Contoura Model 460 User Manual Sept 2004

Warnings, Cautions and Notes Warnings given in this manual identify possible hazards in procedures or conditions, which if not correctly followed, could result in death, injury or other serious adverse reactions. Cautions given in this manual identify possible hazards in procedures or conditions, which if not correctly followed, could result in equipment damage or failure. Notes given in this manual (indicated by +) are used to explain or amplify a procedure or condition. General Warnings

WARNINGS Do not use accessories that have not been designed or approved for use with the bed. Electrical equipment can be hazardous if misused. Do not use electrically powered beds in the presence of flammable gases such as anaesthetic agents. Do not use electrically powered beds in operating theatres.

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1. Introduction The CONTOURA® 460 is an electrically actuated acute care bed with multiple functions to aid the best nursing position for both patient and carer. The following features, dependent upon the bed configuration, are available within the range: • Four section electrically operated profiling mattress platform with independent adjustment of backrest angle, thigh section angle and calf section angle. • Auto-contour of backrest and thigh sections by pressing one button. • Pro-contour retractable backrest facility. • Height adjustment. • Electrically actuated Trendelenburg tilt. • Manually operated (gas assisted) calf elevation. • Integral or detachable mattress platform extension. • Integral or detachable ¾ length folding safety sides. • Steel or plastic sheet mattress support surface. • Ø125 mm or Ø150 mm castors with central operation for braking and steering. • Choice of removable head and foot panel designs. • Backrest X-Ray facility.

Contouraâ 460 with safety sides fitted

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2. Clinical Applications Area of use

General medicine; general and specialist surgery; care of the elderly; HDU; ITU; coronary care and oncology.

Indications

The bed is appropriate for high dependency patients who pose a movement and handling risk and / or whose clinical condition requires that they are positioned with minimal physical handling. Patients with a moderate amount of independence can, at the carer’s discretion, use the controls to adjust their own position.

Contra-indications

The total safe working load of the bed is 180 kg.

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3. Installation Connect the coiled electrical power cable to a suitable socket outlet. When not in use, or when moving the bed, wrap the electrical power cable around the two hooks provided at the head of the bed. They are located beneath the mattress platform.

Electrical power cable shown in stored position

WARNINGS Make sure that the coiled electrical power cable is not stretched excessively. Make sure that handsets and electrical power cables cannot become entangled with moving parts of the bed. Disconnect the electrical power cable from the mains supply and store before transporting the bed. An equipotential terminal is provided on the mattress platform frame at the head-end of the bed.

WARNING When other electrical equipment is within patient / user reach, the potential difference between this equipment can be equalised by interconnecting the equipotential terminals of each piece of equipment.

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4. Operation Safety

• Always use a mattress of the correct size and type. A range of suitable pressure reducing and pressure relieving mattresses is available from Huntleigh Healthcare. • When the bed is operated, make sure that obstacles such as bedside furniture do not restrict movement. • Before operating the bed, make sure that the patient is positioned correctly to avoid entrapment or imbalance. • Always apply the brakes when the bed is stationary. • Lower the bed to minimum height when the patient is left unattended.

WARNING The clinically qualified person responsible should consider the age, size and condition of the patient before using safety sides. • Keep these instructions handy for reference. There are two coupled brake pedals at the foot of the bed. When they Brakes are pushed down from the horizontal free position they operate all and Steering brake castors simultaneously. When the linked pedals are raised from the horizontal free position they engage one head-end castor so that it cannot swivel. Push the bed in the direction of travel so that the castors are all in-line and trailing, then lift either pedal to engage the steering castor.

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When moving the bed, push from the foot-end holding the foot panel.

BRAKE

FREE

Castors, brakes and steering

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STEER

Safety Sides

WARNINGS Safety sides must only be used with a mattress of the correct size and which is approved for use with the bed. Maximum mattress thickness should be 180 mm. The clinically qualified person responsible should consider the age, size and condition of the patient before using safety sides.

Single section safety side

WARNING

Safety side contact points are identified by this symbol. Care should be taken to keep hands and fingers away from these areas.

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To lower the side: Hold the top rail near the footend just in front of the joint (3). Pull the operating knob (1) and lower the side towards the foot of the bed (2). As the side begins to lower, release the operating knob (1).

HEAD END

FOOT END

Operation

Safety side operation

Caution Do NOT use the safety sides to lift or move the bed.

WARNING Other manufacturer’s safety sides are incompatible with the CONTOURA 460 range of beds. To raise the side: Lift the top rail until the operating knob automatically clicks into its locked position at maximum height.

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The safety side release mechanism contains a yellow band (1). When the operating knob is viewed from above and the yellow band can be seen, it means that the safety side is NOT securely locked in the upright position. The yellow band should NEVER be visible from above when the safety side is correctly in the locked position.

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UNLOCKED

LOCKED

Safety side operating knob shown in unlocked and locked positions

WARNING Do not leave the safety rail in the upright position with the yellow band showing. Model MB-ACC01 safety sides can be added to the bed as an accessory if they are not ordered as a factory-fitted option. The safety sides are supplied in pairs, left and right hand, and must be fitted in such a way that they fold down towards the foot of the bed. They are attached to the side of the mattress platform by means of integral clamps.

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There are two metal spigots on each mattress platform sidemember. Use them to position the safety side brackets exactly.

Safety side bracket location spigot

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Full user instructions are supplied with the MB-ACC01 safety side accessory. Document reference number 746-276.

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Bed Extension (if fitted)

To extend the bed: Apply the brakes. Squeeze the latch lever (1) and handle (2) together and pull out the foot-end of the mattress platform (3). The footend of the mattress platform automatically locks when fully extended and the latch lever is released.

Extending or retracting the bed Mattress Deck Extension (if fitted)

Hold the calf extension bow (4) and raise the calf section extension sheet (5) up and away from the calf section deck sheet (6).

Extending or retracting the mattress deck extension

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Pull the bow (4) and calf section extension sheet (5) towards the foot of the bed. When the bow is fully extended, the calf section extension sheet can rest back into position on the calf section deck sheet (6). To retract the bed and mattress deck extension: Reverse the above procedure. Kneebreak Angle

The kneebreak angle can be manually adjusted whenever the thigh section of the mattress platform is raised. Hold the side of the calf section (6) at the foot-end of the bed. Lift the release lever (7) and push the calf section downwards (against the action of the gas spring). Release the lever to lock the calf section at any angle.

Adjusting the kneebreak angle

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There is a release lever (7) located on either side of the calf section (6).

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Bedstripper

The bedstripper, which is used for resting clean linen on when the bedsheets are being changed, is located at the foot of the bed. Pull the bar away from the bed as far as it will go.

Bedstripper - extended

Caution Bedstripper load should not exceed 20kg.

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X-Ray Backrest Cassette Tray

The backrest x-ray cassette tray, if fitted, provides the facility for chest x-ray photography. This can be achieved at any point between the horizontal and sitting position.

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X-Ray backrest cassette tray - In raised and locked position With the backrest raised, press button (1) whilst holding knob (2) and support the x-ray cassette tray as it lowers. The tray is hinged at the bottom of the backrest.

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X-Ray backrest cassette tray - In lowered position Loosen the locking screw (3) and position the x-ray cassette beneath its adjustable clamp. Use the spring loaded bracket (4) as an additional support for large cassettes. Adjust the position of the cassette as required and tighten the locking screw to secure it.

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Lift the tray and secure it again with the latch at the top of the backrest. Always re-tighten the locking screw when the cassette is removed. The x-ray backrest cassette tray can also be accessed from beneath the mattress platform. The cassette tray stop-plate (1), which normally supports the x-ray backrest cassette tray on the mattress platform, can be turned to the side. Lower the cassette tray and then insert x-ray cassette as before.

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X-Ray backrest cassette tray shown lowered beneath the mattress platform

WARNING Do not operate the backrest when the x-ray backrest cassette tray is lowered above or below the mattress platform.

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Pro-contour

The Pro-contour retracting and raising backrest system provides additional comfort for the patient by allowing the mattress to expand. When operating the backrest or auto-contour handset buttons, the base of the backrest slides progressively towards the head-end of the bed and at the same time, the complete backrest rises away from the mattress platform.

Pro-contour backrest operation

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Operation

The height, backrest angle, tilt angle and leg elevation functions are all power driven.

Control Handsets

The patient handset is accessible to either the patient or the nursing attendant. From this handset the patient can control all bed functions except tilt and CPR. A second handset, for use by the attendant only, is stored at the foot of the bed. When a handset push-button is pressed the appropriate bed function will operate until the pushbutton is released. The Auto-contour button operates both backrest and leg elevation simultaneously.

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If the bed is in the tilted position and the tilt button is pressed and held, the mattress platform pauses for two seconds on reaching the horizontal before continuing its movement.

Attendant Control Panel (ACP)

There is also a bracket at the foot of the bed that supports the ACP. Use the ACP to prevent unauthorised operation of all handset push-button controls. On the ACP there is a rotary lockout switch for each bed function. Turn the appropriate lockout switch so that its pointer is horizontal. In this condition the selected push-buttons are disabled on both the patient and attendant handsets.

Batteries

The emergency back-up battery is automatically switched on if the bed is disconnected from the mains power supply. The batteries will enable emergency power operation for short periods of time. An example of this would be when the bed is being moved between wards. To ensure that batteries are kept fully charged, the bed must be connected to the mains power supply at all times during normal use.

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Backrest Leg Elevation Height AutoContour

Patient handset

Leg Elevation

Backrest

Backrest

Leg Elevation Height Tilt

Battery Charging Indicator

CPR Button

Attendant handset & ACP

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Tilt and Height

Manually Operated CPR

To lower the backrest (2) in an emergency, lift the CPR release handle (1) at the side of the bed. Some downward force may be required at maximum elevation, after that the backrest will lower under the patient’s weight.

WARNING The backrest can fall quickly. Keep hands clear to avoid trapping.

CPR emergency release handle In addition to the CPR lever, there is also a CPR button on the attendant handset. Press and hold this button to automatically return the bed to a flat, horizontal, low height position.

WARNING Before using the CPR button on the attendant handset, make sure that all lockout switches on the ACP are in the vertical, unlocked position.

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5. Cleaning WARNINGS Disconnect the bed from the mains power supply before cleaning. These instructions also apply to accessories but not to mattresses or safety side pads. Cleaning

Wearing suitable protective clothing, clean all surfaces with a disposable cloth soaked in a neutral detergent and hand hot water. The head and foot end panels can be removed from the bed for cleaning. If the bed has detachable mattress platform sheets these can also be removed for cleaning. Start by cleaning the upper sections of the bed and work along all horizontal surfaces. Work methodically towards the lower sections of the bed and clean the wheels last. Take extra care to clean areas that may trap dust or dirt. Rinse with clean water and dry with disposable paper towels. Allow the cleaned parts to dry before replacing the mattress.

Disinfecting After cleaning the bed as described above, wipe all surfaces with Sodium Dichloroisocyanurate (NaDCC) at a concentration of 1,000 parts per million (0.1%) of available chlorine. In the case of pooling body fluids, e.g. blood, the concentration of NaDCC should be increased to 10,000 parts per million (1%) of available chlorine.

Caution Do not use abrasive compounds or pads. Do not use phenol-based disinfectant solutions.

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