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Intended Use
Product Description
Toto is an automated lateral turning system which consists of a Toto Touch Control Unit and a
turning platform with cover.
Designed to assist with patient turning and pressure ulcer prevention plans, the system is based
on inflating alternating air cells within the platform. These turn patients laterally via the mattress
surface to a maximum of either 30 or 45 degrees depending on which version is used.
The digital Control Unit provides customised care with a user determined side selection feature
and accurately timed digital inflation and rest durations. Sophisticated blockage and air leak alarms
help ensure patient safety, as well as an interface lock to avoid unwanted setting changes.
A convenient therapy pause mode enables patient interaction without having to stop therapy and
a service indicator to maintain performance also comes as standard.
The system is compatible with profiling beds and both standard and alternating pressure relieving
equipment. It is also compatible with domestic mattresses, except pocket sprung.
Toto lateral turning system does not replace pressure relieving and redistribution surfaces and is
supplementary to their use.
Indications
Toto lateral turning system is suitable for the prevention of pressure ulcers for the following
patients:
• Those identified as being at moderate to high risk of developing pressure ulcers as defined by
commonly used assessment tools.
• Weighing up to 190kg (419lbs).
• Who are unable to change their position without assistance.
• Identified as requiring regular turning and who are non-compliant with manual turning schedules.
Contraindications
• Do not use without a suitable pressure redistribution surface & package of care.
• Do not use with patients with unstable spinal cord injuries or who are undergoing traction.
• Do not use with patients with equilibrium disturbances.
• Not to be used where patients must be supported by wedges or pillows etc.
Intended Care Setting
Toto Lateral turning system is intended to be used in the following care settings:
• Long term or extended care, such as nursing homes and care homes.
• Home care.
• Hospitals.
Safety
! Warnings and Precautions
Individual patient assessments should be made prior to use and appropriate pressure relieving
devices put in place. Please note the following:
• Caution is advised when using with patients with underlying neurological disorders which may
lead to increased anxiety.
• Unusual body shapes and body postures.
• Other medical devices should be assessed for suitability.
• The Toto lateral turning system should be fully deflated when attempting to leave the bed.
• Ensure that the Toto lateral turning system is discontinued or therapy pause mode is engaged
for feeding times to avoid the risk of spillages.
• During hygiene procedures, please use therapy pause mode.
• When elevating a profiling bed back rest, raise the knee break first.
• Ensure that the surface of the bed frame is clear from debris before placing the Toto lateral
turning system platform, as this can damage the coating of the cover.
• The system should not be used without a mattress.
• Do not strap the mattress to the bed frame as this will prevent Toto lateral turning system from
operating.
• If mattress overlays are being used, these must be securely fastened to the mattress, not the
Toto lateral turning system platform.
• The Toto lateral turning system can be used with positioning systems, bed levers and linen
cradles, if their support frame fits horizontally across the bed. These must be positioned under
the Toto lateral turning system platform.
• Evacuation hammocks must be placed between the Toto lateral turning system platform and
the mattress.
• If using bed sides, check for clearance from the top of the mattress to the bottom of the bed
side (minimum of 185mm) and assess for risk of entrapment.
• If using foot board protectors, assess for compatibility.
• Do not place the Control Unit directly underneath the bed frame if placing on the floor to avoid
lowering the bed onto the Control Unit.
• Do not use if mains power lead or plug is damaged.
