Arjohuntleigh citadel Instructions For Use Manual Download

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Citadel Bed Frame System

Instructions for Use

...with people in mind

830.331 Rev A • 08/2016

Summary of Contents for citadel

Page 1: ...Citadel Bed Frame System Instructions for Use with people in mind 830 331 Rev A 08 2016 ...

Page 2: ...group of companies unless otherwise stated ArjoHuntleigh 2015 As our policy is one of continuous improvement we reserve the right to modify designs without prior notice The content of this publication may not be copied either wholly or in part without the consent of ArjoHuntleigh ...

Page 3: ...e 20 Skin IQ Family Power Cable 20 Skin IQ Installation 20 Citadel Patient Therapy System Connections 21 Mattresses 21 SafeSet 22 Operating Instructions 24 Lifting Pole and Accessory Sockets 24 Drainage Bag Rails 25 Bed Length Adjustment 25 Foot Pedal for Adjustment of Bed Height Optional Feature 27 Brakes and Steering 27 Side Rails 28 Head and Foot Boards 29 Patient Restraints 29 Under Bed Light ...

Page 4: ...nt Placement 49 Completion of Patient Placement 50 Nursing Care 51 CPR 51 CPR Backrest Release 52 Patient Bathing 52 Patient Transfer from the Citadel Bed Frame System 53 Patient Transport 53 Care and Cleaning 54 Deck Sections 54 Decontamination 54 General Recommendations 56 Cleaning the Citadel Bed Frame System While in Use 56 Preventive Maintenance 57 Weighing System 58 Battery Test 58 Troublesh...

Page 5: ...authorized service personnel Do not remove the fitted plug or use a rewireable plug or adapter Make sure the power cord is not stretched kinked or crushed Do not allow the power cord to trail on the floor where it may cause a trip hazard Make sure the power cord does not become entangled with moving parts of the bed or trapped between the bed frame and head board Always adjust the bed frame and de...

Page 6: ...ubstitutes for good nursing practice ArjoHuntleigh makes no recommendations regarding the use of such restraints To make sure the battery is kept fully charged and prevent damage to the battery the bed should be connected to the electricity supply at all times during normal use The battery is intended for emergency short term use only Its life will be reduced if it is used to power the bed for lon...

Page 7: ...ctivity The bed will still operate on battery power if the function has not been locked on the Attendant Control Panel To prevent cross contamination or equipment damage ArjoHuntleigh recommends that the Citadel Bed Frame System be cleaned during use and between patients according to the Care and Cleaning section in this IFU Local protocols and regulations procedures for blood borne pathogens may ...

Page 8: ...ters Improper handling of power cord can cause damage to the cord which may produce risk of fire or electric shock Pull the power cord out of the mains wall outlet to remove power from the unit Avoid Fire Hazards To minimize the risk of fire connect the unit s power cord directly into a wall mounted outlet Do not use extension cords or multiple outlet strips In the US review and follow FDA s Safet...

Page 9: ...istance between top of side rails if used and top of mattress without compression is at least 22 cm 8 66 in to help prevent inadvertent bed exit or falls Consider individual patient size position relative to the top of the side rail and patient condition in assessing fall risk Make sure the distance between top of side rails if used and top of a speciality mattress as defined by IEC 60601 2 52 200...

Page 10: ...nt movement sinking and or migration into hazardous positions of entrapment and or inadvertent bed exit Monitor patients frequently to guard against patient entrapment Skeletal Traction or Unstable Fracture if not contraindicated With skeletal traction unstable pelvic fracture or any other unstable fracture to the extent not contraindicated maintain physician directed angle of articulation and gua...

Page 11: ...t Controls D Seat Section E Thigh Section F Foot Board G Extension Locking Handle H Accessory Power Outlet I Anti Entrapment Sensor J Foot End Brake Pedal K Extension Catch Bar L CPR Release Handle M Weighing Movement Detection System Controls N Attendant Control Panel ACP O Side Rail Release Lever P Drainage Bag Rail Q Caster R Roller Buffer S Lifting Pole Socket T Foot End Side Rail U Caregiver ...

Page 12: ...ustment of calf section vascular position Mattress support surface with removable panels Adjustable length deck Drainage bag rails Under bed lights 125 mm single wheel casters Patient weighing VariZone patient egress detection Anti Entrapment System The following are optional features One way nurse call Two way nurse call Environmental controls RS232 connection allowing transfer of bed status data...

Page 13: ...d on the bed frame below the head board Before using the bed make sure that the Power in rating on the specification label is compatible with the local electricity supply DUTY 10 2 min ON 18 min OFF POWER in 115V 9 5 A MAX 60Hz 0086 ArjoHuntleigh AB Hans Michelsensgatan 10 211 20 Malmö SWEDEN www arjohuntleigh com YYYY MM DD MADE IN POLAND Citadel Bed Frame System 270 kg 595 lb E348583 IPX4 Citade...

Page 14: ...pital where 24 hour medical supervision and constant monitoring is required e g ITU ICU and CCU Acute care provided in a hospital or other medical facility where medical supervision and monitoring is required e g general medical and surgical wards Long term care in a medical area where medical supervision is required and monitoring is provided if necessary e g nursing homes and geriatric facilitie...

Page 15: ...e that the patient s height does not exceed the in bed length Maximum Patient Weight With 45 kg accessories or mattress Without Accessories or mattress Safe Working Load 270 kg 270 kg Patient Therapy System 45 kg 45 kg Accessories 45 kg 0 kg Maximum allowable patient weight 180 kg 225 kg Precautions Precautions may need to be taken when using this product with certain patient conditions including ...

Page 16: ... when moving the bed short distances When replacing the transport locking bolts care must be taken to avoid trapping or damaging any cables Position the bed on a flat level surface and apply the brakes Remove the four transport locking bolts 1 and washers 2 there are two locking bolts at the head end of the bed and two at the foot end Figure 3 Removing the transport bolts Retain the bolts and wash...

Page 17: ...he bed to the electricity supply for at least 24 hours to allow the backup battery to recharge fully failure to do this may reduce the life of the battery After charging check that the battery is fully serviceable by carrying out a battery test as shown on page 58 Connect the mains plug to a suitable outlet Make sure the plug is easily accessible so it can be unplugged quickly in an emergency When...

Page 18: ...Citadel bed contains the following electrical connections Frame Citadel Patient Therapy System Power Cord AC Power Connection Nurse Call Connector CPR Switch Connection RS232 Connector if specified Communication Connection Auxiliary Power Outlet Skin IQ Family Power Cable Power Cord The power cord is located at the head end of the bed Make sure power cord is kept free from all pinch points moving ...

Page 19: ...t cables Use of the wrong cables may cause malfunction of the bed or devices connected to the nurse call or RS232 connectors Verify correct operation of the nurse call system before placing a patient on the bed Do not allow the nurse call or RS232 cables to trail on the floor where they may cause a trip hazard Unplug both cables before moving the bed Do not allow the cables to touch the bed frame ...

Page 20: ...when the bed is on battery backup A 12 VDC power cable is located at the foot end of the bed which provides a connection point for the Skin IQ of products Skin IQ Installation Refer to Skin IQ Instructions for Use for detailed installation instructions 1 Stretch the Skin IQ coverlet over existing surface and use straps to secure to existing mattress 2 When using the Skin IQ on the Citadel mattress...

Page 21: ...to the air mattress control unit in order from left to right right to left Communications cable connection CPR Switch connection AC Power cable connection Mattresses Always use a mattress of the correct size and type Incompatible mattresses can create hazards Where the maximum patient weight specified for the mattress is different to that specified for the bed the lower value applies When choosing...

Page 22: ...ess without compression is approximately 11 4 cm 4 5 in or greater Consider individual patient size position relative to the top of the side rail and patient condition in assessing fall risk To ensure compliance with EN 60601 2 52 2009 an approved ArjoHuntleigh mattress should be used Compliance with this standard when using other mattresses must be validated by the user For more information on su...

Page 23: ...ards may exist when using a very soft mattress even if it is the correct size The maximum recommended standard mattress thickness for use with side rails is 20 5 cm 8 in Read the instructions for use supplied with the mattress Valve Covers If a non integrated mattress is used make sure that the valve covers are in place prior to use These covers protect the valves from fluid and debris 830 229 Rev...

Page 24: ...ons in the Introduction chapter of this manual prior to installing a mattress and placing a patient on the Citadel Bed Frame System Lifting Pole and Accessory Sockets Lifting pole sockets 1 are located at the head end of the deck Sockets to support compatible accessories are located at the head end 2 and foot end 3 of the bed Figure 11 Lifting pole and accessory sockets head end Figure 12 Accessor...

Page 25: ...N rail Bed Length Adjustment Install a suitable foam mattress extension squab at the foot end when the bed is extended with a foam mattress Always adjust the bed frame and deck to the same length and make sure both are latched securely in position Take care not to pinch your fingers when lifting the catch bar The length of the bed is adjustable to two set positions and an additional transport posi...

Page 26: ...ure extension locks in position Figure 14 Extending the bed frame To extend the deck 1 Lift the blue extension locking handles on either side of the bed 1 Pull out the deck extension 2 to the required position and release the handles Ensure deck extension locks in position Figure 15 Extending the deck After extending the deck make sure the calf extension sheet is clipped over the end of the deck f...

Page 27: ... specified by the customer The pedals have three positions as shown below BRAKE brakes are applied on all four casters FREE all four casters are free to rotate and swivel STEER all four casters can rotate but the steering caster see below is locked so that it cannot swivel This helps to keep the bed on a straight line BRAKE FREE STEER Using the Steering Caster Position the bed so that all the cast...

Page 28: ...ails Side rails are not intended to restrain patients who make a deliberate attempt to exit the bed Make sure that the mattress is suitable for use with side rails see Mattresses on page 21 To prevent possible entrapment make sure the patient s head and limbs are clear of the side rails when adjusting the deck To lower the side rail 1 Hold either side rail handle 2 Pull the blue release lever and ...

Page 29: ... to replace Patient Restraints Do not activate the turning feature on any mattress system when patient restraints are in use Follow the instructions for use provided with the patient restraint devices Patient restraints should be used in compliance with all applicable federal and state regulations and in accordance with the healthcare facility s own policies and procedures Do not attach patient re...

Page 30: ...ed Restraint straps should be attached as shown below to prevent sliding along the deck frame Backrest and calf section feed the strap between the guide 1 and the frame of the backrest or calf section 2 Thigh section feed the strap around the thigh section frame 3 between the cross members 4 Figure 22 Restraint strap attachment backrest calf section left and thigh section right Under Bed Light The...

Page 31: ...ystem display are turned off Pressing any of the control buttons brings the bed out of low power mode The bed will return to low power mode two minutes after the last control button was pressed The battery s charge level is indicated as follows If an intermittent warning tone beep beep beep sounds when operating the bed the battery is between 75 and 100 charged In this condition all bed functions ...

Page 32: ... To recharge the battery connect the bed to the electricity supply Allow at least eight hours to recharge the battery when it is completely uncharged While the battery is recharging the ACP battery indicator LED lights yellow The indicator LED will go out when the battery is fully charged Over Use Lockout Continuous operation of the controls may cause the indicator LED above the buttons to flash A...

Page 33: ...ght These buttons raise and lower the deck When the deck is lowered to 38 cm 15 in above the floor 40 cm 16 in on beds with 150 mm 6 in castors it will pause then continue to lower until it reaches its minimum height At minimum height clearance underneath the side rails is reduced Keep your feet away from the areas below the side rails and take extra care when using patient hoists or similar equip...

Page 34: ... deck and lower it if necessary to enable cardio pulmonary resuscitation to be performed The CPR button overrides all lockout settings Function Lockout Function lockout can be used to prevent operation of the controls To lock prevent or unlock allow functions Press the Function Lockout button The indicator above the button will light Press the ACP button s corresponding to the function s to be loc...

Page 35: ...depending on the type of nurse call system Procedures to reset nurse call vary from one system to another Refer to the manufacturer s instructions for use Nurse call is only available in certain models Auto Chair The Auto Chair up button simultaneously raises the backrest and thigh sections pausing when the backrest reaches 45º Continue to hold the button to lower the foot end of the deck into a c...

Page 36: ... on the side rails Store the handsets on the split side rail using the clip on the back this will help to prevent accidental operation of the controls The patient should be shown how to use the handset by the caregiver Take care not to squeeze or trap the handset cable between moving parts of the bed Figure 26 Patient handset ...

Page 37: ...indicates the patient s weight It can also be used to show other information Example bed section angles and error codes Weigh This button is used to calculate and display the current patient weight Weight is displayed for 10 seconds after a button press Auto Compensation tare This button allows items to be added to or removed from the bed without affecting the indicated patient weight Zero This bu...

Page 38: ...removed before use refer to page 16 Position the bed so that it is clear of obstructions Example walls furniture cables and curtains Make sure the patient is fully on the mattress during weighing While weighing is taking place the patient should keep as still as possible and other persons should keep clear of the bed Make sure that the patient pillows and bed linen do not touch the head board or f...

Page 39: ...e bed at this point 2 Press the Zero button once 3 After a few seconds the display will read zero 4 The patient can now be placed on bed 5 The bed cannot be re zeroed once a patient is on the bed Use the Auto Compensation feature if adding or removing items from the bed such as linen or accessories Weighing To calculate and display the patient s weight 1 With the patient centered on the bed press ...

Page 40: ...r kg if equipped Normal operation of the Select Units button can be restored by repeating this procedure Auto Compensation The Auto Compensation function allows weight up to a maximum of 100 kg 220 lb to be added to or removed from the bed without affecting the indicated patient weight 1 With the patient lying on the bed press the Auto Compensation button once 2 The display will show a moving circ...

Page 41: ...to mains supply and re initialize the weighing system Auto Compensation weight decrease more than 100 kg 220 lb Replace weight removed from bed Auto Compensation weight increase more than 100 kg 220 lb Remove added weight from bed A stable weight reading was not obtained within 10 seconds Refer to the points listed in the section Weighing Accuracy on page 38 If the display shows an error code othe...

Page 42: ...tient movement detection controls In Bed this button activates deactivates patient movement detection and increases the sensitivity of the system Patient Movement Detection Threshold Display an indicator shows the current system status and the selected sensitivity of patient movement detection Egress this button activates deactivates patient movement detection and decreases the sensitivity of the ...

Page 43: ...m threshold and small movements of the patient in bed will be detected The further to the right the flashing indicator LED is the higher the alarm threshold and only large movements such as the patient exiting the bed will be detected To increase the patient movement detection threshold Press and hold the Egress button the flashing indicator LED will move towards the right When the required thresh...

Page 44: ...he deck is lowered or is placed into tilt or Auto Chair The system is permanently active and cannot be switched off Figure 30 Anti entrapment sensors and beam There are four infrared sensors 1 one above each castor which generate an invisible beam around the base of the bed 3 If the beam is interrupted example by a patient s limb while the deck is lowering the deck stops moving lifts slightly to a...

Page 45: ... indicator panels are located just below the foot board Indicator lights 1 above each symbol light red to show a potentially unsafe condition or green to indicate a safe condition Figure 31 SafeSet indicator panel Symbol Indicator light green safe condition Indicator light red unsafe condition Brakes on Brakes off All side rails raised If either of the head end panels are lowered If both foot end ...

Page 46: ... the key fob horizontally across the bottom of the SafeSet indicator panel as shown to turn the indicator lights off Once disabled the lights cannot be re enabled within four seconds Swipe the key fob again to turn the indicator lights back on Figure 32 Turning the SafeSet indicator lights on off If the bed is disconnected from the electricity supply and operated on battery power the indicator lig...

Page 47: ...conds and includes the following information Patient weight VariZone Patient Movement Detection Bed exit alarm on or off Backrest angle in degrees relative to horizontal Bed height at low position yes no Side rail position up down Brake position on off This information can be stored in a database Data retrieved from the RS232 connection not intended to be used to make clinical decisions All patien...

Page 48: ... Decrease volume 4 Increase volume 5 Sound on off mute 6 Main room lights on off 7 Reading lamp on off 8 Channel down 9 Channel up The bed must be connected to a compatible Headwall system for the TV and lighting controls to operate The bed s electronics will recognize the type of television in use and configure the controls automatically The controls have been designed to be compatible with the m...

Page 49: ...kes to all four casters 3 Make sure patient surface is level 4 Adjust the bed to a comfortable working height 5 Configure unit as required add the pressure redistribution surface of choice pillows blankets lines IV poles other equipment accessories etc as necessary 6 Press the Zero Button to reset the weighing scale to zero Scales patient weights are for reference only Scale readings should not be...

Page 50: ...ss buttons to activate and set the desired sensitivity of the VariZone patient movement detection system Adjust patient surface for patient comfort 2 Bring the bed to the lowest practical height for patient comfort 3 Make sure caster brakes are locked 4 Lock out bed functions as required ...

Page 51: ...eight 480mm 19 in then activating the CPR function will also lower the bed to 480mm 19 in The CPR buttons will flash on all control panels and an audible tone will sound If installed the Citadel Patient Therapy System will deflate the mattress and turn off 2 Lower side rails 3 Remove headboard if necessary 4 Depending on the patient support surface in use a crashboard may be needed 5 Begin CPR Fol...

Page 52: ...se handle This will lower the backrest to enable cardiopulmonary resuscitation to be performed Figure 34 CPR backrest release Patient Bathing 1 Adjust height and level patient surface to facilitate ease of bathing 2 Lower side rails on caregiver s side 3 Bathe patient following institution protocols Avoid spilling fluids on frame controls Fluids remaining on controls can cause corrosion which may ...

Page 53: ...n all four corners of the frame 2 Verify side rails are raised and locked 3 Unplug the power cord from the wall outlet and wrap the cord on to the plastic hook on the headboard 4 Unlock brakes 5 Transport patient following all applicable safety rules and institution protocols 6 Firm mattress and Transport mode can be used as assisting functions during patient transport if using the Citadel Patient...

Page 54: ... on the deck frame then press down firmly until it snaps into place Replace the calf extension sheet 1 by clipping it over the end of the deck frame Decontamination Do not allow the mains plug or power cord to get wet Do not use abrasive compounds or pads or phenol based disinfectants Do not use jet stream cleaning or wash tunnels Do not remove grease from the actuator pistons Do not allow the acc...

Page 55: ...e wheels last Take extra care to clean areas that may trap dust or dirt Wipe over with a new disposable cloth moistened with plain water and dry with disposable paper towels Allow the cleaned parts to dry before replacing the mattress Disinfection ArjoHuntleigh recommends disinfection using a wipe down approach with a 70 alcohol solution or bleach 1000 ppm Although bleach may be used for wipe down...

Page 56: ...aning the Citadel Bed Frame System While in Use Do not allow fluid to penetrate the Citadel Bed Frame System control panels 1 If possible remove the patient from the bed prior to cleaning Daily care and cleaning consists of wiping down all surfaces and side rails as needed during patient bathing 2 Follow care and cleaning instructions for the specific patient support surface in use 3 Unplug the Ci...

Page 57: ...ted by caregiver Daily Weekly Check operation of side rails Visually check casters Check operation of the CPR backrest release handles on both sides of the bed Visually check power supply cord and mains plug Carry out a full test of all electrical bed positioning functions backrest height tilt etc Check that the patient controls caregiver controls and Attendant Control Panels operate correctly Che...

Page 58: ...he date of expiry shown on the bed Make sure the bed is re calibrated every 12 months Battery Test Check the condition of the backup battery by carrying out the following test 1 Disconnect the bed from the electricity supply 2 Raise the deck to maximum height ignore the battery warning tone 3 Raise the backrest and thigh sections to highest position 4 Press and hold the CPR button The deck will fl...

Page 59: ...n depressed for more than 90 seconds Remove pressure from control buttons If error code does not clear call an ArjoHuntleigh approved service agent Deck cannot be lowered and error code AES is displayed Anti Entrapment system activated Remove obstruction s from below the deck If bed still cannot be lowered call an ArjoHuntleigh approved service agent Error code E410 Service Error Call an ArjoHuntl...

Page 60: ...e cleared by adding weight until the auto compensation is above 100 kg and then pressing the auto comp key H1 again or when weight is removed and weighing zeroed E003 Error when auto compensation weight is higher than minus 100 kg 220 lb The auto compensation weight of 100 kg 220 lb change has been exceeded and the auto compensation will not be completed Error will be cleared by removing weight un...

Page 61: ...quipment is typically ten 10 years Lifetime is defined as the period during which the product will maintain the specified performance and safety provided it has been maintained and operated in conditions of normal use in accordance with the requirements in these Instructions for Use Accessories Recommended accessories for the Citadel range are shown in the table below Note that some items may not ...

Page 62: ...ions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions CISPR 11 Class A The Citadel Bed Frame System is suitable for use in all establishments other than domestic and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Harmonic emissions IEC 61000 3 2 Class A Voltage fluctuati...

Page 63: ... UT 60 dip in UT for 5 cycles 5 UT 95 dip in UT for 0 5 cycle 5 UT 95 dip in UT for 5 sec 70 of input voltage for 500ms 40 of input voltage for 100ms 5 of input voltage for 10ms 5 of input voltage for 5000ms Mains power quality should be that of a typical commercial or hospital environment If the user of the Citadel Bed Frame System requires continued operation during mains power interruptions it ...

Page 64: ...bles than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site...

Page 65: ...m is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the Citadel Bed Frame System can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Citadel Bed Frame System as recommended below according to the maximum output pow...

Page 66: ... statutory rights of the consumer For service maintenance and any questions regarding this product please contact your local ArjoHuntleigh office or ArjoHuntleigh approved distributor A list of ArjoHuntleigh offices can be found at the back of this manual in the Questions and Information section Have the model number and serial number of the equipment available when contacting ArjoHuntleigh regard...

Page 67: ...S60601 1 2005 CAN CSA C22 2 No 60601 1 08 IEC 60601 2 52 2010 Other Safety standards IEC 60601 1 2005 IEC 60601 2 52 2009 Electric shock protection Class I Type B Applied Part EMC Complies with EN 60601 1 2 2002 and 2007 Potential equalization terminal Complies with EN 60601 1 1990 and 2006 Liquid ingress protection IPX4 Backup battery 2 x 12V series connected sealed rechargeable lead acid gel 5Ah...

Page 68: ...tection Incorrect disposal of this equipment and its component parts particularly gas springs actuators batteries and other electrical devices may produce substances that are hazardous to the environment To minimise these hazards contact ArjoHuntleigh for information on correct disposal Transport and storage Handle with care Do not drop Avoid shock or violent impact Do not stack or store product c...

Page 69: ...ical Device Directive 93 42 EEC and has been subject to the conformity procedures laid down in the council directive Serial Number Safe Working Load This product or its parts are designated for separate collection at an appropriate collection point At the end of useful life dispose of all waste according to local requirements or contact your local ArjoHuntleigh representative for advice i Consult ...

Page 70: ...m Maximum Patient Weight Safe Working Load Tripping Hazard Do Not Shower Protective earth ground CPR Cardiopulmonary Resuscitation 830 229 Rev C 15 20 5 cm 6 8 in Recommended Mattress Size 830 209 Rev D Patient Height Torque ...

Page 71: ...tleigh com MIDDLE EAST ArjoHuntleigh ME Office G005 Nucleotide Complex Dubiotech Research Park P O Box 214742 Dubai United Arab Emirates Tel 971 0 4 447 0942 E mail international arjohuntleigh com NEDERLAND ArjoHuntleigh Nederland BV Biezenwei 21 4004 MB TIEL Postbus 6116 4000 HC TIEL Tel 31 0 344 64 08 00 Fax 31 0 344 64 08 85 E mail info nl arjohuntleigh com NEW ZEALAND ArjoHuntleigh Ltd 41 Vest...

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Page 76: ... solutions for infection control within healthcare and contamination prevention within life sciences Maquet specializes in solutions therapies and products for surgical interventions interventional cardiology and intensive care ArjoHuntleigh focuses on patient handling and hygiene disinfection DVT prevention medical beds therapeutic surfaces and diagnostics 0 0 8 6 ArjoHuntleigh AB Hans Michelsens...

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