ARJO HUNTLEIGH ENTERPRISE 9000X User manual

ENTERPRISE 9000X (E9X)
...with people in mind
Instruction for Use
746-591-EN_12 • 12/2018

Design Policy and Copyright
® and ™ are trademarks belonging to the ArjoHuntleigh group of companies unless otherwise
stated.
© ArjoHuntleigh 2016.
As our policy is one of continuous improvement, 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.

3
Contents
Warnings, Cautions and Notes...................................................... 4
General Warnings.......................................................................... 5
1. Introduction...........................................................................7
Product overview ........................................................................... 9
2. Clinical Applications...........................................................10
Intended use................................................................................ 10
Indications.................................................................................... 10
Contra-indications........................................................................ 11
3. Installation...........................................................................12
Weighing system ......................................................................... 13
Electricity supply.......................................................................... 14
Underbed light ............................................................................. 14
Mattresses................................................................................... 15
4. Operation.............................................................................16
Brakes and steering..................................................................... 16
Foot Pedal for Adjustment of Bed Height (Optional) ................... 17
How to use the 5th Wheel (Optional)........................................... 18
Split side rails .............................................................................. 19
CPR backrest release ................................................................. 20
X-ray cassette tray (Optional) ..................................................... 21
Operation .................................................................................... 21
Bed length adjustment ................................................................ 23
Bedstripper (linen shelf) (Optional) ............................................. 25
Lifting pole and accessory sockets ............................................. 26
Drainage bag rails........................................................................ 27
Head and foot boards ................................................................. 28
Adjusting the mattress platform .................................................. 29
Patient controls ........................................................................... 30
Caregiver controls ....................................................................... 30
Patient handset (Optional) .......................................................... 32
Attendant Control Panel (ACP) ................................................... 33
Function lockout .......................................................................... 35
Adjusting the calf position ........................................................... 36
Backup battery ............................................................................ 37
Duty cycle lockout ....................................................................... 38
5. Advanced Features ............................................................39
Patient weighing system ............................................................. 39
VariZone™ patient movement detection .................................... 44
Anti-entrapment system (Optional) ............................................. 46
6. Product Care .......................................................................47
Mattress platform sections .......................................................... 47
Decontamination ......................................................................... 48
Preventive maintenance ............................................................. 49
Troubleshooting .......................................................................... 52
Fault indications .......................................................................... 54
Product lifetime ........................................................................... 54
7. Accessories and Cables ....................................................55
8. Technical Data ....................................................................56
9. Warranty and Service ........................................................61
10. Electromagnetic Compatibility .........................................62

4
Warnings, Cautions and Notes
WARNING Indicates possible hazards in procedures or conditions which, if not
correctly followed, could result in death, injury or other serious
adverse reactions.
CAUTION Indicates possible hazards in procedures or conditions which, if not
correctly followed, could result in equipment damage or failure.
NOTE Explains or amplifies a procedure or condition.

5
General Warnings
WARNING
Keep these instructions in a safe place; you may need to refer to them later on.
Read and understand these instructions before operating the bed. Caregivers 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 caregivers.
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 only be connected to an
electricity supply with a protective earth.
Do not smoke or use naked flames near this equipment and do not expose it to
extremes of temperature.
Do not use electrically powered beds in the presence of flammable gases such as
anaesthetic agents e.g. in operating theatres.
The bed is intended for indoor use only and should not be used outside a normal
hospital environment.
Do not use accessories that have not been designed or approved for use with the bed.
The user should carry out a risk assessment before using the bed with equipment
from other suppliers or manufacturers.
Always apply the brakes when the bed is stationary.
To reduce the risk of injury due to falls, lower the bed to minimum height when the
patient is unattended.
Patients should not be left in the Trendelenburg position when unattended.
To reduce the risk of overbalancing, do not allow the patient to get on or off the bed
when the mattress platform is in a tilted (head down or foot down) position.

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WARNING
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 unattended.
It is recommended to use the Function Lockout facility on the Attendant Control Panel
to prevent unintended movement in situations where objects may press against the
patient’s controls.
When the bed is operated, make sure that obstacles such as bedside furniture do not
restrict its movement.
The bed can only be moved on firm surfaces. Gradients must not exceed an angle of
10 degrees.
When moving or operating the bed, take care that any accessories attached to it (e.g.
lifting pole) do not strike doors, ceilings, etc.
Hold the head board or foot board when pushing or pulling the bed; do not hold the
side rails or any attached accessories.
Before operating the bed, make sure the patient is positioned correctly to avoid
entrapment or imbalance.
Take care when using equipment that needs to be positioned under the base frame to
ensure there is no contact with any part of the bed frame or components.
Take care not to squeeze or trap trailing cables from other equipment between moving
parts of the bed.
Take care not to allow clothing or bed linen to become snagged on moving parts of
the bed.
When operating moving parts of the bed, ensure the bed does not come into contact
with adjacent equipment which could be damaged by the beds operation.
This product complies with the requirements of applicable standards for
electromagnetic compatibility (EMC). However, medical electrical equipment requires
special precautions regarding EMC 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 radio frequency
communications equipment, e.g. cellular telephones.

7
1. Introduction
These instructions contain information for the installation, use and
maintenance of the ArjoHuntleigh Enterprise®9000X acute care hospital
bed. These beds have multiple functions to provide the optimum nursing
position for both patient and caregiver.
Standard features:
• Folding split side rails with integrated controls
• Electrical adjustment of bed height and leg section elevation
• Electrically operated retracting backrest
• Bio-Contour®advanced profiling system
• Auto-Chair facility
• Electrical adjustment of head down tilt (Trendelenburg) and foot down
tilt (reverse Trendelenburg)
• Manual selection of calf section vascular position
• Mattress support surface with removable panels
• Adjustable length mattress platform
• Drainage bag rails
• Underbed lights
• 125mm single wheel castors
• Full width brake bar
• Patient weighing and patient egress detection
Optional features:
• Anti-Entrapment System
• 150mm (single or dual wheel) castors
• Bedstripper (linen shelf)
• 5th Wheel
• DIN accessory rails
• Lockable foot board and head board
• Radio translucent backrest with X-ray cassette tray
• Flat deck sheets
• IndiGo™ Intuitive Drive Assist
Optional features are specified by the customer at the time of ordering. The
chosen options are indicated by the equipment model number.
NOTE
Do not combine curved deck sheets with flat deck sheets.

8
Themodel number andserial number can befound onthe
specification label; this is located on the control box tray.
Specification label
Caution
Before using the bed, ensure that the “Power in” rating on the specification label is
compatible with the local electricity supply.
ArjoHuntleighAB
HansMichelsensgatan 10
21120 Malmö, SWEDEN

9
Product overview
Fig. 1 - Product overview
A. Head board
B. Head end split side rail
C. Caregiver controls
D. Backrest section
E. Foot end split side rail
F. Patient controls
G. Attendant Control Panel (ACP)
H. Seat section
I. Thigh section
J. Calf section
K. Calf extension sheet
L. Foot board
M. Bedstripper (linen shelf) (Optional)
N. Extension locking handle
O. Brake pedal / bar
P. Accessory socket
Q. Extension catch bar
R. CPR release handle
S. Weighing / movement detection system
controls
T. 5th Wheel (Optional)
U. Drainage bag rail
V. Split side rail release lever
W. Anti-entrapment sensor (Optional)
X. Castor
Y. Lifting pole socket
Z. Head end brake pedal (Optional)
AA.Roller buffer
NOTE
Flat deck sheets are supplied as standard when the backrest with X-ray cassette tray is
present.

10
2. Clinical Applications
Intended use The product is intended to provide support to patients during a stay in
hospital or other care facility. The product allows positioning for CPR and
Trendelenburg and is equipped with a weighing system. The weighing
system is intended to provide reference data only. The weighing system is
not intended to provide readings upon which medication dosage decisions
are made.
The bed is suitable for use in the following situations:
• Intensive/critical care provided in a hospital where 24-hour medical
supervision and constant monitoring is required, e.g. ITU, ICU and
CCU.
• Acute care provided in a hospital or other medical facility where
medical supervision and monitoring is required, e.g. general medical
and surgical wards.
• Long term care in a medical area where medical supervision is
required and monitoring is provided if necessary, e.g. nursing homes
and geriatric facilities.
Indications Thebedisappropriateforhighdependencypatientswhoposeamovement
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 caregiver’s
discretion, use the controls to adjust their own position.
The mattress platform can be positioned to assist with such clinical
procedures as may be required in the Application Environments defined
above.
WARNING
To ensure the patient can use the bed safely, their age and condition should be
assessed by a clinically qualified person.
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.
The weighing system is intended to provide reference data only. The weighing system
is not intended to provide readings upon which medication dosage decisions are
made.

11
Contra-
indications The bed is not suitable for use in the following situations:
• A domestic area, i.e. home healthcare.
• Outpatient care.
• By patients under 40kg in weight.
• By children under 12 years old.
The maximum recommended patient weight is 185kg.
The safe working load (SWL) of the bed is 250kg.
The safe working load is calculated as follows (in accordance with
IEC 60601-2-52):
Maximum patient weight...................................................185kg
Mattress ...........................................................................20kg
Accessories (including attached loads) ..............................45kg
TOTAL .........................................................................250kg
The recommended patient size is: weight equal or above 40kg, height
between146cm and 190cm, and BMI equal or above 17.
At the discretion of the carer, patients taller than190cm may be
accomodated by extending the bed - refer to “Bed length adjustment” in
Chapter 4. Ensure that the patient’s height does not exceed the “In-bed
length” shown in Chapter 7.
WARNING
If the combined weight of the mattress and accessories exceeds 65kg, the maximum
patient weight must be reduced accordingly.
kg
40 146 cm
BMI
17

12
3. Installation
The following chapter describes how to install the bed.
WARNING
If the power supply cord or plug is damaged, the complete assembly must be replaced
by authorised service personnel. Do not remove the fitted plug, or use a rewireable
plug or adapter.
Make sure the power supply cord is not stretched, kinked or crushed.
Do not allow the power supply cord to trail on the floor where it may cause a trip
hazard.
Make sure the power supply cord does not become entangled with moving parts of
the bed or trapped between the bed frame and head board.
Disconnect the power supply cord from the electricity supply, and store it as shown,
before moving the bed.
Before the first use, or if the bed has been unused for more than three months, read
and understand this IFU and test the functionality of the bed to verify correct
operation. Refer to “Preventive maintenance” on page 49 for a list of functional tests.
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 at least 24 hours to allow the backup
battery to recharge fully; failure to do this may reduce the life of the battery. After
charging, check that the battery is fully serviceable by carrying out a battery test as
shown on page 51.

13
Weighing
system Position the bed on a flat, level surface and apply the brakes (see page 16).
Remove the four transport locking bolts (1) and washers (2); there are two
locking bolts at the head end of the bed and two at the foot end.
Fig. 2 - Removing the transport bolts
Retain the bolts and washers in case the bed needs to be transported at a
later date.
1
22
1
CAUTION
To prevent damage to the weighing mechanism, replace the transport locking bolts
and washers before transporting the bed. This is not necessary when moving the bed
short distances over smooth surfaces.
When replacing the transport locking bolts care must be take to avoid trapping or
damaging any cables.

14
Electricity
supply Connect the mains plug to a suitable socket outlet. Make sure the plug is
easily accessible so it can be disconnected quickly in an emergency.
Fig. 3 - Power supply cord and potential equalisation terminal
When the bed is connected to the electricity supply, an indicator will light on
the Attendant Control Panel (see page 33).
The power supply cord (1) is fitted with a plastic hook (2). When not in use
or before moving the bed, clip the hook onto the head board, coil up the
cable and place it over the hook as shown.
To isolate the bed from the electricity supply, disconnect the mains plug
from the socket outlet.
A potential equalisation terminal (3) is located at the head end of the bed.
When other electrical equipment is within reach of the patient or caregiver,
potential differences between the equipment can be minimised by
connecting together their potential equalisation terminals.
Underbed
light The underbed light illuminates the floor on either side of the bed.
The underbed light is always on unless the bed is in its low power state;
refer to the section “Low power mode” on page 38.
1
23

15
Mattresses
A label on the calf extension sheet indicates the correct mattress size:
Mattress size label
Mattresses and
split side rails When choosing bed and mattress combinations, it is important to consider the use of split side rails based on clinical assessment of each individual
patient and in line with local policy.
When assessing the suitability of a mattress for use with split side rails, the
following factors should be considered:
• The bed is designed to provide an acceptable split side rail height
when used with a foam mattress up to 18cm 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. Other makes of specialist
mattress replacement must be assessed individually prior to use to
verify sufficient clearance is maintained.
• Mattress overlays are not recommended for use with this bed.
• To ensure compliance with IEC 60601-2-52, an approved
ArjoHuntleigh mattress should be used. Compliance with this
standard when using other mattresses must be validated by the user.
• For more information on suitable mattresses and mattress
replacements, contact your local ArjoHuntleigh office or approved
distributor. A list of ArjoHuntleigh offices can be found at the back of
this manual.
WARNING
Always use a mattress of the correct size and type. Incompatible mattresses can
create hazards.
Entrapment hazards may exist when using a very soft mattress, even if it is the correct
size.
The maximum recommended mattress thickness for use with split side rails is 18cm.
Read the instructions for use supplied with the mattress.
Where the maximum patient weight specified for the mattress is different to that
specified for the bed, the lower value applies.
NOTE
The numbers 1, 2 and 3 on the label indicate different mattress platform lengths; refer to “Bed
length adjustment” on page 23.
12.5 - 18cm
88cm
1 - 191cm
2 - 202cm
3 - 214cm

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4. Operation
The following chapter describes how to operate the bed.
Brakes and steering
The brake pedals at the foot end of the bed are linked by a full width bar
which makes it easier to operate the pedals, especially when the mattress
platform is at low height.
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 Positionthebedsothatallthe castors lineupin the directionoftravel.Raise the pedals to lock the steering castor and move the bed by pushing it from
the opposite end of the steering castor.
WARNING
Operate the brake pedals with your feet while wearing suitable shoes. Do not operate
the pedals with your hands.
NOTE
The steering castor may be at either end of the bed, as specified by the customer.
NOTE
Brake pedal appearance may alter slightly on actual product, but functionality and user
instructions remain un-changed.

17
Head end brake
pedals Brake pedals (1) are at the head end of the bed. These operate in the same way as the foot end pedals.
Fig. 4 - Head end brake pedal
Foot Pedal for Adjustment of Bed Height (Optional)
Bed height can be adjusted from bed control panels and from the foot
pedal located near the foot end of the bed.
Lift cover of pedal with foot and press left side to raise the bed height.
Press right side of pedal to lower the bed height.
1

18
How to use the 5th Wheel (Optional)
The 5th wheel provides improved mobility and steering.
Activate 5th Wheel:
1. Step down on the head end of the 5th wheel activation pedal (A).
(See Fig. 5)
The 5th wheel (B) will lower until it has contact with the floor.
2. Check that the brakes are unlocked and the brake pedal is in the
“Free” position. (See Fig. 6)
3. The bed is ready for movement.
Deactivate 5th Wheel:
1. Step down on the foot end of the 5th wheel activation pedal (A).
(See Fig. 5)
2. Make sure the 5th wheel (B) is raised from the floor.
Fig. 5 - 5th wheel activation pedal
Fig. 6 - Free Position
Foot End
Head End A
B
PlaceBrakePedalin
“Free” position

19
Split side rails
To lower the split side rail:
Hold either split side rail handle (1). Pull the blue release lever (2) and lower
the split side rail (3), holding the split side rail until it is completely lowered.
The split side rail folds down below the mattress platform.
Fig. 7 - Split side rail operation
To raise the split side rail:
Hold either split side rail handle (1). Pull the split side rail up and away from
the bed until it locks in the raised position.
WARNING
The clinically qualified person responsible should consider the age, size and
condition of the patient before allowing the use of split side rails.
Split side rails are not intended to restrain patients who make a deliberate attempt to
exit the bed.
Ensure that the mattress is suitable for use with split side rails - see “Mattresses and
split side rails” on page 15.
To prevent possible entrapment, make sure the patient’s head and limbs are clear of
the split side rails when adjusting the mattress platform.
Split side rail contact points are identified by this symbol. Keep hands and
fingers away from these areas.
NOTE
The head end and foot end split side rails operate in the same way.
1
2
3
WARNING
Make sure the locking mechanism is securely engaged when the split side rails are
raised.

20
CPR backrest release
Manual CPR release handles are located below the calf section on either
side of the bed.
If the patient suffers a cardiac arrest, pull the CPR release handle (1). This
will lower the backrest (2) to enable cardio-pulmonary resuscitation to be
carried out.
Fig. 8 - CPR backrest release
WARNING
The backrest can fall quickly; keep hands clear to avoid trapping.
1
2
Caution
The manual CPR release should only be used in an emergency; repeated everyday use
can cause premature wear.