Toto GP0133-A50-01 User manual

Toto®Lateral Turning System, with Toto®Touch Control Unit
User Guide
www.frontier-group.co.uk

2 3
Kit Contents
Before you start please ensure that you have all the necessary components. If any are
absent, or in case of doubt, please contact Frontier Therapeutics Ltd Customer Services on
[phone].
Toto® Touch Lateral Turning System Labelling
This user guide contains important information on correct usage, handling, cleaning and
decontamination. Please read carefully prior to use.
! IMPORTANT - This indicates a hazardous situation that could result in damage to property if
it is not avoided.
65ºc for 10 minutes or
73ºc for 3 minutes
Max user weightBleaching agent
allowed
Do not pierce
or cut
Do not ironLine dry Refer to user manual
CE Compliant Type BF applied part
Keep dry
Class II equipment
Disposal: do not dispose of this
product as unsorted domestic
waste. It must be sent to a separate
collection facility for recovery
and recycling.
Caution symbol
Toto Touch Control Unit Labelling
1. Starts, stops and pauses the Control Unit.
2. Air Cell side selection.
3. Air Cell inflation time.
4. Air Cell rest time.
5. Alarm mute and interface
lock mode.
6. Service indicator.
7. Interface lock indicator.
Toto Touch Control Unit
• 1x Toto Touch Control Unit.
• 1x Control Unit power lead.
• 1x User guide.
Toto Lateral Turning System Platform
• 1x Platform.
• 1x Platform cover.
• 1x CPR deflation valve and tubing set.
• 1x Pair of air cells with quick
connectors.
1 2 3 4 5 6 7

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Contents Product Specifications
Toto Lateral Turning System - Standard: Fully customisable
control unit with a 30° degree tilt.
Toto Lateral Turning System - 45: Fully customisable control
unit with a 45° degree tilt.
Toto Lateral Turning System - XL: Fully customisable control
unit, with an extra wide platform suitable for bariatric patients
with 30° degree tilt.
Product Depth (flat position - air cells
empty) mm (Inches)
Depth (raised position - air cells
inflated) mm (Inches) CPR Deflation Valve Angle of Tilt (°)
Standard 35 (1.4) 185 (7.3) Quick Release Pull Tag 30
45 35 (1.4) 223 (9) Quick Release Pull Tag 45
XL 35 (1.4) 271 (11) Quick Release Pull Tag 30
Product Weight - kg (lbs) Maximum User Weight - kg (lbs) Width - mm (Inches) Length - mm (Inches)
Standard 18 (40) 190 (419) 745 (29) 1850 (73)
45 18 (40) 190 (419) 745 (29) 1850 (73)
XL 23 (51) 190 (419) 1067 (42) 1850 (73)
Toto Platform
Toto Touch Control Unit
Specifications
Dimensions - Width / Depth / Height - mm (Inches) 240 (9.5) x 100 (4) x 200 (8)
Weight - kg (Ibs) 2.2 (4.8)
Rated voltage - EU 220 - 240VAC, 50/60Hz, 0.3A
Rated voltage - USA 110 - 120VAC, 60Hz, 0.3A
Rated input power (VAC) 20
Protection class Class II
Power cord length - Meters (Feet) 5 (16.4)
Air output (LPM) 11
Page 5 Product specifications
Page 6 Intended use
Page 7 Safety
Page 8 Instructions for use
Page 15 Alarms and Alerts
Page 18 Care
Page 20 Cleaning
Page 22 Warranty
Page 23 Technical Specification

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Intended Use
Product Description
Toto is an automated lateral turning system which consists of a Toto Touch Control Unit and a
turning platform with cover.
Designed to assist with patient turning and pressure ulcer prevention plans, the system is based
on inflating alternating air cells within the platform. These turn patients laterally via the mattress
surface to a maximum of either 30 or 45 degrees depending on which version is used.
The digital Control Unit provides customised care with a user determined side selection feature
and accurately timed digital inflation and rest durations. Sophisticated blockage and air leak alarms
help ensure patient safety, as well as an interface lock to avoid unwanted setting changes.
A convenient therapy pause mode enables patient interaction without having to stop therapy and
a service indicator to maintain performance also comes as standard.
The system is compatible with profiling beds and both standard and alternating pressure relieving
equipment. It is also compatible with domestic mattresses, except pocket sprung.
Toto lateral turning system does not replace pressure relieving and redistribution surfaces and is
supplementary to their use.
Indications
Toto lateral turning system is suitable for the prevention of pressure ulcers for the following
patients:
• Those identified as being at moderate to high risk of developing pressure ulcers as defined by
commonly used assessment tools.
• Weighing up to 190kg (419lbs).
• Who are unable to change their position without assistance.
• Identified as requiring regular turning and who are non-compliant with manual turning schedules.
Contraindications
• Do not use without a suitable pressure redistribution surface & package of care.
• Do not use with patients with unstable spinal cord injuries or who are undergoing traction.
• Do not use with patients with equilibrium disturbances.
• Not to be used where patients must be supported by wedges or pillows etc.
Intended Care Setting
Toto Lateral turning system is intended to be used in the following care settings:
• Long term or extended care, such as nursing homes and care homes.
• Home care.
• Hospitals.
Safety
! Warnings and Precautions
Individual patient assessments should be made prior to use and appropriate pressure relieving
devices put in place. Please note the following:
• Caution is advised when using with patients with underlying neurological disorders which may
lead to increased anxiety.
• Unusual body shapes and body postures.
• Other medical devices should be assessed for suitability.
• The Toto lateral turning system should be fully deflated when attempting to leave the bed.
• Ensure that the Toto lateral turning system is discontinued or therapy pause mode is engaged
for feeding times to avoid the risk of spillages.
• During hygiene procedures, please use therapy pause mode.
• When elevating a profiling bed back rest, raise the knee break first.
• Ensure that the surface of the bed frame is clear from debris before placing the Toto lateral
turning system platform, as this can damage the coating of the cover.
• The system should not be used without a mattress.
• Do not strap the mattress to the bed frame as this will prevent Toto lateral turning system from
operating.
• If mattress overlays are being used, these must be securely fastened to the mattress, not the
Toto lateral turning system platform.
• The Toto lateral turning system can be used with positioning systems, bed levers and linen
cradles, if their support frame fits horizontally across the bed. These must be positioned under
the Toto lateral turning system platform.
• Evacuation hammocks must be placed between the Toto lateral turning system platform and
the mattress.
• If using bed sides, check for clearance from the top of the mattress to the bottom of the bed
side (minimum of 185mm) and assess for risk of entrapment.
• If using foot board protectors, assess for compatibility.
• Do not place the Control Unit directly underneath the bed frame if placing on the floor to avoid
lowering the bed onto the Control Unit.
• Do not use if mains power lead or plug is damaged.

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Instructions for Use
Platform Installation and Operating Guide
To ensure the system is correctly installed and functions smoothly, please follow this step-by-step
guide.
1. Remove all items from the packaging and inspect for damage.
2. The platform should be placed directly onto the bed frame and underneath the existing mattress.
DO NOT strap or fasten the mattress to the bed frame. (A)
3. Inspect the platform and cover for any visible signs of damage. (B)
4. Ensure the air cells within the platform are secured in position via the Velcro®.
5. Fit the cover and close zip, ensuring the air cell hoses are fed through the apertures at the foot
end of the cover.
Note: The platform cover should be free to move, allowing each side of the platform unrestricted
room to inflate.
6. Using the quick connectors, connect the air inflation hoses to the air cell hoses - 'Red to Red' -
ensuring the hoses are not twisted or kinked. (C)
7. Check the CPR deflation valves are securely in place to ensure no air leaks. (D)
8. Using the bed hooks, hang the Control Unit on footboard of the bed. (E)
9. Using the quick connectors, connect the air inflation hoses to the Control Unit - 'Black to Control
Unit' - ensuring the hoses are not twisted or kinked. (F)
10. Connect the Control Unit to the mains power via the cable supplied. (G)
A. The platform should be placed directly
onto the bed frame and underneath the
existing mattress.
B. Inspect the platform for visible signs of
damage.
C. Using the quick connectors, connect
the air inflation hoses to the air cell hoses
- 'Red to Red' - ensuring the hoses are
not twisted or kinked.
D. Check the CPR deflation valves are
securely in place to ensure no air leaks.
E. Using the bed hooks, hang the Control
Unit on footboard of the bed.
F. Using the quick connectors, connect
the air inflation hoses to the Control Unit
'Black to Control Unit' - ensuring the
hoses are not twisted or kinked.
G. Connect the Control Unit to the mains
power via the cable supplied.
Patient Positioning
Patients should be positioned along the centre line of the mattress by aligning the patients nose
with the centre point of the head board. Ensure head and shoulders are supported to prevent neck
roll and pivoting at the hips during use.
For patients lying on their side, if they can self-support and they are in the middle of the bed, Toto
lateral turning system can be used.
If patients cannot control their limbs and bed sides are being used, padding or net infills are
recommended.
Centre Line