HCama Arjo - Enterprise 9000 - Off
HCama Arjo - Enterprise 9000 - Off
HCama Arjo - Enterprise 9000 - Off
746-591-EN_13 • 06/2019
WARNING
To avoid injury, always read this Instructions for Use and accompanied documents
before using the product.
4
General Warnings
WARNING
Keep these instructions in a safe place; you may need to refer to them later on.
Read and understand these instructions before operating the bed. Caregivers must be
trained in the proper use of this product, its functions and controls, and any
accessories.
These instructions are mandatory for the safe and effective use of this product,
including the safety of patients and caregivers.
Unauthorised modifications or repairs to this product may affect its safety and will
invalidate any warranty. Arjo accepts no liability for any incident, accident or reduction
in performance that may occur as a result of such repairs or modifications.
To avoid the risk of electric shock, this product must only be connected to an
electricity supply with a protective earth.
Do not smoke or use naked flames near this equipment and do not expose it to
extremes of temperature.
Do not use electrically powered beds in the presence of flammable gases such as
anaesthetic agents e.g. in operating theatres.
The bed is intended for indoor use only and should not be used outside a normal
hospital environment.
Do not use accessories that have not been designed or approved for use with the bed.
The user should carry out a risk assessment before using the bed with equipment
from other suppliers or manufacturers.
Always apply the brakes when the bed is stationary.
To reduce the risk of injury due to falls, lower the bed to minimum height when the
patient is unattended.
Patients should not be left in the Trendelenburg position when unattended.
To reduce the risk of overbalancing, do not allow the patient to get on or off the bed
when the mattress platform is in a tilted (head down or foot down) position.
5
WARNING
Where risk assessment indicates that a patient is at high risk of entrapment owing to
their medical condition or other circumstances, and where there is no medical benefit
from their being left in a contoured position, place the mattress platform in the flat
position when the patient is unattended.
It is recommended to use the Function Lockout facility on the Attendant Control Panel
to prevent unintended movement in situations where objects may press against the
patient’s controls.
When the bed is operated, make sure that obstacles such as bedside furniture do not
restrict its movement.
The bed can only be moved on firm surfaces. Gradients must not exceed an angle of
10 degrees.
When moving or operating the bed, take care that any accessories attached to it (e.g.
lifting pole) do not strike doors, ceilings, etc.
Hold the head board or foot board when pushing or pulling the bed; do not hold the
side rails or any attached accessories.
Before operating the bed, make sure the patient is positioned correctly to avoid
entrapment or imbalance.
Take care when using equipment that needs to be positioned under the base frame to
ensure there is no contact with any part of the bed frame or components.
Take care not to squeeze or trap trailing cables from other equipment between moving
parts of the bed.
Take care not to allow clothing or bed linen to become snagged on moving parts of
the bed.
When operating moving parts of the bed, ensure the bed does not come into contact
with adjacent equipment which could be damaged by the beds operation.
This product complies with the requirements of applicable standards for
electromagnetic compatibility (EMC). However, medical electrical equipment requires
special precautions regarding EMC and should be installed and used in accordance
with the EMC information in the product service manual.
Medical electrical equipment can be affected by portable and mobile radio frequency
communications equipment, e.g. cellular telephones.
If a serious incident occurs in relation to this medical device, affecting the user, or the
patient then the user or patient should report the serious incident to the medical
device manufacturer or the distributor. In the European Union, the user should also
report the serious incident to the Competent Authority in the member state where they
are located.
6
1. Introduction
Optional features:
• Anti-Entrapment System
• 150mm (single or dual wheel) castors
• Bedstripper (linen shelf)
• 5th Wheel
• DIN accessory rails
• Lockable foot board and head board
• Radio translucent backrest with X-ray cassette tray
• Flat deck sheets
• IndiGo™ Intuitive Drive Assist
• Full width brake bar
• Foot Pedal for Adjustment of Bed Height
NOTE
Do not combine curved deck sheets with flat deck sheets.
Optional features are specified by the customer at the time of ordering. The
chosen options are indicated by the equipment model number.
7
The model number and serial number can be found on the
specification label; this is located on the control box tray.
ArjoHuntleigh AB
Hans Michelsensgatan 10
211 20 Malmö, SWEDEN
Specification label
Caution
Before using the bed, ensure that the “Power in” rating on the specification label is
compatible with the local electricity supply.
8
Product overview
NOTE
5th Wheel (Optional) is not shown on the picture, see page 18.
NOTE
Flat deck sheets are supplied as standard when the backrest with X-ray cassette tray is present.
9
2. Clinical Applications
WARNING
To ensure the patient can use the bed safely, their age and condition should be
assessed by a clinically qualified person.
The use of head down tilt (Trendelenburg) or foot down tilt (reverse Trendelenburg)
may be contraindicated for certain medical conditions. The tilt facility should only be
used under the guidance of a clinically qualified person after assessment of the
patient’s condition.
The weighing system is intended to provide reference data only. The weighing system
is not intended to provide readings upon which medication dosage decisions are
made.
Intended use The product is intended to provide support to patients during a stay in
hospital or other care facility. The product allows positioning for CPR and
Trendelenburg and is equipped with a weighing system. The weighing
system is intended to provide reference data only. The weighing system is
not intended to provide readings upon which medication dosage decisions
are made.
The bed is suitable for use in the following situations:
• Intensive/critical care provided in a hospital where 24-hour medical
supervision and constant monitoring is required, e.g. ITU, ICU and
CCU.
• Acute care provided in a hospital or other medical facility where
medical supervision and monitoring is required, e.g. general medical
and surgical wards.
• Long term care in a medical area where medical supervision is
required and monitoring is provided if necessary, e.g. nursing homes
and geriatric facilities.
Indications The bed is appropriate for high dependency patients who pose a movement
and handling risk and / or whose clinical condition requires that they are
positioned with minimal physical handling.
Patients with a moderate amount of independence can, at the caregiver’s
discretion, use the controls to adjust their own position.
The mattress platform can be positioned to assist with such clinical
procedures as may be required in the Application Environments defined
above.
10
Contra- The bed is not suitable for use in the following situations:
indications • A domestic area, i.e. home healthcare.
• Outpatient care.
• By patients under 40kg in weight.
• By children under 12 years old.
The maximum recommended patient weight is 185kg.
WARNING
If the combined weight of the mattress and accessories exceeds 65kg, the maximum
patient weight must be reduced accordingly.
The recommended patient size is: weight equal or above 40kg, height
between146cm and 190cm, and BMI equal or above 17.
At the discretion of the carer, patients taller than190cm may be
40 kg 146 cm BMI 17 accomodated by extending the bed - refer to “Bed length adjustment” in
Chapter 4. Ensure that the patient’s height does not exceed the “In-bed
length” shown in Chapter 7.
11
3. Installation
WARNING
If the power supply cord or plug is damaged, the complete assembly must be replaced
by authorised service personnel. Do not remove the fitted plug, or use a rewireable
plug or adapter.
Make sure the power supply cord is not stretched, kinked or crushed.
Do not allow the power supply cord to trail on the floor where it may cause a trip
hazard.
Make sure the power supply cord does not become entangled with moving parts of
the bed or trapped between the bed frame and head board.
Disconnect the power supply cord from the electricity supply, and store it as shown,
before moving the bed.
Before the first use, or if the bed has been unused for more than three months, read
and understand this IFU and test the functionality of the bed to verify correct
operation. Refer to “Preventive maintenance” on page 49 for a list of functional tests.
CAUTION
Before the first use, or if the bed has been unused for more than three months,
connect the bed to the electricity supply for at least 24 hours to allow the backup
battery to recharge fully; failure to do this may reduce the life of the battery. After
charging, check that the battery is fully serviceable by carrying out a battery test as
shown on page 51.
12
Weighing Position the bed on a flat, level surface and apply the brakes (see page 16).
system
Remove the four transport locking bolts (1) and washers (2); there are two
locking bolts at the head end of the bed and two at the foot end.
2 2
1 1
Retain the bolts and washers in case the bed needs to be transported at a
later date.
CAUTION
To prevent damage to the weighing mechanism, replace the transport locking bolts
and washers before transporting the bed. This is not necessary when moving the bed
short distances over smooth surfaces.
When replacing the transport locking bolts care must be take to avoid trapping or
damaging any cables.
13
Electricity Connect the mains plug to a suitable socket outlet. Make sure the plug is
supply easily accessible so it can be disconnected quickly in an emergency.
2
3
When the bed is connected to the electricity supply, an indicator will light on
the Attendant Control Panel (see page 33).
The power supply cord (1) is fitted with a plastic hook (2). When not in use
or before moving the bed, clip the hook onto the head board, coil up the
cable and place it over the hook as shown.
To isolate the bed from the electricity supply, disconnect the mains plug
from the socket outlet.
A potential equalisation terminal (3) is located at the head end of the bed.
When other electrical equipment is within reach of the patient or caregiver,
potential differences between the equipment can be minimised by
connecting together their potential equalisation terminals.
Underbed The underbed light illuminates the floor on either side of the bed.
light The underbed light is always on unless the bed is in its low power state;
refer to the section “Low power mode” on page 38.
14
Mattresses
WARNING
Always use a mattress of the correct size and type. Incompatible mattresses can
create hazards.
Entrapment hazards may exist when using a very soft mattress, even if it is the correct
size.
The maximum recommended mattress thickness for use with split side rails is 18cm.
Read the instructions for use supplied with the mattress.
Where the maximum patient weight specified for the mattress is different to that
specified for the bed, the lower value applies.
A label on the calf extension sheet indicates the correct mattress size:
1 - 191cm
2 - 202cm
3 - 214cm
12.5 - 18cm
88cm
NOTE
The numbers 1, 2 and 3 on the label indicate different mattress platform lengths; refer to “Bed
length adjustment” on page 23.
Mattresses and When choosing bed and mattress combinations, it is important to consider
split side rails the use of split side rails based on clinical assessment of each individual
patient and in line with local policy.
When assessing the suitability of a mattress for use with split side rails, the
following factors should be considered:
• The bed is designed to provide an acceptable split side rail height
when used with a foam mattress up to 18cm thick.
• Specialist powered air / foam replacement mattresses will typically
envelop the patient when loaded and can generally be deeper than a
foam mattress without compromising safety. Other makes of specialist
mattress replacement must be assessed individually prior to use to
verify sufficient clearance is maintained.
• Mattress overlays are not recommended for use with this bed.
• To ensure compliance with IEC 60601-2-52, an approved Arjo
mattress should be used. Compliance with this standard when using
other mattresses must be validated by the user.
• For more information on suitable mattresses and mattress
replacements, contact your local Arjo office or approved distributor.
A list of Arjo offices can be found at the back of this manual.
15
4. Operation
WARNING
Operate the brake pedals with your feet while wearing suitable shoes. Do not operate
the pedals with your hands.
Brakes and steering
The brake pedals at the foot end of the bed are linked by a full width bar
which makes it easier to operate the pedals, especially when the mattress
platform is at low height.
The pedals have three positions as shown below:
• BRAKE: brakes are applied on all four castors.
• FREE: all four castors are free to rotate and swivel.
• STEER: all four castors can rotate, but the steering castor (see
below) is locked so that it cannot swivel. This helps to keep the bed
on a straight line.
Using the Position the bed so that all the castors line up in the direction of travel. Raise
steering castor the pedals to lock the steering castor and move the bed by pushing it from
the opposite end of the steering castor.
NOTE
The steering castor may be at either end of the bed, as specified by the customer.
NOTE
Brake pedal appearance may alter slightly on actual product, but functionality and user
instructions remain un-changed.
16
Head end brake Brake pedals (1) are at the head end of the bed. These operate in the same
pedals way as the foot end pedals.
Lift cover of pedal with foot and press left side to raise the bed height.
Press right side of pedal to lower the bed height.
17
How to use the 5th Wheel (Optional)
The 5th wheel provides improved mobility and steering.
Foot End
A
Head End
18
Split side rails
WARNING
The clinically qualified person responsible should consider the age, size and
condition of the patient before allowing the use of split side rails.
Split side rails are not intended to restrain patients who make a deliberate attempt to
exit the bed.
Ensure that the mattress is suitable for use with split side rails - see “Mattresses and
split side rails” on page 15.
To prevent possible entrapment, make sure the patient’s head and limbs are clear of
the split side rails when adjusting the mattress platform.
Split side rail contact points are identified by this symbol. Keep hands and
fingers away from these areas.
To lower the split side rail:
Hold either split side rail handle (1). Pull the blue release lever (2) and lower
the split side rail (3), holding the split side rail until it is completely lowered.
The split side rail folds down below the mattress platform.
2
Fig. 7 - Split side rail operation
NOTE
The head end and foot end split side rails operate in the same way.
To raise the split side rail:
Hold either split side rail handle (1). Pull the split side rail up and away from
the bed until it locks in the raised position.
WARNING
Make sure the locking mechanism is securely engaged when the split side rails are
raised.
19
CPR backrest release
Manual CPR release handles are located below the calf section on either
side of the bed.
If the patient suffers a cardiac arrest, pull the CPR release handle (1). This
will lower the backrest (2) to enable cardio-pulmonary resuscitation to be
carried out.
WARNING
The backrest can fall quickly; keep hands clear to avoid trapping.
Caution
The manual CPR release should only be used in an emergency; repeated everyday use
can cause premature wear.
20
X-ray cassette tray (Optional)
The X-ray cassette tray allows thoracic X-ray photography with the backrest
at any angle and without the patient moving from the bed.
WARNING
Position the mattress platform at an ergonomic height to allow easy loading and
removal of X-ray cassettes.
Return the X-ray cassette tray to its closed position below the backrest before raising
or lowering the backrest.
Do not sit or place heavy objects on the X-ray cassette tray.
Ensure the X-ray cassette tray is held securely in place by the catch at all times.
Operation Apply the brakes. Remove the head board from the bed.
Pull the knob (1) to release the catch and slide the tray out (2) as far as will
go.
Release the knob to hold the tray in the fully open position (3). Position the
X-ray cassette (4) on the tray with its bottom edge against the lip at the foot
end of the tray.
21
3
4
Pull the knob and slide the tray underneath the backrest.
The red moulding on the top of the X-Ray sitting tool indicates the top right
hand corner of the X-Ray cassette.Use this feature to assist in accurate
positioning.
Release the knob to hold the tray in one of the latching positions.
After use, pull the tray out to the fully open position and remove the X-ray
cassette. Return the tray to the closed position below the backrest and
replace the head board.
22
Bed length adjustment
The length of the bed is adjustable to three set positions. These are typically
used as follows:
1 Short, for manoeuvring the bed in confined spaces
2 Standard length, for normal use
3 Extended, to accommodate very tall patients
WARNING
Install a suitable foam mattress extension (squab) at the head end when the bed is
extended.
Always adjust the bed frame and mattress platform to the same length and make sure
both are latched securely in position.
Level the mattress platform before adjusting the bed length.
To extend the bed frame:
Pull the blue extension locking handle (1). Pull out the bed frame (2) to the
required position and release the handle.
23
To extend the mattress platform:
Lift the blue extension catch bar (1) and hold the middle of the end crossbar
(2), then pull the mattress platform to the required position. Release the
catch bar.
WARNING
Take care not to pinch your fingers when lifting the catch bar.
WARNING
After extending the mattress platform make sure the calf extension sheet is clipped
over the end of the mattress platform frame.
To shorten the bed:
Reverse the above procedure.
24
Bedstripper (linen shelf) (Optional)
The bedstripper is used for supporting clean linen when the bed sheets are
being changed.
Pull out the bedstripper from its closed position below the foot board.
After use, push the bedstripper back to its closed position.
CAUTION
25
Lifting pole and accessory sockets
Lifting pole sockets (1) are located at the head end of the mattress platform.
Sockets to support compatible accessories are located at the head end (2)
and foot end (3) of the bed.
26
Drainage bag rails
Rails (1) to support drainage bags, etc. are located below the thigh and
backrest sections on either side of the bed.
(Optional) The bed may also be fitted with DIN accessory rails (2).
CAUTION
The maximum weight that can be safely supported by each drainage bag rail and DIN
rail is 5kg.
CAUTION
Items placed on the drainage bag rails (such as patient drains and urine bags) are
included in the weighing calculation, and can influence measurement of patient weight
- see “Advanced Features” on page 39.
27
Head and The head and foot boards can be easily lifted off the bed for access to the
foot boards patient.
(Optional) The head or foot board may be fitted with two locking catches
(1) to prevent accidental removal. To unlock the head or foot board: pull
out the catches (2) and rotate them a quarter-turn (3); the foot board can
now be lifted off the bed.
2
3
After replacing the foot board on the bed, rotate the catches until they spring
back into the locked position.
28
Adjusting the mattress platform
WARNING
The controls require only a single press to activate. To prevent unwanted movement of
the mattress platform, avoid leaning against the split side rails and keep equipment on
and around the bed clear of the controls.
Controls for use by the patient and caregiver are built into the head end split
side rails. These operate the bed’s basic functions. For patients who find it
difficult to use the split side rail controls, a separate handset is available as
an optional extra.
An Attendant Control Panel (ACP) for use only by the caregiver is built into
the foot end split side rails. This provides full control of all the bed’s
functions.
The functions of the patient and caregiver controls, and the ACP, are
described over the next few pages.
To adjust the mattress platform: press and hold the appropriate button
until the required position is achieved. Movement will continue until the
button is released or the limit of travel is reached.
CAUTION
Do not place anything on the electrical box (1) as it may be damaged or obstruct the
movement of the mattress platform.
NOTE
If a warning tone (beep) sounds when pressing a button, this indicates that the bed is
operating on the backup battery - refer to the section “Backup battery” on page 37.
NOTE
If a button is held down for more than 90 seconds, the function will be automatically inhibited
until the button is released. The function must then be unlocked as described in the section
“Function lockout” on page 35.
29
Patient The patient controls are located on the inside panel of both head end split
controls side rails.
WARNING
The patient should be shown how to use these controls by the caregiver.
Caregiver The caregiver controls are located on the outside panel of both head end
controls split side rails.
30
Thigh section These buttons raise and lower the thigh section.
When the thigh section is first raised from the flat position, the calf section
will be in the Fowler position (angled downwards).
To change the calf section to the vascular (horizontal) position, refer to the
section “Adjusting the calf position” on page 36.
Bio-Contour The Bio-Contour up button simultaneously raises the backrest and thigh
sections to provide upright patient profiling; the raised thigh section prevents
the patient sliding down the bed.
The Bio-Contour down button returns the mattress platform to a flat position.
NOTE
The mattress platform will not lower to extra low height if the bed platform is tilted
(in Trendelenburg or reversed Trendelenburg position).
WARNING
At minimum height, clearance underneath the bed is reduced. Keep your feet away
from the areas below the split side rails and take extra care when using patient hoists
or similar equipment.
31
Patient The controls on this handset operate in the same way as those on the side
handset rails (see page 31).
(Optional)
WARNING
Store the handset on the side rail using the clip on the back; this will help to prevent
accidental operation of the controls.
The patient should be shown how to use the handset by the caregiver.
Take care not to squeeze or trap the handset cable between moving parts of the bed.
Patient handset
32
Attendant Control Panel (ACP)
Attendant Control Panels are located on the outside panels of both foot end
split side rails. The ACP on the left side and right side of the bed have
different button layouts.
NOTE
The mattress platform will not lower to extra low height if the bed platform is tilted
(in Trendelenburg or reversed Trendelenburg position).
WARNING
Before lowering the bed, make sure that the space between the mattress frame and
chassis is free of persons, limbs, bedding or other objects.
WARNING
At minimum height, clearance underneath the bed is reduced. Keep your feet away
from the areas below the split side rails and take extra care when using patient hoists
or similar equipment.
33
WARNING
If the head end panel has been removed there is an increased risk of entrapment
between the backrest and chassis when the backrest is being lowered. Make sure that
the space between the chassis and backrest is free of persons, limbs, bedding or
other objects.
Backrest These buttons raise and lower the backrest.
The backrest will pause when it reaches an angle approximately 30º above
the horizontal.
Thigh section These buttons raise and lower the thigh section.
When the thigh section is first raised from the flat position, the calf section
will be in the Fowler position (angled downwards).
To change the calf section to the vascular (horizontal) position, refer to the
section “Adjusting the calf position” on page 36.
Auto-Chair The Auto-Chair up button simultaneously raises the backrest and thigh
sections, pausing when the backrest reaches 45º. Continue to hold the
button down to lower the foot end of the mattress platform into a chair
position.
If the backrest angle is greater than 45º, it will return to 45º to prevent the
patient from tipping forwards.
The Auto-Chair down button returns the mattress platform to a flat and level
position.
Tilt angle
This button lowers the head end of the mattress platform (Trendelenburg
position).
This button lowers the foot end of the mattress platform (reverse
Trendelenburg position).
NOTE
When returning from a tilted position, the mattress platform will pause at the level (no tilt)
position.
CPR position If the patient suffers a cardiac arrest, press and hold the CPR button. This
will flatten the mattress platform (and lower it if necessary) to enable cardio-
pulmonary resuscitation to be carried out.
The CPR button overrides the function lockout settings.
34
Function lockout
Function lockout can be used to prevent operation of the controls, e.g. when
inadvertent movement of the mattress platform could injure the patient.
NOTE
When a function is locked, any associated functions are automatically disabled, e.g. locking
the backrest also disables Bio-Contour and Auto-Chair.
NOTE
Function lockout settings are retained if the bed is disconnected from the electricity supply.
35
Adjusting the calf position
When the thigh section is raised, the calf section can be manually changed
to the vascular (horizontal) position.
Hold the side of the calf section frame. Lift the calf section upwards (1) until
it latches (2).
WARNING
Take care when lifting the calf section. Observe local manual handling guidelines.
36
Backup battery
CAUTION
To ensure the battery is kept fully charged and prevent damage to the battery, the bed
should be connected to the electricity supply at all times during normal use.
The battery is intended for short term use only. Its life will be reduced if it is used to
power the bed for long periods.
The backup battery allows operation of the bed for short periods when it is
disconnected from the electricity supply or in emergency situations when the
electricity supply is not available.
The battery’s charge level is indicated as follows:
If a continuous warning tone sounds when operating the bed, the battery is
between 10% and 75% charged.
In this condition, all bed functions remain operational.
If the ACP battery indicator lights red, the battery is less than 10% charged.
In this condition, all functions are locked.
37
Recharging the To recharge the battery, connect the bed to the electricity supply. Allow at
backup battery least eight hours to recharge the battery when it is completely discharged.
While the battery is recharging, the ACP battery indicator lights yellow. The
indicator will go out when the battery is fully charged.
WARNING
If the battery is left discharged for long periods, its operational life will be reduced.
The battery must only be recharged using the built-in charger. Do not use a separate
charger or power supply.
The backup battery must be ventilated while recharging. Do not cover the battery vent
hole or obstruct the area around it.
Low power When the bed is disconnected from mains power, it enters a low power
mode mode to conserve battery power. In this state, the underbed lights, the
indicators on the control panels and the weighing system display are turned
off.
Pressing any of the control buttons brings the bed out of low power mode.
The bed will return to low power mode two minutes after the last control
button was pressed.
Duty cycle Continuous operation of the controls may exceed the duty cycle of the bed’s
lockout electrical system, causing the indicators above the buttons to flash. After 30
seconds, the indicators will light and all functions are locked.
If this happens, wait for at least 18 minutes then follow the unlocking
procedure described in the section “Function lockout” on page 35.
38
5. Advanced Features
Weigh: this button is used to calculate and display the current patient
weight.
Zero: this button is used to reset the weighing system when the bed is first
set up and before a new patient uses the bed.
Select Weight Display: this button allows the patient weight to be displayed
rounded to the nearest 100g or 500g.
WARNING
The weighing system should only be used by staff trained in the correct use of the
weighing function.
The weighing system should only be used in closely supervised environments, where
factors influencing patient weight (such as additions to the bed) can be controlled as
described in the following instructions for use.
39
Accuracy The weighing system is very sensitive and can be affected by a number of
external factors. For best performance, observe the following precautions:
• Ensure the bed is on a flat, level surface.
• Ensure the transport locking bolts and washers have been removed
before use – refer to page 7.
• Position the bed so that it is clear of obstructions, e.g. walls, furniture,
cables and curtains.
• Ensure the patient is fully on the mattress during weighing.
• While weighing is taking place, the patient should keep as still as
possible and other persons should keep clear of the bed.
• Ensure that the patient, pillows and bed linen do not touch the head
board during weighing.
CAUTION
Any item attached to or placed on any part of the bed other than the head board
(Fig 22, Item 1) and head end lifting pole accessory sockets (Fig 22, Item 2) will
influence the patient weighing system.
Make sure the mains cable is free of the head board and any fixed part of the bed. If
the cable becomes trapped it can affect the accuracy of the weighing system.
2
Areas that do influence patient weighing
Areas that do not influence patient weighing
Fig. 22 - Areas of patient weighing influence
NOTE
Use the AUTO COMPENSATION feature before adding or removing any items (eg: urine
bags, iv poles, mattress pumps, bed-clothes etc.).
40
Initialisation After connecting the bed to the electricity supply, the weighing system must
be initialised as follows:
1. Place the mattress, bed linen and all necessary accessories on
the bed. The patient must not be on the bed at this point.
WARNING
The weighing system is intended to provide reference data only. The weighing system
is not intended to provide readings upon which medication dosage decisions are
made.
CAUTION
The weighing system MUST be zeroed every time a new patient is to be placed on the
bed.
CAUTION
CAUTION
41
Weighing To calculate and display the patient’s weight:
1. With the patient lying centrally on the bed, press the Weigh
button once.
3. The patient’s weight will be displayed for ten seconds then the
display will go blank.
The patient’s weight is usually displayed rounded to the nearest 500g; this
can be temporarily changed to 100g by pressing the Select Weight
Display button. The display will revert to 500g next time the Weigh button
is pressed.
NOTE
The 100g weight display should only be used for comparative readings.
Auto The Auto Compensation facility allows weight (up to a maximum of 100kg)
Compensation to be added to or removed from the bed, without affecting the indicated
patient weight.
1. With the patient lying on the bed, press the Auto Compensation
button once.
6. The display will show a moving circular pattern for a few seconds
then revert to showing the patient’s weight..
CAUTION
42
Error Codes Error codes are shown on the display. They are used to indicate a problem
with the weighing system; this may be due to an operator error or a possible
fault condition.
The table below shows common error codes with their meanings and
possible causes.
(
Auto Compensation
weight decrease more Replace weight removed from bed
than 100kg
(
Auto Compensation
weight increase more Remove added weight from bed
than 100kg
(
A stable weight reading
Refer to the points listed in the section
was not obtained within
“Accuracy” on page 40
10 seconds
NOTE
If the display shows an error code other than those given above, refer to the product service
manual or contact an approved Arjo service agent.
Angle When operating the controls for backrest angle or tilt, the weighing system
indication display shows the approximate angle in degrees of the selected function.
Angles are shown relative to the floor, so the displayed values of backrest
angle and thigh angle change when the mattress platform is tilted.
The tilt angle is shown as a positive value for head down tilt and a negative
value for foot down tilt.
43
VariZone™ patient movement detection
The patient movement detection system can be set to alarm when
undesired movement of the patient occurs. The sensitivity of the patient
movement detection, relative to the centre of the mattress platform, can be
varied incrementally.
The controls for the patient movement detection system are located on the
foot end split side rails.
WARNING
The patient movement detection function should be checked periodically for correct
operation and before each new patient uses the bed.
Mattresses that are not approved by Arjo should be validated by the user to ensure
correct operation with the VariZone system.
NOTE
Adjusting the mattress platform profile while patient movement detection is active can trigger
an alarm if patient movement detection is set to a high sensitivity.
44
WARNING
Before using patient movement detection, verify that the alarm can be easily heard by
caregivers, e.g. at the nurse’s station.
After a few seconds the indicator will stop flashing and remain lit to show that
patient movement detection is active.
If movement of the patient above the set threshold is detected, an audible
alarm will sound and the threshold indicator will flash.
To cancel the alarm or deactivate patient movement detection:
Press the In Bed button or Egress button once.
The alarm will be silenced and the threshold display indicator will go out to
show that movement detection is deactivated.
45
Anti-entrapment system (Optional)
The anti-entrapment system is designed to detect patient entrapment
between the base and mattress platform when the mattress platform is
lowered, or is placed into tilt or Auto-Chair. The system is permanently
active and cannot be switched off.
2 2
1
There are four infra-red sensors (1), one above each castor, which
generate an invisible beam around the base of the bed (3).
If the beam is interrupted (e.g. by a patient’s limb) while the mattress
platform is lowering, the mattress platform stops moving and the weighing
system display shows .Upward movement of the mattress platform is
not affected.
NOTE
The anti-entrapment system may also be triggered if the beam is interrupted by bed linen,
etc.
WARNING
Clean the lenses (2) of the infra-red sensors regularly using a soft dry cloth.
46
6. Product Care
WARNING
Disconnect the bed from the electricity supply before starting any cleaning or
maintenance activity. The bed will still operate on battery power if the function has not
been locked on the ACP.
Lift off the calf extension sheet (1) before removing the calf section (2).
2 1
Replace the calf extension sheet (1) by clipping it over the end of the
mattress platform frame.
47
Decontamination
WARNING
Do not allow the mains plug or power supply cord to get wet.
CAUTION
NOTE
These instructions also apply to accessories but not to mattresses. For lifting straps and
handles, refer to the manufacturer’s instructions supplied with the product.
The bed should be cleaned and disinfected weekly, and before a new
patient uses the bed.
Cleaning Remove the mattress and all accessories from the bed.
The head/foot boards and mattress platform sheets should be removed
from the bed for cleaning.
Wearing suitable protective clothing, clean all surfaces with a disposable
cloth moistened in hand hot water and a neutral detergent.
Start by cleaning the upper sections of the bed and work along all horizontal
surfaces. Work methodically towards the lower sections of the bed and
clean the wheels last. Take extra care to clean areas that may trap dust or
dirt.
Wipe over with a new disposable cloth moistened with clean water, and dry
with disposable paper towels.
Allow the cleaned parts to dry before replacing the mattress.
Disinfecting After cleaning the bed as described above, wipe all surfaces with sodium
dichloroisocyanurate (NaDCC) at a concentration of 1,000 parts per million
(0.1%) of available chlorine.
In the case of pooling body fluids, e.g. blood, the concentration of NaDCC
should be increased to 10,000 parts per million (1%) of available chlorine.
48
Preventive maintenance
This product is subject to wear and tear during use. To ensure that it
continues to perform within its original specification, preventive
maintenance procedures should be carried out at the intervals shown.
WARNING
This list indicates the minimum recommended level of preventive maintenance. More
frequent inspections should be carried out when the product is subjected to heavy
use or aggressive environments, or where required by local regulations.
Failure to carry out these checks, or continuing to use the product if a fault is found,
may compromise the safety of both the patient and caregiver. Preventive maintenance
can help to prevent accidents.
NOTE
Product cannot be maintained and serviced while in use with the patient.
49
WARNING
The procedures below must be carried out by suitably trained and qualified
personnel. Failure to do so may result in injury or an unsafe product.
Actions to be done by qualified personnel Yearly
Check that the bedstripper (linen shelf) (Optional) remains in its closed
position when maximum foot down tilt is applied
9
Check that the bed operates correctly using the backup battery as described
in the section “Battery test” on page 51.
9
Check operation the of castors, paying special attention to braking and
steering functions
9
Check that the calf section moves to the Fowler position when the thigh
section is raised
9
Check that the calf section latches securely in the horizontal (vascular)
position when manually raised.
9
Check that the bed extension locks securely in all three positions 9
Examine the power supply cord and mains plug; if damaged, replace the
complete assembly; do not use a rewireable plug
9
Examine all accessible flexible cables for damage and deterioration 9
Check all accessible nuts, bolts and other fasteners are present and correctly
tightened
9
Check any accessories fitted to the bed, paying particular attention to
fasteners and moving parts
9
Weighing system
Be sure to follow all local guidelines or regulations regarding weigh scale
verification and calibration.
The weigh system should be re-verified before the date of expiry shown on
the bed. Make sure the bed is re-verified every 12 months. If verification
does not pass, the weigh system should be re-calibrated.
Refer to the product service manual for verification and calibration
procedures or contact an approved Arjo service agent.
50
Battery test Check the condition of the backup battery by carrying out the following test.
1. Disconnect the bed from the electricity supply.
3. Raise the backrest and thigh sections as far as they will go.
4. Press and hold the CPR button. The mattress platform will flatten
and lower to a mid-height position.
If this test is not completed successfully, connect the bed to the electricity
supply for at least eight hours to recharge the battery then perform the test
again. If the bed fails a second time, contact Arjo or an approved service
agent.
To maintain best performance, the backup battery should be replaced every
four years by an approved service agent.
51
Troubleshooting
If the equipment fails to operate correctly, the table below suggests some
simple checks and corrective actions. If these steps fail to resolve the
problem, contact Arjo or an approved service agent.
52
Symptom Possible Cause Action
Auto Compensation
Error code E003 weight increase more Remove added weight from bed
than 100kg
A stable weight
reading was not Refer to the points listed in the section
Error code E102
obtained within 10 “Accuracy” on page 40
seconds
53
Fault indications
The bed’s control software indicates problems in the electrical system by
means of flashing indicators on the Attendant Control Panel (ACP). If you
experience any of the indications below, contact Arjo or an approved
service agent.
ACP mattress platform height and head Height actuator fault (foot end)
down tilt indicators flashing
ACP mattress platform height and foot Height actuator fault (head
down tilt indicators flashing end)
Product lifetime
The lifetime of this equipment is typically ten (10) years. “Lifetime” is defined
as the period during which the product will maintain the specified
performance and safety, provided it has been maintained and operated in
conditions of normal use in accordance with the requirements in these
instructions.
54
7. Accessories and Cables
Recommended accessories for the bed are shown in the table below.
Note that some items may not be available in all countries.
Accessory Product code
Lifting pole with strap and handle ENT-ACC01
IV pole ENT-ACC02
IV pole steel hooks ENT-ACC02 SH
Three-position lifting pole with strap and handle ENT-ACC03
Angled IV pole ENT-ACC04
Fracture frame ENT-ACC05
Syringe pump holder ENT-ACC07
Oxygen bottle holder (for CD, D, E & PD cylinder) ENT-ACC08
Small traction assembly ENT-ACC10
ACP holder ENT-ACC11
Additional hooks for IV pole ENT-ACC14
Power supply cord storage hook (supplied with bed) ENT-ACC15
Oxygen bottle holder (for B5 cylinder) ENT-ACC18
Urine bottle holder ENT-ACC19
Heavy duty IV pole ENT-ACC24
Transducer mounting pole ENT-ACC26
Head end traction assembly ENT-ACC32
ITU head end panel (head board) ENT-ACC34
Oxylog® equipment bracket ENT-ACC40
Bed pan holder ENT-ACC56
Oxygen bottle holder ENT-ACC58
Monitor shelf ENT-ACC64
Lifting pole mounted IV fluid bag holder ENT-ACC65
Foot end infill panels ENT-ACC66
Urine bottle holder ENT-ACC69
IV Pole ENT-ACC71
Monitor shelf ENT-ACC74
Integrated IV Pole ENT-ACC89
1 cable 2.895 No /
55
8. Technical Data
General
Electrical data
56
Dimensions (subject to normal manufacturing tolerances)
Overall length
Position 1 (Short) 224cm
Position 2 (Standard) 235cm
Position 3 (Extended) 247cm
In-bed length
Position 1 (Short) 192cm
Position 2 (Standard) 203cm
Position 3 (Extended) 215cm
Overall width 103cm
Height of mattress platform (centre of seat section to floor)
32cm to 76cm Curved Deck Sheets
With 125mm castors
34cm to 78cm Flat Deck Sheets
34cm to 78cm Curved Deck Sheets
With 150mm castors
36cm to 80cm Flat Deck Sheets
Head down tilt angle 12° min.
Foot down tilt angle 12° min.
Mattress size (refer to the section “Mattresses” on page 15)
Position 2 (Standard) 202cm x 88cm, 12.5 to 18cm thick
• Equipment that has electrical and electronic components should be disassembled and
recycled per Waste of Electrical and Electronic Equipment (WEEE) or in accordance
with local or national regulation.
• All batteries in the product must be recycled separately. Batteries are to be disposed
in accordance with national or local regulations.
• Components that are primarily made up of different kinds of metal (containing more
than 90% metal by weight) for example bed frame, should be recycled as metals.
57
Transport and storage
Handle with care. Do not drop. Avoid shock or violent impact.
This equipment should be stored in a clean, dry and well-ventilated area which meets the
following conditions:
Temperature -10°C to 50°C (14°F to 122°F)
Relative humidity 20% to 90% at 30°C, non-condensing
Atmospheric pressure 700hPa to 1060hPa
CAUTION
If the bed is stored for a long time, it should be connected to the electricity supply for
24 hours every three months to recharge the backup battery, otherwise it may
become unserviceable.
Symbols
Caution
Model number
58
Symbols (continued)
INSTRUMENT
RECONNU CONFORME
1 LIMITE DE 7
2
3
VALIDITE
20XX
8
9
Calibration expiry Label (France)
4 10
5 11
6 12
59
Symbols (continued)
60
9. Warranty and Service
Arjo standard terms and conditions apply to all sales; a copy is available on
request. These contain full details of warranty terms and do not limit the
statutory rights of the consumer.
For service, maintenance and any questions regarding this product, please
contact your local Arjo office or approved distributor. A list of Arjo offices can
be found at the back of this manual.
Have the model number and serial number of the equipment to hand when
contacting Arjo regarding service, spare parts or accessories.
61
10. Electromagnetic Compatibility
Product has been tested for compliance with current regulatory standards
regarding its capacity to block EMI (electromagnetic interference) from
external sources.
Some procedures can help reduce electromagnetic interferences:
• Use only Arjo cables and spare parts to avoid increased emissions or
decreased immunity which can compromise the correct functioning of
the equipment.
Ensure that other devices in patient-monitoring and/or life-support areas
comply to accepted emissions standards.
WARNING
Wireless communications equipment such as wireless computer network devices,
mobile phones, cordless telephones and their base stations, walkie-talkies, etc. can
affect this equipment and should be kept at least 1.5 m away from the equipment.
WARNING
Use of this equipment adjacent to or stacked with other equipment should be
avoided because it could result in improper operation. If such use is necessary, this
equipment and the other equipment should be observed to verify that they are
operating normally.
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AUSTRALIA FRANCE POLSKA
Arjo Australia Pty Ltd Arjo SAS Arjo Polska Sp. z o.o.
78, Forsyth Street 2 Avenue Alcide de Gasperi ul. Ks Piotra Wawrzyniaka 2
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Tel: +61 89337 4111 Tél: +33 (0) 3 20 28 13 13 Fax: +48 61 662 15 90
Free: +1 800 072 040 Fax: +33 (0) 3 20 28 13 14 E-mail: [email protected]
Fax: + 61 89337 9077 E-mail: [email protected]
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BELGIQUE / BELGIË HONG KONG Arjo em Portugal
Arjo NV/SA Arjo Hong Kong Limited MAQUET Portugal, Lda.
Evenbroekveld 16 Room 411-414, 4/F, Manhattan Centre, (Distribudor Exclusivo)
BE-9420 ERPE-MERE 8 Kwai Cheong Road, Kwai Chung, N.T., Rua Poeta Bocage n.º 2 - 2G
Tél/Tel: +32 (0) 53 60 73 80 HONG KONG PT-1600-233 Lisboa
Fax: +32 (0) 53 60 73 81 Tel: +852 2960 7600 Tel: +351 214 189 815
E-mail: [email protected] Fax: +852 2960 1711 Fax: +351 214 177 413
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BRASIL ITALIA
Arjo Brasil Equipamentos Médicos Ltda Arjo Italia S.p.A. SUISSE / SCHWEIZ
Rua Marina Ciufuli Zanfelice, 329 PB02 Galpão Via Giacomo Peroni 400-402 Arjo AG
- Lapa IT-00131 ROMA Fabrikstrasse 8
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ESPAÑA 㨀℻掌䂾◉壝ካ栏ₘₐ䥽䟹⚆ᇫዐኤኀአ
Arjo Ibérica S.L. ኌ䶻壝ካ栏ኰወ椝
Parque Empresarial Rivas Futura, C/Marie ÖSTERREICH
Arjo GmbH 榊崀᧶
Curie 5
Edicio Alfa Planta 6 ocina 6.1-.62 Lemböckgasse 49 / Stiege A / 4.OG
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At Arjo, we are committed to improving the everyday lives of people affected by reduced mobility and age-related health challenges.
With products and solutions that ensure ergonomic patient handling, personal hygiene, disinfection, diagnostics, and the effective
prevention of pressure ulcers and venous thromboembolism, we help professionals across care environments to continually raise
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