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Hill-Rom
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TotalCare
Service Manual
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User manual
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Hill-Rom TotalCare User manual

USER MANUAL
TotalCare® Bariatric Bed
From Hill-Rom
Product No. P1830A

Table of Contents

Symbol D efinition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Caregi v e r P o i n t-of-Care® Si d e rail Control s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
FlexAfoot™ Retra c t able Foot Con t ro l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Trendelenburg and Reverse Trendelenburg Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
FullCh air® Patien t P o sition Mech anism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Chair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Chair Egress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Recliner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Emergency Caregi v e r F o o t Con t rols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
HandsFree® Emergency Trendelenburg Release Mechanism . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Brake No t Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Chair Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Remov e Ft B o ard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Unplugged AC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
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Bed Exit System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Battery Po we r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Service Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Line-of-Site® Trendelenburg Angle Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Line-o f-Site® Head An gle Indicato r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
WallG u a rd ® Bu mper Syste m . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Total Ca re® Bariat ric Bed Surface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
X-Ray Ca ssette Sle eve (Optional ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Bed Penda n t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Caregiv e r C o n t ro l s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Graphical Caregiver Interface (GCI)® Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Home Scre en . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Bed Exi t Sy st em Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Scale Fun ctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
Bed Setu p / Reset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
Manual Weight Input . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
Preset Bed Opt ions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
Foot Ele v a t ion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Preliminary Tilt Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
Patien t Cont rols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Safety Ti p s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Sider a i l s/ R estraints/Patien t Mo n i t o ring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
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Operating Bed/Surface Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
Total Ca re® Bariat ri c Be d Main Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
IntelliDrive™ Transport System Batterie s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
Genera l Cl e aning/Disinfectin g . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
Product Symbol Definition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
Techni c a l Spe cificati o n s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
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NOTES:
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Symbol Definitio n

This manual contains different typefaces and icons designed to improve readability and increase understanding of its content. Note the following examples:
• Standard text—us ed 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:
– A WARNING identifies situations or actions that may affect patient or user safety.
– A CAUTION points out special procedures or precautions that personnel must follow to
• The symbol below highlights a CAUGHT HAZARD WARNING:
Symbol Definition
Warning and Ca ution
Disregarding a warning could result in patient or user injury.
avoid equipment damage.
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
1

Intended Use

Intended Use
The TotalCare® Bariatric Bed is intended to provide a patient support ideally suited for use in healthcare environments. The T otalCare® Bariatric Bed may be used in a variety of settings including, but not limited to, acute care, including critical care, step down/progressive care, medical/surgical, high acuity sub-acute care, post anesthesia care unit (PACU), and sections of the emergency department (ED). The TotalCare® Bariatric Bed is capable of being used with a broad patient population whose weight is between 250 and 460 lb (113 to 209 kg) and as determined appropriate by the caregiver or institution.

Introduction

This manual provides the information required for normal operation of the TotalCare® Bariatric Bed from Hill-Rom. Before operating the TotalCare® Bariatric 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.

Features

Line-of-Site® Head Angle Indicator
IntelliDrive™ Transport System Stowable Handles
Line-of-Site® Trendelenburg Angle Indicator
Point-of-Care® Siderail Controls
Graphical Caregiver Interface (GCI)® Control
Patient Control Panel
Siderail Extender
OneStep® Siderail Release Mechanism
Removable Headboard
Point-of-Care® Brake an d Ste er System
HandsFree® Emergency CPR/Trendelenburg Releas e Mechanis m
IntelliDrive™ Transport System
Manual Foot Pedal

Patient Characteristics:

• Height: 74" (188 cm) maximum , 54" (137 cm) minimum
• Width: 40" (102 cm) maximum
• Patient weight: 250 lb (113 kg) mini mu m 460 lb (209 kg) maximum
• Safe working load: *500 lb (227 kg) maximum
* Includes: patient weight, mattress, IV pumps, poles, bags, etc.
6" (15 cm) Casters
FlexAfoot™ Retra c table Foot Mechanism
Removable Footboard
WallGuard® Bumper System
WARNING:
Do not use the product outside the recommended patient height, weight, and width ranges. Patient injury or equipment damage can occur.
2

Dimensions

Features
Mattress siz e: ............. ....39 " (99.1 c m) head/s eat; 32 " (81.3 cm) foot x 85" (216 cm) Automatic Knee Contour: ..............................10°
Foot Retraction: ................................... ................................ ....................12" (31 cm) Foot: .......................................................85° Down
Trendelenburg/Reverse Trendelenburg: .....................................................15°/15° Preliminary Tilt Table: ....................................20°
Emer gency Trendelenb urg: ................................................................................20° Knee: ................................................................20°
Head Section: .......................................................................................................75° Weighing Capacity: ......................500 lb (227 kg)
Articulat in g De ck: ....36.5" (9 2.7 cm) head/seat; 32.5 " f oo t ( 82 .6 cm ) x 84" (213 cm) Maximum Safe Working Load: ....500 lb (227 kg)
3
Features
NOTE:

Caregiver Point-of-Care® Siderail Controls

Caregiver Point-of-Care® Siderail controls are located on the outboard side of the intermediate siderails.
WARNING:
Instruct visitors not to use caregiver controls at any time. Visitors may assist patients in the use of patient controls. Unauthorized use of the caregiver controls may result in personal injury or equipment damage.

Enable Control

The Enable control deters unauthorized operation of certain user panel controls. The Enable control must be pre ss ed and the indic a t or lig ht illu m inated be fore the caregiv er con t r ol w ill op erate. The Enable indicator stays on for 20 seconds. While this indicator light is on, the caregiver can activate any caregiver controls that have not been locked out.
To Activate:
• Press the Enable control. The Enable indicator light comes on for 20 seconds.
• During the 20-second period, you may activate other caregiver controls without pressing the Enable control again. The 20-second period will start over when another contro l is pres sed .
See “Lockout Controls” on page 5 for instruction on lockouts.
The following patient controls, located on the outside of the rail in the caregiver control panel, do not require activation of the Enable Control: Bed Up/Down, Head Up/Down, and Knee Up/Down.
Bed Up/Down Control (Loc ated on head r ail)
Head Up/ Down Control; Knee Up/Down Control
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Features
NOTE:
NOTE:
NOTE:

Lockout Controls

The Lockout controls located on the caregiver siderail control panel disable the bed articulating functions.
The Lockout controls are used to prevent bed articulation by either the caregiver or the patient.
To Activate:
• Simultaneously press the Enable control and the specific lockout control desired. Both patient and caregiver
controls are locked out. An audible alarm sounds when a lockout is activated.
• Disable any lockout by simultaneously pressing the Enable control and the relevant lockout control.
The master lockout disables all articulation controls, scale, and bed exit. No movement of the system is allowed, except for emergency CPR and Trendelenburg functions.

Bed Up/Down (Hi-Lo) Control

The TotalCare® Bariatric Bed adjusts in height from a low position for patient egress to a high position for examination. Use the Bed Up/Down controls to raise or lower the bed.
To Activate:
• Press and hold the Bed Up control to raise the system. Press and hold the Bed Down
control to lower the system. Release the control when the desired height is reached.
• Disable the Bed Hi-Lo – Activate the Hi-Lo lockout control.

Head Up/Down Control

The caregiver can raise or lower the head section by using the Head Up/Down Controls. Using the Line-of-Site® Angle Indicators, the caregiver can articulate the head section to a maximum of 75°.
To Activate:
• Press and hold the Head Up Control to raise the head section. Press and hold the Head Down
Control to lower the head section.
WARNING:
When raising the head section above 50°, use care to prevent wedging of extremities between the siderails and the mattress. Failure to do so may cause patient injury.
Additionally, the TotalCare® Bariatric Bed is equipped with an automatic contour mode. When the Head Up Control is pressed, the automatic contour mode is enabled, and the knee section rises to a maximum of 10°.
• Automatic Contour Feature – Press and hold the Head Control. The head and knee sections rise together to
reduce patient migration toward the foot end of the system.
• Disable Automatic Contour – Activate the Knee lockout control.
The automatic contour feature can also be disabled by pressing and holding the Knee Down Control while raising the head section.
5
Features
NOTE:

Knee Up/Down Control

The caregiver can raise or lower the knee section by using the Knee Up/Down Controls to a maximum of 20° up.
To Activate:
• Basic Knee Up/Down – Press and hold the Knee Up control to raise the knee section.
• Press and hold the Knee Down control to lower the knee section.
The automatic contour feature does not work when using only the Knee Up/Down controls.

Foot Up/Down Controls

The foot section can be lowered and raised by using the Foot Up/Down Controls.
To Activate:
• Press the Enable Control.
• Press and hold the Foot Down control to lower the foot section. Press and hold the Foot Up control to raise the foot section.
WARNING:
Do not use ankle restraints when activating this feature; injury to the patient may result.
CAUTION:
Before activating the foot section controls, make sure the area around the foot section is clear of equipment, or equipment damage may occur.

FlexAfoot™ Retractable Foot Control

The foot section can be extended or retracted using the foot retraction In/Out controls. This feature allows the TotalCare® Bariatric Bed to customize the length of the sleep surface to the patient. The foot section can be retracted 12" (30 cm).
To Activate:
• Press the Enable Control.
• Press and hold the Foot Out control to extend the foot section. Press and hold the Foot In control to retract the foot section.
Patient comfort can be affected by an improperly adjusted foot section.
WARNING:
Do not use ankle restraints when activating this feature; injury to the patient may result.
6
WARNING:
NOTE:
The retractable foot section provides multiple patient benefits. These include facilitating the prevention of footdrop, allowing chair mode patient ingress/egress, and preventing transmission of shear forces from the mattress to the patient during chair mode articulations. However, for certain patients a retracted foot section may increase the risk of patient entanglement between the siderails and footboard. If a potential for entanglement exists, such as with patients who are agitated or disoriented, or who lack the physical strength to extract themselves should they become entangled, the foot section should be left fully extended when the patient is not under direct supervision.

Trendelenburg and Reverse Trendelenburg Controls

The TotalCare® Bariatric Bed is capable of 15° Trendelenburg and 15° Reverse Trendelenburg. The powered Trendelenburg and Reverse Trendelenburg controls can be activated at any bed height.
The Trendelenburg feature includes Line-of-Site® Angle Indicators located in the intermediate siderails for determining Trendelenburg angles.
To Activate:
Features
• Press the Enable control.
• Trendelenburg – Press and hold the Trendelenburg control. The foot
end of the bed system articulating frame raises relative to the head end.
• Reverse Trendelenburg – Press and hold the Reverse Trendelenburg
control. The head end of the bed system articulating frame raises relative to the foot end.
• Return to flat position – Press the opposite control. (If in Trendelenburg, press Reverse Trendelenburg. If in
Reverse Trendelenburg, press Trendelenburg.) When the level position is reached, the bed system will stop.
If the foot section is in the down position when Reverse Trendelenburg is activated, the foot section will automatically raise. This prevents the articulated foot section from interfering with the floor.

Bed Flat Control

The patient deck can be easily returned to the level position from any articulated position by using the Bed Flat control.
To Activate:
• Press the Enable Control.
• Press and hold the Bed Flat control. The patient deck moves to the flat position in a two-step motion, first the
articulating frame and then the individual sections. When all sections are flat, the system stops.
7
Features
NOTE:
NOTE:
NOTE:

Chair Positioning

FullChair® Patient Position Mechanism
Using the FullChair® Patient Position Mechanism, the caregiver can place the Tot alCare® Bariatric Bed in one of three basic chair positions: chair, chair egress, and recliner
Chair positioning can only be accessed through the caregiver control panel. Patient ar ti cu lation controls are automatically locked out while the system is in the chair or chair egress
positions. The chair indicator on the caregiver control panel illuminates when the chair position is entered. Use facility protocol to assess a patient’s ability to be safely articulated into the chair position.
Chair
The head section rises 65°, the knee section rises 10°, and the foot section lowers 70°. The chair feature allows the caregiver to place the patient in a fully seated position without having to remove the patient
from the TotalCare® Bariatric Bed. The chair feature also provides a means to support the patient’s feet for comfort and security.
To Activate:
• Set the brake.
• Press the Enable control.
• Press the Chair control. The patient deck transitions to the chair position.
• If the footboard is installed, when the articulation stops and a tone sounds, the system has reached the full chair position.
To Support Patient’s Feet:
.
• Check for support in the full chair position. Many patients are adequately supported with no action required.
• Retract the foot section if necessary.
• For shorter patients, reverse the footboard so that the product label is up.
• Move the mattress foot section up to remain within the footboard.
• Adjust the foot section length using the Foot In control to position the legs correctly while maintaining foot support.
Many shorter patients may not require that the footboard be reversed. Use of pillows and blankets may provide adequate support. Extremely short patients may require us e of pillows and blankets in addition to reversing the footboard for adequate foot support.
For large patients or patients at risk for skin breakdown, use of the Trendelenburg control to tilt the chair position back will optimize interface pressure performance.
When the brake is not set and the bed system is in the chair or chair egress positions, the brake not set and chair indicators will flash and an audible alarm will sound.
If the footboard is installed with the bed in the maximum cha ir position and the chair control or foot down control is pressed, the Remove Ft Board and C hair indic ators will flash and an audible alarm will sound.
8
Features
NOTE:
WARNING:
Check periodically to ensure that the patient remains properly positioned. If necessary, use the optional seat belt to keep patients from sliding or falling forward while in a chair position. Use of pillows can maintain side-to­side positioning. Injury to the patient may result from improper positioning.
WARNING:
Do not articulate the head section with the patient buckled with the Seat Belt. Patient injury can occur.
WARNING:
Do not use the Seat Belt as a restraint device. The Seat Belt is only to maintain correct patient positioning in the chair position.
WARNING:
The patient’s feet must be supported at all times while in the chair position. Extended periods of time without support can cause discomfort and reduced circulation. Refer to page 6, the FlexAfoot™ Retractable Foot Control, and/or move the patient down in the bed until the patient’s feet are supported. Injury to the patient may result from improper positioning.
WARNING:
Do not transport a patient with the TotalCare® Bariatric Bed in a chair position. Injury to the patient may result.
CAUTION:
Do not stand or sit on the footboard. Damage to equipment may result.
Chair Egress
The head section rises 75°, the knee section lowers to 0°, the foot section lowers to 85°, and the Hi-Lo lowers to its lowest height. The foot section also fully retracts automatically.
The chair egress feature allows the caregiver to easily position a patient to egress from the foot end of the TotalCare® Bariatric Bed.
The FullChair® Patient Egress Position Mechanism is intended to facilitate patient egress and not long-term sitting.
To Activate:
• Ensure the casters are in the trailing position.
• Set the brake.
• Remove the footboard.
• Press the Enable control.
• Press the Chair control. The patient deck transitions to the chair egress position. Monitor the patient as the
system moves to the egress position.
• Assist the patient with egress.
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