User manual Evolution™ LI156Ex
Contents
1. 5 A HILLENBRAND INDUSTRY USER MANUAL Hill Rom 6 CLEANING The bed has been designed for easy cleaning and optimised disinfecting AN 6 1 SAFETY RECOMMENDATIONS Ensure that the bed will not move Lock out all electrical functions Disconnect the bed from the mains power supply Ensure that all connections are firmly in place hand pendant control lock out controls power drives connected to main power supply unit Never pour water on the bed use a high pressure hose or wash in a tunnel wash Never use water at a temperature of over 60 C Avoid getting excess water on connecting plugs the control lock out switches and on the mattress Refer to the manufacturer instructions for the cleaning product Thoroughly dry the bed before reusing it Failure to implement one or more of these recommendations may lead to damage or deterioration preventing use of the bed and rendering the warranty void 6 2 GENERAL ADVICE NOTE 1 Staining disinfectant products must be removed rapidly to avoid permanent staining NOTE 2 A list of recommended cleaning products for all types of cleaning requirements will be supplied on request along with a special maintenance advice leaflet DO NOT EXCEED RECOMMENDED DOSES read diluting instructions carefully see detergent and disinfectant manufacturer s instructions leaflets Jack plugs may be cleaned with running water normal tap pressure but not hosed down Avoid excessiv2. The hand pendant control works the same way as the siderail control panels Head section Auto contour A See sections 4 5 2 and 4 5 3 N4 Knee section 4 gt See section 4 6 1 v 5 7 3 Use by the patient Nursing staff need to assess whether the patient should be left unattended with the hand pendant control If the patient is able to use the siderail controls the hand pendant control should be disconnected see section 5 7 3 5 7 4 Storage When not in use the control must be kept in its storage space under the sleep surface Hang the cord over the hook and hang up the control The control must never be left in A any other place as this could lead to undue pressure on the unit causing sudden bed movement 5 7 5 Patient transfers and bed moves Always store the control in its storage emplacement under the sleep surface when moving the bed to avoid damage to the unit or the cord e g when passing through doorways etc Evolution Electric Bed LI156Ex 38 QD1532A 2 2 Hill Rom USER MANUAL 5 7 6 Disconnecting the control 1 Take hold of the plug 2 Pull the plug from the socket 3 Replace the socket cover A section 5 7 1 and press home Never pull on the control cord r n Remember to replace the socket cover A 58 BILATERAL VARIABLE HEIGHT FOOT PEDAL ADO90A See the accessory user leaflet for instructions on how to install See section 4 4 2 for instructions for use AN
3. Risks and hazards if bed is not properly secured patients may fall when trying to get in or out of bed Patients should be moved with the bed in intermediate position and by 2 people if there is a slope or the steer option is fitted see section 4 7 2 Ensure that accessories patient helper I V Pole etc will not hinder progress through doorways or other passages 7 1 2 Bed position The bed should be kept in the low position to reduce the risks of patient falls especially when left unattended Use the Variable Height feature of the sleep surface to adjust the bed to the required height when the patient is undergoing treatment 7 1 3 Trendelenburg Reverse Trendelenburg optional This feature is mandatory in intensive care units and must only be operated under the supervision of or by trained nursing staff The Reverse Trendelenburg feature is available even without power when the sleep surface is positioned between low and mid height see section 4 4 2 The patient s safety may be jeopardised in the absence of a Reverse A Trendelenburg feature in cases of haemodynamic shock or severe breathing difficulties Always hold the bed with one hand when pulling the Trendelenburg Reverse Trendelenburg activation lever Failure to hold the bed may result in the bed being tilted abruptly causing AN injury to patient and or staff If the patient is heavy or the bed is fitted with accessories that have an off A centre
4. that pins 1 and 2 fit over one of the bars Turn the tray A so that it is now in line with the bars Slide the tray forward B until it touches the chassis cover Place the tray on the chassis bars C Safe Working Load for the I V pole allowing for a substantial safety margin Evolution Electric Bed LI156Ex 36 QD1532A 2 2 Hill Rom USER MANUAL Small objects and clothes placed in the tray should not exceed the height of the tray Ensure that the tray does not project out from under the bed 5 7 HAND PENDANT CONTROL AD091A A The hand pendant control must be handled carefully The hand pendant control is designed for use by patients who cannot reach the patient siderail controls The hand pendant control can be used in the same way as the patient siderail controls see section 4 2 1 1 The hand pendant control uses the same colour code as the siderail controls see section 4 2 1 3 5 7 1 Installing the unit The hand pendant control plugs into the socket located under the sleep surface To install the unit Remove the socket cover A Turn the plug so that locating pin B fits into groove C in the socket Push the plug firmly into the A socket Evolution Electric Bed LI156Ex QD1532A 2 37 gt Q O m i e 3 m o Lu o O Q 42 Lu lt hd USER MANUAL Hill Rom A HILLENBRAND INDUSTRY 5 7 2 Use by nursing staff
5. 6 3 CLEANING AND DISINFECTING RECOMMENDATIONS 43 7 SAFETY TIPS AND PRECAUTIONS 45 7 1 SAFETY TIPS 45 7 2 MAINTENANCE 50 7 3 ABNORMAL USE 52 7 4 TRANSPORT AND STORAGE 53 7 5 DE COMMISSIONING 53 8 SPECIFICATIONS 54 8 1 STANDARD FEATURES 54 8 2 DIMENSIONS 55 9 WARRANTY AND AFTER SALES SERVICE 56 10 STANDARDS COMPLIANCE 57 Evolution Electric Bed LI156Ex 2 QD1532A 2 Hill Rom USER MANUAL 0 INTRODUCING YOUR MODEL Version LI156Ex Sleep surface dimensions 90 x 200 cm E Frame Laminated Hard surface Yes E 8 Electrical function lock out Yes E Z Adjustable bed height Yes E Adjustable head Section Head Section CPR Yes 5 Comfort adjustment Yes E Adjustable knee section Power driven with m Auto contour Yes E Adjustable leg section Mechanical Yes E Integral siderails Yes E Central brake and steer system Yes E Castors 150 Single band castors n Trendelenburg Reverse Trendelenburg mandatory for acute care O Integral bed extension O Integral linen holder n Additional control connections n Bilateral variable height foot pedal OC Battery driven operation n Cover for lock out unit O Castors 150 Double band castors O 150 Antistatic double band castors O 150 Antistatic single band castors Oo 150 Complete castors Oo 150 Antistatic complete castors DI Directional castor at foot end of bed n Bedside cabinet transport OC Evolution Electric Bed LI156Ex QD1532A 2 3 hd USER MANUAL Hill Rom A HIL
6. Equipotential terminal T Type B equipment A Alternating current Evolution Electric Bed LI156Ex QD1532A 2 N e a gt e USER MANUAL Hill Rom 1 2 FUNCTION SYMBOLS 1 2 1 Manual controls The following labels located next to the relevant control identify manual ca CER Head Section CPR KA Trendelenburg option 1 2 2 Brake and steer controls amp Neutral 1 2 3 Angle control 1 2 3 1 Bed without Bedside Cabinet Transport option Reverse Trendelenburg Head Section Knee Section availability area 1 2 3 2 Bed with Bedside Cabinet Transport option Rev Trend and Bedside Cabinet Head Section Transport availability area 1 2 4 Electrical functions Nurse controls Knee Section v 4 v 4 v vo Height adjustment Head sect adjustment Knee sect adjustment Evolution Electric Bed LI156Ex 6 QD1532A 2 2 Hill Rom USER MANUAL Patient controls Ez J v lt Head Section adjustment Knee section adjustment Lock out panels e lt DI Le rr e Electrical functions released Electrical functions locked out Variable Height bilateral pedal optional accessory ref AD098A Down Up Hand pendant control accessory ref AD091A di da v v Head Section adjustment Auto Knee Section adjustment contour Evolution Electric Bed LI156Ex QD1532A 2 7 USER MANUAL Hill Rom 2 OVERVIEW Patient siderail Head Se
7. The accessory must be fitted by an authorised technician 5 9 HAND PENDANT CONTROL SOCKET AD089A This accessory is used to connect the hand pendant control ref AD091A See the accessory user leaflet for instructions on how to install See section 5 7 for instructions for use A The accessory must be fitted by an authorised technician 5 10 SIDERAIL PROTECTIVE COVER AD113A Please refer to the instructions that come with the protective cover when using this accessory Evolution Electric Bed LI156Ex QD1532A 2 39 SaIUOSSa99v o T O 7 7 Lu Q O lt hd USER MANUAL Hill Rom A HILLENBRAND INDUSTRY 5 11 OXYGEN CYLINDER HOLDER AC959A AD101A AD102A Safe Working Load 15 Kg The oxygen cylinder holder is designed to accept an oxygen cylinder and must only be fitted on the patient helper supports at the head end of the bed outside the sleep surface lt can be rotated by approximately 90 Each holder corresponds to one type of cylinder and must never be used for a different cylinder model AC959A for cylinder AD101A for cylinder AD102A for cylinder model B5 140 model D 100 model E 100 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 ZS staff SG Check that cylinder is correctly positioned at the E base of the Cylinder holder Never use a different oxygen c
8. Width 85 88 cm suitable for the sleep surface dimensions If the bed is fitted with an electrically powered dynamic mattress the power cord must be stored so as to prevent it from being cut by the moving parts of the bed If the mattress power cord is unplugged it is advisable to store it on one of the headboard supports section 4 9 7 1 6 Cleaning and authorised cleaning fluids see chapter 6 Always disconnect the bed from the mains power supply before cleaning Ensure that all internal electrical connections are secured After cleaning always ensure that the bed is perfectly dry and that all functions are operational Only use authorised cleaning fluids and products 7 1 7 Electrical function lock out The electrical function lock out controls prevent any undue bed movement which might cause injury to the patient for instance when under traction It is highly recommended that functional lock out should be used whenever a patient is undergoing examination or treatment or when the bed is going through maintainence or being moved Functions should also be locked out when the patient is left unattended and if nursing staff believe that the patient is not capable of safely operating the controls independently Evolution Electric Bed LI156Ex 48 QD1532A 2 2 Hill Rom USER MANUAL A HILLENBRAND INDUSTRY 7 1 8 Parts and accessories Only use manufacturer s parts and accessories Never alter the bed without the manufactur
9. cabinet and the Head section or on the head supports Lock out the electric functions of the bed before moving the bed and bedside cabinet to prevent any accidental handling that knocks the bedside cabinet against the structure of the bed 4 17 2 Removing the bedside cabinet from the bed Move the bed away from the wall to obtain free access for removing the bedside cabinet then apply the brakes Connect the mains power cord Remove the headboard Unlock the electric function of the bed if necessary Operate the Variable Height lower function so that the bedside cabinet castors touch the floor and the bedside cabinet is no longer supported by the rails Remove the bedside cabinet from its support rails avoid crushing or pulling the main power cord when carrying out this operation Fit the headboard Release the brakes put the bed back into its position then apply the brakes Set the sleep surface to the required auto contour position 4 18 LOCKOUT SWITCHES PROTECTION The lockout switches protection permit to protect them against an accidental lockout or unlock NOTE This protection can be unclipped for cleaning Evolution Electric Bed LI156Ex QD1532A 2 29 pa 77 a Cc e 3 e pa 77 n e D 72 m L x e 72 72 LU Oo 5 lt hd USER MANUAL Hill Rom 5 ACCESSORIES 5 1 PATIENT HELPERS 5 1 1 Fixed patient helper Type AD080B Safe Work
10. cabinet from its support if its castors are not in contact with the floor 4 17 1 Fitting the bedside cabinet to the bed Close the bedside cabinet doors and drawer and put the eating tray on the bed in its folded position Release the brake move the bed away from the wall to free the head end section in order to fit the bedside cabinet then apply the brakes Remove the headboard Set the sleep surface to the bedside cabinet loading height and head end bedside cabinet support rails to approximately 20mm below the aluminium rails of the bedside cabinet Raise the Head Section so that the lateral angle indicator lies within the green area for use of the Bedside Cabinet Transport option Slide the bedside cabinet onto the support rails with the bed s eating tray pointing to the outer head end of the bed Avoid crushing or pulling the main power cord when fitting the bedside cabinet Operate the Variable Height so that the bedside cabinet on castors are about 30mm from the floor to prevent any ji gt impact when moving the bed moving through doorways into lifts etc The Reverse Trendelenburg lateral angle indicator must lie within the green area for use of the Bedside Cabinet Transport option Evolution Electric Bed LI156Ex 28 QD1532A 2 2 Hill Rom USER MANUAL A HILLENBRAND INDUSTRY Disconnect the main power cord and secure it on the bed as shown in section 4 9 Fit the headboard between the bedside
11. the bed in two stages intermediate and fully raised When the siderails are lowered the width of the bed is reduced When fully raised the rails ensure patient protection and reduce the risk of falls In the intermediate position the rails can help a fully mobile patient get in and out of bed safely and comfortably Nursing staff must decide which rail position is best suited to the patient s condition With patients suffering from obsessive behavioural disorders for instance it may be better to leave the head section rails fully raised the leg section rails in either an intermediate position or lowered The Head Section rails should not be used in intermediate position if the Head Section is raised by more than 30 Evolution Electric Bed LI156Ex 10 QD1532A 2 2 Hill Rom USER MANUAL Always ensure that there are no obstacles patient s limbs objects accessories etc before raising or lowering a siderail 4 1 1 Raising a siderail The siderails are located under the bed when not in use To raise a siderail Pull the rail out from under the bed until fully extended Rotate the rail upwards into the required position intermediate or fully raised Ensure that the siderail has clicked into position 4 1 2 Lowering a siderail pa 77 I e 3 e zZ 77 n e DI Dam 72 m To lower a siderail Hold the rounded end of rail firmly Pull the beige coloured lever loc
12. top of the other PLEASE NOTE In transport or storage batteries should be recharged every 2 weeks when fitted 7 5 DE COMMISSIONING The bed and its accessories should be cleaned and disinfected before de commissioning De commissioned equipment materials plastics electrical components etc must be recycled in proper waste recycling units As regards the battery It must be returned to Hill Rome or the local distributor Evolution Electric Bed LI156Ex QD1532A 2 53 gt i m lt 3 9 e gt Z o a pu m 2 gt an 3 e z 7 USER MANUAL Hill Rom 8 SPECIFICATIONS Hill Rom has an ongoing product improvement policy Specifications are therefore liable to be altered without notice 8 1 STANDARD FEATURES 8 1 1 Bed model specifications Reference Class according to IEC 60601 1 Protection against harmful ingress of water according to IEC 60529 Electric shock protection Class I Intermittent operation 6 min h Safe Working Load Basic version Bedside Cabinet Transport option Maximum lifting load Bed weight no mattress or accessories Version 230V Voltage Frequency Maximum power load Fuse amperage Version 110V Voltage 120V A C Earth Frequency 50 60Hz Maximum power load Fuse amperage Version 100V Voltage 100V A C Earth Frequency 50 60Hz Maximum power load Fuse amperage wn Z gt lt q Q u S W a 72 Safe Working Load specif
13. 3 Control identification Controls are identified in several ways By colour Light green arrow Up Dark green arrow Down Light brown background Patient controls Beige background Nurse controls By embossment Raised arrows only for upward movements and on the siderail controls Raised arrows Light green Beige B Dark brown vv Vv Dark green 4 2 2 Bilateral variable height foot pedal optional This pedal is located centrally under the bed chassis Nursing staff can use this pedal to adjust bed height while keeping their hands free to deal with the patient Do not fit accessory ADOIIA to a LI156Dx or LII56Ex bed see identification label that features this option This accessory may trap or damage the pedal and result in uncontrolled undesirable movements Evolution Electric Bed LI156Ex QD1532A 2 13 pa 77 I e 3 e zZ 77 n e DI Dam 72 m hd USER MANUAL Hill Rom A HILLENBRAND INDUSTRY 4 3 ELECTRICAL FUNCTION LOCK OUT AN See Safety General precautions for use section 7 1 m The electrical function lock out panel can ex CE be used to lock out or to release the a three power driven functions either singly bi Ua or simultaneously E s Once a function is locked out it can no longer be operated using the siderail controls variable height pedal or hand pendant control Controls released gt Con
14. LENBRAND INDUSTRY ACCESSORIES AC907A Raised urine holder AC908A_ 2 receptacle bottle holder AC923A Label holder AC930A Removable frame AC932A 3P 1L pivoting stainless steel bottle holder AC938A 3P 1L pivoting stainless steel bottle holder AC953A Chrome plated I V hook AC959A Oxygen cylinder holder AC961A 3 litre bottle holder for frame AC962A 3 litre bottle holder for foot end AC963A Syringe driver holder AC967A Monitor stand AC968A Equipotential cable AC991A Triangular section drainage holder l W Q O x 2 e gt o 2 2 ja O aa Z AC992A Mattress for bedframe extension ADO16A Semi spherical drainage holder AD080B Chrome plated patient helper AD081C Chrome plated adjustable patient helper AD082A Stainless steel I V pole AD083A Head end tray AD098A Variable Height Electric pedal ADO90A 3 control connection ADOS1A 3 control AD113A Siderail protective cover AD165A 1 V pole Incompatible with the bedside cabinet transport option Evolution Electric Bed LI156Ex 4 QD1532A 2 Hill Rom A HILLENBRAND INDUSTRY 1 SYMBOLS USER MANUAL 1 1 GENERAL SYMBOLS A Safety instructions Please read carefully Safety earth m Class II device Direct current r amp DO NOT BIN DO NOT PLAGE ANYTHING Follow recycling on this surface procedure e lt DJ ej FR e v
15. RECOMMENDED CLEANING AND DESINFECTION METHOD Always wipe downward working from the cleanest to the dirtiest areas Do not scrape surfaces keep wipes humid wet as many times as needed and do not wring out too much water Let product dry according to manufacturer s recommendations to ensure maximum efficiency Rinse if necessary follow the disinfectant product suppliers recommendations Change wipes when moving from the least contaminated areas to areas of medium or to highly contaminated areas Change wipes when moving to another bed Always dry the bed thoroughly after it has been cleaned Evolution Electric Bed LI156Ex QD1532A 2 43 ONINV379 hd USER MANUAL Hill Rom A HILLENBRAND INDUSTRY 6 3 3 AREAS TO TREAT ACCORDING TO CLEANING DISINFECTING Every day After patient departure or transfer Thorough cleaning after an infected patient or every two months 9 Z lt W 5 6 3 4 DECONTAMINATION RECORD A decontamination record should be kept for each bed mentioning Date month ward and room number bed reference number Cleaning frequency materials and products used ANY INFECTIOUS EVENTS Evolution Electric Bed LI156Ex 44 QD1532A 2 2 Hill Rom USER MANUAL A HILLENBRAND INDUSTRY 7 SAFETY TIPS AND PRECAUTIONS 7 1 SAFETY TIPS 7 1 1 Brake and steer The brake must be on when the bed is stationary Try moving the bed to ensure that wheels are locked
16. User manual EvolutionTM LI156Ex i m QD1532A A HILLENBRAND INDUSTRY Rev002 Information contained in this manual is subject to modification without notice and implies no obligation on the part of Hill Rome No part of this publication may be reproduced stored or transmitted in any form or by any means electronic mechanical photocopying recording or otherwise other than for the user s personal use without the prior written permission of Hill Rome PLEASE NOTE Persons depicted in the illustrations may be shown working in non standard working postures in certain situations for reasons of clarity and visibility Not all the photographs used in this manual are contractually binding MANUFACTURER Hill Rom B P 14 Z I du Talhou t 56330 PLUVIGNER FRANCE Tel 33 02 97 50 92 12 Fax 33 02 97 50 92 03 Version February 2005 Hill Rom USER MANUAL USE OF EVOLUTION LI156Ex BEDS The EVOLUTION line of hospital beds includes acute care beds with mandatory Reverse Trendelenburg tilting and general purpose variable height hospital beds for general care for use in intensive or post operative care in ICUs and General Medicine Wards They can be used both for intensive and non intensive care and with the highly elaborate techniques developed in special medical units They are designed with the needs of the whole medical team in mind and facilitate the use of ICU and monitoring equipment and the transfer of pa
17. ated on the rail base Rotate the rail downward into the required position intermediate or low Release the lever When the rail is fully lowered push it back into position under the bed Evolution Electric Bed LI156Ex QD1532A 2 11 LU 2 Ce O LL 72 z 9 gt ao e hd USER MANUAL Hill Rom A HILLENBRAND INDUSTRY 42 ELECTRICAL FUNCTIONS The power driven features of the bed are controlled by panels located on the inner and outer sides of the Head Section siderails patient controls and nurse controls respectively by a bilateral variable height foot pedal optional or by a hand held unit accessory 4 2 1 Controls 4 2 1 1 Patient controls Patients can use the controls located on the inner side of the Head Section rails to adjust Head Section inclination and Auto contour if available see sect 4 3 Knee Section Inclination PLEASE NOTE The patient does not have access to the bed height adjustment control 4 2 1 2 Nurse controls Nursing staff can use the controls located on the outer side of the Head Section rails to adjust Bed height A A Head Section Inclination and auto contour if available see Fi sect 4 3 Knee Section Inclination PLEASE NOTE Use of the nurse controls is reserved for nursing staff only Evolution Electric Bed LI156Ex 12 QD1532A 2 2 Hill Rom USER MANUAL A HILLENBRAND INDUSTRY 4 2 1
18. bed has an air or water mattress this operation should be carried out by two people Make sure that the bed and accessories patient helper I V pole etc cannot strike any fittings light fittings service shafts etc p 77 D Cc e 3 e zZ 77 n e DI Dam 72 m Make sure that the patient s arms and legs do not jut out from the sleep surface The Trendelenburg Reverse Trendelenburg function cannot be used when transporting a bedside cabinet on the bed The nursing staff must ensure that the physiological state of the patient is compatible with these movements 4 5 HEAD SECTION Ensure that there are no obstacles patient s limbs power cables objects AA or accessories before using this feature 4 5 1 CPR release The Head Section CPR release is activated by disabling the adjustment drive in CPR emergency situations The release is cushioned EvolutionTM Electric Bed LI156Ex QD1532A 2 17 LU Q gt Ce O LL 2 z 9 gt ao de AHILLENBRAND INDUSTRY hd USER MANUAL Hill Rom Use the two handles located under the Head Section behind each symbol to operate the CPR release To lower the Head Section Release the Head Section by pulling the CPR handle with one hand Control the descent of the Head Section using your other hand as necessary NOTE Due to the dampened motion and depending on the weight or position of the patient it may be ne
19. cessary to initially push down on the head section Release the handle when the Head Section is horizontal The Head Section power drive is automatically re enabled after the instant release system has been activated whatever the position of the Head Section The CPR emergency release function is unavailable when transporting Z N the bedside cabinet on the bed The nursing staff must ensure that the physiological state of the patient is compatible with these movements 4 5 2 Head Section control ZS or A or or L v v v Head Section adjustment can be activated by the patient nurse controls or by the hand pendant controls The Up button on the Head Section adjustment control activates the Auto contour feature The Knee section adjustment control should be locked out using the lock out panel if only the Head Section height adjustment feature is required NOTE When using the Bedside Cabinet Transport function lock out the Head Section control See precautions section 4 17 Evolution Electric Bed LI156Ex 18 QD1532A 2 2 Hill Rom USER MANUAL 4 5 3 Auto contour gt E or v y The Auto contour feature automatic comfort level positioning can be activated by using the patient or nurse controls Head Section controls or by the hand pendant controls optional The Auto contour feature raises the Head Section and the Knee section simultaneously This feature can prevent the patie
20. ction H ion half Removable ead Section hal and Knee Section control headboard length siderail Leg Section half length siderail LV pole and Xx Integral bed patient helper extension sockets Trendelenburg Reverse Trendelenburg control Nurse siderail controls Variable Height Head Section and Knee Section Electrical function lock out Hand pendant control storage and socket entral brake and steer pedal w gt a TI gt e E olde S Siderail Leg Section control olders positioning handle Additional handle accessory KS Beskaniag st p Head Section CPR positions handle Equipotential terminal Reinforced corner post Headboard holders and power cord 150 mm hook castors Identification label Battery Angle indicators Bilateral Variable Chassis Horizontal symmetrical Height foot pedal protecting cover headboard for bedside cabinet transport option Evolution Electric Bed LI156Ex 8 QD1532A 2 2 Hill Rom USER MANUAL A HILLENBRAND INDUSTRY 3 INSTALLING THE BED 3 1 FIRST STEPS Before using the bed it is essential to have a thorough understanding of this manual It contains instructions for general use and maintenance and gives you the assurance of improved safety Nursing staff must be informed of the risks encountered in the use of electric beds The many sources and types of accessories hardware or m
21. e temperature differences between the water and the jacks Bed and accessories see recommendations under 6 3 Plastic parts see recommendations under 6 3 The hard surfaces can be washed with running hot water away from the bad after being removed Endboards siderails see recommendations under 6 3 Evolution Electric Bed LI156Ex 42 QD1532A 2 2 Hill Rom USER MANUAL A HILLENBRAND INDUSTRY The following products should not be used chlorine formaldehyde or phenol based products and solvents of any kind Never use abrasives cleaning powder or cleaning pads which would damage components 6 3 CLEANING AND DISINFECTING RECOMMENDATIONS The following recommendations are not designed to replace existing cleaning protocols for your hospital drawn up by the Hygiene Officer or by other bodies The disinfecting method described below applies specifically to the bed and its accessories and is designed to save time and to help combat nosocomial infection more effectively 6 3 1 RECOMMENDED MATERIALS AND PRODUCTS Several single use tissues or recyclable textile wipers One pair of household gloves Detergent disinfectant solution diluted according to hospital guidelines and taking into account the recommendations given above or a disinfecting spray Use a standardised product in compliance with French AFNOR standard NF T 72 101 active against bacteria including BK fungi and viruses including HIV 1 and HBV 6 3 2
22. ead and foot of the bed To fit a frame Unscrew the two black 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 PLEASE NOTE Introduce both ends simultaneously to avoid the frame getting stuck in the sockets The monitor stand is fitted in the same way ref AC967A 5 4 BED EXTENSION PANEL AC992A The panel fits into the space between the bedframe and the footboard when the extension is fully extended SHIYOSSADOV The panel is secured by a clip and pin system To fit the panel in place Position the panel clips over the pins Press firmly into place The cushion is designed to extend the sleep surface AN When the panel is fitted the extension cannot be retracted Evolution Electric Bed LI156Ex QD1532A 2 35 L x e 72 72 LU Oo 5 lt USER MANUAL Hill Rom 5 5 EQUIPOTENTIAL CABLE AC968A This cable is designed to connect intra vascular or intracardiac equipment to the bed lt consists of two POAG WB 6 DIN type connectors and a 2m long yellow and green cable 5 6 HEADBOARD TRAY AD083A Safe Working Load 15 kg The tray can be used for small objects and clothes The tray fits over the chassis bars under the headboard and up against the chassis cover Fitting the tray Introduce the tray sideways between the chassis bars so
23. edal is located centrally under the MA r bed chassis Sy Vann N Adjust the height of the sleep surface by P o pressing your foot on the corresponding control arrow Down Up The Variable Height pedal uses the same colours as for the siderail controls see section 4 2 1 3 Do not fit accessory ADOIIA to a LII56Dx or LIISGEx bed see identification label that features this option This accessory may trap or damage the pedal and result in uncontrolled undesirable movements Evolution Electric Bed LI156Ex QD1532A 2 15 p 77 I Cc e 3 fe pa 77 n e D a no m hd USER MANUAL Hill Rom A HILLENBRAND INDUSTRY Z N 4 4 3 Trendelenburg Reverse Trendelenburg Optional mandatory for acute care The sleep surface may be tilted towards the head of the bed Trendelenburg tilt or towards the foot of the bed Reverse Trendelenburg tilt Positions may be indexed and pegged Maximum tilt can be obtained when the sleep surface is positioned within the limits found in the table on the next page To tilt the sleep surface For the Bedside Cabinet Transport option release the brakes move the bed away from the wall then apply the brakes Unlock the safety catch by pulling the lever located behind the footboard handle Tilt the sleep surface in the position required Release the safety catch lever Hold the bed by the footboard rail and tilt slightly until it locks in
24. edical devices that may be used jointly with this bed do not enable Hill Rom to guarantee both the safety and conformity of all the combinations thus created The operator who creates these device combinations must therefore ensure that security and conformity requirements are met Before installing the bed for the first time or after bringing the bed and its accessories out of storage Ensure that the bed and its various parts are at room temperature Connect the bed to the mains power supply see sect 3 2 below Ensure that all the moving parts are in good working order Ensure that the bed has been cleaned and disinfected see chapter 6 3 2 CONNECTION TO THE MAINS POWER SUPPLY The mains power supply for the bed must comply with French standards NF C 15 100 et NF C 15 211 230V power point earth France and CEI 364 for other destinations Check that the power supply of the bed identification label sect 2 corresponds to the power supply voltage of the hospital The power supply should be equipped with a maximum 30 mA earth leakage circuit breaker in compliance with CEI 364 5 53 Evolution Electric Bed LI156Ex QD1532A 2 9 Z n gt r E Z ro I m DI m o LU 2 Ce O LL 72 z 9 gt ao e hd USER MANUAL Hill Rom 4 INSTRUCTIONS FOR USE 4 1 SIDERAILS The siderails are part of the frame They rotate into position by moving towards the head and foot of
25. er s prior consent Alterations may result in injury to the patient or damage to the bed itself 7 1 9 Electrical safety precautions The equipotential cable accessory ref AC968A must always be used AN when the patient is connected to intravascular or intracardiac equipment The cable must be connected to the equipotential connector located on the bed and the bed must then be connected to appropriate equipotential terminal All connections must comply with standards as defined under section 3 2 In compliance with standards relating to electromagnetic interference for medical equipment this product does cause interference or receive interference when combined with other medical devices that also comply with the electromagnetic standards in force Some devices particularly older ones may however experience interference or may themselves interfere with the working of this product The user of such devices is responsible for ensuring that any potential malfunctions will not endanger the patient or any other person Always ensure that the power cord is disconnected and hooked to the bed before moving the bed Only duly qualified and authorised staff should carry out electrical maintenance Never clean or perform maintenance on the bed without disconnecting it from the mains power supply The battery optional must never come into contact with fire be placed in liquid or discarded in a refuse bin In the event of the battery being damaged
26. frames are fitted the am an headboard and footboard can be J removed by simply lifting the board slightly and pulling outward from under the frame Evolution Electric Bed LI156Ex 24 QD1532A 2 2 Hill Rom USER MANUAL A HILLENBRAND INDUSTRY To improve patient access pull out the two hooks and hook the end board as shown in the picture below A Ensure that the power cord is not wound on one of the hooks 4 11 FRAME The four sections of the bed can be removed for easy cleaning Handle as shown in the picture and ensure that they are securely locked into place Sections are locked into place by clips and pins on the four hard surfaces ad A Ensure that sections are properly positioned and secured after fitting Evolution Electric Bed LI156Ex QD1532A 2 25 pa 77 D e 3 e zZ 77 n e D a 72 m LU 2 Ce fe LL 72 z 9 gt ao e hd USER MANUAL Hill Rom A HILLENBRAND INDUSTRY 4 12 RESTRAINING STRAP POSITIONS Restraining strap positions Knee Section When required patient restraining straps must be tied to the proper positions provided Two positions are located on each bed section Head Section Knee Section and Leg Section on either side of the bed Thread the straps through the positions amp gt Restraining strap positions Head section and Leg section Z N Do not fix the restraining straps to any posi
27. ged at several pre defined angles 1 9 normal position 15 and 22 from horizontal To raise the Leg section Use the pull out handle on the end of the Leg section to raise it to the required position Carry on lifting until the Leg section locks into position p 77 I Cc e 3 fe pa 77 n e D a no m To lower the Leg section Lift the Leg section slightly to remove the safety catch Pull on one of the handles located under the Leg section behind each symbol Lower the Leg section to the required position Release the handle and ensure that the Leg section is locked into position Evolution Electric Bed LI156Ex QD1532A 2 21 USER MANUAL Hill Rom AN 4 7 BRAKE AND STEER SYSTEM 4 7 1 Using the brake and steer pedal 2 The brake and steer pedal located at the foot of the bed on the chassis cover controls all four wheels i BRAKE position beige pedal down B the bed cannot be moved Z Foot NEUTRAL position pedal horizontal All four wheels can turn and swivel The bed can be turned in any direction LU Q gt Ce O LL 2 z 9 gt ao no STEER position green pedal down Three wheels turn and only the front left hand wheel is used to steer wheel swivel is disabled The bed can be moved in a straight line 4 7 2 Moving the bed A Before moving the bed Ensure that siderails are raised to prevent fall
28. ication allowing for a substantial safety margin Evolution Electric Bed LI156Ex 54 QD1532A 2 2 Hill Rom USER MANUAL Bedframe without Frame with extension extension fully extended Maximum dimensions Width x Length in mm 1040 x 2180 1040 x 2360 Single band Complete Double band 150 150 150 castors castors castors 8 2 DIMENSIONS Minimum height low position Maximum height high position for a bed equipped with the Bedside Cabinet Transport option add 10mm Head Leg Section Knee Trend Section Section Reverse Trend Maximum 68 16 34 12 12 inclination with respect to horizontal PLEASE NOTE These are average values which may vary according to manufacturing tolerances OUTER DIMENSIONS mm U m Q a O gt H e Z 7 According to options chosen Evolution Electric Bed LI156Ex QD1532A 2 55 gt DI DI gt Z lt gt zZ o gt Tl m D gt r m wn m I lt oO m hd USER MANUAL Hill Rom A HILLENBRAND INDUSTRY 9 WARRANTY AND AFTER SALES SERVICE Warranties for our beds will be rendered null and void in part or in total in the event of Unauthorised interference with or incorrect maintenance of Actuators Electrical drives and components Mechanical systems Abnormal use Use of parts and accessories not authorised by the manufacturer Use of unauthorised cleani
29. ing Load 75 kg The patient helper can be fitted into either of the two square sockets at the head of the bed Place the patient helper in the socket so that the Egress bar is over the bed Correct position Incorrect position 5 1 2 Adjustable patient helper type AD081C Safe Working Load 75 kg The adjustable patient helper three positions can be fitted into either of the square sockets at the head of the bed Place the patient helper in the socket so that the Egress bar is over the bed and so that the patient helper arm is in the most suitable position see picture on right 1 Safe Working Load specification allowing for a substantial safety margin Evolution Electric Bed LI156Ex 30 QD1532A 2 2 Hill Rom USER MANUAL A HILLENBRAND INDUSTRY 5 1 2 1 Patient helper positioning Tuck away position Normal Egress Patient transfer position position Use the blue knob marked TURN to adjust patient helper position To adjust patient helper position Turn the blue knob a quarter turn clockwise to unlock the patient helper Place the patient helper in the required position Turn the knob the other way to lock in position Turn the patient helper slightly until it locks into place Pull patient helper to ensure that position is secure gt Q O m i e 3 m o The Egress bar on the patient helper can be adjusted according to the patient The patien
30. ing measures a Use accessory AD113A siderail protective cover when the risk of the patient slipping between the raised siderails is significant and could have serious consequences for the patient s health Evolution Electric Bed LI156Ex QD1532A 2 47 gt T m lt 2 9 e gt Z o 9 a m 2 gt Cc re zZ 72 77 Z e gt gt lt oO Ww CC a Q z lt e Q gt gt gt Lu LL lt o hd USER MANUAL Hill Rom A HILLENBRAND INDUSTRY b Use accessory AD113A when an abdominal belt is being used singly or with ankle restraints c Lower the foot end siderails to their half raised position when the risk of the patient slipping between the siderails is significant but does not present serious risks for the patient s health 7 1 5 Mattresses Only mattresses recommended by Hill Rome 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 Should you wish to use a mattress other than those recommended please ensure that it is compatible with the Hill Rome bed model and that it will not have any undue effect on performance quality or safety Use of the bed with a mattress exceeding the recommended height 175 mm may reduce siderail effectiveness The beds are designed for use with standard size mattresses Length 195 200 cm
31. ion of the bed and its specific usage as some components may need changing after a given period of use see Maintenance Manual Evolution Electric Bed LI156Ex QD1532A 2 51 gt j m lt 3 9 e gt p o a pu m 2 gt an 3 e z 7 hd USER MANUAL Hill Rom A HILLENBRAND INDUSTRY 7 3 ABNORMAL USE 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 Use of the bed in a hyperbaric chamber Use by any person who has not read the User Manual or has not been briefed by an authorised person Use of functions accessories or bed movement by a child Use of the bed for patients under the age of 12 or thereabouts Operation of electrical functions by several persons at the same time Placing objects or equipment on the chassis cover or standing on the cover Lifting a load in excess of 250 Kg Use of the bed with a load of over 170 Kg normal work load or 220 Kg with the Bedside Cabinet Transport option Connection to a non standard power supply Connection of other electrical appliances to the bed Use of accessories and equipment other than those specified by the manufacturer Pulling on the power cord to move the bed Transporting the bed and bedside cabinet using unauthorised methods section 4 17 Hosing down the bed or washing in a t
32. load it is advisable to carry out the operation with 2 people when using the sleep surface or positioning a cardiac chair Evolution Electric Bed LI156Ex QD1532A 2 45 gt TI m lt 3 9 e gt p o a pu m 2 gt en 3 e z 7 2 Z 9 gt lt LU a A ra Z lt B gt gt gt Lu LL lt 2 hd USER MANUAL Hill Rom A HILLENBRAND INDUSTRY transporting the bedside cabinet on the bed Nursing staff must ensure that the physiological state of the patient is compatible with these movements Trendelenburg Reverse Trendelenburg function is unavailable when 7 1 4 Integral siderails The siderails should be raised and locked when the patient is left unattended thus reducing the risk of accidental falls However use of the siderails must only be considered if appropriate and must be adapted to the health and behaviour of the patient Suitably qualified medical personnel must determine the appropriate use of the siderails and the level of patient monitoring or immobilisation necessary to ensure that patients suffering from particular behavioural conditions e g not limited to but including agitation mental confusion or loss of sense of direction behavioural disorders weakness etc can use the bed in the safest conditions The siderails are not designed to restrain or immobilise the patient in the bed They are not intended to receive immobilisation e
33. n the following illustrations 5 2 1 Using the I V Pole AD082A To lengthen the I V pole SHIYOSSADOV Raise the upper part of the pole to the desired height To shorten the I V pole Hold the upper part of the pole firmly and lift slightly while pressing downward on the plastic sleeve with two fingers of the same hand Lower the pole to the required height Release the sleeve Safe working load specification allowing for a substantial safety margin Evolution Electric Bed LI156Ex QD1532A 2 33 hd USER MANUAL Hill Rom A HILLENBRAND INDUSTRY 5 2 2 Using the I V Pole AD165A To raise the I V pole Loosen the knob Hold the lower part of the pole with one hand and raise the upper part to the desired height Tighten the knob To lower the I V pole Loosen the knob Hold the upper part of the pole firmly and lift slightly while pressing upward on the plastic sleeve with the same hand Lower the pole to the required height Release the sleeve Tighten the knob To turn the I V pole L x e 72 72 LU Oo 5 lt Loosen the knob Turn upper part to the required position while respecting the safety recommendations Tighten the knob Evolution Electric Bed LI156Ex 34 QD1532A 2 2 Hill Rom USER MANUAL A HILLENBRAND INDUSTRY 5 3 END BOARD FRAMES AC930A The frames fit into the sockets at the h
34. ng procedures Any use including cleaning and servicing that does not comply with the instructions in this manual Evolution Electric Bed LI156Ex 56 QD1532A 2 Hill Rom A HILLENBRAND INDUSTRY USER MANUAL 10 STANDARDS COMPLIANCE NF MEDICAL Hospital beds compliant Authorisation no 178 01 01 Complies with French standards MEDICAL e NF S 90 312 1984 e EN 60601 1 1996 e EN 60601 1 2 2001 e EN 60601 2 38 1999 e IEC 60601 2 38 Amendment 1 1999 Complies with essential requirements of CE directive 93 42 CEE applicable to class medical equipment Complies with requirements of CE directive 89 336 CEE applicable to Electromagnetic Counts CEM group 1 class B n gt Z UO gt 9 92 Q fe v E gt Z O m Evolution Electric Bed LI156Ex QD1532A 2 57 hd USER MANUAL Hill Rom A HILLENBRAND INDUSTRY Notes gt Bs D gt zZ lt gt zZ o gt mn m D gt m wn m Bs oO m Evolution Electric Bed LI156Ex 58 QD1532A 2
35. nt from a sliding down in the bed age nn The Auto contour feature is only available when sr m both Head Section and Knee section adjustment are enabled AN When the Head Section is locked out the Knee Section can always be activated by the Head section controls 4 5 4 Angle indicators The angle indicators help to monitor Head Section and Knee section inclination thanks to 10 divisions and to position the Head Section correctly when using the Bedside Cabinet Transport function p 77 D Cc e 3 e pa 77 pu e D 72 m Knee Section Head Section Inclination inclination With bedside cabinet transport option Evolution Electric Bed LI156Ex QD1532A 2 19 LU Q gt Ce O LL 2 z 9 gt ao no hd USER MANUAL Hill Rom A HILLENBRAND INDUSTRY 4 6 KNEE SECTION j j a 4 6 1 Electrical Knee section control E2 4 a amp or 3 4 or v Knee section inclination can be adjusted by using the patient or nurse controls or by the hand pendant controls NEN NE NN Nat el When the Knee section is raised the Leg section is lowered at an angle of approximately 9 to the sleep surface see section 4 6 2 Evolution Electric Bed LI156Ex 20 QD1532A 2 2 Hill Rom USER MANUAL A HILLENBRAND INDUSTRY 4 6 2 Manual Leg section amp djustment PP in adjustmen When the Knee section is raised the Leg section can be peg
36. o mains supply An alarm sounding when an AA electrical function is activated indicates the battery needs re charging The ongoing movement will be completed The bed must then be re connected to the mains power supply to recharge the battery and allow use of the electrical functions re charging time 12 hours PLEASE NOTE if the bed has a battery optional it must be fitted with antistatic castors 4 16 HAND PENDANT CONTROL SOCKET optional This option is designed for accessory ref AD091A see section 5 7 Evolution Electric Bed LI156Ex QD1532A 2 27 p 77 I Cc e 3 e zZ 77 1 e DI Dam 72 m LU 2 Ce O LL 72 z 9 gt ao e 9 USER MANUAL Hill Rom A HILLENBRAND INDUSTRY 4 17 BEDSIDE CABINET TRANSPORT optional The Bedside Cabinet Transport function can only transport bedside cabinets of the type NM1B or NM2B on the support rails integrated in the structure CAUTION When moving bed and its bedside cabinet the electric functions of the bed must be locked out The Trendelenburg Reverse Trendelenburg and Emergency CPR functions are unavailable when transporting a bedside cabinet on the bed The nursing staff must ensure that the physiological state of the patient is compatible with these movements Make sure that the bed and accessories patient helper I V pole etc cannot strike any fittings doorways etc Never remove the bedside
37. please return it to our after sales service or contact the supplier directly Use only nasal tubes and oxygen masks Masks and tubes should always be kept higher than the sleep surface Always lock out the Variable Height function before maintenance If the bed is fitted with a battery optional it must also have antistatic castors Evolution Electric Bed LI156Ex QD1532A 2 49 gt TI m lt 9 e gt p o a g m 2 gt en 3 e z 7 77 Zz e gt gt lt oO Ww CC a Q z lt e a gt gt gt Lu LL lt o hd USER MANUAL Hill Rom A HILLENBRAND INDUSTRY 7 1 10 Patient Helper Suitably qualified medical personnel must determine whether or not the patient helper can be left at the disposal of patients suffering from particular behavioural conditions e g not limited to but including agitation mental confusion or loss of sense of direction behavioural disorders weakness etc in order that the bed be used in the safest conditions 7 2 MAINTENANCE 7 2 1 SAFETY PRECAUTIONS Only duly qualified and authorised staff are authorised to carry out maintenance Before any maintenance or repair work Lock out all electrical functions Disconnect the bed Ensure that the bed cannot move Secure the frame and ensure that all movements are locked Never open or pierce an electrical or pneumatic jack high pressure cylinder Contact our after sales
38. quipment e g straps Always keep the bed in its lowest position when the patient is left unattended Given the many different types of mattresses available it is not possible to ensure the compliance of all mattresses with our recommendations for our beds and siderails Not all mattresses are interchangeable the user is thus recommended to ensure that the safety requirements are complied with when mattresses provided by another manufacturer are used This particularly applies to the height of the siderails and the dimensions of the sleep surface The use of a mattress thicker than that recommended may reduce the effectiveness of the siderails in preventing the patient from falling In this case the patient must be kept under special surveillance Hill Rom shall in no way be held liable for problems arising from the use of mattresses not respecting the recommendations indicated in the instruction manual Medical staff should note the risks involved in the use of siderails of any model or type with particularly old frail restless disorientated confused or obsessive patients The following recommendations are intended for caregivers in order to help them to minimize the specific risks incurred by certain patients Evolution Electric Bed LI156Ex 46 QD1532A 2 2 Hill Rom USER MANUAL A HILLENBRAND INDUSTRY Certain national health authorities have issued guidelines on how to reduce these hazards It is recommended tha
39. s are in use the electrical potentials of all the unprotected metal bed parts need to be equalised To equalise potentials connect the equipotential cable ref AC968A to the connection terminal PLEASE NOTE Failure to connect the equipotential cable may result in injury to the patient through electric shock Evolution Electric Bed LI156Ex QD1532A 2 23 p 77 I Cc e 3 e pa 77 n e D a no m LU 2 Ce O LL 72 z 9 gt ao e hd USER MANUAL Hill Rom A HILLENBRAND INDUSTRY A 4 9 SECURING THE POWER CORD The power cord must be secured to the bed whenever the bed is moved PLEASE NOTE Failure to do this may result in damage to the cable and create an electrical hazard Push the headboard holder and the cord out of the way under the cross bar When storing the headboard on the headboard holder when transporting a bedside cabinet on the bed the power cord must be rolled up on the headboard holder before replacing the headboard 4 10 HEADBOARD AND FOOTBOARD REMOVAL No special tools or devices are required to remove and place the headboard and footboard To position the headboard or footboard Hold the endboard by the handles on either side Place the studs in the holes in the head or foot of the bed To remove the headboard or footboard Hold the endboard by the handles on either side and pull upwards PLEASE NOTE When end
40. s if there is a patient in the bed Position sleep surface between low and mid height using the angle indicator Disconnect the power cord and electrically powered accessories e g air mattress etc then secure them on bed as shown in section 4 10 Ensure that the bed or accessories patient helper etc will not catch on doorways or other obstacles Place the hand pendant control in its container under the sleep surface to prevent any damage to the control or cable e g doorway etc Evolution Electric Bed LI156Ex 22 QD1532A 2 2 Hill Rom USER MANUAL A HILLENBRAND INDUSTRY Never try to move the bed by pulling on the power cord It is advisable to remove the patient helper when transporting the bed and bedside cabinet through low doorways lt 2 4 m Two people should move the bed one at each end in the following situations Moving the bed on a slope Foot end steer wheel Transporting with bedside cabinet Moving the bed with a heavy load heavy patient accessories fitted water mattress etc To move the bed Grip the footboard or frame with both hands Use the brake and steer pedal to unlock the wheels Push the bed steering with the footboard or frame When moving in a straight line position the pedal on STEER and push the bed using the endboard opposite the steering wheel see section 4 7 1 Z N 4 8 EQUIPOTENTIAL TERMINAL When direct intravascular or intracardiac connection
41. service for any specific maintenance problem leaks blockages etc If a battery is fitted A Never open burn or immerse a worn battery see section 7 6 A new battery should only be fitted by qualified maintenance staff Never leave the power supply block disconnected from the battery Never leave the chassis covers open Evolution Electric Bed LI156Ex 50 QD1532A 2 2 Hill Rom USER MANUAL A HILLENBRAND INDUSTRY 7 2 2 PREVENTIVE MAINTENANCE An annual maintenance visit is recommended to keep the bed fully operational and to ensure optimal use The following points should be given particular attention Brake locking system Siderail locking mechanisms Drive systems especially jacks movement control systems Head Section Leg section and Trendelenburg Reverse Trendelenburg and their ancillary parts Bed movement and ancillary part bearings Control operation in particular return to neutral The state of cables and electrical components Correct earthing of metal parts and equipotential connectors Waterproofing of electrical connections Cabling Correct condition of the frame and welded assemblies corrosion and shocks The whole electrical system should be inspected by an approved after sales service on average once every three years in order to ensure continued operation in optimal conditions The frequency of the maintenance visits should be determined according AN to the condit
42. t a patient reception procedure be established to enable profiles of patients at particular risk to be identified and appropriate measures adapted to the health and the behaviour of these patients to be implemented Among the profiles of patients at risk are Elderly and infirm persons Persons with dementia cerebral disorders microcephalia or hydrocephalus or a loss of sense of direction Persons exhibiting confused or restless behaviour One of the suitable measures that has already proven effective is to draw up a protocol indicating 1 In which situations and at what times the siderails should be used under which conditions and with what type of bed and mattress and what immobilisation or special measures must be used refer to the specific recommendations for half length siderails that follow 2 In which situations and at what times should one proceed to immobilise a patient or use means other than the siderails to reduce risks associated with falls foam cushions on the floor for example 3 In the case where a means of immobilisation is used follow the instructions and advice provided by the manufacturer particularly fixation checks 4 In which way a patient must be monitored whether immobilised or not including times when the patient is not receiving care Specific recommendations for half length siderails In the case where patients present a profile at risk as described above we recommend adopting one of follow
43. t 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 give the patient autonomy Evolution Electric Bed LI156Ex QD1532A 2 31 o T e 7 7 Lu Q O lt USER MANUAL Hill Rom A HILLENBRAND INDUSTRY 5 1 3 Handle and patient helper storage A B The patient handle strap adjustment is limited by the pegs A and B on the patient helper in order to avoid any risk of slippage that could cause an injury to the patient The patient handle on the patient helper can be adjusted according to the patient preference To adjust the height of the patient handle push on the locking mechanism button adjust the height and release the button Check the locking mechanism by pulling on the patient handle Place the patient handle on the patient helper arm when not in use in order to eliminate any obstruction If the bed is equipped with both a rotating patient helper ref AD081C and an I V Pole do not use the patient helper tuck away position as this may interfere with the I V pole 32 Incorrect position Evolution Electric Bed LI156Ex QD1532A 2 Hill Rom USER MANUAL 5 2 VARIABLE HEIGHT I V POLE Safe working load Refer to the value indicated on the I V pole Ensure that the I V pole is positioned facing into the bed and not outwards as shown i
44. tients to examination wards TABLE OF CONTENTS 0 INTRODUCING YOUR MODEL 3 1 SYMBOLS 5 1 1 GENERAL SYMBOLS 5 1 2 FUNCTION SYMBOLS 6 2 OVERVIEW 8 3 INSTALLING THE BED 9 3 1 FIRST STEPS 9 3 2 CONNECTION TO THE MAINS POWER SUPPLY 9 4 INSTRUCTIONS FOR USE 10 4 1 SIDERAILS 10 4 2 ELECTRICAL FUNCTIONS 12 4 3 ELECTRICAL FUNCTION LOCK OUT 14 4 4 SLEEP SURFACE 15 4 5 HEAD SECTION 17 4 6 KNEE SECTION 20 4 7 BRAKE AND STEER SYSTEM 22 4 8 EQUIPOTENTIAL TERMINAL 23 4 9 SECURING THE POWER CORD 24 4 10 HEADBOARD AND FOOTBOARD REMOVAL 24 4 11 FRAME 25 4 12 RESTRAINING STRAP POSITIONS 26 4 13 FOOT END BED EXTENSION optional 26 4 14 LINEN HOLDER optional 27 4 15 BATTERY optional 27 4 16 HAND PENDANT CONTROL SOCKET optional 27 4 17 BEDSIDE CABINET TRANSPORT optional 28 Evolution Electric Bed LI156Ex QD1532A 2 1 USER MANUAL Hill Rom A HILLENBRAND INDUSTRY 478 LOCKOUT SWITCHES PROTECTION 5 ACCESSORIES 30 5 1 PATIENT HELPERS 30 5 2 VARIABLE HEIGHT I V POLE 33 5 3 END BOARD FRAMES AC930A 35 5 4 BED EXTENSION PANEL AC992A 35 5 5 EQUIPOTENTIAL CABLE AC968A 36 5 6 HEADBOARD TRAY ADO83A 36 5 7 HAND PENDANT CONTROL AD091A 37 5 8 BILATERAL VARIABLE HEIGHT FOOT PEDAL ADO90A 39 5 9 HAND PENDANT CONTROL SOCKET AD089A 39 5 10 SIDERAIL PROTECTIVE COVER AD113A 39 5 11 OXYGEN CYLINDER HOLDER AC959A AD101A AD102A 40 5 12 ACCESSORY HOLDER 41 6 CLEANING 42 6 1 SAFETY RECOMMENDATIONS 42 6 2 GENERAL ADVICE 42
45. tion particularly siderails other than those provided for this purpose When the patient is immobilised by the straps the electrical functions must be locked out and the bed must be fitted with either accessory AD113A Siderail protective cover or a system of ankle restraints must be used 4 13 FOOT END BED EXTENSION optional To use the extension Lift the handle located under the footboard Pull out the extension Three positions are available 6cm 12 cm 18 cm The extension locks into position with a safety catch When extension is no longer in use use the same method to store the extension away A specially fitted panel and cushion are supplied as accessories with the extension see section 5 4 Evolution Electric Bed LI156Ex 26 QD1532A 2 2 Hill Rom USER MANUAL A HILLENBRAND INDUSTRY 4 14 LINEN HOLDER optional The EVOLUTION footboard can also be used as a linen holder Safe Working Load 15 kg To use the linen holder Hold the footboard by the handles on both sides and pull upward Tilt the board outwards and place horizontally Lift the board vertically to replace in footboard position PLEASE NOTE The cone shaped retaining pins are specially designed to prevent the footboard being removed when used as a linen holder 2 4 15 BATTERY optional x The power unit automatically charges the battery Maximum life is approximately three months when not connected t
46. to position a click is heard LU 2 Ce O LL 72 z 9 gt ao e NOTE Nursing staff are advised to keep the bed at mid height when moving patients Trendelenburg Reverse Trendelenburg tilting will then remain possible even in the event of power failure or of the battery being flat Reverse Trendelenburg tilting is possible in the absence of a power supply when the bed is positioned between low and mid height manual operation as indicated on the yellow label located on the elevator arm Reverse Trendelenburg availablility zone Mid position Bedside cabinet transport High position Evolution Electric Bed LI156Ex 16 QD1532A 2 2 Hill Rom USER MANUAL A HILLENBRAND INDUSTRY Trendelenburg Reverse Trendelenburg with or without power supply mains or battery Bed position Bed position low Bed position high mid height Power on Trendelenburg Raise bed to use Trendelenburg Reverse Trendelenburg Reverse Trendelenburg Reverse Trendelenburg possible Trendelenburg possible tilting Power off Trendelenburg Reverse Trendelenburg mains and possible Trendelenburg Reverse battery possible Trendelenburg possible Raise the bed to obtain the possibility of Trendelenburg Before using this feature always ensure That the bed extension optional is secured That there are no objects or children under the bed If the sleep surface is not flat and the patient is heavy or the
47. trols locked out S a U han U LU 2 Ce O LL 72 z 9 gt ao e To lock out an electrical function Switch the relevant control switch to lock a To release an electrical function Switch the relevant control switch to unlock IMPORTANT Locking out the Knee Section adjustment control will also lock out the Auto contour feature see sect 4 5 3 Locking out the height adjustment control will also lock out the Reverse Trendelenburg option when the bed is in a raised position Locking out the Head Section does not lock out the Auto contour Knee Section When the patient is restrained by the straps the electrical functions must be locked out Evolution Electric Bed LI156Ex 14 QD1532A 2 2 Hill Rom USER MANUAL A HILLENBRAND INDUSTRY 4 4 SLEEP SURFACE 4 4 1 Power driven v a or Y variable height adjustment amp A Sleep surface height can be adjusted using the nurse controls the hand pendant control or the bilateral foot pedal optional Always ensure that there are no objects or children under the bed before operating the sleep surface height adjustment control Make sure that the bed and accessories patient helper I V pole etc cannot strike any fittings light fittings service shafts etc Make sure that the patient s arms and legs do not jut out from the sleep surface 4 4 2 Variable Height bilateral pedal option 7 This p
48. unnel wash Use outdoors or in a vehicle Moving the bed over soft ground or over inappropriate surfaces Moving the bed along inclines of over 10 with or without a patient Drive overload see section 8 1 1 Use of oxygen tent type respiration devices or devices that extend below the sleep surface Use with flammable anaesthetics such as oxygen or nitrogen protoxide Use at unauthorised temperatures under 5 or over 40 C Any use not complying with the instructions for use described in this manual Or any other use which does not comply with normal use of hospital bed or with its stated purpose 2 Z 9 gt lt LU a A ra Z lt n p gt gt gt Lu LL lt 2 Evolution Electric Bed LI156Ex 52 QD1532A 2 2 Hill Rom USER MANUAL A HILLENBRAND INDUSTRY 7 4 TRANSPORT AND STORAGE A number of essential safety precautions must be taken when transporting the bed and its accessories to another location During transport the bed must Be in the low position Have all functions locked out Be covered with all moving parts secured and maintained by straps Be damp proofed Be kept at a temperature of between 0 and 40 During storage the bed must Be in the low position Have all functions locked out Be covered and all moving parts secured Be damp proofed Be kept at a temperature of between 0 and 40 Beds must never be transported or stored one on
49. ylinder model from the model that is specified above danger of dropping or interfering with various operations Pay close attention to the position of the Cylinder Holder particularly if it is under the Head Section when setting the Trendelenburg Reverse Trendelenburg positions or when lowering the sleep surface Ensure that the Cylinder Holder is not allowed to fall when raising a siderail Prevent any impact when moving a bed equipped with a Cylinder Holder to another room especially doorways If the Cylinder Holder does not allow the bed to go through a doorway position the holder in front of the bed otherwise place it and the cylinder on the mattress remember to put the holder in its normal position after moving the bed Safe Working Load for the I V pole allowing for a substantial safety margin Evolution Electric Bed LI156Ex 40 QD1532A 2 2 Hill Rom USER MANUAL A HILLENBRAND INDUSTRY 5 12 ACCESSORY HOLDER Adaptable I V hook AC953A I V pole Monitor stand AC967A Patient helper Extension cushion AC992C Frame extension panel A Certain accessories may be specific to certain bed models and cannot be used with other models Due to the diversity of accessories options it is always advisable to ensure that they are mutually compatible load risk of bumps or collision Evolution Electric Bed LI156Ex QD1532A 2 41 SaIUOSSa99v 9 Z lt W
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