Arjo Enterprise 5000X User manual

746-577-EN_16 • 0/2019
INSTRUCTIONS FOR USE
Enterprise 5000X (E5X)

Design Policy and Copyright
® and ™ are trademarks belonging to the Arjo group of companies.
© Arjo 2019.
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 whole or in part without the
consent of Arjo.
WARNING
To avoid injury, always read this Instructions for Use and accompanied
documents before using the product.
Mandatory to read the Instructions for Use

3
Contents
Warnings, Cautions and Notes..........................................................4
General Warnings.............................................................................4
1. Introduction...................................................................... 6
Product overview – Head Board On Mattress Platform.....................8
Head Board On Base (Optional) .......................................................8
Folding split side rails (Optional).....................................................10
2. Clinical Applications...................................................... 11
Intended use ...................................................................................11
Indications.......................................................................................11
Contra-indications...........................................................................12
3. Installation...................................................................... 13
Mattresses.......................................................................................15
4. Operation........................................................................ 17
Brakes and steering........................................................................17
Foot Pedal for Adjustment of Bed Height (Optional) .......................18
How to use the 5th Wheel (Optional) ..............................................19
Side rails (Optional).........................................................................20
CPR backrest release.....................................................................24
X-ray cassette tray (Optional)..........................................................25
Bed length adjustment ....................................................................27
Bedstripper (linen shelf) (Optional)..................................................29
Lifting pole and accessory sockets..................................................30
Drainage bag rails...........................................................................31
Head and foot boards......................................................................31
Mattress platform sections ..............................................................32
Head and foot boards......................................................................32
Underbed light (Optional)................................................................32
Adjusting the mattress platform.......................................................32
Patient handset...............................................................................34
Attendant Control Panel (ACP) .......................................................36
Adjusting the calf position................................................................38
Function lockout..............................................................................39
Backup battery................................................................................40
Duty cycle lockout...........................................................................41
5. Product Care .................................................................. 42
Decontamination.............................................................................42
Preventive maintenance..................................................................44
Battery test......................................................................................46
Troubleshooting ..............................................................................47
Fault indications..............................................................................48
Product lifetime ...............................................................................48
6. Accessories and Cables................................................ 49
7. Technical Data................................................................ 50
8. Warranty and Service..................................................... 54
9. Electromagnetic Compatibility...................................... 55

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.
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. Carers 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. Arjo 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.

5
WARNING
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.
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 and disable the controls (Function lockout) when the patient is unattended.
When the bed is operated, make sure that obstacles such as bedside furniture do not
restrict its movement.
When moving or operating the bed, take care that any attached accessories (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 not to squeeze or trap trailing cables from the handset/ACP and 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.
Do not place the bed on an incline greater than 7q
q
as this may, in extreme
circumstances, cause the bed to overbalance.
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.
If a serious incident occurs in relation to this medical device, affecting the user, or the
patient then the user or patient should report the serious incident to the medical device
manufacturer or the distributor. In the European Union, the user should also report the
serious incident to the Competent Authority in the member state where they are
located.

6
1. Introduction
These instructions contain information for the installation, use and maintenance of the Arjo
Enterprise® 5000X range of acute care hospital beds. These beds have multiple functions to
provide the optimum nursing position for both patient and carer.
Standard features
xElectrical adjustment of bed height and leg section elevation
xElectrically operated retracting backrest
xBio-Contour® advanced profiling system
xAuto-Chair facility
xElectrical adjustment of head down tilt (Trendelenburg) and foot down tilt (reverse
Trendelenburg)
xManual selection of calf section vascular position
xMattress support surface with removable panels
xAdjustable length mattress platform
xDrainage bag rails
Optional features
x¾ length folding side rails with 3 or 5 bar
xFolding split side rails
x125mm (single wheel) or 150mm (single or dual wheel) castors
xBedstripper (linen shelf)
xUnderbed lights
xFull width brake bar
x5th Wheel
xDIN accessory rails
xRadio translucent backrest with X-ray cassette tray
xFlat or curved platform sections
xPatient handset with optional functionality
xLockable foot board and head board
xIndiGo™ Intuitive Drive Assist
xFoot Pedal for Adjustment of Bed Height
Optional features are specified by the customer at the time of ordering.
The chosen options are indicated by the equipment model number.

7
The model number and serial number can be found on the specification label; this is
located on the bed frame below the head board.
Specification label
CAUTION
Before using the bed, ensure that the “Power In” rating on the specification label is
compatible with the local electricity supply.

8
Product overview – Head Board On Mattress Platform
A. Bedstripper (linen shelf) (Optional) L. Lifting pole socket
B. Attendant Control Panel (ACP) M. Roller buffer
C. Foot board N. Castor
D. Calf extension sheet O. Drainage bag rail
E. Calf section P. Side rail operating knob
F. Thigh section Q. CPR release handle
G. Seat section R. Brake pedal
H. 3 bar folding side rail (Optional) S. Extension catch bar
I. Backrest section T. Accessory socket
J. Patient handset U. Extension locking handle
K. Head board on mattress platform
NOTE
5th Wheel (Optional) is not shown on the picture, see page 19.

9
Head Board On Base (Optional)
The bed can be optionally configured with the head board mounted on the base of the bed.
The bed can also be configured with 3 or 5 bar easily removable side rails.
The easily removable side rails are described more in section “To remove and install the 3 bar or 5
bar ¾ length folding side rail:” in Chapter 4.
A. Lifting pole socket on base frame
B. Head board on base frame
C. Backrest with X-ray cassette tray
D. 3 or 5 bar removable side rails
E. Flat deck for seat section
F. Flat deck for thigh section
G. Flat deck for calf section
NOTE
Flat deck sheets are supplied as standard when the backrest with X-ray cassette tray is
present.
In this configuration all other functionality of the bed remains identical.

10
Folding split side rails (Optional)
The bed can be optionally configured to use folding split side rails.
In this configuration a side rail release lever is located directly below the side rail. The release
lever is described more in section “To lower the folding split side rails:” in Chapter 4.
A. Head end side rail
B. Foot end side rail
C. Side rail release lever
In this configuration all other functionality of the bed remains identical.

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2. Clinical Applications
WARNING
To ensure the patient can use the bed safely, their age, size 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.
Intended use The bed is suitable for use in Application Environments 1, 2 and 3 as
defined in IEC 60601-2-52.
Application Environment 1
Intensive/critical care provided in a hospital where 24-hour medical
supervision and constant monitoring is required, e.g. ITU, ICU and CCU.
Application Environment 2
Acute care provided in a hospital or other medical facility where medical
supervision and monitoring is required, e.g. general medical and surgical
wards.
Application Environment 3
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 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 treatment of a
patient as required within the clinical settings defined in Application
Environments 1, 2 and 3.

12
Contra-
indications The maximum recommended patient weight is
185kg.
The safe working load 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
WARNING
If the combined weight of the mattress and accessories exceeds 65kg, the maximum
patient weight must be reduced accordingly.
The recommended patient size is; weight equal
or above 40kg (88lb), height between 146cm
(57 ins.) and 190cm (74 ins.) and BMI equal or
above 17.
At the discretion of the carer, patients taller than 190cm may be
accommodated 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.

13
3. Installation
Connect the mains plug to a suitable socket outlet. Make sure the mains
plug is easily accessible so it can be disconnected quickly in an
emergency.
When the bed is connected to the electricity supply, indicators will light on
the control box (1) and Attendant Control Panel.
The power supply cord (2) is fitted with a plastic hook (3). 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.
Cable storage and potential equalisation terminal
A potential equalisation terminal (4) is located at the head end of the
bed.
When other electrical equipment is within reach of the patient or carer,
potential differences between the equipment can be minimised by
connecting together their potential equalisation terminals.
3
2 4
1

14
WARNING
If the power cord or mains 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.
Disconnect the power supply cord from the electricity supply, and store it as shown,
before moving the bed.
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.
The bed should be positioned with the roller buffers at least 20cm from the rear wall to
prevent the head board striking the wall when the bed is in head down tilt
(Trendelenburg).
Recommended positioning from rear wall

15
Mattresses
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 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.
A label on the calf extension sheet indicates the correct mattress size:
Mattress size label
NOTE
The numbers 1, 2 and 3 on the label indicate different mattress platform lengths; refer to
“Bed length adjustment” in Chapter 4.
Continued on next page

16
Mattresses and
side rails
(Optional)
When choosing bed and mattress combinations, it is important to
consider the use of 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 side rails, the
following factors should be considered:
xThe bed is designed to provide an acceptable side rail height when
used with a foam mattress up to 18cm thick.
xSpecialist 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.
xMattress overlays are not recommended for use with this bed.
xTo ensure compliance with IEC 60601-2-52, an approved Arjo
mattress should be used. Compliance with this standard when using
other mattresses must be validated by the user.
xFor more information on suitable mattresses and mattress
replacements, contact your local Arjo office or approved distributor.
A list of Arjo offices can be found at the back of this manual.

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4. Operation
WARNING
Operate the brake pedals with your feet while wearing suitable shoes. Do not operate
the pedals with your hands.
Brakes and
steering The brake pedals at the foot end of the bed have three positions as
shown:
xBRAKE: brakes are applied on all four castors.
xFREE: all four castors are free to rotate and swivel.
xSTEER: 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.
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 unchanged.

18
Brake bar
(Optional) The brake pedals may be linked by a full width brake bar (1) which makes it easier to operate the pedals.
Brake bar
Head end brake
pedals Brake pedals are provided at the head end of the bed. These operate in the same way as the foot end pedals.
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

19
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. 1)
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. 2)
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. 1)
2. Make sure the 5th wheel (B) is raised from the floor.
Fig. 1 - 5th wheel activation pedal
Fig. 2 - Free Position
B
A
Place Brake Pedal
in “Free”
p
osition
Head end
Foot end

20
Side rails (Optional)
The bed can be fitted with ¾ length 3 bar or 5 bar side rails or folding split side rails.
WARNING - beds supplied without side rails
The clinically qualified person responsible should consider the age, size and condition
of the patient before allowing them to occupy the bed.
Do not install side rails (including those made by Arjo) on
the bed.
WARNING - beds supplied with side rails
The clinically qualified person responsible should consider the age, size and condition
of the patient before allowing the use of side rails.
Side rails are not intended to restrain patients who make a deliberate attempt to exit the
bed.
The bed must only be used with the side rails supplied. Do not use another
manufacturer’s side rails.
Ensure that the mattress is suitable for use with side rails - refer to Chapter 3 for
guidance.
Side rail contact points are identified by this symbol. Keep hands and fingers
away from these areas.
When using removable ¾ length side rails, do not fit different side rails to those
originally supplied by Arjo with the bed. Make sure the serial number label on
the side rail corresponds to the serial number on the bed – refer to page 7 for a
description of the bed serial number.
When the removable side rails are fitted make sure the securing pin is
assembled and fitted correctly.