PARAMOUNT BED 7B01001000A3 User manual

INSTRUCTION MANUAL
A6 Series
Electrical Hospital Bed
7B01001000A3
Preface
Thank you for purchasing the A6 Series Bed (“bed”).
This instruction manual describes precautions and how to safely use and operate the bed.
nTo ensure safe and proper use of the bed, be sure to read this instruction manual before use.
nThe safe and correct operating procedures should be explained not only to the patient using the bed
for medical treatment but also to the patient’s attendant.
nAfter reading this instruction manual, store it in a place that can be easily accessed for later reference.
Users and/or patients are requested to report information about any serious incident that occurs within the EU to
the regulating authority of the member country of residence.
Serious incident means any incident that directly or indirectly resulted in, may have resulted in, or may result in
any of the following.
• Death of a patient, user, or other person
• Serioustemporaryorpermanentadversee󰀨ectsonthehealthofapatient,user,orotherperson
• Serious public health threat
* An optional mattress is attached in the illustration.
PARAMOUNT BED CO., LTD. [Revised: November 2021]

1
CONTENTS
1BEFORE USING THE BED …………………………………………………………… 4
1. About this bed …………………………………………………………………………………… 4
• Intended use and benefits …………………………………………………………………… 4
• Part names …………………………………………………………………………………… 4
2. Safety precautions ……………………………………………………………………………… 9
3. Product symbol definitions …………………………………………………………………… 26
• Bed …………………………………………………………………………………………… 26
• Side-rail integrated panel / Patient control panel ………………………………………… 27
• Handheld controller (standard product) …………………………………………………… 27
• Handheld controller (RC-1850E: accessory) ……………………………………………… 28
• Battery ………………………………………………………………………………………… 28
4. Preparing the bed ……………………………………………………………………………… 29
• Attaching and detaching the headboard or footboard …………………………………… 29
• Side-rail………………………………………………………………………………………… 30
• Extension frame ……………………………………………………………………………… 32
• Locking casters ……………………………………………………………………………… 34
• Raising the foot end ………………………………………………………………………… 35
• Accessory rail ………………………………………………………………………………… 36
• Restraint holder ……………………………………………………………………………… 37
• Accessory attachment hole ………………………………………………………………… 38
• Roller bumper ………………………………………………………………………………… 39
• Angle indicator………………………………………………………………………………… 40
• Connecting to the power supply …………………………………………………………… 41
• Battery (excluding PA-H 611*, PA-H 612*, PA-H 613*, PA-H 614*) …………………… 42
• Attaching and detaching the handheld controller (RC-1850E: accessory)
(excluding PA-H 612*, PA-H 614*) ………………………………………………………… 46
• Handheld controller hook …………………………………………………………………… 47
• Connecting the bed communication cable (commercially available product)
(PA-H 631*, PA-H 633* only)………………………………………………………………… 48
2FUNCTIONS AND OPERATIONS …………………………………………………… 49
1. Bed functions …………………………………………………………………………………… 49
• Head up / Knee up / Head and knee coordination / Height adjustment………………… 49
• Trendelenburg/reverse Trendelenburg
(excluding PA-H 611*, PA-H 612*, PA-H 613*, PA-H 614*) ……………………………… 51
• Cardiac Chair motion (excluding PA-H 611*, PA-H 612*, PA-H 613*, PA-H 614*) …… 52
• BED EXITALARM (PA-H 631*, PA-H 633* only) ………………………………………… 53
• X-ray cassette imaging (type with X-ray cassette tray only) …………………………… 57

2
2. Operation procedure …………………………………………………………………………… 60
• Using the side-rail integrated panel (excluding PA-H 612*, PA-H 614*) ……………… 60
• Using the patient control panel (excluding PA-H 612*, PA-H 614*) …………………… 66
• Using the handheld controller (PA-H 612*, PA-H 614* only) …………………………… 69
3. Emergency operation…………………………………………………………………………… 70
• Lowering the head section with a CPR lever ……………………………………………… 70
3SUITABLE PRODUCTS ……………………………………………………………… 71
1. Suitable products table ………………………………………………………………………… 71
2. Mattress ………………………………………………………………………………………… 72
3. Accessories ……………………………………………………………………………………… 73
• Handheld controller…………………………………………………………………………… 73
• BED Navi ……………………………………………………………………………………… 78
• IV pole ………………………………………………………………………………………… 79
• Oxygen cylinder holder ……………………………………………………………………… 80
• Traction frame ………………………………………………………………………………… 82
• Orthopedic frame attachment ……………………………………………………………… 82
• Extension mattress …………………………………………………………………………… 83
• Side-rail spacer/Foot spacer (PA-H6*1*, PA-H612* only)………………………………… 84
• Side-rail spacer holder ……………………………………………………………………… 85
• Lifting pole …………………………………………………………………………………… 86
• Monitor table ………………………………………………………………………………… 87
• Bed linen rack ………………………………………………………………………………… 88
• Chart holder …………………………………………………………………………………… 89
• Nemuri SCAN*1) (general medical device (body motion sensor)) ……………………… 90
4. Peripherals ……………………………………………………………………………………… 91
• Bedside table ………………………………………………………………………………… 91
• Overbed table ………………………………………………………………………………… 92
• Sittan™/Rehabilitation table*1) ………………………………………………………………………………………………………………92
• Electric patient lift (floor traveling)*1) ……………………………………………………………………………………………………93
4IN CASE OF TROUBLE ……………………………………………………………… 95
1. Troubleshooting ………………………………………………………………………………… 95
2. Error codes ……………………………………………………………………………………… 99
• Error code list ………………………………………………………………………………… 99

3
CONTENTS
<Notes>
* Except for some special cases, the illustrations in the text after this page use PA-H 6218 for
explanation.
nSome of the descriptions in this instruction manual may differ from the product you have purchased
due to model improvements.
nValues described for the operation range, dimensions, angles, and weights are subject to normal
manufacturing tolerances. Except for special cases, words such as approximately and about are
omitted in this instruction manual to improve readability.
nFor any queries, contact Paramount Bed or your distributor.
5REFERENCE INFORMATION………………………………………………………… 100
1. Regular inspection and daily maintenance…………………………………………………… 100
• Regular inspection …………………………………………………………………………… 100
• Daily maintenance …………………………………………………………………………… 101
2. Long-term storage and disposal ……………………………………………………………… 102
• Long-term storage …………………………………………………………………………… 102
• Product disposal ……………………………………………………………………………… 102
3. Specifications …………………………………………………………………………………… 103
4. Technical explanation regarding EMD (Electromagnetic Disturbance) …………………… 114
5. After-sales service ……………………………………………………………………………… 118

Foot end
Head end
44
1BEFORE USING THE BED
1. About this bed
Numbers with this symbol mark indicate pages
where a related explanation is provided.
Intended use and benefits
[Intended use]
This bed is designed to help patients maintain a comfortable posture at medical institutions. Use the bed
according to the patient’s medical condition.
[Clinical benefit]
• Patient comfort
• Quality Patient Care and efficient care provision
[Patient target group]
• User weight (min. - max.): 40 kg to 180 kg
• Minimum user height: 146 cm
• Minimum user body mass index (BMI): 17
• Supported age range: 13 years and older
* Do not use the bed for children (aged 12 or under) or patient weighing more than 180 kg.
[Intended users]
Medical professionals, patients, close relatives of patients, and maintenance staff
* “Caregivers” is used in this manual to refer to medical professionals and close relatives of patients.
Part names
P. 29 P. 29
P. 40
P. 60 to 65
P. 40
P. 36
P. 41 P. 41
P. 70
P. 30 and 31 P. 30 and 31
* This illustration uses the PA-H 621* for explanation.
Headboard Head-end side-rail Foot-end side-rail Footboard
Inclination
angle
indicator
Side-rail
integrated panel
Accessory rail
Night-light
Power cable
CPR lever
Main frame
Head of bed angle indicator
Power plug
* Back of the hip
section
Battery
P. 42

Foot end Head end
5
P. 38
P. 66
P. 32 and 33
P. 34
P. 34
1BEFORE USING THE BED
Numbers with this symbol mark indicate pages
where a related explanation is provided.
* This illustration uses the PA-H 621* for explanation.
* 125 mm double-wheel with resin cover
Base frame
Accessory attachment hole
Patient control panel
Leg section
Knee section
Hip section Head section
Side pedal
Caster
Extension frame
Mattress stopper
Roller bumper
P. 39

Foot end
Head end
6
Numbers with this symbol mark indicate pages
where a related explanation is provided.
* This illustration uses the PA-H 612* for explanation.
P. 29 P. 29
P. 36
P. 41 P. 41
P. 70
P. 30 and 31 P. 30 and 31
Headboard Head-end side-rail Foot-end side-rail Footboard
Accessory rail
Night-light
Power cable
CPR lever
Main frame
Power plug
* Back of the hip
section
Battery
P. 42

Foot end Head end
7
Numbers with this symbol mark indicate pages
where a related explanation is provided.
* This illustration uses the PA-H 612* for explanation.
P. 38
P. 39
P. 32 and 33
P. 34
P. 69
P. 34
* 125 mm double-wheel
with resin cover
Base frame
Accessory attachment hole
Leg section
Knee section
Hip section Head section
Side pedal
Caster
Extension frame
Mattress stopper
Roller bumper
Handheld controller
1BEFORE USING THE BED

Head end
Foot endHead end
8
Applied parts
* Parts of the bed that in normal use necessarily come into physical
contact with the patient for the bed to perform its function
Cable storage hooks

Foot end
Head end
9
2. Safety precautions
gBe sure to read these safety precautions beforehand to ensure proper
use.
nThe safety precautions described here are intended to ensure safe use of the product and prevent
personal injury and property damage. Precautions are classified into “ WARNING” and
“CAUTION,” which indicate the degree of hazard or injury that could result from improper use.
They are all important safety precautions that must be strictly observed.
WARNING
Indicates that improper handling by ignoring this indication may cause
death or serious injury (broken bones, pressure being applied, or paralysis).
CAUTION
Indicates that improper handling by ignoring this indication may cause
minor injuries (such as bruises, scratches, or cuts) or property damage.
* With regard to the items described in “Safety precautions,” <Gap related notes> (see p. 11
and 12) are especially important because ignoring them could result in serious life-
threatening accidents. Be sure to read these items to ensure safe and proper use of the bed. Be
especially careful to check a patient who might act in unexpected ways or cannot maintain their
posture independently.
* After reading this instruction manual, store it in a place that can be easily accessed for later reference.
<Safety labels>
nWarnings and precautions requiring special attention by persons using the bed are described on labels
that are affixed inside of the footboard, the underside of the Foot-end side-rail, and at the top of the leg
section. Do not remove or deface them.
nIf a safety label is removed or defaced, replace it with a new one obtained from Paramount Bed (see
p. 118) or your distributor.
1BEFORE USING THE BED

Foot end
Foot end
10

7
8
1
1
2
4
5
7
3
9
6
Foot end
Head end
Head end
8
11
WARNING
<Gap related notes>
gWatch the gaps.
nThere are gaps in the bed, side-rail, etc. There is a risk of injury if part of the body (especially the
head and neck) gets caught in those gaps.
nBe especially careful to check a patient who might act in unexpected ways or cannot maintain their
posture independently.
nPay attention to the following points.
1Gap in side-rail
2Gap between side-rails (head end/foot end)
3Gap between side-rail and board
4Gap between side-rail and mattress deck/
mattress (vertical direction)
5Gap between side-rail and mattress deck/
mattress (horizontal direction)
6Gap inside the board
7Gap between board and mattress deck/
mattress
8Gap between raised mattress deck and
board/side-rail
9Gap between IV Pole/side-rail spacer/Foot
spacer/Traction frame and board/side-rail/
mattress deck/mattress
* The figure shows an example.
1BEFORE USING THE BED

12
WARNING
gDo not operate the bed with part of the body placed in a gap.
nA body part could get caught in a gap, resulting in
injury.
nBe especially careful to check a patient who might
act in unexpected ways or cannot maintain their
posture independently.
gDonotinsertahand(ngers)orlegsbetweenthebedframeandthemat-
tress deck during bed operation.
nA body part could get caught in the gap between the lowered mattress deck and the bed frame or
board, resulting in injury.
nBe especially careful to check a patient who might act in unexpected ways or cannot maintain their
posture independently.
gBe careful to prevent any part of the body from entering the gap between
the bed and a wall or other objects.
nThere is a risk that a part of the body may get caught, resulting in injury.
nBe especially careful to check a patient who might act in unexpected ways or cannot maintain their
posture independently.
gDo not crawl under the bed or place your head, hands, or legs under the
bed.
nA body part could get caught in the gap between
the moving parts of the bed and the frame or side-
rail, resulting in injury. Check to make sure there
are no objects around the bed before operating
the bed.
nBe especially careful to check a patient who might
act in unexpected ways or cannot maintain their
posture independently.
gCheck the patient’s condition when adjusting the mattress deck angle or
bed height.
If the patient moves while the mattress deck angle or bed height is adjusted, the patient may fall off the
bed or get caught in a gap, resulting in injury. In particular, if the patient cannot maintain their posture
independently, support their body when performing an adjustment.
gWhen attaching a suitable product, make sure there are no foreign objects
in the Accessory attachment holes.
If there are foreign objects, the accessory cannot be attached correctly and there is a risk of the patient
falling off the bed, or unexpected gaps being created and part of the body getting caught, resulting in
injury.

13
WARNING
<Fallingo󰀨>
gBecarefultopreventthepatientfromfallingo󰀨thebedevenwhenside-
rails are raised.
nThe patient may fall through a gap between side-rails, or between a board and side-rail, resulting in
injury.
nThe patient may bend forward over a side-rail and fall off the bed, resulting in injury.
nWhen a thick mattress is used, the effective height of the side-rails becomes lower. Be careful
because this makes it easier for the patient to roll over them and fall, which may result in injury.
nBe especially careful to check a patient who might act in unexpected ways or cannot maintain their
posture independently.
gWhen transferring a patient, raise the side-rails.
The patient may fall off the bed, resulting in injury.
gThe side-rails should be operated by the nurse from outside the bed.
If the patient operates the side-rails from inside the bed, the side-rails may go down suddenly and the
patient may fall off the bed, resulting in injury.
gDo not sit on the side-rails, headboard, or footboard.
The patient could fall off the bed or fall down, or the
bed or side-rails could be damaged or deformed,
resulting in injury.
gWhenleavingthebedareaortakingyoureyeso󰀨thepatient,checkthe
mattress deck angle, bed height, and the state of the side-rails and boards.
nIf a physician, nurse, or attendant will leave the bed area or take their eyes off the patient, set the
mattress deck angle to zero (flat) and the bed height to the lowest position according to the condition
of the patient in case of falling off the bed.
nIf a patient cannot maintain a posture independently or has difficulty in walking, raise all side-rails. If
you want to fill the gap between the Foot-end side-rail and footboard when using an extension frame,
use a side-rail spacer/Foot spacer (PC-5112/IC-A33321Q (accessory), see p. 84).
gDo not transport the bed with the patient on it while the head is raised us-
ing Cardiac Chair motion or the bed is inclined.
The patient may fall from the bed or be caught in a gap, resulting in injury.
1BEFORE USING THE BED

Foot end
Foot end
Head end
Head end
14
WARNING
<Operating the bed>
gDo not allow the bed to be operated by a person deemed incapable of un-
derstanding bed operation (a child aged 12 or under or a person with de-
mentia).
nIf a person deemed incapable of understanding the operation operates the side-rail integrated panel,
patient control panel, handheld controller (standard or accessory), or BED Navi (accessory) by
oneself, the body may get caught in the bed by mistake, resulting in unexpected injury.
If there is a possibility that such a person operates the side-rail integrated panel, patient control panel,
handheld controller (standard or accessory), or BED Navi (accessory), use one of the following
procedures to limit operation to prevent accidents caused by unintended operation.
• Set Overall lock-out on the side-rail integrated panel or BED Navi (accessory) to disable the
operation of the side-rail integrated panel, patient control panel, handheld controller (standard or
accessory), and BED Navi (accessory). (For the setting procedure, see p. 65 or the instruction
manual for the BED Navi (accessory).)
• Set Patient lock-out on the side-rail integrated panel or BED Navi (accessory) to disable the
operation of the patient control panel and handheld controller. (For the setting procedure, see p.
65 or the instruction manual for the BED Navi (accessory).
• Set Selective lock-out on the BED Navi (accessory) to disable individual head/knee/height/inclining
operations. (For the setting procedure, see the instruction manual for the BED Navi (accessory).)
• Disconnect the power plug and turn the battery off.
nNote that resetting the settings on the BED Navi (accessory) enables all bed operations again even
when the side-rail integrated panel, patient control panel, handheld controller (accessory), and BED
Navi (accessory) operations have been disabled. The bed may move unexpectedly, resulting in injury.
(See the instruction manual for the BED Navi (accessory).)
gUse the bed in the correct orientation.
Lying down on the bed with the feet at the head end
and the head at the foot end induces an unnatural
posture during bed operation (mattress deck angle)
which may result in injury.
g Do not perform any angle adjustment when the patient is lying face down or
on their side (in any posture other than lying face up).
There is a risk of injury caused by extending the
joints backward.

15
WARNING
gDo not perform bed operations such as raising the head or knee section
with a restraint belt attached to the mattress deck.
nThe patient’s body may be squeezed resulting in injury or the bed may be damaged or deformed.
nIf the patient or attendant operates the side-rail integrated panel, patient control panel, handheld
controller (standard or accessory), or BED Navi (accessory), the body may get caught in the bed by
mistake, resulting in unexpected injury. If there is a possibility that such a person operates the side-rail
integrated panel, patient control panel, handheld controller (standard or accessory), or BED Navi
(accessory), use one of the following procedures to limit operation to prevent accidents caused by
unintended operation.
• Set Overall lock-out on the side-rail integrated panel or BED Navi (accessory) to disable the
operation of the side-rail integrated panel, patient control panel, handheld controller (standard or
accessory), and BED Navi (accessory). (For the setting procedure, see p. 65 or the instruction
manual for the BED Navi (accessory).)
• Set Patient lock-out on the side-rail integrated panel or BED Navi (accessory) to disable the
operation of the patient control panel and handheld controller. (For the setting procedure, see p.
65 or the instruction manual for the BED Navi (accessory).)
• Set Selective lock-out on the BED Navi (accessory) to disable individual head/knee/height/inclining
operations. (For the setting procedure, see the instruction manual for the BED Navi (accessory).)
• Disconnect the power plug and turn the battery off.
nNote that resetting the settings on the BED Navi (accessory) enables all bed operations again even
when the side-rail integrated panel, patient control panel, handheld controller (accessory), and BED
Navi (accessory) operations have been disabled. The bed may move unexpectedly, resulting in injury.
(See the instruction manual for the BED Navi (accessory).)
gUse the bed according to the patient’s medical condition.
nDepending on the patient’s medical condition, the condition may become worse if the patient’s posture
is changed by operating the bed or raising the head or knees.
nIf the patient or a family member operates the bed, make sure that the physician or nurse explains the
details given in the instruction manual and usage suitable for the patient’s medical condition.
1BEFORE USING THE BED

16
WARNING
<Using the bed>
gUse the bed with the boards attached, except when providing treatment.
Also, check the patient’s condition when detaching the board.
nA body part may get caught in a gap between the board and other objects, such as a suitable product
or peripheral device, resulting in injury.
nThe patient may fall off the bed, resulting in injury.
gDo not use the bed for patients with a height of 146 cm or less, a weight of
40 kg or less, and a BMI of 17 or less.
nThis product is not designed for patients with a
height of 146 cm or less, a weight of 40 kg or less,
and a BMI of 17 or less. A part of the body may
get caught in a gap between the bed and side-rail,
resulting in injury.
nEven when the side-rails are used, an infant or
small child may fall off the bed through a gap
between the bed and side-rail, resulting in injury.
gDo not stand on the bed. The patient may fall off the bed resulting in injury or
the bed may be damaged or deformed. In particular,
be careful with children.
gDo not spill liquids on the bed.
nDo not spill liquids on the bed’s electrical components, such as the connector*), side-rail integrated
panel, and patient control panel. The bed may malfunction resulting in injury or may be damaged due
to a short circuit.
nIf liquid is accidentally spilled on the bed, disconnect the power plug from the outlet and wipe off the
liquid. Dry the bed completely and make sure that the bed operates safely before use.
*) Connector to connect optional electrical components, such as a handheld controller, nurse call relay
unit, or Nemuri SCAN
gDo not place the bed in a strong electromagnetic environment such as an
MRI.
nThe bed may operate abnormally, resulting in injury or in damage to the bed.

17
WARNING
gDo not attach the restraint belt to any location other than the restraint
holder.
The restraint belt may unexpectedly come off resulting in injury, or the bed may be damaged or
deformed.
gThe bed should be transferred by at least two persons.
nWhen transferring the bed, blind spots may occur in the direction of travel and the bed may collide
with a person, resulting in injury. In addition, the bed may collide with an object and the bed and the
object may be damaged or deformed.
nThe person at the front should pay attention to the direction of travel and corners.
gWhen using suitable products directly attached to the bed such as mat-
tresses,useproductssuitableforthebedspeciedbyParamountBed.
The use of products other than the specified ones or those from other companies may create unintended
gaps, cause contact between products, or lower stability, resulting in injury or failure of the bed. (For
suitable products, see p. 72.)
gKeepthebedawayfromre.
Do not use heating appliances such as heaters near the bed. This may cause deterioration, deformation,
or fire.
gDo not use the bed in the oxygen tent.
nFire could result.
nWhen using oxygen administration devices, use nasal type, mask type, or artificial respirator type
only.
gWhenusingammableanesthetics,donotoperatethebed.
Fire could result.
gBe careful to prevent clothing from getting caught on suitable products
and protrusions.
nIf the bed is operated with clothing caught, the clothing may be pulled, resulting in injury.
nWhen getting on or off the bed, the patient may fall off the bed or fall down, resulting in injury.
1BEFORE USING THE BED

18
WARNING
<Transferring and moving the bed>
gWhen transferring the bed, watch your step.
Your leg may bump into the side pedal or your foot may get caught by a caster, resulting in injury.
gLock casters at all times except when moving the bed.
nWhen the patient gets into or out of the bed, the bed may move, resulting in unexpected injury.
nWhen moving the bed, operate the side pedal and unlock the casters. (See p. 34)
gDo not stand on the side pedal.
There is a risk of injury due to falling or damage to the bed.
<Power plug and cables>
gBe careful not to trip over the power cable or handheld controller cable.
nThe power plug or cables may be damaged, resulting in electric shock or fire.
nYou may fall over and injure yourself.
gDo not run cables (such as the power cable) of the bed or other electrical
appliances under the bed.
The cables may get caught in casters or moving parts and be damaged, resulting in electric shock or
fire.
gDo not apply excessive force to the power plug.
The power plug may be damaged, resulting in electric shock or fire.

19
WARNING
gDo not allow dust to accumulate on the power plug.
There is a risk of electric shock or failure due to a
short circuit.
gWhen disconnecting the power plug, hold the power plug.
If you hold only the power cable when disconnecting the power plug, the cable may be damaged,
resulting in electric shock or fire.
g Besuretodisconnectthepowerplugandturnthebatteryo󰀨beforeper-
forming maintenance.
The bed may operate due to unintended operation, resulting in injury.
gDo not damage the cables (such as the power cable).
nThe cables may be damaged, resulting in electric shock or fire.
• Be careful to prevent cables from getting caught in the moving parts of the bed.
• Do not place heavy objects on cables or apply excessive force to them.
• Do not run over cables with the bed.
nRequest repair (or replacement) of damaged cables.
Power plug
Grounded outlet
gDo not connect or disconnect the power plug with wet hands.
nDust on the power plug can absorb moisture and
conduct electricity, resulting in a short circuit,
electric shock, or fire.
nUse a dry cloth to wipe away any dust that
accumulates on the surface of the power plug.
* The illustration shows a type C power plug.
1BEFORE USING THE BED