Invacare ICCG 6815A User's Manual
Contents
1. Part No 1143214 3 ICCG Bed Rails 6 Secure the bed rail to the mounting bracket with the two socket screws 7 Head End Mounting Bracket Only Position the crossmember between the two bed rails as shown in Detail A of FIGURE 2 on page 3 8 Repeat STEPS 3 7 to install the other bed rail on the opposite side 9 When installing bed rails 6815A 6816A or 6803A on a bed used with an 80 inch mattress the head board mounting brackets MUST be adjusted Refer to Changing the Head Board Mounting Position on page 6 Using the Epoxy Bed Rails NOTE For this procedure refer to FIGURE 3 1 Perform one of the following e Raising Pull up on the bed rails while rotating towards the head end of the bed until the bed rail locks into place e Lowering Pull up on the release lever and push down on the bed rail while rotating towards the foot end of the bed until the bed rail lowers into place N Towards Foot End Bed Rail of Bed aoe So Release Lever a 2 P p enpo oF oy FIGURE 3 Using the Epoxy Bed Rails Installing Using Nylasar Bed Rails NOTE The hardware shown in FIGURE 4 on page 5 is already assembled to the bars and latch arms before shipment It is not necessary to remove the hardware from the bolt or to remove the bolt from the bars or latch arms Holding the bolt in place while removing the hex nuts will prevent the hardware2. Refer to Detail B DETAIL A BAR HARDWARE DETAIL B LATCH ARM HARDWARE Washer Rubber Bed Kal ae eee Frame Pies i Gis Nut ie a Spacer Bar Bearing FIGURE 4 Installing Using Nylasar Bed Rails Installing the IH5748A Bed Rails Using the IH5748A Bed Rails NOTE For this procedure refer to FIGURE 5 Foot End of Bed 1 Perform one of the following e Raising Lift up on the bed rail until pe 7 Bed Rail the rail locks into place a e Lowering Press in on the release lever and push down on the rail Release Lever FIGURE 5 Using the IH5748A Bed Rails Part No 1143214 5 ICCG Bed Rails Changing the Head Board Mounting Position NOTE For this procedure refer to FIGURE 6 NOTE When using bed rails 6815A 6816A or 6803A in conjunction with an 80 inch mattress the head board mounting brackets MUST be adjusted 1 Remove the two mounting screws that secure head board mounting bracket to the bed frame See Detail A 2 Secure the head board mounting bracket to the bed frame as shown in Detail B using two mounting screws and locknuts Securely tighten NOTE Ensure mounting brackets are perpendicular to the floor 3 Repeat STEPS 1 2 to install remaining head board mounting brackets DETAIL A DETAIL B NOTE Mounting position of head NOTE Mounting position of head board board mounting bracket for use with mounting bracket for use wit
3. Mounting Screws and Locknuts FIGURE 7 Changing the Mounting Position of the Mattress Keepers APPENDIX SPECIAL NOTE For your convenience the March 2006 version of the FDA s bed safety guidelines are provided in this section The information from the FDA s brochure published by Hospital Bed Safety Workgroup is reproduced verbatim the latest revision of which is available at http www fda gov A Guide to Bed Safety Bed Rails in Hospitals Nursing Homes and Home Health Care The Facts Bed Rail Entrapment Statistics Today there are about 2 5 million hospital and nursing home beds in use in the United States Between 1985 and 2005 691 incidents of patients caught trapped entangled or strangled in beds with rails were reported to the U S Food and Drug Administration Of these reports 413 people died 120 had a nonfatal injury and 158 were not injured because staff intervened Most patients were frail elderly or confused NOTE In this brochure the term patient refers to a resident of a nursing home any individual receiving services in a home care setting or patients in hospitals Part No 1143214 7 ICCG Bed Rails Patient Safety Patients who have problems with memory sleeping incontinence pain uncontrolled body movement or who get out of bed and walk unsafely without assistance must be carefully assessed for the best ways to keep them from harm such as falling Assessment by the patient s health care team w
4. from becoming disassembled In case of disassembly refer to FIGURE 4 on page 5 for the correct placement of the hardware Installing the IH5748A Bed Rails NOTE For this procedure refer to FIGURE 4 on page 5 NOTE Invacare recommends two people perform the following installation procedure One person should hold the bed rail up against the bed and one person should attach the rail to the bed 1 Position the bed rail on the bed frame with the release lever towards the foot end of the bed 2 Loosen and remove the hex nut from the latch arm at the foot end of the bed Detail B ICCG Bed Rails 4 Part No 1143214 3 Carefully push the bolt through the mounting hole in the bed frame Detail B 4 Loosely install the hex nut on the bolt to secure the latch arm to the bed frame Detail B 5 Loosen and remove the hex nut from the bar closest to the latch arm Detail A 6 Carefully push the bolt through the corresponding mounting hole in the bed frame Detail A 7 Loosely install the hex nut on the bolt to secure the bar to the bed frame Detail A 8 Repeat STEPS 5 7 for the remaining bars 9 Securely tighten all bolts and hex nuts securing the bars and the foot end latch arm to the bed frame Torque to 100 150 inch pounds Release Lever Latch Arm Bed Frame Foot End of Bed
5. ICCG Bed Rails a INVACARE Assembly Installation and Operating Instructions Part No 6801A 6803A 6808A 6815A 6816A and IH5748A CONTINUING CARE GROUP SAVE THESE INSTRUCTIONS NOTE Check all parts for shipping damage before using In case of damage DO NOT use the equipment Contact the Dealer Carrier for further instructions Safety Summary A WARNING DO NOT use this product or any available optional equipment without first completely reading and understanding these instructions and any additional instructional material such as owner s manuals service manuals or instruction sheets supplied with this product or optional equipment If you are unable to understand the warnings cautions or instructions contact a healthcare professional dealer or technical personnel before attempting to use this equipment otherwise injury or damage may occur These bed rails are intended to prevent an individual from inadvertently rolling out of bed DO NOT use for restraint purposes DO NOT use the bed rails as push handles for moving the bed ALWAYS test to make sure that the bed rails are properly and securely in place before using Invacare products are specifically designed and manufactured for use in conjunction with Invacare accessories Accessories designed by other manufacturers have not been tested by Invacare and are not recommended for use with Invacare products Although bed rails are not rated to any specifi
6. S DAMAGED BY REASON OF REPAIRS MADE TO ANY COMPONENT WITHOUT THE SPECIFIC CONSENT OF INVACARE OR TO A PRODUCT DAMAGED BY CIRCUMSTANCES BEYOND INVACARE S CONTROL AND SUCH EVALUATION WILL BE SOLELY DETERMINED BY INVACARE THE WARRANTY SHALL NOT APPLY TO NORMAL WEAR AND TEAR OR FAILURE TO ADHERE TO THE PRODUCT INSTRUCTIONS THE FOREGOING EXPRESS WARRANTY IS EXCLUSIVE AND IN LIEU OF ANY OTHER WARRANTIES WHATSOEVER WHETHER EXPRESS OR IMPLIED INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE AND THE SOLE REMEDY FOR VIOLATIONS OF ANY WARRANTY WHATSOEVER SHALL BE LIMITED TO REPAIR OR REPLACEMENT OF THE DEFECTIVE PRODUCT PURSUANT TO THE TERMS CONTAINED HEREIN THE APPLICATION OF ANY IMPLIED WARRANTY WHATSOEVER SHALL NOT EXTEND BEYOND THE DURATION OF THE EXPRESS WARRANTY PROVIDED HEREIN INVACARE SHALL NOT BE LIABLE FOR ANY CONSEQUENTIAL OR INCIDENTAL DAMAGES WHATSOEVER SOME STATES DO NOT ALLOW THE EXCLUSION OR LIMITATION OF INCIDENTAL OR CONSEQUENTIAL DAMAGE OR LIMITATION OF HOW LONG AN IMPLIED WARRANTY LASTS SO THE ABOVE EXCLUSION AND LIMITATION MAY NOT BE APPLICABLE THIS WARRANTY SHALL BE EXTENDED TO COMPLY WITH STATE PROVINCIAL LAWS AND REQUIREMENTS Part No 1143214 lI ICCG Bed Rails CONTINUING CARE GROUP Invacare Corporation www invacare ccg com USA One Invacare Way Elyria Ohio USA 800 333 6900 2101 E Lake Mary Blvd Sanford Florida USA 32773 800 832 4707 All rights reserved T
7. c weight limitation the bed rails may become deformed or broken if excessive side pressure is exerted on the bed rails This bed rail is not an assist rail for getting into or out of bed DO NOT use the bed rails as push handles when moving the bed A ENTRAPMENT WARNING ENTRAPMENT MAY OCCUR Proper patient assessment and monitoring and proper maintenance and use of equipment is required to reduce the risk of entrap ment Variations in bed rail dimensions and mattress thickness size or density could increase the risk of entrapment Visit the FDA website at http www fda gov to learn about the risks of entrapment Review A Guide to Bed Safety published by the Hospital Bed Safety Workgroup located at www invacare com Use the link located under each bed rail product entry to access this bed safety guide For more information regarding Invacare Continuing Care Group products parts and services please visit www invacare ccg com Part No 1143214 l ICCG Bed Rails A ENTRAPMENT WARNING CONTINUED Refer to the owner s manuals for beds for additional product and safety information Mattress MUST fit bed frame and bed rails snugly to reduce the risk of entrapment After any adjustments repair or bed service and before use make sure all attaching hardware is tightened securely Rails with dimensions different from the original equipment supplied or specified by the bed manufacturer may not be interchange able and may resu
8. care Engineering of the American Hospital Association American Society for Healthcare Risk Management Basic American Metal Products Beverly Enterprises Inc Care Providers of Minnesota Carroll Healthcare DePaul College of Law Updated March 2006 ICCG Bed Rails ECRI Evangelical Lutheran Good Samaritan Society Hill Rom Co Inc Joint Commission on Accreditation of Healthcare Organizations Medical Devices Bureau Health Canada National Association for Home Care National Citizens Coalition for Nursing Home Reform National Patient Safety Foundation RN Systems Stryker Medical Sunrise Medical Inc The Jewish Home and Hospital Untie the Elderly The Kendal Corporation U S Food and Drug Administration Part No 1143214 LIMITED WARRANTY PLEASE NOTE THE WARRANTY BELOW HAS BEEN DRAFTED TO COMPLY WITH FEDERAL LAW APPLICABLE TO PRODUCTS MANUFACTURED AFTER JULY 4 1975 This warranty is extended only to the original purchaser who purchases this product when new and unused from Invacare or a dealer This warranty is not extended to any other person or entity and is not transferable or assignable to any subsequent purchaser or owner Coverage under this warranty will end upon any such subsequent sale or other transfer of title to any other person This warranty gives you specific legal rights and you may also have other legal rights which vary from state to state Invacare warrants this product when pur
9. chased new and unused to be free from defects in materials and workmanship for a period of one year from date of purchase from Invacare or a dealer with a copy of the seller s invoice required for coverage under this warranty If within such warranty periods any such product shall be proven to be defective such product shall be repaired or replaced at Invacare s option This warranty does not include any labor or shipping charges incurred in replacement part installation or repair of any such product Invacare s sole obligation and your exclusive remedy under this warranty shall be limited to such repair and or replacement For warranty service please contact the dealer from whom you purchased your Invacare product In the event you do not receive satisfactory warranty service please write directly to Invacare at the address on the back cover provide dealer s name address and the date of purchase indicate nature of the defect and if the product is serialized indicate the serial number Do not return products to our factory without our prior consent LIMITATIONS AND EXCLUSIONS THE FOREGOING WARRANTY SHALL NOT APPLY TO SERIAL NUMBERED PRODUCTS IF THE SERIAL NUMBER HAS BEEN REMOVED OR DEFACED PRODUCTS SUBJECTED TO NEGLIGENCE ACCIDENT IMPROPER OPERATION MAINTENANCE OR STORAGE PRODUCTS MODIFIED WITHOUT INVACARE S EXPRESS WRITTEN CONSENT INCLUDING BUT NOT LIMITED TO MODIFICATION THROUGH THE USE OF UNAUTHORIZED PARTS OR ATTACHMENTS PRODUCT
10. en the hex bolts and locknuts that secure the pivot brackets to the bed frame 6 Repeat STEPS 3 6 for the opposite bed rail Installing 6815A 6816A and 6803A Bed Rails NOTE For this procedure refer to FIGURE 2 1 Raise the mattress deck to which the bed rail will be attached 2 Locate the proper mounting holes on the bed to install the bed rails Refer to Detail B of FIGURE 2 3 Position the mounting bracket on the mattress deck Refer to Detail B of FIGURE 2 4 Secure the mounting bracket to the mattress deck with the two hex bolts and locknuts 5 Install the bed rail to the mounting bracket by sliding the mounting pin of the bed rail through the pivot tube NOTE Ensure that the release lever is pointing towards the foot end of the bed Release Lever DETAIL A SIDE VIEW OF BED RAIL Towards the foot Bed Rail end of the bed M Bed Rail f ga Mounting Pin Mounting Socket Mattress Bracket Screw Deck Mounting Pin river Mounting Mattress Bracket Crossmember Deck Pivot Tube Head End Only Socket Screw Attach Head End Crossmember Here aes DETAIL B MOUNTING HOLE Head End LOCATION FOR MOUNTING Foot End BRACKETS Va a Mounting Holes for D p Mounting Bracket a 9 B J FIGURE 2 Installing 6815A 6816A and 6803A Bed Rails
11. h 80 inch mattress 80 inch mattress without side rails using side rails 6815A 6816A or 6803A gt 2 inch Gap inch Gap Bed Frame Bed Frame o o 0 fe o O Mounting Screws and Locknuts Mounting Screws and Locknuts Head Board Mounting Bracket Head Board Mounting Bracket FIGURE 6 Changing the Head Board Mounting Position Changing the Mounting Position of the Mattress Keepers NOTE For this procedure refer to FIGURE 7 on page 7 NOTE When using bed rails 6815A 6816A or 6803A in conjunction with an 80 inch mattress the mattress keepers on the head end of the mattress deck MUST be adjusted 1 Remove the two mounting screws that secure the mattress keeper to the head end of the mattress deck See Detail A 2 Secure the mattress keeper to the head end of the mattress deck as shown in Detail B using two mounting screws and locknuts Securely tighten ICCG Bed Rails 6 Part No 1143214 3 Repeat STEPS 1 2 to adjust the remaining mattress keeper on the head end of the mattress deck DETAIL A DETAIL B NOTE Mounting position of the NOTE Mounting position of the mattress keeper mattress keeper for use with 80 inch for use with 80 inch mattress using side rails mattress without side rails 6815A 6816A or 6803A 2 inch Gap Mattress Keeper inch Gap Head End Mattress Keeper of Mattress Deck Mounting Screws and Locknuts en ee Head End n of Mattress ae Deck
12. ill help to determine how best to keep the patient safe Historically physical restraints such as vests ankle or wrist restraints were used to try to keep patients safe in health care facilities In recent years the health care community has recognized that physically restraining patients can be dangerous Although not indicated for this use bed rails are sometimes used as restraints Regulatory agencies health care organizations product manufacturers and advocacy groups encourage hospitals nursing homes and home care providers to assess patients needs and to provide safe care without restraints The Benefits and Risks of Bed Rails Potential benefits of bed rails include e Aiding in turning and repositioning within the bed e Providing a hand hold for getting into or out of bed e Providing a feeling of comfort and security e Reducing the risk of patients falling out of bed when being transported e Providing easy access to bed controls and personal care items Potential risks of bed rails may include e Strangling suffocating bodily injury or death when patients or part of their body are caught between rails or between the bed rails and mattress e More serious injuries from falls when patients climb over rails e Skin bruising cuts and scrapes e Inducing agitated behavior when bed rails are used as a restraint e Feeling isolated or unnecessarily restricted e Preventing patients who are able to get out of bed fro
13. lt in entrapment or other injury Installing Using the Epoxy Bed Rails NOTE For this procedure refer to FIGURE 1 Installing 6801A and 6808A Bed Rails 1 Position the pivot brackets on the bed frame as shown in Details A and B of FIGURE 1 2 Loosely attach the pivot brackets to the bed frame with the hex bolts and locknuts NOTE DO NOT tighten the hex bolts and locknuts at this time 3 Slide the mounting pins of the bed rails through the pivot tubes NOTE Make sure the release lever on the bed rail is pointing towards the foot end of the bed Bed Rail on the outside TN of bed frame X N WN Release Lever S See Detail A TE See Detail B Bed Frame DETAIL A HEAD END TOP VIEW DETAIL B FOOT END TOP VIEW Mounting Pin Hex Bolt and Locknut Pivot Bracket Socket Screw Crossmember a Pivot Mounting Pin AN ivo Bracket Socket Screw f 1 CD O Hex Bolt Inside of i Inside of E Bed Frame and Locknut Bed Frame Pivot Tube Pivot Bed Rail on Tube the outside of bed frame Bed Rail on the outside of bed frame FIGURE Installing 6801A and 6808A Bed Rails ICCG Bed Rails 2 Part No 1143214 4 Install a socket screw into the head end and foot end mounting pins and tighten securely 5 Securely tight
14. m performing routine activities such as going to the bathroom or retrieving something from a closet ICCG Bed Rails 8 Part No 1143214 Meeting Patients Needs for Safety Most patients can be in bed safely without bed rails Consider the following e Use beds that can be raised and lowered close to the floor to accommodate both patient and health care worker needs e Keep the bed in the lowest position with wheels locked e When the patient is at risk of falling out of bed place mats next to the bed as long as this does not create a greater risk of accident e Use transfer or mobility aids e Monitor patients frequently e Anticipate the reasons patients get out of bed such as hunger thirst going to the bathroom restlessness and pain meet these needs by offering food and fluids scheduling ample toileting and providing calming interventions and pain relief When bed rails are used perform an on going assessment of the patient s physical and mental status closely monitor high risk patients Consider the following e Lower one or more sections of the bed rail such as the foot rail e Usea proper size mattress or mattress with raised foam edges to prevent patients from being trapped between the mattress and rail e Reduce the gaps between the mattress and side rails Which Ways of Reducing Risks are Best A process that requires ongoing patient evaluation and monitoring will result in optimizing bed safety Many patien
15. rademarks are identified by the symbols and All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted 2008 Invacare Corporation Part No 1143214 Rev D 7 08
16. ts go through a period of adjustment to become comfortable with new options Patients and their families should talk to their health care planning team to find out which options are best for them Patient or Family Concerns About Bed Rail Use If patients or family ask about using bed rails health care providers should e Encourage patients or family to talk to their health care planning team to determine whether or not bed rails are indicated e Reassure patients and their families that in many cases the patient can sleep safely without bed rails e Reassess the need for using bed rails on a frequent regular basis To report an adverse event or medical device problem please call FDA s MedWatch Reporting Program at 1 800 FDA 1088 For additional copies of the brochure see the FDA s website at http www fda gov cdrh beds For more information about this brochure contact Beryl Goldman at 610 388 5580 or by e mail at bgoldman kcorp kendal org She has volunteered to answer questions For information regarding a specific hospital bed contact the bed manufacturer directly Part No 1143214 9 ICCG Bed Rails Developed by the Hospital Bed Safety Workgroup Participating Organizations AARP ABA Tort and Insurance Practice Section American Association of Homes and Services for the Aging American Health Care Association American Medical Directors Association American Nurses Association American Society for Health
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