Invacare® NordBed™ User Manual

1 General Information

This manual contains important information regarding the handling of the product. Read through the manual carefully and follow the safety instructions to ensure safe operation.

Only use this product after reading and understanding this manual. Consult healthcare professionals familiar with your medical condition for advice on correct usage and necessary adjustments.

Note that some sections may apply to different models. Unless otherwise stated, each section refers to all product models.

Invacare reserves the right to change product specifications without prior notice.

Ensure you have the latest version of this document. The latest version can be found as a PDF file on the Invacare website.

Contact Invacare if you need assistance or information on previous product versions.

If the font size in the printed version is difficult to read, you can download the PDF version from the website and enlarge it on your screen.

For more information about the product, including safety notices and recalls, contact an Invacare distributor. Addresses are provided at the end of this document.

Report any serious incidents involving the product to the manufacturer and the competent authority in your country.

1.1.1 Symbols Used in the Document

Symbols and signal words indicate hazards or dangerous procedures that may lead to personal injury or material damage. This document is printed in grayscale. For your reference, safety messages follow ANSI Z535.6 color coding: Danger (red), Warning (orange), Caution (yellow), and Notice (blue). The symbols are defined below:

• ⚠️ WARNING! Indicates a hazardous situation which, if not avoided, could result in serious injury or death.
• ? OBSERVERA! Indicates a hazardous situation which, if not avoided, could result in minor or moderate injury.
• ❗ OBS! Informs about a hazardous situation which, if not avoided, could result in property damage.

1.2 Lifespan

The expected lifespan of this product is five years when used daily according to the safety instructions, maintenance intervals, and correct usage specified in this manual. Actual lifespan may vary depending on usage intensity and frequency.

1.3 Compliance

Quality is fundamental to our operations, and we adhere to the ISO 13485 standard. This product is CE-marked according to Regulation (EU) 2017/745 for medical devices, Class I. We continuously strive to minimize our environmental impact.

We use only materials and components that comply with the REACH directive and adhere to environmental legislation, WEEE, and RoHS directives.

1.3.1 Product-Specific Standards

The product has been tested and complies with IEC 60601-2-52 (Particular requirements for the basic safety and essential performance of medical electrical equipment, specifically for hospital beds) and all related standards.

Contact your local Invacare representative for information on local standards and regulations. Addresses are at the end of this document.

1.4 Warranty Information

Invacare provides a manufacturer's warranty in accordance with our general terms and conditions in each country. Warranty claims must be made through the supplier who provided the product.

1.5 Limitation of Liability

Invacare is not liable for damages resulting from:

• Failure to follow the user manual.
• Improper use.
• Normal wear and tear.
• Incorrect assembly or adjustment performed by the buyer or a third party.
• Technical modifications.
• Unauthorized modifications and/or use of unsuitable spare parts.

2 Safety

2.1 General Safety Information

This section provides general safety information. Refer to applicable sections for specific safety details.

⚠️ WARNING! Risk of personal or product damage

• Do not use this product or any accessories before reading and understanding these instructions and any additional materials. If you cannot understand the warnings or instructions, contact healthcare personnel, your Invacare supplier, or a qualified technician before use.
• Do not make unauthorized modifications to the product.

⚠️ WARNING! Risk of entrapment/suffocation

Risk of entrapment/suffocation between the bed base, side rails, and headboard, or between moving parts and nearby objects.

• The bed must not be used by persons under 12 years of age, or persons shorter than an average 12-year-old.
• The bed, when used with side rails, must not be used by persons under 146 cm in height, weighing less than 40 kg, or with a BMI (Body Mass Index) under 17.
• Mattress compression can increase entrapment risk over time. Periodically check the gaps between the bed, mattress, and side rails. Replace the mattress if gaps are large enough to pose an entrapment risk.

⚠️ WARNING! Risk of sliding through openings

The bed meets all requirements for maximum allowable gaps. However, there is still a risk of persons with small body sizes sliding through openings between side rails or between the side rail and the bed base. Be particularly cautious when caring for individuals with small body sizes.

⚠️ WARNING! Risk of electric shock and product malfunction

• Improper handling of cables, incorrect connections, and use of non-approved equipment can cause electric shock and product malfunction.
• Do not bend, cut, or damage the product's cables.
• Ensure no cables are pinched or damaged during use.
• Unplug the bed before moving it.
• Check that wiring and connections are correct.
• Do not use unauthorized equipment.

⚠️ WARNING! Risk of tripping, tangling, or strangulation

Improper cable routing can cause tripping, tangling, or strangulation hazards.

• Ensure all cables are routed correctly and securely fastened.
• Ensure there are no cable loops extending from the product.

⚠️ WARNING! Risk of personal or product damage

Ignition sources can cause burns or fire.

• The bed must be placed with a safety clearance from potential ignition sources (heaters, open fireplaces, etc.).
• Patients and caregivers must not smoke while using or handling the bed.

⚠️ WARNING! Risk of personal or product damage

To avoid personal or product injury when handling the product:

• Exercise extra caution when the product is used near children or animals.
• Do not let children play with the product.

? OBSERVERA!

• When a person is getting into or out of the bed, lower it to a suitable height. The backrest section of the bed base can be used to support the person's back in a more upright position. The backrest section is not designed to support or lift the entire body. Ensure the patient is positioned with their back centered on the backrest. When the backrest is raised, its maximum load capacity is 45% of the total maximum load.
• Always lower the bed to its lowest position before leaving a person unattended.
• Ensure nothing is under, over, or adjacent to the bed that could obstruct height adjustment, such as furniture, patient lifts, or window frames.

? OBSERVERA! Accessories

Non-original or incorrect accessories may affect product function and safety. Use only original accessories for the product.

Due to regional differences, check your local Invacare catalog or website for available accessories, or contact your local Invacare representative. Addresses are at the end of this document.

? OBSERVERA! Risk of personal or product damage

The product may become hot when exposed to sunlight or other heat sources. Do not expose the product to direct sunlight for extended periods. Keep the product away from heat sources.

? OBSERVERA! Risk of finger entrapment

There is a risk of trapping fingers in the bed's moving parts. Be careful.

❗ OBS! Electrical Disconnection

The bed has no isolation switch. If the bed needs to be disconnected electrically, it must be unplugged from the mains socket. Always position the bed so that the mains socket is easily accessible for unplugging.

❗ OBS! Cleaning

Accumulation of lint, dust, and dirt can impair product function. Keep the product clean.

2.2 Mattresses

⚠️ WARNING! Safety aspects regarding the combination of side rails and mattresses:

To achieve the highest possible safety level when using side rails, consider the minimum and maximum mattress dimensions. Refer to the mattress table in Chapter 8 Technical Data, page 23, for correct mattress dimensions.

⚠️ WARNING! Risk of entrapment and/or suffocation

The user can become trapped or suffocated if there is too large a gap between the side of the mattress and the inside of the side rail. Ensure the mattress dimensions match the minimum width (and length) for mattresses used with side rails, as specified in the mattress table in Chapter 8 Technical Data, page 23. Note that the risk increases with very thick or soft mattresses (low density), or a combination thereof.

⚠️ WARNING! Fall risk

The user may fall over the edge and be seriously injured if the vertical distance A between the top of the mattress and the edge of the side rail/headboard is too small. See the diagram above.

• Always maintain a minimum distance of 22 cm.
• Ensure the mattress dimensions correspond to the maximum mattress height specified for use with side rails. Refer to the mattress table in Chapter 8 Technical Data, page 23.

2.3 Under-bed Clearance

❗ OBS!

Nordbed Optimo and Nordbed Optimo Wide models with 100 mm castors may have limited under-bed clearance. If the bed is lowered to 400 mm or less, the undercarriage of some mobile patient lifts may not fit. It may be necessary to use mobile patient lifts with a smaller base or alternative transfer methods.

2.4 Safety Information Regarding Electromagnetic Interference

⚠️ WARNING! Risk of malfunction due to electromagnetic interference

Electromagnetic interference can occur between this product and other electrical equipment, affecting the product's electrical functions. To prevent, reduce, and eliminate such interference:

• Use only original cables, accessories, and spare parts to avoid increasing electromagnetic radiation or reducing the product's electromagnetic integrity.
• Do not use radio frequency (RF) communication equipment within 30 cm of any part of this product, including cables.
• Do not use this product near active high-frequency surgical equipment or an RF-shielded room with a magnetic resonance imaging system, where high-intensity electromagnetic interference may occur.
• If interference occurs, increase the distance between this product and other equipment, or turn off the interfering equipment.
• Refer to Chapter 9 Electromagnetic Compatibility (EMC), page 28, for detailed information and guidelines.

⚠️ WARNING! Risk of malfunction due to electromagnetic interference

Do not use this bed adjacent to or stacked on top of other electrical equipment, as this could lead to malfunction. If such use is necessary, monitor the bed and other equipment to ensure they operate correctly. This bed can be used with Invacare-approved accessories and medical electrical equipment connected to the heart (intracardiac) or blood vessels (intravascular), provided the following is observed:

• Medical electrical equipment should not be attached to the bed's metal accessories, such as side rails, lift bars, IV poles, and headboards.
• The power cable of the medical electrical equipment should be routed away from the movement range of accessories or other moving parts of the bed.

2.5 Labels and Symbols on the Product

2.5.1 Serial Number Label

The serial number label is located on the bed frame and contains key product information, including technical data.

[Diagram Description: A label showing Invacare logo, company address, model information (REF, SN, UDI), CE mark, manufacturing date, and various symbols with their meanings like 'Patient Connected Part Type B', 'Do not dispose of as household waste', 'European Conformity'.]

Abbreviations for Technical Data:

• Iin = Input Current
• Uin = Input Voltage
• Int. = Intermittent
• AC = Alternating Current
• Max = Maximum
• min = Minutes

More information on technical data can be found in Section 8 Technical Data, page 23.

2.5.2 Other Labels

Read the user manual before using the product and follow all safety and usage instructions.

[Diagram Description: Labels showing user requirements like '≥ 146 cm BMI ≥ 17', '≥ 40 kg', '≥ 146 cm BMI ≥ 17', and a diagram illustrating the definition of minimum weight, height, and BMI for an adult user. Reference to Section 3.1 Intended Use, page 8.]

[Diagram Description: Labels indicating mattress dimensions and compatibility with side rails. Reference to Section 8 Technical Data, page 23.]

[Diagram Description: Symbols indicating 'Total weight of the product with maximum load applied', 'Temperature limit', 'Humidity limitation', 'Pressure limitation', 'Transport and storage conditions', 'Operating conditions'.]

[Diagram Description: Symbol indicating the bed can be used with automatic washing systems (only on washable versions).]

[Diagram Description: Symbol indicating the connection point for equipotential bonding (not available on all product versions).]

Label on Ane Bed Rail

[Diagram Description: Shows a bed rail with a gap measurement '< 6 cm' and indicates the maximum space between the side rail and headboard.]

Refer to the mounting instructions in the bed's service manual or the instructions supplied with the bed rail.

Label on Torill Bed Rail

[Diagram Description: Shows a bed rail with gap measurements '> 3 cm' and '< 6 cm', indicating permissible mounting positions and spaces between side rails and headboards.]

Refer to the mounting instructions in the bed's service manual or the instructions supplied with the bed rail.

3 Product Overview

3.1 Intended Use

The hospital bed is electrically operated, height-adjustable, and features an adjustable lying surface intended for use with a mattress. Hospital beds are designed to support patients and are used to assist, alleviate, and improve certain medical conditions. The hospital bed aids and facilitates the caregiver's work environment.

The hospital bed is intended for:

• Area of Use 3: Long-term care in a medical setting requiring medical supervision, where medical electrical equipment used during treatment can be provided to help maintain or improve the patient's condition.
• Area of Use 4: Home care settings where medical electrical equipment is used to alleviate or compensate for an injury, disability, or illness.

Intended Users

Individuals with a medical condition requiring bed rest.

Indications

The bed is intended for adult users who are at least 146 cm tall, weigh at least 40 kg, and have a BMI (Body Mass Index) of at least 17. The bed is intended for indoor use only.

The user's maximum weight and permissible load during use are indicated on the product label and in the technical data section of this manual.

Contraindications

The bed is not intended for transporting users. It can be moved within a room with a user in it. The castors can be locked.

The bed is not intended for individuals with psychosocial impairments.

⚠️ WARNING! Improper or incorrect use can lead to hazardous situations. Invacare assumes no liability for any use, modification, or assembly of the product other than as described in this user manual.

3.1.1 Intended User

Healthcare professionals and private individuals who have received proper training are the intended users of this product. The hand control can also be used by the person lying in the bed.

3.2 Main Parts of the Bed

[Diagram Description: An illustration of the hospital bed with various parts labeled A through R. The labels correspond to the list below.]

3.3 Options

Due to regional differences, refer to information on available accessories in your local Invacare website/catalog or contact your Invacare medical equipment center.

Bed Rails

Bed rails are intended to be operated by a person standing beside the bed and are designed to reduce the risk of the user accidentally falling out of bed when locked in the highest position.

• Freya: Fold-down wooden bed rail, full length (standard, 10 cm extension, or 20 cm extension).
• Embla: Fold-down aluminum bed rail, full length (standard or extendable).
• Torill: Telescopic split bed rail (75 cm or 96 cm long).
• Ane: Fold-down metal bed rail, 3/4 length (standard or high).
• Ane (83/85): Fold-down metal bed rail, 3/4 length, for narrow mattresses (90 cm beds) (standard or high).
• Extension for full-length bed rails: Mounting positions for 6 or 10 cm height increase (for Freya or Embla).
• Extension for Torill: For Torill on beds with extended bed bases (10 cm or 20 cm extension).
• Bed rail covers: Textile covers for various bed rails (mesh or padded).

More information on bed rails can be found in Section 8 Technical Data, page 23.

Headboards and Side Panels

Headboards serve as aesthetic and physical barriers at the head and foot of the bed. Headboards with guide rails are required for mounting full-length bed rails.

• Astrid, Nora, and Una: Headboards with or without guide rails for full-length bed rails.
• Inga, Runa, and Nanna: Headboards without guide rails for full-length bed rails.
• Wooden side panels: Aesthetic covers for the side of the bed.
• Padded headboard covers: Textile covers with padding for headboards.
• Padded side panel covers: Textile covers with padding for side panels.

More information on headboards can be found in Section 8 Technical Data, page 23.

Transfer Aids

Transfer aids are designed to provide support when the user is getting into or out of bed (support and turning handles, transfer poles) or changing position in bed (support and turning handles, lift bar, sit-up support).

• Fixed support and turning handles: Fixed handles mounted on the side of the bed (short or long). Not to be used with Ane and Torill bed rails.
• Swinging support and turning handles: Swinging handles mounted on the side of the bed (left or right). Not to be used with Freja/Embla, Ane, and Torill bed rails or side panels.
• Sit-up support: Adjustable handle mounted on the side of the bed (left or right). Not to be used with Ane and Torill bed rails.
• Transfer poles: Handles to be mounted on one of the lift bar tubes at the head of the bed.
• Lift bar: To be mounted on one of the lift bar tubes at the head of the bed (fixed or rotating).

Other Accessories

• Buffer supports: Bumpers mounted on the bed's underframe.
• Rebound wheels: Bumpers mounted on the headboards.
• Battery backup: Mounted on the underframe for short-term operation without mains power.
• Hand control holder: Mounted on the side of the bed.
• LCD hand control: Hand control with LCD display.
• Wireless hand control: Infrared hand control and receiver.
• Hand control for rheumatics: Hand control for persons with rheumatism.
• Y-cable: For using two hand controls on the same bed.
• Soft Tilt: Patient positioning system mounted on the mattress platform.

4 Usage

4.1 General Safety Information

⚠️ WARNING! Risk of personal injury and property damage.

• The bed must be positioned so that height adjustment is not obstructed by patient lifts or furniture.
• Be careful not to pinch body parts between fixed parts (e.g., side rails, headboards) and moving parts.
• The hand control must not be used by children.

⚠️ WARNING! Risk of personal injury

If the bed is used by persons who are confused, restless, or have spasms:

• Lock the hand control functions if the bed is equipped with a lockable hand control, or keep the hand control out of the user's reach.

4.1.1 Mattress Support

⚠️ WARNING! Risk of personal injury

With incorrectly installed mattress supports, the mattress can slide sideways, causing the user to fall out of bed.

• Never use the bed without mattress supports.
• Always ensure the mattress supports are correctly installed and facing upwards.
• Use only original mattress supports.

4.2 Preparations

❗ OBS!

• Unpacking and installation of the bed must be performed by a qualified technician according to the service manual instructions.
• Accessories supplied with the bed must be assembled by a qualified technician according to the service manual or the documentation provided with the accessory.

Included in Delivery

• Complete bed with castors, electronic unit, and bed base.

Optional items such as headboards, side rails, lift bars, etc., are supplied separately.

Before Putting the Bed into Use

1. Move the bed to the correct position.
2. Connect the bed to the mains socket.

4.3 Castors and Wheel Brakes

? OBSERVERA! Risk of pinching/entrapment

All brakes are foot-operated. Do not activate the brake with your fingers.

? OBSERVERA! Risk of personal injury

The user may fall when getting into or out of the bed if the brakes are not locked. Always lock the brakes before the user gets into or out of the bed, or when the user requires it.

Castors may leave marks on certain types of absorbent floor surfaces, such as untreated or poorly maintained floors. To prevent marks, Invacare recommends placing a suitable protective mat between the castors and the floor.

4.3.1 Central Brake System

All wheels are locked using one of the pedals.

Always stand in the middle of the bed's long side when locking the brakes.

[Diagram Description: Illustration of the central brake pedal system with pedals labeled A (green) and B (red). Pedal A is for unlocking, Pedal B is for locking.]

1. Lock brakes: Press the red pedal B.
2. Unlock brakes: Press the green pedal A until the brake is in neutral position (both pedals are at the same level).

Steerable Castor (Optional)

The bed with a central brake system can be equipped with a steerable castor controlled by the central brake pedal.

[Diagram Description: Illustration showing the castor mechanism and pedals.]

1. Activate steering: When the brake is in neutral position, press the green pedal A.
2. Deactivate steering: When steering is activated, press the red pedal B until the brake is in neutral position.

4.4 Hand Control

The hand control has buttons for electrical functions (A to H) and up/down buttons (▲ and ▼) to control the selected function. It may also have a button for an under-bed light (I).

Depending on the bed configuration, the hand control is equipped with either the anti-Trendelenburg function (D) or the Trendelenburg/anti-Trendelenburg function (E).

All symbols illuminate when a button is pressed. The selected function is indicated by a blue light above the button.

[Diagram Description: Illustration of the standard hand control with buttons labeled A through I, showing different functions like backrest, legrest, height adjustment, Trendelenburg, and light.]

ErgoMove™

1. Press button A to select the function.
2. Press and hold button ▲ to raise to a predefined sitting position with a predefined sequence of movements.
3. Press and hold button ▼ to lower to the horizontal position.

Height Adjustment

1. Press button F to select the function.
2. Press and hold button ▲ to raise the bed.
3. Press and hold button ▼ to lower the bed.

Up-and-Out™ Position

1. Press and hold button B to go to a predefined position that facilitates getting out of bed.

Backrest Section

1. Press button C to select the function.
2. Press and hold button ▲ to raise the backrest section.
3. Press and hold button ▼ to lower the backrest section.

Leg Section

1. Press button G to select the function.
2. Press and hold button ▲ to raise the leg section.
3. Press and hold button ▼ to lower the leg section.

Foot Section

1. Press button H to select the function.
2. Press and hold button ▲ to raise the foot section.
3. Press and hold button ▼ to lower the foot section.

Anti-Trendelenburg Function

1. Press button D to select the function.
2. Press and hold button ▲ to tilt to a position with the head end up.
3. Press and hold button ▼ to return to the horizontal position.

⚠️ WARNING! Risk of death

Lowering the head end can lead to death for users sensitive to elevated blood pressure in the upper body. Only persons with healthcare training should operate the Trendelenburg function. Always perform a medical evaluation before tilting the bed in such a way that the user's lower extremities are higher than the heart.

Trendelenburg/Anti-Trendelenburg Function (Optional)

1. Press button E to select the function.
2. Press and hold button ▲ to tilt to a position with the head end up (reverse Trendelenburg).
3. Press and hold button ▼ to tilt to a position with the head end down (Trendelenburg).

We recommend locking this function on the hand control if it is not used by healthcare personnel.

Under-bed Light (Optional)

1. Press button I to turn the under-bed light on or off.

4.4.1 Lock Function

To prevent certain functions from being used, each function button can be locked individually.

[Diagram Description: Illustration of the hand control with a magnet key slot labeled A and indicator lights labeled B. Buttons are shown.]

1. Insert the magnet key A into the slot on the side of the hand control.
2. The blue indicator lights B indicate the lock status for the corresponding function: Light on = function unlocked; Light off = function locked.
3. Lock or unlock functions by pressing the corresponding button.
4. Remove the magnet key A.

When the magnet key is removed, light B is off unless a function is selected. Locked functions cannot be selected. When you press a button for a locked function, the orange light C flashes to indicate that the function is locked.

The hand control's lock configuration is saved even if the bed loses power.

4.5 Hand Control with LCD (Optional)

The hand control is equipped with an LCD display A, navigation buttons (B and C) to select electrical functions, and up/down buttons (▲ and ▼) to control the selected function.

The hand control switches to standby mode when not in use. Pressing any button reactivates the hand control.

[Diagram Description: Illustration of the LCD hand control with display A, navigation buttons B, C, and function buttons D.]

ErgoMove™

1. Press button B or C until the ErgoMove™ symbol is displayed.
2. Press and hold button ▲ to raise to a predefined sitting position with a predefined sequence of movements.
3. Press and hold button ▼ to lower to the horizontal position.

Height Adjustment

1. Press button B or C until the height adjustment symbol is displayed.
2. Press and hold button ▲ to raise the bed.
3. Press and hold button ▼ to lower the bed.

Up-and-Out™ Position

1. Press button B or C until the symbol for the position is displayed.
2. Press and hold button ▲ or ▼ to go to a predefined position that facilitates getting out of bed.

Backrest Section

1. Press button B or C until the symbol for the head section is displayed.
2. Press and hold button ▲ to raise the backrest section.
3. Press and hold button ▼ to lower the backrest section.

Leg Section

1. Press button B or C until the symbol for the leg section is displayed.
2. Press and hold button ▲ to raise the leg section.
3. Press and hold button ▼ to lower the leg section.

Foot Section

1. Press button B or C until the symbol for the foot section is displayed.
2. Press and hold button ▲ to raise the foot section.
3. Press and hold button ▼ to lower the foot section.

Function for Reverse Trendelenburg (Optional)

If the bed is only equipped with a reverse Trendelenburg function, the foot end cannot be tilted upwards.

1. Press button B or C until the symbol for reverse Trendelenburg is displayed.
2. Press and hold button ▲ to tilt to a position with the head end up.
3. Press and hold button ▼ to return to the horizontal position.

Trendelenburg/Anti-Trendelenburg Function (Optional)

⚠️ WARNING! Risk of death

Lowering the head end can lead to death for users sensitive to elevated blood pressure in the upper body. Only persons with healthcare training should operate the Trendelenburg function. Always perform a medical evaluation before tilting the bed in such a way that the user's lower extremities are higher than the heart.

1. Press button B or C until the symbol for the Trendelenburg/anti-Trendelenburg function is displayed.
2. Press and hold button ▲ to tilt to a position with the head end up (reverse Trendelenburg).
3. Press and hold button ▼ to tilt to a position with the head end down (Trendelenburg).

We recommend locking this function on the hand control if it is not used by healthcare personnel.

4.5.1 Lock Function

To prevent certain functions from being used, each function button can be locked individually.

[Diagram Description: Illustration of the LCD hand control with a safety key slot E and buttons labeled B, C. Buttons are shown with green (unlock) and red (lock) symbols.]

1. Turn the safety key E to the unlocked position.
2. Press button B or C until the respective function is displayed. The function symbols have either a green unlock symbol or a red lock symbol.
3. Press button ▲ to lock the function. Press button ▼ to unlock the function.
4. Turn the safety key E to the locked position.

The hand control's lock configuration is saved even if the bed loses power.

4.5.2 Save Preferred Positions

With the RememberMe™ function, you can save a preferred ErgoMove™ sitting position and a preferred Up-and-Out™ position in addition to the predefined positions.

When a position is memorized, the bed can be moved to this position after being moved to the predefined position.

Saved positions are only available if an LCD hand control is connected to the bed.

Save Sitting Position for ErgoMove™

1. Adjust the bed to the desired sitting position.
2. Press button B or C until the ErgoMove™ symbol is displayed.
3. Press and hold buttons ▲ and ▼ simultaneously for three seconds. A save symbol and a checkmark appear under the ErgoMove™ symbol on the display A, indicating the position has been saved. The checkmark appears for one second.

Save Up-and-Out™ Position

1. Adjust the bed to the desired position using the backrest and height adjustment.
2. Press button B or C until the Up-and-Out™ position symbol is displayed.
3. Press and hold buttons ▲ and ▼ simultaneously for three seconds. A save symbol and a checkmark appear under the Up-and-Out™ symbol on the display A, indicating the position has been saved. The checkmark appears for one second.

Change to Saved ErgoMove™ Sitting Position

1. Press button B or C until the ErgoMove™ symbol is displayed. A save symbol under the ErgoMove™ symbol on the display indicates a saved position exists.
2. Press and hold button ▲ to go to the predefined sitting position.
3. Press and hold button ▼ again to go to the saved sitting position.

Go to Memorized Up-and-Out™ Position

1. Press button B or C until the Up-and-Out™ position symbol is displayed. A save symbol under the Up-and-Out™ symbol on the display indicates a saved position exists.
2. Press and hold button ▲ to go to the saved position.

Delete a Memorized Position

1. Press button B or C until the ErgoMove™ or Up-and-Out™ position symbol is displayed.
2. Press and hold buttons B and C simultaneously for three seconds. The save symbol under the ErgoMove™ or Up-and-Out™ symbol on the display disappears, indicating the saved position has been deleted.

4.6 Basic Operation

The hand control is equipped with five buttons used to operate the bed's electrical functions. The buttons on the hand control can be locked individually.

[Diagram Description: Illustrations of two types of hand controls, one with basic buttons and one with an LCD display, showing the layout of buttons.]

1. Locate the desired function.
2. Press and hold the up button (▲) on the left or the down button (▼) on the right:

ErgoMove™

• ▲ Up: Raise to a predefined sitting position through a predefined sequence of movements.
• ▼ Down: Lower to the horizontal position.

Height Adjustment

• ▲ Up: Raise the bed.
• ▼ Down: Lower the bed.

Backrest Section

• ▲ Up: Raise the backrest section.
• ▼ Down: Lower the backrest section.

Leg Section

• ▲ Up: Raise the leg section.
• ▼ Down: Lower the leg section.

Foot Section

1. ▲ Up: Raise the foot section.
2. ▼ Down: Lower the foot section.

Trendelenburg/Anti-Trendelenburg Function (Optional)

⚠️ WARNING! Risk of death

Lowering the head end can lead to death for users sensitive to elevated blood pressure in the upper body. Only persons with healthcare training should operate the Trendelenburg function. Always perform a medical evaluation before tilting the bed in such a way that the user's lower extremities are higher than the heart.

• ▲ Up: Tilt to a position with the head end up (anti-Trendelenburg).
• ▼ Down: Tilt to a position with the head end down (Trendelenburg).

We recommend locking this function on the hand control if it is not used by healthcare personnel.

4.6.1 Lock Function (Optional)

To prevent certain functions from being used, each function button can be locked individually.

[Diagram Description: Illustration of a hand control with a magnet key slot A and indicator lights B.]

1. Insert the magnet key A into the slot on the side of the hand control.
2. The blue indicator lights B indicate the lock status for the corresponding function: Light on = function unlocked; Light off = function locked.
3. Lock or unlock functions by pressing the corresponding button.
4. Remove the magnet key A.

When the magnet key is removed, light B is off unless a function is selected. Locked functions cannot be selected. When you press a button for a locked function, the orange light C flashes to indicate that the function is locked.

The hand control's lock configuration is saved even if the bed loses power.

4.7 Handling Side Rails

⚠️ WARNING! Risk of entrapment or suffocation

There is a risk of entrapment or suffocation between the bed base, side rail, and headboard. Always ensure side rails are correctly mounted and tightened.

⚠️ WARNING! Fall risk

If it is decided that the user needs side rails:

• Never leave the user unattended in the bed if the side rail is lowered.
• Ensure the side rail is in the highest position and securely locked if the user is left unsupervised.

? OBSERVERA! Risk of personal injury

If a side rail is not properly locked, it may fall down. Pull or push the upper bar of the side rail to ensure the locking mechanism is engaged.

? OBSERVERA! Risk of personal injury

There is a risk of pinching or entrapment when handling the side rail. Be observant to avoid injuring your fingers or the patient's body parts. Never use force when handling the side rail, and do not drop it.

4.7.1 Handling the Ane Side Rail

[Diagram Description: Illustrations showing the Ane side rail being lifted and pulled out (unlock) and pushed down (lock).]

1. Up: Lift and pull out the upper bar of the side rail B towards the end with the release mechanism (unlock button) A. Ensure it is locked in the correct position.
2. Down: Press the unlock button A and slide the upper bar of the side rail B away from the release mechanism.

4.7.2 Handling Freja/Embla Side Rail

[Diagram Description: Illustration showing how to raise and lower the Freja/Embla side rail.]

Lock/Upper Position

Pull the upper rail upwards until you hear the locking pin click into place.

[Diagram Description: Illustration showing the action of pulling the upper rail upwards.]

1. Unlock: Lift the upper rail and squeeze the two locking rings together.
2. Lower/Lower Position: Lower the side rail.

[Diagram Description: Illustration showing the action of lowering the side rail.]

Using a Rail Extension

Full-length bed rails can be fitted with an extension. The extension can be mounted in two height positions and increases the possible mattress thickness by 6 cm or 10 cm, respectively.

⚠️ WARNING! Risk of personal injury

If a rail extension is not fitted correctly, it may fall off, increasing the risk of the user falling out of bed. Ensure the rail extension is securely attached to the bed rail. Ensure you use the correct extension for the bed rail. The material of the extension bar must match the material of the bed rails.

4.7.3 Using the Torill Side Rail

⚠️ WARNING! Fall risk

The middle position of the side rail does not protect against the risk of the user falling out of bed. Only the highest position is designed to reduce this risk. The middle position should only be used to provide support when the user is getting into or out of bed.

Raising the Side Rail

❗ OBS! Do not press the release buttons when moving the side rail up.

If you want to raise the side rail to the middle position A, stop the upward movement when you hear the first click.

If you want to raise the side rail to the higher position B, pull it upwards to the upper stop position.

[Diagram Description: Illustrations showing the Torill side rail being raised to position A (middle) and position B (high).]

1. Pull the upper bar upwards with your hands, on the far right and left.
2. Press the upper bar downwards to ensure it locks into place.

If the side rail does not lock securely, perform the following steps to check its function:

• Lift the upper bar to the stop position without pressing the release buttons.
• Lower the side rail to the lowest position as described below.

Lowering the Side Rail

[Diagram Description: Illustrations showing the Torill side rail being lowered.]

1. Press and hold the two release buttons upwards.
2. To lower the side rail to the middle position, push the upper bar down. Release the two release buttons when you have passed the upper locking position.
3. To lower the side rail to the lowest position, push the upper bar down to the lower stop position without releasing the two release buttons.

4.8 Lift Bar

⚠️ WARNING! Risk of personal injury

The bed may tip over if the handle is used while the lift bar is turned away from the bed. The lift bar must always be positioned so that the handle hangs over the bed area. The maximum load capacity of the lift bar is 80 kg and must not be exceeded.

4.8.1 Placing the Lift Bar

The lift bar can be placed on the left or right side of the bed's head end.

[Diagram Description: Illustration showing the lift bar being inserted into the side tube of the bed frame and secured with a screw.]

1. Remove the plastic plug from the lift bar's side tube at the head end of the bed.
2. Insert the lift bar into the lift bar's side tube and secure it with the finger screw B.

The swiveling part of the lift bar must not be secured with a finger screw; it must be able to pivot to the side of the bed.

4.8.2 Adjusting Handle Height

The handle height should always be adjusted according to the user's needs.

[Diagram Description: Illustration showing how to adjust the handle height using a cord and locking mechanism.]

1. Hold the cord away while pulling the plastic locking mechanism A up or down until the handle reaches the desired height.
2. Lock the handle by pushing the cord back into the lock A and pulling the handle down.

❗ OBS! After adjusting the handle height:

• Check that the two cords above the locking mechanism are parallel and inside the mechanism.
• Pull the handle to verify the cord is securely locked.

4.9 Emergency Modes

In case of acute illness, it may be necessary to lower all or some bed base sections to a flat position, e.g., a flat backrest section for cardiopulmonary resuscitation (CPR).

Lowering a Bed Base Section to Flat

• Using the corresponding function on the hand control, OR
• In case of power failure or urgent need for action, lower the bed base section using the manual emergency lowering function.

4.9.1 Emergency Lowering of Bed Base

In case of power failure or motor malfunction, emergency lowering of the backrest, leg, or foot section may be necessary. Emergency lowering of the height adjustment is NOT possible.

? OBSERVERA! Risk of personal injury

• At least two people are required to perform an emergency lowering of a bed base section.
• When a bed base section is released, it can lower rapidly. Do not reach under the bed base while it is lowering.

❗ OBS! Unplug the mains cable from the socket before performing an emergency lowering of the bed base.

1. Both persons hold the bed base section.
2. One person locates the affected motor and pulls out the safety pin.
3. Both persons slowly lower the bed base section until it is fully down.

4.10 Transport and Storage

The bed can be transported and stored assembled or disassembled. Detailed instructions for disassembly are in the service manual.

Transporting or Storing the Bed Assembled:

1. Disconnect the mains cable from the socket.
2. Hang the mains cable on the hook near the socket on the bed (located on one of the headboards or the frame) so that the cable does not drag on the floor and get damaged during transport or storage.

5 Maintenance

5.1 General Maintenance Information

? OBSERVERA! Risk of personal or product damage

• Maintenance or service work must not be performed while the product is in use.

Follow the maintenance procedures described in this manual to ensure continuous product use. Additional maintenance and inspections to be performed by a qualified technician are described in the product's service manual. Service manuals can be ordered from Invacare.

5.1.1 Service Intervals

We strongly recommend a full service at least every two years and an annual check of the actuators. Contact your Invacare medical equipment center or your own service department for service.

5.2 Daily Inspection

⚠️ WARNING! Risk of personal or product damage

Product safety can be affected by damaged or worn parts. The product should be inspected every time it is used. Do not use the product if you see damage or question its safety. Contact your Invacare medical equipment center immediately and ensure the product is not used until repairs are completed.

Daily Inspection Checklist

• Visually inspect the bed. Check all parts for external damage or wear.
• Inspect all materials, attachment points, load-bearing parts, and pivot points for signs of wear, cracks, abrasion, deformation, or poor condition.
• Check the hand control and all actuators for smooth operation.

5.3 Cleaning and Disinfection

5.3.1 General Safety Information

? OBSERVERA! Risk of contamination

Take precautions for your own safety and use appropriate protective equipment.

? OBSERVERA! Risk of electric shock and product damage

• Turn off the unit and disconnect from the mains, if applicable.
• When cleaning electronic components, consider their protection class regarding water ingress.
• Ensure no water splashes onto the connector or wall socket.
• Never handle mains sockets with wet hands.

❗ OBS! Incorrect fluids and methods can damage the product.

• All cleaning agents and disinfectants used must be effective, compatible with each other, and protect the materials they are intended to clean.
• Never use corrosive fluids (alkaline substances, acids, etc.) or abrasive cleaning agents. We recommend a standard household detergent, such as dish soap, unless otherwise specified in the cleaning instructions.
• Never use a solvent (cellulose thinner, acetone, etc.) that alters the plastic structure or dissolves attached labels.
• Always ensure the product is completely dry before putting it back into use.

For cleaning and disinfection in clinical or long-term care environments, follow institutional hygiene guidelines.

5.3.2 Cleaning Intervals

❗ OBS! Regular cleaning and disinfection ensure smoother operation, extend lifespan, and prevent contamination.

Clean and disinfect the product:

• Regularly during use.
• Before and after maintenance procedures.
• When it has come into contact with bodily fluids.
• Before use with a new user.

5.3.3 Cleaning Instructions

❗ OBS! Only certain components of the product can withstand cleaning in automatic washing systems or with high-pressure washers. More information on cleaning in automatic washing systems or with high-pressure equipment can be found in the product's service manual. All other parts must be cleaned by hand.

Hand Cleaning

All components (except removable textiles)

• Cleaning agent: We recommend a mild cleaning agent with a neutral or near-neutral pH (5-9). Consumer products like dish soap or all-purpose cleaners can be used. Read the instructions on your cleaning agent's label and use it at the specified concentration.
• Maximum water temperature: 40 °C
• Wipe surfaces thoroughly with a soft cloth dampened with the detergent solution until all visible dirt is removed.
• Remove any cleaning agent residue with a clean, damp cloth.
• Dry thoroughly with a clean, soft cloth.

Removable Textiles (including upholstery and mattresses)

• Refer to the label on the respective product.

5.3.4 Instructions for Cleaning and Disinfection

When Caring at Home

• Disinfectant: We recommend an alcohol-based surface disinfectant (70-90% alcohol). Read the instructions on your disinfectant's label for information on its spectrum of activity (bacteria, fungi, and/or viruses), material compatibility, and correct exposure time.
• Ensure surfaces are cleaned before disinfection.
• Moisten a soft cloth and wipe all accessible surfaces, keeping them moist for the exposure time indicated on the disinfectant label.
• Allow the product to air dry.

In Healthcare Settings

Follow your workplace's own disinfection routines and use only the specified disinfectants and methods.

6 After Use

6.1 Disposal

Consider the environment and recycle the product by taking it to a recycling center when it can no longer be used. Disassemble the product and its components so that different materials can be separated and recycled individually.

Disposal and recycling of used products and packaging must comply with the laws and regulations applicable to waste management in each country. Contact the company responsible for local waste management for information.

6.2 Reconditioning

This product can be reused. When reconditioning the product for a new user, perform the following:

• Inspection
• Cleaning and disinfection

Detailed information can be found in Section 5 Maintenance, page 19, and in the product's service manual. Ensure the user manual is handed over with the product.

If damage or defects are discovered, the product must not be reused.

7 Troubleshooting

7.1 Troubleshooting

8 Technical Data

8.1 Material

8.2 Bed Dimensions

[Diagram Description: A diagram showing the bed structure with dimensions labeled A through J. Angles are also indicated.]

❗ OBS! The low configuration of the bed does not meet the standard requirements for the upper value of the height from floor to bed base. Angular indications have tolerances of ±3°. All measurements are without tolerances for an unextended bed with 10 cm diameter castors. Outer dimensions are for a bed with Nora headboard and Freja side rail.

8.3 Maximum Load

8.4 Weights

Bed and Heaviest Parts

Side Rails

Headboards

Wooden Side Panel

8.5 Side Rail Dimensions

8.6 Allowed Mattress Sizes

The allowed mattress height and length depend on the side rail used.

Allowed Mattress Width

8.7 Electrical System

The bed has no isolation switch. If the bed needs to be disconnected electrically, it must be unplugged from the mains socket.

8.8 Environmental Conditions

❗ Let the product adapt to the operating temperature before use:

• Warming up from the lowest storage temperature can take up to 24 hours.
• Cooling down from the highest storage temperature can take up to 24 hours.

9 Electromagnetic Compatibility (EMC)

9.1 General EMC Information

Medical electrical equipment must be installed and used in accordance with the EMC information in this manual. This product has been tested and confirmed to comply with the EMC limits specified by IEC/EN 60601-1-2 for Class B equipment. Portable and mobile communication equipment using RF can affect the operation of this product. Other devices may be interfered with even by the lowest levels of electromagnetic radiation permitted by the standard. To determine if radiation from this product causes interference, start the product and then turn it off. If the interference stops for the other devices, this product is causing the interference. In such rare cases, interference can be reduced or resolved by:

• Repositioning, moving, or increasing the distance between devices.

9.2 Electromagnetic Emission

Guidelines and Manufacturer's Declaration

This product is intended for use in the electromagnetic environment specified below. The customer or user of this product must ensure that it is used in such an environment.

9.3 Electromagnetic Immunity

Guidelines and Manufacturer's Declaration

This product is intended for use in the electromagnetic environment specified below. The customer or user of this product must ensure that it is used in such an environment.

9.3.1 EMC Test Specifications

? If necessary to achieve the immunity test level, the distance between the transmitting antenna and the medical electrical equipment or system may be reduced to 1 m. A test distance of 1 m is permitted according to IEC 61000-4-3.

a) For some services, only the uplink frequencies are included.

b) The carrier wave should be modulated by a square wave signal with 50% pulse duration.

c) As an alternative to FM modulation, 50% pulse modulation at 18 Hz can be used. Although not actual modulation, it can be used for worst-case scenarios.

Contact Information

Belgium & Luxembourg: Invacare nv, Autobaan 22, B-8210 Loppem. Tel: (32) (0)50 83 10 10. Fax: (32) (0)50 83 10 11. marketingbelgium@invacare.com. www.invacare.be

Denmark: Invacare A/S, Sdr. Ringvej 37, DK-2605 Brøndby. Tel: (45) (0)36 90 00 00. Fax: (45) (0)36 90 00 01. denmark@invacare.com. www.invacare.dk

France: Invacare Poirier SAS, Route de St Roch, F-37230 Fondettes. Tel: (33) (0)2 47 62 64 66. contactfr@invacare.com. www.invacare.fr

Italy: Invacare Mecc San s.r.l., Via Marco Corner, 19, I-36016 Thiene (VI). Tel: (39) 0445 38 00 59. servizioclienti@invacare.com. www.invacare.it

Netherlands: Invacare BV, Galvanistraat 14-3, NL-6716 AE Ede. Tel: (31) (0)318 695 757. nederland@invacare.com. www.invacare.nl

Norway (Office Address): Invacare AS, Brynsveien 16, 0667 Oslo. Tel: (47) 22 57 95 00. norway@invacare.com. www.invacare.no

Norway (Storage / Technical Dept): Østensjøveien 19, 0661 Oslo. teknisk@invacare.com. www.invacare.no

Portugal: Invacare Portugal II, Lda., Rua Estrada Velha, 949, P-4465-784 Leça do Balio. Tel: (351) (0)225 193 360. portugal@invacare.com. www.invacare.pt

Finland: Camp Mobility, Patamäenkatu 5, 33900 Tampere. Phone 09-35076310. info@campmobility.fi. www.campmobility.fi

Sweden: Invacare AB, Fagerstagatan 9, S-163 53 Spånga. Tel: (46) (0)8 761 70 90. Fax: (46) (0)8 761 81 08. sweden@invacare.com. www.invacare.se

Sweden (Rea AB): Invacare Rea AB, Växjövägen 303, 343 71 Diö, Sweden.

© 2025 Invacare International GmbH

All rights reserved. Republication, copying, or modification, in whole or in part, is not permitted without prior written consent from Invacare. Trademarks are designated by ™ and ®. All trademarks belong to or are licensed by Invacare International GmbH or its subsidiaries, unless otherwise stated. Invacare reserves the right to change product specifications without further notice.

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