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Summary of Contents for Hill-Rom TotalCare Bariatric Bed
- Page 1 USER MANUAL TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System From Hill-Rom P1830 and P1840 143434 REV 8...
- Page 3 TotalCare SpO 2 RT® is a registered trademark of Hill-Rom Services, Inc. WallGuard® is a registered trademark of Hill-Rom Services, Inc. The information contained in this manual is subject to change without notice. Hill-Rom makes no commitment to update or keep current, the information contained in this manual.
- Page 4 Hill-Rom reserves the right to make changes without notice in design, specifications, and models. The only warranty Hill-Rom makes is the express written warranty extended 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 distributor.
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Page 5: Table Of Contents
Table of Contents Document Symbols ............1 Intended Use . - Page 6 Head Angle Alarm ........... . .32 Head of Bed Reminder Alarm .
- Page 7 Oxygen Tank Holder—P27601 ..........70 Seat Belt—P1926B .
- Page 8 TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System User Manual (143434 REV 8)
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Page 9: Document Symbols
Document Symbols Document Symbols This manual contains different typefaces and icons designed to improve readability and increase understanding of its content. Note the following examples: • Standard text—used for regular information. • Boldface text—emphasizes a word or phrase. • NOTE:—sets apart special information or important instruction clarification. •... -
Page 10: Intended Use
This manual provides the information required for normal operation of the TotalCare® Bariatric Bed (P1830) and TotalCare® Bariatric Plus Therapy System (P1840) from Hill-Rom. Before operating the TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System, be sure that you have read and understood in detail the contents of this manual. -
Page 11: Features
Features Features Item Description Item Description IntelliDrive® Transport System transport handles F Graphical Caregiver Interface (GCI)® Control Foam surface or Pressure Redistribution Surface Hydraulic manual foot pedal with Low Air Loss Patient control panel HandsFree® Emergency CPR/Trendelenburg Release Mechanism Siderail extender Patient Helper (trapeze) (TotalCare®... -
Page 12: Dimensions
Features Dimensions Chair Position Chair Egress Position Mattress size:..39.5" (100.3 cm) head/seat; Automatic Knee Contour..........10° 32" (81.3 cm) foot x 85" (216 cm) Foot Retraction:..........12" (30 cm) Foot:..............85° Down Trendelenburg/Reverse Trendelenburg:....15°/15° Preliminary Tilt Table:...........20° Emergency Trendelenburg:.........20° Knee:................20° Head Section:............75° Weighing Capacity:........500 lb (227 kg) Articulating Deck:..36.5"... -
Page 13: Caregiver Point-Of-Care® Siderail Controls
Features Caregiver Point-of-Care® Siderail Controls Caregiver Point-of-Care® Siderail controls are located on the outboard side of the intermediate siderails. TotalCare® Bariatric Bed TotalCare® Bariatric Plus Bed TotalCare® Bariatric Plus Bed, B Model and newer WARNING: Instruct visitors not to use caregiver controls at any time. Visitors may assist patients in the use of patient controls. -
Page 14: Lockout Controls (Model P1840B)
Features Lockout Controls (Model P1840B) The Lockout controls located on the caregiver siderail control panel disable the bed articulating functions. To Activate: • Simultaneously press the Lockout control and the function control. Both patient and caregiver controls are locked out. An audible alarm sounds when a lockout is activated and the applicable indicator will stay on. -
Page 15: Head Up/Down Control
Features Head Up/Down Control The caregiver can raise or lower the head section by using the Head Up/Down Controls. Using the Line- of-Site® Angle Indicators, the caregiver can articulate the head section to a maximum of 75°. To Activate: Press and hold the Head Up Control to raise the head section. Press and hold the Head Down Control to lower the head section. -
Page 16: Foot Up/Down Controls
Features Foot Up/Down Controls The foot section can be lowered and raised by using the Foot Up/Down Controls. To Activate: 1. Press the Enable Control (A Model only). 2. Press and hold the Foot Down control to lower the foot section. Press and hold the Foot Up control to raise the foot section. -
Page 17: Trendelenburg And Reverse Trendelenburg Controls
Features To Activate: 1. Press the Enable Control (A Model only). 2. Press and hold the Foot Out control to extend the foot section. Press and hold the Foot In control to retract the foot section. Patient comfort can be affected by an improperly adjusted foot section. Model P1840B and Newer WARNING: Do not use ankle restraints when you use this feature;... -
Page 18: Preliminary Tilt Table (Model P1840B)
Features Preliminary Tilt Table (Model P1840B) The Preliminary Tilt table feature articulates the bed to a maximum of 20° Reverse Trendelenburg. • Press and hold the Reverse Trendelenburg Control until the bed is in the Preliminary Tilt Table Position. NOTE: The bed will move to the full Reverse Trendelenburg position, pause, and then move to the Preliminary Tilt Table Position. -
Page 19: Safety And Information Indicators (Model P1840B)
Features If the bed system is in the chair or chair egress position and the brake is not engaged, the Chair Position Indicator flashes and an alarm sounds. If the bed system is in the chair egress position and the footboard is installed, the Chair position indicator flashes and an alarm sounds. -
Page 20: Chair Positioning
Features Chair Positioning FullChair® Patient Position Mechanism Using the FullChair® Patient Position Mechanism, the caregiver can place the TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System in Model P1840B Model P1830 one of three basic chair positions: chair, chair egress, and recliner and Newer and Model P1840A Chair positioning can only be accessed through the caregiver control panel. - Page 21 Features WARNING: Check periodically to make sure the patient remains properly positioned. If necessary, use the optional seat belt to keep patients from sliding or falling forward while in a chair position. Use of pillows can maintain side-to-side positioning. Injury to the patient may result from improper positioning.
- Page 22 Features 5. Press the Chair control. The patient deck transitions to the chair egress position. Monitor the patient as the system moves to the egress position. 6. Assist the patient with egress. NOTE: When the brake is not set while the bed system is in the chair egress position, the Brake Not Set and Chair indicators flash, and an alarm sounds.
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Page 23: Nurse Call
Features NOTE: For the TotalCare® Bariatric Plus Therapy System the patient deck slightly reclines backwards and the seat and lumbar sections on the mattress deflate and then the patient deck transitions to the chair position (Cradle Transition). 4. When the system has reached the approximate desired position, release the Chair control. If desired, use the Head, Knee, Foot, or Foot Retract Controls to make custom recliner position adjustments. -
Page 24: Emergency Caregiver Foot Controls
Features To Activate: •Neutral Position-Move the Brake/Steer •Brakes-Step down on the orange Brake •To Steer-Step down on the green Steer pedal to the level position. The Brake not Set Pedal. The Brake not Set indicator goes out, Pedal. The Brake not Set indicator comes on. indicator comes on. - Page 25 Features HandsFree® Emergency Trendelenburg Release Mechanism When connected to AC power and the bed is in a mid-height position, the bed is capable of 15° Trendelenburg and 15° Reverse Trendelenburg. The emergency Trendelenburg feature is capable of achieving up to a 20° angle if the bed is in the full height position.
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Page 26: Sidecom® Communication System
Features To Activate: • If the master lockout is enabled, it must be deactivated to allow other controls to stop the foot section. • Hold the CPR pedal down with your foot until the head section reaches the flat or desired position and you hear the audible tone. -
Page 27: Headboard
Features WARNING: Siderails are not intended to be used as restraint devices. The appropriate medical personnel should determine the level of restraint necessary to make sure a patient will remain safely in the bed system. WARNING: Although the siderails have been designed to reduce the risk of patient entanglement, the potential exists particularly for patients who are agitated or disoriented, as well as patients who lack the physical strength to extract themselves if they become entangled. -
Page 28: Standard Casters
Features Standard Casters If the bed has the IntelliDrive® Transport System installed, the bed comes equipped with 6" (15 cm) casters. If the bed does not have the IntelliDrive® Transport System installed, the bed comes equipped with 5" (13 cm) casters. The casters are integral components of the brake and steer system. -
Page 29: Line-Of-Site® Head Angle Indicator
Features Line-of-Site® Head Angle Indicator The Line-of-Site® Angle Indicators mechanically indicate the angle of the head section from –15° to +80° with respect to the floor. The head siderails contain head Line-of-Site® Angle Indicators on their outboard sides. The degree where the indicator Model 1830A Model 1840B and Newer ball rests is the correct angle. -
Page 30: Patient Restraint Interface
Do not tie restraints to the primary drainage bag holders. Patient Restraint Interface The bed facilitates the use of vest, wrist, waist, and ankle restraints. Hill-Rom makes no recommendation regarding the use of physical restraints. Users should refer to legal restrictions and appropriate facility protocols before physical restraints are used. -
Page 31: Bed Exit Alarm
Features Bed Exit Alarm To Activate: 1. Press the Alarms tab on the GCI. 2. Press Modify under the Bed Exit Alarm section. 3. Press Out of Bed. This turns on the Bed Exit Alarm. To Deactivate: 1. Press the Alarms tab on the GCI. 2. -
Page 32: Scale Operation (European Version Scale Only)
Features Scale Operation (European Version Scale Only) Scale Functions The scale on the bed constantly reads the patient’s weight. The Scale tab on the GCI has these controls: Save Weight, Weight History, Zero/Tare, and Auto Comp. The Current Weight reading only shows on the Scale tab. The Current Weight section of the screen shows the patient weight in kilograms in .5 kg increments. -
Page 33: Bed Setup/Reset
Features Scale specifications: Class IIII Conforms to the European Medical Device Directive 93/42/EEC for a device that has a measuring function. Maximum weight: 230 kg (as identified by a label on the GCI) Minimum weight: 5 kg Display interval: .5 kg Combined zero and tare range: 0 kg to 230 kg For the TotalCare®... -
Page 34: Head Angle Alarm
Silence the alarm by pressing the Alarm Pause control on 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 applications for caregivers to view and receive alerts. For complete operational instructions for the NaviCare®... -
Page 35: Graphical Caregiver Interface (Gci)® Control-Totalcare® Bariatric Plus Therapy System (Model P1830A And Model P1840A)
Features Graphical Caregiver Interface (GCI)® Control—TotalCare® Bariatric Plus Therapy System (Model P1830A and Model P1840A) The Graphical Caregiver Interface (GCI)® Control is located on the intermediate siderail next to the caregiver control panel. Menu choices appear on the right side of the screen. The left side of the screen provides unique information or instructions for the menu item highlighted on the right side of the screen. - Page 36 Features Bed Exit System Alarm To Activate: 1. Make sure the patient is on the bed. 2. At the Home Screen, scroll to Bed exit alarm. Press ENTER. This activates the Bed Exit detection feature. 3. The Bed Exit ON indicator comes on to show that the Bed Exit detection feature is activated.
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Page 37: Normal Mattress Mode
Features Normal Mattress Mode From the Home Screen, scroll to Normal/Standard. Press ENTER. Follow the on-screen instructions. Max-Inflate From the Home Screen, scroll to Max-inflate. Press ENTER. Home Screen At the Home Screen, scroll to GO TO Next Screen. Press ENTER. The Graphical Caregiver Interface (GCI)®... -
Page 38: Bed Setup/Reset
Features 1. Scroll to Change delay. Press ENTER. 2. On the left side of the screen, scroll to either a 0, 2, 4, or 6-second alarm delay. Press ENTER. The filled circle indicates the selected delay duration. Bed Exit 1. Scroll to Bed exit: On/Off. Press ENTER. 2. -
Page 39: Preset Bed Options
Features Screen Contrast 1. Scroll to Screen contrast. Press ENTER. An arrow is highlighted on the left side of the screen. 2. Move the arrow up and down for lighter or darker settings. Press ENTER. Preset Bed Options The Graphical Caregiver Interface (GCI)® Control is equipped with two preset system positions: Foot elevation and Preliminary tilt table. -
Page 40: Head Angle Alarm
3. Scroll to the desired reminder alarm time or Off. Press ENTER. 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 applications for caregivers to view and receive alerts. For complete operational instructions for the NaviCare®... -
Page 41: Graphical Caregiver Interface (Gci)® Control-Totalcare® Bariatric Bed
Features To Deactivate the Alerts Feature at the Bed: 1. At the Home Screen, select OnSite. Press ENTER. 2. Select OnSite Alerts Status. Press ENTER. NOTE: When the Alerts feature is deactivated from the bed, an indicator will show on the NaviCare®... - Page 42 Features Home Screen Change LBS/KGS 1. From the Home Screen, scroll to Change LBS/KGS. Press ENTER. 2. For additional scale functions, scroll to Main Menu. Press ENTER. 3. Scroll to Scale functions. Press ENTER. 4. Follow the on-screen instructions. Weigh Patient 1.
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Page 43: Scale Functions
Features WARNING: The Bed Exit System is not 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 addition of a significant weight to the bed (such as a visitor sitting on the bed) may allow the patient to exit without the Bed Exit System alarming. -
Page 44: Bed Setup/Reset
Features NOTE: Scale accuracy: 1% of patient weight Scale repeatability: ±.1% 200 to 500 lb (91 to 227 kg) Config. Bed Exit Alarm 1. From the Main menu, scroll to Config. Bed exit alarm. Press ENTER. Bed Exit Alarm Delay 1. -
Page 45: Preset Bed Options
Features Preset Bed Options The Graphical Caregiver Interface (GCI)® Control is equipped with two preset system positions: Foot elevation and Preliminary tilt table. Both positions can be activated through the control. To remove the bed from the preset positions, activate the bed level function. Foot Elevation The preset Foot elevation feature raises the patient’s feet while lowering the head position. -
Page 46: Navicare® System
Features 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 applications for caregivers to view and receive alerts. For complete operational instructions for the NaviCare® System, refer to the NaviCare® System User Manual (P004447). -
Page 47: Pressure Redistribution Surface With Low Air Loss Therapy (Model P1840B)
Features 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. -
Page 48: Surface Requirements
Features Surface Requirements 1. Before the patient is put on the bed, make sure to zero the bed scale. 2. Put the patient on the bed. WARNING: Failure to weigh the patients, or manually input the patient’s weight, can cause patient injury due to improper interface pressures. -
Page 49: Normal/Standard
Features 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 from the locked position. 6. -
Page 50: Rotational Therapy
Features Rotational Therapy The rotation mode provides gentle, side-to-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 with varying amounts of turn and pause times to match each individual patient’s condition. Pressure relief is provided when the rotation mode is active. - Page 51 Features To Use Rotation Therapy: 1. Press the Therapy tab on the GCI. 2. Select Rotation. 3. Press Start Therapy to start rotation, you can change the rotation settings. There are three pre-set Rotation values set as default settings. To use customized settings, press the button next to Preset.
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Page 52: Percussion And/Or Vibration Therapies
Features The RemindMe™ Alarm can be turned on to alert the caregiver that rotation has been stopped for a set period of time. To Activate or Deactivate: 1. Press the Therapy tab on the GCI. 2. Select Rotation. 3. Press RemindMe on the GCI. 4. - Page 53 Features To Use Percussion and/or Vibration Therapy: 1. Press the Therapy tab on the GCI. 2. Select Percussion & Vibration. 3. Press Start to start Percussion and/or Vibration, or you can change the settings. There are pre-set Percussion and Vibration values set as default settings.
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Page 54: Remindme™ Alarm
Features RemindMe™ Alarm The RemindMe™ Alarm can be turned on to alert the caregiver that Percussion and Vibration has been stopped for a set period of time. To Activate or Deactivate: 1. Press the Therapy tab on the GCI. 2. Select Percussion & Vibration. 3. -
Page 55: Opti-Rest
Features OPTI-REST The OPTI-REST mode offers increased comfort to the patient while maintaining pressure relief. It vents the chest, seat, and thigh zones producing a massaging wave-like action. To Activate: 1. Press the Surface tab on the GCI. 2. Press the Start under OPTI-REST. To Deactivate: 1. -
Page 56: Turn Assist
Features Turn Assist The Turn Assist mode assists the caregiver in turning the patient for linen changes, dressing changes, bedpanning, back care, and other nursing procedures. NOTE: For enhanced posterior patient access, Max-Inflate may be used once the patient has been turned to the desired side. The siderails MUST be in the up position to activate turn assist. -
Page 57: Alarm Pause Control
Features Alarm Pause Control WARNING: Excessive mattress pressure changes or air system failures could impact the pressure-relieving ability of the TotalCare® Bariatric Bed surface or Treatment surface. The Alarm Pause feature is not a substitute for good caregiving practice and the patient should be constantly monitored and, if necessary, removed from the bed. - Page 58 Features 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. Surface Requirements 1. Before the patient is put on the bed, make sure to zero the bed scale. 2.
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Page 59: Normal/Standard
Features 6. Gently push on the module until it snaps into place. The handle will not fold into the box if the module is not completely engaged into the manifold. Therapy will not start if the module is not fully engaged in position. 7. -
Page 60: Seat Deflate
Features Seat Deflate The pressure redistribution surface has a seat deflate feature. This feature allows for easier side ingress and egress. 1. From the Home Screen, scroll to Seat Deflate. Press Enter. The seat section deflates. 2. After 30 minutes an alarm will sound and an error message will show on the display. - Page 61 Features To Initiate Rotation Therapy: 1. From the Home Screen scroll to Rotation/Perc./Vib. Press ENTER. The Pulmonary Therapy Screen is now displayed. 2. Scroll to Rotation Therapy. Press ENTER. 3. Select one of the three pre-set therapy settings or select Custom Rot.
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Page 62: Percussion And/Or Vibration Therapies
Features 5. If the rotation therapy is not going to be used at the time of setting, press ENTER. Then release the Graphical Caregiver Interface (GCI)® Control or select GO TO Home Screen for other options. 6. If not acceptable, scroll to Change Settings, Clear Changes, Cancel/Return, or go to Home Screen, press ENTER. - Page 63 Features Treatments can be done with the patient in the supine or the right or left side lying positions to facilitate postural drainage or in conjunction with CLRT. Use the same treatment parameters as for manual percussion/vibration regarding frequency and duration, as directed by physicians orders.
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Page 64: Pressure Redistribution Surface Cpr Function
Features To Change Settings: 1. Scroll to Percussion, Vibration or Perc/Vib. Press ENTER. 2. Scroll to Change Settings. Press ENTER again. This confirms the desire to change the settings. 3. The icon moves to Percussion, Vibration or Perc/Vib Settings on upper left screen. -
Page 65: Opti·rest
Features OPTI·REST The OPTI·REST mode offers increased comfort to the patient while maintaining pressure relief. It vents the chest, seat, and thigh zones producing a massaging wave-like action. To Activate: 1. From the Home screen, scroll to OPTI·REST. Press ENTER. To Stop Opti·Rest: Graphical Caregiver Interface (GCI)®... -
Page 66: Turn Assist
Features Turn Assist The Turn Assist mode helps the caregiver in turn the patient for linen changes, dressing changes, bedpanning, back care, and other nursing procedures. NOTE: For enhanced posterior patient access, Max-inflate may be used once the patient has been turned to the desired side. The siderails MUST be in the up position to activate Turn Assist. -
Page 67: Foam Surface
Features Foam Surface The foam surface is an all-foam, modular, three-layered foam system with a viscoelastic core. The foam surface reduces patient pressure. The foam surface is for use with patients weighing between 200 and 500 lb (91 and 227 kg) who need a pressure reducing foam surface. - Page 68 Features To prepare the bed for transport: • Make sure the battery for the IntelliDrive® Transport System has sufficient power for the transport. The battery indicator should have at least two lights • Raise all four siderails to the up and locked position. •...
- Page 69 Features To store the transport handles: • Grasp the handles, and lift upwards to unlock the handles. • Swing the handles inward toward the center of the bed into the stowed position. WARNING: In case of battery or motor power loss, press the electronic brake switch to OFF to permit forward and reverse bed movement with a deployed, unpowered, IntelliDrive®...
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Page 70: Siderail Pads And Extenders
Features Siderail Pads and Extenders The siderail pads are placed over the siderail for protection against patient injury. The pads are not to be used as restraining devices. CAUTION When placing the bed into a chair position, ensure the siderails are raised. Failure to do so can result in damage to the siderail extenders when the foot section retracts. - Page 71 Features WARNING: When the siderail pads are installed, a caregiver’s line of sight is greatly impaired. Caregivers should periodically check patients in accordance with facility protocols. WARNING: Adding siderail pads reduces the space between the mattress and the siderail, thereby creating the potential for certain high risk patients to accidentally suffocate if improperly monitored.
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Page 72: Patient Controls
Patient Controls Patient Controls The patient controls are located on the inboard side of the intermediate siderails. Operation of this feature is the same as that for the caregiver control previously described in this manual except head elevation is restricted to 55°. Head Up/Down Control The patient can raise or lower the head section by using the Head Up/Down controls. -
Page 73: Room Light
Patient Controls Room Light The Room Light control is found on systems equipped with the Patient Lighting/Entertainment option. To Activate: • Press the Room control. • To turn off the Room Light, press the Room control again. Read Light The Read Light control is found on systems equipped with the Patient Lighting/Entertainment option. To Activate: •... -
Page 74: Optional Enhanced Entertainment Control Option
Patient Controls Optional Enhanced Entertainment Control Option Yes Up Arrow/No Down Arrow These controls are found on systems equipped with the Enhanced Patient Lighting/Entertainment option. Control 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 a TV or music control. -
Page 75: Options
Options Options Accessory AC Receptacle Option (120 V Version Only) SHOCK HAZARD Electrical Shock Hazard. Servicing by qualified personnel only. This bed is provided with two power cords. Unplug all power cords before servicing Bed Electrical Enclosure or Auxiliary Receptacle Enclosure. -
Page 76: Patient Helper
Options Patient Helper WARNING: Do not remove or install the Patient Helper arm assembly when a patient is in the bed. Patient injury or equipment damage could occur. WARNING: Use the Patient Helper (trapeze) in the center locked position only. Personal injury could occur. - Page 77 Options To Remove: 1. Pull the T-handle at the bottom 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 assembly from the horizontal arm.
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Page 78: Accessories
Accessories Accessories Accessories may be added or removed at the point of patient care by a caregiver without the use of tools. Accessories are interchangeable within a product configuration. Part Number Description P27601 Oxygen tank holder P1926B Seat belt P2217 IV Pole P1969A Foot and extender kit... -
Page 79: Seat Belt-P1926B
Accessories Seat Belt—P1926B The Seat Belt is adjustable, which allows the caregiver to adjust the Seat Belt to the size of the patient. Holes, located on both sides of the bed near the center, accommodate installation of the Seat Belt. WARNING: Do not articulate the head section with the patient buckled with the Seat Belt. - Page 80 Accessories CAUTION Each medical articulated arm safe working load is 2.2 lbs. (1 kg). Exceeding the safe working load can cause equipment damage. CAUTION Do not use the medical articulated arm to move the bed. Equipment damage could occur. WARNING: After you raise or lower the head section, make sure the medical arm is in the correct position.
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Page 81: Safety Tips
Siderails are intended to be a reminder, not a patient restraining device. Hill-Rom recommends that the appropriate medical personnel determine the level of restraint necessary to ensure a patient will remain safely in bed. - Page 82 Safety Tips WARNING: Although the siderails have been designed to reduce the risk of patient entanglement, the potential exists, particularly with patients who are agitated or disoriented as well as patients who lack the physical strength to extract themselves if they become entangled. Caregivers should carefully evaluate the need for siderails and periodically check patients in accordance with facility protocols for safe positioning.
- Page 83 Refer to the TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System Service Manual (143435). Parts and Accessories Do not modify the bed system without authorization from Hill-Rom. Operating Bed/Surface Precautions WARNING: Do not operate the bed in the presence of flammable gas or vapors.
- Page 84 Make sure that the Nurse Call system cables are properly connected after transport. WARNING: Hill-Rom recommends the use of two caregivers to move the bed when the IntelliDrive® Transport System is not installed. Failure to use two caregivers could cause injury.
- Page 85 WARNING: Do not use mattresses, mattress overlays, mattress replacements, or speciality mattress products that have not been designed by Hill-Rom for 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 could substantially reduce the effectiveness of the safety features incorporated into the system.
- Page 86 Safety Tips Patient Helper (Trapeze) WARNING: Do not remove or install the Patient Helper arm assembly when a patient is in the bed. Patient injury or equipment damage could occur. WARNING: Use the Patient Helper (trapeze) in the center locked position only. Personal injury could occur.
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Page 87: Preventive Maintenance
Preventive Maintenance Preventive Maintenance WARNING: Only facility-authorized personnel should perform preventive maintenance on the TotalCare® Bed System. Preventive maintenance performed by unauthorized personnel could result in personal injury or equipment damage. The TotalCare® Bed System requires an effective maintenance program. We recommend that you perform bi-annual preventive maintenance (PM) and testing for Joint Commission certification. -
Page 88: General Cleaning/Disinfecting
General Cleaning/Disinfecting General Cleaning/Disinfecting WARNING: Follow the cleaning product manufacturer’s instructions. Failure to do so could result in personal injury or equipment damage. WARNING: Unplug all power cords from all power sources. Failure to do so could result in personal injury or equipment damage. - Page 89 General Cleaning/Disinfecting Disinfecting When there is visible soilage and between patients, we recommend that you disinfect the unit with a tuberculocidal disinfectant. (For customers in the US, the disinfectant should be registered with the Environmental Protection Agency.) Dilute the disinfectant according to the manufacturer’s instructions. Cleaning Medical Fluid Spills Fluid spills should be wiped up as soon as possible.
- Page 90 General Cleaning/Disinfecting NOTE: 2.5 oz of bleach per 10 gal of water is approximately 100 ppm of available chlorine. a. Use the bleach or disinfectant as instructed in the manufacturer’s instructions. b. To determine the amount of bleach or disinfectant to use, determine the amount of water in the washer, and follow the manufacturer’s dilution instructions.
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Page 91: Product Symbols
Product Symbols Product Symbols These symbols are used on the TotalCare® Bariatric Bed and the TotalCare® Bariatric Plus Therapy System: NOTE: Where two versions of a symbol are shown, one or the other will be used on your bed. Symbol Description Type B applied part according to EN 60601-1 According to IEC 60529, Rating for protection against fluid ingress. - Page 92 Product Symbols Symbol Description Battery charge status—steady indicator light means fully charged bat- tery; flashing 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 the bed and accessories.
- Page 93 Product Symbols Symbol Description Foot In/Out controls Enable control (for caregiver controls only, not intended for patient use) Master/All Motors Lockout control status—when the lockout control status light is on, the lockout function is activated. Hi-Lo Lockout control status—when the lockout control status light is on, the lockout function is activated.
- Page 94 Product Symbols Symbol Description Hi-lo control—raises and lowers the bed Hip Locator—used to position the patient’s hips for optimum pressure relief with mattress Emergency Trend label—identifies the release lever and direction of 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 only or oxygen...
- Page 95 Product Symbols Symbol Description IntelliDrive® Transport System—Battery Charge indicator IntelliDrive® Transport System—activation sequence (located on the SideCom® Communication System cover on the head end of the bed). For transport, unplug the bed and release the brakes. Transport Sequence (located on the SideCom® Communication Sys- tem cover on the head end of the bed).
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Page 96: Product Symbols-Totalcare® Bariatric Plus Therapy System
Product Symbols Product Symbols—TotalCare® Bariatric Plus Therapy System These symbols are used on the TotalCare® Bariatric Plus Therapy System only: Symbol Description Seat Deflate—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—returns the air surface to the previous surface setting... -
Page 97: (Model P1840B And Newer)
Product Symbols Product Symbols—TotalCare® Bariatric Plus Therapy System (Model P1840B and Newer) Chair Position control—used to transition the patient to the chair posi- tion Foot Elevate control—raises the foot section, and when the foot sec- tion is at maximum elevation, lowers the 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... - Page 98 Product Symbols Black M on green background—Signifies the scale (European 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 Equipment Directive 2002/96/EC. (Only applicable to products manufactured and brought to market (sold) before April 1, 2013.) Refer to the user manual for patient positioning.
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Page 99: Technical Specifications
Technical Specifications Technical Specifications Product Identification Product Number Description P1830A TotalCare® Bariatric Bed P1830B TotalCare® Bariatric Bed, international P1840A TotalCare® Bariatric Plus Therapy System P1840B TotalCare® Bariatric Plus Therapy System with new GCI P1840C TotalCare® Bariatric Plus Therapy System with new GCI, and European scale Dimensions Feature... - Page 100 Technical Specifications Specifications Feature Dimension Head Section Inclination (maximum) 75° Seat Section Inclination (maximum) 15° Bed Height Range (normal, mea- 15" to 34" (38 cm to 86 cm) for 5" (13 cm) single casters sured to the top of the articulating 15.5"...
- Page 101 Technical Specifications Mains Power Requirements Condition Range Rated Voltage 100V/110V/120V/127V/220V/230V/240V AC Power/Input 5.5 A (220V, 230V, and 240V beds) 9.9 A (100V and 120V beds) 11.5 A (110V beds) 11.9 A (127V beds) Frequency 60/50 Hz (all beds) Fuse Specifications Condition Range Air System Fuse (air system optional) 2 A, 250 V~, 5 x 20 mm, UL 198G Fast Acting...
- Page 102 Technical Specifications Mattress Flammability Codes Condition Range United States P1831EA CAL TB-117, Requirements, Test Procedure and Apparatus for Testing the Flame Retardance of Resilient Filling Materi- als Used in Upholstered Furniture CAL TB-129, Flammability Test Procedure for Mattresses for Use in Public Buildings CAL TB-603, Requirements and Test Procedure for Resis- tance of a Residential Mattress/Box Spring set to a Large Open Flame...
- Page 103 Technical Specifications Classification and Standards The TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System are designed and manufactured according to the following equipment classifications and standards: Technical and Quality Assurance UL 60601-1 Standards CSA® C22.2 No. 601.1 IEC 60601-2-38 EN 60601-1 IEC 60601-1-2 IEC 60601-1-4...
- Page 104 Technical Specifications Electromagnetic Emissions Guidance Guidance and Manufacturer's Declaration—Electromagnetic Emissions The P1840 is intended for use in the electromagnetic environment specified below. The customer or the user of the P1840 should make sure it is used in such an environment. Emissions Test Compliance Electromagnetic Environment—Guidance...
- Page 105 Technical Specifications Electromagnetic Immunity Guidance Guidance and Manufacturer's Declaration-Electromagnetic Immunity The P1840 is intended for use in the electromagnetic environment specified below. The customer or the user of the P1840 should make sure it is used in such an environment. IEC 60601 Electromagnetic Immunity Test...
- Page 106 Technical Specifications Guidance and Manufacturer's Declaration-Electromagnetic Immunity The P1840 is intended for use in the electromagnetic environment specified below. The customer or the user of the P1840 should make sure it is used in such an environment. Immunity IEC 60601 Compliance Electromagnetic Environment—Guidance Test...
- Page 107 Technical Specifications b. Over the frequency range of 150 kHz to 80 MHz, field strength should be less than 3 V/m. Recommended separation distances between portable and mobile RF communications equipment and the P1840 Model The P1840 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
- Page 108 Hill-Rom Co., Inc. The correction of interference caused by such unauthorized modification, substitution, or attachment is the responsibility of the user. Hill-Rom is not liable for any damage or violation of government regulations that may arise from the user failing to comply with these requirements.
- Page 109 Technical Specifications L'utilisation de ce dispositif est autorisée seulement aux conditions suivantes: (1) il ne doit pas produire de brouillage et (2) l'utilisateur du dispositif doit étre prêt à accepter tout brouillage radioélectrique reçu, même si ce brouillage est susceptible de compromettre le fonctionnement du dispositif. The term "IC"...
- Page 110 Technical Specifications TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System User Manual (143434 REV 8)
- Page 112 Fax: +1 (0)812 934 7191 www.hill-rom.com international@hill-rom.com Australia Belgique/België Canada Hill-Rom Australia Pty. Ltd. Hill-Rom Medical Services BV Hill-Rom Canada Tel: +61 (0)2 8814 3000 Tel: +31 (0)347 / 32 35 32 Tel: 800-267-2337 Fax: +61 (0)2 8814 3030...
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