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SHOCK HAZARD:

Before transport, unplug the bed from its power source. Failure to do so could
result in personal injury or equipment damage.

6. Unplug the bed from its power source.

7. If bed articulation is necessary, press the Battery control to start the battery backup

power.

8. Transport the patient as necessary.

After transport is complete, do as follows:

1. Put the Point-Of-Care® Brake and Steer System in the Brake position.

2. Plug the bed into an appropriate power source.

3. Lift the air supply unit and its hoses over the footboard, and install the air supply unit

on the footboard’s mounting bracket.

4. Connect the three color-coded air hoses to the caregiver’s right-hand side of the air

supply unit.

5. Plug the power cord into the air supply unit.

6. Plug the air supply unit into an appropriate power source.

7. Press the Power switch on the air supply unit to the On position.

8. Pull the expandable side extensions out from the sides of the bed as necessary (see

“Adjust the Width of the Bed” on page -19).

9. Inflate the side bolsters:

•

For an Excel Air™ Low Airloss Therapy Surface air mattress, see “Deflate and
Inflate the Side Bolsters” on page -28.

•

For an Excel Air™ Foam Mattress, see “Deflate and Inflate the Side Bolsters” on
page -30.

10. Do a check on the patient’s weight, and adjust as necessary (see “Correct the Shown

Patient Weight” on page -18).

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Summary of Contents for Excel Care

Page 1: ...USER MANUAL Excel Care Bariatric Bed From Hill Rom usr135ra ...

Page 2: ... Rom is a registered trademark of Hill Rom Services Inc Microvent Technologies is a trademark of SenTech Medical Systems Inc PLEUR EVAC is a registered trademark of Deknatel Inc Point Of Care is a registered trademark of Hill Rom Services Inc SenTech Medical Systems is a registered trademark of SenTech Medical Systems Inc The information contained in this manual is subject to change without notice...

Page 3: ...nsive list of Technical Support contact information for Hill Rom The product discussed in this manual may not be available in all of the countries listed Revision Letter Pages Affected Date Original Issue July 2004 A All October 2004 2 ...

Page 4: ...e Enable Control 14 Lock Out the Bed Controls 14 Put the Bed in the Bed Flat or Trendelenburg or Reverse Trendelenburg Position 15 Use the Patient Pendant 16 Install and Remove the Patient Pendant 16 Raise and Lower the Head and Knee Sections 16 Weigh the Patient 17 Scale Controls 17 Zero the Scale 18 Change Bed Items and Move the Bed or Patient 18 Correct the Shown Patient Weight 18 Disconnect Po...

Page 5: ...ize P276 33 Cleaning 34 General Cleaning 34 Steam Cleaning 34 Cleaning Hard to Clean Spots 34 Disinfecting 34 Clean the Mattress Assembly 35 Coverlet Excel Air Low Airloss Therapy Surface Only 35 Bottom Shell and Vapor Barrier 35 Clean the Excel Air Low Airloss Therapy Surface Filter 36 Maintenance 37 Product Symbol Definition 38 Specifications 43 Regulations Codes and Standards 44 Safety Tips 49 ...

Page 6: ...Visitor Notification 56 Cleaning and Maintenance 56 5 ...

Page 7: ...WARNING or CAUTION Warning and Caution A WARNING identifies situations or actions that may affect patient or user safety Ignoring a warning could result in patient or user injury A CAUTION points out special procedures or precautions that persons must obey to avoid equipment damage The symbol below identifies a CAUGHT HAZARD WARNING Caught Hazard Warning The symbol below identifies a CHEMICAL HAZA...

Page 8: ...fully extended surface width Introduction This manual contains information necessary for normal operation of the Excel Care Bariatric Bed from Hill Rom Before operating the Excel Care Bariatric Bed make sure you read and understand in detail the contents of this manual It is important that you read and obey the aspects of safety contained in this manual Any reference to a side of the bed is from t...

Page 9: ... Three prong hospital type power plug with grounding that meets National Fire Protection Association NFPA standards Adjustable drop down style siderails that stow below the sleep deck during transport 88 224 cm long sleep deck with width adjustable from 40 to 50 102 cm to 127 cm Heavy duty 6 15 cm casters Equipment sockets one IV socket and two round sockets on each corner of the bed Optional weig...

Page 10: ...mbly will begin to deflate 2 Pull and hold the CPR control until the head section comes to a stop in the flat position NOTE When operated the CPR control lowers the head section to the horizontal position This function can be used when power is not available NOTE If you release the CPR control during operation the head section will stop lowering NOTE The rate at which the air leaves the mattress d...

Page 11: ...ull up on the siderail latch and pull the siderail up until its latches in the extended height 2 Make sure the siderail stays in the raised position Lower 1 Pull up on the siderail latch and push the siderail down until it latches in its lowest vertical position 2 Make sure the siderail stays in the lowest position Raise and Lower the Siderail Raise Pivot the siderail up until it locks in the rais...

Page 12: ...the headboard s pins with the sockets in the frame 2 Lower the headboard into the sockets and push the headboard down until its bottom rests on the frame Use the Equipment Sockets There are four equipment sockets for the attachment of accessories The equipment sockets are at each corner of the bed The equipment sockets can be used to mount IV poles ISS poles traction equipment and oxygen tank hold...

Page 13: ...olders Equipment damage could occur Drainage bag holders are mounted on the center of the bed The safe working load of each drainage bag holder is 5 5 lb 2 5 kg The holders may be used for any combination of these drainage devices Fecal incontinence bag 250 2000 ml Foley collection bag PLEUR EVAC 1 on foot end holders during transport only When the bed is docked put the PLEUR EVAC device or other ...

Page 14: ...rtent bed movement make sure the casters are locked before raising or lowering the head section Failure to do so could result in patient injury personal injury or equipment damage Raise Press and hold the Head Up control until the head section is at the applicable angle Lower Press and hold the Head Down control until the head section is at the applicable angle NOTE The head section stops at any a...

Page 15: ...e Enable control must be engaged before the caregiver controls will operate When engaged the Enable indicator stays on for 60 seconds During this time the caregiver can use any caregiver Trendelenburg positioning or bed function lockout control Lock Out the Bed Controls The Lockout controls on the caregiver siderail control panel lock out the bed s articulating functions Each function can be locke...

Page 16: ...cel Care Bariatric Bed is capable of 12 Trendelenburg and 10 Reverse Trendelenburg The Trendelenburg and Reverse Trendelenburg controls can be operated at any bed height 1 Press the Enable control 2 For Trendelenburg press and hold the Trendelenburg control until the foot end of the bed rises relative to the head end or For Reverse Trendelenburg press and hold the Reverse Trendelenburg control unt...

Page 17: ...ead and Knee Sections Head Section WARNING To help prevent inadvertent bed movement make sure the casters are locked before raising or lowering the head section Failure to do so could result in patient injury personal injury or equipment damage Raise Press and hold the Head Up control until the head section is at the applicable angle Lower Press and hold the Head Down control until the head sectio...

Page 18: ...tient Pounds Kilograms lb kg Switches the display mode to either pounds lb or kilograms kg Hold Lets items be added or removed from the bed without affecting the shown patient weight value or if a known error exists to lets the caregiver manually correct the shown patient weight Add Subtract When in the Hold mode lets the caregiver manually adjust the shown patient weight if a known error exists 1...

Page 19: ...o as follows 1 Press and hold the Hold control The display shows Hold as the digits on the right count down to zero 2 When the display shows Please Wait and then Hands Off release the Hold control 3 When the display shows Hold make the necessary adjustments to the bed and or patient 4 When the adjustments are complete press the Hold control to exit the Hold mode NOTE If the Hold mode is left unatt...

Page 20: ...ted and then Press 5 Examine the shown patient weight If the shown patient weight is correct the system is ready If the shown patient weight is not correct manually correct it see Correct the Shown Patient Weight on page 18 If the patient s weight is not known remove the patient from the bed and zero the scale see Zero the Scale on page 18 Adjust the Width of the Bed To increase or decrease the wi...

Page 21: ...end of the bed under the headboard just above the power cord To start battery backup power press and hold the Battery control for 2 to 3 seconds All articulation functions are available The battery stays active for 10 minutes after the last control is operated Charge the Battery WARNING Keep the bed plugged into the power source until the battery indicator goes off charging time is approximately 1...

Page 22: ...ch to the Off position b Unplug the air supply unit from its power source NOTE Shut off valves in the air hoses keep the air in the head seat and foot sections of the mattress assembly when the air supply unit is unplugged from its power source The side air bolsters do not have such shut off valves c Unplug the power cord from the air supply unit d Use the magnets on the power cord to keep the pow...

Page 23: ...e footboard s mounting bracket 4 Connect the three color coded air hoses to the caregiver s right hand side of the air supply unit 5 Plug the power cord into the air supply unit 6 Plug the air supply unit into an appropriate power source 7 Press the Power switch on the air supply unit to the On position 8 Pull the expandable side extensions out from the sides of the bed as necessary see Adjust the...

Page 24: ...espective color coded connectors on both sides of the air supply unit On the patient right hand side of the air supply unit connect the red blue green white black and yellow hoses On the patient left hand side of the air supply unit connect the white black and yellow hoses NOTE The yellow hose is the low airloss hose from the top cover of the mattress 7 For an Excel Air Foam Mattress with inflatab...

Page 25: ...play of air pressure for the head seat and foot sections of the mattress assembly For an Excel Air Low Airloss Therapy Surface the amount of pressure to support a patient can be set automatically based on the patient s height and weight or manually for custom configurations All settings are stored in non volatile memory If power is interrupted the air supply unit automatically returns to the previ...

Page 26: ...set height and weight 4 Press Enter to return to the main Low Airloss screen Adjust the Comfort Setting 1 At the main Low Airloss screen press Enter The Patient Setup screen shows 2 Use the arrow keys to move the cursor to the desired pressure setting head seat or foot 3 To adjust the setting to the desired value press Increase or Decrease 4 Press Enter to return to the main Low Airloss screen The...

Page 27: ...nds and the Warning Max Firm Selected screen shows To turn the alarm off for 10 minutes press Alarm Off 3 To return to the previous therapy mode press Max Firm again Fowler Boost For patients in an inclined position the Fowler Boost therapy increases pressure in the seat zone To select the Fowler Boost press Fowler When the unit is in Fowler Boost mode the Fowler Boost indicator is on When the uni...

Page 28: ...The Do you want to deflate seat section screen shows 2 Press Yes The Seat Deflate Active screen shows and the seat section deflates 3 If the knee section is raised press the Knee Down control to lower the knee section while the seat section deflates 4 If necessary for patient exit do as follows at the side of the bed the patient is exiting a Lower the siderail see Raise and Lower the Siderail on p...

Page 29: ...e Sides Deflating screen shows The side bolsters deflate for four minutes and then the Side Deflate Active screen shows NOTE During Side Deflate mode you may use Seat Deflate mode Max Firm mode or Fowler Boost mode as necessary 3 If the side bolsters are deflated for 30 minutes an alarm sounds and the Warning Side Deflate Active screen shows To turn the alarm off for 10 minutes press Alarm Off 4 T...

Page 30: ...ve a system alarm condition as follows 1 Press Alarm Off to silence the alarm for 10 minutes 2 Refer to the System Alarm screen to determine the alarm condition NOTE The System Alarm screen shows two rows of pressure in the three zones head seat and foot The air cells are numbered 1 through 22 starting at the head end of the bed To determine which air cells and hose s cause the alarm condition ref...

Page 31: ...sters The Do you want to deflate side bolsters screen shows 2 Press Yes The Side Deflate Active screen shows and the side bolsters deflate NOTE Pressing No returns you to the Foam Mattress screen 3 If the side bolsters are deflated for 30 minutes an alarm sounds To turn the alarm off for 10 minutes press Alarm Off 4 To inflate the side bolsters on the foam mattress do as follows a At the Side Defl...

Page 32: ...ipment sockets do not move up and down with the sleep deck Use appropriate precautions with gravity sensitive devices such as ventricular drains or lumbar drains before during and after operating bed functions Make sure flow rates on all gravity fed IVs are correct after bed height adjustment Failure to correctly manage patient equipment could result in patient injury CAUTION When lowering the upp...

Page 33: ...ge CAUTION Do not mount infusion pumps on the lower section of an ISS pole Doing so may cause interference with head section articulation Equipment damage could occur CAUTION When lowering the upper section of an ISS pole always grasp and hold the upper section of the pole before pulling the release knob Equipment damage could occur The ISS consists of a movable and adjustable IV pole The pole sup...

Page 34: ...unting points location let the affixed oxygen tank holder pivot The safe working load of the oxygen tank hold is 30 lb 14 kg To install the oxygen tank holder do as follows 1 Install the mounting bar vertically into an equipment socket at either the head end or foot end of the articulating frame 2 If installing the oxygen tank holder at the foot end of the bed make sure the Knee Up Down control is...

Page 35: ...ts or detergents Equipment damage could occur General Cleaning We recommend that you clean the unit with detergent and warm water Do not use excessive liquid or harsh cleansers Do not use a power washer to clean the bed Steam Cleaning Do not use any steam cleaning device on the unit Excessive moisture can damage mechanisms in this unit Cleaning Hard to Clean Spots To remove difficult spots or stai...

Page 36: ...ectant or bleach d Let the coverlet rinse thoroughly in clean water CAUTION Do not dry the coverlet using high temperatures Air dry or select a low or non heat dry cycle such as air fluff High temperatures could destroy the coating that makes the coverlet waterproof yet breathable 2 Use the lowest temperature setting of the dryer to dry the coverlet Do not use high temperatures For light soilage w...

Page 37: ...screen will show 1 Unplug the air supply unit from its power source 2 At the bottom of the air supply unit open the two filter grill covers and remove the filters Do not unscrew the filter assembly from the air supply unit NOTE The white filter housing is the air intake filter The black filter housing is the cooling fan filter 3 Wash the filters in mild detergent and let them air dry 4 If the filt...

Page 38: ...minations Before bed use correct differences noted during the examination Do the following examination after the first two weeks of use and then at a minimum every six months 1 Make sure all bolts are fully tightened 2 Make sure all pins are in the locked position and are fully connected 3 Examine all welds 4 Make sure all electrical connections are connected Do this examination every six months 1...

Page 39: ...ult accompanying documents a Medical Electrical Equipment Classified By Underwriters Laboratories Inc with respect to Electric Shock Fire and Mechanical Hazards only in accordance with UL60601 1 CAN CSA C22 2 No 601 1 EN60601 1 IEC60601 1 2 IEC60601 2 38 and IEC60601 1 4 Safe Working Load Shows the safe working load of the bed CPR control Engages the CPR function Hilow control Raises and lowers th...

Page 40: ... Battery control Shows the battery backup power Enable control Lets all controls not inside the blue areas on the head end siderails to function Trendelenburg control Starts the Trendelenburg function on the bed Reverse Trendelenburg control Starts the Reverse Trendelenburg function on the bed Bed Flat control Puts the sleep deck in a flat position 39 ...

Page 41: ...Head Up Down lockout Locks out the Head Up Down function Hilow lockout Locks out the Bed Hilow function Bed Not Down indicator Comes on when the bed is not in the full down position Service Required indicator Flashes to show a bed malfunction Weigh control Shows the weight Zero control Resets the scale to zero Symbol Description 40 ...

Page 42: ... Menu options Enter control Enters and exits the Patient Setup screen Help control Shows the Help screen Arrow controls Select settings on the Patient Setup screen Mattress pressures Shows the inflation pressures at the different sections of the mattress assembly during therapy Fowler Boost indicator Shows that the unit is in Fowler Boost mode Timer Shows the unit s time remaining in Max Firm Seat...

Page 43: ...t Replace Filter indicator Shows the location of the air filter Shows how to raise or lower the vertical height of the siderail and lower or raise the siderail to or from its stowed position under the bed frame Do not put feet on this area Symbol Description 42 ...

Page 44: ...ature Dimension Air supply unit height 12 1 30 7 cm Air supply unit width 14 5 36 8 cm Air supply unit depth 6 0 15 2 cm Air supply unit weight 21 lb 10 kg Power requirements 120 V 60 cycle AC Fuse 3 15 A Maximum current 1 0 A Storage temperature 14 F to 140 F 10 C to 60 C Operating weight range 250 lb to 995 lb 113 kg to 451 kg Operating height range 50 to 78 127 cm to 198 cm Mattress height infl...

Page 45: ...nce standards UL 60601 1 CSA C22 2 No 601 1 IEC 60601 2 38 EN 60601 1 IEC 60601 1 2 IEC 60601 1 4 EN ISO 9001 and EN 13485 Equipment classification per IEC 60601 1 Class I equipment internally powered equipment Degree of protection against electric shock Type B Classification according to Directive 93 42 EEC Class I Class IIa for air surface Degree of protection against ingress of water IPX0 for t...

Page 46: ...uidance RF emissions CISPR 11 Group 1 The Model P610A uses RF energy only for its internal functions Therefore its RF emissions are low and are not likely to cause any interference in nearby electronic equipment RF Emissions CISPR 11 Class A The Model P610A is suitable for use in all establishments other than domestic and those directly connected to the public low voltage power supply network that...

Page 47: ... 61000 4 11 5 UT 95 dip in UT for 0 5 cycles 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip in UT for 25 cycles 5 UT 95 dip in UT for 5 seconds 5 UT 95 dip in UT for 0 5 cycles 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip in UT for 25 cycles 5 UT 95 dip in UT for 5 seconds Mains power quality should be that of a typical commercial or hospital environment If the user of the P610A requires continued o...

Page 48: ...smitters as determined by an electromagnetic site survey a should be less than the compliance level in each frequency range b Interference may occur in the vicinity of equipment marked with this symbol Note 1 At 80 MHz and 800 MHz the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from stru...

Page 49: ...mitter W Separation distance according to frequency of transmitter m 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz 0 01 0 12 0 044 0 087 0 1 0 37 14 28 1 1 2 0 44 0 87 10 3 7 1 4 2 8 100 12 4 4 8 7 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transm...

Page 50: ... occupied Reconfirm that the brakes are set before any patient transfer Failure to do so may result in personal injury or equipment damage Brakes should always be set when the bed is occupied and especially when moving a patient from one surface to another Patients often use the bed for support when getting out of bed and could be injured if the bed moves unexpectedly After setting the brakes push...

Page 51: ...nt need after assessing any risk factors according to the facility protocols for safe positioning When raising the siderails a click means that the siderails are completely raised and locked in position Once the click is heard gently pull on the siderail to make sure it is latched in position WARNING Patient restraints are not intended as substitutes for good nursing practices Physical restraints ...

Page 52: ...l do a check on the bed Failure to do so could result in serious injury or equipment damage CAUTION Before transporting the bed make sure that the power cord hoses and other equipment are correctly stowed Failure to do so could result in equipment damage WARNING Incorrect use or handling of the power cord may result in damage to the power cord If damage has occurred to the power cord immediately r...

Page 53: ...covering of the bed s control panel including the patient lockout features to make sure the covering is not cracked or damaged Policies and procedures must be established to train and educate your staff on the risks associated with electric equipment It is never prudent or necessary for persons to put any part of their body under or between moving parts of the bed Whenever a bed is being cleaned o...

Page 54: ...rrectly attach the ISS pole could let it fall resulting in personal injury or equipment damage WARNING Uneven loading of the ISS pole could let the contents fall resulting in personal injury or equipment damage WARNING Do not exceed the load capacity of the oxygen tank holder If the oxygen tank is overloaded personal injury or equipment damage may occur WARNING Failure to correctly attach the oxyg...

Page 55: ...of the nasal mask or ventilator type only or oxygen tents that can be contained inside the siderails Failure to do so could result in personal injury or equipment damage WARNING Operate the bed within the stated environmental conditions see Environmental Conditions for Use on page 44 Failure to do so could result in patient injury or equipment damage CAUTION Do not exceed the load capacity of the ...

Page 56: ... other than those designed for the Excel Care Bariatric Bed could substantially reduce the effectiveness of the safety features incorporated into the system Patient injury could result WARNING Sleep surface impermeability could be affected by needle sticks Caregivers should be instructed to avoid punctures caused by incorrect use of x ray cassette holders and or needle sticks Failure to do so coul...

Page 57: ...r operate the opposite function and or immediately unplug the AC power cord Monitor lines closely during articulations Always use good line management techniques particularly as the head section rises Visitor Notification Instruct visitors not to attempt operation of caregiver controls Visitors may help the patient with patient controls only Cleaning and Maintenance WARNING Follow the product manu...

Page 58: ...l injury or equipment damage could occur CAUTION Do not use harsh cleansers solvents or detergents Equipment damage could occur CAUTION Do not dry the coverlet using high temperatures Air dry or select a low or non heat dry cycle such as air fluff High temperatures could destroy the coating that makes the coverlet waterproof yet breathable CAUTION Keep the filters clean Failure to do so could resu...

Page 59: ...58 ...

Page 60: ...33 0 2 97 50 92 00 Fax 34 0 93 666 5570 Ireland Italia Nederland Hill Rom Ltd Hill Rom S p A Hill Rom Medical Services BV Unit 1 Kilcarberry Business Park Via Ambrosoli 6 Hagenweg 1c Nangor Road 20090 Rodano Postbus 173 Dublin 22 Tel 39 0 02 950541 4130 ED Vianen Tel 353 0 1 413 6005 Fax 39 0 02 95328578 Tel 31 0 347 32 35 32 Fax 353 0 1 413 6030 Fax 31 0 347 32 35 00 dublin sales hill rom com Nor...

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