Hill-Rom AvantGuard User Manual

PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005

User Manual

AvantGuard®

Electric Bed

LI158Bx/1200

QD2300

Rev.005

PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005

Manufacturer: Hill-Rom S.A.S B.P. 14 - Z.I. du Talhouët 56330 PLUVIGNER - FRANCE Tel:+33(0)297509212 Fax:+33(0)297509203

www.hill-rom.com Fifth edition First printing 2003 Printed in Europe QD2300 Rev.005 / April 2005

The information in this manual is confidential and may not be disclosed to third parties without the prior written consent of Hill-Rom.

Hill-Rom®, AvantGuard®, Cliniplot® III, Duo® 2, EasyChair® and MobiBar® are reg istered trademarks of Hill-Rom Services, Inc.

Clinisert™ 2, Medic’hotel™, Medispace™, Primo™ and TotalGuard™ are registered trademarks of Hill-Rom Services, Inc.

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. Some of the photographs in this manual are not contractual.

To order additional copies of thi s manual, refer to the last page of this manual for your national Hill-Rom representative, and place a parts order for part number QD2300.

QD2300(5) - AvantGuard® Electric Bed User Manual

PROPRIETARY AND CONFIDENTIAL DRAFT April 21, 2005

Table of Contents

INTENDED USE

Chapter 1: Symbols / destination

SymbolDefinition ......................................1-1

GeneralSymbols .......................................1-2

IntendedUse...........................................1-3

Beforeplacingthepatientonthebed ....................1-3

Bedmodelandcountryofuse..........................1-3

Chapter 2: Introduction, overview

Introduction........................................... 2-1

FunctionSymbols ...................................2-1

Overview .............................................2-8

StandardFeatures ...................................2-9

Equipment varies depending on bed model* . . . . . . . . . . . . . .2 - 9

Accessories .......................................2-10

Chapter 3: Installing the bed

InstallingtheBed........................................3-1

FirstSteps .........................................3-1

ConnectiontotheMainsPowerSupply ..................3-2

Chapter 4: Instructions for use

Use ..................................................4-1

Siderails...........................................4-1

ElectricalFunctions.................................4-11

Electricalfunctionmanagement .......................4-13

SleepSurface......................................4-16

Referencemarkforpositioningthepatient...............4-20

Headsection ......................................4-21

ThighSection .....................................4-22

Footsection .......................................4-23

AutomaticEasyChair®* .............................4-25

Emergencyfunctions................................4-26

Brakeandsteersystem ..............................4-28

Securingthepowercable............................ 4-32

Equipotentialterminal...............................4-33

Handlingtheheadboardandfootboard..................4-33

Sleepsurface ......................................4-37

SPECIFICATIONS

REPLACEMENTPARTS

HANDLING

INTRODUCTION

FEATURES

PRECAUTIONS

SAFETY TIPS

INSTALLATION

ASSEMBLY

INSTRUCTIONS

FOR USE

MAINTENANCE

CLEANING

TROUBLESHOOTINGSYMBOL DEFINITION

AND

WARRANTYSTORAGE

AvantGuard® Electric Bed User Manual - QD2300(5) Page i

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Restrainingstraphandles ............................4-37

FootEndBedExtension*............................4-39

Linenholder* .....................................4-40

Batterybackup* ...................................4-41

MobiBar®egresshandle*............................4-42

Controlunitonaflexiblearm* .......................4-43

ControlPendant* ..................................4-44

Accessorysupportbar* .............................4-46

Medicaldevicesupportrail* .........................4-47

Chapter 5: Cleaning, maintenance, and spare parts

Cleaning..............................................5-1

GeneralCleaning ...................................5-1

SafetyRecommendations.............................5-1

GeneralAdvice.....................................5-2

SteamCleaning.....................................5-3

Cleaningtoughstains ................................5-3

Disinfecting .......................................5-3

Maintenance .......................................5-8

SafetyRecommendations.............................5-8

PreventiveMaintenance ..............................5-8

Chapter 6: Accessories

Accessories............................................6-1

PatientHelpers .....................................6-2

TelescopicI.V.pole .................................6-5

MonitorStand(AD128A) ............................6-6

Oxygen Cyli nder Holder (AC959A-AD101A-AD102A) . . . . 6 - 7

Equipotentialcable(AD968A).........................6-8

Syringe-driverholder(AC963A) .......................6-9

MobiBar®egresshandle(AD177A) ...................6-10

Controlunitonaflexiblearm ........................6-10

Self-steering5thwheel(AD135A).....................6-11

Controlled5thwheel(AD180A) ......................6-11

Accessorysupportbar(AD126A) .....................6-12

Medicaldevicesupportrail(AD127A) .................6-12

BilateralHiLowpedal(AD171A) .....................6-13

Enablecontrolpedal(AD179A).......................6-13

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Longmetalsiderails(AD178A) .......................6-14

Mattress..........................................6-14

Accessoryholder...................................6-15

Chapter 7: Shipment, storage and usage

Transport,Storage ......................................7-1

Use ..................................................7-2

Chapter 8: Safety tips and precautions

SafetyTips............................................ 8-1

Brakeandsteer .....................................8-1

Bed Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 - 1

Trendelenburg/Reverse Trendelenburg and

EmergencyTrendelenburg............................ 8-1

IntegralSiderails ....................................8-2

Mattress...........................................8-4

Headboard .........................................8-4

Cleaningandrecommendedcleaningfluids ...............8-4

Electricalfunctionmanagement ........................8-5

Parts and accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 - 5

Patienthelpers ......................................8-5

Electricalsafetyprecautions ...........................8-5

Abnormaluse ......................................8-7

De-commissioning ..................................8-8

Lifeexpectancyofcomponents.........................8-8

Chapter 9: Specifications and warranty

Specifications ..........................................9-1

Technicalspecifications ..............................9-1

Dimensions ........................................9-2

Specifications ......................................9-3

Warranty and after sales service conditions . . . . . . . . . . . . . . . . . . .9 - 4

Compliance............................................9-4

SPECIFICATIONS

REPLACEMENTPARTS

HANDLING

INTENDED USE

INTRODUCTION

FEATURES

PRECAUTIONS

SAFETY TIPS

INSTALLATION

ASSEMBLY

INSTRUCTIONS

FOR USE

MAINTENANCE

CLEANING

TROUBLESHOOTINGSYMBOL DEFINITION

AND

AvantGuard® Electric Bed User Manual - QD2300(5) Page iii

WARRANTYSTORAGE

PROPRIETARY AND CONFIDENTIAL DRAFT April 21, 2005

NOTES:

Page iv AvantGuard® Electric Bed User Manual - QD2300(5)

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Chapter 1

Symbols / destination

Symbol Definition

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 paragraph: WARNING or CAUTION!

Warning / caution

DESTINATION

SYMBOLS

INTRODUCTION

FEATURES

INSTRUCTIONS

FORUSE

–AWARNING identifies situations or actions that may affect

patient or user safety. Disregarding a warning could result in patient or user injury.

–ACAUTIONpoints 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 a: ELECTRIC SHOCK HAZARD:

Electric Shock Hazard

REPLACEMENT PARTS

MAINTENANCE

CLEANING

ACCESSORIES TROUBLESHOOTING

HANDLING

STORAGE

PRECAUTIONS

SAFETY TIPS

AND

SPECIFICATIONS

WARRANTY

AND

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General Symbols

Attention, read the safety instructions carefully

and refer to the user manual.

DO NOT BIN, follow the local recycling regulations.

Recyclable Material

Safety Earth

Equipotential terminal

Class II Device

Type B Equipment

Direct Current

Alternating Current

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PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005

Intended Use

DESTINATION

SYMBOLS

The AvantGuard® line of hospital beds includes acute care beds (Trendelenburg with battery backup is a mandatory requirement for acute care beds) and general-purpose variable height hospital beds for general care, for use in post-operative care, and general medicine wards. They are designed with the needs of the whole medical team in mind and facilitate the use of monitoring equipment and the transfer of patients to examination wards.

Before placing the patient on the bed

Carry out individual risk assessments including but not limited to:

• Caught Hazard

• Potential falls from the bed

• Confused patients

• Patients with learning difficulties

• Small children

• Persons without the mental capacity to recognize unsafe actions

• Unauthorized persons

All persons authorized to use the bed’s functions must be capable of doing so in a s afe and controlled manner. In case of doubt, the bed’s functions must be locked.

INTRODUCTION

FEATURES

INSTRUCTIONS

FORUSE

REPLACEMENT PARTS

MAINTENANCE

CLEANING

ACCESSORIES TROUBLESHOOTING

Bed model and country of use

Certain bed features may be available or not, depending on the destination country. These features are identified with an asterisk (*).

To identify your bed model and serial number (HRP000000),refer to the identification label (See “Overview” page 2-8). Yourbed LI158Bx is composed of a chassis/bed frame identified CS158Bx and two endboards.

QD2300(5) - AvantGuard® Electric Bed User Manual Page 1 - 3

HANDLING

STORAGE

PRECAUTIONS

SAFETY TIPS

AND

SPECIFICATIONS

WARRANTY

AND

PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005

NOTES:

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PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005

Chapter 2

Introduction, overview

Introduction

Function Symbols

Manual Controls

The following labels located next to the relevant control identify manual operations.

Head section “CPR”

INTENDED USE

OVERVIEW

ASSEMBLY

FORUSE

SYMBOL DEFINITION

INTRODUCTION

INSTALLATION

INSTRUCTIONS

Adjustable foot section

Angle Indicators

Trendelenburg/Reverse Trendelenburg*

Head section*

NOTE:

These indicators are not measuring devices.

REPLACEMENT PARTS

MAINTENANCE

CLEANING

ACCESSORIES TROUBLESHOOTING

HANDLING

STORAGE

PRECAUTIONS

SAFETY TIPS

AND

SPECIFICATIONS

WARRANTY

AND

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PROPRIETARY AND CONFIDENTIAL DRAFT:avril 21, 2005

Warning and Caution Labels

Locking Mechanism on the Foot TotalGuard™* Siderail Support Label*

This label shows how to verify the locking mechanism on the foot TotalGuard™* siderail support.

Do Not Store label

This label indicates that nothing should be left on the frame.

No Hand Placement Label*

This label shows where hands should not be placed.

Headboard Positioning and Equipotential Terminal Label

This label shows how the position of the polypropylene headboard can be checked and where the equipotential terminal is located.

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Egress handle Usage Label*

This l abel indicates the storage of the MobiBar® Egress handle.

Interference label MobiBar® and TotalGuard™*

Never deploy the foot section of the TotalGuard™* integral siderail when the MobiBar® egress handle in position.

Locking mechanism on the long metal siderail*

SYMBOL DEFINITION

INTENDED USE

INTRODUCTION

OVERVIEW

INSTALLATION

ASSEMBLY

INSTRUCTIONS

FORUSE

REPLACEMENT PARTS

MAINTENANCE

CLEANING

This label shows how to verify the locking mechanism on the long metal siderail.

Unlock long metal siderail label*

This label indicates how to unlock the long metal siderail.

QD2300(5) - AvantGuard® Electric Bed User Manual Page 2 - 3

ACCESSORIES TROUBLESHOOTING

HANDLING

STORAGE

PRECAUTIONS

SAFETY TIPS

AND

SPECIFICATIONS

WARRANTY

AND

PROPRIETARY AND CONFIDENTIAL DRAFT:avril 21, 2005

Locking mechanism installation metal siderail label*

This label shows how to verify the locking mechanism during the installation of the long metal siderail.

Linen holder label*

Never use the linen holder as a seat or as a foot step and never exceed the maximum load that can be placed on the linen holder.

Headboard and metal sierails identification label*

This label indicates to place the headboard on the head end on the bed. This type of headboard must be only used on beds with long metal siderails or beds without siderails.

TotalGuard™* headboard* and metal siderails identification label

This label indicates to place the headboard on the head end on the bed. This type of headboard must be only used on beds fitted with TotalGuard™* siderails.

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Plastic footboard identification label

This l abel indicates to place the footboard at the foot end of the bed.

SYMBOL DEFINITION

INTENDED USE

INTRODUCTION

OVERVIEW

INSTALLATION

ASSEMBLY

INSTRUCTIONS

FORUSE

REPLACEMENT PARTS

MAINTENANCE

CLEANING

QD2300(5) - AvantGuard® Electric Bed User Manual Page 2 - 5

ACCESSORIES TROUBLESHOOTING

HANDLING

STORAGE

PRECAUTIONS

SAFETY TIPS

AND

SPECIFICATIONS

WARRANTY

AND

PROPRIETARY AND CONFIDENTIAL DRAFT:avril 21, 2005

Electrical controls

Control pendant without EasyChair®*

GALI M

PNO

Control pendant with EasyChair®*

EGALI M

JPNO

Functions available to the patient and caregiver: A Head section raise F Foot section lower B Head section lower G Hilow raise C Thigh section raise H Hilow lower D Thigh section lower

I Bed non-low position indicator

E Foot section raise

Functions available only to the caregiver: J EasyChair® position N Trendelenburg K Return to flat sleep surface O Reverse Trendelenburg L Battery switch activation

P Function management indicator

M Power indicator

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Bilateral HiLow Pedal*

SYMBOL DEFINITION

INTENDED USE

Lower

Enable control under the pedal*

(reserved for nursing staff)

Raise

Enable control pedal*

Enable control under the pedal*

(reserved for n ursing staff)

Lateral caregiver unit (without emergency Trendelenburg*)l

Battery indicator

Enable control (reserved for nursing

staff)

Electrical function lockout indicator

Thigh

Section

section

HilowHead

Lateral caregiver unit (with emergency Trendelenburg*)

Shock position

Battery indicator

Electrical function lockout indicator

INTRODUCTION

OVERVIEW

INSTALLATION

ASSEMBLY

INSTRUCTIONS

FORUSE

REPLACEMENT PARTS

MAINTENANCE

CLEANING

ACCESSORIES TROUBLESHOOTING

Enable control (reserved for nursing

staff)

Thigh

Section

section

HilowHead

Power supply

Battery

This label confirms that the bed’s operational functions remain available in the event of a power outage.

No battery

QD2300(5) - AvantGuard® Electric Bed User Manual Page 2 - 7

HANDLING

STORAGE

PRECAUTIONS

SAFETY TIPS

AND

SPECIFICATIONS

WARRANTY

AND

PROPRIETARY AND CONFIDENTIAL DRAFT:avril 21, 2005

Overview

Reference mark for

positioning the

patient*

Control

Pendant*

Head section

angle indicator*

Control Unit on a

Flexible Arm*

Egress handle*

Removable

plastic

headboard*

TotalGuard™**

integral siderail

controls

150 mm diameter

single band casters

Accessory

support bar

Head section “CPR”

Identification

label

2 I.V. pole and

patient helper

sockets*

150 mm diameter

double band casters*

Lateral caregiver unit

(on each side)

Removable

metal siderails*

Hilow pedal*

(on each side)

Fixing points for straps*

Vertical removabl plasticfootboard*

Integral bed extension*

Retractable siderail

support with lock and bed

frame incline angle

indicator*

2 I.V. pole sockets*

Electrical

function

management

Shock position*

Hilow

pedal*

*Equipment varies depending on bed model

Enablecontrol

pedal*

self-steering 5th wheel

or controlled 5th wheel*

Central brake and steer

bar control

Bumper (4)

Integrated linen holder*

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Standard Features

Sleep surface dimensions 90 x 200 cm Frame Polypropylene hard surface Yes

Selective electrical function lockout Yes Electrical adjustable Trendelenburg/Reverse TrendelenburgYes Adjustable head section Damped CPR release Yes

Comfort adjustment Yes Adjustable thigh section Power-driven with autocontourYes Central brake and steer system Yes

INTENDED USE

OVERVIEW

ASSEMBLY

SYMBOL DEFINITION

INTRODUCTION

INSTALLATION

Equipment varies depending on bed model*

Adjustable foot section Mechanical

Electrical Automatic EasyChair® Emergency Trendelenbug (mandatory requirement for acute care

beds) AdjustableHiLow From40to80cm

From 45 to 85 cm Without siderails Integrated siderails TotalGuard™* Long metal si derails Battery backup Control pendant (patient) Control pendant (nursing staff) Control unit on flexible arm Bilateral HiLow pedal Enable control pedal Casters 125 mm diameter single band

150 mm diame ter single band

150 mm diameter double band

150 mm diameter antistatic double band

150 mm diameter antistatic single band Directional caster at foot end of bed

INSTRUCTIONS

FORUSE

REPLACEMENT PARTS

MAINTENANCE

CLEANING

ACCESSORIES TROUBLESHOOTING

HANDLING

STORAGE

PRECAUTIONS

SAFETY TIPS

AND

SPECIFICATIONS

WARRANTY

AND

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PROPRIETARY AND CONFIDENTIAL DRAFT:avril 21, 2005

Bed connected to AC power, brake not applied detection Self-steering 5th wheel Controlled 5th wheel MobiBar® egress handle Integral bed extension at foot end of bed Integrated linen holder Accessory support bar, 2 hooks Accessory support bar, 6 hooks Multiple bag support Headboard and footboard Standard polypropylene headboard and

footboard Standard polypropylene headboard and

lockable footboard Medispace™ headboard and footboard

Sequoia headboard and footboard Medic’hotel™ headboard and footboard

Accessories

AC908A 2-receptacle bottle holder AC932A 3P 1l pivoting stainless steel bottle holder AC938A 3P 2l pivoting stainless steel bottle holder AC961A 3-litre bottle holder for frame AD016A Semi-spherical drainage holder AC991A Triangular section drainage holder AC959A Oxygen cylinder holder AC962A 3-litre bottle holder for foot end AD101A Oxygen cylinder holder AD102A Oxygen cylinder holder AC963A Syringe-driver holder AC968A Equipotential cable AD080B Chrome-plated patient helper AD081C Chrome-plated adjustable patient helper AD082A* Stainless steel I.V. pole AD165A* I.V. pole AC953A Chrome-plated I.V. hooks on patient helper

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PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005

AD128A Monitor stand AC923A Label holder AD126A Accessory support bar AD127A Medical device support rail AD069A Bultex® comfort mattress AD162A Extension cushion for Bultex® comfort mattress AD066A Cliniplot® III mattress AD076A Extension cushion for Cliniplot ® III mattress AD085A Primo™ dynamic low pressure mattress system AD117A01 Mattress Clinisert® 2

AD118A01 Mattress Clinisert® 2

(High resilience insert/sewn and taped cover)

(High resilience insert/welded cover)

AD119A01 Mattress Clinisert® 2

(Visco-elastic insert/sewn and taped cover)

AD120A01 Mattress Clinisert® 2

(Visco-elastic insert/welded cover)

AD164A Extension cushion for Clinisert® 2 AD140A Duo® 2 Multi Mode Mattress System AD177A* MobiBar® egress handle AD135A Self-steering 5th wheel AD180A Controlled 5th wheel AD171A Bilateral HiLow pedal AD139A Linen holder AD128A Monitor stand AD142A Removable frame AD166A Control unit on flexible arm without EasyChair® AD174A Control unit on flexible arm with EasyChair® AD167A Control pendant for patient without EasyChair® AD168A Control pendant for nursing staff without EasyChair® AD175A Control pendant for patient with EasyChair® AD176A Control pendant for nursing staff with EasyChair® AD178A Long metal siderails AD179A Enable control pedal

SYMBOL DEFINITION

INTENDED USE

INTRODUCTION

OVERVIEW

INSTALLATION

ASSEMBLY

INSTRUCTIONS

FORUSE

REPLACEMENT PARTS

MAINTENANCE

CLEANING

ACCESSORIES TROUBLESHOOTING

HANDLING

STORAGE

PRECAUTIONS

SAFETY TIPS

AND

QD2300(5) - AvantGuard® Electric Bed User Manual Page 2 - 11

SPECIFICATIONS

WARRANTY

AND

PROPRIETARY AND CONFIDENTIAL DRAFT:avril 21, 2005

NOTES:

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PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005

Installing the bed

Installing the Bed

First Steps

Chapter 3

SYMBOL DEFINITION

INTENDED USE

INTRODUCTION

FEATURES

Before using the bed, it is essential to have a thorough understanding of this manual. This manual contains instructions for general use and maintenance and guarantees improved safety. Caregivers must have access to this manual.

Caregivers must be informed of the risks that may be encountered in the use of electric beds.

The many sources and types of accessories, hardware, or medical devices that may be used together with this bed do not enable Hill-Rom to guarantee both the safety and conformity of all the combinations thus created. The operator who creates these device combinations must therefore ensure that security and conformity requirements are met.

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

• ensure that t he bed and its various parts are at room temperature.

• connect the bed to the mains power supply (See “Connection to the Mains Power Supply” page 3-2),

• make sure that all the moving parts are in good working order,

• make sure that the bed has been cleaned and disinfected (See “Cleaning” page 5-1).

INSTALLING

THEBED

INSTRUCTIONS

FORUSE

REPLACEMENT PARTS

MAINTENANCE

CLEANING

ACCESSORIES TROUBLESHOOTING

HANDLING

STORAGE

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PRECAUTIONS

SAFETY TIPS

AND

SPECIFICATIONS

WARRANTY

AND

PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005

Connection to the Mains Power Supply

The mains power supply for the bed must comply with relevant standards:

NF C 15-100 and NF C 15-211 (France). International Electrotechnical Commission (IEC) 364 for other

locations. Check that the bed’spower requirements on the identification label (See

“Overview” page 2-8) correspond to the power supply voltage of the hospital.

The power supply should be equipped with a maximum 30 mA earth leakage circuit breaker, in compliance with IEC 364-5-53.

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Chapter 4

Instructions for use

Use

Siderails

SYMBOL DEFINITION

INTENDED USE

INTRODUCTION

FEATURES

The Electric bed AvantGuard® can be fitted with two types of siderail:

• Integrated siderails TotalGuard™*

• Long, detachable metal siderails

WARNING:

Always ensure that there are no obstacles before raising or lowering a siderail (e.g., person’s limb, objects, accessories). They are not designed to restrain or immobilize the patient. No containment devices must be fastened to the siderails (e.g. straps). Failure to do so could result in patient injury or equipment damage.

WARNING:

Evaluate patients for entrapment risk according to protocol, and monitor patients appropriately. Ensure that all siderails are fully latched when in the raised position. Failure to do either of these could result in serious injury or death.

NOTE:

Siderails are intended to be a reminder to the patient of the unit's edges, not a patient-restraining device. When appropriate, Hill-Rom recommends that medical personnel determine the proper methods necessary to ensure a patient remains safely in bed without being constantly observed.

INSTALLATION

ASSEMBLY

INSTRUCTIONS FOR

USE

REPLACEMENT PARTS

MAINTENANCE

CLEANING

ACCESSORIES TROUBLESHOOTING

HANDLING

STORAGE

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PRECAUTIONS

SAFETY TIPS

AND

SPECIFICATIONS

WARRANTY

AND

PROPRIETARYAND CONFIDENTIAL DRAFT: 21 April 2005

TotalGuard™* integrated siderails

The Electric bed AvantGuard® fitted with TotalGuard™* siderails is able to receive a wide range of mattress widths (See “Mattress” page 8-

4). In order to achieve mattress/siderail combinations offering optimal

comfort and safety,the bed can be configured with siderails in two retained and secure positions.

WARNING:

Do not place accessories (respiratory or other medical devices) on the siderail in a manner that could interfere with the complete storage of the foot siderail and thus block access to the release mechanism for lowering the siderail when emergency access to the patient could be required. The siderails must be handled according to the instructions in the user manual. Failure to do so could result in injury.

The TotalGuard™* integrated siderails are part of the frame. The siderails lift into the locked position and rotate from the head to the foot. The width of the bed is reduced when the siderails are in the low position.

When fully raised and locked, the siderails ensure patient protection and help to reduce the risk of falls.

Position 1: Siderail folded and in low position. Position 2: Siderail folded and in high position. Position 3: Siderail unfolded in high position.

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Raising the TotalGuard™* integrated siderails (position 2)

The siderails are located under the bed when not in use. To raise a siderail:

• Pull the folded siderail outwards and upwards until it latches into the locked position as close to the edge of the mattress as possible without forcing.

• Verify the siderail is locked by pulling on the siderail.

CLICK

SYMBOL DEFINITION

INTENDED USE

INTRODUCTION

FEATURES

INSTALLATION

ASSEMBLY

INSTRUCTIONS FOR

USE

REPLACEMENT PARTS

MAINTENANCE

CLEANING

Lowering the TotalGuard™* siderails (position 1)

To lower a siderail:

• Make sure that the foot siderail is folded.

• Gripping the siderail by the handles, push it slightly inwards (1).

• Activate the unlocking button on the siderail (2).

Rotate the siderail downwards into the required low position (3), and release the unlocking button.

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ACCESSORIES TROUBLESHOOTING

HANDLING

STORAGE

PRECAUTIONS

SAFETY TIPS

AND

SPECIFICATIONS

WARRANTY

AND

PROPRIETARYAND CONFIDENTIAL DRAFT: 21 April 2005

Unfolding

the foot siderails (position 3)

CAUTION:

The foot section of the siderail must only be unfolded when the head section of the siderail is locked in the raised position. Failure to do so could result in equipment damage.

To unfold the foot section of the siderail:

• Grip the outer foot section of the siderail and rotate it to the foot end.

• Position the siderail in the support. The siderail is secure when it clicks into place.

• Verify the siderail is locked by trying to lift the foot section.

CLICK

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PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005

Storing the foot siderails (Position 2)

WARNING:

When storing the foot siderail, make sure that no objects or limbs are in the way. Failure to do so could result in patient injury or equipment damage.

To store the foot section of the siderail:

• With one hand (A), grip the foot siderail by the handles.

• With the other hand, press the release button (B).

• Raise the siderail and rotate it towards the head end.

• Position the foot siderail in the support (C) provided for storage at the head end.

SYMBOL DEFINITION

INTENDED USE

INTRODUCTION

FEATURES

INSTALLATION

ASSEMBLY

INSTRUCTIONS FOR

USE

REPLACEMENT PARTS

MAINTENANCE

CLEANING

ACCESSORIES TROUBLESHOOTING

HANDLING

STORAGE

PRECAUTIONS

SAFETY TIPS

AND

SPECIFICATIONS

WARRANTY

AND

QD2300(5) - AvantGuard® Electric bed User Manual Page 4 - 5

PROPRIETARYAND CONFIDENTIAL DRAFT: 21 April 2005

Foot Siderail Support

The foot siderail supports on both sides of the bed can be folded away, thus enabling the caregivers to move freely when transferring the patient to another platform.

To fold away a siderail support:

• Make sure that the foot siderail is folded.

• Hold the foot siderail support (A) with one hand.

• With the other hand, pull the release pin (B).

• Release the handle and swing the support beneath the sleep surface.

To raise a siderail support:

• Raise the foot siderail support until you hear a “click.”

• Verify the siderail support is locked by pulling on the siderail support.

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