Hill-Rom Evolution User manual

User manual
A
Evolution™
LI156Ex
QD1532
Rev002
Information contained in this manual is subject to modification without notice and implies no obligation on the part of Hill-Rom
. No part of this publication
®
may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, other than for the user’s personal use, withoutthe prior written permission of Hill-Rom
.
®
PLEASE NOTE
Persons depicted in the illustrations may be shown working in non-standard working postures in certain situations, for reasons of clarity and visibility.
Not all the photographs used in this manual are contractually binding.
MANUFACTURER
Hill-Rom B.P. 14 – Z.I. du Talhouët 56330 PLUVIGNER - FRANCE Tel.: (33) 02 97 50 92 12 Fax: (33) 02 97 50 92 03
Version: February 2005
USE OF EVOLUTION LI156Ex BEDS
The EVOLUTION line of hospital beds includes acute care beds (with
mandatory Reverse Trendelenburg tilting) and general-purpose variable height hospital beds for general care, for use in intensive or post­operative care, in ICUs and General Medicine Wards. They can be used both for intensive and non-intensive care and with the highly elaborate techniques developed in special medical units. They are designed with the needs of the whole medical team in mind and facilitate the use of ICU and monitoring equipment and the transfer of patients to examination wards.
TABLE OF CONTENTS
0. INTRODUCING YOUR MODEL 3
1. SYMBOLS 5
1.1 GENERAL SYMBOLS 5
1.2 FUNCTION SYMBOLS 6
2. OVERVIEW 8
3. INSTALLING THE BED 9
3.1 FIRST STEPS 9
3.2 CONNECTION TO THE MAINS POWER SUPPLY 9
4. INSTRUCTIONS FOR USE 10
4.1 SIDERAILS 10
4.2 ELECTRICAL FUNCTIONS 12
4.3 ELECTRICAL FUNCTION LOCK-OUT 14
4.4 SLEEPSURFACE 15
4.5 HEAD SECTION 17
4.6 KNEE SECTION 20
4.7 BRAKE AND STEER SYSTEM 22
4.8 EQUIPOTENTIAL T ERMINAL 23
4.9 SECURING THE POWER CORD 24
4.10 HEADBOARD AND FOOTBOARD REMOVAL 24
4.11 FRAME 25
4.12 RESTRAINING STRAP POSITIONS 26
4.13 FOOT END BED EXTENSION (optional) 26
4.14 LINEN HOLDER (optional) 27
4.15 BATTERY (optional) 27
4.16 HAND PENDANT CONTROL SOCKET (optional) 27
4.17 BEDSIDE CABINET TRANSPORT (optional) 28
Evolution™ Electric Bed LI156Ex QD1532A(2) 1
USER MANUAL
4.18 LOCKOUT SWITCHES PROTECTION 29
5. ACCESSORIES 30
5.1 PATIENT HELPERS 30
5.2 VARIABLE HEIGHT I.V. POLE 33
5.3 END-BOARD FRAMES (AC930A) 35
5.4 BED EXTENSION PANEL (AC992A) 35
5.5 EQUIPOTENTIAL CABLE (AC968A) 36
5.6 HEADBOARD TRAY (AD083A) 36
5.7 HAND PENDANT CONTROL (AD091A) 37
5.8 BILATERAL VARIABLE HEIGHT FOOT PEDAL (AD090A) 39
5.9 HAND PENDANT CONTROL SOCKET (AD089A) 39
5.10 SIDERAIL PROTECTIVE COVER (AD113A) 39
5.11 OXYGEN CYLINDER HOLDER (AC959A-AD101A-AD102A) 40
5.12 ACCESSORY HOLDER 41
6. CLEANING 42
6.1 SAFETY RECOMMENDATIONS 42
6.2 GENERAL ADVICE 42
6.3 CLEANING AND DISINFECTING RECOMMENDATIONS 43
7. SAFETY TIPS AND PRECAUTIONS 45
7.1 SAFETY TIPS 45
7.2. MAINTENANCE 50
7.3. ABNORMAL USE 52
7.4. TRANSPORT AND STORAGE 53
7.5. DE-COMMISSIONING 53
8. SPECIFICATIONS 54
8.1. STANDARD FEATURES 54
8.2 DIMENSIONS 55
9. WARRANTY AND AFTER SALES SERVICE 56
10. STANDARDS COMPLIANCE 57
Evolution™ Electric Bed LI156Ex
2 QD1532A(2)
0. INTRODUCING YOUR MODEL
Version LI156Ex
Sleep surface dimensions 90 x 200 cm Frame Laminated Hard surface Yes Electrical function lock-out Yes Adjustable bed-height Yes Adjustable head Section Head Section “CPR” Yes
Comfort adjustment Yes
Adjustable knee section Power-driven with
Auto-contour Yes
Adjustable leg section Mechanical Yes Integral siderails Yes Central brake and steer system Yes Castors Ø 150 Single band castors
OPTIONS
Trendelenburg / Reverse Trendelenburg (mandatory for acute care) Integral bed extension Integral linen holder Additional control connections Bilateral variable height foot pedal Battery-driven operation Cover for lock-out unit Castors Ø 150 Double band castors
Ø 150 Antistatic double band castors Ø 150 Antistatic single band castors Ø 150 Complete castors Ø 150 Antistatic complete castors
Directional castor at foot end of bed Bedside cabinet transport
INTRODUCING YOUR MODEL
Evolution™ Electric Bed LI156Ex QD1532A(2) 3
USER MANUAL
ACCESSORIES
AC907A : Raised urine holder AC908A : 2 receptacle bottle holder AC923A : Label holder AC930A : Removable frame AC932A : 3P 1L pivoting stainless steel bottle holder AC938A : 3P 1L pivoting stainless steel bottle holder AC953A : Chrome-plated I.V. hook
INTRODUCING YOUR MODEL
AC959A : Oxygen cylinder holder AC961A : 3-litre bottle holder for frame AC962A : 3-litre bottle holder for foot end AC963A : Syringe-driver holder AC967A : Monitor stand AC968A : Equipotential cable AC991A : Triangular section drainage holder AC992A : Mattress for bedframe extension AD016A : Semi-spherical drainage holder AD080B : Chrome-plated patient helper AD081C : Chrome-plated adjustable patient helper AD082A : Stainless steel I.V. pole AD083A
* : Head-end tray
AD098A : Variable Height Electric pedal AD090A : 3 AD091A : 3
rd
control c onnection
rd
control AD113A : Siderail protective cover AD165A : I.V. pole
* Incompatible with the bedside cabinet transport option
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4 QD1532A(2)
1. SYMBOLS
1.1 GENERAL SYMBOLS
Safety instructions: DO NOT BIN DO NOT PLACE ANYTHING
Please read Follow recycling on this surface
carefully procedure
Safety earth Equipotential terminal
Class II device Type B equipment
SYMBOLS
Direct current Alternating current
Evolution™ Electric Bed LI156Ex QD1532A(2) 5
USER MANUAL
1.2 FUNCTION SYMBOLS
1.2.1 Manual controls
The following labels located next to the relevant control identify manual operations.
SYMBOLS
Head Section “CPR”
Trendelenburg/Reverse
Trendelenburg (option)
Adjustable Leg section
1.2.2 Brake and steer controls
STOP
Steer
Neutral
Brake
1.2.3 Angle control
1.2.3.1 Bed without Bedside Cabinet Transport option
Reverse Trendelenburg
availability area
Head Section Knee Section
1.2.3.2 Bed with Bedside Cabinet Transport option
Rev. Trend. and Bedside Cabinet
Transport availability area
Head Section Knee Section
1.2.4 Electrical functions
Nurse controls
Height adjustment
6 QD1532A(2)
Head sect. adjustment
Evolution™ Electric Bed LI156Ex
Knee sect. adjustment
Patient controls
Head Section adjustment
Knee section adjustment
Lock-out panels
Electrical functions released Electrical functions locked out
Variable Height bilateral pedal (optional)
(accessory ref. AD098A)
Down Up
Hand pendant control (accessory ref. AD091A)
SYMBOLS
Head Section adjustment – Auto-
Knee Section adjustment
contour
Evolution™ Electric Bed LI156Ex QD1532A(2) 7
USER MANUAL
(*)
r
2. OVERVIEW
OVERVIEW
Removable
headboard
I.V. pole and
patient helpe
sockets
Nurse siderail
controls:
Variable Height,
Head Section
and Knee
Section
Hand pendant
control storage
and socket (*)
Additional
accessory
holder zone
Reinforced
corner post
150 mm
castors
Head Section half-
length siderail.
2 accessory
holders
Patient siderail Head Section
and Knee Section control
Siderail
positioning
handle
Restraining strap
Leg Section control
handle.
positions
Leg Section half-length
siderail
Integral bed extension (*)
Trendelenburg/ Reverse Trendelenburg control
Electrical function lock-out
Central brake and steer pedal
Head Section CPR
handle
Equipotential terminal
Headboard holders and power cord hook
Identification label
Battery (*)
(*) option(*) option
Angle indicators
Bilateral Variable
Height foot pedal (*)
Chassis
protecting cover
Horizontal symmetrical
headboard for
"bedside cabinet
transport" (*)
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8 QD1532A(2)
3. INSTALLING THE BED
3.1 FIRST STEPS
Before using the bed, it is essential to have a thorough understanding of this manual. It contains instructions for general use and maintenance and gives you the assurance of improved safety.
Nursing staff must be informed of the risks encountered in the use of electric beds.
The many sources and types of accessories, hardware or medical devices that may be used jointly 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:
- Ensurethat the bed and its various parts are at room temperature
- Connect the bed to the mains power supply (see sect. 3.2 below)
- Ensurethat all the moving parts are in good working order
- Ensurethat the bed has been cleaned and disinfected (see chapter 6).
3.2 CONNECTION TO THE MAINS POWER SUPPLY
The mains power supply for the bed must comply with French standards NF C 15-100 et NF C 15-211 (230V power point + earth) (France) and CEI 364 for other destinations.
Check that the power supply of the bed (identification label – sect. 2) corresponds 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 CEI 364-5-53.
INSTALLING THE BED
Evolution™ Electric Bed LI156Ex QD1532A(2) 9
USER MANUAL
4. INSTRUCTIONS FOR USE
4.1 SIDERAILS
The siderails are part of the frame. They rotate into position by moving towards the head and foot of the bed in two stages (intermediate and fully raised). When the siderails are lowered, the width of the bed is reduced.
When fully raised, the rails ensure patient protection and reduce the risk of falls.
In the intermediate position, the rails can help a fully mobile patient get in and out of bed safely and comfortably.
3
2
1
INSTRUCTIONS FOR USE
Nursing staff must decide which rail position is best suited to the patient’s condition. With patients suffering from obsessive behavioural disorders, for instance, it may be better to leave:
- the head section rails fully raised
- the leg section rails in either an intermediate position or lowered. The Head Section rails should not be used in intermediate position if the Head Section is raised by more than 30°.
Evolution™ Electric Bed LI156Ex
10 QD1532A(2)
Always ensure that there are no obstacles (patient’s limbs, objects, accessories, etc.) before raising or lowering a siderail.
4.1.1 Raising a siderail
The siderails are located under the bed when not in use. To raise a siderail:
- Pullthe rail out from under the bed until fully extended
- Rotate the rail upwards into the required position (intermediate or fully
raised).
Ensure that the siderail has clicked into position.
CLICK
4.1.2 Lowering a siderail
To lower a siderail:
- Hold the rounded end of rail firmly
- Pull the beige-coloured lever located
on the rail base
- Rotate the rail downward i nto the
required position (intermediate or low)
- Release the lever
- When the rail is fully lowered, push it
back i nto position under the bed.
1
3
2
INSTRUCTIONS FOR USE
Evolution™ Electric Bed LI156Ex QD1532A(2) 11
USER MANUAL
4.2 ELECTRICAL FUNCTIONS
The power-driven features of the bed are controlled by panels located on the inner and outer sides of the Head Section siderails (patient controls and nurse controls respectively), by a bilateral variable height foot pedal (optional) or by a hand-held unit (accessory).
4.2.1 Controls
4.2.1.1 Patient controls
Patients can use the controls located on the inner side of the Head Section rails to adjust:
- Head Section inclination and Auto-contour if available (see sect. 4.3)
- Knee Section Inclination.
PLEASE NOTE: The patient does not
INSTRUCTIONS FOR USE
have access to the bed height adjustment control.
4.2.1.2 Nurse controls
Nursing staff can use the controls located on the outer side of the Head Section rails to adjust:
- Bed height
- Head Section Inclination and
auto-contour if available (see sect. 4.3)
- Knee Section Inclination.
PLEASE NOTE: Use of the nurse controls is reserved for nursing staff only.
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12 QD1532A(2)
4.2.1.3 Control identification
Controls are identified in several ways: By colour:
- Light green arrow: Up
- Dark green arrow: Down
- Light brown (background): Patient controls
- Beige (background): Nurse controls.
By embossment:
- Raised arrows (only for upward movements and on the siderail controls).
Raised arrows
Light green
INSTRUCTIONS FOR USE
Beige
Dark green
4.2.2 Bilateral variable height foot pedal (optional).
This pedal is located centrally under the bed chassis.
Nursing staff can use this pedal to adjust bed height while keeping their hands free to deal with the patient.
Do not fit accessory AD011A to a LI156Dx or LI156Ex bed (see identification label) that features this option. This accessory may trap or damage the pedal and result in uncontrolled (undesirable) movements.
Dark brown
Evolution™ Electric Bed LI156Ex QD1532A(2) 13
USER MANUAL
4.3 ELECTRICAL FUNCTION LOCK-OUT
See Safety – General precautions for use, section 7.1
The electrical function lock-out panel can be used to lock out or to release the three power-driven functions either singly or simultaneously.
Once a function is locked out, it can no longer be operated using the siderail controls, variable height pedal or hand pendant control.
Controls released Controls locked out
INSTRUCTIONS FOR USE
To lock out an electrical function:
- Switch the relevant control switch to lock:
.
To release an electrical function:
- Switch the relevant control switch to unlock:
.
IMPORTANT: Locking out the Knee Section adjustment control will also
lock out the Auto-contour feature (see sect. 4.5.3.).
Locking out the height adjustment control will also lock out the Reverse Trendelenburg option when the bed is in a raised position.
Locking out the Head Section does not lock out the Auto-contour Knee Section.
When the patient is restrained by the straps, the electrical functions m u st be locked out.
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14 QD1532A(2)
4.4 SLEEP SURFACE
4.4.1 Power-driven or variable height adjustment
Sleep surface height can be adjusted using the nurse controls, the hand pendant control or the bilateral foot pedal (optional).
Always ensure that there are no objects or children under the bed before operating the sleep surface height adjustment control.
- Make sure that the bed and accessories (patient helper, I.V. pole, etc.) cannot strike a ny fittings (light fittings, service shafts, etc.).
- Make sure that the patient's arms and legs do not jut out from the sleep surface.
4.4.2 Variable Height bilateral pedal (option).
This pedal is located centrally under the bed chassis.
Adjust the height of the sleep surface by:
- pressingyour foot on the corresponding control arrow.
Down
The Variable Height pedal uses the same colours as for the siderail controls (see section 4.2.1.3).
Up
INSTRUCTIONS FOR USE
Do not fit accessory AD011A to a LI156Dx or LI156Ex bed (see identification label) that features this option. This accessory may trap or damage the pedal and result in uncontrolled (undesirable) movements.
Evolution™ Electric Bed LI156Ex QD1532A(2) 15
USER MANUAL
4.4.3 Trendelenburg/Reverse Trendelenburg (Optional)
(mandatory for acute care)
The s leep surface m ay be tilted towards the head of the bed (Trendelenburg tilt) or towards the foot of the bed (Reverse Trendelenburg tilt). Positions may be indexed and pegged. Maximum tilt can be obtained when the sleep surface is positioned within the limits found in the table on the next page.
To tilt the sleep surface:
- For the Bedside Cabinet Transport option, release the brakes, move the bed away from the wall, then apply the brakes
- Unlock the safety catch by pulling the lever located behind the footboard handle
- Tilt the sleep surface in the position required
- Release the safety catch lever
- Hold the bed by the footboard
INSTRUCTIONS FOR USE
rail and tilt slightly until it locks into position (a click is heard).
NOTE: Nursing staff are advised to keep the bed at mid-height when moving
patients: Trendelenburg/Reverse Trendelenburg tilting will then remain possible even in the event of power failure or of the battery being flat. Reverse Trendelenburg tilting is possible in the absence of a power supply when the bed is positioned between low and mid-height (manual operation as indicated on the yellow label located on the elevator arm.
Reverse Trendelenburg availablility zone
Mid-position
Low position
Bedside cabinet
transport
High position
Evolution™ Electric Bed LI156Ex
16 QD1532A(2)
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