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Features

TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System 

39

User Manual (143434 REV 8)

Pressure Redistribution Surface with Low Air Loss Therapy (Model P1840B)

WARNING:

Relative Contraindication

—Unstabilized spinal cord injuries. Under normal circumstances, 

correct alignment on an air bladder system is easy to maintain. However, user error (such as 

the activation of Turn Assist, Rotation, Opti-Rest, or Percussion/Vibration functions, when 

available) or equipment malfunction (such as cushion deflation) could put correct alignment 

at risk. The choice of a therapeutic support for such conditions as an unstabilized spinal cord 

injury is based on the medical judgment of professionals. Each case should be evaluated 

individually.

WARNING:

Use care when you transfer a patient from the TotalCare Bariatric® Bed to another surface. 

Injury could occur.

The Pressure redistribution surface with low air loss offers Therapy-on-Demand® 
System Modules, CLRT, Percussion and Vibration, and low air loss (LAL) therapies 
through the use of a “pulmonary-ready” surface, LAL topper, and modules that enable 
caregivers to easily initiate therapies as desired. LAL therapy is active at all times.

The recommended therapeutic weight range for pressure relief and turning capabilities 
is 200 to 500 lb (91 to 227 kg).

The surface uses input from the bed scale system to adjust the cushion pressures 
based on the patient’s weight. 

Manual input of patient weight is not possible through the Scale screens.

WARNING:

Sleep surface impermeability and pressure relieving capabilities of the sleep surface could 

be affected by needle sticks or other bladder punctures. Caregivers should be instructed to 

AVOID bladder punctures caused by 

needle sticks.

Содержание P1830

Страница 1: ...USER MANUAL TotalCare Bariatric Bed and TotalCare Bariatric Plus Therapy System From Hill Rom P1830 and P1840 143434 REV 8...

Страница 2: ......

Страница 3: ...Hill Rom Services Inc FlexAfoot is a trademark of Hill Rom Services Inc FullChair is a registered trademark of Hill Rom Services Inc Graphical Caregiver Interface GCI is a registered trademark of Hil...

Страница 4: ...d on the sale or rental of its products To order additional copies of this manual 143434 refer to the back cover for contact information For countries not listed on the back cover contact your distrib...

Страница 5: ...del P1830A and Model P1840A 10 Safety and Information Indicators Model P1840B 11 Chair Positioning 12 Nurse Call 15 Point of Care Brake and Steer System 15 Emergency Caregiver Foot Controls 16 SideCom...

Страница 6: ...ssist 48 Additional Siderail Controls available with the Pressure Redistribution Surface 48 Alarm Pause Control 49 Pressure Redistribution Surface with Low Air Loss Therapy Model 1840A 49 Normal Stand...

Страница 7: ...71 Removable IV Pole P2217 71 Medical Articulated Arm P3670A01 and P3670A05 71 Safety Tips 73 Preventive Maintenance 79 General Cleaning Disinfecting 80 Product Symbols 83 Product Symbols TotalCare Ba...

Страница 8: ...TotalCare Bariatric Bed and TotalCare Bariatric Plus Therapy System vi User Manual 143434 REV 8...

Страница 9: ...important instruction clarification The symbol below highlights a WARNING or CAUTION Warning and Caution A WARNING identifies situations or actions that may affect patient or user safety Disregarding...

Страница 10: ...care employees patients and family members who have the physical strength and cognitive skills to operate and control the product Follow facility safety protocols if an intended user does not have the...

Страница 11: ...such WARNING Do not use the product outside the recommended patient characteristics Patient injury or equipment damage could occur WARNING Do not use the product outside the recommended Safe Working L...

Страница 12: ...mps poles bags etc The maximum patient weight for a K model or earlier bed is 460 lb 209 kg for an L model bed it is 500 lb 227 kg Scale accuracy may be diminished if patient weight exceeds 400 lb 181...

Страница 13: ...s unauthorized operation of air system controls The Enable control is located on the siderail opposite the Graphical Caregiver Interface GCI control on beds that have an air system and one GCI The Ena...

Страница 14: ...l 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...

Страница 15: ...herapy System are 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 Feat...

Страница 16: ...nd the foot section is clear of equipment or equipment damage may occur Foot Elevation Model P1840B The Foot Elevation feature raises the patient s feet while lowering the head position 1 Press and ho...

Страница 17: ...be left fully extended when the patient is not under direct supervision Trendelenburg and Reverse Trendelenburg Controls The TotalCare Bariatric Bed and TotalCare Bariatric Plus Therapy System are cap...

Страница 18: ...for easier movement of the patient to the head end of the bed 1 Press and hold the Boost control on the siderail The bed will transition to a safe working height at the Trendelenburg position and if t...

Страница 19: ...AC The Unplugged AC indicator flashes when the AC power cord is disconnected and a battery is present Battery Power Manual Control Option Charged The Charged indicator comes on when the battery is ch...

Страница 20: ...htly reclines backwards while the seat and lumbar sections on the mattress slightly deflate as the patient deck transitions to the chair position Cradle Transition If the Chair control is released the...

Страница 21: ...FlexAfoot Retractable Foot Control on page 8 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 t...

Страница 22: ...e chair egress position a thigh angle of 10 should be maintained except during actual patient egress The patient s feet must be supported by the floor at all times while in the egress chair position I...

Страница 23: ...lCare Bed Systems equipped with the Nurse Call option use a NURSE control to activate the Nurse Call feature The controls are located on both the inboard and outboard sides of the intermediate siderai...

Страница 24: ...Pivoting on the drive wheel allows for tighter turns and enhanced ease of steering When the bed is connected to AC power and the brakes are not set an alarm sounds When AC power is removed the alarm w...

Страница 25: ...all angle of emergency Trendelenburg is related to the height of the bed To make sure that 15 can be achieved the bed system should always be transported in a mid height position If the bed is in low...

Страница 26: ...TotalCare Bariatric Bed and TotalCare Bariatric Plus Therapy System siderails have been designed for one step operation Siderails in the raised position are intended to make the patient aware of the p...

Страница 27: ...the head end of the bed It attaches to the head end of the frame and it articulates with the frame The headboard can be removed for increased access to the patient s head It also can be used as a bac...

Страница 28: ...e Bariatric Plus Therapy System into any of the chair positions remove all equipment from the sockets at the foot end of the articulating deck Equipment damage can occur CAUTION While articulating int...

Страница 29: ...lating frame The flexibility of the Line Manager lets you bend it in any direction WARNING Make sure the lines are not pinched or kinked and there is sufficient slack in the lines for bed articulation...

Страница 30: ...ints are not intended as substitutes for good nursing practices Physical restraints even properly installed can result in entanglement physical injury and death particularly with agitated and disorien...

Страница 31: ...history To Zero the Scale 1 Make sure the patient is not on the bed 2 Press the Scale tab on the GCI 3 Press Zero Scale Follow the on screen instructions To Weigh the Patient 1 Make sure the patient i...

Страница 32: ...but not the scale operation or function Unstable equilibrium Unstable equilibrium means the equilibrium between internal readings for the scale is not stable If the Unstable equilibrium indicator is o...

Страница 33: ...r low air loss modules It is not necessary to Zero Tare the scale Bed Setup Reset The Bed Setup Reset control clears the weight history To Reset the Bed 1 Press the Tools tab on the GCI 2 Press the Cl...

Страница 34: ...n the siderail opposite the GCI NaviCare System The NaviCare System is an enterprise system that connects and monitors Hill Rom beds and surfaces The system sends bed and surface data to network appli...

Страница 35: ...de through the Home screen From the Home screen the caregiver can also quickly access standard system functions i e Bed exit alarm and Weigh patient Specific system setup or configuration functions ar...

Страница 36: ...rm To Deactivate At the Home Screen scroll to Bed exit alarm Press ENTER The Bed Exit ON indicator goes off The Bed Exit detection feature is deactivated WARNING The Bed Exit System is not intended as...

Страница 37: ...Add Remove Items and Set Weight Example Weigh Patient 1 At the Scale menu scroll to Weigh patient Press ENTER The left side of the display screen becomes active 2 Follow the on screen instructions 3...

Страница 38: ...intended as a substitute for good nursing practices The Bed Exit System must be used in conjunction with a sound risk assessment and protocol WARNING The activation of 2 4 or 6 second delay of the Bed...

Страница 39: ...e preset Foot elevation feature raises the patient s feet while lowering the head position 1 From the Home Screen scroll to GO TO Next Screen Press ENTER 2 Scroll to Preset bed positions Press ENTER 3...

Страница 40: ...is less than 30 and the Head of Bed alarm is not activated To activate the head angle alarm reset the reminder or deactivate the reminder alarm follow the on screen instructions To configure the Remi...

Страница 41: ...for the menu item highlighted on the right side of the screen Features that are present on the TotalCare Bariatric Bed appear on the screen menus The caregiver interacts with the control by using thre...

Страница 42: ...NTER 8 Follow the on screen instructions CAUTION Failure to place the bed within the stated limits will affect scale accuracy Bed Exit System Alarm To Activate 1 At the Home Screen scroll to Bed exit...

Страница 43: ...y Control 3 Continue to press Alarm Delay Control until the LED indicates the desired station 0 2 4 6 seconds Scale Functions 1 From the Main Menu scroll to Scale functions Press ENTER The screen disp...

Страница 44: ...d On Off Press ENTER 2 Select either On for active audible indication or Off to cancel audible indication WARNING The Bed Exit System is not intended as a substitute for good nursing practices The Bed...

Страница 45: ...ent is in the desired position Preliminary Tilt Table The preset Preliminary tilt table feature articulates the system to a maximum 20 Reverse Trendelenburg position 1 From the Main Menu scroll to Pre...

Страница 46: ...the Graphical Caregiver Interface GCI Control shows the status of the Alerts feature Inactive indicator is off Active indicator is on To deactivate the Alerts feature at the bed do as follows 1 At th...

Страница 47: ...you transfer a patient from the TotalCare Bariatric Bed to another surface Injury could occur The Pressure redistribution surface with low air loss offers Therapy on Demand System Modules CLRT Percus...

Страница 48: ...nt may occur if LIVE terminals in the pulmonary module compartments and the patient are touched simultaneously 1 Remove the headboard 2 Raise the head section to a minimum of 15 3 Open the manifold do...

Страница 49: ...ately after adding or removing a module Normal Standard The pressure redistribution surface provides interface pressure relief during all modes of operation normal standard rotation Perc Vib Low Air L...

Страница 50: ...herapy Suspended indicator on the siderail will blink when therapy has been suspended for any of the above conditions If CPR is activated rotation therapy automatically stops and Max inflate is activa...

Страница 51: ...our Depends on pause times automatically calculated Right turn Customize the amount of turn to the right Right pause Amount of time in side lying position Center pause Amount of time centered in middl...

Страница 52: ...d injury is based on the medical judgment of professionals Each case should be evaluated individually Percussion is the clapping of the posterioral chest wall to loosen secretions in the lungs Vibrati...

Страница 53: ...tment must be at least 3 minutes in duration to be captured as a treatment in the Statistic Summary The following settings can be changed Position Right Left Center or CLRT Turn For right and left pos...

Страница 54: ...ion Therapy 1 Press the Therapy tab on the GCI 2 Select Percussion Vibration or on the siderail press Normal control CPR Function When the CPR function is activated the surface will go into Max inflat...

Страница 55: ...to be viewed Rotation Displays the maximum number of cycles hour the patient has rotated and Hours Minutes in rotation in 24 hours Percussion Displays the number of treatments provided per 24 hour per...

Страница 56: ...ivate 1 Press the Turn Assist control or on the siderail press the Normal control NOTE The surface provides limited turn assist without the rotation module installed Additional Siderail Controls avail...

Страница 57: ...e if the patient should be removed from the bed The Service Required Indicator remains illuminated until the failure has been corrected The audible alarm reactivates after eight hours until the failur...

Страница 58: ...and press ENTER 3 Scroll to Reset and press ENTER Follow the on screen instructions Patient Weight Alarm If a patient is put on the bed and not weighed after a predetermined time period an alarm will...

Страница 59: ...n to a minimum of 15 3 Remove the headboard 4 Open the manifold door at the head end of the bed under the sleep surface 5 Grasp the handle on the module and pull downward This will release the module...

Страница 60: ...side continuous lateral rotation therapy CLRT to aid in the prevention and treatment of pulmonary complications related to immobility Patients can be positioned laterally on the right or left side wit...

Страница 61: ...on Center pause Amount of time centered in middle Left turn Customize the amount of turn to the left side Left pause Amount of time in side lying position Training Yes No Starts rotation at 50 of maxi...

Страница 62: ...tation therapy automatically stops and Max inflate is activated To resume rotation see Rotational Therapy on page 52 Use Alarm Silence on the Graphical Caregiver Interface GCI Control screen or the op...

Страница 63: ...the head for pressure relief and comfort No pillow is necessary To Activate 1 From the Home Screen scroll to Rotation Perc Vib Press ENTER 2 The Pulmonary Therapy Screen is now displayed 3 Scroll to P...

Страница 64: ...press ENTER To Stop Percussion and or Vibration Therapy Graphical Caregiver Interface GCI Control method 1 On the Graphical Caregiver Interface GCI Control in the siderail touch the ENTER control or...

Страница 65: ...ry Therapy screen Press ENTER 2 Therapy Statistics for all therapy modes can be located from the Pulmonary Menu Select the desired therapy statistic and press ENTER All readings will be documented at...

Страница 66: ...rom the Home Screen scroll to Normal Standard Press ENTER or on the siderail opposite the Graphical Caregiver Interface GCI Control press the ENABLE control and the Normal control NOTE The surface sti...

Страница 67: ...so can result in personal injury WARNING Care should be used while raising the head section above 50 to prevent the wedging of extremities between the siderails and the mattress Failure to do so can...

Страница 68: ...sport System Grip one or both of the transport handles located at the head end of the bed Depress at least one of the enable switches on the inside of the transport handles Depressing an enable switch...

Страница 69: ...equipment damage WARNING If the bed propels forward or reverse while applying pressure on either of the transport handles and not pressing either of the enable switches contact your local service pers...

Страница 70: ...ed for siderail pads and periodically check patients in accordance with facility protocols for safe positioning WARNING Ensure the patient uses the siderails and not the pads for support when exiting...

Страница 71: ...atient injury the potential exists for patient entanglement particularly in agitated or disoriented patients as well as patients who lack the physical strength to extract themselves if they become ent...

Страница 72: ...The patient can raise or lower the knee section using the Knee Up Down controls Operation of this feature is the same as that for the caregiver control previously described in this manual NOTE When in...

Страница 73: ...press the Read control again Television The Television control is found on systems equipped with the Patient Lighting Entertainment option To Activate Press the Television control To reach the desire...

Страница 74: ...functions vary depending upon the type of hospital entertainment available NOTE When the system is equipped with the Patient Lighting Entertainment control option the music select control functions as...

Страница 75: ...result in equipment damage or tripping of facility power breakers WARNING Before you move the bed make sure both power cords are unplugged and stored correctly Do not wrap the cords between the interm...

Страница 76: ...tient Helper arm assembly attaches to the trapeze support at the head end of the bed The patient may use the Patient Helper to help raise his or her upper body The SWL of the Patient Helper is 250 lb...

Страница 77: ...om of the upright arm and turn the arm so the trapeze handle is at the side of the bed 2 Loosen the clamp that attaches the trapeze handle assembly to the horizontal arm and remove the trapeze handle...

Страница 78: ...e SWL can result in equipment damage To Install 1 Install the mounting bar vertically into a mounting socket at the head end of the articulating frame 2 Place the tank in the holder and tighten the ho...

Страница 79: ...provided The IV pole can hold 25 lb 11kg To install the standard IV pole insert and rotate a quarter turn clockwise Removal is opposite of installation CAUTION Removable IV Pole SWL is 25 lb 11 3 kg...

Страница 80: ...transfer a patient in or out of the bed Injury could occur WARNING Use the medical articulated arm for medical equipment only Failure to do so could cause injury or equipment damage WARNING Observe l...

Страница 81: ...ug the bed both power cords from its power source Remove the patient from the bed Clean the fluid spill from the bed system Have maintenance inspect the system completely Do not put the bed back into...

Страница 82: ...ly installed can result in entanglement physical injury and death particularly with agitated and disoriented patients Monitor patients when using physical restraints in accordance with legal requireme...

Страница 83: ...cularly if such behavior is intermittent and associated with nearby usage of radio or TV transmitters cell phones or electro surgical equipment this could be an indication of electromagnetic interfere...

Страница 84: ...move the bed Transport the bed with the lift arms parallel to the ground or lower Make sure that the patient equipment and all lines are securely placed within the perimeter of the bed for intra hosp...

Страница 85: ...or the TotalCare Bariatric Bed and TotalCare Bariatric Plus Therapy System Use of surface products other than those designed for the TotalCare Bariatric Bed and TotalCare Bariatric Plus Therapy System...

Страница 86: ...Personal injury could occur Visitor Notification Instruct visitors not to attempt operation of caregiver controls They may assist the patient with patient controls Patient Positioning Make sure that t...

Страница 87: ...er grounding Current leakage at the Nurse Call system communication connections All controls return to off or neutral position when released Controls or cabling entanglement in system mechanisms or si...

Страница 88: ...e If there is no visible soilage with possible body fluids we recommend that you clean the unit with a mild detergent and warm water If disinfection is desired you may use a combination cleanser disin...

Страница 89: ...e To clean directly beneath the sleeping surface at the head end lift the head end of the mattress To clean directly beneath the sleeping surface at the foot end lift the foot end of the mattress To r...

Страница 90: ...emperatures to dry the coverlet 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...

Страница 91: ...onforms to the European Medical Device Directive 93 42 EEC Only applicable to products manufactured and brought to market sold before April 1 2013 Conforms to the European Non Automatic Weighing Instr...

Страница 92: ...hing indicator means battery charging no indicator light means battery charge is too low to operate the bed Identifies mains fuse Alternating current Electric shock hazard Safe Working Load symbol for...

Страница 93: ...status light is on the lockout function is activated Head Lockout control status when the lockout control status light is on the lockout function is activated Knee Foot Lockout control status when the...

Страница 94: ...f travel for placing the patient in the Trendelenburg position Nurse Call control Do Not Use with Oxygen Tents indicates the use of oxygen adminis tering equipment of the nasal mask or ventilator type...

Страница 95: ...ground or lower Transport the patient with the foot end of the bed forward Use only the footboard or transport handles to move the bed IntelliDrive Transport System activation sequence located on the...

Страница 96: ...ate activates the seat deflate feature on the air surface Max Inflate mode activates the Max inflate mode on the air surface Normal mode activates the normal mode on the air surface Resume mode return...

Страница 97: ...head section Foot Lower control lowers the foot section Foot In Out control lengthens the foot section Foot In Out control shortens the foot section Boost control transitions the bed to Trendelenburg...

Страница 98: ...pean only is certified to weigh in certain positions Scale class identifier Identified the European scale as Class IIII Manufacturer or distributor complies with the Waste Electric and Electronic Equi...

Страница 99: ...nd European scale Feature Dimension Total Length transport handles stored 93 5 237 5 cm Maximum Width siderails stored 42 0 106 7 cm Maximum Width siderails up 44 5 113 0 cm Maximum Headboard Height 5...

Страница 100: ...cm for 6 15 4 cm single casters Bed Height Range with pulmonary mattress and 6 15 4 cm casters 30 76 cm to 49 124 cm Trendelenburg Reverse Trendelen burg position 15 Preliminary Tilt Table 20 Bed Lif...

Страница 101: ...Range Air System Fuse air system optional 2 A 250 V 5 x 20 mm UL 198G Fast Acting Battery Fuse 10 A 32 V ATO Mains Fuse 100V 110V 120V and 127V bed model 2 each 15 A 250 V x 1 UL 198G Slo Blo a or equ...

Страница 102: ...rtment Mattress Fire Test 16 CFR 1632 Standard for the Flammability of Mattresses and Mattress Pads 16 CFR 1633 Standard for the Flammability of Mattresses and Mattress Pads P1841EA CAL TB 117 Require...

Страница 103: ...powered equipment Degree of Protection Against Electric Shock Type B Degree of Protection Against Ingress of Water Ordinary Equipment IPX0 Degree of Protection Against the Presence of Flammable Anaest...

Страница 104: ...dance RF Emissions CISPR 11 Group 1 The P1840 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 equipm...

Страница 105: ...l or hospital environment Surge IEC 61000 4 5 1 kV Line s to Line s 2 kV Line s to Earth 1 kV Line s to Line s 2 kV Line s to Earth Mains power quality should be that of a typical commer cial or hospi...

Страница 106: ...in metres m Field strengths from fixed RF transmitters as determined by an electromagnetic site surveya should be less than the compliance level in each frequency range b Interference may occur in th...

Страница 107: ...mobile RF communications equipment transmitters and the P1840 as recommended below according to the maximum output power of the communications equipment Rated maximum output power of transmitter W Se...

Страница 108: ...rference that may cause unwanted operation This equipment has been tested and found to comply with the limits for a Class B digital device pursuant to Part 15 of the FCC Rules These limits are designe...

Страница 109: ...rait etre place lin des fenetres afin de Fournier un ecram de blindage maximal Si le matriel ou son antenne d emission est installe a l exterieur il doit faire l objet d une licence CAUTION Exposure t...

Страница 110: ...Technical Specifications 102 TotalCare Bariatric Bed and TotalCare Bariatric Plus Therapy System User Manual 143434 REV 8...

Страница 111: ......

Страница 112: ...413 6005 Fax 353 0 1 413 6030 dublin sales hill rom com Italia Hill Rom S p A Tel 39 0 02 950541 Fax 39 0 02 95328578 Hill Rom Japan Tel 81 0 3 5715 3420 Fax 81 0 3 5715 3425 c o Hill Rom Japan Tel 81...

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