Hillrom Affinity III User manual

User manual
Affinity®III

© 2000 by Hill-Rom Services, Inc. ALL RIGHTS RESERVED.
No part of this text shall be reproduced or transmitted in any form or by any
means, electronic or mechanical, including photocopying, recording, or by
any information or retrieval system without written permission from Hill-Rom
Services,Inc.(Hill-Rom).
First Edition
First Printing 2000
PrintedintheUSA
Affinity® is a registered trademark of Hill-Rom, Inc.
Beaucoup® is a registered trademark of Huntington Laboratories, Inc.
CSA® is a registered trademark of Canadian Standards Association, Inc.
Dartex® is a registered trademark of Courtaulds Textiles (Holdings) Limited.
EasyGlide™ is a trademark of Hill-Rom, Inc.
Galahad® is a registered trademark of Puritan Chemical Company
Hi-Tor® is a registered trademark of Huntington Laboratories, Inc.
Hill-Rom® is a registered trademark of Hill-Rom, Inc.
Matar® is a registered trademark of Huntington Laboratories, Inc.
OneStep™ is a trademark of Hill-Rom, Inc.
Quanto® is a registered trademark of Huntington Laboratories, Inc.
SideCom® is a registered trademark of Hill-Rom, Inc.
Slo-Blo® is a registered trademark of Littelfuse, Inc.
Staph-Chek® is a registered trademark of Herculite Products, Inc.
Surfacide® is a registered trademark of Walton-March, Inc.
Vesphene® II is a registered trademark of E.R. Squibb & Sons, Inc.
Virex® is a registered trademark of S.C. Johnson & Son, Inc.
The information contained in this manual is subject to change without notice.
Hill-Rom makes no commitment to update or keep current, the information
contained in this manual.
The only product warranty intended by Hill-Rom is the express, written
warranty accompanying the bill of sale to the original purchaser. Hill-Rom
makes no other warranty, express or implied, and in particular, makes no
warranty of merchantability or fitness for a particular purpose.
To order additional copies of this manual, call [phone], and place a
parts order for part number usr025.
Revision Letter Pages Affected Date
Original Issue October, 2000

USER MANUAL
Affinity III
Rev 000 1
TABLE OF CONTENTS
1 Typographical Conventions ..........................3
2 IntendedUse ......................................4
3 Introduction . . . . . . . . . . . . . ..........................4
4 Features ..........................................4
4.1 AutomaticTilt ........................................5
4.2 BatteryBackup .......................................5
4.3 BedControls .........................................6
4.3.1 Back Section Lumbar Mattress Control (Optional) . . . . . . . . . 7
4.3.2 FootSection ......................................8
4.3.3 HeadSection......................................8
4.3.4 NurseCall(Optional)................................9
4.3.5 SeatSectionMattressControl(Optional) ................9
4.3.6 TVOn/Off(Optional) ...............................10
4.4 BedModels .........................................10
4.5 CentralBrakeandSteer ...............................10
4.6 CPRRelease ........................................11
4.7 FluidBasin..........................................11
4.8 Foot Section (Lift-Off or Slide-Off) . . . . . . . . . . . . . . . . . . . . . . . 12
4.9 OneStep™FootSupports .............................14
4.10 Headboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
4.11IVPole .............................................15
4.12LaborGrips .........................................15
4.13LockoutControls.....................................16
4.14NightLight ..........................................16
4.15Siderails ............................................16
4.16Trend-LikeFunction ..................................17
5 OptionalFeatures .................................17
5.1 AirSupportSystem...................................17
5.2 SiderailControls .....................................18
5.2.1 Built-In SideCom® Communication System Controls
(Optional)........................................18
6 Accessories ......................................19
6.1 AnesthesiaScreen ...................................20
6.2 ArmBoard ..........................................20
6.3 EasyGlide™ Calf Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
6.4 ComfortPad.........................................21
6.5 DisposableDrape ....................................21
6.6 FoleyHookKit .......................................22

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6.7 FootRestBar........................................22
6.8 FullLegSupports ....................................22
6.9 InstrumentTray ......................................23
6.10InfusionSupportSystem(ISS)..........................23
6.11LaborBar ...........................................24
6.12OxygenTankHolder ..................................24
6.13PendantControl .....................................24
6.14PermanentIVPole....................................25
6.15PhoneandPhoneAdaptor.............................25
6.16Sheets..............................................25
6.17SiderailPads ........................................26
6.18Slipcovers(HeadandFoot) ............................26
6.19WedgeAssembly.....................................26
7 PatientPositioning—LaborandBirth .................27
7.1 UprightPosition/VoidingPosition.......................27
7.2 LateralPosition(Sims) ................................28
7.3 KneelingPosition ....................................28
7.4 LegsElevatedWithFootMattress.......................28
7.5 SquattingWithTheLaborBar ..........................29
7.6 PushingWithTheLaborBar ...........................29
7.7 Pushing With The Labor Bar (With Foot Supports) . . . . . . . . . 29
7.8 Pushing with Calf Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
7.9 Epidural/Spinal(LateralApproach)......................30
7.10Epidural(SittingApproach) ............................30
7.11StraightLineTrend-LikePositioning ....................31
7.12ThronePosition(Chair) ...............................31
7.13BirthingBedMode ...................................31
7.14DeliveryTableMode ..................................32
7.15 High Modified Trend-Like Position (Birth And Repair) . . . . . . 32
8 SafetyTips .......................................33
9 Cleaning .........................................39
10 Product Symbol Definition . .........................42
11 TechnicalSpecifications............................45

USER MANUAL
Affinity III
Rev 000 1
1 Typographical Conventions
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

USER MANUAL
Affinity III
2 Rev 000
2 Intended Use
The Affinity® Three Birthing Bed is intended to be used as a birthing bed for
women ofchild bearing age within the acute care Labor and Delivery market.
It is not intended for use as a general hospital bed.
3 Introduction
This manual provides the information required for normal operation of the
Affinity® Three Birthing Bed from Hill-Rom. Before operating the Affinity®
Three Birthing 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.
4Features

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Affinity III
Rev 000 3
4.1 Automatic Tilt
• As the head section
is raised, the seat
section gradually
tilts up from 0° to
15°.
• As the head section
is lowered, the seat
section gradually
returns to a flat
position.
4.2 Battery Backup
The Affinity® Three Birthing Bed is designed with battery
backup as a standard feature. The battery allows the
hilow, foot, and head motors to be activated from the
siderail controls without power being supplied to the bed.
In addition, the battery backup powers the nurse call
function, but it does not power any other bed functions,
such as the optional air support system.
Location: The battery backup indicator is located on
the siderail to indicate the battery
condition.
Battery Backup LED Indicators:
• ON = Battery status is operational.
• FLASHING = Battery needs charging.
• OFF = Battery is discharged below the level required to run
the motors.
NOTE :
If the battery has been completely discharged, it may take up to 36 hours to
recharge to operational status.
CAUTION :
Remove the battery if the bed will not be in service for extended
periods of time. Failure to do so could result in damage to the life of
the battery, or damage to the bed. Contact the appropriate
maintenance personnel, and refer to the Affinity® Three Birthing
Bed Service Manual (man272).
Battery Backup
Indicators

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Affinity III
4 Rev 000
To ensure the battery is always charged, plug the bed into the appropriate
power source whenever possible.
Disposal
Power comes from a lead acid battery, which needs tobe
disposed of properly according to your local regulations.
For assistance in disposing of the battery, contact your
maintenance technician.
4.3 Bed Controls
The Affinity® Three Birthing Bed is electrically operated using siderail or
pendant controls. The hilow, head, and foot functions can be operated by
battery backup, if necessary.
Pb
Nurse Control Panel
Patient Control Panel

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Affinity III
Rev 000 5
4.3.1 Back Section Lumbar Mattress Control
(Optional)
The Back Section Mattress (Lumbar) control enables
you to inflate or deflate the back section lumbar
mattress in order to attain a degree of firmness or
softness.
Location: Caregiver and patient siderails (right
hand and left hand)
To Activate:
• To inflate the back section, press and hold
the Back Firm button (plus sign) until the
desired firmness is attained.
• To deflate the back section, press and hold
the Back Deflate button (minus sign) until the desired softness is
attained.
4.3.1.1 Bed Up/Bed Down (Hilow)
The Bed Up/Bed Down controls located on both siderails allow
you to raise or lower the bed 16" (41 cm).
The low position is for general use and to assist with patient
egress, while the high position is used for patient procedures.
Location: Caregiver siderail (right hand and left hand).
To Activate:
• Press and hold the Bed Up buttontoraisethebed.
• Press and hold the Bed Down button to lower the
bed.
WARNING :
Leave the bed in the low position when the patient is
unattended. This can reduce the possibility of patient
falls and the severity of any resultant injuries.
NOTE :
If the foot section is at its lowest position when the bed is lowered, the bed
will stop at a higher position to ensure that the foot section does not interfere
with the base.
NOTE :
If the bed is in the low position and the Trend-Like function is activated, the
bed will rise to the appropriate height to allow the bed to move to the full
Trend-Like position.
Back Section
Mattress Contro
ls

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4.3.2 Foot Section
The Foot Up/Foot Down controls located on
both siderails enable you to raise or lower the
foot section of the bed 9" (23 cm) of travel from
its lowest position.
Location: Caregiver and patient siderails
(right hand and left hand)
The Foot Up/Down buttons are
the arrows located on the right
side of the label.
To Activate:
• Press and hold the Foot Up button
to raise the foot section of the bed.
• Press and hold the Foot Down button to lower the foot section of
the bed.
NOTE :
If the foot section is at its lowest position when the bed is lowered, the bed
will stop at a higher position to ensure that the foot section does not interfere
with the base.
4.3.3 Head Section
The Head Up/Head Down controls located on
both siderails enable you to raise or lower the
head section of the bed. The head section can
be raised to any angle of inclination up to 63°.
Location: Caregiver and patient siderails
(right hand and left hand)
The Head Up/Down buttons are
thearrowslocatedontheleft
side of the label.
To Activate:
• Press and hold the Head Upbutton
to raise the head section of the
bed.
• Press and hold the Head Down buttontolowertheheadsection
of the bed.
Foot Section Controls
Head Section Controls

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Affinity III
Rev 000 7
4.3.4 Nurse Call (Optional)
On Affinity® Three Birthing Beds equipped with the
optional nurse call feature use the Nurse Call button to
place a call to the nurse call system. Above the Nurse Call
button, the Call indicator light illuminates on the patient’s
siderail controls, indicating a call has been made.
Location: Caregiver and patient siderails (right hand
and left hand).
To Activate:
• Press and release the Nurse Call button.
• Speak into the speaker/microphone located on the patient’s side
of the head end siderails.
CAUTION :
If power to the bed is lost, the nurse call function can still operate up
to 4 hoursdepending on the charge of the battery. Before becoming
completely non-functional, the system will place a non-cancellable
nurse call.
NOTE :
The Nurse Call controls cannot be locked out.
4.3.5 Seat Section Mattress Control (Optional)
The Seat Section Mattress Control enables you to inflate or
deflate the seat section mattress in order to attain a degree
of firmness or softness.
Location: Caregiver and patient siderails (right hand
and left hand)).
To Activate:
• To auto-inflate the seat section, press the
Caregiver Seat Inflate Button (plus sign).To
cancel the auto-inflate function, press the
Caregiver Seat Inflate Button (plus sign) again.
• To auto-deflate the seat section, press the
Caregiver Seat Deflate Button (minus sign).To
cancel the auto-deflate function, press the
Caregiver Seat Deflate Button (minus sign)
again.
• To inflate or deflate the seat section from the patient controls,
press and hold the Patient Seat Inflate Button (plus sign) or the
Patient Seat Deflate Button (minus sign).
NOTE :
The auto-inflate function runs for 20 to 25 seconds before shutting off.
Nurse Call
Button
Seat Section
Mattress
Controls

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4.3.6 TV On/Off (Optional)
The TV on/off button turns on and off the audio for the
television and radio.
Location: Patient siderail control panel (right hand and
left hand)
To Activate: Press and release the TV button. The green
indicator light illuminates, and the television
and radio audio come on. The television and
radio volume controls on the patient siderail
control panels are now operational.
Mise hors tension : Press and release the TV button. The
green indicator light goes off, and the television and
radio audio are muted.
4.4 Bed Models
The Affinity® Three Birthing Bed is available in two options: the V-Cut or the
Straight Edge.
4.5 Central Brake and Steer
The Affinity® Three Birthing Bed is equipped with
2-wheel braking and 1-wheel steering.
To Activate:
• To brake, press down firmly on the Brake
Pedal (designatedbyanorangedot).Two
casters will immediately lock into place.
Push and pull on the bed to ensure the
brakes are set.
• To release, press firmly on the Steer Pedal
until both pedals are level (neutral position).
• To steer, press down firmly on the Steer Pedal (designated by a green
dot).
To release, press firmly on the Brake Pedal until both pedals are level
(neutral position).
WARNING :
Ensure the brakes are set when transferring a patient to or from the
Affinity® Three Birthing Bed. Failure to do so could result in the bed
moving during the transport, which could result in personal injury.
On/Off
Buttons
V-Cut Straight-Cut
Central Brake
and Steer

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Affinity III
Rev 000 9
4.6 CPR Release
The CPR Release enables the caregiver to save valuable time in an
emergency. When activated, the CPR Release automatically lowers the
head and seat section to the flat position, which creates a firm surface to
support a CPR board.
To Activate: Pull the emergency CPR Release handle on either side of the
bed. Release your hand when the head section is down to the
lowest position.
4.7 Fluid Basin
The fluid basin is reversible and easily removed for cleaning.
To Remove/Replace:
• Pull the fluid basin straight out.
• Slide the basin straight into the holding devices.
Shake the basin gently to ensure it is securely seated.
Emergency CPR Release
Handle
Fluid Basin

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Affinity III
10 Rev 000
4.8 Foot Section (Lift-Off or Slide-Off)
To Remove: The foot section can be removed by using the following
methods:
If the foot section height can be adjusted:
• Adjust the foot section so that the top of the mattress is about waist
high.
• Pivot the foot supports laterally.
• Grasp and hold the foot section, between the snaps, as close to the
body as possible.
•Lift-Off Foot Section: Lift and slide the foot section toward you
(bending your knees) while taking a step backward.
•Slide-Off Foot Section: Squeeze the release levers to disengage
the foot section, and slide the section toward you (bending your
knees)whiletakingastepbackward.
• Turn the top of the foot section up and, with the knees bent, place it
on the floor with the stand down to hold it upright.
If the foot section is well below the waist and cannot be adjusted:

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Affinity III
Rev 000 11
• Pivot the foot supports laterally.
• Approach the foot section from an angle (side or front).
• Place one leg forward and one leg back, bending the knees slightly.
• Grasp and hold the foot section, between the snaps, as close to the
body as possible.
•Lift-Off Foot Section: Lift and slide the foot section toward you while
takingastepbackward.
•Slide-Off Foot Section: Squeeze the release levers to disengage it,
and slide the foot section toward you while taking a step backward.
• Turn the foot section so the stand is down and, with the knees bent,
place it on the floor.
To Install:
• Grasp the foot section with both hands.
• Position the foot section onto the mounting brackets located on the
bed frame.
•Lift-Off Foot Section: While holding the foot section level, lift and
slide it until the latches securely engage and a level surface is
achieved.
•Slide-Off Foot Section: While holding the foot section level, push it
until the latches securely engage and a level surface is achieved.
• Pull on the foot section to ensure that it is locked into position.

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Affinity III
12 Rev 000
NOTE :
If the foot section is not level, this is an
indication that it is not locked into position.
• Lift the foot section to the level
position and push until the latches
securely engage.
WARNING :
The foot section must be fully
secured under the mattress to
provide safe support. Possible
personal injury or equipment
damage could occur.
The foot section must be locked into place.
Pull to ensure that the latch is engaged.
4.9 OneStep™ Foot
Supports
The OneStep™ Foot Supports can be
simultaneously positioned up or down,
through use of the motor powered foot
section yoke. This foot section yoke
controls the overall height up and
down. Each support can be
independently positioned by using the
mechanical release latches at the end
of the foot supports.
To Adjust the Foot Supports:
• To position the patient’s legs,
squeeze the release lever and
rotate thefoot support. The foot
support rotates upward and
outward from 0° to 85°.
• To return to the storage position, squeeze the release latch again,
and return the supports to the desired position.
The maximum safe working load is 150 lb (68 kg).
Foot Section Not Locked
Into Position
OneStep™ Foot Supports

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Affinity III
Rev 000 13
4.10 Headboard
The headboard includes built-in handles
which aid in steering control and
increase mobility. The headboard
assembly is removable.
To Remove: Grasp the hand holds
firmly, and lift up.
To Install: Align the headboard
sockets with the posts on
the bed frame, and lower
the headboard until it rest
on the bed frame.
4.11 IV Pole
The Affinity® Three Birthing Bed comes
equipped with one IV pole, stored at the
head end of the bed on the headboard.
The IV pole sockets are located at each
corner of the bed at the head end.
Deploy: RemovetheIVpolefromthe
holders. Insert the pole into the
desired socket, and turn
clockwise until it drops fully into
the socket and locks into place.
The maximum safe working load is 25 lb
(11 kg).
4.12 Labor Grips
Ergonomically correct labor grips comfortably
accommodate patients of all sizes. The
handles are covered with a non-porous, fluid
resistant foam that is comfortable for mothers
to squeeze.
To Activate: To raise the labor grip, graspthe
grip, and rotate it from under the
bed until it clicks in place.
To lower, pull the release latch,
and lower the grip under the
bed.
IV Pole
Built-In Labor Grips

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Affinity III
14 Rev 000
4.13 Lockout Controls
The Lockout controls deactivate the hilow, head, and
foot functions on the bed. When a lockout is activated,
both the patient and caregiver controls for motor
functions are locked out.
Location: The Lockout control is located on the
frame at the head end of the bed.
The Lockout control LED indicator is
located on the caregivers side of both
siderails.
To Activate: Press the Lockout control switch to
deactivate the motors. The lockout LED indicator on the
siderail will light.
Activating the lockout function does not affect the operation of the
emergency CPR Release.
4.14 Night Light
A photo cell control automatically turns the light on when the room darkens
and turns it off when the room gets brighter. The night light does not function
when the bed is powered by the battery.
Location: The night light is located on the bottom center of the bed
frame.
4.15 Siderails
The Affinity® Three Birthing Bed has two
siderails, one located on each side of the
bed. The head end siderails contain
caregiver and patient siderail controls, and
can be adjusted between the upright and
lowered positions.
To Adjust:
• To raise or lower the siderails, pull
the Siderail Release Latch on the
siderail, and swing the siderail into
the desired position. When raising
the siderails, you will hear a click
when the siderail is securely in
place.
• To store a siderail, lower it completely and push it in under the bed
surface.
WARNING :
After changing the position of the siderails, tug on them slightly to
ensure that they are securely locked in place. Failure to do so could
result in patient injury.
LED Indicator
Head End Siderail

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Rev 000 15
4.16 Trend-Like Function
The Affinity® Three Birthing Bed can achieve
up to 8° of Trend-Like positioning. You can
activate the Trend-Like controls at any bed
height. When the bed is in its lowest position
and the Trend-Like function is activated, the
bed will rise to the appropriate height in order
to go into the full Trend-Like (8°) position.
To Activate:
• To position the sleep surface in a
Trend-Like position, push down on the
handle and guide the bed to the
desired degree, up to 8°.
• To level the sleep surface, pull up on the handle and guide the bed to
a level position.
5 Optional Features
5.1 Air Support System
The Affinity® Three Birthing Bed features air surface controls (located on
both the outside and inside of the siderail) for both seat and lumbar support.
These controls provide improved patient comfort during labor, recovery, and
postpartum while minimizing the cost, maintenance, and labor concerns
associated with the use of overlays.
Seat Support:
Enables the patient to tailor her own comfort level. Provides pelvic
support to improve practictioner access and visibility during deliveries
and repairs.The firmness or softness of the surface is controlled by
increasing or decreasing the amount of air contained in the air bladder.
Patient and staff controls are embedded in both siderails.
Lumbar Support:
Adds varying degrees of back support in the lumbar region to improve
patient comfort both before and after delivery. Fully inflated, the lumbar
support allows positioning of the patient’s perineum out the V-Cut for
examination and delivery. The maximum lumbar inflation from a flat
position to a full position is 4" (10 cm).
Auxiliary Outlet
The two auxiliary outlets provide electrical power for future upgrade
accessories.
Location: The two 12 V AC (20 watt) auxiliary outlets are located on both
sides of the bed.
Trend-Like Function

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16 Rev 000
5.2 Siderail Controls
5.2.1 Built-In SideCom® Communication System Controls
(Optional)
Every Affinity® Three Birthing Bed with siderail controls is pre-wired to
accommodate the SideCom® Communication System now or in the future.
The SideCom® Communication System enables integration of the backlit
nurse call, entertainment (radio and TV), and lighting in the siderails. The
optional Universal TV is also available.
Built-In Siderail Controls
Patient and staff controls are embedded in the siderails on both sides of the
bed.
The patient controls are always in full view of the patient, and the
international graphic symbols provide easy orientation. Patient head and foot
section controls are embedded in the inside panel of the siderails (on both
sides of the bed) forthe patient’sconvenience. Powered operation allows the
patient to respond to her body signals and reduces her dependence on staff
assistance for positioning, support, and comfort. These controls include
Head Up/Head Down and Foot Up/Foot Down.
Staff controls are embedded in the outside panel of both siderails. In addition
to head and foot section controls, the outside panel contains controls for the
hilow operation.
Wood Headboards
The wood headboards includes built-in handles which aid in steering control
and increase mobility. The headboard assembly is removable.
To Remove: Grasp the hand holds firmly, and lift up.
To Install: Align the headboard sockets with the posts on the bed frame,
and lower the headboard until it rest on the bed frame.