Instructions for Use
48 Pages
Preview
Page 1
Centuris™ Bed System Instructions for Use Product No. P750
REVISION © 2021 by Hill-Rom Services PTE. Ltd. ALL RIGHTS RESERVED PATENTS / PATENT hillrom.com/patents May be covered by one or more patents. See the Internet address above. The Hillrom companies are the proprietors of European, US, and other patents and pending patent applications. Legal Manufacturer: HILL-ROM SERVICES PRIVATE LIMITED 1 YISHUN AVE 7 SINGAPORE 768923 Authorized European Union Representative and EU Importer: HILL-ROM SAS B.P. 14 - Z.I. DU TALHOUËT 56330 PLUVIGNER FRANCE TEL: +33 (0)2 97 50 92 12
Authorized Production Facilities: HILL-ROM DE MEXICO S. DE R. L. DE C.V. AVENIDA DEL TELEFONO NO. 200 HUINALA NUEVO LEON C.P. 66640 APODACA MEXICO
No part of this text shall be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information or retrieval system without written permission from Hill-Rom Services, Inc. (Hill-Rom). The information in this manual is confidential and may not be disclosed to third parties without the prior written consent of Hillrom. The information contained in this manual is subject to change without notice. Hillrom makes no commitment to update or keep current, the information contained in this manual. Hillrom reserves the right to make changes without notice in design, specifications, and models. The only warranty Hillrom makes is the express written warranty extended on the sale or rental of its products. Notice to Users and/or Patients-Any serious incident that has occurred in relation to this device should be reported to the manufacturer and the competent authority of the Member State in which the user and/or patient is established. This manual (179643) was originally released and supplied in English. For a list of available translations, contact Hillrom Technical Support. Product images and labels are for illustrative purposes only. Actual product and label may vary. Eighth Edition, 2021-09 First Printing, 2013 Auto Contour™ and Hillrom™ are trademarks of Hill-Rom Services, Inc. Centuris™ is a trademark of Hill-Rom Services PTE Ltd. Dispatch® is a registered trademark of The Clorox Company. Hillrom™ is a trademark of Hill-Rom Services, Inc. Viraguard® is a registered trademark of Veridien Corporation. Virex® is a registered trademark of Diversey, Inc. Velcro® is a registered trademark of Velcro Industries, BVBA. Centuris™ Bed System Instructions for Use (179643 REV 8)
i
Replace this manual (179643) if it is damaged and/or can not be read. For product support or to order additional copies of this manual (179643), contact your distributor, local Hillrom representative, or go to hillrom.com. Reference Documents Centuris™ Bed Service Manual (179644) Centuris™ Bed Unpacking Instructions (182515)
ii
Centuris™ Bed System Instructions for Use (179643 REV 8)
Table of Contents Revision... i Intended Use... 1 - 1 Intended Patient Population... 1 - 1 Intended Users... 1 - 1 Introduction... 1 - 1 Symbols... 1 - 2 Document Symbols... 1 - 2 Product Symbols... 1 - 2 Safety Information... 1 - 6 Bed... 1 - 6 Siderails... 1 - 7 Patient Restraints... 1 - 7 Brakes... 1 - 7 Electrical Safety... 1 - 8 Emergency CPR... 1 - 8 Battery Backup... 1 - 8 Mattresses... 1 - 8 Transport... 1 - 9 Features... 1 - 10 Caregiver Controls... 1 - 11 Use the Emergency CPR Handle... 1 - 11 Raise and Lower the Siderails... 1 - 12 Raise a Siderail... 1 - 12 Lower a Siderail... 1 - 12 Caregiver Siderail Controls... 1 - 13 Raise and Lower the Head Section... 1 - 13 Raise and Lower the Knee Section... 1 - 14 Raise and Lower the Bed... 1 - 14 Put the Bed into Trendelenburg or Reverse Trendelenburg... 1 - 14 Lockout Controls... 1 - 15 Pendant Controls... 1 - 15 Lockout Pendant Controls... 1 - 16
Centuris™ Bed System Instructions for Use (179643 REV 8)
iii
Table of Contents
Patient Controls... 1 - 17 Frame Features... 1 - 18 Equipment Sockets... 1 - 18 Bed End Panels (Headboard and Footboard)... 1 - 18 Bumpers... 1 - 18 Drainage Bag Holders... 1 - 19 Brake And Steer... 1 - 19 Foot-End Brake and Steer... 1 - 19 Individual Brake and Steer... 1 - 19 Patient Restraint Straps... 1 - 20 Foot Extension... 1 - 20 Battery Backup... 1 - 20 Battery Disposal... 1 - 22 Mattress... 1 - 22 Mattress Retainers... 1 - 23 Power Cord Management... 1 - 23 Adjustable Foot Panel... 1 - 24 Accessories... 1 - 25 Removable IV Pole... 1 - 25 Removable IV Pole (P1445A)... 1 - 25 Removable IV Pole (P145920-Offset Style)... 1 - 26 Oxygen Tank Holder (P145910)... 1 - 26 Patient Helper (P145911)... 1 - 27 Traction Frame (P145912)... 1 - 27 Cleaning and Disinfecting... 1 - 28 Recommendations... 1 - 28 Cleaning and Disinfection... 1 - 29 Prepare the Bed for Cleaning and Disinfecting... 1 - 29 STEP 1: Cleaning... 1 - 29 STEP 2: Disinfection... 1 - 30 Prepare the Bed for Use... 1 - 30 Laundry Guidelines... 1 - 30 Maintenance... 1 - 30 Parts and Accessories... 1 - 31
iv
Centuris™ Bed System Instructions for Use (179643 REV 8)
Table of Contents
Decommissioning and Disposal Instructions... 1 - 31 Expected Life... 1 - 32 Troubleshooting... 1 - 32 Technical Specifications... 1 - 33 Electromagnetic Compatibility... 1 - 35
Centuris™ Bed System Instructions for Use (179643 REV 8)
v
Table of Contents
NOTES:
vi
Centuris™ Bed System Instructions for Use (179643 REV 8)
Intended Use
INTENDED USE The Centuris™ Bed System is intended for use in healthcare environments such as acute care and critical care. Bed safe working load-204 kg maximum, this includes patient weight, mattress, IV pumps, poles, bags, and other equipment.
INTENDED PATIENT POPULATION WARNING: Warning-Using the product outside of the recommended patient physical characteristics may cause patient injury, death, or equipment damage. The intended patient population of this product are adult patients that meet all of these physical characteristics: •
Patient height-146 cm to 188 cm
•
Patient weight-up to 169 kg
INTENDED USERS The intended users of this product are healthcare employees who have been trained to use the product, and who have the physical strength and cognitive skills to operate and control the product. There are some controls and features on the bed intended for use by the patients and family members after they receive use instructions from the caregiver. Follow facility safety protocols if an intended user does not have the physical strength or cognitive skills to operate and control the product safely.
INTRODUCTION This manual provides instructions for normal operation of the Centuris™ Bed System. Before operating the bed, be sure that you have read and understood in detail the contents of this manual. It is important that you read and obey the aspects of safety that are in this manual. Any reference to a side of the bed is from the patient’s view lying in the bed on his or her back.
Centuris™ Bed System Instructions for Use (179643 REV 8)
1
Symbols
SYMBOLS DOCUMENT SYMBOLS This manual uses different typefaces and symbols to make the content easier to read and understand: •
Standard text-used for regular data.
•
Boldface text-emphasizes a word or phrase.
•
NOTE:-sets apart special data or important instruction clarification.
•
WARNING, RELATIVE CONTRAINDICATION, or CAUTION
–
A WARNING identifies situations or actions that may have an effect on patient or user safety. To ignore a warning could cause patient or user injury.
–
A RELATIVE CONTRAINDICATION identifies situations or actions that may have an effect on patient safety.
–
A CAUTION identifies special procedures or precautions that persons must obey to help prevent equipment damage.
PRODUCT SYMBOLS These symbols may or may not be on your version of the Centuris™ Bed System Symbol
Description Type B equipment in accordance with EN 60601-1.
IPX4
In accordance with IEC 60529, rating for protection against fluid ingress and identified as equipment that is protected against unpressurized spraying and splashing water.
IPX5
In accordance with IEC 60529, rating for protection of water projected by a nozzle (6.3 mm) against enclosure from any direction shall have no harmful effects. (For Battery Box)
IPX6
In accordance with IEC 60529, rating for protection of water projected by powerful jets (12.5 mm nozzle) against enclosure from any direction shall have no harmful effects. (For Hand-held Pendant) Conforms to the European Union Medical Device Regulation (EU) 2017/745. The CE mark was first applied in 2013.
2
Centuris™ Bed System Instructions for Use (179643 REV 8)
Symbols
Symbol
Description Do Not Use with Oxygen Tents-use oxygen administering equipment of the nasal, mask, or ventilator type only.
~
Alternating current
Safe working load-for the bed and accessories
Total bed weight including the safe working load
Maximum patient weight
Duty cycle
Dangerous voltage
Fuse
Protective earth (ground)
Centuris™ Bed System Instructions for Use (179643 REV 8)
3
Symbols
Symbol
Description Environmental Protection: Waste electrical products should not be disposed of with household waste. Please recycle where facilities exist. Check with your Local Authority or a retailer for recycling advice.
(Applicable on the backup battery) Batteries should not be disposed of with household waste. Please recycle where facilities exist. Check with your Local Authority or a retailer for recycling advice.
Authorized Representative in the European Community
Catalog number
Serial number
Medical Device
Date of manufacture
YYYY-MM
Manufacturer and date of manufacture
YYYY-MM-DD
Manufacturer and date of manufacture (available only on some units)
YYYY-MM
Consult accompanying documents.
4
Centuris™ Bed System Instructions for Use (179643 REV 8)
Symbols
Symbol
Description Indicates handle for lowering the backrest in an emergency to do cardiopulmonary resuscitation (CPR).
Indicates Neutral and Brake position of the brake/steer pedal (individual brake caster beds only).
Indicates Neutral/Brake/Steer position of the brake steer pedal (foot end brake/steer beds only).
Do not sit or stand on the foot extension.
Mattress compatibility-must consult accompanying document.
Pinch point-between the upper and lower frames.
Pinch point-between the footboard/headboard and the sleep deck.
Physical description of an adult
Centuris™ Bed System Instructions for Use (179643 REV 8)
5
Safety Information
SAFETY INFORMATION BED WARNING: Obey all warnings throughout the manual and also those below to help prevent injury and/or equipment damage: •
Warning-Make sure the bed is connected to AC power and works correctly before you put a new patient on the bed.
•
Warning-Do not operate the bed in the presence of flammable gas or vapors.
•
Warning-Use oxygen administering equipment of the nasal, mask, or ventilator type only. Do not use the bed with oxygen tents or in oxygen rich environments.
•
Warning-It is recommended that the unit be in the low position (with the side rails latched) when the patient is unattended. This may reduce the severity of any resultant injuries from patient falls.
•
Warning-When a patient’s condition (such as disorientation due to medication or clinical condition) could lead to patient entrapment, the sleep deck should be left in the flat and lowest position while unattended (except when required otherwise by medical staff for special or particular circumstances).
•
Warning-Before putting the bed in the Trendelenburg or Reverse Trendelenburg position, make sure the end of the bed is at least 15 cm from the wall when fully raised and that the area under the bed is free from obstructions.
•
Warning-Make sure hands, arms, legs, and feet are not under the bed or between sleep deck sections as they move.
•
Warning-When you change bed positions, make sure that hands, feet, and equipment are away from the frame assemblies.
•
Warning-Make sure you position tubes, lines, and linens away from moving parts. Failure to do so could cause patient injury.
•
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.
•
Warning-Using the lockout system can significantly reduce potential for unintentional movement. If a patient’s condition is such that injury could result from unintentional movement, use the lockout system.
•
Warning-Make sure there is sufficient distance between the bed and the power outlet to unplug the bed.
•
Warning-When you put cables from other equipment on the bed, use caution to avoid pinching the cables between moving parts of the bed.
•
Warning-The Centuris™ Bed System is MR Unsafe. Do not expose the bed to any magnetic resonance (MR) environment. NOTES:
6
•
The bed may present a risk of projectile injury due to the presence of ferromagnetic materials that can be attracted by the MR magnet core.
•
The bed may not function properly due to the strong magnetic and radio frequency fields generated by the MR equipment.
Centuris™ Bed System Instructions for Use (179643 REV 8)
Safety Information
SIDERAILS WARNING: To help prevent patient injury and/or damage to the equipment, obey these warnings: •
Warning-Evaluate patients for entrapment risk according to facility protocol, and monitor patients appropriately. Make sure that all siderails are fully latched when in the raised position.
NOTE: Siderails are intended to be a reminder to the patient of the unit’s edges, not a patient-restraining device. When appropriate, Hillrom recommends that medical persons determine the correct methods necessary to make sure that the patient remains safely in bed. •
Warning-Use of a mattress overlay or thicker mattress reduces the effective height of the siderails above the sleep surface. Evaluate the patient for the risk of falls, and take appropriate measures.
To make sure the siderails are latched, give the siderails a gentle push in a downward direction.
PATIENT RESTRAINTS WARNING: Warning-Patient restraints are not intended as substitutes for good nursing practices. Physical restraints, even correctly installed, can cause entanglement, physical injury, and death, particularly with agitated and disoriented patients. Monitor patients when using physical restraints in accordance with legal requirements and facility protocol. 1. Develop guidelines for all patients to determine: •
Which patients may need to be restrained and the appropriate restraint to use.
•
The correct method to monitor a patient, whether restrained or not, include the time interval, visual check of restraint, and such.
2. Develop training programs for all caregivers in regard to the correct use and application of restraints. 3. Keep the bed at its lowest position whenever a caregiver is not in the room. 4. Clarify the need for restraint devices to families or guardians. 5. Use only the locations on the sleep deck (eight total) to attach the patient restraints to. For restraining devices, consult the restraint manufacturer’s instructions for use to verify the correct application of each restraining device.
BRAKES WARNING: Warning-Except for transporting a patient, always set the brakes when the bed is occupied. Make sure that the brakes are set before you move the patient from the bed. Failure to do so may result in injury or equipment damage. Patients often use the bed for support when getting off the bed and could be injured if the bed unexpectedly moves. After setting the brakes, push and pull the bed siderails to make sure it is secure.
Centuris™ Bed System Instructions for Use (179643 REV 8)
7
Safety Information
ELECTRICAL SAFETY WARNING: To help prevent injury and/or damage to the equipment, obey these warnings: •
Warning-Servicing the bed without disconnecting it from the power source or its backup battery could result in personal injury or equipment damage.
•
Warning-Make sure the bed is connected to the correct mains power. Do not connect a 120 V bed to a 230 V power supply, and do not connect a 230 V bed to a 120 V power supply.
•
Warning-To reduce the risk of electric shock, the bed should only be connected to supply mains with a power cord with protective earth, supplied by Hillrom.
•
Warning-Incorrect use or handling of the power cord may cause damage to the power cord. If damage has occurred to the power cord, immediately remove the bed from service, and contact the applicable maintenance persons.
When the integrity of the external protective earth conductor is in doubt, operate the bed from its internal battery backup. The bed frame and casters are not grounded. Do not use them for device grounding.
NOTE: The power cord is non-detachable and should only be replaced by trained service persons.
EMERGENCY CPR The emergency CPR is to be used by healthcare professionals only.
BATTERY BACKUP CAUTION: Caution-If the bed will not be in service for an extended period of time, have appropriate maintenance personnel recharge the battery at least every six months. Failure to do so could result in damage to the life of the battery or to the bed. A full charge of the battery will take up to twenty-four hours. If the bed is not fully charged, the user can still make use of battery power for brief usage of articulation controls. The battery backup power comes from a lead acid battery, which needs to be disposed of correctly and according to your local regulations. For assistance in disposing of the battery, contact your maintenance technician.
MATTRESSES WARNING: To help prevent injury and/or damage to the mattress, obey these warnings:
8
•
Warning-Mattresses that are undersized for the frame create a gap between the mattress and the siderails. The risk increases for patient entrapment or suffocation. Evaluate patients for vulnerability, and monitor patients appropriately.
•
Warning-If the patient remains in the bed when the bedding is changed, do not pull on the bedding with excessive force.
•
Warning-Patients should not be permitted to smoke in bed. Sheets and pillows generally do not have flame-resistant properties.
Centuris™ Bed System Instructions for Use (179643 REV 8)
Safety Information
TRANSPORT WARNING: To help prevent injury and/or damage to the equipment during transportation, obey these warnings: •
Warning-The bed is intended to be used to transport patients with the foot end or head end of the bed forward. Before transport, correctly store the power cord to help prevent tripping. Use only the end panels to move the bed during transport.
•
Warning-Make sure the bed is not transported over a side inclination of more than 5°. Make sure that all siderails are fully latched and put the bed to its lowest possible position during transportation.
•
Warning-Moving the bed by pushing or pulling other parts of bed or accessories may cause injury or equipment damage.
Centuris™ Bed System Instructions for Use (179643 REV 8)
9
Features
FEATURES A B
C
H
I O
E
D
F N
M
L
C
A
K
J
I
Item
Description
A B C D E F G H I J K L M N O
Equipment sockets Head angle indicator Power cord storage End panel-Headboard Patient controls Siderails End panel-Footboard Corner bumpers Casters, 12.5 cm Four-corner brake pedal or foot-end brake and steer bar Siderail release lever Bed angle indicator Drainage holder Caregiver controls Emergency CPR handle
10
G
F
H
Centuris™ Bed System Instructions for Use (179643 REV 8)
Caregiver Controls
These features may or may not be on the Centuris™ Bed System: •
Battery backup function
•
Four DC motors
•
Complete bed articulation: bed, head, and knee up/down, Trendelenburg/Reverse Trendelenburg, and Auto Contour™ Feature
•
Lockout controls
CAREGIVER CONTROLS This section describes the bed controls that are intended to be used by the caregiver. Not all controls listed are available on all versions of the bed. Warning-Instruct patients and visitors not to use caregiver controls at any time. Visitors may assist patients in the use of patient controls. Unauthorized use of the caregiver controls may cause injury, cross-contamination, or equipment damage.
NOTE: Bed controls can be used for a maximum of 2 minutes continuously and need to be at rest for at least 18 minutes after each continuous operation.
USE THE EMERGENCY CPR HANDLE The emergency CPR handles are located at each sides of the head-end, under the sleep deck.
NOTE: When activated, the emergency CPR handles disengage the head section actuator so that the head section may lower to the horizontal position. This function can be used when power is not available. 1. Raise the siderail if it is at the down position. 2. Check and remove any obstacles under the head section of the bed. 3. Lift and hold the emergency CPR handle. Hold the handle until the head section comes to a stop in the flat position. 4. Release the handle.
NOTE: The Emergency CPR handle must be held until the head section of the bed reaches a flat position. Releasing the control handle will cause the head section to stop lowering. The head section actuator is automatically re-enabled after the CPR control handle is released and the Head Down control is pressed.
Centuris™ Bed System Instructions for Use (179643 REV 8)
11
Caregiver Controls
RAISE AND LOWER THE SIDERAILS WARNING: Warning-Evaluate patients for entrapment risk in accordance with facility protocol, and monitor patients appropriately. Make sure all siderails are fully latched when in the raised position. Failure to do either of these could cause serious injury or death. NOTE: Siderails are intended to be a reminder to the patient of the unit’s edges, not a patient-restraining device. When appropriate, Hilrom recommends that medical persons determine the correct methods necessary to make sure a patient remains safely in bed. When the bed is occupied, follow facility protocol for siderail usage.
Raise a Siderail 1. Pull the siderail up to its highest position until you hear a click. 2. After you hear the click, gently pull on the siderail to make sure it is locked in position.
Lower a Siderail 1. Pull up on the siderail release lever.
CAUTION: Caution-Do not use force to lower the siderail. Equipment damage could occur. 2. The siderail automatically lowers to the down position without caregiver assistance.
12
Centuris™ Bed System Instructions for Use (179643 REV 8)
Caregiver Controls
CAREGIVER SIDERAIL CONTROLS NOTE: Caregiver siderail controls are not available on configurations shipped with the caregiver pendant controls. WARNING: Warning-Before you lower the bed, look under the bed to make sure there are no people or obstructions between the lower and upper frames of the bed. Failure to do so could cause serious injury or equipment damage. NOTE: Bed controls can be used for a maximum of 2 minutes continuously and need to be at rest for at least 18 minutes after each continuous operation. These controls are on the outside of the head-end siderail: •
Bed Up/Down
•
Head Up/Down
•
Knee Up/Down
•
Trendelenburg
•
Reverse Trendelenburg
•
Articulation lockouts
Raise and Lower the Head Section Press and hold the Head Up control to raise the head section to the applicable position. The head section can rise to an angle of 65°.
Head Up
Press and hold the Head Down control to lower the head section to the applicable position. To determine the specific degree of the head section, look at the head angle indicators located on each side of the bed.
Head Down
Auto Contour™ Feature The bed is equipped with an Auto Contour™ mode. When the Head Up control is pressed, the Auto Contour™ mode raises the knee section to a maximum of 25°. When the head section is lowered, the knee section will go to the flat position. •
Auto Contour™ Feature-Press and hold the Head control. The head and knee sections rise together and may reduce patient migration toward the foot end of the system.
Centuris™ Bed System Instructions for Use (179643 REV 8)
13