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:
- 1 -

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
- 2 -
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.
- 3 -
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.
- 4 -

Hand Bar Left “L” Curved Bar Right “R” Curved Bar
Straight Bar (x2)
LR
End Bar with
Securing Strap and Key
Parts in the Box
Screw & Nut (x4)
- 5 -
Assembly
• Philips Head Screwdriver
Stop Using Immediately if parts are damaged, broken, or missing
• Measuring Device of at least 24".
Recommendations include a tape measure, yard stick or level.
Tools Needed
for Assembly:
1
FIGURE 1
BOX SPRING
MATTRESS HEIGHT
AT LEAST 4"
Starting Measure Point
MATTRESS
Right Plastic Bracket
Horizontal Bar (x2)
Measurement Height Hole
Number
4" to 13" 4
14" to 15" 5
FIGURE 2
Left Plastic Bracket
Using a Measuring Device, measure the
height of the mattress that will be used from
the top to bottom, shown in FIGURE 1. If
there is a mattress topper, you will need to
measure from the bottom of the mattress
to the top of the mattress topper. If the
measurement is over 15" with the mattress
topper, then the bed rail should not be
used or the topper should be removed
from use with the Hand Bed Rail.

- 6 -
3Take the Left Plastic Bracket and place the Hand Bar on the side of the bracket with no
plastic pegs and repeat on the right side as shown in FIGURE 5. When complete, you should
be able to see the two pegs and the “L” or “R” label when looking at the brackets. DO NOT
PLACE THE HAND BAR TUBING IN THE SIDE WITH PLASTIC EXTRUSIONS.
PARTS
Take the Right “R” Curved Bar and, while pressing in the silver button, slide the shorter side of
the Right “R” Curved Bar into the Right side of the Hand Bar per FIGURE 3. Ensure that the
silver button protrudes from hole #4 or #5 depending on the information in FIGURE 2. (Using
the picture below, nd hole #4 and #5). Perform the same steps for the Left “L” Curved Bar.
Ensure that both Curved Bars have the silver buttons protruding from the adjustment hole you
chose based on the height of the mattress.
PARTS 1
2
3
4
5
L
R
2
4Slide the Right Plastic Bracket along
the Hand Bar until the two pegs on
the opposite side of the bracket
line up with the top two holes and
the “R” aligns with the foam. For
extra support, use the grid lines in
the bracket to line up the pegs with
the top two holes. When lined up
properly, the top of the bracket will
wrap around the foam. Repeat on
the left side of the Hand Bar, with
the “L” facing down.
L
R
L R
L R
 
1
2
3
4
5
FIGURE 4
FIGURE 5
FIGURE 7FIGURE 6
FIGURE 3
Hand Bar
R
Right “R” Curved Bar
Left “L” Curved Bar
Left Bracket
Right Bracket
R

- 7 -
5Place the Horizontal Bars with labeling into the top inner
recess of both Plastic Brackets shown in FIGURE 8.
Repeat with 2nd Horizontal Bar, and as shown in FIGURE 9,
place the Horizontal Bar in the bottom inner recess of both
Plastic Brackets.
x 2
PARTS
Turn each Horizontal Bar so the holes in each end align with the hole in the Bracket, as shown
in FIGURE 10. Lift the outer portion of the Plastic Bracket up, and fold it over the Hand Bar’s
adjustment holes, as shown in FIGURE 11. If the Plastic Bracket does not fully close then
slightly move the bracket up or down to align it with the top two holes. When the Plastic
Bracket is squeezed by hand on the rail, the Plastic Bracket should not move. If it moves,
please start the step over until it is in place.
6
As Shown in FIGURE 12, insert
the 4 Screws into each hole of
the brackets until the Screw is
ush and the bottom of the Screw
protrudes through the bottom part
of the Plastic Bracket.
7
While holding the Right Plastic Bracket, turn the rail on it’s side so
the Right Side of the Hand Bar is raised and the Left Side of the
Hand Bar is on a at surface. Continue to hold the Right Plastic
Bracket together and insert a Nut into the receiving areas of of
the Left Bracket, as shown in FIGURE 13. Use the Phillips Head
Screw Driver to loosely tighten the Left Bracket’s Screws rst, then
proceed to tighten the Right Bracket’s Screws. Once all nuts are
loosely on, lay the Hand Bar at on a surface to tighten fully and
ensure that all Screws are ush with rail. If the Plastic Brackets
can move or the Horizontal Bars are not level, please repeat this
process from Step 3.
8
x 4
PARTS
x 4
PARTS
FIGURE 9FIGURE 8
FIGURE 10 FIGURE 11
FIGURE 12
FIGURE 13
RECEIVING
AREA
Horizontal Bar
Nut
Screw

Assembled Hand Bed Rail
should now look like this.
FIGURE 17
Press the push button into one side of the End Bar and
push it in until the complete push button is within the tube
then continue to push until the push button protrudes
from the Straight Bar as shown in FIGURE 16.
Repeat on the other side of the rail to complete the
installation of the end bar as shown in FIGURE 17.
Unroll the Securing Strap from the End Bar by removing the rubber band. Once unrolled, use
the Key to unlock the buckle by inserting it and turning to the left until it clicks, then unclip the
buckle. Once unbuckled, take the male end of the buckle and wrap it around the bottom of
the End Bar which will expose the rivet as shown in FIGURE 18. Reinsert the male end of the
buckle into the female end and leave it unlocked until Installation.
With the label stickers facing up, align the extended tubes of the End Bar with Securing Strap
with the Straight Bar tubes. Insert the End Bar into the tube on each side until the push button
touches the rubber silencer on the Straight Bar as shown in picture on the left of FIGURE 16.
PARTS
FIGURE 18
Take one of the Straight Bars and, while pressing in the
silver button on the Left “L” Curved Bar, slide the Straight
Bar over the Left “L” Curved Bar. Ensure that the silver
button on the Left “L” Curved Bar is protruding from the
hole on the Straight Bar.
Repeat these steps for the
Right “R” Curved Bar and the
remaining Straight Bar.
x 2
PARTS
- 8 -
9
10
11
12
FIGURE 14
FIGURE 15
FIGURE 16
Straight Bar
End Bar

Installation
2On the opposite side of the bed from where the
Hand Bed Rail was inserted, lift, or if necessary
remove the mattress, to pull the Securing Strap
toward you until the Securing Strap is taught as
shown in FIGURE 20. Before moving forward,
please make sure the buckle is extended out
past the opposite side of the mattress and box
spring or bed frame/securing platform. Once
the buckle is extended past the mattress and
the Securing Strap is taut, lower or replace the
mattress to ensure proper adjustment.
1After the Hand Bed Rail has been fully
assembled and properly adjusted, slide the
Hand Bed Rail between the mattress and the
box spring or bed frame/securing platform.
For safety and to prevent entrapment, the
distance between the end of the Hand Bed
Rail that is closest to the headboard or
footboard should be at least 12½" as shown
in FIGURE 19.
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.
- 9 -
12½+"
12½+"
FIGURE 19
FIGURE 20
12½+"
Area for Bed Rail
SUFFOCATION/STRANGULATION/ENTRAPMENT HAZARD
WARNING
3Unclip the buckle and loop the male end
and female end of the Securing Strap
around the bed frame or securing platform,
and buckle back together. The Securing
Strap should stay loose, but relock the
buckle by inserting the key and turning it to
the right until it clicks.
If the bed frame or securing platform design will not allow the
use of the Securing Strap, the Hand Bed Rail should not be used
and should be returned to the place of purchase.
Box Spring
Bed Frame
FIGURE 21

4Tighten the Securing Strap to the bed
frame/securing platform by pulling
the loose straps through the tri-glide
adjusters. Continue adjusting each
side until the buckle is tight against
the frame and the Hand Bed Rail is
tight against the mattress as shown
in FIGURE 22. Any additional loose
straps should be inserted between the
mattress to prevent tearing, tripping or
potential loosening.
- 10 -
NOTE: Final location of buckle will depend on bed size & frame size/style.
FIGURE 22
Box Spring
Bed Frame
If the Strap provided is not properly secured, the product may move into an unsafe position
which increases the danger of entrapment.
WARNING
• Once the Hand Bed Rail has been installed at the correct height as described in pages 9-10, the Hand Bar should
remain in place. It is designed to maintain its position unless removed with a Philips Head Screwdriver.
• However, if there is a change in mattress, box springs or platform, remove Securing Strap from frame, make the
replacement as necessary and then reinstall by following the same steps shown on pages 9-10.
• If parts are lost or broken during this process, please call Customer Service at 800-826-8423 for replacement(s).
Operational Adjustment
Maintenance
Check daily to see that the mattress is still positioned tightly against the Hand Bed Rail. If the Hand Bed Rail has moved
away from the mattress due to the buckle becoming undone, please refer to step 3 of the Installation instructions. If the
Strap has loosened, please refer to step 4 in the Installation instructions.
• Check the Hand Bed Rail daily to see if the Hand Bar is still tightened securely on the bed frame or securing platform.
• Check weekly to ensure that the Securing Strap is adjusted properly around the bed frame or securing platform and
the buckle is still locked in place.
Cleaning
• Frame may be wiped with a damp cloth for periodic cleaning.
• Foam Hand Grip may be cleaned with a damp sponge using mild, non-chlorine soap and cool water.
• Do not use harsh soaps, household detergent or lubricants.
• Dry thoroughly. Do not immerse unit in water.

- 11 -