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HILLENBRAND INDUSTRY Hill-Rom AvantGuard LI158Bx/1200 Manual

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PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005
User Manual
AvantGuard®
Electric Bed
LI158Bx/1200
QD2300
Rev.005

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Summary of Contents for HILLENBRAND INDUSTRY Hill-Rom AvantGuard LI158Bx/1200

  • Page 1 PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005 User Manual AvantGuard® Electric Bed LI158Bx/1200 QD2300 Rev.005...
  • Page 2 PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005 Manufacturer: Hill-Rom S.A.S B.P. 14 - Z.I. du Talhouët 56330 PLUVIGNER - FRANCE Tel: + 33 (0)2 97 50 92 12 Fax: + 33 (0)2 97 50 92 03 www.hill-rom.com Fifth edition First printing 2003 Printed in Europe QD2300 Rev.005 / April 2005 The information in this manual is confidential and may not be disclosed...

  • Page 3: Table Of Contents

    PROPRIETARY AND CONFIDENTIAL DRAFT April 21, 2005 Table of Contents Chapter 1: Symbols / destination Symbol Definition ........1 - 1 General Symbols .
  • Page 4 PROPRIETARY AND CONFIDENTIAL DRAFT April 21, 2005 Restraining strap handles ......4 - 37 Foot End Bed Extension* .
  • Page 5 PROPRIETARY AND CONFIDENTIAL DRAFT April 21, 2005 Long metal siderails (AD178A) ..... . .6 - 14 Mattress ......... .6 - 14 Accessory holder .
  • Page 6 PROPRIETARY AND CONFIDENTIAL DRAFT April 21, 2005 NOTES: Page iv AvantGuard® Electric Bed User Manual - QD2300(5)

  • Page 7: Chapter 1: Symbols / Destination

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Chapter 1 Symbols / destination Symbol Definition 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. •...

  • Page 8: General Symbols

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 General Symbols Attention, read the safety instructions carefully and refer to the user manual. DO NOT BIN, follow the local recycling regulations. Recyclable Material Safety Earth Equipotential terminal Class II Device Type B Equipment Direct Current Alternating Current Page 1 - 2...

  • Page 9: Intended Use

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Intended Use The AvantGuard® line of hospital beds includes acute care beds (Trendelenburg with battery backup is a mandatory requirement for acute care beds) and general-purpose variable height hospital beds for general care, for use in post-operative care, and general medicine wards. They are designed with the needs of the whole medical team in mind and facilitate the use of monitoring equipment and the transfer of patients to examination wards.
  • Page 10 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 NOTES: Page 1 - 4 QD2300(5) - AvantGuard® Electric Bed User Manual...

  • Page 11: Chapter 2: Introduction, Overview

    PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005 Chapter 2 Introduction, overview Introduction Function Symbols Manual Controls The following labels located next to the relevant control identify manual operations. Head section “CPR” Adjustable foot section Angle Indicators Trendelenburg/Reverse Trendelenburg* Head section* NOTE: These indicators are not measuring devices.
  • Page 12 PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005 Warning and Caution Labels Locking Mechanism on the Foot TotalGuard™* Siderail Support Label* This label shows how to verify the locking mechanism on the foot TotalGuard™* siderail support. Do Not Store label This label indicates that nothing should be left on the frame. No Hand Placement Label* This label shows where hands should not be placed.
  • Page 13 PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005 Egress handle Usage Label* This label indicates the storage of the MobiBar® Egress handle. Interference label MobiBar® and TotalGuard™* Never deploy the foot section of the TotalGuard™* integral siderail when the MobiBar® egress handle in position. Locking mechanism on the long metal siderail* This label shows how to verify the locking mechanism on the long metal siderail.
  • Page 14 PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005 Locking mechanism installation metal siderail label* This label shows how to verify the locking mechanism during the installation of the long metal siderail. Linen holder label* Never use the linen holder as a seat or as a foot step and never exceed the maximum load that can be placed on the linen holder.
  • Page 15 PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005 Plastic footboard identification label This label indicates to place the footboard at the foot end of the bed. QD2300(5) - AvantGuard® Electric Bed User Manual Page 2 - 5...
  • Page 16 PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005 Electrical controls Control pendant without EasyChair®* Control pendant with EasyChair®* Functions available to the patient and caregiver: A Head section raise F Foot section lower B Head section lower G Hilow raise C Thigh section raise H Hilow lower D Thigh section lower I Bed non-low position indicator...
  • Page 17 PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005 Bilateral HiLow Pedal* Raise Lower Enable control under the pedal* (reserved for nursing staff) Enable control pedal* Enable control under the pedal* (reserved for nursing staff) Lateral caregiver unit (without emergency Trendelenburg*)l Battery indicator Electrical function lockout indicator Thigh Head...

  • Page 18: Overview

    PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005 Overview Reference mark for Control Unit on a Control positioning the Flexible Arm* Pendant* Head section patient* angle indicator* Egress handle* Vertical removable Removable plastic footboard* plastic headboard* TotalGuard™** integral siderail controls Integral bed 150 mm diameter extension* single band casters...

  • Page 19: Standard Features

    PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005 Standard Features Sleep surface dimensions 90 x 200 cm Frame Polypropylene hard surface Selective electrical function lockout Electrical adjustable Trendelenburg/Reverse Trendelenburg Yes Adjustable head section Damped CPR release Comfort adjustment Adjustable thigh section Power-driven with autocontourYes Central brake and steer system Equipment varies depending on bed model*...

  • Page 20: Accessories

    PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005 Bed connected to AC power, brake not applied detection Self-steering 5th wheel Controlled 5th wheel MobiBar® egress handle Integral bed extension at foot end of bed Integrated linen holder Accessory support bar, 2 hooks Accessory support bar, 6 hooks Multiple bag support Headboard and footboard...
  • Page 21 PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005 AD128A Monitor stand AC923A Label holder AD126A Accessory support bar AD127A Medical device support rail AD069A Bultex® comfort mattress AD162A Extension cushion for Bultex® comfort mattress AD066A Cliniplot® III mattress AD076A Extension cushion for Cliniplot ® III mattress AD085A Primo™...
  • Page 22 PROPRIETARY AND CONFIDENTIAL DRAFT: avril 21, 2005 NOTES: Page 2 - 12 QD2300(5) - AvantGuard® Electric Bed User Manual...

  • Page 23: Chapter 3: Installing The Bed

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Chapter 3 Installing the bed Installing the Bed First Steps Before using the bed, it is essential to have a thorough understanding of this manual. This manual contains instructions for general use and maintenance and guarantees improved safety.

  • Page 24: Connection To The Mains Power Supply

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Connection to the Mains Power Supply The mains power supply for the bed must comply with relevant standards: NF C 15-100 and NF C 15-211 (France). International Electrotechnical Commission (IEC) 364 for other locations.

  • Page 25: Chapter 4: Instructions For Use

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Chapter 4 Instructions for use Siderails The Electric bed AvantGuard® can be fitted with two types of siderail: • Integrated siderails TotalGuard™* • Long, detachable metal siderails WARNING: Always ensure that there are no obstacles before raising or lowering a siderail (e.g., person’s limb, objects, accessories).
  • Page 26 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 TotalGuard™* integrated siderails The Electric bed AvantGuard® fitted with TotalGuard™* siderails is able to receive a wide range of mattress widths (See “Mattress” page 8- In order to achieve mattress/siderail combinations offering optimal comfort and safety, the bed can be configured with siderails in two retained and secure positions.
  • Page 27 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Raising the TotalGuard™* integrated siderails (position 2) The siderails are located under the bed when not in use. To raise a siderail: • Pull the folded siderail outwards and upwards until it latches into the locked position as close to the edge of the mattress as possible without forcing.
  • Page 28 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Unfolding the foot siderails (position 3) CAUTION: The foot section of the siderail must only be unfolded when the head section of the siderail is locked in the raised position. Failure to do so could result in equipment damage. To unfold the foot section of the siderail: •...
  • Page 29 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Storing the foot siderails (Position 2) WARNING: When storing the foot siderail, make sure that no objects or limbs are in the way. Failure to do so could result in patient injury or equipment damage.
  • Page 30 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Foot Siderail Support The foot siderail supports on both sides of the bed can be folded away, thus enabling the caregivers to move freely when transferring the patient to another platform. To fold away a siderail support: •...
  • Page 31 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Long metal siderails* WARNING: Do not place accessories (respiratory or other medical devices) on the siderail in a manner that could interfere with the siderail when emergency access to the patient could be required. The siderails must be handled according to the instructions in the user manual.
  • Page 32 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Raising the long metal siderails (position 2) To raise a long metal siderail: • Grip the upper bar and pull upwards until a double “click” is heard. • Ensure the siderail is locked by pulling and pushing it. CLICK CLICK Page 4 - 8...
  • Page 33 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Lowering the long metal siderails (position 1) WARNING: If control pendant is present on the siderail, then remove it (See “Unclipping” page 4-46). To lower a long metal siderail: • Gripping the siderail by the upper bar. •...
  • Page 34 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Removing a long metal siderail To lower a long metal siderail: • Lower the siderail (See “Lowering the long metal siderails (position 1)” page 4-9). • On the head side: pull (1) the release pin, then pull (2) out the siderail, without removing it completely from its support.

  • Page 35: Electrical Functions

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Electrical Functions The bed’s power-driven features are accessed by a control pendant, a bilateral HiLow foot pedal or a control unit on a flexible arm. Certain emergency functions are available on the lateral caregiver unit. Control Pendant WARNING: Nursing staff need to assess whether the patient can be left...
  • Page 36 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Control pendant on a flexible arm* Patient side Nursing staff side The control unit on a flexible arm is equipped with a touchpad on both sides. One side is intended for the patient and the other side for the nursing staff.

  • Page 37: Electrical Function Management

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Enable key pedal* WARNING: Ensure that no accessory or other device interferes with the use of the pedal. Failure to do so could result in patient injury or equipment damage. This pedal is located centrally under the lower bed frame on each side. Nursing staff can use this pedal to activate or deactivate the function management mode while keeping their hands clean and free.
  • Page 38 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Activating/deactivating function management • Press manually the enable control (1) on the lateral caregiver unit or, with the top of the foot, actuate control (2*), or (3*). • The control pendant or control unit on a flexible arm indicator (A) is alight, the electrical function management is...
  • Page 39 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Locking out electrical functions • Activate function management. • Press the symbol representing the function to be locked out on the caregiver’s side control panel. • The indicator of the corresponding function will then be lit to indicate that the function is locked out (4).

  • Page 40: Sleep Surface

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Sleep Surface Power-driven HiLow Sleep surface height can be adjusted using the control pendant, the bilateral HiLow pedal, or the control unit on a flexible arm. WARNING: Before using this function, check that no obstacles (e.g., objects, accessories, power cables) or persons (especially children) are under the sleep surface.
  • Page 41 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Control unit on a flexible arm* Raise Lower To adjust the height of the sleep surface: • Press the arrow of the symbol for the movement you require. • Release when the required height is reached. Bilateral HiLow pedal* This pedal is located centrally under the lower bed frame on each side.
  • Page 42 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Low bed position indicator An indicator located on the control pendant and on the control unit on the flexible arm switches off to indicate that the bed is in low position. This position is recommended when the patient is left unattended. WARNING: When raising the bed, make sure that there is enough room above the IV pole, if necessary.
  • Page 43 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Trendelenburg/Reverse Trendelenburg WARNING: Before enabling this function, check that the frame extension is securely locked in one of the notches and that no obstacles (e.g., (e.g. objects, accessories, power cables, tubes) or persons (especially children) are under the sleep surface.

  • Page 44: Reference Mark For Positioning The Patient

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 NOTE: After one minute, the management function is deactivated automatically. Trendelenbug Reverse Trendelenbug Reference mark for positioning the patient Position the patient’s hip opposite the mark on the inner surface of the TotalGuard™* siderail to make sure that the patient is in an optimal and comfortable position on the bed.

  • Page 45: Head Section

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Head section WARNING: Ensure that there are no obstacles (patient's limb, power cable, objects, and accessories) before using the head section features. Failure to do so could result in patient injury or material damage. Head section control Head section adjustment can be activated from the control pendant or the control unit on a flexible arm.

  • Page 46: Thigh Section

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Automatic Contour The automatic contour feature (automatic comfort level positioning) can be activated using the control pendant or the control unit on a flexible arm. The automatic contour feature raises the head section and the adjustable thigh section simultaneously and helps to prevent the patient from sliding down in the bed.

  • Page 47: Foot Section

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Foot section Electric foot section* The foot section of the bed can be electrically raised by using the control pendant or the control unit on a flexible arm. NOTE: The angular range that the foot section can be adjusted to depends on the angle to which the thigh section is adjusted.
  • Page 48 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Manual foot section adjustment* The foot section has a gas-assisted locking system that can be manually adjusted. NOTE: The angular range that the foot section can be adjusted to depends on the angle to which the thigh section is adjusted. To incline the foot section: •...

  • Page 49: Automatic Easychair

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Automatic EasyChair®* The EasyChair® automatic chair position allows the patient to be progressively mobilized, without the need for transfer from the bed. This function is only available to the caregiver. Adjusting to the chair position: •...

  • Page 50: Emergency Functions

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Emergency functions Emergency Trendelenburg* This feature automatically and simultaneously lowers all the articulated sections until they are horizontal, then inclines the sleep surface to an angle of 0° to 16°. WARNING: Before setting in the “Shock” position, it is imperative to lower the siderails.
  • Page 51 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 WARNING: Never allow a non-qualified person to operate this function and check that no obstacles (e.g., objects, accessories, power cables) or persons are under the head section. When activated, the CPR release (resuscitation, heart massage, etc.) uncouples the head section actuator to allow the head section to lower to horizontal from any position.

  • Page 52: Brake And Steer System

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Brake and steer system Using the brake and steer bar WARNING: Always put on the brakes when the bed is occupied, except during patient transport. To make sure the bed will not move, push and pull on the bed to check it after the brakes are engaged.
  • Page 53 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Using the bar in the steering position • without 5 wheel (basic version): The casters turn and only the caster A or B (foot end steering caster) can be steered and does not swivel. The bed can be moved in a straight line.
  • Page 54 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 • with controlled 5th wheel *: When the bed is fitted with a controlled 5th wheel, the steer position on the brake and steer bar remains available. When the brake and steer bar is in the steering position, the 5 wheel automatically switches to the steering position as soon as the bed moves forwards or backwards.
  • Page 55 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Moving the bed WARNING: Failure to perform any of the checks below could result in injury or equipment damage. Before moving the bed, perform the following checks: • If there is a patient in the bed, ensure that the siderails are raised and locked to help prevent the patient from falling.

  • Page 56: Securing The Power Cable

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Moving the bed: • Grip the headboard or frame with both hands. • Raise the brake and steer bar to the “NEUTRAL” position to unlock the brakes. • Push the bed, steering with the headboard. For easy transportation in a straight line: •...

  • Page 57: Equipotential Terminal

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Equipotential terminal SHOCK HAZARD: Failure to connect the equipotential cable may result in corporal injury. When direct intravascular or intracardiac connections are in use, the electric potentials of all the unprotected metal parts need to be equalized.
  • Page 58 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Polypropylene headboard Polypropylene footboard WARNING: Incorrectly installing the headboard in the bed frame may increase the risk of becoming trapped. Failure to follow these recommendations may lead to material damage or injury. NOTE: Position the headboard as shown on the label on the head end cross bar of the bed and the illustration above.
  • Page 59 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Standard headboard and footboard* No special tools or devices are required to remove and replace the standard headboard or footboard. To position a standard endboard: • Hold the endboard by both handles. • Place the studs in the holes in the head or foot of the bed.
  • Page 60 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Wooden endboards* No special tools or devices are required to remove and replace the wooden headboard or footboard. The headboard is equipped with bars. Wooden headboard Wooden footboard To position the endboard: • Hold the headboard or the footboard by the handle and orientate it as shown on the pictures above.

  • Page 61: Sleep Surface

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Sleep surface WARNING: Ensure that hard surfaces are properly positioned and secured after fitting. Failure to do so could result in patient injury or equipment damage. The sleep surface is composed of 4 sections with hard surfaces. Three of them can be removed for easy cleaning.
  • Page 62 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 When required, patient- restraining straps must be tied to the proper handles provided. The sleep surface has four handle positions (seat, thigh and foot section) located on each side of the bed. Thread the straps through the bars.

  • Page 63: Foot End Bed Extension

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Foot End Bed Extension* CAUTION: Ensure that the bed extension is correctly secured when storing or extending it by pulling or pushing. Failure to do so could result in equipment damage. Foot end bed extension with polypropylene endboard* To pull out the extension: •...

  • Page 64: Linen Holder

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Linen holder* WARNING: Do not sit on the linen holder or use it as a step. Failure to do so could result in patient injury or equipment damage. The bed features a linen holder that is built into the foot end. Safe working load: 33.07 lb Linen holder with plastic endboard* To use the linen holder:...

  • Page 65: Battery Backup

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Battery backup* Power indicator A power indicator (A), on the control pendant or the control unit on a flexible arm, indicates when it is ON that the bed is under power (battery or main). It switches OFF when the bed is unplugged or in sleep mode.

  • Page 66: Mobibar® Egress Handle

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 MobiBar® egress handle* A MobiBar® egress handle is located on each side of the bed. It enables mobile patients to get in and out of the bed with greater ease and in safety. WARNING: Before use, it is necessary to store the TotalGuard™* foot siderail support under the sleep...

  • Page 67: Control Unit On A Flexible Arm

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Storage • Grip the egress bar by handle (A) with one hand. • Pull, by the low part (B), the egress handle (1) outwards with the other hand. • While continuing to pull, rotate the egress handle (2) toward the foot of the bed and under the sleep surface, then release.

  • Page 68: Control Pendant

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Change of position WARNING: Two people are required for this operation and the bed must not be occupied. Failure to do so could result in patient injury or equipment damage. To change the position of the flexible arm: •...
  • Page 69 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Positioning CAUTION: Make sure that the control pendant is inside the head section when folding away the TotalGuard™* siderail (See “Storing the foot siderails (Position 2)” page 4-5) or is removed when folding away the metal bar (See “Lowering the long metal siderails (position 1)”...

  • Page 70: Accessory Support Bar

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Unclipping To unclip the control pendant, reverse the installation procedure described in the section "Installation” page 4 - 44. Connecting the control pendant The control pendant can be connected to the right or left of the patient, except if an accessory control unit a flexible arm is fitted on the bed.

  • Page 71: Medical Device Support Rail

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 Medical device support rail* WARNING: Ensure that there can be no obstruction with the base frame and HiLow pedal. As a reminder, any user who attaches a medical device to the support must ensure that the resulting combination and/or system is compatible.
  • Page 72 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 April 2005 NOTES: Page 4 - 48 QD2300(5) - AvantGuard® Electric bed User Manual...

  • Page 73: Chapter 5: Cleaning, Maintenance, And Spare Parts

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Chapter 5 Cleaning, maintenance, and spare parts Cleaning WARNING: Follow the cleaning product manufacturer’s instructions. Failure to do so could result in patient injury or equipment damage. SHOCK HAZARD: Unplug the bed from the mains power supply. Patient injury or equipment damage could result.

  • Page 74: General Advice

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Ensure that all connections on the control units are firmly in place (control pendant and control unit on a flexible arm on the lateral caregiver unit). Never pour water on the bed, use a high-pressure hose, or wash in a tunnel wash.

  • Page 75: Steam Cleaning

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Steam Cleaning CAUTION: Do not use any steam cleaning device on the bed. Excessive moisture can damage mechanisms in this bed. Cleaning tough stains To remove tough stains, use standard household cleaners and a soft bristle brush.
  • Page 76 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 • Let product dry according to disinfectant manufacturer's recommendations to ensure maximum efficiency. • Rinse if necessary: follow the recommendations of the disinfectant supplier. • Change wipes when cleaning the least contaminated areas to areas of medium or to highly contaminated areas.
  • Page 77 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Disinfection Record A disinfection record should be kept for each bed, mentioning: • Date (month, year), ward and room number, bed reference number. • Cleaning frequency, materials and products used. Removal of the Foot TotalGuard™ Siderail NOTE: The foot part of the siderail is removable in order to permit thorough disinfection.
  • Page 78 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Foot Siderail Assembly • Place the foot end of the foot siderail on the positioning lug of the head siderail (A). • Align the foot siderail in front of the head siderail socket (B) and push until an audible click is heard.
  • Page 79 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Installation of the cover • Place the small wings of the cover in the spaces (A). • Rotate (1) the cover around the pivot. • Place the clips on the pivot (B) and push (2) to bottom until it locks in place.

  • Page 80: Maintenance

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Maintenance Safety Recommendations WARNING: Only facility-authorized personnel should perform maintenance. Failure to observe this precaution could result in patient injury or equipment damage. Before any maintenance or repair work, carry out the following operations in the order presented: •...
  • Page 81 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 The following points should be given particular attention: • braking system and wheels • Siderail locking mechanisms and foot siderail supports • Drive systems (especially actuators, etc.), electrical function management and lockouts (head and thigh sections, Trendelenburg/ReverseTrendelenburg), and their accessories •...
  • Page 82 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 NOTES: Page 5 - 10 QD2300(5) - AvantGuard® Electric Bed User Manual...

  • Page 83: Chapter 6: Accessories

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Chapter 6 Accessories Accessories CAUTION: The accessories shown are not designed to be used all at the same time. Some combinations can interfere with certain functions. Combining accessories could result in equipment damage. Some accessories are specific to certain versions and must not be installed on other versions.

  • Page 84: Patient Helpers

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Patient Helpers This accessory must only be fitted at the head of the bed. Fixed patient helper (AD080B) Safe Working Load: 75 kg (165.35 lb) WARNING: Do not position the patient helper at the outside of the bed. See incorrect position shown below.
  • Page 85 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Patient Helper Positioning WARNING: The patient helper in the patient transfer position is designed to help the patient lift some of his/her weight so as to assist the nursing staff with their work. This position is not designed to allow patients to transfer themselves alone.
  • Page 86 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Patient helper handle WARNING: The patient helper handle must be positioned between lugs A and B to avoid any danger of slippage. Failure to do so could result in patient injury or equipment damage. The patient handle on the patient helper can be adjusted according to the patient’s preference.

  • Page 87: Telescopic I.v. Pole

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Telescopic I.V. pole CAUTION: Ensure that the I.V. pole is positioned facing towards the bed and not outwards as shown in the following illustrations. Safe working load: Refer to the value indicated on the I.V. pole Using the I.V.

  • Page 88: Monitor Stand (Ad128A)

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Using the I.V. pole (AD165A) To raise or lower the I.V. pole: • Loosen the threaded knob (A), while holding the lower pole to prevent it from lifting out of the accessory socket. •...

  • Page 89: Oxygen Cylinder Holder (Ac959A-Ad101A-Ad102A)

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 To fit a monitor stand: • Unscrew the two knobs from the frame. • Fit both ends of the frame into the sockets at the same time. • Fit the knobs through the under side of the socket and tighten. •...

  • Page 90: Equipotential Cable (Ad968A)

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 WARNING: The following recommendations are designed to prevent any possible incidents so that this accessory can be used in optimum safety conditions for both the patient and nursing staff. • Check that the cylinder is correctly positioned at the base of the cylinder holder.

  • Page 91: Syringe-Driver Holder (Ac963A)

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Syringe-driver holder (AC963A) Safe working load: 15 kg WARNING: Do not position the accessory facing inwards, particularly under the head section when it is raised, so as to prevent any risk of the accessory obstructing the head section or siderail when being handled.

  • Page 92: Mobibar® Egress Handle (Ad177A)

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 MobiBar® egress handle (AD177A) WARNING: This accessory must be fitted by an authorized technician. Failure to do so could result in patient injury or equipment damage. Please refer to the fitting instructions provided with the accessory when fitting the accessory.

  • Page 93: Self-Steering 5Th Wheel (Ad135A)

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Self-steering 5th Wheel (AD135A) WARNING: This accessory must be fitted by an authorized technician. Failure to do so could result in patient injury or equipment damage. Please refer to the fitting instructions provided with the accessory when fitting the accessory.

  • Page 94: Accessory Support Bar (Ad126A)

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Accessory support bar (AD126A) WARNING: The accessory must be fitted by an authorized technician. Failure to do so could result in patient injury or equipment damage. Please refer to the fitting instructions provided with the accessory when fitting the accessory.

  • Page 95: Bilateral Hilow Pedal (Ad171A)

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Bilateral HiLow pedal (AD171A) WARNING: The accessory must be fitted by an authorized technician. Failure to do so could result in patient injury or equipment damage. Please refer to the fitting instructions provided with the accessory when fitting the accessory.

  • Page 96: Long Metal Siderails (Ad178A)

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Long metal siderails (AD178A) WARNING: The accessory must be fitted by an authorized technician. Failure to do so could result in patient injury or equipment damage. Please refer to the fitting instructions provided with the accessory when fitting the accessory.

  • Page 97: Accessory Holder

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Accessory holder AD126A AD127A AD016A AC991A AC932A AC908A AC938A AC961A QD2300(5) - AvantGuard® Electric Bed User Manual Page 6 - 15...
  • Page 98 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 NOTES: Page 6 - 16 QD2300(5) - AvantGuard® Electric Bed User Manual...

  • Page 99: Chapter 7: Shipment, Storage And Usage

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Chapter 7 Shipment, storage and usage Transport, Storage All the necessary precautions must be taken to ensure that the bed and its accessories are shipped and stored in complete safety under optimal conditions. The following conditions must be met.

  • Page 100: Use

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 The bed must be used in the following conditions: temperature between 0° and +104.00°F (+32° and +104°F) Humidity: 20% to 80% at 30°C (86°F) pressure: 700hPa to 1060hPa (0 to 2000m) WARNING: If the bed is equipped with a battery, and the bed is stored for long periods of time, the battery must be charged every 3 months.

  • Page 101: Chapter 8: Safety Tips And Precautions

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Chapter 8 Safety tips and precautions Safety Tips Brake and steer CAUTION: Risk if not locked: The patient may fall if he leans on the bed to get in or out of the bed.

  • Page 102: Integral Siderails

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Trendelenburg/Reverse Trendelenburg and emergency Trendelenburg (required in intensive care units) must only be operated under the supervision of or by trained nursing staff. CAUTION: Sufficiently qualified nursing staff determine the usage condition suitable for this function and degree of supervision to ensure that the patient uses the bed safely.
  • Page 103 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 One measure which has already proved effective is to draw up a protocol (if such a protocol is not already in place) specifying: Situations and conditions for siderail use and authorised mattress type. Situations and conditions for patient immobilization.

  • Page 104: Mattress

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Mattress Only mattresses recommended by Hill-Rom, should be used. In order to reduce the risk of the mattress sliding, it is recommended that the mattress be placed between the raised edges and that it is laid correctly on the sleep surface.

  • Page 105: Electrical Function Management

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Electrical function management The electrical function management controls prevent any unintended bed movements that might cause injury to the patient (for instance when under traction, etc.). It is highly recommended that functional lock out should be used whenever a patient is undergoing examination or treatment or when the bed is being serviced or moved.
  • Page 106 PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 SHOCK HAZARD: In an environment where the electrostatic discharges are prevalent we recommend using our antistatic casters. All power connections must comply with standards as defined in (See “Connection to the Mains Power Supply” page 3-2). In compliance with standards relating to electromagnetic interference for medical equipment, this product does not interfere with other medical devices or is not susceptible to interference when combined...

  • Page 107: Abnormal Use

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Abnormal use CAUTION: Abnormal use may result in damage to the bed and injury to patients or staff. Examples of abnormal use: • Use of the bed for any purpose other than for general or intensive care.

  • Page 108: De-Commissioning

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 • Use of oxygen tent type respiration devices or devices that extend below the sleep surface. • Use of the bed in the presence of flammable gas or vapours. • Use at unauthorized temperatures (not between 0°C and 40°C). •...

  • Page 109: Chapter 9: Specifications And Warranty

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Chapter 9 Specifications and warranty Specifications Hill-Rom has an ongoing continuous improvement policy. Therefore specifications are liable to be altered without notice. Technical specifications Type AvantGuard® LI158Bx/Model 1200 Reference Class according to IEC 60601-1 Type B Protection against harmful ingress of IPX4...

  • Page 110: Dimensions

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Dimensions 1000 mm Min. TotalGuard™ siderail width (with siderails up) (e) 1060 mm Max. TotalGuard™ siderails width (with siderails up) (e) TotalGuard™ siderails width (with siderails down) (e) 970 mm Long metal Siderails width (e) 996 mm Bed width (with polypropylene endboards) (E) 990 mm...

  • Page 111: Specifications

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Specifications Maximum Head Thigh Foot Reverse Trendelenburg inclination with section section section respect to Trendelenburg horizontal + 65 ° + 36 ° - 23 ° +16 °/-16 ° NOTE : These are average values, which may vary according to manufacturing tolerances.

  • Page 112: Warranty And After Sales Service Conditions

    PROPRIETARY AND CONFIDENTIAL DRAFT: 21 avril 2005 Warranty and after sales service conditions The warranty for our beds will be rendered null and void, in part or in total, in the event of: • Unauthorized interference with or incorrect maintenance of: •...

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