EasyCare toto Manuel utilisateur
Special Products and Service
User guide
Version 4.0 April 2021
www.easycaresystems.co.uk
pioneering simplicity
User guide
www.frontier-group.co.uk
Toto® Lateral Turning System, with Toto® Touch Control Unit
Version 4.0 April 2021
Easy Care Systems Limited
Units 5 and 6 Lower Vicarage
Road
Southampton
Hampshire
SO19 7RJ
T: 02380 420678
W: www.easycaresystems.co.uk
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Toto lateral turning system is covered by UK patent no. GB 2449318
Toto lateral turning system is a registered trade mark of Frontier Therapeutics Ltd
© 2019 Frontier Therapeutics Limited. All rights reserved.
Frontier Therapeutics Limited
Newbridge Road Industrial Estate,
Blackwood, Caerphilly,
NP12 2YN, UK
+44 (0) 1495 235800
info@frontier-group.co.uk
www.frontier-group.co.uk
E
GP0113_A56_04
2021
User guide
English
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Toto® Lateral Turning System Labelling
65ºc for 10 minutes or
73ºc for 3 minutes
Maximum user
weight
Bleaching agent
allowed
Do not pierce
or cut
Do not iron
Line dry
Refer to user manual CE Mark Type BF applied part
Air leak
Keep dry
Class II electrical
equipment
Air hoses blocked
Disposal: Do not dispose of this
product as unsorted domestic
waste. It must be sent to a separate
collection facility for recovery
and recycling.
Caution symbol Service interval
Interface lock Fragile handle
with care
Audio pause Do not tumble dry
!
250
European Authorised
Representative
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This user guide contains important information on correct usage, handling, cleaning and
decontamination. Please read carefully prior to use.
Kit Contents
Before you start, please ensure that you have all the necessary components listed below. If any
are absent, or in case of doubt, please contact Frontier Therapeutics Ltd Customer Services on
+44 (0)330 460 6030.
Toto Touch Control Unit Labelling
1. Starts, stops and pauses the control unit.
2. Air Cell side selection.
3. Air Cell inflation time.
4. Air Cell rest time.
5. Alarm mute and interface
lock mode.
6. Air leak alarm.
7. Blockage alarm.
8. Service indicator.
9. Interface lock indicator.
Toto Platform
• 1x Platform including a fitted cover.
• 1x CPR deflation valve and tubing set.
• 1x Pair of air cells with quick
connectors.
• 1x Transport Bag.
Toto Touch Control Unit
• 1x Toto Touch control unit.
• 1x Control unit power lead.
• 1x User guide.
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Contents
Kit Contents 5
Product Specifications 7
Intended Purpose 8
Alarms and Alerts 17
CPR Emergency Deflation System 19
Nature and Frequency of Preventative Maintenance 21
Cleaning and Disinfection 21
Cleaning Air Filters 22
Warranty 23
Technical Specification 24
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Product Specifications
Toto Lateral Turning System - Standard: a fully
customisable control unit and patient turning
platform.
Product Depth (flat position - air cells
empty) mm (Inches)
Depth (raised position - air
cells inflated) mm (Inches) CPR Deflation Valve
Standard 35 (1.4) 185 (7.3) Quick Release Pull Tag
Product Weight - kg (lbs) Maximum User Weight - kg
(lbs)
Width - mm (Inches) Length - mm (Inches)
Standard 6.7 (14.7) 250 (551) 745 (29) 1850 (73)
Toto Platform
Toto Touch Control Unit
Specifications
Dimensions (width / depth / height) – mm (inches) 240 (9.5) x 100 (4) x 200 (8)
Weight - kg (lbs) 2.2 (4.8)
Rated voltage – UK & EU 220 ~ 240VAC, 50/60Hz, 0.3A
Rated input power (VAC) 20
Protection class Class 2
Power cord length - meters (Feet) 5 (16.4)
Air output (LPM) 11
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Intended Purpose
Frequent repositioning of individuals with impaired mobility and the use of an appropriate support
surface are the most significant interventions to prevent pressure damage1-3. This is achieved
through individual patient assessment and the implementation of manual turning plans.
Toto® is an automated lateral turning system supporting healthcare professionals in the regular
turning of patients, who are at risk of developing pressure ulcers or injuries.
Extended periods of lying or sitting on a particular part of the body and failure to redistribute the
pressure on the body surface can result in sustained deformation of soft tissues and, ultimately, in
tissue damage4. Repositioning involves changing the position of the lying or seated individual at
regular intervals, with the purpose of relieving or redistributing pressure and enhancing comfort.
The frequency of repositioning is determined by considering the individuals level of activity to
independently reposition5. The 30-degree side lying position is widely accepted as the optimum
position for pressure ulcer or injury reduction6. Toto achieves both objectives by allowing for full
customisation of turning frequency, with a 30-degree angle of tilt.
The Toto® system comprises a user programmable digital control unit, and a multiple patient
use turning platform, which is positioned underneath the patients’ mattress to eectively relieve
pressure over patients’ most vulnerable areas.
The digital control unit provides customised care with a user-determined side selection feature
and accurately timed digital inflation and rest durations, allowing for patient-prescribed turning
intervals. Increased patient safety is achieved, via a sophisticated yet simple to understand system
of integrated alarms and a convenient therapy pause mode, enables patient interaction without
having to stop therapy.
The turning platform operates via discreet air cells which smoothly, gently and consistently turn
the patient laterally via the mattress surface, even when they are asleep. Compatible with profiling
beds and both standard and alternating pressure relieving equipment, the platform provides head
to toe peak pressure redistribution.
The Toto system has a maximum user weight of 250kg meaning management of heavier patients
becomes easier and less onerous on sta. Toto can be used in conjunction with support aids and
sleep systems, an individual assessment must be carried out to assess for suitability.
Bedsides should be used to help prevent patient egress and to increase the feeling of security, see
warnings and precautions for further information.
Toto does not replace pressure relieving and redistribution surfaces and is supplementary to
theiruse.
Indications
Toto is a supplementary device for the prevention of pressure ulcers or injuries for patients:
• Identified as being at moderate to high risk of developing pressure damage.
• Weighing up to 250kg (551lbs).
• That are unable to change their position without assistance.
• Requiring regular turning and who are non-compliant with manual turning schedules.
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Contraindications
• Do not use without a suitable pressure redistribution surface and package of care.
• Do not use with patients with unstable spinal cord injuries or who are undergoing traction.
• Do not use with patients with equilibrium disturbances.
Advice for laypersons
Any change in skin condition that causes concern, should be reported to a healthcare professional.
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 bedsides or bed rails is recommended.
•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 side of the mattress and bed rail. This
should be <120mm. (Diagram 3)
• Assess for risk of entrapment
Bed Sides
Mattress / Support Surface
Toto Platform
Bed Frame
DIAGRAM 1. VIEW FROM SIDE
≥ 220mm
Bed Sides
Mattress / Support Surface
Toto Platform
Bed Frame
DIAGRAM 2. VIEW FROM SIDE
≤ 120mm
Bed Sides
Mattress / Support Surface
Toto Platform
Bed Frame
DIAGRAM 3. VIEW FROM HEAD
≤ 120mm
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