Instructions for Hill-Rom models including: P7900, Centrella Smart Hospital Bed
Oxycide is a registered trademark of EcoLab USA, Inc. Wex-Cide™ is a trademark of Wexford Labs, Inc. The UL logo is a registered trademark of Underwriter’s Laboratories, Inc. Auto Contour™, FlexAfoot™, Hillrom™, Quick View™, and WallGuard™ are...
2 ott 2021 — 2021 by Hill-Rom Services, Inc. ALL RIGHTS RESERVED. PATENTS / PATENT hillrom.com/patents. May be covered by one or more patents.
Centrella® Smart+ Bed Instructions for Use Product No. P7900 193587 REV 11 QUICK VIEWTM LIST OF BED FEATURES Item Feature Page A Transport/push handle (optional) 126 B Line Managers 24 C Graphical Caregiver Interface 44 (GCI)® Control D Caregiver control panel 32 E Headboard cord storage 20 F Brake and steer control 19 G CPR handle 16 H Patient Hip Position indicator 21 I Patient Restraint point 17 J IntelliDrive® Transport System 116 (power transport--optional) K Auxiliary outlet (optional) 31 L FlexAfootTM Retractable Foot 48 Mechanism Item M N O P Q R S T U V W Feature Page Drainage bag holder 17 SafeView®+ Alerts indicator with 26 floor projections (optional) Corner bumpers and equipment 21 sockets Footboard cord storage 20 Patient storage area 25 Patient pendant (handheld 39 remote) (optional) Patient control panel 38 Speaker with optional USB 24 charging port Patient pendant (handheld 39 remote) holder IllumiGuide® Siderail Handgrip 23 (siderail light--optional) Urinal holder 25 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) i © 2021 by Hill-Rom Services, Inc. ALL RIGHTS RESERVED. PATENTS / PATENT hillrom.com/patents May be covered by one or more patents. See the above Internet address . The Hill-Rom companies are the proprietors of European, US, and other patents and pending patent applications. FOSS This product may contain software known as "free" or "open source" software (FOSS). Hill-Rom uses and supports the use of FOSS. We believe that FOSS makes our products more robust and secure, and gives us and our customers greater flexibility. To learn more about FOSS that may be used in this product, please visit our FOSS website at hillrom.com/opensource. Where required, a copy of FOSS source code is available on our FOSS website. (For products that include a Heart and Respiration Rate monitoring system, please also visit earlysense.com/med-hrbedots to learn more about FOSS and third party software that may also be used in those products.) Legal Manufacturer: HILL-ROM, INC. 1069 STATE ROUTE 46 E BATESVILLE, IN 47006-9167 USA Authorized European Union Representative and EU Importer: HILL-ROM SAS B.P. 14 - Z.I. DU TALHOUET 56330 PLUVIGNER FRANCE TEL: +33 (0)2 97 50 92 12 Authorized Australian Sponsor HILL-ROM PTY LTD UNIT 4.01, 2-4 LYONPARK ROAD MACQUARIE PARK NSW 2113 TEL: 1800 650 083 No part of this text shall be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information or retrieval system without written permission from Hill-Rom Services, Inc. (Hill-Rom). The information in this manual is confidential and may not be disclosed to third parties without the prior written consent of Hill-Rom. The information in this manual is subject to change without notice. Hill-Rom makes no commitment to update or keep current the information in this manual. Hill-Rom reserves the right to make changes without notice in design, specifications, and models. The only warranty Hill-Rom makes is the express written warranty extended on the sale or rental of its products. Notice to Users and/or Patients in EU--Any serious incident that has occurred in relation to this device should be reported to the manufacturer and the competent authority of the Member State in which the user and/or patient is established. This manual (193587) was originally released and supplied in English. For a list of available translations, contact Hill-Rom Technical Support. Product images and labels are for illustrative purposes only. Actual product and label may vary. ii Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Twelfth Edition, 2021-07 First Printing, 2017 Bluetooth® is a registered trademark of Bluetooth Sig, Inc. CSA® is a registered trademark of Canadian Standards Association, Inc. Clorox Healthcare® is a registered trademark of The Clorox Professional Products Company, Inc. EarlySense® is a registered trademark of EarlySense Ltd. Oxivir® TB and Virex® are registered trademarks of DIVERSEY, Inc. Oxycide® is a registered trademark of EcoLab USA, Inc. Wex-CideTM is a trademark of Wexford Labs, Inc. The UL logo is a registered trademark of Underwriter's Laboratories, Inc. Auto ContourTM, FlexAfootTM, HillromTM, Quick ViewTM, and WallGuardTM are trademarks of Hill-Rom Services, Inc. Boost®, Centrella®, Dining Chair®, Experience Pod®, Graphical Caregiver Interface (GCI)®, IntelliDrive®, IllumiGuide®, Line-of-Site®, Microclimate Management®, NaviCare®, Obstacle Detect®, Point-Of-Care ®, SafeView®, SideCom®, SmartSync®, and WatchCare® are registered trademarks of Hill-Rom Services, Inc. MCM® is a registered trademark of Hill-Rom SARL Ltd. Replace this manual (193587) if it is damaged and/or can not be read. For product support or to order additional copies of this manual (193587), contact your distributor, local Hill-Rom representative, or go to hillrom.com. Reference Documents Centrella® Smart+ Bed Service Manual (193588) Centrella® Smart+ Bed Unpacking Instructions (193589) WatchCare® User and Service Manual (196414) pro+ Mattress Instructions for Use (209196) pro+ Mattress Service Manual (209197) Centrella® Smart+ Bed Instructions for Use (193587 REV 11) iii NOTES: iv Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Table of Contents Quick ViewTM List of Bed Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Safety Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Product Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Caregiver Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Graphical Caregiver Interface (GCI)® Control (Touchscreen) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Other Touchscreen Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Patient Pendant (Handheld Remote) Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Siderails. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Bed Frame . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Foot-End SafeView®+ Alerts Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Experience Pod® (overhead arm) Device Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Alarm, Alerts, and Information Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Low Priority Alarm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Beep Alerts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Verbal Alerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Bed Exit Indicator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Alert Silence Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Brake Not Set Alert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Service Required Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Bed in Lowest Position Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Battery Charging Indicators and Battery Backup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Bed Frame Battery Backup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Powered Transport Battery Charge Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Bed Frame Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 CPR Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Use the CPR Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Patient Restraints and Drainage Bag Holders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Patient Restraints. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) v Table of Contents Drainage Bag Holders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Power Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Cord Holders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Brake and Steer Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Headboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Footboard. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Equipment Sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 WallGuardTM Bumper System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Hip Position Locator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Line-of-Site® Angle Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Head and Intermediate Siderails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 IllumiGuide® Siderail Handgrip Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Light Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Line Manager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 USB Charging Port. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Urinal Holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Patient Storage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Motion Activated Night Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 SafeView®+ Alerts Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 SafeView®+ Alerts Indicators Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Experience Pod® Device (Overhead Arm) (P7926A and P7926A07) Option . . . . . . . . . . . . . . . . . . . 27 Auxiliary Outlet Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Point-Of-Care® Bed Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Caregiver Bed Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Bed Exit Alert System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Lockout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Bed Up/Down . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Obstacle Detect® System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Head Up/Down . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Knee Up/Down. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Foot Up/Down . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Trendelenburg and Reverse Trendelenburg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Boost® Position System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Patient Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Nurse Call Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 vi Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Table of Contents Head Up/Down . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Knee Up/Down. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Auto ContourTM Feature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Patient Pendant (Handheld Remote) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 SideCom® Communication System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Nurse Call Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Wireless Connectivity Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Wireless and Bed Location Indicators on the Touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Wireless Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Bed Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Asset Tag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 NaviCare® System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 WatchCare® Incontinence Management System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 SmartCareTM Remote Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Graphical Caregiver Interface (GCI)® Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Use the Touchscreen Menu Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Help (?) Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Head Angle <30° Limit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Dining Chair® Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Stand Assist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Bed Flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 FlexAfootTM Bed Length Adjustment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Bed Exit Alert System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Bed Exit Mode Descriptions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 To Silence the Bed Exit Alert without Deactivating the System . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 Scale "A" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 To Zero the Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 Required Bed Position to Zero the Scale. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 New Patient (Zero) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 Re-Zero (Same Patient) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 To Weigh the Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Required Bed Position to Weigh the Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Scale "A" Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 Scale "B"--NAWI Compliant (EN 45501) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) vii Table of Contents To Zero/Tare the Scale. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 Required Bed Position to Zero the Scale. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 Zero (New Patient) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Re-Zero (Same Patient) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 +/- (Change Zero Items) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62 To Weigh the Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 Optimum Bed Position to Weigh the Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 Scale "B" Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 To Troubleshoot Scale Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66 Settings/Preferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 Software Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 SafeView®+ Alerts Floor Projections Option--ON/OFF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 IllumiGuide® Siderail Handgrip (blue light only)--ON/OFF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 Siderail Protocol. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 USB Charging Port--On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 Voice Alerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 Mattress Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 Screen Brightness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Foley Position Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Bedside Association . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 Set Up the Bed Association through the Settings Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Set Up the Bed Association Using the Room/Patient Icon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 Associate a Room to the Bed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 Verify the Patient Identity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 Confirm the Room to Bed Association . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 Override the Room to Bed Association . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 Verify the Patient Identity when Zeroing the Scale. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79 New Patient Assignment and Bedside Association . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 Weighing and Bedside Association. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 HR/RR Monitoring and Bedside Association . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Bedside Association Notes: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 Heart and Respiration Rate Monitoring System powered by EarlySense. . . . . . . . . . . . . . . . . . . . . . . . . . 83 Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 Document Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 viii Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Table of Contents Product Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84 GCI Symbols--HR/RR Monitoring System powered by EarlySense . . . . . . . . . . . . . . . . . . . . . . . 85 HR/RR Monitoring System powered by EarlySense Specification . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85 HR and RR Monitoring System powered by EarlySense Safety Information. . . . . . . . . . . . . . . . . . . 85 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88 Alarm, Alerts, and Information Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 Low Priority Alarm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 Low Priority Alarm Parameters (HR/RR Monitoring System) . . . . . . . . . . . . . . . . . . . . . . . . . 89 Beep Alerts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 Activate the Trial Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Activate the Licensed Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 Reset HR and RR Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Turn ON/OFF HR and RR Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 HR and RR Trends Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 To View HR and RR Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Change HR and RR Alarm Thresholds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 Turn On/Off In-Room Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 Turn On/Off Remote Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 Change HR and RR Alarm Volume. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 View HR/RR Alarm Log. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102 Turn ON/OFF HR and RR Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 View Sensor Expiration Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 HR/RR Monitor Activated Label Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 NaviCare® System--HR/RR Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 Hillrom Digital Health Gateway--HR/RR Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105 Mattress Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106 Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 Normal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 Max Inflate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 Patient Comfort . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108 To Adjust the Firmness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108 To Turn On/Off the Patient Comfort Controls on the Patient Pendant (Handheld Remote) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 pro+ Mattress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) ix Table of Contents Turn Assist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 To Troubleshoot Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 X-Ray Sleeve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112 Mattress Removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112 Transport The Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 Transport Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 Prepare the Bed for Transport. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 To Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 Use the Powered Transport System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116 Power Loss during Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117 After Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117 Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 Line Managers (P7512) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 IV Poles (P2217 and P7511) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 Removable IV Pole (P2217) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Permanent IV Pole (P7511). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Infusion Support System (P158) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 Transport Shelf (7524) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 Oxygen Tank Holder, E-Size (P276 and P27601) HX or F-Size (P009408) . . . . . . . . . . . . . . . . . . . . 121 Patient Helper (P7934 or P7936). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122 Patient Helper Bracket Support (P7928) and Patient Helper Sleeve (P3212) . . . . . . . . . . . . . . . . 124 Patient Helper Bracket Support (P7938) and Patient Helper Sleeve (P3212) . . . . . . . . . . . . . . . . 125 Patient Helper Bracket Support (P7938) and HD Patient Helper Mount (P7939) . . . . . . . . . . . . 125 Traction Frame (P7927 or P7937) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 Push Handles Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126 Cleaning and Disinfecting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126 Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 Cleaning and Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 Prepare the Bed for Cleaning and Disinfecting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128 STEP 1: Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128 STEP 2: Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131 Prepare the Bed for Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131 Laundry Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131 Preventive Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132 Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133 x Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Table of Contents Bed Frame . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133 IntelliDrive® Transport System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133 Decommissioning and Disposal Instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134 Service Calls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 Power Loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 The Bed Does Not Lower. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 General Wireless Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142 Wireless Connectivity Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142 Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142 Encryption . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142 Extensible Authentication Protocol Types (EAP Types) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143 Wireless System Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143 WiFi and Bluetooth® Radio Approval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144 Regulatory Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144 USA--Federal Communications Commission (FCC) Radiation Exposure Statement . . . . 144 Interference Statement for FCC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144 Canada--Industry Canada (IC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145 Department Identification Label Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) xi Table of Contents NOTES: xii Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Intended Use INTENDED USE The Centrella® Smart+ Bed is intended for use in healthcare environments as a patient support system to prevent and/or treat pressure injuries. It is intended for a broad patient population as determined appropriate by the caregiver or institution. It is intended for patient populations weighing at least 70 lb (32 kg) and is capable of supporting patients up to 500 lb (227 kg). The Centrella® Smart+ Bed is intended to assist clinical staff by relaying bed data to hospital communication systems for display and monitoring. For the Intended Use of the Heart and Respiration Rate Monitoring System (HR and RR Monitoring System) powered by EarlySense, see "Intended Use" on page 83. INTRODUCTION The Centrella® Smart+ Bed is a patient support platform that helps improve patient safety and satisfaction. This manual contains information necessary for the normal operation of the Centrella® Smart+ Bed and Centrella® Mattresses from Hill-Rom. Before you operate the bed, make sure that you read and understand in detail the contents of this manual. It is important that you read and strictly obey the aspects of safety contained in this manual. Any reference to a side of the bed is from the patient's view lying in the bed on his or her back. The bed is equipped with a scale intended to weigh the patient in the bed. To identify which revision of bed you have, look at the serial number label. The label is on the right side of the upper frame at the head end of the bed. The letter that follows P7900 identifies the bed revision. NOTES: · Throughout this manual the wall outlet for electric AC power (mains power), we identify as AC power. · Beds with the HR and RR Monitoring System are equipped with a sensor under the mattress on the head section. Contact your local Hill-Rom representative for more information. SAFETY INFORMATION CONTRAINDICATION: Contraindication--Use of active therapy surfaces (mattresses) with patients with unstabilized spinal cord injury could cause serious injury to the patient. WARNING: Obey all warnings throughout the manual. Failure to do so could cause injury and/or equipment damage: · Warning--Read and understand all warnings in this manual and on the unit itself prior to use with a patient. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 1 Safety Information WARNING: (Warnings continued) Obey all warnings throughout the manual. Failure to do so could cause injury and/or equipment damage: · Warning--Follow the product manufacturer's instructions. · Warning--The Centrella® Smart+ Bed with or without the Heart and Respiration Rate Monitoring System powered by EarlySense, has an intended patient range of 70 lb (32 kg) to 500 lb (227 kg). Use of the bed with patients outside the intended patient weight range may increase the risk of entrapment, asphyxiation, and/or loss of therapeutic value. Use of the bed with patients above the bed's intended maximum patient weight may also cause damage to the bed. · Warning--Evaluate patients for entrapment and fall risk according to facility protocol, and/or healthcare provider directives, and monitor patients appropriately. Make sure all siderails are fully latched when in the raised position. Failure to do either of these could cause serious injury or death. · Warning--The potential for electrical shock exists with electrical equipment. Failure to follow facility protocols may cause death or serious injury. · Warning--To avoid risk of electric shock, this equipment must only be connected to a supply mains with protective earth. · Warning--Make sure to use a correctly grounded, three-prong, 120 V outlet (NEMA 5-15R or NEMA 5-200R outlet, rated 125 V AC, 15 A or 125 V AC, 20 A, respectively). Failure to do so could cause personal injury, fire, or damage to the equipment or facility wiring. · Warning--To help prevent the risk of hospital bed fires, make sure facility persons follow the safety tips in the FDA Public Health Notification: Safety Tips for Preventing Hospital Bed Fires. (US only) · Warning--Connect the power cord to hospital grade receptacles only. · Warning--Incorrect use or handling of the power cord may cause damage to the power cord. If damage has occurred to the power cord or any of its components, immediately remove the bed from service, and contact Hill-Rom. · Warning--Take care to minimize the risk of tripping over the power cord by carefully locating it from the unit to its power source. · Warning--Make sure the position of the unit is such that you can quickly, without obstruction, unplug the power cord from the main power supply if necessary. · Warning--Do not use the bed in an oxygen rich environment or with oxygen tents. · Warning--Do not operate the bed in the presence of flammable gas or vapors. · Warning--Do not operate the bed in the presence of flammable anesthetics or nitrous oxide. · Warning--Before maintenance or service is done on the unit, make sure to unplug the unit and remove the patient or fully remove the unit from use. · Warning--Make sure that there are no foreign objects in the patient zone of the unit. · Warning--If the cushions appear too firm or too soft after you use the Patient Comfort Adjustment controls, contact Hill-Rom. · Warning--Air pressure in the Centrella® max mattress is controlled automatically and may adjust without notice. Use care when you perform medical procedures on the patient. · Warning--Only use an approved HillromTM mattress on the Centrella® Smart+ Bed or a risk of patient entrapment could occur. · Warning--Use only HillromTM specified mattresses, parts, and accessories. Do not modify the bed system without authorization from Hill-Rom. 2 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Safety Information WARNING: (Warnings continued) Obey all warnings throughout the manual. Failure to do so could cause injury and/or equipment damage: · Warning--Do not transfer the patient from one bed frame to another using the mattress with a patient on it. · Warning--Use a minimum of two caregivers to transfer a patient on to the mattress. · Warning--When you put a patient on to the mattress, make sure that the opposite siderails are raised or that another caregiver is present on the opposite side. · Warning--Operate the bed within the stated environmental conditions; see "Environmental Conditions for Use" on page 136. · Warning--The device is not compatible for use in Magnetic Resonance Imaging (MRI). · Warning--If the battery backup does not operate correctly (the bed does not articulate when you press an articulation control), plug the bed into AC power so that you can use the bed controls if necessary. · Warning--Do not connect the power cord to an extension cord or multiple outlet strip. There is a risk of overheating and fire may cause injury or damage. · Warning--Connect only items that have been specified as parts of the device or compatible with the device. · Warning--Report to bed authorized maintenance persons any unusual sounds, burning odors, or movement deviations observed in the controls, motors, or limit switch functions. · Warning--Consult your local regulations to safely discard or recycle electronic equipment and batteries. · Warning--Do not discard as unsorted municipal waste. See your local distributor for collection and/or recycling system available in your country. · Warning--This product can expose you to chemicals including Lead and Di(2-ethylhexyl) phthalate (DEHP), which are known to the State of California to cause cancer, and Lead and Di(2-ethylhexyl) phthalate (DEHP), which are known to the State of California to cause birth defects or other reproductive harm. For more information go to www.P65Warnings.ca.gov. · Warning--The bed should be left in the lowest position when the patient is unattended. · Warning--Federal USA law restricts this device to sale by or on the order of a physician. · Warning--Make sure patient hands are kept away from moving parts while operating the bed. CAUTION: Obey all cautions throughout the manual and also the safety information below. Failure to do so could cause equipment damage: · Caution--Do not store anything under the bed. · Caution--Use only parts and accessories from Hill-Rom. Do not modify or change the bed system without approval from Hill-Rom. NOTE: The safety information for the HR and RR Monitoring System powered by EarlySense is on page 85. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 3 Symbols SYMBOLS This instructions for use contains different typefaces and symbols to make the content easier to read and understand: · Standard text--used for regular data. · Boldface text--emphasizes a word or phrase. · NOTE:--sets apart special data or important instruction clarification. · CONTRAINDICATION, WARNING, or CAUTION A CONTRAINDICATION identifies situations or actions that may have an effect on patient safety. A WARNING identifies situations or actions that may have an effect on patient or user safety. To ignore a warning could cause patient or user injury. A CAUTION identifies special procedures or precautions that persons must obey to help prevent equipment damage. 4 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Symbols PRODUCT SYMBOLS These symbols may or may not be on your configuration of the bed. For more information about a feature, go to the page number shown for the feature in the tables below. NOTE: For product symbols for the pro+ mattress, see the pro+ Mattress Instructions for Use (209196). Caregiver Control Panel Item A B C D E F G Description Alert silence control with LED indicator Bed Exit Alert ON indicator Head up and down controls with lockout indicator Knee up and down controls with lockout indicator Foot up and down controls with lockout indicator Bed up and down controls with lockout indicator Bed in the lowest position indicator Page 13 13 35 36 36 34 14 Item Description H Set brake indicator Page 14 I Battery charging indicator 14 J Nurse call control with LED indi- 41 cators K Reverse Trendelenburg control 36 with lockout indicator L Trendelenburg control with 36 lockout indicator M Boost® Position control 37 N Lockout control--locks out bed 33 articulation controls Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 5 Symbols Graphical Caregiver Interface (GCI)® Control (Touchscreen) Item A B C D E F G H I J K Description Help (?) control Service required indicator Page 46 14 Item L M Bed battery charge indicator 14 N NaviCare® System Connec- 52 O tion (optional) Location control (optional) 42 P WiFi indicator 41 Q Home Menu control 45 R Alerts Menu control 13 S Mattress Menu control (only 106 T on beds with a Centrella® max mattress) Scale Menu control 52 U Down (and up) arrow control 45 V Description HR/RR Menu control Settings/Preferences Menu control MCM control (only on beds with a pro+ mattress) Chair control Page 85 68 109 47 Bed Flat and level control 48 FlexAfootTM bed length 48 adjustment control Stand Assist control 48 <30° Limit control 47 Ready for New Patient indica- 55 tor Bed Exit Alert Status indicator 49 Head Angle display 21 6 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Other Touchscreen Symbols Symbol Description Position Mode Bed Exit Alert--ON indicator Symbols Page 49 Symbol Description Turn Assist--patient right indicator Page 110 Exiting Mode Bed Exit Alert-- 49 ON indicator Turn Assist--patient left 110 indicator Out of Bed Mode Bed Exit 49 Alert--ON indicator Bed Exit Alert system--OFF 49 indicator Max Inflate status indicator 107 (only on Centrella® max mattress) Adjust Bed Button control (for 53 zero scale) Position Mode Bed Exit 50 Alert--SILENCED indicator Adjust Bed Button control (for 55 weigh patient and turn assist) Exiting Mode Bed Exit Alert-- 50 SILENCED indicator Out of Bed Mode Bed Exit 50 Alert--SILENCED indicator Hold to Adjust control (for 59 weigh patient with an NAWI compliant scale) Not In Optimum Position 55 when patient was weighed NaviCare® Patient Safety 43 Monitoring--SUSPENDED indicator NaviCare® Patient Safety 43 Monitoring--ON indicator WiFi--signal strength indica- 41 tor WiFi--bed equipped with 41 WiFi but no WiFi Signal found indicator +/- Control (Add/Remove 62 Items) Foley Limit status--ON 73 Foley Limit status--OFF 73 Bed Location control--bed 42 located Bed Location indicator--con- 42 trol is active to show the bed's location MCM--ON indicator for beds 109 equipped with the pro+ mattress (integrated) Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 7 Symbols Symbol Description Page MCM--OFF indicator for 109 beds equipped with the pro+ mattress (integrated) WiFi connected indicator-- 74 beds with Bedside Association WiFi connecting indicator 74 (flashing)--beds with Bedside Association Network connected indica- 74 tor--beds with Bedside Association Network connecting indica- 74 tor (flashing)--beds with Bedside Association Network not connected indi- 74 cator--beds with Bedside Association Symbol Description Page Room associated indicator 74 (home and status screens)-- beds with Bedside Association Room associated indicator 74 (bed/patient locate screen)-- beds with Bedside Association Room not associated indica- 74 tor (bed/patient locate screen--beds with Bedside Association Patient identity verified indi- 74 cator--beds with Bedside Association Patient identity is not verified 74 indicator. When flashing, a patient is assigned, but not verified, or the bed has rejected the patient identity--beds with Bedside Association NOTE: For symbol identification for the HR and RR Monitoring System powered by EarlySense option, see page 85. Patient Pendant (Handheld Remote) Option Item A B C D E F G H I J K L Description Page Nurse call control with LED indicators 39 Stand Assist control Head, knee, and foot up/down controls TV power control Reading light control Channel up and down control Closed caption control Mute control Volume up and down control Ambient light control Comfort adjust pressure increase and decrease controls with indicators (only on beds with a Centrella® max mattress) Stay in Bed indicator 8 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Symbols Item Description NOTE: A patient can visit https://yourbed.hill-rom.com to learn more about this bed. Page Symbol Siderails Description Symbol Hip Position Locator (page 21) Description Head angle (page 21) Bed Frame Trendelenburg/Reverse Trendelenburg angle (page 21) CPR control label for the bed frame-- shows how to operate the CPR control to lower the head section (page 16) Do not step or stand on (page 34) Foot extend and retract position indicator Do not use with Oxygen Tents Can be green or blue Ground plug--only use grounded plug outlets Transport warning (page 113) Auxiliary outlet warning: must consult accompanying documents USB charging port (page 24) Identifies patient restraint location-- waist/wrist (page 17) Identifies patient restraint location-- wrist (page 17) Identifies patient restraint location-- ankle (page 17) Identifies patient restraint location-- arm up (page 17) Bed Up and Bed Down warning: watch IV poles and traction equipment when you use bed up or bed down controls (page 115) Identifies a urinal storage location Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 9 Symbols Symbol Description Identifies battery installation location Symbol Electrical shock warning: unplug all power cords before service Turn Assist warning (page 110) Mattress install sequence Mattress connection Mattress compatibility identification (page 106) Description Identifies mains fuse Electrical connection location Set Foley Limit warning (page 73) Warning: no equipment storage Patient minimum and maximum weight range (page 1) Medical Bed for Adults Total bed weight including the safe working load is 550 kg (1213 lb); the bed weight excluding the safe working load is 225 kg (562 lb) minimum Complies with Singapore radiocommunications requirements Safe Working Load for the bed (this includes the weight of the patient, mattress, and accessories that are on the bed) Scale class identifier-- identifies the scale as EN 45501 Class III Complies with the requirements of Japan Ministry of Internal Affairs and Communication Beds with the NAWI EN 45501 scale CE--shows that the scale meets the requirements of the NAWI directive M--shows that the scale is certified to weigh in the approved bed position ZZ--numeric digits show the year of manufacture 0122--identifies the Certifying Notified Body 10 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Symbol Description Foot-End SafeView®+ Alerts Option Bed Exit Alert--OFF indicator (page 26) Symbol Bed Exit Alert--ON or SILENCE indicator (page 26) Heart rate or Respiration rate (HR/RR) Alarm--ON or SILENCE indicator (page 26) Experience Pod® (overhead arm) Device Option Steps to remove the overhead arm (page 27) Steps to remove the P7926A07 overhead arm (page 27) Other Do not allow the patient to use the overhead arm to assist them to get out of bed (page 27) WARNING (yellow and black) CAUTION (white and black) Symbols Description Siderail position indicator (page 26) Bed in the lowest position indicator (page 26) WatchCare® Alert--On or SILENCE indicator (page 26) Transport position of the overhead arm (page 27) Watch doors and walls during transport with an overhead arm (page 27) Overhead arm light location (page 27) (Bed and patient pendant only) According to IEC 60529, Rating for protection against fluid ingress and identified as equipment that is protected against spraying and splashing water Type B applied part according to IEC 60601-1 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 11 Alarm, Alerts, and Information Indicators Symbol Description ATTENTION: Consult accompanying documents Symbol Manufacturer Manufacture date Power Transport Pod (page 116) Medical Device ALARM, ALERTS, AND INFORMATION INDICATORS The Information Indicators provide the caregiver with audible indicators and visual indicators. For detailed information about the Bed Exit Alert and <30° Head Angle Limit, see "Bed Exit Alert System" on page 49 and "Head Angle <30° Limit" on page 47. Description MEDICAL--GENERAL MEDICAL EQUIPMENT AS TO ELECTRICAL SHOCK, FIRE AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH AAMI ES60601-1, IEC 606011, IEC 60601-2-52, CAN/CSA C22.2 NO 60601-1 AND IEC 60601-2-49 Conforms to the European Medical Device Directive 93/42/EEC Must consult accompanying documents Complies with Australian radiocommunications requirements Do not throw away-- indicates the need to recycle the item in accordance with local regulations. NOTE: There must be either AC or battery power to the bed for the indicators to operate. 12 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Alarm, Alerts, and Information Indicators LOW PRIORITY ALARM If the HR and RR Monitoring System option is active, a two tone alarm (e - c) will sound every 3 seconds to indicate that a HR or RR alarm is active and a priority nurse call is sent to the nurses station (for beds equipped and connected to a Nurse Call System). BEEP ALERTS A single beep will sound when an activity is successful. A triple beep will sound to indicate that you should look at the touchscreen, attention is needed. For a critical fault, a triple beep will sound every 10 seconds until the user acknowledges the error on the touchscreen. Follow the on-screen instructions. If the critical fault is not resolved, the triple beep will sound again after an hour. The cycle will continue until the issue is resolved. A low volume repeating triple beep every 10 seconds will sound to remind you that the Bed Exit is silenced and should be resumed before you leave the room. A quadruple beep (four beeps) will sound to indicate a Bed Exit alert. A continuous tone will sound to indicate a serious bed malfunction and that immediate attention is needed. VERBAL ALERTS These Verbal Alerts are available on some models: · "Please don't get up." · "The Care Team has been called." · "Brake not set." · "Function unavailable." · "Call light not connected." · "Obstacle detected!" The Verbal Alerts can be disabled through the touchscreen except for the "Brake Not Set" alert (see "Voice Alerts" on page 71). The "Brake Not Set" verbal alert can not be disabled. BED EXIT INDICATOR The Bed Exit indicator is a visual indicator on the caregiver control panel that will be green when the Bed Exit feature is on. ALERT SILENCE INDICATOR The Bed Exit Alert Silence indicator is a visual indicator on the caregiver control panel. When the Alert Silence indicator is on, the bed stops monitoring patient movement temporarily (30 seconds default). NOTE: This will only silence Bed Exit Alerts. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 13 Alarm, Alerts, and Information Indicators BRAKE NOT SET ALERT The Brake Not Set alert is a visual and audible alert. When the bed is plugged into AC power, and you release the brake, the alert indicator on the caregiver control panel will come on, an audible alert will sound, and a message will show on the touchscreen. To turn the alert off, either unplug the bed (for transport) or set the brakes. The indicator will stay lit when the bed is unplugged and the brake is not set. SERVICE REQUIRED INDICATOR The Service Required indicator shows and flashes on the touchscreen when the bed detects a malfunction. Contact your facility-authorized maintenance persons or local Hill-Rom representative for assistance. BED IN LOWEST POSITION INDICATOR The Bed in Lowest Position indicator comes on when the bed is in the lowest position. BATTERY CHARGING INDICATORS AND BATTERY BACKUP Bed Frame Battery Backup The bed has an automatic battery backup feature. When AC power is not being supplied to the bed and there is sufficient battery power, the battery permits the bed articulation functions to be engaged from any of the caregiver bed position controls except the Lockout control. The battery also powers the nurse call function if the communication cable is plugged into a Nurse Call System. While on battery power, the bed will operate as follows: · All caregiver bed articulation controls will operate. · The Bed Exit and Scale functions will not operate. · If Bed Exit is on, it will turn off when the bed is powered by battery backup. When AC power is restored to the bed, Bed Exit will resume in the Bed Exit mode that it was previously Touchscreen while on battery set to. backup · The Centrella® max mattress will stay inflated, but it will not adjust pressures or operate turn assist or max inflate. · The Centrella® pro+ mattress Microclimate Management® (MCM) function will not operate. To activate the battery when the bed is unplugged from AC power, press and hold any articulation control until the articulation starts. There will be a delay of 1-2 seconds before the articulation control activates the battery. 14 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Alarm, Alerts, and Information Indicators NOTE: The battery does not support these: Patient controls, Auxiliary Outlet, Scale, Bed Exit Alert System, HR and RR monitoring, or the air support system. The battery stays engaged for 1 minute after the last control is pressed, then goes into a sleep mode. If the Battery Indicator changes from Charged to Low consistently within four hours of being unplugged from AC power, replace the battery. If the battery has no charge, it may take up to 24 hours to charge to operational status. To make sure the battery is always charged, plug the bed into an AC power outlet whenever possible. There are two bed frame battery charge indicators on this bed: Caregiver Control Panel--Bed Battery Charge Indicator Touchscreen--Bed Battery Charge Level Indicator Caregiver Control Panel--Bed Frame Battery Charge Indicator The battery backup indicator on the caregiver control panel shows the battery status: · On = The battery is charging. · Flashing =The bed is powered by battery backup, or the battery needs to be charged. A triple beep sounds every two minutes when the battery reaches a low condition and the bed is unplugged. · Off = The battery is not engaged, or the battery charge is critically low and can not operate the motors. Touchscreen Bed Frame Battery Charge Level Indicator The battery charge status shows at the top of the touchscreen. The screen will dim 10 seconds after the last control is pressed, then will go to sleep after 30 seconds. The screen will come on when AC power is restored to the bed Low--the Low indicator (one yellow bar) flashes when the battery charge is low. A triple beep sounds every two minutes when the battery reaches a low condition and the bed is unplugged. Powered Transport Battery Charge Indicator CAUTION: Caution--For transport, a fully-charged battery is preferred. If the battery charge is low, before you unplug the bed, put the bed in the transport position before any transport. Connect the bed to AC power as soon as possible. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 15 Bed Frame Features Beds equipped with powered transport have a Transport Pod on the right-side push handle, at the head end of the bed. The battery charge indicator on the Transport Pod shows the status of the battery: · On = The battery is charged. · Flashing = The battery is low. · Sequenced Flashing = The battery is charging while the bed is plugged in. · Off = The battery is too low to operate the powered drive system. For transport instructions, see "Use the Powered Transport System" on page 116. BED FRAME FEATURES CPR CONTROL A red CPR release handle is on both sides of the upper frame in between the head and intermediate siderails. Use the CPR Control 1. Pull and hold the red CPR handle until these occur: · The head, knee, and foot sections are flat. · The bed levels from a Trendelenburg or Reverse Trendelenburg position. NOTES: · If you release the handle during its operation, the head section will stop lowering. · If the bed has a Centrella® max mattress-- The bladders will go into Max Inflate to support a CPR board. An alert will sound shortly before 60 minutes of being in CPR to alert the caregiver that the mattress will transition to Normal mode or allow you to reset the timer. A countdown timer will show on the touchscreen. · The mattress will not go into Max Inflate if the bed is being powered by the battery backup. 2. Release the handle. 3. Put a CPR board under the patient. NOTE: The headboard, patient helper, and/or overhead arm can be removed for patient access for patient intubation or to insert a central line. 16 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Bed Frame Features Activation of the CPR mode affects these unit alerts and functions: · If the Bed Exit Alert and/or <30° Head Angle Limit are armed prior to the CPR transition, they will be canceled. · Controls that were locked out will be unlocked. PATIENT RESTRAINTS AND DRAINAGE BAG HOLDERS Patient Restraints WARNING: To help prevent injury and/or equipment damage, obey these warnings: · Warning--Restraints must be attached to the articulating section of the bed at the correct attachment points. · Warning--Do not use the Turn Assist feature while a patient is restrained. There are three patient restraints per side of the bed. The bed facilitates the use of ankle, waist/wrist, and chest restraints. As an option, the bed can be equipped with a patient restraint on each side at the head end. Hill-Rom makes no recommendation in regard to the use of physical restraints. Users should refer to legal restrictions and facility protocols before physical restraints are used. Drainage Bag Holders CAUTION: To help prevent equipment damage, obey these cautions: · Caution--Use caution when you raise or lower a siderail when a drainage device is present. · Caution--Do not hang drainage bags on the siderails during transport. · Caution--Use caution when you put the drainage bag tubing in position. Keep it away from moving parts. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 17 Bed Frame Features · Caution--When you use the Chair control, lower the bed, or use the Reverse Trendelenburg control, make sure that the drainage bags do not touch the floor. Remove them if necessary. Follow facility protocol if the drainage bags touch the floor. The bed is equipped with a drainage bag holder on each side of the bed at the foot end. The holders will accommodate a variety of drainage devices. Follow your facility protocol for placement of drainage devices. Make sure drainage bags are placed so they will not touch the floor during bed articulations, see "Foley Position Limit" on page 73. NOTE: The scale reading will be affected by the weight of the drainage bags on the bed. To not include the drainage bags in the weight, empty or lift the drainage bags off of the holders. POWER CORD The bed may have two power cords: · The gray power cord at the head end of the bed supplies power to the bed, and charges the batteries for the bed frame battery backup and the IntelliDrive® Transport System. · The white power cord at the head end of the bed supplies power to the optional auxiliary outlet. NOTE: The gray power cord should be plugged into AC power whenever possible to keep the batteries charged. CORD HOLDERS Cords can be hung in the openings on the sides of the head- and footboards. Wrap the cords around the openings so that they do not touch the floor. NOTE: Remove the cords from the head- or footboard before you remove the board. 18 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Bed Frame Features BRAKE AND STEER CONTROLS WARNING: To help prevent injury and/or equipment damage, obey these warnings: · Warning--Unless you are to transport a patient, always set the brakes when the unit is occupied. Make sure the brakes are set before any patient transfer on to or off the bed. Failure to do so may cause injury or equipment damage. · Warning--Make sure your feet are not under the pedals during brake and steer operation. The brake and steer controls include brake pedals above the foot-end casters and brake and steer pedals above the head-end casters. There are three positions. · Brake--to prevent the unit from moving, step down on the orange brake pedal until it is in the full downward position. · Steer--to move the unit in a straight line and guide it through hallways, step down on the green steer pedal until it is in the full downward position. · Neutral--to move the unit in any direction, move the pedal to the level position. The neutral position helps with sideway movements in a room or a small enclosed area, or to align the unit with another surface. To Activate Head-End Control Foot-End Control Brake (orange pedal) Step down on the orange brake pedal until it stops. Steer (green pedal) Step down on the green steer pedal until it stops. Neutral Move the brake or steer pedal to the level position. There are three steer systems available on the bed: Corner Steer, 5th Wheel, and IntelliDrive® Transport System. · Corner Steer: The foot-end casters lock in-line ready for system movements. NOTE: Make sure the foot-end casters are in a trailing position before the bed is put in steer. Failure to do so could result in erratic movement of the bed. · 5th Wheel: When the brake and steer pedal is placed in steer, the front casters do not lock into steer mode. All four casters on the bed are put into the neutral position. This allows the bed to pivot on the 5th wheel for tighter turns and easier steer. · IntelliDrive® Transport System: The steer mechanism operates as above in 5th wheel only with a power drive wheel. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 19 Bed Frame Features When the unit is connected to AC power, and you release the brake, these will occur to let you know that the brake is not set: · The Brake Not Set alert will sound. · The alert indicator on the caregiver control panel will show. · A message will show on the touchscreen. · Beds equipped with Voice Alerts will alert "Brake not set." To address the alert, either unplug the unit (for transport) or set the brake. HEADBOARD The headboard attaches to the head end of the frame. The headboard can be removed for increased access to the patient's head. A caregiver can quickly remove or attach the headboard in a single step without the use of tools. To Remove 1. Remove any cords from the headboard. 2. Lift the headboard straight up. To Install Align the headboard pins with the sockets in the frame, and then lower the headboard into the sockets. Push the headboard down until the bottom rests on the frame. FOOTBOARD WARNING: Warning--When the footboard is removed from the bed, do not lay the footboard flat on the floor. Store the footboard in a position or location so that it does not come in contact with biohazards or cause a tripping hazard. Failure to do so may cause injury or equipment damage. CAUTION: Caution--Do not exceed the 55 lb (25 kg) load capacity (safe working load) of the footboard. To do so could cause equipment damage. The footboard attaches to the articulating foot section, and it remains perpendicular to the surface of the foot section at all times. A caregiver can quickly remove or attach the footboard in a single step without the use of tools. To Remove 1. Remove any cords from the footboard. 2. Lift the footboard straight up. 20 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Bed Frame Features To Install Align the footboard pins with the sockets in the frame and then lower the footboard into the sockets. Push the footboard down until the bottom rests on the frame. EQUIPMENT SOCKETS There are four equipment sockets for the attachment of accessories. They are at each corner of the bed. The equipment sockets can be used to mount IV poles and oxygen tank holders. NOTES: · Any equipment in the foot-end equipment sockets will be included in the scale reading. · Remove any equipment that was not included during the bed zero process. WALLGUARDTM BUMPER SYSTEM The WallGuardTM Bumper System protects the perimeter of the bed when it is being moved or transported. Roller bumpers at the foot end of the bed protect the walls and doorways when you transport the bed. HIP POSITION LOCATOR The hip position label on the intermediate siderails identifies the correct position of the patient's hip while on the bed. The correct placement of the patient helps to minimize patient migration to the foot end of the bed when you raise the head section. LINE-OF-SITE® ANGLE INDICATORS · Beds equipped with a mechanical head angle indicator, on the outside of the right head siderail, mechanically show the approximate angle of the head section from 0° to 85° with respect to the floor. The degree where the indicator ball rests is the approximate angle. · The digital head angle display on the touchscreen gives a more accurate degree of head elevation. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 21 Bed Frame Features · The Line-of-Site® Trendelenburg/Reverse Trendelenburg Angle indicators on the intermediate siderails give an estimated degree of the bed's angle. HEAD AND INTERMEDIATE SIDERAILS WARNING: To help prevent serious injury and/or death, obey these warnings: · Warning--Evaluate patients for entrapment and fall risk according to facility protocol, and monitor patients appropriately. · Warning--Make sure that all siderails are fully latched when in the raised position. · Warning--Stay clear of pinch points and moving parts during siderail operation. NOTES: · Siderails are intended to be a reminder to the patient of the bed's edges, not a patient- restraining device. When appropriate, Hill-Rom recommends that medical persons determine the correct methods necessary to make sure a patient stays safely in bed. · Siderails in the raised position are intended to make the patient aware of the proximity of the edge of the mattress and to assist in patient entry and exit. CAUTION: Caution--Before you raise or lower a siderail, make sure that the area around the siderail is free of objects and devices. Failure to do so could cause equipment damage. 22 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Bed Frame Features To Lower a Siderail WARNING: Warning--When the bed is in its lowest position, make sure that your feet are out from under the siderail before you lower the siderail. Otherwise, injury could occur. Lift up on the recessed blue release handle that is on the lower part of the main siderail support. The siderail has a dampening mechanism that slowly lowers the siderail. Gently leaning into the siderail may make it easier to latch and unlatch in some situations. For example, this may be helpful when siderail pads are installed. To Raise a Siderail 1. Pull the siderail up, and push it in until it latches into the locked position. You will hear a click when the siderail latches into the locked position. 2. After you hear the click, gently pull on the siderail to make sure it is latched correctly. CAUTION: Caution--Do not use the siderails to move the bed. Always push or pull from the headboard or footboard. Otherwise, equipment damage could occur. IllumiGuide® Siderail Handgrip Option Beds equipped with the IllumiGuide® handgrip allow the patient to easily find the grip location on the siderail when the patient gets back into bed. The light will stay on for 15 minutes after the patient exits the bed or 2 minutes after they return to the bed. The IllumiGuide® handgrip also identifies the Bed Exit status. You can turn the light off or on through the Settings menu control on the touchscreen. See "IllumiGuide® Siderail Handgrip (blue light only)--ON/OFF" on page 69. Light Status Blue--the Bed Exit Alert is off and the patient has left the bed. Flashing Amber--the Bed Exit Alert is on and is alerting. Solid Amber--the active Bed Exit Alert is silenced and is waiting to re-arm. Off--the Bed Exit Alert is off with the patient in bed, or the IllumiGuide® handgrip option has been turned off. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 23 Bed Frame Features Line Manager WARNING: Warning--Make sure that the lines are not pinched or kinked and that there is sufficient slack in the lines for bed articulations and patient movement. Failure to do so could cause injury or equipment damage. Each head siderail has an integrated Line Manager on the top of the siderail. The Line Manager helps to keep lines (such as IV lines, suction lines, etc.) together and away from the articulating frame. USB Charging Port WARNING: To help prevent injury and/or equipment damage obey these warnings: · Warning--Never allow excess cable length near the patient's head or neck. To do so could result in strangulation. Secure any excess cable to the siderail or other suitable object. · Warning--Do not allow the conductive parts of the patient charging cable, to come into contact with other conductive parts, this includes earth ground. Otherwise, an electrical short might occur, risking electric shock to the patient and damage to their portable electronic device. The USB charging port is on the right-head siderail. NOTE: The USB charging port may not be compatible with all devices. The USB charging port can be used to charge personal electronic devices (PED) such as cell phones, computer tablets, portable media players, and pocket computers. The port is not designed for devices that require less than 170 mA of power such as USB reading lights, but supports up to 2.4 A of current. If the device does not charge, make sure the setting for the charging port is On. To turn on or off the USB charging port, see "USB Charging Port--On/Off" on page 70. 24 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Urinal Holder Each intermediate siderail has an integrated Urinal Holder on the top of the siderail. Bed Frame Features Patient Storage Patient storage is provided on both intermediate siderails. MOTION ACTIVATED NIGHT LIGHT The night light is on the base frame, at the foot end. The light is on when the bed is plugged into AC power. The light gets brighter when the patient moves to the edge of the bed or gets out of the bed. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 25 Bed Frame Features SAFEVIEW®+ ALERTS OPTION Beds equipped with SafeView®+ Alerts indicators show the bed status at the foot end of the bed for these alerts: fewer siderails up than the set protocol, Bed Exit Alert, Bed in Lowest position, and HR and RR Alert. With the exception of the HR and RR Alarm, the SafeView®+ Alerts indicators project on to the floor to provide an additional visual status of these bed conditions. The projections may be turned on or off through the Settings menu control on the touchscreen. See "SafeView®+ Alerts Floor Projections Option--ON/OFF" on page 68. NOTE: New Patient Zero will reset the SafeView®+ Alerts option to the facility's default settings. SafeView®+ Alerts Indicators Status Siderail Protocol Status--On A green siderail indicator shows when the minimum number of siderails are up as set in the siderail protocol. The indicator will flash amber if fewer siderails are up than the set siderail protocol. NOTES: · If more siderails are up than the set siderail protocol, a green siderail indicator will still show. · The siderail protocol can be changed for special patient needs through the Settings menu control on the touchscreen. See "Siderail Protocol" on page 70. Bed Exit Alert Status--On A green Bed Exit Alert indicator shows when a patient is in bed and the Bed Exit Alert is armed. The indicator will flash amber when a Bed Exit Alert occurs. The Bed Exit Alert will show solid amber when the Bed Exit Alert is silenced. Bed Exit Alert Status--Off A blue crossed out Bed Exit Alert indicator shows when the Bed Exit Alert is off. Bed in Lowest Position Status--On A green Bed in Lowest Position indicator shows when the bed is in the lowest bed position. The indicator will flash amber when the bed is not in the lowest bed position. HR and RR Monitoring powered by EarlySense Status--On A green HR/RR indicator shows when the HR and RR monitoring is On, a patient is in the bed, and the HR/RR measurements are within the HR/RR thresholds. The indicator will flash amber when an HR/RR measurement is outside the set thresholds. If the indicator is white, the HR and RR monitoring is On, but either the patient is not in the bed, or the system could not detect the patient's HR or RR. The HR/RR Alarm will show solid amber when the HR/RR Alarm is silenced. 26 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Bed Frame Features WatchCare® Alert Status--On A green WatchCare® Alert indicator shows when the WatchCare® Incontinence Management System is On and a smart pad is present and is being monitored. The indicator will flash amber when an incontinence event occurs. If the indicator is solid white, the incontinence system is On, but the reader does not detect any smart pads on the bed. Refer to the WatchCare® Incontinence Management System Instructions for Use and Service Manual (196414) for more information about the WatchCare® Incontinence Management System. NOTES: · If one of the SafeView®+ Alerts projectors is on when it should be off, contact your authorized maintenance persons. · If the SafeView®+ Alerts projectors are on when there is no weight on the bed, zero the scale. Experience Pod® Device (Overhead Arm) (P7926A AND P7926A07) OPTION Item A B C Description Patient controls (optional) PED cord storage Reading light (optional) Item Description D USB charging port E PED holder Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 27 Bed Frame Features WARNING: To help prevent injury and/or equipment damage, obey these warnings: · Warning--Do not exceed the 1 kg (2.2 lb) load capacity of the Overhead Arm. · Warning--Do not remove or install the Overhead Arm assembly while it is in a position over a patient. · Warning--Stay clear of pinch points and moving parts when putting the Overhead Arm in the transport position. · Warning--Put the Overhead Arm in the transport position prior to transport (see Step 3 on page 30). · Warning--Instruct patients to never use the Overhead Arm to assist them when they get in or out, or reposition themselves in the bed. · Warning--When the Overhead Arm is installed and you adjust the bed and/or head section height, be careful that the arm does not contact the patient. With the Experience Pod® Device, you can-- · Articulate the bed (optional) · Send a Nurse Call if the bed is connected to a Nurse Call System (optional) · Charge a PED · Put your PED in the PED holder (see above for the PED dimensions supported) · Store the PED charging cord · Turn on/off the reading light (optional) · Adjust the Experience Pod® Device for optimal use NOTE: The USB port is not designed for devices that require less than 170 mA of power such as USB reading lights, but supports up to 2.4 A of current. To Install 1. Make sure the bed's brake is set, and a patient is not in the bed. 2. Lower the bed to its lowest position. 3. Install the Experience Pod® Device into the accessory socket at the head end of the bed. Make sure the arm assembly is fully inserted into the socket. 28 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Bed Frame Features WARNING: Warning--Make sure that the arm is correctly attached in step 4. Otherwise, it may fall. Injury or equipment damage could occur. 4. Rotate the base tube until the plunger locks into the accessory socket. You will hear a click when the plunger locks into position. The blue strain relief faces away from the headboard. Or For the P7926A07, from underneath the bed frame, insert the pin into the slot in the base tube. Install the retaining ring on to the pin to lock the base tube in position. 5. Connect the Experience Pod® Device communication cable to the bed. To Remove 1. Make sure the bed's brake is set, and a patient is not in the bed. 2. Lower the bed to its lowest position. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 29 Bed Frame Features 3. Put the Experience Pod® Device in the transport position as shown. 4. Disconnect the communication cable from the bed. 5. Pull straight up on the Experience Pod® Device to remove it from the accessory socket. Or For the P7926A07, from underneath the bed frame, remove the retaining ring and pin from the base tube. Pull straight up on the Experience Pod® Device to remove it from the accessory socket. 30 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 6. To store the Experience Pod® Device, turn the device over and safely stand it up against a wall or put the device in a storage location. Bed Frame Features AUXILIARY OUTLET OPTION WARNING: To help prevent injury and/or equipment damage, obey these warnings: · Warning--Do not use the auxiliary outlet for life support equipment. There is no battery backup. Plug life support equipment directly into facility power supply. · Warning--Do not use oxygen enriched sources near the auxiliary outlet. · Warning--Do not plug the auxiliary and power cord into the same wall outlet. Plug the power cords into different outlets on separate circuits. Failure to do so can cause equipment damage or tripping of facility power breakers. · Warning--Before you move the bed, make sure both power cords are unplugged and stored correctly. CAUTION: Caution--Failure to store the auxiliary outlet power cord when not in use could cause damage from bed articulation. The auxiliary outlet option is a convenient source of AC power for accessory devices. The auxiliary outlet is not intended for life support equipment. The outlet is on the left side of the base frame. The outlet provides up to 10 A of AC current (120 V AC beds). Beds that have this option are equipped with two power cords, one for the auxiliary outlet and one for the bed. The outlet is isolated from the bed's AC power supply. The outlet power cord is white, and the bed power cord is gray. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 31 Point-Of-Care® Bed Controls POINT-OF-CARE® BED CONTROLS WARNING: To help prevent injury and/or equipment damage, obey these warnings: · Warning--Mechanical parts under the bed pose a risk of serious injury. Exercise control over visitors, especially children, to keep people out from under the bed and prevent unauthorized access to the bed articulation controls. · Warning--Before you press a bed articulation control, make sure that objects and devices are away from the bed's articulating sections. · Warning--Make sure to always lock out the articulations controls during traction. · Warning--Monitor lines closely during articulations. Always use good line management techniques, particularly as the head section rises. CAREGIVER BED CONTROLS This section describes the caregiver bed controls that are on the outside of the head siderails. Not all controls listed are present on all beds. WARNING: To help prevent injury and/or equipment damage, obey these warnings: · Warning--Instruct visitors not to operate the caregiver controls or patient injury could occur. They may assist the patient with the patient controls. · Warning--Lock out the bed articulation controls when patients, caregivers, or family members must be kept from inadvertently activating the bed functions. 32 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Point-Of-Care® Bed Controls Bed Exit Alert System To Activate the Bed Exit Alert System The Bed Exit Alert system is activated through the touchscreen, see "Bed Exit Alert System" on page 49. When a Bed Exit mode is armed, the Bed Exit indicator will be green. When the system is armed and it detects an alert condition for the Bed Exit mode setting, the following occur even if the patient returns to the bed: · An audible alert comes on. · The amber Alert Silence control indicator flashes. · A priority nurse call is sent to the nurses station (for beds equipped and connected to a Nurse Call communication system). To Silence the Bed Exit Alert System without Deactivating the System When a Bed Exit mode is armed, you can silence the alert system. During the Silence Mode, the system stops monitoring the patient movement; therefore, the system will not notify the care team or cause an alert. While the system is in the Silence Mode, you can change the position of the patient or assist the patient out of the bed. You can silence the alert before it sounds (preemptively) or after it sounds. To silence the alert system before or after it sounds--press the Alert Silence control until its indicator is on solid. NOTE: The Bed Exit Alert system will try to re-arm after 30 second or when the patient returns to the bed. To increase the alert silence time to 1 or 5 minutes, see "To Silence a Bed Exit Alert" on page 50. Lockout The Lockout control disables the bed's articulating function (for both the patient and caregiver). If you press the Lockout control and do not press an Up or Down control within a few seconds, or if you do not complete the lockout procedure correctly, the bed will sound a triple beep and a message on the touchscreen will provide instructions on how to complete the task. NOTES: · When CPR is activated, any controls that are locked out will become unlocked. · Follow your facility's protocols for lockouts to reduce the likelihood of unauthorized use of the bed controls. · If you attempt to use a locked-out control, a triple beep will sound, a message will show on the touchscreen, and a voice alert (if equipped) will say "This bed function is unavailable" to notify you to check the lockouts. · Some locked out frame articulations may cause other functions to be locked. See the table below. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 33 Point-Of-Care® Bed Controls Locking Out: Automatically Locks Out these functions: Boost Trendelenburg Reverse Bed Flat Chair <30° Trendelenburg and level Limit Head Up/Down X X XX Knee Up/Down X X X Foot Up/Down X X X Bed Up/Down X X X X Foot Longer/Shorter Extend/Retract Stand Assist X X X To Lock--press and hold the Lockout control, then press the Up or Down control of the bed function or the Foot Longer/Shorter control on the touchscreen. Both patient and caregiver controls are locked out. A single beep sounds and the applicable indicator light comes on to let you know that the function is locked out. To Unlock--press and hold the Lockout control, then press the Up or Down control of the bed function or the Foot Longer/Shorter control on the touchscreen. Both patient and caregiver controls are unlocked. A single beep sounds and the applicable indicator light turns off to let you know that the function is no longer locked out. NOTE: If you attempt to use a locked-out control, a triple beep will sound, a message will show on the touchscreen, and a voice alert (if equipped) will say "This bed function is unavailable." to notify you to check the lockouts. Bed Up/Down WARNING: To help prevent injury and/or equipment damage, obey these warnings: · Warning--IV poles do not travel with the height of the bed adjustments. Correct the height of the IV pole after any bed adjustments. · Warning--It is recommended that the bed be in the low position when the patient is unattended. This may reduce the severity of any resultant injuries from patient falls. · Warning--When the bed is in its lowest position, make sure that your feet are out from under the siderail before you lower the siderail. Otherwise, injury could occur. To raise--press and hold the Bed Up control until the bed is at the desired height. To lower--press and hold the Bed Down control until the bed is at the desired height. The bed will slow down as it gets close to the lowest bed position to allow time to move any items that may be between the siderail and the floor. 34 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Point-Of-Care® Bed Controls NOTES: · When the bed reaches its lowest position, you will hear a single beep and the Bed in Lowest Position indicator will be green. · The Bed up/down and head up/down controls can be used at the same time. Obstacle Detect® System Beds equipped with the Obstacle Detect® System sense objects that are between the upper frame and the base frame. The system sensors run along the right and left open sides of the base frame. If the system senses an object while the bed is lowering, these will occur to let you know that an object is detected: · The bed will stop lowering. · A triple beep will sound. · A pop-up screen will show on the GCI. · If equipped, a verbal alert "Obstacle is detected on the left (or right)" will sound. Head Up/Down WARNING: Warning--For patient and equipment safety, make sure to monitor the patient and all patient interface lines during articulation. Failure to do so could cause injury or equipment damage. The caregiver can adjust the head section to specific angles. The maximum travel for the head section is 65°. To raise--press and hold the Head Up control until the bed is at the desired position. To lower--press and hold the Head Down control until the bed is at the desired position. NOTE: The Auto ContourTM feature is not active when you use the caregiver controls; it is only active when you use the patient controls. See "Patient Controls" on page 38. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 35 Point-Of-Care® Bed Controls Knee Up/Down The caregiver can raise or lower the knee section. The knee section has a maximum travel of 30°. To raise--press and hold the Knee Up control until the bed is at the desired position. To lower--press and hold the Knee Down control until the bed is at the desired position. NOTE: To put the bed in an auto contour position, press the Head Up and Knee Up controls at the same time. Foot Up/Down CAUTION: Caution--Make sure the drainage bags will not touch the floor. Remove them if necessary. Follow facility protocol if the drainage bags touch the floor. NOTE: The Foley Position Limit can restrict how much the foot section can lower to reduce the likelihood of a drainage bag touching the floor, see "Foley Position Limit" on page 73. The caregiver can raise or lower the feet and lower extremities. To raise--press and hold the Foot Up control to raise the foot section to the desired position. The knees will first raise, then the feet/lower extremities will elevate so the foot end of the bed is parallel to the floor. To lower--for a chair-like position, press and hold the Knee Up control until you hear a single beep. Then press and hold the Foot Down control to lower the foot section to the desired position. To level--to level the bed from the raised or lower position, press and hold Knee Down until the bed stops and you hear a single beep. Trendelenburg and Reverse Trendelenburg WARNING: Warning--Make sure the caregiver hands are kept away from the moving parts while operating the bed. You can use the Trendelenburg and Reverse Trendelenburg controls at any bed height. Trendelenburg--press and hold the Trendelenburg control until the foot end of the bed raises relative to the head-end to the desired angle. Trendelenburg CAUTION: Caution--Make sure the drainage bags do not touch the floor. Remove them if necessary. Follow facility protocol if the drainage bags touch the floor. 36 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Point-Of-Care® Bed Controls Reverse Trendelenburg--press and hold the Reverse Trendelenburg control until the head end of the bed raises relative to the foot end to the desired angle. Reverse Trendelenburg NOTES: · If the Foley Position Limit is set, it will limit the degree of Reverse Trendelenburg. · If the Obstacle Detect® System senses an object or if there is interference, the bed will not go down. See "Obstacle Detect® System" on page 35 for more information about the Obstacle Detect® System. To return to the flat position--press the opposite control, Trendelenburg or Reverse Trendelenburg, or press the Bed Flat and Level control on the touchscreen until the bed is at the desired position. Boost® Position System The Boost® Position System's one-button control levels the legs and head and puts the bed into Trendelenburg. This is helpful when you need to reposition the patient toward the head end of the bed. The Boost® Position System will not operate if any bed functions are locked out. WARNING: Warning--Monitor lines closely during articulations. Always use good line management techniques, particularly as the head section rises. Failure to do so could cause patient injury or equipment damage. To Activate 1. Press and hold the Boost® control on the siderail until the bed is in the desired tilt position or you hear a single beep. · The head and foot sections will go to the flat position. · The bed height may adjust to allow the bed to go into Trendelenburg. · If desired, you can continue to hold the control to raise the knee section for an increased boost. A single beep will sound when the knee section has stopped. · If the bed has an air system, the mattress will go into Max Inflate for 15 minutes. 2. Release the Boost® control when the desired position is reached. 3. Move the patient to the head of the bed as necessary. To return to the flat position 1. Press and hold the Flat and level control until you hear the bed beep, indicating the bed is flat. 2. If the bed has a Centrella® max mattress, at the touchscreen, go to the Surfaces menu, and then press Normal. Or press any Caregiver control on the caregiver panel. NOTE: We do not recommend that you transport the patient when the bed is in the Boost® Position. See "Transport The Patient" on page 113. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 37 Point-Of-Care® Bed Controls PATIENT CONTROLS The patient controls are on the patient side of the head siderails. The standard patient controls include: Nurse Call, Head Up/Down, and Knee Up/Down. There are head of bed (HOB) angle indicators that patients can use to help them comply with HOB orders. NOTE: The patient head up/down control includes the Auto ContourTM feature. When the patient raises or lowers the head section, the head and knee sections raise or lower at the same time. Nurse Call Control The patient can use the Nurse Call control to call the nurse when the control is lit. When a Nurse Call control is activated, a signal is sent to the nurse's station. Voice communication is provided through a speaker/microphone that is on the inside of both head siderails. See "SideCom® Communication System" on page 41. To Activate Press a Nurse Call control. These will occur: · The yellow indicator near the Nurse Call control will come on and a single beep will sound to let you know that the call has been sent. If equipped, a verbal alert "The care team has been called" will sound. · When the nurses station communication line is open, the indicator turns green. The nurses station is ready for you to speak. NOTES: · The Nurse Call controls are always lit, visible, and active if the bed is connected to a compatible Nurse Call System. If the Nurse Call control does not light when connected to the Nurse Call system, contact your authorized maintenance persons. · The Nurse Call controls can not be locked out. · If the Nurse Call control is not visible, there is not a connection to the Nurse Call system and you can not send a Nurse Call. Head Up/Down To raise--press and hold the Head Up control until the bed is at the desired height. To lower--press and hold the Head Down control until the bed is at the desired height. 38 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Point-Of-Care® Bed Controls Knee Up/Down To raise--press and hold the Knee Up control until the bed is at the desired height. To lower--press and hold the Knee Down control until the bed is at the desired height. Auto ContourTM Feature The Auto ContourTM feature does not activate when either the head section or the knee section is locked out. If only the head section is locked out, you can use the patient controls to adjust the knee section. If only the knee section is locked out, you can use the patient controls to adjust the head section. PATIENT PENDANT (HANDHELD REMOTE) These controls may or may not be on your configuration of the patient pendant depending on the model of the patient pendant you have. WARNING: Warning--Instruct the patient to store the patient pendant in a patient pendant holder when not in use; otherwise patient injury could occur. These controls are on every model of the remote control and do not require the bed to be connected to the SideCom® Communication System: · Head Up/Down · Knee Up/Down · Foot Up/Down · Stand Assist Stay in Bed Indicator--this is on every model of the remote control. The indicator is on when the Bed Exit is armed. Soft (-) and Firm (+) controls--these controls are only available when the bed has a Centrella® max mattress (see "Patient Comfort" on page 108). Continuously press and release the Soft (-) or Firm (+) control until you reach the desired comfort level. As you press the control, an indicator turns on to show the firmness level. The optional controls below require the bed to be connected to a SideCom® Communication System (see "SideCom® Communication System" on page 41). · Nurse Call--sends a Nurse Call to the nurses' station (see "Nurse Call Control" on page 41). Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 39 Point-Of-Care® Bed Controls · Room Light--turns the room light off and on. · Reading Light--turns the reading light off and on. · Television Control--turns the television on and off. The volume and channel are controlled by the Volume and Channel controls. · Volume Control--adjusts the volume of the television or radio in the room. · Channel Control--changes channels on the television or stations on the radio in the room. · Closed Captioning--turns the captioning option of the television on and off (if the television is closed captioning capable). · Mute--turns the sound on and off. To Store the Patient Pendant (Handheld Remote) on to the Siderail Align the patient pendant above the pendant holder, and slide the remote control on to the holder. To Remove the Patient Pendant (Handheld Remote) from the Siderail Pull out or slide the pendant off the holder. Patient Pendant Holder Locations 40 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) SIDECOM® COMMUNICATION SYSTEM The SideCom® Communication System provides a control for Nurse Call and other entertainment features. The SideCom® Communication System connector is at the head end of the bed below the headboard. SideCom® Communication System NURSE CALL CONTROL There is a Nurse Call control on the caregiver control panel, the patient controls, and the patient pendant (if installed). When a Nurse Call control is activated, a signal is sent to the nurse's station. Voice communication is provided through a speaker/microphone that is on the inside of both head siderails. To Activate Press a Nurse Call control. These will occur: · The yellow indicator near the Nurse Call control will come on and a single beep will sound to let you know that the call has been sent. If equipped, a verbal alert "The care team has been called" will sound. · When the nurses station communication line is open, the indicator turns green. The nurses station is ready for you to speak. NOTES: · The Nurse Call controls are always lit, visible, and active if the bed is connected to a compatible Nurse Call System. If the Nurse Call button does not light when connected to the Nurse Call system, contact your authorized maintenance persons. See "SideCom® Communication System" on page 41 · The Nurse Call controls can not be locked out. · If the Nurse Call control is not visible, there is not a connection to the Nurse Call system and you can not place a Nurse Call. WIRELESS CONNECTIVITY OPTION WARNING: Warning--The wireless module does not communicate nurse call information. The bed's SideCom® Communication System cable must be connected to the facility network for remote nurse call communications. The Wireless Connectivity module is not intended as a replacement for your wired Nurse Call connection. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 41 SideCom® Communication System The Wireless Connectivity module permits bed and mattress data to be sent to a hospital's information system without a communication cable; the module does not communicate nurse call information. The module has a Location feature that identifies the location of the bed when it is in a facility that has a real-time location system (RTLS) installed. The data is sent through Hill-Rom's middleware solution, NaviCare® SmartSync® System, to the hospital's information system. (For electrical specifications, see "Wireless System Characteristics" on page 143.) The module operates only when the bed is connected to AC power; it does not operate on battery power. Wireless and Bed Location Indicators on the Touchscreen When you plug the bed into AC power, the color of the Wireless Status and Bed Location indicators on the touchscreen will identify the wireless connectivity status: Wireless Status · No indicator--the wireless module is not operating correctly or it is not receiving power. · White outline--the wireless module is operating correctly, but it is not connected to the wireless network or it has not been configured. · Green bars--the wireless module is operating correctly and is connected the wireless network. Bed Location · No Location control--the wireless module is operating correctly, but it has not received a location or it has not been configured. · Room Number--the wireless module is operating correctly, it has received a location, and the Location control is pressed. NOTE: The Location control will not show if there is no wireless connection or it has not received a location. 42 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) NaviCare® System Asset Tag CAUTION: To help prevent equipment damage, obey these cautions: · Caution--The Wireless Connectivity feature is configured for the Hill-Rom approved Location Asset tag. The location feature may not operate correctly if you use a different asset tag. Contact your local Hill-Rom representative for more information. · Caution--Do not have other wireless devices with 8" (20 cm) of the Location Asset Tag. If their locations are too close, the devices may not operate. If installed, this tag is used along with the Wireless Connectivity option to identify the bed's location (refer to "Wireless Connectivity Option" on page 41). NAVICARE® SYSTEM The NaviCare® System is an enterprise system that connects and monitors HillromTM beds and mattresses. The system sends bed and mattress data to the network applications for caregivers to view and receive alerts. For complete operational instructions for the NaviCare® System, refer to the NaviCare® System User Manual. WATCHCARE® INCONTINENCE MANAGEMENT SYSTEM The WatchCare® Incontinence Management System option provides a discreet visual alert and optional equipment call alerts after moisture is detected on the WatchCare® smart pad. Refer to the WatchCare® Incontinence Management System Instructions for Use and Service Manual (196414) for more information. SMARTCARETM REMOTE MANAGEMENT SmartCareTM Remote Management is a secure cloud-based portal for centralized remote management of Hillrom beds and devices. SmartCare Remote Management gives Biomedical Engineers and/or Hillrom Service Technicians access to manage devices remotely with features including the following: · Remote update configuration · Remote upgrade asset firmware · Review asset periodic maintenance reports · Remote asset log retrieval · Remote asset location tracking · Remote error code notification Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 43 Graphical Caregiver Interface (GCI)® Controls GRAPHICAL CAREGIVER INTERFACE (GCI)® CONTROLS The Graphical Caregiver Interface (GCI)® (touchscreen) is on the left head siderail. Some models have the touchscreen on both head siderails. Through the touchscreen, you can-- · View helpful information for the bed functions. · Set the Bed Exit, SafeView®+ Alerts option, and <30° Head Limit. · Zero the scale. · Weigh the patient. · Adjust the Centrella® max mattress settings (Turn Assist, Comfort, and Max Inflate). · Turn on or off the MCM® feature for the pro+ mattress. · Adjust the touchscreen's date and time. · Adjust the bed. · View service information. · Change the bed settings. Home Screen Item A B Description Status indicators Information indicators Item C D Description Menu list Bed controls To Activate--touch the screen. The Home screen will show. The screen will dim after 1 minute of no activity. After 3 minutes of no activity, the status screen shows (see "Status Screen" on page 45). 44 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Status Screen Graphical Caregiver Interface (GCI)® Controls Item A B Description Bed Exit Status Head Angle Item C D Description Foley Limit indicator Bed Exit indicator The color on the upper border of the screen indicates these: · Orange = warning · Yellow = caution · Blue = instructions or information Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 45 Graphical Caregiver Interface (GCI)® Controls · Green = task was successful NOTE: If a triple beep sounds, look at the touchscreen and follow the on-screen instructions. USE THE TOUCHSCREEN MENU CONTROLS WARNING: Warning--Use care when you use the touchscreen menu controls, pressing a control inadvertently may cause unexpected bed movement that may cause patient injury. As you use the touchscreen's menu controls and view the different screens, you can press the Home menu control to return to the Home screen. To view additional menu controls, use the Up and Down arrow controls. To see more detail associated with the Status indicators that are on the left side of the screen, touch the applicable indicator. HELP (?) MENU Through the Help menu control, you can access additional instruction for many of the bed functions and features. 1. Press the Help control on the touchscreen. 2. Press the control for the subject that you want to view. 46 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Graphical Caregiver Interface (GCI)® Controls HEAD ANGLE <30° LIMIT The <30° Limit control allows the caregiver to prevent the head of the bed to be lowered below 30°. To Activate 1. Raise the head section to the desired position above 30°. 2. Press the <30° Limit control. A beep will sound and a green indicator light next to the <30° Limit control will come on to let you know that this feature is active. NOTE: If a triple beep sounds and an error screen shows, follow the on-screen instructions. DINING CHAIR® POSITION WARNING: Warning--For patient and equipment safety, make sure to monitor the patient and all patient interface lines during articulation. Failure to do so could cause injury or equipment damage. CAUTION: Caution--Do not transport a patient with the bed in the Dining Chair® position. Equipment damage could occur. Caution--When you use the Chair control, lower the bed, or use the Reverse Trendelenburg control, make sure that the drainage bags do not touch the floor. Remove them if necessary. Follow facility protocol if the drainage bags touch the floor. This feature allows the caregiver to adjust the bed to a reclined chair position. When you press the chair control, the bed will articulate the head section to its highest position, the knee section to its highest position, and the foot section to its lowest position. NOTE: The bed will not articulate into the Dining Chair® position if any of the frame controls are locked out or if the bed is operating on battery power. To Activate 1. Set the brake. 2. Press and hold the Chair control. The bed transitions into the reclined position. 3. When the bed has reached the desired position, release the Chair control. To put the bed into an additional upright chair position, raise the bed height and use the Reverse Trendelenburg control. NOTE: If the bed is equipped with the Foley Position Limit and the feature is on, this can limit the chair position. See "Foley Position Limit" on page 73. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 47 Graphical Caregiver Interface (GCI)® Controls STAND ASSIST The Stand Assist control raises the head section and lowers the knee section to help the patient more easily exit the bed. If a Centrella® max mattress is on the bed, the seat section of the mattress inflates to provide additional support. After 15 minutes, this feature times out and the mattress will return to the previous setting. To Activate 1. Press and hold the Stand Assist control until the legs are flat and the head is at the desired head angle. 2. Help the patient move to side sit at the edge of the mattress. 3. If a Centrella® max mattress is on the bed, wait for the seat section to inflate to provide more support for the patient. 4. Adjust the bed height so the patient's feet are flat on the floor, and then help the patient out of the bed. NOTE: After 15 minutes, the Centrella® max mattress will return to the previous setting. BED FLAT The Bed Flat and Level control returns the bed, head, and knee to the flat and level position (head and knee sections down, and foot section up if it is down) from any articulated position. To activate--press and hold the Bed Flat and Level control until the system stops its articulations. You will hear a single beep when the bed is at its flat position. NOTE: If any frame function is locked, the Bed Flat and Level control will not operate, an audible alert will sound, and a message will show on the touchscreen. FLEXAFOOTTM BED LENGTH ADJUSTMENT WARNING: Warning--Do not adjust the bed when traction equipment is in use. To do so could cause personal injury or equipment damage. The caregiver can extend a powered foot section up to 12" (30 cm) to accommodate various patient heights. During adjustment, the foot section can be stopped in the fully retracted or extended position, or at any distance between the two. To lengthen--press and hold the Foot Longer control until the foot section is at the desired length. To shorten--press and hold the Foot Shorter control until the foot section is at the desired length. 48 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Graphical Caregiver Interface (GCI)® Controls BED EXIT ALERT SYSTEM Bed Exit Mode Descriptions The Bed Exit Alert system has three levels of sensitivity settings to select from: · Position Mode--this mode alerts when the patient changes position. This mode should be used when a caregiver wants to be notified when the patient begins to move. · Exiting Mode--this mode alerts when the patient moves away from the center of the bed towards the edge of the bed. This mode should be used when a caregiver wants to be notified when a potential bed exit is attempted. · Out of Bed Mode--this mode alerts when the patient's weight has left the bed. This mode should be used when a caregiver wants the patient to move freely within the bed, but to be notified when the patient leaves the bed. NOTE: Only one Bed Exit mode can be active at a time. To Activate 1. Make sure the patient is centered on the bed and aligned with the hip locator on the siderail. 2. Press the Alerts menu control. 3. Press one of these modes: · Changes position. · Moves towards edge. · Has left the bed. When the system beeps one time and the Bed Exit On indicator shows on the Home screen, the system is armed. To Deactivate the Alert 1. Press the Alerts menu control. 2. Press Bed Exit Off. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 49 Graphical Caregiver Interface (GCI)® Controls 3. Press Bed Exit Off. At the Home screen, the Alert Status indicator shows an "X", the alert icon is no longer green, and shows "Exit Alert Off" for 10 seconds. To Silence the Bed Exit Alert without Deactivating the System When a Bed Exit mode is armed, you can silence the alert system. During this Silence mode, the system stops monitoring the patient movements; therefore, the system will not notify the care team or cause an alert. While the system is in the Silence Mode, you can change the position of the patient or assist the patient out of the bed. You can silence the alert before it sounds (preemptively) or after it sounds. To Activate the Preemptive Alert Silence Press the Silence control on the caregiver controls until the indicator light next to the control is on. NOTES: · For the Position and Exiting modes, center the patient in the bed before you resume the Bed Exit monitoring. · For the Out of bed mode, the bed will resume the Bed Exit monitoring when the patient gets in the bed. To Silence a Bed Exit Alert 1. Press the Silence control on the siderail caregiver controls until the indicator next to the control is on, or press Silence on the touchscreen. 2. Press the applicable option: · 1 Minute or 5 Minutes--if a 30 second silence period is not long enough, select 1 or 5 Minutes to add time. 50 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Graphical Caregiver Interface (GCI)® Controls While silenced, if the patient exits the bed, the alert will not sound. After the patient has returned to the bed, the Bed Exit Alert will attempt to re-arm in the previously set mode. The Bed Exit Alert will attempt to re-arm when the patient sits on the bed. The system will not be able to re-arm in the Exiting or Position Modes unless the patient is in the center of the bed. · Resume--immediately turns the Bed Exit Alert on. · Bed Exit Off--turns the Bed Exit Alert off. The touchscreen will prompt you to confirm that you want to turn off and stop monitoring the patient for Bed Exit. NOTES: · If you finish the task before the silence timer has expired, press Resume to reactivate the Bed Exit Alert. Do not leave the patient unattended until Resume is pressed and the Bed Exit system is reactivated. The Bed Exit Alert will not be active and will not convey its status until it has been reactivated or the timer has ran out. · A low volume repeating triple beep will occur every 10 seconds to remind you that the Bed Exit is silenced and should be resumed before you leave the room. · For the Position and Exiting modes, center the patient in the bed before you resume the Bed Exit monitoring. · For the Out of Bed mode, the bed will resume the Bed Exit monitoring when the patient sits in the bed. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 51 Graphical Caregiver Interface (GCI)® Controls SCALE There are two scale systems available for the bed. Scale System A has an operating range of 0 kg to 227 kg (0 lb to 500 lb). Scale System B (NAWI Compliant EN 45501) has an operating range of 10 kg to 250 kg (22 lb to 551 lb). The controls for the scale systems are under the Scale menu control. Refer to the images and page numbers shown below to determine which instructions apply to your scale system: Scale A Scale B--NAWI Compliant EN 45501 Refer to page 52. Refer to page 58. Scale "A" Through the Scale menu control you can do these: · Zero the scale. · Weigh the patient. · Temporarily view the weight in pounds (lb). · View the current patient's weight, previous weight, and the difference between the two. WARNING: These warnings apply to both zero the scale and weigh procedures. To help prevent injury and/or equipment damage, obey these warnings: · Warning--The scale is very sensitive. Make sure the bed is not touching anything that could affect the patient weight (other beds or carts, headwall, miscellaneous drainage lines, etc.) while the bed is in the zeroing or weighing process. Failure to do so could cause an inaccurate weight reading. · Warning--Always use the New Patient zero before a patient is admitted into the bed. Failure to do so may keep old patient data in the bed and cause a risk to the new patient. NOTES: These notes apply to both zero the scale and weigh procedures: · The scale will only work when the bed is connected to AC power. · The equipment in the foot-end sockets will be included in the Zero and patient Weigh processes. · Everything on or attached to the articulating upper frame and siderails will be included in the Zero and patient Weigh processes. · The headboard and devices mounted to the head end of the bed will not be included in the Zero and patient Weigh processes. 52 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Graphical Caregiver Interface (GCI)® Controls · Zero scale Reminder and patient Weigh Instructions screens will show to instruct you to check items to be included in the scale reading. To Zero the Scale Required Bed Position to Zero the Scale The required bed position is as follows: · Bed level · Knee angle <25° · Head angle <35° (bed Zero only) · Foot angle <10° If the bed is not in the required bed position to zero the scale, a Not in Required Position screen will show on the touchscreen. Press the Adjust Bed Button on the touchscreen, or use the caregiver or patient controls to adjust the bed to the required position. There are two ways to zero the scale: · New Patient--this is used before you admit a new patient into the bed. New Patient will clear the patient history, zero the scale, and reset all settings to the facility's default settings. · Same Patient Re-Zero--this is used when you want to add equipment to the bed during a patient's stay and not have it included with the patient weight, or if you are getting inconsistent weight readings when you weigh a patient. Re-Zero will zero the scale and keep the patient's history. Re-Zero will not reset the SafeView®+ Alerts option or Bed Exit Alert. NOTE: Always make sure there is not a patient on the bed when you zero the scale. Setup 1. Make sure the bed is plugged into AC power. 2. Put all standard linens, blankets, pillows, and the patient pendant on the bed. A list of these items posted near the bed may be helpful for future reference. 3. The scale is very sensitive. Make sure the bed is not touching anything that could affect the patient weight (other beds or carts, headwall, miscellaneous drainage lines, etc.). 4. Make sure the patient is not on the bed. 5. Put the bed in the required bed position to zero the scale. See "To Zero the Scale" on page 53. 6. Press the Scale menu control. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 53 Graphical Caregiver Interface (GCI)® Controls 7. Press Zero. New Patient (Zero) Use New Patient zero every time a new patient is admitted to the bed. The New Patient control will-- · Clear the previous and current weight history · Zero the scale · Reset these features: Bed Exit Alert to off SafeView®+ Alerts option to the default protocol HR and RR monitoring data Audible indicator to the default protocol Alert setting to the default protocol Head <30° Limit to off Frame lockouts to off Comfort settings to Normal 1. Press New Patient. 2. A reminder message shows. Follow the on-screen instructions. NOTES: · Remove everything attached to the upper frame, siderails, and foot end of the bed or the items will be included in the patient's weight. · The headboard and devices mounted to the head end of the bed will not be included in the patient's weight. · Cancel will return the touchscreen to the previous screen. 3. The touchscreen will show that the bed is zeroing. Do not touch the bed while the bed zeroes. 54 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Graphical Caregiver Interface (GCI)® Controls NOTES: · If the "Not In Required Position" screen shows, press the Adjust Bed Button on the touchscreen. · If the "Difference from Last Zero" caution screen shows, recheck the bed for items that should be included during the zero. · The scale will not zero if there is more than a 45 kg (99.2 lb) weight difference from the last zero. This is to reduce the possibility of zeroing the scale with a patient in the bed. 4. A single beep will sound and the touchscreen will show that the bed is ready for a new patient. To return to the Home screen, touch the screen or place a patient in the bed. To learn more about the Foley Position Limit, see "Foley Position Limit" on page 73. Re-Zero (Same Patient) Use Re-Zero whenever you add equipment or other items to a bed that previously has been zeroed for the patient. An example of this would be if you replace a mattress with a heavier mattress or if there are inconsistent weight readings. Before you press Re-Zero, make sure that the patient is not in the bed. The Re-Zero control will-- · Not reset the bed settings. · Zero the Scale for the Same Patient (does not clear the history). 1. Press Re-Zero. 2. A reminder message shows. Follow the on-screen instructions, and press Continue. NOTE: Cancel will return the touchscreen to the previous screen. 3. The touchscreen will show that the bed is zeroing. Do not touch the bed while the bed zeroes. NOTES: · If the "Not Required Position" screen shows, press the Adjust Bed Button on the touchscreen. · If the "Difference from Last Zero" caution screen shows, re-check the bed for items that should be included during the zero. · The scale will not zero if there is more than a 26 kg (57.3 lb) weight difference from the last zero. This is to reduce the possibility of zeroing the scale with a patient in the bed. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 55 Graphical Caregiver Interface (GCI)® Controls 4. A single beep will sound and the screen will show that the Re-Zero is complete. To Weigh the Patient Required Bed Position to Weigh the Patient The required bed position is as follows: · Bed level · Knee angle <25° · Foot angle <10° If the bed is not in the required bed position to weigh the patient, a Not in Required Position screen will show on the touchscreen. Press the Adjust Bed Button on the touchscreen, or use the caregiver or patient controls to adjust the bed to the required position. 1. Center the patient on the bed. 2. Press the Scale menu control. 3. Press Weigh. 4. Weigh Instructions will show on the touchscreen. Follow the instructions, and then press OK. NOTES: · Remove everything attached to the upper frame, siderails, and foot end of the bed or the items will be included in the patient's weight. · The headboard and devices mounted to the head end of the bed will not be included in the patient's weight. · Cancel will return the touchscreen to the previous screen. 56 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Graphical Caregiver Interface (GCI)® Controls 5. Make sure not to touch the bed as the scale weighs the patient. NOTE: If the bed is in the required position but not in the best position to weigh, the Not in Optimal Position screen may show. You may weigh the patient in this position, but the accuracy of the measured weight is reduced. You may use the Adjust Bed Button to put the bed In Optimum Position. To see the current weight, last weight, and weight difference in the non-primary scale unit, press and hold the lb (or kg) control. NOTE: The default primary scale unit is measured in kg. Contact your authorized maintenance persons to do these-- · Change the primary scale unit to lb. · Disable or enable the ability to view the alternative scale unit. 6. When the current weight screen shows, you have the option to Save or Re-Weigh: · Re-Weigh--bed will repeat the steps to weigh the patient · Save--stores the weight NOTES: · A warning statement will show on the screen if the scale system detects a weight that is less than the intended minimum patient weight (70 lb, 32 kg). See the warning below: WARNING: Warning--The intended patient range is 70 lb (32 kg) to 500 lb (227 kg). Use of the bed with patients outside the intended patient weight may increase the risk of entrapment or asphyxiation and/or loss of therapeutic value. Use of the bed with patients above the bed's intended maximum patient weight may also cause damage the bed. · This yellow symbol shows that the weight was taken when the bed was Not In Optimum Position. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 57 Graphical Caregiver Interface (GCI)® Controls When the weight is saved, a beep will sound and a confirmation screen will show. Scale "A" Specifications Scale accuracy: 0.5 kg (1.1 lb) or 0.5% of the patient weight, whichever is greater, when the bed is in the required bed position. Scale accuracy: 1.0 kg (2.2 lb) or 1% of patient weight, whichever is greater, when the bed is Not In Optimum Position. SCALE "B"--NAWI COMPLIANT (EN 45501) Some beds are equipped with the NAWI scale. You can tell if your bed is equipped with the NAWI scale by these: · The scale screen shows "0/T" above the Zero control. · The weigh screen shows a magnifying glass. Through the Scale menu control you can do these: · Zero the scale. · Weigh the patient. · View the current patient's weight, previous weight, and the difference between the two. · Add items that should be included or remove items that should not be included in the patient weight measurement. Non-Verified Weight A Non-Verified Weight is a live weight reading of the patient and all items on the weighing area that are not zeroed/tared out of the measurement. To verify the weight, remove the items on the weigh area that are not zeroed/tared, and press Verify. 58 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Graphical Caregiver Interface (GCI)® Controls If the scale reading shows dashes, the scale is unable to weigh the patient. This may occur when-- · The bed weighs below -0.25 kg. · The bed weighs above 254.5 kg. · The measured weight is unstable. If the measured weight is unstable, make sure the patient and bed are not moving. Remove the patient from the bed. If this does not fix the problem, contact your facility-authorized maintenance person. Make sure the pendant is either on the siderail or bed when you zero the scale or weigh a patient. To Zero/Tare the Scale Required Bed Position to Zero the Scale The required bed position is as follows: · The bed in the highest position. · The bed fully flat. If the bed is not in the required bed position to zero the scale, the Not in Required Position screen will show on the touchscreen. Press the Hold to Adjust control on the touchscreen, or use the caregiver or patient controls to adjust the bed to the required position. There are two ways to zero the scale: · Zero (New Patient)--this is used before you admit a new patient into the bed. New Patient will clear the patient history, zero the scale, and reset all settings to the facility's default settings. · Re-Zero (Same Patient)--this is used when you want to add equipment to the bed during a patient's stay and not have it included with the patient weight, or if you are getting inconsistent weight readings when you weigh a patient. Re-Zero will zero the scale and keep the bed settings. NOTE: Always make sure there is not a patient on the bed when you Zero or Re-Zero the scale. Setup 1. Make sure the bed is plugged into AC power. 2. Make sure the bed is in the required position for Zero. See "Required Bed Position to Zero the Scale" on page 59. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 59 Graphical Caregiver Interface (GCI)® Controls 3. Put all standard linens, blankets, pillows, and the patient pendant on the bed. A list of these items posted near the bed may be helpful for future reference. 4. The scale is very sensitive. Make sure the bed is not touching anything that could affect the patient weight (other beds or carts, headwall, miscellaneous drainage lines, etc.). 5. Make sure the patient is not on the bed. 6. Press the Scale menu control. 7. Press Zero. Zero (New Patient) Use Zero every time a new patient is admitted to the bed. The Zero control will-- · Clear the previous and current weight history · Zero the scale · Reset these features: Weight history Bed Exit Alert to off SafeView®+ Alerts option to the default protocol Audible indicator to the default protocol Alert setting to the default protocol Head <30° Limit to off Frame lockouts to off Comfort settings to Normal 1. Press Zero. 2. A reminder message shows. Follow the on-screen instructions, and press Continue. NOTES: · Cancel will return the touchscreen to the previous screen. 60 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Graphical Caregiver Interface (GCI)® Controls · Info will show what bed features will be reset if you continue to Zero. 3. The touchscreen will show that the bed is zeroing. Do not touch the bed while the bed zeroes. NOTE: If the "Not In Required Position" screen shows, press the Hold to Adjust control on the touchscreen. 4. A single beep will sound and the touchscreen will show that the bed is ready for a new patient. To return to the Home screen, touch the screen or place a patient in the bed. To learn more about the Foley Position Limit, see "Foley Position Limit" on page 73. Re-Zero (Same Patient) Use Re-Zero whenever you add equipment or other items to a bed that previously has been zeroed for the patient. An example of this would be if you replace a mattress with a heavier mattress or if there are inconsistent weight readings. Before you press Re-Zero, make sure that the patient is not in the bed. The Re-Zero control will-- · Not reset the bed settings. · Zero the Scale for the Same Patient (does not clear the history). 1. Press the Scale menu control. 2. Press Zero. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 61 Graphical Caregiver Interface (GCI)® Controls 3. Press Re-Zero. 4. A reminder message shows. Follow the on-screen instructions, and press Continue. NOTE: Cancel will return the touchscreen to the previous screen. 5. The touchscreen will show that the bed is zeroing/taring. Do not touch the bed while the bed zeroes/tares. NOTES: · If the "Not Required Position" screen shows, press the Hold to Adjust control on the touchscreen. · If the "Difference from Last Zero" caution screen shows, re-check the bed for items that should be included during the zero. · The scale will not zero if there is more than a 26 kg weight difference from the last zero. This is to reduce the possibility of zeroing the scale with a patient in the bed. 6. A single beep will sound and the screen will show that the Re-Zero is complete. +/- (Change Zero Items) The +/- control allows you to manually change the weight for items added to or removed from the bed to correct the patient weight while the patient is on the bed. NOTE: If the patient is not on the bed, use the Re-Zero control. Before you add or remove items, use the +/- control to keep the patient weight. Then, add an item to or remove an item from the bed so the item is not included in the patient weight measurement. 62 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 1. Press the Scale menu control. Graphical Caregiver Interface (GCI)® Controls 2. Press Zero. 3. Press +/-. 4. Follow the on-screen instructions, and press Weigh. 5. After the bed is done weighing, add or remove the items, and press Continue. 6. After the bed is done weighing, a Change Zero Complete screen will show, press OK. After the scale is zeroed/tared, and the empty bed is in a stable position, a green indicator with +/- 0,25 e Zero/Tare will show on the Weigh screen. This indicates the bed has an acceptable zero/tare. The indicator will no longer show when weight is on the bed or if there is an unstable equilibrium +/- 0,25 e Zero/Tare. If the empty bed has been zeroed/tared, is in a stable position, and the indicator is not on, re-zero/tare the bed. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 63 Graphical Caregiver Interface (GCI)® Controls To Weigh the Patient Optimum Bed Position to Weigh the Patient The optimum bed position is as follows: · The bed in the highest position. If the bed is not in the optimum bed position to weigh the patient, a Not in Optimum Position screen will show on the touchscreen. Press the Hold to Adjust control on the touchscreen, or use the caregiver or patient controls to adjust the bed to the optimum position. 1. Center the patient on the bed. 2. Press the Scale menu control. 3. Press Weigh. 4. The Non-Verified Weight will show, press Verify. NOTE: The Magnification Mode will change the scale display increments to 0.1 kg for 5 seconds. The weight can not be saved in the Magnification Mode. 5. Weigh Instructions will show on the touchscreen. Follow the instructions, and then press OK. NOTES: · Remove everything attached to the upper frame, siderails, and foot end of the bed that has not been zeroed or the items will be included in the patient's weight. 64 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Graphical Caregiver Interface (GCI)® Controls · The headboard and devices mounted to the head end of the bed will not be included in the patient's weight. · Cancel will return the touchscreen to the previous screen. 6. Make sure not to touch the bed as the scale weighs the patient. 7. When the current weight screen shows, you have the option to Save or Re-Weigh: · Re-Weigh--bed will repeat the steps to weigh the patient · Save--stores the weight NOTES: · Red text will show if the measured weight is more than 2.0 kg difference from the Non-Verified Weight. · Yellow text will remind you to check for items on the bed, and if you would like to re-weigh. · This yellow symbol shows that the weight was taken when the bed was Not In Optimum Position. · A warning symbol will show on the screen if the scale system detects a weight that is less than the intended minimum patient weight 32 kg. When the weight is saved, a beep will sound and a confirmation screen will show. Scale "B" Specifications Class III e=0.5 kg Conforms to the European Medical Device Directive 93/42/EEC for a device that has a measuring function. The scale is classified per Scale Directive 2014/31/EU. Maximum weight: 250 kg Minimum weight: 10 kg Display intervals: 0.5 kg Combined zero and tare range: 10 kg to 250 kg Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 65 Graphical Caregiver Interface (GCI)® Controls The maximum scale capacity is 250 kg; however, the maximum patient weight for the bed is 227 kg. To Troubleshoot Scale Messages Weight Limit Issue (weigh problem)--this message shows when the scale system can not weigh because the weight is more than 500 lb (227 kg). Weight Limit Issue (weigh problem)--this message shows when the scale system can not weigh because the weight is less than zero. Rezero the bed with the bed empty and the correct items on the bed. NOTE: If you are certain that the patient weight is within the 70 lb to 500 lb (32 kg to 227 kg) range, zero the scale (see "To Zero the Scale" on page 53), and then weigh the patient. Weight Not Saved (weigh problem)--this message shows if the weight was not saved. Press Back, and then press Save. Scale Error (Scale "A"; bed movement problem)--this message shows when the scale system detects movement of the bed or the patient. Do not adjust or move the bed, have the patient lay still, and then press OK. Unstable Weight Error (Scale "B"; bed movement problem)--this message shows when the scale system detects movement of the bed or the patient. Do not adjust or move the bed, have the patient lay still, and then press OK. NOTE: The scale will not function if bed motion is detected. Keep the bed still while zeroing or weighing. Not in Required Position (Scale "B")--this message shows when the bed is not in the required position to zero the scale. Press the Hold to Adjust control on the touchscreen, or use the caregiver or patient controls to adjust the bed to the required position. For Required Bed Position, put the bed fully flat in the highest position. 66 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Graphical Caregiver Interface (GCI)® Controls Not in Optimum Position (Scale "B")--this message shows when the bed is not in the optimum position to weigh. Press the Hold to Adjust control on the touchscreen, or use the caregiver or patient controls to adjust the bed to the optimum position. For the Optimum Position, put the bed fully flat in the highest position. The bed will weigh the patient even if the bed is not in the optimum position when you press Weigh Now. Not in Required Position (Scale "A")--this message shows when the bed is not in the required position to zero the scale. Press the Adjust Bed Button on the touchscreen, or use the caregiver or patient controls to adjust the bed to the required position. The Required Bed Position-- · Bed level · Head angle <35° · Knee angle <25° · Foot angle <10° Unable to Operate (lockout error)--this message shows when the Adjust Bed Button (Scale "A") or Hold to Adjust (Scale "B") is pressed while a bed control is locked out. The bed is unable to adjust to the correct position. Press OK, and then do as follows: 1. Unlock the bed control(s). 2. Put the bed in the correct position. 3. Continue to Zero the scale or Weigh the patient. Unable to Operate: Level Bed (Scale "B"; scale zero error)--this message shows when the bed is not level to zero or re-zero the scale. Press OK, and then do as follows: 1. Use the Trendelenburg control to level the bed. 2. Continue to Zero the scale. NOTE: Error (technical problem)--this message shows when a scale load beam does not operate as intended. Contact your authorized maintenance persons. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 67 Graphical Caregiver Interface (GCI)® Controls SETTINGS/PREFERENCES Through the Settings menu control, you can-- · Set these bed features: SafeView®+ Alerts option Floor Projections, Siderail Lights, Siderail Protocol, USB Charging Port, Voice Alerts, and Mattress Features. · Adjust the touchscreen brightness. · Set the Foley Limit feature. · Adjust the time zone, time, and date (only beds with the NAWI Compliant (EN 45501). · Update the bed software. NOTES: · Not all bed models are equipped with the features listed above. · The list on the right side is intended for service information. Only facility-authorized person should service the bed. Software Update A software update is available for the bed when-- · A purple notification dot appears on the settings icon and the Software Update button. OR · The New Bed Software Available screen is shown on the GCI touchscreen. You have the option to Remind Me or Restart: · Remind Me--New Bed Software Available screen will appear again in 12 hours. · Restart--The bed will restart and the new software will be available. SafeView®+ Alerts Floor Projections Option--ON/OFF Beds equipped with the SafeView®+ Alerts Floor Projections option show the bed's status at the foot end of the bed and project status indicators on to the floor. For more information about the SaveView®+ Alerts option, see page 26. 1. Press the Settings menu control. 68 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 2. Press Bed Features. Graphical Caregiver Interface (GCI)® Controls 3. Press SafeView. 4. Press Off or On for the SafeView Floor Projections. 5. Press Accept. IllumiGuide® Siderail Handgrip (blue light only)--ON/OFF Beds equipped with the IllumiGuide® siderail handgrip allow the patient to easily find the grip location on the siderail when the patient exits the bed. The light will stay on for 15 minutes after the patient exits the bed and 2 minutes after the patient returns to the bed. 1. Press the Settings menu control. 2. Press Bed Features. 3. Press Siderail Lights. 4. Press On or Off. 5. Press Accept. NOTE: If Off is selected, the IllumiGuide® siderail handgrip light will still show amber indications for the Bed Exit Alert status (alerting and silenced) if the feature has been armed. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 69 Graphical Caregiver Interface (GCI)® Controls Siderail Protocol Beds equipped with the SafeView®+ Alerts option show the status of the Siderail Protocol (green or amber) at the foot end of the bed. The Siderail Protocol allows you to set the siderail configuration for the patient's needs. If more siderails are down than the set siderail protocol, the siderail indicator will flash amber at the foot end of the bed. 1. Press the Settings menu control. 2. Press Bed Features. 3. Press Rail Protocol. 4. Select the patient siderail protocol. A green check shows when the siderail is being monitored. 5. Press Accept. NOTE: Some rail combination settings may be unsafe for some patients. A message may show on the touchscreen to confirm your selection. USB Charging Port--On/Off The USB charging port is on the right-head siderail. 1. Press the Settings menu control. 70 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 2. Press Bed Features. Graphical Caregiver Interface (GCI)® Controls 3. Press USB. 4. Press Off or On. 5. Press Accept. Voice Alerts Beds equipped with the Voice Alerts feature provide audible messages through the siderail speakers to provide guidance to the patient or caregiver. You may select English, Spanish, or French for the voice alerts. For more information about Voice Alerts, see page 13. 1. Press the Settings menu control. 2. Press Bed Features. 3. Press Voice Alerts. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 71 Graphical Caregiver Interface (GCI)® Controls You have three options: · All Alerts Off--turns all voice alerts off. · All Alerts On--turns all voice alerts on. · Individual Alerts Select--lets you turn off or on each individual voice alert. NOTE: The "Brake Not Set" voice alert is always active even when All Alerts is set to Off. 4. Press the applicable option. If you press Select for Individual Alerts, press Off or On for each voice alert, and then press the back arrow to return to the previous screen. 5. Select the patient's language, and then press Accept. Mattress Features Beds equipped with the pro+ mattress have the Microclimate Management® (MCM) feature. The MCM menu control can be visible or hidden from the Home screen menu. 1. Press the Settings menu control. 2. Press Bed Features. 72 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 3. Press Mattress Features. Graphical Caregiver Interface (GCI)® Controls 4. Press Visible or Hidden. 5. Press Accept. NOTE: The MCM Menu control will not show on the Home screen if Hidden is selected. Screen Brightness 1. Press the Settings menu control. 2. Press Brightness. 3. Press - to decrease the brightness, or press + to increase the brightness. 4. Press Accept. Foley Position Limit Beds equipped with Foley Position Limit restrict how much the foot section can lower to reduce the likelihood of a drainage bag touching the floor. 1. Press the Settings menu control. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 73 Graphical Caregiver Interface (GCI)® Controls 2. Press Foley Limit. 3. Press Off or On. 4. Press Accept. 5. A confirmation screen will show that the Foley Position Limit is set. If a triple beep sounds and an error screen shows, follow the onscreen instructions. The Foley Limit indicator will show on the Home screen when the Foley Position Limit is on. BEDSIDE ASSOCIATION The Bedside Association feature permits the caregiver to associate the bed to a room and patient through WiFi. You must have the HillromTM Digital Health Gateway version 1.2 or greater for this feature to operate. This feature uses the facility's electronic chart to associate a room and patient to the bed. NOTE: This feature is enabled by a service/maintenance technician through the service menu on the touchscreen (per the facility's request). The Room and Patient icons on the Home screen tell you the status of the association and also permits you to associate a room and patient to the bed. 74 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Graphical Caregiver Interface (GCI)® Controls Home Screen Room/Patient Icons Description No room associated; no patient verified Room associated; no patient verifieda Room associated; patient verified No room associated; patient identification is off Room associated; patient identification is off a. The Patient icon flashes when a patient is available from the gateway but has not yet been verified. Transport Screens Description When the bed is plugged in after being unplugged for less than five minutes, the room number will show on the screen for two minutes unless a control is pressed. If you press the "X," the room number window will close. If you press the room number, the Bed Location screen will show. See "Associate a Room to the Bed" on page 77. If the bed is plugged in after being unplugged for more than five minutes, the Bed Location screen will show and stay on the screen until the question is addressed. See "Associate a Room to the Bed" on page 77. There are two ways to associate a room and its patient to the bed through the touchscreen: · "Set Up the Bed Association through the Settings Menu" on page 75 · "Set Up the Bed Association Using the Room/Patient Icon" on page 77 Set Up the Bed Association through the Settings Menu 1. At the Home screen, press the Settings menu control. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 75 Graphical Caregiver Interface (GCI)® Controls 2. Press Bed/Patient Locate. 3. Make sure that the WiFi and Network icons are green. Then, press Locate. NOTE: Press Exit to return to the Home screen. 4. Select the correct options for the location, such as Building, Floor, and Room number. NOTES: · The location selection screens may have up to five levels of hierarchy: facility, building, unit, floor, and rooms. The Other Location control allows you to scroll through the available location levels. · You may see a "Retrieving data" screen as the bed gets the information from the HillromTM Digital Health Gateway. 5. One of two Bed Associated screens will show, depending on the facility's preference. Do as applicable: · Room location only-- Continue--press this control if the room number is correct. The Home screen will show with the Room Associated icon. Change Room--press this control if the room number is not correct. The Available rooms screen will show (see Step 4). · Room location and patient identity-- Continue--press this control if the room number is correct and you want to verify the patient identity. Go to "Verify the Patient Identity" on page 78. Cancel--press this control if you do not want to verify the patient identity. The Home screen will show with the Room Associated icon and flashing No Patient icon. Change Room--press this control if the room number is not correct. The Available rooms screen will show (see Step 4). 76 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Graphical Caregiver Interface (GCI)® Controls Set Up the Bed Association Using the Room/Patient Icon At the Home screen, press the Room or Patient icon, then do as applicable: · If the Bed Location screen shows, a room association is in the bed's memory, go to "Confirm the Room to Bed Association" on page 78. · If a location (such as Facility or Building) screen shows, a room is not in the bed's memory, go to "Associate a Room to the Bed" on page 77. Associate a Room to the Bed 1. Select the correct options for the location, such as Building, Floor, and Room number. NOTES: · For the Available rooms screen, if you press the Associated rooms control, a list of rooms that are associated to beds will show. · For all location selection screens, if you press Cancel, the Home screen will show. · The location selection screens may have up to five levels of hierarchy: facility, building, unit, floor, and rooms. The Other Location control allows you to scroll up and down through the levels. · You may see a "Retrieving data" screen as the bed gets the information from the HillromTM Digital Health Gateway. 2. After you select the room number, the bed will retrieve the room data, then associate the room to the bed. You will be asked to verify the patient identity (if applicable), you have these options: · Continue--press this control if you want to verify the patient. See "Verify the Patient Identity" on page 78. · Cancel--press this control if you do not want to verify the patient. The Home screen will show. · Change Room--press this control to associate a different room to the bed. The bed will retrieve room data, and then the Available Rooms screen will show. See Step 1. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 77 Graphical Caregiver Interface (GCI)® Controls Confirm the Room to Bed Association When a room is in the bed's memory, a room number shows on the Patient Room control and you are asked where you are located-- · Room number--press this control if the room number is correct. The Bed Associated screen will show, and you will be asked to verify the patient. To do so, press Continue, then go to "Verify the Patient Identity" on page 78. · New Room--press this control to associate a different room to the bed. The Available rooms screen will show. See "Associate a Room to the Bed" on page 77. · Transport--press this control if the bed is not to be associated to a room and the bed is not in a patient's room. The Home screen will show. Override the Room to Bed Association It is possible that when you try to associate the bed to the room that you are in, another bed has been assigned to the room in error. You can override a conflicting bed to room association as follows: NOTE: You can not override the association of a bed that is connected to a 37-pin connection. 1. When you plug in the bed after you enter a room, and select the last Patient Room on the Bed Location screen, it will show that another bed is associated to the room. If you are sure that this is the room you are in, press Continue. 2. If you want to continue with verifying the patient, press Continue (see "Verify the Patient Identity" on page 78). Otherwise, press Cancel to go to the Home screen. NOTE: When a bed association is overridden, the overridden bed will sound a repeating audible tone and the Bed Location Overridden screen will show until you respond. The overridden bed can then be associated to the correct room. Verify the Patient Identity NOTES: · The first time that you verify a patient, the full name will show on the screen. After that, the name will be encoded per the Health Insurance Portability and Accountability Act (HIPAA). · The date of birth is shown as month (two-digit), day (two-digit), and year (four-digit). 78 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Graphical Caregiver Interface (GCI)® Controls At the Patient Identity screen, you have these options: · Yes--press this control if the patient identity shown is correct. The Home screen will show with the Room Associated and Patient Verified icons. · No--press this control if the patient identity shown on the screen is not correct. The Patient ID Issue screen will show to let you know that a different patient is assigned to the room through the Admit, Discharge, Transfer (ADT) system. Press OK. The Home screen will show with the Room Associated and No Patient icons. · Cancel--press this control if you no longer want to verify the patient identity. The Home screen will show with the Room Associated and No Patient icons. NOTES: · If a different patient has been assigned to the room through the ADT system, this Patient ID Issue screen will show. Press OK. The Home screen will show with the Room Associated and No Patient icons. · If the patient has not been assigned to the selected room through the ADT system, this Patient ID Issue screen will show. Press OK. The Home screen will show with the Room Associated and No Patient icons. Verify the Patient Identity when Zeroing the Scale When Bedside Association is On, and you zero the scale for a new patient, you will be asked to verify the bed location and, if applicable, patient identity. · If you are verifying the bed location and patient identity, the Patient Identity screen will show. You have these options: Yes--press this control if the patient identity shown is correct. The zeroing process will continue. No--press this control if the patient identity shown is not correct. You will be directed to contact the unit coordinator / charge nurse. From that screen, you can continue with the zeroing process. Cancel--press this control if you do not want to verify the patient identity. The zeroing process will continue. · If your are verifying the bed location only, the Bed Location screen will show. You have these options: Room number--press this control if the room number is correct. The zeroing process will continue. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 79 Graphical Caregiver Interface (GCI)® Controls New Room--press this control to associate a different room to the bed. The Available rooms screen will show. See "Associate a Room to the Bed" on page 77. After you make the room selection, the zeroing process will continue. Continue--press this control if the bed is not to be associated to a room and the bed is not in a patient room. The zeroing process will continue. At the end of the zeroing process, you will see one of these screens as applicable: New Patient Assignment and Bedside Association When a new patient is assigned to the bed through the ADT system, this screen will show and stay on the screen until the question is answered. Also, a repeating tone will sound. You have these options: · Continue--press this control if the room number shown on the screen is correct and you want to verify the patient. See "Verify the Patient Identity" on page 78. · Cancel--press this control if you do not want to verify the patient. The Home screen will show. · Change Room--press this control to associate a different room to the bed. The bed will retrieve room data, and then the Available Rooms screen will show. See "Associate a Room to the Bed" on page 77. Weighing and Bedside Association When Bedside Association is On and you press the Weigh control, the screen that shows may differ depending on whether the patient identity has been verified: · Patient Identity Verified--you will be asked to re-verify the patient identity so that the weight data can be sent to the electronic medical records (EMR). You have these options: Yes--press this control if the patient identity shown is correct. The weighing process will continue. At the end of the weighing process, a confirmation screen will show "Current weight sent to EMR." No--press this control if the patient identity shown is not correct. A Patient ID Issue screen will show. From that screen you can choose to save the weight to the bed (the weighing process will continue) or cancel the weighing (the Home screen will show). Cancel--press this control if you do not want to verify the patient identity. The Weigh/Zero screen will show; a weight will not be taken. 80 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Graphical Caregiver Interface (GCI)® Controls · Patient Identity not Verified--you will be asked where to save the weight. You have these options: Bed--press this control if you want the weight saved to the bed only. The weighing process will continue. At the end of the weighing process, a confirmation screen will show "Current weight saved to bed." Bed & EMR--press this control to save the weight to the bed and EMR. You will be asked to verify the bed association and, if applicable, patient identity. · If a room is associated to the bed, you will be asked to verify the patient identity. See "Verify the Patient Identity" on page 78. · If a room is not associated to the bed, a location selection screen will show. See "Associate a Room to the Bed" on page 77. When the bed location and patient identity have been verified, the weighing process will continue unless the weighing is canceled. At the end of the weighing process, if the patient identity has been verified, a confirmation screen will show "Current weight sent to EMR." HR/RR Monitoring and Bedside Association When you turn on the HR/RR Monitoring while Bedside Association is On, you will be asked to verify the bed location and, if applicable, patient identity. · If you are verifying the bed location and patient identity, the Patient Identity screen will show. You have these options: Yes--press this control if the patient identity shown is correct. The Room Associated and Patient Verified icons and HR/RR will show on the Home screen. No--press this control if the patient identity shown on the screen is not correct. You will be directed to contact the unit coordinator / charge nurse. Press Okay to go to the Home screen. The Room Associated and No Patient icons and HR/RR will show. Cancel--press this control if you do not want to verify the patient identity. HR/RR will remain Off. · If you are verifying the bed location only, the Bed Location screen will show. You have these options: Patient Room (room number)--press this control if the room number is correct. The Room Associated icon and HR/RR will show on the Home screen. New Room--press this control to associate a different room to the bed. The Available rooms screen will show. See "Associate a Room to the Bed" on page 5. After you make the room selection, the Room Associated icon and HR/RR will show on the Home screen. Cancel--press this control if you do not want to verify the bed location. HR/RR will remain Off. NOTE: If a room is not in the bed's memory, a room location selection screen will show. See "Associate a Room to the Bed" on page 77. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 81 Graphical Caregiver Interface (GCI)® Controls Bedside Association Notes: · When the bed is correctly associated to a room and the patient identity is verified, the Home screen will show the Room Associated and Patient Verified icons. If the Bed Exit monitoring is On, the Room Associated and Patient Verified icons will show on the status screens also: Status screen with the HR/RR Monitoring On. Status screen with the HR/RR Monitoring Off. · If there is an issue with the network server while you are trying to associate the bed to a room, this screen will show. A location will not be associated, press Close to go to the Home screen. · If Bedside Association is On and the connection to the HillromTM Digital Health Gateway is lost, this screen will show. Press OK to go to the Home screen. 82 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense HEART AND RESPIRATION RATE MONITORING SYSTEM POWERED BY EARLYSENSE INTENDED USE The Hill-Rom® Heart and Respiration Rate Monitoring System powered by EarlySense is used with compatible bed system models and is intended for continuous measurement of respiration rate (RR) and heart rate (HR) in an automatic, contact-less manner. The system is indicated for use in children, adolescents, and adults in hospitals or clinical settings. It is intended to be used for the same patient populations and the same settings, within these ranges, as the bed with which it is used. The system has been validated to withstand up to 700 lb (318 kg). NOTE: Do not exceed the limit of the bed system for weight, population, or use setting. SYMBOLS Document Symbols This manual contains different typefaces and symbols to make the content easier to read and understand: · Standard text--used for regular data. · Boldface text--emphasizes a word or phrase. · NOTE:--sets apart special data or important instruction clarification. · CONTRAINDICATION, WARNING, or CAUTION A CONTRAINDICATION identifies situations or actions that may have an effect on patient safety. A WARNING identifies situations or actions that may have an effect on patient or user safety. To ignore a warning could cause patient or user injury. A CAUTION identifies special procedures or precautions that persons must obey to help prevent equipment damage. Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use 83 (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense Product Symbols Symbol Description Ground plug--only use grounded plug outlets Symbol Transport warning (page 113) WARNING (yellow and black) CAUTION (white and black) ATTENTION: Consult accompanying documents Manufacturer o Manufacture date Do not use with Oxygen Tents Description Electrical shock warning: unplug all power cords before service HR/RR monitoring sensor--According to IEC 60529, rating for protection against fluid ingress and identified as equipment that is protected against spraying and splashing water Type B applied part according to IEC 60601-1 MEDICAL--GENERAL MEDICAL EQUIPMENT AS TO ELECTRICAL SHOCK, FIRE AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH AAMI ES60601-1, IEC 606011, IEC 60601-2-52, CAN/CSA C22.2 NO 60601-1 AND IEC 60601-2-49 Must consult accompanying documents Patient minimum and maximum weight range (page 1) Unsafe for use with MRI equipment 84 Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense GCI Symbols--HR/RR Monitoring System powered by EarlySense Symbol Description Heart Rate--ON Page 95 Symbol Description Page Out of Room Alarm--ON indi- 101 cator Respiration Rate--ON 95 Out of Room Alarm--OFF 101 indicator Heart Rate--OFF 100 In-room Alarm--OFF indica- 100 tor Respiration Rate--OFF 100 In-room Alarm--ON indicator 100 Unstable signal 96 Service required 96 Resume Monitoring 98 Lost patient signal 96 Multiple Alarms (HR, RR, Ser- 96 vice, or HR/RR monitoring sensor) Suspended Alarm 98 HR/RR MONITORING SYSTEM POWERED BY EARLYSENSE SPECIFICATION Range Average Period Accuracy Heart Rate 30 - 170 beats per minute (BPM) 1 minute +/- 4% or +/- 5 BPM whichever is greater Respiration Rate 6 - 45 breaths per minute (Br/min) 1 minute +/- 4% or +/- 1.5 Br/min whichever is greater HR AND RR MONITORING SYSTEM POWERED BY EARLYSENSE SAFETY INFORMATION Read all precautionary information and specifications before use. CONTRAINDICATION: The Heart and Respiration Rate Monitoring System powered by EarlySense is contraindicated for use in-- · Contraindication--Patients whose proper positioning can not be achieved or maintained. · Contraindication--Patients who do not meet the weight limits tested or specified. · Contraindication--Situations where a dry environment can not be ensured. · Contraindication--An MRI environment. Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use 85 (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense · Contraindication--An explosive atmosphere or in the presence of flammable anesthetics or gases. WARNING: To prevent injury or equipment damage obey these warnings: · Warning--Read and understand all warnings on the unit itself prior to use with a patient. · Warning--The Centrella® Smart+ Bed with or without the Heart and Respiration Rate Monitoring System powered by EarlySense, has an intended patient range of 70 lb (32 kg) to 500 lb (227 kg). Use of the bed with patients outside the intended patient weight range may increase the risk of entrapment, asphyxiation, and/or loss of therapeutic value. Use of the bed with patients above the bed's intended maximum patient weight may also cause damage the bed. · Warning--Follow the product manufacturer's instructions. · Warning--The potential for electrical shock exists with electric equipment. Failure to follow facility protocols may cause death or serious injury. · Warning--To avoid risk of electric shock, this equipment must only be connected to a supply mains with protective earth. · Warning--Make sure to use a correctly grounded, three-prong, 120 V outlet (NEMA 5-15R or NEMA 5-200R outlet, rated 125 V AC, 15 A or 125 V AC, 20 A, respectively). Failure to do so could cause personal injury, fire, or damage to the equipment or facility wiring. · Warning--Connect the power cord to hospital grade receptacles only. · Warning--Incorrect use or handling of the power cord may cause damage to the power cord. · Warning--Take care to minimize the risk of tripping over the power cord by carefully locating it from the unit to its power source. · Warning--Make sure the position of the unit is such that you can quickly, without obstruction, unplug the power cord from the main power supply if necessary. · Warning--Do not use the bed in an oxygen rich environment or with oxygen tents. · Warning--Do not operate the bed in the presence of flammable gas or vapors. · Warning--Do not operate the bed in the presence of flammable anesthetics or nitrous oxide. · Warning--Before maintenance or service is done on the unit, make sure to unplug the unit and remove the patient or fully remove the unit from use. · Warning--Operate the bed within the stated environmental conditions; see "Environmental Conditions for Use" on page 136. · Warning--This device is not compatible for use in Magnetic Resonance Imaging (MRI). · Warning--Do not connect the power cord to an extension cord or multiple outlet strip. There is a risk of overheating and fire may cause injury or damage. · Warning--Connect only items that have been specified as parts of the device or compatible with the device. · Warning--Consult your local regulations to safely discard or recycle electronic equipment and batteries. · Warning--Do not discard as unsorted municipal waste. See your local distributor for collection and/or recycling system available in your country. · Warning--Federal USA law restricts this device to sale by or on the order of a physician. · Warning--The data acquired by HR and RR Monitoring System powered by EarlySense should be interpreted by a Healthcare Practitioner only. 86 Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense WARNING: (Warnings continued) To prevent injury and/or equipment damage obey these warnings: · Warning--The HR and RR Monitoring System powered by EarlySense is not intended for monitoring high risk situations where ECG monitoring is required. The most reliable method of patient monitoring combines close personal surveillance with correct operation of the monitoring equipment. · Warning--Changes or modifications not expressly approved by Hill-Rom could affect the safety or effectiveness of the HR/RR Monitoring sensor and void the system warranty. · Warning--Do not use a damaged HR/RR Monitoring sensor. Use of damaged components might result in malfunctioning of the system. · Warning--Only facility-authorized maintenance persons should install the HR/RR Monitoring sensor. · Warning--Only Hill-Rom qualified persons should service the HR/RR Monitoring sensor. · Warning--The HR/RR Monitoring sensor contains no serviceable parts. Do not open the system covers. · Warning--Do not share the bed with another person or pet when the HR/RR Monitoring sensor is active. Sharing the bed could affect the effectiveness of the system and the accuracy of the measurements. · Warning--Alarm threshold settings are patient or facility specific. The clinician must set and verify alarm thresholds appropriate for each patient. Each time the bed is powered on, you must check that the alarm settings are appropriate for your patient before you start monitoring. Failure to set alarms appropriately can lead to false alarms or failure to alarm. Alarming will only operate properly if set up properly. · Warning--Avoid using heating blankets. Use of heating blankets could affect the safety or effectiveness of the HR/RR Monitoring sensor and void the system's warranty. · Warning--Do not use the HR/RR Monitoring sensor for patients who weigh more than the limit of the EarlySense® System, which is 700 lb (318 kg), or the associated Bed System, which for the Centrella® Smart+ Bed is 500 lb (277 kg), whichever is lower. · Warning--The use of the HR/RR Monitoring sensor on the bed, close to any adjacent source of vibration, might influence the accuracy of the system's measurements or create periodic interferences with the measurement. · Warning--All wireless systems are prone to intermittent signal dropout. Make sure the patient only has conditions which can tolerate intermittent monitoring interruptions. CAUTION: To help prevent equipment damage, obey these cautions: · Caution--The system is intended for indoor operation only. · Caution--The patient should not have direct contact with the HR/RR Monitoring sensor. A mattress should always be placed as a barrier between the HR/RR Monitoring sensor and the patient. The patient should be frequently checked to make sure direct contact does not occur. · Caution--Use only parts and accessories from Hill-Rom. Do not modify or change the bed system without approval from Hill-Rom. Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use 87 (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense NOTES: · The HR/RR Monitoring sensor must be replaced after five years of continuous use to make sure the system operates correctly. A notification will show on the GCI when it is time to replace the sensor. · The HR and RR Monitoring System powered by EarlySense has not been studied on any specific patient group, nor has it been studied as a diagnostic tool for any specific disease or medical condition. It is meant as an adjunctive tool only for measuring respiration and heart rate. · The HR/RR Monitoring sensor is rated for continuous operation. · It has been determined that the HR and RR Monitoring System by EarlySense has no performance, the loss of that would result in unacceptable risk. · The HR/RR Monitoring sensor is rated IPX4, splash proof. · If the number is gray, the sensor can not read the HR or RR to measure. The last measured result will show on the screen in gray. · When the patient is out of the bed "--" will show for the measurement. · The system can detect a heart rate that is greater than 1.8 times of the respiration rate. · The total system accuracy including undetected signals is 90% for respiration rate and for heart rate. · A Bed Exit Alert will have priority over a heart rate or respiration rate alarm. You must address the Bed Exit Alert before the heart rate or respiration rate alarm will show on the touchscreen. · The HR and RR Monitoring System powered by EarlySense® can interface with existing nurse call system found in the facility, though the actual connection to the nurse call system requires the support of your facility-authorized maintenance persons. · Heart and respiration rate values are most likely to show when the patient is centered (left to right) and the angle of the bed's head section is as low as clinically appropriate. · There must be AC power to the bed for the HR/RR Monitoring System powered by EarlySense to operate. · For Preventive Maintenance for the HR/RR Monitoring System powered by EarlySense, see "Preventive Maintenance" on page 132. · For Environmental Conditions for Use for the HR/RR Monitoring System powered by EarlySense, see "Environmental Conditions for Use" on page 136. INTRODUCTION The HR and RR Monitoring System powered by EarlySense is designed to provide a Contact-Free Continuous Monitoring Solution (CFCM) of heart and respiration rate with the use of the HR/RR Monitoring sensor. The touchscreen shows numerical heart and respiration rates as well as graphical data of trends of these parameters. The system sounds an alarm to notify the caregiver when the HR or RR averaged over time, passes above or below the user defined limits or thresholds. The sensor is placed between the mattress and the bed at the head end. The data provided by the system is intended to aid in the evaluation process of a patient's clinical status and should be interpreted by a Healthcare Practitioner only. The system begins to monitor the patient's HR and RR within two to four minutes after the patient is quietly lying still. The measured data is continuously saved and can be viewed on the touchscreen. To 88 Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense look at the HR and RR data over time, see "HR and RR Trends Screen" on page 96. The heart and respiration rate are shown in several screen views, see below. Home Screen Status Screen Trends Screen NOTE: If you do not want the heart and respiration rate to show on the screen, see "Turn ON/OFF HR and RR Display" on page 95. ALARM, ALERTS, AND INFORMATION INDICATORS The Information Indicators provide the caregiver with audible indicators and visual indicators. NOTE: There must be either AC or battery power to the bed for the indicators to operate. Low Priority Alarm If the HR and RR option is active, a two tone alarm (e - c) will sound every 3 seconds to indicate that a HR or RR alarm is active and a priority nurse call is sent to the nurses station (for beds equipped and connected to a Nurse Call System). Low Priority Alarm Parameters (HR/RR Monitoring System) Time to alarm for change in HR Time to alarm for change in RR Low Heart Rate 90 seconds Low Respiration Rate 180 seconds High Heart Rate 90 seconds High Respiration Rate 180 seconds Beep Alerts A single beep will sound when an activity is successful. A triple beep will sound to indicate that you should look at the touchscreen, attention is needed. For a critical fault, a triple beep will sound every 10 seconds until the user acknowledges the error on the touchscreen. Follow the on-screen instructions. If the critical fault is not resolved, the triple beep will sound again after an hour. The cycle will continue until the issue is resolved. A low volume repeating triple beep every 10 seconds will sound to remind you that the Bed Exit is silenced and should be resumed before you leave the room. A quadruple beep (four beeps) will sound to indicate a Bed Exit alert. A continuous tone will sound to indicate a serious bed malfunction and that immediate attention is needed. Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use 89 (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense ACTIVATE THE TRIAL MODE Hill-Rom offers a free 90-day trial of the HR and RR Monitoring System. When the 90-day trial has passed, the system will turn off or you can contact Hill-Rom for a licensed a activation code to continue to use the system. To activate the 90-day trial do these steps: 1. Look at the bed revision. If the bed is revision A, the bed needs upgraded with the Heart and Respiration Rate (HR/RR) Monitoring System. Contact Hill-Rom. If your bed is revision B, the operating system must be software version 1.29 of higher (see "Settings/Preferences" on page 68). If it is not, contact Hill-Rom. NOTE: The bed must be empty to activate the heart and respiration rate monitoring. 2. Lower the siderails. 3. Disconnect the mattress attachments knobs from the bed frame at the head end of the bed. 4. Lift the head end of the mattress and remove the protective tab from the sensor. 5. Reconnect the mattress attachments knob to the bed frame. 6. Press the HR/RR menu control. 7. Contact your local Hill-Rom representative to receive the activation code. Make sure to specify that the code is for the trial mode. 8. Press Activate 90-day Trial Mode. 9. Enter the activation code and press Enter. 90 Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense 10. Follow the on-screen instructions, and press Exit when complete. 11. Press the Home menu control. The HR and RR symbols will show in the bed indicators section of the Home screen. NOTES: · The HR/RR values will show by default when a patient is in the bed. To turn off the HR/RR display, see "Turn ON/OFF HR and RR Display" on page 95. · After approximately five minutes, the touchscreen will default to the Status screen. 12. Reset the bed as follows: a. Unplug the bed. b. Press and hold the Lockout control (A) until you hear a beep (approximately 20 seconds). This puts the bed in Service mode. c. Press and hold these controls at the same time until you hear a beep: Foot Up (B), Foot Down (C), and Trendelenburg (D). The bed should shut down within 5 seconds after you release the controls. d. Plug the bed in. NOTE: The HR and RR Monitoring System uses the same speaker as the Brake Not Set Alert for in-room alerts. 13. To check the HR and RR Monitoring System in-room alarm, do as follows: a. Put the brake or steer pedal in the level position. b. Make sure the alarm sounds. NOTES: · To see the number of trial days that remain, press the HR/RR menu control. The number of days will show for 3 seconds. · The watermark "TRIAL" will show on the HR/RR screen when the trial mode is active. · Once the trial mode is activated, the trial mode control will be gray and not operate. Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use 91 (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense ACTIVATE THE LICENSED MODE HR and RR Monitoring must be activated prior to use. Contact Hill-Rom to activate this feature. When you contact Hill-Rom, be prepared to give the bed's serial number. The serial number is on the right side of the upper frame at the head end of the bed. NOTE: The bed must be empty to activate the heart and respiration rate monitoring. 1. Press the HR/RR menu control. 2. Contact Hill-Rom to receive the activation license code. Make sure to specify that the code is for the licensed mode. NOTE: If the Activation control is not included on the screen, the software to monitor HR and RR is not installed. Contact Hill-Rom. 3. Press Activate Licensed Mode. 4. Enter the activation code, and press Enter. 5. Follow the on-screen instructions, and press Exit when complete. 6. Press the Home menu control. The HR and RR symbols will show in the bed indicators section of the Home screen. NOTES: · The HR/RR values will show by default when a patient is in the bed. 92 Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense · After approximately five minutes, the touchscreen will default to the Status screen. 7. Reset the bed as follows: c. Unplug the bed. d. Press and hold the Lockout control (A) until you hear a beep (approximately 20 seconds). This puts the bed in Service mode. e. Press and hold these controls at the same time until you hear a beep: Foot Up (B), Foot Down (C), and Trendelenburg (D). The bed should shut down within 5 seconds after you release the controls. f. Plug the bed in. NOTE: The HR and RR Monitoring System uses the same speaker as the Brake Not Set Alert for in-room alerts. 8. To check the HR and RR Monitoring System in-room alarm, do as follows: a. Move the brake or steer pedal to the level position. b. Listen for an alarm to sound. RESET HR AND RR DATA To reset the HR and RR data, do the New Patient (Zero) scale procedure as follows: WARNING: These warnings apply to both zero the scale and weigh procedures. To help prevent injury and/or equipment damage, obey these warnings: · Warning--The scale is very sensitive. Make sure the bed is not touching anything that could affect the patient weight (other beds or carts, headwall, miscellaneous drainage lines, etc.) while the bed is in the zeroing or weighing process. Failure to do so could cause an inaccurate weight reading. · Warning--Always use the New Patient zero before a patient is admitted into the bed. Failure to do so may keep old patient data in the bed and cause a risk to the new patient. NOTES: These notes apply to both zero the scale and weigh procedures: · The scale will only work when the bed is connected to AC power. · The equipment in the foot-end sockets will be included in the Zero and patient Weigh processes. · Everything on or attached to the articulating upper frame and siderails will be included in the Zero and patient Weigh processes. Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use 93 (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense Use New Patient zero every time a new patient is admitted to the bed. The New Patient control will-- · Clear the previous and current weight history · Zero the scale · Reset these features: Bed Exit Alert to off SafeView®+ Alerts option to the default protocol HR and RR monitoring data Audible indicator to the default protocol Alert setting to the default protocol Head <30° Limit to off Frame lockouts to off Comfort settings to Normal 1. Press New Patient. 2. A reminder message shows. Follow the on-screen instructions. NOTES: · Remove everything attached to the upper frame, siderails, and foot end of the bed or the items will be included in the patient's weight. · The headboard and devices mounted to the head end of the bed will not be included in the patient's weight. · Cancel will return the touchscreen to the previous screen. 3. The touchscreen will show that the bed is zeroing. Do not touch the bed while the bed zeroes. NOTES: · If the "Not In Required Position" screen shows, press the Adjust Bed Button on the touchscreen. · If the "Difference from Last Zero" caution screen shows, recheck the bed for items that should be included during the zero. · The scale will not zero if there is more than a 45 kg (99.2 lb) weight difference from the last zero. This is to reduce the possibility of zeroing the scale with a patient in the bed. 94 Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense 4. A single beep will sound and the touchscreen will show that the bed is ready for a new patient. To return to the Home screen, touch the screen or place a patient in the bed. TURN ON/OFF HR AND RR DISPLAY 1. Press the HR/RR menu control. 2. Press Display. 3. Press Yes or No, and then Accept. Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use 95 (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense HR AND RR TRENDS SCREEN HR and RR trends screen shows measurements over time. HR/RR Trend Screen Item A B C D E F G Description Current heart rate in beats per minute (BPM) Respiration rate trend Item H I Heart rate trend J Service Alert K Service Required L Heart Rate Alarm M Multiple Alarms Description Respiration Rate Alarm Time period view options (10 minutes, 1 hour, 4 hours, 8 hours, 24 hours, 7 days) Log--shows a list of Logged Alarms Help (?) Control Back--takes you to the previous screen Current respiration rate in breaths per minute (Br/min) 96 Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use (193587 REV 11) To View HR and RR Trends 1. Press the HR/RR menu control. Heart and Respiration Rate Monitoring System powered by EarlySense 2. Press Trends. 3. Press Accept. 4. Select the time period view. NOTES · The Trends screen default is 8 hours. · If the sensor expired, you can view the previous trend data through the Trends control. CHANGE HR AND RR ALARM THRESHOLDS HR and RR Alarm Thresholds Specification Default Alarm Thresholds Min. to Max. Settable Alarm Thresholds Heart Rate Low = 40 BPM High = 130 BPM Low: 35 BPM High: 150 BPM 1. Press the HR/RR menu control. Respiration Rate Low = 8 Br./min High = 32 Br./min Low: 8 Br./min High: 44 Br./min Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use 97 (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense 2. Press the number for the alarm threshold that you want to change. 3. Press the Up or Down arrows to the desired threshold. NOTES: · The Up and Down arrows will no longer show after 4 seconds if an arrow is not pressed. · A red box will show around the number if the number is changed from the default threshold. 4. To change the default thresholds, contact your facility-authorized maintenance persons or Hill-Rom Technical Support for assistance. NOTE: The HR and RR Monitoring System returns to the default threshold settings when the New Patient (Zero) scale procedure is performed. See "Reset HR and RR Data" on page 93. Alarms The alarms are used to notify caregivers of situations that may require attention. Visual and audible (if enabled) alarms occur when the HR or RR, averaged over time, passes above or below the user defined threshold. A low priority alarm will sound for HR and/or RR alarms, and a triple beep alert will sound for HR and RR technical alarms. For a description of alerts and alarms, see "Alarm, Alerts, and Information Indicators" on page 89. If the system has a HR and/or RR alarm, these will occur: · An audible alarm will sound if enabled. · A yellow corresponding alarm parameter on the touchscreen will show. A message will show on the bottom of the touchscreen to describe the alarm, and the time since the alarm was activated. The alarm screen is noticeable from 4 meters (13 feet), and can be read from the caregiver bedside position. · If the bed is equipped and connected to a Nurse Call System, a priority nurse call is sent to the nurse's station. · If the bed is equipped with the SafeView®+ Alerts option, an amber flashing indicator will show at the foot end of the bed. A Bed Exit Alert will have priority over a HR or RR alarm. You must address the Bed Exit Alert before the HR or RR alarm will show on the touchscreen. 98 Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense The HR or RR alarm can be silenced or suspended. The Silence or Suspend control allows the caregiver to temporarily stop alarms from being sent to the bed and/or nurse call system, if connected. When the Suspend control is pressed, these will occur: · The yellow alarm message will show and suspends the alarms for 15 minutes. · A timer will show at the bottom of the touchscreen that will countdown from the time of the alarm. After 15 minutes, Suspend mode will stop and the system will resume monitoring the HR and RR. High or Low RR Alarm--a message shows when the respiration rate is above or below the high or low alarm threshold settings. High or Low HR Alarm--a message shows when the heart rate is above or below the high or low alarm threshold settings. Lost Patient Signal--this message shows when the sensor can not detect the patient signals. Check the patient and sensor location. Unstable Signal--this message shows when the sensor can not continually detect the patient. Consider using an alternative monitoring device. Bed Sensor Error--this message shows when the sensor malfunctioned or the sensor is disconnected. Make sure the sensor cable is fully connected to its port on the back of the head deck panel. If you replaced the sensor, make sure the activation code was entered correctly. Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use 99 (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense Sensor Expires Soon--the sensor will expire in 30 days. Contact HillRom for a replacement sensor. (This is a message screen with no audible notification.) Sensor Expires Soon--the sensor will expire in 7 days. Contact HillRom for a replacement sensor. (This is a message screen with no audible notification.) Sensor Expired--HR and RR will not be measured by an expired sensor. Contact Hill-Rom to replace the sensor. Turn On/Off In-Room Alarms The HR and RR Monitoring System has in-room audible and visual alarms. The audio alarms can be disabled if a Nurse Call system is connected. If the system is connected to a Nurse Call System, HR/RR alarm calls will stay active and show as a bed exit alert on the nurse call system. Alarm settings are patient or facility specific. Follow facility protocol regarding when audible alarms should be on or off. 1. Press the HR/RR menu control. 2. Press the HR/RR Alarm Sound control to turn off in-room audible alarms. 3. Press Yes. NOTE: In-room audible alarms can only be disabled when connected to a nurse call system. 100 Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense 4. Make sure the screen shows a message that the alarm is on and audio is off. 5. Make sure the HR/RR Alarm Sound control shows that it is silenced. 6. Press the HR/RR Alarm Sound control again to enable the audible alarm. Turn On/Off Remote Alarms The HR and RR Monitoring System can provide remote alarms when connected to a Nurse Call System. To turn off the remote RR/HR Alarms, contact your facility-authorized maintenance persons or Hill-Rom Technical Support for assistance. Change HR and RR Alarm Volume The volume can be adjusted for the HR and RR Alarms. 1. Press the Settings/Preferences menu control. 2. Press HR/RR Monitoring. 3. Press Volume. 4. Select the volume setting, then press Accept. NOTE: Contact your facility-authorized maintenance person or Hill-Rom Technical Support for assistance to change the tone of the alarms. Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use 101 (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense View HR/RR Alarm Log The HR/RR Alarm Log provides a list of alarms, the time when the alarm occurred, and the type of alarm. The log will show the last 7 days of alarms. Alarms older than 7 days can not be viewed. 1. Press the HR/RR menu control. 2. Press Trends. 3. Press Log. NOTE: The last alarm shows at the top of the screen on the first page. 4. Press the Up or Down arrow to view additional events logged, or press Back to go to the previous screen. NOTES: · The HR/RR Alarm Log is saved to the bed's memory and is retained when the bed power is lost. · To clear the patient's HR and RR information, do the New Patient (Zero) scale procedure. See "Reset HR and RR Data" on page 93. 102 Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense TURN ON/OFF HR AND RR MONITORING 1. Press the Settings/Preferences menu control. 2. Press HR/RR Monitoring. 3. Press System ON/OFF. 4. Press Off or On, and then press Accept. 5. Press Yes or No. Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use 103 (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense VIEW SENSOR EXPIRATION INFORMATION 1. Press the Settings/Preferences menu control. 2. Press HR/RR Monitoring. 3. Press Sensor Expiration. 4. Press Exit to return to the previous screen. HR/RR MONITOR ACTIVATED LABEL OPTION Contact Hill-Rom for the HR/RR Monitor Activated label. For label placement, see "Department Identification Label Placement" on page 146. NAVICARE® SYSTEM--HR/RR MONITORING The NaviCare® System is an enterprise system that connects and monitors certain HillromTM products including the HR/RR Monitoring System. When there is an HR/RR alarm, the NaviCare® System sends the alarm status to the network applications for caregivers to view and receive. For complete operational instructions for the NaviCare® System, refer to the NaviCare® System User Manual. 104 Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use (193587 REV 11) Heart and Respiration Rate Monitoring System powered by EarlySense HILLROM DIGITAL HEALTH GATEWAY--HR/RR MONITORING The HR/RR Monitoring System powered by EarlySense can provide data remotely in conjunction with the Hillrom Digital Health Gateway. You must have the Hillrom Digital Health Gateway version 1.1 or greater for wired or Hillrom Digital Health Gateway version 1.2 or greater for wireless data. The wired data connection is achieved using the SideCom® Communication System. Wireless data is sent using the Wireless Connectivity Option and is enabled by service personnel per the facility's request. Centrella® Smart+ Bed with Heart and Respiration Rate Monitoring System powered by EarlySense Instructions for Use 105 (193587 REV 11) Mattress Information MATTRESS INFORMATION WARNING: To help prevent injury and/or equipment damage, obey these warnings: · Warning--Some safety features of the bed may not function or may not operate as intended with mattresses that are not designed specifically for this bed. Check with the mattress manufacturer to make sure that the safety features of the bed have been tested and verified to operate correctly with the replacement mattress. · Warning--Only use mattresses of the specified dimension. Contact Customer Service. · Warning--Mattress impermeability and pressure relieving capabilities of the mattress could be affected by needle sticks or other bladder punctures. Caregivers should be instructed to AVOID mattress cover and bladder damage caused by the incorrect use of x-ray cassette holders and sharp objects that may puncture or lacerate the mattress. · Warning--The Centrella® max mattress is not a substitute for good nursing practices. The Centrella® max mattress should be used in conjunction with good assessment and protocol. Otherwise, patient injury could occur. · Warning--Do not allow the mattress to come in contact with the headboard, this could impact the scale accuracy and Bed Exit Alert performance. · Warning--Make sure to do these when you install a replacement mattress for use: a. Align the head-end edge of the mattress with the head-end edge of the bed's head section sleep deck. b. For mattresses with attachment straps, use the slots on the sleep deck to fasten the mattress at the head and foot ends. The patient restraints at the foot end may be used as alternate attachment points. Make sure the mattress attachment does not interfere with the bed articulation. c. Set the length of the bed to the length of the mattress. To do so, use the FlexAfootTM controls to adjust the foot section until the footboard aligns with the foot-end edge of the mattress. See "FlexAfootTM Bed Length Adjustment" on page 48. d. Lock out the FlexAfootTM controls to avoid any further adjustment to the bed length, see "Lockout" on page 33. NOTE: Hill-Rom recommends the use of HillromTM mattresses that have been designed and tested specifically for the Centrella® Smart+ Bed. If you purchase a replacement mattress from Hill-Rom or another manufacturer, make sure that the safety features of the bed have been tested and verified to operate correctly with the replacement mattress. The replacement mattress should meet the applicable regulations and technical standards to minimize the risk of injury to the patients and caregivers. Mattresses should-- · Minimize the gaps where entrapment could occur. · Allow enough siderail height from the top of the mattress to the top of the siderail to prevent accidental roll-overs. · Have appropriate firmness to assist with safe patient transfers. · Not interfere with siderail operation. For the latest list of mattresses recommended for use, contact Customer Service. 106 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Mattress Information CONTRAINDICATION: Contraindication--Use of active therapy surfaces (mattresses) with patients with unstabilized spinal cord injury could cause serious injury to the patient. Use loose fitted sheets (preferably knitted) for maximum pressure redistribution. The Centrella® max mattress is a powered air mattress that has a MicroClimate Management® (MCM) cover that operates continuously while the patient is on the bed. MCM helps decrease localized heat and moisture buildup that occurs between the patient and the mattress. For the Centrella® max mattress to operate correctly, there must be a minimum of 70 lb (32 kg) on the mattress. Modes Normal The normal mode of the mattress provides continuous full-body pressure redistribution for patients 70 to 500 lb (32 to 277 kg). The mattress automatically adjusts the air system to accommodate changes in weight distribution. Pressure redistribution is always active unless one of these occur: · Max Inflate is active. · AC power is not available. · An error has occurred with the mattress. The mattress should be regularly examined for damage. To Activate 1. Press the Mattress menu control. 2. Press Normal. Max Inflate The Max Inflate mode maximizes the firmness of the mattress. This assists in patient mattress-tomattress transfers and/or adjustment of the patient's position. NOTE: The mattress will automatically exit the Max Inflate mode and return to Normal mode after 15 minutes. When there are 2 minutes left, a beep will sound and a message will show on the touchscreen. The caregiver will have the option to keep the mattress in Max Inflate mode or let it return to Normal mode. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 107 Mattress Information To Activate 1. Press the Mattress menu control. 2. Press Max Inflate. To Deactivate Let the mode time out, or press the Mattress menu control, and then press Normal. Patient Comfort Patient Comfort lets you adjust the pressure settings for the patient's comfort and still provide pressure redistribution. There are two zones to adjust. Adjustments through the touchscreen permit you to adjust the two zones separately. While adjustments through the patient pendant adjusts both zones at the same time. For patient pendant use, see page 39. The system automatically supplies pressure distribution for the patient's position on the mattress. To Adjust the Firmness 1. Press the Mattress menu control. 2. Press Comfort. 3. Use the Comfort Adjustment controls to change the pressure in the head and seat sections of the mattress. · To Increase the pressure, press the Up arrow. · To Decrease the pressure, press the Down arrow. 108 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Mattress Information To Turn On/Off the Patient Comfort Controls on the Patient Pendant (Handheld Remote) 1. Press the Mattress menu control. 2. Press Comfort. 3. Press On or Off to allow the use of the comfort controls on the patient pendant. pro+ Mattress 1. Press the MCM menu control. 2. Press On. 3. Press OK. At the Home screen, make sure the green status indicator shows. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 109 Mattress Information To Troubleshoot Messages MCM Off for 12 Hours (MCM problem)--this message shows when the MCM has been turned off for over 12 hours. Press Remain Off or Turn On for the MCM feature. WARNING: Warning--Failure to correct the error in a timely manner may cause patient injury. Error (technical problem)--this message shows when the MCM blower does not operate as intended. Contact your authorized maintenance persons. Turn Assist WARNING: To help prevent injury and or equipment damage, obey these warnings: · Warning--Do not use the Turn Assist feature while the patient is restrained. · Warning--Make sure that the lines are not pinched or kinked and that there is sufficient slack in the lines for bed articulations and patient movement. · Warning--Make sure that no hands or arms are under the mattress or between the mattress and siderail during Turn Assist. · Warning--Unplug any personal electronic devices from the USB port and remove any loose items from the mattress before you activate Turn Assist. Turn Assist helps the caregiver to turn the patient to the left or right. The Right Turn control turns the patient to the patient's right side. The siderail that the patient is turning towards MUST be in the up position to activate Turn Assist. If the siderail is down, a triple beep will sound and a message will show on the touchscreen to let you know that the siderail is lowered. Raise the rail, and press Turn Assist. Once the patient starts to turn, the siderail the patient is turning away from can be lowered for easier patient access. A beep will sound as a safety alert and a 15-minute countdown will show on the touchscreen when the mattress reaches the full turn. Turn Assist mode can be stopped during inflate or deflate by pressing Stop Turn on the touchscreen. Before You Activate Turn Assist · Make sure to remove these items from the bed: USB cord from the siderail Patient pendant from the inside of the siderail Any loose items on the mattress · Level the knee and foot sections of the bed. · Straighten the patient's legs. · Lower the head section below 25°. 110 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) To Activate 1. Press the Mattress menu control. 2. If a personal electronic device is plugged into the USB port, unplug the device from the siderail. 3. Press Continue. 4. If the bed is not in the correct position to do Turn Assist, this screen will show. Press Adjust Bed Button to correct the bed's position. 5. Press Right Turn or Left Turn. The control turns green when Turn Assist is active. · To stop Turn Assist, press Stop Turn. · To hold the turn at less than the full angle, press Stop Turn while the mattress is inflating. Press Resume to continue the turn. · To deactivate the turn, press Normal. After 15 minutes in a turned position, a beep will sound and the mattress will return to Normal mode. Mattress Information NOTE: Turn Assist will deactivate, the turn assist bladders will deflate, and the mattress will return to Normal mode if-- · The siderail the patient is turning towards is lowered. · The head section is raised above 25°. To Deactivate Turn Assist before the Mode Times Out · Press Normal. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 111 Mattress Information X-Ray Sleeve WARNING: Warning--When anything is inserted within the x-ray sleeve, the HR/RR monitoring system powered by EarlySense may not be accurate and should not be depended upon or patient injury could occur. An x-ray cassette sleeve is available on the Centrella® max and pro+ mattresses. The caregiver can insert a cassette into the sleeve from either side of the mattress through a zipper pocket in the top cover. To use the sleeve, do as follows: 1. Make sure the brake is set. 2. Make sure the bed is plugged into AC power. 3. Make sure the head of the bed is at least 30°. You may adjust this position for patient comfort. 4. Put the mattress in the Normal mode; do as follows: a. Press the Mattress menu control on the GCI. b. Press Normal. 5. Pull the sheet away from the edge of the mattress. 6. Lift the top cover zipper flap to get access to the sleeve zipper. CAUTION: Use caution when you operate the zipper or equipment damage could occur. 7. Unzip the sleeve. CAUTION: The sharp edges of an x-ray cassette can damage the mattress. Use care when you use an x-ray cassette with the mattress. 8. Make sure the x-ray cassette is in a plastic bag or similar covering. 9. Insert the x-ray cassette. 10. Remove the x-ray cassette when finished. 11. Zip the x-ray sleeve to close. 12. Make sure the x-ray sleeve zippers are closed on both sides of the mattress. 13. Make sure the top cover zipper flaps cover the x-ray sleeve zippers. NOTE: If it is difficult to insert the cassette, reduce the weight on the sleeve. To do so, raise the head of the bed and have the patient lean forward or have a second person assist, as appropriate for the clinical situation. Mattress Removal 1. Set the brake. 2. Adjust the bed to a comfortable working height. 3. Adjust the bed to the flat position. 4. Fully extend the foot section. 112 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Transport The Patient WARNING: Warning--Failure to remove power from the bed could cause injury or equipment damage. 5. Unplug the bed. 6. Lower the siderails. 7. Disconnect the mattress's four attachment knobs from the bed frame. 8. If the bed has the pro+ mattress (P7923A), see the pro+ Mattress Instructions for Use (209196) to remove the mattress. If the bed has the Centrella® max mattress (P7922A), do as follows. Otherwise, go to Step 9. a. Fold the foot end of the mattress assembly over the head end. b. Pull up on the heel cover (A) to release it, and then turn it as necessary to fully disconnect the cover from its opening. c. Pull the cover (A) back toward the sleeve to get access to the pneumatic box connection. d. Disconnect the interface connector assembly (B) from the pneumatic box. NOTE: To disconnect the interface connector assembly, it may be helpful to insert a small screwdriver between the connector assembly and its latch tabs. CAUTION: Caution--Failure to keep the pneumatic box covered when the interface connector assembly is disconnected could cause equipment damage. e. Pull the pneumatic box cover (C) over the pneumatic box (D). Keep the interface connector on the pneumatic box covered until you connect the interface connector assembly. 9. Remove the mattress from the bed. TRANSPORT THE PATIENT TRANSPORT SAFETY INFORMATION WARNING: To help prevent injury and/or equipment damage, obey these warnings when you transport a patient in the bed: · Warning--If the bed is stopped on a ramp, set the brake to avoid unwanted bed movement. · Warning--During transport, use caution so that the bed does not tip or overbalance. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 113 Transport The Patient · Warning--Unless you are to transport a patient, always set the brakes when the unit is occupied. Make sure the brakes are set before any patient transfer on to or off the bed. · Warning--Do not transport a patient with the bed in the Chair position. · Warning--Do not use the powered transport system if the bed moves forward or reverse when one of these occur. Contact your facility-authorized maintenance person or Hill-Rom Technical Support. You press one of the enable switches, but do not apply pressure to one of the handles. You apply pressure to one of the handles, but do not press one of the enable switches. CAUTION: To help prevent equipment damage, obey these cautions when you transport a patient in the bed: · Caution--Before transport, make sure that the power cord, hoses, and other equipment are correctly stored. · Caution--Do not push or pull the bed by IV poles, siderails, or other equipment. Use the push handles, headboard, or footboard. · Caution--The powered transport system is intended for indoor use only. Outdoor use may cause temporary or permanent damage to the powered drive mechanism. · Caution--For transport, a fully-charged bed battery is preferred; however, if the bed battery charge is low, put the bed in the transport position before any transport, and connect the bed to AC power as soon as possible · Caution--Do not attempt a powered transport unless there is a minimum of a single bar on the powered transport battery indicator that is on the Transport Pod. NOTES: · If a Centrella® max mattress is on the bed, the mattress will stay inflated during the transport but will not provide pressure redistribution. To help with lateral transfers, Max Inflate the mattress before you unplug the bed from the AC power; the mattress will then stay firm. · For a bed without the powered transport system, you may put the bed in either Steer or Neutral for the transport. · The batteries for the bed controls and for the optional powered drive system get charged only when the bed power cord is plugged into an AC power outlet; therefore, we recommend that you plug the bed into a power outlet whenever possible. 114 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Transport The Patient Powered Transport Only · If no bars show on the battery indicator that is on the Transport Pod, the battery is too low for transport. Either plug the bed in to charge the battery, or put the bed in Neutral to transport the patient. · When the bed is moving at full speed, a sudden release of the enable switches will cause the bed to stop abruptly. · A sudden change in direction of the push handles (push/pull; forward/backward) will cause the bed to stop abruptly. · If the bed is difficult to move, it may be that the powered drive system is not correctly engaged. Make sure that the bed is in steer and the battery indicator shows at least one bar. · If the bed does not move when the bed is in steer, the enable switch is pressed, and pressure is applied to the handle(s), make sure the mechanical override is not engaged (the handle on the power drive module's foot end is completely pushed in). PREPARE THE BED FOR TRANSPORT 1. Raise all four siderails to the up and locked position. 2. Shorten the length of the bed if necessary. 3. Adjust the head section to make sure the view is not obstructed from the head end of the bed. 4. Secure all hoses and equipment (such as monitors, oxygen tanks, and IV poles) that are to be transported with the bed. 5. If the Patient Helper or Experience Pod® Device accessory is installed, make sure that it will not impact doorways or ceiling fixtures. 6. Lower the IV poles as necessary so that they do not impact doorways or ceiling fixtures. 7. Unplug and store the power cord, and as applicable, the auxiliary outlet power cord and the communication cable. 8. Put the bed in Steer. 9. If the bed has push handles, lift the handles up, and drop them into the locked position. TO TRANSPORT · Bed without powered transport--transport the patient per facility protocol. · Bed with powered transport--continue to "Use the Powered Transport System" below. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 115 Transport The Patient Use the Powered Transport System 1. At the Transport Pod, look at the battery indicator, and make sure that at least one bar shows. 2. Adjust the transport pod into a position for easy access. 3. Do these steps as shown on the Transport Pod: a. Make sure that the power cord is unplugged, (and as applicable, the auxiliary outlet power cord and the communication cable), and then step down on the green pedal to put the bed in Steer (1). b. Listen for the power drive wheel to lower. When the wheel has fully lowered, the wheel indicator on the Transport Pod will turn green (2) and a beep will sound. c. Grip one or both of the push handles, and then press and hold at least one of the enable switches that are on the underside of the blue push handles (3). When pressed, the enable switch prepares the transport system to move the bed when pressure is applied to the handles. The bed will not move until pressure is applied to the handles. 4. To move the bed, push the push handles forward to start forward movement or pull them backward to start reverse movement: 116 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Transport The Patient · The amount of pressure applied to the handles will regulate the speed of the bed. Increasing the forward applied pressure will move the bed forward faster. Increasing the reverse applied pressure will move the bed in reverse faster. · A gradual decrease of pressure on the push handles will slow the bed. 5. Transport the patient per facility protocol. Power Loss during Transport A mechanical override is located on the foot end of the IntelliDrive® Transport System. If the battery fails or there is a loss of the motor power during a transport, pull the mechanical override towards the foot end. In the event that the system loses power during a transport, do as follows: 1. Set the brake. 2. Get additional persons to help manually transport the bed. 3. Put the bed in Neutral to raise the drive wheel off the floor. or Pull the mechanical override towards the foot end of the bed to permit manual movement of the bed with the power drive wheel lowered. 4. Continue with the transport. AFTER TRANSPORT 1. When the bed is in the correct position, set the brake. On a bed with the powered drive system, the drive wheel will raise off the ground and the drive wheel indicator on the Transport Pod will turn off. 2. Plug in the power cord, and as applicable, the auxiliary outlet power cord and the communication cable. 3. Adjust the IV poles to the correct working height. 4. Optional: To store the push handles, pull them upward to unlock them, and then swing them inward (toward the center of the bed) into the stored position. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 117 Accessories ACCESSORIES Part Number P7512 P2217 P7511 P158 P7524 P7934 or P7936 P7928 or P7938 P7939 P3212 P276 and P27601 P7927 or P7937 P7929 Description Line Managers IV Pole Permanent IV Pole Infusion Support System Transport shelf Patient Helper Patient Helper support HD Patient Helper mount Patient Helper sleeve O2 tank holder Traction frame Push Handles LINE MANAGERS (P7512) WARNING: Warning--Do not use the line managers to secure ventilator tubing; use only approved ventilator tubing devices. To do so could cause personal injury or equipment damage. CAUTION: Caution--Do not wrap power cords around the line managers. Otherwise, equipment damage could occur. The line managers help keep lines such as IVs, suction tubing, and monitor cables together and away from the articulation of the frame. IV POLES (P2217 AND P7511) WARNING: To help prevent personal injury or equipment damage, obey these warnings: · Warning--Do not exceed the 10 kg (25 lb) load capacity of the IV pole (P2217). · Warning--Do not exceed the 18 kg (40 lb) load capacity of the IV pole (P7511). · Warning--The head-end equipment sockets do not move up and down with the sleep deck. Use appropriate precautions with gravity-sensitive devices such as ventricular drains or lumbar drains before, during, and after operating bed functions. 118 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) · Warning--Correctly attach the IV pole; otherwise, it may fall. · Warning--Uneven loading of the IV pole could cause the contents to fall. · Warning--When you lower the upper section of an IV pole, always hold the upper section of the pole before you pull the release knob. · Warning--Install the IV pole in an equipment socket only (see "Equipment Sockets" on page 21). Accessories Removable IV Pole (P2217) The IV pole is a removable, telescopic pole that installs in any of the equipment sockets. To Install Insert the IV pole vertically into any of the equipment sockets at either the head end or foot end of the bed. To Remove Pull the IV pole out from the equipment socket. Permanent IV Pole (P7511) To Use 1. Lift the IV pole from its stored position behind the headboard and raise the pole straight up. 2. Make sure that the pole drops into the locked position. 3. Raise the upper section of the pole to the desired height. To Store 1. Hold the upper section of the IV pole. Push the upper collar down, and lower the upper pole section into the lower pole section. 2. Lift the lower section of the IV pole up, and lower the pole down to the stored position behind the headboard. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 119 Accessories INFUSION SUPPORT SYSTEM (P158) WARNING: To help prevent personal injury or equipment damage, obey these warnings: · Warning--Do not exceed the 9 kg (20 lb) load capacity (safe working load) of the infusion support system (ISS) pole. · Warning--Correctly attach the ISS pole; otherwise, it may fall. · Warning--Uneven loading of the ISS pole could cause the contents to fall. · Warning--When you lower the upper section of an ISS pole, always hold the upper section of the pole before you pull the release knob. The Infusion Support System (ISS) consists of a movable and adjustable IV pole. The pole supports IV pumps or bags in a vertical orientation and raises or lowers the pumps or bags with respect to the bed frame. The head end of the bed has attaching points for two mobile ISS poles. Each pole can support one infusion pump plus two liters of intravenous solution. Before you install the ISS pole (P158), you must install the P163 ISS socket adapter. TRANSPORT SHELF (7524) WARNING: To help prevent personal injury or equipment damage, obey these warnings: · Warning--Do not exceed the 20.4 kg (45 lb) safe working load of the transport shelf. To do so could cause the shelf to fail. · Warning--The foot section must be flat for you to use the transport shelf. · Warning--Do not stand or sit on the transport shelf. · Warning--Failure to use the straps to hold equipment on the shelf could permit the equipment to fall. · Warning--When the footboard is removed from the bed, do not lay the footboard flat on the floor. Store the footboard in a position or location that it does not come in contact with biohazards. NOTE: The footboard with the transport shelf installed can be put against a wall in a position so that it will not fall. The transport shelf can be used to hold small equipment during patient transport and as a writing surface. 120 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) To Use 1. Make sure the foot section is flat. 2. Lift the shelf up and over the footboard toward the mattress until the shelf stops in the horizontal position. Accessories To Store 1. Remove all the equipment from the shelf, and connect the hook and loop straps. 2. Lift the shelf up and over the footboard away from the mattress until the shelf is flat against the footboard and is locked in position. OXYGEN TANK HOLDER, E-SIZE (P276 AND P27601) HX OR F-SIZE (P009408) WARNING: To help prevent injury and/or equipment damage, obey these warnings: · Warning--Failure to correctly attach the oxygen tank holder could cause it to drop. Injury or equipment damage could occur. · Warning--If the oxygen tank holder is placed at the foot end of the bed, make sure the Foot and Knee Up/Down controls are locked out. Failure to do so can result in caregiver, patient, or visitor injury if the foot section fully lowers and the holder becomes dislodged from the bed. · Warning--When the bed is articulated and the oxygen tank holder is placed at the foot end of the bed, make sure the extremities of the caregiver, patient, or visitor are clear of the area around and underneath the oxygen tank holder. The P276 and P27601 oxygen tank holder holds one E size oxygen tank with a regulator. The P009408 oxygen tank holder holds one HX or F size oxygen tank with regulator. The mount location lets the affixed oxygen tank holder pivot. The safe working load of the P276 and P27601 oxygen tank holder is 14 kg (30 lb). The safe working load of the P009408 oxygen tank holder is 20.4 kg (45 lb). To Install 1. Install the mounting bar vertically into any of the equipment sockets at either the head end or foot end of the bed. 2. Put the oxygen tank in the oxygen tank holder. 3. Tighten the holder thumbscrew, if applicable, to keep the oxygen tank in position. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 121 Accessories NOTES: · Make sure that when you put an oxygen tank in a head-end holder the tank does not interfere with the head section articulation. · If the holder is placed at the foot end of the bed, make sure the holder does not contact the ground when lowering the bed. To Remove 1. Loosen the thumbscrew that holds the oxygen tank tight in the oxygen tank holder. 2. Lift the oxygen tank out of the oxygen tank holder. 3. Lift up on the oxygen tank holder, and remove it from the equipment sockets. PATIENT HELPER (P7934 OR P7936) WARNING: To help prevent personal injury and /or equipment damage, obey these warnings: · Warning--Do not exceed the 113.5 kg (250 lb) load capacity of the Patient Helper arm assembly. · Warning--Correctly attach the Patient Helper arm assembly; otherwise, it may fall. · Warning--Do not remove or install the Patient Helper arm assembly while it is in a position over a patient. · Warning--Use correct lifting techniques and /or ask for assistance when you install or remove the Patient Helper. The Patient Helper can be used to help assist patients with mobility. To Install 1. Make sure the bed's brake is set and a patient is not in the bed. 2. Lower the bed to its lowest position. NOTE: There are two versions of the patient helper mounts. Both versions are shown in the following steps to assist you in the installation of your version. 122 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 3. Remove the pull pin from the Patient Helper mount on the head end of the bed. 4. Install the arm assembly into the Patient Helper mount. Make sure the arm assembly is fully inserted in the mount. 5. Insert the pull pin to hold the Patient Helper arm assembly in position. Accessories 6. Install the horizontal arm into the arm assembly, and insert the pin to hold the horizontal arm in position. 7. Install the retainer on to the pin. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 123 Accessories 8. Make sure the pin is through the retainer. 9. Install the clamp of the trapeze handle assembly on to the horizontal arm, and tighten the clamp to attach the trapeze handle assembly to the horizontal arm. To Remove 1. Loosen the clamp that attaches the trapeze handle assembly to the horizontal arm, and remove the trapeze handle assembly from the horizontal arm. 2. Remove the pull pin, and then remove horizontal arm from the assembly. 3. Remove the pull pin, and then remove arm assembly from the Patient Helper mount. 4. Insert the pin into the Patient Helper mount. PATIENT HELPER BRACKET SUPPORT (P7928) AND PATIENT HELPER SLEEVE (P3212) WARNING: Warning--Do not exceed the 113.5 kg (250 lb) load capacity of the Patient Helper Bracket Support. Injury or equipment damage could occur. The patient helper bracket support (P7928) is for use with patient helper sleeves from traction equipment manufacturers. The patient helper sleeve (P3212) must be installed before the adapter bracket is installed on the bed. Refer to the equipment manufacturer's instructions for installation procedures. The P3212 patient helper sleeve is for use with the Orthopedic System, Inc. patient helper. 124 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) PATIENT HELPER BRACKET SUPPORT (P7938) AND PATIENT HELPER SLEEVE (P3212) Accessories WARNING: Warning--Do not exceed the 113.5 kg (250 lb) load capacity of the Patient Helper Bracket Support when used with the Patient Helper Sleeve. Injury or equipment damage could occur. The patient helper bracket support is for use with patient helper sleeves from traction equipment manufacturers. The patient helper sleeve (P3212) must be installed before the adapter bracket is installed on the bed. Refer to the equipment manufacturer's instructions for installation procedures. The P3212 patient helper sleeve is for use with the Orthopedic System, Inc. patient helper. PATIENT HELPER BRACKET SUPPORT (P7938) AND HD PATIENT HELPER MOUNT (P7939) WARNING: Warning--Do not exceed the 127 kg (280 lb) load capacity of the Patient Helper Bracket Support when used with HD Patient Helper Mount. Injury or equipment damage could occur. The patient helper bracket support (P7938) is for use with patient helper sleeves from traction equipment manufacturers. The HD patient helper mount P7939 must be installed before the adapter bracket is installed on the bed. Refer to the equipment manufacturer's instructions for installation procedures. The P7939 HD patient helper mount is for use with the Zimmer HD patient helper. TRACTION FRAME (P7927 OR P7937) WARNING: To help prevent injury and/or equipment damage, obey these warnings: · Warning--The sleep deck moves independently of the bed frame. Failure to account for the sleep deck movement when using fracture frames and/or traction equipment can cause serious injury or death. · Warning--Do not exceed the 113.5 kg (250 lb) load capacity of the Traction Frame. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 125 Cleaning and Disinfecting The Traction Frame permits the bed to be used with traction equipment. For safe installation and operation, refer to the traction equipment manufacturer's installation and operation instructions. PUSH HANDLES OPTION The push handles at the head end of the bed can be used to steer the bed and adjust the bed's position. To stow the push handles--pull them upward to unlock them, and then swing them inward (toward the center of the bed) into the stowed position. To use the push handles for transport--lift the handles up, and drop them into the locked position. CLEANING AND DISINFECTING NOTE: If the bed has the pro+ mattress (P7923 and P7924), see the pro+ Mattress Instructions for Use (209196) to clean and disinfect the mattress. WARNING: To help prevent injury and/or equipment damage, obey these warnings: · Warning--The potential for electrical shock exists with electrical equipment. Failure to follow facility protocol could cause death or serious injury. · Warning--Do not reuse wiping material for multiple steps or on multiple products. · Warning--Harmful cleaning solutions may cause skin rash and/or irritation upon contact. Follow the manufacturer's instructions found on the product label and Safety Data Sheet (SDS). · Warning--Lift and move items correctly. Do not twist, and seek assistance when necessary. Make sure the bed is at a correct height to lift items off the bed. · Warning--Fluid spills on to the bed electronics could cause a hazard. If such a spill occurs, unplug the bed and remove it from service. When fluid spills occur outside of what is seen in normal use, immediately do as follows: a. Unplug the bed from its power source. 126 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Cleaning and Disinfecting b. Remove the patient from the bed. c. Clean the fluid spill from the bed system. d. Have maintenance examine the system completely. e. Do not put the bed back into service until it is completely dry, tested, and found to be safe to operate. CAUTION: To help prevent equipment damage, obey these cautions: · Caution--Do not steam clean or power wash the bed. Pressure and excessive moisture can damage the protective surfaces of the bed and its electrical components. · Caution--Do not use harsh cleansers/detergents, heavy duty grease removers, solvents such as toluene, xylene, or acetone, and do not use scouring pads (you may use a soft bristle brush). · Caution--Do not use bleach as your primary everyday cleaner/disinfectant. · Caution--Fully extend the foot section prior to the cleaning and disinfection process. RECOMMENDATIONS For proper cleaning and disinfection, staff members should be trained. The trainer should carefully read the instructions and follow them when the trainee is being trained. The trainee should: · Be given time to read the instructions and to ask any questions. · Clean and disinfect the product while the trainer supervises. During, and/or after this process, the trainer should correct the trainee of any differences from the instructions for use. The trainer should supervise the trainee until the trainee can clean and disinfect the bed as instructed. Hill-Rom recommends to clean and disinfect the bed and mattress before first patient use, between patient use, and regularly during extended patient stays. Some fluids used in the hospital environment, such as iodophor and zinc oxide creams, can cause permanent stains. Remove temporary stains by wiping vigorously with a lightly-dampened wiping cloth. CLEANING AND DISINFECTION Cleaning and disinfection are distinctly different processes. Cleaning is the physical removal of visible and non-visible soil and contaminants. Disinfection is intended to kill microorganisms. Table 1 below summarizes the approved cleaners/disinfectants for use with the associated contact time for disinfection. Table 1: Approved Cleaners/Disinfectants Cleaner/Disinfectant Recommended for Routine Cleaning and Disinfection Wex-CideTM Germicidal Deter- Yes gent ready-to-use Virex® II 256 Yes OxyCide® Daily Disinfectant Yes Cleaner Recommended for Disinfection against Clostridium Difficile (C.Diff ) No No Yes Maintain Wetness (Disinfection Contact Time) 10 minutes 10 minutes 3 minutes Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 127 Cleaning and Disinfecting Cleaner/Disinfectant Recommended for Routine Cleaning and Disinfection Recommended for Disinfection against Clostridium Difficile (C.Diff ) Maintain Wetness (Disinfection Contact Time) Clorox HealthCare® Bleach No* Yes Germicidal Cleaner ready-to- use Clorox HealthCare® Bleach No* Yes Germicidal Wipes Oxivir® TB (FRAME ONLY) Yes No 3 minutes 3 minutes 10 minutes *Bleach is not recommended as the primary cleaner/disinfectant. Remove any disinfectant residue prior to and after the use of bleach with a new or clean cloth/wipe soaked in tap water. When you perform the detailed cleaning steps, please note the following: · A microfiber cloth or the Clorox HealthCare® Bleach Germicidal Wipe is recommended as the wiping cloth. · Always replace the wiping cloth when visibly soiled. · Always replace the wiping cloth between steps (spot clean, clean, and disinfect). · Always use Personal Protective Equipment (PPE). · Adjust the bed position, siderails, headboard, and footboard as needed for ease of cleaning and disinfection. Prepare the Bed for Cleaning and Disinfecting a. Fully extend the foot section. b. Unplug the bed. STEP 1: Cleaning a. As necessary, first remove visible soil from the bed and the mattress using a wiping cloth soaked with an approved cleaner/disinfectant (see "Table 1: Approved Cleaners/Disinfectants" on page 127). · Give special attention to seams and other areas where soil may accumulate. · A soft bristle brush may be used to loosen hardened soil. · Use as many wiping cloths as needed to remove the soil. NOTE: If desired, the Centrella® max mattress cover may be removed and laundered to remove visible soil. See "Laundry Guidelines" on page 131. It is important to remove all visible soil from all areas before continuing to remove non-visible soil. 128 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Cleaning and Disinfecting b. With a new wiping cloth soaked in an approved cleaner/disinfectant, use firm pressure to wipe all surfaces of the bed and mattress (including laundered covers). Use a new or clean wiping cloth as often as necessary. Make sure the following items are cleaned: · Siderails and under the GCI · USB charging port · Headboard and footboard · Areas between the footboard and mattress, headboard and mattress, and siderails and mattress · Upper frame · Base frame · Power cord · Patient pendant (handheld remote) and pendant cord · Accessories (See "Accessories" on page 118.) · Experience Pod® Device Clean the entire Experience Pod® Device. Give special attention to the areas indicated in the picture below. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 129 Cleaning and Disinfecting · Mattress - top and bottom · X-ray cassette sleeve Clean the inside of the x-ray cassette sleeve. Give special attention to the area indicated in the picture below. · To raise the mattress to clean underneath, find the mattress retention knobs on the underside of the mattress, and slide the knobs to the center of bed. Clean the "bladder fold" area indicated in the picture below (Centrella® max mattress). Clean the sensor and cord for the HR and RR Monitoring System. Clean the interface connector assembly and the mattress sleeve area indicated in the picture below (Centrella® max mattress). Do not disconnect the connector. 130 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) NOTE: Clean the folds of the mattress sleeve. Cleaning and Disinfecting c. Examine the following for damage: · Top mattress cover · Bottom mattress cover and white attachment knobs · Zipper closure d. The damaged items should be replaced. STEP 2: Disinfection a. With a new or clean wiping cloth soaked in an approved cleaner/disinfectant, use light pressure to wipe all exterior surfaces of the bed previously cleaned. b. Make sure all surfaces remain wet with the cleaner/disinfectant for the specified contact time. Re-wet surfaces with a new wiping cloth as necessary. See "Table 1: Approved Cleaners/Disinfectants" on page 127 for the contact time. NOTE: If bleach is used with another cleaner/disinfectant, use a new or clean cloth/wipe soaked in tap water to remove any disinfectant residue prior to and after the bleach application. Prepare the Bed for Use a. Connect the mattress retention knobs at the head and foot ends of the mattress. b. Plug the bed into an applicable power outlet. LAUNDRY GUIDELINES Laundry can be used as a pre-cleaning step for the Centrella® max top mattress cover. Launder the cover, then follow the Cleaning and Disinfection instructions. NOTES: · The Centrella® pro or core mattress covers can not be laundered. · Do not use bleach. Machine wash the top cover as follows: a. Unzip and remove the top cover from the mattress. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 131 Preventive Maintenance NOTE: The zipper tabs are located on the left side at the head end of the mattress. b. Machine wash the top cover per your facility protocol. The cover can be washed at a maximum water temperature of 54°C (130°F). · Use a disinfectant as instructed in the manufacturer's instructions. · To determine the amount of disinfectant to use, determine the amount of water in the washer, and follow the manufacturer's dilution instructions. · During the wash cycle, soak the top cover in the disinfectant. · Let the top cover rinse thoroughly in clean water. c. Use the lowest temperature setting of the dryer to dry the top cover; do not exceed 43°C (110°F). d. Follow the Cleaning and Disinfecting instructions. See "Cleaning and Disinfecting" on page 126. For rental beds, Hill-Rom Service personnel will follow the Laundry Wash and Dry Procedure (QS02040). PREVENTIVE MAINTENANCE WARNING: Warning--Only facility-authorized persons should service the Centrella® Smart+ Bed. Service done by unauthorized persons could cause injury or equipment damage. The Centrella® Smart+ Bed requires an effective maintenance program. We recommend that you do annual preventive maintenance (PM) for Joint Commission certification. PM not only meets Joint Commission requirements but can help make sure of a long, operative life for the Centrella® Smart+ Bed. PM will help minimize downtime due to excess wear. For a preventive maintenance schedule, refer to the Centrella® Smart+ Bed Service Manual (193588). If the bed has the pro+ non-integrated mattress (P7924A), see the pro+ Mattress Service Manual (209197) for the mattress preventative maintenance. For service and/or technical information other than that specified in this manual, including fuse replacement, circuit diagrams, and isolation of AC power, refer to the Centrella® Smart+ Bed Service Manual (193588). 132 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Preventive Maintenance Do annual preventive maintenance procedures to make sure the Centrella® Smart+ Bed operates as originally designed. The procedures include examinations of these: · Overall condition · Siderails · Controls and motors · Battery Backup · Brakes and casters · Scale system · Head angle display · Communication system · Transport system · Transport system batteries · Mattress · Accessories BATTERIES The expected life of the batteries is 3 years. Refer to the Centrella® Smart+ Bed Service Manual (193588) for battery replacement procedures. Bed Frame Replace the batteries if any of these conditions occur: · The battery indicator does not come on within 3 minutes of the bed being connected to AC power. · The battery indicator does not stop flashing (low condition) within 12 hours of the bed being connected to AC power. IntelliDrive® Transport System Contact your facility-authorized maintenance person or Hill-Rom Technical Support if any of the conditions below occur with the transport system. The batteries will need to be replaced. · The transport system automatically shuts down power before the final battery charge indicator flashes. · Successive transports of 4 hours or less cause the batteries to run critically low as indicated by a flashing battery indicator and a triple beep every two minutes. After the batteries are replaced, charge them for a minimum of 20 hours before use. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 133 Decommissioning and Disposal Instructions DECOMMISSIONING AND DISPOSAL INSTRUCTIONS Customers should adhere to all federal, state, regional, and/or local laws and regulations as it pertains to the safe disposal of medical devices and accessories. If in doubt, the user of the device shall first contact Hill-Rom Technical Support for guidance on safe disposal protocols. · In order to ensure the safe handling and disposal of this product, follow all relevant warnings provided in the service manual regarding possible causes of injury when decommissioning a bed. Always make sure that the bed is unplugged before decommissioning. · The bed and its accessories should be cleaned and disinfected, as described in the instructions for use, before any other decommissioning activities. · If the decommissioned bed or accessory is still fit for use, Hill-Rom recommends donating the decommissioned bed and accessories to a charitable organization so that they can be reused. · If the decommissioned bed or accessory is not fit for use, Hill-Rom recommends dismantling the bed in accordance with the instructions provided in the service manual. Hill-Rom recommends that all oil and hydraulic fluids are removed from the product before recycling or disposal, if applicable. · Always check and comply with all local and national regulations and facility protocols when decommissioning a product. Batteries should be recycled. Never dispose of batteries which contain substances that can be dangerous for the environment and health. Other components, such as electronic components, plastics and metals, are recyclable in many local jurisdictions. Hill-Rom recommends recycling all components that can be recycled locally. Components which cannot be recycled can be disposed of via standard waste disposal procedures. SERVICE CALLS WARNING: Warning--Only facility-authorized persons or Hill-Rom service technicians should service the bed. Service done by unauthorized persons could cause injury or equipment damage. When you call Hill-Rom about your unit, be prepared to give the serial number from the product identification label. You will find the serial numbers in these locations: · Bed--as shown in the illustration · Mattress--top cover 134 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Troubleshooting TROUBLESHOOTING WARNING: Warning--Only facility-authorized persons should service the bed. Service done by unauthorized persons could cause injury or equipment damage. POWER LOSS A power loss can occur under these conditions: · The bed power cord has been unplugged from the AC power outlet. · A power outage has occurred. · A bed fuse has blown. During a power loss, the bed can operate on battery backup. See "Battery Charging Indicators and Battery Backup" on page 14. When power is restored, the bed will resume operation at its previous state. NOTES: · To make sure the On Battery Backup indicator operates correctly, do as follows: 1. Unplug the bed, and make sure that the touchscreen shows "On Battery Backup". 2. Plug the bed in, and make sure that the touchscreen no longer shows "On Battery Backup". · The screen will dim after 10 seconds and then go off after 30 seconds of no activity. THE BED DOES NOT LOWER Make sure of these: · The bed is plugged into AC power or the battery is active. · The Bed Down control is not locked out. · There is nothing between the upper and the base frames. · There is nothing between the Obstacle Detect® sensors on the base frame. · The base covers with Obstacle Detect® sensors are installed correctly. · The bed is not adjacent to a device that can cause electromagnetic (EM) interference with the Obstacle Detect® System. See "Obstacle Detect® System" on page 35. SPECIFICATIONS Model P7900 P7920 P7921 P7922 Model Identification Description Centrella® Smart+ Bed Centrella® core mattress Centrella® pro mattress Centrella® max mattress Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 135 Specifications Model Description P7923 P7924 P200898 P00697905 Centrella® pro+ mattress (integrated) Centrella® pro+ mattress (non-integrated) HR/RR Monitoring Systema WatchCare® reader and antennas a. Beds with the HR/RR Monitoring System are equipped with a sensor under the mattress on the head section. Bed Specifications Feature Dimension Overall widtha 40" (101.6 cm) or 43" (109.22 cm) Overall length with foot extensiona Maximum (foot section extended) 98.7" (251 cm) Minimum (foot section retracted) 86.7" (220 cm) Bed Heightb Maximum 32.5" (83 cm) Minimum 14.5" (37 cm) Caster Size 5" (13 cm) Total Weight (includes the Safe Working Load) 550 kg (1213 lb) Head Section Inclination 0° to 65° Thigh Section Inclination 0° to 25° Foot section Inclination 0° to 25° Trendelenburg Position (maximum) 15° Reverse Trendelenburg Position (maximum) 15° Safe Working Load--includes patient weight, mattress, and accessories 295 kg (650 lb) Patient weight range 32 kg to 227 kg (70 lb to 500 lb) a. Measured from the outermost points (bumpers). b. Measured from the top of the seat section outer edge to the floor. Environmental Conditions for Use Condition Temperature Relative humidity Pressure Range 41°F to 95°F (5°C to 35°C) 20% to 85% 70 kPa to 106 kPa Environmental Conditions for Transport and Storage Condition Temperature Relative humidity Pressure Range -20°F to 140°F (-29°C to 60°C) 15% to 90% 50 kPa to 106 kPa 136 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Specifications AC/Mains Power Requirements Condition Rated voltage Input current rating Frequency Range 100-240 V AC 10 A 50-60 Hz Auxiliary Outlet Power Specifications Fuse Receptacle Type 10 A outlet, electrically isolated from the bed's mains power (120 V) There are no user accessible fuses. Refer to the Centrella® Smart+ Bed Service Manual (193588) for fuse ratings and replacement procedures. Applied Parts (in accordance with IEC 60601-1) Applied parts Siderail Footboard Sleep deck Applied parts Headboard Patient pendant Mattress Bed Classification and Standards Classification Standard Technical and quality assurance standards AAMI ES 60601-1 IEC 60601-1 IEC 60601-2-52 IEC 60601-2-49 IEC 60601-1-8 (for beds with HR and RR Monitoring Systema) CAN/CSA-C22.2 No. 60601-1 ISO13485 Equipment classification per EN 60601-1 Class 1 Degree of protection against electric shock Type B Degree of protection against ingress of water IPX4 Degree of protection against the presence of flammable anesthetic mixtures Not for use with flammable anesthetics Mode of operation Non-continuous: 2 min on / 18 min off duty cycle Sound level <65 dBA Application environments Application Environment 1,2,3, and 5 per EN 60601-2-52 a. The IEC 60601-1-8 standard only applies to the Heart and Respiration Rate Monitoring System powered by EarlySense. Flammability Codes--United States and Canada All recommended mattresses meet the applicable United States and Canadian flammability specifications (see the product's law label). Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 137 Specifications Electromagnetic Compatibility Guidance CAUTION: This device meets all requirements for electromagnetic compatibility per IEC 60601-1-2. It is unlikely that the user will encounter problems with this device because of inadequate electromagnetic immunity. However, electromagnetic immunity is always relative, and standards are based on anticipated environments of use. If the user observes unusual device behavior, particularly if such behavior is intermittent and associated with nearby use of radio or TV transmitters, cell phones, security systems (e.g. electromagnetic anti-theft systems, and metal detectors), radio-frequency identification (RFID) readers, near-field communications (NFC) systems, wireless power transfer (WPT) or electrosurgical equipment (e.g. diathermy and electrocautery), this could be an indication of electromagneticinterference. If such behavior occurs, the user should try to move the interfering equipment further from this device. WARNING: Warning--Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 30 cm (12 inches) to any part of the Heart and Respiration Rate Monitoring System powered by EarlySense, including cables specified by Hill-Rom. Otherwise, degradation of the performance of this equipment could result. The P7900 and HR and RR Monitoring System-- · Warning--The system should not be used adjacent to or stacked with other electrical equipment. · Warning--Observe to make sure that the system and the stacked equipment operate as intended, if adjacent or stacked use in necessary. · Warning--Observe to make sure the system operates properly when used near portable and mobile radio frequency (RF) communications equipment, as these can affect electrical equipment. · Warning--Use of accessories, transducers, and cables other than those specified or provided by the manufacturer of this equipment could result in increased electromagnetic emissions or decreased electromagnetic immunity of this equipment and result in improper operation. See the Centrella® Bed Service Manual (193588) for compatible component part numbers. Medical equipment needs special precautions in regard to electromagnetic compatibility (EMC) and needs to be installed and put into service according to the EMC information supplied in the tables that follow. Guidance and Manufacturer's Declaration--Electromagnetic Emissions The P7900 and HR and RR Monitoring System are intended for use in the electromagnetic environment specified below. The customer or the user should make sure they are used in such an environment. Emissions Test Compliance Electromagnetic Environment--Guidance RF emissions CISPR 11 RF Emissions CISPR 11 Harmonic Emissions IEC 61000-3-2 Voltage Fluctuations/ Flicker Emissions IEC 61000-3-3 Group 1 Class A Class A Complies The P7900 uses RF energy only for its internal functions. Therefore, its RF emissions are low and are not likely to cause any interference in nearby electronic equipment. The P7900 is suitable for use in all establishments other than domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes. 138 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Specifications Electromagnetic Immunity Guidance Guidance and Manufacturer's Declaration - Electromagnetic Immunity The P7900 and HR and RR Monitoring System are intended for use in the electromagnetic environment specified below. The customer or the user should make sure they are used in such an environment. Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment--Guidance Electrostatic Discharge (ESD) IEC 61000-4-2 Electrical Fast Transient/Burst IEC 61000-4-4 Surge IEC 61000-4-5 Voltage Dips IEC 61000-4-11 ± 8 kV Contact ± 2 kV, ± 4 kV, ± 8 kV, and ± 15 kV Air ± 2 kV (100 kHz repetition frequency) for Power Supply Lines ± 1 kV Line(s) to Line(s) ± 2 kV Line(s) to Ground 0% UT: 0.5 cycle At 0°, 45°, 90°, 135°, 180°, 225°, 270°, and 315° 0% UT: 1cycle 70% UT: 25/30 cycles Single phase: at 0° (see note) ± 8 kV Contact ± 2 kV, ± 4 kV, ± 8 kV, and ± 15 kV Air ± 2 kV (100 kHz repetition frequency) for Power Supply Lines ± 1 kV Line(s) to Line(s) ± 2 kV Line(s) to Earth 0% UT: 0.5 cycle At 0°, 45°, 90°, 135°, 180°, 225°, 270°, and 315° 0% UT: 1cycle 70% UT: 30 cycles Single phase: at 0° (see note) The relative humidity should be at least 5%. Mains power quality should be that of a typical hospital environment. Mains power quality should be that of a typical hospital environment. Mains power quality should be of a typical hospital environment. If the user of the P7900 requires continued operation during power mains interruption, it is recommended that the P7900 be powered from an uninterruptible power supply. Voltage interruption IEC 61000-4-11 Power Frequency Magnetic Fields IEC 61000-4-8 0% UT: 250/300 cycles 30 A/m 60 Hz 0% UT: 300 cycles 30 A/m 60 Hz Note: UT is the AC mains voltage prior to application of the test level. Power frequency magnetic fields should be at levels characteristic of a typical location in a typical hospital environment. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 139 Specifications Electromagnetic Immunity Guidance Guidance and Manufacturer's Declaration - Electromagnetic Immunity The P7900 and HR and RR Monitoring System are intended for use in the electromagnetic environment specified below. The customer or the user should make sure they are used in such an environment. Immunity Test IEC 60601-1-2 Compliance Test Level Level Electromagnetic Environment--Guidance Conducted RF IEC 61000-4-6 Radiated RF IEC 61000-43 3 V 0.15 MHz - 80 MHz 6 V in ISM bands between 0.15 MHz and 80 MHz 80% AM at 1 kHz rms 150 kHz to 80 MHz 3 V/m 80 MHz to 2.7 GHz 80% AM at 1 kHz 3 V 0.15 MHz 80 MHz 6 V in ISM bands between 0.15 MHz and 80 MHz 80% AM at 1 kHz rms 150 kHz to 80 MHz 10 V/m 80 MHz to 2.7 GHz 80% AM at 1 kHz Field strengths from fixed RF transmitters, as determined by an electromagnetic site surveya, should be less than the compliance level in each frequency range. Interference may occur in the vicinity of equipment marked with this symbol. Note: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. a. Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast can not be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the P7900 is used exceeds the applicable RF compliance level above, the P7900 should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the P7900. 140 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Specifications IMMUNITY to Proximity Fields from Radio Frequency Wireless Communications Equipment In addition to the Radiated RF IEC 61000-4-3 as shown in the table above, the P7900 and HR and RR Monitoring System have been tested as specified in the table below. Test Frequency (MHz) Band (MHz) Service Modulation Maximum Power (W) Distance (m) Immunity Test Level (V/m) 385 380-390 TETRA 400 Pulse 1,8 0,3 27 modulation 18 Hz 450 430-470 GMRS 460, FM + 5 kHz devi- 2 0,3 28 FRS460 ation 1 kHz sine 710 704-787 LTE Band 13, 17 Pulse 0,2 0,3 9 745 modulation 217 Hz 780 810 800-960 GSM 800/900 Pulse 2 0,3 28 870 TETRA 800, iDEN 820, modulation 18 Hz 930 CDMA 850, LTE Band 5 1720 1700-1990 GSM 1800; Pulse 2 0,3 28 1845 CDMA 1900; GSM 1900; modulation 217 Hz 1970 DECT; LTE Band 1,3, 4, 25; UMTS 2450 2400-2570 Bluetooth® Pulse 2 0,3 28 WLAN, 802.11 modulation 217 b/g/n, RFID Hz 5240 5100-5800 WLAN Pulse 0,2 0,3 9 5500 5785 802.11 a/n modulation 217 Hz Recommended Separation Distances between Portable and Mobile RF Communications Equipment and the P7900 Model and HR and RR Monitoring System The P7900 and HR and RR Monitoring System are intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the P7900 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the P7900 as recommended below, according to the maximum output power of the communications equipment. Rated maximum output power of transmitter, W Separation distance according to frequency of transmitter, m 150 kHz to 80 MHz d = 1.2 P 80 MHz to 800 MHz d = 1.2 P 800 MHz to 2.5 GHz d = 2.33 P 0.01 0.12 0.12 0.23 0.1 0.38 0.38 0.73 1 1.2 1.2 2.3 10 3.8 3.8 7.3 100 12 12 23 For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 141 Specifications General Wireless Recommendations The following are general best practice recommendations for establishing durable wireless connections between the Hillrom Radio and the customer's wireless network: Received Signal Strength Indication (RSSI) Signal to Noise Ratio (SNR) Jitter DTIM SSID/WLAN Settings Spanning Tree Protocol (STP) Ports Open Hillrom highly recommends a primary RSSI Value of better than or equal to -67dBm and a secondary wireless signal of -70dBm or better over the coverage area. For proper Tx/Rx balance, RSSI readings should apply when APs are transmitting at 25mW or less. The device radio transmits on average up to 25mW power, limited by Regulatory Domain restrictions. The AP signal strength and radio signal strength must be balanced, if not, dropped packets and loss of connectivity can result. 15dB. High noise level may cause dropped packets. Packet-to-Packet jitter should be 400ms. Set DTIM value to 1 (Wireless Controller default) for best performance. · Enable Session Timeout = Disabled · Client Load Balancing = Disabled · Client Band Select = Disabled STP should be disabled for the Hillrom specific wireless VLAN/SSI. · Smart Sync · Smart Device Connectivity Gateway Wireless Connectivity Specifications The Wireless Connectivity module supports these security protocols: Standards · Wired Equivalent Privacy (WEP) · Wireless Protected Access (WPA) · IEEE 802.11i (WPA2) Encryption The Wireless Connectivity module supports these encryption protocols: · Wired Equivalent Privacy (WEP, RC4 Algorithm) · Temporal Key Integrity Protocol (TKIP, RC4 Algorithm) · Advanced Encryption Standard (AES, Rijndael Algorithm) · Encryption Key Provisioning Static (40-bit and 128-bit lengths) · Pre-Shared (PSK) · Dynamic 802.1X · Encryption Options · Off · On · Auto · PSK 142 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Specifications · WPA-TKIP · WPA2-PSK · WPA2-AES · CCKM-TKIP · CCKM-AES · WPA-PSK-AES · WPA-AES Extensible Authentication Protocol Types (EAP Types) · EAP-FAST · PEAP-MSCHAP · PEAP-MSCHAPv2 · EAP-TLS · PEAP-TLS · EAP-TTLS · LEAP · PEAP-GTC NOTE: The current firmware for the Centrella® Smart+ Beds WiFi interface does not support 802.11r fast transition authentication key management (AKM)--fast transition-pre-shared key (FT-PSK) or 802.1x-FT. Cisco/Meraki wireless local area networks (WLANs) on which Centrella® Smart+ Beds will be connected that use 802.11r must have their AKM modified to Fast Transition: Adaptive. For other WiFi vendors, please refer to their documentation for adaptive, fast transition AKM strategies. Wireless System Characteristics Characteristic Frequency Band--2.4 GHz Frequency Band--5GHz Modulation Network Standards Data Rates Supported Description FCC: 2.4 GHz to 2.483 GHz ETSI: 2.4 GHz to 2.483 GHz MIC: 2.4 GHzto 2.495 GHz KC: 2.4 GHz to 2.483 GHz FCC: 5.15 GHz to 5.35 GHz, 5.725 GHz to 5.825 GHz ETSI: 5.15 GHz to 5.35 GHz, 5.47 GHz to 5.725 GHz MIC: 5.15 GHz to 5.35 GHz, 5.47 GHz to 5.725 GHz (W56) KC: 5.15 GHz to 5.25 GHz, 5.725 GHz to 5.825 GHz BPSK @ 1, 6, 6.5, 7.2, and 9 Mbps QPSK @ 2, 12, 13, 14.4, 18, 19.5, and 21.7 Mbps CCK @ 5.5 and 11Mbps 16-QAM @ 24, 26, 28.9, 36, 39, and 43.3 Mbps 64-QAM @ 48, 52, 54, 57.8, 58.5, 65, and 72.2 Mbps IEEE 802.11a, 802.11b, 802.11d, 802.11e, 802.11g, 802.11h, 802.11i, 802.11n 802.11a (OFDM): 6, 9, 12, 18, 24, 36, 48, 54 Mbps 802.11b (DSSS, CCK): 1, 2, 5.5, 11 Mbps 80211g (OFDM): 6, 9, 12, 18, 24, 36, 48, 54 Mbps 802.11n (OFDM, HT20, MCS 0-7): 6.5, 13, 19.5, 26, 39, 52, 58.5, 72.2 Mbps and 7.2, 14.4, 21.7, 28.9, 43.3, 57.8, 65 Mbps Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 143 Specifications Characteristic Transmit Power Settings Description 802.11a: 6 Mbps 15 dBm, 54 Mbps 13 dBm (PER - 10%) 802.11b: 1 Mbps 16 dBm, 11 Mbps 16 dBm (PER - 10%) 802.11g: 6 Mbps 16 dBm, 54 Mbps 14 dBm (PER - 10%) 802.11n (2.4 GHz): MCS0 Mbps 16 dBmMCS7 Mbps 12 dBm 80211n (5 GHz): MCS0 Mbps 15 dBm, MCS7 Mbps 12 dBm Bluetooth®: 2 dBm (1.58 mW) (Class 2) WiFi and Bluetooth® Radio Approval Variscite Module--VS10R5MN5- Texas Instruments Module-- MAEDCL1B WL18 MODGI FCC ID: Z64-WL18DBMOD IC ID: 4511-WL18DBMOD Regulatory Information Changes and/or modifications not expressly approved by Hill-Rom Co., Inc. could void the user's authority to operate the equipment. The module must be installed and used in accordance with the Hill-Rom user and installation instructions. Hill-Rom is not responsible for any radio or television interference caused by unauthorized modification of the devices included with the HillromTM module, or the substitution or attachment of connection cables and equipment other than that specified by Hill-Rom Co., Inc. The correction of interference caused by such unauthorized modification, substitution, or attachment is the responsibility of the user. Hill-Rom is not liable for any damage or violation of government regulations that may arise from the user failing to comply with these requirements. USA--Federal Communications Commission (FCC) Radiation Exposure Statement The radiated output power of the module is below the FCC radio frequency exposure limits. The module must be used in such a manner that the potential for human contact during normal operation is minimized. To avoid the possibility to exceed the FCC radio frequency exposure limits, you should keep a distance of at least 8" (20 cm) between you (or any other person in the vicinity) and the antenna that is built into the wireless module. Interference Statement for FCC NOTE: "Harmful interference" is defined by the FCC as follows: Any emission, radiation or induction that endangers the functioning of a radio navigation service or of other safety services or seriously degrades, obstructs, or repeatedly interrupts a radiocommunications service operating in accordance with FCC rules. These devices comply with Part 15 of the FCC Rules. Operation of the devices is subject to these two conditions: (1) the devices may not cause harmful interference, and (2) the devices must accept any interference that may cause unwanted operation. 144 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) Specifications This equipment has been tested and found to comply with the limits for a Class A digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to supply reasonable protection against harmful interference in a residential installation. This equipment generates, uses, and can radiate radio frequency energy. If the equipment is not installed and used in accordance with the instructions, the equipment may cause harmful interference to radio communications. There is no guarantee, however, that such interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception (which can be determined by turning the equipment off and on), the user is encouraged to take one of these measures to try to correct the interference: · Move this device. · Increase the separation between the device and the receiver. · Connect the device to an outlet on a circuit different from that of other electronics. · Consult the dealer or an experienced radio technician for help. NOTE: The module must be installed and used in strict accordance with the manufacturer's instructions as described in the user documentation that comes with the product. Any other installation or use will violate FCC Part 15 regulations. Modifications not expressly approved by Hill-Rom could void your authority to operate the equipment. The module must not be co-located or operated in conjunction with any other antenna or transmitter. Canada--Industry Canada (IC) RF Radiation Hazard Warning This device complies with RS-247 of Industry Canada. Operation is subject to these two conditions: (1) this device may not cause interference, and (2) this device must accept any interference, which include interference that may cause unwanted operation of this device. The term "IC" before the equipment certification number only signifies that the Industry Canada technical specifications were met. To prevent radio interference to the licensed service, this device is intended to be operated indoors and away from windows to provide maximum shielding. Equipment (or its transmit antenna) that is installed outdoors is subject to licensing. CAUTION: Exposure to Radio Frequency Radiation. The installer of this radio equipment must make sure the antenna is located or pointed such that it does not emit an RF field in excess of Health Canada limits for the general population; consult Safety Code 6, obtainable from Health Canada's website http://www.hc-sc.gc.ca/rpb. Using higher gain antennas and types of antennas not certified for use with this product is not allowed. The device shall not be co-located with another transmitter. Centrella® Smart+ Bed Instructions for Use (193587 REV 11) 145 Department Identification Label Placement DEPARTMENT IDENTIFICATION LABEL PLACEMENT There are two places to place a department identification label, see below: 146 Centrella® Smart+ Bed Instructions for Use (193587 REV 11) iAcrobat Distiller 21.0 (Windows)