en Um
en Um
194412 EN
*194412* Rev.13
PROPRIETARY AND CONFIDENTIAL DRAFT: décembre 09, 2022
Hill-Rom S.A.S.
Z.I. du Talhouët
56330 PLUVIGNER - FRANCE
Tel: + 33 (0)2 97 50 92 12
hillrom.com
Edition 13: December 2022
First printing 2017
The information contained in this manual is confidential and may not be reproduced
or divulged in any form or by any means without the prior written permission of Hill-
Rom.
The product images and labels are provided for information only. The actual product
and labels may differ.
Baxter, Accella, AutoContour, AccuMax Quantum, Boost, ClinActiv, Duo, Golvo,
Graphical Caregiver Interface (GCI), Hillrom, Hill-Rom, Hill-Rom, LowBase, MCM,
Navicare, Primo, Sabina, SmartCare, SmartSync et Viking are trademarks of Baxter
International Inc. or its subsidiaries.
FUSION Hybrid is a registered trademark of Talley Group Limited.
Hill-Rom reserves the right to make changes to the design, characteristics and
models without prior notice. The only warranty Hill-Rom makes is the express written
warranty extended on the sale or rental of its products.
To order copies of this Instructions for Use, contact your national Hill-Rom
representative go to hillrom.com and order the article with the part number 194412.
Patient safety
Before placing the patient on the bed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Accessories and peripheral equipments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Mattress** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Recommended traction frame . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Recommended accessories** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Recommended additional parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Recommended patient lifts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Trendelenburg/Reverse Trendelenburg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Maintenance
Chair position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Place sleep surface flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Bed exit aid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
specifications
Introduction,
Telescopic IV pole (AD298A-AD299A)** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Linen holder* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Drainage bag holder pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Oxygen cylinder holder (AC959A-AD101A-AD102A)** . . . . . . . . . . . . . . . . . . . . . . . 73
Monitor stand (AD244B)**. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Syringe-driver holder (AC963A)** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Patient safety
Servicing the bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Safety recommendations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Preventive maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
End-of-life equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Decontaminating / servicing the combined Accella Therapy mattress* . . . . . . . . . . . 92
Appendix
194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page iii
Page iv 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use
Introduction, specifications
specifications
Introduction,
The structure of the Instructions for Use
INSTALLATION
MOVEMENT MOBILIZATION
PATIENT
CAREGIVER
For every type of use, Hillrom beds provide patients with optimal comfort and greater
independence for a feeling of well-being that is conducive to a swift recovery. They are
also easy to use for caregivers.
Symbol Description
Warning
• This symbol indicates that the failure to follow the
associated recommendation can put the patient or the
user in danger, or damage the equipment.
Caution
• This symbol indicates that the failure to follow the
associated recommendation can result in damage to
the equipment.
Tip
Risk of falling
Intended Use
The Hill-Rom 900 Accella LI900B4 medical beds, with CPR, are intended for intensive
(the CPR function remains operational in the event of an electric power outage), acute
and ambulatory care for adult patients (EN60601-2-52 application environments 1, 2
and 5). The design benefits are the application of the advanced techniques used in
specialized units, with the needs of the whole medical team in mind, and facilitate the
use of monitoring equipment and the transfer of patients to examination wards.
Contraindications
• children (aged less than 12 or under 1.46 m tall),
• persons over 1.85 m tall,
• persons with BMI below 17,
• persons weighing less than 40 kg,
Intended Users
The Hill-Rom 900 Accella beds are designed to be used by Qualified Staff. Patients and
Visitors can also use the Hill-Rom 900 Accellamedical beds depending on authorization
given by Qualified Staff.
First use
Before using the bed, it is essential to have a thorough understanding of this
Instructions for Use. This Instructions for Use contains instructions for general use and
maintenance and guarantees improved safety. Caregivers must have access to this
Instructions for Use.
Training can be provided on demand.
Caregivers must be informed of the risks that may be encountered in the use of electric
beds.
The many sources and types of accessories, hardware, or medical devices that may be
used together with this bed do not enable Hill-Rom to guarantee both the safety and
conformity of all the combinations thus created. The operator who creates these device
combinations must therefore ensure that security and conformity requirements are met.
Use of accessories, transducers and cables other than those specified or provided
by Hill-Rom could result in increased electromagnetic emissions or decreased
electromagnetic immunity of this equipment and result in improper operation.
Waste packaging (plastic, cardboard, metal, wood, etc.) must follow suitable recovery
circuits with a view to being recycled.
specifications
Introduction,
out of storage:
• ensure that the bed and its various parts are at room temperature.
• only connect the bed to a mains electric power supply with earth protection (see
“Electrical safety” page 7),
• the power plug must be accessible to disconnect the bed,
• wait 12 hours until the battery is fully charged before using the bed without the
mains power supply,
• make sure that all the moving parts are in good working order,
• check the time and language settings,
• make sure that the bed has been cleaned and disinfected (see “Decontaminating
the bed” page 85).
Risk prevention
General recommendations
In general:
• check that nothing (e.g. objects, accessories, power cable, maintenance
cable or nurse call cable) or any persons (e.g. children, limbs) will interfere
with the movement of the mobile parts of the bed before actuating them.
An intermittent beep sounds when one of the bed’s movements is hindered.
• during a movement or combination of movements of a mobile part of the
bed (eg, backrest, sleep surface, siderail), be vigilant (for oneself, the
patient or any other person) on the risks of pinching or crushing between
moving parts or with a fixed part.
• always check (e.g. to and fro movements) that the various locking
mechanisms are in good working order (e.g. siderails, extensions, brakes).
• sufficiently qualified nursing staff determines the usage condition suitable
for the various functions and the degree of supervision to ensure that the
patient uses the bed safely.
Never modify the bed without Hill-Rom's prior written consent. Alterations could
result in injury to the patient or damage to the bed.
Only use manufacturer's parts and accessories.
specifications
Introduction,
incurred by their use.
Other mattresses may be used, but the manufacturer must always be consulted to
make sure that the bed/mattress/siderail combination does not affect the bed's
performance, its suitability for use or its safety characteristics.
If the bed is fitted with an electrically powered air mattress, the power cord must be
routed so as to prevent it from being cut by the moving parts of the bed.
Users must check the compatibility of the patient's weight and the accessories
placed on the bed and the mattress system in view of the specifications of the
medical bed and the mattress system.
If the mattress power cord is unplugged, it is advisable to store it on the support
provided by the mattress supplier.
Recommendations for the function lockouts
The electrical function management control prevents any unintended bed movements
that might cause injury to the patient.
It is highly recommended that functional lock out should be used whenever a patient is
undergoing examination or treatment or when the bed is being serviced or moved.
Functions should also be locked out when the patient is left unattended and if the
nursing staff believes that the patient is not capable of operating the controls
independently in safety.
It is thus the responsibility of the nursing staff to authorize the patient to use certain bed
functions, including the HiLow.
The Trendelenburg / Reverse Trendelenburg, Boost*, chair* and CPR* functions must only
be accessible to caregivers.
Electrical safety
When direct intravascular or intracardiac connections are in use, the electric
potentials of all the unprotected metal parts need to be equalized. The bed must be
connected to a mains electric power supply with earth protection.
In an environment where electrostatic discharges are prevalent, we recommend the
use of an antistatic caster.
The mains power supply for the bed must comply with following standards:
• NF C 15-100 and NF C 15-211 (France),
• International Electrotechnical Commission (IEC) 364 for other locations.
Check that the bed’s power requirements on the identification label (see “Overview”
page 13) correspond to the power supply voltage of the hospital.
All the parts of the bed within the patient's reach are applied parts, even if they are under
the bed frame.
If the integrity of the protective conductor is in doubt, the beds fitted with batteries
must be used in battery mode.
In compliance with standards relating to electromagnetic interference for medical
equipment, this product does not interfere with other medical devices or is not
susceptible to interference when combined with other medical devices that also comply
with the electromagnetic standards in force.
Some devices, particularly older ones that do not comply with the electromagnetic
compatibility standards, may however undergo interference or may themselves
interfere with the working of this product.
The users of such devices are responsible for ensuring that any malfunctions will not
endanger the patient or any other person.
If the bed is equipped with a battery, and the bed is stored for long periods of time,
the battery must be charged every 3 months. Failure to do so could result in
damage to the battery.
Technical specifications
Hill-Rom has an ongoing continuous improvement policy. Therefore specifications are
liable to be altered without notice.
L+
L W
28°
65°
-22°
H
B1 B2
S1
b a
Low position (double-band 125 diameter casters) (h) 386 mm
b a
Low position (double band 150 diameter casters) (h) 431 mm
b a
Low position (150 diameter casters) (h) 439 mm
b a
High position (double-band 125 diameter casters) (H) 747 mm
b a
High position (double band 150 diameter casters) (H) 800 mm
b a
High position (150 diameter casters) (H) 808 mm
b a
Chassis clearance (double-band 125 diameter casters) (C) 150 mm
b a
Chassis clearance (double band 150 diameter casters) (C) 195 mm
b a
Chassis clearance (150 diameter casters) (C) 203 mm
c a
Head section incline + 65°
c a
Thigh section incline + 28°
c a
Foot section incline - 3° to -22°
Trendelenburg/Reverse Trendelenburg - 17°/+ 17° a
B F A
Q
G
D
H O
C
J
I
P K
E L
M
Atmospheric pressure
Hygrometry limits
limits
NF ENVIRONMENT
Steam cleaning
compliant bed
Function Symbols
Head section CPR Headboard position
Information page 26
Information page 81
Earth continuity and earth leakage
current
Unweighed support indicator label
specifications
Introduction,
Bilateral HiLow pedal with caregiver mode*
Nurse call
activator
Battery charge
indicator light 45°
Fault indicator light.
Service required
Indicator light
message on GCI.
Night light*(1)
CPR function
Lock control(1)
Pmax / Boost
system
Nurse call
activator
45°
Access to Scale*
Assess the various risks, including but not limited to the following (incomplete list):
Mattress**
For the Hill-Rom 900 Accella bed, Hill-Rom recommends the Hillrom mattresses listed
below, which are compatible with the safety recommendations (see “Risk prevention”
page 5):
Mattress label
1 2
3
To avoid creating entrapment zones, make sure that the mattress is centered and
secured on the sleep surface by the folding clamp at the foot of the bed, with the
adjustable clamps in the L or S position.
Other mattresses may be used, but the manufacturer must always be consulted to
make sure that the bed/mattress/siderail combination does not affect the bed's
performance, its suitability for use or its safety characteristics.
Users must check the compatibility of the patient's weight and the accessories
placed on the bed and the mattress system in view of the specifications of the
medical bed and the mattress system.
For beds made after June 1, 2018, it is imperative to use hard surfaces with clamps
marked (A) to prevent the hard surface from sliding and the adjustable head
section from becoming blocked when lowering.
Using traction frames on beds fitted with a weigh system or a bed exit alerts system may
compromise the accuracy of the weigh system.
Recommended accessories**
When the Viking XL is used with a bed equipped with 125 mm diameter casters*,
when lowering the bed to the low position, make sure that the elevation arms do
not hit the chassis of the patient hoist.
The headboard is fitted with fins that must point towards the sleep surface. If the
headboard is installed in the bed frame the wrong way round, the risk of
entrapment increases.
If the head endboard is removed from the bed frame, the risk of patient
entrapment or falling increases. Similarly, the use of the accessories installed at
the head of the bed (e.g., IV poles, helpers, etc.) can incur risks for the patient.
The headboard can be removed for easier access to the patient’s head.
1 3 4
Caregivers need to assess whether patients can be left unattended with access to
the functions provided.
Control pendant*
The control pendant can be stored on the siderail.
Before using this function, check that no obstacles (e.g., objects, accessories,
power cables) or persons (especially children) are under the sleep surface and that
none of the patient’s limbs protrude beyond the edges of the sleep surface. An
intermittent beep sounds when one of the bed’s movements is hindered.
1 2
The HiLow lock out on the controls built into the half-siderails does not lock out the
HiLow pedal, which remains operational. By default, the pedal is locked to avoid
accidental movement. It is necessary to unlock the HiLow pedal before use.
After about one minute, caregiver mode is deactivated automatically.
Before adjusting the head section, check that there are no obstacles
preventing the section from being lowered or moving (e.g., limbs,
electric cables, foreign bodies or accessories). An intermittent beep sounds when
one of the bed’s movements is hindered.
When the thigh section is fully raised, the foot section is inclined at an angle of
approximately -3° from the sleep surface.
The AutoContour simultaneously raises the head section and the thigh section. This
function prevents patients from slipping.
Trendelenburg/Reverse Trendelenburg
The sleep surface can be titled in two ways:
• Trendelenburg (the head end is lowered),
• Reverse Trendelenburg (foot end in low position).
The complete Trendelenburg function is available at all heights of the sleep surface.
A spirit level on the foot half-siderail can be used to check
that the sleep surface is horizontal.
It is necessary to adjust the sleeping surface height to the patient’s morphology.
Page 32 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use
Mechanical adjustable foot section
The foot section can be placed in four different positions and is held in place by
mechanical notches.
To raise the foot section:
CLICK
Patient helpers**
This accessory must only be fitted at the head of the bed.
Fixed patient helper - AD810A
(1)
Safe working load: 75 kg
Do not position the patient helper at the outside of the bed. See incorrect position
shown below.
The patient helper can be fitted into either of the two square sockets at the head of the
bed.
The patient helper in the patient transfer position is designed to help the patient
lift some of his/her weight so as to assist the nursing staff with their work. This
position is not designed to allow patients to transfer themselves alone. Failure to
do so could result in material damage or injury.
2 3
4
1
4
1
2 3
1 2 3
1. The safe working load specifications for normal use allow for a substantial safety margin.
The patient helper handle must be positioned between lugs A and B to avoid any
danger of slippage.
The patient handle on the patient helper can be adjusted to the patient.
B A
90°
Home screen
Description
Backrest (Head) Active therapeutic Active* Bed exit alerts
angle alert mode MCM*
Home
The bed exit alerts are no longer operational when the bed switches to battery
mode.
NOTE:
If a load weighing more than 9 kg is added or removed, it is necessary to proceed with an
initialization.
Initializing the Bed Exit alerts system
NOTE:
If a load weighing more than 9 kg is added or removed, it is necessary to proceed with an
initialization.
To activate the Bed exit alert detection:
Activating the bed exit detection to a given degree of sensitivity is subject to the
following pre-conditions that guarantee effective patient detection.
Pre-conditions for activation
• The system has been initialized (see “Initializing the Bed Exit alerts system”
page 37).
• The patient is in the center of the bed and aligned with the hip position
markers.
NOTE:
Only one bed exit mode can be activated at a time.
4. The detection activation icon appears on the home screen.
To deactivate the Bed exit alert detection
1. Press Alerts on the GCI.
2. Press Exiting detection active.
3. Yes. This deactivates the bed exit detection.
When an alert sounds
When the bed exit detection is on and it detects an alert
condition, an alert signal sounds, an alert message appears
on the GCI and the night light comes on.
Press the appropriate button to switch off the night
light (see “Night light” page 68).
NOTE:
If the system is unable to reactivate itself after a
given length of time, the Bed exit alert sounds.
Indication of the
stability of the
weight
Date of the last
reset/tare operation
New patient
Before installing a new patient, it is necessary to erase the preceding patient’s data.
1. Press Parameters on the GCI.
2. Press New Patient.
This function deletes the history, deactivates the various alerts and
performs a reset/tare operation.
Hill-Rom recommend to keep the transport chocks. in order to protect the weigh
system, they can be re-used in case of bed transfer to another place or building.
3. Install the mattress, cushions, sheets and blankets, and all other accessories that
must remain on the bed.
The weight of these additional articles must not exceed 65 kg or 45 kg, depending on
the destination of the product and the maximum patient weight (see “Technical
specifications” page 10). No more than 39 kg must be added at a time.
Zero/Tare
1. Press Scale on the GCI.
2. Press Zero/Tare.
3. Follow the instructions.
– If a message appears on the GCI
when resetting, adjust the bed
accordingly.
The weigh system is used to obtain the weight and BMI of the patient. This
information must never be used alone for therapeutic purposes or to monitor the
patient's vital parameters.
1. Make sure that the patient is lying in the
center of the bed.
2. Press Scale on the GCI.
Out of respect for the patient, the display of
the weight disappears after 30 seconds. But it can be displayed permanently (see
“Setting the display/mask patient weight options” page 52).
This information can be sent to the duty nurse by a compatible Wi-Fi system.
Display a weight variance and the patient’s BMI
It is necessary to record the patient’s height in order to monitor the patient’s BMI.
1. Press Weight variance.
Weighed/unweighed parts
The weigh system is very sensitive. The weight reading is more precise if the part of the
bed that is weighed (sleep surface, siderails, footboard – see weighed parts below) does
not come into contact with the fixed part of the bed (headboard, chassis, power supply
cables and tubes of the various possible accessories – see unweighed parts below). Even if
an object is in slight contact with the bed, the value on the screen will be inaccurate. If
necessary, remove the headboard during scale.
The screen shows the zone and the parts of the bed that are included when weighing in
green.
Activate Activate /
ALP mode Deactivate
MCM* mode
Activate
P-max mode
Make sure that the device is correctly installed and attached, well centered on the
The therapeutic modes are no longer operational when the bed switches to battery
mode.
If the bed switches to battery mode when the mattress is in P-Max mode, the latter
remains active permanently. In this case, it is necessary to connect the bed to the
mains power supply to return the mattress to a therapeutic mode. Remaining in
P-Max mode for a lengthy period can result in discomfort for the patient.
MCM*
The microclimate management system is activated automatically when the
Accella Therapy system is switched on. The corresponding control turns
green.
It can be deactivated by pressing MCM.
Transport mode
5. Press Cancel.
Wi-Fi connection
When the bed is connected and located, it sends the data by Wi-Fi.
List of information that can be sent by Wi-Fi
The information retrieved depends on the hospital’s communications system. This list
is subject to change according to the version of the bed.
a. by SmartSync.
b. by Hillrom Digital Health Gateway.
NOTE:
Hill-Rom cannot guarantee the information sent over Wi-Fi. Medical decisions must be
made on the basis of the information and alerts shown on the bed by the built-in
equipment.
NOTE:
If the bed is moved out of the room (battery mode), the Wi-Fi is deactivated and the bed
does not send any more information to the facility’s communications system.
Meaning of the Wi-Fi connection information on the GCI
Wi-Fi OFF
Wi-Fi ON with a weak Wi-Fi signal
Wi-Fi ON with an intermediate Wi-Fi signal
Wi-Fi ON with a strong Wi-Fi signal
Bed located
Bed located and patient identified
If the bed switches to battery mode, it is no longer assigned, but remains paired for
3 minutes (SmartCare) or 1 minute (Hillrom Digital Health Gateway). After this
time, it is necessary to proceed with a new assignment.
NOTE:
The bed is located manually with the Hillrom Digital Health Gateway.
If the Wi-Fi function was not activated on first use of the bed, connection may not be
possible. In this case, contact the supplier of the communications system to solve the
problem.
Features Value
Frequency bands in which the radio equipment operates 2,4 GHz canal 1 to 13
Maximum radio-frequency power transmitted in the <13 dBm
frequency bands in which the radio equipment operates
1. Press Parameters on the GCI.
NaviCare system*
NaviCare is a system used to connect and check Hillrom beds and mattresses. It sends
alerts to caregivers. Refer to the NaviCare system Instructions for Use for more detailed
information about the use of this system.
ON/OFF
Button
Identification
To identify your MCW AD315A model, its serial number SN (XXSEXXXXXX) and its date of
manufacture, refer to the identification label on the back of the module.
This device complies with part 15 on the FCC Rules. operation is subject to the
following two condition: (1) This device may not cause harmful interference, and (2)
this device must accept any interference received, including interference that may
cause undesired operation.
The Wi-Fi system does not replace the visual and audible alerts generated by the
bed. Caregivers should use these local alerts and bed information to make a
decision.
Stopping the WCM
1. Press ON/OFF button.
2. The ON/OFF light is red and the other lights are off.
ON/ Patient ID
OFF status
button
ON/OFF
Bed-locating procedure
Check that the “manual location” mode is active (see “Setting the Wi-Fi options” page
52). Only applies to the Hillrom Digital Health Gateway.
If the architecture by floors used to record the location of the beds is modified to
the extent that the room numbers are changed, then the beds linked to rooms will
no longer be located. In this case, a new locating procedure is necessary.
1. The Wi-Fi is not active:
a. Press the button to switch on the Wi-Fi connection.
b. The Wi-Fi connection is activated. , Wait for the connection with
the server.
Communication cable
Siderails
The Hill-Rom 900 Accella Lit is fitted with built-in half-siderails.
Always ensure that there are no obstacles (patient's limb, objects, accessories, etc.)
before raising, lowering folding or unfolding a siderail. They are not designed to
restrain or immobilize the patient. Restraining straps or other devices must not be
fastened to the siderails.
Evaluate patients for entrapment risk according to protocol, and monitor patients
appropriately. Ensure that all siderails are fully latched when in the raised
position.
Siderails are intended to show patients where the edges of the bed are. They are not
patient-restraining devices. When appropriate, Hill-Rom recommends that medical
personnel determine the proper methods necessary to ensure a patient remains safely in
bed without being constantly observed.
Patient safety
Do not place accessories (respiratory or other medical devices) on the siderail in a
manner that could prevent the siderail from being lowered when emergency
access to the patient is required. The siderails must be handled according to the
instructions in the user manual.
When fully raised and locked, siderails aims to reduce the risk of falls.
Siderail in low position.
1
CLICK
2
Half-siderail position indicator*
The half-siderails can be equipped with sensors to indicate the raised or lowered
position.
This information can be sent to the duty nurse if the bed is connected to a hospital
network with a compatible information system.
In order to mitigate the risks incurred by patient egress through the gaps at the foot of
the bed, between the half-siderails and the foot panel, Hill-Rom has developed a kit of
two detachable panels, one for each side, designed to block this gap.
Patient safety
Check that the panels are correctly installed.
The authorized medical personnel must consider the use of siderails
depending on the state of health and behavior of the patient, according
to a protocol that indicates in which situations and when the panels can
be used.
Do not attach the restraining straps to any part of the bed (particularly the
siderails) other than those provided for this purpose. When the patient is
restrained by the straps, the electric functions must be locked out. When the
patient is restrained with an abdominal strap, a system used to restrict the ankles
must also be used.
Immobilize patients on the bed using the fittings provided..
The sleep surface has fittings on each side of the bed located on the head, thigh and
foot sections.
Thread the straps through the bars.
Restraining devices must be secured to the articulated sections of the bed using
appropriate attachment points in order to avoid injury to the patient.
Ensure that the strap model used is suitable for the dimensions of the locations
provided. Straps must not be able to slide to another location.
Never use restraining straps for the ankles when the bed is in the seated position or
the foot section is lowered.
Adjust the bed's restraining systems and articulations to avoid any risk of the
patient sliding or moving.
Patient safety
The electrical functions are managed on the foot
control pendant* or the caregiver half-siderail keypads.
These lockout units are used to generally or selectively
inhibit or enable the electrical functions of the bed.
Selective lock-out
– To inhibit an electrical function from a half-
siderail keypad, press and hold the lock symbol, then press the
function to be inhibited. 1
This information can be sent to the duty nurse if the bed is connected to a hospital
network with a compatible information system.
Night light
A night light under the bed frame, which can be switched on or off
using the caregiver half-siderail keypads, can be used to quickly see
whether the bed is in the low position at night for greater safety.
Once activated, the night light comes on and changes color
according to the height of the sleep surface.
• Green: the bed is in the low position.
• Orange: the bed is not in the low position.
Never allow a non-qualified person to operate this function and check that no
obstacles (e.g., limbs, accessories, objects, power cords) or persons are under the
head section.
This function is used in emergencies (e.g., reanimation, heart massage, etc.) or in the
event of a power failure.
On the Hill-Rom 900 Accella bed, there are two ways to operate the CPR function:
CPR handle
Pressing the handle mechanically returns the adjustable head section to the flat
Patient safety
position, automatically aligns the HiLow with the higher side and deflates the
combined mattress*.
As soon as the head section is flat, the handle can be released and the automatic leveling
continues (unless another movement is activated).
CPR button
Press and hold the CPR button on the caregiver half-siderail keypads.
All the sections of the sleep surface return to the flat position, the bed
frame is aligned with the lower side and the combined mattress*
deflates.
NOTE:
To reset the mattress, see “CPR” page 49.
Nurse call
The “Nurse call” function is activated on the patient keypads, the caregiver keypads
or the control pendant*.
Check that the cable connecting the bed to the hospital’s communications system is
connected and that the “Nurse call” control is accessible by the patient.
To Activate:
• Press a nurse call control.
• The light under the Nurse call symbol flashes for
1 minute. If the system acknowledges reception of the signal
during this time, the light turns green. Otherwise,
it goes out automatically.
• The light goes out if the caregivers confirm reception of the
call.
If the bed detects a connection fault (cable not connected or fault),
a continuous signal sounds if the nurse call control is activated.
If the the “Nurse call” control on the siderail patient keypads is not accessible by
the patient, ensure that the another call solution is available (eg.: control
pendant*)
Ensure that the IV pole is positioned facing towards the bed and not
outwards as shown in the following illustration.
1 3 5
Linen holder*
The linen holder must not be used to support luggage or as a seat, even for young
children.
1. The safe working load specifications allow for a substantial safety margin.
The urine bags attached to my pins will not be taken into account in weighing.
Oxygen cylinder holder (AC959A-AD101A-AD102A)**
(1)
Safe working load: 15 kg
The oxygen cylinder holder is designed to accept an oxygen cylinder and must only be
fitted on the patient helper supports at the head end of the bed outside the sleep
surface. It can be rotated through 80°. Each type of holder corresponds to a cylinder
model and must never be used with a different cylinder. See below.
1. The safe working load specifications allow for a substantial safety margin.
1. The safe working load specifications allow for a substantial safety margin.
Do not position the accessory facing inwards, particularly under the head section
when it is raised, so as to prevent any risk of the accessory obstructing the head
section or siderail when being handled.
This accessory is designed to accept a syringe-driver and is fitted at the head end of the
bed in the sockets provided.
To adjust position of the syringe driver holder:
• hold the tablet and loosen the knob,
• position the tablet as required and then tighten the knob.
2
3
Traction frame
Using traction frames on beds fitted with a weigh system compromises the accuracy of
the results of the weighing operation and of the bed exit alert detection.
Traction equipment can be installed at four points: two at the head end and two at the
foot end.
The caregivers must assess the patients to prevent them from becoming trapped or
being asphyxiated when using the traction equipment.
Follow the establishment’s protocol applying to the disabling of the bed controls
when installing the traction equipment. This will avoid any injuries.
1. The safe working load specifications allow for a substantial safety margin.
Make sure the lines are not pinched or kinked and there is sufficient slack in the
lines for bed articulations and patient movement. Failure to do so could cause
injury or equipment damage.
Do not wrap the power cord or communication cable around the line
manager.
10. Adjust the cassette positioning buckle. Wind the right strap around the mattress
and put the buckle on the upper edge of the mattress. Once it has been adjusted
using the right and left straps, this buckle is used to position the top of the
cassette as required.
11. Position the patient on the bed with their hips by the marker on the siderail.
12. Adjust the height of the sleep surface and incline the head section as required.
13. Adjust the position of the cassette as required.
Refer to the Installation instructions (214803) for more information about the Adapteur
support tête.
Refer to the Instructions for use (773439) for more information about the Allen C-
Shape Head Positioner.
Always put the brake in the “STOP” position, except during transport. Once the
brakes have been applied, push and pull the bed to make sure that it does not
move.
The brake bar, located at the foot of the bed, or the bilateral pedals at the head end,
simultaneously control all four casters, including one steering caster.
It has three positions:
• “STOP” to prevent the bed from moving,
• “NEUTRAL” to move the bed in all directions,
• “STEERING” for easier movement in a straight line.
th
• with 5 wheel with controlled release*:
th
When the brake and steer bar is in the steering position, the 5 wheel
automatically switches to the steering position as soon as the bed moves forwards
or backwards.
The wheel can be released by returning the brake bar to the “NEUTRAL” position.
Head Foot
NOTE:
Before moving the bed sideways, check that the brake and steer bar is in the
“NEUTRAL” position.
Never use the patient helper or the IV stand to move the bed.
The bed should only be moved while in the transport position by two people (one
at each end so as to ensure that there is always one person to operate the brake
bar) when moving the bed on a slope, with a foot end directional caster or when
moving the bed with a heavy load (heavy patient, accessories fitted, etc.).
Moving the bed:
• hold the endboard with both hands,
• raise the brake and steer bar to the “NEUTRAL” position to release the brakes,
• push the bed, steering with the headboard.
Movements/Transfers
If the endboard is not lockable, be careful that it does not fall on the patient or
injury someone in case of a fall.
For easy transportation in a straight line:
• push the bed using the end board opposite the steering wheel (See “Brake and
steer system” page 81),
• after having moved the bed for a short distance to align the casters, raise the
brake and steer bar to the “STEER” position.
Safety Recommendations
• Ensure that the bed cannot move.
• Lock out all electrical functions.
• Disconnect the bed and stow the power cable (see “Securing the power cable”
page 84).
• Check that all plugs are well connected (control unit, electric motors on the power
supply unit).
• Never clean the bed by pouring water on it, nor with high-pressure hoses nor in
tunnel washes.
• Never use water at a temperature of more than 60°C.
• Avoid excess water on the connectors.
• Refer to the recommendations of the cleaning product manufacturer.
• Thoroughly dry before reusing.
• In order to guarantee the performances of the bed, all components that are
removed for cleaning purposes must be returned to exactly the same place.
Failure to implement one or more of these recommendations may lead to damage or
deterioration, preventing use of the bed and rendering the warranty void.
Recommendations
Personnel must be trained to perform appropriate cleaning and disinfection.
The instructor must carefully read the instructions and follow them while the trainee is
attending the course. The trainee must:
• Take all the time needed to read the instructions and ask questions.
• Clean and disinfect the product under the instructor's supervision.
• During and / or after this process, the instructor must correct the trainee regarding
any deviation from the instructions for use.
The instructor must supervise the trainee until the trainee is able to clean and disinfect
the bed as per the instructions.
Decontamination,
Maintenance
CLICK
C
Steam cleaning areas
• prevent water and steam from getting into connectors that are not in use,
• do not brush and use reduced pressure on labels and markings,
Decontamination,
Maintenance
Safety recommendations
Preventive maintenance
A service manual and a catalog of spare parts are supplied on delivery, but can also be
obtained on demand from Hill-Rom After-Sales. Hill-Rom guarantees that the original
functional parts or parts performing equivalent functions will remain available for 7 years
after the corresponding range goes out of production.
The product design life is validated on 10 years of normal use.
The frequency of inspections must be adapted to the general condition of the product and
it use, for example, if the bed is used by heavy patients. It is the responsibility of the facility
to implement a preventive maintenance program for the bed's functions under its
conditions of use.
The bed and accessories should be inspected at least once a year to keep it in good
condition and working properly.
The following points should be given particular attention:
• movement mechanisms and cables (actuators in particular),
• locking mechanisms (head section, foot section, thigh section and AutoContour),
• the accessory mechanisms,
• bed movement and ancillary part bearings,
• The condition of the electrical cables (e.g., control pendant, power supply unit,
combined mattress connecting cable) in particular that they are not crushed or
cut and thus could make contact with a metal part,
• earthing of the metal parts of the bed,
• waterproofing of electrical parts,
End-of-life equipment
The bed and its accessories should be cleaned and disinfected before de-
commissioning.
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 (Directive
2012/19/EU).
•As regards the battery, never dispose of the batteries which contains
substances and dangerous metals for the environment and the health
(Directive 2006/66/EEC).
All components complies with Substances of Very High Concern (SVHC) Regulation
(Directive 1907/2006/EEC) on Registration, Evaluation and Authorization and
Restriction of Chemicals (REACH), except the GCI parts in the tables below.
Description: XTAL 25.0MHZ 30PPM R
Part Number: ABM7-25.000MHZ-D2Y-T
Manufacturer: ABRACON CORP
Substance Identification: Diboron trioxide / Lead monoxide (lead oxide)
Substance Concentration: 3767 ppm / 105766 ppm
Substance Location: Screen part of the GCI / Screen part of the GCI
Decontamination,
Maintenance
For electronic devices with data storage that can still have treatment and patient data
on them, this data should be deleted before disposal of the device, as a matter of
cybersecurity procedure
The bed is designed for easy dismantling so that it can be destroyed or reused in
accordance with the applicable recycling regulations (e.g., electric parts, plastics
metal).
At the end of the bed’s life, Hill-Rom recommends that you contact a specialist in the
dismantling of beds or, if the bed can still be used, to donate the bed to a charitable
organization so that it can be used again.
Always clean and disinfect the bed before shipment for dismantling or donation.
Compliance
CE conformity mark
• The CE conformity mark applicable to class I Medical Devices was
applied to the LI900B4 bed for the first time in 2016.
• The CE conformity mark applicable to class Im Medical Devices with
measuring function was applied to the LI900B4 bed with weight
system* for the first time in 2019.
• The CE conformity mark applicable to class III Non Automatic
Weighing Instrument was applied to the LI900B4 beds with
weigh system* for the first time in 2016.
• The CE conformity mark applicable Radio Equipment was applied to the
LI900B4 bed with SmartCare* or SmartSync* module for the first time
in 2018.
• Complies with standards:
• NF S 90-312 (1984),
• EN 60601-1 (2007) & A1 (2013) / IEC 60601-1 (2005) & A1 (2012),
• EN 60601-1-2 (2015) / IEC 60601-1-2 (2014),
• EN 60601-1-6 (2010) / IEC 60601-1-6 (2010),
• EN 60601-1-9 (2008) & A1 (2013) / IEC 60601-1-9 (2008) & A1 (2013),
• EN 60601-2-52 (2010) / IEC 60601-2-52 (2009), application environments 1,
2 and 5, according to version.
• EN 45501 (2015)*
• The Hill-Rom 900 Accella beds are NF MEDICAL - LITS compliant
Authorization N°: NF178-01/01
- Certified characteristics:
• electrical safety precautions, • mechanical safety precautions,
• electromagnetic compatibility, • aptitude for use.
Electromagnetic conformance
These recommendations may not apply to certain situations. The propagation of electromagnetic waves is
affected by absorption and reflection due to structures, objects and persons.
a. The field levels of fixed transmitters, such as radio telephone bases (cell/wireless) and terrestrial
mobile radios, amateur radios and AM, FM and TV communication radios cannot be theoretically
evaluated precisely. Site measurements are required in order to obtain the electromagnetic
environment due to fixed RF transmitters. If the field level measured in the working environment of
the Hill-Rom 900 Accella bed is greater than the above applicable levels of compliance, the
operation of the Hill-Rom 900 Accella bed must be checked. If any anomalies are detected,
additional measures must be taken, such as redirecting or relocating the reference equipment.
b. The field level must be less than 3V/m above the frequency band 150 kHz to 80 MHz.
Immunity Test
Distance (m)
Modulation
Band (MHz)
Level (V/m)
Power (W)
Maximum
Service
Test
NOTE:
These recommendations may not apply to certain situations. The propagation of electromagnetic waves is affected by absorption
and reflection due to structures, objects and persons.
Wireless Connectivity
The Wireless Connectivity characteristics are available in the service manual of the bed:
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
Hill-Rom 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.
Page 100 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use
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.
194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 101
DECLARATION UE DE CONFORMITE
Directive RED 2014/53/UE
DECLARATION UE OF CONFORMITY
IDENTIFICATION DU PRODUIT
Identification of the Product
Marque: Hill-Rom
Brand name: Hill-Rom
Désignation commerciale : Hill-Rom® 900 AccellaTM
Trade name: Hill-Rom® 900 AccellaTM
Type : LI900B4
Type: LI900B4
Description et identification du produit: Lit avec fonction SmartCare™ (communication WI-FI avec solution MediaScreen de
Telecom Santé)
Product description and identification: Bed with SmartCare™ function (WI-FI communication with MediaScreen solution powered by Telecom Santé)
L'objet de la déclaration décrit ci-dessus est conforme à la législation d'harmonisation de l'Union applicable :
The object of the declaration described above is in conformity with the relevant Union harmonisation legislation:
¾ Documents appliqués
Article 3.1 a (2014/53/UE) : EN 60601-1: 2006 / Am1:2013 EN 60601-2-52 :2010 / EN 62311 : 2008
(Protection de la santé et sécurité des utilisateurs / Safety & protection of the users’health)
Article 3.1 b (2014/53/UE) : EN 60601-1-2 :2015, ETSI EN 301 489-17 V3.1.1
(Compatibilité électromagnétique / Electromagnetic compatibility)
Article 3.2 (2014/53/UE) : ETSI EN 300 328 V2.1.1: 2016
(Utilisation efficace et utilisation optimisée du spectre radioélectrique / Effective and efficient uses of the radio spectrum)
(*)L'organisme notifié EMITECH, 0536 a réalisé l’examen et a délivré le certificat d'examen UE de type limité à l’article
3.2 : N°17-106282
(*) The notified body EMITECH, 0536 performed the examination and issued the EU-type examination certificate limited to 3.2 article: N°17-106282
Signé par et au nom de: Pascal Vibert – Hill-Rom S.A.S. Date et lieu : Pluvigner, 12 Juillet 2018
Signed for and on behalf of: Pascal Vibert – Hill-Rom S.A.S. Date and place: Pluvigner, 12th July 2018
Signature :
Signature :
NPD35121 version 1
Page 102 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use
DECLARATION UE DE CONFORMITE
Directive RED 2014/53/UE
DECLARATION UE OF CONFORMITY
L'objet de la déclaration décrit ci-dessus est conforme à la législation d'harmonisation de l'Union applicable :
The object of the declaration described above is in conformity with the relevant Union harmonisation legislation:
¾ Documents appliqués
Article 3.1 a (2014/53/UE) : EN 60601-1: 2006 / Am1:2013 EN 60601-2-52 :2010 / EN 62311 : 2008
(Protection de la santé et sécurité des utilisateurs / Safety & protection of the users’health)
Article 3.1 b (2014/53/UE) : EN 60601-1-2 :2015, DRAFT ETSI EN 301 489-17 V3.2.0 : 2017
(Compatibilité électromagnétique / Electromagnetic compatibility)
Article 3.2 (2014/53/UE) : ETSI EN 300 328 V2.1.1: 2016, ETSI EN 301 893 V2.1.1 :2017
(Utilisation efficace et utilisation optimisée du spectre radioélectrique / Effective and efficient uses of the radio spectrum)
(*)L'organisme notifié EMITECH, 0536 a réalisé l’examen et a délivré le certificat d'examen UE de type limité à l’article
3.2 : N° 18-106502 Ed0
(*) The notified body EMITECH, 0536 performed the examination and issued the EU-type examination certificate limited to 3.2 article: N° 18-106502 Ed0
(*)Accessoires, logiciels et composants : 209546.1.x.x logiciel, Variscite VAR-SOM-SOLO TI WL183XMOD
module
(*)Accessories, software and components: 209546.1.x.x software, Variscite VAR-SOM-SOLO TI WL183XMOD module
Signé par et au nom de: Pascal Vibert – Hill-Rom S.A.S. Date et lieu : Pluvigner, 18 Juin 2019
Signed for and on behalf of: Pascal Vibert – Hill-Rom S.A.S. Date and place: Pluvigner, 18th June 2019
Signature :
Signature :
NPD36944 version 1
194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 103
Page 104 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use