USER MANUAL - Dynamic Medical Systems

USER MANUAL - Dynamic Medical Systems
USER MANUAL
by Invacare
An Invacare Company
Read and understand this manual prior to using the bed. This manual contains
important information regarding the safe operation of the Carroll CS Series bed.
Table of Contents
Carroll CS Bed Manual - Table of Contents
REGISTER YOUR P RODUCT ...........................................................................................................................................................2
Label Locations.......................................................................................................................................................................5
STANDARD C ONVENTIONS USED IN THIS MANUAL ........................................................................................................................6
Symbols Used on the CS Bed .................................................................................................................................................6
TECHNICAL S PECIFICATIONS - CARROLL CS SERIES BED ............................................................................................................7
MATTRESS S PECIFICATIONS ....................................................................................................................................................... 12
UNPACKING INSTRUCTIONS ........................................................................................................................................................13
ASSEMBLY INSTRUCTIONS..........................................................................................................................................................15
Attach Head and Foot Ends ..................................................................................................................................................15
Install Head and Foot Ends ................................................................................................................................................... 15
Install the Mattress Keeper Rod to the Head and Foot Decks...............................................................................................16
Assist Rail / Assist Bar– Installation.....................................................................................................................................18
Change Assist Rail from “Guard” to “Assist” to “Transfer” ................................................................................................20
Change Assist Bar from “Storage” to “Assist” ..................................................................................................................... 20
UNDERSTANDING B ED FUNCTIONS .............................................................................................................................................21
Hand Control Pendant Operation ..........................................................................................................................................21
Raise Heel Lift Ratchet ......................................................................................................................................................... 22
Lower Heel Lift Ratchet ....................................................................................................................................................... 22
Pendant Stowage and Location.............................................................................................................................................22
Power Cord Stowage.............................................................................................................................................................23
CS Bed Mobilization and Stabilization.................................................................................................................................24
Floor Lock Operation............................................................................................................................................................24
Bed Steer Mechanism ...........................................................................................................................................................24
Cardiopulmonary Resuscitation (CPR) Release (Optional)..................................................................................................25
Using the CPR Release ......................................................................................................................................................... 25
Pendant HILO Lock Out - Optional......................................................................................................................................26
CARE AND MAINTENANCE ..........................................................................................................................................................27
Sanitizing Method.................................................................................................................................................................27
Annual Maintenance Check..................................................................................................................................................27
Quarterly Maintenance Check ..............................................................................................................................................27
Environmental Conditions for Storage and Transport ..........................................................................................................28
Environmental Conditions for Operation..............................................................................................................................28
TROUBLESHOOTING G UIDE......................................................................................................................................................... 29
OPTIONS INFORMATION ..............................................................................................................................................................30
Touch-up Paint......................................................................................................................................................................30
Trapeze Adapter Installation.................................................................................................................................................30
LIMITED WARRANTY OF CARROLL HEALTHCARE , INC. ...............................................................................................................32
APPENDIX................................................................................................................................................................................... 33
A Guide to Bed Safety Bed Rails in Hospitals, Nursing Homes and Home Health Care: The Facts ...................................33
Bed Rail Entrapment Statistics .............................................................................................................................................33
Patient Safety ........................................................................................................................................................................33
The Benefits and Risks of Bed Rails.....................................................................................................................................33
Potential risks of bed rails may include: ...............................................................................................................................33
Meeting Patients' Needs for Safety.......................................................................................................................................34
Which Ways of Reducing Risks are Best?............................................................................................................................34
Patient or Family Concerns About Bed Rail Use..................................................................................................................34
Developed by the Hospital Bed Safety Workgroup..............................................................................................................35
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Page 1 of 35
REGISTER YOUR PRODUCT
The benefits of registering:
1. Safeguard your investment.
2. Ensure long term maintenance and servicing of your purchase.
3. Receive updates with product information, maintenance tips, and industry news.
4. Invacare can contact you or your provider, if servicing is needed on your product.
5. It will enable Invacare to improve product designs based on your input and needs.
Register ONLINE at www.invacare.com
- or Complete and mail the form on the next page
Any registration information you submit will be used by Invacare Corporation only, and
protected as required by applicable laws and regulations.
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Page 2 of 35
PRODUCT REGISTRATION FORM
Register ONLINE at www.invacare.com - or Complete and mail this form
Name _______________________________________________________________
Address _____________________________________________________________
City ___________________ State/Province __________
Zip/Postal Code ________
Email ___________________________________ Phone No. _________________
Fold
here
Invacare Model No. ______________________ Serial No. __________________
Purchased From _________________________ Date of Purchase: ___________
Cut Along Line
1. Method of purchase: (check all that apply)
❏ Medicare
❏ Insurance
❏ Medicaid ❏ Other
__________________________
2. This product was purchased for use by: (check one)
❏ Self
❏ Parent
❏ Spouse
❏ Other
3. Product was purchased for use at:
❏ Home
❏ Facility
❏ Other
4. I purchased an Invacare product because:
❏ Price
❏ Features (list features) _________________________________________
5. Who referred you to Invacare products? (check all that apply)
❏ Doctor ❏ Therapist ❏ Friend ❏ Relative ❏ Dealer/Provider ❏ Other_________
❏ Advertisement (circle one): TV, Radio, Magazine, Newspaper
❏ No Referral_____
6. What additional features, if any, would you like to see on this product?
__________________________________________________________________________ Fold
7. Would you like information sent to you about Invacare products that may be available for a here
particular medical condition? ❏ Yes ❏ No
If yes, please list any condition(s) here and we will send you information by email and/or mail about
any available Invacare products that may help treat, care for or manage such condition(s):
__________________________________________________________________________
8. Would you like to receive updated information via email or regular mail about the Invacare
home medical products sold by Invacare's dealers? ❏ Yes ❏ No
9. What would you like to see on the Invacare website?
__________________________________________________________________________
10. Would you like to be part of future online surveys for Invacare products? ❏ Yes ❏ No
11. User's Year of birth: ______________________________________________________
If at any time you wish not to receive future mailings from us, please contact us at Invacare Corporation,
CRM Department, 39400 Taylor Parkway, Elyria, OH 44035, or fax to 877-619-7996 and we will remove
you from our mailing list.
To find more information about our products, visit www.invacare.com.
Part No 1134871
5
Long Term Care Beds
Cut Along Line
Fold
here
Fold
here
Invacare Product Registration Form
Please Seal with
Tape Before Mailing
Long Term Care Beds
6
Part No 1134871
Label Locations
Label Locations
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Page 5 of 35
Product Specifications
STANDARD CONVENTIONS USED IN THIS MANUAL
Please Note: The information contained in this document is subject to change without notice.
This manual includes information essential to the safety of personnel and equipment. As you read
through this manual be alert to the four signal words.
Information appearing under the DANGER caption concerns the protection of personnel from
the immediate and imminent hazards that, if not avoided, will result in immediate, serious
personal injury or loss of life in addition to equipment damage.
Information appearing under the WARNING caption concerns the protection of personnel
from potential hazards that can result in personal injury or loss of life in addition to
equipment damage.
Information appearing under the CAUTION caption concerns the protection of personnel from
potential hazards that can result in minor personal injury or equipment damage.
NOTE
Information appearing in a NOTE caption provides additional information, which is helpful in
understanding the item being explained.
Symbols Used on the CS Bed
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Page 6 of 35
Product Specifications
TECHNICAL SPECIFICATIONS - CARROLL CS SERIES BED
CS7
CS9
Certifications
Canada
USA
CSA C22.2 No. 601.1
UL Std. 60601-2-38
CSA C22.2 No. 601.1
UL Std. 60601-2-38
7" to 30" (178 to 762 mm)
7" to 30" (178 to 762 mm)
0° to 70°
0° to 30°
14” (356 mm)
9" to 30" (229 to 762 mm)
9" to 30" (229 to 762 mm)
0° to 70°
0° to 30°
14” (356 mm)
120V~
3.5A max
60 Hz
24 Volts DC (70W max)
10% Max (2 min ON 18 min OFF)
24 Volts DC
24 Volts DC
120V~
3.5A max
60 Hz
24 Volts DC (70W max)
10% Max (2 min ON 18 min OFF)
24 Volts DC
24 Volts DC
24 Volts DC
24 Volts DC
24 Volts DC
standard
24 Volts DC
standard
Class I
Type B
IPX4
standard
optional
optional (24V DC 9.2 Amps)
optional (24V DC 9.2 Amps)
Class I
Type B
IPX4
standard
optional
optional (24V DC 9.2 Amps)
optional (24V DC 9.2 Amps)
standard
optional
standard
optional
optional
optional
86-1/4” (2191 mm)
83-3/4" (2127 mm)
80" (2032 mm)
40" (1016 mm)
35-1/2" (902 mm)
190 lb. (86 kg)
500 lb. (228 kg)
86-1/4” (2191 mm)
83-3/4" (2127 mm)
80" (2032 mm)
40" (1016 mm)
35-1/2" (902 mm)
190 lb. (86 kg)
500 lb. (228 kg)
Elevation Range (floor to deck)
Stability Range (off casters)
Mobility Range (on Casters)
Head Deck Angle
Knee - Foot Angle
Under-bed clearance for 2/3 of bed - centered
Electrical Specifications
Control Box Mains Voltage
Control Box Input Current
Control Box Current Frequency
Control Box Output Voltage
Control Box Duty Cycle
Motorised Linear Head Actuator
Motorised Linear HILO Actuator (head end
mount)
Motorised Linear HILO Actuator (foot end
mount)
Motorised Linear Foot Actuator
Eight button hand pendant with contour function
Safety Features
Protective Earth Ground
Electric shock protection
Enclosure protection
Floor Lock
Quick Release CPR Handle
Built-in Battery Back-up
Portable Battery Back-up
Security - Pendant Lock-Out
Pendant Disconnection
ACL (Attendant Control Lockout) Pendant HILO
Function Lock-Out
ACP (Attendant Control Panel) Individual
Pendant Function Lock-Out
Dimensions and Weight
Length (overall)
Length - Between head & foot end
Length - Mattress Platform
Width (with Assist Rails)
Width - Mattress Platform
Weight (pounds)
Load Capacity - Safe Working Load
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Page 7 of 35
Product Specifications
NEVER operate if the unit has a damaged cord or plug. If it is not working properly, call a
qualified technician for examination and repair. Keep all electrical cords away from heated or
hot surfaces. Ensure all cables and cords are routed such that they will not become
entangled or pinched. Otherwise damage or injury may result.
DO NOT unplug power cord from control box.
The pendant and power cords must be routed and secured properly to ensure that the cords
DO NOT become entangled, pinched and/or severed during operation of the electric bed.
NEVER operate the unit if these cords are damaged.
Refer servicing to qualified personnel only. Grounding reliability depends upon a properly
grounded wall outlet.
Improper connection of the equipment-grounding conductor can result in electrocution.
Check with a qualified electrician or service person if you are doubtful that the electrical
outlet is properly grounded. DO NOT modify the grounding plug provided. If it will not fit into
the electrical outlet, have a proper outlet installed by a qualified electrician. Grounding
reliability can only be achieved when connected to an equivalent receptacle marked Hospital
Only or Hospital Grade.
Electric components, such as motors exposed to water, may cause severe injury including
electrocution.
During routine bed operation or when cleaning, DO NOT expose electrical components to
water. Unplug and de-energize electrical components when water products are near these
components.
Repair or Service Information
DO NOT open assemblies such as the motors, pendant, control boxes or gearboxes. No user
serviceable parts are inside. Only qualified technicians are permitted to repair these parts. If
unqualified individuals perform any work on these beds, the warranty is void.
Unplug the power cord from its power source before performing any maintenance on the
electric bed. DO NOT unplug the power cord from the control box. Damage to cord will result.
The control box is mounted to the foot motor with an actuator clip-lock. If replacing the
control box, remove the actuator clip-lock and slide the control box away from the foot motor
until it is free. Disconnect all cable connections.
Before connecting/disconnecting the connections at the control box, make sure the cable
lock is removed by lightly depressing on the end tabs and lifting. After connectors are
plugged in, route all cables into the cable lock slots and snap the cable lock in place. When
installing any connectors into the control box, be sure the cable lock is secure after
installation - otherwise, injury or damage may occur.
DO NOT force the connector into the control box, otherwise - injury or damage may occur.
EXPLOSION Hazard.
DO NOT operate this bed in the presence of a flammable anaesthetic mixture with air or with
nitrous oxide. DO NOT use near explosive gases.
Keep the product a minimum of 12" away from any direct heat source.
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Page 8 of 35
Product Specifications
Possible FIRE hazard exists if the hand control pendant is not disabled when using oxygenadministering equipment. Disconnect the pendant from the cable coupling and hang it on the
pendant hook (in holder) when not in use.
Keep pendant cord clear of moving equipment.
Possible FIRE hazard exists when connecting the electric cord to a 120V~ wall outlet if oxygen
administering equipment is in use.
Use either the nasal mask or 1/2 length tent, ensuring the tent never extends below the
mattress support level, when administering oxygen.
DO NOT use an extension cord.
DO NOT permit the cord, wall outlet, motors, control box or pendant to become wet or
submerged.
DO NOT operate the bed if the cord or outlet is damaged. DO NOT operate the bed if any
motor has malfunctioned or is damaged in any manner.
DO NOT use this bed in Active Treatment "Ether Environments".
Plug the three prong electrical cord ONLY into a properly grounded 110 VAC to 120 VAC, 60
cycle outlet that is rated to at least six amps.
Grounding Instructions:
This electric bed must be grounded. In the event of a malfunction or breakdown, grounding
provides a path of least resistance for electric current, thereby reducing the risk of electric
shock.
This product is equipped with a cord having an equipment-grounding conductor and a
grounded plug. The plug must be inserted into an appropriate electric outlet that is properly
installed and grounded in accordance with all local codes and ordinances.
DO NOT roll the bed over the power cord or pendant cord. DO NOT entangle the cords on
other objects. A pinched electric cord is dangerous and can become damaged. Use the
Power Cord Strap when moving the bed. Refer Bed Manual for proper pendant stowage.
DO NOT use this product or any available optional equipment without first completely reading
and understanding these instructions and any additional instructional material such as
owner’s manuals, service manuals or instruction sheets supplied with this product or optional
equipment. If you are unable to understand the warnings, cautions or instructions contact a
healthcare professional, dealer or technical personnel before attempting to use this
equipment - otherwise, injury or damage may occur. The initial set up of this bed must be
performed by a qualified technician. Procedures other than those described in this manual
must be performed by a qualified technician.
This bed is rated to 500 lbs. (228 kg). DO NOT overload the bed. The combined weight of
patients, visitors, mattress, bedding and all accessories must NOT exceed 500 lbs. (228 kg).
Body weight should be evenly distributed over the surface of the bed. DO NOT lay, sit or lean
in such a way that your entire body weight is placed only on raised head or foot sections of
the bed. This includes when assisting the user in repositioning or transferring in or out of
bed.
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Page 9 of 35
Product Specifications
ENTRAPMENT WARNING
Proper patient assessment and monitoring and proper maintenance and use of equipment are
required to reduce the risk of entrapment. Variations in bed rail dimensions, and mattress
thickness, size or density could increase the risk of entrapment. Visit the FDA website at
http://www.fda.gov to learn about the risks of entrapment. Review “A Guide to Bed Safety”,
published by the Hospital Bed Safety Workgroup, located at www.invacare.com. Use the link
located under each bed rail product entry to access this bed safety guide. Refer to the
owners manuals for beds and rails for additional product and safety information. After any
adjustments, repair or service and before use, make sure all attaching hardware is tightened
securely. Assist rails with dimensions different from the original equipment supplied or
specified by the bed manufacturer may not be interchangeable and may result in entrapment
or other injury. Mattress MUST fit bed frame and assist rails snugly to reduce the risk of
entrapment.
DO NOT drop the bed. DO NOT allow patients to fall on the bed. DO NOT jump on the bed.
Each of the preceding impacts can permanently damage either HILO motor resulting in an
inoperable bed. In the case of an inoperable bed due to a damaged HILO motor, the HILO
motor must be replaced immediately. If left unattended, a damaged HILO motor can cause the
bed to fall from the highest extended position, resulting in patient injury. DO NOT exceed the
maximum continuous duty cycle. Refer to Technical Specifications.
Operating Information
When bed is not to be used for an extended period, unplug electric bed from the wall outlet.
The electric bed is NOT designed to be used as a patient transport. When transporting a
patient, use an approved patient transport. Otherwise, injury or damage may result.
If the unit is not working properly, call a qualified technician to examine the unit and repair it.
Keep all moving parts, including the main frame, mattress deck (head and foot
springs/sections) and all drive shafts, free of obstruction (i.e. blankets/sheets, heating
blankets/pads, tubing, wiring, etc. and other types of products using electric cords which may
get tangled around the bed, side rails or legs) during operation of the manual/electric bed.
The electric bed is equipped with locking casters. When transferring into or out of the electric
bed, always lock the locking caster(s). Inspect the wheel locks for correct locking action
before actual use. Even with casters properly locked some flooring surfaces such as tile or
wood will allow the bed to move under some conditions. Use on surfaces such as these must
be evaluated by the care provider.
Check all parts for shipping damage and test before using. In case of damage, DO NOT use.
Contact a qualified technician for further instruction.
After any adjustments, repair or service and before use, make sure all attaching hardware is
tightened securely.
If a liquid is spilled in or around the electric bed, unplug the electric bed before cleaning.
Clean up the spill and allow the electric bed or the area around the electric bed to dry
thoroughly before using the electric controls again.
When operating/moving electric beds, always ensure that the individual utilizing the bed is
positioned properly within the confines of the bed. DO NOT let any extremities protrude over
the side or between the bed rails when performing these functions.
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Page 10 of 35
Product Specifications
A safety feature of this product includes protection against overheating caused by excessive
or extended periods of operation. Depending on the duration, this includes multiple or
repeated adjustments or the use of multiple functions at one time. To assure trouble free
operation, ALWAYS allow a slight pause between multiple adjustments and avoid pressing
more than one function button at a time. If thermal protection activation should occur, the bed
will not respond to pendant commands. Given this situation, release the pendant button and
allow the bed unit to sit for several minutes. This will allow the protection function time to
reset and restore bed function. Depending on the severity of the initial overheating, this could
take up to 30 minutes.
This equipment may cause electromagnetic disturbances to its environment. The bed has
NOT been evaluated for electromagnetic compatibility (EMC).
The performance of this equipment may be degraded when exposed to electromagnetic
disturbances and / or electrostatic discharge.
Hang pendant on hook or secure with linen clip when not in use. Keep cord clear of moving
parts.
General Precautions:
Do not use head/foot panels from other manufacturers. Invacare products are specifically
designed and manufactured for use in conjunction with Invacare accessories. Accessories
designed by other manufacturers have not been tested by Invacare and are not recommended
for use with Invacare products.
When used with an electrical bed, the bed rails DO NOT fall under any weight limitations. Bed
rails can be deformed or broken if excessive side pressure is exerted on the bed rails. These
bed rails are used for the purpose of preventing an individual from inadvertently rolling out of
bed. The bed rails are NOT intended nor may be used for restraint purposes. If an individual is
capable of injuring himself/herself, a physician or a healthcare professional should be
consulted for alternative means of safe restraint.
If patient assessment concludes that the patient’s condition increases the chance of
entrapment, the bed MUST be in the flat position when left unattended.
NEVER allow patients to use trapeze or traction units as a total individual weight support.
Trapeze units are to be used only for immobilizing a patient in various traction set-ups or
assisting the patient in repositioning or transferring into or out of bed.
Replacement mattresses and bedside rails with dimensions different than the original
equipment supplied or specified by the bed frame manufacturer are not interchangeable.
Variations in bedside rail design, width and thickness or firmness of the mattress could
cause/contribute to entrapment. Use only authorized Invacare replacement parts and/or
accessories otherwise the warranty is void. Invacare will not be responsible for any damage
or injury that may result.
PINCH-POINT between rail and floor is created when lowering bed to the lowest position.
Keep feet clear of bed rail when lowering bed.
Close supervision is necessary when this product is used by or near children or people with
disabilities. DO NOT let any individual underneath the bed or in between the raised bed frame
components at anytime.
This product has been supplied from an environmentally aware manufacturer that complies
with the Waste Electrical and Electronic Equipment (WEEE) Directive 2002/96/CE.
This product may contain substances that could be harmful to the environment if disposed of
in places (landfills) that are not appropriate according to legislation. Please be
environmentally responsible and recycle this product through your recycling facility at its end
of life.
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Page 11 of 35
Product Specifications
MATTRESS SPECIFICATIONS
A mattress may not be included with this bed. It is highly recommended that you use a 36” (914.4mm) (min-max 35.5" to
36.5” (901.7mm to 927.1mm)) wide mattress that is designed to conform to the bed length of 76" (1930.4mm) (min-max
75.0” to 76.0” (1905mm to 1930.4mm)) or 80" (2032mm) (min-max 79.0” to 80.0” (1930 mm or 2032 mm)), or 84”
(2133.6mm) (min-max 83.0” to 84.0” (2108.2mm to 2133.6mm)) such as a Invacare Solace Mattress. The mattress must be
at least 6±1/8" (152±3 mm) thick.
Possible patient ENTRAPMENT Hazard if using non-specified mattress.
Patient entrapment may result in injury or death.
Use only a mattress of recommended specifications with this bed.
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Page 12 of 35
Unpacking Instructions
UNPACKING INSTRUCTIONS
Degree of Difficulty:
Tools Required:
Estimated time to complete:

10 minutes
Diagonal Cutting Pliers or other
Wire-cutters /
Equipment DAMAGE may result from improper wire tie removal.
Do not cut any trimmed plastic wire ties. Cut only the untrimmed plastic ties around the wood
spacer. All other plastic ties are used to secure the electric cables in-place and should not be
cut.
Steady upright bed.
Slowly lower to floor - use two people
if necessary.
Cut strapping at both ends.
Bed DAMAGE or personal INJURY may occur if the bed is dropped.
Ensure the bed is lowered slowly to the floor. Use additional people, if
necessary.
Slide off end boxes and remove plastic
sleeve.
1-150-068-A CS Bed Manual.doc
Using wire cutters, cut and remove the
plastic ties around the wood spacer.
© Carroll Healthcare Inc.
Remove wood spacer.
Page 13 of 35
Unpacking Instructions
Cut the plastic tie holding the head
panel to the frame.
Cut the plastic tie holding the knee-foot
panel to the frame.
Untie the mattress keepers.
Untie the hand pendant twist ties.
Carefully cut the untrimmed plastic tie
securing the mains power cable bundle.
Plug power cord into a properly
grounded 120V~
Press HILO UP button on the hand
pendant.
After bed is raised, untie the twist ties
on the wall bumper.
Rotate the wall bumper to the floor at
the head end of the bed.
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Page 14 of 35
Assembly Instructions
ASSEMBLY INSTRUCTIONS
Attach Head and Foot Ends
Degree of Difficulty:
Tools Required:
NOTE
Estimated time to complete:
Hardware
Included:
none
5 minutes
none
Head and footends are normally packaged together either in a cardboard box or on a wooden
skid separate from the bed.
Install Head and Foot Ends
Position Foot End.
Align the foot plate screws. Note ACL
mounting plate removed for clarity.
Slide foot end down. Note ACL
mounting plate removed for clarity.
Lock with tab-both sides.
Position Head End.
Align the head post screws.
Slide head end down.
Lock with rotating tabs - both sides.
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Page 15 of 35
Assembly Instructions
Install the Mattress Keeper Rod to the Head and Foot Decks
Degree of Difficulty:
Estimated time to complete:
2-4 minutes
80” Option
Hardware Included
Tools Required:
No tools
required
none required
The Mattress Keeper Rods are an integral part of the bed rail system. By securing the
mattress in place, the Mattress Keeper Rods prevent unsafe gaps from forming between the
bed ends or rails and the mattress. Install the Mattress Keeper Rods correctly to prevent
patient entrapment.
NOTE
The mattress keeper rods hold the mattress in place. Install them in the head and foot decks.
With the mattress keeper upright, insert
the rod ends into the appropriate deck
holes.
There are two choices for mattress
keeper rod insertion. (76” bed option
shown above).
Mattress keeper rod insertion on 80”
bed.
Fold the mattress keeper around the
bend in the rod. The mattress keepers
should rest flat on the foot deck and the
head deck.
76” Bed ONLY
Remove the Foot End and Head End
76” Bed ONLY
With a 7/16” socket wrench and 7/16”
wrench loosen and remove the bed end
bracket fasteners.
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Page 16 of 35
Assembly Instructions
76” Bed ONLY
Remove the fasteners on the bed end
bracket
76” Bed ONLY
Slide the bed end bracket in the
mounting channel. Align the hole in
the bracket with the channel hole.
76” Bed ONLY
Reinsert the bed end bracket fasteners
76” Bed ONLY
Tighten the fasteners with two 7/16
wrenches. Reposition the other three
brackets and reapply the ends.
Position the mattress on the deck.
Press the mattress inside the mattress
keeper. Ensure the mattress is engaged
on all four corners.
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Page 17 of 35
Assembly Instructions
Assist Rail / Assist Bar– Installation
Degree of Difficulty:
Tools Required:
Estimated time to complete:
none
5 minutes
Hardware Included:
Incorrect Assist Rail mounting may result in PATIENT ENTRAPMENT.
To meet FDA Rail Guidelines, mount the Assist Rail bracket ONLY on the welded frame tab.
Never Install two Assist Rails on the same side of the bed. Refer to the Hospital Bed System
Dimensional and Assessment Guidance to Reduce Entrapment published by the U.S.
Department of Health and Human Services Food and Drug Administration.
Patient ENTRAPMENT may occur with assist rail in the transfer position and the bed in the
lowest position. The transfer position should be used only while attending to the resident.
When unattended, the assist rail must be returned to either of the locking positions: Guard or
Assist.
Patient entrapment with Assist Bar may cause injury or death. Mattress must fit snugly within
the mattress keepers to prevent patient entrapment. Use only a mattress of recommended
specifications with the bed. Monitor patient frequently. Assess the needs of the resident prior
to using the Assist Bar.
Crush Hazard exists between Assist Rail or Assist Bar and Floor at the lowest bed position.
Lowering the bed may cause INJURY to oneself or others.
Lockout the Hand Control when working near the bed and do NOT place feet or limbs in the
crush zone located beneath the Assist Rail or Assist Bar.
Friction between the floor and the Assist Rail may cause the bed to become UNSTABLE.
An unstable bed may tilt from horizontal and / or drop suddenly causing property DAMAGE or
personal INJURY. Before lowering the bed, ensure the Assist Rail is NOT in the TRANSFER
position.
INJURY from patient falls may occur even when operating the side rails as instructed. Place
the bed in the lowest position to minimize the risk from falls.
Risk of FALL when Assist Bar is UNLATCHED. Assist Bar may rotate quickly and drop to the
next locked position causing the patient to lose their balance and fall. Ensure the Assist Bar
is fully latched in down position after each use. Check that the Assist Bar is locked before
leaving a patient unattended. Never use the Assist Bar as a Rail.
NOTE
When assembling the Assist Rail to the bed frame, it may be easier to raise the head deck
fully. This will expose the bed frame on which to mount the rail.
The Assist Rail can travel beyond the "Assist" position to allow patient transfer to and from
the bed with the rail out of the way.
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Assembly Instructions
Assist Rail
Assist Rail
Assist Rail
Raise the head section to expose the
bed frame.
Position the Assist Rail bracket over the
mounting tab on the frame.
Lower the bracket to engage the
mounting tab in the bracket slot.
Assist Bar
Assist Bar
Assist Bar
Raise the head section to expose the
bed frame.
Position the Assist Bar bracket over the
mounting tab on the frame.
Lower the bracket to engage the
mounting tab in the bracket slot.
Insert the 5/16-18 x .78 threaded rod
handle through the Assist Rail or Assist
Bar bracket aligned with the tab
mounting hole.
Place 5/16” Keps nut on the threaded
rod. Hand-tighten.
Tighten the handle while holding the
nut with your other hand. Use a quick
twist of the handle to tighten. Lift the
handle to ratchet it counter-clockwise.
It is important that caregivers know how to operate the Assist Rails safely. Assist Rails lock in two positions and allow
patient transfer in a third unlocked position.
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Assembly Instructions
Change Assist Rail from “Guard” to “Assist” to “Transfer”
Change Assist Bar from “Storage” to “Assist”
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Bed Function
UNDERSTANDING BED FUNCTIONS
Hand Control Pendant Operation
CRUSH Hazard.
Do Not place feet under the frame when lowering the bed.
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Bed Function
Raise Heel Lift Ratchet
With knee-foot platform adjusted to the
highest position, lift the foot panel.
The foot section can rest at any of the
six pre-set stops
Slowly lower the platform to engage
the nearest stop.
To reset the ratchet mechanism, raise
the platform to the highest level then
lower the platform in one motion.
At the lowest position the deck can
once again be raised to the desired stop.
Lower Heel Lift Ratchet
The platform can not lower past the
nearest stop while being adjusted.
Pendant Stowage and Location
Electrical SHOCK Hazard.
Before working on any electrical part, such as the 9-pin pendant coupling, ensure the main
power to the bed is disconnected and the capacitor inside the control box is fully discharged.
Full capacitor discharge can be achieved by sequentially depressing the 'Up' and 'Down'
buttons on the hand pendant at least 20 times after main electrical power to the control box is
cut. Ensure the hand pendant is not locked-out when discharging it.
Place the pendant holster between the
top rail bars
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Slide the pendant into the holster
© Carroll Healthcare Inc.
Alternatively, use the pendant clip to
secure the pendant to bed linen.
Page 22 of 35
Bed Function
The pendant can also be attached to the
back of either side of the Head end
To move the pandant to the other side
of the bed, disconnect the main power
then unscrew the coupling cap on the
pendant cable.
Remove the cable end from the Y cable
housing.
On the other side of the bed, remove the
cap from the Y cable housing. Replace
the cap on the other side of the bed.
Align arrows then insert the pendant
cable end into the Y cable housing.
Screw the coupling cap to the threaded
Y cable housing end.
Power Cord Stowage
NOTE
Disconnect the main power cable from the wall outlet and store the power cord when the bed
is not in use.
Secure the power cord to the back of
the head end with the Velcro® strap
when moving the bed.
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Bed Function
CS Bed Mobilization and Stabilization
Unintended bed movement may occur if the floor lock or bed casters are left unlocked.
Unintended bed movement may cause property DAMAGE or resident INJURY. Never leave
the bed unattended while the floor lock is disengaged.
Floor Lock Operation
Depress the floor lock pedal bar with
your foot.
The plunger provides a visible clue that
the floor lock is engaged
Floor lock engaged will prevent the bed
from moving .
Depress the floor lock pedal bar again
from the locked position.
The visible green plunger indicates that
the floor lock is NOT engaged.
Floor lock disengaged will allow the
bed to move in all directions.
Moving the bed while the floor lock is engaged may DAMAGE the bed.
Do not move the bed unless the floor lock is disengaged (unlocked).
Bed Steer Mechanism
Steer mechanism is on either side of the
head end of the bed.
1-150-068-A CS Bed Manual.doc
With the locking wheel tab facing
outward, flip the steer mechanism.
© Carroll Healthcare Inc.
When engaged, the bed will steer
easily.
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Bed Function
Cardiopulmonary Resuscitation (CPR) Release (Optional)
Activation of the CPR release may cause attendant or resident injury. Use with Caution.
Use the CPR release only for emergency situations. This function will rapidly bring the
backrest to a flat position. Two-person operation is recommended; one person to release the
backrest, and another to hold and gently guide the backrest down.
PINCH-POINT hazard exists when guiding the backrest during CPR release.
Avoid placing hands directly between the adjustable backrest and the bed frame. Place
hands only on the outside of the backrest, away from the bed frame.
Using the CPR Release
When using the CPR Release function, it is recommended to use two people; one person to release the backrest at the foot
end of the bed and another person to gently guide the backrest to a horizontal position.
CPR handle is at the foot of the bed. A
second person is recommended to
gently lower the head section.
Grip the CPR handle (at foot end of bed
- note: footend not shown for clarity).
Squeeze the CPR handle to drop the
head section.
Once the CPR handle is squeezed, the
head section will drop rapidly.
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Bed Function
Pendant HILO Lock Out - Optional
NOTE
When in the Locked position, the HILO function on the pendant will NOT operate. When in the
Unlocked position, all pendant functions will operate normally. The head function and kneefoot function on the pendant remains operational whether the lock out is locked or unlocked.
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Care and Maintenance
CARE AND MAINTENANCE
Sanitizing Method
Equipment or property DAMAGE or resident INJURY may occur during maintenance.
Cleaning Instructions
1. Unplug product before washing.
2. Make sure all electrical parts (motors, control box and pendant) are not damaged and that all
connection ports are plugged. DO NOT allow liquids to enter electrical components.
3. Disinfect and wash all components. DO NOT submerge the bed frame or electrical parts.
4. DO NOT power wash or steam-clean. Use household water pressure.
5. Rinse thoroughly with water (maximum temperature 110°F or 43°C). DO NOT use solvents, alcohol or
petroleum products on the surface
6. Dry all components before storing.
Annual Maintenance Check
Failure to maintain your bed may reduce product life and increase unplanned maintenance.
 Inspect the covering of the bed’s control panel and the patient control panel to assure that the
covering is not cracked or damaged.
 Inspect for damaged or loose wiring. Have a qualified technician replace any frayed or damaged
cords.
 Inspect for secure grounding.
 Inspect rail latches. Ensure that all rails engage and lock as specified.
 Inspect bed, rails, Assist Rails or Assist Bars for the presence of tubing end caps and replace as
required.
 Tighten, adjust or replace any parts or bolts etc. that are loose or show signs of wear.
 Lubricate clevis pins at all mechanical hinge points.
 Inspect for wear on clevis pins and hitch pins and replace if worn or missing.
If epoxy coated rails become scratched or chipped, use a matching enamel touch up paint. (Refer to
Options for paint specification).
Quarterly Maintenance Check
 Unplug bed from wall outlet and verify battery function, if equipped. (Battery may be built-in or
portable)
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Care and Maintenance
Environmental Conditions for Storage and Transport
Store and/or transport the bed in a clean and dry environment with an ambient temperature range
between -10° and 50° Celsius (0° to 125° F).
Environmental Conditions for Operation
Bring the bed to a Safe Operating Temperature between 5° and 40° Celsius (41° and 100° F) before
operating the bed.
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Troubleshooting
TROUBLESHOOTING GUIDE
Read all general guidelines, warnings and cautions before performing any repair/maintenance
on the bed. All repair and maintenance on the bed should be performed by a qualified
technician.
Effect
Bed does not
stay in-place
Possible Cause
Verification
Corrective Action
Floor lock not
engaged.
Green plunger on floor lock post is
visible.
Activate floor lock - green
plunger should NOT be visible.
Insufficient static
friction between
floor lock foot
bumper and floor.
Floor surface is slippery and/or
foreign membrane between bumper
and floor.
Clean the surrounding floor and
remove loose material under the
bed.
Floor lock not
functioning
Floor lock is stuck in one position.
Contact Carroll Healthcare
Service Department 1-800-6682337.
HILO lock-out is on
Dial on ACL box is locked-out
(pointing up)
Rotate the lockout dial to the
“unlocked” position (horizontal).
Lockout LED on the Attendant
Control Pad (ACP) is ON.
Toggle-off the individual function
lockout (LED should be OFF).
Loose wire
connections
Check cable connections visually
Connect any loose cable
couplings and/or power supplies.
Faulty actuator
Disconnect power supply, swap cable
from unresponsive actuator with a
funtional actuator. Reconnect power
and test functions. Faulty actuator
will not work regardless of the
connection port.
Contact Carroll Healthcare
Service Department 1-800-6682337.
faulty hand control
pendant
Pendant cable is connected, power is
on, lock-out is off and hand control
pendant does not function.
Disconnect power supply then replace
hand pendant with functioning unit
(from another bed, if available).
Reconnect power and test.
Contact Carroll Healthcare
Service Department 1-800-6682337.
Visually ensure the brackets are
parallel to the frame.
Carefully straighten minor
deformations. Call Service
Department to replace
significantly bent brackets, 1-800668-2337.
Actuator not
working
Bed ends do
Bent brackets
not fit properly
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Options
OPTIONS INFORMATION
Touch-up Paint
Shermin Williams
5A-58147 00(A)
CODE 82X
WHITE BIRCH
2nd Dimension 5.0 Acrylic Enamel
Trapeze Adapter Installation
Degree of Difficulty:
Tools
Required:
Estimated time to complete:
5 minutes
Hardware
Included:
Incompatible trapeze units may cause injury and/or damage. Use only compatible trapezes
that will securely mount to the steel frame structure of the trapeze adapter. Test the
installation before leaving a resident alone with the unit.
Overloading the trapeze adapter may cause injury and/or damage. Do NOT use this frame for
mounting trapeze units if the resident weighs more than 175 lbs. (80 kg). Do not exceed the
maximum weight capacity for the bed. Maximum weight rating includes the combined weight
of all accessories, patients, visitors, mattress and bedding. Consult your owner’s manual or
bed label for weight rating.
Use of trapeze may be hazardous to residents or guests. Possible entanglement may result
from improper use of trapeze. Evaluate residents prior to allowing them to use a trapeze.
Never use trapeze units with confused or suicidal residents. Never allow children to use,
play, or swing on the trapeze.
Improper installation of the trapeze adapter may result in unsafe bed gaps. Unsafe gaps may
cause patient entrapment. Ensure the trapeze adapter is installed next to the head end. Do
NOT remove the head end or the head posts during installation or use. The head end and
post system provides the proper boundaries to prevent patient entrapment as specified by
FDA guidelines.
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Options
Slide the trapeze adapter into the bed
frame at the head end of the bed. Fit
the spacers between the outside of the
trapeze bracket and the inside of the
frame bed end brackets
Insert the cap screw through the bolt
hole and fasten the lock nut to the
screw. Tighten with two 7/16”
wrenches.
The trapeze will fit on either mounting
post.
Ensure the trapeze is properly seated.
The trapeze will lock passively in the
trapeze position and in the storage
position.
In the trapeze position, the grip handle
is centered across the mattress.
For storage: lift the trapeze slightly and
rotate it parallel to the bed end.
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Product Warranty
LIMITED WARRANTY OF CARROLL HEALTHCARE, INC.
PLEASE NOTE: THIS WARRANTY HAS BEEN DRAFTED TO COMPLY WITH U.S. FEDERAL LAW APPLICABLE TO PRODUCTS
MANUFACTURED AFTER JULY 4, 1975.
This warranty is extended only to the original purchaser who purchases this product when new and unused from Carroll Healthcare, Inc.
(“Carroll”) or a dealer. This warranty is not extended to any other person or entity and is not transferable or assignable to any subsequent
purchaser or owner. Coverage under this warranty will end upon any such subsequent sale or other transfer of title to any other person. This
warranty gives you specific legal rights and you may also have other legal rights which vary from province to province and/or state to state.
Carroll warrants the electrical components of this product when purchased new and unused to be free from defects in materials and
workmanship for a period of two (2) years from the date of purchase from Carroll or a dealer, with a copy of the seller’s invoice required for
coverage under this warranty. Carroll warrants the mechanical components of this product when purchased new and unused to be free from
defects in materials and workmanship for a period of five (5) years from the date of purchase from Carroll or a dealer, with a copy of the seller’s
invoice required for coverage under this warranty. Carroll warrants the structure of this product when purchased new and unused to be free from
defective material and workmanship for a period of ten (10) years from the date of purchase from Carroll or a dealer, with a copy of the seller’s
invoice required for coverage under this warranty. If within such warranty periods any such product component shall be proven to be defective,
the product component shall be repaired or replaced, at Carroll’s option. This warranty does not include any labor or shipping charges incurred in
replacement part installation or repair of any such product. Carroll’s sole obligation, and the warranty holder’s exclusive remedy under this
warranty, shall be limited to such repair and/or replacement.
For warranty service, please contact the dealer from whom you purchased your Carroll product. In the event you do not receive satisfactory
warranty service, please write directly to Carroll at the address listed below. Provide dealer's name address, date of purchase, indicate nature of
the defect and, if the product is serialized, indicate the serial number. Do not return products to Carroll without Carroll’s prior written consent. A
Return Goods Authorization number (RGA) must be obtained before returning any products or parts to Carroll; no returns will be accepted
without an RGA number.
LIMITATIONS AND EXCLUSIONS: THIS WARRANTY SHALL NOT APPLY TO SERIAL NUMBERED PRODUCTS IF THE SERIAL NUMBER
HAS BEEN REMOVED OR DEFACED, PRODUCTS SUBJECT TO NEGLIGENCE, ACCIDENT, IMPROPER OPERATION, MAINTENANCE
OR STORAGE, PRODUCTS MODIFIED WITHOUT CARROLL'S EXPRESS WRITTEN CONSENT (INCLUDING, BUT NOT LIMITED TO,
MODIFICATION THROUGH THE USE OF UNAUTHORIZED PARTS OR ATTACHMENTS); PRODUCTS DAMAGED BY REASON OF
REPAIRS MADE TO ANY COMPONENT WITHOUT THE SPECIFIC CONSENT OF CARROLL, OR TO A PRODUCT DAMAGED BY
CIRCUMSTANCES BEYOND CARROLL'S CONTROL, AND SUCH EVALUATION WILL BE SOLELY DETERMINED BY CARROLL. THE
WARRANTY SHALL NOT APPLY TO PROBLEMS ARISING FROM NORMAL WEAR AND TEAR OR FAILURE TO ADHERE TO THE
PRODUCT INSTRUCTIONS. A CHANGE IN OPERATING NOISE, PARTICULARLY RELATIVE TO MOTORS AND GEARBOXES DOES NOT
CONSTITUTE A FAILURE OR DEFECT AND WILL NOT BE REPAIRED; ALL DEVICES WILL EXHIBIT CHANGES IN OPERATING NOISE
DUE TO AGING. THIS WARRANTY IS EXCLUSIVE AND IN LIEU OF ANY OTHER WARRANTIES WHATSOEVER, WHETHER EXPRESS
OR IMPLIED, INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE, AND
THE SOLE REMEDY FOR VIOLATIONS OF ANY WARRANTY WHATSOEVER, SHALL BE LIMITED TO REPAIR OR REPLACEMENT OF
THE DEFECTIVE PRODUCT PURSUANT TO THE TERMS CONTAINED HEREIN. THE APPLICATION OF ANY IMPLIED WARRANTY
WHATSOEVER SHALL NOT EXTEND BEYOND THE DURATION OF THE EXPRESS WARRANTY PROVIDED HEREIN AND CARROLL
SHALL NOT BE LIABLE FOR ANY CONSEQUENTIAL OR INCIDENTAL DAMAGES WHATSOEVER; SOME STATES DO NOT ALLOW
THE EXCLUSION OR LIMITATION OF INCIDENTAL OR CONSEQUENTIAL DAMAGE, OR LIMITATION OF HOW LONG AN IMPLIED
WARRANTY LASTS, SO THE ABOVE EXCLUSION AND LIMITATION MAY NOT BE APPLICABLE.
THIS WARRANTY SHALL BE EXTENDED TO COMPLY WITH STATE/PROVINCIAL LAWS AND REQUIREMENTS.
Mailing Address
Carroll Healthcare Inc.
994 Hargrieve Road
London, Ontario
N6E 1P5.
CANADA
1-150-068-A CS Bed Manual.doc
Phone in London: 519-659-1395
Toll Free:
800-668-2337 (800-668-BEDS)
http://www.invacare-ccg.com
© Carroll Healthcare Inc.
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Appendix
APPENDIX
SPECIAL NOTE
For your convenience, the March 2006 version of the FDA’s bed safety guidelines is provided in this section. The information
from the FDA’s brochure, published by Hospital Bed Safety Workgroup, is reproduced verbatim, the latest revision of which is
available at http://www.fda.gov.
A Guide to Bed Safety Bed Rails in Hospitals, Nursing Homes and Home
Health Care: The Facts
Bed Rail Entrapment Statistics
Today there are about 2.5 million hospital and nursing home beds in use in the United States. Between
1985 and 2005, 691 incidents of patients* caught, trapped, entangled, or strangled in beds with rails were
reported to the U.S. Food and Drug Administration. Of these reports, 413 people died, 120 had a nonfatal
injury, and 158 were not injured because staff intervened. Most patients were frail, elderly or confused.
*NOTE: In this brochure, the term patient refers to a resident of a nursing home, any individual receiving
services in a home care setting, or patients in hospitals.
Patient Safety
Patients who have problems with memory, sleeping, incontinence, pain, uncontrolled body movement, or
who get out of bed and walk unsafely without assistance, must be carefully assessed for the best ways to
keep them from harm, such as falling. Assessment by the patient’s health care team will help to determine
how best to keep the patient safe. Historically, physical restraints (such as vests, ankle or wrist restraints)
were used to try to keep patients safe in health care facilities. In recent years, the health care community
has recognized that physically restraining patients can be dangerous. Although not indicated for this use,
bed rails are sometimes used as restraints. Regulatory agencies, health care organizations, product
manufacturers and advocacy groups encourage hospitals, nursing homes and home care providers to
assess patients’ needs and to provide safe care without restraints.
The Benefits and Risks of Bed Rails
Potential benefits of bed rails include:
 Aiding in turning and repositioning within the bed.
 Providing a hand-hold for getting into or out of bed.
 Providing a feeling of comfort and security.
 Reducing the risk of patients falling out of bed when being transported.
 Providing easy access to bed controls and personal care items.
Potential risks of bed rails may include:
 Strangling, suffocating, bodily injury or death when patients or part of their body are caught between
rails or between the bed rails and mattress.
 More serious injuries from falls when patients climb over rails.
 Skin bruising, cuts, and scrapes.
 Inducing agitated behavior when bed rails are used as a restraint.
 Feeling isolated or unnecessarily restricted.
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Appendix
 Preventing patients, who are able to get out of bed, from performing routine activities such as going to
the bathroom or retrieving something from a closet.
Meeting Patients' Needs for Safety
Most patients can be in bed safely without bed rails. Consider the following:
 Use beds that can be raised and lowered close to the floor to accommodate both patient and health care
worker needs.
 Keep the bed in the lowest position with wheels locked.
 When the patient is at risk of falling out of bed, place mats next to the bed, as long as this does not
create a greater risk of accident.
 Use transfer or mobility aids.
 Monitor patients frequently.
 Anticipate the reasons patients get out of bed such as hunger, thirst, going to the bathroom,
restlessness and pain; meet these needs by offering food and fluids, scheduling ample toiletting, and
providing calming interventions and pain relief.
When bed rails are used, perform an on-going assessment of the patient’s physical and mental status;
closely monitor high-risk patients. Consider the following:
 Lower one or more sections of the bed rail, such as the foot rail.
 Use a proper size mattress or mattress with raised foam edges to prevent patients from being trapped
between the mattress and rail.
 Reduce the gaps between the mattress and side rails.
Which Ways of Reducing Risks are Best?
A process that requires ongoing patient evaluation and monitoring will result in optimizing bed safety.
Many patients go through a period of adjustment to become comfortable with new options. Patients and
their families should talk to their health care planning team to find out which options are best for them.
Patient or Family Concerns About Bed Rail Use
If patients or family ask about using bed rails, health care providers should:
 Encourage patients or family to talk to their health care planning team to determine whether or not bed
rails are indicated.
 Reassure patients and their families that in many cases the patient can sleep safely without bed rails.
 Reassess the need for using bed rails on a frequent, regular basis.
To report an adverse event or medical device problem, please call FDA’s MedWatch Reporting Program
at 1-800-FDA-1088.
For additional copies of the brochure, see the FDA’s website at http://www.fda.gov/cdrh/beds/
For more information about this brochure, contact Beryl Goldman at 610-388-5580 or by e-mail at
[email protected] She has volunteered to answer questions. For information regarding a
specific hospital bed, contact the bed manufacturer directly.
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Appendix
Developed by the Hospital Bed Safety Workgroup
Participating Organizations:
 AARP
 ABA Tort and Insurance Practice Section
 American Association of Homes and Services
for the Aging
 American Health Care Association
 American Medical Directors Association
 American Nurses Association
 American Society for Healthcare Engineering of
the American Hospital Association
 American Society for Healthcare Risk
Management
 Basic American Metal Products
 Beverly Enterprises, Inc.
 Care Providers of Minnesota
 Carroll Healthcare
 DePaul College of Law














ECRI
Evangelical Lutheran Good Samaritan Society
Hill-Rom Co., Inc.
Joint Commission on Accreditation of
Healthcare Organizations
Medical Devices Bureau, Health Canada
National Association for Home Care
National Citizens’ Coalition for Nursing Home
Reform
National Patient Safety Foundation
RN+ Systems
Stryker Medical
Sunrise Medical, Inc.
The Jewish Home and Hospital
Untie the Elderly, The Kendal Corporation
U.S. Food and Drug Administration
Updated March 2006
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