Getinge Arjohuntleigh RotoRest System User manual

RotoRest System
Operating Instructions
...with people in mind
M6252253-AH Rev A • 01/2015

i
Contents
INTRODUCTION ..................................................................................................................1
The System at a Glance ............................................................................................................................1
System Components ................................................................................................................................1
System Features ........................................................................................................................................1
Features...................................................................................................................................................................... 1
Intended Use..............................................................................................................................................1
Indications................................................................................................................................................................. 2
Contraindications ................................................................................................................................................... 2
Safety Precautions .................................................................................................................................................. 2
Applications.............................................................................................................................................................. 2
Connecting the system to other devices..............................................................................................2
Devices That can be Used in Conjunction to This System........................................................................ 2
Devices to Which the System can be Connected........................................................................................ 2
SAFETY.................................................................................................................................3
General Safety Precautions.....................................................................................................................3
Height and Weight of the Patient ..........................................................................................................3
SAFETY NOTICES .......................................................................................................................................3
General Protocols.................................................................................................................................................... 3
Skin Care .................................................................................................................................................................... 3
Brakes.......................................................................................................................................................................... 3
Bed Height................................................................................................................................................................. 3
Lock Pin ...................................................................................................................................................................... 4
Head and Shoulder Immobilization Set ......................................................................................................... 4
Thorax Supports...................................................................................................................................................... 4
Access Hatches ........................................................................................................................................................ 4
Head Access Hatch ................................................................................................................................................. 4
Moving Parts............................................................................................................................................................. 4
Handling Catheters, Lines and Drainages...................................................................................................... 4
Posey Restraints....................................................................................................................................................... 4
Cardiopulmonary Resuscitation (CPR) ............................................................................................................ 4
Fire Hazard Prevention.......................................................................................................................................... 5
Transportation ......................................................................................................................................................... 5
Hazard Protection .....................................................................................................................................5
Fluids ........................................................................................................................................................................... 5
Disposal...................................................................................................................................................................... 5
Mains Cable............................................................................................................................................................... 5
Interference with Other Devices ............................................................................................................ 5
PREPARING FOR USE ..........................................................................................................6
Bed Pad Arrangement........................................................................................................................................... 6
Support Pad Arrangement.................................................................................................................................. 7
Access Hatch Arrangement................................................................................................................................. 8
Subframe.................................................................................................................................................................... 8
Preparing the System for Use .................................................................................................................9
Preparing to Position the Patient....................................................................................................................10

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OPERATION........................................................................................................................14
Procedure for a Cardiopulmonary Resuscitation (CPR)...................................................................14
Following Cardiopulmonary Resuscitation and Stabilization of the Patient ..............................14
The Operating Panel...............................................................................................................................15
Menu / Select Button...........................................................................................................................................15
Cancel / Alarm Reset Button.............................................................................................................................15
Cursor Buttons .......................................................................................................................................................15
Operating Elements for the Hydraulic System...........................................................................................16
Button for Training Mode...................................................................................................................................16
Menu Structure of the Display .........................................................................................................................16
Menu Structure of the Display .........................................................................................................................17
Mechanical Operating Elements..........................................................................................................18
Lock Pin ....................................................................................................................................................................18
Release Lever for the Drive Belt.......................................................................................................................18
The Operating Unit.................................................................................................................................19
Operating Display.................................................................................................................................................19
Menu Screen...........................................................................................................................................................19
Setting the Maximum Rotation Angle ..........................................................................................................20
Zeroing the Timer .................................................................................................................................................21
Setting Holding Times.........................................................................................................................................22
Checking the Bed Settings (Display Status) ...............................................................................................23
Setting the Trendelenburg Angle ...................................................................................................................24
Activating Training Mode...................................................................................................................................24
Alarm and Warning Messages ..............................................................................................................25
Side Supports Fixed? ...........................................................................................................................................25
Not Fully Locked....................................................................................................................................................25
Bed Stop Alarm......................................................................................................................................................25
Obstacle Alarm ......................................................................................................................................................26
POSITIONING THE PATIENT .............................................................................................27
Preparing to Position the Patient.........................................................................................................27
Transferring the Patient to the RotoRest System ..............................................................................27
Patient-specic Settings ........................................................................................................................35
Counterweights.....................................................................................................................................................35
Adjusting the Support Pads..............................................................................................................................36
Thorax X-ray Imaging ..........................................................................................................................................37
Thorax Drainages..................................................................................................................................................37
Drip Stands (available as accessories) ...........................................................................................................38
Positioning with Amputations .........................................................................................................................38
Transporting the Patient in the RotoRest System .............................................................................38

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PATIENT CARE ...................................................................................................................39
Bathing the Patient.................................................................................................................................39
After Bathing the Patient.......................................................................................................................39
Skin Care ...................................................................................................................................................39
Access Hatches ........................................................................................................................................40
Arm Access Hatches.............................................................................................................................................40
Hip / Leg Access Hatches ...................................................................................................................................40
Head Access Hatch ...............................................................................................................................................41
Thorax Access Hatch............................................................................................................................................41
Posterior Access Hatch........................................................................................................................................41
Bladder Emptying.................................................................................................................................................41
Intestinal Voiding..................................................................................................................................................42
Respiratory Toilet ..................................................................................................................................................42
CLEANING AND CARE.......................................................................................................43
The Bed Platform.....................................................................................................................................43
Transport ..................................................................................................................................................44
Storage......................................................................................................................................................44
SPECIFICATIONS ...............................................................................................................45
Technical Specications.........................................................................................................................45
Dimensions .............................................................................................................................................................45
Functional Specifications...................................................................................................................................45
Electrical Specifications ......................................................................................................................................45
Explanations of Symbols Used .............................................................................................................46
CUSTOMER CONTACT INFORMATION ............................................................................47

1
Introduction
This chapter provides a general overview of the RotoRest™ system. Inaddition to a description
of the functions and intended use of the system, the system components are also explained.
The system's compatibility with other devices, the components that can be connected to
the system and the components to which the system can be connected are also covered.
The System at a Glance
The RotoRest system permits Kinetic Therapy up to 62° for trauma and intensive care patients.
System Components
■Drip stands
■Bed pads
■Support pads
■Removable holder for respiratory tube
■Removable cervical extension xture
System Features
Features
■Bilateral rotation up to 62° (124° arc)
■Variably adjustable intervals of up to 20 minutes on each side
■Various access hatches, which permit easy access to the patient's dorsal surface
■Access hatch in the thorax region for routine thorax X-ray imaging
■Individually adjustable pads for the patient's safety
Intended Use
The RotoRest system oers unique Kinetic Therapy for consistent treatment of pulmonary
complications.

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Indications
The RotoRest System is indicated for the treatment and prevention of pulmonary complications
as a result of immobility and is suitable for adult patients with:
■Thorax trauma or rib fractures
■Lumbar vertebra fracture
■Cervical or skeletal extension after primary stabilization
Contraindications
The RotoRest System must not be used for:
■Patients with a body weight of over 150 kg
■Uncontrolled intracranial pressure
The RotoRest System must not be used as a primary medium for stabilizing
fractures of the cervical spine or for a cervical extension. An external fixation with
a halo brace and halo body jacket or operative stabilization is required for this
purpose.
Safety Precautions
In the following cases, the risks and benets of positioning therapy should be discussed with a
physician:
■Hemodynamic instability
■Uncontrollable diarrhea
■Pronounced restlessness or uncontrollable claustrophobia
■Bone extension
■Severe pain or discomfort
During an extension, it is possible that the patient may slip in the system. If
necessary, a suitable restraint should be provided in these cases.
Prior to commencing Kinetic Therapy, all supply and drainage lines should be
checked, taking into account the maximum rotation angle, to minimize the risk of
them being trapped, disconnected or accidentally removed.
Applications
■Intensive care units or other areas where the patient is under constant observation
Connecting the System to Other Devices
Devices That can be Used in Conjunction to This System
■Extension system
■Extension clamps for stretching the cervical spine
Devices to Which the System can be Connected
■None

3
Safety
This chapter contains information on the general safety precautions for the use of the system
as well as recommendations for the patient's minimum or maximum body weight and height.
General Safety Precautions
■The RotoRest system should not be used in combination with an oxygen tent.
■Mechanical cleaning or high-pressure cleaning will damage the system.
■All maintenance work must be carried out by qualied specialists who are trained
in the repair and maintenance of this bed. All repair and maintenance work should
be carried out by authorized personnel.
■Only recommended replacement parts should be used. ArjoHuntleigh accepts no
liability in respect of incidents due to the use of non-recommended spare parts or
to unauthorized modications to the bed.
Height and Weight of the Patient
■The safe operating load for the RotoRest system is 150 kg.
■The bed can be adjusted to suit patients of dierent heights. Options for
comfortable positioning are limited for persons over 190 cm in height.
SAFETY NOTICES
General Protocols
Observe all applicable safety regulations and procedures in your facility to ensure the safety of
patients and care personnel.
Skin Care
The patient's skin condition must be regularly monitored, especially at the most common sites,
in cases of incontinence and at drainage exit points. Additional or alternative therapies should
be considered for high-risk patients. Early intervention is essential to prevent serious
skin damage.
Brakes
The parking brakes should be locked whenever the bed is stationary.
Bed Height
The bed height should be set to the lowest possible position whenever the patient is left
unattended. Before adjusting the height, make sure that there are no objects, persons or body
parts beneath or around the bed frame. When opening the access hatches, the system should
be at maximum height and maximum lateral rotation to reduce the strain on the
caregiver's spine.

4
Lock Pin
The arresting bolt should be pushed in whenever automatic rotation is deactivated.
Head and Shoulder Immobilization Set
The securing wing nuts on both sides of the head and shoulder immobilization set should
always be tightened securely to prevent any displacement of the immobilization pads along
the retainers.
Thorax Supports
A clearance of 25 mm should be maintained between the end of the thorax supports and the
patient's armpit (approximately the width of two ngers). The thorax supports should never
rest beneath the patient's armpits as the resulting pressure could cause serious injury to nerves
and obstruct circulation.
Access Hatches
Only open one access hatch at any one time to prevent the patient from slipping. Forpatients
with fractures of the lower thoracic spine and / or lumbar spine, the access hatches in the
thorax and posterior areas may be opened ONLY if the support surface is rotated by 62° or 69°
degrees and the arresting bolt is pushed in. Make sure that the access hatches are closed and
locked before rotating the patient support surface. Proceed with caution when opening and
closing the access hatches. Keep arms, legs, hair, clothing and other objects well away from the
access hatch openings to avoid injury or damage. The dropping of access hatches is an injury
hazard and causes damage to the system.
Head Access Hatch
Make sure that the patient's head is adequately supported before opening the head access
hatch.
Moving Parts
Keep all devices, catheters, drainages, lines, loose-tting garments, hair and body parts away
from moving parts and areas in which they may become trapped.
Handling Catheters, Lines and Drainages
Before activating bed rotation, check that all supply and discharge lines are securely fastened
taking account of the maximum rotation angle, so as to minimize the risk of them being
accidentally trapped, disconnected or removed. Supply and discharge lines should always have
sucient clearance to allow rotational and patient movements.
Posey Restraints
The posey restraints should be attached and fastened at all times. Do not leave the patient
unattended when the belts and pads have been removed for basic care, X-rays, etc.
Cardiopulmonary Resuscitation (CPR)
The care givers and other hospital personnel must be familiar with the CPR function and the
emergency release procedure via which the patient support surface can be manually rotated
to and locked in the horizontal position, as well as with other procedures that allow the patient
to be accessed in case of emergency.

5
Fire Hazard Prevention
To minimize the re hazard, connect the unit's mains cable to a wall socket. Do not use
extension cables or power strips. Read and follow the relevant European safety directives.
Transportation
The bed should always be transported by a minimum of two persons.
Hazard Protection
Fluids
Make sure that no uids get onto the system's electrical components.
If uids do come into contact with the device, proceed as follows:
■Disconnect the unit's mains plug
■Remove any uids from the housing
Before re-connecting to the power supply, make sure that there are no fluids in or
around the socket, mains switch or plug.
■Check that operating elements and other components in areas that have been in
contact with uids function correctly
Corrosion can occur if fluids are allowed to remain on the electronic operating
elements. This can cause the electronic components to malfunction. Malfunctioning
components can disrupt unit operation, posing a risk to the patient and staff.
Disposal
If you have any questions regarding disposal, please contact your local ArjoHuntleigh
representative.
Mains Cable
The system must not be operated if the mains cable is worn or damaged. To obtain a
replacement cable, please contact your local ArjoHuntleigh representative.
Interference With Other Devices
Although this device conforms to Standard IEC 60601-1-2 on Electromagnetic Compatibility, it
may cause interference, just like any other electrical device. If you suspect interference, remove
the device from the vicinity of sensitive equipment or contact the manufacturer.
(IEC 60601-1-2. Electrical Medical Products - Part 1: General Specications for Safety, 2nd
Collateral Standard: Electromagnetic Compatibility - Requirements and Inspections).

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Preparing for use
This chapter describes the steps required to prepare the RotoRest system for use.
Before you prepare the RotoRest system for use, check the system for damage or
parts that cannot be maintained.
Release lever for
the drive belt
Left leg pad
Right leg pad
Abduction retainer
Bed platform
Posterior pad
Left arm pad
Right arm
pad
Thorax pad
Head pad
Lock pin
Bed Pad Arrangement

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Support Pad Arrangement
Foot supports
Hip / leg supports
Leg positioning
pad
Abduction pad
Arm supports
Thorax supports
Shoulder restraint
Head support pad
Arm positioning pad
Knee supports
Holder for respiratory tube and retainer
for cervical extension xture

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Access Hatch Arrangement
Subframe Locking lever for
hip / leg supports
Bag holder
Openings for
catheter
Detents for posterior
access hatch
Detents for head
access hatch
Locking lever for
thorax supports
Detent for arm
access hatch
Detent for hip / leg
access hatch
Wheel
Frame rail
Counterweights Horizontal rail

9
Preparing the System for Use
Remove any counterweights located on the frame rail and place them on the
horizontal rail of the castor frame.
1. Make sure that the bed is in the horizontal position.
■Disengage the drive by pushing one of the release levers for the drive belt
down; the bed can now be rotated by hand in the direction in which the
lever was pushed.
■Once the bed is in the horizontal position, release the lever.
■Lock the bed in the horizontal position by pushing the lock pin fully into the
lowermost opening on the drive.
2. Lock all wheels.
Release lever for
the drive belt
Lock pin
Drive belt

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Preparing to Position the Patient
1. Remove the knee supports by pulling out the pin and withdrawing the shaft from
the square tube of the abduction retainer.
2. Remove the positioning pads for the arms and legs.
Knee
supports
Arm and leg positioning pads

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3. Remove the side arm supports by pulling them o the bed in a vertical direction.
4. Place all side supports in the outermost lateral position before removing them. This
makes them easier to re-attach and adjust at a later time.
■Loosen the locking lever for the thorax supports on the underside of the bed.
■Apply pressure to the top of the pad and to the locking lever for the support
pad located beneath the bed at the same time.
5. Loosen the restraints for the shoulder retainers and rotate the
retainers by 100°.
Shoulder
retainer
Arm supports
Thorax supports
Hip / leg supports
Restraints
Crossbeam

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6. Remove the other side arm support pads by pulling them o the bed in a
vertical direction.
7. Remove the abduction pad by pushing it towards the head end of the bed
and loosen it from the foot support retainer and from the securing bolts on the
abduction retainer.
Abduction
pad

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8. Loosen the retainer for the foot supports by pulling the clamping lever upwards.
The retainer will then slide free in its rail. Slide it all the way to the foot end of
the bed.
9. To loosen the abduction retainer, pull the clamping lever upwards and push the
retainer to the foot end of the bed. Place both hands (one on each side) on the
bottom of the retainer and carefully slide it into the vertical position.
For very broad patients, it may be necessary to adjust the locking lever to achieve the greatest
possible clearance between the side supports. This requires all four locking levers on both sides
to be rotated by 180°. Proceed as follows:
1. Loosen the locking lever by pushing the clamping lever beneath
the bed down.
2. Move the locking lever to the center of the slot and rotate by 180° in the opening
in the center of the slot.
3. To make the necessary adjustments for very tall patients, you must rotate the left
and right arm support by 180°.
Retainer for foot
support pad
Abduction
retainer
Clamping lever
Clamping lever

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Operation
This chapter describes the operation of the RotoRest system, how to handle and navigate through
the various screens and how to safely switch the system on and o.
Procedure for a Cardiopulmonary Resuscitation (CPR)
1. Move the bed to the horizontal position and push in the lock pin.
2. Lower the frame to a comfortable working height.
3. Remove the pads and side supports as required to gain access to the patient.
Following Cardiopulmonary Resuscitation and Stabilization of the Patient
1. Put back all pads and side supports that were removed.
2. Ensure that the bed is remade as described in the chapter, Positioning the Patient,
in these instructions (page 27).
3. Resume the therapy as described in the chapter, Operation, in these
instructions (page 14).

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MODEL IV FOR TRAUMA AND INTENSIVE CARE
POWER
ROTATION ON
LEFT
LIMIT CURRENT ANGLE RIGHT
LIMIT HEAD FOOT
MENU/SELECTION
CLEAR/ALARM RESET
The Operating Panel
The operating panel is at the foot end of the bed and features several buttons, a display and
various indicator lamps. The button functions are described below:
Menu / Select Button
This is the most important button on the operating panel. It performs the following functions:
1. Displays the menu on the screen
2. Alters all bed settings
3. Conrms all selected settings
Cancel / Alarm Reset Button
This button performs two functions:
1. Cancels and automatically resets all alarms
2. Clears the current display and returns to the operating display from which the
menu can be accessed
Cursor Buttons
Use these buttons to select the menu options that are to be altered or checked. Select a menu
option by moving the arrow (>) on the screen up or down until the required menu option
is indicated.

16
Operating Elements for the Hydraulic System
These buttons are used to raise and lower the bed.
Button for Training Mode
This button is used to switch the bed to training mode.
Rotation begins at 30° and is then gradually increased until the required rotation angle
is reached.
Menu Structure of the Display
The following information is shown on the display:
■Information on operating the bed with details of the maximum rotation angle for
the right and left sides, the actual rotation angle and the current rotation direction.
The display also shows how long the bed has been in operation.
■The menu.
■The changes made to a menu option.
■The settings for the various menu options.