Getinge Arjohuntleigh Citadel User manual

Citadel Bed Frame System
Instructions for Use
...with people in mind
830.331 Rev C • 12/2018

Design Policy and Copyright
® and ™ are trademarks belonging to the ArjoHuntleigh group of companies
unless otherwise stated.
© ArjoHuntleigh 2017
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
Citadel Bed Frame System
Table of Contents
General Warnings ...........................................................................................5
• Safety Information ......................................................................................8
Introduction ....................................................................................................11
• Product Overview .....................................................................................11
Clinical Applications .......................................................................................14
• Intended Use ............................................................................................14
• Indications ................................................................................................14
• Contraindications ......................................................................................14
• General Product Information ....................................................................15
• Precautions ...............................................................................................15
Installation .....................................................................................................17
• Weighing System Preparation ..................................................................17
• Electricity Supply ......................................................................................18
• Potential Equalization Terminal.................................................................19
• Electrical Connections .............................................................................19
• Power Cord ...............................................................................................19
• Nurse Call and RS232 Connections .........................................................20
• Auxiliary Power Outlet (Optional Feature) ................................................21
•Skin IQ Family Power Cable ..................................................................21
•Skin IQ Installation ...................................................................................21
• Non Powered 5th Wheel Operation (Optional Feature) ............................22
•Citadel Patient Therapy System Connections .......................................23
• Mattresses ................................................................................................23
• SafeSet™ .................................................................................................24
Operating Instructions ...................................................................................26
• Lifting Pole and Accessory Sockets ..........................................................26
• Drainage Bag Rails ...................................................................................27
• Bed Length Adjustment ............................................................................27
• Foot Pedal for Adjustment of Bed Height (Optional Feature) ...................29
• Brakes and Steering .................................................................................29
• Side Rails .................................................................................................30
• Head and Foot Boards .............................................................................31
• Patient Restraints .....................................................................................31
• Under Bed Light ........................................................................................33
• Backup Battery .........................................................................................33
• Recharging the Backup Battery ................................................................34
• Over-Use Lockout .....................................................................................34
• Attendant Control Panel (ACP), Nurse Control Panel and
Patient Control Panel ............................................................................... 35
• Patient Handsets (Optional Feature) ........................................................38
• Weigh Scale Panels (With and Without Unit Selection)............................38
• Weighing Accuracy ..................................................................................40

4Citadel Bed Frame System
• Weighing Initialization ..............................................................................41
• Weighing ..................................................................................................41
• Weighing Units .........................................................................................42
• Auto Compensation ..................................................................................42
• Weighing System Error Codes ................................................................43
• Angle Indication ........................................................................................43
• VariZone Patient Movement / Exit Detection ...........................................44
• VariZone Operation .................................................................................45
• Anti-Entrapment System ...........................................................................46
• SafeSet™ (Optional Feature) ...................................................................47
• RS232 Connection ...................................................................................49
• Controls for Television and Lighting (Optional Feature)............................50
Patient Placement .........................................................................................51
• Power On .................................................................................................51
• Preparation for Patient Placement ...........................................................51
• Completion of Patient Placement .............................................................52
Nursing Care .................................................................................................53
• CPR ..........................................................................................................53
• CPR Backrest Release .............................................................................54
• Patient Bathing .........................................................................................54
• Patient Transfer from the Citadel Bed Frame System .............................55
• Patient Transport ......................................................................................55
Care and Cleaning.........................................................................................57
• Deck Sections ...........................................................................................57
• Decontamination .......................................................................................57
• General Recommendations ......................................................................58
• Cleaning the Citadel Bed Frame System While in Use ...........................59
Preventive Maintenance ................................................................................61
• Weighing System ......................................................................................62
• Battery Test ..............................................................................................62
Troubleshooting .............................................................................................63
• Error Codes ..............................................................................................64
• Fault Indications .......................................................................................65
• Product Lifetime ........................................................................................65
• Accessories ..............................................................................................65
Electromagnetic Compability (EMC)..............................................................67
Warranty and Service ....................................................................................70
6SHFL¿FDWLRQV ................................................................................................71
Explanation of Symbols Used........................................................................73

5
Citadel Bed Frame System
GENERAL WARNINGS
The following warnings should be considered prior to using this product:
Before using the bed, make sure that the power in rating on the
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To make sure the patient can use the bed safely, their age and
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The use of head down tilt (Trendelenburg) or foot down tilt
(reverse Trendelenburg) may be contraindicated for certain
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All accessories added to the system reduce the safe working
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If the power cord or plug is damaged, the complete assembly
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Make sure the power cord does not become entangled with
moving parts of the bed or trapped between the bed frame and
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Always adjust the bed frame and deck to the same length and
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Entrapment hazards may exist when using a very soft mattress,
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age, size and condition of the patient before allowing the use of
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Side rails are not intended to restrain patients who make a
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To prevent possible entrapment, make sure the patient’s head
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6Citadel Bed Frame System
Make sure the locking mechanisms are securely engaged when
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Prior to engaging any mattress turn feature, make sure that bed
frame has side rails and that all side rails are fully engaged in
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feature on any mattress system when patient restraints are in
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Patient restraints should be used in compliance with all
applicable local regulations and in accordance with the
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Patient restraints, even when correctly used, can result in
entrapment or injury, particularly if the patient is disorientated or
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by the clinician overseeing the care of the individual patient,
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Patient restraints are not intended as substitutes for good
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To make sure the battery is kept fully charged and prevent
damage to the battery, the bed should be connected to the
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Only connect devices designed to be used with the bed
Connecting devices not designed to be used with the bed may
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At minimum height, clearance underneath the side rails is
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rails and take extra care when using patient hoists or similar
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The weighing system should only be used in closely supervised
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as additions to the bed) can be controlled as described in the
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7
Citadel Bed Frame System
The weighing system MUST be zeroed every time a new patient
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The weighing system MUST be zeroed every time a mattress is
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The weighing system cannot be zeroed if a mattress or
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and care should be performed under the supervision of an
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on battery power if the function has not been locked on the
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To prevent cross contamination or equipment damage,
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be cleaned during use and between patients according to the
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regulations / procedures for blood borne pathogens may be used
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Always disconnect the Citadel Bed Frame System from mains
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If the bed is stored for a long time, it should be connected to the
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8Citadel Bed Frame System
Safety Information
General Protocols – Follow all applicable safety rules and institution
protocols concerning patient and caregiver safety.
Brakes – Set all caster brakes before transferring patient.
Bed Height – To minimize risk of falls or injury, the bed should always be in
the lowest practical position when the patient is unattended.
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Fluids remaining on controls can cause corrosion, which
may cause components to fail or to operate erratically,
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Oxygen Use - Make sure that the unit is not contained in an oxygen
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administering equipment other than the nasal prongs, mask or half bed
length tent type. Oxygen tent should not extend below mattress support
level.
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to prevent unintentional operation of bed.
Power Cord – Make sure power cord is kept free from all pinch points,
moving parts and is not trapped under casters. Improper handling of power
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shock. Pull the power cord out of the mains wall outlet to remove power from
the unit.
Avoid Fire Hazards±7RPLQLPL]HWKHULVNRI¿UHFRQQHFWWKHXQLW¶VSRZHU
cord directly into a wall-mounted outlet. Do not use extension cords or
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Preventing Hospital Bed Fires. Outside the US, consult the local Competent
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guidance.
Disposal – At the end of useful life, dispose of waste according to local
requirements or contact the manufacturer for advice. There may be special
requirements for disposal of batteries, leaded foam and / or angle sensors (if
present in this product). Improper disposal of any component may result in
regulatory non-compliance.
Moving Parts - Keep all equipment, tubes and lines, loose clothing, hair and
parts of the body away from moving parts and pinch points.
Patient Entrance / Exit – Caregiver should always aid patient in exiting the
bed. Make sure a capable patient knows how to get out of bed safely (and, if
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Side Rails / Patient Restraints - Whether and how to use side rails or
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9
Citadel Bed Frame System
caregivers, with facility protocols in mind. Caregivers should assess risks and
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bed) in conjunction with individual patient needs, and should discuss use or
non-use with patient and / or family. Consider not only the clinical and other
needs of the patient but also the risks of fatal or serious injury from falling
out of bed and from patient entrapment in or around the side rails, restraints
or other accessories. In the US, for a description of entrapment hazards,
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To Reduce Entrapment.
Outside the US, consult the local Competent Authority or Government
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especially with confused, restless or agitated patients. It is recommended
that side rails (if used) be locked in the full upright position when the patient
is unattended. Make sure a capable patient knows how to get out of bed
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emergency. Monitor patients frequently to guard against patient entrapment.
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make sure the distance between top of side rails (if used) and top of mattress
(without compression) is at least 22 cm (8.66 in) to help prevent inadvertent
bed exit or falls. Consider individual patient size, position (relative to the top
of the side rail) and patient condition in assessing fall risk.
Make sure the distance between top of side rails (if used)
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(relative to the top of the side rail) and patient condition in
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Skin Care – Monitor skin conditions regularly and consider adjunct or
alternative therapies for high acuity patients. Give extra attention to skin
over any raised side bolster and to any other possible pressure points
and locations where moisture or incontinence may occur or collect. Early
intervention may be essential to preventing skin breakdown.
Maximum Recommended Patient Weight - Total patient weight capacity
should not exceed 227 kg (500 lb). The use of accessories on the bed may
decrease the patient weight capacity of the bed. Contact ArjoHuntleigh
Customer Service for questions concerning the use of accessories and
see the Questions and Contact Information section of this guide for contact
information.
,9DQG'UDLQDJH7XEHV – Prior to activating any positioning function assess
the security of all invasive lines and tubes to accommodate the desired angle
of articulation and minimize the risk of binding, disconnecting or dislodging.
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patient movement.

10 Citadel Bed Frame System
Turning - Prior to engaging any mattress turn feature, make sure that bed
frame has side rails and that all side rails are fully engaged in their full upright
and locked position. Do not activate the turning feature on any mattress
system when patient restraints are in use.
Scale Readings - Scales / patient weights are for reference only. Scale
readings should not be relied upon for medication dosage. All equipment on
the weighed portion of the unit is included in weight displayed.
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characteristics than conventional surfaces and may increase the risk of
patient movement, sinking and / or migration into hazardous positions of
entrapment and / or inadvertent bed exit. Monitor patients frequently to guard
against patient entrapment.
Skeletal Traction or Unstable Fracture (if not contraindicated) – With
skeletal traction, unstable pelvic fracture or any other unstable fracture (to the
extent not contraindicated), maintain physician directed angle of articulation
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surface.
Electromagnetic Interference – Although this equipment conforms with the
intent of electromagnetic compatibility, all electrical equipment may produce
interference. If interference is suspected, move equipment away from
sensitive devices or contact the manufacturer.
Shock Hazard – Electrical shock hazard; do not remove electrical
FRPSDUWPHQWFRYHUV5HIHUWRTXDOL¿HGVHUYLFHSHUVRQQHO

11
Citadel Bed Frame System
INTRODUCTION
These instructions contain information for the installation, use and
maintenance of the ArjoHuntleigh Citadel™ Bed Frame System. These beds
have multiple functions to provide the optimum nursing position for both
patient and caregiver.
Product Overview
K
H
L
M
N
S
V
A. Head Board
B. Backrest Section
C. Patient Controls
D. Seat Section
E. Thigh Section
F. Foot Board
G. Extension Locking Handle
H. Accessory Power Outlet
I. Anti-Entrapment Sensor
J. Foot End Brake Pedal
K. Extension Catch Bar
L. CPR Release Handle
M. Weighing / Movement Detection
System Controls
N. Attendant Control Panel (ACP)
O. Side Rail Release Lever
P. Drainage Bag Rail
Q. Caster
55ROOHU%XႇHU
S. Lifting Pole Socket
T. Foot End Side Rail
U. Caregiver Controls
V. Head End Side Rail
*not pictured, optional foot switch
for adjustment of bed height.
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 Citadel Bed Frame System
All Citadel beds have the following standard features:
• Folding split side rails with integrated bed controls
• Electrical adjustment of bed height and leg section elevation
• Electrically operated retracting backrest
• Auto-Chair facility
• Electrical adjustment of head down tilt (Trendelenburg) and foot
down tilt (reverse Trendelenburg)
• Electrical adjustment of calf section vascular position
• Mattress support surface with removable panels
• Adjustable length deck
• Drainage bag rails
• Under bed lights
• 125 mm single wheel casters
• Patient weighing
• VariZone™ patient egress detection
• Anti-Entrapment System
The following are optional features:
• IndiGo™ Intuitive Drive Assist
• Non Powered 5th Wheel
• Foot Switch Height Adjustment
• One-way nurse call
• Two-way nurse call
• Environmental controls
• RS232 connection allowing transfer of bed status data
• 150 mm (single or dual wheel) casters
• Additional brake pedals at head end
• DIN accessory rails
• Foot pedal for adjustment of bed height
• Patient handset
• Auxiliary power outlet

13
Citadel Bed Frame System
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chosen options are indicated by the equipment model number.
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located on the bed frame below the head board.
Before using the bed, make sure that the Power in rating on the
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DUTY 10% 2 min ON / 18 min OFF
POWER in 115V~ 9.5 A MAX60H z
0086
ArjoHuntleigh AB
Hans Michelsensgatan 10
211 20 Malmö, SWEDEN
www.arjohuntleigh.com
YYYY-MM-DD
MADE IN POLAND
Citadel Bed Frame System 270 kg
595 lb
E348583
IPX4
Citadel Bed Frame System

14 Citadel Bed Frame System
CLINICAL APPLICATIONS
To make sure the patient can use the bed safely, their age and
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The use of head down tilt (Trendelenburg) or foot down tilt
(reverse Trendelenburg) may be contraindicated for certain
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Intended Use
The Citadel Bed Frame System is intended for the acute and post-acute care
environments. It is not intended for use in the homecare environment.
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
The Citadel Bed Frame System is indicated for medical purposes to aid the
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Contraindications
The Citadel Bed Frame System is contraindicated for patients weighing
in excess of 227 kg (500 lb). The caregiver should refer to and follow any
contraindications in the product labeling for the pressure redistribution
surface being used with the Citadel Bed Frame System.
The bed is not suitable for patients under 40 kg (88 lb) in weight.

15
Citadel Bed Frame System
General Product Information
All accessories added to the system reduce the safe working
ORDGRIWKHIUDPHE\WKHVDPHDPRXQW
Safe working load (SWL)............................... 270 kg (595 lb)
Maximum patient weight................................ 227 kg (500 lb)
The recommended patient height is between 146 cm (58 in) and 190 cm
(75 in). At the discretion of the caregiver, patients taller than 190 cm (75 in)
may be accommodated by extending the bed - refer to bed length adjustment
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length.
Maximum Patient Weight
:LWKNJDFFHVVRULHVRUPDWWUHVV Without Accessories or mattress
Safe Working Load NJ NJ
Patient Therapy System NJ NJ
Accessories NJ NJ
Maximum allowable patient weight NJ 225 kg
Precautions
Precautions may need to be taken when using this product with certain
patient conditions, including, but not limited to:
• hemodynamic instability
• severe agitation
• XQFRQWUROODEOHFODXVWURSKRELDRUIHDURIFRQ¿QHPHQW
• uncontrollable diarrhea
• pregnancy
• extensive facial trauma
• any other unstable fracture
• ICP monitoring or intracranial drainage devices
830.209 Rev D

16 Citadel Bed Frame System

17
Citadel Bed Frame System
INSTALLATION
The following chapter describes how to install the bed.
Weighing System Preparation
To prevent damage to the weighing mechanism, replace the
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When replacing the transport locking bolts care must be taken to
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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.
Figure 3: Removing the transport bolts
Retain the bolts and washers in case the bed needs to be transported at a
later date.
2
1
2
1

18 Citadel Bed Frame System
Electricity Supply
If the power cord or plug is damaged, the complete assembly
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FDXVHDWULSKD]DUG
Make sure the power cord does not become entangled with
moving parts of the bed or trapped between the bed frame and
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Unplug the power cord from the electricity supply, and store it,
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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 62.
Connect the mains plug to a suitable outlet. Make sure the plug is easily
accessible so it can be unplugged quickly in an emergency.
When the bed is connected to the electricity supply, the Power On Indicator
LED will light on the Attendant Control Panel (see page 35).
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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.
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To isolate the bed from the electricity supply, unplug the mains plug from the
outlet.

2

19
Citadel Bed Frame System
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A potential equalization terminal (Figure 5, item 1) is located at the foot end
of the bed.
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When other electrical equipment is within reach of the patient or caregiver,
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together their potential equalization terminals.
Electrical Connections
The Citadel bed contains the following electrical connections.
Frame: Citadel™ Patient Therapy System:
• Power Cord • AC Power Connection
• Nurse Call Connector • CPR Switch Connection
• 56&RQQHFWRULIVSHFL¿HG • Communication Connection
• Auxiliary Power Outlet
• Skin IQ™ Family Power Cable
Power Cord
The power cord is located at the head end of the bed. Make sure power
cord is kept free from all pinch points, moving parts and is not trapped under
casters. Improper handling of power cord can cause damage to the cord,
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the mains wall outlet to remove power from the unit.


 Citadel Bed Frame System
Nurse Call and RS232 Connections
1. Connect one end of the nurse call cable to the 37-pin D-type outlet,
located below the head end of the bed on the patient's right hand side.
2. Connect the other end of the nurse call cable to a compatible nurse call
system. The type of connector will vary depending on the nurse call
system.
3. Connect one end of an RS232 cable to the 9-pin D-type outlet, located
below the head end of the bed on the patient's right hand side.
4. Connect the other end of the RS232 cable to a device capable of
receiving data through an RS232 connection.
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cause malfunction of the bed or devices connected to the nurse
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Verify correct operation of the nurse call system before placing a
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PRYLQJWKHEHG
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2QO\FRQQHFWGHYLFHVGHVLJQHGWREHXVHGZLWKWKHEHG
Connecting devices not designed to be used with the bed may
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Failure to do so could result in damage to the bed or to other
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Breakaway
connection
Connect to
bed
Connect to
Nurse call system