Contents 1. Introduction Introduction Thank you for purchasing a Sidhil Independence Innov8 Low Bed. This user manual should be read 1.1 Features carefully before operating the bed. Please ensure that you understand all instructions, if you have 1.2 Warning and Cautions any questions concerning the operation or maintenance of the bed please contact Sidhil Ltd. Clinical Use 2.1 Typical Use 1.1 Features 2.2 Risk Assessment 2.3 Bed Load • Electrically operated backrest, height and knee break angle 2.4 General Warning • Auto regressing backrest Symbol Definition • Infinitely variable electrically operated head and foot down tilt (Trendelenburg & reverse Trendelenburg) Installation • Auto contour – simultaneous adjustment of the backrest and knee-break Manual Operation of the Bed • Auto cardiac chair position 5.1 General Safety • Battery backup 5.2...
2. Clinical Use 2.1 Typical Use 2.4 General Warning Warning The Innov8 bed range covers every need from a utility ward bed to high dependency, where patients whose clinical requirements and situation of care require positioning with minimal handling. • Misused electrical equipment can be hazardous. • Accessories that have not been approved or designed for use with the bed At the carer’s discretion patients can use the controls to adjust the bed to their preferred position should not be used. (within patient control range 42cm to 71cm). The carer may fully lower and raise the bed using • Electrically operated beds should not be used in the presence of flammable the carer handset, however when travelling below patient control range (when mattress platform gasses. is lower than 42cm) the bed will reduce speed and a short audible warning alarm will sound (see • Electrically operated beds should not be used in operating theatres. • Ensure cables are kept away from moving parts of the bed to avoid damage to the page 17). bed and/or cabling. 2.2 Risk Assessment Caution Ensure cables are kept away from moving parts of the bed, to avoid damage to the Before a patient uses the bed a risk assessment must be performed on a patient by patient basis. bed and /or cabling. The risk assessment should include, but is not limited to: • Entrapment • Falling out of the bed • Small children (and adults) • Patients with learning difficulties • Unauthorised people • Items/equipment/cables under the bed Warning Bed functions must be locked out if there is any doubt about the ability of the patient to operate the bed safely.
3. Symbol Definition 4. Installation The following symbols are found on the bed: Prior to operating the bed for the first time the following simple checks must be performed: • Ensure the bed and all accessories are at room temperature. • Ensure the bed has been cleaned and disinfected (page 26). • Connect the mains cable to an appropriate mains socket outlet. Warning • Using the nurse control panel, raise the mattress platform to its maximum height to ensure the bed is level (page 19). If the electrical functions are not active it will be for one of two reasons: Refer to User Guide 1. Functions have been locked out on the nurse control panel, see page 19 for activation. 2. The electrical system needs initialising, see procedure on page 28. Safe Working Load Warning • Ensure the orange coiled mains cable is not in tension when connected to the mains supply. • Ensure that cables and handsets are clear of all moving parts to prevent damage Maximum User Weight to the electrical components. Caution Special care should be taken when fitting an air mattress to the bed as incorrect fitting could damage the bed. Place of Manufacture W.E.E.E Label (Do not discard in general waste, follow local recycling policy)
To activate the brake, simply press down on the brake bar with your foot in a downward fashion. • Ensure the bed is positioned an appropriate distance from walls/other furniture to prevent This will lock the castors and prevent the bed from moving. damage or patient injury when operating the bed (particularly when operating in tilt). • Ensure the electrical cables are not in tension. To release the brakes, raise the bar back up to a horizontal position, by hooking your foot under the • Ensure that any mattresses used are of the correct size and type and have been fitted correctly. bar and applying an upward force. This will allow the castors to swivel freely. A range of suitable pressure relieving and pressure reducing mattresses are available from Sidhil Ltd. To move the pedal into steer or ‘tracking’ position, lift the pedal upwards past the horizontal, by • Ensure the mattress fitted is used with the correct side rail (see page 10 for more information). hooking your foot under the bar, applying an upward force. Two castors will lock in a specific • Before operating the bed ensure the patient is positioned appropriately. ‘tracking’ position allowing the bed to be steered more easily. • When a patient is left unattended the carer must determine whether the bed should be set to the minimum height of a standard Innov8 bed (42cm - as low as the patient handset will allow) or lowered to minimum height using the nurse control panel (22.5cm). Note: If the bed is lowered to ultra low height using the nurse control panel the patient will be able to raise the bed, but will not be able to lower the bed back down below 42cm using the patient handset.
5.3.1 Mattress Thicknesses Standard, 3 bar, cantilever side rail 158mm maximum mattress thickness High, 4 bar, cantilever side rail 270mm maximum mattress thickness Warning • If the bed is to be pushed up/down a slope Sidhil advise that two people move the bed, with one person at each end. • If the bed is to be pushed with a heavy load it should be assessed whether or not two people should move the bed, this is dependent on the situation and load on the bed. If an overlay air mattress is used it may be necessary to use a thinner foam mattress for the combined height to maintain the 270mm dimension. Refer to MHRA Device Bulletin DB2006 (06) ‘Safe use of bed rails’. Side rails pose a potential entrapment hazard, please refer to side rail safety notice,...
Warning 5.3.2 Operating the Side Rails • Side rails must only be used with a mattress of the correct size and type that is To lower: approved for use with the Innov8 Low bed. Hold the top rail and pull out the release plunger. Gently lower the side rail towards the foot end of • Ensure the side rails are locked in place at all times when in the raised position. the bed. • A risk assessment should be carried out to consider the age, condition and size of the patient to assess the suitability of side rails. To raise: • Side rails are not designed to act as restraints for patients. Hold the top rail and lift the side rail until it locks into the vertical position. • Side rails are not designed to be used as a patient lifting aid. Caution Do not use the side rails to move the bed. Warning • Ensure the side rail release plunger is fully engaged when the side rails are in the raised position. • When operating the side rails ensure they are free from obstructions, to prevent injury/entrapment. Caution When lowering do not drop the rail, damage could be caused.
5.4 Bed Extension To retract the bed extension: • Push in the leg extension until it re-engages with the catch. The bed comes with an integral bed extension which allows the bed to be adjusted in length, according to the patients needs. • Pull out the spring loaded plunger located on the side of the bed near the foot end (see page 13), whilst holding out rotate by a quarter turn (the plunger should stay out). Repeat for the plunger on the opposite side of the bed. To extend the bed extension: • Push the mattress platform extension fully in. • Rotate the spring loaded plungers until they lock back into position. • If the bed is in tilt the platform must be levelled first (see page 21). • Pull out the spring loaded plunger located on the side of the bed near the foot end, whilst holding out rotate by a quarter turn (the plunger should stay out). Repeat for the plunger on the opposite side of the bed. Warning • Pull out the mattress platform extension to its maximum extent. • Never pull the leg extension out without the mattress platform extension pulled out. • Rotate the spring loaded plungers until they lock back into position. • Always fit a mattress extension block when the platform is extended. • Always ensure the extension is locked in position, both in the extended & retracted state. • Pull out the leg extension to its maximum extent.
5.5 Emergency CPR Function - Manual 5.6 Bed Ends The backrest can be levelled using the manual CPR handles located on both sides of the bed. The bed has plastic end panels which are easily removable, allowing for fast patient access. To flatten the backrest in an emergency, pull one of the red handles outwards; the backrest will To remove, hold the panel with both hands and lift squarely. now drop into a flattened state. Note: The platform will not level itself or change height when the manual handles are pulled, this function is only available with the electrical CPR function. Warning The backrest may fall quickly, ensure that limbs and equipment are clear.
6. Electrical Operation of the Bed 6.1 Nurse Control Panel 6.1.1 Nurse Control Panel Features Backrest Auto contour Tilt Function buttons Platform Knee Cardiac chair height break The nurse control panel (NCP) controls all bed functionality; it is to be used only by the carer. The NCP is designed to be stored at the footend of the bed by clipping it over the bed end panel. The NCP enables the carer to fully operate and position the bed according to the patients needs (including lowering to ultra low height); for safety reasons it is imperative that the operating instructions in this booklet are fully read and understood before the Innov8 Low Bed is used. Direction buttons When lowering the bed from maximum height the bed will travel at full speed until it reaches 42cm, at which point it will slow and a short warning alarm will sound to alert the carer that the bed is now travelling lower than a standard bed. Function lock button Warning Ensure limbs and equipment are not overhanging/below the mattress platform CPR button before lowering. Caution Ensure bed is on a level surface, and that equipment and objects are clear of the base before lowering.
6.1.2 Operating the Nurse Control Panel Knee Break: The knee break button on the NCP allows adjustment of the thigh section angle. Green Light = To activate a function, press the desired function button. A Function Active green light will illuminate at the top of the function button, this indicates the function is now active. Once the function button is active hold down one of the Adjusting the height of the foot section requires a manual operation: direction keys, until the required position is reached. • Using the NCP, adjust the thigh section to maximum angle. • Lift the leg section. • Lift the leg stay bar. Note: The function will stay active for 5 seconds. If after 5 seconds a direction button has not been • Position the leg stay into the channel under the leg section. pressed the function will de-activate and the green light will extinguish.
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Tilt: Electrical CPR: Head down tilt (Trendelenburg) and foot down tilt can be applied using the NCP. Pressing the CPR button automatically levels, flattens and lowers the platform, once the platform is at minimum patient operating height (42cm) it then drives up to When in tilt, in order to level the bed the opposite direction button should be maximum height. Regardless of position the backrest always lowers first (if raised), pressed and held until the bed stops, the platform will now be level (Note: It may be so that it is flat in the quickest possible time. necessary to re-activate the tilt function). Note: pressing the CPR function overrides all locked out To continue tilting the bed in the opposite direction, re-press the same direction functions. button again and hold until the desired angle is reached. Warning Caution The mechanical CPR function will flatten the backrest quicker than the electrical CPR, but will not level the knee break or lower the platform. When the bed is put into head down tilt there must be sufficient space behind the bed to ensure the head board and/or any ancillary equipment cannot clash with the wall. Mains Power Indicator: The NCP has a mains power light in the top left corner. If it is not illuminated amber, the bed is either unplugged or has a fault (see page 28).
6.2 Patient Handset 6.3 Night Pack (Optional Accessory) The patient handset is designed to give limited control to the patient. It allows control of the Along with the functions of the standard patient handset, the night pack handset is backlit and backrest, knee break and mattress platform height. controls an under bed light. The mattress platform height may only be adjusted between 42cm and 70cm using the patient When any button on the handset is pressed all functions are illuminated, and remain illuminated handset, to reduce the chance of entrapment when the patient is unsupervised. If the bed is to be whilst the handset is in use, or for 10 seconds if inactive. lowered below minimum patient operating area it must be done so by the carer, using the NCP. When the under bed light button is pressed it operates a light on both sides of the platform, The patient may raise the bed out of ultra low position (below 42cm) if required, however the providing a small pool of light either side of the bed. handset will not allow them to re-lower the bed below minimum patient operating height (42cm). The patient handset allows control of: Backrest angle Platform height (Patient operating zone: 42cm to 71cm). Auto contour (backrest and knee break profiled together) Note: If functions have been locked out on the nurse control panel the same functions will be locked out on the patient handset.
Note: If any of the 3 stages stated above (detergent, rinse down & chlorine solution) are omitted or combined it will reduce the effectiveness of the clean. In cases of blood spills or other bodily fluids it is recommended that a chlorine solution of 10,000 parts per million (1%) is used instead. Note: The use of neat bleach or similar surface cleaners are not recommended as damage may be caused to the cleaned surfaces. Alternatively: Sidhil recommend the use of Chlor-clean tablets. Follow the manufacturer’s instructions for concentration guidelines and instructions for use. Refer to the Sidhil infection control policy, copies are available from Sidhil Ltd. Contact details can be found on the back of this booklet.
8. Maintenance Only authorised service personnel or Sidhil service engineers should carry out repairs or service 8.1 Fault Finding activities. Failure to do so may result in the manufacturer’s warranty becoming void. The bed must be serviced at least once yearly, as a minimum. Sidhil also recommends the carer performs Listed below are a set of electrical faults that may occur within the service life of the bed. If a fault frequent visual and operational inspections. If there are any signs of damage, or if the bed is not does occur please try the following suggestions, as these may help in diagnosing the fault. performing as it should withdraw it from service until repaired and determined ‘fit for use’. Fault Possible Cause Remedy Periodically check to ensure that: Electrical function(s) Functions locked out on NCP Unlock function(s) - The bed operates as per its intended purpose. do not work Mains lead not plugged into the Check to see if the mains power - All parts are present and free from damage. control box or wall and batteries flat indicator on the NCP is lit and the - All fixtures and fittings are tight. mains lead is plugged in at both ends - The frame is mechanically sound, no signs of cracked paint.
9. Specification 9.1 Bed Data 8.3 General Maintenance Sidhil recommend that the following maintenance procedure is performed every 12 months. Overall length 2180mm Integral length extension 200mm Warning Overall width 1020mm Always disconnect the bed from the main power supply prior to performing any maintenance procedures. Mattress platform height 225mm – 710mm (100mm double castors) Under bed clearance 120mm (platform at 400mm) • Check that all electrical functions operate correctly on both handsets. • Check all parts are present. Mattress platform length 2000mm • The frame is mechanically sound, with no sign of cracked paint. • All welds are present and show no cracks or signs of failure. Mattress platform width 900mm • Check that all electrical cables are in good condition. • Check the electrical component housings are not cracked/damaged. Head down tilt 0 - 12° • Check that the bed works correctly when run off battery back up. • Check that the mains cable and plug are in good condition, if either is damaged it must be Foot down tilt 0 - 12°...
10. Accessories 9.2 Electrical Data A full range of accessories, including mattresses, are available from Sidhil Ltd. Lifting pole INNOV8/LP Voltage in 230V, 50/60Hz. IV pole INNOV8/DP Current in 2A max. Traction – balkan beam INNOV8/TBB Voltage out Traction – foot end INNOV8/TFE Current out 8A max. Cantilever side rails (standard) INNOV8/LOW/SR Duty rating Cantilever side rails (high) INNOV8/LOW/HSR max 2/18min. (at I out = 3,8A) Night pack INNOV8/LOW/NP Mattresses Various* Safety standards BS EN 60601-1: 2006 BS EN 60601-2-52: 2010 * For further information regarding suitable mattresses please contact Sidhil customer services. Contact details can be found on the back of this booklet. Electrical shock protection Class I, Type B EMC BS EN 60601-1-2:2002...
11. Warranty Sidhil Ltd guarantees this product is free from defects in material and workmanship under normal use for 3 years (1 year full parts and labour, 2 further years parts only) from the date of purchase from Sidhil Ltd and its subsidiary companies or its authorised dealers. All implied warranties, including but not limited to those implied warranties of fitness and merchantability, are limited in the total duration of one year from date of purchase. Proof of purchase must be presented with any claim. Except as provided herein, Sidhil Ltd, product warranty does not cover damage caused by misuse or abuse, accident, the attachment of any unauthorised accessory, alteration to the product, or any other conditions whatsoever that are beyond the control of Sidhil Ltd. Sidhil Ltd and its subsidiary companies shall have no liability or responsibility to customer or any other person or entity with respect to any liability, loss or damage caused direct or indirectly by use or performance of the product or arising out of any breach of this warranty, including but not limited to any damages resulting from inconvenience, loss of time, property, revenue, or profit or any indirect, special, incidental or consequential damages, even if Sidhil Ltd or their subsidiary companies or authorised dealers has been advised of the possibility of such damages. In the event of a product defect during the warranty period you should contact Sidhil Ltd or their authorised dealer who will at its option unless otherwise provided by law; a) correct the defect by product repair without charge for parts and labour b) replace the product with one of the same or similar design or c) refund the purchase price. All replaced parts and products on which refund is made become the property of Sidhil Ltd. New or reconditioned parts and products may be used in the performance of warranty service. Repaired or replaced parts and products are warranted for the remainder of the original warranty period. You will be charged for repair or replacement of the product made after the expiration of the warranty period. This warranty does not cover; a) damage or failure by or attributes to acts of God, abuse, accident, misuse, improper or abnormal usage, failure to follow instructions, improper installation or maintenance, alterations, lightning or other incidence of excess voltage or current, b) any repairs other than those provided by a Sidhil Ltd authorised technician, c) consumables such as fuses, d) cosmetic damage, e) transportation, shipping or insurance costs or f) costs of product removal, installation setup service adjustment or re-installation. This limited 3 year warranty gives you specific legal rights and you may also have other rights. Sidhil Ltd cannot be held responsible for any injury or incident which relates to the use of the Innov8 Bed range in conjunction with accessories manufactured by companies other than Sidhil Ltd. All products carry the CE mark in accordance with EC Directive on Medical Devices (93/42/EEC). Sidhil has a policy of continual product improvement and reserves the right to amend specifications covered in this brochure. No part of this brochure may be reproduced without the written approval of Sidhil Ltd.
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CONTACT INFORMATION Tel: 01422 233000 Fax: 01422 233010 Email: sales@sidhil.com www.sidhil.com Sidhil Business Park, Holmfield, Halifax, HX2 9TN A member of the Siddall & Hilton Ltd. Group of Companies (93/42/EEC) Certificate No. FM14550 INSTRUC/INNOV8/LOW - rev8 - 08/01/13...
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