Essential Medical Supply ENDURANCE P1410R User manual

June 2022, ESSENTIAL MEDICAL SUPPLY, INC.®
California Proposition 65
WARNING: Cancer & Reproductive Harm
www.P65Warnings.ca.gov
Read all warnings and instructions in this
manual before proceeding to assemble and
install the unit.
Keep this manual for future reference.
P1410R Adult Hand Bed Rail
Made in Taiwan for
Essential Medical Supply, Inc.
6420 Hazeltine National Dr.
Orlando, FL 32822 • [phone]

Uses and Applications
Safety Information
Entrapment Zone Warnings
Parts in Box
Assembly
Installation
Operational Adjustment
Maintenance, Cleaning
Warranty
Table Of Contents
2
3
4
5
5-8
9-10
10
10
11
Date of Purchase:
Place of Purchase:
Date of Installation:
Name of Installer:
Serial Number of Unit:
Location of Key for Buckle:
Please Complete For Your Records:
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The P1410R Endurance®Adult Hand Bed Rail is designed to be used on ADULT twin, full, queen and
king width beds with a foam or innerspring mattress measuring at least 4" but no more than 15" in height.
It is not to be used on adjustable, toddler, bunk or inatable beds or with air or water mattresses or
when the securing strap cannot be properly attached to the bed frame or securing platform.
INTENDED USE: This Adult Hand Bed Rail with securing strap has been designed to help the
user in and out of bed, it is not intended or designed to keep the user conned or restrained or
from falling out of bed. If you plan to use this rail for a purpose other than described above, please
contact your place of purchase to return this item and ask for an alternative solution.
Uses and Applications
STOP using immediately if damaged or broken, or if parts are missing.
STOP using immediately if product shifts out of its original position and space is created between the
rail and the bed until it is readjusted into the correct position.
In addition to contacting Essential Medical Supply, Inc. at 1-800-826-8423, consumers should report
problems to the CPSC at its website SaferProducts.gov or call 1-800-638-2772.
Gaps in and around this Hand Bed Rail can entrap and kill. People with Alzheimer’s disease or
dementia, or those who are sedated, confused, or frail and are at increased risk of entrapment and
strangulation. People attempting to climb over this product are at increased risk of injury or death
from falls. Always make sure this Hand Bed Rail is properly secured to bed. If Hand Bed Rail can
move away from bed or mattress, it can lead to entrapment and death.
ENTRAPMENT, STRANGULATION, SUFFOCATION
AND FALL HAZARDS
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WARNING

WARNING:
• If the strap provided is not properly secured, the Hand Bed Rail may move to an unsafe position
which increases the danger of entrapment. See pages 8-9 for proper use and installation of the strap.
• ONLY use the Hand Bed Rail when the tops of the rail extends at least 4" above the top surface
of the mattress while in use. The maximum in use mattress thickness is 15" when the rail is
placed at the highest setting.
• NEVER lean against the Hand Bed Rail when lying in bed, leaning against it may cause issues
with circulation.
• NEVER allow children to use or climb on Hand Bed Rail.
• NEVER use more than one Hand Bed Rail on each side of the bed nor use this rail in conjunction
with any other rails/devices to keep the user in bed.
• STOP using Hand Bed Rail immediately if damaged, broken, or if parts are missing.
• STOP using immediately if Hand Bed Rail shifts out of position and a gap is created between the
rail and the mattress until it is readjusted into the correct position.
Safety Information
SUFFOCATION/STRANGULATION/ENTRAPMENT HAZARD
If Hand Bed Rail is installed incorrectly or moves from its initial position gaps can occur which
can entrap and kill. People with Alzheimer’s disease, dementia or other neurological conditions,
or those who are sedated, confused, or frail, are at increased risk of entrapment, suffocation
and strangulation.
• NEVER use unless product is tight against mattress, without gaps and at least 12½" from
headboard and footboard.
• NEVER use with children.
• NEVER use on toddler, bunk, water, or inatable beds, or soft compressible pads.
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WARNING
For further information, see:
cpsc.gov/en/Safety-Education/Neighborhood-Safety-
Network/Posters/Adult-Bed-Rails/
and fda.gov/bedsafety

As stated in the previous page warning’s, gaps in and around this Hand Bed Rail can entrap and kill. To
ensure proper Bed Rail safety the FDA published a guidance on March 10, 2006, titled “Hospital Bed
System Dimensional and Assessment Guidance to Reduce Entrapment”. These guidelines can and do
change, at the time of this printing the website where this guidance can be found is: https://www.fda.gov/
media/71460/download. They also have a Frequently Asked Questions (FAQ) website available, at the time
of printing it can be found here: https://www.fda.gov/medical-devices/hospital-beds/hbswfda-frequently-
asked-questions-faq-entrapment-issues.
Alternatively, the Consumer Products safety Council has issued ASTM 3186-17 Standard Specications
for Adult Portable Bed rails and related Products. Essential Medical Supply, Inc. has had its product
tested against these standards and presents the explanation of the specic areas where the potential for
entrapment exists with its hand bed rail. Note the illustration is for hospital bed rails but serves as a model
for all types of hospital and hand bed rails.
Entrapment Zone Warnings
ZONE 1 – Within the Rail
Zone 1 is any open space within the perimeter of the
rail. Openings in the rail should be small enough to
prevent the head from entering. A loosened bar or rail
can change the size of the space.
ZONE 2 – Under the Rail, Between the Rail
Supports or Next to a Single Rail Support
Zone 2 is the space between the bottom bar of the
rail and the top of the mattress. Factors to consider
are the thickness of the mattress and the mattress
compressibility which may change over time due to
wear, the lateral shift of the mattress or rail, and any
degree of play if the strap on the Hand Bed Rail were
to loosen.
ZONE 3 – Between the Rail and Mattress
Zone 3 is the space between the inside surface of the rail and the mattress. This space should be small
enough to prevent head entrapment when taking into account the mattress compressibility, any lateral
shift of the mattress or rail, and degree from loosened rails. Follow the warning on page ---, regarding
keeping the securing strap tight.
ZONE 4 – Under the Rail at the Ends of the Rail
Zone 4 is the gap that forms between the mattress compressed by the patient, and the lowermost
portion of the rail, at the end of the rail. Due to the design of Essential Medical Supply’s Hand Bed Rail,
this specic rail does not pose a risk for this type of entrapment.
ZONE 5 – Between Split Bed Rails
Zone 5 entrapment concerns arise when more than one bed rail is used on the same side of the bed.
The space between the rails can pose a risk of entrapment. As stated on page ---, you must never place
more than one Hand Bed Rail on each side of the bed nor use this Hand Bed Rail in conjunction with any
other rails/devices to keep the user in bed. When following this instruction our product does not pose a
risk for this type of entrapment.
ZONE 6 – Between the End of the Rail and the Side Edge of the Head or Foot Board
Zone 6 is the space between the end of the rail and the side edge of the headboard or footboard. As
stated on the previous page you must never use the hand Hand Bed Rail unless it is tight against
mattress, without gaps, and at least 12½" from headboard and footboard.
ZONE 7 – Between the Head or Foot Board and the End of the Mattress
Zone 7 is the space between the inside surface of the head board or foot board and the end of the
mattress. This space may present a risk of head entrapment when taking into account the mattress
compressibility, any shift of the mattress, and degree of play from loosened head or foot boards.
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