Hill-Rom 900 LI900Bx User Manual Rev 009 Edition 9 May 2018

PROPRIETARY AND CONFIDENTIAL DRAFT: May 18, 2018 Hill-Rom S.A.S. 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 Edition 9: May 2018 First printing 2012

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®, Hill-Rom® 900, Navicare®, Duo® and ClinActiv® are registered trademarks of Hill-Rom Services, Inc. Accella™ is a registered trademark of Hill-Rom Services, Inc. Hill-Rom reserves the right to make changes to the design, characteristics and models without prior notice. The only warranty Hill-Rom 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 171051. © 2018 by Hill-Rom Services, Inc. ALL RIGHTS RESERVED.

171051(9) - Hill-Rom® 900 Electric Bed User Manual

PROPRIETARY AND CONFIDENTIAL DRAFT: 18 May 2018

Introduction, specifications

Page i

Decontamination, Maintenance

1710519 - Hill-Rom® 900 Electric Bed User Manual

Moving the bed

Electrical Functions... 35 Control pendants*... 35 Caregiver half-siderail* controls... 35 Patient half-siderail* controls... 36 Bilateral HiLow pedal with caregiver mode*... 36 Foot control pendant*... 36 Control unit on a flexible arm*... 36 Raising/lowering the sleep surface... 37 Raising/lowering the head and thigh sections... 38 Trendelenburg/Reverse Trendelenburg*... 39 Chair position*... 41 Place sleep surface flat... 41 Bed exit aid*... 42 Mechanical adjustable foot section*... 42 Patient helpers**... 43 Egress handles*... 46

Help with care

Mobilizing the patient

Securing the patient

Before placing the patient on the bed... 27 Mattress**... 27 Accessories... 30 Endboards... 32 Installing the endboards... 33 Endboard fastening system*... 33 Bed frame extension*... 34 Wall stop AD277A*... 34

Mobilizing the patient

Installing the patient

Installing the patient

The structure of the manual... 1 Symbol definitions... 2 Applications... 3 Bed model and country of use... 4 Safety and Usage Tips... 4 First use... 4 Risk prevention... 5 Electrical safety... 8 General precautions for the place of use... 9 Precautions for transport and storage... 10 Technical specifications... 11 Overview... 14 General Symbols... 18 Function Symbols... 19

Introduction Specifications

Table of Contents

PROPRIETARY AND CONFIDENTIAL DRAFT: 18 May 2018 Patient position monitor half-siderail control*... 47 NaviCare® system... 52

Securing the patient Siderails... 53 AD271B* siderails... 53 AD272B* siderails... 54 Removing the long siderails... 55 Installing the the long siderails... 55 Half-siderails*... 56 Space Filler panel (AD288A)**... 57 Fittings for the restraining strap handles... 58 Electrical function management... 60 Bed not in lowered position indicator... 61 Night light*... 61 CPR... 61 Equipotential terminal... 62 Equipotential cable (AD968A)... 62 Nurse call*... 62

Help with care Fixed IV pole (AD294A)... 63 Telescopic IV pole... 63 Linen holder*... 64 Drainage bag holder pins... 65 Oxygen Cylinder Holder (AC959A-AD101A-AD102A)... 66 Monitor stand (AD244B)... 67 Syringe-driver holder (AC963A)... 68 Line manager & support (AD286A)**... 68 X-ray-transparent adjustable head section (AD242A)**... 69

Movement/Transfer Brake and steer system... 73 Securing the power cable... 76 Removable frame (AD270B)... 76

Decontamination, Maintenance Decontamination of the bed... 77 Safety recommendations... 77 Recommendations for cleaning and disinfection... 77 Maintenance... 81 Safety recommendations... 81 Preventive maintenance... 81 De-commissioning... 82

Appendix Warranty and after sales service conditions... 83 Compliance... 83 Page ii

1710519 - Hill-Rom® 900 Electric Bed User Manual

PROPRIETARY AND CONFIDENTIAL DRAFT: 18 May 2018 Introduction Specifications

Electromagnetic conformance... 84 Complies with electromagnetic emission standards... 84 Compliance with electromagnetic immunity... 86 Recommended separation distances... 88

Installing the patient Mobilizing the patient Securing the patient Help with care Moving the bed Decontamination, Maintenance

1710519 - Hill-Rom® 900 Electric Bed User Manual

Page iii

PROPRIETARY AND CONFIDENTIAL DRAFT: May 18, 2018

The structure of the manual INSTALLATION

MOVEMENT

MOBILIZATION

EASE OF USE

COMFORT

PATIENT CAREGIVER

WELL BEING

INDEPENDENCE

HELP WITH CARE

SAFETY

For every type of use, Hill-Rom beds provide patients with optimal comfort and greater independence for a feeling of well-being that is conducive to a swift recovery. They are also easy to use for caregivers.

171051(9) - Hill-Rom® 900 Electric Bed User Manual

Page 1

Introduction Specifications

Introduction, specifications

PROPRIETARY AND CONFIDENTIAL DRAFT: May 18, 2018

Symbol definitions This manual contains different typefaces and icons designed to improve readability and increase understanding of its content. Note the following examples: • standard text - normal character style used for “basic” information. • Boldface text- emphasizes a word or phrase. •

 highlights special information or explains very important instructions,

• The symbols below represent different risks or hazards:

Symbol

Description Warning • This symbol indicates that the failure to follow the associated recommendation can put the patient or the user in danger, or damage the equipment. Caution • This symbol indicates that the failure to follow the associated recommendation can result in damage to the equipment. Tip

Risk of falling

Caught hazard warning

Risk of crushing an upper limb

Chemical Hazard Warning

Electric Shock Hazard

Page 2

171051(9) - Hill-Rom® 900 Electric Bed User Manual

PROPRIETARY AND CONFIDENTIAL DRAFT: May 18, 2018

The Hill-Rom® 900 medical beds with emergency Trendelenburg / Reverse Trendelenburg are beds for intensive care for adult patients (the emergency Trendelenburg function remains operational in the event of a power cut: SHOCK) (EN60601-2-52 application environment 1). They are designed for use in intensive care wards and also in general care and surgery care wards and allow the use of advanced techniques used in specialist units.They are designed with the needs of the whole medical team in mind and facilitate the use of monitoring equipment and the transfer of patients to examination wards. The Hill-Rom® 900 beds with electric comfort Trendelenburg / Reverse Trendelenburg or without Trendelenburg / Reverse Trendelenburg are variableheight beds designed for intensive, general and ambulatory care or care during long hospital stays for adult patients (EN 60601-2-52, application environments 2, 3 and 5). They are designed with the needs of the whole medical team in mind and facilitate the use of monitoring equipment and the transfer of patients to examination wards, etc. The Hill-Rom® 900 LI900B0 and LI900B2 beds: • can be fitted with batteries providing protection against power outages as an option. • fitted with Ø 150mm casters can be used to transfer patients. The Hill-Rom® 900 LI900B3 beds: • are equipped with batteries providing protection against power outages. • fitted with Ø 125 mm double-band casters or Ø 150 mm casters can be used to transfer patients. • are equipped with a patient position detection system. • can be equipped with a nurse call function*.

171051(9) - Hill-Rom® 900 Electric Bed User Manual

Page 3

Introduction Specifications

Applications

PROPRIETARY AND CONFIDENTIAL DRAFT: May 18, 2018

Bed model and country of use Certain bed features or accessories may be available or not, depending on the destination country. These features are identified with an asterisk (*) and the accessories are identified by two asterisks (**). To identify your bed model, its serial number SN (HRPXXXXXXXXX) and its date of manufacture, refer to the identification label (see “Overview” page 14). Your LI900BX bed is made up of a chassis/sleep surface, with a REF reference starting with CS900B0 or CS900B2 or CS900B3 and two endboards (a headboard and a footboard).

• REF: CS900B0XXXXXX or CS900B2XXXXXX or CS900B3XXXXXX: CS900 = Hill-Rom® 900; B = Version; 0XXXXXX or 2XXXXXX or 3XXXXXX = unique 7-figure numerical code according to different criteria, such as the voltage, the electrical functions, the language, etc. • SN: HRPXXXXXXXXX: HRP = Hill-Rom Pluvigner; XXXXXXXXX = incremental code.

Safety and Usage Tips First use 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 guarantees improved safety. Caregivers must have access to this manual. Training can be provided on demand. Caregivers must be informed of the risks that may be encountered in the use of electric beds. The many sources and types of accessories, hardware, or medical devices that may be used together 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.

Waste packaging (plastic, cardboard, metal, wood, etc.) must follow suitable recovery circuits with a view to being recycled.

Page 4

171051(9) - Hill-Rom® 900 Electric Bed User Manual

PROPRIETARY AND CONFIDENTIAL DRAFT: May 18, 2018

• ensure that the bed and its various parts are at room temperature, • only connect the bed to a mains electric power supply with earth protection (see “Electrical safety” page 8), • the power plug must be accessible to disconnect the bed, • wait 12 hours until the battery is fully charged before using the bed without the mains power supply, • make sure that all the moving parts are in good working order, • make sure that the bed has been cleaned and disinfected (see “Decontamination of the bed” page 77).

Risk prevention General recommendations In general: • check that nothing (e.g. objects, accessories or power cable) or any persons (e.g. children, limbs) will interfere with the movement of the mobile parts of the bed before actuating them. An intermittent beep sounds when one of the bed’s movements is hindered. • always check (e.g. to and fro movements) that the various locking mechanisms are in good working order (e.g. siderails, extensions, grip handles, brakes). • sufficiently qualified nursing staff determine the usage condition suitable for the various functions and the degree of supervision to ensure that the patient uses the bed safely. When the patient is left unattended: • apply the brakes to prevent any risks of falling, especially if the patient leans on the bed when getting in or out, • leave the sleep surface in the lowest position to avoid serious consequences in the event of falling, • use the siderails to secure the patient and reduce the risk of falling accidentally, • lock any function that, if misused, could worsen existing injuries or pathologies, or even result in bodily injury, • never leave the bed in the Trendelenburg position. Never modify the bed without Hill-Rom's prior written consent. Alterations could result in injury to the patient or damage to the bed. Only use manufacturer's parts and accessories. 171051(9) - Hill-Rom® 900 Electric Bed User Manual

Page 5

Introduction Specifications

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

PROPRIETARY AND CONFIDENTIAL DRAFT: May 18, 2018 Never place objects or equipment on the chassis or use it to support a person. Do not use of the bed with loads in excess of the safe working load.

Recommendations for the siderails In the case of patients suffering from particular behavioral difficulties (e.g., agitation, mental confusion, loss of sense of direction, obsessive behavior, old patients, weakness, etc.), properly trained medical staff should ascertain how the siderails should be used (irrespective of the model or type), whether the patient should be monitored closely or immobilized and whether the patient helpers should be left in position, in order to ensure that patients use the bed in complete safety. Certain national health authorities have issued guidelines risks to patients and the reduction of these hazards, as indicated below. It is recommended that patients at risk be identified in each establishment or ward so that the safety measures most appropriate to their particular needs can be implemented.

One measure which has already proved effective is to draw up a protocol specifying: 1.

situations and conditions for siderail use and authorized mattress type or model,

2.

for all patient monitoring procedures, both for restrained and unrestrained patients, including during intervals,

3.

circumstances under which patients must be restrained according to the instructions and recommendations of the manufacturer of the said restraining devices. The siderails are designed to help reduce the risk of patients falling out of bed accidentally. They are not designed to restrain or immobilize the patient. Restraining straps or other devices must not be fastened to the half-length siderails (e.g., straps).

Recommendations for the mattresses Hill-Rom shall not be held liable for any problems occurring if the mattress used is not included in the list of equipment recommended by Hill-Rom (see “References of recommended mattresses” page 29). Use of a mattress thicker than the thickness recommended in “References of recommended mattresses” page 29 may reduce the effectiveness of the siderails. Thicker mattresses can increase the risk of falling and narrower mattresses can increase the risk of patients becoming trapped. In such cases, the patient must be monitored closely. The mattress label page 27 recommends the mattresses to be used for the best conditions of safety for the use of the Hill-Rom® 900, as assessed by the “Hospital Bed Safety Workgroup” guide and the standard EN 60601-2-52.

Page 6

171051(9) - Hill-Rom® 900 Electric Bed User Manual

PROPRIETARY AND CONFIDENTIAL DRAFT: May 18, 2018

If the bed is fitted with an electrically powered air mattress, the power cord must be routed so as to prevent it from being cut by the moving parts of the bed (refer to the instructions of the mattress). Users must check the compatibility of the patient's weight and the accessories placed on the bed and the mattress system in view of the specifications of the medical bed and the mattress system. If the mattress power cord is unplugged, it is advisable to store it on the support provided by the mattress supplier.

Recommendations for the function lockouts The electrical function management control prevents any unintended bed movements that might cause injury to the patient.

For safety reasons, it is advisable to use the lock-out functions when treating the patient or working on the bed (e.g., examinations, transfers, maintenance), when the patient is left unattended and when caregivers believe that the patient is not in a fit state of health to operate the controls in safety. It is thus the responsibility of the nursing staff to authorize the patient to use certain bed functions, including the HiLow.

The "Shock"*, Trendelenburg, Reverse Trendelenburg, chair* and return to flat* functions must only be accessible to caregivers.

171051(9) - Hill-Rom® 900 Electric Bed User Manual

Page 7

Introduction Specifications

Other mattresses may be used, but the manufacturer must always be consulted to make sure that the bed/mattress/siderail combination does not affect the bed's performance, its suitability for use or its safety characteristics.

PROPRIETARY AND CONFIDENTIAL DRAFT: May 18, 2018

Electrical safety When direct intravascular or intracardiac connections are in use, the electric potentials of all the unprotected metal parts need to be equalized. The bed must be connected to a mains electric power supply with earth protection. In an environment where the electrostatic discharges are prevalent, we recommend using an antistatic caster. The mains power supply for the bed must comply with relevant standards: • NF C 15-100 and NF C 15-211 (France), • International Electrotechnical Commission (IEC) 364 for other locations. Check that the bed’s power requirements on the identification label (see “Electrical characteristics” page 13) correspond 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 IEC 364-5-53.

All the parts of the bed that are within the patient's reach, even if they are under the frame, are applied parts.

If the integrity of the protective conductor is in doubt, the beds fitted with batteries must be used in battery mode. In compliance with standards relating to electromagnetic interference for medical equipment, this product does not interfere with other medical devices or is not susceptible to interference when combined with other medical devices that also comply with the electromagnetic standards in force. Some devices, particularly older ones that do not comply with the electromagnetic compatibility standards, may however undergo interference or may themselves interfere with the working of this product. The users of such devices are responsible for ensuring that any malfunctions will not endanger the patient or any other person. Ensure that the power cord is unplugged and hooked to the bed before moving the bed (see “Securing the power cable” page 76). Only duly qualified and authorized staff should carry out electrical maintenance. Never clean or service the bed without unplugging it from the mains power supply and disconnecting the battery. The battery backup must never be left in direct contact with fire, placed in liquid, or discarded in a refuse bin. In the event of the battery being damaged, see “Decommissioning” page 82.

Page 8

171051(9) - Hill-Rom® 900 Electric Bed User Manual

PROPRIETARY AND CONFIDENTIAL DRAFT: May 18, 2018

Always lock out the HiLow function before any cleaning or maintenance operations. If the bed is equipped with a battery, and the bed is stored for long periods of time, the battery must be charged every 3 months. Failure to do so could result in damage to the battery.

If a continuous alarm sounds when activating a movement, the battery needs to be recharged.

General precautions for the place of use It is advisable not to use the bed under the following conditions: - in hospital wards other than the intended ward (see “Applications” page 3), - climatic conditions outside the corresponding ranges recommended by Hill-Rom, - in hyperbaric chambers, - in explosive atmospheres, - in the presence of flammable gases or vapors, - with oxygen tent type respiration devices or devices that extend below the sleep surface, - outdoors or to transport a patient in a vehicle, - moving the bed over soft ground or inappropriate surfaces, - moving the bed along slopes of over 10° (with or without a patient). Climatic restrictions Service temperature Service humidity Working atmospheric pressure

10° and +40° 30% - 85% 700 hPa to 1,060 hPa

171051(9) - Hill-Rom® 900 Electric Bed User Manual

Page 9

Introduction Specifications

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.

PROPRIETARY AND CONFIDENTIAL DRAFT: May 18, 2018

Precautions for transport and storage The following conditions must be met to ensure that the bed and its accessories are shipped and stored in complete safety. During shipment , the bed must be: - in the lowered position - all functions locked out - covered, brakes applied and all moving parts secured - protected from fluid ingress a

When stored, the bed must be: - in the lowered position - all functions locked out - covered, brakes applied - protected from fluid ingress

a. Transport does not include the transfer of the bed between wards with or without patients.

Climatic restrictions on transport and storage Transport/storage temperature Transport/storage hygrometry Transport/storage atmospheric pressure

-30° and +50° 20% - 85% 700 hPa to 1,060 hPa

During shipment or storage, beds should not be stacked one on top the other.

Page 10

171051(9) - Hill-Rom® 900 Electric Bed User Manual

PROPRIETARY AND CONFIDENTIAL DRAFT: May 18, 2018 Introduction Specifications

Technical specifications

Hill-Rom has an ongoing continuous improvement policy. Therefore specifications are liable to be altered without notice. LI900B2 with long siderails L+

W

L B

S

65°

28°

H h

C

LI900B0/LI900B2/LI900B3/LI900B2 with half-siderails B1

B2

S1

Features

Value

Maximum width (W) Maximum length (without extension) (L) Maximum length (with extension closed) (L) Maximum length (with extension open) (L+) Length of long siderail protection (B) Long siderail protection height (without mattress) (S) Length of the head half-siderail protection (B1) Length of the foot half-siderail protection (B2) Long siderail protection height (without mattress) (S1) Low position (double-band 125 diameter casters ) (h) Low position (125 diameter casters ) (h) Low position (double band 150 diameter casters ) (h) d

e

dg

d

171051(9) - Hill-Rom® 900 Electric Bed User Manual

e

995 mm /1010 mm 2158 mm 2158 mm 2358 mm 1421 mm /1397 mm 385 mm /380 mm 499 mm 631 mm 393 mm 386 mm 377 mm /419 mm 389 mm /431 mm a

c

a a a b

ab

c

c

a a a

af

ah

af

ah

af

Page 11

PROPRIETARY AND CONFIDENTIAL DRAFT: May 18, 2018 Features

Value

Low position (150 diameter casters ) (h) High position (double-band 125 diameter casters ) (h) High position (125 diameter casters ) (H) High position (double band 150 diameter casters ) (H) High position (150 diameter casters ) (H) Chassis clearance (double-band 125 diameter casters ) (C) Chassis clearance (125 diameter casters ) (C) Chassis clearance (double band 150 diameter casters ) (C) Chassis clearance (150 diameter casters ) (C) Head section incline Thigh section incline* Foot section incline* Trendelenburg/Reverse Trendelenburg Emergency Trendelenburg (“Shock”) Maximum patient weight for the SWL version: 220 kg Maximum patient weight for the SWL version: 250 kg* de

de

dg

de

de

de

dg

de

de

i

i

i

hi

Bed weight LI900B0/LI900B2 (no mattress or accessories) Bed weight LI900B2 (no mattress or accessories) Bed weight LI900B3 (no mattress or accessories) Maximum temperature of applied parts at 40° C Unweighted peak acoustic pressure levels Maximum measured level of weighted acoustic pressure l

397 mm /439 mm 755 mm 748 mm /788 mm 760 mm /800 mm 768 mm /808 mm 150 mm 183 mm 195 mm 203 mm + 65° + 28 ° - 3° to -22° + 17°/- 17° - 12 °/30 sec 155-185 kg 185-215 kg 144 kg 120 kg 170 kg 56,5° C <120 dB 42 dBA ah

af

af

ah

af

ah

af

ah

af

a a a a

j

k

a. These are average values, which may vary according to manufacturing tolerances.. b. Bed fitted with AD271B siderails c. Bed fitted with AD272B siderails d. Dimensions in mm. e. An antistatic version is also available. f. LI900B3 model g. Incompatible with the CFS 250 kg version, LI900B0 or LI900B2 with half-siderail. h. LI900B0 and LI900B2 models i. Maximum incline in relation to the sleep surface j. SWL 220 kg / the maximum patient weight varies according to the mattress and accessories used - 155 kg as per EN60601-2-52 (acute care or intensive care) - 185 kg as per EN60601-2-52 (other environments). k. SWL 250 kg / the maximum patient weight varies according to the mattress and accessories used - 185 kg as per EN60601-2-52 (acute care) - 215 kg as per EN60601-2-52 (other environments). l. LI900B2 models with half-siderails

Page 12

171051(9) - Hill-Rom® 900 Electric Bed User Manual

PROPRIETARY AND CONFIDENTIAL DRAFT: May 18, 2018 Characteristic

100V*

120V*

230V*

Voltage Frequency Power supply unit maximum power load Power supply unit fuse rating Electric shock protection Class according to IEC 60601-1 Protection against harmful ingress of water (according to IEC 60529) Intermittent operation

100V AC 50/60 Hz 300 VA 2 x 2.5 A T

120V AC 50/60 Hz 300 VA 2 x 2.0 A T Class I Type B IPX4

230V AC 50/60 Hz 300 VA 2 x 1.25 A T

10% (2min/18min)

a

a. Do not operate electrical functions continuously for more than 2 minutes in any 18 minute period when the bed is loaded at the safe working load value as this may damage electrical components. The power supply of the actuator is temporarily cut off if the load factor is exceeded when using the HiLow.

Conditions required to connect the nurse call system For more information about the connections required to use the nurse call function, please refer to the SideCom® Communication System Design and Application Manual (DS059).

171051(9) - Hill-Rom® 900 Electric Bed User Manual

Page 13

Introduction Specifications

Electrical characteristics

PROPRIETARY AND CONFIDENTIAL DRAFT: May 18, 2018

Overview LI900B0 A

D

F F

B C

K G M R

N O

P

Q L

H

J

I

Item

Name

Item

A B C

Half siderails Headboard 2 sockets for I.V. pole and patient helper

J K L

D E F

Control pendant Foot control pendant Control unit on a flexible arm

M N O

G

Head section “CPR” control

a

a

a

a

Name Caregiver unit Footboard Electric emergency Trendelenburg (Shock) Extension + linen holder Bumper (4) Central brake and steer bar control 150 mm diameter single band casters Bilateral HiLow pedal with caregiver mode HRP and identification label a

ab

P

a

a

H

Head section angle indicator

I

Night light

Q

a

R

a

a. Equipment varies depending on bed model b. Incompatible with the 250 kg SWL version

Page 14

171051(9) - Hill-Rom® 900 Electric Bed User Manual

B

Introduction Specifications

PROPRIETARY AND CONFIDENTIAL DRAFT: May 18, 2018 LI900B2 long siderails D

C

A

T E

S

F

N H Q

G P O

R

U

M

L Item

Name

A

Egress handle

B

Removable metal siderails

a

K

J

Item

Name

L

Electric emergency Trendelenburg (Shock) 150 mm diameter single band casters Footboard Bumper (4) Extension + linen holder ab

a

M

a

C D E F

Headboard Control pendant 2 sockets for I.V. pole and patient helper HRP and identification label a

N O P Q

a

Bilateral HiLow pedal with caregiver mode Central brake and steer bar control Foot control pendant Control unit on a flexible arm Maintenance indicator a

G

Head section “CPR” control

R

H J K

Head section angle indicator Night light Lateral caregiver unit

S T U

a

a

a

a

a

a. Equipment varies depending on bed model b. Incompatible with the 250 kg SWL version

171051(9) - Hill-Rom® 900 Electric Bed User Manual

Page 15