User Manual for Standing beds
Contents
1. Fault Troubleshooting Action No actuator functions when the hand control buttons are pressed Check connection to mains electricity supply amp fuse check that the safety connector has not become disconnected check connections of hand control and actuator plugs to main controller One actuator does not work when the button iS pressed Check the coiled cables connection between the actuators and the hand controls An actuator starts but switches itself off before the end position is reached Check the coiled cable amp the connection between the actuator and the hand control An actuator switches itself off amp does not respond when the button is pressed The maximum operating time has been exceeded Wait for 20 minutes to allow the thermal fuse to cool then try again Operating voltage Rated power output Power duration Appliance type B Safety class ll IP protection Noise level Safe Working Load refer to P 9 Weight of bed Dimensions of lying surface Height adjustment Backlift section adjustment Leglift section adjustment Product conforms to Product conforms to Product conforms to Technical Data 230V 240V 50Hz 960 VA max 6 mins in 60 mins 10 according to IEC 601 1 o Control amp Actuators IP55 Limit Switch IP65 63 dB A 260kg 41 stones 180 kg without mattress 200cm x 90cm 40 5cm to 80cm without mattress 0 to 622. a different location always ensure that all bed functions are at their lowest position amp remember to remove the plug from the mains electricity power supply Release all brakes before moving the bed otherwise damage may occur Never use the siderails to push or pull the bed Always use the head and foot boards With or without occupant the bed should only be moved at slow speed amp not pushed over a threshold strip greater than 2cm in height Once the bed is re sited remember to re apply the brakes MAINTENANCE amp CARE All wingscrews grubscrews amp mechanical fixings should be checked regularly for tightness Use a damp cloth with normal household cleaners or warm soapy water to clean the bed Do not use cleaning agents containing ammonia abrasives or strong solvents Mechanical cleaning scouring pressure hoses or automated cleaning will damage the bed All electrical actuators are fitted with maintenance free self lubricating bearings amp no attempt should be made to oil or grease these parts A suitably qualified service engineer should check all electrical parts amp cables and mechanical functions for correct operation at least once every year Any unauthorised modifications adjustments or alterations will invalidate the product warranty Repairs should only be carried out by a suitably qualified competent engineer The Standing Bed is classed as a double insulated appliance although the sup
3. mattress integrity Product identification Assembly amp Installation Assembling the timber parts 10 Emergency lowering of the bed Fitting the siderails Cleaning amp Maintenance Raising amp lowering the siderails 11 Troubleshooting Assembling the belt straps amp clips Technical Data Use of the braked castors FEATURES OF THE STANDING BED The Standing Bed has been designed for the treatment of patients who need to become accustomed to a standing position and to improve kidney function amp circulation in bed ridden patients The beds have a lying surface of 200cm x 90cm and are equipped with 4 electrically operated functions height adjustment standing function backrest adjustment amp legrest adjustment with or without Fowler position knee break adjustment The height adjustment amp standing functions block each other out such that for safety reasons the standing function cannot be operated until the lying surface is in its highest position Functions are operated by maintenance free electromechanical linear actuators which are ingress protection rated to IP55 They are controlled by 2 hand control units also rated to IP55 All electrical functions are isolated from the mains supply amp operate at 24v DC low voltage A 240V mains electrical safety connector is supplied This can reduce the likelihood of damage or injury if the bed is moved before being unplugged from the mains power s
4. 0 to 43 EN 1970 08 2000 EN 60601 1 1 1990 EU directive for Medical Devices 93 42 EEC Annex 1 The Company reserves the right to make technical changes without notice Nexus DMS Ltd Unit 11 Lovett Road Hampton Lovett Ind Estate Droitwich Worcs UK WR9 OQG Tel 44 0 19 05 77 46 95 Fax 44 0 19 05 79 60 81 12 sales nexusdms co uk www nexusdms co uk 01 12 Standing Bed Electrically powered profiling amp standing bed for use in critical acute care Code CB3ST 200 90 with one piece leg lift amp metal siderails Code CB3STKB 200 90 with knee break adjustment amp metal siderails USER MANUAL NNGXUS SAFETY NOTICE This manual contains important information regarding the safe amp proper assembly and use of the bed It is important that any persons involved should have read amp understood its contents Failure to do so could result in damage to the bed and may invalidate the warranty Be aware that elements of the bed are heavy Those involved should observe the safe lifting and handling techniques recommended under Health amp Safety Regulations PAY PARTICULAR ATTENTION TO THE FOLLOWING ADVICE also refer to page 9 for guidance on Safe Working Loads ASSEMBLY amp INSTALLATION The bed should be assembled by suitably competent persons Ensure that the local electricity mains voltage corresponds to that marked on the main controller label before connecting to the supply Ensure that cab
5. ackets are pre assembled each side of the mattress support unit Fig 6 2 Rotate the brackets so that the spring loaded release lock pins are on the left hand side of the slide as you look at the bed 3 Now slide one end of a siderail into the raised slide bracket until it hits the pin 4 Pull out the spring loaded pin lower the siderail amp release the pin Continue to lower the siderail until the pin locates in the hole in the siderail Fig 7 5 Repeat the process at the other end amp for the second siderail RAISING amp LOWERING METAL SIDERAILS TO RAISE From its lowest position hold the upper tubular section amp slide upwards through the brackets until the spring loaded release lock pins locate in the holes in the vertical sections of the rail The siderail is now locked at each end in the upper position If lifting each end separately then for safety it is recommended that you lift amp lock the head end first TO LOWER Support the foot end of the rail pull out the silver locating pin amp lower the rail gently until it stops Repeat at the head end For occupant safety always lower the foot end first TO REMOVE COMPLETELY From its upper locked position support the rail pull out the pins amp lift further until the rail clears the brackets When re fitting the spring loaded pins must be on the left hand side of the brackets when looking at the bed APPLYING amp RELEASING THE BRAKES For safety re
6. al cleaning or jet washing should not be employed All rotating joints of moving parts including the bearing lugs on the adjustment mechanism have maintenance free friction bearings and must not be oiled or lubricated REGULAR CHECKS All screws firmly secured Rotating joints move freely Inspect mains cable for crushing or shearing Inspect mains cable strain relief All electrically operated functions are operating correctly Check correct function of the brake on each castor Check security and free movement of siderails 11 GENERAL OPERATING INSTRUCTIONS After installation and before use check that all electrical and mechanical connections are fastened securely in place Ensure that the actuators motors are functioning correctly Ensure that no objects such as waste bins tables chairs etc are positioned within the range of movement of the bed functions In order to prevent injury during operation of the bed you should ensure that no parts of the patients body protrude beyond the bed surface Before moving the bed you must always disconnect the mains plug from the wall socket When a patient is on the bed then the bed can only be pushed over bumps eg door threshold with a maximum height of 2cm only The maximum power on time must be observed Do not perform long amp unnecessary electrical adjustments Should a thermal fuse be triggered once the maximum 6 minutes per hour operating time has been
7. asons the brake on each castor must be applied when the bed is in use They must be released before moving the bed otherwise damage may result ASSEMBLING BELT STRAPS amp CLIPS Push the belt strap under the belt clip and through slot 1 Fig 8 as shown In Fig 9 Belt clip Belt strap ieee this will create the opening at slot 2 Fig 10 through which to pass the belt strap as seen in Fig 11 Press the belt clip together as shown by the arrows in Fig 9 e eS aE The strap length can then be adjusted to suit an individual user by pulling the end of the strap NOTE always ensure that the belt strap is fed into the belt clip from the right hand side as shown in the pictures The belt clips shown above fit into the buckles attached to each side of the padded support straps Each buckle is released by depressing the red button IMPORTANT it is very important that the padded support straps with attached buckles are always used the correct way round ie with the red release button uppermost If used upside down then it can result in damage to the buckles You should also ensure that no straps or buckles become trapped in any of the moving parts of the bed as their plastic casings can be easily damaged USING THE FOWLER POSITION KNEE BREAK The Fowler position knee break is adjusted on ratchet mechanisms attached to the leg lift section and can be adjusted both manually and elect
8. eed 13A Before connecting the bed to the mains electrical supply ensure that the voltage and frequency of the mains supply comply with the specifications on the CE Product Identification label see above The bed must be positioned on a level surface If it is to be moved around regularly then suitable floor covering should be provided Carpets rugs and other loose floor coverings can be damaged or may impede movement of the bed Bunched up carpets and rugs create a trip hazard Supplied with the bed is a Safety Connector with a 2 pin socket leading to a 3 pin UK mains plug Securely connect the 2 pin plug at the end of the bed mains power cable into the 2 pin socket of the Safety Connector and then securely connect the 3 pin mains plug into a wall socket Lay the mains power cable along the floor ensuring that the castors of the bed do not rest on the cable particularly when moving the bed The cable must not be routed through the mechanism underneath the bed to avoid the risk of crushing or shearing the cable NOTE When moving or transporting the bed You should do so ONLY with ALL lifting parts of the bed at their LOWEST positions You must NOT run over or pinch the mains power cable or the coiled hand control cables NEXUS USING THE ELECTRICALLY POWERED FUNCTIONS contd STANDING FUNCTION The bottom row of buttons on the roving Hand Control operate the standing function of the bed Pressing the up butt
9. exceeded then you must wait 20 minutes for it to cool down before attempting to use any of the electrical functions of the bed When the bed has been positioned you must always apply the brake on each castor It may be possible for bed functions to be operated unintentionally eg A child playing with the hand control a heavy object falling on the hand control etc Should the carer consider that a risk of this nature exists then the bed must be left unpowered by either removing the mains plug from the wall socket or by switching the key safety switch to the off position and removing the key See opposite page GUIDANCE ON SAFE WORKING LOADS The Safe Working Load MUST NEVER be taken as the maximum user weight In common with other manufacturers we quote a Safe Working Load for each of our beds When a bed is tested a static load is evenly distributed over the whole surface of the bed Remember when a bed is in use that the load is rarely static or evenly distributed Should a visitor for example sit down heavily on one side of the bed then the shock load at that point will be extreme the load will be uneven amp the total combined weight may exceed the Safe Working Load The SWL must take account not only of the weight of the user but also the weight of the mattress bed linen amp other items loaded on to the bed eg Air pump for air driven mattress You should also take account of any likely weight gain by the user in the future T
10. ill show to indicate that the function is deactivated To UNLOCK the function simply repeat this 8 procedure Standing function Chair function The buttons on the left hand side control the upward movement of a particular function and the buttons on the right control the downward movement Simply press and hold the appropriate button until the desired height angle is achieved then release A function which has been locked on the fixed Control Panel cannot be operated by the Hand Control until it has been unlocked Screw the timber side panels onto the metal frame using the screws washers amp M6 nuts provided Fig 1 amp 2 After assembling the side panels attach the head and foot boards by inserting the countersunk screws through the head or foot board and into the side panels Fig 3 Then secure the head and foot boards on the inside of the side panels using 4 x M6 nuts at each end 2 each side Fig 4 Finally cover the screw holes with the brown plastic caps provided fig 5 Once the head and foot boards are mounted then the removable footplate can be inserted into the appropriate tube and secured using the set screws and Allen Key provided Fig 5 NOTE The footplate should only be installed if the patient has to stand otherwise it may impair vision and possibly hinder care of the patient in a lying position Set screw SSA A x N FITTING THE METAL SIDERAILS 1 Two slide br
11. les from actuators are plugged into the main controller correctly The fuse in the mains safety connector plug should not exceed 13amps The bed should be located on a level surface amp not sited on loose floor coverings The cable from the mains electricity supply must be routed clear of the lifting mechanism amp castors to avoid danger of shearing or crushing OPERATION The brake on each castor must be applied whilst the bed is in use See also Page 8 Do not allow children underneath the bed or to use the controls Do not position objects under the lifting mechanism of the bed Always ensure that limbs or body parts of both user and carer are not protrudung from the bed are not between the siderails or into the lifting mechanism when using the powered functions Never exceed the maximum usage period of 6 mins continous use in any hour for any of the powered functions otherwise a thermal fuse may be triggered in which case a cooling down period of 20 mins must be observed If during operation there are any unusual noises or smells then disconnect the bed from the mains electricity power supply immediately Ensure that no cables are trapped When raising lowering the bed be very aware of any fixtures such as window sills shelf units amp electrical power sockets which may obstruct the raising of the bed If necessary re position the bed to avoid contact and damage RE SITING If moving the bed to
12. on will raise the mattress support to a standing position Simply release the button when the required angle of stand has been reached Note that before the mattress platform begins to raise then the bed height will be raised automatically to ensure there is sufficient floor clearance Once the mattress platform is in its fully stood position then bed height down button may be pressed in order to lower the platform closer to the floor it will stop automatically before making contact with the floor Operation using the fixed Control Panel is the same as the roving Hand Control except that you must press the Standing function button whilst at the same time pressing the up or down arrow key NOTE If the backrest and or legrest are in a raised position before operating the standing function then for safety reasons they will both be lowered to their respective flat positions automatically before the standing function will operate BACKREST and LEGREST see Page 7 for adjustment of knee break angle By pressing the up down button on the roving Hand Control or the function button together with with up down button on the Fixed Control Panel then the back or leg rests can be raised Simply release the button when the required angle has been achieved To lower simply press the down button or function down button on the Fixed Control Panel NOTE If the backrest and or legrest are raised when pressing the Standing b
13. plied safety connector is not If the bed is used in commercial premises then customers should seek the advice of a qualified electrician regarding PAT2 test recommendations SHOULD YOU HAVE ANY DOUBTS THEN PLEASE SEEK ADVICE LOWERING THE BED SURFACE IN AN EMERGENCY What to do in the event of a power failure should the bed be in a standing upright position The Standing Bed incorporates a manual function to enable the mattress platform to be lowered from the upright to horizontal position by hand in the event of a power failure or emergency Mala R A ae IN Nd j pas A locking lever is mounted on the right hand side of the lifting assembly Fig 15 To manually return the bed from standing to horizontal proceed as follows Remove the spring R clip from the end of the threaded rod Fig 15 Pull the locking lever whilst at the same time fully unscrewing the threaded rod Fig 15 Apply downward pressure on the motor so that it swings downwards Fig 16 Pull downwards on the mattress platform to lower to the horizontal position Two pneumatic rams enable the bed including patient to be lowered with little effort CLEANING amp MAINTENANCE Clean the tubular elements of the bed surface and the timber components using a damp cloth with a household cleaning agent which does not contain scouring agents or ammonium chloride Solvents will damage the coating on the bed surface Mechanic
14. rically There are 6 positions available so that you can achieve the correct angle for the knees of a particular user MANUAL ADJUSTMENT Raise the leg section electrically to a chosen height and then holding one of the mattress retaining handles lift the foot section until it clicks and remains at the position you require To lower lift fully to its highest position you will hear clicks then lower until the foot section rests on the mattress support unit ELECTRICAL ADJUSTMENT Raise the leg section electrically until you achieve the knee angle required Lower electrically until you hear 1 click then raise electrically to the height you require The chosen angle will be maintained To lower use the hand control and lower electrically until flat
15. upply socket The mattress support is constructed from timber slats which allows the mattress to breathe and so prolongs its life The bed is supplied with standard or full length metal lift amp lock siderails Each castor features a simple to operate brake Nexus brand accessories are designed to work in harmony with the moving parts of our beds and in conforming with EN1970 2000 bed Standard reduce the risk of entrapment Use of other manufacturers products with our beds may take a bed mattress combination out of EN1970 2000 guidelines and may increase the entrapment risk Neither Nexus DMS Ltd nor any of its employees can take responsibility for any issues arising from use of such products NNEXUS PRODUCT IDENTIFICATION Each bed carries a CE label similar to the one pictured here This identifies the type of bed its product code and its unique Serial Number DISPLAY OF THIS CE Pro LABEL IS ALEGAL REQUIREMENT Code IT MUST NOT BE REMOVED Should you ever require advice or spare parts then it is essential that you quote the Serial Number this enables us to match parts and advice to your particular bed Serial No The following procedure is better completed by two people PLEASE REFER TO THE SAFETY NOTICE ON PAGE 2 BEFORE ATTEMPTING TO UNPACK AND ASSEMBLE THE BED ASSEMBLY amp INSTALLATION The bed must be assembled and installed only by authorised persons The fuse in the mains plug must not exc
16. utton then they will be automatically levelled before the bed stands NOTE Before raising the backrest or legrest ensure that the body retaining straps are released MATTRESS SUPPORT HEIGHT By pressing the up down button on the roving Hand Control or the function button together with with up down button on the Fixed Control Panel then the height of the mattress support can be adjusted Simply release the button when the required height has been achieved To lower simply press the down button or function down button on the Fixed Control Panel CHAIR POSITION By pressing the up down button on the roving Hand Control then the backrest and legrest will be raised together to form the chair position Simply release the button when the required angle has been achieved To lower simply press the down button This feature is not available on the Fixed Control Panel NOTE The chair position is achievable with the mattress platform stood at an angle of up to 12 maximum For safety reasons the chair function will not operate when the mattress platform is above 12 NOTE Remember to release the body retaining straps before raising backrest and or Legrest 9 SAFETY SWITCH The electrically operated functions can be switched on amp off using the key in the electrical safety switch In the off position Fig 14 the key can be removed in order to prevent any unintentional operation of bed functions The bed is read
17. y for use when the key is inserted and turned to the on position Fig 13 IT IS RECOMMENDED THAT THE KEY BE REMOVED BEFORE LEAVING THE ROOM USING THE ELECTRICALLY POWERED FUNCTIONS or beds with a table tube bracket TWO washers must always bused in order to allow sufficient Space between the metal frame amp the side panel Washer amp M6 nut There are 2 methods of controlling the elctrically operated functions of the bed 1 A Control Panel which is securely fixed to the bed frame NEXUS F Using this fixed Control Panel you are able to control bed functions by pressing 2 Aroving Hand Control unit The roving Hand Control plugs into the main control box via a spiral wound cable You should avoid over stretching the cable to avoid damage to the fine inner wires Using the roving Hand Control you are able to control operation of the following bed and holding the required function button functions on the top row followed by the up down Mafiress cunno arrow button as appropriate The following Aart pp functions are controllable in this way 9 Backrest angle Legrest angle Backrest angle Legrest angle Mattress support height Bed standing function Using this same Control Panel you are able to LOCK any all of the above functions in order to avoid accidental operation Simply press and hold the key symbol button together with the function button you wish to lock A light w
18. ypically a mattress could weigh 20kg an air driven system could be as much as 30kg a couple of pillows 3kg bed linen around 12kg the total of such items together with anything else placed on the bed PLUS the weight of the user must NEVER exceed the Safe Working Load Neither Nexus DMS Ltd nor any of its employees can accept responsibility for any issues arising from overloading a bed Should damage result from such actions then any necessary repairs will not be covered under warranty MATTRESS INTEGRITY Should a mattress cover be damaged then body or other fluids can pass through and contaminate the inner core creating the potential for cross infection It is therefore recommended that a frequent inspection of mattress covers is undertaken to inspect for damage such as holes or cuts The inner core of the mattress should also be inspected for signs of staining or contamination Should there be damage to a cover then it should be disposed of safely Should there be contamination to the inner foam core then it cannot be decontaminated and should therefore be disposed of safely The inner cells of an Optima air float mattress system can be decontaminated 10 CONTENTS 8 Using the electrically powered functions Contents Using Fowler position knee break Using the safety key switch Important safety notice Features of the Standing bed General operating instructions Guidance on Safe Working Loads Guidance on
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