Frontiermedical Toto Manual De Instrucciones página 7

Warnings and Precautions
Individual patient assessments should be made prior to use and appropriate pressure redistributing devices
put in place. Please note the following:
• Unusual body shapes and postures should be assessed prior to use.
• Caution is advised when using with patients with underlying neurological disorders which may lead to
increased anxiety.
• Other medical devices should be assessed for suitability.
• Ensure the Toto® platform is fully deflated before attempting to leave the bed.
• Engage therapy pause mode during hygiene procedures and when over-bed tables are being used to
avoid the risk of spillages.
• When elevating a profiling bed back rest, raise the knee break first.
• Ensure the surface of the bed frame is clear from debris before placing the Toto® platform, as this can
damage the coating of the cover.
• The system should not be used without a mattress.
• Do not strap the mattress to the bed frame as this will prevent Toto® from operating.
• If mattress overlays are being used, these must be securely fastened to the mattress, not the Toto® platform.
• Toto® can be used with positioning systems, bed levers and linen cradles, if their support frame fits
horizontally across the bed. These must be positioned under the Toto® platform.
• Evacuation hammocks must be placed between the Toto® platform and the mattress.
• If using foot board protectors, assess for compatibility.
• Do not place the control unit directly underneath the bed frame if placing on the floor to avoid lowering the
bed onto the control unit.
• Use only with the supplied AC power lead and with correct fuse fitted. Should there be a need to replace
the fuse, ensure only the correct fuse rating is used (3A).
• The use of bed rails should depend on the findings of an individual risk assessment. If the use of bed rails
is deemed to be required, assess for the risk of entrapment. Always follow the manufacturer's instructions.
• When Toto is deflated and in the flat position, the distances between the top of the uncompressed mattress
and bed rail should be as follows;
• Top of the bed rail ≥220mm (Diagram 1).
• Bottom of the bed rail ≤120mm (Diagram 2).
• When inflated, assess the distance between the tilted sides of the mattress and the bed rail. This should
be ≤120mm (Diagram 3).
• Assess for risk of entrapment.
≥ 220mm
≤ 120mm
Patient Target Group
Immobile and less mobile patients who are at risk of developing pressure ulcers or injuries, who require
regular turning and those who may be non-compliant with manual turning schedules.
Intended Users
Intended for use in home and professional healthcare facilities by medically trained and untrained users.
There are no special skills required to operate or use Toto®. More information can be found online at
www.frontier-group.co.uk.
DIAGRAM 1. VIEW FROM SIDE
DIAGRAM 2. VIEW FROM SIDE
≤ 120mm
DIAGRAM 3. HEAD SIDE
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Bed Sides
Mattress / Support Surface
Toto Platform
Bed Frame
Bed Sides
Mattress / Support Surface
Toto Platform
Bed Frame
Bed Sides
Mattress or
Support Surface
Toto® Platform
Bed Frame