User Manual
112 Pages
Preview
Page 1
REVISION © 2019 by Hill-Rom Services, Inc. ALL RIGHTS RESERVED. PATENTS / PATENT www.hill-rom.com/patents The Progressa® Bed may be covered by one or more patents. See the Internet address above. The Hill-Rom companies are the proprietors of European, US, and other patents and pending patent applications. Manufactured by: HILL-ROM, INC. 1069 STATE ROUTE 46 E BATESVILLE, IN 47006-9167 UNITED STATES Authorized European Union Representative: HILL-ROM SAS B.P. 14 - Z.I. DU TALHOUET 56330 PLUVIGNER FRANCE TEL: +33 (0)2 97 50 92 12 Authorized Brazilian Representative: VR MEDICAL – MEDICAL DEVICES IMPORTER & DISTRIBUTOR, LTDA. 391 BATATAES STREET CJ 11-13, 8TH FLOOR SÃO PAULO, SP- BRAZIL CNPJ: 04.718.143/0001-94 No part of this text shall be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information or retrieval system without written permission from Hill-Rom Services, Inc. (Hill-Rom). The information in this manual is confidential and may not be disclosed to third parties without the prior written consent of Hill-Rom. This manual (171528) was originally released and supplied in English. For a list of available translations, contact Hill-Rom Technical Support.
Product images and labels are for illustrative purposes only. Actual product and label may vary. Seventh Edition, February 2019 First Printing 2013 Clorox Healthcare® is a registered trademark of Clorox Professional Products Company, Inc. CSA® is a registered trademark of Canadian Standards Association. OxyCide® is a registered trademark of EcoLab USA, Inc. Slo-Blo® is a registered trademark of Littelfuse, Inc. The UL logo is a registered trademark of Underwriters Laboratories, Inc. Virex® is a registered trademark of Diversey, Inc. Wex-Cide™ is a trademark of Wexford Labs, Inc.
Progressa® Bed User Manual (171528 REV 7)
i
Advanced MicroClimate®, Boost®, COMposer®, Dining Chair®, FullChair®, Graphical Caregiver Interface (GCI)®, HandsFree®, Hill-Rom®, IntelliDrive®, Line-of-Site®, MCM®, MicroClimate Management®, NaviCare®, Obstacle Detect®, OneStep®, Point-of-Care®, Progressa®, SlideGuard®, SideCom®, SmartSync®, and WallGuard® are registered trademarks of Hill-Rom Services, Inc. Auto Contour™, FlexAfoot™, Quick View™, StayInPlace™, and WatchCare™ are trademarks of Hill-Rom Services, Inc. The information contained in this manual is subject to change without notice. Hill-Rom makes no commitment to update or keep current, the information contained in this manual. Hill-Rom reserves the right to make changes without notice in design, specifications, and models. The only warranty Hill-Rom makes is the express written warranty extended on the sale or rental of its products. Replace this manual (171528) if it is damaged and/or can not be read. For product support or to order additional copies of this manual (171528), contact your distributor, local Hill-Rom representative, or go to www.hill-rom.com. For training on the use of this product, contact your distributor or local Hill-Rom representative. Reference Documents Progressa® Bed Service Manual (171748) Progressa® Bed-Unpacking Instructions (180421)
ii
Progressa® Bed User Manual (171528 REV 7)
QUICK VIEW™ LIST OF FEATURES For more information about a feature, go to the page number shown in the table below. The item callouts correspond to the bold headings in the Table of Contents on the next page.
B F
B
E
C
D A D
Item
Feature
Page
A
CPR Controls
page 12
B
Caregiver Siderail Controls-Bed Articulation Controls
page 14
C
Graphical Caregiver Interface (GCI)® Controls-Scale, Alarms, page 26 Therapies
D
Bed Frame Features-Headboard, Footboard, Brakes, IV Poles, Equipment Sockets, Line Manager, Drainage Bag Holders, Patient Restraints, Fluoroscopy, Accessory AC Outlet, IntelliDrive® Transport System
page 39
E
Surfaces-Mattress Types, Rotation Therapy, Percussion/Vibration Therapy, Opti-Rest, Turn Assist
page 58
F
Patient Controls-Bed Articulation Controls, Entertainment Controls, Nurse Call Control
page 68
iv
Progressa® Bed User Manual (171528 REV 7)
Table of Contents Revision... i Quick View™ List of Features... iv Intended Use... 1 Introduction... 1 Symbols... 2 Document Symbols... 2 Product Symbols... 2 CPR Control... 13 Use the CPR Control... 13 To Activate:... 13 Information Indicators... 13 Audible Indicators... 13 Bed Battery Power... 14 Service Required... 14 Hip Position Locator... 14 Line-of-Site® Head Angle Indicator... 15 Brake Not Set... 15 Caregiver Siderail Controls... 15 Raise and Lower the Siderails... 15 Siderail Controls Location... 16 Lockout Controls... 16 Bed Up/Down... 17 Head Up/Down... 17 StayInPlace™ Feature... 18 Knee Up/Down... 18 Foot Elevate (Foot Up/Down)... 18 Foot Down... 18 Foot Up... 18 Lower Leg Elevation (Vascular Position)... 19 FlexAfoot™ Feature (Foot Extend/Retract)... 19 Trendelenburg or Reverse Trendelenburg... 20 Boost® Position System... 20
Progressa® Bed User Manual (171528 REV 7)
v
Table of Contents
Chair Positions... 21 Dining Chair® Position... 21 FullChair® Position... 22 Chair Egress... 23 Bed Flat Control... 25 Nurse Call... 25 Max-Inflate (Siderail Method)... 25 Side Exit Assist... 25 Caregiver Pendant Controls... 26 Graphical Caregiver Interface (GCI)® Controls... 27 Home Screen Description... 27 Bed Exit Alarm... 28 Turn ON the alarm... 28 Turn OFF the alarm... 28 Pre-Emptive Alarm Silence... 29 Silence a Bed Exit Alarm... 29 Change Alarm Volume... 29 Change the Alarm Tone... 29 NaviCare® System... 29 Head Angle Alarm... 30 Scale... 30 Scale specifications... 30 Recommended bed Position to Weigh a Patient and Required Bed Position to Zero the Bed... 31 Zero/New Patient... 31 Weigh the patient... 32 Body Mass Index (BMI) Calculator... 32 View weight history... 34 Scale-NAWI Compliant (EN 45501)... 34 Unstable equilibrium... 35 Bed not Recommended Position Button... 35 Recommended bed Position to Weigh a Patient and Required Bed Position to Zero/Tare the Bed... 35 View Weight History... 36 Zero/Tare the Scale or New Patient... 37 vi
Progressa® Bed User Manual (171528 REV 7)
Table of Contents
Magnification Mode (Extended Weighing Device)... 38 Save Weight... 38 Add/Remove Items... 39 Scale specifications... 39 Preferences... 40 History... 40 Change the Language... 40 Adjust Time and Date... 40 Bed Frame Features... 41 Point-of-Care® Brake and Steer System... 41 Headboard... 42 Footboard... 42 Transport... 42 Transport Handles... 42 Transport Position... 43 IntelliDrive® Transport System (Power Transport)... 45 WallGuard® Bumper System... 47 Line Manager (P7512)... 47 Drainage Bag Holders... 48 Restraints... 48 Fluoroscopy/C-Arm... 49 X-Ray Sleeve... 51 Equipment Sockets... 51 IV Pole Sockets... 52 Fracture Frame Sockets... 52 Permanent IV Pole Option... 52 Auxiliary AC Receptacle Option... 53 COMposer® Communication System... 54 Wireless Connectivity... 54 Module Indicators... 54 GCI Indicators-Wireless Status and Bed Location... 55 Location Asset Tag... 58 Obstacle Detect® System... 58 Bed Up/Down-Foot Controls... 59 Night Light... 59 Progressa® Bed User Manual (171528 REV 7)
vii
Table of Contents
Equipotential Ground... 59 Surfaces... 60 Progressa® Prevention Surface... 61 Progressa® Therapy Surface... 61 Modes... 61 Progressa® Pulmonary Surface... 65 Rotation... 66 Percussion and Vibration... 68 Opti-Rest... 69 Patient History... 70 Patient Controls... 70 Location... 70 Nurse Call... 71 Head Up/Down Control... 71 Knee Up/Down Control... 71 Room Light... 71 Reading Light... 71 Television... 72 Radio... 72 Television Channel Up/Down Control... 72 Volume Control... 72 Accessories... 73 Infusion Support System (P158A)... 73 Removable IV Pole (P7510A)... 74 Removable Telescopic IV Pole (P2217A)... 74 Permanent IV Pole (P7511A)... 74 Vertical Oxygen Tank Holder... 75 Transport Shelf... 76 Safety Information... 76 Bed Positions... 77 Brakes... 77 Fluids... 77 Siderails... 77 Footboard... 78 Restraints... 78 viii
Progressa® Bed User Manual (171528 REV 7)
Table of Contents
Electricity... 78 Parts and Accessories... 79 Operating Bed/Surface Precautions... 80 Sleep Surface/Mattress... 80 Flammability... 81 Bed Articulations... 81 Visitor Notification... 81 Patient Transfer... 81 Traction Equipment... 81 IntelliDrive® Transport System Batteries... 82 Large Patient Product Performance... 82 Atmospheric Pressure Product Performance... 82 Preventive Maintenance... 82 Expected Life... 84 Cleaning/Disinfecting... 84 Recommendations... 84 Cleaning and Disinfection... 85 Prepare the Bed for Cleaning and Disinfection... 86 STEP 1: Cleaning... 86 STEP 2: Disinfection... 87 Prepare the Bed for Use... 87 Technical Specifications... 88 Electromagnetic Emissions Guidance... 92 Electromagnetic Immunity Guidance... 94 Electromagnetic Immunity Guidance... 95 Wireless Connectivity Specifications... 96 Regulatory Information... 97 USA-Federal Communications Commission (FCC) Radiation Exposure Statement... 98 Interference Statement for FCC... 98 Canada-Industry Canada (IC)... 98 Wireless System Characteristics... 99 Product Configuration Identification... 100
Progressa® Bed User Manual (171528 REV 7)
ix
Table of Contents
NOTES:
x
Progressa® Bed User Manual (171528 REV 7)
INTENDED USE The Progressa® Bed is intended to be used to treat or prevent pulmonary or other complications associated with immobility; to treat or prevent pressure ulcers; or for any other use where medical benefits may be derived from either Continuous Lateral Rotation Therapy or Percussion/Vibration Therapy. The Progressa® Bed is intended to provide a patient support to be used in health care environments. The Progressa® Bed may be used in a variety of settings including, but not limited to, acute care, including critical care, step down/progressive care, medical/surgical, high acuity sub-acute care, post anesthesia care unit (PACU), and sections of the emergency department (ED). The Progressa® Bed is capable of being used with a broad patient population as determined appropriate by the caregiver or institution. The intended users of this product are healthcare employees who have been trained to use the product, and who have the physical strength and cognitive skills to operate and control the product. There are some controls and features on the bed which may be used by the patients and family members upon appropriate orientation by the caregiver. Follow facility safety protocols if a patient does not have the physical strength or cognitive skills to operate and control the product safely.
CONTRAINDICATION: Contraindication-Use of active air therapy surfaces for patients with unstable spinal cord injury could cause serious injury to the patient. Use of continuous lateral rotation therapy is contraindicated for patients with cervical or skeletal traction.
WARNING: Warning-Do not use the product outside of the patient range. Patient entrapment or asphyxiation could occur. The intended patient range is 70 to 500 lb (32 to 227 kg) and 59" to 74" (150 to 188 cm).
INTRODUCTION This manual provides the required information for normal operation of the Progressa® Bed from HillRom. Before operating the Progressa® Bed, be sure that you have read and understood in detail the contents of this manual. It is important that you read and strictly adhere to the aspects of safety contained in this manual. Any reference to a side of the bed is from the patient's view lying in the bed. The GCI bed image on the left side of the patient have the head of bed to the right as matches the orientation of the bed itself. The GCI bed image on the right side of the bed do not match the head/ foot orientation of the bed. The Progressa® Bed is equipped with an integrated scale intended to weigh the patient in the bed. A single beep will sound when an activity is successful. A triple beep will sound when there is an error or caregiver attention is needed. A message will appear on the GCI for further instructions.
Progressa® Bed User Manual (171528 REV 7)
1
Symbols
SYMBOLS DOCUMENT SYMBOLS These symbols are used in the manual: •
Standard text-used for regular data.
•
Boldface text-emphasizes a word or phrase.
•
NOTE:-sets apart special data or important instruction clarification.
•
WARNING, CONTRAINDICATION, RELATIVE CONTRAINDICATION, or CAUTION
–
A CONTRAINDICATION or RELATIVE CONTRAINDICATION identifies situations or actions that may have an effect on patient safety.
–
A WARNING identifies situations or actions that may have an effect on patient or user safety. To ignore a warning could cause patient or user injury.
–
A CAUTION identifies special procedures or precautions that persons must obey to help prevent equipment damage.
PRODUCT SYMBOLS These symbols may or may not be on the Progressa® Bed: Symbol
Description Type B applied part according to EN 60601-1
WARNING (yellow and black)
CAUTION (white and black)
Conforms to the European Medical Device Directive 93/42/EEC. (The UL CE mark was first applied in 2013)
Medical Electrical Equipment Classified By Underwriters Laboratories Inc. with respect to Electric Shock, Fire, and Mechanical Hazards only in accordance with ES60601-1, EN60601-1, EN60601-2-52, and CAN/CSA C22.2 No. 60601.1.
2
Progressa® Bed User Manual (171528 REV 7)
Symbols
Symbol
Description Mattress compatibility identification
Identifies a StayInPlace™ bed
Identifies a non-StayInPlace™ bed. Consult accompanying documents.
Identifies that a Progressa® Prevention Surface with the Chair Egress feature must be used for Chair Egress function.
Identifies a non-approved foam surface. Consult accompanying documents.
Catalog number
SN
Serial number Manufacturer
Date of manufacture
Safe Working Load symbol for the bed and accessories.
Progressa® Bed User Manual (171528 REV 7)
3
Symbols
Symbol
Description Patient Weight for the bed-located on the frame under the head section.
Patient Weight for the bed-located on the foot section.
Medical Bed for Adults.
Total bed weight including the safe working load is 635 kg (1400 lb): the bed weight excluding the safe working load is 340 kg (750 lb) minimum.
Refer to the user manual for more information.
Must consult the user manual.
Identifying mains fuse
Identifies battery installation location
Beds with Serial Numbers before R217AW4088, with the NAWI EN 45501 scale CE-Shows that the scale meets the requirements of the NAWI directive. XX-Numeric digits show the year of manufacture. 0122-Shows the Certifying Notified Body. Black M on green background-Signifies the scale (NAWI EN 45501 only) is certified to weigh in approved positions)
4
Progressa® Bed User Manual (171528 REV 7)
Symbols
Symbol
Description Beds with Serial Numbers after R217AW4088, with the NAWI EN 45501 scale CE-Shows that the scale meets the requirements of the NAWI directive. M- Shows that the scale is certified to weigh in approved bed positions. ZZ-Numeric digits show the year of manufacture. 0122-Shows the Certifying Notified Body. Scale class identifier-Identifies the scale as EN 45501 Class III.
III Manufacturer or distributor complies with the Waste Electric and Electronic Equipment Directive 2002/96/EC.
Transport position warning (refer to “Transport” on page 41).
Identifies Brake/Neutral/Steer position for the brake pedal.
Identifies Brake/Neutral/Steer position for the steer pedal.
Do not stand on the footboard (refer to “Footboard” on page 41).
Do not sit on the footboard (refer to “Footboard” on page 41).
Warning: Caregiver pendant only (refer to “Caregiver Pendant Controls” on page 26). Warning: Transport shelf only (refer to “Transport Shelf” on page 75). Identifies auxiliary outlet power cord.
Progressa® Bed User Manual (171528 REV 7)
5
Symbols
Symbol
Description Identifies bed power cord.
Electrical Shock Hazard-unplug the bed before you clean or service the bed. Warning: Identifies auxiliary receptacle.
Crush Warning: Must consult accompanying documents.
Crush Warning.
Foot pinch location.
Do not store cords here.
Warning: Do not put equipment on the base of the bed. Equipment damage could occur.
Protective Earth
Hip Locator (refer to “Hip Position Locator” on page 14).
6
Progressa® Bed User Manual (171528 REV 7)
Symbols
Symbol
Description Shoulder Locator (refer to “Rotation” on page 65 or “Percussion and Vibration” on page 67).
Do Not Use with Oxygen Tents-indicates the use of oxygen administering equipment of the nasal, mask, or ventilator type only or oxygen tents that can be contained inside the siderails. Label can be green or blue.
CPR function-Identifies the release lever, and direction of travel (refer to “CPR Control” on page 12).
Lockout control-Lock out articulation controls or the GCI (refer to “Lockout Controls” on page 16). Control lockout-comes on when a bed articulation control is locked out. Located next to the articulation control. Trendelenburg control (refer to “Caregiver Siderail Controls” on page 15).
Reverse Trendelenburg control (refer to “Caregiver Siderail Controls” on page 15). Bed flat control (refer to “Bed Flat Control” on page 24).
Chair position control (refer to “Chair Positions” on page 21).
Bed Up and Down control (refer to “Bed Up/Down” on page 17).
Knee Up and Down control (refer to “Knee Up/Down” on page 18).
Progressa® Bed User Manual (171528 REV 7)
7
Symbols
Symbol
Description Head Up and Down control (refer to “Head Up/Down” on page 17).
Foot Elevate (Foot Up/Down) control (refer to “Foot Elevate (Foot Up/Down)” on page 18). FlexAfoot™ Foot Extend/Retract control (refer to “FlexAfoot™ Feature (Foot Extend/Retract)” on page 19). Max-Inflate control (refer to “Max-Inflate (Siderail Method)” on page 24).
Side Exit Assist (refer to “Side Exit Assist” on page 25).
Boost® Position System control (refer to “Boost® Position System” on page 20). Enable control-on the caregiver pendant (refer to “Caregiver Pendant Controls” on page 26). Nurse Call control (refer to “Nurse Call” on page 24).
Music control (refer to “Radio” on page 71).
Reading Light control (refer to “Reading Light” on page 70).
Room Light control (refer to “Room Light” on page 70).
Television control (refer to “Television” on page 71).
8
Progressa® Bed User Manual (171528 REV 7)
Symbols
Symbol
Description Television Channel control-patient controls only (refer to “Television Channel Up/Down Control” on page 71).
Volume control-patient controls only (refer to “Volume Control” on page 71).
Departure Transport Handle Sequence-raise and lock transport handles in position (refer to “Transport” on page 41).
Departure Transport Sequence-unplug the bed and release the brakes (refer to “Transport” on page 41).
Arrival Transport Sequence-set the brakes and plug in the bed (refer to “Transport” on page 41).
Arrival Transport Handle Sequence-stow the handles (refer to “Transport” on page 41).
IntelliDrive® Transport System
Bed battery charge status (refer to “CPR Control” on page 12).
Progressa® Bed User Manual (171528 REV 7)
9
Symbols
Symbol
Description Maintenance required (refer to “Service Required” on page 14).
Bed not in lowest position indicator-Comes on when the upper frame is not in the lowest position (located on the GCI and on the caregiver control pod on the siderail). Home screen-press to return to the GCI home screen (refer to “Graphical Caregiver Interface (GCI)® Controls” on page 27).
Alarms control-press to go to the Alarms section on the GCI (refer to “Graphical Caregiver Interface (GCI)® Controls” on page 27).
Scale control-press to go to the Scale section on the GCI (refer to “Graphical Caregiver Interface (GCI)® Controls” on page 27).
Surface control-press to go to the Surface section on the GCI (refer to “Graphical Caregiver Interface (GCI)® Controls” on page 27).
Therapy control-press to go to the Therapy section on the GCI (refer to “Graphical Caregiver Interface (GCI)® Controls” on page 27).
Reminders control-press to go to the Reminders section on the GCI (refer to “Graphical Caregiver Interface (GCI)® Controls” on page 27).
Preferences control-press to go to the Preferences section on the GCI (refer to “Graphical Caregiver Interface (GCI)® Controls” on page 27).
Wireless indicator on the GCI -identifies the operational status of the wireless connectivity module (refer to “Wireless Connectivity” on page 53).
Federal Communications Commission (on the Wireless Connectivity module) (refer to “Wireless Connectivity” on page 53).
10
Progressa® Bed User Manual (171528 REV 7)
Symbols
Symbol
Description Radio Equipment Directive 2014/53/EU on the Wireless Connectivity module) (refer to “Wireless Connectivity” on page 53). Wireless indicator (on the Wireless Connectivity module)-identifies the connection status of the wireless module to the facility wireless network (refer to “Wireless Connectivity” on page 53).
Connected indicator (on the Wireless Connectivity module)-identifies the connection status of the wireless module to NaviCare® SmartSync® System (refer to “Wireless Connectivity” on page 53).
Location indicator (on the Wireless Connectivity module)-identifies the connection status of the Location feature (refer to “Wireless Connectivity” on page 53).
Additional GCI Symbols (see “Graphical Caregiver Interface (GCI)® Controls” on page 27).
Progressa® Bed User Manual (171528 REV 7)
11