shafts, etc.). - Make sure that the patient's arms and legs do not jut out from the sleep surface.

USER MANUAL

4.4.3 Trendelenburg/Reverse Trendelenburg (Optional)

INSTRUCTIONS FOR USE

(mandatory for acute care) The sleep surface may be tilted towards the head of the bed (Trendelenburg tilt) or towards the foot of the bed (Reverse Trendelenburg tilt). Positions may be indexed and pegged. Maximum tilt can be obtained when the sleep surface is positioned within the limits found in the table on the next page. To tilt the sleep surface: - For the Bedside Cabinet Transport option, release the brakes, move the bed away from the wall, then apply the brakes - Unlock the safety catch by pulling the lever located behind the footboard handle - Tilt the sleep surface in the position required - Release the safety catch lever - Hold the bed by the footboard rail and tilt slightly until it locks into position (a click is heard).

NOTE:

Nursing staff are advised to keep the bed at mid-height when moving patients: Trendelenburg/Reverse Trendelenburg tilting will then remain possible even in the event of power failure or of the battery being flat. Reverse Trendelenburg tilting is possible in the absence of a power supply when the bed is positioned between low and mid-height (manual operation as indicated on the yellow label located on the elevator arm.

Reverse Trendelenburg availablility zone Mid-position Low position Bedside cabinet transport

High position

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Evolution™ Electric Bed LI156Ex QD1532A(2)

USER MANUAL Trendelenburg/Reverse Trendelenburg with or without power supply (mains or battery) Bed position: high

Bed position: low

Bed position: mid-height

Power on

Trendelenburg / Reverse Trendelenburg possible

Raise bed to use Trendelenburg / Reverse Trendelenburg tilting

Trendelenburg / Reverse Trendelenburg possible

Power off (mains and battery)

Trendelenburg possible

Reverse Trendelenburg possible

Trendelenburg / Reverse Trendelenburg possible

* Raise the bed to obtain the possibility of Trendelenburg

4.5

HEAD SECTION Ensure that there are no obstacles (patient’s limbs, power cables, objects or accessories) before using this feature.

4.5.1 CPR release The Head Section CPR release is activated by disabling the adjustment drive in CPR emergency situations. The release is cushioned.

Evolution™ Electric Bed LI156Ex QD1532A(2)

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INSTRUCTIONS FOR USE

Before using this feature, always ensure: - That the bed extension (optional) is secured - That there are no objects or children under the bed. If the sleep surface is not flat and the patient is heavy or the bed has an air or water mattress, this operation should be carried out by two people. - Make sure that the bed and accessories (patient helper, I.V. pole, etc.) cannot strike any fittings (light fittings, service shafts, etc.). - Make sure that the patient's arms and legs do not jut out from the sleep surface. - The Trendelenburg/Reverse Trendelenburg function cannot be used when transporting a bedside cabinet on the bed. The nursing staff must ensure that the physiological state of the patient is compatible with these movements.

USER MANUAL

Use the two handles located under the Head Section behind each symbol to operate the CPR release.

INSTRUCTIONS FOR USE

To lower the Head Section: - Release the Head Section by pulling the CPR handle with one hand - Control the descent of the Head Section using your other hand as necessary NOTE: Due to the dampened motion and depending on the weight or position of the patient, it may be necessary to initially push down on the head section. - Release the handle when the Head Section is horizontal. The Head Section power drive is automatically re-enabled after the instant release system has been activated, whatever the position of the Head Section. The "CPR emergency release" function is unavailable when transporting the bedside cabinet on the bed. The nursing staff must ensure that the physiological state of the patient is compatible with these movements.

4.5.2 Head Section control or

or

or

Head Section adjustment can be activated by the patient / nurse controls or by the hand pendant controls. The "Up" button on the Head Section adjustment control activates the Auto-contour feature. The Knee section adjustment control should be locked out using the lock-out panel if only the Head Section height adjustment feature is required.

NOTE: When using the Bedside Cabinet Transport function, lock out the Head Section control. See precautions, section 4.17.

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Evolution™ Electric Bed LI156Ex QD1532A(2)