User Manual Introduction
1. Clinical Application
2. Installation
3. Operation
4. Service and Maintenance
5. Cleaning
6. Guarantees and Warranty
7. Technical descriptions Introduction
Before use, please read this manual carefully. Detailed in this manual is the necessary information you will need with regard to the correct installation, service / maintenance and general use of the Endeavour 3000 Acute Care Hospital Bed.
General Warnings, Cautions and Notes
Pay particular attention where you see this symbol
Warnings given in this manual identify possible hazards in procedures or conditions, which if not followed correctly, could result in death, injury or other serious adverse effect
Cautions given in this manual identify possible hazards in procedures or conditions, which if not followed correctly, could result in damage to the bed and it’s equipment
Notes with regard to installation and general use • If the operation or specification of the bed does not match the descriptions stated in the ‘Operation’ section of this manual, then the bed is not suitable for use and any defects must be reported to Park House Healthcare. • The bed must be connected to a mains power supply of the correct voltage • Do not connect the bed to mains in the presence of flammable gases such as anesthetic agents • Do not use if any of the cables are damaged or their insulation are showing signs of wear • Do not place hands or fingers on or near the moving parts of the bed • Do not stretch or squash the cables between the moving parts of the bed • Do not roll the bed over the cables • Extra caution should be taken when using the bed close to medical equipment which is operating at high frequencies • If a patient is lying in bed without medical supervision the bed should always be placed in it’s lowest position and the electrical functions of the bed should be locked • If a patient may be at risk of entrapment e.g. disorientation for medical reasons, the bed should be placed in a flat position and the patient should not be left without medical supervision • Always apply the brakes when the bed is stationary • Before operating the bed, make sure that there is no risk of entrapment and that the patient is positioned correctly to avoid imbalance • Always use a suitable mattress (size and type). A full range of pressure area care support surface are available from Park House Healthcare • Make sure there are no obstacles which will interfere with the movement of the bed i.e. bedside furniture
Notes with regard to service and maintenance • If the general use, maintenance or servicing of this product is performed in any other way than what is stated in this manual, it may result in damage to the bed and will not be covered under the manufacturer’s guarantee • Any repair that is made to the bed must be carried out by a Park House approved engineer. Disregarding this requirement will invalidate the guarantee • Before making any repairs, the bed must be disconnected from mains
Notes with regard to cleaning and disinfection • Before cleaning or disinfecting always disconnect the bed from the mains • Do not use bleaching agents, caustic/corrosive chemicals, abrasive compounds or cleaning pads • If the control panel comes into contact with water, dry the keyboard and keys with a clean cloth immediately • If the correct cleaning and disinfection guidelines are not performed in accordance with what is stated in this manual, it may result in damage to the bed and will not be covered under the manufacturer’s guarantee
KEEP THIS MANUAL WITH THE BED FOR FUTURE REFERENCE 3 1. Clinical Application
Safety and important information
The Endeavour 3000 is designed to facilitate the treatment, diagnosis and monitoring of patients in an indoor hospital environment - HDU, ITU, general and specialist surgery and general medicine
Indications: The bed is appropriate for high dependency patients who could pose a moving and handling risk and/or whose clinical condition requires that they are cared for with minimum physical handling
Patients with some independence can (at the carer’s discretion) operate the general functions of the bed, whilst under medical supervision
Contraindications: The safe working load of the bed is 260 kgs / 41 stones (this must not be exceeded)
The bed is intended for use by patients who are 12 years and over
If a patient may be at risk of entrapment e.g. disorientation for medical reasons, the bed should be placed in a flat position and the patient should not be left without medical supervision (unless medical personnel advise otherwise)
The bed should be used, maintained and serviced according to the instructions stated in this manual.
If the general use, maintenance or servicing of this product is performed in any other way than what has been stated in this manual, it may result in damage to the bed, and will not be covered under the manufacturer’s guarantee.
Use of accessories, additional equipment, cables or spare parts, other than those Caution! offered by Park House Healthcare are not permitted
Duties of the user
The user must ensure that the bed is only used in the appropriate conditions and in accordance with the instructions stated in this manual. The user is also obliged to take all the necessary precautions in order to prevent any hazards that could occur, if the user, patient and/or any third party does not follow the guidelines stated in this manual. Only authorised personnel who have undergone specific training and have read and understood this manual may operate the bed. The user must also ensure that all persons who operate the bed have read, understood and apply the instructions stated in this manual.
4 Standard features
3 7 Head end 2 4
15 10
13 12
6
14 8 Foot end 11
1 5 9
Description 1 Bed base 2 Mattress platforms 3 Back rest section 4 Safety sides 5 Thigh rest section 6 Stop steer & go braking 7 Head end 8 Foot end 9 Anti-static castors 10 Patient handset 11 Manual CPR levers 12 Bed buffers 13 In bed linen shelf 14 Drainage bag holders 15 Removable head and foot boards
Optional accessories The following accessories are available for use with Endeavour 3000 Bed:
Description 1 Drip stand 2 Lifting pole 3 Mint green head & foot boards 4 Lilac head & foot boards 5 Peach head & foot boards 6 Pale pink head & foot boards 7 Pale blue head & foot boards 5 2. Installation
Transport and storage:
• Handle with care • Do not drop • Avoid violent impact
The equipment should be stored in a clean, dry and well ventilated area which meets the following conditions:
Ambient temperature -10 to 50ºC
Relative humidity of the air should range from 20% to 90% at 30ºC non-condensing
Air pressure 700 to 1060 hPa.
Do not hold the plastic ABS covers whilst moving the bed
Caution!
1. Ensure that the equipment provided fits the documentation enclosed 2. Attach the accessories according to the instructions stated in Section 2 Operation - Attaching accessories 3. Place the bed in a suitable destination as per the requirements as described above 4. Connect the bed to the mains where there is suitable electricity supply. Do not use extension cables 5. Check that the bed is in full working order prior to use (Section 2 Operation - Checking the bed is safe for use)
When checking the functions, ensure that the bed moves smoothly, without stopping, jerking or excessive noise.
If the bed is not functioning correctly, Park House Healthcare should be informed immediately and the bed must be removed from use
Caution!
6 3. Operation
Brakes and Steering (Stop, steer & go)
The bed can be manoeuvred in any direction. The Stop, steer and go central braking system has three positions:
Green pedal down Go
Level pedal STEER
Red pedal down STOP (all wheels are locked)
For long and straight movements, press the green pedal down using your foot
To lock all wheels and secure the bed, press the red pedal down using your foot
Before moving the bed always disconnect the bed from the mains
Before moving always place the bed in its lowest position and clear the floor beneath the bed of any obstacles Caution!
7 Safety sides operation
A
B To lower the safety side
1. Hold the top bar (A). 2. Pull the quick release pin (B) downwards 3. Lower the safety side towards the foot end of the bed
To raise the safety side
1. Hold the top bar (A). 2. Pull the safety side up towards the head end of the bed until it locks into position
Extra care should be taken when lowering the safety sides, keeping fingers and limbs clear of the moving parts of the bed Warning!
Do not use the safety sides to lift or move the bed
Caution!
8 Linen shelf
The linen shelf is located at the foot end of the bed and can be used to store clean linen whilst the bed is being changed.
1. Pull the linen shelf out (Fig 1)
Fig 1 Fig 2
2. After use, push the linen shelf back into position (Fig 2)
Extending the mattress platform
The mattress platform can be extended by 20cm to accommodate taller patients.
There is a red quick release pin on either side (at the foot end) of the bed, situated underneath the bed base.
Pull the red quick release pins downwards to release the extension piece.
Holding the extension piece at both sides, pull out to extend the mattress platform.
The quick release pins will automatically click back into place once the bed extension is fully extended.
NB - Do not extend the mattress platform beyond the red markers on either side of the extension piece.
Retracting the mattress extension
Pull the red quick release pins downwards and push the extension back into position
The quick release pins will automatically click back into place once the bed extension is back in position
Always install a suitable mattress extension when the bed is extended
Warning!
9 Patient handset
The patient handset is connected to the bed by a flexible cable and can be positioned at either side of the bed.
The electrical functions of the bed are activated via push buttons on the handset. By pressing the required function, movement is activated. Movement will automatically stop when the bed reaches its maximum position, or when the button is released.
The patient handset can be used to adjust the:
• Back rest angle • Bed height • Thigh rest angle • Autocontour function • Under-bed light
The buttons are illuminated from behind to help visibility in dark rooms or at night
Do not continue to press the button if the bed has reached its maximum position
Caution!
Nurse Control Panel
The nurse control panel is connected to the bed by a flexible cable and is situated at the foot end of the bed.
The nurse control panel should be kept out of patients’ reach
Warning!
The nurse control panel is designed for use by a medical professional, to operate the electrical and clinical functions of the bed. For safety purposes the user can lock all the electrical functions of the bed so that they cannot be changed via the patient handset.
10 Nurse control can be used to adjust:
• Bed height • Trendelenburg position • Back rest angle • Anti-trendelenburg position • Thigh rest angle • Electric CPR • Autocontour • Under-bed light • Cardiac chair position • Nurse lock out
Battery charging indicator Function locked indicator Trendelenburg tilt
Under-bed light Electric CPR
Raise & lower buttons for Panel lock (key) button each function
Cardiac chair
Function buttons Anti-trendelenburg tilt Back rest angle Thigh rest angle Autocontour Bed height Trendelenburg tilt Anti-trendelenburg tilt
Locking the electrical functions
All the electrical functions can be locked individually via the nurse handset.
To LOCK a function:
Press and hold the key button then select the function you want to lock - multiple/all functions can be selected
The orange LED will illuminate to indicate the function is locked.
To UNLOCK a function simply repeat this action. The orange LED will distinguish to indicate the function is unlocked
If a patent is left in bed without medical supervision, the electrical functions of the bed should be locked
Warning!
11 If the hand held control panel comes into contact with water, dry the keyboard as soon as possible with a clean cloth
Caution!
Adjusting the mattress platform
Changing the bed height
The height of the mattress platform can be adjusted within the range indicated in Section 7. Technical descriptions
1. Press the raise or lower button on the bed height function until the mattress platform reaches the desired position 2. Release the button and the movement will stop
When the bed reaches its lowest or highest position movement will stop automatically.
If a patient is left lying in bed without medical supervision the bed height should be set in its lowest position Warning!
Changing the back rest angle
1. Press the raise or lower button on the back rest angle function until the back rest reaches the desired angle 2. Release the button and the movement will stop
When the back rest section reaches the maximum/minimum angle movement will stop automatically.
Changing the thigh rest angle
1. Press the raise or lower button on the thigh rest angle function until the thigh rest reaches the desired angle 2. Release the button and the movement will stop
When the thigh rest section reaches the maximum/minimum angle movement will stop automatically.
12 The Autocontour function
The Autocontour function allows both the back rest and thigh rest section to adjust simultaneously
1. Press the raise or lower button on the autocontour function until the back rest and thigh rest reach the desired position 2. Release the button and the movement will stop
When the back rest/thigh rest reach the maximum/minimum angle movement will stop automatically
Trendelenburg / Anti-Trendelenburg tilt functions
Trendelenburg (head down) tilt
1. Press the Trendelenburg tilt button until the bed reaches the desired angle 2. Release the button and the movement will stop
Anti-Trendelenburg (foot down) tilt
1. Press the anti-Trendelenburg tilt button until the bed reaches the desired angle 2. Release the button and the movement will stop
When the bed reaches the maximum/minimum angle movement will stop automatically
Only medical personnel are permitted to operate the Trendelenburg and Anti- Trendelenburg tilts Do not leave a patient in the Trendelenburg position unattended Warning!
One-button functions Activating Cardiac chair
The Cardiac chair position can be achieved by pressing and holding this button. Movement will stop automatically once the limit of travel is reached
To return the bed to a level position, press and hold the button again. Do not release the button until the bed has reached a level position and has stopped automatically.
NB - If the button is released before the bed reaches a level position the movement will be reset. The next time the button is pressed the bed will go back into the cardiac chair position.
Extra care should be taken when performing this movement. Keep fingers clear of the moving parts of the bed
Warning! 13 Electric CPR function
Press and hold this button to flatten the bed into a suitable position to perfrom CPR (cardio pulmonary resucitation)
The bed will automatically level at a suitable height; you do not have to raise the mattress platform NB - If all the bed functions are locked, the electric CPR will override the lock and continue to operate
Electric CPR is an emergency function and should only be operated by medical personnel Warning!
Manual CPR function
Manual CPR can also be used to flatten the bed in the event of an emergency
CPR levers are situated at either side of the bed
Push the red lever towards the foot end of the bed, the back rest and thigh rest sections will lower automatically. NB - Manual CPR levers will not adjust the height of the bed
Manual leg raiser
Raise the thigh rest, then lift the calf section to the desired position, the calf rest will click into place. To lower the calf section lift the calf rest to its maximum height (this will release the ratchet) and lower the section slowly.
Battery back up
The battery back up automatically switches on when the bed is disconnected from the mains. The battery provides emergency operation (short term) of all the electrical functions, until the bed is reconnected to the mains.
If a continuous beeping sounds when operating the bed via battery back up, the battery level is low
If the battery level is critically low then power will automatically shut off. The bed will need to be reconnected to the mains to charge the battery.
Battery charging indicator
An orange LED on the battery icon will illuminate when the battery is being charged
For the longest lifetime, the battery should be fully charged before disconnecting from the mains
To ensure the battery is kepy fully charged, the bed should be connected to the mains at all times during normal use
Caution! 14 Anti-entrapment actuators
If the actuators detect resistance when a bed section is in movement a clicking noise will be heard. If the actuators detect substantial resistance then movement will eventually stop.
If a clicking noise can be heard, remove any obstructions and continue operation
Removing the mattress platform covers
The mattress platform sections can be removed individually (4 pieces) from the bed base (Fig 1) to aid cleaning and servicing procedures.
To replace, simply click the plastic covers back onto the bed base.
Fig 1 Inserting/removing the head and foot boards
The head and foot boards are mounted on the bed frame by inserting the spigots projecting from the boards into the holes in the bed base.
These can be easily removed by lifting the head/foot board from the bed base (Fig 2)
Fig 2
Make sure that both the head and footboards are fully inserted into mounting points before use (unless medical personnel advise otherwise)
Caution!
Under-bed lighting
The bed is fitted with an under-bed light to illuminate the floor space surrounding the bed, in dark rooms or at night. The under-bed light can be activated via both the patient handset and the nurse control panel.
To activate the under-bed light press this button
To switch the light off press this button again
Accessory rails
Accessory rails are located in the centre of the bed just beneath the bed base. These can be used to support urine bags and other drainage equipment.
15 Attaching accessories
Two accessory sockets are located at the head end of the bed, either side of the head board. These can be used to house the drip stand and the lifting pole.
Maximum working load for the drip stand should not exceed 4 kgs
Maximum working load for the lifting pole should not exceed 70 kgs
Caution!
Checking the bed is safe for use
All bed functions should be checked before use
Caution!
To ensure the bed is functioning correctly, check the following:
1. The stability of the bed when the wheels are locked • Try to move the bed manually by pushing the bed in any direction - the bed should not tilt or move if the wheels are locked securely
2. Check that the bed is free from mechanical interference • Visually check the moving sections of the bed
3. Electrical bed functions (Section 2. Operation) • Check the operation of every function individually • The movement of the bed should operate smoothly, without stopping, jerking or excessive noise
4. Nurse lock out function (Section 2. Operation) • Check that every function locks individually • Check that all functions lock - electric CPR should still operate when all functions are locked
5. The manual adjustment of the calf section • Press down on the calf section to make sure it is securely in position - you should not be able to change its position • Calf section should manually adjust in a smooth movement without any sticking or jamming
If all of the above is tested and functioning correctly then the bed is safe for use.
If the above is tested and the bed is not functioning correctly or any defects are found, it should be reported to Park House Healthcare immediately and the bed should be removed from use
Using a bed that is not fully functional may result in damage that will not be Caution! covered under the manufacturer’s guarantee.
16 4. Service and Maintenance
All service and/or repair work must be carried out by a Park House approved engineer. Disposal of products and components should be compliant with environmental procedures. The following preventative maintenance procedures should be carried out every 6 months, or at least once annually a) Check that all electrical functions when operated via the nurse and patient controls work correctly (inc. electric CPR and under-bed light) b) Make sure the back, thigh and calf rests operate through their full movement range (Section 8. Technical descriptions) c) Make sure the mattress platform can be raised, lowered from minimum through to maximum position (Section 7. Technical descriptions) d) Make sure the mattress platform can be tilted (trendelenburg/anti-trendelenburg positions) through its full range of movement (Section 7. Technical descriptions) e) Make sure the lock out function works across all functions (for patient and nurse handsets) f) Check that the bed extension can be extended and retracted easily and locks into place correctly in both positions g) Check that the linen shelf can be extended and retracted easily and locks into place correctly in both positions h) Check that (both) manual CPR levers are working correctly i) Raise and lower the safety sides to make sure they lock into the raised position and operate smoothly j) Check the stop, steer and go braking system to ensure the bed moves in both steering modes k) Apply the brakes and attempt to push the bed forwards/backwards. If any castors rotate then adjust or replace as necessary l) Examine the electrical supply plug and cable, if they show signs of damage and/or wear and tear replace as a complete set. Do not use re-wireable plugs or extension cables m) Examine all visible cables for signs of damage and/or wear and tear n) Visually examine all bed accessories for damage, paying particular attention to fastenings and moving parts o) Check that all nuts, bolts and other fasteners are present and adequately tightened
If any of these checks identify a fault(s), report it to Park House Healthcare immediately
The bed must be disconnected from the mains before any maintenance activity takes place
Disregarding this requirement will invalidate the manufacturer’s guarantee
If any aspect of the bed fails the service/technical inspection it should not be Caution! used until the fault/damage has been repaired
17 Troubleshooting
Fault Action Solution The bed will Check if the wheels are locked Unlock the central lock not move The bed Check the position of the brake pedal To steer the bed in a straight line push cannot be the green pedal down to the ‘go’ position steered For full maneuverability place the pedal into a level position The control Check: panels do not • If the power cord is disconnected from Connect the power cord to the mains appear to be mains working • If the battery back up is fully Connect the power cord to the mains discharged • For any damage to the control panel Contact Park House Healthcare
One or more of Check: the actuators • If the function(s) are locked from the Unlock the function(s) and try again are not nurse control panel working • For any damage to the steering Contact Park House Healthcare system or actuators
A clicking Check for any obstructions between the Remove obstruction and try again noise can be moving parts of the bed heard when the back/thigh Is there enough weight i.e. a patient, on the If there is no weight, apply weight by rest is moving moving section? pressing down on the moving part.
If a clicking can still be heard contact Park House Healthcare
If the problem cannot be resolved using the above information, contact Park House Healthcare.
Product disposal
The bed should be disposed of in accordance with environment regulations.
18 5. Cleaning
The following cleaning procedures are suggested by Park House Healthcare as being suitable infection control procedures. Further information is available upon request.
NB - These guidelines are for the bed and its accessories only. Please refer to specific cleaning guidelines for mattresses.
Before cleaning the bed must be disconnected from the mains
Protective clothing should be worn at all times Caution!
Clean the bed using a single use cloth soaked in hand hot water and a neutral detergent.
Clean the bed from top to bottom, cleaning the wheels last. Pay extra attention when cleaning the areas where dust can build up.
The head and foot boards and individual mattress sections can be removed for thorough cleaning.
Rinse the bed with clean water and wipe dry with disposable paper towels. Make sure the bed is completely dry before replacing the mattress.
Disinfecting the bed
If the bed is heavily soiled or has been exposed to bodily fluids then it will require a more thorough cleaning procedure.
Follow the guidelines above and then wipe down using a single use cloth soaked in cold water and a 0.1% chlorine solution (1,000ppm). If required a 1.0% chlorine solution (10,000ppm) and cold water can be used.
Rinse the bed with clean water and wipe dry with disposable paper towels. Make sure the bed is completely dry before replacing the mattress.
Frequent or prolonged exposure to higher concentration disinfection solutions may prematurely age the bed’s appearance
Do not use phenol based cleaning solutions
Caution! Do not use abrasive compounds or pads
If the correct cleaning and disinfection guidelines are not followed as stated in this manual any damage to bed will not be covered under the manufacturer’s guarantee
The bed is suitable for the use in a decontamination chamber or tunnel wash and can be both jet and steam cleaned if required.
19 6. Guarantees and Warranty
Bed frame
All new models have a guarantee for a period of 3 years following the date of dispatch.
Actuators
All new actuators have a guarantee for a period of 3 years following the date of dispatch.
Guarantee
Park House Healthcare guarantees to repair or place any equipment issued to its customers, which is found to be faulty during the relevant guarantee or warranty period.
The Company’s guarantees are subject to following conditions: a) That the equipment has been used for the purpose for which it was intended. b) That the usage has been on a ‘fair wear and tear’ basis. c) That the Company’s cleaning / disinfection guidelines have been followed. d) That the Company’s maintenance guidelines have been followed. e) That maintenance has been carried out by a Park House approved engineer.
Warranty
Extended warranties can be purchased from Park House Healthcare, for more information contact Customer Services on 0845 0600 333.
Claims relating to Guarantee and Warranty
In the event of a fault being discovered within the warranty period, the customer must notify Park House Healthcare at the earliest opportunity.
If upon inspection, Park House Healthcare accepts liability then the equipment shall be repaired or replaced.
If Park House Healthcare does not accept liability it shall inform the customer of its reasons for declination and provide the customer with an estimate on either the repair or replacement cost.
Park House Healthcare reserves the right to alter or amend this document without prior notice.
20 7. Technical descriptions
Dimensions
Overall bed length (inc. buffers) 220cm Overall bed length fully extended (inc. buffers) 239cm Overall bed width (inc. buffers) 103cm Mattress platform dimensions 200 x 90cm Mattress platform dimensions fully extended 220 x 90cm Bed height to the bottom of the mattress platform Min. 41.5cm Max. 81.5cm Auto regression Back rest 16cm Thigh rest 10cm Back rest angle 70° Thigh rest angle 16.5° Calf rest angle 15° Trendelenburg tilt 14° Anti-trendelenburg tilt 14° Under-bed clearance (hoist clearance) 15.5cm Extension piece 20cm Castor diameter 15cm
Bed weight (exc. accessories and mattress) 171kg Transportation frame 10.5kg
Electrical information
Power input 230V~ 50/60Hz Maximal power consumption 1,3 A / 230 V Duty Rating Intermittent 10% (2 mins / 20 mins) Safety standards Complies with IEC 60601-2-52 Electric shock protection : Class I Type B Ingress protection class IP66 Back up battery 24v 1.2Ah
Safe working load
Maximum working load (inc. accessories) 260kgs / 41 stones Maximum load of the lifting pole 70 kgs Maximum load of the drip stand 4 kgs
21 Notes Notes The Company
Founded in 1984, Park House Healthcare Ltd is now recognised as a market leading supplier of specialist pressure relieving and pressure reducing equipment, hospital beds and moving and handling solutions to the NHS, Community and Nursing Home sectors.
Our innovative product portfolio encompasses a range of clinically proven healthcare solutions, which are fully supported by dedicated clinical training, professional product audit and complete maintenance and decontamination services.
Our purpose built state of the art Corporate Headquarters in West Yorkshire is central to our extensive network of service and logistics centres, strategically located throughout the country. 24 hour care, 365 days a year, dedicated personnel manage specific regions and divisions, ensuring one on one service and support is never far away.
With distributors in over 25 countries, Park House Healthcare Ltd is a truly international company and places important emphasis on providing tailored healthcare solutions and the highest level of customer care to our partners throughout the world.
Park House Healthcare Ltd is a respected member of the British Healthcare Trade Association and has BS EN ISO 9001 and EN46002 accreditation, which is the specific quality standard for Medical Devices. All products are CE marked in accordance with the European Directive 93/42/EEC.
Park House Healthcare Ltd Whitehall 26 Business Park, 1 Heathfield Lane, Birkenshaw, ISO Certificate No: 8019 West Yorkshire, BD11 2HW, UK. CE Certificate No: CA001810 Tel: 0845 0600 333 Due to its policy of continued development and Fax: 0845 0600 334 improvement, Park House Healthcare Ltd Email: [email protected] reserves the right to amend any details International Tel: +44 (0)1274 475000 and specifications without notice. International Fax: +44 (0)1274 475046 International Email: [email protected] © Copyright Park House Healthcare Ltd. 2012/4 Web: www.parkhouse-hc.com
UM-AB3000 17APRIL2012 REV1