Hillrom P500 User manual

USER MANUAL
Hill-Rom® P500
Therapy Surface
Product No. P005723 and P005787
158251 REV 3

Hill-Rom® P500 Therapy Surface User Manual (158251 REV 3) i
© 2010 by Hill-Rom Services, Inc. ALL RIGHTS RESERVED.
Manufactured by Hill-Rom, Inc. Batesville, IN 47006 USA
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).
The information in this manual is confidential and may not be disclosed
to third parties without the prior written consent of Hill-Rom.
Third Edition December 2010
First Printing 2010
CSA® is a registered trademark of Canadian Standards Association.
Go Bed®, InTouch®, and Secure® are registered trademarks of Stryker
Corp.
SmartSilver® is a registered trademark of NanoHorizons, Inc.
Advanced Microclimate™, Advanta™, and RemindMe™ are
trademarks of Hill-Rom Services, Inc.
Advance®, CareAssist®, Hill-Rom®, nano Ag+®, and Resident® are
registered trademarks of Hill-Rom Services, 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.
Hill-Rom reserves the right to make changes without notice in design,
specifications, and models. The only warranty Hill-Rom makes is the
express written warranty extended on the sale or rental of its products.
To order additional copies of this manual (158251), refer to the back
cover for contact information. For countries not listed on the back cover,
contact your distributor.
NOTE:
The back cover is a comprehensive list of Technical Support contact
information for Hill-Rom. The product discussed in this manual may
not be available in all of the countries listed.

ii Hill-Rom® P500 Therapy Surface User Manual (158251 REV 3)

Hill-Rom® P500 Therapy Surface User Manual (158251 REV 3) iii
Table of Contents
Document Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Important Safeguards for Household Use . . . . . . . . . . . . . . . . . . . 2
Safety Tips. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Power Cord. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Transport Position and Stability. . . . . . . . . . . . . . . . . . . . . . . 4
Clean and Disinfect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Clean. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Steam Clean . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Clean Difficult Spots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Disinfect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Clean and Disinfect the P500 and Advanced
Microclimate™ Technology (AMT) Coverlet. . . . . . . . . . . . 7
Machine Wash the AMT Coverlet . . . . . . . . . . . . . . . . . 8
Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Service Calls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Unit Removal and Storage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Discard the Unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Grounding Instructions for Household Use. . . . . . . . . . . . . . . . . 11
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Control Unit Features and Use . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Power Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
CPR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Light Bar. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Controls Lockout. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Plus (+) and Minus (-). . . . . . . . . . . . . . . . . . . . . . . . . . 17
LB/KG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Comfort Adjust . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Surface Modes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

iv Hill-Rom® P500 Therapy Surface User Manual (158251 REV 3)
Surface Features and Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Nano Ag+® Technology with SmartSilver® Ions. . . . . . . . 24
X-Ray Cassette Sleeve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Hose Assembly Features and Use . . . . . . . . . . . . . . . . . . . . . . . . 25
Install the P500 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Set Up the System for Occupant Placement . . . . . . . . . . . . . . . . 27
Transfer the Occupant to or from the Unit. . . . . . . . . . . . . . . . . . 29
Transport the Occupant on the Unit. . . . . . . . . . . . . . . . . . . . . . . 29
Loss of Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Bed Frames . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Bed Exit/Out of Bed Alarm . . . . . . . . . . . . . . . . . . . . . . . . . 31
Fracture Frame . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Siderails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Reverse Trendelenburg. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
An Error Shows on the Display; the Light Bar
is Solid Orange or Flashing Orange . . . . . . . . . . . . . . . . . . . 33
The Unit Does Not Go into Turn Assist Mode. . . . . . . . . . . 33
An Alarm Does Not Fully Turn Off. . . . . . . . . . . . . . . . . . . 33
Product Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Model Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Standard Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Environmental Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Transport and Storage . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Power Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
AC Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Fuse Specification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Classification and Standards. . . . . . . . . . . . . . . . . . . . . . . . . 38
Electromagnetic Emissions Guidance . . . . . . . . . . . . . . . . . 39
Electromagnetic Immunity Guidance . . . . . . . . . . . . . . 41
Deflate Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Controls Quick View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Hill-Rom® P500 Therapy Surface User Manual (158251 REV 3) 1
Document Symbols
This manual contains different typefaces and symbols to make the
content easier to read and understand:
• Standard text—used for regular data.
•Boldface text—emphasizes a word or phrase.
•NOTE:—sets apart special data or important instruction
clarification.
• WARNING, RELATIVE CONTRAINDICATION, or CAUTION
– A WARNING identifies situations or actions that may have an
effect on user safety. To ignore a warning could cause injury.
– A RELATIVE CONTRAINDICATION identifies situations or
actions that may have an effect on the occupant’s safety.
– A CAUTION identifies special procedures or precautions that
persons must obey to help prevent equipment damage.

2 Hill-Rom® P500 Therapy Surface User Manual (158251 REV 3)
Important Safeguards for Household Use
When using electrical products, especially when children are present,
basic safety precautions should always be followed, including the
following important safeguards.
READ ALL INSTRUCTIONS BEFORE USING
DANGER:
To reduce the risk of electrocution, follow these instructions:
1. Always unplug this product immediately after using.
2. Do not place or store the product where it can fall or be pulled into
a tub or sink.
3. Do not place in or drop into water or other liquid.
4. Do not reach for a product that has fallen into water. Unplug the
product immediately.
WARNING:
To reduce the risk of burns, electrocution, fire, or injury, follow
these instructions:
1. Close supervision is necessary when this product is used by or near
children or invalids.
2. Use this product only for its intended use as described in this
manual. Do not use attachments not recommended by the
manufacturer.
3. Never operate this product if it has a damaged power cord or plug,
if it is not working properly, if it has been dropped or damaged, or
dropped into water. Contact your Hill-Rom service representative
for examination and repair.
4. Keep the power cord away from heated surfaces.
5. Never block the air openings of the product’s control unit or place it
on a soft surface, such as a bed or couch, where the air openings
may be blocked. Keep the air openings free of lint, hair, and the
like.
6. Never drop or insert any object into any opening or hose.
7. Do not use outdoors or operate where aerosol (spray) products are
being used.
8. Connect this product to a properly grounded outlet only. Refer to
“Grounding Instructions for Household Use” on page 11.
SAVE THESE INSTRUCTIONS

Hill-Rom® P500 Therapy Surface User Manual (158251 REV 3) 3
Safety Tips
Healthcare facility use—to help prevent the risk of hospital bed fires,
make sure facility persons follow the safety tips in the FDA Public
Health Notification: Safety Tips for Preventing Hospital Bed Fires.
(US only)
WARNING:
The potential for electrical shock exists with electrical equipment.
Failure to follow electrical safety practices could cause death or
serious injury.
RELATIVE CONTRAINDICATION:
Use of active therapy surfaces with occupants with unstabilized
spinal cord injury could cause serious injury to the occupant.
WARNING:
Use oxygen administering equipment of the nasal, mask, or
ventilator type only. Do not use this product with oxygen tents. To
do so could cause injury or equipment damage.
Refer to the bed product warning label and user manual for the use of
oxygen administering equipment.
WARNING:
If an error shows on the display and the light bar is flashing
orange, remove the occupant from the surface. Call Hill-Rom
Technical Support for assistance as soon as possible. Failure to
do so could cause injury or equipment damage.
WARNING:
If an error shows on the display and the light bar is solid orange,
call Hill-Rom Technical Support for assistance as soon as
possible. Failure to do so could cause injury or equipment
damage.

4 Hill-Rom® P500 Therapy Surface User Manual (158251 REV 3)
Power Cord
WARNING:
When not in use, disconnect the power cord and put it around the
control unit.
WARNING:
During use, make sure the power cord is in a position where
persons will not trip over it and it is away from bed mechanisms.
Failure to do so could cause injury or equipment damage.
Transport Position and Stability
WARNING:
When the control unit is installed on the bed footboard (during
transport or normal use), use caution so the unit does not
disengage or fall off the footboard. Failure to do so may cause
injury or equipment damage.
Follow the bed manufacturer’s transport position and stability
requirements when the control unit is installed on the bed’s footboard.
• Use and position of bed accessories and other devices on the bed
such as the control unit may affect stability. Do not exceed the bed’s
safe working load. For the weight of the control unit and surface,
refer to “Specifications” on page 37. Generally, as the bed load
increases, the risk of instability goes up.
• Typically, lower the bed height to increase stability.
During transport, keep the bed’s foot section and deck as flat as
possible. And, keep the control unit installed as high up as possible from
the floor to avoid contact with floor, inclines, and objects on the floor.
During transport, make sure the control unit does not hit walls,
elevators, etc.
During normal use and when bed articulations move the foot section
downward (high-low and/or Reverse Trendelenburg), make sure the
control unit does not hit the floor or objects that are under the foot
section. Otherwise, the control unit could disengage or fall off the
footboard.

Hill-Rom® P500 Therapy Surface User Manual (158251 REV 3) 5
WARNING:
When the control unit is being transported on a cart or other
surface, use caution so the control unit does not fall off the cart or
surface. Failure to do so may cause injury or equipment damage.
The control unit is most stable when it is lying with its backside down.
The control unit may tip if it sits upright, especially when the transport
device goes up or down inclines, travels fast, stops suddenly, or turns
corners.

6 Hill-Rom® P500 Therapy Surface User Manual (158251 REV 3)
Clean and Disinfect
We recommend that you clean and disinfect the P500 Therapy Surface
(P500) between occupant use and regularly during extended stays. Refer
to your facility’s cleaning and disinfection policies (if applicable), and
follow the guidelines below.
WARNING:
Follow the product manufacturer’s instructions. Failure to do so
could cause injury or equipment damage.
WARNING:
The potential for electrical shock exists with electrical equipment.
Failure to follow electrical safety practices could cause death or
serious injury.
WARNING:
Failure to unplug the bed and control unit from their power
sources before you clean or disinfect the bed frame and surface
could cause injury or equipment damage.
WARNING:
Do not expose the surface to excessive moisture. Injury or
equipment damage could occur.
CAUTION:
Do not steam clean or power wash the surface. Pressure and
excessive moisture can damage the surface.
CAUTION:
Do not use harsh or abrasive cleansers, solvents, or scouring
pads. Equipment damage could occur.
CAUTION:
Do not use CSI disinfectant cleaner. To do so could cause
equipment damage.
CAUTION:
Make sure the bed frame and surface are dry before you put the
surface on the bed. Failure to do so could cause equipment
damage.

Hill-Rom® P500 Therapy Surface User Manual (158251 REV 3) 7
NOTE:
Clean and disinfect surfaces with nano Ag+® Technology as you would
other surfaces. This product is not intended to protect users or others
against bacteria, viruses, germs, or other disease organisms. Always
disinfect Hill-Rom surfaces thoroughly after each use according to
facility/healthcare protocol. Refer to “Clean and Disinfect the P500 and
Advanced Microclimate™ Technology (AMT) Coverlet” on page 7.
Clean
We recommend that you clean the unit with detergent and warm water.
Do not use excessive liquid or harsh cleansers.
Steam Clean
Do not use any steam cleaning device on the unit. Excessive moisture
can damage mechanisms in this unit.
Clean Difficult Spots
To remove difficult spots or stains, we recommend that you use standard
household cleansers and a soft bristle brush. To loosen heavy, dried-on
soil, you may first need to saturate the spot.
Disinfect
When there is visible soil and also between occupant use, we
recommend that you disinfect the unit with an EPA registered (US only),
tuberculocidal, disinfectant.
Clean and Disinfect the P500 and Advanced
Microclimate™ Technology (AMT) Coverlet
We recommend that you wipe down the P500 to clean it. In cases of
heavy soil, you can machine wash the coverlet. We also recommend that
you clean the surface every 60 days for occupants who are on the
surface longer than 60 days.
1. Make sure the bed and control unit are unplugged.
2. Remove all linens.
3. If applicable, remove the surface from the bed.
4. Examine the condition of the surface. If there are holes, tears, or
other signs of damage or deterioration of the ticking, replace the
surface.

8 Hill-Rom® P500 Therapy Surface User Manual (158251 REV 3)
5. Wipe down the surface with chlorine bleach (50 ppm to 150 ppm)
or mild detergent and warm water followed by an approved
intermediate level disinfectant.
NOTE:
2.5 oz of bleach per 10 gal of water is approximately 100 ppm of
available chlorine.
NOTE:
If you turn the surface to clean it, make sure the cleaning solution does
not pool or flow on to the other side or edges of the surface. This may
permit fluid to get into the surface air outlets and zipper closures that
ordinarily are protected by the ticking flaps.
6. Let the bleach or disinfectant remain in contact with the surface as
instructed in the manufacturer’s instructions.
7. Remove the bleach or disinfectant, and rinse with warm water.
8. Let the surface and/or coverlet completely air dry.
9. If the surface was removed, install it on the bed. Go to “Install the
P500” on page 25.
Machine Wash the AMT Coverlet
1. Remove the coverlet.
2. Machine-wash the coverlet with chlorine bleach (50 ppm to 150
ppm) or detergent and an effective intermediate level disinfectant.
(For customers in the US, the disinfectant should be registered with
the Environmental Protection Agency.)
NOTE:
2.5 oz of bleach per 10 gal of water is approximately 100 ppm of
available chlorine.
• Use the bleach or disinfectant as instructed in the
manufacturer’s instructions.
• To determine the amount of bleach or disinfectant to use,
determine the amount of water in the washer, and follow the
manufacturer’s dilution instructions.
• During the wash cycle, soak the coverlet in the disinfectant or
bleach.
• Let the coverlet rinse thoroughly in clean water.

Hill-Rom® P500 Therapy Surface User Manual (158251 REV 3) 9
CAUTION:
Do not use high temperatures to dry the coverlet. Air dry or select
a low or non-heat dry cycle such as air fluff. High temperatures
could destroy the coating that makes the coverlet waterproof yet
breathable.
3. Use the lowest temperature setting of the dryer to dry the coverlet.
Do not use high temperatures.
4. Put the coverlet on the surface.

10 Hill-Rom® P500 Therapy Surface User Manual (158251 REV 3)
Maintenance
WARNING:
Only authorized persons should service the P500. Service by
unauthorized persons could cause injury or equipment damage.
Refer to the Hill-Rom® P500 Therapy Surface Service Manual
(158824) for preventive maintenance requirements and service
procedures.
Service Calls
If you call Hill-Rom about your unit, be
prepared to give the serial number from the
product identification label. The location of the
serial number label is on the control unit, next
to the hose connector.
When you give the serial number, the
Hill-Rom representative can identify your unit
and give you the information you need more
quickly.
Unit Removal and Storage
To store the P500, do as follows:
• Refer to the detailed instructions for “Unit Removal and
Storage” in the Hill-Rom® P500 Therapy Surface Service
Manual (158824).
• Store the P500 in a safe place that is within the recommended
environmental conditions shown on page 37.
Discard the Unit
When the P500 has reached the end of its useful life, discard it in
accordance with local and federal standards. Recycle as much as
possible.
This product does not contain lead acid batteries.

Hill-Rom® P500 Therapy Surface User Manual (158251 REV 3) 11
Grounding Instructions for Household Use
This product should be grounded. In the event of an electrical short
circuit, grounding reduces the risk of electric shock by providing an
escape wire for the electric current. This product is equipped with a
power cord having a grounding wire with a grounding plug (A). The
plug must be plugged into an outlet (B) that is properly installed and
grounded.
DANGER:
Improper use of the grounding plug can cause a risk of electric
shock.
If repair or replacement of the power cord or plug is necessary, do not
connect the grounding wire to either flat blade terminal. The wire with
insulation having an outer surface that is green with or without yellow
stripes is the grounding wire.
Check with a qualified electrician or serviceman if the grounding
instructions are not completely understood, or if in doubt as to whether
the product is properly grounded.
This product is for use on a nominal 120 V circuit, and has a grounding
plug that looks like the plug (A) shown. A temporary adapter, which
looks like the adapter (C) shown, may be used to connect this plug to a
two-pole receptacle (D), as shown, if a properly grounded outlet is not
available.
The temporary adapter should be used only until a properly grounded
outlet can be installed by a qualified electrician. The green-colored rigid
ear, lug, and the like (E) extending from the adapter must be connected
to a permanent ground, such as a properly grounded outlet box cover.
Whenever the adapter is used, it must be held in place by the screw (F).

12 Hill-Rom® P500 Therapy Surface User Manual (158251 REV 3)
If it is necessary to use an extension cord, use only a three-wire
extension cord that has a three-blade grounded plug and a three-slot
receptacle that accepts the plug on the product. Repair or replace a
damaged cord.

Hill-Rom® P500 Therapy Surface User Manual (158251 REV 3) 13
Intended Use
The P500 is for household and healthcare facility use.
RELATIVE CONTRAINDICATION:
Use of active therapy surfaces with occupants with unstabilized
spinal cord injury could cause serious injury to the occupant.
WARNING:
Do not use the P500 with an occupant who weighs less than 70
lb (32 kg) or more than 500 lb (227 kg). Injury or equipment
damage could occur.
The P500 helps prevent and treat Stage I through IV pressure ulcers in
occupants who weigh between 70 lb and 500 lb (32 kg and 227 kg) and
are between 59" and 74" (150 cm to 188 cm) in height. The safe
working load of the surface is 500 lb (227 kg).
WARNING:
Failure to correctly assess the fit of the surface relative to the
frame and siderails could cause an entrapment risk that could
cause death or serious injury.
The P500 surface is a finished size of 35.5" (90 cm) wide by 84"
(213 cm) long, with a thickness of 8" (20 cm). The surface is designed
for use on pan-deck frames that accommodate this surface size; it is not
intended for use on spring-deck frames. For a list of approved bed
frames, refer to “Bed Frames” on page 31.
The intended users of this product are healthcare employees, non-
clinical caregivers, and occupants who have the physical strength and
cognitive skills to operate and control the product. Follow safety
protocols if an intended user does not have the physical strength or
cognitive skills to operate and control the product safely.
Introduction
This manual contains information necessary for normal operation of the
P500. Before you operate the unit, make sure you read and understand in
detail the contents of this manual. It is important that you read and obey the
aspects of safety that are in this manual. Any reference to a side of the P500
is from the occupant’s view lying on the surface on his or her back.

14 Hill-Rom® P500 Therapy Surface User Manual (158251 REV 3)
Control Unit Features and Use
The control unit is installed on the
footboard of the bed. The unit
automatically supplies pressure
redistribution and Advanced
Microclimate™ Technology (AMT)
(next-generation Low Air Loss) to the
surface. (For more information about
AMT, go to “Surface Features and Use”
on page 23.) Through the unit’s control
panel, the caregiver does these:
• Sets alarms (see “Alarms” on page 17).
• Change the air pressure levels for the surface (see “Comfort Adjust”
on page 20).
• Sets the surface modes (see “Surface Modes” on page 20).
• Enters the occupant’s weight (see “Set Up the System for Occupant
Placement” on page 27).
Power Switch
The power switch turns the control unit on and off.
The switch is next to power cord connector on the
left side of the control unit.
NOTE:
When you turn on the unit, you must set the system up for occupant
placement (see “Set Up the System for Occupant Placement” on page
27), or the unit will go into an alarm state.
CPR
WARNING:
The P500 CPR control does not
control the bed frame. You must use
the bed CPR controls to put the bed
frame into the CPR position. Failure to
do so could cause occupant injury.
The CPR control is on the front of the
control unit at the upper left-hand corner. When you press the CPR
control, the system hyperinflates the surface for 60 minutes to supply a
firm surface for CPR.