Hill-Rom Envella Air Fluidized Therapy Bed Operating instructions

Serial number V222EN and earlier labeled for US market only

Envella ® Air Fluidized

Therapy System

Instructions for Use

(Rental Only)

Product No. P0819

194344 REV 6

Envella® Air Fluidized Therapy System Instructions for Use (194344 REV 6) i

REVISION

PATENTS / PATENT hillrom.com/patents

May be covered by one or more patents. See the above Internet address.

The Hill-Rom companies are the proprietors of European, US, and other patents and pending patent

applications.

No part of this text shall be reproduced or transmitted in any form or by any means, electronic or

mechanical, including photocopying, recording, or by any information or retrieval system without

written permission from Hill-Rom Services, Inc. (Hill-Rom).

The information in this manual is confidential and may not be disclosed to third parties without the

prior written consent of Hill-Rom.

The information in this manual is subject to change without notice. Hill-Rom makes no commitment to

update or keep current the information in this manual.

Hill-Rom reserves the right to make changes without notice in design, specifications, and models. The

only warranty Hill-Rom makes is the express written warranty extended on the sale or rental of its

products.

This manual (194344) was originally released and supplied in English. For a list of available translations,

contact Hill-Rom Technical Support.

Product images and labels are for illustrative purposes only. Actual product and label may vary.

Sixth Edition, 2021-12

First Printing, 2016

Clorox Healthcare® is a registered trademark of Clorox Professional Products Company.

Oxycide® is a registered trademark of EcoLab USA, Inc.

Oxivir® and Virex® are registered trademarks of DIVERSEY, Inc.

Wex-Cide™ is a trademark of Wexford Labs, Inc.

Hillrom™ and Quick View™ are trademarks of Hill-Rom Services, Inc.

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Services, Inc.

Replace this manual (194344) if it is damaged and/or can not be read.

For product support or to order additional printed copies of this manual (194344), call 800-638-2546,

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NOTE:

A digital version of the user manual is available on the bed’s GCI.

Reference Documents

Envella® Air Fluidized Therapy System Service Manual (194345)

Manufactured by:

HILL-ROM, INC.

1069 STATE ROUTE 46 E

BATESVILLE, IN 47006-9167 USA

ii Envella® Air Fluidized Therapy System Instructions for Use (194344 REV 6)

NOTES:

Envella® Air Fluidized Therapy System Instructions for Use (194344 REV 6) iii

Table of Contents

Revision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i

Intended Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Air Fluidized Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Pressure Redistribution Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Graphical Caregiver Interface (GCI)® Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Document Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Product Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Caregiver Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Pendant (Hand) Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Graphical Caregiver Interface (GCI)®. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Other GCI Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Bed Frame Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Safety Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

California Proposition 65 Statement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Quick View™ List of Features and Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Alarm Conditions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Notification Priority. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Bed Temperature Too High / Communication Issue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Power Loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Alerts and Information Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Audible Alerts and Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Brake Not Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Visual Alerts and Indicators on the Caregiver Control Panels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Visual Indicator on the Upper Frame . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Bed Frame Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

CPR Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Use the CPR Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Power Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Cord Hooks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Brake and Steer Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

iv Envella® Air Fluidized Therapy System Instructions for Use (194344 REV 6)

Table of Contents

Siderails. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Remove a Siderail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Install a Siderail. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Patient Restraint and Drainage Bag Holders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Patient Restraints. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Drainage Bag Holders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Equipment Rail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Equipment Sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Night Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Line Manager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Support Surface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Air Fluidization Therapy Beads (A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Filter Sheet (B). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Pressure Redistribution Therapy Cushions (C). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Clean Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Point of Care® Bed Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Lockout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Head Up and Down. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Bed Up and Down . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Bed Therapy (Air Fluidization). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Turn Bed Therapy On and Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Surface Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Transfer a Patient On to the Bed from a Bed, Stretcher, or other Flat Surface . . . . . . . . . . . . . 24

Transfer a Patient Out of the Bed to another Bed, Stretcher, or other Flat Surface . . . . . . . . 25

Side Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Transfer a Patient On to the Bed from a Standing or Chair Position . . . . . . . . . . . . . . . . . . . . . . 26

Transfer a Patient Out of the Bed to a Side-Sitting Position for Standing or

Placement into a Chair. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Foot Control for Bed Therapy (Air Fluidization) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Pendant (Hand Control) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Adjust the Head Elevation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

To Adjust the Comfort Settings for the Low Back, Upper Back, and Head Comfort. . . . . . . . 27

Graphical Caregiver Interface (GCI)® Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

Unlock the GCI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

Lock the GCI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

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Use the GCI Menu Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Access the Help (?) Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Alerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Bed Exit Alert. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Turn the Bed Exit Alert On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Turn the Bed Exit Alert Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Silence the Bed Exit Alert without Deactivating the System . . . . . . . . . . . . . . . . . . . . . . . . . 33

View Bed Exit Alert History. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Bed Exit Alert System Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Head Angle Alert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Activate the Head Angle Alert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

When the Head Angle Alert Sounds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Turn Off the Head Angle Alert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

View the Head Angle Alert History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Head Angle Alert Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

Change the Alert Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

Change the Alert Tone. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Scale Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Weigh the Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

View Weight History. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Weigh Patient Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

Zero the Scale. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Zero Scale Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Body Mass Index (BMI) Calculator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Adjust Weight. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Add/Remove Items. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Bed Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Adjust the Comfort Level . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Adjust the Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

View Bed Therapy History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

Bed Therapy—Air Fluidization and Temperature Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Bed Therapy System Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

Miscellaneous Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Turn Reminder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

vi Envella® Air Fluidized Therapy System Instructions for Use (194344 REV 6)

Table of Contents

Preferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Adjust Date/Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

Electrocardiogram and Electroencephalogram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

Position the Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

Adjust the Patient’s Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

Turn the Patient for Side Lying with a Pillow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

Turn the Patient for Linen Changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

Turn the Patient for Back, Wound, and Perineal Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

Adjust the Female Patient’s Position for Catheterization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64

Adjust the Patient’s Position for Bedpan Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

Transport. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

Transport the Bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

After Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68

Patient Helper (P0820). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68

Foot Support Cushion (195108) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70

Impervious Sheet (P007012A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70

Infusion Support System (P158A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

IV Pole (P2217A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

Oxygen Tank Holder, Vertical (P276 and P27601) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

Detachable parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

Cleaning and Disinfecting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74

Cleaning and Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74

Prepare the Bed for Cleaning and Disinfecting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

STEP 1: Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

STEP 2: Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Process the Bed after Patient Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

Service Calls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

Storage and Handling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78

Intended Use

Envella® Air Fluidized Therapy System Instructions for Use (194344 REV 6) 1

INTENDED USE

The Envella® Air Fluidized Therapy System is intended for medical purposes to help treat or prevent

pressure injuries, to treat severe or extensive burns, or to aid in circulation. This bed is an ideal support

for patients who have advanced pressure injuries, flaps, grafts, or burns, and require frequent transfers

or variable head elevation, and any other conditions appropriate for air fluidized therapy. The bed also

can be used for intractable pain, extensive epidermal detachment, Stevens-Johnson Syndrome, purpura

fulminans, induce relaxation which may reduce need for sedative and pain medication, improve patient

outcome, and reduce wound healing time. The bed permits easy positioning and egress, thereby

enhancing the independence of patients.

INTRODUCTION

The Envella® Air Fluidized Therapy System is a patient management system that combines air fluidized

therapy and pressure redistribution technologies together on a low-height frame. The lower body

section provides air fluidized therapy, and the upper body section provides pressure redistribution.

The bed is most applicable in the long term care and acute care, medical, surgical, and critical care

settings, but it may be used in other clinical areas as well.

The bed may be used when continuous or variable head elevation and/or patient transfers and egress

may be required.

The bed is equipped with a scale intended to weigh the patient in the bed.

Before you operate the bed, make sure you read and understand in detail the contents of this manual. It

is important that you read and obey the aspects of safety contained in this manual.

Any reference to a side of the bed is from the patient’s view lying in the bed on his or her back.

AIR FLUIDIZED THERAPY

To support the patient’s buttocks, legs, and feet, the lower-body portion of the bed provides the

maximum pressure relief of air fluidized therapy. The bed’s air fluidization chamber contains silicone

coated microspheres (beads).

When the bed is turned on, room air is drawn into the base of the bed, filtered, heated, and channeled

into the bed through a porous diffuser. The air blows upward through the beads, and puts them into

motion, causing the beads to take on the properties of a fluid that the patient’s body can float in.

If the airflow is turned off, the beads settle into a mold around the body contours, creating a solid

support.

The bed supports these types of patients:

• Patients in need of aggressive treatment for

multiple or advanced pressure injuries

• Patients receiving treatment for flaps, grafts, burns,

or intractable pain

• Patients at high risk for skin breakdown (to prevent

pressure injuries)

Symbols

2 Envella® Air Fluidized Therapy System Instructions for Use (194344 REV 6)

PRESSURE REDISTRIBUTION THERAPY

To support the patient’s head, shoulders, and back, the upper-body portion of the bed delivers pressure

redistribution therapy by controlling the escape of air and pressure distribution in the inflatable

cushions. The air is automatically adjusted for the patient’s weight, as well as changes in the patient’s

position and head elevation. The patient receives support according to the individual’s comfort at

therapeutic pressures.

GRAPHICAL CAREGIVER INTERFACE (GCI)® CONTROL

SYMBOLS

DOCUMENT SYMBOLS

This manual contains different typefaces and symbols to make the content easier to read and

understand:

• Standard text—used for regular data.

•Boldface text—emphasizes a word or phrase.

•NOTE:—sets apart special data or important instruction clarification.

• WARNING, CONTRAINDICATION, or CAUTION

– A CONTRAINDICATION identifies situations or actions that may have an effect on patient

safety.

– A WARNING identifies situations or actions that may have an effect on patient or user safety.

To ignore a warning could cause patient or user injury.

– A CAUTION identifies special procedures or precautions that persons must obey to help

prevent equipment damage.

The GCI at the foot end of the bed constantly provides

information about bed features and the bed status.

Menus guide you through the bed functions. To access

the features, press the controls on the GCI. Indicator lights

show when a feature is on.

Some bed controls are available on the pendant (hand control), footboard, and sides of the bed.

Symbols

Envella® Air Fluidized Therapy System Instructions for Use (194344 REV 6) 3

PRODUCT SYMBOLS

Caregiver Control Panel

Pendant (Hand) Controls

Item or

Symbol Description Item or

Symbol Description

A Bed therapy (air fluidization) control

with indicator

FSide transfer control with indicator

B Head up and down controls with

lockout indicator

GService required indicator

C Head angle display (on the head-

end side controls only)

H Lockout control

D Bed up and down controls with

lockout indicator

I Bed not down indicator

ESurface transfer control with indica-

tor

Bed Unplugged Alarm indicator (on

the footboard controls only)

Item Description

A Head up and down controls

B Comfort adjust zone select control with indicators

C Comfort adjust pressure increase and decrease controls with indi-

cators

Symbols

4 Envella® Air Fluidized Therapy System Instructions for Use (194344 REV 6)

Graphical Caregiver Interface (GCI)®

Item Description Item Description

A Home screen indicator J Help (?) control

B Temperature Status indicators—

• Green = the surface is at its

setpoint

• Orange = the surface is

heating

• Blue = the surface is cooling

K Head Angle Alert Status indicator

C Home Menu control L Head Angle display

D Alerts Menu control M Bed Height Status indicator

E Scale Menu control N Screen Lock control

F Bed Therapy Menu control O Preemptive Bed Exit Alert Silence control

G Reminder Menu control P Air Fluidization Status indicator

H Preferences Menu control Q Scale Zero Status indicator

I Down (and up) arrow control R Bed Exit Alert Status indicator

Other GCI Symbols

Symbol Description Symbol Description

Alert Volume control Patient Height Input control

Alert Tone control Increase and Decrease controls

Temperature Adjust controls Return control

Temperature Unit control Identifies that the alarm system is in the

audio off state.

Identifies an alarm condition

Symbols

Envella® Air Fluidized Therapy System Instructions for Use (194344 REV 6) 5

Bed Frame Labels

Symbol Description Symbol Description

CPR control label WARNING (yellow and black)

Patient left head rail (on the

siderail)

CAUTION (white and black)

Patient right head rail Identifies patient chest restraint

location

Patient left foot rail Identifies patient waist/wrist

restraint location

Patient right foot rail Identifies patient ankle restraint

and/or drainage bag location

Siderail release controls Brake pedal

Hip position locator Steer pedal

Safe working load for the

footboard rail

Before transport sequence

Detachable intermediate

siderail—left

After transport sequence

Detachable intermediate

siderail—right

Crush warning: must consult

accompanying documents

Detachable head siderail—

left

Identifies the bed power cord

Detachable head siderail—

right

Refer to the service manual for

fuse replacement and identifica-

tion

IV pole interference Protective earth

Do not use with Oxygen

Tents

ATTENTION: Consult accompany-

ing documents

Safety Information

6 Envella® Air Fluidized Therapy System Instructions for Use (194344 REV 6)

SAFETY INFORMATION

CONTRAINDICATION:

Use of active therapy surfaces with patients with unstabilized spinal cord injury could cause serious

injury to the patient.

Warning: no equipment stor-

age

Must consult accompanying doc-

uments

Type B applied part accord-

ing to IEC 60601-1

According to IEC 60529, Rating

for protection against fluid

ingress and identified as equip-

ment that is protected against

spraying and splashing water

Medical Equipment with

respect to Electric Shock,

Fire and Mechanical Hazards

only in accordance with

ANSI/AAMI ES60601-1,

IEC60601-1, IEC60601-2-52,

and IEC80601-2-35, and

CAN/CSA C22.2 No. 60601-1

Manufacturer

Patient minimum and maxi-

mum weight range

Manufacture date

Patient minimum and maxi-

mum weight range

Catalog number

Safe working load Serial number

Total bed weight (including

the safe working load)

Medical Bed for Adults

Symbol Description Symbol Description

Safety Information

Envella® Air Fluidized Therapy System Instructions for Use (194344 REV 6) 7

WARNING:

Obey all warnings throughout the manual and also the warnings below. Failure to do so could cause

injury and/or equipment damage:

•Warning—Read and understand all warnings in this manual and on the bed itself prior to use

with a patient.

•Warning—Follow the product manufacturer’s instructions.

•Warning—Contact Hill-Rom if any of these occur:

– The product does not respond to user controls as described in this manual.

– “Notify Hill-Rom” shows on the GCI and an alert sounds.

– There is an electrical or mechanical problem with the bed.

– Air fluidization is sluggish or uneven, and not caused by blankets and pillows on the

bed or recent fluid ingress into the beads.

•Warning—To help prevent the risk of hospital bed fires, make sure facility persons follow the

safety tips in the FDA Public Health Notification: Safety Tips for Preventing Hospital Bed Fires. (US

only)

•Warning—The potential for electrical shock exists with electrical equipment. Failure to follow

facility protocols may cause death or serious injury.

•Warning—Connect the power cord to a hospital grade power outlet only. (To avoid risk of

electric shock, this equipment must only be connected to a supply mains with protective earth.)

•Warning—Do not connect the power cord to an extension cord or multiple outlet strip. There is

a risk of overheating and fire may cause injury or damage.

•Warning—Incorrect use or handling of the power cord may cause damage to the power cord

which could cause electrical shock or other injury. If damage has occurred to the power cord or

any of its components, immediately remove the bed from service, and contact Hill-Rom.

•Warning—Make sure the location of the power cord from the bed to its power source is such

that the cord will not cause a trip hazard.

•Warning—The bed is intended for patients who are within the specified weight limit of 32 kg to

159 kg (70 lb to 350 lb). Use of the bed with a patient whose weight is outside of the specified

limits may cause loss of therapeutic value and/or damage to the bed.

•Warning—This bed is not designed for use with oxygen tents and their accessories. Use oxygen

administering equipment of the nasal, mask, or ventilator type only.

•Warning—To prevent a risk of explosion, do not use oxygen administering equipment in the

presence of flammable anesthetics.

•Warning—Use detachable parts and accessories from Hill-Rom only. Do not modify or change

the bed system without approval from Hill-Rom.

•Warning—Rental only product—there are no user replaceable service parts. For service part

replacement, contact Hill-Rom.

•Warning—Make sure that there are no foreign objects in the patient zone of the bed.

•Warning—A patient with continuous exposure to warm, dry air is subject to increased

evaporative water loss. Monitor the patient’s fluid status, and provide hydration therapy as

needed.

•Warning—This product contains chemicals known to the State of California to cause cancer

and birth defects or other reproductive harm.

•Warning—Make sure that the patient is in the correct position on the bed. Patient injury can

occur.

Safety Information

8 Envella® Air Fluidized Therapy System Instructions for Use (194344 REV 6)

CAUTION:

Caution—Do not store anything under the bed. To do so could cause equipment damage.

NOTES:

• To remove power from the bed, unplug its power cord from the AC power outlet.

• To make sure grounding is reliable, fully insert the plug into the power source.

• Make sure the position of the bed is such that you can quickly, without obstruction, unplug the

power cord from the main power supply if necessary.

• Rental only product—do not dispose of any parts of the bed. Contact Hill-Rom.

CALIFORNIA PROPOSITION 65 STATEMENT

WARNING:

Warning—This product can expose you to chemicals including Lead and Di (2-ethylhexyl) phthalate

(DEHP), which are known to the State of California to cause cancer and birth defects or other

reproductive harm. For more information go to www.P65Warnings.ca.gov.

Quick View™ List of Features and Controls

Envella® Air Fluidized Therapy System Instructions for Use (194344 REV 6) 9

QUICK VIEW™ LIST OF FEATURES AND CONTROLS

Item Feature Page Item Feature Page

A Graphical Caregiver Interface

(GCI)®

28 I Siderail release 15

B Caregiver control panel 21 J Patient restraint (the ankle

restraints can also be used as a

drainage bag holders

C Foot support cushion 21 K CPR control 13

D Support surface 18 L Night light 18

E Pendant 27 M Foot control and holder 27

F Line manager 18 N Brake and steer control 14

G Equipment socket 17 O Equipment rail 17

H Power cord hook 14 P Hip position locator 61

Alarm Conditions

10 Envella® Air Fluidized Therapy System Instructions for Use (194344 REV 6)

ALARM CONDITIONS

Different alarms are generated by the bed to notify the caregiver of potentially hazardous conditions.

The intended position of the caregiver to respond to alarms is standing in front of the GCI or control

panel that is on the footboard of the bed.

There are two alarm conditions: Bed Temperature Too High / Communication Issue is a medium

priority alarm, and Power Loss is a low priority alarm.

NOTIFICATION PRIORITY

Only one alarm or alert will show on the display at one time. Alarms are prioritized over alerts.

BED TEMPERATURE TOO HIGH / COMMUNICATION ISSUE

NOTE:

When you plug the bed into the power outlet, make sure that you hear a single beep. This lets you know

that the Bed Temperature Too High / Communication Issue alarm is operating correctly.

Priority Indication Condition Visual Warning Auditory

Warning Resolution

Medium

(1 second

inherent

alarm

delay)

Bed Tem-

perature Too

High / Com-

munication

Issue

The temperature

in the bead

section of the

bed exceeds

104°F (40°C).

There is a

connection

issue with the

temperature

sensor.

Warning on the

GCI; the screen

has a yellow bor-

der that flashes.

Triple beep that

sounds repeat-

edly.

Follow the on-

screen instruc-

tions.

Low Power Loss The bed power

cord is

disconnected

from the AC

power outlet.

A power outage

has occurred.

The Bed

Unplugged

Alarm indicator

is on and is yel-

low colored.

None Check that the

power cord is

plugged in.

Wait for power

return.

A triple beep will sound repeatedly and Bed Therapy will be

disabled if either of these conditions occur:

• The temperature in the bead section of the bed

exceeds104°F (40°C).

• There is a connection issue with the temperature

sensor.

If the alarm sounds, remove the patient from the bed, and

contact Hill-Rom.

Alerts and Information Indicators

Envella® Air Fluidized Therapy System Instructions for Use (194344 REV 6) 11

POWER LOSS

WARNING:

Warning—A patient should not remain on the bed with air fluidization not operating for more than

two hours.

A power loss can occur under these conditions:

• The bed power cord has been disconnected from the AC power outlet.

• A power outage has occurred.

• A bed fuse has blown.

During a power loss condition, the bed can not operate. If the bed has been without power for more

than 2 hours (air fluidization has not operated), remove the patient from the bed.

When power is restored, the bed will resume operation at its previous state: if air fluidization was on, it

will turn on; if air fluidization was off, it will remain off.

ALERTS AND INFORMATION INDICATORS

Alerts and Information Indicators provide the caregiver with audible indicators and visual indicators. For

detailed information about the Bed Exit System and Head Angle alerts, see “Alerts” on page 30.

NOTE:

There must be AC power to the bed for the indicators to operate.

AUDIBLE ALERTS AND INDICATORS

A single beep will sound when an activity is successful or completed.

A triple beep will sound when there is an error or caregiver attention is needed.

A triple beep will sound every 10 minutes when there is a bed malfunction.

To turn off the alarm sound, press the Bed Therapy control

on one of the caregiver control panels. To turn the sound

on again, press the Bed Therapy control.

NOTES:

• To make sure the Power Loss Alarm indicator operates correctly, do as follows:

1. Unplug the bed, and make sure that the indicator comes on.

2. Plug the bed in, and make sure that the indicator turns off.

• The bed must be plugged into AC power to operate.

• The Power Loss Alarm indicator stays on for approximately 10 minutes after the bed has stopped

receiving AC power.

Alerts and Information Indicators

12 Envella® Air Fluidized Therapy System Instructions for Use (194344 REV 6)

A triple beep will sound every 5 seconds during these situations:

• When air fluidization is off because of a fan malfunction.

• When a patient is in the bed and air fluidization has been turned off for more than 30 minutes.

The alert can be silenced and will sound again in 15 minutes if air fluidization is still off.

Brake Not Set

The Brake Not Set is an audible alert only. When the bed is plugged into AC power, and you release the

brakes, the alert will sound. To silence the alert, either unplug the bed (for transport) or set the brakes.

VISUAL ALERTS AND INDICATORS ON THE CAREGIVER CONTROL PANELS

Item Indicator

A Service Required—flashes when the bed detects a malfunction. Contact Hill-Rom for

assistance.

B Bed Not Down—flashes when the bed is not in its lowest position.

C Head Angle Display and Alert (side control panels only)—the display digitally shows the

approximate angle of the head section from 0° to +60° with respect to the floor. The Head

Angle Alert indicator is on when the Head Angle Alert is armed. The Head Angle display

has an accuracy of ± 4°. (The head angle and its alert status also show on the GCI.)

VISUAL INDICATOR ON THE UPPER FRAME

A Hip Position Locator label is on both sides of the upper

frame in between the attachment points for the head and

intermediate siderails. The label identifies the correct

location of the patient's hips while on the bed.

Hill-Rom Envella Air Fluidized Therapy Bed Operating instructions

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