agiliti Adapt Convertible User manual

Doc. #: IFU0000078 Rev.: 2.0 Rev. Date: 01/26/2024
Adapt Convertible™
User Manual

2
Table of Contents
Introduction ................................................. 3
Product Description ....................................... 3
Product at a Glance .......................................... 4
Symbols..................................................... 6
Labels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Safety Instructions ...........................................10
Seven Zones of Bed Rail Entrapment ........................10
Specifications................................................15
EMC Information .............................................17
Unpacking Instructions .......................................21
Set-Up Instructions.......................................... 22
Adapt Pump™ Keypad .......................................24
Operating Instructions.......................................25
Advanced Settings ..........................................28
Cleaning Instructions ........................................29
Preventive Maintenance.......................................31
Troubleshooting ............................................32
Storage, Transport and Disposal ..............................33
Frequently Ordered Parts ....................................33
Limited Product Warranty ...................................34
Rev
Title
Quality Form: QF-3191 Rev. 4.0
ECO#: W031920-1
Approved: W. Williams
FOR-0014-0320
Master Label Form
Price P.O. #
Vendor Date
Quantity
Approvals
Page 1 of 2
100% Scale, for Reference Only
See page 2 for Full-Size Art File and Material Specs
Marketing
Plant Engineering
Product Development
Purchasing
Quality
Vendor
Part Number
Lisez et comprenez entièrement
le manuel avant utilisation. Le
non-respect des instructions
d’utilisation peut entraîner la
mort ou des blessures graves.
Read and fully understand
manual before operating.
Failure to follow operating
instructions could result in
death or serious injury.
27008710, Rev. 1.0
Warning/Attention
1.027008710
Read Instructions Carefully
French

3
Introduction
Product Description
The Adapt Convertible™ support surface is designed for powered or non-powered use. In a powered state,
Adapt Convertible provides Microclimate Assist™ and 1-in-2 alternating pressure, while immersion therapy
is available with or without the powered pump. Alternating pressure actively ooads pressure on the skin
surface with 5-, 10- or 15-minute cycle times. Immersion provides proper envelopment to eectively manage
pressure redistribution. Microclimate Assist helps maintain a dry, cool surface interface.
Adapt Convertible is comprised of a specialized multi-foam-filled air cell support surface and an optional
electrically powered pump. Upon setup, the firmness level is selected on the pump, which then adjusts the
support surface pressure for optimal comfort and therapy.
Intended Use
Adapt Convertible is a powered or non-powered, pressure redistributing foam support surface intended to
prevent and treat pressure injuries. The product is for use on a medical bed frame in a medical facility by
qualified personnel.
Patent Information
This product is protected by U.S. Patent No. 9,913,547, with other patents pending.
General Information
— Read and completely understand the manual before use.
— DO NOT modify this equipment without authorization from the manufacturer.
— Only use Agiliti accessories that are specific to this product.
— At certain intervals, maintenance of this product is required and must be performed by qualified personnel
only.
— Retain this manual for future use and maintenance.
— Users should be risk-assessed to ensure they are able to understand this manual and operate the product
safely without risk to themselves or others.
Symbols, definitions, and fonts are used throughout this manual to aid user readability and understanding of
content.
— Standard Text: Used for regular information.
— Bold Text: Emphasizes a word or phrase.
— NOTE: Sets apart special information or important instruction clarification.

4
Product at a Glance
Adapt Convertible™ Support Surface
1. Adapt Convertible™ Support Surface
2. Hose cluster (stowed)
3. Hose cluster straps
Adapt Convertible EX™ Support Surface
1. Adapt Convertible EX™ Support Surface
2. Side bolsters
3. Foot bolster (optional)
2
2
1
1
3
3

5
Adapt Pump™ (Optional)
1. Pump Keypad 1. Carrying handle
2. Keypad Reference label
3. Pump keypad
1. Hose cluster connection 1. Power input and fuse label 1. Carrying handle
2. Mounting hooks
3. Leakage test point label
2
2
3
1
1
1
1
1
3

6
Symbols
Symbol Description
Certification:
Indicates device has been independently tested and meets the published safety
standard(s).
Type B
Device Type:
Indicates a Type B device properly protected from electrical shock.
Follow User Manual:
Indicates mandatory action to read and fully understand these instructions prior to
use.
Accompanying Documents:
Read and fully understand all accompanying documents for product before use.
ELECTRICAL SHOCK HAZARD WARNING:
This symbol is intended to alert the user to the presence of electrical shock hazards.
It is important to follow all instructions and special procedures to avoid electrical
shock to the operator, care provider and/or patient.
WARNING:
Indicates a potentially dangerous situation, which if not avoided, could result in
injury ranging from moderate to serious severity up to and including death.
CAUTION:
Indicates a potentially dangerous situation, which if not avoided, could result in
injury ranging from minor to moderate severity.

7
Labels
Manufacturer’s Label
Page 1
100% Scale, for Reference Only
See page 2 for Full-Size Art File and Material Specs
Rev
Title
SW Master Label Form
Document number: F00014 Rev. A
FOR-0014-0322
Master Label Form
Price P.O. #
Vendor Date
Quantity
Approvals
Marketing
Plant Engineering
Product Development
Purchasing
Quality
Part Number
2.027008641
Adapt Pump
MFG Label
27008641, Rev. 2.0
Medical Electrical Equipment
Conforms to AAMI std. ES60601-1,
IEC std. 60601-1-6
Certied to CSA std. C22.2 No. 60601-1
Model: 61600200-Adapt Pump™
MFG S/N: 135796
Manufacture Date: 231116
Electrical Rating: 120V AC, 50/60Hz, 3A
Class I
Electrical
Equipment Type B
INDOOR USE ONLY
MADE IN USA
US PATENT 9,913,547
Legal Manufacturer:
Raye’s, Inc. d/b/a Sizewise Manufacturing
206 Jeerson Street, Ellis, KS 67637
Raye’s, Inc., d/b/a Sizewise Manufacturing (f/k/a
Wheelchairs of Kansas and Sunower Medical), is a
wholly owned subsidiary of Sizewise Rentals, LLC.
Sizewise Rentals, LLC is a wholly owned subsidiary
of Agiliti Health, Inc.
Label Description
Rev
Title
Quality Form: QF-3191 Rev. 4.0
ECO#: W031920-1
Approved: W. Williams
FOR-0014-0320
Master Label Form
Price P.O. #
Vendor Date
Quantity
Approvals
Page 1 of 2
100% Scale, for Reference Only
See page 2 for Full-Size Art File and Material Specs
Marketing
Plant Engineering
Product Development
Purchasing
Quality
Vendor
Part Number
Electrical Rating:
120V AC, 50/60Hz, 3A
Fuse Rating:
T 1.25A H 250V
27503886, Rev. 2.0
2.0
Platinum Electrical Info
27503886
Label indicates electrical and fuse ratings for 120V
pump.
Electrical Rating:
220-240V AC, 50/60Hz, 3A
Fuse Rating:
T 1.25A H 250V
27503887, Rev. 2.0
Label indicates electrical and fuse ratings for 230V
pump.
Rev
Title
Quality Form: QF-3191 Rev. 4.0
ECO#: W031920-1
Approved: W. Williams
FOR-0014-0320
Master Label Form
Price P.O. #
Vendor Date
Quantity
Approvals
Page 1 of 2
200% Scale, for Reference Only
See page 2 for Full-Size Art File and Material Specs
Marketing
Plant Engineering
Product Development
Purchasing
Quality
Vendor
Part Number
2.027509003
LTPL
2
7
5
0
9
0
0
3
,
R
e
v
.
2
.
0
Label identifies leakage test point location on
outside of pump.
Rev
Title
Quality Form: QF-3191 Rev. 4.0
ECO#: W031920-1
Approved: W. Williams
FOR-0014-0320
Master Label Form
Price P.O. #
Vendor Date
Quantity
Approvals
Page 1 of 2
200% Scale, for Reference Only
See page 2 for Full-Size Art File and Material Specs
Marketing
Plant Engineering
Product Development
Purchasing
Quality
Vendor
Part Number
2.027509002
Ground Point Label
2
7
5
0
9
0
0
2
,
R
e
v
.
2
.
0
Label identifies location of ground on pump.
Rev
Title
Price P.O. #Quantity
Approvals
Page 1
100% Scale, for Reference Only
See page 2 for Full-Size Art File
Marketing
Plant Engineering
Product Development
Purchasing
Quality
Vendor
Part Number
1.027650015
Adapt Air System QR
SW Master Label Form
Document number: F60108
FOR-0014-0322
Master Label Form
Adapt™ Keypad Reference
Immersion Alternation Autofirm
27650015, Rev. 1.0
Alarm Mute
Cycle Time
Microclimate Digital
Resources
Label provides visual reference to pump keypad
functions. QR code provides link to online
resources.

8
Label Description
Rev
Page 1
100% Scale, for Reference Only
See page 2 for Full-Size Art File and Material Specs
Part Number
Title
27503970 1.0
Adapt Air Connector Mylar
CPR
DateVendor
Price P.O. #Quantity
Approvals
Marketing
Plant Engineering
Product Development
Purchasing
Quality
SW Master Label Form
Document number: F00014 Rev. A
FOR-0014-0322
Master Label Form
Labels identify CPR Release on hose cluster/pump
connection.
Screen printing on mattress identifies support
surface name/version.
Labels to identify support surface top cover/
bottom cover part and lot numbers.
Label provides the Unique Device Identification
(UDI) number of support surface.
Page 1
100% Scale, for Reference Only
See page 2 for Full-Size Art File and Material Specs
Rev
Title
Part Number
27503972 1.0
Adapt Air Connector Mylar
(Press to Release)
DateVendor
Price P.O. #Quantity
Approvals
Marketing
Plant Engineering
Product Development
Purchasing
Quality
SW Master Label Form
Document number: F00014 Rev. A
FOR-0014-0322
Master Label Form
PRESS TO RELEASE
27503972, Rev. 1.0
General cleaning of this mattress cover can
be accomplished by wiping down the surface
with a mild solution of soap and water.
Always rinse thoroughly with water.
DO NOT AUTOCLAVE. If this cover needs to
be disinfected, use a standard hospital
approved quaternary disinfectant, a
germicide, or disinfecting soap and water.
Do not use a phenolic based cleaning agent.
Use all products in dilutions as specified on
the manufacturer's label and follow the
appropriate dwell time.
Do not use bleach in stronger concentration
than 1:10 dilution of the household bleach.
For soils and stains, clean cover with neutral
suds and lukewarm water. For hard to clean
spots, use a standard liquid household vinyl
cleaner with a soft bristle brush.
LOT #XXXXXXX
ADAPT CONVERTIBLE 35"x82"
TOP COVER
0010ADC13582
Manufactured By:
Sizewise Manufacturing
252 Mariah Circle
Corona, CA 92879-1751
Date of Manufacture:
MM/YYYY
Model :
Prototype ID :
This mattress meets the requirements of
16 CFR Part 1633 (federal flammability
(open flame) standard for mattress sets)
when used without a foundation
THIS MATTRESS IS
INTENDED TO BE USED
WITHOUT A FOUNDATION
NOTICE
THIS ARTICLE MEETS THE FLAMMABILITY
REQUIREMENTS OF CALIFORNIA
BUREAU OF HOUSEHOLD GOODS AND
SERVICES TECHNICAL BULLETIN
117-2013. CARE SHOULD BE EXERCISED
NEAR OPEN FLAME OR WITH BURNING
CIGARETTES.
THE UPHOLSTERY MATERIALS
IN THIS PRODUCT:
THE STATE OF CALIFORNIA HAS
UPDATED THE FLAMMABILITY STANDARD
AND DETERMINED THAT THE FIRE
SAFETY REQUIREMENTS FOR THIS
PRODUCT CAN BE MET WITHOUT
ADDING FLAME RETARDANT CHEMICALS.
THE STATE HAS IDENTIFIED MANY
FLAME RETARDANT CHEMICALS AS
BEING KNOWN TO, OR STRONGLY
SUSPECTED OF, ADVERSELY IMPACTING
HUMAN HEALTH OR DEVELOPMENT
CONTAIN ADDED FLAME
RETARDANT CHEMICALS
CONTAIN NO ADDED FLAME
RETARDANT CHEMICALS
TB117-2013
X
UNDER PENALTY OF LAW THIS TAG IS
NOT TO BE REMOVED EXCEPT BY THE
CONSUMER
ALL NEW MATERIAL
CONSISTING OF
POLYURETHANE FOAM 100%
REG. NO. CA 46736
Agiliti Health, Inc.
MADE FOR
in. x in.
Net of Matl: lbs. oz.
Mattress
MADE IN THE USA
MANUFACTURED IN:
MONTH __________ YEAR __________
MMM YYYY
11095 Viking Dr., Ste 300
Eden Prairie, MN 55344
35 82
XX X
ADAPT-CONVERTIBLE LOT #XXXXXXX
ADAPT CONVERTIBLE 35"x82"
BOTTOM COVER
0010ADC23582
REVISION TABLE
REV # DESCRIPTION ECO# DRAWN BY APR DATE
X06 INITIAL DESIGN N/A AL
LOCATION:
PROPRIETARY NOTICE
Y:\AUTOCAD\ALL CUSTOMER INFO\MEDICAL\SIZEWISE MANUFACTURING\AGILITI\PRODUCT DRAWINGS\0010ADC03582 -- ADAPT CONVERTIBLE 35X82\0010ADC03582 -- ADAPT CONVERTIBLE 35X82 -- REV X06.DWG { ASSEM }
PAGE OFSCALE:
CHECKED BY:
DRAWN BY:
PROD MAN:
DESCRIPTION:
SHEET DRAWING NUMBER REVISION
Signature Date
Signature Date
BX06
CUSTOM
CHECKED
CRAIG MILLER JR.
4
9/13/2023 8:05 AM
LAST UPDATED:
CUSTOMER APPROVAL:
CUSTOMER:
UNLESS OTHERWISE SPECIFIED:
ALL DIMENSIONS ARE IN INCHES
TOLERANCES ARE 1/4"
THE DATA CONTAINED HEREIN CONSTITUTES PROPRIETARY
INFORMATION OF SIZEWISE MANUFACTURING, AND SHALL
NOT BE USED, DUPLICATED OR DISCLOSED IN WHOLE OR IN
PART WITHOUT THE PRIOR WRITTEN CONSENT OF SIZEWISE
MANUFACTURING.
SIZEWISE MANUFACTURING.
252 MARIAH CIRCLE
CORONA, CA 92879
®
®
4
0010ADC03582
N/A
ANDREW LU
ADAPT CONVERTIBLE
35" x 82"
LABELS
ENGINEERING NOTE:
1 LABELS ARE REPRESENTATIVE AND MAY NOT BE
AN EXACT MATCH TO PRINTED LABELS
1
1
General cleaning of this mattress cover can
be accomplished by wiping down the surface
with a mild solution of soap and water.
Always rinse thoroughly with water.
DO NOT AUTOCLAVE. If this cover needs to
be disinfected, use a standard hospital
approved quaternary disinfectant, a
germicide, or disinfecting soap and water.
Do not use a phenolic based cleaning agent.
Use all products in dilutions as specified on
the manufacturer's label and follow the
appropriate dwell time.
Do not use bleach in stronger concentration
than 1:10 dilution of the household bleach.
For soils and stains, clean cover with neutral
suds and lukewarm water. For hard to clean
spots, use a standard liquid household vinyl
cleaner with a soft bristle brush.
LOT #XXXXXXX
ADAPT CONVERTIBLE 35"x82"
TOP COVER
0010ADC13582
Manufactured By:
Sizewise Manufacturing
252 Mariah Circle
Corona, CA 92879-1751
Date of Manufacture:
MM/YYYY
Model :
Prototype ID :
This mattress meets the requirements of
16 CFR Part 1633 (federal flammability
(open flame) standard for mattress sets)
when used without a foundation
THIS MATTRESS IS
INTENDED TO BE USED
WITHOUT A FOUNDATION
NOTICE
THIS ARTICLE MEETS THE FLAMMABILITY
REQUIREMENTS OF CALIFORNIA
BUREAU OF HOUSEHOLD GOODS AND
SERVICES TECHNICAL BULLETIN
117-2013. CARE SHOULD BE EXERCISED
NEAR OPEN FLAME OR WITH BURNING
CIGARETTES.
THE UPHOLSTERY MATERIALS
IN THIS PRODUCT:
THE STATE OF CALIFORNIA HAS
UPDATED THE FLAMMABILITY STANDARD
AND DETERMINED THAT THE FIRE
SAFETY REQUIREMENTS FOR THIS
PRODUCT CAN BE MET WITHOUT
ADDING FLAME RETARDANT CHEMICALS.
THE STATE HAS IDENTIFIED MANY
FLAME RETARDANT CHEMICALS AS
BEING KNOWN TO, OR STRONGLY
SUSPECTED OF, ADVERSELY IMPACTING
HUMAN HEALTH OR DEVELOPMENT
CONTAIN ADDED FLAME
RETARDANT CHEMICALS
CONTAIN NO ADDED FLAME
RETARDANT CHEMICALS
TB117-2013
X
UNDER PENALTY OF LAW THIS TAG IS
NOT TO BE REMOVED EXCEPT BY THE
CONSUMER
ALL NEW MATERIAL
CONSISTING OF
POLYURETHANE FOAM 100%
REG. NO. CA 46736
Agiliti Health, Inc.
MADE FOR
in. x in.
Net of Matl: lbs. oz.
Mattress
MADE IN THE USA
MANUFACTURED IN:
MONTH __________ YEAR __________
MMM YYYY
11095 Viking Dr., Ste 300
Eden Prairie, MN 55344
35 82
XX X
ADAPT-CONVERTIBLE
LOT #XXXXXXX
ADAPT CONVERTIBLE 35"x82"
BOTTOM COVER
0010ADC23582
REVISION TABLE
REV # DESCRIPTION ECO# DRAWN BY APR DATE
X06 INITIAL DESIGN N/A AL
LOCATION:
PROPRIETARY NOTICE
Y:\AUTOCAD\ALL CUSTOMER INFO\MEDICAL\SIZEWISE MANUFACTURING\AGILITI\PRODUCT DRAWINGS\0010ADC03582 -- ADAPT CONVERTIBLE 35X82\0010ADC03582 -- ADAPT CONVERTIBLE 35X82 -- REV X06.DWG { ASSEM }
PAGE OFSCALE:
CHECKED BY:
DRAWN BY:
PROD MAN:
DESCRIPTION:
SHEET DRAWING NUMBER REVISION
Signature Date
Signature Date
BX06
CUSTOM
CHECKED
CRAIG MILLER JR.
4
9/13/2023 8:05 AM
LAST UPDATED:
CUSTOMER APPROVAL:
CUSTOMER:
UNLESS OTHERWISE SPECIFIED:
ALL DIMENSIONS ARE IN INCHES
TOLERANCES ARE 1/4"
THE DATA CONTAINED HEREIN CONSTITUTES PROPRIETARY
INFORMATION OF SIZEWISE MANUFACTURING, AND SHALL
NOT BE USED, DUPLICATED OR DISCLOSED IN WHOLE OR IN
PART WITHOUT THE PRIOR WRITTEN CONSENT OF SIZEWISE
MANUFACTURING.
SIZEWISE MANUFACTURING.
252 MARIAH CIRCLE
CORONA, CA 92879
®
®
4
0010ADC03582
N/A
ANDREW LU
ADAPT CONVERTIBLE
35" x 82"
LABELS
ENGINEERING NOTE:
1 LABELS ARE REPRESENTATIVE AND MAY NOT BE
AN EXACT MATCH TO PRINTED LABELS
1
1
General cleaning of this mattress cover can
be accomplished by wiping down the surface
with a mild solution of soap and water.
Always rinse thoroughly with water.
DO NOT AUTOCLAVE. If this cover needs to
be disinfected, use a standard hospital
approved quaternary disinfectant, a
germicide, or disinfecting soap and water.
Do not use a phenolic based cleaning agent.
Use all products in dilutions as specified on
the manufacturer's label and follow the
appropriate dwell time.
Do not use bleach in stronger concentration
than 1:10 dilution of the household bleach.
For soils and stains, clean cover with neutral
suds and lukewarm water. For hard to clean
spots, use a standard liquid household vinyl
cleaner with a soft bristle brush.
LOT #XXXXXXX
ADAPT CONVERTIBLE 35"x82"
TOP COVER
0010ADC13582
Manufactured By:
Sizewise Manufacturing
252 Mariah Circle
Corona, CA 92879-1751
Date of Manufacture:
MM/YYYY
Model :
Prototype ID :
This mattress meets the requirements of
16 CFR Part 1633 (federal flammability
(open flame) standard for mattress sets)
when used without a foundation
THIS MATTRESS IS
INTENDED TO BE USED
WITHOUT A FOUNDATION
NOTICE
THIS ARTICLE MEETS THE FLAMMABILITY
REQUIREMENTS OF CALIFORNIA
BUREAU OF HOUSEHOLD GOODS AND
SERVICES TECHNICAL BULLETIN
117-2013. CARE SHOULD BE EXERCISED
NEAR OPEN FLAME OR WITH BURNING
CIGARETTES.
THE UPHOLSTERY MATERIALS
IN THIS PRODUCT:
THE STATE OF CALIFORNIA HAS
UPDATED THE FLAMMABILITY STANDARD
AND DETERMINED THAT THE FIRE
SAFETY REQUIREMENTS FOR THIS
PRODUCT CAN BE MET WITHOUT
ADDING FLAME RETARDANT CHEMICALS.
THE STATE HAS IDENTIFIED MANY
FLAME RETARDANT CHEMICALS AS
BEING KNOWN TO, OR STRONGLY
SUSPECTED OF, ADVERSELY IMPACTING
HUMAN HEALTH OR DEVELOPMENT
CONTAIN ADDED FLAME
RETARDANT CHEMICALS
CONTAIN NO ADDED FLAME
RETARDANT CHEMICALS
TB117-2013
X
UNDER PENALTY OF LAW THIS TAG IS
NOT TO BE REMOVED EXCEPT BY THE
CONSUMER
ALL NEW MATERIAL
CONSISTING OF
POLYURETHANE FOAM 100%
REG. NO. CA 46736
Agiliti Health, Inc.
MADE FOR
in. x in.
Net of Matl: lbs. oz.
Mattress
MADE IN THE USA
MANUFACTURED IN:
MONTH __________ YEAR __________
MMM YYYY
11095 Viking Dr., Ste 300
Eden Prairie, MN 55344
35 82
XX X
ADAPT-CONVERTIBLE LOT #XXXXXXX
ADAPT CONVERTIBLE 35"x82"
BOTTOM COVER
0010ADC23582
REVISION TABLE
REV # DESCRIPTION ECO# DRAWN BY APR DATE
X06 INITIAL DESIGN N/A AL
LOCATION:
PROPRIETARY NOTICE
Y:\AUTOCAD\ALL CUSTOMER INFO\MEDICAL\SIZEWISE MANUFACTURING\AGILITI\PRODUCT DRAWINGS\0010ADC03582 -- ADAPT CONVERTIBLE 35X82\0010ADC03582 -- ADAPT CONVERTIBLE 35X82 -- REV X06.DWG { ASSEM }
PAGE OFSCALE:
CHECKED BY:
DRAWN BY:
PROD MAN:
DESCRIPTION:
SHEET DRAWING NUMBER REVISION
Signature Date
Signature Date
BX06
CUSTOM
CHECKED
CRAIG MILLER JR.
4
9/13/2023 8:05 AM
LAST UPDATED:
CUSTOMER APPROVAL:
CUSTOMER:
UNLESS OTHERWISE SPECIFIED:
ALL DIMENSIONS ARE IN INCHES
TOLERANCES ARE 1/4"
THE DATA CONTAINED HEREIN CONSTITUTES PROPRIETARY
INFORMATION OF SIZEWISE MANUFACTURING, AND SHALL
NOT BE USED, DUPLICATED OR DISCLOSED IN WHOLE OR IN
PART WITHOUT THE PRIOR WRITTEN CONSENT OF SIZEWISE
MANUFACTURING.
SIZEWISE MANUFACTURING.
252 MARIAH CIRCLE
CORONA, CA 92879
®
®
4
0010ADC03582
N/A
ANDREW LU
ADAPT CONVERTIBLE
35" x 82"
LABELS
ENGINEERING NOTE:
1 LABELS ARE REPRESENTATIVE AND MAY NOT BE
AN EXACT MATCH TO PRINTED LABELS
1
1
Rev
Title
SW Master Label Form
Document number: F60108
FOR-0014-0322
Master Label Form
Price P.O. #
Vendor Date
Quantity
Approvals
Page 1
25% Scale, for Reference Only
See page 2 for Full-Size Art File and Material Specs
Marketing
Plant Engineering
Product Development
Purchasing
Quality
Part Number
1.000000000
Top Cover Screen:
Adapt Convertible EX
Adapt Convertible EX™
POWERED OR NON-POWERED
SUPPORT SURFACE
FOR USE WITH OR WITHOUT ADAPT PUMP™
SEE USER MANUAL FOR CLEANING INSTRUCTIONS
Rev
Title
SW Master Label Form
Document number: F60108
FOR-0014-0322
Master Label Form
Price P.O. #
Vendor Date
Quantity
Approvals
Page 1
25% Scale, for Reference Only
See page 2 for Full-Size Art File and Material Specs
Marketing
Plant Engineering
Product Development
Purchasing
Quality
Part Number
1.000000000
Top Cover Screen:
Adapt Convertible
Adapt Convertible™
POWERED OR NON-POWERED
SUPPORT SURFACE
FOR USE WITH OR WITHOUT ADAPT PUMP™
SEE USER MANUAL FOR CLEANING INSTRUCTIONS

9
Label Description
Label provides support surface cleaning
instructions.
Label identifies legal details of support surface
manufacturing.
Label identifies support surface compliance with
Technical Bulletin 117-2013.
Label identifies support surface compliance with
16 CFR Part 1633.
General cleaning of this mattress cover can
be accomplished by wiping down the surface
with a mild solution of soap and water.
Always rinse thoroughly with water.
DO NOT AUTOCLAVE. If this cover needs to
be disinfected, use a standard hospital
approved quaternary disinfectant, a
germicide, or disinfecting soap and water.
Do not use a phenolic based cleaning agent.
Use all products in dilutions as specified on
the manufacturer's label and follow the
appropriate dwell time.
Do not use bleach in stronger concentration
than 1:10 dilution of the household bleach.
For soils and stains, clean cover with neutral
suds and lukewarm water. For hard to clean
spots, use a standard liquid household vinyl
cleaner with a soft bristle brush.
LOT #XXXXXXX
ADAPT CONVERTIBLE 35"x82"
TOP COVER
0010ADC13582
Manufactured By:
Sizewise Manufacturing
252 Mariah Circle
Corona, CA 92879-1751
Date of Manufacture:
MM/YYYY
Model :
Prototype ID :
This mattress meets the requirements of
16 CFR Part 1633 (federal flammability
(open flame) standard for mattress sets)
when used without a foundation
THIS MATTRESS IS
INTENDED TO BE USED
WITHOUT A FOUNDATION
NOTICE
THIS ARTICLE MEETS THE FLAMMABILITY
REQUIREMENTS OF CALIFORNIA
BUREAU OF HOUSEHOLD GOODS AND
SERVICES TECHNICAL BULLETIN
117-2013. CARE SHOULD BE EXERCISED
NEAR OPEN FLAME OR WITH BURNING
CIGARETTES.
THE UPHOLSTERY MATERIALS
IN THIS PRODUCT:
THE STATE OF CALIFORNIA HAS
UPDATED THE FLAMMABILITY STANDARD
AND DETERMINED THAT THE FIRE
SAFETY REQUIREMENTS FOR THIS
PRODUCT CAN BE MET WITHOUT
ADDING FLAME RETARDANT CHEMICALS.
THE STATE HAS IDENTIFIED MANY
FLAME RETARDANT CHEMICALS AS
BEING KNOWN TO, OR STRONGLY
SUSPECTED OF, ADVERSELY IMPACTING
HUMAN HEALTH OR DEVELOPMENT
CONTAIN ADDED FLAME
RETARDANT CHEMICALS
CONTAIN NO ADDED FLAME
RETARDANT CHEMICALS
TB117-2013
X
UNDER PENALTY OF LAW THIS TAG IS
NOT TO BE REMOVED EXCEPT BY THE
CONSUMER
ALL NEW MATERIAL
CONSISTING OF
POLYURETHANE FOAM 100%
REG. NO. CA 46736
Agiliti Health, Inc.
MADE FOR
in. x in.
Net of Matl: lbs. oz.
Mattress
MADE IN THE USA
MANUFACTURED IN:
MONTH __________ YEAR __________
MMM YYYY
11095 Viking Dr., Ste 300
Eden Prairie, MN 55344
35 82
XX X
ADAPT-CONVERTIBLE LOT #XXXXXXX
ADAPT CONVERTIBLE 35"x82"
BOTTOM COVER
0010ADC23582
REVISION TABLE
REV # DESCRIPTION ECO# DRAWN BY APR DATE
X06 INITIAL DESIGN N/A AL
LOCATION:
PROPRIETARY NOTICE
Y:\AUTOCAD\ALL CUSTOMER INFO\MEDICAL\SIZEWISE MANUFACTURING\AGILITI\PRODUCT DRAWINGS\0010ADC03582 -- ADAPT CONVERTIBLE 35X82\0010ADC03582 -- ADAPT CONVERTIBLE 35X82 -- REV X06.DWG { ASSEM }
PAGE OFSCALE:
CHECKED BY:
DRAWN BY:
PROD MAN:
DESCRIPTION:
SHEET DRAWING NUMBER REVISION
Signature Date
Signature Date
BX06
CUSTOM
CHECKED
CRAIG MILLER JR.
4
9/13/2023 8:05 AM
LAST UPDATED:
CUSTOMER APPROVAL:
CUSTOMER:
UNLESS OTHERWISE SPECIFIED:
ALL DIMENSIONS ARE IN INCHES
TOLERANCES ARE 1/4"
THE DATA CONTAINED HEREIN CONSTITUTES PROPRIETARY
INFORMATION OF SIZEWISE MANUFACTURING, AND SHALL
NOT BE USED, DUPLICATED OR DISCLOSED IN WHOLE OR IN
PART WITHOUT THE PRIOR WRITTEN CONSENT OF SIZEWISE
MANUFACTURING.
SIZEWISE MANUFACTURING.
252 MARIAH CIRCLE
CORONA, CA 92879
®
®
4
0010ADC03582
N/A
ANDREW LU
ADAPT CONVERTIBLE
35" x 82"
LABELS
ENGINEERING NOTE:
1 LABELS ARE REPRESENTATIVE AND MAY NOT BE
AN EXACT MATCH TO PRINTED LABELS
1
1
General cleaning of this mattress cover can
be accomplished by wiping down the surface
with a mild solution of soap and water.
Always rinse thoroughly with water.
DO NOT AUTOCLAVE. If this cover needs to
be disinfected, use a standard hospital
approved quaternary disinfectant, a
germicide, or disinfecting soap and water.
Do not use a phenolic based cleaning agent.
Use all products in dilutions as specified on
the manufacturer's label and follow the
appropriate dwell time.
Do not use bleach in stronger concentration
than 1:10 dilution of the household bleach.
For soils and stains, clean cover withneutral
suds and lukewarm water. For hard to clean
spots, use a standard liquid household vinyl
cleaner with a soft bristle brush.
LOT #XXXXXXX
ADAPT CONVERTIBLE 35"x82"
TOP COVER
0010ADC13582
Manufactured By:
Sizewise Manufacturing
252 Mariah Circle
Corona, CA 92879-1751
Date of Manufacture:
MM/YYYY
Model :
Prototype ID :
This mattress meets the requirements of
16 CFR Part 1633 (federal flammability
(open flame) standard for mattress sets)
when used without a foundation
THIS MATTRESS IS
INTENDED TO BE USED
WITHOUT A FOUNDATION
NOTICE
THIS ARTICLE MEETS THE FLAMMABILITY
REQUIREMENTS OF CALIFORNIA
BUREAU OF HOUSEHOLD GOODS AND
SERVICES TECHNICAL BULLETIN
117-2013. CARE SHOULD BE EXERCISED
NEAR OPEN FLAME OR WITH BURNING
CIGARETTES.
THE UPHOLSTERY MATERIALS
IN THIS PRODUCT:
THE STATE OF CALIFORNIA HAS
UPDATED THE FLAMMABILITY STANDARD
AND DETERMINED THAT THE FIRE
SAFETY REQUIREMENTS FOR THIS
PRODUCT CAN BE MET WITHOUT
ADDING FLAME RETARDANT CHEMICALS.
THE STATE HAS IDENTIFIED MANY
FLAME RETARDANT CHEMICALS AS
BEING KNOWN TO, OR STRONGLY
SUSPECTED OF, ADVERSELY IMPACTING
HUMAN HEALTH OR DEVELOPMENT
CONTAIN ADDED FLAME
RETARDANT CHEMICALS
CONTAIN NO ADDED FLAME
RETARDANT CHEMICALS
TB117-2013
X
UNDER PENALTY OF LAW THIS TAG IS
NOT TO BE REMOVED EXCEPT BY THE
CONSUMER
ALL NEW MATERIAL
CONSISTING OF
POLYURETHANE FOAM 100%
REG. NO. CA 46736
Agiliti Health, Inc.
MADE FOR
in. x in.
Net of Matl: lbs. oz.
Mattress
MADE IN THE USA
MANUFACTURED IN:
MONTH __________ YEAR __________
MMM YYYY
11095 Viking Dr., Ste 300
Eden Prairie, MN 55344
35 82
XX X
ADAPT-CONVERTIBLE
LOT #XXXXXXX
ADAPT CONVERTIBLE 35"x82"
BOTTOM COVER
0010ADC23582
REVISION TABLE
REV # DESCRIPTION ECO# DRAWN BY APR DATE
X06 INITIAL DESIGN N/A AL
LOCATION:
PROPRIETARY NOTICE
Y:\AUTOCAD\ALL CUSTOMER INFO\MEDICAL\SIZEWISE MANUFACTURING\AGILITI\PRODUCT DRAWINGS\0010ADC03582 -- ADAPT CONVERTIBLE 35X82\0010ADC03582 -- ADAPT CONVERTIBLE 35X82 -- REV X06.DWG { ASSEM }
PAGE OFSCALE:
CHECKED BY:
DRAWN BY:
PROD MAN:
DESCRIPTION:
SHEET DRAWING NUMBER REVISION
Signature Date
Signature Date
BX06
CUSTOM
CHECKED
CRAIG MILLER JR.
4
9/13/2023 8:05 AM
LAST UPDATED:
CUSTOMER APPROVAL:
CUSTOMER:
UNLESS OTHERWISE SPECIFIED:
ALL DIMENSIONS ARE IN INCHES
TOLERANCES ARE 1/4"
THE DATA CONTAINED HEREIN CONSTITUTES PROPRIETARY
INFORMATION OF SIZEWISE MANUFACTURING, AND SHALL
NOT BE USED, DUPLICATED OR DISCLOSED IN WHOLE OR IN
PART WITHOUT THE PRIOR WRITTEN CONSENT OF SIZEWISE
MANUFACTURING.
SIZEWISE MANUFACTURING.
252 MARIAH CIRCLE
CORONA, CA 92879
®
®
4
0010ADC03582
N/A
ANDREW LU
ADAPT CONVERTIBLE
35" x 82"
LABELS
ENGINEERING NOTE:
1 LABELS ARE REPRESENTATIVE AND MAY NOT BE
AN EXACT MATCH TO PRINTED LABELS
1
1
General cleaning of this mattress cover can
be accomplished by wiping down the surface
with a mild solution of soap and water.
Always rinse thoroughly with water.
DO NOT AUTOCLAVE. If this cover needs to
be disinfected, use a standard hospital
approved quaternary disinfectant, a
germicide, or disinfecting soap and water.
Do not use a phenolic based cleaning agent.
Use all products in dilutions as specified on
the manufacturer's label and follow the
appropriate dwell time.
Do not use bleach in stronger concentration
than 1:10 dilution of the household bleach.
For soils and stains, clean cover with neutral
suds and lukewarm water. For hard to clean
spots, use a standard liquid household vinyl
cleaner with a soft bristle brush.
LOT #XXXXXXX
ADAPT CONVERTIBLE 35"x82"
TOP COVER
0010ADC13582
Manufactured By:
Sizewise Manufacturing
252 Mariah Circle
Corona, CA 92879-1751
Date of Manufacture:
MM/YYYY
Model :
Prototype ID :
This mattress meets the requirements of
16 CFR Part 1633 (federal flammability
(open flame) standard for mattress sets)
when used without a foundation
THIS MATTRESS IS
INTENDED TO BE USED
WITHOUT A FOUNDATION
NOTICE
THIS ARTICLE MEETS THE FLAMMABILITY
REQUIREMENTS OF CALIFORNIA
BUREAU OF HOUSEHOLD GOODS AND
SERVICES TECHNICAL BULLETIN
117-2013. CARE SHOULD BE EXERCISED
NEAR OPEN FLAME OR WITH BURNING
CIGARETTES.
THE UPHOLSTERY MATERIALS
IN THIS PRODUCT:
THE STATE OF CALIFORNIA HAS
UPDATED THE FLAMMABILITY STANDARD
AND DETERMINED THAT THE FIRE
SAFETY REQUIREMENTS FOR THIS
PRODUCT CAN BE MET WITHOUT
ADDING FLAME RETARDANT CHEMICALS.
THE STATE HAS IDENTIFIED MANY
FLAME RETARDANT CHEMICALS AS
BEING KNOWN TO, OR STRONGLY
SUSPECTED OF, ADVERSELY IMPACTING
HUMAN HEALTH OR DEVELOPMENT
CONTAIN ADDED FLAME
RETARDANT CHEMICALS
CONTAIN NO ADDED FLAME
RETARDANT CHEMICALS
TB117-2013
X
UNDER PENALTY OF LAW THIS TAG IS
NOT TO BE REMOVED EXCEPT BY THE
CONSUMER
ALL NEW MATERIAL
CONSISTING OF
POLYURETHANE FOAM 100%
REG. NO. CA 46736
Agiliti Health, Inc.
MADE FOR
in. x in.
Net of Matl: lbs. oz.
Mattress
MADE IN THE USA
MANUFACTURED IN:
MONTH __________ YEAR __________
MMM YYYY
11095 Viking Dr., Ste 300
Eden Prairie, MN 55344
35 82
XX X
ADAPT-CONVERTIBLE LOT #XXXXXXX
ADAPT CONVERTIBLE 35"x82"
BOTTOM COVER
0010ADC23582
REVISION TABLE
REV # DESCRIPTION ECO# DRAWN BY APR DATE
X06 INITIAL DESIGN N/A AL
LOCATION:
PROPRIETARY NOTICE
Y:\AUTOCAD\ALL CUSTOMER INFO\MEDICAL\SIZEWISE MANUFACTURING\AGILITI\PRODUCT DRAWINGS\0010ADC03582 -- ADAPT CONVERTIBLE 35X82\0010ADC03582 -- ADAPT CONVERTIBLE 35X82 -- REV X06.DWG { ASSEM }
PAGE OFSCALE:
CHECKED BY:
DRAWN BY:
PROD MAN:
DESCRIPTION:
SHEET DRAWING NUMBER REVISION
Signature Date
Signature Date
BX06
CUSTOM
CHECKED
CRAIG MILLER JR.
4
9/13/2023 8:05 AM
LAST UPDATED:
CUSTOMER APPROVAL:
CUSTOMER:
UNLESS OTHERWISE SPECIFIED:
ALL DIMENSIONS ARE IN INCHES
TOLERANCES ARE 1/4"
THE DATA CONTAINED HEREIN CONSTITUTES PROPRIETARY
INFORMATION OF SIZEWISE MANUFACTURING, AND SHALL
NOT BE USED, DUPLICATED OR DISCLOSED IN WHOLE OR IN
PART WITHOUT THE PRIOR WRITTEN CONSENT OF SIZEWISE
MANUFACTURING.
SIZEWISE MANUFACTURING.
252 MARIAH CIRCLE
CORONA, CA 92879
®
®
4
0010ADC03582
N/A
ANDREW LU
ADAPT CONVERTIBLE
35" x 82"
LABELS
ENGINEERING NOTE:
1 LABELS ARE REPRESENTATIVE AND MAY NOT BE
AN EXACT MATCH TO PRINTED LABELS
1
1
General cleaning of this mattress cover can
be accomplished by wiping down the surface
with a mild solution of soap and water.
Always rinse thoroughly with water.
DO NOT AUTOCLAVE. If this cover needs to
be disinfected, use a standard hospital
approved quaternary disinfectant, a
germicide, or disinfecting soap and water.
Do not use a phenolic based cleaning agent.
Use all products in dilutions as specified on
the manufacturer's label and follow the
appropriate dwell time.
Do not use bleach in stronger concentration
than 1:10 dilution of the household bleach.
For soils and stains, clean cover with neutral
suds and lukewarm water. For hard to clean
spots, use a standard liquid household vinyl
cleaner with a soft bristle brush.
LOT #XXXXXXX
ADAPT CONVERTIBLE 35"x82"
TOP COVER
0010ADC13582
Manufactured By:
Sizewise Manufacturing
252 Mariah Circle
Corona, CA 92879-1751
Date of Manufacture:
MM/YYYY
Model :
Prototype ID :
This mattress meets the requirements of
16 CFR Part 1633 (federal flammability
(open flame) standard for mattress sets)
when used without a foundation
THIS MATTRESS IS
INTENDED TO BE USED
WITHOUT A FOUNDATION
NOTICE
THIS ARTICLE MEETS THE FLAMMABILITY
REQUIREMENTS OF CALIFORNIA
BUREAU OF HOUSEHOLD GOODS AND
SERVICES TECHNICAL BULLETIN
117-2013. CARE SHOULD BE EXERCISED
NEAR OPEN FLAME OR WITH BURNING
CIGARETTES.
THE UPHOLSTERY MATERIALS
IN THIS PRODUCT:
THE STATE OF CALIFORNIA HAS
UPDATED THE FLAMMABILITY STANDARD
AND DETERMINED THAT THE FIRE
SAFETY REQUIREMENTS FOR THIS
PRODUCT CAN BE MET WITHOUT
ADDING FLAME RETARDANT CHEMICALS.
THE STATE HAS IDENTIFIED MANY
FLAME RETARDANT CHEMICALS AS
BEING KNOWN TO, OR STRONGLY
SUSPECTED OF, ADVERSELY IMPACTING
HUMAN HEALTH OR DEVELOPMENT
CONTAIN ADDED FLAME
RETARDANT CHEMICALS
CONTAIN NO ADDED FLAME
RETARDANT CHEMICALS
TB117-2013
X
UNDER PENALTY OF LAW THIS TAG IS
NOT TO BE REMOVED EXCEPT BY THE
CONSUMER
ALL NEW MATERIAL
CONSISTING OF
POLYURETHANE FOAM 100%
REG. NO. CA 46736
Agiliti Health, Inc.
MADE FOR
in. x in.
Net of Matl: lbs. oz.
Mattress
MADE IN THE USA
MANUFACTURED IN:
MONTH __________ YEAR __________
MMM YYYY
11095 Viking Dr., Ste 300
Eden Prairie, MN 55344
35 82
XX X
ADAPT-CONVERTIBLE LOT #XXXXXXX
ADAPT CONVERTIBLE 35"x82"
BOTTOM COVER
0010ADC23582
REVISION TABLE
REV # DESCRIPTION ECO# DRAWN BY APR DATE
X06 INITIAL DESIGN N/A AL
LOCATION:
PROPRIETARY NOTICE
Y:\AUTOCAD\ALL CUSTOMER INFO\MEDICAL\SIZEWISE MANUFACTURING\AGILITI\PRODUCT DRAWINGS\0010ADC03582 -- ADAPT CONVERTIBLE 35X82\0010ADC03582 -- ADAPT CONVERTIBLE 35X82 -- REV X06.DWG { ASSEM }
PAGE OFSCALE:
CHECKED BY:
DRAWN BY:
PROD MAN:
DESCRIPTION:
SHEET DRAWING NUMBER REVISION
Signature Date
Signature Date
BX06
CUSTOM
CHECKED
CRAIG MILLER JR.
4
9/13/2023 8:05 AM
LAST UPDATED:
CUSTOMER APPROVAL:
CUSTOMER:
UNLESS OTHERWISE SPECIFIED:
ALL DIMENSIONS ARE IN INCHES
TOLERANCES ARE 1/4"
THE DATA CONTAINED HEREIN CONSTITUTES PROPRIETARY
INFORMATION OF SIZEWISE MANUFACTURING, AND SHALL
NOT BE USED, DUPLICATED OR DISCLOSED IN WHOLE OR IN
PART WITHOUT THE PRIOR WRITTEN CONSENT OF SIZEWISE
MANUFACTURING.
SIZEWISE MANUFACTURING.
252 MARIAH CIRCLE
CORONA, CA 92879
®
®
4
0010ADC03582
N/A
ANDREW LU
ADAPT CONVERTIBLE
35" x 82"
LABELS
ENGINEERING NOTE:
1 LABELS ARE REPRESENTATIVE AND MAY NOT BE
AN EXACT MATCH TO PRINTED LABELS
1
1

10
ZONE 6
ZONE 7
ZONE 1
ZONE 3
ZONE 5
ZONE 4
ZONE 2
Zone 1:
Within the Rail
Zone 2:
Under the Rail, Between the Rail Supports,
or Next to a Single Rail Support
Zone 5:
Between Split Bed Rails
Zone 3:
Between the Rail and the Mattress
Zone 6:
Between the End of the Rail and the Side
Edge of the Head or Footboard
Zone 4:
Under the Rail, at the Ends of the Rail
Zone 7:
Between the Head or Footboard and the
Mattress End
Safety Instructions
WARNING: Bed rail entrapment is a serious health risk that can result in serious injury
or even death. Agiliti recommends the care provider be mindful of the FDA guidelines
relevant to bed rail entrapment, as serious injury can result. These guidelines can be found
on the FDA website. When using an Air Therapy system the care provider is responsible
for ensuring the support surface properly fits the bed frame. It is also the care provider’s
ultimate decision whether or not to use bed rails with the patient.
Seven Zones of Bed Rail Entrapment
If the patient would have any clinical conditions that could result in risk of falling or improperly lying in bed,
the bed should be left at its lowest setting and in flat position when not attended. Agiliti recommends the use
of bed rails if they are available. There are seven zones of bed rail entrapment.
Reference: Hospital Bed System Dimensional and Assessment Guidance to Reduce
Entrapment. (2006, Mar. 10). U.S. Health and Human Services Food and Drug Administration
Center for Devices and Radiological Health. Retrieved from https://www.fda.gov/downloads/
medicaldevices/deviceregulationandguidance/guidancedocuments/ucm072729.pdf

11
Please read all instructions prior to operating product. Retain this information for future reference. Follow all
warnings and instructions that appear on the pump and support surface. Product is designed to operate in a
temperature range from 14° to 95°F (-10° to 35°C). The pump should not be placed next to a radiator or heat
source. The pump should have access to circulating room air. DO NOT cover the pump with plastic or other
materials that could limit airflow.
Only authorized users should operate product. A thorough understanding of the user manual is required prior
to use. Follow the instructions contained in this manual carefully. Use product only if it is in proper working
order. The terms Warning and Caution are used frequently throughout this manual. A clear and concise
understanding is required of these two terms.
ELECTRICAL SHOCK HAZARD WARNING: This symbol is intended to alert the user to the
presence of electrical shock hazards. It is important to follow all instructions and special
procedures to avoid electrical shock to the operator, care provider and/or patient.
WARNING: Indicates a potentially dangerous situation, which if not avoided, could result in
injury ranging from moderate to serious severity up to and including death.
CAUTION: Indicates a potentially dangerous situation, which if not avoided, could result in
injury ranging from minor to moderate severity.
Warnings
ELECTRICAL SHOCK HAZARD WARNING: (120V pump) Electrically Powered Mechanism.
Electrical hazard may occur if device is plugged into inadequate electrical outlet. To avoid
electrical shock hazard, make sure pump is plugged into a grounded 120V AC outlet.
ELECTRICAL SHOCK HAZARD WARNING: (230V pump) Electrically Powered Mechanism.
Electrical hazard may occur if device is plugged into inadequate electrical outlet. To avoid
electrical shock hazard, make sure pump is plugged into a grounded 220–240V AC outlet.
ELECTRICAL SHOCK HAZARD WARNING: To avoid electrical shock, DO NOT open the pump.
Refer servicing to qualified personnel only.
ELECTRICAL SHOCK HAZARD WARNING: To avoid risk of electrical shock or injury, ensure all
cords on bed frame are away from bed deck prior to installing product.
ELECTRICAL SHOCK HAZARD WARNING: Before any cleaning and disinfection procedures
are performed, unplug all power cords in proximity to product to eliminate possibility of
electrical shock.
ELECTRICAL SHOCK HAZARD WARNING: This product contains no user-serviceable parts.
Removing the pump cover or attempting to service the pump yourself could expose you to
potentially hazardous voltages. Breaking or removing any of the warranty seals will void the
factory warranty. Refer all product service to your Agiliti® representative.

12
ELECTRICAL SHOCK HAZARD WARNING: Adapt Pump™ is equipped with a hospital-grade
grounded line plug. The plug can only be inserted into the outlet one way. If the plug is not
usable with the wall outlet, contact your Agiliti representative prior to operating the pump.
DO NOT modify the safety grounding features of the product. DO NOT plug the pump into an
outlet that is overloaded; this may damage the pump and could create a fire hazard. Be sure to
route the power cord to the wall socket in a way that will prevent the cord from being tripped
over or accidentally disengaged. Routing the cord under the bed is recommended. DO NOT
attach the power cord to portions of a hospital bed that move into positions that will stress
or cut the power cord. Damaged electrical power cords must always be replaced. DO NOT
attempt repairs.
WARNING: Extreme care should be taken when using oxygen equipment. DO NOT USE AN
OXYGEN TENT NEAR ADAPT PUMP™. Because of the airflow generated by Adapt Pump,
smoking is not recommended in the proximity of the pump.
WARNING: This product is not suitable for use in the presence of flammable anesthetic
mixtures.
WARNING: Use care in handling the pump. Dropping the pump may cause internal damage
and cause it to malfunction. DO NOT use a pump that shows any sign of physical damage until
it has been checked by an Agiliti® representative.
WARNING: When there is no electrical power to the pump, the support surface will not deflate.
Be sure to check the patient’s position frequently. If the support surface becomes deflated
for a period of time, remove the patient from the support surface to prevent possible patient
injury.
WARNING: Portable radio frequency (RF) communications equipment (including peripherals
such as antenna cables and external antennas) should be used no closer than 30 cm (12 in) to
any part of the pump, including cables specified by the manufacturer. Otherwise, degradation
of the performance of this equipment could result.
WARNING: Use of accessories, transducers and cables other than those specified or provided
by the manufacturer of this equipment could result in increased electromagnetic emissions or
decreased electromagnetic immunity of this equipment and result in improper operation.
WARNING: Use of this equipment adjacent to or stacked with other equipment should be
avoided because it could result in improper operation. If such use is necessary, this equipment
and the other equipment should be observed to verify that they are operating normally.
WARNING: DO NOT use this device if the power cord is cut, frayed or loosely connected to the
device.
WARNING: DO NOT remove pump cover. Refer servicing to qualified service personnel.
Disconnect power supply before servicing or cleaning.
WARNING: Be sure to secure support surface to bed frame with straps provided. Failure to do
so could result in personal injury or equipment damage.

13
WARNING: DO NOT modify equipment without manufacturer authorization.
WARNING: DO NOT exceed the Safe Working Load or Maximum Patient Weight specifications.
Cautions
CAUTION: This device conforms to all requirements specified by the standards for
electromagnetic compatibility (EMC). Problems are not likely to be encountered by the user
due to inadequate electromagnetic immunity. While the standards are based on expected
environments of use, electromagnetic immunity is always relative. If unusual, intermittent
device behavior is encountered and can be associated with cell phones, radio or TV
transmitters, or electro-medical equipment, electromagnetic interference could be the cause. If
such interference occurs, the interfering equipment should be moved away from this device.
CAUTION: Medical Electrical Equipment needs special precautions regarding electromagnetic
compatibility (EMC) and needs to be installed and put into service according to the
EMC information provided in this manual. Portable and mobile radio frequency (RF)
communications equipment can aect Medical Electrical Equipment. The use of accessories,
transducers and cables other than those specified by the manufacturer may result in increased
emissions or decreased immunity of the equipment or system. The equipment or system
should not be used adjacent to or stacked with other equipment. If adjacent or stacked use
is necessary, the equipment or system should be observed to verify normal operation in the
configuration in which it will be used.
CAUTION: Specialty mattresses, including powered air mattress surfaces, may pose a risk of
entrapment. Prior to use, ensure the therapeutic benefits outweigh the risk of entrapment.
CAUTION: Overheating may cause equipment damage or failure. Monitor pump to ensure it
functions in the proper operating temperature.
CAUTION: Keep out of direct sunlight.
CAUTION: Ensure that strap placement does not interfere with operation of bed frame
functions.
CAUTION: DO NOT use around open flame.
CAUTION: It is recommended that gloves and protective clothing be worn at all times during
cleaning and disinfecting. DO NOT autoclave.

14
CAUTION: The support surface and pump require regular maintenance to ensure performance
and to avoid injury, damage or premature wear.
CAUTION: Preventive maintenance should not be attempted while equipment is in use.
CAUTION: Only authorized personnel should engage in the troubleshooting process.
Troubleshooting by unauthorized persons could result in personal injury or equipment damage.
CAUTION: DO NOT operate the pump near water. If the pump gets wet, wipe it o
immediately. Spilling liquids onto the pump cover should be avoided as it can be dicult to
clean o and could damage the finish.
CAUTION: Smoking in bed is a hazard. Although fire-retardant materials are used in the
construction of the support surface, smoking is not recommended.
CAUTION: Keep the support surface and pump away from excessive dust, dirt and smoke, as
they can cause premature system failure.
CAUTION: Use care in installing the pump on hospital bed footboard, ensuring footboard can
support the weight of the pump and hoses. DO NOT place pump on an unstable table or cart,
as the pump may fall and be damaged. DO NOT situate the pump in a manner that would
prohibit or delay the disconnection of the power cord in the event of an emergency. DO NOT
place the pump under a bed where it can be damaged.
CAUTION: For added protection, the pump should be turned o and unplugged from the wall
during an electrical storm. The support surface will remain inflated when the pump is turned
o.

15
Specifications
Adapt Pump™ (Optional)
Weight 11 lb. 5 kg
Height 8.5 in. 22 cm
Width 11.5 in. 29 cm
Depth 6.5 in. 17 cm
Adapt Convertible™ Support Surface
Width 35 in. 89 cm
Length
Length (with foot bolster)
82 in.
88 in.
208 cm
224 cm
Height 7 in. 18 cm
Safe Working Load 600 lb. 273 kg
Max. Patient Weight 550 lb. 250 kg
Support Surface Weight
Support Surface Weight
(with foot bolster)
37 lb.
39 lb.
17 kg
18 kg
Adapt Convertible EX™ Support Surface
Width 39 in. – 48 in. 99 cm – 122 cm
Length
Length (with foot bolster)
82 in.
88 in.
208 cm
224 cm
Height 7 in. 18 cm
Safe Working Load 1,050 lb. 476 kg
Max. Patient Weight 1,000 lb. 454 kg
Support Surface Weight
Support Surface Weight
(with foot bolster)
49 lb.
51 lb.
22 kg
23 kg

16
Environmental Conditions: Use 120V Pump 230V Pump
Ambient Temperature 14° to 95°F
(-10° to 35°C)
14° to 95°F
(-10° to 35°C)
Relative Humidity 30% to 75% 30% to 75%
Maximum Altitude 6,560 ft. (2,000 m) 6,560 ft. (2,000 m)
Environmental Conditions:
Transport/Storage 120V Pump 230V Pump
Ambient Temperature 14° to 109°F
(-10° to 43°C)
14° to 109°F
(-10° to 43°C)
Relative Humidity Not to exceed 93% Not to exceed 93%
Maximum Altitude 6,560 ft. (2,000 m) 6,560 ft. (2,000 m)
Electrical Requirements 120V Pump 230V Pump
Conforms to Standards IEC 60601-1, AAMI ES60601-1,
CSA C22 .2#60601-1, IEC 60601-1-2, IEC 60601-1-6
Rated Voltage 120V AC 220–240V AC
Rated Frequency 50/60Hz 50/60Hz
Rated Input Current 3A 3A
Fuse Rating T 1.25AH 250V T 1.25AH 250V
Power Failure Alarm Yes Yes

17
EMC Information
Adapt Pump™ has been tested for compliance with electromagnetic compatibility (EMC) requirements. The
guidelines in this section will help ensure the equipment meets the requirements of the standard.
WARNING: Portable radio frequency (RF) communications equipment (including peripherals
such as antenna cables and external antennas) should be used no closer than 30 cm (12 in.) to
any part of the pump, including cables specified by the manufacturer. Otherwise, degradation
of the performance of this equipment could result.
WARNING: Use of accessories, transducers and cables other than those specified or provided
by the manufacturer of this equipment could result in increased electromagnetic emissions or
decreased electromagnetic immunity of this equipment and result in improper operation.
WARNING: Use of this equipment adjacent to or stacked with other equipment should be
avoided because it could result in improper operation. If such use is necessary, this equipment
and the other equipment should be observed to verify that they are operating normally.
CAUTION: This device conforms to all requirements specified by the standards for
electromagnetic compatibility (EMC). Problems are not likely to be encountered by the user
due to inadequate electromagnetic immunity. While the standards are based on expected
environments of use, electromagnetic immunity is always relative. If unusual, intermittent
device behavior is encountered and can be associated with cell phones, radio or TV
transmitters, or electro-medical equipment, electromagnetic interference could be the cause. If
such interference occurs, the interfering equipment should be moved away from this device.
Guidance and Manufacturer’s Declaration – Emissions
Product is intended for use in the electromagnetic environment specified below. The customer or user should
ensure that it is used in such an environment.
Emission Test Compliance Electromagnetic Environment Guidance
RF Emissions CISPR 11 Group 1
Product uses radio frequency (RF) energy
only for its internal functions. Therefore, its
RF emissions are very low and not likely to
cause any interference in nearby electronic
equipment.
RF Emissions CISPR 11 Class B
Not applicable
Harmonic Emissions
IEC 61000-3-2 Class B
Voltage Fluctuations and
Flicker
IEC 61000-3-3
Complies

18
Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic
Environment Guidance
Electrostatic Discharge
(ESD) IEC 61000-4-2
±8kV Contact
±2kV, ±4kV, ±8kV, and
±15kV,
Air
±8kV Contact
±2kV, ±4kV, ±8kV, and
±15kV,
Air
Floors should be wood,
concrete or ceramic
tile. If floors are
covered with synthetic
material, the relative
humidity should be at
least 30%.
Electrical Fast
Transients and Bursts
(EFT) IEC 61000-4-4
±2kV Mains ±2kV Mains
Mains power quality
should be that of a
typical commercial or
hospital environment.
Surges IEC
61000-4-5
±1kV Dierential
±2kV Common
±1kV Dierential
±2kV Common
Mains power quality
should be that of a
typical commercial or
hospital grade.
Voltage Dips and
Short Interruptions IEC
61000-4-11
0% UT: 0 .5 cycle
At 0˚, 45˚, 90˚, 135˚,
180˚, 225˚,
270˚, and 315˚
0% UT: 1 cycle At 0˚
and 180˚
70% UT: 25 cycles
(50Hz) At 0˚ and 180˚
0% UT: 250 cycles
(50Hz) At 0˚ and 180˚
0% UT: 0 .5 cycle
At 0˚, 45˚, 90˚, 135˚,
180˚, 225˚,
270˚, and 315˚
0% UT: 1 cycle At 0˚
and 180˚
70% UT: 25 cycles
(50Hz) At 0˚ and 180˚
0% UT: 250 cycles
(50Hz) At 0˚ and 180˚
Mains power quality
should be that of a
typical commercial or
hospital environment.
If the user requires
continued operation
during power mains
interruptions, it is
recommended that the
pump be powered from
an uninterruptable
power supply or
battery.
Power Frequency
Magnetic Fields IEC
61000-4-8
30A/m (50/60Hz) 30A/m (50/60Hz)
Power frequency
magnetic fields
should be at levels
characteristic of a
typical location in a
typical commercial or
hospital environment.
NOTE: UTis the AC mains voltage prior to application of the test level.

19
Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic
Environment Guidance
Conducted RF IEC
61000-4-6
3V RMS
0 .15MHz – 80MHz
6V RMS
ISM and Amateur Radio
bands between 0
.15MHz – 80MHz
80% AM at 1KHz
3V RMS
0 .15MHz – 80MHz
6V RMS
ISM and Amateur Radio
bands between 0
.15MHz – 80MHz
80% AM at 1KHz
Field strengths from
fixed RF transmitters,
as determined by an
electromagnetic site
survey1, should be less
than the compliance
level in each frequency
range.
Interference may
occur in the vicinity
of equipment marked
with this symbol.
Radiated RF IEC
61000-4-3
10V/m
80MHz – 2 .7GHz
80% AM at 1KHz
10V/m
80MHz – 2 .7GHz
80% AM at 1KHz
NOTE: These guidelines may not apply in all situations. Electromagnetic propagation is aected by
absorption and reflection from structures, objects and people.
1Field strengths from fixed transmitters such as base stations for radio (cellular/cordless) telephones and
land mobile radios, amateur radio, AM and FM radio broadcast, and TV broadcast cannot be predicted
theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in the location in which
product is used exceeds the applicable RF compliance level above, the pump should be observed to verify
normal operation. If abnormal performance is observed, additional measures may be necessary, such as
reorienting or relocating the pump.

20
Immunity to Proximity Fields from Radio Frequency Wireless Communications Equipment
In addition to the Radiated RF IEC 61000-4-3 as shown in the table above, product has been tested as specified in the table below.
Test
Frequency
(MHz)
Band
(MHz) Service Modulation Maximum Power (W)
Distance
(m)
Immunity
Test Level
(V/m)
385 380–390 Tetra 400
Pulse
Modulation
18 Hz
1.8 0.3 27
450 430–470 GMRS 460,
FRS 460
Pulse
Modulation
18 Hz
20.3 28
710
704–787 LTE Band
13, 17
Pulse
Modulation
217 Hz
0.2 0.3 9745
780
810
800–960
GSM
800/900
TETRA 800,
iDEN 820,
CDMA 850,
LTE Band 5
Pulse
modulation
18 Hz
20,3 28
870
930
1720
1700–1990
GSM 1800;
CDMA 1900;
GSM 1900;
DECT; LTE
Band 1, 3, 4,
25; UMTS
Pulse
Modulation
217 Hz
20,3 28
1845
1970
2450 2400–2570
Bluetooth
WLAN, 802
.11 b/g/n,
RFID
Pulse
Modulation
217 Hz
20.3 28
5240 5100–5800 WLAN 802
.11 a/n
Pulse
Modulation
217 Hz
0.2 0.3 9