Warnings And Precautions; Patient Target Group; Intended Users - Frontiermedical toto Mode D'emploi

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
9 9
DIAGRAM 1. VIEW FROM SIDE
DIAGRAM 2. VIEW FROM SIDE
DIAGRAM 3. VIEW FROM HEAD

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.
Bed Sides
Mattress / Support Surface
Toto Platform
Bed Frame
Bed Sides
Mattress / Support Surface
Toto Platform
Bed Frame
Bed Sides
Mattress / Support Surface
Toto Platform
Bed Frame
10 10