Etude User Manual ver 04 Sept 2009

Illustration 2 d

Illustration 3

Basic

Classic

Illustration 4

Illustration 5

Illustration 6

Illustration 7

Basic

A B C D

Classic

Low clasp

High clasp

Low pos. version

High pos. version

222 97 33-73 158-198

222 97 40-80 165-205

228 103 30-70 155-195

228 103 40-80 165-205

Quality Declaration Congratulations with your new bed Invacare®EtudeTM from Invacare® EC-Høng A/S. Your new bed is CE-marked in accordance with directive 93/42/EEC concerning medical devices. Invacare®EtudeTM is developed and constructed with consideration for the user and others handling or assisting at the bed. Furthermore, the bed is developed in accordance with the European Standard EN 1970. Invacare®EtudeTM is supervised and quality controlled throughout the entire production process, and the finished bed is inspected by our finished goods control. Identification label and QA-mark are located on the bed confirming that the finished goods control has approved the bed. Please read the entire user’s manual before using the bed. Invacare®EC-Høng A/S is certified according to ISO 9001 and ISO 13485. For and on behalf of Invacare®EC-Høng A/S:

Brian Mundeling R & D Manager

1.

General information... 8

2.

Unpacking your product... 10

3.

Assembly of EtudeTM... 11

4.

Fitting the accessories... 12

5.

Rebuilding from 3-section to 4-section... 13

6.

Operating the EtudeTM with 4-section mattress support... 14

7.

Operating the EtudeTM with 3-section mattress support... 15

8.

Adjustment of leg section (only on 3-sectioned beds)... 16

9.

Emergency lowering of the backrest and/or thigh section... 17

10. Operating the accessories... 17 11. Dismantling the EtudeTM... 18 12. Using the transport brackets... 18 13. Order numbers for accessories... 19 14. Cleaning and disinfection... 20 15. Maintenance and servicing... 20 16. Maintenance chart... 21 17. Waste disposal... 21 18. Trouble-shooting the electrical system... 22 19. Wiring... 23 20. Technical specifications... 25 21. Weights... 25



GB

Table of Contents

Congratulations You have chosen an Invacare®EtudeTM nursing bed. EtudeTM is the dismantleable nursing bed from Invacare® EC-Høng designed especially for home nursing. The EtudeTM nursing bed provides ease of handling combined with good functionality. Invacare®EC-Høng is certified according to DS/EN ISO 9001 / ISO 13485 which ensures that our customers are always supplied with products of uniform quality. Throughout the entire production process our materials/products are quality controlled by the operators. Moreover, a final test is carried out prior to packaging and shipping. The operator carrying out the final test, which comprises of checking all moveable parts, motors and castors, issues a QA number on the product thereby confirming its quality.

QA XXX

If the product does not correspond to the quality demands of Invacare®EC-Høng, it will be discarded. If, contrary to our expectations, a problem should arise in connection with the delivered product, please contact your Invacare®supplier. Invacare®reserves the right to alter product specifications without prior notice. Invacare®accepts no liability for any use, change or assembly of the product other than as stated in this User’s Manual. Accessories not mentioned in this manual must not be used.

1. General information • • • • • • • • • • • • • • • • •

The Etude bed is marked with the CE mark in accordance with directive 93/42/EEC concerning Medical Apparatus. The Etude bed has been tested and approved according to EN 1970:2000. The motors and control of the Etude bed have been approved according to EN 60601:1996-03. The Etude bed has been approved and marked with the TÜV mark. Beds provided with tilt function cannot be approved according to EN 1970:2000. The Etude bed has undergone a risk analysis according to EN 14971. The control and motors are protected according to IP 54. The hand control is protected according to IP 66. Max. weight: Etude Basic: 180 kg - Etude Classic: 220 kg. Max. patient weight: 145 kg (Etude Basic) - 185 kg (Etude Classic) provided that the weight of the mattress and the accessories do not exceed 35 kg. Standard size of mattress for the Etude Basic is 90x200x12, Etude Classic 90x200x10. If the patient height exceeds 2 meters it is recommended to use a mattress support extension. The Etude bed has loose cables, which have to be exchanged when damaged. The bed is not intended for children under 12 years and psychiatric patients. Remove the plug from the mains voltage before moving the bed. The cable must be kept clear off the floor and the castors during transportation. The adjustment area of the mattress support is Basic: 40-80 cm or 33-73 cm, Classic: 40-80 cm (30-70 cm/Low height version), Classic Extra Low: 19-59 cm. Only accessories described in this manual may be mounted on the Etude bed. The angle between the lower leg section and horizontal is adjustable from 0º to 15º.

The bed is not intended for use together with MEDICAL ELECTRICAL EQUIPMENT. It can be dangerous to roll over the mains cable. Do not bring mains cable into moving parts.



Disconnect the plug from the mains before moving the bed. The cables must be mounted in such a way that they are kept clear off the floor and do not block the castors.

GB

We recommend to mount the mains cable on the hook for this purpose, see picture below.

The bed must not be used by patients under 12 years of age, or by patients with body size equivalent to an average 12 years old or smaller.

The bed’s castors must be locked during nursing a patient in bed or when using any positioning function. The bed must not be transported when occupied.

Adjust the mattress support sections to horizontal position and lower the bed to its lowest position before moving the bed. Hold the top of the bed end with both hands while the bed is pushed/pulled. Any floor obstacle must not be higher than 10 mm.

Note! Adjust the Etude Classic Extra Low to horizontal position and at least 5 cm above the lowest position before moving the bed. If the functions of the bed change, check the bed according to the maintenance chart, chapter 16. All service and maintenance work described in chapters 14, 15 and 16 must only be performed by personnel who have been instructed and trained by Invacare®.

Because of condense, may the bed not be used before it has gained room temperature.



2. Unpacking your product For a complete bed the following parts must be provided: (Illustration 1, here shown as a 3 - sectioned bed)

1. EtudeTM Basic

A) 1 mattress support If 3 - sectioned = ETUDE.CXXXX.XX (see complete list for specific number) If 4 - sectioned = ETUDE.EXXXX.XX (see complete list for specific number) 2 mattress handles, hand control and motors are mounted on the mattress support. B) 1 pair of bed ends = ETUDE.000C1.XX Optional: • Pair of siderails (steel) • Lifting pole • Support handle(s) • Mattress support extension (10 or 20 cm) • Transport fitting

2. EtudeTM Classic

A) 1 mattress support If 3 - sectioned = ETUDE.CXXXX.XX (see complete list for specific number) If 4 - sectioned = ETUDE.EXXXX.XX (see complete list for specific number) 2 mattress handles, hand control and motors are mounted on the mattress support. B) 2 individual bed ends If standard = ETUDE.000EI.XX If low = ETUDE.000F1.XX Optional: • Pair of siderails (wood) • Lifting pole • Support handle(s) • Mattress support extension (20 cm) • Transport fitting

Order numbers for Etude mattress support and bed ends: 3 - Sect 90X200 Std. Mains Cable, Tilt, Not TÜV Approved... ETUDE.CE100.XX 3 - Sect 90X200 Std. Mains Cable, Excl. Tilt, TÜV Approved... ETUDE.CE300.XX 3 - Sect 90X200 UK Mains Cable, Tilt, Not TÜV Approved... ETUDE.CU100.XX 3 - Sect 90X200 UK Mains Cable, Excl.Tilt, TÜV Approved... ETUDE.CU300.XX 3 - Sect 90X200 AU/NZ Mains Cable, Tilt, Not TÜV Approved... ETUDE.CA100.XX 3 - Sect 90X200 AU/NZ Mains Cable, Excl. Tilt, TÜV Approved... ETUDE.CA300.XX 4 - Sect 90X200 Std. Mains Cable, Tilt, Not TÜV Approved... ETUDE.EE100.XX 4 - Sect 90X200 Std. Mains Cable, Excl. Tilt, TÜV Approved... ETUDE.EE300.XX 4 - Sect 90X200 UK Mains Cable, Tilt, Not TÜV Approved... ETUDE.EU100.XX 4 - Sect 90X200 UK Mains Cable, Excl. Tilt, TÜV Approved... ETUDE.EU300.XX 4 - Sect 90X200 AU/NZ Mains Cable, Tilt, Not TÜV Approved... ETUDE.EA100.XX 4 - Sect 90X200 AU/NZ Mains Cable, Excl. Tilt, TÜV Approved... ETUDE.EA300.XX 4 - Sect 90X200 JPN. Mains Cable/100V, Tilt, Not TÜV Approved... ETUDE.EJ100.XX 4 - Sect 90X200 JPN. Mains Cable/100V, Excl. Tilt, TÜV Approved... ETUDE.EJ300.XX



All the mattress supports can be combined with these 4 available types of bed ends: BED ENDS BASIC (Ordered and delivered as a pair of bed ends) ETUDE.000C1.XX 1 PAIR BASIC BED ENDS, 40-80 cm (33-73) cm BED ENDS CLASSIC (Ordered and delivered as 1 pcs. of bed end) ETUDE.000E1.XX 1 PCS. CLASSIC BED END, 40-80 cm ETUDE.000F1.XX 1 PCS. CLASSIC BED END LOW HEIGHT, 30-70 cm ETUDE.000G1.XX 1 PCS. CLASSIC EXTRA LOW, 19-59 cm

Example: ETUDE.000E1.21 ETUDE.EE100.20

(1 Etude Classic bed end in light grey) (1 Etude 4 - sect. mattress support in light grey)

3. Assembly of EtudeTM (Illustration 2a, 2b+c, 2d)

a) Mattress Support • Place the two inserts in the head end of the mattress support. The inserts must be mounted in such a way that one extends further out of the side tube than the other. • Loosely screw in the two thumb screws. • Push the foot end of the mattress support onto the two inserts. • Tighten with two thumb screws. • Retighten the two thumb screws at the head end of the top frame. • Turn the two mattress handles of the backrest up. • Turn the handle of the leg section up. b) Etude Basic • Turn the locking rings*) on the bed ends to the position “open“. • Latch the mattress support to the bed ends and press firmly into position. • Turn the locking rings to the position “locked“. c) Etude Classic • Release the quick locks*) on the bed ends. • Latch the mattress support to the bed ends and press firmly into position. • Turn the quick locks to the position “locked“. *) The locking rings/quick locks ensure that the mattress support is not accidentally lifted clear of the bed ends. d) Control Box The control box is latched to the backrest motor. The control box is provided with a label with symbols showing where to connect the motors’ plugs. • Backrest motor. • Thigh section’s motor. • Bed end. • Bed end. • Hand control.

Wiring (Also see the pictures in section 19) Attention! In order to prevent the cables from being torn apart when activating the motors it is critical that you follow the instructions below



GB

XX is colour code. For standard light grey (RAL 7032) .21 is to be used for bed ends and .20 for mattress support.

1. Connect the cables of the bed end motors (head and foot end) directly to the control box. 2. Only 4 - sectioned beds: The plug of the thigh motor must be directed through the opening of the supporter for the backrest motor and then be connected to the control box. 3. Connect the mains cable to the 230 V plug. 4. Run the motors of the bed ends to their top position. 5. Place the motor cable of the foot end on the hook at the foot end. 6. Run the backrest to its top position. 7. Place the head end motor cables on the 4 hooks at the head end. 8. Fasten the safety clip to the control box. When working with the foot end, note that there is a risk of getting squeezed during transport since the adjustable leg section is not firmly locked. Remember to remove the plug from the mains socket when moving the bed.

4. Fitting the accessories (Illustration 3)

Fitting the siderail, model 5525/5526/5529 The siderail must be mounted with the release system at the head of the bed. The fork links on the siderail must be mounted according to the instruction on the siderail. 1)

0 - 6 cm

2)

25 cm or more

1) 2) Tighten the siderail with 2 thumb screws. A

Mounting of BRITT II/III/IV (Classic bed ends) 1. Raise the bed about 1/3. 2. Dismount the stop-knobs using the thumb screws (C). 3. Remove protection tape at the locking pins at both ends of the siderail. 4. Fit one end at a time. Lift the lower wooden bar and guide the metal bow to the bed end rail (A). 5. Press the locking pin of the siderail with a finger (B). 6. Guide the siderail to the bed end and pull up the wooden siderail bar, until the locking pin locks with an audible click. 7. Mount the stop-knobs using the thumb screws (C).

C B

There is a risk entrapment on assembly and operation of the siderails.

Fitting the lifting pole

Remove the plug from the lifting pole tube at the head end of the bed where the lifting pole is to be placed. Insert the lifting pole into the lifting pole tube and fix with the thumb screw.

10

5. Rebuilding from 3-section to 4-section Contents: Motor Hand control Motor cable Piping pin

1443838 1443903

GB

Without tilt, order no: With tilt, order no:

Assembly instructions

Mount the motor on the thigh section.

Remove the blind plug.

Connected the motor to the control unit.

Hand control exchange.

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6. Operating the EtudeTM with 4-section mattress support The bed can be equipped with this type of hand control: (Soft Control)

Height adjustment of the bed UP/DOWN

Sitting position, irrespective of present position Horizontal mattress support, irrespective of present position “Out of bed button”- Raises the backrest and brings the thigh section to horizontal Raises the thigh section and brings the backrest to horizontal

Or with this type of hand control: (HB 70) Backrest up

Backrest down

Button with the symbol shown above. Push the left-hand side of the button.

Button with the symbol shown above. Push the right-hand side of the button.

Thigh section up

Thigh section udown

Button with the symbol shown above. Push the left-hand side of the button.

Button with the symbol shown above. Push the right-hand side of the button.

Height up

Height down

Button with the symbol shown above. Push the left-hand side of the button.

Button with the symbol shown above. Push the right-hand side of the button.

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7. Operating the EtudeTM with 3-section mattress support The bed can be equipped with this type of hand control: (Soft Control)

Height adjustment of the bed UP/DOWN

“Out of bed button”- Raises the backrest and brings the thigh section to horizontal

Or with this type of hand control: (HB 70) Backrest up

Backrest down

Button with the symbol shown above. Push the left-hand side of the button.

Button with the symbol shown above. Push the right-hand side of the button.

Height up

Height down

Button with the symbol shown above. Push the left-hand side of the button.

Button with the symbol shown above. Push the right-hand side of the button.

Both 3 - and 4 - sectioned beds can be equipped with hand controls that activate the tilt of the mattress support.

The tilt function must only be operated by medically trained persons - otherwise, there is a risk of injury to the patient´s health. Hand controls with tilt activating can be ordered from Invacare® - please refer to the section "Order numbers for accessories".

13

GB

Horizontal mattress support, irrespective of present position

8. Adjustment of leg section (only on 3-sectioned beds) Adjustment of leg section Operate the leg section by lifting the mattress handle. Up: Lift the mattress handle on the leg section. Down: Lift the mattress handle on the leg section right up and then lower the leg section. If a mattress support extension is used, lift the leg section.

Always leave the bed in the lowest position. Otherwise there is a risk of entrapment due to accidental lowering of the mattress support. A person under the bed can be seriously injured during height adjustments.

There is a risk of entrapment between the thigh section and the mattress support when the thigh section is lowered.

There is a risk of entrapment between the backrest and the cross rail on the head end of the mattress support. There is also a risk of getting squeezed between the leg section and the cross rail on the foot end of the mattress support when the backrest/leg section is lowered.

If the bed is equipped with tilt function, please note that the bed must not be used without the supervision of the nursing staff. Brakes (Illustration 4) Each of the bed’s 4 wheels is provided with brakes for both lengthwise and crosswise locking. The brake is foot-operated. Set-off from the castors might under special conditions appear at different types of absorbing floor covering including untreated or badly treated floors. In matters of doubt, does Invacare recommended to place a suitable kind of protection between the castors and the floor.

14

9. Emergency lowering of the backrest and/or thigh section (Illustration 5)

An emergency release of the mattress support may be necessary in case of e.g. a power or motor failure. An emergency release of the height adjustment is NOT possible. Remove the plug from the mains before emergency release of the mattress support. In an emergency the mattress sections are released by pulling out the pipe pin from the motor.

A minimum of 2 persons is required to release a mattress section. Both persons hold the mattress section in locked position. One of them pulls out the cotter pin. Both slowly lower the mattress section until it is completely down.

10. Operating the accessories Operation of siderail, model 5525/5526/5529

(Illustration 6) Up: Pull the top tube on the siderail towards the end where the release system is placed. Down: Press the release button down while pulling the top tube away from the release system.

Operation of siderail, model BRITT II/III/IV The bed end may be equipped to lock the siderail at half height as well as in the top position. Normally the siderail can only be locked in top position.

Locking pins

Up: Pull up the top wooden siderail bar, until the locking pin locks with an audible click. Down: Lift the top wooden siderail bar and press the two locking rings together. Lower the siderail.

Raise

Release

There is a risk of entrapment when operating the siderails.

15

Lower

GB

• •

Adjusting the height of the lifting pole handle Loosen the cord as shown in fig. A. The lifting handle can now be adjusted to the desired height. Press the cord together as shown in fig. B and check that the cord is locked in the cord lock by pulling the handle. The distance between the lifting pole and the mattress Etude Basic Minimum (at 16 cm mattress) Maximum (at 10 cm mattress) Etude Classic Minimum (at 16 cm mattress) Maximum (at 10 cm mattress)

36-59 cm 42-65 cm A

B

40-63 cm 42-65 cm

Position the lifting pole in such a way that the handle extends inwards across the bed. If the lifting pole is used while the handle has been turned away from the bed ‑ the bed can tip when the handle is used.

Fitting the mattress support extension

Disassemble the bed and remove the inserts. Mount the mattress support extension on either head or foot end and reassemble the bed. (See illustration 2).

Choice of Mattress

When choosing the Etude Basic or Etude Classic, Invacare®recommends the use of mattresses which are 10-12 cm in height with a specific gravity of 35 kg/m³. When using mattresses over 12 cm in height, Invacare®recommends the use of siderails Scala Decubi and Scala Medium, to meet Europaen regulations which require a minimum distance of 22 cm from the mattress to the upper edge of the siderail.

11. Dismantling the Etude • • • • • • • •

Dismantle siderails and lifting pole. Bring the bed to its lowest position and adjust all mattress support sections to horizontal position. Disconnect the 230 V supply. Roll the cable onto the hook of the head end of the bed. Disconnect all the motor plugs from the motors (do not disconnect the backrest motor cable - cable 1). Dismantle the safety comb from the control by means of a tool, e.g. a flat headed screwdriver. Pull out the cables of the bed end motors. Only 4 - sectioned: Also pull out the cables of the leg section motors. Separate the mattress support from the bed ends. Divide the head and foot end of the mattress support.

12. Using the transport brackets See instructions for use sent separately in the transporter kit boxes.

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13. Order numbers for accessories PLEASE NOTE ONLY ETUDE BASIC IS APPLICABLE TO THE UK

Lifting pole... 50.57600.20 Mattress handle... 215989-XXXX Transport fitting... 1423920-7032 Support handle 25x30 cm (1 pcs.)... 021964.20 Support handle 25x80 cm (1 pcs.)... 1417510-7032 Support handle 40x30 cm (1 pcs.)... 1417511-7032 Support handle 40x50 cm (1 pcs.)... 021963.20 Support handle 40x95 cm (1 pcs.)... 1417512-7032 Backup battery and battery box... 1449687-XXXX HB 70 hand control with tilt function, 3 sectioned... 1423845 HB 70 hand control with tilt function, 4 sectioned... 1423846 Etude Basic Invacare Scala Basic (folding, 1 pair)... 1432784-1015 Invacare Scala Basic (folding, 1 pair)... 1432784-0151 Invacare Scala Basic (folding, 1 pair)... 1432784-7032 Invacare Scala Basic Plus (folding, 1 pair) (with plastic insert)... 1432787-1015 Invacare Scala Basic Plus (folding, 1 pair) (with plastic insert)... 1432787-0151 Invacare Scala Basic Plus (folding, 1 pair) (with plastic insert)... 1432787-7032 Invacare Scala Medium (folding, 1 pair)... 1432781-1015 Invacare Scala Medium (folding, 1 pair)... 1432781-0151 Invacare Scala Medium (folding, 1 pair)... 1432781-7032 Invacare Scala Decubi (folding, 1 pair)... 1432793-1015 Invacare Scala Decubi (folding, 1 pair)... 1432793-0151 Invacare Scala Decubi (folding, 1 pair)... 1432793-7032 Siderail (folding, 1 pair) (25 mm tube)... 50.55250.20/L+R Extended siderail (folding, 1 pair)... 50.55290.20/L+R Mattress support extension - 10 cm... 1423993-7032 Mattress support extension - 20 cm... 1423994-7032 I.V. Drip Rod... 50.60030.XX Black holder for I.V. drop... 50.60910.00 Fitting for I.V. drop... 50.59570.XX Holder for hand control... 1427870-XXXX Etude Classic (Not applicable to the UK) Wooden siderail Britt III (pair)... 020434.01 Wooden siderail Britt IV (pair)... 1427875-0101 Extended wooden siderail Britt II (pair) +20 cm... 019376.01 Mattress support extension - 20 cm... 1423994-7032

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GB

General (Etude Basic + Etude Classic)

14. Cleaning and disinfection Remove the mains plug from the socket before cleaning. The Etude bed does not tolerate cleaning in an automatic washing plant or using water-jet based cleaning equipment. The bed should be washed down using a sponge, cloth or brush. Use ordinary household cleaning agents. When disinfecting only use spray or wiping methods. Only officially recognized disinfectants must be used. Dry the bed after cleaning. Never use acids, alkalines or solvents such as acetone or cellulose thinner. The hand control box, motors and control may be washed with brush and water, but not with pressurized water. All plugs must be installed during washing of the bed. If the backrest is raised be careful not to lower it unintentionally, as there is a risk of entrapment between the backrest and the top frame.

15. Maintenance and servicing Service and maintenance of the Etude may only be performed by personnel who have received the necessary instruction or training. With normal daily use, service must be carried out according to the service schedule after 2 years use and thereafter every second year. When moving the bed, service must be carried out according to the service schedule. When using Flex or Karin bed ends, which are made of a flexible type of tree it will be necessary to tighten the hexagon head screws at regular intervals other than described in the user manual.

Check the bed and particularly the the cables, plugs and the condition of the siderails after each use.

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16. Maintenance chart Service and maintenance of the EtudeTM must only be performed by personnel who have received the necessary instruction or training Bed/Id. no.: Date:

Initials:

Control of all centres of rotation (motors + mattress support parts). All motors running without failures (with regular speed and at low noise). Check the Rastofix fittings and function. Visual inspection of all cabinets for damages. Check that mains cable and plug are intact. Check the running of the cable. Check all remaining cables for damages. Also check the running of the cables. Check of siderails´ fixing and locking/movement. Check the wheels (security, braking and free rolling). The following parts must be lubricated: Centres of rotation (motors and mattress support parts). Centres of rotation of Rastofix fitting.

A service contract can be made in the countries, where Invacare®has its own sales company. Moreover, Invacare®offers courses in service and maintenance of the Etude bed.

17. Waste disposal This product has been supplied from an environmentally aware manufacturer that complies with the Waste Electrical and Electronic Equipment (WEEE) Directive 2002/96/CE. This product may contain substances that could be harmful to the environment if disposed of in places (landfills) that are not appropriate according to legislation. The »crossed out wheelie bin« symbol is placed on this product to encourage you to recycle wherever possible. Please be environmentally responsible and recycle this product through your recycling facility at its end of life. All wooden parts must be dismantled and sent for incineration. All electric parts must be dismantled and be disposed of as electric components. Plastic parts must be sent for incineration or recycling. Steel parts and castors must be disposed of as waste metals. Waste disposal must comply with the laws and regulations pertaining waste handling in each country.

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GB

Visual inspection of all parts of the bed (plastic deformation and/or wear and tear of welded joints).