Resource File · 2019-02-14 · Resource File The Leeds Teaching Hospitals NHS NHS Trust. Contents u Nimbus 3 Mattress Replacement System u Nimbus Professional Mattress Replacement

Resource File

The LeedsTeaching Hospitals

NHS

NHS Trust

Contents

u Nimbus 3 Mattress Replacement System

u Nimbus Professional Mattress Replacement System

u Nimbus Paediatric Mattress Replacement System

u Breeze Low Air Loss Mattress Replacement System

u Aura Seat Cushion

u Bari-Breeze Mattress Replacement

u Contoura 480 Bed Frame

u Contoura 1080 Plus Size Bed Frame

u Enterprise 5000 Bed Frame

u Enterprise 5000X Bed Frame





u Pressure Ulcer Classification

u Weight Conversion

u Foam Support Surface Testing

u 30° Tilt

Click on arrow to go to page The LeedsTeaching Hospitals

NHS

NHS Trust

• Advanced dynamic flotation mattress replacement system

• Patient weight limit 250kg (39 stones)

• Auto-Matt® sensor pad for automatic adjustment

• Anti sink torso section

• Heelguard® powered down heel section

• Triple action filtration including Bio-filter

• Dynamic and static modes

• Transport mode supports patient for 12 hours

• Audible and visual alarm system

MRF-707 5-14

Nimbus 3Mattress Replacement System

NIMBUS® 3 & NIMBUS® 3 PROFESSIONAL Quick Reference Guide

Power Switch & Alarm Reset - Switches the mains power to the pump on and off.When the pump detects an alarm condition, it can be cancelled by switching the pump off and then back on.

The Wait indicator is illuminated when the mattress is being inflated. The indicator will remain illuminated until the mattress has been fully inflated. This may take up to 15 minutes.

Alarms - During an alarm condition the triangular alarm symbol will flash, an audible alarm will sound and one of the following indicators will be illuminated: Low Pressure, High Pressure, Pump Fault, Power (Fail).

The Low Pressure indicator is illuminated whenever the pump detects low pressure within the mattress. An audible alarm will sound unless cancelled by the Mute button. The indicator will extinguish once normal pressure is reached. Make sure the CPR is closed, the tubeset is connected properly and the mattress is set to Normal.

Press the Static button to select Static mode. An audible tone will sound when the button is pressed. The indicator on the Static button will only illuminate when the pump is in Static mode. Press the button again to return to Dynamic mode.

Pump Fault - Internal pump malfunction. Call Service Engineer.

The Power (Fail) alarm indicator will illuminate when a mains power failure has been detected. An audible alarm will sound. The alarm will continue until the mains power is resumed or the pump is switched off using the Power switch on the pump. If the power failure is prolonged, switch to Transport mode and disconnect the tubing.Examples of the Power (Fail) alarm are mains lead removal and power failure.

The mattress cell pressure can be manually adjusted for patient comfort using the rotary Comfort Control dial.

The High Pressure indicator is illuminated whenever the pump detects high pressure within the mattress. An audible alarm will sound unless cancelled by the Mute button. The indicator will extinguish once normal pressure is reached. Make sure the tubeset is not kinked and the Auto-Matt® sensor pad is flat and not kinked.

The Service indicator will illuminate and remain on after a set number of running hours indicating the pump is ready for a service. The pump will continue to function normally while the Service indicator is illuminated.

During an alarm condition the audible alarm can be muted by pressing the Mute button. The indicator on the Mute button will illuminate to show the audible alarm has been silenced. After approximately 15 minutes the alarm mute will be cancelled, and the audible alarm will sound.

This Quick Reference Guide has been produced to assist Healthcare Professionals and other users with only the functional aspects of the system. The guide does not replace the general safety warnings, cautions and recommendations provided in the product instructions for use, part number 151996EN. Refer to the product instructions for use before using this product.

Note: The Auto-Matt sensor consists of a flexible air sensor pad which is located underneath the mattress cells.

Contraindication: Do not use Nimbus 3 and Nimbus 3 Professional systems for patients with unstable spinal fractures.Caution: If patients have other unstable fractures, or conditions which may be complicated by a soft or moving surface,

advice should be sought from an appropriate clinician before use.Note: For more information on putting the patient in the Prone position on the Nimbus 3 Professional mattress refer to the

Instructions for Use document, section “Patient Positioning Guidance for the Nimbus 3 Professional Mattress”.

Indications:• The Nimbus 3 and Nimbus 3 Professional mattresses are designed for patients weighing up to 250 kg (550 lb).• The Nimbus 3 and Nimbus 3 Professional systems are indicated for the prevention and/or management of all

categories1 of pressure ulcer, when combined with an individualised, comprehensive pressure ulcer protocol.

1. NPUAP/EPUAP International Pressure Ulcer Guideline, 2009.

InstallationNimbus 3 & Nimbus 3 Professional Mattress Replacement (MR)Place the MR directly onto the bed base, with the tubeset and CPR located at the foot end of the bed.

Attach the MR to the bed frame using the hook and loop securing straps.

To complete mattress installation

If the pump is to be hung from the end of the bed, attach the bed bracket to the bed frame. Alternatively the pump can be placed underneath the bed, either upright or lying on its back.

Quick StartWhen the Nimbus 3 pump is switched on using the Power switch, the pump will run a self diagnostic check for approximately 3 seconds during which all indicators will be illuminated.The Wait and Low Pressure indicators will remain illuminated while the mattress inflates. Allow approximately 15 minutes for the mattress to inflate fully.

Transport ModeTo transport a patient using the Nimbus 3 mattress, turn the Transport control at the foot end of the mattress clockwise to Transport. Switch off the pump and disconnect the tubeset. In this mode the mattress will support the patient for up to 12 hours. To resume operation, reconnect the pump, turn the transport control counterclockwise to Normal and switch on.

ArjoHuntleigh ABVerkstadsvägen 5241 38 EslövSWEDENwww.arjohuntleigh.com

® and ™ are trademarks of ArjoHuntleighAs our policy is one of continuous improvement, we reserve the right to modify designs without prior notice.

151912EN_02: 10/2012

CPR ControlIN THE EVENT OF CARDIAC ARREST

In the event of a patient suffering cardiac arrest and CPR needing to be administered: To Activate the CPR1. Lift the red handle on the control panel at foot end

of the mattress.

SAFETY SIDESRegarding the use of safety sides, always refer to your local trust policy AND the product instructions for use.

If the bed has divided sections for independent elevation of a patient’s head and/or knees, attach the mattress to the movable parts of the bed frame only.

Zip the protective cover over the mattress. Make sure that the ArjoHuntleigh logo is uppermost and at the foot end of the mattress.

Check that the transport control is set to Normal and the CPR control is closed and locked in position.Make sure that the mains power cable and tubeset are positioned to avoid causing a trip or other hazard, and are clear of moving bed mechanisms or other possible entrapment areas. The CPR control must be visible and accessible at all times.

Make sure the tubeset is securely connected to the pump and the mattress.

Connect the mains power cable to a suitable mains power outlet.

2. Turn the handle counterclockwise.

3. Pull the handle away from the panel.

To Reset the CPR1. Turn the grey triangular seal clockwise and push

onto the connectors.2. Turn the red handle clockwise.3. Fold the handle flat to lock in position.

Vent Valve Control (Nimbus 3 Professional Only)Each of the 16 cells in the leg and torso section of the mattress can be individually deflated using the Vent Valve Controls. To deflate a cell, turn the Vent Valve 180° clockwise, to point downwards. Caution: Do not deflate adjacent cells or more than 3 cells at any one time.Head Section Deflate (Nimbus 3 Professional Only)To deflate the three cells at the head end of the bed, turn the Profile Control Valve to the Head Section Deflate position.

4. The grey triangular seal will rotate and the air will rapidly exhaust from the mattress.

To Connect Tubeset

To Disconnect Tubeset

1

2

1 2

Once the mattress is fully inflated, the Wait and Low Pressure indicators will extinguish. Place a bed sheet over the mattress and tuck in loosely. Once the patient is on the mattress, the pump will automatically sense and adjust the pressure in the cells to support the patient.

Warning: Do not place the patient on the mattress until it is fully inflated and normal operating pressure has been reached.

Transport Mode

Normal

Transport

Normal Mode

Normal

Transport

Closed Open

Head Section Deflate

Normal

CPR

1

3

NORMAL

TRANSPORT

2

FAST DEFLATE

CPR

1

3

NORMAL

TRANSPORT

2

FAST DEFLATE

1

3

NORMAL

TRANSPORT

2

FAST DEFLATE

CPR

Some older Nimbus 3 Systems may have the old style tubeset. If this is the case DO NOT fit as above. Instead see below.

1

2

1

2

To Connect Tubeset


MRF-723 5-14

Nimbus ProfessionalMattress Replacement System




• Vent Valve Control for therapeutic patient management

• Head Section Deflate

• Anti-Sink torso section

• Heelguard® powered down heel section

• Triple action filtration including Bio-Filter

• Dynamic or static modes



NIMBUS® 4 & NIMBUS® PROFESSIONAL Quick Reference Guide

Power Switch & Alarm Reset - Switches the mains power to the pump on and off.When the pump detects an alarm condition, it can be cancelled by switching the pump off and then back on.

The Wait indicator is illuminated when the mattress is being inflated. The indicator will remain illuminated until the mattress has been fully inflated. This may take up to 15 minutes.

Alarms - During an alarm condition the triangular alarm symbol will flash, an audible alarm will sound and one of the following indicators will be illuminated: Low Pressure, High Pressure, Pump Fault, Power (Fail).

The Low Pressure indicator is illuminated whenever the pump detects low pressure within the mattress. An audible alarm will sound unless cancelled by the Mute button. The indicator will extinguish once normal pressure is reached. Make sure the CPR is closed, the tubeset is connected properly and the mattress is set to Normal.

Press the Static button to select Static mode. An audible tone will sound when the button is pressed. The indicator on the Static button will only illuminate when the pump is in Static mode. Press the button again to return to Dynamic mode.

Pump Fault - Internal pump malfunction. Call Service Engineer.

The Power (Fail) alarm indicator will illuminate when a mains power failure has been detected. An audible alarm will sound. The alarm will continue until the mains power is resumed or the pump is switched off using the Power switch on the pump. If the power failure is prolonged, switch to Transport mode and disconnect the tubing.Examples of the Power (Fail) alarm are mains lead removal and power failure.

The mattress cell pressure can be manually adjusted for patient comfort using the rotary Comfort Control dial.

The High Pressure indicator is illuminated whenever the pump detects high pressure within the mattress. An audible alarm will sound unless cancelled by the Mute button. The indicator will extinguish once normal pressure is reached. Make sure the tubeset is not kinked.

The Service indicator will illuminate and remain on after a set number of running hours indicating the pump is ready for a service. The pump will continue to function normally while the Service indicator is illuminated.

During an alarm condition the audible alarm can be muted by pressing the Mute button. The indicator on the Mute button will illuminate to show the audible alarm has been silenced. After approximately 15 minutes the alarm mute will be cancelled, and the audible alarm will sound.


Note: For more information on putting the patient in the prone position on the Nimbus Professional mattress refer to the Instructions for Use document, section 6 “Nimbus Professional Mattress: Patient Positioning Guide”.

Contraindication: Do not use Nimbus 4 and Nimbus Professional systems for patients with unstable spinal fractures.Caution: If patients have other unstable fractures, or conditions which may be complicated by a soft or moving surface,

advice should be sought from an appropriate clinician before use.

Indications:• The Nimbus 4 and Nimbus Professional mattresses are designed for patients weighing up to 250 kg (550 lb).• The Nimbus 4 and Nimbus Professional systems are indicated for the prevention and/or management of all categories1

of pressure ulcer, when combined with an individualised, comprehensive pressure ulcer protocol.


InstallationNimbus 4 & Nimbus Professional Mattress Replacement (MR)Place the MR directly onto the bed base, with the tubeset and CPR located at the foot end of the bed.

Use the fastener straps provided to attach the MR to the bed frame.

To complete mattress installation

If the pump is to be hung from the end of the bed, attach the bed bracket to the bed frame. Alternatively the pump can be placed underneath the bed, either upright or lying on its back.

Quick StartWhen the Nimbus pump is switched on using the Power switch, the pump will run a self diagnostic check for approximately 3 seconds during which all indicators will be illuminated.The Wait and Low Pressure indicators will remain illuminated while the mattress inflates. Allow approximately 15 minutes for the mattress to inflate fully.

Transport ModeTo transport a patient using the Nimbus Professional mattress, turn the Transport control at the foot end of the mattress clockwise to Transport. Switch off the pump and disconnect the tubeset. In this mode the mattress will support the patient for up to 12 hours.To resume operation, reconnect the pump, turn the transport control counterclockwise to Normal and switch on.



649934EN_01: 10/2012


In the event of a patient suffering cardiac arrest and CPR needing to be administered: To Activate the CPR1. Lift the red handle on the control panel at foot end of

the mattress.


If the bed has divided sections for independent elevation of a patient’s head and/or knees, attach the mattress to the movable parts of the bed frame only.

Zip the protective cover over the mattress. Make sure that the ArjoHuntleigh logo is uppermost and at the foot end of the mattress.Check that the transport control is set to Normal and the CPR control is closed and locked in position.Make sure that the mains power cable and tubeset are positioned to avoid causing a trip or other hazard, and are clear of moving bed mechanisms or other possible entrapment areas. Where cable management flaps are provided along the sides of the mattress, these should be used to cover the mains power cable. The CPR control must be visible and accessible at all times.

Make sure the tubeset is securely connected to the pump and the mattress.

Insert the mains power connector into the socket on the side of the pump. Connect the mains power cable to a suitable mains power outlet.

2. Turn the handle counterclockwise.

3. Pull the handle away from the panel.

To Reset the CPR1. Turn the grey triangular seal clockwise and push

onto the connectors.2. Turn the red handle clockwise.3. Fold the handle flat to lock in position.

Transport Mode

Normal

Transport

Normal Mode

Normal

Transport

Vent Valve Control

be deflated).To deflate a cell, turn the Vent Valve 180° clockwise, to point downwards.Note: Refer to “Guidelines for Selecting Mattress Vent Valves to Open” in the “Operation” section of the product instructions for use.

4. The grey triangular seal will rotate and the air will rapidly exhaust from the mattress.

To Connect Tubeset


1

2

1 2

Warning: Do not place the patient on the mattress until it is fully inflated and normal operating pressure has been reached.

Once the mattress is fully inflated, the Wait and Low Pressure indicators will extinguish. Place a bed sheet over the mattress and tuck in loosely.Once the patient is on the mattress, the pump will automatically sense and adjust the pressure in the cells to support the patient.

The Nimbus 4 has 5 cells with Vent Valves at the foot end. The Nimbus Professional has 19 cells all with Vent Valves (the shoulder support cell has no Vent Valve and can not

Closed Open

CPR

1

3

NORMAL

TRANSPORT

2

FAST DEFLATE

CPR

1

3

NORMAL

TRANSPORT

2

FAST DEFLATE

1

3

NORMAL

TRANSPORT

2

FAST DEFLATE

CPR

Nimbus PaediatricMattress Replacement


• Patient weight limit 25kg


• Dynamic, Static and Autofirm modes

• Patented figure of 8 cell design



• Modular construction

MRF-712 6-14

BreezeLow Air Loss Mattress Replacement

• Low Air Loss mattress replacement system


• Pressure reducing support surface

• Ideal for patients unable to tolerate a moving surface

• 3 modes: Static, Pulsate and Autofirm

• Comfort control

• 3 zones of protection



BREEZE® Quick Reference Guide

When connected to a suitable power supply the orange Standby light will illuminate. When the Power button is pressed, the green On light illuminates.

The Low Pressure indicator will illuminate whenever the pump blower does not deliver the required pressure to the mattress/overlay. An audible alarm will sound until normal pressure is reached or the pump is switched off using the Power button. The indicator will extinguish once normal pressure is reached. Check CPR tubeset is connected properly.

The red Power Fail Alarm indicator will flash when a mains power failure has been detected by the pump. An audible alarm will sound until power is resumed or the pump is switched off using the Power button.

The Mode Button switches between the three modes, Autofirm, Static and Pulsate. The mode light flashes for a few seconds before the selected mode is activated to allow you to scroll between modes. Once a mode is activated, the light becomes steady.

Comfort Adjust provides the means for adjusting the pressure inside the mattress. To increase the firmness of the cells push the up arrow, to decrease push the down arrow.

!

1

2

3

4

5

The Lock Out Facility prevents accidental alterations being made to the operation of the pump.Pressing both the up and down arrows together deactivates the lock out facility. It is automatically activated 5 minutes after last being unlocked. The On indicator light will flash when activated. The On indicator is continually illuminated when de-activated.

This Quick Reference Guide has been produced to assist Healthcare Professionals and other users with only the functional aspects of the system. The guide does not replace the general safety warnings, cautions and recommendations provided in the product instructions for use, part number 624902. Refer to the product instructions for use before using this product.

Contraindication: Do not use Breeze systems for patients with unstable spinal fractures.Caution: If patients have other unstable fractures, or conditions which may be complicated by a soft or moving

surface, advice should be sought from an appropriate clinician before use.

Indications:• The Breeze mattress is designed for patients weighing up to 140 kg (308 lb).• The Breeze systems are indicated for the prevention and/or management of all categories1 of pressure

ulcer, when combined with an individualised, comprehensive pressure ulcer protocol.


Pulsate Mode combines continuous low pressure with periodic pulsation of the support surface.

Autofirm Mode provides a firmer surface for patient transfer on and off the bed and allows for easier nursing procedures.Static Mode provides a constant low pressure support surface.

InstallationBreeze Mattress Overlay

Place the overlay on top of the base mattress, with the tubeset located near the foot end of the bed. The cells of the overlay must be uppermost.

Secure the overlay to the base mattress by placing the apron under the foot end of the mattress and securing the corner straps to the head end.

Caution: Do not use the overlay directly on the bed frame.

Breeze Mattress Replacement (MR)

Quick StartWhen power is applied to the pump unit, the orange standby indicator is illuminated. Pressing the Power button on the control panel will activate the pump.

Allow approximately 3 minutes for the mattress/overlay to inflate fully.

Make sure the turn valves are in the correct position (see below), place a bed sheet over the overlay/MR and tuck in loosely.

The pump will default to the Static mode providing continuous low pressure.Autofirm mode inflates the cells to their maximum pressure to provide a stable surface for nursing procedures and/or patient transfer. After 9 minutes an alarm will sound. After 10 minutes the mattress will revert to Static mode at the previously set comfort level.

Pulsate mode provides a low pressure support surface with a regular pulse.

Turn Valves



624907EN_02: 10/2012


In the event of a patient suffering cardiac arrest and CPR needing to be administered: To activate CPR - Depress the red release catch on the tubeset/pump connector and pull the tubeset away from the pump.

To reset CPR Reconnect the tubeset to the pump.


!

Place the MR directly onto the bed base, with the tubeset located near the foot end of the bed. The cells of the mattress must be uppermost.

Use the straps provided to make sure the MR is secured to the moving parts of the bed platform.

To Complete the Mattress Installation

Zip the protective cover over the mattress/overlay. Make sure the ArjoHuntleigh logo is uppermost and at the foot end of the mattress/overlay.

Installing the Pump

Position the pump, feet down, on any convenient horizontal surface or alternatively suspend from the bed foot rail by means of the swing out hooks.

Make sure the mattress tube-set is not “kinked” or twisted and connect it to the pump until it clicks into place. Make sure the tube-set is securely connected to the pump.

Insert the mains power plug into a suitable mains power socket.

Transport Mode

The patient may be transported on the Breeze Mattress Replacement only, by turning off the pump and disconnecting it from the mains power supply. The air-filled sub-mattress will provide temporary support for up to six hours.Do not disconnect the tubeset from the pump, as this deflates the air-filled sub-mattress.

The six leg cells can be deflated individually using the Inline Turn Valves. Each valve has two positions:Open - Allows the cell to be inflated. Turn the valve so that it points toward the head end of the mattress.

Closed - Deflates the cell. Turn the valve so that it points toward the foot end of the mattress.

• Pressure relieving seat cushion


• 9 fully alternating cells

• Modular construction

• Lightweight and compact pump

• Comfort control

• Audible and visual alarms

• Suitable for many different seat/chair designs

• Anti-slip pads and fixing straps

MRF-703 5-14

AuraSeat Cushion

AURA® Quick Reference Guide

Connect the pump to the mains power supply using the supplied cable.Set the Run/Standby switch (on the side of the pump) to the Run ( ) position.

The Run/Standby indicator is illuminated when the pump is running.

In the event of mains failure, the Power Fail alarm indicator will start flashing and an audible alarm will sound. The pitch of the alarm will increase in time. If the power supply is returned the audible alarm will stop, but the alarm light will remain illuminated until the system is using the Run/Standby switch.

The Low Pressure indicator will flash whenever the pump detects low pressure in the cushion. An audible alarm will sound. The pitch of the alarm will increase at 60 second intervals. The indicator will extinguish once normal pressure is reached. Check the tubeset is connected properly.

Comfort Control - The seat cushion cell pressure can be manually adjusted for patient comfort using the Pressure Control.

-

+

Note: An internal battery will power an audible and visual alarm if the power supply is interrupted prior to switching off. For example if the mains lead is removed before switching to Standby mode.The pump alarm can be reset by switching the pump to Standby and back to Run again using the Run/Standby switch on the side panel.


Caution: Active therapy (alternating) cushions may be unsuitable for patients with poor sitting posture or pelvic deformity; advice from a seating specialist should be sought.

Contraindication: Do not use the system for patients with unstable spinal fractures.Caution: If patients have other unstable fractures, or conditions which may be complicated by a soft or moving


Indications:• The Aura cushion is designed for patients weighing up to 120 kg (264 lb).• The Aura systems are indicated for the prevention and/or management of all categories1 of pressure ulcer,

when combined with an individualised, comprehensive pressure ulcer protocol.


Installation

Place the Aura seat cushion on top of the chair surface.From a standing position in front of the chair and facing it, make sure the cells are uppermost, the tubeset appears from the front right corner of the cushion and the cells are in a horizontal position across the chair.

Secure the seat cushion to the chair surface using the fixing straps provided.If the chair is of the closed side type with a removable cushion, fix the Aura seat cushion as shown.

To complete the seat cushion installation:

Zip the protective cover over the cushion.Make sure the ArjoHuntleigh logo is uppermost and at the front of the cushion.

Quick Start:

When the Aura pump is switched on at the mains supply all indicators will momentarily flash.

Set the Run/Standby switch on the side of the pump to the Run ( ) position

Allow approximately 2 minutes for the seat cushion to inflate fully.Once the patient is on the seat cushion, adjust the cell pressures using the comfort control according to the patient’s preference.



500937EN_01: 10/2012

Caution: Do not use the seat cushion without a foam cushion beneath it.

Installing the pump:

Position the pump feet down on any convenient horizontal surface or alternatively suspend from the chair frame by means of swing out hooks.Connect the male and female air feed tubes into the appropriate outlets on the

-Aur a

pump unit. Push connectors in until they click. Make sure the air feed tubes are not “kinked” or twisted.

Insert the mains power plug into a suitable mains power socket.

Caution: Do not use the Aura seat cushion without a foam cushion beneath it.

Caution: Always use the Aura seat cushion with the protective top over.

Caution: Always use the Aura seat cushion in the correct orientation.

Caution: Avoid trailing cables - ensure that cables and tubing are positioned beneath the chair to avoid causing a hazard.

Make sure the cells are in a horizontal position across the chair, NOT from front to back.

MRF-704 5-14

Bari-BreezeMattress Replacement

• Bariatric Low Air Loss (LAL) mattress replacement system


• Pressure redistributing support surface protects vulnerable areas

• Micro climate control reduces build up of heat and moisture

• Turn Assist lateral rotation with a range of turn time and angle settings

• Manual handling, pressure redistribution and physiological benefits

• Static and Autofirm modes

• Comfort control

• Foam base for additional support


Bari-Breeze® Quick Reference Guide

Standby - When the pump has power but is in Standby mode, the 7 segment LED display will show a single bar.

Power/Standby - Press the Power/Standby button to turn the pump on.

Max Flow - Press to enable maximum air flow from the pump. A blue indicator on the button will show when it is active.

Turn Options - The button selects the turn settings of the mattress. Each press of the button selects the next setting. For example, to change the mattress from Bi-lateral Turn ( ) to Static ( ) position, press the button twice until is selected.

In Left Turn ( ) mode the right air cushions in the mattress will be held at a constant high pressure, and the left air cushions will be held at a constant low pressure. This process is reversed for the Right Turn ( ) mode. When is selected, the system will alternate between left and right turn, stopping in the central position. During this time the display will show to indicate the system is in the centralising phase.

Turn Times - The time selected for the turn is the duration (in minutes) the mattress will remain in each position during the selected turn sequence.

Turn Angle - Four settings are available to select the amount of turn given to the patient. These are selected using the turn angle button , where 4/4 is equal to approximately 40 degrees.

Comfort Control Level - These controls adjust the firmness of the mattress. The button reduces the pressure setting, and the button increases it. The current comfort level (1-9) will be displayed on the LED display.

Lock Out - Pump functions (including power/standby) can be locked out to prevent unintentional change of modality / cell pressures. To activate, press the lock button for approximately 2-3 seconds until the blue LED illuminates. To deactivate, press and hold the lock out button until the LED turns off.

Power Fail - In the event of a power fail situation, the pump will alert the carer by flashing the amber Power Fail LED and sounding the buzzer. Once the power is restored to the pump the alarm will cease and the pump will return to its previous operating settings.

Low Pressure - In the event of hose disconnection, an and will alternate on the LED display (representing “Low Pressure”) while the buzzer sounds to alert the carer to the alarm condition. Once the hose is reconnected, the alarm will cease and the pump resume its previous therapy settings.

This Quick Reference Guide has been produced to assist Healthcare Professionals and other users with only the functional aspects of the system. The guide does not replace the general safety warnings, cautions and recommendations provided in the product instructions for use, part number 647901. Refer to the product instructions for use before using this product.

Contraindication: Do not use Bari-Breeze systems for patients with unstable spinal fractures.Caution: If patients have other unstable fractures, or conditions which may be complicated by a soft or moving


Indications:• The Bari-Breeze mattress is designed for patients weighing up to 455 kg (1000 lb).• The Bari-Breeze systems are indicated for the prevention and/or management of all categories1 of

pressure ulcer, when combined with an individualised, comprehensive pressure ulcer protocol.


InstallationBefore using the Bari-Breeze mattress replacement system, remove any other mattress from the bed.

1. When installing the Bari-Breeze mattress, place the mattress directly on the bed frame.

Make sure that the tubeset end of the mattress is at the foot end of the bed.

2. There are sixteen nylon black straps with buckles on the base of the mattress. Loop each strap around the bed frame and fasten it securely to the bed frame using the buckle.

3. Open the hooks on the back of the pump and suspend the pump from the bed foot rail. If the bed you are using does not have a foot rail, place the pump upright on its base on a flat surface underneath the bed near the foot of the bed frame.

Static ModeMax FlowPressing the Max Flow button sets the pump to maximum flow, fully inflating the mattress and overriding the comfort control. This feature is only available in static mode.If pressed during Turn mode, it will revert the system to Static mode and return the patient to a central position.Max Flow inflates the mattress to maximum pressure for 15 minutes. A blue indicator on the button will show when it is active and an is shown in the LED display.

To cancel Max Flow and to enter Turn mode settings, press the Max Flow button once. To continue Max Flow for more than 15 minutes, press once to cancel, and quickly again to enter Max Flow for a further 15 minutes. After 15 minutes, Max Flow is automatically cancelled.

Turn OptionsUni-Lateral TurnTo enter uni-lateral mode, press the button to cycle through until or is selected. This is confirmed by the illuminated blue indicator.



647903EN_02: 10/2012


To Activate the CPR Located on the right hand side of the pump is a CPR device marked with an arrow. In the event of cardiac arrest, press the two quick release catches on the tubeset/pump connector, and simultaneously pull the hose away from the pump.


Note:

Note: Attach the mattress to the movable parts of the bed only.

4. Plug the mains power cord into the pump. Insert the mains power plug into a suitable mains power socket.

5. Securely attach the pump connector onto the pump until it clicks, and make sure the air plug for the side bolsters and base air pad is secure.

6. If not already fitted, place the protective cover over the mattress and secure in position. Make sure the ArjoHuntleigh logo is uppermost and at the foot end of the mattress.

Cable ManagementMake sure that the mains power cable is positioned to avoid causing a trip or other hazard, and is clear of moving bed mechanisms or other possible entrapment areas.

Initial Power UpPress the power/standby button to turn the pump on. An audible beep will sound. The system will go into a start up cycle for 30 seconds, during which time the pump will rapidly inflate the mattress. During this process the 7 segment display will alternate between ‘b‘ and ‘f‘ to indicate bolster fill.

Once the mattress is fully inflated and with the patient in position, adjust the comfort controls to the desired level.Adjust if necessary to make sure the patient does not sink through to the base air pad.

Recommended Pressure SettingsFor extra firm support during patient handling or nursing procedures, it is recommended to set the mattress pressure to maximum by pressing Max Flow.When the backrest is raised and the patient is in a semi-recumbent position, it is recommended to press the Max Flow button to increase the pressure/comfort level accordingly to make sure the patient does not bottom out.

Bi-Lateral TurnTo enter bi-lateral Turn mode, press the button until is selected. This is confirmed by the illuminated blue indicator.

Turn TimesTo set therapy turn times, press the MIN button until the desired time is indicated, this is confirmed by the illuminated blue LED.

To Reset the CPRReconnect the tubeset to the pump.

• Four section electric profiling bed frame

• Safe working load 267kg (42 stones)

• Pro-Contour™ profiling

• Outstanding pressure, shear and friction reduction

• Battery back up

• Auto CPR

• Nurse and patient handsets

• Wide range of accessories available

MRF-746 9-14

Contoura 480Profiling Bed Frame

MRF-576 9-14

Contoura 480 Quick Reference Guide

Battery Back-Up

Safety Side Release

Mattress Retainer

Bed Stripper

Brakes Free Steer

Nurse Handset Electric Tilt Auto CPR

ACP Lockout

Patient HandsetAuto-Contour

Removable Head and Foot Ends

Removable Deck Sheets

Backrest CPR Lever

NURSE HANDSET PATIENT HANDSET

LOCKOUTTo lock, turn switches to horizontal position.To unlock, turn switches to vertical position

HANDSETS

Backrest

Kneebreak

Height Elevation

Auto-Contour

Auto CPR Button

Tilt

Height Elevation

Kneebreak

Backrest

- = down; + = up

1 2 3

1. Kneebreak2. Height/Tilt3. Backrest

MRF-706 5-14

Contoura 1080/1000Plus Size Medical Bed Frame

• IEC60601-2-38 compliant plus size (Bariatric) four section electric profiling

• Safe Working Load 500kg bed frame only

• Maximum Patient Weight 455kg with Bari-Breeze Low Air Loss Turn Assist mattress replacement system

• Maximum Patient Weight 450kg with foam package (mattress, safety sides and squab)

• Electrically operated height, backrest and knee break adjustment

• Optional in bed weighing facility

• Low height 49cm

• Lock out facility and +/- 14° tilt

• Battery back up

• High resilience foam package supplied a s standard. Mattress with 5 zones of protection, foam safety side pads and mattress squab

• Built in bed extension with mattress retainer

MRF-505 8-14

Contoura 1080Quick Reference Guide

MRF-505

(Batterycharge

indicator)

= Locked

= Unlocked

IMPORTANT!This Quick Reference Guide (QRG) is intended to assist the user in understanding the basic functions of this product. The QRG does notreplace the safety warnings, cautions and other important information provided in the Instructions for Use (IFU) supplied with theequipment; copies of the IFU are available on request from ArjoHuntleigh.

Some of the functions should only be used by clinically-qualified personnel. The carer should make sure they have read and understoodthe IFU before using this equipment.

This product is intended for patients over 12 years of age. A clinically-qualified person should assess the age, height and medicalcondition of the patient to ensure they can use the product safely.

Place the mattress platform in the low height position when the patient is unattended.

Carer/NurseHandset andstorage point

Controls ‘lock-out’ panel (ACP)

Mattress MaximumPatient Weight450kg/70stone

PatientHandset

Heavy DutyBumpers on all4 Corners

RemovableHead andFoot Panels

Safety Sides

C1080 only –Weighing systemcontrol panel(UIM)

Technical dataSafe working load (SWL) 450kg / 70 stone

Pressand holdto Raise

Backrest

Kneebreak

PlatformHeight

AutoContour

Pressand holdto Lower

Pressand holdto Raise

Trendelenburg

PlatformHeight

Kneebreak

Backrest

Pressand holdto Lower

‘Auto-CPR’function

Kneebreak

Platform Height &Trendelenburg tilt

Backrest

Handsets PATIENT HANDSET CARER/NURSE HANDSET CONTROLS ‘LOCK-OUT’ PANEL (ACP)

Contoura 1080Quick Reference Guide

MRF-505 8-14

Patient weighing – Controls (UIM) – C1080 only

‘Functionactivated’indicator(s)

Primary (Patientweight) display ’Enter’button

Secondary (Patientweight change) display‘Enter’ button

‘Reset displays’ button

Primary (Patient weight)display

Secondary (Patient weightchange) display

‘Systemstable’indicator Numerical

input keypad

‘Clear’button

Enter ‘decimal’or‘minus’ buttonSet Zero

button

‘Auto-compensate’button

Display ‘On/Off’button

Patient weighing – set up

The bed should be on a flat and level surface, transport bolts fully unscrewed,and the brakes applied. Place the mattress (foam type or air mattress system),safety side pads (as applicable) and bed linen on the bed, but do not add anyother items at this stage.

indicates a ‘push button’ action

indicates expected display

Function activated

System stable

Key –

2 min.

MRF-505 8-14

Patient weighing – Weight display

Patient weighing – Confidentiality

Patient weighing – Auto-Compensation

Add orremoveAccessoriesetc.



• Exceptional low height of 30cm

• Folding safety sides with pendant controls

• Patented Bio-Contour® profiling system

• Superior pressure reduction and client comfort

• Lightweight and easy to manoeuvre

• Designed for “pit stop” maintenance

• Auto CPR

• Battery back up


MRF-715 6-14

Enterprise 5000Bed Frame

ENTERPRISE® 5000 QUICK REFERENCE GUIDE

RemovablePlastic DeckSheets

PatientControl

CPR Lever

Bed ExtensionButton

Removable Headand Foot Ends

Safety SideRelease

AngleIndicator

Attendant ControlPanel (ACP)

RollerBuffers

Duvet/LinenHolder

MattressRetainer

SafetySide

BrakePedal





Technical dataSafe working load (SWL) 250kg / 550 lbs.

Enterprise 5000Quick Reference Guide

Attendant Control Panel (ACP)

CPR – Hold downbutton to return thebed to a flat position.CPR button workseven if functions arelocked out.

Calf section selection buttons – One of thesetwo buttons will be selected at all times.Whichever button is selected will determine theposition the calf section profiles into from flat.

Lock / Unlock Functionbutton. Press the lockbutton then the function(s)you want to lock out.To unlock use the samesequence.

To lock all functions at once,press and hold down thelock button for five seconds.

Function selection buttons –select the function you wantthen press the raise or lowerbutton to adjust that function

• Yellow light indicates function is locked out

• Green light indicates function selected

Height button.For Standard low height –select the function buttonthen press the lowerbutton.For Extra low height –press and hold thefunction button and lowerbutton simultaneously.

Under bedlightingON/OFF

Fowlerposition

Vascularposition

Backrest

Calf section

Raise button

Lower button

Tilt Knee-break

Patient control

1. Select one of the function buttons. Auto-Contour,Backrest or Knee-break.

2. The indicator light on the selected function will turngreen. If the indicator light is yellow, that means thefunction has been locked out at the Attendant ControlPanel.

3. Press Lower or Raise button to adjust that function.



Bio-Contour raisesbackrest and knee-break simultaneously

Backrest

Raise button

Lower button

Knee-break

ArjoHuntleigh ABVerkstadsvägen 5241 38 EslövSWEDENwww.ArjoHuntleigh.com

815-502-112/2012

If you experience any problems when using this product:

1. Refer to the instructions for use (part no. 746-445) for further information.

2. Check the troubleshooting guide in the product service manual (part no. 746-446).

3. Call the ArjoHuntleigh UK 24 Hour Helpline on 08457 342000.

ENTERPRISE® 5000 TROUBLESHOOTING

• IEC60601-2-52 compliant – four section electric profiling bed frame

• Safe working load 250kg

• Maximum Patient Weight 185kg with mattress and full accessories loaded onto the bed frame

• Exceptional low height of 32cm, low height pause at 40cm

• Cardiac chair position using one-button-push with a 30° back rest pause

• Choice of ¾ length folding or split safety sides with clip on patient pendant controls

• Backlit attendant control panel handset with lock out facility, auto CPR & +/—12° tilt

• Patented Bio-Contour® profiling system – with curved or flat deck mattress options

• Auto and Manual CPR

• 3 step in-bed extension with mattress platform extension – short 219cm, standard 230cm and extended 242cm

• Under bed light for monitoring of drainage bags or patient egress

• Battery back up

• Removable head and foot board panels with choice of colour infill

• Open architecture with lightweight, easily removed deck sheets for cleaning and decontamination

• Designed for “pit stop” service and maintenanceMRF-700 5-14

Enterprise 5000XE5X Range Bed Frame

ENTERPRISE® E5X RANGE QUICK REFERENCE GUIDE





Foot board

Brake pedal

Extension

Bedstripper/

Accessorysocket

Head boardPatient handset

Side rail

linen shelf

locking handle

Attendant Control

Castor

Roller buffer

Extension catch bar

CPR handle

Side rail operating knob

Drainage bagrail

Lifting polesocket

Panel


Maximum patient weight 185kg /407 lbs.

Recommended patient height 146 to 190cm

Product weight (without mattress) 144kg

Operating temperature 5°C to 40°C

Standard mattress size 202 x 88cm

Enterprise 5000XQuick Reference Guide

A “beeping” sound indicatesthat the bed is operating onbattery power. Connect thebed to the mains supply assoon as possible.

Lowers the mattress platform

Raises the thigh section

Raises the mattress platform

Lowers the thigh section

Raises the backrest

Lowers the backrest

Auto-Chair up

Auto-Chair down

Head down tilt (Trendelenburg)

Foot down tilt (Reverse Trendelenburg)

Auto CPR position

Functionlockout

Power on indicator

Battery status indicator

Lowers the thigh section

Standard Optional

Bio-Contour up

Bio-Contour down

Raises the backrest

Lowers the backrest

Raises the thigh section

Patient handsets


Battery status indicator

Battery fully charged

Battery charging

Battery discharged

L

Side rails

Make sure the side rail is securely locked when in the raised position

Brakes and steeringThe brakes should be applied at all times when the bed isstationary. The pedals may be linked by a full widthbrake bar.

BRAKE FREE STEER

Function lockout

To lock or unlock bed functions: pressthe Function Lock button, then pressthe Attendant Control Panel button(s)corresponding to the function(s) to belocked or unlocked.

The “lock” indicator above thefunction button will light when thefunction is locked and go out when itis unlocked.

Make sure the side railis securely locked whenin the raised position.

CPR releasePull the red CPR lever to quickly lower the backrest.

Calf section adjustmentUse the bed controls to raise the thigh section. Manually liftthe calf section until it latches in the horizontal (vascular)position.

Mattress platform length adjustmentPull the locking handle (A) and move the bed frame (B) tothe required position. Adjust the mattress platform length tomatch the bed frame by lifting the catch bar (C) and movingit (D) to the required position.

A

B D

C

D




• Split safety sides with built in controls





• Auto CPR

• Battery back up


MRF-716 6-14



RemovablePlastic DeckSheets

Patient Control

Angle Indicator

Removable Headand Foot Ends

Roller Buffers

Duvet/Linen Holder

MattressRetainer

CPR Lever

Bed ExtensionButton

AttendantControl Panel(ACP)

Brake Pedal

Split SafetySides

Nurse Control

Safety SideRelease

Nurse control1. Select one of the function

buttons. Bio-Contour, Backrest,Height or Knee-break.

2. The indicator light on theselected function will turngreen. If the indicator light isyellow, that means the functionhas been locked out at theAttendant Control Panel.

3. Press Lower or Raise buttonto adjust that function. HEIGHT BUTTON

For Standard low height – select the functionbutton then press the lower button. For Extralow height – press and hold the function buttonand lower button simultaneously.



Bio-Contourraisesbackrestandknee-breaksimultaneously

BackrestKnee-break

Raisebutton

Lower button









Calf section selection buttons – One of thesetwo buttons will be selected at all times.Whichever button is selected will determine theposition the calf section profiles into from flat.

Lock / UnlockFunction button.Press the lock buttonthen the function(s)you want to lock out.To unlock use thesame sequence.

To lock all functions atonce, press and holddown the lock buttonfor five seconds.




Height button.For Standard low height – selectthe function button then pressthe lower button.For Extra low height – press andhold the function button andlower button simultaneously.


Fowlerposition

Vascularposition

Backrest

Calf section

Raise button

Lower button

Tilt Knee-break

Patient control1. Select one of the function buttons. Bio-Contour,

Backrest, Height or Knee-break.





Bio-Contour raisesbackrest andknee-breaksimultaneously

Backrest

Raise button

Lower button

Knee-break

ArjoHuntleigh ABVerkstadsvägen 5241 38 EslövSWEDENwww.ArjoHuntleigh.com

815-503-112/2012

If you experience any problems when using this product:

1. Refer to the instructions for use (part no. 746-435) for further information.

2. Check the troubleshooting guide in the product service manual (part no. 746-436).

3. Call the ArjoHuntleigh UK 24 Hour Helpline on 08457 342000.

ENTERPRISE® 8000 TROUBLESHOOTING

MRF-35 5-14







• Split safety side with embedded patient and attendant control panels with lock out facility, auto CPR and +/—12° tilt





• Battery back up



• Designed for “pit stop” service and maintenance

ENTERPRISE 8000X (E8X) Quick Reference Guide

Technical Data

Safe Working Load (SWL): 250kg (550lbs)

Maximum patient weight: 185kg (407 lbs)

Recommended patient height: 146 to 190cm (57 to 74 ins.)

Product weight (without mattress): 150kg (330 lbs)

Operating temperature: 5°C to 40°C (41°F to 104°F)

Standard mattress size: 202 x 88 x 18 cm (79.5 x 34.6 x 7 ins)

Liquid ingress protection: IPX4

… with people in mindwww.ArjoHuntleigh.com

Product overview

Head board Calf section Mattress extension catch barHead end split side rail Foot board CPR release handleCaregiver controls Accessory socket Foot end split side railBackrest section Roller buffer Head end brake pedal (optional)Patient controls Bed extension locking handle Lifting pole socketAttendant Control Panel (ACP) Bed stripper (linen shelf)Seat section Brake barThigh section Calf extension sheet

This Quick Reference Guide (QRG) is intended to assist the user in understanding the basic functions of this medical bed. The QRG does not replace the safety warnings, cautions and other important information provided in the Instructions for Use (IFU) supplied with the equipment; copies of the IFU are available on request from ArjoHuntleigh.Some of the functions should only be used by clinically-qualified personnel. The carer should make sure they have read and understood the IFU before using this medical bed.A clinically-qualified person should assess the age, height and medical condition of the patient to ensure they can use the product safely.Place the mattress platform in the low height position when the patient is unattended.

1 Power on indicator2 Battery indicator3 Raise / lower mattress platform height4 Raise / lower backrest5 Raise / lower thigh section 6 Auto-Chair (described below)7 Head down tilt (Trendelenburg)8 CPR - hold down the button to return the bed to a

flat position. 9 Foot down tilt (Reverse Trendelenburg)

10 Function lock / unlock11 Bio-Contour (described below)

Patient Controls

Caregiver Controls Patient Handset


Battery status indicator 2

Battery fully charged (indicator off)

Battery charging

Battery discharged

Bed controls

The Auto-Chair up button simultaneously raises the backrest and thigh sections, pausing when the backrest reaches 45º. Continue to hold the button down to lower the foot end of the mattress platform into a chair position.

The Bio-Contour up button simultaneously raises the backrest and thigh sections to provide upright patient profiling; the raised thigh section prevents the patient sliding down the bed.The Bio-Contour down button returns the mattress platform to a flat position.

To operate controlsSelect a function button for example raise / lower mattress platform height. The indicator light on the selected function will turn green and the bed will immediately begin to move accordingly.

Press the Function Lock button, then press the Attendant Control Panel button(s) corresponding to the function(s) to be locked or unlocked.

Green light indicates function selected.

Yellow light indicates function is locked out.

Function lockout

Auto-Chair

Bio-Contour

Raise and lower the backrest.The backrest will pause when it reaches an angle approximately 30º above the horizontal.

Backrest

If the backrest angle is greater than 45º, it will return to 45º to prevent the patient from tipping forwards.The Auto-Chair down button returns the mattress platform to a flat and level position.

Raise and lower the mattress platform. When lowered to 38cm (40cm on beds with 150mm castors) above the floor, it will pause then continue to lower until it reaches its minimum height.

Mattress platform height

The “lock” indicator above the function button will light yellow when the function is locked and go out when it is unlocked.

At minimum height, clearance underneath the bed is reduced. Keep your feet away from the areas below the side rails and take extra care when using patient hoists or similar equipment.

A “beeping” sound indicates that the bed is operating on battery power. Connect the bed to the mains supply as soon as possible.

Pull the blue extension locking handle locking handle (1). Pull out the bed frame (2) to the required position and release the handle.Adjust the mattress platform length to match the bed frame.

Bed length adjustment

Brakes and steeringThe brakes should be applied at all times when the bed is stationary. The pedals may be linked by a full width brake bar.

Side rails

Pull the blue release lever (2) to lower the side rail.To raise the side rail, hold onto either side rail handle (1) and pull the side rail up and away from the bed until it locks in the raised position.

Hold the side of the calf section frame and manually lift the calf section upwards (1) until it latches in the horizontal (vascular) position (2). Use the caregiver controls or ACP to lower the thigh section to the angled (Fowler) position.

Calf section adjustment

Pull the red manual CPR lever located on either side of the bed to quickly lower the backrest.

CPR backrest release

Locking head and foot boardsThe head and foot boards can each be fitted with optional locking catches (1) to prevent accidental removal. To unlock a board: pull out the blue catches (2) and rotate them a quarter-turn (3); the board can now be lifted off the bed.

Apply the brakes. Remove the head board from the bed.Pull the knob (1) to release the catch and slide the tray out (2) as far as will go.

Release the knob to hold the tray in the fully open position (3). Position the X-ray cassette (4) on the tray with its bottom edge against the lip at the foot end of the tray.Pull the knob and slide the tray underneath the backrest. Release the knob to hold the tray in one of the latching positions.

X-ray cassette tray (if fitted)

To use the steering castor: Position the bed so all castors line up in the direction of travel. Raise the pedals to lock the steering castor and move the bed by pushing it from the opposite end of the steering castor.

1

2

1

2

2

1

1

23

1

2

34

Lift the blue extension catch bar (1) and hold the middle of the crossbar (2), then pull the mattress platform to the required position (3).

Mattress platform length adjustment

1

2

3

21 3

1 Brake: brakes are applied on all four castors.2 Free: all four castors are free to rotate and swivel.3 Steer:all four castors can rotate, but the steering castor

(see below) is locked so that it cannot swivel. This helps to keep the bed on a straight line.

Make sure the side rail is securely locked when in the raised position.



• Weighing scale facility

• Underbed anti-entrapment system

• Bed exit alarm


• Spilt safety sides with built in controls





• Auto CPR

• Battery back upMRF-717 6-14



Removable PlasticDeck Sheets Patient Control

Angle Indicators

RemovableHead andFoot Ends

RollerBuffers

Duvet/LinenHolder

MattressRetainer

CPR Lever

Bed ExtensionButton

Nurse Control

Safety SideRelease

Split SafetySides

BrakesPedal

PatientWeighingSystem

Attendant ControlAuto-CPRLock/Unlock function Under bed Lighting









Backrest or Knee-break.




Calf section selection buttons – One ofthese two buttons will be selected at alltimes. Whichever button is selected willdetermine the position the calf sectionprofiles into.






Fowlerposition

Vascularposition

Power Indicator

Battery Indicator

UnderbedEntrapmentindicator

Raise button

Lower button

Tilt Knee-break

Lock / UnlockFunction button.Press the lockbutton then thefunction(s) you wantto lock out.To unlock use thesame sequence.

To lock all functionsat once, press andhold down the lockbutton for fiveseconds.

Backrest

Calf section




Backrest

Raise button

Lower button

Knee-break









BackrestKnee-break

Raisebutton

Lower button

InitialisationWhen the bed is first connected to the electricity supply, the display will indicateCOLD for approximately two minutes until the weighing system stabilises.

Before using the weighing system it must be initialised as follows:Place the mattress, bed linen and all necessary accessories on the bed.Press the Enable key followed by the Zero key.

The indicator above the Zero key will light green for a few seconds before the display reads zero (0.0).Place the patient on the bed.

WeighingPress the Enable key followed by the Weigh key.The patient’s weight will be displayed for ten seconds thenthe display will go blank.

The weight is displayed rounded to the nearest500g; this can be temporarily changed to 100gby pressing the SelectWeight Resolution key. The display will revert to500g next time the Weigh key is pressed.

Auto CompensationThis facility allows weight to be added to or removed fromthe bed, without affecting the indicated patient weight.

To use Auto Compensation:With the patient lying on the bed, press the Enable key

followed by the Auto Compensation key.The display will indicate AUTO.Add or remove accessories or bed linen as required.Press the Enable key followed by the Auto Compensationkey. The indicators above the keys will go out and thedisplay will show the patient’s weight unaffected by theremoval/addition of accessories or bed linen.

Weighing system operating instructions

+

+ =+

Weight DisplayEnable button

Weight Resolutionbutton

Bed Egressbutton

Zero buttonVolume control for bed egress alarm

Weighbutton

AutoCompensationbutton

Weighing and egress detection The controls for the weighing system and patient egress detection are located on the foot end safety side panel.


• Integrated weigh scales, VariZone bed exit alarm, Anit Entrapment (AES) & Digital Angle Indicator

• Enterprise 9000 E9X optional x-ray back rest with flat deck mattress available





• Split safety side with embedded patient and attendant control panels with lock out facility, auto CPR and +/—12° tilt





• Battery back up



• Designed for “pit stop” service and maintenanceMRF-43 5-14


ENTERPRISE 9000XQuick Reference Guide

Technical Data

Safe Working Load (SWL): 250kg (550lbs)

Maximum patient weight: 185kg (407 lbs)

Recommended patient height: 146 to 190cm (57 to 74 ins.)

Product weight (without mattress): 180kg (396 lbs)

Operating temperature: 5°C to 40°C (41°F to 104°F)

Standard mattress size: 202 x 88 x 18 cm (79.5 x 34.6 x 7 ins)

Liquid ingress protection: IPX4

… with people in mindwww.ArjoHuntleigh.com

Product overview

Head board Calf section

Head end split side rail Foot boardCaregiver controls Bed stripper (linen shelf)Backrest section Bed Extension locking handle

Patient controls Brake pedal / barSeat section Accessory socketThigh section Calf extension sheetFoot end split side rail Mattress extension catch bar

CPR release handle

Weighing / movement detection system controls


CastorDrainage bag railRoller bufferLifting pole socket

This Quick Reference Guide (QRG) is intended to assist the user in understanding the basic functions of this medical bed. The QRG does not replace the safety warnings, cautions and other important information provided in the Instructions for Use (IFU) supplied with the equipment; copies of the IFU are available on request from ArjoHuntleigh.

understood the IFU before using this medical bed.

safely.Place the mattress platform in the low height position when the patient is unattended.



Backrest or Knee-break.




Calf section selection buttons – One ofthese two buttons will be selected at alltimes. Whichever button is selected willdetermine the position the calf sectionprofiles into.






Fowlerposition

Vascularposition

Power Indicator

Battery Indicator

UnderbedEntrapmentindicator

Raise button

Lower button

Tilt Knee-break

Lock / UnlockFunction button.Press the lockbutton then thefunction(s) you wantto lock out.To unlock use thesame sequence.

To lock all functionsat once, press andhold down the lockbutton for fiveseconds.

Backrest

Calf section




Backrest

Raise button

Lower button

Knee-break









BackrestKnee-break

Raisebutton

Lower button

Pull the blue extension locking handle locking handle (1).Pull out the bed frame (2) to the required position and release the handle.Adjust the mattress platform length to match the bed frame.

Bed length adjustment

Brakes and steeringThe brakes should be applied at all times when the bed is stationary. The pedals may be linked by a full width brake bar.

Side railsMake sure the side rail is securely locked when in the raised position

Pull the blue release lever (2) to lower the side rail.To raise the side rail, hold onto either side rail handle (1) and pull the side rail up and away from the bed until it locks in the raised position

Hold the side of the calf section frame and manually lift the calf section upwards (1) until it latches in the horizontal (vascular) position (2). Use the caregiver controls or ACP to lower the thigh section to the angled (Fowler) position.

Calf section adjustment

Pull the red manual CPR lever located on either side of the bed to quickly lower the backrest.

CPR backrest release

Locking head and foot boards

locking catches (1) to prevent accidental removal. To unlock a board: pull out the blue catches (2) and rotate them a quarter-turn (3); the board can now be lifted off the bed

Apply the brakes. Remove the head board from the bed.Pull the knob (1) to release the catch and slide the tray out (2) as far as will go.

Release the knob to hold the tray in the fully open position (3). Position the X-ray cassette (4) on the tray with its bottom edge against the lip at the foot end of the tray.Pull the knob and slide the tray underneath the backrest. Release the knob to hold the tray in one of the latching positions.

X-ray cassette tray

To use the steering castor: Position the bed so all castors line up in the direction of travel. Raise the pedals to lock the steering castor and move the bed by pushing it from the opposite end of the steering castor.

1

2

1

2

2

1

1

23

1

2

34

Lift the blue extension catch bar (1) and hold the middle of the crossbar (2), then pull the mattress platform to the required position (3).

Mattress platform length adjustment

1

2

3

21 3

1 Brake: brakes are applied on all four castors.2 Free: all four castors are free to rotate and swivel.3 Steer:all four castors can rotate, but the steering castor

(see below) is locked so that it cannot swivel. This helps to keep the bed on a straight line.

The controls for the weighing system and VariZone patient movement detection are located on the foot end side rails.

Patient Weighing and VariZone Movement Detection

Weighing Auto CompensationThe Auto Compensation facility allows weight to be added to or removed from the bed, without affecting the indicated patient weight.

With the patient on the bed, press the Auto Compensation button once.

The display will show a moving circular pattern until a stable weight reading is obtained.

The display will now indicate Auto.

Add or remove accessories, bed linen, etc., as required.

Press the Auto Compensation button again.

The display will show a moving circular pattern for a few seconds then revert to showing the patient’s weight.

Auto Compensation allows the addition or removal of weights up to 220 lbs or 100kg.

To calculate and display the patient’s weight:

With the patient lying centrally on the bed, press the Weigh button once.

The display will show a moving circular pattern until a stable weight reading is obtained.

The patient’s weight will be dis-played for ten seconds then the display will go blank.

Select Weight Display

The patient’s weight is usually displayed rounded to the nearest 500g; this can be temporarily changed to 100g by pressing the Select Display Weight button.

The display will revert to 500g next time the Weighbutton is pressed.

The 100g weight display should only be used for comparative readings.

Initialisation - After connecting the bed to the electrical supply, the weighing system must be initialised as follows:Place the mattress, bed linen and all necessary accessories on the bed. The patient must not be on the bed at this point.

1. Press the Zero button once. 2. After a few seconds, the display will read zero.

3. The patient can nowget onto the bed.

The zero point can only be set if the load on the bed is less than 77lbs or 35kg above the factory calibrated zero.

Patient Weighing System Operating Instructions

1 Display (shows patient weight and bed section angles.)2 Weigh.3 Auto Compensation.4 Zero.5 Select Weight Display6 In Bed.7 VariZone movement detection threshold indicator.8 Egress.

Before setting and activating movement detection, make sure the patient has been weighed, all additional accessories have been accounted for using the Auto Compensation function, and the weighing display is blank.

The display will show a moving circular pattern for a few seconds then revert to showing the patient’s weight. Press and hold either the In Bed (1) button or the Egress (2) button for two seconds.

threshold.

Increasing movement detection threshold.

To increase the threshold, press and hold the Egressthe right.

To decrease the threshold, press and hold the In Bedthe left.

When the required threshold is reached, release the button.

detection is activated.

If the bed is connected to a suitable nurse call system, the alarm will also be indicated at the nurse’s station.

To cancel the patient movement alarm, or to deactivate movement detection without triggering the alarm, press the In Bed or Egress button once.

All the threshold indicators will go out to show that movement detection is deactivated.

threshold setting.

The Auto Compensation function can be used while movement detection is activated.

The anti-entrapment system is designed to detect patient entrapment between the base and mattress platform when the mattress platform is lowered, or is placed into tilt or Auto-Chair. The system is permanently active and cannot be switched off.There are four infra-red sensors, one above each castor, which generate an invisible beam around the base of the bed.If the beam is interrupted (e.g. by a patient’s limb) while the mattress platform is lowering, the mattress platform stops moving and the weighing system display shows AES.

Upward movement of the mattress platform is not affected

VariZone Patient Movement Detection

Anti-Entrapment System

Before using patient movement detection, verify that the alarm can be easily heard by caregivers, e.g. at the nurse’s station.

1 2

21

Pressure Ulcer Classification

National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance.Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. Emily Haesler (Ed.). Cambridge Media: Osborne Park, Western Australia; 2014.

The use of NPUAP/EPUAP/PPPIA material does not imply endorsement of products or programs associated with the use of the material.MRF-84 PUC 3-16 www.getingegroup.com

CATEGORY/STAGE I: Nonblanchable ErythemaIntact skin with non-blanchable redness of a localized area usually over a bony prominence. Darkly pigmented skin may not have visible blanching; its color may differ from the surrounding area.The area may be painful, firm, soft, warmer or cooler as compared to adjacent tissue. Category/Stage I may be difficult to detect in individuals with dark skin tones. May indicate “at risk” individuals (a heralding sign of risk).

CATEGORY/STAGE II: Partial Thickness Skin LossPartial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed, without slough. May also present as an intact or open/ruptured serum-filled blister.Presents as a shiny or dry shallow ulcer without slough or bruising.* This Category/Stage should not be used to describe skin tears, tape burns, perineal dermatitis, maceration or excoriation.*Bruising indicates suspected deep tissue injury.

CATEGORY/STAGE III: Full Thickness Skin LossFull thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle are not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling.The depth of a Category/Stage III pressure ulcer varies by anatomical location. The bridge of the nose, ear, occiput and malleolus do not have subcutaneous tissue and Category/Stage III ulcers can be shallow. In contrast, areas of significant adiposity can develop extremely deep Category/Stage III pressure ulcers. Bone/tendon is not visible or directly palpable

CATEGORY/STAGE IV: Full Thickness Tissue LossFull thickness tissue loss with exposed bone, tendon or muscle. Slough or eschar may be present on some parts of the wound bed. Often include undermining and tunneling.The depth of a Category/Stage IV pressure ulcer varies by anatomical location. The bridge of the nose, ear, occiput and malleolus do not have subcutaneous tissue and these ulcers can be shallow. Category/Stage IV ulcers can extend into muscle and/or supporting structures (e.g., fascia, tendon or joint capsule) making osteomyelitis possible. Exposed bone/tendon is visible or directly palpable.

UNSTAGEABLE: Depth UnknownFull thickness tissue loss in which the base of the ulcer is covered by slough (yellow, tan, gray, green or brown) and/or eschar (tan, brown or black) in the wound bed.Until enough slough and/or eschar is removed to expose the base of the wound, the true depth, and therefore Category/Stage, cannot be determined. Stable (dry, adherent, intact without erythema or fluctuance) eschar on the heels serves as ‘the body’s natural (biological) cover’ and should not be removed.

SUSPECTED DEEP TISSUE INJURY: Depth UnknownPurple or maroon localized area of discoloured intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear. The area may be preceded by tissue that is painful, firm, mushy, boggy, warmer or cooler as compared to adjacent tissue.Deep tissue injury may be difficult to detect in individuals with dark skin tones. Evolution may include a thin blister over a dark wound bed. The wound may further evolve and become covered by thin eschar. Evolution may be rapid exposing additional layers of tissue even with optimal treatment.

Weight conversion

Stones (St) Kilograms

1 6.4

2 12.7

3 19.1

4 25.4

5 31.8

6 38.1

7 44.5

8 50.8

9 57.2

10 63.5

11 69.9

12 76.3

13 82.6

14 89.0

15 95.3

16 101.7

17 108.0

18 114.4

19 120.8

20 120.8

21 127.0

22 133.5

23 139.8

24 146.2

25 152.5

26 158.9

27 165.2

28 171.6

29 184.3

Stones (St) Kilograms

30 190.7

31 196.8

32 200.0

33 209.5

34 216.0

35 222.5

36 228.6

37 235.0

38 241.3

39 247.6

40 254.0

41 260.3

42 266.7

43 273.0

44 279.4

45 285.8

46 292.1

47 298.5

48 304.8

49 311.2

50 317.5

51 323.9

52 330.2

53 336.6

54 343.0

55 349.3

56 355.6

57 362.0

58 363.3

FOAM SUPPORT SURFACE TESTING

MRF-69

Why test foam mattress replacements? • If continually subjected to load, foam support surfaces can suffer a reduction in performance over time due to compression

• If the cover material is compromised in any way the core is vulnerable to the ingress of fluids and poses an infection control risk

• Whilst an effective turning regime and regular inspections will help prevent compression, it is vital that regular tests are carriedout and recorded in order to verify the condition of the mattress and ensure patients are properly supported at all times

NOTE: To facilitate effective testing the date that each mattress is installed must be recorded clearly on the cover. Thisinformation is a guide only, the responsibility for the final decision regarding the condition of the mattress lies with the auditors.Whenever possible, a Tissue Viability Nurse and an Infection Control Nurse should be present during the audit.

How is the test performed?1. Record Mattress Details

• Note the age of the mattress

• Manufacturer

• Rental / trial or purchased equipment

2. Cover material integrity and condition

The cover material should be examined in the following way:

• Unzip the cover, check for staining, moisture and odourboth inside and out

• Check for delamination and splitting including zips andseams

• Any PVC covers should be removed in accordance with the Kings Fund recommendation, 1998

If damage or staining on the INSIDE of the cover is found, the entire mattress (core and cover) should be condemnedimmediately. If staining to the outside of the cover is found,only the cover must be replaced (after careful checking of thefoam core, see below)

3. Foam Core testing

Fist test to assess compressionThe test is designed to assess whether the foam core hascompressed over time, increasing the possibility of the patientbottoming out. With the cover in place and fully zipped:

• Join hands together, with straight arms forming a fist (seefigure 1)

• With the mattress at hip level, push down using full bodyweight

• Repeat the test in the areas indicated in figure 2

• If the base of the mattress can be felt through the foam(bottoming out) the mattress should be removed for further

investigation

NOTE: If a patient has been lying on the mattress prior to thetest, at least three minutes recovery time is required before thetorso section can be tested.

Foam Core Contamination

Fully examine the foam for any staining, splitting, odour ordampness. If ANY of these are found the mattress should becondemned immediately to avoid an infection control risk.

65cm

10cm

20cm

Midline

1

2

345

6

Midline

7

Figure 1 Figure 2

Foam Support Surface Testing

30° TILT

MRF-71

The patient’s lower back should be supportedwith pillows. The lower pillow can be bunchedor folded if necessary.

Another pillow is placed beneath the others,with the corner carefully positioned under thebuttock to ‘tilt’ the body and lift clear the ischialtuberosities and sacrum.

The patient should lie in the centre of thebed with adequate pillows to support thehead and neck.

Patient in full recumbent '30° tilt’ position.

Add a pillow to give support to the lumbarregion and shoulder. This ‘tilts’ the patientby 30° and lifts the sacrum clear of themattress. Check with your hand that thesacrum clears the mattress.

Support both legs by placing pillows lengthways, ensuring that heels are kept lifted fromthe bed surface.

REMEMBER1. Always explain the whole procedure to the patient, prior to repositioning and

throughout, to reassure them.2. Confirm that the patient is comfortable and check their position frequently.3. The '30° tilt’ is useful for patient comfort and pressure reduction over high risk

areas. It should be used as an aid to, not in place of, an appropriate pressurereducing support surface/mattress.

1

2

3

4

1

2

3 4

5 6

Semi-recumbent Recumbent

An additional pillow can be placed asshown, to prevent 'foot drop'.

REMEMBER1. The use of electric profiling beds will

assist in the management of patientpositioning.

Patient in complete semi-recumbent '30° tilt’position.

The legs must be supported in the samemanner as fig 3 and 4 of the Recumbentposition. It is important that the heels are clearand the feet are in the correct position.

ReferencePreston KW (1989). Positioning for comfort and pressure relief: The 30 degree alternative. Care -Science and Practice; 6(4): 116-119.

30° Tilt

Documents

Resource File · 2019-02-14 · Resource File The Leeds Teaching Hospitals NHS NHS Trust. Contents u Nimbus 3 Mattress Replacement System u Nimbus Professional Mattress Replacement