Hill-Rom Excel Care User Manual
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Hill-Rom Excel Care User Manual

Bariatric bed
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USER MANUAL
Excel
Care™
Bariatric
Bed
From Hill-Rom
usr135ra

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Summary of Contents for Hill-Rom Excel Care

  • Page 1 USER MANUAL Excel Care™ Bariatric From Hill-Rom usr135ra...
  • Page 2 Systems, 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. Hill-Rom reserves the right to make changes without notice in design, specifications, and models.
  • Page 3 NOTE: The back cover is a comprehensive list of Technical Support contact information for Hill-Rom. The product discussed in this manual may not be available in all of the countries listed. Revision Letter Pages Affected Date Original Issue July 2004...

  • Page 4: Table Of Contents

    Table of Contents Document Symbols........... . 6 Intended Use .
  • Page 5 Use the Air Supply Unit ..........24 Excel Air™...
  • Page 6 Visitor Notification ..........56 Cleaning and Maintenance .

  • Page 7: Document Symbols

    Document Symbols This manual contains different typefaces and icons designed to improve readability and increase understanding of its content: • Standard text—used for regular information. • Boldface text—stresses a word or phrase. • NOTE:—sets apart special information or important instruction clarification. • The symbol below identifies a WARNING or CAUTION: Warning and Caution – A WARNING identifies situations or actions that may affect patient or user safety.

  • Page 8: Intended Use

    1000 lb (454 kg) or extend past the fully-extended surface width. Patient injury or equipment damage could occur. The Excel Care™ Bariatric Bed is for bariatric patients of all age groups with varying medical and physical conditions. The Excel Care™ Bariatric Bed supports patient weights between 250 lb and 1000 lb (113 kg and 454 kg).

  • Page 9: Features

    The Excel Care™ Bariatric Bed has these features: • 115 V AC power transformer that converts the system to 24 V DC • Three-prong, hospital-type power plug, with grounding that meets National Fire Protection Association (NFPA) standards •...

  • Page 10: Instructions For Use

    Instructions for Use Put the Bed into the CPR Position The CPR controls are handles installed under the sleep deck on the right-hand side of the bed, at both ends of the bed. The Excel Air™ Low Airloss Therapy Surface also has an emergency CPR pull so the mattress assembly may deflate quickly.

  • Page 11: Use The Siderails

    NOTE: Siderails are intended to be a reminder to the patient of the unit’s edges, not a patient-restraining device. When appropriate, Hill-Rom recommends that medical personnel determine the correct methods necessary to make sure a patient remains safely in bed.

  • Page 12: Remove And Install The Headboard

    Remove and Install the Headboard The headboard is at the head end of the bed. It attaches to the head end of the frame, and does not move with the sleep deck. • Remove—For increased access to the patient’s head, grasp the headboard, and lift straight up to remove it.

  • Page 13: Use The Drainage Bag And Patient Restraint Holders

    The drainage bag holders 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 applicable facility protocols before physical restraints are used.

  • Page 14: Use The Footboard Caregiver Controls

    Use the Footboard Caregiver Controls WARNING: Mechanical parts under the bed pose a risk of serious injury. Exercise control over visitors, especially children, to keep people out from under the bed and prevent unauthorized access to the bed positioning controls. Failure to do so could result in patient injury, personal injury, or equipment damage.

  • Page 15: Raise And Lower The Bed

    Raise and Lower the Bed The bed adjusts in height from a low position, for patient entry or exit, to a high position, for examination. • Raise—Press and hold the Hilow Up control until the bed is at the applicable height. WARNING: Use caution when lowering the bed frame.

  • Page 16: Put The Bed In The Bed Flat Or Trendelenburg Or Reverse Trendelenburg Position

    2. Press and hold the Bed Flat control until all sections are flat and the system stops. Trendelenburg or Reverse Trendelenburg The Excel Care™ Bariatric Bed is capable of 12° Trendelenburg and 10° Reverse Trendelenburg. The Trendelenburg and Reverse Trendelenburg controls can be operated at any bed height.

  • Page 17: Use The Patient Pendant

    Use the Patient Pendant Install and Remove the Patient Pendant • Install— 1. Connect the patient pendant to the bed at one of the connectors on either side of the bed. 2. Put the pendant into position next to the opening in the head end siderail.

  • Page 18: Weigh The Patient

    Weigh the Patient Use the scale to get and monitor the weight data of the patient. Scale Controls • Zero—Changes the weight display to zero. Do not press when the patient is in the bed. • Weigh—Weighs the patient. • Pounds/Kilograms (lb/kg)—Switches the display mode to either pounds (lb) or kilograms (kg).

  • Page 19: Zero The Scale

    Zero the Scale 1. Examine the scale display. If necessary, press the Hold control to clear any messages on the scale display. NOTE: When the bed is first plugged into an appropriate power source, the scale display shows Power Interrupted, followed by Press +. 2.

  • Page 20: Disconnect Power When The Scale Is In Use

    5. Do one of these: • To save the changes and start normal weight monitoring, press the Hold control again. • To erase the changes, press the Weigh control. Disconnect Power When the Scale is in Use If it becomes necessary to disconnect the bed’s power when the scale is in use, such as for patient transport, do as follows: 1.

  • Page 21: Set The Brakes Or Steer The Bed

    Set the Brakes or Steer the Bed WARNING: Unless transporting the patient, always set the brakes when the bed is occupied. Reconfirm that the brakes are set before any patient transfer. Failure to do so may result in personal injury or equipment damage. The Brake and Steer controls are at the four corners of the bed frame.

  • Page 22: Transport The Patient On The Bed

    Transport the Patient on the Bed CAUTION: Before transporting the bed, make sure that the power cord, hoses, and other equipment are correctly stowed. Failure to do so could result in equipment damage. CAUTION: Do not push or pull the bed by IV poles, siderails, or other equipment. Use the headboard, footboard, or other designated locations.
  • Page 23 SHOCK HAZARD: Before transport, unplug the bed from its power source. Failure to do so could result in personal injury or equipment damage. 6. Unplug the bed from its power source. 7. If bed articulation is necessary, press the Battery control to start the battery backup power.

  • Page 24: Mattress Assembly

    Mattress Assembly The Excel Care™ Bariatric Bed has one of these two mattress options: • Excel Air™ Low Airloss Therapy Surface (see “Excel Air™ Low Airloss Therapy Surface (P611CA)” on page -25) • Excel Air ™ Foam Mattress with inflatable side bolsters (see “Excel Air™ Foam Mattress with Inflatable Side Bolsters (P612EA)”...

  • Page 25: Use The Air Supply Unit

    c. Attach the power cord along the intermediate frame on the patient’s left-hand side of the bed. d. Attach the power cord at the patient’s head left corner of the bed. 10. Plug the air supply unit in an appropriate power source. 11.

  • Page 26: Excel Air™ Low Airloss Therapy Surface (P611Ca)

    Excel Air™ Low Airloss Therapy Surface (P611CA) The Excel Air™ Low Airloss Therapy Surface is a microprocessor-controlled therapeutic mattress system that supplies three zone, continuous, low pressure and low airloss therapies. The Excel Air™ Low Airloss Therapy Surface is for patient weights up to 995 lb (451 kg).
  • Page 27 Max Firm NOTE: The mattress goes into Hyper-Inflate mode to inflate the mattress after Seat Deflate mode. It does not goes into Max Firm mode. For patient transfer and medical treatment, the Max Firm mode gives a firm surface. To select Max Firm mode, do as follows: 1.

  • Page 28: Lock Or Unlock The Control Panel

    3. Press one of these to adjust the pressure as applicable: • Increase • Decrease • Default—Selects the standard setting of 30%. 4. Press Enter to return to the previous therapy screen. Lock or Unlock the Control Panel 1. Press Options. The Select Options screen shows.
  • Page 29 7. The unit goes into Hyper-Inflate mode to inflate the mattress to 55 mm Hg (29"H for 13 minutes: • If the unit is in Low Airloss mode, the Hyper-Inflate screen shows. • If the unit is in Side Deflate mode, the Side Deflate Active (Hyper- Inflate Active) screen shows.

  • Page 30: Solve A System Alarm Condition

    Deflate the Mattress 1. Press Options. The Select Options screen shows. 2. Press Deflate Bed. The Bed Deflate Active screen shows, and the mattress deflates. 3. To inflate the mattress, press Inflate and Exit. The Bed Inflating screen flashes for 10 seconds. 4. The unit goes into Hyper-Inflate mode to inflate the mattress to 55 mm Hg (29"H...

  • Page 31: Excel Air™ Foam Mattress With Inflatable Side Bolsters (P612Ea)

    Excel Air™ Foam Mattress with Inflatable Side Bolsters (P612EA) The foam mattress with inflatable side bolsters is for patient weights up to 1000 lb (454 kg). The width of the foam mattress is adjustable from 40" to 50" (102 cm to 127 cm). For patient transport, the bed can go through a 48"...

  • Page 32: Accessories

    Accessories Accessories Part Number Description P2217 IV Pole P158 Infusion Support System P276 Oxygen Tank Holder, E-size P616A Patient Helper Trapeze Assembly IV Pole (P2217) WARNING: Do not exceed the load capacity of the IV pole. If the IV pole is overloaded, personal injury or equipment damage may occur.

  • Page 33: Infusion Support System (P158)

    Infusion Support System (P158) WARNING: If the Infusion Support System (ISS) pole is installed at the foot end of the bed, make sure the Knee Up and Down controls are locked out. Failure to do so can result in personal injury or equipment damage. WARNING: Do not exceed the load capacity of the ISS pole.

  • Page 34: Oxygen Tank Holder, E-Size (P276)

    Oxygen Tank Holder, E-Size (P276) WARNING: Do not exceed the load capacity of the oxygen tank holder. If the oxygen tank is overloaded, personal injury or equipment damage may occur. WARNING: Failure to correctly attach the oxygen tank holder could let it fall, resulting in personal injury or equipment damage.

  • Page 35: Cleaning

    Cleaning WARNING: Follow the product manufacturer’s instructions. Failure to do so could result in personal injury or equipment damage. SHOCK HAZARD: The potential for electrical shock exists with electrical equipment. Failure to follow facility protocols may result in death or serious personal injury. SHOCK HAZARD: Before cleaning any portion of the bed, unplug the unit from its power source.

  • Page 36: Clean The Mattress Assembly

    Clean the Mattress Assembly Coverlet (Excel Air™ Low Airloss Therapy Surface Only) Between patients, and for heavy soilage such as visible signs of body fluids and/or substances, do the following to completely clean and disinfect the coverlet: 1. Machine-wash the coverlet with chlorine bleach (50 ppm to 150 ppm) or detergent and an effective intermediate level disinfectant, such as PRO-TECH™...

  • Page 37: Clean The Excel Air™ Low Airloss Therapy Surface Filter

    Clean the Excel Air™ Low Airloss Therapy Surface Filter CAUTION: Keep the filters clean. Failure to do so could result in equipment damage. To keep the Excel Air™ Low Airloss Therapy Surface operating correctly, make sure the filter is clean. After 800 hours of operation, when the air supply unit is turned on, the Replace Filter screen shows as a reminder replace the filters.

  • Page 38: Maintenance

    Maintenance WARNING: Only facility-authorized personnel should service the Excel Care™ Bariatric Bed. Servicing by unauthorized personnel could result in personal injury or equipment damage. WARNING: Before bed use, correct any differences noted during the examination. Failure to do so could result in patient injury or equipment damage.

  • Page 39: Product Symbol Definition

    Product Symbol Definition Product Symbol Definition Symbol Description Type B applied part according to IEC 60601-1 (UL 60601-1). According to IEC 60529, Rating for protection against fluid ingress and identified as equipment that is protected against IPX4 spraying and splashing water. CAUTION: Consult accompanying documents.
  • Page 40 Symbol Description Head Up/Down control—Raises and lowers the head section of the bed. Knee Up/Down control—Raises and lowers the knee section of the bed. Battery control—Shows the battery backup power. Enable control—Lets all controls not inside the blue areas on the head end siderails to function.
  • Page 41 Symbol Description Master Lockout control—Locks out or unlocks all bed articulation functions. Knee Up/Down lockout—Locks out the Knee Up/Down function. Head Up/Down lockout—Locks out the Head Up/Down function. Hilow lockout—Locks out the Bed Hilow function. Bed Not Down indicator—Comes on when the bed is not in the full down position.
  • Page 42 Symbol Description Lb/Kg control—Changes the shown patient weight between pounds (lb) and kilograms (kg). Hold control—Holds the shown patient weight so items can be changed on the bed. Add/Subtract control—Increases or decreases the shown patient weight. Menu control—Selects Menu options. Enter control—Enters and exits the Patient Setup screen.
  • Page 43 Symbol Description Lockout indicator—Shows that the control panel is locked out. Replace Filter indicator—Shows the location of the air filter. Shows how to raise or lower the vertical height of the siderail and lower or raise the siderail to or from its stowed position under the bed frame.

  • Page 44: Specifications

    Specifications Excel Care™ Bariatric Bed Specifications Feature Dimension Maximum overall width 43" to 53" (109 cm to 135 cm) Sleep deck width 40" to 50" (102 cm to 127 cm) Length with headboard and footboard 100" (254 cm) installed, without air supply unit Sleep deck length 88"...

  • Page 45: Regulations, Codes, And Standards

    Power/input Frequency 60 Hz Regulations, Codes, and Standards The Excel Care™ Bariatric Bed is designed and manufactured to applicable UL and CSA safety requirements and these equipment classifications and standards. Classification and Standards Technical and quality assurance standards UL 60601-1 CSA C22.2 No.
  • Page 46 Guidance and Manufacturer's Declaration—Electromagnetic Emissions The Excel Care™ Bariatric Bed Model P610A is intended for use in the electromagnetic environment specified below. The customer or the user of the Model P610A should make sure it is used in such an environment.
  • Page 47 Guidance and Manufacturer's Declaration - Electromagnetic Immunity The Excel Care™ Bariatric Bed (P610A) is intended for use in the electromagnetic environment specified below. The customer or the user of the P610A should make sure it is used in such an environment.
  • Page 48 Guidance and Manufacturer's Declaration - Electromagnetic Immunity The Excel Care™ Bariatric Bed (P610A) is intended for use in the electromagnetic environment specified below. The customer or the user of the P610A should make sure it is used in such an environment.
  • Page 49 Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the P610A The Excel Care™ Bariatric Bed (P610A) is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the P610A can help prevent electromagnetic interference by maintaining a minimum distance between the portable and mobile RF communications equipment (transmitters) and the P610A as recommended below, according to the maximum output power of the communications equipment.

  • Page 50: Safety Tips

    Safety Tips To help prevent the risk of hospital bed fires, make sure facility personnel follow the safety tips in the FDA Public Health Notification: Safety Tips for Preventing Hospital Bed Fires. Bed Positions WARNING: It is recommended that the bed be in the low position when the patient is unattended.

  • Page 51: Siderails/Restraints/Patient Monitoring

    Siderails are intended to be a reminder to the patient of the bed's edges, not a patient- restraining device. When appropriate, Hill-Rom recommends that medical personnel determine the correct methods necessary to make sure a patient remains safely in bed.

  • Page 52: Electricity

    For restraining devices, consult the restraint manufacturer’s instructions for use to make sure of the correct application of each restraining device. Electricity SHOCK HAZARD: Correct grounding is achieved only when the bed is plugged into a “hospital- grade” receptacle. Failure to plug the bed into an applicable power source could result in patient injury, personal injury, or equipment damage.

  • Page 53: Parts And Accessories

    Refer to the Excel Care™ Bariatric Bed Service Manual (man337). Parts and Accessories WARNING: Do not exceed the load capacity of the IV pole.
  • Page 54 WARNING: The head end equipment sockets do not move up and down with the sleep deck. Use appropriate precautions with gravity-sensitive devices such as ventricular drains or lumbar drains before, during, and after operating bed functions. Make sure flow rates on all gravity-fed IVs are correct after bed height adjustment. Failure to correctly manage patient equipment could result in patient injury.

  • Page 55: Operating Bed/Surface Precautions

    Hill-Rom. Operating Bed/Surface Precautions WARNING: Do not use the Excel Care™ Bariatric Bed with patients who weigh more than 1000 lb (454 kg) or are wider than the fully-extended surface width. Patient injury or equipment damage could occur.

  • Page 56: Sleep Surface/Mattress

    WARNING: Do not use mattresses, mattress overlays, mattress replacements, or speciality mattress products that have not been designed by Hill-Rom for the Excel Care™ Bariatric Bed. Use of surface products other than those designed for the Excel Care™ Bariatric Bed could substantially reduce the effectiveness of the safety features incorporated into the system.

  • Page 57: Bed Articulations

    Follow the product manufacturer’s instructions. Failure to do so could result in personal injury or equipment damage. WARNING: Only facility-authorized personnel should service the Excel Care™ Bariatric Bed. Servicing by unauthorized personnel could result in personal injury or equipment damage.
  • Page 58 SHOCK HAZARD: Before cleaning any portion of the bed, unplug the unit from its power source. Failure to do so could result in personal injury or equipment damage. SHOCK HAZARD: Do not expose the unit to excessive moisture. Personal injury or equipment damage could occur.
  • Page 60 Fax: +33 (0)2 97 50 92 00 Fax: +34 (0)93 666 5570 Ireland Italia Nederland Hill-Rom Ltd. Hill-Rom S.p.A. Hill-Rom Medical Services BV Unit 1 - Kilcarberry Business Park Via Ambrosoli 6 Hagenweg 1c Nangor Road 20090 Rodano Postbus 173...

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