Getinge ARJOHUNTLEIGH BariAir Therapy System User Manual

BariAir Therapy System

USER MANUAL

P/N 404832-AH Rev A • 06/2014

0086

...with people in mind

CAUTION

ARJOHUNTLEIGH HEREBY DISCLAIMS ALL EXPRESS OR IMPLIED WARRANTIES, INCLUDING WITHOUT LIMITATION ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, ON THE ARJOHUNTLEIGH PRODUCT(S) DESCRIBED IN THIS PUBLICATION. ANY WRITTEN WARRANTY OFFERED BY ARJOHUNTLEIGH SHALL BE EXPRESSLY SET FORTH IN THIS PUBLICATION OR INCLUDED WITH THE PRODUCT. UNDER NO CIRCUMSTANCES SHALL ARJOHUNTLEIGH BE LIABLE FOR ANY INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES AND EXPENSES, INCLUDING DAMAGES OR INJURY TO PERSON OR PROPERTY, DUE IN WHOLE OR IN PART TO THE USE OF THE PRODUCT OTHER THAN THOSE FOR WHICH DISCLAIMER OF WARRANTY OR LIMITATION OF LIABILITY IS EXPRESSLY PROHIBITED BY SPECIFIC, APPLICABLE LAW. NO PERSON HAS THE AUTHORITY TO BIND ARJOHUNTLEIGH TO ANY REPRESENTATION OR WARRANTY EXCEPT AS SPECIFICALLY SET FORTH IN THIS PARAGRAPH.

Descriptions or speciﬁcations in ArjoHuntleigh printed matter, including this publication, are meant solely to generally describe the product at the time of manufacture and do not constitute any express warranties except as set forth in the written limited warranty included in this publication or with this product. Information in this publication may be subject to change at any time. Contact ArjoHuntleigh for updates.

Important Information For Users

In order for ArjoHuntleigh products to perform properly, ArjoHuntleigh recommends the following conditions. Failure to comply with these conditions will void any applicable warranties.

• Use this product only in accordance with these instructions and applicable product labeling.

• Assembly, operations, extensions, re-adjustments, modiﬁcations, technical maintenance or repairs must

be performed by qualiﬁed personnel authorized by ArjoHuntleigh. Contact ArjoHuntleigh for information regarding maintenance and repair.

• Ensure the electrical installation of the room complies with the appropriate national electrical

wiring standards.

Speciﬁc indications, contraindications, warnings, precautions and safety information exist for ArjoHuntleigh’s therapeutic support surface products. It is important for users to read and familiarize themselves with these instructions and to consult the treating physician prior to patient placement and product use. Individual patient conditions may vary.

NOTICE

This product has been conﬁgured from the manufacturer to meet the speciﬁc voltage requirements. Refer to the product information label for speciﬁc voltage.

TABLE OF CONTENTS

Introduction

Indications ..........................................................................................................................................................................................1

Contraindications ...........................................................................................................................................................................2

Risks and Precautions ...................................................................................................................................................................2

Safety Information .........................................................................................................................................................................2

Patient Placement

Preparation for Patient Placement ....................................................................................................................................... 5

Patient Transfer to the BariAir Therapy System ...............................................................................................................6

Air Pressure Adjustment .............................................................................................................................................................8

Turn Assist Adjustment ...............................................................................................................................................................9

Pulsation Adjustment ...............................................................................................................................................................10

Percussion Adjustment ............................................................................................................................................................10

Completion of Patient Placement .....................................................................................................................................10

Nursing Care

Cardiopulmonary Resuscitation (CPR) ...........................................................................................................................12

Auxiliary CPR ................................................................................................................................................................................... 12

Alarms ................................................................................................................................................................................................. 13

Q-Shift Check ................................................................................................................................................................................. 13

Patient Enter / Exit Via Foot of Bed (Ambulatory Patients).................................................................................14

Patient Transfer to Bed (Non-Ambulatory Patients) ............................................................................................... 14

Installation of Extension Packs / Cushions ................................................................................................................... 15

Footboard Release for Taller Patients and Traction ................................................................................................. 16

Bed Adjustment to Cardiac Chair Position...................................................................................................................16

Patient Transport in Cardiac Chair Position .................................................................................................................17

Side Rail Operations ................................................................................................................................................................... 18

• Side Rail Positions .................................................................................................................................................................18

• Adjust Side Rail to Narrow Door Position ...............................................................................................................18

• Side Rail Operating Tips ....................................................................................................................................................18

Extension Cushion Operations ...........................................................................................................................................19

• Extension Board Positions................................................................................................................................................19

• Adjust Extension Packs and Cushions to Normal Position .......................................................................... 19

Adjustable Corner Post Operations ..................................................................................................................................19

• Adjustable Corner Post Positions ................................................................................................................................ 19

• Set Adjustable Corner Post to Normal Position..................................................................................................19

Skin Care............................................................................................................................................................................................19

Incontinence / Drainage ......................................................................................................................................................... 19

Patient Bathing ..............................................................................................................................................................................20

Bedpan Placement ..................................................................................................................................................................... 20

Bedpan Removal .......................................................................................................................................................................... 21

Patient Positioning ......................................................................................................................................................................21

• Right Hold ..................................................................................................................................................................................21

• Center Hold ..............................................................................................................................................................................21

• Left Hold ..................................................................................................................................................................................... 22

• Trendelenburg / Reverse Trendelenburg ...............................................................................................................22

• Cardiac Chair ............................................................................................................................................................................ 22

General Operation ...................................................................................................................................................................... 22

Care and Cleaning

Daily Care and Cleaning of the BariAir Therapy System While In Use ........................................................... 23

Weekly Care and Cleaning of the BariAir Therapy System While In Use ...................................................... 24

Preventive Maintenance .........................................................................................................................................................24

Operating Instructions

Power-Up Procedure .................................................................................................................................................................24

Main Control Panel .....................................................................................................................................................................25

• Home Menu ............................................................................................................................................................................. 25

- InstaFlate Function ............................................................................................................................................................26

- Seat Deﬂate ..........................................................................................................................................................................26

- Main Menu ............................................................................................................................................................................ 27

• Turn Assist Menus .......................................................................................................................................................... 27

• Pulsation Menu ............................................................................................................................................................... 28

• Height / Weight Preset ...............................................................................................................................................29

• Percussion Menus .........................................................................................................................................................30

• Right Hold .......................................................................................................................................................................... 31

• Center Hold ....................................................................................................................................................................... 31

• Left Hold .............................................................................................................................................................................. 31

• Lock-Out Menu ............................................................................................................................................................... 32

- Status Menu ......................................................................................................................................................................... 33

• Air Pressures Display ............................................................................................................................................................34

• Alarm Silence ........................................................................................................................................................................... 34

• Scale Menu................................................................................................................................................................................35

- Zero............................................................................................................................................................................................35

- Preset ........................................................................................................................................................................................36

- Alarm ........................................................................................................................................................................................36

- Weight Hold .........................................................................................................................................................................37

- Delay ......................................................................................................................................................................................... 37

- Store Trend ............................................................................................................................................................................38

- Weight Trend Chart .......................................................................................................................................................... 38

• CPR ................................................................................................................................................................................................. 38

• Auxiliary CPR

Transport Mode ............................................................................................................................................................................ 39

Hand Control

Power Down Procedure ..........................................................................................................................................................41

Speciﬁca

Electromagnetic Compatibility (EMC)

Deﬁnition of

Customer Contact

tions

...............................................................................................................................

..................................................................................................................... 44

Symbols Used ...............................................................................................................................

Informa

tion

...............................................................................................................................

.............................................39

................................................... 40

............................................... 42

..............48

...... 48

INTRODUCTION

The BariAir™ Therapy System is a risk management treatment system designed for large and / or diﬃcult-to-manage patients. The BariAir Therapy System provides low air-loss pressure management therapy, pulsation, percussion, Turn Assist, ﬂexible patient positioning capabilities and built-in scales for patients weighing 300* to 850 lb ([136* - 386 kg] including accessories).

Turn Assist ‑ The continuous lateral turn up to 20˚ helps reposition the patient, promote comfort and shift pressure points. Turn Assist is programmable with three levels of turning on each side (low, medium and high turn) as well as pause and hold functions to suspend the patient on either side for ease in nursing care.

Pulsating Air Suspension Therapy ‑ The gentle pulsating action provides patients with one of the most aggressive therapies available for the treatment of pressure ulcers and wounds, having been shown to increase capillary blood ﬂow and lymphatic drainage, while the air support surface helps reduce interface pressures. Pulsation therapy can be customized with programmable intensities and cycle times and can be used in conjunction with Turn Assist and percussion therapy, or as a stand-alone therapy.

Percussion Therapy ‑ Percussion therapy can be used in conjunction with Turn Assist, during turning, to help mobilize pulmonary secretions. Percussion therapy can be customized by adjusting frequency, intensity and duration of therapy.

The BariAir Therapy System is made up of a patient support surface comprised of 23 low air-loss cushions positioned over a pair of inﬂatable turning bladders, all of which are mounted on a critical care frame. The patient rests on the patient support surface as air pressures in every other cushion slowly increase and decrease, creating a gentle pulsating action. The cushions are grouped into three sections: head, body, and leg, allowing for customization of air pressures in each section of cushions. When Turn Assist is activated, the bladders located beneath the cushions will slowly inﬂate and deﬂate, turning the patient in a gentle side-to-side motion. A percussion cushion is installed beneath the low air-loss cushions to provide chest physiotherapy.

The following accessories are available for use with the BariAir Therapy System:

• foot extension with cushion and cover sheet - increases bed length by 12 in (30 cm), useful for patients taller

than 6 ft 2 in (1.9 m)

• extension packs to provide pressure management for wide patients

• trapeze for patient positioning

Indications

The BariAir Therapy System is indicated to aid in:

• Patients whose body weight and size pose a signiﬁcant risk or care management issue to the patient or staﬀ during

the performance of routine nursing care.

• Large patients weighing between 300* and 850 lb (136* - 386 kg) including accessories.

• Large patients who are diﬃcult to turn.

• Preventing and treating pressure ulcers.

• Large patients requiring percussion therapy.

*Certain circumstances such as patient weight or special patient care needs may warrant the use of this product for patients weighing less than 300 lb (136 kg).

Contraindications

Patient conditions for which the BariAir Therapy System is contraindicated include:

• unstable cervical, thoracic and / or lumbar fracture

• cervical and skeletal traction

• total weight in excess of 850 lb (386 kg, including accessories)

Risks and Precautions

Transfer - Precaution should be taken during patient transfer, including the locking of caster brakes and caster steering (see Patient Transfer under Patient Placement section).

Side Rails and Restraints - WARNING: Use of restraints, including side rails, can be critical to patient safety. Serious injury or death can result from the use (potential entrapment) or non-use (potential patient falls) of side rails or other restraints. See related Safety Information.

Patient Restraints ‑ Patient restraints may not be used with this bed.

Patient Migration ‑ Specialty surfaces have diﬀerent shear and support characteristics than conventional surfaces

and may increase the risk of patient movement, sinking and / or migration into hazardous positions of entrapment and / or inadvertent bed exit. While the BariAir Therapy System footboard can gradually release under loads, patients may slide out of bed over the footboard, potentially risking serious injury. Such risks are increased if the head of the bed is elevated or if the footboard has been manually released. Monitor patients frequently to guard against

patient entrapment.

Electromagnetic Interference - Although this equipment conforms with the intent of the directive 89/336/EEC

in relation to electromagnetic compatibility, all electrical equipment may produce interference. If interference is suspected, move equipment away from sensitive devices or contact the manufacturer.

Shock Hazard ‑ Electrical shock hazard, do not remove covers. Refer to qualiﬁed service personnel.

Releasing the Footboard ‑ In some instances, releasing the footboard may increase risk of injury by making it easier

for the patient to slide out of the bed, over the footboard and onto the ﬂoor.

Safety Information

General Protocols ‑ Follow all applicable safety rules and institution protocols concerning patient and caregiver safety.

Skin Care ‑ Monitor skin conditions regularly, particularly at bony prominences and in areas where incontinence and drainage occur or collect, and consider adjunct or alternative therapies for high acuity patients. Early intervention may be essential to preventing serious skin breakdown.

Brakes ‑ Caster brakes should always be locked once the bed is in position.

Bed Height ‑ To minimize the risks of falls or injury the bed should always be in the lowest practical position when

the patient is unattended. Make sure the area under and around the bed frame is clear of objects, persons and parts of body before adjusting height.

Side Rails / Patient Restraints ‑ Whether and how to use side rails or restraints is a decision that should be based on each patient’s needs and should be made by the patient and the patient’s family, physician and caregivers, with facility protocols in mind. Caregivers should assess risks and beneﬁts of side rail / restraint use (including entrapment and patient falls from bed) in conjunction with individual patient needs, and should discuss use or non-use with patient and / or family. Consider not only the clinical and other needs of the patient but also the risks of fatal or serious injury from falling out of bed and from patient entrapment in or around the side rails, restraints or other

accessories. In the US, for a description of entrapment hazards, vulnerable patient proﬁle and guidance to further reduce entrapment risks, refer to FDA’s Hospital Bed System Dimensional and Assessment Guidance To Reduce Entrapment. Outside the US, consult the local Competent Authority or Government Agency for Medical Device Safety for speciﬁc local guidance. Consult a caregiver and carefully consider the use of bolsters, positioning aids or ﬂoor pads, especially with confused, restless or agitated patients. It is recommended that side rails (if used) be locked in the full upright position when the patient is unattended. Make sure a capable patient knows how to get out of bed safely (and, if necessary, how to release the side rails) in case of ﬁre or other emergency. Monitor patients frequently to guard against patient entrapment. It is recommended that electrically operated beds conform to IEC 60601-2-38. Medical Electrical Equipment Part 2: particular requirements for the safety of electrically operated hospital beds.

NOTE: Side rails must be in the full upright and locked position before activating turn assist.

Exit Alarm ‑ Activation of the bed exit alarm is recommended whenever a patient is unattended. Be sure to

reactivate the bed exit alarm each time the patient returns to bed.

Ambulatory Patient Entrance / Exit ‑ Caregiver should always aid patient in exiting the bed. Lower the patient surface completely during assisted patient entrance and exit. With caregiver assistance, ambulatory patients should always use the patient exit button to properly position the bed and then exit at the foot of the bed.

Full Trendelenburg ‑ Use full Trendelenburg to shift patient weight back and ensure against sliding when the footboard is released or when the head is elevated. The bed will automatically move into Trendelenburg as the head is raised.

Adjust Side Rails to Narrow Door Position ‑ After narrow door passage, reposition the side rails to full up position unless decision has been made to not use side rails.

Extension Pack Clip Engagement ‑ When extension packs are used, ensure that the clip at the bottom of each extension pack fully engages side rail shaft.

I.V. and Drainage Tubes ‑ Tubes should always have slack for Turn Assist and other patient movements.

Blank Display ‑ If the main control panel remains blank, call for service immediately. In the interim, use auxiliary

bed controls (including CPR) in absence of facility protocol. Auxiliary controls are located in the head end of the base cover, on the patient’s right side.

Fluids ‑ Avoid spilling ﬂuids on bed controls. If spills do occur, unplug the unit and clean ﬂuid from the bed wearing rubber gloves to avoid any possibility of shock. Once ﬂuid is removed, plug the power cord into a wall outlet and check operation of components in area of spill.

NOTE: Fluids remaining on controls can cause corrosion, which may cause components to fail or operate erratically,

possibly producing potential hazards for patient and caregiver.

Lock Outs ‑ Lock out of therapy functions and air functions from the main control panel and lock out of bed functions by the service switches should be used at the staﬀ’s discretion to ensure against unauthorized tampering with system settings.

Moving Parts ‑ Powered bed mechanisms can cause serious injury. Keep all equipment, tubes and lines, loose clothing, hair and parts of the body away from moving parts and pinch points.

Power Cord ‑ Ensure the power cord is kept free from all pinch points and moving parts and is not trapped under casters nor covered with rugs or carpets. Visually inspect the cord for signs of damage or wear. Improper handling of the power cord can cause damage to the cord, which may produce risk of ﬁre or electric shock. When transporting or disconnecting power cord, be sure to wrap the cord in a safe position free from moving parts.

Scale Readings - Scales / patient weights are for reference only. Scale readings should not be relied upon for medication dosage.

Hospital Grade Power ‑ Unstable electrical ground may exist. Grounding reliability can only be achieved when the power cord is connected to an equivalent receptacle marked Hospital Grade. Where the integrity of the external protective conductor in the installation or its arrangement is in doubt, equipment should be operated temporarily from its battery.

Avoid Fire Hazards ‑ To minimize risk of ﬁre, connect the bed’s power cord directly into a wall-mounted outlet. Do not use extension cords or multiple outlet strips.

Tobacco Smoke and Other Contaminates ‑ Please follow laundering and cleaning procedures described in the Preventive Maintenance section of the Care and Cleaning chapter of this manual in order to help decrease tobacco smoke build-up. It is recommended that no smoking occur in, on or around bed environment, so as to avoid build-up. Severe air restrictions (whatever the cause), may cause the unit to overheat and automatically deactivate.

Batteries ‑ Bed contains batteries and must be plugged in when not in service.

Service Personnel ‑ Inspect batteries monthly. Batteries more than 28 months old from the date of manufacture are

replaced in pairs. Install a battery history label on the battery cover with proposed date of next battery replacement. Apply the label in a visible location so that all information is displayed.

Disposal ‑ At the end of useful life, dispose of waste according to local requirements or contact the manufacturer for advice. There may be special requirements for disposal of batteries, leaded foam and angle sensors (if present in this product).

Oxygen Use ‑ Unplug pendant hand control and do not use wireless pendant when using oxygen. Use of hand controls in an oxygen-enriched environment may produce potential of ﬁre hazard. This equipment is not suitable for use in the presence of a ﬂammable anesthetic mixture with air, with oxygen or with nitrous oxide.

CAUTION: When using half-bed length type oxygen administering equipment, ensure that side rails are

outside of oxygen tent and not contained within the oxygen environment.

PATIENT PLACEMENT

It is recommended that all sections of this manual be reviewed prior to product use. Carefully review the Indications, Contraindications, Risks and Precautions, and Safety Information sections in the Introduction chapter prior to patient placement on the BariAir Therapy System.

Preparation for Patient Placement

1. If an overhead rail system is required for the patient, install trapeze as follows:

NOTE: When properly installed, trapeze assembly is designed to support trapeze for patients weighing up to 850 lb

(386 kg); however, do not place more than 350 lb (159 kg) static weight directly on trapeze.

• Set adjustable corner posts to normal position.

• Insert the 22.5 in (57 cm) swivel clamp bar into I.V. pole insert behind main control panel, as shown below:

Head of Bed

Double Swivel Clamp

Double Cross Clamp

48 in Plain Bar

Foot of Bed

22.5 in Swivel Clamp Bar

27 in Swivel Clamp Bar

Sliding Bar

27 in Swivel Clamp Bar

Double Swivel Clamp

96 in Plain Bar

Hand Grip

Double Cross Clamp

27 in Swivel Clamp Bar

• Insert a 27 in (68.5 cm) swivel clamp bar into the remaining three I.V. pole inserts.

• Install double cross clamps onto swivel clamp bars at the head of the bed. Finger-tighten clamp

approximately one foot from top of each bar.

• Insert the 48 in (122 cm) plain bar into clamps on swivel clamp bars at the head of the bed. The ends of the

swivel clamp bar should extend approximately the same length beyond each clamp. Finger-tighten the clamp on each bar.

• Insert 96 in (244 cm) plain bar between head and foot swivel clamp bar clamps on each side of bed.

Finger-tighten clamps.

• Install double swivel clamps on sliding bar. Locate each clamp approximately the same distance from each

end of bar. Finger-tighten clamps.

NOTE: Do not place sliding bar more than 30 in (76 cm) from the 48 in (122 cm) plain bar at the head of the bed

to allow for full articulation of adjustable arms on the bed.

• Install sliding bar and clamps between the 96 in (244 cm) plain bars in line with the patient’s chest.

Finger-tighten clamps.

• Move the adjustable corner posts to the normal and extended positions to verify installation.

• Loosen clamps as necessary to adjust traction. There should be no binding when adjustable corner posts are

in both the normal and extended positions. Tighten all clamps.

• Install the hand grip in the center of the sliding bar and tighten clamp.

2. Plug the power cord into a properly grounded wall outlet.

NOTE: Ensure power to this outlet is not controlled by a wall switch.

3. Release the scale lock-down clamp located at the head of the bed in the center of the caster frame.

4. Conﬁgure the bed as required (extension packs, extension cushions, lines, accessories, etc., that are on weighed

portion of bed).

NOTE: I.V. poles, foley bag holders and traction assembly are on unweighed portions of the bed.

5. Press the Air On / Oﬀ button on the main control panel to activate the air supply.

6. Calibrate the scale to zero:

• Press and hold the Scale button on the main control panel until: - bed movement stops, - patient weight is not highlighted, and - Continue Pressing Scale message no longer ﬂashes at top of display.

• Press the Zero button to set the weight of all equipment currently on weighed portion of bed to

0 lb (0 kg).

• Press the Yes button.

• Press the Exit button to return to the Home menu.

Patient Transfer to the BariAir Therapy System

1. Lock brakes on both sides of the bed.

2. Transfer the patient as described below:

• Ambulatory patients: - Verify the footboard is in the locked upright position. Place the foot extension cushion accessory in

stored position if installed.

- Set the adjustable corner posts and side rails to the appropriate (normal or extended) position. - Press and hold the Patient Exit button on the main control panel until the footboard stops moving

and is almost ﬂat on the ﬂoor. A caregiver should always be present during patient transfer.

NOTE: Mattress will automatically deﬂate.

- Follow all applicable safety procedures and institution protocols when assisting the patient to enter the

bed.

- Press and hold the Cardiac Chair button on the main control panel to shift patient weight back to help

prevent patient sliding.

• Non-Ambulatory Patients:

- Level the bed. - Release the footboard and remove the head-end corner posts as required. - Lower the side rails and adjust to narrow door position. Never leave a patient unattended with the

side rails lowered.

- With the Home menu showing, press the InstaFlate™ button to create a ﬁrm surface for

patient transfer.

NOTE: Five beeps will sound when the InstaFlate Function is activated.

- Position surfaces side-by-side. Adjust the bed height to be even with surface from which the patient is

being transferred. Use cushions or pillows to ﬁll gaps as needed.

- Follow all applicable safety procedures and institution protocols when transferring patient. - Raise the side rails, unless decision has been made to not use side rails (see Safety Information).

Secure the footboard. Replace the corner posts.

- Press the Cancel button to deactivate the InstaFlate Function and return the cushions to previous air

pressure settings.

- Press and hold the Cardiac Chair button on the main control panel to shift patient weight back and to

help prevent patient sliding.

3. Press the Air button to restore air ﬂow.

4. Position the patient in the center of the mattress.

5. Release the footboard as required for taller patients:

CAUTION

Releasing the footboard may, in some instances, increase the risk of

injury by making it easier for the patient to slide out of the bed,

over the footboard and onto the ﬂoor.

• Use full Trendelenburg to shift patient weight back and ensure against sliding.

• Stand at the foot of the bed with the padded bottom of footboard against thighs.

• Reach under the mattress from outside edges and ﬁnd two

knurled knobs, as shown at right.

• Lean into the footboard momentarily to release load on pins while

pulling knobs out toward the side of the bed.

• Rotate the knobs toward the head of the bed to lock pins in

the release position.

• Lower the footboard to a horizontal position.

• Install the foot extension cushion accessory if required.

6. Install extension packs and extension cushions if needed:

FOOTBOARD

Knurled Knob (on footboard release pin)

• Adjust the side rails to extended down position.

• Install the extension packs on each side of the seat section.

CAUTION

Ensure that clip at bottom of each extension pack

fully engages side rail shaft.

• Install the extension pack on each side of the seat cushion: - Press the extension board into the mattress to release the load

on extension board hinge, as shown at right.

- Pivot the extension board hinge downward to a horizontal

position.

Extension Board

Mattress

- Unfold the extension board to a horizontal position. - Unfold the extension board side to a vertical position. - Verify the hose is connected securely to each cushion. - Turn the extension cushion valve (located on patient left side

under side rail) to inﬂate cushions.

Extension Board Hinge

7. Raise the side rail to extended up position, unless the decision has been made to not use side rails (see Safety

Information).

8. Verify percussion cushion (if used) is positioned between the

clavicles and the xiphoid process, as shown at right.

Percussion Cushion

Clavicle

Air Pressure Adjustment

1. With Home menu showing, press the Menu button.

2. Press the Height / Weight button.

3. Press the Increase or Decrease button to adjust patient’s height.

4. Press the Increase or Decrease button to adjust patient’s weight.

5. Press the Enter button to save settings.

6. Allow suﬃcient time for cushions to respond to air pressure.

7. Perform a hand check beneath shoulders, hips and heels as

shown at right:

• Slide hand under cushion sleeve to rest on

cushion support.

• Lift hand slightly to verify 1.5 to 2 in (35 to 50 mm) of air is

supporting patient.

NOTE: Pulsation should be deactivated when performing hand

check.

Xiphoid Process

Cushion Sleeve

Cushion Support

8. Manually adjust air pressure as required:

• Press the Air Adjust buttons, shown at right, to adjust air

pressures for head, body and leg cushion sections.

NOTE: Each bar graph that corresponds to the adjusted section of

cushions (head, body, leg) will increase or decrease by one bar when the corresponding button is pressed twice.

NOTE: Allow suﬃcient time for cushions to respond to air pressure adjustments before additional changes are

made.

9. Verify air pressure adjustments using hand check.

NOTE: Pulsation should be deactivated when performing hand check.

10. Press the Complete button to return to the Home menu.

Turn Assist Adjustment

AIR ADJUST

1. Press the Menu button on the Home menu.

2. Press the Turn Assist button on the Main menu.

3. Adjust right angle.

4. Adjust right pause time.

5. Adjust center pause time.

6. Zero the Turn Assist hour meter.

7. Press the Left Turn Setting button.

8. Adjust left angle.

9. Adjust left pause time.

<TURN :ON OFF <PULSE :ON OFF <PERCUS:ON OFF

LOW RIGHT TURN

RIGHT Angle: RIGHT Pulse: CENTER Pause: Turn Assist Meter:

HOME MENU

TURN ASSIST MENU #1

MEDIUM--------------ADJUST>

0,2,5,10,20,30 min---ADJUST>

0,2,5,10,20,30 min--ADJUST>

INSTAFLATE>

SEAT DEFLATE>

MENU>

STATUS>

XXX.X hours-----ZERO

LEFT TURN SETTING>

10. Press the Exit button to return to the Main menu.

11. Press the Exit button to return to the Home menu.

Pulsation Adjustment

1. Press the Menu button on the Home menu.

<TURN :ON OFF <PULSE :ON OFF <PERCUS:ON OFF

LOW RIGHT TURN

2. Press the Pulsation button on the Main menu.

With the Pulsation menu showing:

• Adjust intensity.

• Adjust cycle time.

• Zero the pulse hour meter.

Current Status: Intensity: Cycle Time: Pulse Hour Meter: Save Settings

3. Press the Enter button to save settings and return to the Main menu.

4. Press the Exit button to return to the Home menu.

Percussion Adjustment

1. Press the Menu button on the Home menu.

<TURN :ON OFF <PULSE :ON OFF <PERCUS:ON OFF

LOW RIGHT TURN

HOME MENU

PULSATION MENU

ON,OFF-----------CHANGE> LOW MED HI--------ADJUST> 2,5,10,20,40 min--ADJUST>

XXX.X hours-----ZERO>

----------------------ENTER

HOME MENU

INSTAFLATE>

SEAT DEFLATE>

INSTAFLATE>

SEAT DEFLATE>

MENU>

STATUS>

MENU>

STATUS>

2. Press the Percussion button on the Main menu.

With the percussion menu showing:

• Adjust intensity.

• Adjust duration.

Current Status: Intensity: Duration: Frequency:

• Adjust frequency.

• Press the Next Menu button.

• Zero the percussor hour meter.

• Press the Enter button to save settings and return to the Main menu.

• Press the Exit button to return to the Home menu.

Completion of Patient Placement

1. Activate the patient bed exit alarm as required:

• Hold the Scale button on the main control panel until bed movement

stops and the Hold Scale Key to Reposition for Weight message stops ﬂashing.

PERCUSSION MENU#1

ON,OFF-----------CHANGE>

LOW, MED, HI------ADJUST> xx min---------------ADJUST> xx (beat/sec)-------ADJUST>

NEXT MENU>

SCALE

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