Arjohuntleigh Citadel Instructions For Use Manual
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Arjohuntleigh Citadel Instructions For Use Manual

Bed frame system
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Citadel Bed Frame System
Instructions for Use
...with people in mind
830.331 Rev A • 08/2016

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Summary of Contents for Arjohuntleigh Citadel

  • Page 1 Citadel Bed Frame System Instructions for Use ...with people in mind 830.331 Rev A • 08/2016...
  • Page 2 Design Policy and Copyright ® and ™ are trademarks belonging to the ArjoHuntleigh 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...
  • Page 3 • Nurse Call and RS232 Connections ............19 • Auxiliary Power Outlet (Optional Feature) ..........20 • Skin IQ Family Power Cable ..............20 • Skin IQ Installation ..................20 • Citadel Patient Therapy System Connections ..........21 • Mattresses ....................21 • SafeSet™ ....................22 Operating Instructions ...................24 •...
  • Page 4 • 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 Troubleshooting .....................59 •...

  • Page 5: General Warnings

    Side rails are not intended to restrain patients who make a deliberate attempt to exit the bed. To prevent possible entrapment, make sure the patient’s head and limbs are clear of the side rails when adjusting the deck. Citadel Bed Frame System...
  • Page 6 Patient restraints are not intended as substitutes 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.
  • Page 7 Failure to do so could result in equipment damage and / or electric shock. Do not allow fluids to penetrate the Citadel Bed Frame System control panels to avoid damage to system. If the bed is stored for a long time, it should be connected to the electricity supply for 24 hours every three months to recharge the backup battery, otherwise it may become unserviceable.

  • Page 8: Safety Information

    Side Rails / Patient Restraints - Whether and how to use side rails or restraints is a decision that should be based on each patient’s needs and should be made by the patient and the patient’s family, physician and Citadel Bed Frame System...
  • Page 9 Maximum Recommended Patient Weight - Total patient weight capacity should not exceed 227 kg (500 lb). The use of accessories on the bed may decrease the patient weight capacity of the bed. Contact ArjoHuntleigh Customer Service for questions concerning the use of accessories and see the Questions and Contact Information section of this guide for contact information.
  • Page 10 If interference is suspected, move equipment away from sensitive devices or contact the manufacturer. Shock Hazard – Electrical shock hazard; do not remove electrical compartment covers. Refer to qualified service personnel. Citadel Bed Frame System...

  • Page 11: Introduction

    INTRODUCTION These instructions contain information for the installation, use and maintenance of the ArjoHuntleigh Citadel™ Bed Frame System. These beds have multiple functions to provide the optimum nursing position for both patient and caregiver. Product Overview Figure 1: Product overview A.
  • Page 12 All Citadel beds have the following standard features: • Folding split side rails with integrated bed controls • Electrical adjustment of bed height and leg section elevation • Electrically operated retracting backrest • Auto-Chair facility • Electrical adjustment of head down tilt (Trendelenburg) and foot down tilt (reverse Trendelenburg) •...
  • Page 13 Before using the bed, make sure that the Power in rating on the specification label is compatible with the local electricity supply. Citadel Bed Frame System ArjoHuntleigh AB 270 kg Hans Michelsensgatan 10 595 lb 211 20 Malmö, SWEDEN...

  • Page 14: Clinical Applications

    Intended Use The Citadel Bed Frame System is intended for the acute and post-acute care environments. It is not intended for use in the homecare environment. The bed is suitable for use in the following situations: •...

  • Page 15: General Product Information

    • hemodynamic instability • severe agitation • uncontrollable claustrophobia or fear of confinement • uncontrollable diarrhea • pregnancy • extensive facial trauma • any other unstable fracture • ICP monitoring or intracranial drainage devices Citadel Bed Frame System...

  • Page 16: Installation

    Figure 3: Removing the transport bolts Retain the bolts and washers in case the bed needs to be transported at a later date. Citadel Bed Frame System...

  • Page 17: Electricity Supply

    Figure 4: Power supply cord and potential equalization terminal To isolate the bed from the electricity supply, unplug the mains plug from the outlet. Citadel Bed Frame System...

  • Page 18: Potential Equalization Terminal

    When other electrical equipment is within reach of the patient or caregiver, potential differences between the equipment can be minimized by connecting together their potential equalization terminals. Electrical Connections The Citadel bed contains the following electrical connections. Frame: Citadel™ Patient Therapy System: • Power Cord •...

  • Page 19: Nurse Call And Rs232 Connections

    Only use cables with an in-line breakaway connector (below). Failure to do so could result in damage to the bed or to other hospital equipment. Breakaway connection Connect to Connect to Nurse call system Figure 6: Example of an in-line breakaway connector Citadel Bed Frame System...

  • Page 20: Auxiliary Power Outlet (Optional Feature)

    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, the mattress comes already equipped with straps located mid way under the mattress exclusively for attaching the tie-down straps from the Skin IQ coverlet.

  • Page 21: Citadel Patient Therapy System Connections

    Citadel Patient Therapy System Connections The following connections are provided for attaching a Citadel Patient Therapy System to the Citadel Bed Frame System. More details on proper connection can be found in the Citadel Patient Therapy System Instructions for Use.

  • Page 22: Safeset

    • For more information on suitable mattresses and mattress replacements, contact your local ArjoHuntleigh office or an ArjoHuntleigh approved distributor. A list of ArjoHuntleigh offices can be found at the back of this manual. SafeSet™...
  • Page 23 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. Figure 10: Valve covers Citadel Bed Frame System...

  • Page 24: Operating Instructions

    Introduction sections in the 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.

  • Page 25: Drainage Bag Rails

    2. Standard length, for normal use. Sets deck length at 202 cm (80 in). 3. Extended, to accommodate very tall patients. Sets deck length at 214 cm (84 in). Citadel Bed Frame System...
  • Page 26 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 frame. 2. To shorten the bed: Reverse the above procedures. Citadel Bed Frame System...

  • Page 27: Foot Pedal For Adjustment Of Bed Height (Optional Feature)

    The steering caster is identified by a yellow collar at the top of the caster stem. Citadel Bed Frame System...

  • Page 28: Side Rails

    1. Hold either side rail handle. 2. Pull the blue release lever and lower the side rail, holding the side rail until it is completely lowered. The side rail folds down next to the deck. Figure 19: Side rail operation Citadel Bed Frame System...

  • Page 29: Head And Foot Boards

    The decision to use patient restraints must be made by the clinician overseeing the care of the individual patient, following a fully documented risk assessment. Citadel Bed Frame System...

  • Page 30: Under Bed Light

    Patient restraints are not intended as substitutes for good nursing practice. ArjoHuntleigh makes no recommendations regarding the use of such restraints. Patient restraints can be attached to either side of the deck frame. Attachment points are provided on the backrest (1), thigh section (2) and calf section (3).

  • Page 31: Backup Battery

    In this condition, all functions are locked. Plug bed in. All functions will remain locked even after mains power is reconnected. To unlock all functions connect mains power and then press the Function Lock button, then select the function(s) to unlock. Citadel Bed Frame System...

  • Page 32: Recharging The Backup Battery

    Continuous operation of the controls may cause the indicator LED above the buttons to flash. After 30 seconds, the indicator LEDs will light and all functions will be locked. If this happens, wait for at least 20 minutes and then follow the unlocking procedure on page 34. Citadel Bed Frame System...

  • Page 33: Attendant Control Panel (Acp)

    Backrest Angle - These buttons raise and lower the backrest. The backrest will pause when it reaches an angle approximately 30º above the horizontal. Citadel Bed Frame System...
  • Page 34 Function Lockout button again or wait for five seconds. The indicator LED above the Function Lock button will turn off and the lockout settings are stored. When a function is locked, any associated functions are automatically disabled. Example: locking the backrest also disables Auto-Chair. Citadel Bed Frame System...
  • Page 35 45º, it will return to 45º to prevent the patient from tipping forwards. Auto-Chair Down - The Auto-Chair Down button returns the deck to a flat and level position. Citadel Bed Frame System...

  • Page 36: Patient Handsets (Optional Feature)

    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 Citadel Bed Frame System...

  • Page 37: Weigh Scale Panels (With And Without Unit Selection)

    Select Weight Display - If available, this button allows the patient weight to be displayed rounded to the nearest 100g or 500g. VariZone Mute Button - This button will mute the bed exit alarm for three minutes. Citadel Bed Frame System...

  • Page 38: Weighing Accuracy

    Any item attached to or placed on any other part of the bed will influence the patient weighing system. Use the AUTO COMPENSATION feature before adding or removing any items (example: urine bags, IV poles, mattress pumps, bed- clothes, etc.). Figure 28: Area not influencing patient weighing Citadel Bed Frame System...

  • Page 39: Weighing Initialization

    Scale Readings - Scales / patient weights are for reference only. Scale readings should not be relied upon for medication dosage. All equipment on the weighed portion of the unit is included in weight displayed. Citadel Bed Frame System...

  • Page 40: Weighing Units

    4. Add or remove accessories, bed linen, pillows, etc. as required. 5. Press the Auto Compensation button again. 6. The display will show a moving circular pattern for a few seconds then revert to showing the patient’s weight. Citadel Bed Frame System...

  • Page 41: Weighing System Error Codes

    Angles are shown relative to the floor, so the displayed values of backrest angle and thigh angle change when the deck is tilted. The tilt angle is shown as a positive value for head down tilt and a negative value for foot down tilt. Citadel Bed Frame System...

  • Page 42: Varizone Patient Movement / Exit Detection

    The patient movement detection function should be checked periodically for correct operation and before each new patient uses the bed. Mattresses that are not approved by ArjoHuntleigh should be validated by the user to make sure correct operation with the VariZone system.

  • Page 43: Varizone Operation

    After a few seconds the indicator LED will stop flashing and remain illuminated to show that patient movement detection is active. If movement of the patient above the set threshold is detected, an audible tone will sound and the threshold indicator LED will flash. Citadel Bed Frame System...

  • Page 44: Anti-Entrapment System

    Upward movement of the deck is not affected. The anti-entrapment system may also be triggered if the beam is interrupted by bed linen, etc. Clean the lenses (See Figure 30, item 2) of the infrared sensors regularly using a soft dry cloth. Citadel Bed Frame System...

  • Page 45: Safeset™ (Optional Feature)

    VariZone patient movement VariZone patient movement detection detection set not set * To comply with FDA guidelines, the system will still show a "safe" condition if one (but not both) of the foot end side rails are down. Citadel Bed Frame System...
  • Page 46 When reconnected to the electricity supply the indicator lights do not automatically illuminate. Swipe the fob to re-enable. This is by design and is intended to conserve battery longevity. Citadel Bed Frame System...

  • Page 47: Rs232 Connection

    (see page 19). The transmitted data can be recorded by a compatible device. An RS232 serial cable is not supplied by ArjoHuntleigh. Data is transmitted every ten seconds and includes the following information: •...

  • Page 48: Controls For Television And Lighting (Optional Feature)

    The controls have been designed to be compatible with the majority of TV sets found in hospitals. If you encounter any problems, please contact the ArjoHuntleigh Service Department. Citadel Bed Frame System...

  • Page 49: Patient Placement

    Introduction chapter of this manual prior to placing a patient on the Citadel Bed Frame System. Power On 1. Plug the power cord into a wall outlet. Verify that the electrical outlet can be easily accessed when disconnecting device from wall outlet.

  • Page 50: Completion Of Patient Placement

    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. Citadel Bed Frame System...

  • Page 51: Nursing Care

    9. Adjust patient surface for patient comfort. In a fault or power loss condition where the CPR button is not responding, use the CPR backrest release to position the patient for CPR. If installed, the Citadel Patient Therapy System will deflate the mattress and turn off.

  • Page 52: Cpr Backrest Release

    Fluids remaining on controls can cause corrosion, which may cause components to fail or operate erratically, possibly producing potential hazards for patient and staff. 4. Raise and lock side rails. 5. Adjust patient surface for patient comfort. Citadel Bed Frame System...

  • Page 53: Patient Transfer From The Citadel Bed Frame System

    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 Therapy System. 7. Plug power cord into wall outlet immediately following completion of patient transport.

  • Page 54: Care And Cleaning

    These instructions also apply to accessories but not to mattresses. For lifting straps and handles, refer to the manufacturer’s instructions supplied with the product. The bed should be cleaned and disinfected weekly, and before a new patient is placed on the bed. Citadel Bed Frame System...
  • Page 55 • 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 disinfection, please be aware that if used extensively, discoloration and fading of the fabrics and labels may occur.

  • Page 56: General Recommendations

    3. Unplug the Citadel Bed Frame System from wall outlet. 4. Inspect the power cord for any signs of wear or damage. The Citadel Bed Frame System should not be operated with a worn or damaged power cable. Contact ArjoHuntleigh if damage is found.

  • Page 57: Preventive Maintenance

     Examine the lifting pole, strap and handle  If the result of any of these tests is unsatisfactory, contact ArjoHuntleigh or an ArjoHuntleigh-approved service agent. The procedures in the following table must be carried out by suitably trained and qualified personnel. Failure to do so may result in injury or an unsafe product.

  • Page 58: Weighing System

    If this test is not completed successfully, connect the bed to the electricity supply for at least eight hours to recharge the battery then perform the test again. If the bed fails a second time, contact ArjoHuntleigh or an ArjoHuntleigh-approved service agent.

  • Page 59: Troubleshooting

    TROUBLESHOOTING If the equipment fails to operate correctly, the table below suggests some simple checks and corrective actions. If these steps fail to resolve the problem, contact ArjoHuntleigh or an ArjoHuntleigh-approved service agent. Symptom Possible Cause Action Audible tone when using...

  • Page 60: Error Codes

    (10 seconds) was not stable and the bed changing too much Control button Remove pressure from control E300 Button stuck error depressed for more buttons than 90 seconds E410 General Error Service error which requires technical investigation Citadel Bed Frame System...

  • Page 61: Fault Indications

    Instructions for Use Accessories Recommended accessories for the Citadel range are shown in the table below. Note that some items may not be available in all countries. Accessory...

  • Page 62: Emc Information

    Guidance and manufacturer’s declaration – electromagnetic emissions The Citadel Bed Frame System is intended for use in the electromagnetic environment specified below. The customer or the user of the Citadel Bed Frame System should ensure that it is used in such an environment.
  • Page 63 25 cycles dips, short 40% U T 40% of input interruptions If the user of the Citadel (60% dip in U T ) voltage for 100ms and voltage Bed Frame System requires for 5 cycles variations on continued operation during <5% U T...
  • Page 64 Guidance and manufacturer’s declaration – electromagnetic immunity The Citadel Bed Frame System is intended for use in the electromagnetic environment specified below. The customer or the user of the Citadel Bed Frame System should ensure that it is used in such an environment.
  • Page 65 RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the Citadel Bed Frame System is used exceeds the applicable RF compliance level above, the Citadel Bed Frame System should be observed to verify normal operation.

  • Page 66: Warranty And Service

    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.

  • Page 67: Specifications

    Minimum capacity 10 kg (22 lb) Maximum capacity 270 kg (595 lb) Dimensions (subject to normal manufacturing tolerances) Overall length Position 2 (Standard) 230 cm (90.6 in) Position 3 (Extended) 242 cm (95.3 in) In-bed length Citadel Bed Frame System...
  • Page 68 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 close to other equipment.

  • Page 69: Explanation Of Symbols Used

    Safe Working Load of all waste according to local requirements, or contact your local ArjoHuntleigh representative for advice. Consult Instructions for Use Alternating Current Type B Applied Part Shock Hazard Manufacturer Date of Manufacture Reference Number Non-ionizing Radiation Citadel Bed Frame System...
  • Page 70 Maximum Patient Weight Safe Working Load Tripping Hazard Do Not Shower Protective earth (ground) Cardiopulmonary Resuscitation Recommended Mattress Size Patient Height 15 - 20.5 cm (6 - 8 in) 830.209 Rev D 830.229 Rev C Torque Citadel Bed Frame System...

  • Page 71: Questions And Contact Information

    QUESTIONS AND CONTACT INFORMATION For questions regarding this product, supplies, maintenance or additional information about ArjoHuntleigh products and service, please contact ArjoHuntleigh or an ArjoHuntleigh authorized representative, or see www.ArjoHuntleigh.com AUSTRALIA FRANCE ÖSTERREICH ArjoHuntleigh Pty Ltd ArjoHuntleigh SAS ArjoHuntleigh GmbH...
  • Page 72 Citadel Bed Frame System...
  • Page 73 Citadel Bed Frame System...
  • Page 74 Citadel Bed Frame System...
  • Page 75 Citadel Bed Frame System...
  • Page 76 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. ArjoHuntleigh AB Hans Michelsensgatan 10 211 20 Malmö, Sweden...

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