Hill-Rom Affinity 3 User manual

User manual
Affinity®III
© 2000 by Hill-Rom Services, Inc. ALL RIGHTS RESERVED. No part of this text shall be reproduced or transmitted in any form or by any means, electronicormechanical, including photocopying, recording, or by any information or retrieval system without written permission from Hill-Rom Services,Inc.(Hill-Rom).
First Edition First Printing 2000 PrintedintheUSA
Affinity® is a registered trademark of Hill-Rom, Inc. Beaucoup® is a registered trademark of Huntington Laboratories, Inc. CSA® is a registered trademark of Canadian Standards Association, Inc. Dartex® is a registered trademark of Courtaulds Textiles (Holdings) Limited. EasyGlide™ is a trademark of Hill-Rom, Inc. Galahad® is a registered trademark of Puritan Chemical Company Hi-Tor® is a registered trademark of Huntington Laboratories, Inc. Hill-Rom® is a registered trademark of Hill-Rom, Inc. Matar® is a registered trademark of Huntington Laboratories, Inc. OneStep™ is a trademark of Hill-Rom, Inc. Quanto® is a registered trademark of Huntington Laboratories, Inc. SideCom® is a registered trademark of Hill-Rom, Inc. Slo-Blo® is a registered trademark of Littelfuse, Inc. Staph-Chek® is a registered trademark of Herculite Products, Inc. Surfacide® is a registered trademark of Walton-March, Inc. Vesphene® II is a registered trademark of E.R. Squibb & Sons, Inc. Virex® is a registered trademark of S.C. Johnson & Son, 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.
The only product warranty intended by Hill-Rom is the express, written warranty accompanying the bill of sale to the original purchaser. Hill-Rom makes no other warranty,express or implied, and in particular, makes no warranty of merchantability or fitness for a particular purpose. To order additional copies of this manual, call (800) 445-3720, and place a parts order for part number usr025.
Revision Letter Pages Affected Date
Original Issue October, 2000
USER MANUAL
TABLE OF CONTENTS
1 Typographical Conventions ..........................3
2 IntendedUse ......................................4
3 Introduction . . . . . . . . . . . . . ..........................4
4 Features ..........................................4
4.1 AutomaticTilt ........................................5
4.2 BatteryBackup .......................................5
4.3 BedControls .........................................6
4.3.1 Back Section Lumbar Mattress Control (Optional) . . . . . . . . . 7
4.3.2 FootSection ......................................8
4.3.3 HeadSection......................................8
4.3.4 NurseCall(Optional)................................9
4.3.5 SeatSectionMattressControl(Optional) ................9
4.3.6 TVOn/Off(Optional) ...............................10
4.4 BedModels .........................................10
4.5 CentralBrakeandSteer ...............................10
4.6 CPRRelease ........................................11
4.7 FluidBasin..........................................11
4.8 Foot Section (Lift-Off or Slide-Off) . . . . . . . . . . . . . . . . . . . . . . . 12
4.9 OneStep™FootSupports .............................14
4.10 Headboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
4.11IVPole .............................................15
4.12LaborGrips .........................................15
4.13LockoutControls.....................................16
4.14NightLight ..........................................16
4.15Siderails ............................................16
4.16Trend-LikeFunction ..................................17
5 OptionalFeatures .................................17
5.1 AirSupportSystem...................................17
5.2 SiderailControls .....................................18
5.2.1 Built-In SideCom® Communication System Controls
(Optional)........................................18
6 Accessories ......................................19
6.1 AnesthesiaScreen ...................................20
6.2 ArmBoard ..........................................20
6.3 EasyGlide™ Calf Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
6.4 ComfortPad.........................................21
6.5 DisposableDrape ....................................21
6.6 FoleyHookKit .......................................22
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6.7 FootRestBar........................................22
6.8 FullLegSupports ....................................22
6.9 InstrumentTray ......................................23
6.10InfusionSupportSystem(ISS)..........................23
6.11LaborBar ...........................................24
6.12OxygenTankHolder ..................................24
6.13PendantControl .....................................24
6.14PermanentIVPole....................................25
6.15PhoneandPhoneAdaptor .............................25
6.16Sheets..............................................25
6.17SiderailPads ........................................26
6.18Slipcovers(HeadandFoot) ............................26
6.19WedgeAssembly.....................................26
7 PatientPositioning—LaborandBirth .................27
7.1 UprightPosition/VoidingPosition.......................27
7.2 LateralPosition(Sims) ................................28
7.3 KneelingPosition ....................................28
7.4 LegsElevatedWithFootMattress.......................28
7.5 SquattingWithTheLaborBar ..........................29
7.6 PushingWithTheLaborBar ...........................29
7.7 Pushing With The Labor Bar (With Foot Supports) . . . . . . . . . 29
7.8 Pushing with Calf Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
7.9 Epidural/Spinal(LateralApproach) ......................30
7.10Epidural(SittingApproach) ............................30
7.11StraightLineTrend-LikePositioning ....................31
7.12ThronePosition(Chair) ...............................31
7.13BirthingBedMode ...................................31
7.14DeliveryTableMode ..................................32
7.15 High Modified Trend-Like Position (Birth And Repair) . . . . . . 32
8 SafetyTips .......................................33
9 Cleaning .........................................39
10 Product Symbol Definition . .........................42
11 TechnicalSpecifications............................45
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USER MANUAL
1 Typographical Conventions
This manual contains different typefaces and icons designed to improve readability and increase understanding of its content. Note the following examples:
• Standard text—used for regular information.
Boldface text—emphasizes a word or phrase.
NOTE:—sets apart special information or important instruction clarification.
• The symbol below highlights a WARNING or CAUTION:
Warning and Caution
– AWARNING identifies situations or actions that may affectpatient
or user safety. Disregarding a warning could result in patient or user injury.
– A CAUTION points out special procedures or precautions that
personnel must follow to avoid equipment damage.
• The symbol below highlights a CAUGHT HAZARD WARNING:
Caught Hazard Warning
• The symbol below highlights a CHEMICAL HAZARD WARNING:
Chemical Hazard Warning
• The symbol below highlights an ELECTRICAL SHOCK HAZARD WARNING:
Electrical Shock Hazard Warning
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2 Intended Use
The Affinity® Three Birthing Bed is intended to be used as a birthing bed for women of child bearing age within the acute care Labor and Delivery market. It is not intended for use as a general hospital bed.
3 Introduction
This manual provides the information required for normal operation of the Affinity® Three Birthing Bed from Hill-Rom. Before operating the Affinity® Three Birthing 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 patients’ view lying in the bed on their back.
4Features
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4.1 Automatic Tilt
NOTE :
• Asthehead section is raised, the seat section gradually tilts up from 0° to 15°.
• Asthehead section is lowered, the seat section gradually returns to a flat position.
4.2 Battery Backup
The Affinity® Three Birthing Bed is designed with battery backup as a standard feature. The battery allows the hilow,foot, and head motors to be activated from the siderailcontrols without power being supplied to the bed. In addition, the battery backup powers the nurse call function, but it does not power any other bed functions, such as the optional air support system.
Location: The battery backup indicator is located on
the siderail to indicate the battery condition.
Battery Backup LED Indicators:
• ON = Battery status is operational.
• FLASHING = Battery needs charging.
• OFF = Battery is discharged below the level required to run the motors.
USER MANUAL
Battery Backup
Indicators
If the battery has been completely discharged, it may take up to 36 hours to recharge to operational status.
CAUTION :
Remove the battery if the bed will not be in service for extended periods of time. Failure to do so could result in damage to the life of the battery, or damage to the bed. Contact the appropriate maintenance personnel, and refer to the Affinity® Three Birthing Bed Service Manual (man272).
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To ensure the battery is always charged, plug the bed into the appropriate power source whenever possible.
Disposal
Power comes from a lead acid battery,which needsto be disposed of properly according to your local regulations.
For assistance in disposing of the battery, contact your maintenance technician.
Pb
4.3 Bed Controls
The Affinity® Three Birthing Bed is electrically operated using siderail or pendant controls. The hilow,head, and foot functions can be operated by battery backup, if necessary.
Nurse Control Panel
Patient Control Panel
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4.3.1 Back Section Lumbar Mattress Control
NOTE :
NOTE :
ls
(Optional)
The Back Section Mattress (Lumbar) control enables you to inflate or deflate the back section lumbar mattress in order to attain a degree of firmness or softness.
USER MANUAL
Location: Caregiver and patient siderails (right
To Activate:
4.3.1.1 Bed Up/Bed Down (Hilow)
The Bed Up/Bed Downcontrolslocatedonboth siderails allow you to raise or lower the bed 16" (41 cm). The low position is for general use and to assist with patient egress, while the high position is used for patient procedures.
Location: Caregiver siderail (right hand and left hand). To Activate:
hand and left hand)
• To inflate the back section, press and hold the Back Firm button (plus sign) until the desired firmness is attained.
• To deflate the back section, press and hold the Back Deflate button (minus sign) until the desired softness is attained.
• Press and hold the Bed Up buttontoraisethebed.
• Press and hold the Bed Down button to lower the bed.
WARNING :
Leave the bed in the low position when the patient is unattended.This can reduce the possibility of patient falls and the severity of any resultant injuries.
Mattress Contro
Back Section
If the foot section is at its lowest position when the bed is lowered, the bed will stop at a higher position to ensure that the foot section does not interfere with the base.
If the bed is in the low position and the Trend-Like function is activated, the bed will rise to the appropriate height to allow the bed to move to the full Trend-Likeposition.
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NOTE :
4.3.2 Foot Section
The Foot Up/Foot Down controls located on both siderails enable you to raise or lower the foot section of the bed 9" (23 cm) of travel from its lowest position.
Location: Caregiver and patient siderails
To Activate:
If the foot section is at its lowest position when the bed is lowered, the bed will stop at a higher position to ensure that the foot section does not interfere with the base.
(right hand and left hand) The Foot Up/Down buttons are the arrows located on the right side of the label.
• Press and hold the Foot Up button to raise the foot section of the bed.
• Press and hold the Foot Down button to lower the foot section of the bed.
Foot Section Controls
4.3.3 Head Section
The Head Up/Head Down controls located on both siderails enable you to raise or lower the head section of the bed. The head section can be raised to any angle of inclination up to 63°.
Location: Caregiver and patient siderails
To Activate:
(right hand and left hand) The Head Up/Down buttons are thearrowslocatedontheleft side of the label.
• Press and hold the Head Up button to raise the head section of the bed.
• Press and hold the Head Down buttontolowertheheadsection of the bed.
Head Section Controls
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4.3.4 Nurse Call (Optional)
NOTE :
NOTE :
On Affinity® Three Birthing Beds equipped with the optional nurse call feature use the Nurse Call button to place a call to the nurse call system. Above the Nurse Call button, the Call indicator light illuminates on the patient’s siderail controls, indicating a call has been made.
Location: Caregiver and patient siderails (right hand
and left hand).
To Activate:
• Press and release the Nurse Call button.
• Speak into the speaker/microphone located on the patient’s side of the head end siderails.
CAUTION :
If power to the bed is lost, the nurse call function can still operate up to 4 hours depending on the charge of the battery. Before becoming completely non-functional, the system will place a non-cancellable nurse call.
The Nurse Call controls cannot be locked out.
4.3.5 Seat Section Mattress Control (Optional)
The Seat Section Mattress Control enables you to inflate or deflate the seat section mattress in order to attain a degree of firmness or softness.
USER MANUAL
Nurse Call
Button
Location: Caregiver and patient siderails (right hand
and left hand)).
To Activate:
• To auto-inflate the seat section, press the Caregiver Seat Inflate Button (plus sign). To cancel the auto-inflate function, press the Caregiver Seat Inflate Button (plus sign) again.
• To auto-deflate the seat section, press the Caregiver Seat Deflate Button (minus sign). To cancel the auto-deflate function, press the
Caregiver Seat Deflate Button (minus sign)
Seat Section
Mattress Controls
again.
• To inflate or deflate the seat section from the patient controls, press and hold the Patient Seat Inflate Button (plus sign) or the Patient Seat Deflate Button (minus sign).
The auto-inflate function runs for 20 to 25 seconds before shutting off.
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4.3.6 TV On/Off (Optional)
The TV on/off button turns on and off the audio for the television and radio.
Location: Patient siderail control panel (right hand and
left hand)
To Activate: Press and release the TV button. The green
indicator light illuminates, and the television and radio audio come on. The television and radio volume controls on the patient siderail control panels are now operational.
Mise hors tension : Press and release the TV button. The
green indicator light goes off, and the television and
On/Off
Buttons
radio audio are muted.
4.4 Bed Models
The Affinity® Three Birthing Bed is available in two options: the V-Cut or the StraightEdge.
V-Cut
Straight-Cut
4.5 Central Brake and Steer
The Affinity® Three Birthing Bed is equipped with 2-wheel braking and 1-wheel steering.
To Activate:
• To brake, press down firmly on the Brake Pedal (designatedbyanorangedot).Two casters will immediately lock into place. Push and pull on the bed to ensure the brakes are set.
• To release, press firmly on the Steer Pedal until both pedals are level (neutral position).
• To steer, press down firmly on the Steer Pedal (designated by a green dot). To release, press firmly on the Brake Pedal until both pedals are level (neutral position).
Central Brake
and Steer
WARNING :
Ensure the brakes are set when transferring a patient to or from the Affinity®Three Birthing Bed. Failure to do so could result in the bed moving during the transport, which could result in personal injury.
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4.6 CPR Release
The CPR Release enables the caregiver to save valuable time in an emergency. When activated, the CPR Release automatically lowers the head and seat section to the flat position, which creates a firm surface to support a CPR board.
To Activate: Pull the emergency CPR Release handle on either side of the
bed. Release your hand when the head section is down to the lowest position.
Emergency CPR Release
Handle
4.7 Fluid Basin
The fluid basin is reversible and easily removed for cleaning.
To Remove/Replace:
• Pullthe fluid basin straight out.
• Slide the basin straight into the holding devices.
Shake the basin gently to ensure it is securely seated.
Fluid Basin
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4.8 Foot Section (Lift-Off or Slide-Off)
To Remove: The foot section can be removed by using the following
If the foot section height can be adjusted:
• Adjust the foot section so that the top of the mattress is about waist
• Pivotthe foot supports laterally.
• Graspand hold the foot section, between the snaps, as close to the
Lift-Off Foot Section: Lift and slide the foot section toward you
Slide-Off Foot Section: Squeeze the release levers to disengage
• Turn the top of the foot section up and, with the knees bent, place it
methods:
high.
body as possible. (bending your knees) while taking a step backward. the foot section, and slide the section toward you (bending your
knees)whiletakingastepbackward. on the floor with the stand down to hold it upright.
If the foot section is well below the waist and cannot be adjusted:
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• Pivotthe foot supports laterally.
• Approach the foot section from an angle (side or front).
• Place one leg forward and one leg back, bending the knees slightly.
• Graspand hold the foot section, between the snaps, as close to the body as possible.
Lift-Off Foot Section: Lift and slide the foot section toward you while takingastepbackward.
Slide-Off Foot Section: Squeeze the release levers to disengage it, and slide the foot section toward you while taking a step backward.
• Turn the foot section so the stand is down and, with the knees bent, place it on the floor.
To Install:
• Graspthe foot section with both hands.
• Position the foot section onto the mounting brackets located on the bed frame.
Lift-Off Foot Section: While holding the foot section level, lift and slide it until the latches securely engage and a level s urface is achieved.
Slide-Off Foot Section: While holding the foot section level, push it until the latches securely engage and a level surface is achieved.
• Pullon the foot section to ensure that it is locked into position.
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NOTE :
If the foot section is not level, this is an indication that it is not locked into position.
• Lift the foot section to the level position and push until the latches securely engage.
WARNING :
The foot section must be fully secured under the mattress to provide safe support. Possible personal injury or equipment
damage could occur. The foot section must be locked into place. Pull to ensure that the latch is engaged.
4.9 OneStep™ Foot
Supports
The OneStep™ Foot Supports can be simultaneously positioned up or down, through use of the motor powered foot section yoke. This foot section yoke controls the overall height up and down. Each support can be independently positioned by using the mechanical release latches at the end of the foot supports.
Foot Section Not Locked
Into Position
To Adjust the Foot Supports:
• To position the patient’s legs, squeeze the release lever and rotatethefootsupport.Thefoot support rotates upward and outward from 0° to 85°.
• To return to the storage position, squeeze the release latch again, and return the supports to the desired position.
The maximum safe working load is 150 lb (68 kg).
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