Medicraft Hill-Rom General Ward Acute Bed User Manual V3 March 2010

Table of Contents Chapter 1

Introduction ... 1 1.1 Purpose ... 1 1.2 Audience... 1 1.3 Document Symbols ... 2 1.4 Installation ... 3 1.4.1 Unpack the Bed... 3

1.5 Features ... 4 1.6 Handset ... 5 1.6.1 Backrest Operation... 6 1.6.2 HI/LO Operation ... 6 1.6.3 Knee-Break Operation (Optional) ... 6 1.6.4 Backrest and Knee-Break Operation Combined ... 6 1.6.5 Chair Position Operation ... 6 1.6.6 Reset Procedure ... 6 1.6.6 Attendant Control Panel ... 7 1.6.7 Backrest Quick-Release: Smart CPR... 8 1.6.8 Knee-Break Feature ... 8 1.6.9 Steering and Brakes... 9 Apply the Brakes ... 9 Release the Brakes ... 9 Steering... 10 1.6.10 Safety Side rails ... 10 Siderails Up Position ... 11 Siderails Down Position ... 11 1.6.11 Telescopic Extension ... 12 1.6.12 Battery Backup ... 12 1.6.13 Technical Specifications ... 13 Electrical Specifications ... 15 Electromagnetic Emissions and Immunity Guidance ... 15 Model Identification ... 18 Environmental Conditions for Transport, Storage, and Use ... 18

1.7 Safety Tips ... 19 1.7.1 Bed Service ... 20 1.7.2 Electrical ... 21 Description of Symbols... 22 1.7.3 Warning and Caution Labels... 24

Electrically Operated General Ward Bed COPYRIGHT© Medicraft Hill-Rom ® 2009

1st March 2010 MC700 User Manual V3 Proudly Designed & Manufactured in Australia

Chapter 2

Troubleshooting Procedures ... 25 2.1 Getting Started... 25 2.2 Initial Actions ... 26 2.2 Initial Actions ... 26 2.3 Rapid Problem / Solution Table ... 26 2.4 Function Checks ... 27 2.5 Final Actions ... 28 2.6 Rapid Problem Solutions ... 29 RAP.1: No Functions Work... 29 RAP.2: Lockout Malfunction ... 29 RAP.3: Knee-Break Malfunction (Channel 3) ... 30 RAP.4: HI/LO Malfunction (Channel 2 & 4) ... 31 RAP.5: Backrest Malfunction (Channel 1)... 32 RAP.6: Battery Backup Malfunction ... 33 RAP.7: Trendelenburg Malfunction ... 33 RAP.8: CPR Malfunction ... 34 RAP.9: Brake or Steering Malfunction ... 34 Chapter 3

Theory of Operation ... 35 3.1 Electrical System... 35 3.1.1 HI/LO ... 35 3.1.2 Backrest ... 35 3.1.3 Knee-Break... 35 3.1.4 Trendelenburg ... 35 3.1.5 Backrest and Knee-Break ... 35 3.1.6 Chair Position ... 36 Chapter 4

Removal, Replacement and Adjustment Procedures ... 37 4.1 Tool and Supply Requirements ... 37 4.2 Control Box ... 38 4.2.1 Replacement ... 39

4.3 Hi/Lo Actuator ... 39 4.3.1 Replacement ... 41

4.4 Back Rest Actuator ... 42 4.4.1 Adjustment... 43

4.5 Knee-break Actuator ... 43 4.5.1 Removal ... 43 Electrically Operated General Ward Bed COPYRIGHT© Medicraft Hill-Rom ® 2009

1st March 2010 MC700 User Manual V3 Proudly Designed & Manufactured in Australia

4.5.2 Replacement ... 44

4.6 Castors ... 45 4.6.1 Removal ... 45 4.6.2 Replacement ... 46 4.6.3 Adjustment... 47 Chapter 5

Spare Parts... 49 5.1 Reference Guide... 49 5.1.1 MC700 Electric Components ... 50 5.1.2 MC700 Wheel Base Parts ... 52 5.1.3 Frame and Sleep Surface Parts ... 54

5.2 Service Order Parts ... 56 5.2.1 Terms ... 56

5.3 Exchange Policy ... 57 5.3.1 In-Warranty Exchanges ... 57 5.3.2 Out-of-Warranty Exchanges... 57

5.4 Warranty ... 58 5.4.1 General Warranty ... 58 5.4.2 Specific Warranties ... 58 Mattress Warranties ... 58 Expendable Warranties ... 58 To Obtain Parts and Services ... 58 Out of Warranty Exchange Policy ... 59 Parts Available Policy... 59 Chapter 6

General Procedures... 61 6.1 Clean and Disinfect ... 61 6.1.1 Electrical Components Cleaning ... 62 6.1.2 Storage and Transport ... 62 6.1.3 Preventive Maintenance ... 63 Preventive Maintenance Schedule ... 63 Preventative Maintenance Checklist ... 64 Chapter 7

Accessories ... 66 7.1 Accessories ... 66 7.1.1 Orthopaedic Frame... 66 Installation ... 66 Removal ... 67

Electrically Operated General Ward Bed COPYRIGHT© Medicraft Hill-Rom ® 2009

1st March 2010 MC700 User Manual V3 Proudly Designed & Manufactured in Australia

Chapter 1

Introduction

1

1.1 Purpose This manual contains instructions for the operation and maintenance of the Electrically Operated General Ward Bed. It also includes parts lists (in chapter 2) for you to order replacement parts.

1.2 Audience This manual is intended for use by only facility-authorised persons. To ignore this restriction could cause severe injury to people and serious damage to equipment.

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1.3 Document Symbols This manual contains different typefaces and symbols to make the content easier to read and understand:

Standard text-used for regular data.

Boldface text-emphasizes a word or phrase.

NOTE:-sets apart special data or important instruction clarification.

WARNING, RELATIVE CONTRAINDICATION, or CAUTION

 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 RELATIVE CONTRAINDICATION identifies situations or actions that may have an effect on patient safety. A CAUTION identifies special procedures or precautions that persons must obey to help prevent equipment damage

CAUGHT HAZARD WARNING

CHEMICAL HAZARD WARNING

ELECTRICAL SHOCK HAZARD WARNING

NOTE: These document symbols may or may not be used in this manual.

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1.4 Installation Unpack and examine the bed by carefully following the steps below.

1.4.1 Unpack the Bed 1.

Remove all of the bubble-wrap from the bed.

2.

Remove the protective foam pad from the end of the bed (see figure 1-1 below). Figure 1-1. Unpack the Bed

3.

Remove the nylon ties from the safety siderails.

4.

Remove the nylon ties from the backrest, thigh section, and the foot section.

5.

Unpack the headboards and footboards. Put the headboards and footboards into the sockets and tighten the tri-wheel screws.

6.

Set all of the lockout switches on the attendant control panel to the unlocked position. Go to “Attendant Control Panel” on page 5.

SHOCK HAZARD: Make sure the power cable is in a position that is away from the bed frame parts that move. Failure to correctly install the power cable can cause injury or equipment damage. 7.

Keep the mains power cable combination a safe distance from the moveable bed frame parts. The excess length of power cable should be carefully stored in the storage hooks (see figure 1- 2 below). Figure 1-2. Power Cable Location

8.

Plug the mains power cable into an appropriate power supply.

9.

Do a bed function check. Go to “Function Checks” on page 27.

NOTE: For cleaning instructions. Go to “Clean and Disinfect” (6.1 on page 61). 1st March 2010 MC700 User Manual V3 COPYRIGHT© Medicraft Hill-Rom ® 2009

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1.5 Features B I D

C F

A

E

Item

Description

Item

Description

A

Attendant control panel (safety lockout switches)

F

Backrest quick release

B

Infection control sleep deck

G

Single and twin wheel castors

C

Removable headboards and footboards

H

Brake and steering foot pedals

D

Safety siderails

I

Handset

E

Corner bumpers

J

Radio Lucent backrest J

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1.6 Handset The handset is used by both patients and caregiver’s to change the bed’s height, backrest position, knee position, and head and foot up and down positions. WARNING: Children must not be permitted to operate the controls or ride on the bed. Incorrect operation of the bed may cause injury. The type of handset will vary depending on the configuration and date of manufacture. The handset contains the following bed position controls:

Backrest

HI/LO

Knee-break

Backrest/knee combined

Chair Figure 1-3. Handset

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1.6.1 Backrest Operation

To raise the backrest, press the Backrest Up control (A) until the applicable position is reached (see figure 1-3 on page 5).

To lower backrest, press Backrest Down control (B) until the applicable position is reached.

1.6.2 HI/LO Operation WARNING: The occupied bed must be left at its lowest height position when unattended to prevent accidents. Failure to operate the bed safely may cause injury.

To raise the bed, press the Bed Up control (C) until the applicable height is reached.

To lower the bed, press the Bed Down control (D) until the applicable height is reached.

1.6.3 Knee-Break Operation (Optional)

To raise the knee section, press the Knee-break Up control (E) until the applicable position is reached.

To lower the knee section, press the knee-break Down control (F) until the applicable position is reached.

1.6.4 Backrest and Knee-Break Operation Combined

To raise the backrest and knee-break together, press the Backrest and Knee Combined Up control (I) until the applicable position is reached.

To lower the backrest and knee-break together, press the Backrest and Knee Combined Down control (J) until the applicable position is reached.

1.6.5 Chair Position Operation

To go into a seated position, press the Chair Up control (K).

To go out of a seated position, press the Chair Down control (L).

1.6.6 Reset Procedure 1.

To reset the electrical system in the event of a malfunction or following a repair activity press and hold the Knee break up ( I ) and the Knee break down buttons on the handset for 6 seconds. This will reinitialise the system.

2.

Run the HiLo function up to its highest point to set the digital limits

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1.6.6 Attendant Control Panel WARNING: The control panel lockout system must be used when patients should not operate the controls. Failure to operate the bed correctly may cause injury. The attendant control panel (ACP) permits one or all of the bed’s functions to be switched to lock out mode. This ensures that the functions cannot be operated from the handset. All models have a self-level feature. If the bed is in an angled position, self level will occur at the very low and very high positions. This is to prevent collisions between the upper mattress frame and the lower wheelbase assemblies. Also the bed will pause for a moment when level position is reached. The typical attendant control panel functions are as follows (see figure 1-4 below):

Backrest (M)

Knee-break (N)

HI/LO (O)

Trendelenburg (P)

Bed level (V)

Chair position (T) (optional)

Emergency Trendelenburg (S) (can not be locked out)

Light (U) (under bed light)

Key control (W) (for lock/unlock)

Function up (X)

Function down (Y) Figure 1-4. Actuator

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To lockout (disable) a function, press the Key control (W) and the applicable function control at the same time. The LED indicator in the padlock symbol will illuminate when the function is locked.

2.

To change the position of the bed, unlock the applicable function and press the applicable control along with the up or down arrow (X or Y)

1.6.7 Backrest Quick-Release: Smart CPR WARNING: The quick-release system is to be used for emergency purposes only. Operation of the quickrelease system at incorrect time can cause injury or equipment damage. Backrest actuator is fitted with a quick-release system to let the backrest be lowered quickly in an emergency. NOTE:

For normal operation, use the handset or ACP to adjust the backrest position.

To quickly lower the backrest, hold the backrest and pull up on one of the quick-release levers (B) found at each side of the bed (see figure 1-5 below)

The backrest movement is damping and will gently lower.

SMART CPR: If the handle continue to be activated all other bed functions lower until it reaches the flat surface providing you an immediate position for cardiac recovery. Figure 1-5. Backrest Quick-Release

B

1.6.8 Knee-Break Feature When the knee-break is raised or lowered using the controls, the lower leg section (or foot section) will stay parallel with the bed frame (see figure 1-6 below). Figure 1-6. Knee-Break Feature

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1.6.9 Steering and Brakes WARNING: Always engage the brakes after the bed has been repositioned or is unattended. Failure to set the brakes may cause injury. All four castors are controlled by the brake/steer pedal at the foot end of the bed. There are three positions of the lever:

Brakes on

Brakes off (neutral)-free-wheel castors

Brakes off (steer)-swivel/steering lock of the castors at the head end Apply the Brakes

Step on one of the red pedals at the foot end of the bed (see figure 1-8 on below). The two foot-end castors and one head-end castor will then be locked. The castors will not swivel or turn.

Apply the Brakes Step on one of the red pedals at the foot end of the bed (see figure 1-7 below). The two foot end castors and one head end castor will then be locked. The castors will not swivel or turn. Figure 1-7. Apply the Brakes

Release the Brakes Press one of two pedals at the foot end of the bed until the pedal is in the horizontal position (see figure 1-8 below). All four castors will turn and swivel freely Figure 1-8. Release the Brakes

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Steering Step on one of the two green pedals at the foot end of the bed (see figure 1-9 below). The head- and foot-end castors are now set up for steering mode. Figure 1-9. Steering

1.6.10 Safety Side rails WARNING: Patients must not use the side rails to hold their body weight. A self-help pole must be used in this situation. Failure to use the bed correctly may cause injury or equipment damage. WARNING: The patient should not be left in the bed unattended with the side rail in the middle position. If the patient is to be left with the side rail in the middle position, a patient falls risk assessment should be done to determine the patient safety risk with the side rail in this position. Failure to operate the bed correctly can cause injury or equipment damage. WARNING: Do not leave a patient unattended with the side rail lock disengaged. Make sure the side rail lock is engaged. Failure to operate the bed safely may cause injury or equipment damage. WARNING: Visitors must not adjust the side rails on the bed. Failure to operate the bed safely may cause injury or equipment damage. WARNING: Remove the possibility of entrapment. Make sure that no part of the patient’s body (head, limb, etc.) is beyond the perimeter of the bed frame or is in the side rail mechanism. Failure to operate the bed safely may cause injury or equipment damage. WARNING: Evaluate patients for entrapment risk according to facility protocol, and monitor patients appropriately. Make sure all side rails are fully latched when in the raised position. Failure to do either of these could cause serious injury or death. 1st March 2010 MC700 User Manual V3 COPYRIGHT© Medicraft Hill-Rom ® 2009

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WARNING: Do not use unapproved safety side rails on the bed. Use of unapproved side rails may cause injury or equipment damage. Contact Medicraft Hill-Rom for information on the correct side rails for use on your bed. The safety side rails have two locking positions as follows:

Siderails Up Position Raise the side rail to the highest position by lifting upwards until it latches and stays in position (see figure 1-10 below). Figure 1-10. Side rails Up Position

Siderails Down Position To lower a side rail, do as follows: 1.

Put one hand on the top rail of the side rail and release the lock knob (A) with your other hand (see figure 1-11 below).

2.

Hold the lock knob (A) in the unlocked position until the side rail is fully down. Figure 1-11. Side rails Down Position

A

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1.6.11 Telescopic Extension The telescopic extension feature extends the length of the bed surface. 1.

To extend the bed, raise the extension lock lever (A) at the foot end of the bed and gently pull the footboard outward (see figure 1-12 below).

2.

Make sure that the bolster mattress and any other obstructions have been removed before the extension is pushed in.

3.

To retract the extension, lift the extension lock lever (A) to unlock the extension, and push the extension back into its stowed position. Figure 1-12. Telescopic Extension

A

1.6.12 Battery Backup If there is a loss of AC power, the battery backup system will supply power for the bed.

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1.6.13 Technical Specifications WARNING: Do not use the product outside the recommended safe working load. To do so could cause patient injury or equipment damage. Table 1-13. Technical Specifications Feature

Dimension

Maximum width (retracted extension) Length (fully extended) Length (fully retracted) Trendelenburg (and reverse Trendelenburg)

1016 mm 2405 mm 2210 mm 16o angle

Backrest inclination (maximum)

65 o angle

Siderail height (above the sleep deck)

390 mm

Head/Footboard height above bed deck

475 mm

Required wall clearance

a

0 mm

Under bed clearance (minimum) Horizontal movement of bed through full height range Wheelbase b-150 mm single wheel castors

150 mm

Wheelbase c-150 mm twin wheel castors

205 mm

Wheelbase d-200 mm single wheel castors

260 mm

Safe working loads (depends on model numbers)

250 kg for model MC 700_xxx25xxx 300 kg for model MC 700_xxx30xxx

Bed weight (shipping weight)

135 kg

Recommended Mattress width

905 mm

Recommended Mattress length

1980 mm

Mattress thicknesses

170 mm (maximum)

Bed height range

400mm to 855mm (150mm single wheel castors)

0 mm 220 mm

385mm to 840mm (150mm twin wheel castors) 425mm to 880mm (200mm single wheel castors) The minimum bed to wall placement to allow for horizontal arc movement of bed a.

This dimension is from the floor to the wheelbase frame perimeter

b.

This dimension is from the floor to the wheelbase frame perimeter

c.

This dimension is from the floor to the wheelbase frame perimeter

d.

For a mattress that is other than the recommended thickness, a risk assessment should be done in relation to the risk that the patient may fall

e.

This measurement is from the floor to the top of the mattress surface

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Introduction All maximum bed angles shown are with respect to horizontal (See Figure 1-13 below). Figure 1-13. Bed Angles

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Electrical Specifications For electrical specifications, see Table 1-2. below. Table 1-2. Electrical Specifications Condition

Range

AC Input Power Requirements 240 V AC +/- 10%, .6 A, 50 Hz Battery Backup Enclosure

1.2 ampere-hour Double insulated with functional earth connector, Class Two, indoor use only, IPX4a

a. IPX4 is identified as:

(X) Protection against dust - limited degrees (no harmful deposits).

(4) Protection against water sprayed from all directions. Limited ingress permitted. Provides complete protection against contact with live or moving parts inside the enclosure. Protection against harmful deposits of dust.

Electromagnetic Emissions and Immunity Guidance Electrostatic Discharge When static charge builds up on a bed or on other equipment, an electrostatic discharge (ESD) is produced which can damage electronic components. Studies have shown that these discharges can reach 30 kv or higher. Reduce the possibility of electrostatic discharge:

See that the atmosphere does not become too dry

Use cotton-type bedding and cotton carpet

Use conditioner when cleaning the carpet

Electromagnetic Interference Patient monitoring equipment can become unreliable from the generation of low frequency electromagnetic fields. Equipment such as the EEG (Electroencephalograph) and the ECG (Electrocardiogram) operate in a low frequency range (0-125 Hz) and can be changed by mains power (50-60 Hz) frequency interference. The electromagnetic emissions and immunity guidance is given below: Guidance and Manufacturer's Declaration-Electromagnetic Emissions The bed is intended for use in the electromagnetic environment specified below. The customer or the user of the bed should assure that it is used in such an environment. Emissions Test

Compliance

Electromagnetic Environment-Guidance

RF Emissions CISPR 11

Group 1

The bed uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.

Class A

The bed is suitable for use in all establishments other than domestic and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes.

RF emissions CISPR 11

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Guidance and Manufacturer's Declaration - Electromagnetic Immunity The bed is intended for use in the electromagnetic environment specified below. The customer or the user of the bed should assure that it is used in such an environment. Immunity Test

IEC 60601 Test Level

Compliance Level

Electromagnetic Environment -Guidance

Electrostatic discharge (ESD) IEC 6 1000-4-2

±6 kV contact ±8 kV air

±6 kV contact ±8 kV air

Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%.

Electrical fast transient / burst IEC 61000-4-4

±2 kV for power supply lines

±2 kV for power supply lines

Mains power quality should be that of a typical commercial or hospital environment.

Surge IEC 6 1000-4-5

±1 kV differential mode ±2 kV common mode

±1 kV differential mode ±2 kV common mode

Mains power quality should be that of a typical commercial or hospital environment.

IEC 60601 Test Level

Compliance Level

Electromagnetic Environment -Guidance

< 5% UT (>95% dip in UT) for 0.5 cycle

< 5% UT (>95% dip in UT) for 0.5 cycle

50% UT (60% dip in UT) for 5 cycles

50% UT (60% dip in UT) for 5 cycles

70% UT (30% dip in UT) for 25 cycles

70% UT (30% dip in UT) for 25 cycles

< 5% UT (>95% dip in UT) for 5 sec

< 5% UT (>95% dip in UT) for 5 sec

Immunity Test

Voltage dips, short interruptions and voltage variations on power supply input lines IEC 61000-4-11

Power frequency (50/60 Hz) magnetic field IEC 6 1000-4-8

3 A/m

3 A/m

Mains power quality should be that of a typical commercial or hospital environment. If the user of the bed requires continued operation during power mains interruptions, it is recommended that the bed be powered from an uninterruptible power supply or a battery.

Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment.

NOTE 1: UT is the AC mains voltage prior to application of the test level.

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