Invacare ICCG 6816A, ICCG 6815A, ICCG 6803A, ICCG 1143214, ICCG IH5748A User Manual

ICCG Bed Rails

Assembly, Installation and Operating Instructions

Part No. 6801A, 6803A, 6808A, 6815A, 6816A and IH5748A

SAVE THESE INSTRUCTIONS

NOTE: Check all parts for shipping damage before using. In case of damage, DO NOT use the
equipment. Contact the Dealer/Carrier for further instructions

Safety Summary

 WARNING

DO NOT use this product or any available optional equipment without first
completely reading and understanding these instructions and any additional
instructional material such as owner’s manuals, service manuals or instruction
sheets supplied with this product or optional equipment. If you are unable to
understand the warnings, cautions or instructions, contact a healthcare
professional, dealer or technical personnel before attempting to use this equipment

- otherwise, injury or damage may occur.

These bed rails are intended to prevent an individual from inadvertently rolling out
of bed. DO NOT use for restraint purposes.

DO NOT use the bed rails as push handles for moving the bed.

ALWAYS test to make sure that the bed rails are properly and securely in place
before using.

Invacare products are specifically designed and manufactured for use in conjunction
with Invacare accessories. Accessories designed by other manufacturers have not
been tested by Invacare and are not recommended for use with Invacare products.

Although bed rails are not rated to any specific weight limitation, the bed rails may
become deformed or broken if excessive side pressure is exerted on the bed rails.
This bed rail is not an assist rail for getting into or out of bed. DO NOT use the bed
rails as push handles when moving the bed.

 ENTRAPMENT WARNING

ENTRAPMENT MAY OCCUR. Proper patient assessment and monitoring, and
proper maintenance and use of equipment is required to reduce the risk of entrap­ment. Variations in bed rail dimensions, and mattress thickness, size or density
could increase the risk of entrapment. Visit the FDA website at http://www.fda.gov
to learn about the risks of entrapment. Review “A Guide to Bed Safety”, published
by the Hospital Bed Safety Workgroup, located at www.invacare.com. Use the link
located under each bed rail product entry to access this bed safety guide.

For more information regarding Invacare Continuing Care Group products, parts,

and services, please visit www.invacare-ccg.com

Part No 1143214 1 ICCG Bed Rails

 ENTRAPMENT WARNING (CONTINUED)

Release Lever

DETAIL “B” - FOOT END TOP VIEW

DETAIL “A” - HEAD END TOP VIEW

Bed Rail (on the outside

of bed frame)

Bed Frame

Bed Rail (on the outside of bed frame)

Crossmember

Inside of

Bed Frame

Socket Screw

Pivot
Tube

Mounting Pin

Socket Screw

Mounting Pin

Bed Rail (on

the outside of

bed frame)

Pivot Bracket

Hex Bolt and Locknut

Pivot Tube

Pivot

Bracket

Hex Bolt

and Locknut

Inside of

Bed Frame

See Detail B

See Detail A

Refer to the owner’s manuals for beds for additional product and safety information.

Mattress MUST fit bed frame and bed rails snugly to reduce the risk of entrapment.

After any adjustments, repair or bed service and before use, make sure all attaching
hardware is tightened securely. Rails with dimensions different from the original
equipment supplied or specified by the bed manufacturer may not be interchange­able and may result in entrapment or other injury.

Installing/Using the Epoxy Bed Rails

NOTE: For this procedure, refer to FIGURE 1.

Installing 6801A and 6808A Bed Rails

1. Position the pivot brackets on the bed frame as shown in Details “A” and “B” of
FIGURE 1.

2. Loosely attach the pivot brackets to the bed frame with the hex bolts and locknuts.

NOTE: DO NOT tighten the hex bolts and locknuts at this time.

3. Slide the mounting pins of the bed rails through the pivot tubes.

NOTE: Make sure the release lever on the bed rail is pointing towards the foot end of the bed.

ICCG Bed Rails 2 Part No 1143214

FIGURE 1 Installing 6801A and 6808A Bed Rails

4. Install a socket screw into the head end and foot end mounting pins and tighten

Release Lever

(Towards the foot

end of the bed)

Bed Rail

Socket

Screw

Mounting

Bracket

Hex Bolt

Locknut

Mattress

Deck

Attach Head End Crossmember Here

Bed Rail

Mattress

Deck

Mounting

Bracket

Socket Screw

DETAIL “B” - MOUNTING HOLE

LOCATION FOR MOUNTING

BRACKETS

DETAIL “A” - SIDE VIEW OF BED RAIL

Mounting Holes for

Mounting Bracket

Head End

Foot End

Mounting Pin

Crossmember

(Head End Only)

Mounting

Pin

Pivot Tube

Pivot
Tube

securely.

5. Securely tighten the hex bolts and locknuts that secure the pivot brackets to the bed
frame.

6. Repeat STEPS 3-6 for the opposite bed rail.

Installing 6815A, 6816A and 6803A Bed Rails

NOTE: For this procedure, refer to FIGURE 2.

1. Raise the mattress deck to which the bed rail will be attached.

2. Locate the proper mounting holes on the bed to install the bed rails. Refer to Detail “B”
of FIGURE 2.

3. Position the mounting bracket on the mattress deck. Refer to Detail “B” of FIGURE 2.

4. Secure the mounting bracket to the mattress deck with the two hex bolts and locknuts.

5. Install the bed rail to the mounting bracket by sliding the mounting pin of the bed rail
through the pivot tube.

NOTE: Ensure that the release lever is pointing towards the foot end of the bed.

FIGURE 2 Installing 6815A, 6816A and 6803A Bed Rails

Part No 1143214 3 ICCG Bed Rails

6. Secure the bed rail to the mounting bracket with the two socket screws.

Towards Foot End

of Bed

Bed Rail

Release Lever

7. Head End Mounting Bracket Only - Position the crossmember between the two bed
rails as shown in Detail “A” of FIGURE 2 on page 3.

8. Repeat STEPS 3-7 to install the other bed rail on the opposite side.

9. When installing bed rails 6815A, 6816A or 6803A on a bed used with an 80-inch
mattress, the head board mounting brackets MUST be adjusted. Refer to Changing the
Head Board Mounting Position on page 6.

Using the Epoxy Bed Rails

NOTE: For this procedure, refer to FIGURE 3.

1. Perform one of the following:

• Raising - Pull up on the bed rails while rotating towards the head end of the bed

until the bed rail locks into place.

• Lowering - Pull up on the release lever and push down on the bed rail while

rotating towards the foot end of the bed until the bed rail lowers into place.

FIGURE 3 Using the Epoxy Bed Rails

Installing/Using Nylasar Bed Rails

NOTE: The hardware shown in FIGURE 4 on page 5 is already assembled to the bars and latch
arms before shipment. It is not necessary to remove the hardware from the bolt or to remove the bolt
from the bars or latch arms. Holding the bolt in place while removing the hex nuts will prevent the
hardware from becoming disassembled. In case of disassembly, refer to FIGURE 4 on page 5 for the
correct placement of the hardware.

Installing the IH5748A Bed Rails

NOTE: For this procedure, refer to FIGURE 4 on page 5.

NOTE: Invacare recommends two people perform the following installation procedure. One person
should hold the bed rail up against the bed and one person should attach the rail to the bed.

1. Position the bed rail on the bed frame with the release lever towards the foot end of
the bed.

2. Loosen and remove the hex nut from the latch arm at the foot end of the bed (Detail
“B”).

ICCG Bed Rails 4 Part No 1143214

3. Carefully push the bolt through the mounting hole in the bed frame (Detail “B”).

Release Lever

Spacer

DETAIL “B” - LATCH ARM HARDWARE

Bar

Bolt

Hex Nut

Latch Arm

Spacer

Bed

Frame

Bars

Bed Frame

Refer to Detail “A”

Refer to Detail “B”

Rubber
Bushing

Bar

Bearing

Bolt

Bed

Frame

Washer

DETAIL “A” - BAR HARDWARE

Hex
Nut

Spacer

Spacer

Bearing

Foot End

of Bed

Foot End of Bed

Release Lever

Bed Rail

4. Loosely install the hex nut on the bolt to secure the latch arm to the bed frame (Detail
“B”).

5. Loosen and remove the hex nut from the bar closest to the latch arm (Detail “A”).

6. Carefully push the bolt through the corresponding mounting hole in the bed frame
(Detail “A”).

7. Loosely install the hex nut on the bolt to secure the bar to the bed frame (Detail “A”).

8. Repeat STEPS 5-7 for the remaining bars.

9. Securely tighten all bolts and hex nuts securing the bars and the foot end latch arm to
the bed frame. Torque to 100-150 inch-pounds.

FIGURE 4 Installing/Using Nylasar Bed Rails - Installing the IH5748A Bed Rails

Using the IH5748A Bed Rails

NOTE: For this procedure, refer to FIGURE 5.

1. Perform one of the following:

• Raising - Lift up on the bed rail until

the rail locks into place.

• Lowering - Press in on the release

lever and push down on the rail.

Part No 1143214 5 ICCG Bed Rails

FIGURE 5 Using the IH5748A Bed Rails

Changing the Head Board Mounting Position

Head Board Mounting Bracket

Bed Frame

Mounting Screws and

Locknuts

DETAIL “A”

NOTE: Mounting position of head
board mounting bracket for use with
80-inch mattress - without side rails

DETAIL “B”

NOTE: Mounting position of head board
mounting bracket for use with 80-inch mattress

- using side rails 6815A, 6816A, or 6803A

Mounting Screws and Locknuts

Bed Frame

Head Board Mounting Bracket

1-inch Gap2-inch Gap

NOTE: For this procedure, refer to FIGURE 6.

NOTE: When using bed rails 6815A, 6816A or 6803A in conjunction with an 80-inch mattress,
the head board mounting brackets MUST be adjusted.

1. Remove the two mounting screws that secure head board mounting bracket to the bed
frame. See Detail “A”.

2. Secure the head board mounting bracket to the bed frame as shown in Detail “B” using
two mounting screws and locknuts. Securely tighten.

NOTE: Ensure mounting brackets are perpendicular to the floor.

3. Repeat STEPS 1-2 to install remaining head board mounting brackets.

FIGURE 6 Changing the Head Board Mounting Position

Changing the Mounting Position of the Mattress
Keepers

NOTE: For this procedure, refer to FIGURE 7 on page 7.

NOTE: When using bed rails 6815A, 6816A or 6803A in conjunction with an 80-inch mattress,
the mattress keepers on the head end of the mattress deck MUST be adjusted.

1. Remove the two mounting screws that secure the mattress keeper to the head end of
the mattress deck. See Detail “A”.

2. Secure the mattress keeper to the head end of the mattress deck as shown in Detail “B”
using two mounting screws and locknuts. Securely tighten.

ICCG Bed Rails 6 Part No 1143214

3. Repeat STEPS 1-2 to adjust the remaining mattress keeper on the head end of the

Mattress Keeper

Head End

of Mattress

Deck

Mounting Screws and Locknuts

2-inch Gap

DETAIL “B”

DETAIL “A”

Mattress Keeper

Head End

of Mattress

Deck

Mounting Screws and Locknuts

1-inch Gap

NOTE: Mounting position of the
mattress keeper for use with 80-inch
mattress - without side rails

NOTE: Mounting position of the mattress keeper
for use with 80-inch mattress - using side rails
6815A, 6816A, or 6803A

mattress deck.

FIGURE 7 Changing the Mounting Position of the Mattress Keepers

For your convenience, the March 2006 version of the FDA’s bed safety guidelines are
provided in this section. The information from the FDA’s brochure, published by
Hospital Bed Safety Workgroup, is reproduced verbatim, the latest revision of
which is available at http://www.fda.gov.

A Guide to Bed Safety Bed Rails in Hospitals, Nursing
Homes and Home Health Care: The Facts

Bed Rail Entrapment Statistics

Today there are about 2.5 million hospital and nursing home beds in use in the United
States. Between 1985 and 2005, 691 incidents of patients* caught, trapped, entangled, or
strangled in beds with rails were reported to the U.S. Food and Drug Administration. Of
these reports, 413 people died, 120 had a nonfatal injury, and 158 were not injured because
staff intervened. Most patients were frail, elderly or confused.

*NOTE: In this brochure, the term patient refers to a resident of a nursing home, any individual
receiving services in a home care setting, or patients in hospitals.

APPENDIX

SPECIAL NOTE

Part No 1143214 7 ICCG Bed Rails

Patient Safety

Patients who have problems with memory, sleeping, incontinence, pain, uncontrolled
body movement, or who get out of bed and walk unsafely without assistance, must be
carefully assessed for the best ways to keep them from harm, such as falling. Assessment
by the patient’s health care team will help to determine how best to keep the patient safe.
Historically, physical restraints (such as vests, ankle or wrist restraints) were used to try
to keep patients safe in health care facilities. In recent years, the health care community
has recognized that physically restraining patients can be dangerous. Although not
indicated for this use, bed rails are sometimes used as restraints. Regulatory agencies,
health care organizations, product manufacturers and advocacy groups encourage
hospitals, nursing homes and home care providers to assess patients’ needs and to
provide safe care without restraints.

The Benefits and Risks of Bed Rails

Potential benefits of bed rails include:

• Aiding in turning and repositioning within the bed.

• Providing a hand-hold for getting into or out of bed.

• Providing a feeling of comfort and security.

• Reducing the risk of patients falling out of bed when being transported.

• Providing easy access to bed controls and personal care items.

Potential risks of bed rails may include:

• Strangling, suffocating, bodily injury or death when patients or part of their body are
caught between rails or between the bed rails and mattress.

• More serious injuries from falls when patients climb over rails.

• Skin bruising, cuts, and scrapes.

• Inducing agitated behavior when bed rails are used as a restraint.

• Feeling isolated or unnecessarily restricted.

• Preventing patients, who are able to get out of bed, from performing routine activities
such as going to the bathroom or retrieving something from a closet.

ICCG Bed Rails 8 Part No 1143214

Meeting Patients' Needs for Safety

Most patients can be in bed safely without bed rails. Consider the following:

• Use beds that can be raised and lowered close to the floor to accommodate both patient
and health care worker needs.

• Keep the bed in the lowest position with wheels locked.

• When the patient is at risk of falling out of bed, place mats next to the bed, as long as
this does not create a greater risk of accident.

• Use transfer or mobility aids.

• Monitor patients frequently.

• Anticipate the reasons patients get out of bed such as hunger, thirst, going to the
bathroom, restlessness and pain; meet these needs by offering food and fluids,
scheduling ample toileting, and providing calming interventions and pain relief.

When bed rails are used, perform an on-going assessment of the patient’s physical and
mental status; closely monitor high-risk patients. Consider the following:

• Lower one or more sections of the bed rail, such as the foot rail.

• Use a proper size mattress or mattress with raised foam edges to prevent patients from
being trapped between the mattress and rail.

• Reduce the gaps between the mattress and side rails.

Which Ways of Reducing Risks are Best?

A process that requires ongoing patient evaluation and monitoring will result in
optimizing bed safety. Many patients go through a period of adjustment to become
comfortable with new options. Patients and their families should talk to their health care
planning team to find out which options are best for them.

Patient or Family Concerns About Bed Rail Use

If patients or family ask about using bed rails, health care providers should:

• Encourage patients or family to talk to their health care planning team to determine
whether or not bed rails are indicated.

• Reassure patients and their families that in many cases the patient can sleep safely
without bed rails.

• Reassess the need for using bed rails on a frequent, regular basis.

To report an adverse event or medical device problem, please call FDA’s MedWatch
Reporting Program at 1-800-FDA-1088.

For additional copies of the brochure, see the FDA’s website at
http://www.fda.gov/cdrh/beds/

For more information about this brochure, contact Beryl Goldman at 610-388-5580 or by
e-mail at [e-mail]. She has volunteered to answer questions.

For information regarding a specific hospital bed, contact the bed manufacturer directly.

Part No 1143214 9 ICCG Bed Rails

Developed by the Hospital Bed Safety Workgroup

Participating Organizations:

• AARP

• ABA Tort and Insurance Practice
Section

• American Association of Homes and
Services for the Aging

• American Health Care Association

• American Medical Directors
Association

• American Nurses Association

• American Society for Healthcare
Engineering of the American Hospital
Association

• American Society for Healthcare Risk
Management

• Basic American Metal Products

• Beverly Enterprises, Inc.

• Care Providers of Minnesota

• Carroll Healthcare

• DePaul College of Law

• ECRI

• Evangelical Lutheran Good Samaritan
Society

• Hill-Rom Co., Inc.

• Joint Commission on Accreditation of
Healthcare Organizations

• Medical Devices Bureau, Health
Canada

• National Association for Home Care

• National Citizens’ Coalition for
Nursing Home Reform

• National Patient Safety Foundation

• RN+ Systems

• Stryker Medical

• Sunrise Medical, Inc.

• The Jewish Home and Hospital

• Untie the Elderly, The Kendal
Corporation

• U.S. Food and Drug Administration

Updated March 2006

ICCG Bed Rails 10 Part No 1143214

LIMITED WARRANTY

PLEASE NOTE: THE WARRANTY BELOW HAS BEEN DRAFTED TO COMPLY WITH
FEDERAL LAW APPLICABLE TO PRODUCTS MANUFACTURED AFTER JULY 4, 1975.

This warranty is extended only to the original purchaser who purchases this product when new
and unused from Invacare or a dealer. This warranty is not extended to any other person or
entity and is not transferable or assignable to any subsequent purchaser or owner. Coverage
under this warranty will end upon any such subsequent sale or other transfer of title to any
other person.

This warranty gives you specific legal rights and you may also have other legal rights which vary
from state to state.

Invacare warrants this product when purchased new and unused to be free from defects in
materials and workmanship for a period of one year from date of purchase from Invacare or a
dealer, with a copy of the seller’s invoice required for coverage under this warranty. If within such
warranty periods any such product shall be proven to be defective, such product shall be repaired
or replaced, at Invacare's option. This warranty does not include any labor or shipping charges
incurred in replacement part installation or repair of any such product. Invacare's sole obligation
and your exclusive remedy under this warranty shall be limited to such repair and/or
replacement.
For warranty service, please contact the dealer from whom you purchased your Invacare
product. In the event you do not receive satisfactory warranty service, please write directly to
Invacare at the address on the back cover, provide dealer's name, address, and the date of
purchase, indicate nature of the defect and, if the product is serialized, indicate the serial
number. Do not return products to our factory without our prior consent.

LIMITATIONS AND EXCLUSIONS: THE FOREGOING WARRANTY SHALL NOT APPLY TO
SERIAL NUMBERED PRODUCTS IF THE SERIAL NUMBER HAS BEEN REMOVED OR
DEFACED, PRODUCTS SUBJECTED TO NEGLIGENCE, ACCIDENT, IMPROPER
OPERATION, MAINTENANCE OR STORAGE, PRODUCTS MODIFIED WITHOUT
INVACARE'S EXPRESS WRITTEN CONSENT (INCLUDING, BUT NOT LIMITED TO,
MODIFICATION THROUGH THE USE OF UNAUTHORIZED PARTS OR ATTACHMENTS;
PRODUCTS DAMAGED BY REASON OF REPAIRS MADE TO ANY COMPONENT
WITHOUT THE SPECIFIC CONSENT OF INVACARE, OR TO A PRODUCT DAMAGED BY
CIRCUMSTANCES BEYOND INVACARE'S CONTROL, AND SUCH EVALUATION WILL BE
SOLELY DETERMINED BY INVACARE. THE WARRANTY SHALL NOT APPLY TO NORMAL
WEAR AND TEAR OR FAILURE TO ADHERE TO THE PRODUCT INSTRUCTIONS.
THE FOREGOING EXPRESS WARRANTY IS EXCLUSIVE AND IN LIEU OF ANY OTHER
WARRANTIES WHATSOEVER, WHETHER EXPRESS OR IMPLIED, INCLUDING THE
IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR
PURPOSE, AND THE SOLE REMEDY FOR VIOLATIONS OF ANY WARRANTY
WHATSOEVER, SHALL BE LIMITED TO REPAIR OR REPLACEMENT OF THE DEFECTIVE
PRODUCT PURSUANT TO THE TERMS CONTAINED HEREIN. THE APPLICATION OF
ANY IMPLIED WARRANTY WHATSOEVER SHALL NOT EXTEND BEYOND THE
DURATION OF THE EXPRESS WARRANTY PROVIDED HEREIN. INVACARE SHALL NOT
BE LIABLE FOR ANY CONSEQUENTIAL OR INCIDENTAL DAMAGES WHATSOEVER.
SOME STATES DO NOT ALLOW THE EXCLUSION OR LIMITATION OF INCIDENTAL OR
CONSEQUENTIAL DAMAGE, OR LIMITATION OF HOW LONG AN IMPLIED WARRANTY
LASTS, SO THE ABOVE EXCLUSION AND LIMITATION MAY NOT BE APPLICABLE.

THIS WARRANTY SHALL BE EXTENDED TO COMPLY WITH STATE/PROVINCIAL LAWS
AND REQUIREMENTS.

Part No 1143214 11 ICCG Bed Rails

Invacare Corporation

USA

One Invacare Way
Elyria, Ohio USA
800-333-6900

www.invacare-ccg.com

2101 E. Lake Mary Blvd
Sanford, Florida USA
32773
800-832-4707

All rights reserved. Trademarks are
identified by the symbols ™ and ®. All
trademarks are owned by or licensed to
Invacare Corporation unless otherwise
noted.

©2008 Invacare Corporation

Part No 1143214

Rev D- 7/08