User manual CuroCell® 3 CX13 CuroCell® 3 CX19

User manual CuroCell® 3 CX13 CuroCell® 3 CX19
User manual
2015-08-10
®
CuroCell 3 CX13
®
CuroCell 3 CX19
Alternating pressure system
Item number user manual: 95‐001048 Contents Important safety precautions 3 Introduction 4 Product description 6 Assembly/Installation 8 Start‐up 9 Cleaning and reconditioning 12 Storage 13 Maintenance 14 Troubleshooting 15 Technical description 16 Spare parts 18 Options and accessories 19 Warranty 20 Other information 21 Own notes 22 2 IMPORTANT SAFETY PRECAUTIONS Read all instructions prior to use Warning! To minimize the risk of fire, electric shocks or bodily injury: 1. The product must only be used for its intended purpose as described in this manual. The product may not be combined, assembled or repaired with other parts (e.g. pump and mattress), accessories or spare parts other than those described in this manual or other documentation from Care of Sweden. 2. Do not use the product in wet rooms or where there is a risk of the pump coming into contact with water or another liquid. Never handle a pump that has come into contact with water/liquid. Pull the plug out of the electrical socket immediately and send the product to an authorized service technician for servicing. 3. DO NOT USE in the vicinity of or in contact with fire sources/hot surfaces, such as fire, burning cigarettes or hot lamps. Although the product has undergone fire testing, it could become damaged if it comes into contact with fire sources. 4. Position and use the product in a manner that prevents it from becoming trapped or damaged. NOTE: Be particularly aware of trapping damage when using bed rails. 5. Never use the product if the pump power cord or plug is defective, the pump casing is damaged or it is not functioning properly. Contact a service technician for examination and repair. 6. Regularly check product functionality through a hand check (see section 4.3). Also check that the comfort setting is correct as indicated in the table on the pump. 7. Continual monitoring is required when the product is used for individuals needing special supervision, such as children. 8. The mattress are protected with a hygiene cover; Please try to avoid the simultaneous use of multiple hygiene cover with this mattress. Because of the risk vapour permeable can be destroyed. 9. The hygiene cover does not allow liquid or air to penetrate, but is vapour permeable. Make sure that the patient is positioned correctly to avoid the risk of suffocation. 10. Prevent damage to the hygiene cover from sharp objects. 11. If the cover are supplied with handles on the long sides, theses handles are only to be used for lifting and moving the mattress itself. All other use will be at your own responsibility and is not covered by the product warranty. 3 1. Introduction CuroCell® air mattresses operate according to the alternating pressure principle, a technique that is well proven and been used for a long time. Alternating pressure is when the pressure regularly alternates between the mattress cells to replicate body movement. Variable pressure cycles are set up where there is little or no pressure. This is optimal for skin recovery or to prevent skin damage. Always read the user manual prior to use. 1.1 General information This CuroCell mattress is a medical device in accordance to MDD 93/42/EEC. According to statutory regulations made by the authorities regarding medical devices, the manufacturer is required to report all accidents or incidents involving there products. We would be very grateful for all information involving accidents or incidents relating to our products, by reporting them immediately to us, here at Care of Sweden. The system has been tested and approved according to the following standards: IEC 600601‐1, IEC 60601‐1‐2, SS‐EN ISO 12182, SS‐EN ISO 14971, SS‐EN ISO 10993, EN 597‐1, EN 597‐2, EN 14126. 1.2 Intended use CuroCell® 3 CX is an alternating pressure mattress that can be used in a range of health care
environments too prevent pressure ulcers as well as treatment up to and including category 3(1). It is available in two versions, as an overlay mattress (CuroCell® 3 CX13) or as a replacement mattress (CuroCell® 3 CX19). The mattress is meant for use for persons of a recommended minimum height of 120 cm. The recommended user weight is up to 160 kg. We recommend that position changes are made regularly. The time interval must be evaluated by the responsible personnel, depending on the patient´s status diagnosis and general condition. The mattress should only be used lying in the lengthwise direction on the mattress with the feet at the end marked with the feet symbol. The mattress must always be cleaned between patients. 4 NOTE!  For certain patients, such as amputees, are the recommended minimum weight not valid. These users may however have other requirements as the entire mattress is not being loaded. Please refer to sections 4.2 and 4.3 for operating control.  When used together with positioning pillows, read the user manual carefully to ensure correct positioning of the patient.  If you are using this product with an evacuation sheet, it is the user’s responsibility to ensure that it is safe to use for evacuation.  Be careful when using bed rails or other protection on the bed so that the mattress does not become trapped or damaged.  The mattress must not be lifted with a person on it or used for any other type of transport other than a possible evacuation using an evacuation sheet.  This mattress is unsuitable for use during x‐ray examinations because of the risk of blurred images or artefacts that may lead to diagnostic errors. (1) National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. Emily Haesler (Ed.). Cambridge Media: Osborne Park, Western Australia; 2014.
1.3 Other information Action plan Pressure ulcers To achieve the best possible result for this product it is recommended that a well‐planned and well‐structured working environment be used. In our guideline "Action plan" you will find examples which can be applied and put into practice when using our products. Mattress guide This practical guide gives you as a care giver, help in choosing the correct mattress from the Care of Swedens range. CuroCell® 3 CX13/CX 19 are mattresses in function group C. This information can be found on our website www.careofsweden.com or you can order a copy from our Customer services by sending your details to [email protected] 5 2. Product description 2.1 Pump and mattress 1. Mattress 2. CPR (rapid deflation) 3. Pump connector 4. Pump Tubing system 2
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CuroCell 3 CX13 3 static head cells. If the product is fitted with ventilated cells, they are located here (nine cells).
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CuroCell 3 CX19 with integrated foam core and tubing system 3 static head cells. If the product is fitted with ventilated cells, they are located here (nine cells).
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Foam core R
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2.2 Pump 1. Tube connection 2. Alarm off 3. Off/On (0/1) 4. Static button 5. Power cord 6. Fuses (2) 6 7. Suspension hooks 8. Air filter 2.3 Pump functions 1. Power on/off (1/0) ON/OFF Button to turn the power on or off. 2. Lamp for normal pressure NORMAL PRESSURE At start‐up: Lights when the mattress has reached the set pressure and is ready for use. During operation: Steady green light while pressure is normal. 3. Comfort setting 1 – 8 Suitable air pressure is set using the comfort dial (1‐8). Guide values are found in the table on the pump. NOTE: If the head of the bed is raised, pressure must be increased at least one (1) level. 4. Static mode STATIC When the “STATIC” button is pressed, the alternating process is terminated and the pressure between the cells evens out. The function can be used in association with patient care, repositioning/transferring in and out bed. Turn off this function by pressing the button. It will return automatically to alternating mode after approx. 30 minutes. 5. Low pressure LOW PRESSURE The pump has an acoustic and light alarm that is triggered when pressure in the mattress is too low. The alarm continues to sound until the ‘ALARM OFF’ button is pressed on the side of the pump. In the event of an alarm, check the following: Disconnected/pinched tubes, open CPR valve, leakage at air cell/connector. 6. Alarm off ALARM OFF This turns off the acoustic alarm. It will be activated again after about 3 minutes, if the pressure does not return to normal, (if the alarm starts when leaving the mattress, press the shut off button). In case of problems with the alarm, see paragraph 8 for troubleshooting. 7 3. Assembly/Installation When unpacking the mattress, check that none of the parts are damaged. In the event of damage, contact the manufacturer or your local dealer before using the product. 1. Place the mattress on top of an existing mattress and fasten it with the elastic bands around the underlying mattress. If the mattress has a built‐in foam pad (CuroCell® 3 CX19), it can be placed directly on the bed frame. Fix the mattress to the bed frame using the bands on the cover. Note! • Make the bed with sheets for added comfort. • Check that the CPR valve is closed. • The mattress must be attached to the bed’s moving parts, if it is height adjustable (CuroCell 3 CX19). • Check that all the snaps in each cell and cover are fastened correctly. 2. Hang the pump at the foot end of the bed or place it on a flat, sturdy surface. Route the power cord so that there is no risk of it causing someone to trip, being run over by the bed wheels or getting pinched when the bed is raised or lowered. If a cable holder is used (optional): open the snaps, position the power cord in the pocket and close the snaps. 3. Connect the air tubes from the mattress to the side of the pump. There is an audible "click" sound when the connectors are properly attached. 4. Check that the switch on the pump is in the “0” position (Off). Connect the plug to an approved electrical socket (220 V). 8 4. Start‐up Note! Always read the user manual prior to use. 4.1 Start‐up 1. Start the pump by pressing “1” (On). 2. Air starts to fill up the mattress. It takes about 15 minutes to inflate the mattress. 3. If necessary the patient can lie on the mattress even when not inflated, in this case the underlay will carry the load. When using a mattress with an air underlay, this must be inflated. Note! We recommend that the comfort dial be set to 8 (max) when inflating a deflated mattress. 4.2 Comfort setting The air pressure in the mattress can be adjusted as required. ALWAYS consult the prescriber or other authorised personnel for the correct setting. 1. Use the comfort dial to set a suitable air pressure based on the settings table on the pump. 2. When the green indicator lamp for normal pressure lights, the mattress has reached the set pressure. NOTE!  If the head of the bed is being raised, pressure must be increased at least one (1) level.  When only parts of the mattress are under load, e.g. if the patient is an amputee, the pressure should be increased 1 or 2 levels.  ‘Hand check’ the pressure at all times. Please refer to section 4.3.  Recommended user weight: up to 160 kg. 9 4.3 Hand check, checking the pressure setting Hand check is used to ensure that the mattress is properly inflated. This should be done regularly, once per shift, after changing the position in the bed or changing the comfort settings. Open the cover. Place a flat hand under the air cells directly underneath the user’s pelvic region and make sure that the user does not lie directly on the underlying mattress. There should be about 1‐2 fingers margin. If you can feel the user´s body resting on your hand you need to increase the comfort settings to next highest step. Wait 10 minutes and perform a new hand check. 4.4 Alarms If the pressure in the mattress drops to an abnormally low level, the yellow low pressure lamp lights and an acoustic alarm sound. First check that the CPR valve is closed and that all connectors are intact and correctly installed in accordance with section 3. The yellow lamp flashes until the pressure is corrected and reset. The alarm is deactivated by pressing the alarm off button. If the problem is not resolved within 3 minutes, the alarm will sound again. WARNING! If the air pressure remains low, check the mattress and tubes for damage. Repair as necessary or contact Care of Sweden or one of its authorised repair technicians.
4.5 CPR In case of an emergency where CPR (cardiopulmonary resuscitation) is necessary: Rapidly pull the CPR band on the tubes between the pump and the mattress. Remove the tube connections on the side of the pump, for even faster deflation. NOTE! Make sure that the CPR connector is properly connected after use. 4.6 Transport mode If the patient must be moved in bed, the tubes can be connected together (detached from the pump) and the mattress put in “transport mode”. This mode should only be used for short periods of time. 10 4.8 Heel function (with check valves, option) This feature allows pressure relief of the heels. Disconnect the air cell which is directly under the heel. This air cell will then be emptied for air. Press the bottom (1) and disconnect the plug. Let the cell remain in its place in the mattress. The air cell is activated by assembling the connection again. 1
11 5 Cleaning and reconditioning It is important to follow the instructions below before using the product for another user. Consult the hygiene responsible or the supplier for help and instructions when unsure. 5.1 Cleaning PUMP WARNING! Do not open the pump housing – risk of electric shock. Service and maintenance must be performed by authorised technicians. Do not get the pump wet or submerge it in any liquid. Wipe of the pump with a damp cloth and a mild cleaning solution for this purpose such as: alcohol with or without tensides, Isopropanol 70 %, oxidating solutions or chlorine max 1 %. If using a different agent, choose one that does not affect the plastic of the pump housing. MATTRESS COVER Covers can be wiped off with a mild cleaning solution for this purpose such as: alcohol with or without tensides, Isopropanol 70 %, oxidating solutions or chlorine max 1 %. Excrements and blood spots must be removed immediately with cold water. Carefully follow local instructions and usage instructions for the cleaner. Multi‐layer covers should be divided before washing. Wash with like colours. Chlorine and phenol‐based cleaners could have a negative impact on the PU surface and should be avoided. If chlorine is used, we recommend a mixture of max. 1 %. INNER COVER AND DISTANCE FABRIC (accessories) Clean the affected area with a mild cleaning solution for this purpose such as: alcohol with or without tensides, Isopropanol 70 %, oxidating solutions or chlorine max 1 %. 12 5.2 Reconditioning PUMP See section 5.1 for instructions. MATTRESS 1. Disconnect the tubes and let the air out, also open the CPR valve. 2. Remove the cover. See instructions in chapter 5.1 for cleaning covers. If the product is equipped with a foam core this should be removed and cleaned separately. 3. Move the mattress to a clean area, which is suitable for cleaning. 4. Wipe off the cells, all tubes and the CPR valve with a mild cleaning solution for this purpose such as: alcohol with or without tensides, Isopropanol 70 %, oxidating solutions or chlorine max 1 %. 5. Wipe off and disinfect all the work surfaces with an alcohol‐based cleaning agent intended for this purpose. 6. Put the mattress together. If cells for any reason have loosened from the tubes, these must be replaced according to drawing in chapter 2.1. FOAM CORE Clean the affected area with a mild cleaning solution for this purpose such as: alcohol with or without tensides, Isopropanol 70 %, oxidating solutions or chlorine max 1 %. Press out the water carefully. Let the foam core dry in a warm, ventilated area, without direct exposure of sunlight. The foam core needs to be completely dry before it is used again. NOTE! Check the hygiene cover each time the product is cleaned. If damaged, it must be replaced or repaired. Also check the pump, tube connectors and power cord during cleaning. Damaged parts must be replaced or repaired. 6. Storage The mattress and pump are best stored in the product bag (optional extra). Handle the packed product with care. Do not put anything heavy on top of it. 13 7. Maintenance 7.1 General 1. Check the power cord and plug for damage and scratches. 2. Check that the mattress cover is intact and that the cover and air cells are correctly assembled. 3. Check that the air flow alternates between each outlet on the side of the pump. 4. Check for damaged or pinched tubes and connectors. Contact the manufacturer or your local dealer for spare parts. 7.2 Changing fuses 1. Pull the plug out of the electrical socket before replacing a fuse. 2. Remove the cover for the fuses with a screwdriver. Pull out the fuse holder. 3. Fit a new fuse of the same type (T1AL/250 V) and screw the protective cover back in place. There are two fuses. 7.3 Changing the air filter 1. Loosen the small round cover plate at the back of the pump. 2. Lean the pump back and the filter slides out of its holder. 3. Place the new filter in the holder and put back the cover plate. The filter should be cleaned regularly if the pump is used in a very dirty environment. 14 8. Troubleshooting Problem Pump does not start Solution Check that the power cord is connected to the power socket. Check the fuses. Alarm is on = mattress is deflating Check that the quick connectors to the air tubes on the side of the pump are properly connected. Check that the CPR valve is closed. Open the mattress and check for leaks from air cells or tubes. Check that all tube connectors are properly fitted and connected. No air in head cells When the mattress is inflated, the 3 static head cells are filled last. Patient is bottoming (falls through) Check that the CPR valve is closed. Mattress moves around Check that the air mattress is secured to the underlying mattress with the elastic straps. If the mattress has a built‐in foam pad, fasten it to the bed frame with the straps. Some cells have less air Pump is noisy, vibrations are felt The comfort setting may be set incorrectly. Increase the pressure and wait a few minutes. Do a hand check. Refer to section 4.3. This is normal since the air flow alternates between every other cell for a set cycle time (one cycle = 10 minutes). Check how the pump is hung on the bed. Resonance can occur in parts of the bed. Remove the pump and listen to see whether this makes a difference. Can be remedied by putting the pump on a flat, steady surface or by placing a towel between the pump and bed. If your questions are not answered by the above information, please contact Care of Sweden or your local dealer for further assistance. 15 9. Technical description 9.1 Technical specification PUMP CuroCell® 3 220V‐240 V / 50‐60 Hz 0.17 A T1AL, 250 V 10 min 30 x 10.5 x 22.5 cm 3.4 kg Operation: 10°C ˜ 35°C Storage: ‐15°C ˜ 50°C Shipping: ‐15°C ˜ 70°C Operation: 20% ˜ 80% non‐condensing Storage: 10 ‐ 90% non‐condensing 700hPa‐1013,25hPa Classification Temperature Humidity Atmospheric pressure 700hPa‐1013,25hPa SPECIFICATION Model Voltage Power consumption Type of fuse Cycle periods Dimension (LxWxH) Weight Surroundings MATTRESS Model Dimension (LxWxH) Weight SPECIFICATION Class II, Type BF, IP21 CuroCell® 3 CX13 / 3 CX19 80/85/90/105/120x200/210x13/19 cm 5.2 kg (80x200 cm, 8.5 kg with built‐in foam pad) NOTE: Care of Sweden retains the right to modify the product specification at any time. WARNING! Follow operating and maintenance instructions carefully to prevent injury, as well as damage to the product or other equipment. 9.2 Labelling The mattress is labelled with product name, article number, production date, size, bar code, as well as care and wash instructions. The product also displays what side is up/down and head/foot. 16 9.3 Symbol Definitions XXXX‐XX‐XX
Article No Manufacturer Year‐Month‐Day Foot placement Read the user manual Group of function CE marked acc. to MDD 93/42/EEC Recycling Not in domestic refuse, follow recycling instructions Recommended user weight Patient information – category Directly on bed base Place on top of existing mattress Counteract shear force Heel function Do not wash Machine wash at 70 °C Machine wash at 95 °C Do not tumble dry Drip dry Do not iron Do not dry clean Wipe off Class II equipment (Double Insulated) Type BF IP‐class (Ingress Protection Rating) Temperature range The mattress should only be used lying in the lengthwise direction on the mattress Chlorine 17 Tumble dry 10. Spare parts For CuroCell® 3 CX13 Art. no. Description 295‐080200 Cover Olivia, grey, zip on three sides 295‐080210 Cover Olivia, grey, zip on three sides 295‐085200 Cover Olivia, grey, zip on three sides 295‐085210 Cover Olivia, grey, zip on three sides 295‐090200 Cover Olivia, grey, zip on three sides 295‐090210 Cover Olivia, grey, zip on three sides 295‐105200 Cover Olivia, grey, zip on three sides 295‐120200 Cover Olivia, grey, zip on three sides Size 80x200 cm 80x210 cm 85x200 cm 85x210 cm 90x200 cm 90x210 cm 105x200 cm 120x200 cm For CuroCell® 3 CX19 (mattress with built‐in foam pad) Art. no. Description Size CC‐906010 Top part Olivia, grey 80x200 cm CC‐906011 Top part Olivia, grey 80x210 cm CC‐906012 Top part Olivia, grey 85x200 cm CC‐906013 Top part Olivia, grey 85x210 cm 90x200 cm CC‐906014 Top part Olivia, grey CC‐906015 Top part Olivia, grey 90x210 cm CC‐906016 Top part Olivia, grey 105x200 cm CC‐906018 Top part Olivia, grey 120x200 cm CC‐905610 CC‐905611 CC‐905612 CC‐905613 CC‐905614 CC‐905615 CC‐905616 CC‐905618 Bottom part CuroCell Bottom part CuroCell Bottom part CuroCell Bottom part CuroCell Bottom part CuroCell Bottom part CuroCell Bottom part CuroCell Bottom part CuroCell 80x200 cm 80x210 cm 85x200 cm 85x210 cm 90x200 cm 90x210 cm 105x200 cm 120x200 cm Art. no. Description Size CC‐901001 Air cell, PU 80x13 cm CC‐901002 Air cell, PU 85x13 cm CC‐901003 Air cell, PU 90x13 cm CC‐901004 Air cell, PU 105x13 cm CC‐901005 Air cell, PU 120x13 cm Please make a note on your order when ordering ventilating cells. CC‐8217 CC‐8201 Fuse (set of 2) Filter, washable If other spare parts are needed, please contact Care of Sweden or your local dealer for further assistance. 18 11. Options and accessories 11.1 Options Comfort fabric cover (only CuroCell® 3 CX19) For additional mattress comfort. Heel section Options available to relieve sensitive heels. Emptying the air cell with release valve. NOTE! These options are only available with new orders. Cable holder (only CuroCell® 3 CX19) A pocket along one long side of the mattress that holds the power cord in place to minimise the risk of tripping over the cord or the cord becoming trapped under the wheels of the bed. NOTE! This option is only available with new orders. Sturdy transport bag Transport and storage bag. Sheet holder (only CuroCell® 3 CX19) Specialised clips to which the sheet can be attached. Six required per mattress. Ventilated cells (Low‐Air‐Loss) Micro‐ventilation in 9 of the cells. 11.2 Accessories For CuroCell® 3 CX13 Art. no. Description CC‐9093 Sturdy transport bag CC‐9094 Sturdy transport bag Size 80/85/90 cm 105/120 cm For CuroCell® 3 CX19 (mattress with built‐in foam pad) Art. no. Description CC‐907210 Comfort fabric between cells and cover CC‐907211 Comfort fabric between cells and cover CC‐907212 Comfort fabric between cells and cover CC‐907213 Comfort fabric between cells and cover CC‐907214 Comfort fabric between cells and cover CC‐907215 Comfort fabric between cells and cover CC‐907216 Comfort fabric between cells and cover CC‐907218 Comfort fabric between cells and cover Size 80x200 cm 80x210 cm 85x200 cm 85x210 cm 90x200 cm 90x210 cm 105x200 cm 120x200 cm 58‐900909 58‐900905 Sturdy transport bag Sturdy transport bag 80/85/90 cm 105/120 cm Art. no. CC‐9075 Description Sheet holder, sold separately CC‐900220 CC‐900222 Heel function with release valve (4 cells) Heel function with release valve (3 cells) 19 11.3 Other accessories To ensure the best level of comfort, we recommend use of accessories from Care of Sweden since our products are designed to work well together. Please contact Care of Sweden or your local dealer for accessories or more information on our products. 12. Warranty 12.1 Scope This CuroCell® system is covered by a 2‐year warranty for manufacturing defects. The warranty does not apply to normal wear and tear or product impairment or damage stemming from negligence or improper handling/care. 12.2 Service and maintenance This CuroCell® mattress is a medical device, in accordance with MDD 93/42/EEC, that is used as an aid in preventing and treating pressure ulcers. For this reason, we recommend that the pump be regularly serviced and inspected to maintain functionality and performance. Like other technical devices, a pump that is properly cared for works better and lasts longer. Service and maintenance must always be performed by Care of Sweden or one of its authorised technicians. Only use spare parts that have been approved by Care of Sweden. Use of non‐approved spare parts invalidates the warranty. A warranty claim must be submitted to Care of Sweden before the product is returned. Please contact Care of Sweden or your local dealer if you have questions regarding warranty and service. 12.3 Life expectance This product´s expected life is estimated to be 5 years. 20 13. Other information 13.1 Disassembly and recycling Except for certain parts of the pumps, energy recovery is possible for almost all material in CuroCell® products through incineration in waste incineration facilities. Pump: A used CuroCell® pump must not be disassembled. It must instead be taken to a recycling centre and sorted as electronic waste. Mattress: A used CuroCell® mattress must be taken to a recycling centre and sorted as combustible waste. For more information, please contact Care of Sweden or your local dealer. 13.2 Returns and complaints Complaints are to be reported to the supplier. Return of a product shall follow the supplier’s instructions and can only be done after the complaint has been reported. Damages due to the transportation should be reported to the transportation agent. 21 14. Own notes 22 23 Manufactured by Contact: Phone: + 46 771 106600 Fax: + 46 325 12840 Email: [email protected] Internet: www.careofsweden.com Address: Care of Sweden AB P.O. Box 146 SE‐514 23 Tranemo SWEDEN Visit address: Fabriksgatan 5A SE‐514 33 Tranemo SWEDEN Cargo address: Byns väg 4A SE‐514 33 Tranemo SWEDEN Supplied by Care of Sweden and CuroCell are trademarks of Care of Sweden AB © Care of Sweden AB, 2015 24 
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