ARJO HUNTLEIGH Enterprise 8600 User manual

Enterprise 8000+ & 9000+
Instructions for Use
...with people in mind
746-505-AM Rev 06 • 05/2015

Contents
1. Introduction............................................................................3
2. Clinical applications...............................................................4
3. Installation..............................................................................5
4. Operation................................................................................8
5. Power operation...................................................................23
6. Bed exit detection (Enterprise® 8000+ range) ...................36
7. Patient weighing and VariZone movement detection
(Enterprise® 9000+ range)...................................................38
8. Decontamination..................................................................44
9. Maintenance .........................................................................46
10.Accessories..........................................................................48
11.Warranty and service...........................................................50
12.Dimensions and technical data...........................................51
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Warnings, Cautions and Notes
WARNINGS given in this manual identify possible hazards in
procedures or conditions, which if not correctly followed, could result in
death, injury or other serious adverse reactions.
Cautions given in this manual identify possible hazards in procedures or
conditions, which if not correctly followed, could result in equipment
damage or failure.
Notes given in this manual (indicated by ) are used to explain or
amplify a procedure or condition.

Items marked with this symbol refer to optional features that are not
available on all beds.
General Warnings
WARNING
Do not use accessories that have not been designed or
approved for use with this bed.
Electrical equipment can be hazardous if misused.
Do not use electrically powered beds in the presence of
flammable gases such as anesthetic agents.
Do not use electrically powered beds in operating suites.
To disconnect the bed from the electrical supply for cleaning
or maintenance, remove the power cord from the wall socket.
WARNING
ELECTROMAGNETIC COMPATIBILITY (EMC)
This product complies with the requirements of applicable
EMC standards. However, medical electrical equipment
requires special precautions regarding electromagnetic
compatibility and should be installed and used in accordance
with the EMC information in the product Service Manual.
Medical electrical equipment can be affected by portable and
mobile RF communications equipment, e.g. cellular
telephones.
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1. Introduction
This manual contains instructions for the installation, use and
maintenance of the ArjoHuntleigh Enterprise®range of acute care
hospital beds. These beds have multiple functions to provide the optimum
nursing position for both patient and caregiver.
The features available on the various models in the Enterprise®range are
shown in the table:
Model Number
8000+ Range 9000+ Range
8500 8600 8700 8800 9600 9700 9800
Feature
Infra red anti-entrapment system (AES)







Bed exit detection



VariZone patient movement detection



Standard nurse call connection


Two-way nurse call connection




Integrated patient weighing scale



Controls for lighting, radio and TV


All beds in the Enterprise®range have the following standard features:
•Electrical adjustment of bed height, thigh section angle and kneebreak
angle
•Electrically operated retracting backrest
•Bio-Contouradvanced profiling system
•Electrical adjustment of head down tilt (Trendelenburg) and foot down
tilt (reverse Trendelenburg)
•Fowler (chair) or Vascular position selectable by caregiver
•Mattress support surface with removable plastic panels
•Integrated mattress platform extension
•Pull-out linen shelf
•Drainage bag rails below mattress platform
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2. Clinical applications
Areas of use
General medical and surgical floors, care of the
elderly, ICU, coronary care and oncology.
Indications
The bed is appropriate for patients who pose a
movement and handling risk and / or whose clinical
condition requires that they be positioned with
minimal physical handling.
Patients with a moderate amount of independence can,
at the caregiver’s discretion, use the controls to adjust
their own position.
Contra-
indications
The total safe working load of
the bed is 550 lbs. (250 kg).
The bed is intended for use by
patients over the age of twelve
years.
WARNING
The use of head down tilt (Trendelenburg) or foot down tilt
(reverse Trendelenburg) may be contraindicated for certain
medical conditions.
The tilt facility should only be used under the guidance of a
clinically qualified person after assessment of the patient’s
condition.
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3. Installation
All models
Position the bed on a flat, level surface and apply the
brakes (refer to Chapter 4).
9000+ range
only
Remove the four transport locking bolts (A) and
washers (B); there are two bolts at the head end of the
bed and two at the foot end.
Removing the transport locking bolts
Caution
To prevent damage to the weighing mechanism, replace the
transport locking bolts and washers before transporting the
bed by road. This is not necessary when moving the bed
short distances over smooth surfaces.
A
B
A
B
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All models
Connect the power cord to a suitable outlet socket.
The power cord is equipped with a plastic hook. When
not in use or before moving the bed, clip the hook (C)
onto the head end panel, coil up the cable and place it
over the hook.
Cables and equipotential terminal
An equipotential terminal (D) is located at the head end of
the bed, above the roller buffer on the patient’s right side.
When other electrical equipment is within patient / user
reach, the potential difference between this equipment can
be equalized by interconnecting the equipotential
terminals of each piece of equipment.
D
C
E
F
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Nurse call connection 
Connect one end of the nurse call cable to the 37-pin socket
(E), located below the head end of the bed on the patient’s
right.
Connect the other end of the nurse call cable (F) to the
socket on the headwall panel. The type of connector will
vary depending on the nurse call system.
Connecting the nurse call cable
WARNING
Make sure that the coiled power cord is not stretched excessively.
Do not allow the cables to trail on the floor where they may cause
a trip hazard.
Make sure that the cables do not become entangled with the
moving parts of the bed.
Before moving the bed, disconnect both cables and store the
power cord as shown on the previous page.
Connection to a nurse call system

must be made with the
correct cable. Use of the wrong cable may cause malfunction of
the bed and/or nurse call system.
Verify correct operation of the nurse call system

before placing
a patient on the bed.
Caution
Do not allow the cables to touch the bed frame as this may affect
the accuracy of the weighing system.

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4. Operation
Safety
•Always use a mattress of the correct size and type. A
range of suitable pressure redistributing mattresses is
available from ArjoHuntleigh.
•To reduce the risk of injury due to falls, leave the bed at
minimum height when the patient is unattended.
•Where risk assessment indicates that a patient is at high
risk of entrapment owing to their medical condition or
other circumstances, and where there is no medical
benefit from their being left in a contoured position,
place the mattress platform in the flat position when the
patient is left unattended.
•Patients should not be left in the Trendelenburg position
when unattended.
•It is recommended to use the Function Lockout facility
on the Attendant Control Panel (ACP) to prevent
unintended movement.
•When the bed is operated, make sure that obstacles such
as bedside furniture do not restrict its movement.
•Before operating the bed, make sure that the patient is
positioned correctly to avoid potential entrapment or
imbalance.
•Always apply the brakes when the bed is stationary.
•Keep these instructions in a safe place for reference.
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WARNING
Operate the brake pedals with your feet while wearing suitable
shoes. Do not operate the pedals with your hands.
Brakes and
steering The pedals have three positions as shown below:
• BRAKE: brakes are applied on all four castors.
• FREE: all four castors are free to rotate and swivel.
• 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.
BRAKE FREE STEER
Using the
steering
castor
Position the bed so that all the 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.
The steering castor may be at either end of the bed, as specified
by the customer.
Head end
brake pedals Brake pedals can be fitted at the head end of the bed. These
operate in the same way as the foot end pedals.
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Side rails
WARNING
Side rails must only be used with a mattress of the correct size
and which is approved for use with the bed.
The maximum recommended mattress thickness for use with
side rails is 7 ins. (180 mm).
The decision to use or not use side rails must be made by the
clinician(s) overseeing the care of the individual patient, and
within the framework of the individual patient assessment in
ensuring a safe bed environment.
Side rails are not intended to restrain patients who make a
deliberate attempt to exit the bed.
Ensure that the locking mechanism is securely engaged when
the side rails are left in the raised position.
When choosing bed and mattress combinations, it is important to assess the
use of side rails based on clinical assessment of each individual patient. Side
rail safety should be implemented in compliance with federal, state and local
regulations and in accordance with the healthcare facility’s own policies and
procedures.
When assessing the suitability of a mattress for use with side rails, the
following factors should be considered:
•The bed is designed to provide an acceptable side rail height when used
with a foam mattress up to 7 ins. (180 mm) thick.
•Powered air / foam replacement mattresses will typically envelop the
patient when loaded and can generally be deeper than a foam mattress
without compromising safety. All ArjoHuntleigh mattress
replacements will maintain sufficient clearance between patients and
side rail tops to preserve the function of the side rail. Other makes of
mattress replacement systems must be assessed individually prior to use
to verify sufficient clearance is maintained.
•When using a powered mattress overlay on top of a foam mattress, it may
be necessary (based on risk assessment) to use a lower profile foam
mattress to maintain a 7 ins. (180 mm) combination height.
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Side rails -
operation
To lower the side:
Hold either side rail handle (G). Pull the release lever (H)
and lower the side rail. The side rail folds down below
the mattress platform.
To raise the side:
Hold either side rail handle (G). Pull the side rail up and
away from the bed until it locks in the raised position.
Side rail operation – head end
Both the head end and foot end side rails operate in the
same way.
Caution
Do not use the side rails to lift or move the bed.
H
G
G
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Linen shelf
The linen shelf is used for supporting clean linen when
the bed sheets are being changed.
To prepare the linen shelf for use, pull it out from below
the foot end panel (J).
After use, push the linen shelf back under the foot end
panel until it latches in the closed position.
Linen shelf – extended
Caution
The linen shelf load should not exceed 44
lbs. (20 kg)
Make sure the bed is level before using
the linen shelf.
J
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Extending the
mattress
platform
To extend the mattress platform:
If the bed is tilted, use the bed controls to level the
mattress platform - refer to Chapter 5, Power Operation.
Pull down the catches (K) on the underside of the mattress
platform and rotate them a quarter turn to unlock the
extension.
Pull the extension out as far as it will go (L).
Rotate the catches (K) until they spring back up into the
locked position.
Mattress platform - extended
To retract the mattress platform:
Pull down the catches (K) on the underside of the mattress
platform and rotate them a quarter turn to unlock the
extension.
Push the extension back in as far as it will go.
Rotate the catches (K) until they spring back up into the
locked position.
WARNING
Always install a suitable mattress extension (squab) when the
bed is extended.
K
L
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Emergency
CPR function
Manual CPR release handles are situated on either side of
the bed, below the calf section.
To lower the backrest in an emergency, pull the CPR
release handle (M).
Alternatively, press and hold the CPR button on the
Attendant Control Panel - refer to Chapter 5, Power
Operation.
The backrest will lower quicker when using the manual CPR
release lever.
CPR emergency release handle
WARNING
The backrest can fall quickly. Keep hands and other objects
clear to avoid trapping.
M
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End panels -
removal
The end panels can be easily lifted off the bed for fast
access to the patient.
One or both end panels may be held in place with
spring catches. To remove this type of panel:
1. Foot end panel only: pull out the linen shelf to gain
access to the catches (N).
2. Pull out the two catches and rotate them a quarter
turn.
3. Lift the end panel away from the bed (O).
4. Return the linen shelf to the closed position.
End panel removal
To replace the end panels:
1. Replace the end panels on the bed.
2. Foot end panel only: pull out the linen shelf to gain
access to the catches (N).
3. Rotate the catches until they spring back into the
locked position.
4. Return the linen shelf to the closed position.
O
N
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Lifting pole
and
accessory
sockets
Two lifting pole sockets are located at the head end of
the mattress platform (P). They can also be used for other
approved accessories.
Two smaller accessory sockets (for monitor shelves, etc.)
are provided at the foot end of the bed (Q).
Lifting pole/accessory sockets
(head end)
Accessory sockets
(foot end)
Angle
indicators
The backrest hinges and thigh section hinges are
equipped with angle markings. These provide an
approximate indication of backrest or thigh section
angle.
0
20
40
60
Backrest angle indicator
Bed section angles and tilt angle are also shown on the
weighing system display – refer to Chapter 5.
P
Q
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Drainage bag
rails
Drainage bag rails are located on either side of the bed,
below the mattress platform.
Drainage bag rail
WARNING
Do not exceed the rail’s safe working load of 11 lbs. (5kg) total
weight.
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Patient
restraints
Patient restraints can be attached to either side of the
mattress platform frame. Attachment points are provided
on the backrest, thigh and calf sections.
Patient restraint attachment points (circled)
Restraint straps should be attached as shown below to
prevent them sliding along the mattress platform frame.
Backrest and calf section: feed the strap between the
bracket (R) and the frame of the backrest or calf section.
Thigh section: feed the strap between the two thigh
section cross-members.
Restraint strap – backrest and
calf section
Restraint strap – thigh section
R
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WARNING
Follow the instructions for use provided with the patient
restraint device(s).
Patient restraints should be used in compliance with federal and
state regulations and in accordance with the healthcare
facility’s own policies and procedures.
Do not attach patient restraints to any part of the bed other than
detailed above, e.g. end panels or side rails.
Patient restraints, even when used correctly, can result in
entrapment and injury, particularly if the patient is restless or
disoriented. The decision to use patient restraints must be
made by the clinician overseeing the care of the individual
patient following a full risk assessment.
Patient restraints are not intended as substitutes for good
nursing practice. ArjoHuntleigh makes no clinical
recommendations regarding the use of such restraints.
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