PARAMOUNT BED A5 Series User manual

A5 Series Bed
Note: In the illustration, an optional
mattress is attached.
INSTRUCTION MANUAL
7C01750700A2
Thank you for purchasing A5 Series Bed.
This instruction manual describes precautions and how to safely use and operate the bed.
●Before using this bed, please read this instruction manual
to fully understand the safe and proper operating procedures.
●The correct operating procedures should be explained not
only to the persons using the bed but also to caregivers.
●After reading this instruction manual,
store it where it can beeasily accessed for later reference.
●The actual product purchased may differ from detailed
descriptions given in this instruction manual due to product improvements.
●Values in the specification such as working range, dimensions,
angles and mass are subject to normal manufacturing tolerances.
Besides some exemptions, display purpose words such as
“approximately”, “about” etc. are omitted.
●For any queries, please feel free to directly contact Paramount Bed or your distributor.
●Users and/or patients are requested to report information about any serious incident
related to this equipment that occurs within the EU to the manufacturer and
the regulating authority of the member country of residence.
'Serious incident' means any incident that directly or indirectly led,
might have led or might lead to any of the following:
・the death of a patient, user or other person.
・the temporary or permanent serious deterioration of a patient's,
user's or other person's state of health.
・a serious public health threat.

INTENDED USE / PART NAMES
SAFETY PRECAUTIONS
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．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．4-11
．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．12
INSTALLATION
MATTRESS (OPTIONAL)
ASSEMBLING THE BED
1. Board
OPERATION PROCEDURES
3. Casters
4. Bed side-rails
5. Accessory holders
．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．16
．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．17-19
．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．20
．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．23
1
2
3
4
5
1
8. Angle indicator
．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．22
Page
7. Restraint belt mounting holes ．．．．．．．．．．．．．．．．．．．．．．．．．．．．．21
10. Corner bumpers
．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．21
CONTENTS
1. Operation overview
．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．14
2. Adjusting the base angle or the bed height ．．．．．．．．．．．．．．．．．．．．．．15
．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．229. Option attachment holes
6
6. Detaching the mattress base ．．．．．．．．．．．．．．．．．．．．．．．．．．．．．20
．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．13
ACCESSORIES
2. IV pole
．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．25
3. Oxygen cylinder holder ．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．26
4. Foot spacer
．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．27
Overbed table
．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．30
1. Recommended accessories table ．．．．．．．．．．．．．．．．．．．．．．．．．．24
7
5. Foot spacer storage
．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．27
6. Orthopedic frame attachment ．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．28
7. Monitor table
．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．29
PERIPHERAL EQUIPMENT
8

SPECIFICATIONS
PRODUCT SYMBOL DEFINITIONS
REGULAR INSPECTION AND DAILY MAINTENANCE
TROUBLESHOOTING
LONG-TERM STORAGE
AFTER-SALES SERVICE
．．．．．．．．．．．．．．．．．．．．．．．．．．．．．31
．．．．．．．．．．．．．．．．．．．．32-33
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．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．37
12
2
10
11
13
14
Page
NOTE
●
After pages 4, some part names described in the text are abbreviated as follow:
・Bed side-rail → Side-rail
9

3
1. Intended Use
2. Part Names
Board attachment hole
Corner bumper
Option attachment hole
INTENDED USE / PART NAMES
1
p.13
p.22
The page number shown next to this
symbol indicates where the related
explanation can be found.
p.22
Bed side-rail
Headboard
Back section base
Hip section base
Accessory holder
Base frame
Footboard
Knee section base
Caster
Leg section base
Main frame
Angle indicator
p.13
p.13
p.17-19
p.21
p.20
p.16
Handle
p.15
p.20
p.20
■
This bed is designed to be used for patient care in medical institutions and elderly care facilities.
※For details of the patient target groups and contra-indications,
the intended users and clinical benefits, see "Specifications".
p.20
p.20
Accessory holder
p.20
Bed side-rail
p.17-19

●
Precautions requiring special attention by persons using the bed are affixed as pictured in the
figure.
●If the safety label is removed or defaced, replace it with a new one obtained from Paramount Bed
or your distributor.
4
■
Be sure to read these safety precautions beforehand to ensure proper usage.
●The safety precautions described here are intended to ensure safe use of the product and prevent
personal injury and property damage. Precautions are classified as "WARNING" and "CAUTION"
to indicate the degree of hazard or injury that may result from improper use. These are important
safety precautions that must be strictly observed.
Indicates actions that may result in death or serious injury (broken
bones, pressure or paralysis) if the indication is ignored.
Indicates actions that may result in light personal injury (bruises,
wounds, or cuts) or property damage if the indication is ignored.
Among items described in SAFETY PRECAUTIONS, are especially important because ignoring them could
result in serious life-threatening accidents. Be sure to read these notes and use the product safely and properly.
Be especially careful to check patients who might act in unexpected ways or cannot maintain their posture
independently.
[Safety label]
※After reading this instruction manual, store it in a place that can be easily accessed for later reference.
SAFETY PRECAUTIONS
2
On the leg section base

5
■
Be careful not to allow any part of the body (especially the head or neck) to enter the gap
between the side-rail, or the side-rail and the board or the mattress base (especially when
raised).
●
When the head or neck enters the gap, the patient and/or user
might not be able to withdraw, and there is a risk of injury.
●Be especially careful to check patients who might act in
unexpected ways or cannot maintain their posture independently.
■
Be careful not to allow any part of the body (especially the head or neck) to enter the gap
between the side-rail and the mattress base or the mattress.
●
If the bed is operated with a body part placed in the gap, the part may get caught, resulting in injury.
●When the head or neck enters the gap, the patient and/or user might not be able to withdraw,
and there is a risk of injury.
●Be especially careful to check patients who might act in unexpected ways or cannot maintain their
posture independently.
■
When performing the height adjustment with the split type side-rail lowered, do not place
legs under the side-rail.
●
There is the risk that the legs may get caught, resulting in injury.
■
Be careful not to allow any part of the body to enter the gap in the side-rail and the board.
●
If the bed is operated with a body part placed in the gap, the part may get caught, resulting in injury.
●When the head or neck enters the gap, the patient and/or user might not be able to withdraw,
and there is a risk of injury.
●Be especially careful to check patients who might act in unexpected ways or cannot maintain their
posture independently.
■
Do not insert a hand (fingers) or legs between the bed frame and the mattress base
during operation.
●
The body part may get caught in the gap between the lowered mattress base and the bed frame
or the board, resulting in injury.
■
Check the patient’s condition when adjusting the base angle or bed height.
●
If the patient on the bed moves when the base angle or bed height is adjusted, the patient may fall off
the bed or get caught in the gap between the bed and the side-rail or the board, resulting in injury.
Perform the adjustment while supporting patients who cannot maintain their posture independently.
■Do not crawl or place your head or hands/legs under the bed.
●
There is a risk of getting caught between the moving part on
the bed and the frame or the side-rail, resulting in injury.
Check to make sure there are no people or objects around the
bed before operating the bed.
SAFETY PRECAUTIONS
2

6
■
Be careful not to allow any part of the body to enter the gap between the bed and
wall or surrounding obstacles.
●There is a risk that a part of the body may get caught, resulting in injury.
■
Do not adjust the side-rails from inside the bed.
●
The side-rails may drop suddenly and there is a risk of injury caused by a patient falling off
the bed.
■
When transporting a patient, raise the side-rails.
●
There is a risk of the patient falling off the bed, resulting in injury.
■
Do not sit on the side-rails, the headboard or the footboard.
●
A patient could fall off the bed, or the bed or
side-rails could be damaged or deformed,
resulting in injury.
■
Take care to prevent a patient from falling off the bed even when side-rails are raised.
●
A patient may fall off the bed through the gap between the side-rails, or a board and side-rail,
resulting in injury.
●If a patient bends forward over a side-rail, they may fall off the bed, resulting in injury.
●Be especially careful to check patients who might act in unexpected ways or cannot maintain their
posture independently.
■
When leaving the bed area or temporarily taking your eyes off the patient, check the
mattress base angle, bed height, and the side-rail status.
●
If a physician, nurse, or caregiver leaves the bed area or temporarily takes their eyes off
the patient, flatten the mattress base angle and set the bed height at the lowest position
according to the patient’s condition because there is a slight chance that the patient could
fall off the bed.
●For patient who cannot maintain their posture independently or have trouble walking, raise all
bed side-rails.
■Use the bed in the correct orientation.
●
Lying down on the bed with the feet at the head end and
the head at the feet end induces an unnatural posture
during bed operation (base angle) which may result in
injury.
■
Pay attention to prevent the patient from being compressed by back raising.
●
Especially before birthing, if the back section base is raised excessibly, the patient might be
compressed, resulting in injury.
SAFETY PRECAUTIONS
2

7
■
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.
■Use the bed according to the patient’s medical condition.
●
The bed operations may adversely affect the medical conditions of patients with specific symptoms.
Before the patient or a family member operates the bed, make sure that the physicians or nurses
explain details given in the instruction manual and proper usage to suit the patient’s medical condition.
■
Do not stand on the bed.
●
There is a risk of injury caused by the person falling
off the bed or falling down, or the bed could be
damaged or deformed. Pay close attention to children.
SAFETY PRECAUTIONS
2
■
Do not perform the bed operation such as raising the back or knee section base with a
restraint belt attached to the main frame.
●
The patient's body may be squeezed resulting in injuly or the bed may get damaged or deformed.
■
Do not use the bed for infants or small children.
●
This product is not designed for infants or small
children. There is a risk of injuly caused by the
infant or small child getting caught in gap between
the side-rails.
●There is a risk that infants may fall off the bed
through the gap between the side-rails, even when
the side-rails are used.
■
Make sure that there is nothing in the board attachment holes or the option attachment
holes when mounting the boards or the accessories.
●
If there are obstacles in the attachment holes, you cannot mount the boards or the accessories,
and the patient may fall off the bed or get caught in the gap, resulting in injury.
■Do not attach a restraint belt to boards or side-rails.
●The belt could unexpectedly come off, resulting in injuly, or the bed could get damaged or deformed.
■
When attaching the restraint belt to mattress base, put it through the mounting bracket
of the mattress base.
●
If the restraint belt is attached to something other than the mounting bracket, the belt could
unexpectedly come off, resulting injuly, or the bed could be damaged or deformed.

8
■Keep the bed away from fire.
●
Do not use thermal appliances such as heaters near the bed. Otherwise, the bed may be damaged
or deformed, or even catch fire.
■When moving the bed, watch your step.
●
Your leg may bump into the caster operation pedal or your foot may get caught by a caster,
resulting in injury.
■Lock the casters at all times except when moving the bed.
●
The bed may move when a patient gets into or out of the bed, resulting in an unexpected injury.
When moving the bed, unlock the casters.
■
Do not combine the bed with products other than the suitable products specified by
Paramount Bed.
●
For options directly attached to the bed such as mattresses, use suitable products specified by
Paramount Bed. Using other products may create unintended gaps, cause interference between
products, or lower the product safety, which may result in injury or operational failure.
■During operation, be careful not to trap the tubes.
●
It may cause damage to the tubes and devices or be trapped within the moving bed parts, resulting
in injury.
■Do not repair or modify the product or its components.
●
This may create unintended gaps or may cause abnormal operation, resulting in injury.
■Inspect the bed regularly.
●
The product exhibits wear and deterioration according to the frequency and conditions of use.
Inspect for loose parts, the operation of moving parts on the bed, and the presence of damage
regularly. There is a risk of unexpected injury.
■The bed should not be used by two or more persons.
●
This bed is designed for use by one person. When used by two or more persons, the bed could
be damaged, resulting in injury. User's maximum weight is 135kg.
If a physician, nurse, or caregiver needs to get on the bed for a short time, confirm the following
conditions beforehand.
○
The total weight of the person to get on the bed must not exceed user's maximum weight.
○The mattress base has been lowered all the way, and is flat.
■
Beds damaged in accidents must be inspected and repaired before being reused.
●
Beds damaged in earthquakes, fires, or floods or other incidents must be inspected and repaired by
Paramount Bed or your distributor. Otherwise, there is a risk of injury due to malfunctioning caused
by deformation of the bed.
SAFETY PRECAUTIONS
2

9
SAFETY PRECAUTIONS
2
■Do not apply more than the safe working load on the bed.
●
The bed could be damaged, resulting in injury. The safe working load of this bed is 1760N (180kgf).
The safe working load is the maximum load with which the bed can be operated and is the total load
of the user's weight and incidental items including the mattress and options.
■Do not place the bed on the inclination which angle is 6 degree or more.
●The bed may tip over, resulting in an injury.
■Do not spray a spray-type insecticide directly on the bed.
●
There is a risk that the solvents contained in insecticide may damage, discolor, or dissolve casters
or other resin parts of the bed. Check for damage caused by insecticide because damaged or dissolved
parts may cause an unexpected injury.

10
■When performing the height adjustment, pay attention not to hit the wall or beam.
●
The bed or wall may be damaged or deformed. Make
sure that the bed does not hit the wall or beam during
the height adjustment.
■
When setting up the bed, make sure that there is at least 20 cm clearance from the wall.
●
The main frame moves back and forth during the
height adjustment and could hit the wall, causing
damage or deformation of the bed.
■Do not get on the mattress base when it is raised.
●
It applies excessive force to the support of the
mattress base, causing damage or deformation.
■Check around the bed before operating the bed.
●
The bed operations may damage objects located around the bed, or may cause the bed to be
damaged or deformed.
Secure at least 20 cm clearance from the wall.
■Make sure that the board stoppers are properly locked.
●
If the board stoppers are not locked properly,
the board may suddenly disengage when a staff
pushes (pulls) the board to move the bed or a
patient grabs the board to support their body,
resulting in injury due to the patient losing balance
and falling down.
■
Do not hold the side-rails to move the bed.
●
It applies excessive force to the side-rails, causing damage or deformation.
SAFETY PRECAUTIONS
2
Headboard
(Footboard)
Tighten
(Lock)
Loosen
(Unlock)
Board stopper

11
■Avoid transporting over uneven floors.
●
This may cause damage to the bed, or deformation
or failure of the bed. If moving on uneven floor is
necessary, move the bed as slow as possible.
■
The angle of the leg section base must be adjusted by at least two persons from both
sides of the bed.
●
If only one person attempts to adjust the angle, the person may get caught between the leg section
base and main frame, resulting in injury.
■When using a patient lifter, it can be used in the area as shown in the picture.
●Do not use the patient lifter in the other area because it may damage or deform.
SAFETY PRECAUTIONS
2
<3 function gatch bed>
<2 function gatch bed>

■
To avoid possible malfunctions, do not install the bed in the following
●
Locations expose to direct sunlight
●Locations near heat sources such as a stove or heater
●Location which is heavily electrically charged such as near an MRI
●Location that has a high oxygen level
●Locations exposed to excessive amounts of water vapor or oil vapor
●Location that tend to be exposed to high temperatures, high humidity, low temperatures
or dry conditions
※The optimum ambient conditions for the bed are as follows.
Temperature 5℃ to 40℃ / Humidity 20%RH to 90%RH at 30℃/ Atmospheric pressure
700hPa to 1060hPa.
●Locaitons with large amount of dust, smoke, salt, sulfur, or corrosive substances
●Locations with poor ventilation
●Locations exposed to vibrations or shocks (including during transportaion)
●Locations where the floor is not strong enough
●Locations where the floor is not level
12
Secure at least 20 cm clearance from the wall.
INSTALLATION
3
●
The bed or wall may be damaged or deformed. Make
sure that the bed does not hit the wall or beam during
the height adjustment.
■When performing the height adjustment, pay attention not to hit the wall or beam.
■
When setting up the bed, make sure that there is at least 20 cm clearance from the wall.
●
The main frame moves back and forth during the
height adjustment and could hit the wall, causing
damage or deformation of the bed.

13
■
The boards can be attached or detatched.
When washing the patient's hair, detach the headboard. When performing lower limb training
or giving a foot bath, detach the footboard.
●
When attaching the board, make sure that the board stoppers are properly locked. Otherwise, the
board may disengage when the bed is moved, resulting in injury due to a fall.
●Do not attach the board to a hole other than the board attachment hole. Attachment could
become insufficient and the board could be rattled or come off, resulting in injury.
●When removing the board, do not forcefully lift it while the board is tilted. There is a risk of
deformation of the board insertion parts.
[Attaching]
①Loosen the board stoppers on the bed.
②Hold the grip of the board to lift it and properly
insert the board insertion part into the board
attachment hole of the bed.
③Firmly tighten the board stopper to fasten the board.
④Lightly pull up the board and check that the board is
locked.
[Detaching]
①Loosen the board stoppers on the bed.
②Hold the grip of the board and pull it directly up.
1.Board
Grip
Board insertion part
Board attachment hole
ASSEMBLING THE BED
4
●
Do not attach the board in the wrong way, or the head
or neck enters the gap between the board and the
side-rail, and there is a risk of injury.
●Do not leave the board detached, or a patient may
fall off the bed, resulting in injury.
Headboard
(Footboard)
Tighten
(Lock)
Loosen
(Unlock)
Board stopper

14
●
The height from the floor to the mattress base
surface can be adjusted.
■
The angle of the back and knee section bases and the bed height can be manuallyadjusted with
no increments.
●
The angle of the knee section base can be
adjusted from an angle of 0⁰to 25⁰.
●
When performing a position operation, check that the patient’s head, arms, feet, or other body
parts have not entered the gap of the side-rails, or the space between the back section base and
the frame; There is a risk of getting caught, resulting in injury.
●When performing the height adjustment with the split type side-rail lowered, do not place legs
under the side-rail. There is a risk of getting caught, resulting in injury.
●
The angle of the back section base can be
adjusted from an angle of 0⁰to 70⁰.
Back raise
0⁰to 70⁰
OPERATION PROCEDURES
5
1. Operation over view
0⁰to 25⁰
Knee raise
350mm to 700mm
Height adjustment
※3 function gatch bed only

15
●
During operation, do not place any part of the body (especially the head or neck) in the gaps
between the side-rails or between the mattress base and the main frame. Doing so may cause
body parts to be trapped causing injury.
●Be sure to store the handle when not using it. Otherwise, it could catch on a person's leg, causing
injury.
●Do not use the handle as a step. Otherwise, there is a risk of injury due to falling or malfunction.
2. Adjusting the base angle or the bed height
OPERATION PROCEDURES
5
Locking sleeve
Crank
Handle grip
When used
When stored
●When the handle is turned to its maximum limit, it slips to prevent from going over the limit.
●
Pull the handle out fully before use. Using the handle when it is not properly extended may
damage it.
●Make sure that small children do not play with the handle.
■
The angle of the back and knee section bases and the bed height can be manuallyadjusted with
no increments by using the handle on the main frame.
[To use the handle]
Hold the locking sleeve and pull up. The locking sleeve
will automatically be locked to enable operation.
[To store the handle]
Hold the locking sleeve, pull towards you, and press
down to store.
Knee raise
adjustment
handle
Back raise
adjustment
handle
Up Down
Up Down
Hi
-Lo
adjustment
handle
Up Down

16
3. Casters
●
Lock the casters at all times except when moving the bed. The bed may move when a patient gets
into or out of the bed, resulting in an unexpected injury.
●
Do not attempt to forcibly move the bed when the casters are locked (fixed), as doing so will cause
malfunctions.
●
Use the stopper to lock or unlock the casters.
●Stoppers are on four casters on each corners of the bed.When locking, be sure to lock all casters.
●Depressing the stopper locks the swiveling and rotation of the caster.
●Prior to locking, be sure that the caster is not out of the bed frame.
●To unlock, press the upper part of the stopper with the toe.
●
Inspect the caster regularly. Depending on the frequency of use and the environment, caster
will exhibit wear and deterioration. (High-temperature and high-humidity condition may
accelerate the deterioration.)
OPERATION PROCEDURES
5

17
4. Bed side-rails
<Split type>
●There are a total of four side-rails, two side-rails on the left and right, respectively.
●Side-rails prevent the patient from falling off the bed.
●All the side-rails are provided with shock absorber.
[Raising the side-rails]
①Lift the side-rail and push in until it clicks into place.
②Pull the side-rail to make sure that the side-rail is
locked.
[Lowering the side-rails]
①Use one hand to hold the grip of the side-rail and
push it.
②Use the other hand to pull the operation lever toward
you with pushing the side-rail to opposite direction
and, while supporting the side-rail, lower the side-rail
until it stops.
Side-rail position when it is raised. Side-rail position when it is lowered.
Operation lever
①
②
①
②
OPERATION PROCEDURES
6
●
The side-rails have a Anti-tampering Lock Feature that keeps the patient safely within bed
by preventing the side-rails lock from being released when the patient is leaning against the
side-rail. This prevents the patient from falling over when he is attempting to lower the
side-rail by himself.
Grip

18
<Collapsible type>
●There are a collapsible side-rail on the left and right, respectively.
●Side-rails prevent the patient from falling off the bed.
[Raising the side-rails]
①Lift the side-rail until it clicks into place.
②Push down the side-rail to make sure that the
side-rail is locked.
[Lowering the side-rails]
①Use one hand to hold the top of side-rail and use
the other hand to pull the plunger downwardly.
②Lower the side-rail slowly until it stops.
Side-rail position when it is raised. Side-rail position when it is lowered.
Plunger
①
②
OPERATION PROCEDURES
6

19
●
Be careful not to allow any part of the body (especially the head or neck) to enter the gap between
the side-rail and the mattress base or the mattress. When the head or neck enters the gap, the patient
might not be able to withdraw, and there is a risk of injury.
●Be especially careful to check patients who might act in unexpected ways or cannot maintain their
posture independently.
●Do not adjust the side-rails from inside the bed. The side-rails may drop suddenly and there is a risk
of injury caused by a patient falling off the bed.
●Do not let patient lean against the side-rail while it is raised. The patient may lose a balance and
there is a risk of injury caused by a patient falling off the bed.
●Do not place legs on the side-rail while it is lowered. The bed could turn over, resulting in injury.
●When raising side-rails, make sure that the side-rails are locked. If the side-rails are not completely
locked, they may move unexpectedly, resulting in injury.
●Take care to prevent the intravenous tubes or the drain tubes from getting caught. When operating
the side-rails, tubes could get caught between the side-rail and mattress and be damaged, resulting
in injury.
●When performing the height adjustment with the split type side-rail lowered, do not place legs
under the side-rail. There is a risk of getting caught, resulting in injury.
●When operating the side-rails, make sure that the patient’s hands or feet have not entered the gap
between the side-rail and mattress base. When the hands or feet enter the gap, the patient could get
caught in the gap, resulting in injury.
●When operating the side-rail with the back section base raised, operate the side-rail with caution.
Depending on the back section base angle, the side-rails may move unexpectedly and there is a risk
of injury.
OPERATION PROCEDURES
5