Intended Purpose - Frontiermedical toto Gebrauchsanweisung

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 damage
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 damage 4 . 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 reposition
position for pressure ulcer or injury reduction
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 effectively 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 staff. 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
their use.
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.
5 . The 30-degree side lying position is widely accepted as the optimum
6 . Toto achieves both objectives by allowing for full
8
1-3
. This is achieved