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The document provides instructions for use of the Hill-Rom 900 Accella Bed. It includes sections on safety tips, specifications, installing accessories, bed controls and functions. Safety is emphasized, including intended use, risk prevention and electrical safety. Installation of mattresses, endboards and other accessories is described. Controls for bed height, head/foot sections, tilt and other movements are explained.

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0% found this document useful (0 votes)
109 views110 pages

en Um

The document provides instructions for use of the Hill-Rom 900 Accella Bed. It includes sections on safety tips, specifications, installing accessories, bed controls and functions. Safety is emphasized, including intended use, risk prevention and electrical safety. Installation of mattresses, endboards and other accessories is described. Controls for bed height, head/foot sections, tilt and other movements are explained.

Uploaded by

hoangphuc28497
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Hill-Rom 900 Accella Bed

Instructions for Use


LI900B4

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.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


specifications
Introduction,
Table of Contents
Introduction, specifications
The structure of the Instructions for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Symbol definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Bed model and country of use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Installing the patient


Safety and Usage Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Intended Users. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
First use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Risk prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Mobilizing the patient


Electrical safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
General precautions for the place of use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Precautions for transport and storage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Technical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
General Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Function Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Installing the patient

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

Help with care


Recommended bed dining tables. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Endboards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Installing the endboards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Footboard fastening system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Bed frame extension* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Mobilizing the patient
Movements/Transfers

Electrical Functions Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27


Caregiver half-siderail controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Patient half-siderail controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Control pendant* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Bilateral HiLow pedal with caregiver mode*. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Raising/lowering the sleep surface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Raising/lowering the head and thigh sections. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Decontamination,

Trendelenburg/Reverse Trendelenburg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Maintenance

Chair position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Place sleep surface flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Bed exit aid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page i


Mechanical adjustable foot section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Patient helpers**. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Graphical Caregiver Interface (GCI) controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Home screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Bed exit alerts* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Backrest (Head) angle alert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Alert suspension mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Scale (weigh system)* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Weigh the patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Add/remove parts on the bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Weighed/unweighed parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
combined Accella Therapy mattress* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Description of the mattress screen (default mode) . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Installing the mattress. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Activating the mattress. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Therapeutic mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Maximum inflation mode (P-Max) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
MCM* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
CPR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Transport mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Deflating the mattress. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Stopping the mattress. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Disconnecting and storing the mattress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Wi-Fi connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
SmartCare system* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
NaviCare system* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
SmartSync* or Hillrom Digital Health Gateway . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Wi-Fi Connection Module (WCM) - AD315A** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Locating the bed manually with the GCI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Management of Wi-Fi connection profiles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Communication cable. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Patient safety
Siderails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Space filler panel (AD288A)** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Fittings for the restraining strap handles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Electrical function management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Bed not in lowered position indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Message indicator on GCI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Battery charge indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Night light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
CPR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Equipotential terminal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Equipotential cable (AC968A)**. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Nurse call . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Help with care

Page ii 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Fixed IV pole (AD294A-263627)** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

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

Installing the patient


Traction frame . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
IV line manager & support (AD286A)** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
X-ray-transparent adjustable head section (AD242A)** . . . . . . . . . . . . . . . . . . . . . . 77
Chrome-plated IV hook (AC953A)**. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Label holder (AD325A)** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Adapteur support tête (214557) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Movements/Transfers

Mobilizing the patient


Brake and steer system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Securing the power cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Removable frame (AD270B)** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Decontamination, Maintenance
Decontaminating the bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Safety Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Recommendations for cleaning and disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86

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

Help with care


Warranty and after sales service conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
CE conformity mark . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Electromagnetic conformance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
Electromagnetic emissions compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
Compliance with electromagnetic immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Movements/Transfers

Recommended separation distances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99


Wireless Connectivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Decontamination,
Maintenance

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

EASE OF USE COMFORT

PATIENT
CAREGIVER

WELL BEING INDEPENDENCE

HELP WITH SAFETY


CARE

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.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 1


Symbol definitions
This Instructions for Use contains different typefaces and icons designed to improve
readability and increase understanding of its content. Note the following examples:
• standard text - normal character style used for “basic” information.
• Boldface text- emphasizes a word or phrase.
•  highlights special information or explains very important instructions,
• The symbols below represent different risks or hazards:

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

Caught hazard warning

Risk of crushing an upper limb

Chemical Hazard Warning

Electric Shock Hazard

Page 2 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


specifications
Introduction,
Bed model and country of use
Certain features or accessories may be available or not, depending on the destination
country. These features are identified with an asterisk (*) and the accessories or the
additional parts are identified by two asterisks (**).
To identify your bed model, its serial number SN (HRPXXXXXXXXX),its UDI and its date of
manufacture, refer to the identification label (see “Overview” page 13). Your LI900B4
bed is made up of a chassis/sleep surface, with a REF reference starting with CS900B4
and two endboards (a headboard and a footboard)..

• REF: CS900B4XXXXXX; CS900 = Hill-Rom 900 Accella; B = Version; 4XXXXXX = a


unique 7-figure numerical code matching various criteria, such as the voltage, the
electrical functions, the language, etc.
• SN: HRPXXXXXXX: HRP = Hill-Rom Pluvigner; XXXXXXX = incremental code.
• UDI; Unique Device Indification.

Safety and Usage Tips


For every type of use, Hill-Rom 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.

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,

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 3


Features
The Hill-Rom 900 Accella LI900B4 beds are equipped with:
• an emergency CPR function (Cardio Pulmonary Resuscitation),
• a Trendelenburg/reverse Trendelenburg function,
• batteries providing protection against power outages,
The Hill-Rom 900 Accella LI900B4 beds can be equipped with:
• a patient position detection system,
• a nurse call function*,
• a built-in weigh system (compliant with the directive 2014/31/EEC) indicating the
weight and BMI of the patient.
• a Wi-Fi communication system* (compliant with Directive 2014/53/EEC)
• a system to power and control the Accella Therapy* mattress that helps to
prevent and treat phase I, II, III and IV pressure ulcers in low to very high-risk adult
patients

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.

Page 4 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Before installing the bed for the first time or after bringing the bed and its accessories

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.

When the patient is left unattended:


• apply the brakes to prevent any risks of falling, especially if the patient
leans on the bed when getting in or out,
• leave the sleep surface in the lowest position to avoid serious
consequences in the event of falling,
• use the siderails to secure the patient and reduce the risk of falling
accidentally,
• lock any function that, if misused, could worsen existing injuries or
pathologies, or even result in bodily injury,
• never leave the bed in the Trendelenburg position.

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.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 5


Never place objects or equipment on the chassis or use it to support a person.
Do not use of the bed with loads in excess of the safe working load.
Notice to Users and/or Patients:
Any serious incident that has occurred in relation to the device, should be reported to
the manufacturer and the Competent Authority of the Member State in which the user
and/or patient is established.
Recommendations for the siderails
In the case of patients suffering from particular behavioral difficulties (e.g., agitation,
mental confusion, loss of sense of direction, obsessive behavior, old patients, weakness,
etc.), properly trained medical staff should ascertain how the siderails should be used
(irrespective of the model or type), whether the patient should be monitored closely or
immobilized and whether the patient helpers should be left in position, in order to
ensure that patients use the bed in complete safety.
Certain national health authorities have issued guidelines risks to patients and the
reduction of these hazards, as indicated below.
It is recommended that patients at risk be identified in each establishment or ward so
that the safety measures most appropriate to their particular needs can be
implemented.
One measure which has already proved effective is to draw up a protocol specifying:
1. situations and conditions for siderail use and authorized mattress type or model,
2. for all patient monitoring procedures, both for restrained and unrestrained
patients, including during intervals,
3. circumstances under which patients must be restrained according to the
instructions and recommendations of the manufacturer of the said restraining
devices.
The siderails are designed to help reduce the risk of patients falling out of bed
accidentally. They are not designed to restrain or immobilize the patient. Restraining
straps or other devices must not be fastened to them.
Recommendations for the mattresses
Hill-Rom shall not be held liable for any problems occurring if the mattress used is not
included in the list of equipment recommended by Hill-Rom (see “References of
recommended mattresses” page 22).
Despite the protective height above the mattress and the top of the siderail, patients
can still potentially fall or become trapped in the spaces around the mattress.
Use of a mattress thicker than the thickness recommended in “References of
recommended mattresses” page 22 may reduce the effectiveness of the siderails.
Thicker mattresses can increase the risk of falling and shorter or narrower mattresses
can increase the risk of patients becoming trapped. In such cases, the patient must be
monitored closely.
As assessed by the “Hospital Bed Safety Workgroup” guide and the standard EN 60601-
2-52, the mattress label on page 20 lists the mattresses recommended for use on the
Hill-Rom 900 Accella to offer the safest conditions. The therapeutic benefits of the other

Page 6 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


therapeutic mattresses listed in page 20 outweigh the residual risk of entrapment or fall

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.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 7


The power supply should be equipped with a maximum 30 mA earth
leakage circuit breaker, in compliance with IEC 364-5-53.

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.

Use of this equipment adjacent to or stacked with other equipment should be


avoided because it could result in improper operation. If such use is necessary, this
equipment and the other equipment should be observed to verify that they are
operating normally.
Ensure that the power cord is unplugged and hooked to the bed before moving the bed
(see “Securing the power cable” page 84).
Only duly qualified and authorized staff should carry out electrical maintenance.
Never clean or service the bed without unplugging it from the mains power supply and
disconnecting the battery.
The battery backup must never be left in direct contact with fire, placed in liquid, or
discarded in a refuse bin. In the event of the battery being damaged, see “End-of-life
equipment” page 91.
This label indicates that the bed must never be used with an oxygen
tent or in explosive atmospheres (presence of inflammable gases or
vapors). Use only nasal tubes and oxygen masks. For reasons of safety,
masks and tubes should always be kept at a higher level than the
mattress support platform.
Always lock out the HiLow function before any cleaning or maintenance
operations.

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.

Page 8 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


specifications
Introduction,
General precautions for the place of use

It is advisable not to use the bed under the following conditions:


- in hospital wards other than the intended ward (see “Intended Use” page 3),
- climatic conditions outside the corresponding ranges recommended by Hill-
Rom,
- in hyperbaric chambers,
- in explosive atmospheres,
- in the presence of flammable gases or vapors,
- with oxygen tent type respiration devices or devices that extend below the
sleep surface,
- outdoors or to transport a patient in a vehicle,
- moving the bed over soft ground or inappropriate surfaces,
- moving the bed along slopes of over 10° (with or without a patient).
Climatic restrictions
Service temperature +10° to +40° C
Service humidity 30% - 85%
Working atmospheric pressure 700 hPa to 1,060 hPa

Precautions for transport and storage


The following conditions must be met to ensure that the bed and its accessories are
shipped and stored in complete safety.
a
During shipment , the bed must be: When stored, the bed must be:
- in the low position - in the low position
- in “function lock out” mode - in “function lock out” mode
- covered, brakes applied, strapped - covered, brakes applied
- protected from fluid ingress - protected from fluid ingress
a. Transport does not include the transfer of the bed between wards with or without patients.

Climatic restrictions on transport and storage

Transport/storage temperature -30° to +50° C


Transport/storage hygrometry 20% - 85%
Transport/storage atmospheric pressure 700 hPa to 1,060 hPa

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 9


During shipment or storage, beds should not be stacked one on top the other.

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

Page 10 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


specifications
Introduction,
Features Value
Maximum width (W) 995 mm
a

Maximum length (without extension) (L) 2158 mm


a

Maximum length (with extension closed) (L) 2158 mm


a

Maximum length (with extension open) (L+) 2358 mm


a

Length of the head half-siderail protection (B1) 499 mm a

Length of the foot half-siderail protection (B2) 631 mm a

Siderail protection height (without mattress) (S1) 393 mm a

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

Boost patient position mechanism c


-7°
Electric CPR - return adjustable head section (T1) T1 < 5 s
and sleep surface (T2) to flat position T2 < 30 s
Safe working load (SWL) 250 kg
Maximum patient weight 185-215 kg
d

LI900B4 bed weight (no mattress or accessories) 170 kg


Total weight authorized during moving 420 kg
Maximum temperature of the applied parts at 40°C 56.5° C
Unweighted peak acoustic pressure levels <120 dB
Weighted maximum measured acoustic pressure 42 dBA
a. These are average values, which may vary according to manufacturing tolerances.
b. Dimensions in mm.
c. Maximum incline in relation to the sleep surface
d. SWL 250 kg / the maximum patient weight varies according to the mattress and accessories used
- 185 kg as per EN60601-2-52 (intensive and acute care)
- 215 kg as per EN60601-2-52 (ambulatory care)

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 11


Electrical characteristics
Features 120V* 230V*
Voltage 120V AC 230V AC
Frequency: 60 Hz 50/60 Hz
Maximum absorbed power 500 VA 500 VA
Electric shock protection Class I
Class according to IEC 60601-1 Type B
Protection against harmful ingress of water (according to IPX4
IEC 60529)
a
Duty cycle 10% (2 min/18 min)
a. Do not operate electrical functions continuously for more than 2 minutes in any 18 minute period
when the bed is loaded at the safe working load value as this may damage electrical components.
The power supply of the actuator is temporarily cut off if the load factor is exceeded when using the
HiLow.

Characteristics of the weigh system (scale)


The weigh system of the Hill-Rom 900 Accella bed uses four weighing cells installed in
the bearing structure of the bed. The bed is made up of a mobile structure (the weigh
system) and a fixed structure (the frame).
Features Value
a
Class of the weigh system (2014/31/EEC) NAWI Class III
Maximum range of the weigh system 250 kg
Minimum range of the weigh system 10 kg
Range 0.5 kg
a. Non-Automatic Weigh Instrument

Conditions required to connect the nurse call system


For more information about the connections required to use the nurse call function,
please refer to the SideCom Communication System Design and Application Manual
(DS059).

Page 12 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


specifications
Introduction,
Overview

B F A

Q
G
D
H O
C

J
I

P K

E L
M

Item Name Item Name


A Half-siderails I Extension + linen holder*
B Headboard J Bumper (4)
C 2 sockets for I.V. pole and patient K Central brake and steer bar control
helper
D Caregiver half-siderail controls L 150 mm diameter casters
E Head section “CPR” control M Bilateral HiLow pedal with caregiver
mode*
F Patient half-siderail controls O Control pendant*
G Graphical Caregiver Interface (GCI) P Identification label
controls
H Footboard Q Wi-Fi module AD315A**

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 13


General Symbols
Country of manufacture
Manufacturer Date of manufacture
FR (YYYY-MM-DD)

Product reference Serial number

General safety sign Equipotential terminal

Refer to the Instructions


Type B Equipment
for Use.

DO NOT BIN, follow the


local recycling Direct current
regulations.

Danger – Do not use Alternating current

Earth leakage circuit


Recyclable material
breaker rating

Total weight authorized


Body Mass Index ≥17
during moving

Patient weight ≥40 kg Patient height ≥146 cm

Atmospheric pressure
Hygrometry limits
limits

Temperature limits Maximum patient weight

Protective earth Safe working load (SWL)

Page 14 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


specifications
Introduction,
Do not store in the place
No oxygen tents
shown

Medical Device Medical Device conformity


conformity mark mark

Bed with a weigh system


NF MEDICAL - LITS
compliant with Directive
compliant
2014/31/EEC

NF ENVIRONMENT
Steam cleaning
compliant bed

Compliant with the ROHS Compliant with the ROHS


Europe regulations China regulations

Medical Device Unique Device Identifiant

Duty cycle Model

Function Symbols
Head section CPR Headboard position

Information page 25 Information page 25


Do not sit or climb on the linen holder* Do not sit or climb on the extension*

Information page 72 Information page 26

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 15


References of recommended mattresses Patient helper position

Information page 20 Information page 34


Caster control
Footboard lock label

Information page 26
Information page 81
Earth continuity and earth leakage
current
Unweighed support indicator label

Metrological certification label of the In service inspection label


weigh system

Page 16 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Electrical controls

specifications
Introduction,
Bilateral HiLow pedal with caregiver mode*

Lock control under the pedal*


(for use by caregivers only)

Caregiver half-siderail control


Bed not in lowered
position indicator

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

Patient half-siderail control

Nurse call
activator

45°

1. Functions available only to the caregiver.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 17


Graphical Caregiver Interface (GCI) controls
Active therapeutic active* Bed exit alerts*
mode MCM*
Backrest
(Head) angle
alert Home

Access to Scale*

Access to the Bed exit


Suspend alerts
Mode
Duration Access to the combined
alert Accella Therapy
mattress*
Access to the
Angle of the Parameters
adjustable head
section Room Angle of the sleep
Alerts volume number surface

Active Wi-Fi* and


signal strength

Page 18 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Installing the patient

Before placing the patient on the bed

Assess the various risks, including but not limited to the following (incomplete list):

Installing the patient


• Make sure that all the moving parts are in good working order.
• risk of entrapment,
• potential falls from the bed,
• patient in state of confusion,
• patient's learning ability,
• persons lacking the mental capacity to recognize unsafe actions,
• unauthorized persons,
• check the list of recommended mattresses on the label on the adjustable
head section,
• if present, check that the nurse call cable is connected,
• check that the four transport chocks protecting the weigh system have
been removed from their housing (see “Preparing the bed for a reset/tare
operation* or initializing the Bed Exit alerts system*” page 42).
All persons authorized to use the bed’s functions must be capable of doing so in a safe and
controlled manner. In case of doubt, the bed’s functions must be locked.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 19


Accessories and peripheral equipments

Using accessories and peripheral equipments other than those recommended by


Hill-Rom may incur risks of damage or accidents to users.

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

Folding mattress clamp


When installing a mattress extension cushion, the clamp must be folded to avoid any
contact with the lower limbs.

1 2
3

Page 20 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Adjustable mattress clamp
The position of the clamps must be adjusted according to the width of the mattress in
order to center and secure the mattress.

Installing the patient


A

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.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 21


References of recommended mattresses
90 cm wide mattresses are incompatible with egress handles*.
Clamp
Part number Name
position
S L
P02033A Primo mattress AD085A (200 x 85 x 16 cm) X
P02062B ClinActiv  Alternating Low Pressure mattress system AD237A X
(230V) (203 x 85 x 18 cm)
P02063B ClinActiv  ContinuousLow Pressure mattress system AD238A X
(230V) (203 x 85 x 18 cm)
P02064B ClinActiv  MCM Alternating Low Pressure mattress system X
AD234A (230V) (203 x 85 x 18 cm)
P02065B ClinActiv  MCM Continuous Low Pressure mattress system X
AD235A (230V) (203 x 85 x 18 cm)
P02039B Duo 2 Multi Mode mattress system AD140A (200 x 85 x 23 cm) X
P006783A Accella Therapy multi-mode mattress system - AD305A (230V) X
(203 x 92 x 21.5 cm)
P006790A Accella Therapy multi-mode mattress system - AD305A (120V) - X
(203 x 92 x 21.5 cm)
P006788A Accella Therapy + MCM multi-mode mattress system - X
AD306A (230V) (203 x 92 x 21.5 cm)
P006791A Accella Therapy + MCM multi-mode mattress system - X
AD306A (120V) - (203 x 92 x 21.5 cm)
P006789A Combined Accella Therapy + MCMmulti-mode mattress system - X
AD307A (230V) (203 x 92 x 21.5 cm)
P006792A Combined Accella Therapy + MCM multi-mode mattress system - X
AD307A (120V) - (203 x 92 x 21.5 cm)
ASS027 NP50-SW single-density foam mattress (198 x 85 x 14 cm) - X
excluding UK and Italy
ASS028 NP50-SW single-density foam mattress (198 x 90 x 14 cm) - X
excluding UK and Italy
ASS007 NP50-SW single-density foam mattress (198 x 85 x 14 cm) - UK and X
Italy only
ASS029 NP100-SW dual-density foam mattress (198 x 85 x 14 cm) - X
excluding UK and Italy, without handles
ASS031 NP100-SW dual-density foam mattress (198 x 90 x 14 cm) - X
excluding UK and Italy, without handles
ASS030 NP100-WD dual-density foam mattress (198 x 85 x 14 cm) - X
excluding UK and Italy, with handles
ASS032 NP100-WD dual-density foam mattress (198 x 90 x 14 cm) - X
excluding UK and Italy, with handles
ASS022XT NP100-SW dual-density foam mattress (198 x 85 x 14 cm) - UK and X
Italy only, without handles
ASS033 NP150-WD viscoelastic foam mattress (198 x 85 x 14 cm) - X
excluding UK and Italy
ASS034 NP150-WD viscoelastic foam mattress (198 x 90 x 14 cm) - X
excluding UK and Italy
ASS004XT NP150-WD viscoelastic foam mattress (198 x 90 x 14 cm) - UK and X
Italy only
ASS099 NP150 X-ray viscoelastic foam mattress (198 x 90 x 14 cm) - X
excluding UK and Italy
PAH005010180-1 AccuMax Quantum VPC AD mattress (203 x 89 x 18 cm) X
P005856A P280 overlay mattress (230V) (203 x 90 x 10 cm)
P005858A P280 overlay mattress (120V) (203 x 90 x 10 cm)
P005987A P280 MRS mattress base (230V) (198 x 85x 17 cm) X
P006052A P280 MRS mattress base (120V) (198 x 85x 17 cm) X
P006172A P280 Air Mattress (230V) (198 x 85x 17 cm) X

Page 22 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Clamp
Part number Name
position
S L
P006173A P280 Air Mattress (120V) (198 x 85x 17 cm) X
a
FHS01C0XX Fusion Hybrid mattress (197 x 88 x 17 cm) X
FHM03 Fusion Hybrid mattress - standard (197 x 88 x 17 cm) X
FHM04 Fusion Hybrid mattress - X-Ray (197 x 88 x 17 cm) X
P290A1 P290 Air overlay mattress (200 x 90 x 10 cm)

Installing the patient


P290A2 P290 foam base mattress + Air overlay (200 x 90 x 17 cm) X
P290A3 P290 Air mattress (200 x 90 x 17 cm) X
ASS078 Extension mattress
a. The XX code of the Fusion Hybrid mattress corresponds to the customization of the model. These
codes range from 06 to 17. i.e., from FHS01C006 to FHS01C017.

Recommended traction frame


ST875A T39 traction frame

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**

AD810A Elbow patient helper


AD811A Adjustable patient helper
AC953A Chrome-plated IV hook
AC959A Oxygen cylinder holder model B5 (Ø1)
AD101A Oxygen cylinder holder model D (Ø100)
AD102A Oxygen cylinder holder model E (Ø100)
AC963A Syringe-driver holder
AD242A X-ray-transparent adjustable head section
AD244B Monitor stand
AD294A Fixed IV pole
AD298A Telescopic IV pole with four hooks
AD299A Telescopic IV pole with four hooks
263627 Fixed IV pole
AD288A Foot gap panels
AD286A IV line manager & support

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 23


Recommended additional parts
AC968A Equipotential connecting cable
AD270B Removable frame
a
AD276A 5th wheel (bed with 150mm diameter casters)
AD277A Wall stop
AD284A a
Side control pendant
AD289A 5th wheel (bed with 125mm diameter casters)
AD292A Cable attachment
AD315A Wi-Fi connectivity module
AD322A Adapteur support tête + C-Shape Head Positioner
AD325A Label holder
P379XXXXX b
Communication cable
a. Remember to specify the model when ordering.
b. The XXXXX in the part number identifies the type of connector corresponding to the
communication system installed.

Recommended patient lifts


2020003 Sabina II EE sit-to-stand lift
2020004 Sabina II EM mobile lift
2040015 Viking M mobile lift
2040013 Viking XL mobile lift
2000014 Golvo 8000 mobile lift
2000015 Golvo 8008 mobile lift
2000019 Golvo 8008 LowBase mobile lift

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.

Recommended bed dining tables


TA270 Bed dining table
TA519 Bed dining table
TA529 Bed dining table

Page 24 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Endboards
Non-locking head endboard Lockable foot endboard

Installing the patient


Installing the endboards
Headboard

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.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 25


Footboard fastening system

System locked System unlocked

Bed frame extension*

1 3 4

Do not sit or climb on the extension


The extension can be pulled out by 20 cm in intermediate steps of 4 cm.
Cushion for extensions is available as an additional mattress.
Part number Name
ASS078 Extension mattress (85 x 20 x 21 cm)

Page 26 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Mobilizing the patient

Electrical Functions Controls


The bed’s power-driven movements are controlled using the controls built into the half-
siderails or bilateral HiLow pedals* with caregiver mode* or the control pendant* by
pressing and holding the button for the corresponding function. The movement stops
when the button is released or when the limit of movement is reached.

Caregivers need to assess whether patients can be left unattended with access to
the functions provided.

Mobilizing the patient


Caregiver half-siderail controls
They are placed outside the head half-
siderails on either side of the bed. They
are to be used by caregivers.

Patient half-siderail controls


They are placed inside the head half-siderails on
either side of the bed. They are to be used by the
patient.

Control pendant*
The control pendant can be stored on the siderail.

If the patient-pendant is positioned so as to stretch the coil cord and


it is released, it retracts and can impact someone.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 27


Bilateral HiLow pedal with caregiver mode*
The HiLow pedals are positioned on each side on the
chassis. They are to be used by caregivers.

Raising/lowering the sleep surface

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.

When descending to the low position, make sure that:


- the drainage devices do not come into contact with the floor.
- the elevation arms do not hit the chassis of the Viking XL patient hoist if the bed is
equipped with 125 mm diameter casters*.
Use the HiLow feature of the sleep surface to adjust the bed to the required height
when the patient must be moved.

Page 28 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


2

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.

Mobilizing the patient


Raising/lowering the head and thigh sections
To move the head section only, disable the adjustable thigh section
function on controls built into the half-siderails.

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.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 29


Electric AutoContour
The AutoContour is available when both the adjustable head section and the
adjustable thigh section functions are enabled..

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.

Before using this function, check that:


• the bed frame extension is securely locked in one of the notches and that
nothing (e.g., objects, accessories, power cables, tubes) or persons
(especially children) are under the sleep surface.
• the patient’s limbs are within the sleep surface,
• there is enough space between the head of the bed and the partition,
especially for Trendelenburg,
• no accessories (IV pole in particular) may come into contact with the
fittings,
• check that the drainage devices do not come into contact with the floor.

Page 30 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Electrical Trendelenburg/Reverse Trendelenburg
The electrical Trendelenburg / Reverse Trendelenburg is operated using the
caregiver controls on the half-siderail.
A
Before using this function, check that the HiLow is enabled.
To tilt the sleep surface:
• press the required function (A) or (B) at the same time, B
• release the button when the required angle is attained.
This function can be used without a mains power supply thanks to the battery.
Boost patient position mechanism
Before using this function, check that the HiLow is enabled.
This function puts the sleep surface sections in the flat position and inclines it into the
Trendelenburg position to 7°. It also activates the P-Max mode of the combined mattress*.

Mobilizing the patient


To activate this function, press and hold the Boost button and release when at the
required angle.
This function can be used without a mains power supply thanks to the battery.
Briefly pressing the Boost button activates the P-Max function of the mattress (see
“Maximum inflation mode (P-Max)” page 48).

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 31


Chair position
The chair position gradually returns the patient to the vertical position without having to
leave the bed.

Place sleep surface flat


This function flattens the sleep surface and descends the bed into the lowered position by
pressing a single button.

Bed exit aid


This function makes it easier for the patient to get out of the bed by raising the head
section to up to 45°, flattening the thigh section and lowering the sleep surface to the
required height by pressing a single button.

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

To lower the foot section:

Mobilizing the patient


1
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.

Correct position Incorrect position


1. The safe working load specifications for normal use allow for a substantial safety margin.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 33


Adjustable patient helper - AD811A
(1)
Safe working load: 75 kg
The adjustable patient helper can be placed in three positions.
Patient Helper Positioning

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

• position 1 (blue): park position,


• position 2 (blue): usual position for use,
• position 3 (yellow): transfer help position,
• position 4 (red): “incorrect”, risk of bed tipping.

1 2 3

1. The safe working load specifications for normal use allow for a substantial safety margin.

Page 34 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Patient helper handle

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

Mobilizing the patient


Adjust the height of the handle until there is a
right angle at the elbow. It is easier for the
patient to change position in the bed, making
for greater comfort and independence.

90°

Place the patient handle on the patient helper


arm when not in use, in order to eliminate any obstruction.
If the bed is equipped with both an adjustable patient
helper (AD811A) and an IV Pole (AD298A or AD299A), do
not use the patient helper “tuck-away” position as this may
interfere with the IV pole.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 35


Graphical Caregiver Interface (GCI) controls
The GCI is on the foot siderail.
To activate the GCI:
• Touch the screen.
• To release, press the round symbol until the green
light above it comes on, then PRESS FIRMLY and slide
your finger to the right so that the remaining LEDs
come on.
When the GCI is unlocked and the screen is not touched for 1
minute, it automatically returns to the home screen. If the
screen remains untouched for a further 1 minute, the locked
screen appears. If it is not touched for another 8 minutes, the
screen switches itself off.
The screen is deactivated if the bed switches to battery
mode.

Home screen
Description
Backrest (Head) Active therapeutic Active* Bed exit alerts
angle alert mode MCM*

Home

Suspend Mode Access to Scale*


Duration alert
Access to the Bed exit
alerts

Access to the mattress


controls*

Angle of the Access to the


adjustable head Alerts volume Angle of the sleep Parameters
section surface

Bed exit alerts*


Position mode: The “Patient Position” mode alert is activated when the patient starts to
move.
Exiting mode: The “Exiting” mode alert is activated when the patient moves away from
the center of the bed to try to get out.
Out of Bed mode: This mode must be used when the caregivers want to allow the patient
to move freely in the bed. The “Out of bed” mode alert is activated when the patient
leaves the bed.

Page 36 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


This information can be sent to the duty nurse if the bed is connected to a hospital
network with a compatible information system.(see “Sending bed exit alerts*” page
38)
The patient position monitor system does not remove the need to secure the patient
in the bed (see “Risk prevention” page 5). Function sensitivity may be impacted if
accessories are added or if the Trendelenburg/Reverse Trendelenburg angle is ±8°.

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

Mobilizing the patient


If the bed is not equipped with a weigh system, it is necessary to proceed with
an “Initialization”.
Preparing the bed for initialization
Take the same preliminary precautions as for a reset/tare operation of a weigh system (see
“Preparing the bed for a reset/tare operation* or initializing the Bed Exit alerts system*”
page 42).
Initializing
1. Press the Alerts control on the GCI.
2. Press .
3. Follow the instructions.
– If a message appears on the GCI when initializing,
adjust the bed accordingly.
4. Initialization complete.
The screen also shows the date and time of the last
initialization.

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.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 37


1. Press Alerts on the GCI.
2. Wait for the selection screen to open. Activation is
confirmed by a beep.
NOTE:
If the pre-conditions for activation are not met, an error
message appears. In this case, follow the instructions and
repeat the procedure.
3. Select one or more modes from:
• Position
• Exiting
• Out of Bed

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).

Press Suspend Alert for 30 sec on the touch screen, then


select the alert deactivation mode (see “Selecting alert suspension mode” page 40).
Sending bed exit alerts*
Check that the bed is physically connected to the hospital's communications system
by the cable.
• When a bed exit alert is raised, a signal is automatically sent to the duty nurse.
• If the bed has a “Nurse call” function, 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 also goes out if the caregivers confirm reception of the alert.
If the bed detects a connection fault (cable not connected or fault), a discontinuous
signal sounds when the bed exit alert is raised.

Page 38 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Backrest (Head) angle alert
The Backrest (Head) angle alert allows the caregiver to program a sound
alert when the angle of the head section is less than 30° or 45°. A message
appears on the GCI when the head section descends below the selected angle.
This information can be sent to the duty nurse by a compatible Wi-Fi system.
The adjustable head section angle alert is longer operational when the bed
switches to battery mode.
To activate this function
1. Put the adjustable head section in the
required position, at an angle greater

Mobilizing the patient


than 30° or 45°.

2. Press Alerts on the GCI.


3. Set the Backrest (Head) angle detection to the required angle:
less than 30° or 45°.
To deactivate the Backrest (Head) angle detection
1. Press Alerts on the GCI.
2. Press detection active.
3. Yes. The Backrest (Head) angle detection is deactivated.
When an alert sounds
When the adjustable head section 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).
Raise the section to an angle greater than 30° or 45°.
or,
Press Suspend Alert for 30 sec on the touch screen, then select the alert deactivation
mode (see “Selecting alert suspension mode” page 40).

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 39


Alert suspension mode
When a detection function is activated, it can be suspended using the Suspend Alert for
30 sec command on the home screen, then suspended again for 5 to 10 minutes, without
having to deactivate the detection function.
To activate the alert suspension mode
Select Suspend Alert for 30 sec on the touch
screen.
The patient can now move and follow procedures
without any alerts sounding.

Selecting alert suspension mode


A screen opens where you can select: Resume,
Suspend 5 min or Suspend 10 min and Disarm. If nothing is selected on this screen, the
systems waits for 30 seconds, then attempts to activate itself in the previously activated
detection mode.
This operation is performed when a patient is present on the bed.
If the head section is not raised to the required angle, an alert sounds.
If the bed does not detect a patient, it switches to “Awaiting patient” mode.
• Suspend 5 min or Suspend 10 min: if the
duration of the suspension is too short,
suspend for a further 5 to 10 minutes
before the bed attempts to switch the
detection function on again. If the bed
does not detect a patient, it switches to
“Awaiting patient” mode. If the head
section is not raised to the required angle,
an alert sounds. Maintenance staff can
adjust the 5 or 10 minute settings (see
“Setting the length of the alert suspension
mode” page 51).
• Resume: switches the detection back on immediately.
• Disarm: switches the detection off.
You can change the volume of the alert by replacing the default value with a higher
or a lower volume (three levels available) (see “Setting the alerts volume” page 51).

Page 40 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


“Awaiting patient” mode
In this mode, the Bed exit alerts (Bed exit alerts)
are deactivated until the patient returns.
IThe monitoring system can be completely
deactivated by pressing Disarm.
When the patient returns to the bed, the system
reactivates the alerts.

NOTE:
If the system is unable to reactivate itself after a
given length of time, the Bed exit alert sounds.

Mobilizing the patient


Scale (weigh system)*
In the Scales screen of the GCI, you can reset the scales, weigh in a range from 10 to 250
kg with a resolution of 500 g in all positions authorized by the system (+/-2° from the
horizontal), increase the resolution to 100 g temporarily and display a difference in weight
in comparison with an initial weight and the patient’s BMI.
Description of the scale screen
Information on the weighed / Weight Access to the weight
unweighed zones measured difference data

Indication of the
stability of the
weight
Date of the last
reset/tare operation

Reset/Tare Temporary display at Add/remove parts


100 g

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.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 41


Preparing the bed for a reset/tare operation* or initializing the Bed
Exit alerts system*
1. Ensure the bed is on a flat surface and that the frame is horizontal (+/-2°).
2. Check that the transport chock protecting the weigh system have been
removed from their housing.

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.

Page 42 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


4. Check that neither the mattress nor any accessories are touching the fixed parts
of the bed (and in particular the head section) and that no traction is applied to
the parts installed above and below the sleep surface (e.g., power cable and air
mattress pipes). If necessary, remove the headboard.
Headboard

Mobilizing the patient


Correct position Incorrect position

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.

4. Reset/tare operation complete:


– Deletes the patient weight
difference data and resets the weigh
system.
– The screen shows 0.0 kg and the
>0< light comes on to show the accuracy of the reset/tare operation.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 43


Weigh the patient

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.

2. Press the patient size control and save the height in


cm.
3. The screen shows three values:
– Current Weight
– Saved Weight
– Weight variance, Size and BMI

4. Press Saving Current Weight and follow
the instructions to save the weight in the
history.
5. Check the information and press Save to
confirm.
6. Once saved, the weight appears in the Saved
Weight field.
In the course of certain specific care operations
(e.g., dialysis), the difference in weight can be
displayed permanently (see “Setting the
display/mask patient weight options” page 52).

Page 44 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Display the weight to within 100 g
1. Press Scale on the GCI.
2. Press the command 100g Magnification
3. The weight is displayed to within 100 g
for 5 seconds.

Add/remove parts on the bed


Caregivers can use this function to change the parts on the bed without changing the
weight reading on display.

Mobilizing the patient


If a patient is not on the bed, use the Zero/Tare function after changing the parts.
The function stores the patient’s weight in memory
while changing items on the bed.
1. Press Scale on the home screen of the GCI.
2. Press Add/Remove Items. Follow the
instructions.
The list of items added or removed, displayed
close to the bed, may be useful later on.

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.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 45


combined Accella Therapy mattress*
The Accella Therapy is a therapeutic mattress. It has two operating modes: continuous
low pressure (CLP) and alternating low pressure (ALP), with permanent regulation by the
I-mmersion sensor in both modes.
This device is intended for patients weighing between 40 and 185-215 kg, depending
on the environment, and offers therapeutic benefits up to 160 kg.
This paragraph describes the installation and use of the Hill-Rom 900 Accella combined
mattress using the GCI interface. For additional and specific information about the
mattress, refer to the mattress Instructions for Use.

Description of the mattress screen (default mode)


Mattress
Activate status
CLP mode

Activate Activate /
ALP mode Deactivate
MCM* mode
Activate
P-max mode

Deflate mattress Stop mattress

Installing the mattress


1. Disconnect the bed power cord from the wall outlet.
2. Take the mattress out of its original packaging or transport bag and place it at
the head of the bed.
3. Undo the retaining strap and unroll the mattress.
4. Fold in two on the head side.
5. Remove the hard surface of the thigh section.
6. Install the cable as shown on the label.

Page 46 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


7. Connect the plug to the bed connector (it clicks into place).
8. Install the hard surface of the thigh section.
9. Attach the mattress to the middle section of the frame with the straps.
10. Adjust the length of the straps.
11. Unfold the mattress.
12. Fold back the folding mattress clamp (see “Folding mattress clamp” page 20)
13. Open the cover at the head end and check that the deflation plug is screwed
tight.
14. Connect the power cord to the wall outlet.

Make sure that the device is correctly installed and attached, well centered on the

Mobilizing the patient


sleep surface and securely fixed to the board at the foot end to avoid the formation
of entrapment zones and check the space at the head of the bed (see “Headboard”
page 43).

Activating the mattress


1. Make sure that the mattress is properly installed (see “Installing the mattress”
page 46).
2. Press Mattress on the GCI.
3. Press Start.
4. The mattress switches to initialization mode. A beep
sounds after 20 minutes, indicating that the mattress is
operational.
5. The status of the mattress switches to ON in the default mode.The ALP and
MCM are active.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 47


Therapeutic mode
Continuous low pressure (CLP) mode
Press CLP to select this mode.
The corresponding control turns green.
The patient is supported at an optimal low pressure controlled by
the I-mmersion sensor.
Alternating low pressure (ALP) mode
Press ALP to select this mode..
The corresponding control turns green.
The patient is supported at an optimal low pressure controlled by
the I-mmersion sensor. The cushions deflate alternately in a
complete cycle lasting about 10 minutes.

The therapeutic modes are no longer operational when the bed switches to battery
mode.

Maximum inflation mode (P-Max)


Press P-Max on the GCI, or briefly press the Boost button on the
caregiver keypad to select this mode.

The corresponding control turns green.


After 20 minutes, the system automatically returns to the initial
therapeutic mode in order to reduce the risks incurred in the non-
therapeutic mode.
 After activating the P-Max mode, it is possible to return to the previously selected
therapeutic mode by pressing P-Max, ALP ou CLP.

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.

Page 48 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


CPR
Pressing the CPR button on the caregiver keypads or
pressing the handle on the adjustable head section
activates the CPR function.
The mattress deflates in approximately 30 seconds.
Press Rearm Matress to restore normal operation of
the mattress.
The mattress CPR function only works if the
mattress is active and its battery is fully charged (it takes 24 hours to charge the
battery).

Transport mode

Mobilizing the patient


The mattress switches to transport mode (battery mode) when the bed is moved.

If the bed switches to battery mode:


• The therapeutic modes are no longer operational.
• If the mattress is in P-Max mode, the latter remains permanently active.
• A backup battery maintains the CPR function for 2 hours. When this battery is
low, the bed must be connected to the mains power supply for at least 24 hours
to fully recharge the battery. Otherwise, the CPR function cannot be
guaranteed.
• A beep sounds regularly to indicate that modes are inactive.
• If a patient whose weight is close to the SWL exits the bed, the internal pressure
of the mattress may suddenly drop, causing a low safety pressure to error to
occur. In this case, reconnect to the main power supply to reset the system.

Deflating the mattress


The mattress can be temporarily deflated without stopping it.
1. Press Mattress on the GCI.
2. Press Deflate.

3. The corresponding control turns green..


4. To switch off the deflation mode, press
Deflate or the Boost button.
5. The mattress switches to initialization mode.
NOTE:
After 20 minutes, the system automatically returns to
the initial therapeutic mode in order to reduce the
risks incurred in the non-therapeutic mode.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 49


Stopping the mattress
To stop the mattress:
1. Press Mattress du GCI.
2. Press Stop.
3. The mattress deflates in about 1 minute.
4. A sound signal indicates that the mattress can be disconnected.
5. Confirm that the mattress has been stopped.
NOTE:
If the mattress is disconnected without properly following the procedure to stop the
mattress, it switches to fault mode.

Disconnecting and storing the mattress


1. Make sure that the mattress has been stopped properly (see “Stopping the
mattress” page 50).
2. Disconnect the bed power cord from the wall outlet.
3. Open the head end zip fastener. Unscrew the deflation plug.
4. Undo the straps attaching the mattress to the bed frame.
5. Fold in two at the head end.
6. Remove the hard surface of the thigh section.
7. Disconnect the plug from the bed connector.
8. Remove the cable.
9. Install the hard surface of the thigh section.
10. Unfold the mattress.
11. Starting at the foot end of the bed, roll up the mattress slowly to allow any
remaining air to be expelled.
12. Close the deflation plug and close the zip fastener.
13. Put the retaining strap back in place.
14. Place the rolled up mattress in a plastic bag.
15. Store the mattress in its original packaging or in a transport bag.

Page 50 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Settings
Choosing the language
Your bed is configured for the destination country. In this menu, you can
set the language of the GCI.
1. Press Parameters on the GCI.
2. Press Settings.
3. Press Language and select the language.
4. Press Close to confirm.
Setting the date and time
In this menu, you can change the format of the date and time
displayed on the bed. You can also set the time, for example when the

Mobilizing the patient


clocks go forwards or back (DST (Daylight Saving Time).
1. Press Parameters on the GCI.
2. Press Settings.
3. Press Date / Time.
4. Select the date format and use the arrows to set the time.
5. Press Save to confirm.
Setting the alerts volume
1. Press Parameters on the GCI.
2. Press Settings.
3. Press Volume.
4. Use the + and - buttons to adjust the volume.
5. Press Save to confirm.
Setting the length of the alert suspension mode
1. Press Parameters on the GCI.
2. Press Settings.
3. Press Suspend Mode Duration.
4. Select the duration.
5. Press Save to confirm.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 51


Setting the display/mask patient weight options
1. Press Parameters on the GCI.
2. Press Settings.
3. Press Weight Display.
4. Select one of the settings.
5. Press Save to confirm.

Setting the Wi-Fi options


This menu is used to activate or deactivate the Wi-Fi, manual locating and patient ID
display.
1. Press Parameters on the GCI.
2. Press Technician Access.
3. Enter the code 9004 and confirm by pressing OK.
4. Press Wifi.
5. Choose the functions to be activated or
deactivated by selecting Yes or No.
6. Press Save to confirm your choices.
NOTE:
The “Manual Locating” and “Patient Id Display”
functions are only valid for the Hillrom Digital Health
Gateway.
NOTE:
The Manual Locating function must be Off in order to perform automatic locating.
Latitude/altitude information
This menu is used to access the latitude and altitude information.
1. Press Parameters on the GCI.
2. Press Technician Access.
3. Enter the code 9004 and confirm by pressing OK.
4. Press Weight calibration.

5. Press Cancel.

Page 52 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Failure Codes
If there is a fault with a function of the bed or mattress* a failure code is generated. A list
of these codes and the history is available on the GCI screen.
When a fault occurs, the associated failure code appears on the screen.
To view the list of codes:
1. Press Parameters on the GCI.
2. Press Failure Codes.
3. Wait for the codes to appear, then press the Close button.
4. The list of codes and the history appear on the
GCI screen.
NOTE:

Mobilizing the patient


If the fault is with an Accella Therapy mattress, there
is a button to pause the alert for 10 minutes on the
failure codes screen.
A list of codes, their descriptions and associated
solutions can be found in the service manual of the
bed or mattress. 1XXX codes relate to the mattress.

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.

• Bed identification • Patient weight, with the date and time


• Brake bar position: brake applied / not • Error codes
applied
b
• Bed in low position indicator • Angle of the sleep surface
b
• Half-siderail locked / unlocked • Function lockout status
ab b
• Patient's presence in the bed • CPR status
b
• Head section angle • Scales reset notification
b
• Adjustable head section angle alert • Last scales function used
b
• Bed exit alerts • Bed battery charge level

a. by SmartSync.
b. by Hillrom Digital Health Gateway.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 53


With a combined mattress
a a
• Mattress battery charge level • P-Max mode status
a a
• ON/OFF mode • Deflate mode status
a a
• Current therapeutic mode • Mattress error codes
a
• MCM mode status

a. 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.

Page 54 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


SmartCare system*
The SmartCare system (MediaScreen Solution powered by Télécom Santé) sends
informations to caregivers (see “List of information that can be sent by Wi-Fi” page 53).
Refer to the SmartCare system Instructions for Use for more detailed information about
the use of this system.

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.

Mobilizing the patient


2. Press Wifi.
3. Select the network.
4. Press to activate the Wi-Fi connection.
5. The Wi-Fi connection is active
6. Follow the information system supplier’s instructions to pair and couple the bed.

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.

SmartSync* or Hillrom Digital Health Gateway


The Hill-Rom SmartSync connectivity system or the Hillrom Digital Health Gateway
enable caregivers to receive information (see “List of information that can be sent by Wi-
Fi” page 53). Refer to the SmartSync or Hillrom Digital Health Gateway user instructions
for more detailed information about the use of this system.
Features Value
Frequency bands in which the radio equipment 2,4 GHz 5 GHz
operates
Maximum radio-frequency power transmitted in the <17 dBm <20 dBm
frequency bands in which the radio equipment
operates

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 55


Wi-Fi Connection Module (WCM) - AD315A**

ON/OFF
Button

ON/OFF Wi-Fi Server Connection Bed Location


Light Light Light Light

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.

• REF: ET315AXXXXXXX; ET315 = Module WCM; A = Révision; XXXXXXX= a


unique 7-figure numerical code according configuration.
WCM module Positioning
On installation or after cleaning (if it has been removed), it is necessary to place the unit in
the intended location and respecting cable routing:
• to maintain the Wi-Fi performance,
• to not disturb the scale operation,
• to avoid creating new entrapment areas.
Connection Information
This information can be found on the label on the side of the unit

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.

Page 56 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Installation
1. Initialization: When the device is connected to the interface board, the ON/OFF
indicator light is red and the other indicator lights remain off for about 8 seconds
2. The ON/OFF indicator light is red and the other indicator lights flash red, then
green, then go off, and so on, during the initialization cycle.
3. The bed recognizes the device. The ON/OFF indicator light is red and the other
lights are off.
4. Connection to the wireless network: Press the ON/OFF button. The ON/OFF
light turns green and the other lights are red.
5. Wi-Fi configuration of the MCW. It is necessary to update the Wi-Fi settings of the
MCW in order to activate the device. Use the Hill-Rom LI900B4 Tool software to
do this (see manual 209584).
Only qualified and authorized technician should perform this operation

Mobilizing the patient


Use
WCM Startup
1. Press ON/OFF button.
2. The ON/OFF light turns green
3. Connecting to Wi-Fi facility network: The Wi-Fi light turns green.
4. Connecting to the server facility: The Server Connection light turns green.
5. Bed Location: The Bed Location light turns green.
NOTE:
The bed is located automatically if it is connected to SmartSync, and manually if it is
connected to the Hillrom Digital Health Gateway.
 The bed can then transmit the information to the facility communication system and
the bed is located and associated with the room.
When moving the bed outside the room (battery mode), the WCM will turn off.
After reconnecting the bed to the mains, make sure that all lights are green. If
location light remains red, check that the room is equipped with a tracking system
and is operational.

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.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 57


Locating the bed manually with the GCI
Wi-Fi status
The status of the Wi-Fi connection is displayed at the bottom of the various
screens of the GCIGCI. For more details see “Meaning of the Wi-Fi connection
information on the GCI” page 3-54.

To go to the Wi-Fi menu:


• Press Parameters on the GCI.
• Then press Connectivity.
or
• Press the status bar of the Wi-Fi and location information.

ON/ Patient ID
OFF status
button
ON/OFF

Status Status Status Status


ON/OFF Wi-Fi Server connection Bed location

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.

Page 58 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


2. The Wi-Fi is active and connected to the server:
a. Press Locate.
b. Select the location of the room in the
facility (up to four levels, including the
room, e.g., building, ward, etc.).
c. Select the room number (e.g., Ng-09-14) or
another location by pressing Different
Location.

d. If the room is not already associated with


an Available bed, the locating process
looks for the selected room (flashes).

e. The server has identified the room and the

Mobilizing the patient


room number appears.

f. If the room is already associated with an


Assigned bed, a screen opens.
g. Press Continue to confirm this choice and
the assignment process starts.

h. The system then informs the previously


assigned bed.

Assignment of the patient ID to the bed.


Check that the “Patient Id Display” mode is active (see “Setting the Wi-Fi options”
page 52). Only applies to the Hillrom Digital Health Gateway.
This procedure is only possible if the following three conditions are met: the bed has
been located, the server proposes a patient name for this room and the patient is in
the bed.
1. Press Parameters on the GCI.
the press Connectivity
or
Press the status bar of the Wi-Fi and location
information.

2. Press Check identity.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 59


3. If the patient identity is correct, confirm by
pressing Yes.
The date of birth is always displayed or is only
provided when the identity is confirmed for the
first time, if the “Patient Name Encoding” function
is active (see “Setting the Wi-Fi options” page 52).
4. The patient identity is then associated with the
bed.
NOTE:
The patient name / date of birth are automatically
given unverified status if the bed is in battery mode, or
if the patient has left the bed for more than 24 hours.

Moving the bed


Moving the bed out of the room for less than 1 minute
In this case, the bed is automatically reconnected in the same room.
Moving the bed out of the room for more than 1 minute
1. Returning to the same room:
a. The screen on the bed shows the room
where the bed was previously located.
b. Press Yes to confirm.
1. Transferring to another room:

a. The screen on the bed shows the room


where the bed was previously located.
b. Press Different Room to select another
room.
c. Select the new room from the list.
d. If the room is already associated with an
Assigned bed, a screen opens.
e. Press Continue to confirm this choice and
the assignment process starts.

f. The system then informs the previously


assigned bed.

Page 60 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Management of Wi-Fi connection profiles
1. Press Parameters on the GCI.
2. Press Technician Access.
3. Enter the code 9004 and confirm by pressing OK.
4. Press Wifi Profile Management.

5. Check that the Wi-Fi is active. Activate if


necessary.
There are two configuration modes: Scan and
Manual.
Configuration in “Scan” mode

Mobilizing the patient


1. Press Scan networks.
2. Select a profile in the list
3. Enter the parameters.
(a)
a. Name (Name)
(b) (c)
b. SSID
(d) (e)
c. Sec Type (Sec Type)
(f ) (g)
d. Auth Type (Auth Type)
e. Eap Type (Eap Type)
f. User name (User name)
g. Password (Password)
Information on the maximum number of characters:
• Name: 32 characters.
• SSID: 32 characters.
• User Name: 32 characters.
• Password: 64 characters.
4. Press Save to save the settings

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 61


Configuration in “Manual” mode
1. Press New Profile.
2. Enter the parameters in the same way as for Scan
mode.
3. Press Save to save the settings.
Activating a profile
1. Select a profile from the list (e.g., PROFILE NAME
1).

2. The profile turns green.

3. The profile is active.

4. Check the Wi-Fi address data (IP and MAC) by


clicking on the information icon.

Communication cable

Page 62 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Patient safety

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.

Siderail in high position.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 63


Raising a half siderail

1
CLICK

Lowering a half siderail

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.

Space filler panel (AD288A)**

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.

Page 64 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Installing the panels

The panels are not designed to restrain or immobilize the patient in


the bed.

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.

They are not egress handles. Do not lean on them.


Do not use when the extension is deployed.
Do not use with Afssaps half-siderails
Do not use with AD271A and AD272A siderails .
Do not store at the head of the bed and remove from the foot of the
bed when not in use.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 65


1
Fittings for the restraining strap handles

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.

1. Only to be used in compliance with local regulations.

Page 66 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Restraining devices must not be used as a replacement for the nursing care
required by the patient. Even when correctly installed, physical restraining devices
may become entangled and injure the patient, especially if the patient is agitated
and confused. Whenever containment devices are used, the patient must be
observed in accordance with legal requirements and protocol.

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.

Electrical function management

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

The indicator light of the corresponding function comes on to indicate


that the function is locked out (1).
Locking out the thigh section adjustment control will also lock out the AutoContour
when the adjustable head section function is disabled.
– To enable an electrical function from a half-siderail keypad, press
and hold the lock symbol, then press the function to be enabled.
0
The indicator light of the corresponding function goes off to indicate
that the function is enabled (0).
The selective locking out of functions is intended mainly to prevent
accidental use that may cause injury of worsen a patient’s conditions (e.g., for patients
with hip replacements, disable the adjustable thigh section function).
Locking out a function does not affect the CPR.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 67


Bed not in lowered position indicator
A light on the caregiver keypads on the two half-siderails goes off
when the bed is in the lowered position. This position is
recommended when patients are left unattended.

This information can be sent to the duty nurse if the bed is connected to a hospital
network with a compatible information system.

Message indicator on GCI


A light on the caregiver keypads on the half-siderails turns blue when
a message appears on the GCI screen.
In this way, the personnel is made aware of the message when positioned
on the side of the bed opposite the GCI.

Battery charge indicator


A light on the caregiver half-siderail keypads shows the charge level of the bed and
mattress batteries*.
Green light:
the batteries are sufficiently charged.
Orange light:
the batteries must be recharged.
Amber flashing light + amber maintenance light:
the comfort battery and/or the emergency battery +
are flat and must be charged immediately, or the
batteries are disconnected.
Light off:
the comfort battery is totally flat.

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.

Page 68 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


CPR

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.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 69


Equipotential terminal
Failure to connect the equipotential cable may result in
corporal injury.
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 the electrical installation.
To equalize potentials if a grounded power connection is
unavailable, connect the equipotential cable (AC968A) to the
connection terminal on the bed and the device.

Equipotential cable (AC968A)**


It is fitted with two POAG-WB 6 DIN type connectors and
a 2 m long yellow and green cable.
This cable permit to equalize the electric potentials of all
the unprotected metal parts of a device and the bed.

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*)

Page 70 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Help with care

Fixed IV pole (AD294A-263627)**


The IV pole is mounted in the angle supports and is used to hold IV bags.
Safe working load:
Refer to the value indicated on the IV pole

Telescopic IV pole (AD298A-AD299A)**


The IV pole is mounted in the angle supports and is used to hold IV bags.

Ensure that the IV pole is positioned facing towards the bed and not
outwards as shown in the following illustration.

Using the IV pole (AD298A)**


To adjust the height or angle of the IV pole:

Help with care


1
4
3
2

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 71


Using the IV pole (AD299A)**
To adjust the height or angle of the IV pole:

1 3 5

Linen holder*

The linen holder must not be used to support luggage or as a seat, even for young
children.

Do not sit or climb on the linen holder


(1)
Safe working load: 15 kg .

1. The safe working load specifications allow for a substantial safety margin.

Page 72 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Drainage bag holder pins

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.

Help with care

AC959A for AD101A for AD102A for


cylinder model cylinder model D cylinder model E
B5 (Ø1) (Ø100) (Ø100)

1. The safe working load specifications allow for a substantial safety margin.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 73


The following recommendations are designed to prevent any possible incidents so
that this accessory can be used in optimum safety conditions for both the patient
and nursing staff.
• Check that the cylinder is correctly
positioned at the base of the cylinder
holder.
• Never use a different oxygen cylinder
model from the model that is specified
above (danger of dropping the cylinder
or interfering with various operations
could occur).
• Prevent any impact when moving a bed
equipped with a cylinder holder
(especially doorways).
• If the cylinder holder does not allow the
bed to go through a doorway, position
the holder in front of the bed, otherwise
place it and the cylinder on the mattress
(remember to put the holder in its normal position after moving the bed).

Monitor stand (AD244B)**


(1)
Safe working load: 15 kg
The monitor stand fits into the sockets at the
foot of the bed.

When fitting the monitor, ensure that the


folded table is located on the outer edge of
the bed.
The table must be folded away when
moving the bed.
If the bed is in Trendelenburg or Reverse
Trendelenburg, any devices must be
placed on the monitor stand.

1. The safe working load specifications allow for a substantial safety margin.

Page 74 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


To fit a monitor stand:

Help with care

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 75


Syringe-driver holder (AC963A)**
(1)
Safe working load: 15 kg

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.

Page 76 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


IV line manager & support (AD286A)**

This accessory must be fitted by an authorized technician.


Please refer to the fitting instructions provided with the accessory when fitting the
accessory.
A Line Manager is on each side of the head end of the bed. The Line Manager helps to
keep lines (such as IV lines, suction lines, etc.) togetherand away from the articulating
frame. The flexibility of the Line Manager lets you bend it in any direction.

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.

X-ray-transparent adjustable head section (AD242A)**


The X-ray-transparent adjustable head section accessory allows a cassette for 35 x 43
cm X-ray films (as per the standard EN ISO 4090) to be installed in order to take chest X-
rays. It is installed in place of the hard surface of the head section.
The type (foam or air), the materials, the density and the thickness of the mattress, and the
weight and morphology of the patient can affect the quality of the X-ray images. The best
way to produce X-rays of an optimal quality is to get as close to the patient as possible.

Help with care


The radiologist is responsible for deciding on the best solution to take the X-ray according
to the medical target and the hospital’s protocol adapted to the patient’s illness.
NOTE:
For patients weighing more than 100kg, the user must adjust the angle of the head
section and the position of the patient to produce quality images.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 77


Installing the accessory
1. Remove the mattress to gain access to the hard surface of the head section.

2. Unclip and remove the hard surface of the head section.


3. Install and clip the accessory in its place.
Installing an X-ray cassette
1. Remove the headboard to install the X-ray cassette in the top of the head section.
2. Install the sleep surface or raise the head section in order to insert the cassette.
3. Unhook the buckle of the right strap from its storage
hook.
4. Pull on the left strap to extract the cassette support.
5. Lift the cassette retaining bar and insert the cassette in
the landscape or portrait direction, as required.

6. Check that the retaining bar locks the cassette in position.


7. For portrait images, pull the retaining bar upwards to lock the cassette.
8. If necessary, adjust the cassette in the sideways direction.

Page 78 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


9. Adjust the position of the cassette using the right and left straps so that the
retaining bar is positioned on the edge of the mattress.

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.

Help with care


Removing the X-ray cassette
1. Pull on the left strap to extract the cassette support.
2. Raise the retaining bar and take out the cassette.
3. Pull on the right strap to insert the cassette support.
4. Hook the buckle of the right strap on its storage hook.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 79


Chrome-plated IV hook (AC953A)**
This accessory is used to hold the IV bag to the patient
helper AD810A** or AD811A**.

Label holder (AD325A)**


This additional part is used as a place to insert patient name label.

Adapteur support tête (214557)


The Adapteur support tête (214557) enables the Hill-Rom 900 Accella bed to be
equipped with the C-Shape Head Positioner (216054) and the C-Shape Single Use
Foam Pad (P009426) that are used to support the patient's head in the prone position.

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.

Page 80 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Movements/Transfers

Brake and steer system


Brake and steer system

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.

STOP NEUTRAL STEERING Label


Movements/Transfers

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 81


Using the bar in the steering position
th
• without 5 wheel (basic version):
All four wheels turn freely (NEUTRAL) and one wheel steers (it no longer swivels).

Steering wheel at head end Steering wheel at foot end*

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.

Page 82 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


"Bed connected to power mains, brake not applied" detection*
When the bed is plugged into the mains and the brakes are not applied, a continuous
alert sounds until the brakes are applied or the bed is disconnected from the mains.
This information can be sent to the duty nurse if the bed is connected to a hospital
network with a compatible information system.
Moving the bed

Before moving the bed, perform the following checks:


• If there is a patient in the bed, ensure that the siderails are raised and locked to help
prevent the patient from falling.
• Position the sleep surface so the top of the footboard is at the most suitable height for
transporting the bed (approximately ½ Hi-Low) and with the foot section horizontal.
• Unplug the power cord and electrically powered accessories (e.g., self-contained air
mattress, and the nurse call communications cable), securing them on the bed as
shown in "Securing the power cable" page 84.
• Ensure that the bed or accessories (e.g., patient helper) will not catch on doorways or
other obstacles (e.g. lights).
• Place the patient in a stable and comfortable position (do not fully raise the head
section).
Never try to move the bed by pulling on the power cable or you may damage it. A
damaged power cord is an electric shock hazard.

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.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 83


After moving
• Apply the brakes,
• connect the bed and accessory power cords,
• connect the nurse call system communications cable.

Securing the power cable


Always correctly store the power cable. Failure to follow this recommendation may
result in damage to the cable by crushing and create the risk of electric shock.
The power cable must be hooked in place before moving the bed.
Attachment with cable tie AD292A**

Removable frame (AD270B)**


The detachable tube helps to guide the bed when transferring.

Page 84 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Decontamination, Maintenance

Decontaminating the bed

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

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 85


Recommendations for cleaning and disinfection
The following recommendations are not designed to replace existing cleaning
protocols drawn up by the hygiene officer or by other bodies for your hospital.
The disinfecting method described below applies specifically to the bed and its
accessories and is designed to save time and to help combat nosocomial infection
more effectively.
Clean the bed with a lightly dampened cloth and ordinary disinfectant. Do not use
excessive liquid.
This bed is designed for easy cleaning and optimal hygiene.

Recommended cleaning and disinfection

Clean and disinfect every day.

Clean and disinfect after patient departure or before patient transfer.

Clean and disinfect thoroughly (after the departure of an infected patient


or recommended every two months).

Page 86 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Decontamination Record
A decontamination record should be kept for each bed, mentioning:
• month, ward and room number, bed reference number.
• cleaning frequency, materials and products used.
Sleep surface.

CLICK

Recommended Materials and Products


NOTE:
A list of recommended cleaning products for all types of cleaning requirements is
available on your request along with a special maintenance advice leaflet.
• Single-use tissues or recyclable textile wipers.
• One pair of household gloves.
• Detergent-disinfectant solution diluted according to hospital guidelines (and
taking into account the recommendations given below) or a disinfecting spray.
• Use a product that complies with standard EN 14885 (bactericide including TB,
fungi and viruses, including HIV-1 and HBV).
• Chlorine-based products (26000 ppm) that comply with the standard EN 13727
and EN 13624 can be used, but may cause discoloring. Bare metal parts must be
rinsed to prevent corrosion.
The following products should not be used.
Formaldehyde, phenol-based products and solvents of any kind (toluene, xylene or
acetone).
Never use abrasives, cleaning powder or cleaning pads that may damage components.
Decontamination,
Maintenance

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 87


Recommended Cleaning and Disinfection Method
• Always wipe downward, working from the cleanest to the dirtiest areas.
• Do not scrape surfaces.
• Keep wipes damp (wet as many times as needed and do not wring out too much
water).
• Let product dry according to disinfectant manufacturer's recommendations to
ensure maximum efficiency.
• If necessary, rinse according to the disinfectant product manufacturer's
recommendations.
• Change wipes when cleaning the least contaminated areas to areas of medium or
to highly contaminated areas.
• Change wipes when cleaning another bed.
• Always dry the bed thoroughly after it has been cleaned.
Cleaning tough stains
Quickly wipe away any traces of pharmaceutical solutions or other staining products in
order to avoid permanent damage to the surface.
To remove tough stains, use standard household cleaners and a soft bristle brush. To
loosen heavy, dried-on soil or excreta, you may first need to saturate the spot.
Some zones (interstices between the parts, "textured" parts and plastic parts with a
complex shape, textile straps) can be more difficult to clean. You are advised to spend
more time on these zones, for instance by double-cleaning.
Use as many wiping cloths as necessary to remove dirt.
Hydrogen Peroxide Vapor Disinfection Process.
These beds are compatible with hydrogen peroxide vapor.
Exposure to 100 environmental bio decontamination cycles using 35% hydrogen
peroxide applied via a microcondensing vapour process resulted in no adverse or
degenerative effects to the Baxter Bed functions.
Aesthetical degradation and minor localized cosmetic deterioration can appear such
as: Panels & labels minor partial detachment, color variation, tarnish color, oxidation of
uncoated metal parts, risk of rust on painted parts.
However, in order to avoid any degradation or deterioration, Baxter recommends that
beds are exposed to this process a maximum of 10/year.
The presence of chemical residues on the surface of the bed may impact the
compatibility. Remove the excess with a rag.
For Mattresses compatibility, please refer to the user manual of the concerned
mattress.

Page 88 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Steam Cleaning
These beds can be steam cleaned. However, in order to avoid any damage or
deterioration caused by high pressure or abnormal surface temperature, the following
precautions should be taken:
• avoid any excess water and use reduced steam pressure with microfiber support
when cleaning electrical components (control unit, actuators, lateral caregiver
units, half-siderails with keypads, remote controls and control cluster arms),
• do not use accessories such as high pressure hoses (A). It is preferable to use soft
non-metallic brushes (B) and microfiber support (C) in such a way as to reduce the
pressure to an acceptable level,
A B

C
Steam cleaning areas

Clean with a microfiber support only.

Clean with a soft non-metallic brush or a microfiber support.

• 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

• carefully dry and test the bed before reuse.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 89


Servicing the bed

Safety recommendations

Only facility-authorized personnel should perform maintenance of the Hill-


Rom 900 Accella bed.
Before maintenance or servicing works:
• ensure that the bed has been immobilized (if no movements are required),
• lock out all electrical functions,
• disconnect the bed from the mains if no electrical operations are planned,
• secure the sleep surface and take whatever steps are necessary to prevent any
movement,
• not to intervene on the device if it is busy.
Any device connected to the (CAN) connector exclusively reserved for maintenance
must meet the IEC 60950-1 requirements.
Never open or pierce an electric actuator.
Contact our after sales service for any specific maintenance problem (e.g., blockages,
etc.).

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,

Page 90 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


• protection of the (CAN) connector outside maintenance
operation,
• siderails: check the play and the lock mechanisms (condition
and working order),
• weigh system and bed exit alerts system: frequency
regarding national regulations.
Every year, it is preferable to ask Hill-Rom After-Sales Service or a
Hill-Rom approved supplier to inspect the actuators and the electrical systems in order
to keep them in safe and good working order over time. Depending on the
maintenance operations and observations, the date of the next inspection must be
recommended every time the device is serviced.
Batteries
• If the system detects that the comfort and/or emergency batteries are
totally flat, the amber battery charge light on the caregiver keypads in
the head half-siderails flashes and the fault-maintenance ind.icator
light comes on. They must be immediately recharged.

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

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 91


Description: LITHIUM BATTERY 3V CR2032
Part Number: CR2032MFR
Manufacturer: RENATA BATTERIES U.S.
Substance Identification: 1,2-dimethoxyethane; ethylene glycol dimethyl
ether (EGDME)
Substance Concentration: 1-3.5% by part weight
Substance Location: Inside the battery

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.

Decontaminating / servicing the combined Accella Therapy


mattress*
The information specific to the Accella Therapy mattress (cleaning and disinfection
methods, recommended products, etc.) can be found in the User Manual, reference
199253.

Page 92 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Appendix
Warranty and after sales service conditions
The warranty for our beds will be rendered null and void, in part or in total,
in the event of:
• unauthorized interference with or incorrect maintenance of:
• actuators,
• electrical drives and components,
• mechanical systems,
• any abnormal use,
Contact your country Hill-Rom representative or go to hillrom.com to find the After-
Sales Service contact details.

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.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 93


• The Hill-Rom 900 Accella bed meets the "NF Environnement - Ameublement"
- Institut Technologique FCBA
10, rue Galilée
77420 Champs-sur-Marne
FRANCE
www.fcba.fr
- The NF ENVIRONNEMENT marking guarantees performance and ecology:
•Quality / Durability
•Health / Safety
•Environment
Visit the website for more information
www.nf-environnement-ameublement.com
• The NF Environnement certified Hill-Rom 900 Accella bed is designed,
manufactured and checked to reduce environmental impact up to end of life
(limitation of transformation energy of the materials, heavy metal-free finishing
products, possibility to recycle, etc.).
• Compliant with INMETRO regulation No. 384 of December 28,
2020 and the compulsory certification of electrical equipment
according to the requirements of the Brazilian National Health
Surveillance Agency - ANVISA - RDC Nr 27, 2011-06-21 and IN
03, 2011-06-21.

Electromagnetic conformance

Electromagnetic emissions compliance

This device meets all the requirements related to electromagnetic compatibility, in


accordance with the standard IEC 60601-1-2 and the directives applicable to
medical devices, and has passed all the tests to demonstrate that it meets these
requirements. It is most improbable that users experience problems due to
deficient electromagnetic immunity. However, electromagnetic immunity is
always relative, and standards are based on anticipated environments of usage. If
the user notices that the device behaves unusually, and especially if this behavior
is intermittent and occurs when in the vicinity of radio or TV transmitters, cell
phones or electrosurgical equipment, this may be a sign of electromagnetic
interference. If such behavior occurs, users must try to move the equipment well
clear of the origin of the interference with the device.

Page 94 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


The Hill-Rom 900 Accella bed must not be used close to or on top of other items of
equipment. If this is necessary, the Hill-Rom 900 Accella bed must be tested to
confirm that it functions properly in the required configuration.
Make sure that the Hill-Rom 900 Accella bed functions correctly when used in the
vicinity of other electric appliances. Mobile and portable radio frequency (RF)
communication equipment may damage the electric medical equipment.
Electric medical equipment demands special precautions regarding
electromagnetic compatibility (EMC) and must be installed and used in accordance
with the EMC-related information contained in this manual.
The use of accessories, transducers and cables other than those specified, apart
from the transducers and cables sold by the manufacturer of these devices, such as
replacements of internal components, may result in an increase and/or reduction
of the immunity of the Hill-Rom 900 Accella bed.

Manufacturer's guide and declaration – electromagnetic emissions


The Hill-Rom 900 Accella bed and the Wi-Fi connectivity module are designed for use in the
electromagnetic environment specified below. Users must ensure that they are used in this
environment.
Emission test Compliance Electromagnetic environment - Guide
RF emissions Group 1 The Hill-Rom 900 Accella bed only uses radio electric
CISPR 11 power for its internal functions. Consequently, it only
produces very weak RF emissions that are unlikely to
cause interference with nearby electronic equipment.
CISPR 11 RF emissions Class A The Hill-Rom 900 Accella bed can be used in all places
Harmonic emissions Class A other than domestic premises and premises that are
IEC 61000-3-2 directly connected to the low voltage public mains power
network used to supply domestic buildings.
Flicker Applicable
IEC 61000-3-3
CISPR 14-1 RF Compliant The Hill-Rom 900 Accella bed is not designed to be
emissions connected to other equipment.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 95


Compliance with electromagnetic immunity
Manufacturer's guide and declaration – electromagnetic immunity
The Hill-Rom 900 Accella bed and the Wi-Fi connectivity module are designed for use in the
electromagnetic environment specified below. Users must ensure that they are used in this
environment.
Immunity test IEC 60601 Compliance Electromagnetic environment - Guide
Severity
Electrostatic ± 8 kV on contact ± 8 kV on contact The relative humidity must be at least
discharges ± 2 kV, ± 4 kV, ± 8 ± 2 kV, ± 4 kV, ± 8 kV 5%.
IEC 61000-4-2
kV and ± 15 kV in and ± 15 kV in the
the air air
Fast transients in ± 2 kV for the ± 2 kV for the The quality of the main power supply
bursts power supply lines power supply lines must be that of a typical commercial or
IEC 61000-4-4 ±1kV for the ± 1 kV for the hospital environment.
input/output lines input/output lines
(100 kHz (100 kHz
Repetition Repetition
Frequency) Frequency)
Voltage surges 1 kV differential 1 kV differential The quality of the main power supply
IEC 61000-4-5 mode mode must be that of a typical commercial or
2 kV common 2 kV common hospital environment.
mode mode
Magnetic field at 30 A/m 30 A/m The magnetic field at the frequency of
the frequency of 60 Hz 60 Hz the mains supply must be characteristic
the mains power of a typical commercial or hospital
supply environment.
(50/60 Hz)
IEC 61000-4-8
Voltage Dips 0% UT: 0.5 cycle 0% UT: 0.5 cycle The quality of the main power supply
IEC 61000-4-11 At 0°, 45°, 90°, At 0°, 45°, 90°, 135°, must be that of a typical commercial or
135°, 180°, 225°, 180°, 225°, 270°, hospital environment. If the user of the
Hill-Rom 900 Accella bed requires that
270°, and 315° and 315°
the bed remain functional during
outages of the mains power supply, it is
0% UT: 1 cycle 0% UT: 1 cycle advisable to power the Hill-
Rom 900 Accella bed using a UPS or a
70% UT: 25/30 70% UT: 30 cycles battery.
cycles Single phase: at 0°
Single phase: at 0° (see note)
(see note)
Voltage 0% UT for 250/300 0% UT for 300
Interruptions cycles cycles
IEC 6100-4-11
Note : UT is the nominal value of the supply voltage applied during the test.

Page 96 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Manufacturer's guide and declaration – electromagnetic immunity
The Hill-Rom 900 Accella bed and the Wi-Fi connectivity module are designed for use in the
electromagnetic environment specified below. Users must ensure that they are used in this
environment.
Immunity test IEC 60601 Compliance Electromagnetic environment - Guide
Severity
Conducted RF 3 Vrms 3V
IEC 61000-4-6 0.15 MHz - 80 MHz 0.15 MHz - 80 MHz
6 V in ISM bands 6 V in ISM bands
between 0.15 MHz between 0.15 MHz
and 80 MHz and 80 MHz
80% AM at 1 kHz 80% AM at 1 kHz
rms rms
150 kHz to 80 MHz 150 kHz to 80 MHz
Radiated RF 3 V/m 3 V/m The field levels emitted by fixed RF
IEC 61000-4-3 80 MHz to 80 MHz to transmitters, as determined by an
2.7 GHz 2.7 GHz electromagnetic measurement of the
80% AM at 1 kHz 80% AM at 1 kHz a
site , must be below the level of
b
compliance in each frequency band .
Interference may occur close to devices
identified with the following symbol:

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.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 97


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 Wi-Fi
connectivity module has been tested as specified in the table below.
Frequency (MHz)

Immunity Test
Distance (m)
Modulation
Band (MHz)

Level (V/m)
Power (W)
Maximum
Service
Test

385 380 - 390 TETRA 400 Pulse modulation 1,8 0,3 27


18 Hz
450 430 - 470 GMRS 460, FRS460 FM + 5 kHz deviation 2 0,3 28
1 kHz sine
710 704 - 787 LTE Band 13, 17 Pulse modulation 0,2 0,3 9
745 217 Hz
780
810 800 - 960 GSM 800/900 TETRA Pulse modulation 2 0,3 28
870 800, iDEN 820, CDMA 18 Hz
930 850, Band LTE 5
1720 1700 - 1990 GSM 1800 ; Pulse modulation 2 0,3 28
1845 CDMA 1900 ; 217 Hz
1970 GSM 1900 ; DECT ;
Band LTE 1,3, 4, 25 ;
UMTS
5240 5100 - 5800 WLAN Pulse modulation 0,2 0,3 9
802.11 217 Hz
a/n

Page 98 194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use


Recommended separation distances
Recommended separation distances between portable and mobile RF communications equipment
and the Hill-Rom 900 Accella bed and the Wi-Fi connectivity module.
The Hill-Rom 900 Accella bed and the Wi-Fi connectivity module are designed for use in an
electromagnetic environment in which interference due to radiated RF is monitored. The user of
the Hill-Rom 900 Accella bed can contribute to the prevention of electromagnetic interference by
keeping the Hill-Rom 900 Accella bed at the recommended distances from portable and mobile RF
equipment (transmitters) as shown below, according to the maximum power output of the
communication equipment.
Maximum assigned Separating distance versus the frequency of the transmitter
power output of the m
transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
W
d = 1 16 P d = 1 16 P d = 2 23 P
0.01 0.12 0.12 0.24
0.1 0.37 0.37 0.74
1 1.12 1.12 2.33
10 3.67 3.67 7.37
100 11.6 11.6 23.3
For transmitters with a maximum power output that is not in the list above, the recommended
separation distance in meters (m) can be calculated using the equation that applies to the
frequency of the transmitter, where P is the maximum output power of the transmitter in Watts (W)
assigned by the manufacturer of the transmitter.
NOTE:
At 80 MHz and 800 MHz, the separating distance in the upper frequency band applies.

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.

194412(13) - Hill-Rom 900 Accella Bed - Instructions For Use Page 99


USA—Federal Communications Commission (FCC) Radiation
Exposure Statement
The radiated output power of the module is far below the FCC radio frequency
exposure limits. Nevertheless, 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 radio
communications 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.
This equipment has been tested and found to comply with the limits for a Class B
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)
This device complies with RSS210 of Industry Canada.

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.

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.
Brazil
This product is embedded with the module WL18MODGI already homologated by
ANATEL with homologation code 07346-19-09891.

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

SOCIETE (fabricant ou mandataire) Hill-Rom S.A.S.


COMPANY (manufacturer or authorised representative):
Nom : Hill-Rom S.A.S.
Name: Hill-Rom S.A.S.
Adresse : Z.I. du Talhouët, 56330 PLUVIGNER, FRANCE
Address: Z.I. du Talhouët, 56330 PLUVIGNER, FRANCE

La présente déclaration de conformité est établie sous la seule responsabilité du fabricant


This declaration of conformity is issued under the sole responsibility of the manufacturer

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:

x Directive 2014/53/UE (RED)

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

(*)Accessoires, logiciels et composants : 202068.1.0.x.x logiciel, SPWF04SA module


(*)Accessories, software and components: 202068.1.0.x.x software, SPWF04SA module

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

SOCIETE (fabricant ou mandataire) Hill-Rom


COMPANY (manufacturer or authorised representative): Hill-Rom
Nom : Hill-Rom S.A.S. LI900B4
Name: Hill-Rom S.A.S.
Adresse : Z.I. du Talhouët, 56330 PLUVIGNER, FRANCE
Address: Z.I. du Talhouët, 56330 PLUVIGNER, FRANCE

La présente déclaration de conformité est établie sous la seule responsabilité du fabricant


This declaration of conformity is issued under the sole responsibility of the manufacturer

IDENTIFICATION DU PRODUIT AD315A


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 with AD315A
Type: LI900B4 with AD315A
Description et identification du produit: Lit avec module SmartSynchTM (communication WI-FI avec solution Hill-Rom)
Product description and identification: Bed with SmartSynch™ module (WI-FI communication solution powered by Hill-Rom)

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:

x Directive 2014/53/UE (RED)

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

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