ARJO HUNTLEIGH enterprise 9000 User manual

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Contents
1.Introduction .............................................................................4
2.Clinical applications................................................................7
3.Installation ...............................................................................8
4.Operation ...............................................................................11
5.Power operation....................................................................23
6.Patient weighing and egress detection...............................31
7.Decontamination...................................................................36
8.Care and preventive maintenance.......................................37
9.Accessories...........................................................................40
10.Warranty and service............................................................42
11.Dimensions and technical data............................................43
Design Policy and Copyright
® and ™ are trademarks belonging to the ArjoHuntleigh group of companies.
© ArjoHuntleigh 2007.
As our policy is one of continuous development, we reserve the right to
modify designs without prior notice. The content of this publication may not
be copied either wholly or in part without the consent of ArjoHuntleigh.
Issue 5 09/2012

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Warnings, Cautions and Notes
WARNINGS given in these instructions 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 these instructions identify possible hazards in
procedures or conditions, which if not correctly followed, could result in
equipment damage or failure.
Notes given in these instructions (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
Read and understand these instructions before operating the
bed. You must be trained in the proper use of this product, its
functions and controls, and any accessories.
These instructions are mandatory for the safe and effective
use of this product, including the safety of patients and
carers.
Unauthorised modifications or repairs to this product may
affect its safety and will invalidate any warranty.
ArjoHuntleigh accepts no liability for any incident, accident or
reduction in performance that may occur as a result of such
repairs or modifications.
To avoid the risk of electric shock, this product must be
connected to an electricity supply with a protective earth.
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 anaesthetic agents.
Do not use electrically powered beds in operating theatres.
To disconnect the bed from the electricity supply for cleaning
or maintenance, remove the power plug from the wall socket.

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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
These instructions contain information for the installation, use and
maintenance of the ArjoHuntleigh Enterprise® 9000 range of acute care
hospital beds. These beds have multiple functions to provide the optimum
nursing position for both patient and carer.
Enterprise® 9000 range beds have the following features:
Integrated patient weighing system with patient egress detection
Infra red anti-entrapment system
Electrical adjustment of bed height, leg section elevation 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 carer
Mattress support surface with removable plastic panels
Integrated mattress platform extension
Pull-out bedstripper
Radio-translucent backrest with X-ray cassette tray 
Accessory (DIN) or drainage bag rails below mattress platform 
Available with various combinations of bed length and head end panel
as shown in the table:
9000B 9000D 9000K
Standard length mattress platform 
Short mattress platform

Head end panel on base 
Head end panel on mattress platform 
These illustrations in these instructions show model 9000B; the
other models are installed and used in the same way.

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The model number and serial number can be found on the
specification label; this is located on the power supply bracket below the
head end panel.
Specification label

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Product overview
1. Head end panel 12. Castor
2. Head end safety side 13. Bedstripper
3. Nurse’s controls 14. CPR release lever
4. Backrest section 15. Weighing system controls
5. Attendant Control Panel (ACP) 16. Accessory rail
6. Patient’s controls 17. Safety side release
7. Seat section 18. Foot end safety side
8. Upper leg (thigh) section 19. Anti-entrapment sensor
9. Lower leg (calf) section 20. Brake/steer pedal
10. Foot end panel 21. Lifting pole/accessory socket
11. Accessory socket 22. Roller buffer

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2. Clinical applications
Areas of use General medicine, general and specialist surgery, care
of the elderly, HDU, ITU, coronary care and oncology.
Indications The bed is appropriate for high dependency patients
who pose a movement and handling risk and / or
whose clinical condition requires that they are
positioned with minimal physical handling.
Patients with a moderate amount of independence can,
at the carer’s discretion, use the controls to adjust their
own position.
The mattress platform can be positioned to assist with
clinical procedures such as intubation; contact
ArjoHuntleigh for further information.
Contra-
indications The total safe working
load of the bed is 250kg.
The bed is intended for use by patients over the age of
twelve years. The age, size and condition of the patient
must be assessed by a clinically qualified person
before using the bed.
WARNING
The use of head down tilt (Trendelenburg) or foot down tilt
(reverse Trendelenburg) may be contra-indicated 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
Weighing
system Position the bed on a flat, level surface and apply the
brakes (refer to Chapter 4).
Remove the four transport locking bolts (A) and
washers (B); there are two locking bolts at the head
end of the bed and two at the foot end.
Retain the bolts and washers in case the bed needs to
be transported at a later date.
Removing the transport 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
AB

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Caution
Before using the bed, make sure that the “Power In” rating
shown on the specification label (see page 5) is compatible
with the local electricity supply.
Electrical
supply Connect the electrical supply cable to a suitable outlet
socket.
The electrical supply cable is fitted 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.
Cable storage and equipotential terminal
WARNING
Make sure that the coiled electrical supply cable is not
stretched excessively.
Do not allow the electrical supply cable to trail on the floor
where it may cause a trip hazard.
Make sure that the electrical supply cable does not become
entangled with moving parts of the bed.
Before moving the bed, disconnect the electrical supply cable
from the electricity supply and store it as shown above.
D
C

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Caution
Do not allow the electrical supply cable to touch the bed frame
as this may affect the accuracy of the weighing system.
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 equalised by interconnecting the equipotential
terminals of each piece of equipment.
Caution
Before the first use, or if the bed has been unused for more than
three months, connect the bed to the electricity supply for 24
hours to recharge the backup battery. Failure to do this may
reduce the life of the battery.
Model 9000D beds should be positioned with the roller buffers at
least 20cm from the rear wall to prevent the head end panel
striking the wall when the bed is in head down tilt
(Trendelenburg).
Recommended positioning for Model 9000D

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4. Operation
Safety Always use a mattress of the correct size and type. A
range of suitable pressure reducing and pressure
relieving 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 movement.
Before operating the bed, make sure that the patient is
positioned correctly to avoid entrapment or imbalance.
Always apply the brakes when the bed is stationary.
Keep these instructions in a safe place – you may need
to refer to them later.

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Brakes and
steering There are four linked brake levers, two at either end of the
bed. Each lever has a red pedal and a green pedal.
Red pedal down - brakes are applied on all four castors.
Lever horizontal - all four castors can rotate and swivel.
Green pedal down – the steering castor is locked so that it
cannot swivel; this is the head end castor on the patient’s
right unless otherwise specified.
When moving the bed, push it in the direction of travel so
that the castors are all in line; then press the green pedal
down to engage the steering castor. Push the bed from the
opposite end to where the steering castor is located.
BRAKE FREE STEER
In these illustrations, the red pedal is shown in darker grey.

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Safety sides
WARNING
Safety sides 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
safety sides is 180mm.
The clinically qualified person responsible should consider the
age, size and condition of the patient before allowing the use of
safety sides.
Safety sides 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 safety sides are left in the raised position.
Safety side contact points are identified by this symbol.
Keep hands and fingers away from these areas.
When choosing bed and mattress combinations, it is important to assess the
use of safety sides based on clinical assessment of each individual patient
and in line with local policy.
When assessing the suitability of a mattress for use with safety sides, the
following factors should be considered:
The bed is designed to provide an acceptable safety side height when
used with a foam mattress up to 180mm thick.
Specialist 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 specialist
mattress replacements will maintain sufficient clearance between patients
and safety side tops to preserve the function of the safety side. Other
makes of specialist mattress replacement 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 180mm combination height.

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Safety sides -
operation To lower the side:
Hold either safety side handle (E). Pull the release lever
(F) and lower the safety side. The safety side folds down
below the mattress platform.
To raise the side:
Hold either safety side handle (E). Pull the safety side up
and away from the bed until it locks in the raised
position.
Safety side operation – head end
Both the head end and foot end safety sides operate in the
same way.
Caution
Do not use the safety sides to lift or move the bed.
F
E
E

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Bedstripper The bedstripper is used for supporting clean linen when
the bed sheets are being changed. It may be equipped
with a folding frame to support a duvet.
To prepare the bedstripper for use, pull it out from below
the foot end panel (G).
After use, push the bedstripper back under the foot end
panel until it latches in the closed position.
Bedstripper - extended
Caution
The bedstripper load should not exceed
20kg.
Make sure the bed is level before using the bedstripper.
G

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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 (H) 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 (I).
Rotate the catches (H) until they spring back up into the
locked position.
Mattress platform - extended
To retract the mattress platform:
Pull down the catches (H) 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 (H) until they spring back up into the
locked position.
WARNING
Always install a suitable mattress extension (squab) when the
bed is extended.
H
I

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Emergency
CPR function Manual CPR release handles are situated either side of the
bed, below the calf section.
To lower the backrest in an emergency, pull the CPR
release handle (J).
Alternatively, press and hold the CPR button on the
Attendant Control Panel; refer to Chapter 5 - Power
Operation.
The backrest will lower more quickly when using the manual CPR
release lever.
CPR emergency release handle
WARNING
The backrest can fall quickly. Keep hands clear to avoid
trapping.
J

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End panels 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 bedstripper to gain
access to the catches (K).
2. Pull out the two catches (K) and rotate them a quarter
turn.
3. Lift the end panel away from the bed (L).
4. Return the bedstripper 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 bedstripper to gain
access to the catches (K).
3. Rotate the catches (K) until they spring back into the
locked position.
4. Return the bedstripper to the closed position.
L
K

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X-ray cassette
tray The X-ray cassette tray allows thoracic X-ray photography
with the backrest at any angle and without the patient
moving from the bed.
WARNING
Position the mattress platform at an ergonomic height to allow
easy loading and removal of X-ray cassettes.
Return the X-ray cassette tray to its closed position below the
backrest before raising or lowering the backrest.
Do not sit or place heavy objects on the X-ray cassette tray.
Ensure the X-ray cassette tray is held securely in place by the
catch at all times.
Operation Apply the brakes. Remove the head end panel from the
bed.
Pull the knob (M) to release the catch and slide the
cassette tray out (N) as far as will go. It may be necessary
to raise the backrest slightly to allow the tray to slide out.
X-ray cassette tray operation
M
N