Toto®

We present you an innovative solution in the form of the Toto® automated lateral positioning system.

The Toto® positioning system is designed to keep patients moving by automatically rotating them to a 30-degree lateral position (left or right) or to a supine position at regular intervals throughout the day and night.

To ensure that patients remain free from the risk of pressure-induced tissue damage by ensuring effective pressure redistribution. It also reduces the risks and demands of manual manipulation for caregivers when caring for immobile patients.

Toto® inflates evenly, smoothly and consistently, fully supporting patients from head to toe, preventing the risk of twisting. Even when patients are sleeping, Toto® ensures frequent and regular positioning.

Toto - automatizovaný systém pro boční pohyb

Toto® Automated Positioning System

Benefits of the Toto ® automated positioning system

  • Benefits for patients

    • Clinically effective pressure redistribution reducing the risk of pressure sores
    • Hands-free patient turning preserves patient dignity
    • Less invasive for end-of-life patients
    • Reducing pain associated with manual positioning
    • Increased compliance during rotation, keeping patients moving and improving treatment outcomes
    • Undisturbed sleep improves patient well-being

  • Benefits for caregivers

    • One-handed care support
    • Minimizing manual handling
    • Reduces the risk of work-related injuries
    • Allows patient-prescribed lateral rotation intervals
    • Reducing dependency on nursing staff frees up resources
    • Ensures consistent quality of care
    • This comes in a format that is easy to set up and use

Pressure Mapping Study Method for Toto ® Positioning System

    • The Toto ® positioning system was tested in combination with a highly specialized foam mattress.
    • The Pressure Sensor Mat bed was placed between the user and clinical mattresses.
    • Pressure reading recorded and analyzed demonstrating effective pressure redistribution.
    • The participant had high pressure at the interface on the right shoulder in the initial supine position, before turning to the side.
    • The pressure in the interface was relieved when the air chamber on the right side was inflated, indicating successful pressure redistribution.
    • There was no other detectable increased interface pressure on the Toto® bearing side.

Features of the Toto® positioning system

The Toto® with the control unit inflates evenly, smoothly and consistently and fully supports patients from head to toe, preventing the risk of twisting. Even when patients are sleeping, the Toto® ensures frequent and regular positioning.

Toto® Touch digital control unit provides personalized care

  • Sophisticated blockage and air leak alarms ensure patient safety.
  • Interface lock to prevent unwanted changes to settings.

Automatic positioning cycle

  • User-defined cycle with independent left and right inflation periods.
  • Five preset time intervals for inflation and rest periods from 30 minutes to four hours allow for individual care.
  • The system also includes a default mode involving left and right inflation plus a rest period, all set for two hours.

Indication

This® device is a supplementary aid for preventing bedsores.

  • Identified as patients at moderate to high risk of developing decubitus ulcers.
  • Weight limit up to 250 kg
  • Patients who are unable to change position without assistance.
  • Requiring regular positioning and not cooperating with a manual positioning plan.

This® Platform

  • Dimensions (inflated): L 1850mm x W 750mm XV 35mm
  • Dimensions (inflated): L 1850mm x W 750mm XW 185mm
  • Weight: 6.7 kg
  • Weight limit: 250 kg

Package contents

  • Toto® Platform - SKU4100001
  • Toto® Touch (control unit) - SKU4001000
Product on request

Toto® Cradle Platform

  • Dimensions (inflated): L 1850mm x W 750mm XV 50mm
  • Dimensions (inflated): L 1850mm x W 750mm XW 195mm
  • Weight: 6.9 kg
  • Weight limit: 250 kg

Package contents

  • Toto® Cradle Platform - SKU510001
  • Toto® Touch (control unit) - SKU4001000
Product on request

Frequently asked questions

More information about Toto® products

How do I install Toto®?

The platform fits under any mattress and can be used with any bed frame. The Toto® is designed to fit adjustable beds, allowing for a universal installation. The Toto® Touch control unit attaches to the end of the bed using integrated hooks and the hose kit connects to the platform and control unit.

For detailed information, please refer to the Toto® user manual.

Is Toto® compatible with glide pads?

Yes, Toto® can be used with glide pads, but it is recommended to remove them after patient manipulation is complete.

Can Toto® be used with bed rails?

Yes, Toto® is compatible with side rails. However, it is necessary to ensure a minimum gap of 185 mm between the top of the mattress and the bottom of the side rails and to assess the risk of patient entrapment. If available, it is recommended to use side rails.

Is Toto® suitable for patients with a PEG tube?

As with any medical device, the healthcare professional should assess for PEG tube entrapment and ensure the patient remains in a comfortable position. Follow the PEG tube manufacturer's instructions.

* PEG tube - nutrition through a gastric tube

Can Toto® be used on a double mattress if another person is sleeping next to it?

No, the air chambers must have free space for proper inflation.

Does it matter which side the Toto® is placed on the bed frame?

Yes, proper installation is essential. Incorrect placement (for example upside down) can damage the air chambers. The Toto® must be installed with the print facing up and oriented according to the diagrams on the packaging.

Does it matter how the platform is inserted into the housing?

Yes, it is important to ensure that the platform is inserted into the housing correctly, with the connectors at each corner of the platform being secured to the bottom of the housing.

Is Toto® suitable for pediatric patients?

Yes, Toto® is suitable for all patients weighing up to 250 kg.

How much energy does the Toto® control unit consume?

This® requires a maximum current of 0.2A/0.3A, a frequency of 50Hz and a voltage of 230V AC.

How much does it cost to operate Toto®?

At default settings and a load of 75 kg, the control unit consumes 0.047 kWh of electricity per 24 hours. At maximum load (cycle every 30 minutes), the consumption is 0.049 kWh per 24 hours.

These figures are indicative, electricity costs vary by region, we recommend checking the tariff with your supplier.

The control unit hooks do not fit on the end of the bed. What should I do?

The Toto® Touch control unit can be placed on the side of the bed or placed directly on the floor if the end of the bed is too wide for the hooks.

The air chambers are not inflating. Why?

There could be several reasons, such as a problem with the controller or damage to the air chambers. Please refer to the troubleshooting section of the user manual for details.

The alarm has been triggered and the LEDs are on. What does this mean?

This could be a problem with the controller or damage to the air chambers. Please refer to the troubleshooting section of the user manual for details.

Can Toto® be used with positioning wedges or pillows?

No, Toto® cannot be used where patients need to be supported with wedges or pillows.

Does Toto® contain latex?

No, no part of the Toto® system contains latex.

Can Toto® be used on patients with spinal cord injuries?

This® is not intended for patients with unstable spinal fractures.

What are the recommended intervals for patient rotation?

The inflation and rest time should be determined by a healthcare professional.

How is Toto® cleaned?

Toto® can be cleaned with commercially available cleaning agents. For detailed instructions, please refer to the “Instructions for Use” document included in the package.

How should the patient be positioned on the platform?

The patient should be centered on the mattress so that their nose is aligned with the centerline of the bed.

Can Toto® be used without a mattress?

No, Toto® is designed to be used with any type of mattress, except regular pocket mattresses.

How long does the patient stay on his back between turning to the left and right sides?

Inflation and deflation of the air chambers using the latest pump and platform takes an average of 2.5 minutes, which may vary slightly depending on the patient's weight. There is no lag time when switching between the left and right sides - as soon as the left air chamber begins to deflate, the right one begins to inflate simultaneously.

This allows the patient to be turned smoothly without having to rest on their back.

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