Hillrom TotalCare Bariatric Bed User manual

USER MANUAL
TotalCare® Bariatric
Bed and
TotalCare® Bariatric
Plus Therapy System
From Hill-Rom
P1830 and P1840
143434 REV 8

TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System i
User Manual (143434 REV 8)
© 2013 by Hill-Rom Services, Inc. ALL RIGHTS RESERVED.
Manufactured by:
HILL-ROM, INC.
1069 STATE ROUTE 46 E
BATESVILLE, IN 47006-9167
Authorized European Union Representative (Only applicable to products manufactured and
brought to market (sold) before April 1, 2013.):
HILL-ROM SAS
B.P. 14 - Z.I. DU TALHOUET
56330 PLUVIGNER
FRANCE
TEL: [phone]
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.
This manual (143434) was originally released and supplied in English. For a list of available
translations, contact Hill-Rom Technical Support.
Product may be covered by one or more patents. Please consult listing at www.hill-rom.com/patents
for any patent(s).
Eighth Edition, May, 2013
First Printing 2006
Printed in the USA
Boost® is a registered trademark of Hill-Rom Services, Inc.
FlexAfoot™ is a trademark of Hill-Rom Services, Inc.
FullChair® is a registered trademark of Hill-Rom Services, Inc.
Graphical Caregiver Interface (GCI)® is a registered trademark of Hill-Rom Services, Inc.
HandsFree® is a registered trademark of Hill-Rom Services, Inc.
Hill-Rom® is a registered trademark of Hill-Rom Services, Inc.
IntelliDrive® is a registered trademark of Hill-Rom Services, Inc.
Line-of-Site® is a registered trademark of Hill-Rom Services, Inc.
NaviCare® is a registered trademark of Hill-Rom Services, Inc.
OneStep® is a registered trademark of Hill-Rom Services, Inc.
Pleur-evac® is a registered trademark of Deknatel, Inc.
Point-of-Care® is a registered trademark of Hill-Rom Services, Inc.
RemindMe™ is a trademark of Hill-Rom Services, Inc.
Shearless Pivot® is a registered trademark of Hill-Rom Services, Inc.
SideCom® is a registered trademark of Hill-Rom Services, Inc.
Slo-Blo® is a registered trademark of Littelfuse, Inc.
Therapy-on-Demand® is a registered trademark of Hill-Rom Services, Inc.
TotalCare® is a registered trademark of Hill-Rom Services, Inc.
TotalCare SpO2RT® is a registered trademark of Hill-Rom Services, Inc.
WallGuard® is a registered trademark 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.

ii TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System
User Manual (143434 REV 8)
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 (143434), 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.
NOTE:
Replace this manual (143434) if it is damaged and/or can not be read.

TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System iii
User Manual (143434 REV 8)
Table of Contents
Document Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Caregiver Point-of-Care® Siderail Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Enable Control (Model P1830A and Model P1840A) . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Lockout Controls (Model P1840B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Lockout Controls (Model P1830 and Model P1840A) . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Bed Up/Down (Hi-Lo) Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Head Up/Down Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Knee Up/Down Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Foot Up/Down Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Foot Elevation (Model P1840B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
FlexAfoot™ Retractable Foot Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Trendelenburg and Reverse Trendelenburg Controls . . . . . . . . . . . . . . . . . . . . . . . . . 9
Preliminary Tilt Table (Model P1840B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Bed Flat Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Boost® Position System (Model P1840B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Safety and Information Indicators (Model P1830A and Model P1840A) . . . . . . . . . . . 10
Safety and Information Indicators (Model P1840B) . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Chair Positioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Nurse Call . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Point-of-Care® Brake and Steer System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Emergency Caregiver Foot Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
SideCom® Communication System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Head and Intermediate Siderails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Headboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Footboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Standard Casters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
Equipment Sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Hip Position Locator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
Line-of-Site® Head Angle Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
WallGuard® Bumper System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Line Manager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
IV Sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Drainage Bag Holders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Patient Restraint Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Graphical Caregiver Interface (GCI)® Control (Model P1840B and Newer) . . . . . . . . . . . . 22
Bed Exit Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Scale Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Scale Operation (European Version Scale Only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Bed Setup/Reset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Head Angle Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
NaviCare® System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Graphical Caregiver Interface (GCI)® Control—
TotalCare® Bariatric Plus Therapy System (Model P1830A and Model P1840A) . . . . . . . 27
Normal Mattress Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Scale Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Bed Setup/Reset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Preset Bed Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System iv
User Manual (143434 REV 8)
Head Angle Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
Head of Bed Reminder Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
NaviCare® System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
Graphical Caregiver Interface (GCI)® Control—TotalCare® Bariatric Bed . . . . . . . . . . . . .33
Scale Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Bed Setup/Reset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
Preset Bed Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Foot Elevation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Preliminary Tilt Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Manual Weight Input . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
NaviCare® System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
Manual Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
Pressure Redistribution Surface with Low Air Loss Therapy (Model P1840B) . . . . . . . . . .39
Surface Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40
Normal/Standard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Seat Deflate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
Rotational Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Percussion and/or Vibration Therapies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44
RemindMe™ Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46
CPR Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
OPTI-REST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
Patient History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
Turn Assist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
Additional Siderail Controls available with the Pressure Redistribution Surface . . . . . .48
Alarm Pause Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Pressure Redistribution Surface with Low Air Loss Therapy (Model 1840A) . . . . . . . . . . .49
Normal/Standard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Seat Deflate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52
Rotational Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Percussion and/or Vibration Therapies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54
Pressure Redistribution Surface CPR Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56
OPTI·REST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Therapy Statistics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Turn Assist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58
Additional Siderail Controls available with the Pressure Redistribution Surface . . . . . .58
Foam Surface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Fluoroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
IntelliDrive® Transport System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
Siderail Pads and Extenders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62
Patient Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
Head Up/Down Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
Knee Up/Down Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
Bed Pendant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
Room Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65
Read Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65
Television . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65
Music/Select . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65
Optional Enhanced Entertainment Control Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66
Volume Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66
Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67
Accessory AC Receptacle Option (120 V Version Only) . . . . . . . . . . . . . . . . . . . . . . . . . . .67
Patient Helper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70

TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System v
User Manual (143434 REV 8)
Oxygen Tank Holder—P27601 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Seat Belt—P1926B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Removable IV Pole—P2217 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Medical Articulated Arm (P3670A01 and P3670A05) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Safety Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Preventive Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
General Cleaning/Disinfecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80
Product Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Product Symbols—TotalCare® Bariatric Plus Therapy System . . . . . . . . . . . . . . . . . . . . . 88
Product Symbols—TotalCare® Bariatric Plus Therapy System
(Model P1840B and Newer) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System vi
User Manual (143434 REV 8)

Document Symbols
TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System 1
User Manual (143434 REV 8)
Document Symbols
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 TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System
User Manual (143434 REV 8)
Intended Use
The TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System are intended to provide a patient
support ideally suited for use in healthcare environments. The TotalCare® Bariatric Bed and TotalCare®
Bariatric Plus Therapy System 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 200 and 460 lb (91 to 209 kg)
and as determined appropriate by the caregiver or institution. TotalCare® Bariatric Plus Therapy System is
capable of being used with a broad patient population whose weight is between 200 and 500 lb (91 to 227 kg)
and as determined appropriate by the caregiver or institution.
The intended users of this product are healthcare employees, patients, and family members who have the
physical strength and cognitive skills to operate and control the product. Follow facility 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 provides the information required for normal operation of the TotalCare® Bariatric Bed (P1830)
and TotalCare® Bariatric Plus Therapy System (P1840) from Hill-Rom. Before operating the TotalCare®
Bariatric Bed and TotalCare® Bariatric Plus Therapy System, 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.
Some configurations of the TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System may be
equipped with an integral scale intended to weigh the patient in the bed.
In this manual, there are references to different bed models. To identify which model of bed you have, look at
the serial number label. The label is located on the left side of the weigh frame, under the patient’s shoulder.
For example, P1840D identifies a D model bed.

Features
TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System 3
User Manual (143434 REV 8)
Features
Patient Characteristics
Patient Weight
• 200 lb (91 kg) minimum
• 500 lb (227 kg) maximum for the TotalCare® Bariatric Plus Therapy System
• 460 lb (209 kg) maximum for the TotalCare® Bariatric Bed
Safe Working Load (SWL)*
• 550 lb (250 kg) maximum for the TotalCare® Bariatric Plus Therapy System
• 500 lb (227 kg) maximum for the TotalCare® Bariatric Bed
* Includes: patient weight, mattress, IV pumps, poles, bags, traction equipment, and such.
WARNING:
Do not use the product outside the recommended patient characteristics. Patient injury or
equipment damage could occur.
WARNING:
Do not use the product outside the recommended Safe Working Load. Patient injury or
equipment damage could occur.
Item Description Item Description
A IntelliDrive® Transport System transport handles F Graphical Caregiver Interface (GCI)® Control
B Foam surface or Pressure Redistribution Surface
with Low Air Loss
G Hydraulic manual foot pedal
C Patient control panel H HandsFree® Emergency
CPR/Trendelenburg Release Mechanism
D Siderail extender I Patient Helper (trapeze) (TotalCare® Bariatric Plus
Therapy System only)
E Auxiliary power outlet (TotalCare® Bariatric Plus
Therapy System only)

Features
4 TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System
User Manual (143434 REV 8)
Dimensions 12
Mattress size:....39.5" (100.3 cm) head/seat;
32" (81.3 cm) foot x 85" (216 cm)
Automatic Knee Contour...............................................10°
Foot Retraction:..........................................12" (30 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 (SWL)a:
550 lb (250 kg) TotalCare® Bariatric Plus Therapy System
500 lb (227 kg) TotalCare® Bariatric Bed
a. SWL includes patient weight, mattress, IV pumps, poles, bags, etc. The maximum patient weight for a K model or earlier
bed is 460 lb (209 kg); for an L model bed, it is 500 lb (227 kg).
Scale accuracy may be diminished if patient weight exceeds 400 lb (181 kg). Mattress interface pressure and
pulmonary therapy performance may be diminished if patient weight exceeds 500 lb (227 kg). IntelliDrive® Transport
System power assist levels may be diminished if patient weight exceeds 300 lb (136 kg) (see “Scale Functions” on
page 23).
Patient Helper (trapeze) pull force (SWL)..........250 lb
(113 kg)
Patient Helper height............................80" (203 cm)
1. Chair and Chair Egress Position dimensions shown with 5" (13 cm) casters and measured to top of articulating deck; add
1.5" (3.8 cm) for 6" casters.
2. High position and low position dimensions shown with 6" (15.4 cm) casters and measured to top of articulating deck.
Chair Position Chair Egress Position

Features
TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System 5
User Manual (143434 REV 8)
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 (Model P1830A and Model P1840A)
The Enable control deters unauthorized operation of air system controls. The Enable control is located on
the siderail opposite the Graphical Caregiver Interface (GCI)® control on beds that have an air system
and one GCI. The Enable control must be pressed and the indicator light illuminated before the air
system controls will operate. The Enable indicator stays on for 20 seconds. While this indicator light is on,
the caregiver can activate any air system controls.
To Activate:
1. Press the Enable control. The Enable indicator light comes on for 20 seconds.
2. During the 20-second period, you may activate other air system controls without pressing the Enable
control again.
TotalCare® Bariatric Bed TotalCare® Bariatric Plus Bed
TotalCare® Bariatric Plus Bed, B Model and newer

Features
6 TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System
User Manual (143434 REV 8)
Lockout Controls (Model P1840B)
The Lockout controls located on the caregiver siderail control panel disable the bed articulating functions.
To Activate:
• Simultaneously press the Lockout control and the function
control. Both patient and caregiver controls are locked out.
An audible alarm sounds when a lockout is activated and the
applicable indicator will stay on. The knee lockout will lock
out the foot control. The foot lockout will lock out the knee
control
• Disable any lockout by simultaneously pressing the Lockout control and the respective function control. An
alarm will sound when the lockout is deactivated.
Lockout Controls (Model P1830 and
Model P1840A)
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.
• Disengage 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 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.

Features
TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System 7
User Manual (143434 REV 8)
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 you raise 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 and TotalCare® Bariatric Plus Therapy System are 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, press and hold the Knee Down Control while you raise the head
section.
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 you use only the Knee Up/Down controls.

Features
8 TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System
User Manual (143434 REV 8)
Foot Up/Down Controls
The foot section can be lowered and raised by using the Foot Up/Down Controls.
To Activate:
1. Press the Enable Control (A Model only).
2. 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 you use this feature; injury to the
patient may result.
CAUTION:
Before you activate the foot section controls, make sure the area
around the foot section is clear of equipment, or equipment damage
may occur.
Foot Elevation (Model P1840B)
The Foot Elevation feature raises the patient’s feet while lowering the head
position.
1. Press and hold the Foot Elevate control. The foot section will rise.
Once the foot section is at the maximum elevation, the head section
will recline.
2. Release the Foot Elevate control when the desired position is
reached.
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 and
TotalCare® Bariatric Plus Therapy System to customize the length of
the sleep surface to the patient. The foot section can be retracted 12"
(30 cm).
Model P1830 and Model P1840A

Features
TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System 9
User Manual (143434 REV 8)
To Activate:
1. Press the Enable Control (A Model only).
2. 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 you use this feature; injury to the patient may result.
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 and TotalCare® Bariatric Plus Therapy System are 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 (A Model only).
• 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.
Model P1840B and Newer

Features
10 TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System
User Manual (143434 REV 8)
Preliminary Tilt Table (Model P1840B)
The Preliminary Tilt table feature articulates the bed to a maximum of 20° Reverse Trendelenburg.
• Press and hold the Reverse Trendelenburg Control until the bed is in the Preliminary Tilt
Table Position.
NOTE:
The bed will move to the full Reverse Trendelenburg position, pause, and then move to the Preliminary Tilt Table
Position.
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:
1. Press the Enable Control (A Model only).
2. 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.
Boost® Position System (Model P1840B)
Boost® Position System allows for easier movement of the patient to the head end of the bed.
1. Press and hold the Boost control on the siderail. The bed will transition to a safe working
height at the Trendelenburg position and if the bed has an air system, the mattress will go
into Max-Inflate.
2. Release the Boost control when the desired position is reached.
3. Reposition the patient as necessary.
To return to the flat position, press the Bed Flat control and if the bed has an air system, press the Normal
control for the surface.
Safety and Information Indicators
(Model P1830A and Model P1840A)
Safety and Information Indicators provide the caregiver with visual and audio
indications about brake status, chair position, remove footboard alarm, AC power,
bed exit alarm, and battery status.
Brake Not Set
If the brake is not engaged, the Brake Not Set Indicator flashes.
If the system is in the chair or chair egress position and the brake is not engaged,
the Brake Not Set Indicator flashes and an alarm sounds.
Chair Position
The Chair Position Indicator comes on when the system is in the chair or chair egress position.
Model P1830
and Model P1840A
Model P1840B
and newer

Features
TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System 11
User Manual (143434 REV 8)
If the bed system is in the chair or chair egress position and the brake is not engaged, the Chair Position Indicator
flashes and an alarm sounds. If the bed system is in the chair egress position and the footboard is installed, the Chair
position indicator flashes and an alarm sounds.
Safety and Information Indicators (Model P1840B)
Safety and Information Indicators provide the caregiver with visual and audio
indications about brake status, chair position, remove footboard alarm, AC power,
bed exit alarm, and battery status.
Brake Not Set
If the brake is not engaged, the brake not set indicator flashes. An alarm will sound
when the bed is plugged in and the brake is not set.
If the system is in the chair or chair egress positions and the brake is not engaged,
the brake not set indicator flashes and an alarm sounds.
Remove Footboard
If the bed system is in the chair egress position and the footboard is installed, the Remove Footboard indicator flashes
and an alarm sounds.
Unplugged AC
The Unplugged AC indicator flashes when the AC power cord is disconnected and a battery is present.
Battery Power (Manual Control Option)
Charged—The Charged indicator comes on when the battery is charged.
Low—The Low indicator flashes when the battery is low. An intermittent tone sounds every two minutes when the
battery reaches the low condition and the power cord is disconnected.
Off—If indicators are off, the battery is too low to operate the bed.
CAUTION:
Although a fully-charged battery is preferred, transport may be done when the battery
charge is low. The bed should be reconnected to AC power as soon as possible. Equipment
damage can occur.
If the Battery Indicator changes from Charged to Low consistently within four hours of being disconnected from AC
power, replace the battery.
Service Required
The Service required indicator flashes when the system detects a malfunction. Refer to the TotalCare® Bariatric Bed
and TotalCare® Bariatric Plus Therapy System Service Manual (143435).
Line-of-Site® Trendelenburg Angle Indicator
The Line-of-Site® Trendelenburg Angle Indicator mechanically indicates
up to 15° of Trendelenburg and 15° of Reverse Trendelenburg in 5°
increments. The degree number where the indicator ball rests is the
correct Trendelenburg angle with respect to the floor.

Features
12 TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System
User Manual (143434 REV 8)
Chair Positioning
FullChair® Patient Position Mechanism
Using the FullChair® Patient Position Mechanism, the caregiver can place the
TotalCare® Bariatric Bed and TotalCare® Bariatric Plus Therapy System 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 bed. The chair feature also provides a means to support the patient’s feet for comfort and security.
To Activate:
1. Set the brake.
2. Press the Enable control (A Model only).
3. Press the Chair control. The patient deck transitions to the chair position.
NOTE:
For the TotalCare® Bariatric Plus Therapy System, the patient deck slightly reclines
backwards while the seat and lumbar sections on the mattress slightly deflate as the
patient deck transitions to the chair position (Cradle Transition). If the Chair control is released, the seat section will re-
inflate to normal pressures.
4. 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:
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 Footboard and Chair indicators will flash and an audible alarm will sound.
Model P1830
and Model P1840A
Model P1840B
and Newer