HILLENBRAND INDUSTRY Hill-Rom TotalCare P1830A User manual

USER MANUAL
TotalCare® Bariatric
Bed
From Hill-Rom
Product No. P1830A

i
Table of Contents
Symbol Definition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
Caregiver Point-of-Care® Siderail Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Enable Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Lockout Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Bed Up/Down (Hi-Lo) Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Head Up/Down Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Knee Up/Down Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Foot Up/Down Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
FlexAfoot™ Retractable Foot Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Trendelenburg and Reverse Trendelenburg Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Bed Flat Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Chair Positioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
FullChair® Patient Position Mechanism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Chair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Chair Egress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Recliner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Point-of-Care® Brake and Steer System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Emergency Caregiver Foot Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
HandsFree® Emergency Trendelenburg Release Mechanism . . . . . . . . . . . . . . . . . . . . . . . . . . .12
HandsFree® Emergency CPR Release Mechanism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Head and Intermediate Siderails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Headboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Footboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Standard Casters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Equipment Sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Safety and Information Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Brake Not Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Chair Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Remove Ft Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Unplugged AC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

ii
Bed Exit System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Battery Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Service Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Line-of-Site® Trendelenburg Angle Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Hip Position Locator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Line-of-Site® Head Angle Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
WallGuard® Bumper System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
IV Sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Drainage Bag Holders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Patient Restraint Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
TotalCare® Bariatric Bed Surface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
Fluoroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
X-Ray Cassette Sleeve (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
IntelliDrive™ Transport System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Siderail Extenders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
Bed Pendant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Traction Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Caregiver Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Graphical Caregiver Interface (GCI)® Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Home Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Bed Exit System Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Scale Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
Bed Setup/Reset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
Manual Weight Input . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
Preset Bed Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
Foot Elevation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Preliminary Tilt Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
Manual Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
Patient Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Head Up/Down Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Knee Up/Down Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Safety Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Bed Positions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Brakes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Fluids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Siderails/Restraints/Patient Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29

iii
Electricity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
Parts and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
Operating Bed/Surface Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
Transport Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
Flammability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
Bed Articulations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
Chair Positioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
Visitor Notification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
Preventive Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
TotalCare® Bariatric Bed Main Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
IntelliDrive™ Transport System Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
General Cleaning/Disinfecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
General Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
Steam Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
Cleaning Hard to Clean Spots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
Disinfecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Cleaning Sleep Surface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Cleaning Medical Fluid Spills . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Cleaning Blood And Excreta . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Product Symbol Definition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39

iv
NOTES:

Symbol Definition
1
Symbol Definition
This manual contains different typefaces and icons designed to improve readability and increase
understanding of its content. Note the following examples:
• Standard text—used for regular information.
•Boldface text—emphasizes a word or phrase.
•NOTE:—sets apart special information or important instruction clarification.
• The symbol below highlights a WARNING or CAUTION:
Warning and Caution
– A WARNING identifies situations or actions that may affect patient or user safety.
Disregarding a warning could result in patient or user injury.
– A CAUTION points out special procedures or precautions that personnel must follow to
avoid equipment damage.
• The symbol below highlights a CAUGHT HAZARD WARNING:
Caught Hazard Warning
• The symbol below highlights a CHEMICAL HAZARD WARNING:
Chemical Hazard Warning
• The symbol below highlights an ELECTRICAL SHOCK HAZARD WARNING:
Electrical Shock Hazard Warning

Intended Use
2
Intended Use
The TotalCare® Bariatric Bed is intended to provide a patient support ideally suited for use in healthcare
environments. The TotalCare® Bariatric Bed may be used in a variety of settings including, but not limited to,
acute care, including critical care, step down/progressive care, medical/surgical, high acuity sub-acute care,
post anesthesia care unit (PACU), and sections of the emergency department (ED). The TotalCare® Bariatric
Bed is capable of being used with a broad patient population whose weight is between 250 and 460 lb (113 to
209 kg) and as determined appropriate by the caregiver or institution.
Introduction
This manual provides the information required for normal operation of the TotalCare® Bariatric Bed from
Hill-Rom. Before operating the TotalCare® Bariatric Bed, be sure that you have read and understood in detail
the contents of this manual. It is important that you read and strictly adhere to the aspects of safety contained
in this manual. Any reference to a side of the bed is from the patients’ view lying in the bed on their back.
Features
Patient Characteristics:
• Height: 74" (188 cm) maximum, 54" (137 cm) minimum
• Width: 40" (102 cm) maximum
• Patient weight: 250 lb (113 kg) minimum
460 lb (209 kg) maximum
• Safe working load: *500 lb (227 kg) maximum
* Includes: patient weight, mattress, IV pumps, poles, bags, etc.
WARNING:
Do not use the product outside the recommended patient height, weight, and width ranges. Patient injury or
equipment damage can occur.
Removable
Footboard
Point-of-Care®
Brake and Steer
System
Line-of-Site®
Head Angle
Indicator
Removable
Headboard
Line-of-Site®
Trendelenburg
Angle Indicator Point-of-Care®
Siderail
Controls Graphical Caregiver
Interface (GCI)® Control
Patient Control
Panel
OneStep®
Siderail
Release
Mechanism
HandsFree®
Emergency
CPR/Trendelenburg
Release Mechanism
IntelliDrive™
Transport System Manual Foot
Pedal 6" (15 cm)
WallGuard®
Bumper System
FlexAfoot™
Retractable Foot
Mechanism
IntelliDrive™
Transport System
Stowable Handles
Casters
Siderail Extender

Features
3
Dimensions
Mattress size: .................39" (99.1 cm) head/seat; 32" (81.3 cm) foot x 85" (216 cm) Automatic Knee Contour: ..............................10°
Foot Retraction: .......................................................................................12" (31 cm) Foot: .......................................................85° Down
Trendelenburg/Reverse Trendelenburg: .....................................................15°/15° Preliminary Tilt Table: ....................................20°
Emergency Trendelenburg: ................................................................................20° Knee: ................................................................20°
Head Section: .......................................................................................................75° Weighing Capacity: ......................500 lb (227 kg)
Articulating Deck: ....36.5" (92.7 cm) head/seat; 32.5" foot (82.6 cm) x 84"(213 cm) Maximum Safe Working Load: ....500 lb (227 kg)

Features
4
Caregiver Point-of-Care® Siderail Controls
Caregiver Point-of-Care® Siderail controls are located on the outboard side of the intermediate siderails.
WARNING:
Instruct visitors not to use caregiver controls at any time. Visitors may assist patients in the use of patient
controls. Unauthorized use of the caregiver controls may result in personal injury or equipment damage.
Enable Control
The Enable control deters unauthorized operation of certain user panel controls. The Enable control
must be pressed and the indicator light illuminated before the caregiver control will operate. The
Enable indicator stays on for 20 seconds. While this indicator light is on, the caregiver can activate
any caregiver controls that have not been locked out.
To Activate:
• Press the Enable control. The Enable indicator light comes on for 20 seconds.
• During the 20-second period, you may activate other caregiver controls without pressing the Enable control
again. The 20-second period will start over when another control is pressed.
See “Lockout Controls” on page 5 for instruction on lockouts.
NOTE:
The following patient controls, located on the outside of the rail in the caregiver control panel, do not require activation
of the Enable Control: Bed Up/Down, Head Up/Down, and Knee Up/Down.
Head Up/Down Control;
Knee Up/Down Control
Bed Up/Down Control
(Located on head rail)

Features
5
Lockout Controls
The Lockout controls located on the caregiver siderail control panel
disable the bed articulating functions.
The Lockout controls are used to prevent bed articulation by either
the caregiver or the patient.
To Activate:
• Simultaneously press the Enable control and the specific lockout control desired. Both patient and caregiver
controls are locked out. An audible alarm sounds when a lockout is activated.
• Disable any lockout by simultaneously pressing the Enable control and the relevant lockout control.
NOTE:
The master lockout disables all articulation controls, scale, and bed exit. No movement of the system is allowed, except
for emergency CPR and Trendelenburg functions.
Bed Up/Down (Hi-Lo) Control
The TotalCare® Bariatric Bed adjusts in height from a low position for patient egress to a high
position for examination. Use the Bed Up/Down controls to raise or lower the bed.
To Activate:
• Press and hold the Bed Up control to raise the system. Press and hold the Bed Down
control to lower the system. Release the control when the desired height is reached.
• Disable the Bed Hi-Lo – Activate the Hi-Lo lockout control.
Head Up/Down Control
The caregiver can raise or lower the head section by using the Head Up/Down Controls. Using the
Line-of-Site® Angle Indicators, the caregiver can articulate the head section to a maximum of 75°.
To Activate:
• Press and hold the Head Up Control to raise the head section. Press and hold the Head Down
Control to lower the head section.
WARNING:
When raising the head section above 50°, use care to prevent wedging of extremities between the siderails
and the mattress. Failure to do so may cause patient injury.
NOTE:
Additionally, the TotalCare® Bariatric Bed is equipped with an automatic contour mode. When the Head Up Control is
pressed, the automatic contour mode is enabled, and the knee section rises to a maximum of 10°.
• Automatic Contour Feature – Press and hold the Head Control. The head and knee sections rise together to
reduce patient migration toward the foot end of the system.
• Disable Automatic Contour – Activate the Knee lockout control.
NOTE:
The automatic contour feature can also be disabled by pressing and holding the Knee Down Control while raising the
head section.

Features
6
Knee Up/Down Control
The caregiver can raise or lower the knee section by using the Knee Up/Down Controls to a
maximum of 20° up.
To Activate:
• Basic Knee Up/Down – Press and hold the Knee Up control to raise the knee section.
• Press and hold the Knee Down control to lower the knee section.
NOTE:
The automatic contour feature does not work when using only the Knee Up/Down controls.
Foot Up/Down Controls
The foot section can be lowered and raised by using the Foot Up/Down Controls.
To Activate:
• Press the Enable Control.
• Press and hold the Foot Down control to lower the foot section. Press and hold the Foot
Up control to raise the foot section.
WARNING:
Do not use ankle restraints when activating this feature; injury to the patient may result.
CAUTION:
Before activating the foot section controls, make sure the area around the foot section is clear of equipment, or
equipment damage may occur.
FlexAfoot™ Retractable Foot Control
The foot section can be extended or retracted using the foot
retraction In/Out controls. This feature allows the TotalCare®
Bariatric Bed to customize the length of the sleep surface to the
patient. The foot section can be retracted 12" (30 cm).
To Activate:
• Press the Enable Control.
• Press and hold the Foot Out control to extend the foot section. Press and hold the Foot In control to retract the
foot section.
Patient comfort can be affected by an improperly adjusted foot section.
WARNING:
Do not use ankle restraints when activating this feature; injury to the patient may result.

Features
7
WARNING:
The retractable foot section provides multiple patient benefits. These include facilitating the prevention of
footdrop, allowing chair mode patient ingress/egress, and preventing transmission of shear forces from the
mattress to the patient during chair mode articulations. However, for certain patients a retracted foot section
may increase the risk of patient entanglement between the siderails and footboard. If a potential for
entanglement exists, such as with patients who are agitated or disoriented, or who lack the physical strength to
extract themselves should they become entangled, the foot section should be left fully extended when the
patient is not under direct supervision.
Trendelenburg and Reverse Trendelenburg Controls
The TotalCare® Bariatric Bed is capable of 15° Trendelenburg and 15° Reverse
Trendelenburg. The powered Trendelenburg and Reverse Trendelenburg controls can be
activated at any bed height.
The Trendelenburg feature includes Line-of-Site® Angle Indicators located
in the intermediate siderails for determining Trendelenburg angles.
To Activate:
• Press the Enable control.
• Trendelenburg – Press and hold the Trendelenburg control. The foot
end of the bed system articulating frame raises relative to the head end.
• Reverse Trendelenburg – Press and hold the Reverse Trendelenburg
control. The head end of the bed system articulating frame raises relative to the foot end.
• Return to flat position – Press the opposite control. (If in Trendelenburg, press Reverse Trendelenburg. If in
Reverse Trendelenburg, press Trendelenburg.) When the level position is reached, the bed system will stop.
NOTE:
If the foot section is in the down position when Reverse Trendelenburg is activated, the foot section will automatically
raise. This prevents the articulated foot section from interfering with the floor.
Bed Flat Control
The patient deck can be easily returned to the level position from any articulated position by using the
Bed Flat control.
To Activate:
• Press the Enable Control.
• Press and hold the Bed Flat control. The patient deck moves to the flat position in a two-step motion, first the
articulating frame and then the individual sections. When all sections are flat, the system stops.

Features
8
Chair Positioning
FullChair® Patient Position Mechanism
Using the FullChair® Patient Position Mechanism, the caregiver can place the TotalCare® Bariatric Bed
in one of three basic chair positions: chair, chair egress, and recliner.
Chair positioning can only be accessed through the caregiver control panel.
Patient articulation controls are automatically locked out while the system is in the chair or chair egress
positions. The chair indicator on the caregiver control panel illuminates when the chair position is entered.
Use facility protocol to assess a patient’s ability to be safely articulated into the chair position.
Chair
The head section rises 65°, the knee section rises 10°, and the foot section lowers 70°.
The chair feature allows the caregiver to place the patient in a fully seated position without having to remove the patient
from the TotalCare® Bariatric Bed. The chair feature also provides a means to support the patient’s feet for comfort
and security.
To Activate:
• Set the brake.
• Press the Enable control.
• Press the Chair control. The patient deck transitions to the chair
position.
• If the footboard is installed, when the articulation stops and a tone
sounds, the system has reached the full chair position.
To Support Patient’s Feet:
• Check for support in the full chair position. Many patients are
adequately supported with no action required.
• Retract the foot section if necessary.
• For shorter patients, reverse the footboard so that the product label is up.
• Move the mattress foot section up to remain within the footboard.
• Adjust the foot section length using the Foot In control to position the legs correctly while maintaining foot
support.
Many shorter patients may not require that the footboard be reversed. Use of pillows and blankets may provide
adequate support. Extremely short patients may require use of pillows and blankets in addition to reversing the
footboard for adequate foot support.
NOTE:
For large patients or patients at risk for skin breakdown, use of the Trendelenburg control to tilt the chair position back
will optimize interface pressure performance.
NOTE:
When the brake is not set and the bed system is in the chair or chair egress positions, the brake not set and chair
indicators will flash and an audible alarm will sound.
NOTE:
If the footboard is installed with the bed in the maximum chair position and the chair control or foot down control is
pressed, the Remove Ft Board and Chair indicators will flash and an audible alarm will sound.

Features
9
WARNING:
Check periodically to ensure that the patient remains properly positioned. If necessary, use the optional seat
belt to keep patients from sliding or falling forward while in a chair position. Use of pillows can maintain side-to-
side positioning. Injury to the patient may result from improper positioning.
WARNING:
Do not articulate the head section with the patient buckled with the Seat Belt. Patient injury can occur.
WARNING:
Do not use the Seat Belt as a restraint device. The Seat Belt is only to maintain correct patient positioning in
the chair position.
WARNING:
The patient’s feet must be supported at all times while in the chair position. Extended periods of time without
support can cause discomfort and reduced circulation. Refer to page 6, the FlexAfoot™ Retractable Foot
Control, and/or move the patient down in the bed until the patient’s feet are supported. Injury to the patient may
result from improper positioning.
WARNING:
Do not transport a patient with the TotalCare® Bariatric Bed in a chair position. Injury to the patient may result.
CAUTION:
Do not stand or sit on the footboard. Damage to equipment may result.
Chair Egress
The head section rises 75°, the knee section lowers to 0°, the foot section
lowers to 85°, and the Hi-Lo lowers to its lowest height. The foot section also
fully retracts automatically.
The chair egress feature allows the caregiver to easily position a patient to
egress from the foot end of the TotalCare® Bariatric Bed.
NOTE:
The FullChair® Patient Egress Position Mechanism is intended to facilitate
patient egress and not long-term sitting.
To Activate:
• Ensure the casters are in the trailing position.
• Set the brake.
• Remove the footboard.
• Press the Enable control.
• Press the Chair control. The patient deck transitions to the chair egress position. Monitor the patient as the
system moves to the egress position.
• Assist the patient with egress.

Features
10
NOTE:
When the brake is not set while the bed system is in the chair egress position, the brake not set and chair indicators
flash, and an alarm sounds.
NOTE:
The TotalCare® Bariatric Bed will not move to the maximum position for the FullChair® Egress Position Mechanism
until the footboard is removed. When the footboard is removed the Remove Ft Board indicator light goes out.
WARNING:
If the patient is left sitting in the chair egress position, a thigh angle of 10° should be maintained, except during
actual patient egress. The patient’s feet must be supported by the floor at all times while in the egress chair
position. Injury to the patient may result from improper positioning.
WARNING:
Do not transport a patient with the TotalCare® Bariatric Bed in a chair position, injury to the patient may result.
WARNING:
Do not use ankle restraints when activating this feature, injury to the patient may result.
WARNING:
If bed sheets contact the floor during chair egress use, follow standard infection control procedures.
CAUTION:
Do not install the footboard in the chair egress position. The Remove Ft Board and Chair indicators flash and
an alarm sounds.
When moving the bed out of the chair egress position, a beep sounds to remind the caregiver to install the footboard.
Recliner
The head section rises 50°, the knee section rises 10°, and the foot
section lowers 30°.
The recliner feature allows the patient to be placed in a customized
semi-seated position.
To Activate:
• Set the brake.
• Press the Enable control.
• Press the Chair control. The patient deck transitions to the
reclined position.
• When the system has reached the approximate desired position, release the Chair control. If desired, use the
Head, Knee, Foot, or Foot Retract Controls to make custom recliner position adjustments.

Features
11
WARNING:
Do not transport a patient with the TotalCare® Bariatric Bed in a recliner position, injury to the patient may
result.
WARNING:
Do not use ankle restraints when using this feature, injury to the patient may result.
WARNING:
The patient’s feet must be supported at all times while in the recliner position. Extended periods of time without
support can cause discomfort and reduced circulation. Injury to the patient may result from improper
positioning.
Point-of-Care® Brake and Steer System
The Point-of-Care® Brake and Steer System pedal control is located above the casters at the head end of the system.
Use the steer mode to move the TotalCare® Bariatric Bed. Engaging the Brake feature keeps the TotalCare® Bariatric
Bed from moving. The neutral position allows the system to be moved sideways in a room or small enclosed area.
To Activate:
NOTE:
The TotalCare® Bariatric Bed should be pushed from the head end of the bed using the transport handles.
When the brake and steer pedal is placed in steer, the front casters are not locked into steer mode. All four casters on
the bed are put into the neutral position. This allows the bed to pivot on the IntelliDrive™ Transport System drive wheel.
Pivoting on the drive wheel allows for tighter turns, and enhanced ease of steering.
WARNING:
Always set the brake when the bed and/or patient is not being transported. Failure to set the brake can cause
personal injury or equipment damage from the bed moving under its own power.
• Brakes - Step down on the orange Brake
Pedal. The Brake not Set indicator goes out,
indicating the four casters are locked. Push
and pull on the system to make sure that
the brake function is fully engaged.
• To Steer - Step down on the green Steer
Pedal. The Brake not Set indicator comes on. • Neutral Position - Move the Brake/Steer
pedal to the level position. The Brake not Set
indicator comes on. The system can now be
moved in any direction.
If the bed is unplugged, the IntelliDrive™
Transport System will deploy.

Features
12
Emergency Caregiver Foot Controls
An Emergency CPR and an Emergency Trendelenburg control pedal is located on
each side of the base frame between the head end and foot end casters.
HandsFree® Emergency Trendelenburg Release Mechanism
Under normal power, the TotalCare® Bariatric Bed is capable of 15°
Trendelenburg and 15° Reverse Trendelenburg. The emergency
Trendelenburg feature is capable of achieving up to a 20° angle if the bed is in
the full height position.
To Activate:
• The head section must be flat for the Emergency Trendelenburg
feature to achieve the desired position.
• With your foot, lift and hold the TREN pedal. When the articulating
frame has reached the full or desired Trendelenburg position, release
the TREN pedal.
• If movement of the articulating frame stops before the maximum 15° is achieved, raise the articulating frame
higher by using the Bed Up control.
WARNING:
The overall angle of emergency Trendelenburg is directly proportional to the height of the bed. To ensure that
a maximum of 15° can be achieved, the bed system should always be transported in a mid-height position. If
the bed is in low position and AC power is not available, use pillows to elevate the patient’s feet until
Trendelenburg can be achieved.
HandsFree® Emergency CPR Release Mechanism
When connected to AC power, the CPR release lowers the head and knee
sections, and raises the foot section. The head section moves to a flat position
within 10 seconds. Emergency CPR is also functional in the chair egress and
recliner positions. When the pedal is held down for 4 seconds, a tone sounds
and the foot section rises. The foot section moves to a flat position within a
maximum of 25 seconds if fully articulated.
If the power cord is unplugged, only the head section lowers. To stop the
automatic foot up articulation, press any control except for Bed Up/Down, and
the foot section will stop.
NOTE:
The headboard can be used as a CPR board in emergency situations.

Features
13
To Activate:
• If the master lockout is enabled, it must be deactivated to allow other controls to stop the foot section.
• Hold the CPR pedal down with your foot until the head section reaches the flat or desired position and you hear
the audible tone. Release the CPR pedal to stop head section movement. The foot and knee sections will
automatically move to a flat position.
• A cardiac arrest board is required. The head board can be used in place of the cardiac arrest board.
• To stop foot section movement, simply press any other siderail control.
WARNING:
When the AC power is lost, only the head section will lower.
NOTE:
The Bed Up/Down controls can be used when the CPR function is activated.
Head and Intermediate Siderails
TotalCare® Bariatric Bed siderails have been
designed for one-step operation.
Siderails in the raised position are intended to make
the patient aware of the proximity of the edge of the
sleep surface.
Siderails in the down position, below the patient
surface, facilitates a patient’s entry or exit from the
bed. This design feature also facilitates unobstructed
access to the patient.
WARNING:
Applying forces of greater than 100 lb (45.5 kg) into a siderail while the patient is on his or her side may create
an unstable bed situation. Care should be taken when a patient rolls against a siderail. Failure to do so can
result in patient injury.
To Activate:
• Raise a siderail by pulling the siderail up until it
latches into the locked position.
• While raising the siderails, a click will be heard when
it latches into the locked position.
• Lower a siderail by grasping the release handle and
pulling out. The siderail automatically lowers and
tucks under the sleep surface perimeter.
Siderails Raised
Siderails Lowered
OneStep® Siderail Release
Mechanism

Features
14
WARNING:
Siderails are not intended to be used as restraint devices. The appropriate medical personnel should
determine the level of restraint necessary to ensure that a patient will remain safely in the bed system.
WARNING:
Although the siderails have been designed to reduce the risk of patient entanglement, the potential exists
particularly for patients who are agitated or disoriented, as well as patients who lack the physical strength to
extract themselves if they become entangled. Caregivers should carefully evaluate the need for siderails and
periodically check patients in accordance with facility protocols for safe positioning.
CAUTION:
When placing the bed into a chair position, ensure the siderails are raised. Failure to do so can result in
damage to the siderail extenders when the foot section retracts.
Headboard
The headboard is located at the head end of the bed. It attaches to the head end of the
frame, and it articulates with the frame.
The headboard can be removed for increased access to the patient’s head. It also can be
used as a back board during emergency CPR procedures.
A caregiver can quickly remove or attach the headboard in a single step without the use of
tools.
To Remove/Install:
• To remove, grasp the headboard and lift straight up.
• To Install, position the headboard sockets over the pins on the frame. Then, lower the headboard onto the
pins. Push the headboard down until the bottom rests on the frame.
Footboard
The footboard is located at the foot end of the bed. It attaches to the articulating foot
section, and it remains perpendicular to the surface of the foot section at all times. The
footboard protects the patient during transport and room docking.
A caregiver can quickly remove or attach the footboard in a single step without the use of
tools.
To Remove/Install:
• To remove, grasp the handles on the footboard and lift straight up.
• To install, insert the pins of the footboard into the blue sockets in the articulating frame. Push the footboard
down until it rests on the deck.
Standard Casters
The TotalCare® Bariatric Bed comes equipped with 6" (15 cm) casters. The casters are integral components of the
brake and steer system.