LINET Multicare LE Parts list manual

User Manual and Technical
Description
Multicare LE
Positionable bed for intensive care and integrated
mattress replacement system for Multicare LE
D9U001MC5-0101
Version: 06
Publication Date: 2018-08

2
Manufacturer:
LINET spol. s r. o.
Želevčice 5, 274 01 Slaný
Tel.: [phone]
Fax: [phone]
E-mail:[e-mail]
http://www.linet.com
Multicare LE
Positionable bed for intensive care and integrated mattress replacement system for Multicare LE
Author: LINET, s.r.o.
Related links: www.linet.com
D9U001MC5-0101
Version: 06
Publication Date: 2018-08
Copyright ©LINET, s.r.o., 2018
Translation © LINET, s.r.o., 2018
All rights reserved.
All trademarks and brands are the property of the appropriate owners. The manufacturer reserves the right to
changes in the contents of this manual that relate to the product´s technical regulations. It is for this reason that the
contents of this manual may indicate differences from the current manufacture of the product.

3
Table of contents
1 Symbols............................................................................................................................................................5
1.1 Warning Notices.......................................................................................................................................5
1.2 Other Symbols .........................................................................................................................................5
1.3 Symbols and Labels on the Product.........................................................................................................6
1.4 Symbols and Labels on the Product (Symbioso)......................................................................................7
1.5 Serial Label with UDI................................................................................................................................8
1.6 Definitions ................................................................................................................................................9
1.7 Abbreviations ...........................................................................................................................................9
2 Safety and Dangers........................................................................................................................................10
2.1 Safety Instructions..................................................................................................................................11
2.2 Use and Storage Conditions ..................................................................................................................13
3 StandardsandRegulations..............................................................................................................................14
3.1 Multicare LE...........................................................................................................................................14
3.2 Symbioso ...............................................................................................................................................14
4 Functioning.....................................................................................................................................................15
4.1 Specifications of Use..............................................................................................................................15
4.2 Contraindications ...................................................................................................................................15
5 Scope of Delivery and Bed Variants................................................................................................................16
5.1 Scope of Delivery...................................................................................................................................16
5.2 Bed Variants...........................................................................................................................................16
6 Setup..............................................................................................................................................................17
6.1 Transport................................................................................................................................................17
6.2 Setup......................................................................................................................................................17
6.3 Removing Isolating Foil..........................................................................................................................18
7 Assembly........................................................................................................................................................19
7.1 Bed Ends................................................................................................................................................20
7.2 Potential Equalisation.............................................................................................................................21
8 SymbiosoDescription.....................................................................................................................................22
8.1 Mattress and Cover (type B applied part)...............................................................................................22
8.2 SCU (System Control Unit) ....................................................................................................................23
9 InstallationSymbioso......................................................................................................................................24
9.1 Installation of Mattress ...........................................................................................................................24
9.2 Installation of SCU (System Control Unit) ..............................................................................................26
10 Operation........................................................................................................................................................27
10.1 Initial Operation......................................................................................................................................27
10.2 Battery....................................................................................................................................................27
10.3 Battery Operation...................................................................................................................................27
10.4 Removing the Bed from Service.............................................................................................................29
11 Control System (Multicare LE) ........................................................................................................................30
11.1 Multiboard in Both Head Sections of the Siderails .................................................................................31
11.2 Supervisor Panel....................................................................................................................................33
11.3 Handset..................................................................................................................................................34
11.4 Foot Control Bed Height.........................................................................................................................35
11.5 Foot Control Lateral Tilt..........................................................................................................................36
11.6 CPR Backrest Release...........................................................................................................................37
11.7 Siderails .................................................................................................................................................38
11.8 Castor Control and Bed Transport..........................................................................................................39
11.9 Mobi-Lift®...............................................................................................................................................41
11.10 Accessories............................................................................................................................................42
12 Using Symbioso..............................................................................................................................................48
12.1 Preparing the Bed for the Patient...........................................................................................................48
13 Patient Weighing (WS 17)..............................................................................................................................49
13.1 Control Panel Scales..............................................................................................................................49
14 Max Inflate Mode (MAX).................................................................................................................................52
15 Constant Low Pressure Mode ........................................................................................................................52
15.1 Fowler Boost Function............................................................................................................................52
16 MCM Mode.....................................................................................................................................................52
17 Recommended Weight Levels........................................................................................................................53

4
18 i-Drive Power (optional)..................................................................................................................................54
18.1 i-Drive Power System - Basic Description..............................................................................................54
18.2 Safety instruction for i-Drive Power........................................................................................................54
18.3 Specifications of Use..............................................................................................................................55
18.4 Manipulation...........................................................................................................................................56
18.5 Battery....................................................................................................................................................58
18.6 Fault Signalization..................................................................................................................................58
18.7 Light Indicators.......................................................................................................................................59
18.8 Technical Specifications.........................................................................................................................59
18.9 Electrical specification............................................................................................................................60
18.10 I-Drive Power Maintenance....................................................................................................................60
19 Additional Functions of Symbioso ..................................................................................................................61
19.1 Transport Mode/Power Failure...............................................................................................................61
19.2 CPR (Symbioso).....................................................................................................................................61
19.3 Alarms....................................................................................................................................................62
19.4 Foot Surface Extension..........................................................................................................................63
20 X-Ray Lung Examination................................................................................................................................64
20.1 Necessary Steps before the Examination ..............................................................................................64
21 Examination with C-arm .................................................................................................................................64
21.1 Necessary Steps before the Operation ..................................................................................................64
22 Cleaning/Disinfection......................................................................................................................................65
22.1 Preparing for Cleaning ...........................................................................................................................65
22.2 Cleaning (Multicare LE)..........................................................................................................................66
22.3 Cleaning (Symbioso)..............................................................................................................................67
22.4 Removing the Mattress Cover................................................................................................................69
23 Troubleshooting..............................................................................................................................................70
24 Maintenance...................................................................................................................................................71
24.1 Monthly maintenance.............................................................................................................................71
24.2 Maintenance every 3 months.................................................................................................................71
24.3 Maintenance every 12 months ...............................................................................................................71
24.4 Safety Checks........................................................................................................................................73
24.5 Maintenance Symbioso..........................................................................................................................74
24.6 Linet ® Service.......................................................................................................................................74
25 Storage (Symbioso)........................................................................................................................................75
26 Disposal..........................................................................................................................................................75
26.1 Environment Protection..........................................................................................................................75
26.2 Disposal .................................................................................................................................................75
27 Warranty.........................................................................................................................................................76
28 EC Declaration of Conformity - Multicare .......................................................................................................77
29 EC Declaration of Conformity - Symbioso......................................................................................................78
30 Technical Specifications.................................................................................................................................79
30.1 Accuracy of displayed values.................................................................................................................79
30.2 Mechanical Specifications (Multicare LE)...............................................................................................79
30.3 Conditions environnementales (Multicare LE)........................................................................................80
30.4 Electrical Specifications (Multicare LE) ..................................................................................................80
30.5 Mechanical Specifications (Symbioso)...................................................................................................81
30.6 Electrical Specifications (Symbioso).......................................................................................................81
30.7 Electromagnetic Compatibility................................................................................................................82

5
1 Symbols
1.1 Warning Notices
1.1.1 Types of Warning Notices
Warning notices are differentiated by the type of danger using the following key words:
Caution warns about the risk of material damage.
Warning warns about the risk of physical injury.
Danger warns about the risk of fatal injury.
1.1.2 Structure of Warning Notices
Type and source of danger!
Measures to avoid the danger.
Signal words
1.2 Other Symbols
1.2.1 Instructions
Structure of instructions:
Perform this step.
Results, if necessary.
1.2.2 Lists
Structure of bulleted lists:
List level 1
List level 2
Structure of numbered lists:
a. List level 1
b. List level 1
1. List level 2
2. List level 2

6
1.3 Symbols and Labels on the Product
Thermal protection for transformer
Possible risk
Only suitable for indoor use
Applied parts type B
Safety isolating transformer, general
CE mark
Jack for attachment of conductor for potential
equalisation
Safe working load
Warning against crushing or trapping
Read instructions for use.
Use mattress recommended by manufacturer.
Maximum weight of patient
Weight of bed
Designation of hospital bed for adults

7
Antibacterial surface treatment
WEEE symbol (recycle as electronic waste,
do not put into the household waste)
1.4 Symbols and Labels on the Product (Symbioso)
Read instructions for use.
2x T1AH anti-surge fuse
(250 V, type 5x20 mm)
Alternating current
Applied parts type B
Possible risk
O
WARNING! Mains switch for
mattress only!
Mains Switch
I: On (connected to the mains supply)
O: Off (disconnected from mains supply)
Device is connected to mains when green indicator is
on.
Indicates that the mains switch is for Symbioso only,
not for Multicare or the entire system.

8
1.5 Serial Label with UDI
The label is located on the case of the SCU (System Control Unit) under the foot section of the bed.
1
Address of Distributor
2
Manufacturing Date (Year-Month-Day)
3
DI (Device Identifier) / GTIN (Global Trade Item Number)
4
1D Bar code GS1-128 (Serial Number)
5
Symbols
6
Configuration number
7
Electrical Specification
8
Serial Number
9
PI (Product Identifier)
10
2D Bar Code (GS1 DataMatrix) DI+PI=UDI
1
3
2
10
9
8
Fig. Serial Label with UDI (Symbioso - SCU)
5
4
1
Fig. Serial Label with UDI (Multicare LE with scales)
3
4
5
6
7
8
9
2
10

9
1.6 Definitions
Basic Bed Configuration
the pricelist model configuration, not including a mattress
Bed Weight
The value depends on the product configuration, accessories or
customer adjustments.
Clearance of Undercarriage
the height from the floor to the lowest point of the undercarriage
between the castors, for the manipulation of accessories under a
braked bed in the standard position
Duty Cycle
cycle of operation of the motor: time of activity/time of rest
Ergoframe
Ergoframe is the kinematic system of Mattress support platform
Adjustment whose effect is the elimination of pressure on the patient´s
abdomen and pelvic area and frictional forces on the patient‘s back and
legs.
Maximum Patient Weight
Maximum Patient Weight depends on the application environment
according to IEC 60601-2-52. For application environment 1
(intensive/critical care) and 2 (acute care) reduce Safe working Load by
65 kg. For application environment 3 (long-term care) and 5
(ambulatory care) reduce Safe working Load by 35 kg.
Safe Working Load
the highest allowable load on the bed (patient, mattress and
accessories)
Siderail Height
the height of the upper crossbar or the edges of the siderails (not the
highest point of the siderail controls) from the patient surface
Standard Bed Position
The height of the patient surface with regard to the floor is 400 mm
The mattress support platform, including the individual parts, has to
be in a horizontal (level - 0°) position.
The siderails are always locked in the upper position.
The basic position of the integrated extension.
1.7 Abbreviations
AC
Alternating Current
CE
European Conformity
CPR
Cardiopulmonary Resuscitation
dB
Sound Intensity Unit
DC
Direct Current
EMC
Electromagnetic Compatibility
FET
Field-effect transistor
HF
High Frequency
ICU
Intensive Care Unit
IV
Intravenous
LED
Light Emitting Diodes
ME
Medical Electrical (Equipment)
OFF
Deactivated
ON
Activated
SCU
System Control Unit
SWL
Safe Working Load
UDI
Unique Device Identification (for medical devices)
USB
Universal Serial Bus

10
Incompatible siderails and mattresses can cause an entrapment hazard!
Inappropriate handling of the power supply cord, e. g. by kinking, shearing or
other mechanical damages is hazardous!
Multicare LE bed should not be used with bed hoists and bed lifts!
When routing cables from other equipment in the Multicare LE bed avoid
squeezing those between parts of the Multicare LE bed!
2 Safety and Dangers
Multicare LE bed should be left in its lowest position when the patient is
unattended in order to reduce risk of injury due to falls!
Siderails of Multicare LE should be located in the „up“ position to reduce the
risk of the patient accidentally slipping or rolling off the mattress!
WARNING!
WARNING!
WARNING!
WARNING!
WARNING!
WARNING!
Incompatible mattresses can create hazards.
WARNING!
The bed is intended for adults.
Follow chapter Intended use.
WARNING!
To avoid the risk of electric shock, this equipment must only be connected to a
supply mains with protective earth.
WARNING!

11
No modification of this equipment is allowed.
2.1 Safety Instructions
Follow the instructions carefully.
Only use the bed if it is in perfect working order.
If necessary, check the bed functions daily or at each shift change.
Use the bed only with the correct mains supply.
Ensure that the bed is only operated by qualified personnel.
Ensure that the patient (health permitting) has been informed about the operation of the bed and all
applicable safety instructions.
Move the bed only on even, hard-surfaced floors.
Replace any damaged parts immediately with original spare parts.
Ensure that maintenance and installation are performed only by qualified personnel trained by
the manufacturer.
Do not apply excess weight or loads to the bed according to SWL (safe working load).
During peak loads or unavoidable excess loads (CPR), place mattress platform in the lowest position.
Ensure that only one adult patient uses the bed at any time.
Take care to avoid injuries or squeezing when operating moving parts.
When using lifting poles or infusion stands, ensure that nothing will be damaged when you move or
adjust the bed.
Ensure that the castors are locked when the bed is occupied.
Keep the mattress platform in the lowest position at any time when the healthcare personnel are not
trea- ting the patient in order to prevent the patient from falling or injuries.
Ensure that siderails are operated only by healthcare personnel.
Never use the bed in areas where there is a hazard of explosion.
Enable or disable functions on patient controls using the supervisor panel as appropriate for the
patient’s physical and mental state. Verify that the function is actually disabled.
Never handle the mains plug with wet hands.
WARNING!
If this equipment is modified, appropriate inspection and testing must be
conducted to ensure continued safe use of the equipment.
WARNING!
Do not modify this equipment without authorization of the manufacturer.
WARNING!
During specific investigations or treatments the significant risks of reciprocal
interference posed by ME equipment may occur.
WARNING!
An additional multiple socket-outlet or extension cord shall not be connected
to the medical electrical system.
WARNING!

12
Unplug the mains cable only by pulling on the plug.
Position the mains cable so that there are no loops or bends in the cable; protect the cable from
mechanical wear and tear.
Improper handling of mains cable can cause an electric shock hazard, other serious injuries or damage
to the mattress replacement system.
Improper handling of mains cable can cause an electric shock hazard, other serious injuries or
damage the bed.
Ensure that the stipulated duty cycle (on-time) is not exceeded.
Ensure that the moving parts of the bed are not blocked.
To prevent failures, use the manufacturer’s original accessories and mattresses only.
If the patient's condition could lead to an entrapment, leave the mattress support platform in the flat
position while the patient is unattended.
Adjust bed height to approx. 20 cm below maximum height when transporting the bed in order to
facilitate overcoming possible obstacles.
Do not exceed maximum load of 80 kg for mattress platform extension.
Ensure that the bed and its components are only modified with the manufacturer´s approval.
Use the mattress system only as specified in this manual and in perfect working order.
Use the mattress system only with the correct mains supply (see Electrical Specifications
(Symbioso)).
Use the mattress system only in its original state and do not modify it in any way.
Have the mattress system used only by or under supervision of trained and qualified
nursing personnel.
Have the mattress system serviced and installed only by qualified personnel trained and
authorised by the manufacturer.
Do not exceed the maximum patient weight limit (see Mechanical Specifications (Symbioso)).
Do not use the SCU near
flammable gases. This does not
apply to oxygen cylinders.
Never use the mattress replacement system near radiators or other heat sources.
Never cover the SCU while in use.
Select a suitable location for the placement of bed accessories and other objects to prevent
involuntary activation of buttons or controls which may result in the adjustment of bed positioning.
Do not use the bed in the event parts have been removed (e.g. parts of mattress platform) unless
these parts are designed to be removed (e.g. head and/ or foot end of the bed).
Never place any accessories or handset on the side rails in the area where the integrated side rail
controller is located.
After each emergency situation always check if any of the controllers (in side rails, hand set or ACP) is
not involuntarily pressed by the bed accessories or by the mattress.
The weighing system must be tested at regular intervals and in accordance with the metrological
regulations of the relevant country. All testing and certification must be carried out by qualified
personnel. The healthcare provider is responsible for ensuring the required testing frequency and
testing procedure of the weighing system is carried out.
To avoid injury or crushing, take extra caution when operating any moving parts of the bed.
To avoid unintended activation of moving parts during any use of the bed always check that none of
the control elements of the bed is not involuntary pressed by persons, mattress or other objects.

13
Danger
2.2 Use and Storage Conditions
Danger to life due to electric shock!
To ensure the bed’s class I protection against electric shocks:
Ground the mains.
Use only Hospital Grade or Hospital Only receptacles for grounding.
Multicare and Symbioso are designed for use in rooms for medical purposes. Electrical installations must the- refore
meet local norms laying down the necessary conditions for electrical installations.
Disconnect the bed from the mains in exceptional cases (i.e. a storm).
Multicare and Symbioso are not suitable for indoor environments:
containing flammable gases (except oxygen cylinders).
NOTE All references to the position of parts are as viewed from a patient’s perspective i.e. as the patient
is laying on the bed.

14
3 Standards and Regulations
3.1 Multicare LE
The bed complies with the following standards and directives:
EN 60601-1:2006/A1:2013
EN 60601-1-2:2015
EN 60601-2-52:2010
EN ISO 14971:2012
93/42/EEC
90/384/EEC
2011/65/EU
The manufacturer adheres to a certified quality management system in compliance with the following
standards:
EN ISO 9001
EN ISO 14001
EN ISO 13485
3.2 Symbioso
The mattress replacement system complies with the following standards:
EC directive 93/42/EEC for medical devices
The manufacturer adheres to a certified quality management system in compliance with the following
standards:
EN ISO 9001
EN ISO 13485
EN ISO 14001
The product complies with the requirements of:
EN SO 14001
2011/65/EU (RoHS)
EN 60601-1:2006/A1:2013
EN 60601-1-2:2007
EN 60601-1-6:2010
EN ISO 10993-5:2009

15
4 Functioning
4.1 Specifications of Use
Symbioso is an integrated mattress replacement system for Multicare hospital beds.
Multicare LE and Symbioso are suitable for:
patients at moderate risk levels
patients with grade 3 or 4 ulcers
in combination with other nursing interventions.
Have Multicare LE and Symbioso used only by or under supervision of trained and qualified
nursing personnel.
Multicare LE and Symbioso are suitable for:
Patients
Standard bed:
With weight ≥ 40 kg
With height ≥ 146 cm
With BMI ≥ 17
Bed equipped with Junior Kit:
Older than 4 years with minimal height of 90 cm
Whose weight (including mattress and accessories) does not exceed the SWL
in long-term treatment (depending on bed type)
Personnel
qualified medical staff
any person familiar with the manual
patient (condition permitting)
Use
intensive/critical care units
hospital rooms
patient transport
Transport
in original bag
Medical purpose
active air mattress system (constant low pressure)
support for patients in Multicare LE beds
pressure ulcer prevention
for patients requiring skin micro-climate management
NOTE For information concerning uses other than those outlined in the “Specifications of Use” section above,
please contact Linet ®.
4.2 Contraindications
The Symbioso is contraindicated for patients with cervical traction or unstable:
spinal fractures
spinal cord injury
fractures at risk of complication by a moving support surface
Warn
ing
Risk of injury due to incorrect use!
Do not use CLP mode for patients undergoing cervical traction.
Before placing a patient on a Symbioso, always have a qualified person perform a risk
assessment to ensure that the support provided is appropriate and fulfils the applicable
local stipulations.

16
5 Scope of Delivery and Bed Variants
5.1 Scope of Delivery
Delivery:
Upon receipt, check that the shipment is complete as specified on the delivery note.
Notify the carrier and supplier about any deficiencies or damages immediately as well as in writing or
make a note on the delivery note.
Multicare hospital bed
Mattress with two piece cover - Applied part type B
SCU (System Control Unit) - Applied part type B
User Manual
5.2 Bed Variants
s = standard
o = optional
Optional bed features:
Symbioso
with Symbioso
without Symbioso
Optional bed features:
Undercarriage of the bed
Standard undercarriage –under bed clearance under foot columns 44mm (s)
Higher undercarriage –under bed clearance under foot columns 69mm (o)
Scales
with scales (with bed exit alarm)
Castors
Tente Integral 150 mm double castors (s)
Tente Integral 150 mm single castors (o)
retractable fifth castor (o)
Control Elements
Multiboard in both head sections of siderails (s)
additional supervisor panel (o)
handset with adapter for easy connection (Plug and Play) (o)
handset with illuminated buttons and adapter for easy connection (Plug and Play) (o)
foot controls –height adjustment (o)
foot controls –lateral tilt (o)
patient control elements integrated in both middle sections of the siderails (s)
variant with no patient controls in siderails (o)
illuminated patient keyboards (0)
1 pair of Mobi-Lift®handles (o)
i-Brake®(o)
X-ray cassette holder (o)
Additional adapter for lifting pole (o)
Wi-fi/LAN module (o)
EMR ready bed (o)
Nurse Call

17
6 Setup
6.1 Transport
For a safe transport, observe the following:
Ensure that no cables are run over when moving a bed.
Ensure that the mains cable is attached with a hook (at the head end of the bed).
Ensure that the castors are unlocked before moving the bed during the loading/unloading process
(see Castor Control and Bed Transport).
Move the bed only on suitable floor surfaces.
Suitable surfaces:
Tile
Hard linoleum
Poured flooring
Unsuitable surfaces:
Too soft, unsealed or defective flooring
Soft wooden flooring
Soft and porous stone floors
Carpeted floors with underlay
Soft linoleum
For longer distances, ensure that the castor steering function (main control) is activated.
Ensure that the brakes are released while moving the bed.
6.2 Setup
Set up the bed as follows:
Unpack the bed.
Check the delivery (see Scope of Delivery and Bed Variants).
Install equipment and accessories (see Assembly).
In case of delivery with dismantled bed ends, mount the head and foot ends (see Assembly).
Set up the bed only on a suitable floor surface (see Transport).
Ensure that the mains cable does not collide or get stretched when adjusting the bed.
Check that the plug is inserted correctly.
Do not leave any extension cords or power strips loose on the floor.
Ensure that all of the required mechanical and electrical prevention mechanisms are available on site.
There is no mains switch on the bed, i.e. the mains cable is the only means to isolate the bed from the
mains.
Ensure that the mains cable is always accessible.
Have the separable plug of the mains cable changed and maintained only by qualified and trained
service technicians authorised by the manufacturer.

18
6.3 Removing Isolating Foil
Risk of injury when removing isolating foil!
Wear gloves when removing isolating foil.
Warning
1
Fig. 2 Removing Isolating Foil
Remove isolating foil from mains control box 1 by pulling strap 2.
Check if isolating foil is complete and undamaged as shown in Fig. 2.
If isolating foil is damaged, contact the manufacturer’s service department immediately.
2
Fig. 3 Isolating Foil

19
7 Assembly
Risk of injury when working on the bed!
Ensure that the bed is disconnected from the mains connection prior to assembly,
disassembly and maintenance.
Ensure that the castors are locked prior to assembly, disassembly and mainte-
Warn
ing nance.
Material damage due to incorrect assembly!
Ensure that assembly is performed by seller´s customer service or trained hospital
personnel only.
Caution
1 2 3 4
5
6
7
8
9
10
18
17 16 15 14
13 12
11
Fig. 4
Overview of Multicare
1. Removable foot board with safety lock
2. Four-part mattress platform with Ergoframe® system
3. Split siderail –middle section with integrated control panels for patient
4. Split siderail –head section
5. Multiboard
6. Nurse call
7. Removable head board
8. CPR control lever –backrest release
9. X-ray cassette holder
10.Accessory holder
11.Foot controls –height adjustment
12.Siderail release lever
13.Foot controls –lateral tilt
14.Castor control lever
15.Bi-lateral accessory rail
16.Mobilift® handles
17.Castors Ø 150 mm
18.Bumpers

20
NOTE For safe, easy handling, LINET®recommends that two technicians assemble the bed.
7.1 Bed Ends
Fig. 5 Locking the Bed Ends
Dismount the bed ends as follows:
Unlock sleeve fittings.
Pull bed ends from sleeve fittings.
Lock sleeve fittings.
Install the bed ends as follows:
Unlock sleeve fittings.
Slide bed ends into sleeve fittings.
Lock sleeve fittings.