Joerns Healthcare 6110056-RevC-TurnCair-Manual MARS V8 Ambulatory ECG System Service Manual Software Version 8 2083129-004 Revision D

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User-Service Manual

Joerns® Therapeutic Support Surfaces

TurnCair

To avoid injury, read user’s manual before using.

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Joerns Therapeutic Support Surfaces TurnCair

Important Precautions

Important Notice: The equipment must be installed and operated in the manner for which it was intended. Facility staff/user is responsible for reading and understanding the product user manual and contacting Joerns Healthcare if anything in this manual is unclear. Joerns will not be held responsible for any injuries resulting from failure to comply with the instructions and precautions in this manual.

Warning: Joerns specialty support surfaces are designed as mattress replacement systems. The risk of entrapment may occur when the equipment is placed on bed frames that leave gaps of even a few inches between the mattress and the head panel, foot panel, and bed or side rails. The equipment is NOT to be used when such gaps are present.

Facility staff/user is responsible for ensuring that all

mattresses properly t the bed frames. Joerns is not

responsible for the placement of its equipment on bed frames that leave gaps between the mattress and the head panel, foot panel or bed or side rails which present a risk of harm to patients.

Warning: An optimal bed system assessment should be conducted on each patient by a

qualied clinician or medical provider to ensure

maximum safety of the patient. The assessment should be conducted within the context of, and in compliance with, the state and federal guidelines related to the use of restraints and bed system entrapment guidance, including the Clinical

Guidance for the Assessment and Implementation of Side Rails published by the Hospital Bed

Safety Workgroup of the U.S. Food and Drug Administration. Further information can be obtained at the following web address: http://www.fda.gov/ MedicalDevices/ProductsandMedicalProcedures/ GeneralHospitalDevicesandSupplies/HospitalBeds/ default.htm.

When using the mattress system, always ensure that

the patient is positioned properly within the connes

of the bed. Do not let any extremities protrude over the side or between the bed rails when the mattress is being used.

Danger Explosion Hazard: Do not use in the

presence of ammable anesthetics. Do not use in the presence of smoking materials or open ame. Air owing through the air mattress will support

combustion.

Warning: A possible re hazard exists. This product

is suitable for use with oxygen administering equipment of the nasal, mask, or half bed-length, tent-type only. To prevent personal injury or equipment damage, ensure that the oxygen tent does not extend below the mattress.

Danger: To reduce the risk of shock, adhere to the following instructions. Failure to do so could result in personal injury or equipment damage.

• Immediately after using the TurnCair Therapeutic Support System, unplug it from its power source.

• Do not place or store the product where it can fall or be pulled into a tub or sink.

• Do not place or drop the product into water or other liquid.

• Do not remove the back of the control unit. Refer servicing to Joerns.

Warning: To reduce the risk of burns, shock, re, or

personal injury, adhere to the following instructions. Failure to do so could result in personal injury or equipment damage.

1. Use this product only for its intended purpose as

described in this manual. Only use attachments and/or accessories that are recommended by the manufacturer.

2. If this product has a damaged power cord or

plug, is not working properly, has been dropped or damaged, or has been dropped into water, do not operate it. For examination and repair, return the product to Joerns.

3. Keep the control unit and power cord away from

heated surfaces, e.g. space heaters.

4. Never block the air openings of the product. Do

not place the control unit on a surface, such as a

bed or couch, where the air opening and/or lter

compartment, located on the back of the control unit, may be blocked. Keep the air openings free of lint and hair.

5. Never drop or insert any object into any opening

or hose.

6. Do not spill food or liquids onto the control

unit. If a spillage does occur, turn off the unit, disconnect it from its power supply and allow at least 24 hours for drying.

7. Do not use the product outdoors, or where

aerosol-spray products are used.

8. Plug this product only into a properly grounded

outlet. Refer to “Grounding Instructions”.

9. Ensure nothing is placed on the power cord and

ensure it is not located where it can be stepped on or tripped over.

10. Do not attempt to service the control unit. Please

call Joerns for any service requests.

11. The therapy pad (top cover) of this product is

not air permeable and may present a suffocation risk. It is the responsibility of the caregiver to ensure that the patient can use this product safely.

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Joerns Therapeutic Support Surfaces

TurnCair

Save These Instructions for Future Reference

Bed System Entrapment Information

In April 1999, the U.S. Food and Drug Administration (FDA) in partnership with representatives from the hospital and post-acute bed industry, including

Joerns Healthcare, national healthcare organizations,

resident advocacy groups, and other federal agencies formed the Hospital Bed Safety Workgroup (HBSW). The workgroup’s goal is to improve the safety of bed frames for residents and patients in all health care settings who are most vulnerable to the risk of entrapment. The efforts of the FDA and the HBSW culminated in the FDA’s release of recommended guidelines intended to reduce the risk of entrapment, including dimensional limits for critical gaps and spaces between bed system components and clinical guidance for assessment and implementation of bed side rails in various health care settings.

Entrapment zones involve the relationship of

bed components often directly assembled by the healthcare facility rather than the manufacturer. Therefore, compliance is the responsibility of the facility.

Creating a Safer Care Environment

While the guidelines apply to all healthcare settings (hospitals, nursing homes and home care), longterm care facilities have particular exposure since serious entrapment events typically involve frail, elderly or dementia residents.

For More Information

To learn more about compliance options with Joerns products, visit our website at www.joerns.com, or contact our Customer Care representatives at 800.826.0270 and ask for free informational publications.

To learn more about entrapment zones,

assessment methods, and guidelines concerning entrapment, contact Joerns at 800.826.0270 or consult the FDA website: http://www.fda.gov/ MedicalDevices/ProductsandMedicalProcedures/ GeneralHospitalDevicesandSupplies/HospitalBeds/ default.htm.

As the leading manufacturer of long-term care beds and a frontrunner in addressing this critical issue, Joerns can offer you the expertise, assistance and products to bring your facility into compliance.

Joerns® Compliance Solutions

Matching the right bed components in order to meet regulatory guidelines can be complex.

That is why Joerns offers a wide array of compliance options. We assist customers in selecting compliant

accessories recommended for their specic bed

model.

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Joerns Therapeutic Support Surfaces TurnCair

Table of Contents

Important Precautions .........................................................................................................................2

Introduction .........................................................................................................................................5

Shear and Friction Reduction

Indications for use ...............................................................................................................................5

Spinal Cord Injury Pressure Redistribution Pain Management

Features ...............................................................................................................................................6

Therapy Control Unit Features Therapy Mattress System Features Therapy Pads

Additional Features ..............................................................................................................................7

CPR Battery Back Up Transport

Keyboard Functions ..............................................................................................................................8

Mode Window Alarms Window Comfort Controls Window

Immersion Prole Window

Grounding Instructions ......................................................................................................................10

Setup ..................................................................................................................................................10

Troubleshooting .................................................................................................................................11

Therapy Surface Not Inating

Unable to Change Therapy Mode or Adjust Comfort Control

Nursing Procedures ............................................................................................................................11

Recommended Linen Changing the Therapy Pad Patient Positioning and Comfort Incontinence

Safety Information .............................................................................................................................11

Patient Migration Traction Skin Care Bed Height

Cleaning .............................................................................................................................................12

Control Unit General Cleaning Disinfecting Therapy Pad Steam Cleaning

Maintenance .......................................................................................................................................13

Storage and Care ................................................................................................................................13

Control Unit Support Surface

System Specications .........................................................................................................................13

Weight Dimensions

Electrical Specications

Environmental Conditions Agency Approvals

Call for Assistance ..............................................................................................................................13

Appendix A .........................................................................................................................................14

Warranty ............................................................................................................................................18

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Joerns Therapeutic Support Surfaces

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Introduction

The TurnCair, provided by Joerns Healthcare, is a unique, continuous bilateral rotation mattress replacement system. This system is designed to meet pressure redistribution and rotational therapy needs of patients with pressure ulcers, special respiratory needs, and those at risk of skin breakdown. Low air loss therapy has been demonstrated to reduce the risk of pressure ulcers.

Warning: The risk of entrapment can arise when equipment is placed on bed frames that leave gaps of even a few inches between the mattress and the headboard, footboard, and bed or side rails.

The equipment is NOT to be used when such gaps are present. See “Important Precautions” section of this manual.

The TurnCair mattress replacement system is suitable for both the treatment of existing pressure ulcers stage I through stage IV as well as those who have been assessed at risk from the complications of immobility. The TurnCair is quiet, comfortable and simple enough for single caregiver installation,

featuring rapid ination in just three to ve minutes.

The user-friendly controls allow for easy adjustment of patient comfort.

Additionally, low friction and low shear materials, together with average interface pressures well below capillary closure levels (32mm of Mercury), means that the TurnCair meets the comfort and clinical requirements of your patients.

Moisture Control

Patients are at risk for skin maceration if excess moisture is permitted to accumulate beneath the patient. This may be due to perspiration, incontinence or wound drainage.

On the TurnCair, moisture is controlled via the

specially treated breathable, uid-proof, urethane

coated nylon therapy pad. The moisture vapor permeable fabric of the therapy pad allows a

sufcient amount of air to circulate beneath the pad

and wicks away excess moisture.

Shear and Friction Reduction

Shearing occurs when the skin is stationary in relation to the support surface, while the underlying tissues and vessels are stretched and damaged. When a patient’s skin rubs against another surface, the result is friction. The top surface of the TurnCair therapy pad is constructed from a very smooth nylon fabric with low friction and low shear properties to protect the patient’s skin from these damaging forces.

Indications for Use

Note: The selection of a pressure-redistributing surface needs to be based on each individual patient’s clinical condition, diagnosis and/or comorbidities. The choice and use of a support surface is one factor in a holistic program of wound care and treatment.

We have ensured that the TurnCair addresses the four key areas in the treatment of compromised skin: pressure redistribution, moisture control, and reduction in both friction and shearing forces.

Pressure Redistribution

The TurnCair is divided into three distinct anatomical

zones: head, torso and foot. Each zone is adjusted to

ensure optimal pressure redistribution and provide a comfortable sleeping surface.

The TurnCair provides maximum pressure

redistribution through delivering a specic amount

of air to each therapy cell and allowing controlled

amounts of air to escape, thus equalizing the

pressure between the patient and the therapy cells. This distributes the patient’s weight evenly over a large surface area resulting in pressure readings well below capillary closure levels.

Spinal Cord Injury

The TurnCair is not recommended for use by patients with unstable spinal fractures. Advice should be obtained from the appropriate physician before using the TurnCair system for these patients.

Pressure Redistribution

Pressure Ulcers Rehabilitation Neurology Dermatology Burns Amputations

Pain Management

AIDS Arthritis Oncology

The TurnCair provides uniform distribution of weight over a wide surface area, which redistributes pressure against bony prominences and provides a soft, gentle therapy surface to lie on. For patients experiencing severe pain and discomfort due to pressure and/or positioning limitations, consider the TurnCair as an adjunct to pain management interventions.

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Joerns Therapeutic Support Surfaces TurnCair

Note: Pressure redistribution and pain management are conditions and diagnoses for which the TurnCair may be indicated. Occasionally, there are orthopedic and neurological patients that require body

positioning to be maintained in specic alignment.

The TurnCair has safety features and a therapy

support cell to prevent deation of the therapy cells and to keep patients in otation at all times.

However, in the event of error or malfunction,

the therapy cells may deate and not provide the

necessary alignment. The use of the TurnCair for these patients should be considered on an individual basis and discussed with the attending physician.

Respiratory Relief

Conditions associated with acute respiratory failure

The TurnCair provides lateral rotation therapy for patients suffering from various types of respiratory failure. The rotation helps promote pulmonary drainage and is appropriate for patients who require mechanical ventilation.

Features

The TurnCair is comprised of two components:

Therapy Mattress System Features

• Twenty individual therapy cells help to evenly distribute the patient’s weight and maximize

pressure redistribution.

• Modular cell design mattress for ease of cleaning, re-assembly and cost effective service.

• Lower two-inch therapy support cell provides additional therapeutic support and remains inated

for up to 12 hours in the event of a power failure.

• Lower mattress therapy enclosure provides for stable ingress and egress and reduces entrapment concerns

• Eight-inch deep therapy cells are constructed of highly durable, polyurethane coated nylon to provide adequate support and prevent bottoming out for most patients within weight limit.

• Side bolsters support patient during rotation

• Durable base tub is constructed from 100% heavy weight 1680 denier nylon with a 1.5 oz. urethane

coating and incorporates bed attachment loops for stability.

• Maximum weight capacity of 400 lbs.*

• Quick CPR deation in 30 seconds or less

• Anti-kink, easy clean air supply hose set

Therapy Pads

• Therapy control unit

• Therapy mattress system

Therapy Control Unit Features

• Turn Time set options of 10, 20, 30 and 60 minutes- 60 minutes is also hold angle function

• Turn Angle options of ¼, ½, ¾ and Full

• Turn option settings: Left, Right, Dual, or None

• True low air loss with up to 100 liters of airow per

minute

• Three modes of operation – Autorm, Turn and

Static

• Autorm mode provides maximum air ination

designed to assist both patients and caregivers during patient transfer and treatment

• Automatic panel lockout to avoid unwanted or accidental adjustments

• Eight therapeutic comfort control settings to maximize patient compliance and promote healing

• Closed loop pressure sensor control system

eliminates concerns of changes in mattress interface pressure due to ambient temperature and pressure changes.

• Integrated swing out hanging brackets for xing to

most bed frames

• Crisp, easy to read graphics for intuitive set up and therapy control

• Quick disconnect hose feature allows for rapid attach and CPR deate at the control unit

• Audible and visual alarms for power interruptions

• Compact lightweight control unit is quiet, robust and powerful, with a reusable air lter and

integrated carrying handle for portability.

Many healthcare facilities are facing the challenge of infection control. Joerns’ quilted therapy covers are treated with an antimicrobial to protect the therapy pad itself from the growth of mold, mildew and odorcausing bacteria.

Key Features and Benets:

• Treated with a highly effective bacteriostat agent to inhibit the growth of bacterial and fungus

• Constructed from a very smooth nylon fabric with low friction and low shear properties to protect the patient’s skin from damaging friction/shearing forces

• Breathable, moisture vapor permeable fabric allows air to circulate beneath the pad and wicks away excess moisture. This keeps your patient dry and helps to prevent skin maceration. A unique feature of the therapy pad is that it

• Two-way stretch therapy pad is designed for optimal comfort, moisture vapor transfer, stain resistance and ease of laundering

Additional Features

CPR

The hose connection at the control unit is marked CPR. Disconnect the hose from the control unit.

Deation times will vary based on patient weight and prole. To resume therapy, reattach the hose to the

control unit.

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Joerns Therapeutic Support Surfaces

TurnCair

Transport

To transport the patient in bed, turn the control unit off. Unplug the power cord from the outlet. Do not disconnect the hose connection at the control unit. The lower support cell will prevent the patient from bottoming out for up to 12 hours.

Power Failure

After a power failure the unit will start up in standby mode. Reset the preferred mode and comfort level as described in the “Keyboard Functions” section. In the event of a power failure the lower support cells will hold air for up to 12 hours. In case of an extended power failure, transfer the patient to a hospital mattress or other surface.

Optional Accessories

• Additional therapy pads – available for purchase.

Keyboard Functions

Warning: For important precautions, see page two.

Caution: The patient’s head should be positioned in

the center of the top section of the mattress. When using the mattress system always ensure that the

patient is positioned properly within the connes of

the bed. Do not let any extremities protrude over the side or between the bed rails when the mattress is being used.

Power Button

Use the Power button to turn the power on and off.

Hold

The Hold feature is used to immediately stop all rotation and hold the current mattress position. The mattress will hold this position until this feature is turned off by pressing the Hold button a second time.

Autorm

Autorm mode provides maximum air ination

designed to assist both patients and caregivers during patient transfer and treatment. The unit will automatically return to the mode it was in prior to Autorm (either Therapy or Pulsate) in approximately 12 minutes.

Turn

The Turn function places the system in the Turning mode. Use this button to select the type of rotation desired for the patient. The mattress can be turned to only the left or right side or to both sides in sequence. The None position will turn off the Turn mode.

Turn Time

Sets Turn Time options of 10, 20, 30 and 60 minutes. Sixty minutes is also a Hold angle function. When this LED is blinking, it indicates that the mattress is being held in its current position. To resume turning, press the Turn Time button until the desired cycle time is selected.

Turn Angle

Sets Turn Angle options of 1/4, 1/2, 3/4 and Full. Full is the maximum turn angle and approximates

a 30 degree turn angle for patients with lighter body weight and narrow body shape– other patient weights and body shapes will result in different turn angles.

Comfort Adjust

The Comfort Adjust function is located on the right side of the control panel. The TurnCair can be

customized to meet individual patient needs within

a therapeutic window. Use the up and down keys to simultaneously increase or decrease pressure in all

three zones (head, seat and foot). This function will

not work in Autorm mode.

Lockout Note: The unit is designed to lock out all the

adjustment controls after the patient has been

positioned correctly. In approximately ve minutes

after the last button push the power on light begins

to ash indicating Lockout is enabled. This feature is to prevent any unauthorized changes to the patient

settings.

To unlock and make adjustments to the settings press both up and down comfort arrows at the same time to disengage the Lockout function. The lockout

function will return in approximately ve minutes.

The TurnCair has two therapy modes:

• Turn: The Turn mode provides a continuous rotation cycle on selected times and at selected angles

• Static: The unit starts in the Static mode, which is the standard low air loss therapy.

Figure 2

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Joerns Therapeutic Support Surfaces TurnCair

Grounding Instructions

Warning: Use a properly grounded, three-prong, 120V AC outlet for this product. Failure to use a grounded outlet could result in personal injury or damage to equipment or house wiring, including risk

of re. A qualied electrician should be contacted to

correct the wiring and ensure a properly grounded outlet.

Before installing this product, have the electrical system checked to make sure the electrical circuits and the electrical service are properly grounded.

Having a three-prong outlet does not necessarily mean it is grounded. Sometimes two-prong outlets are replaced with a three-prong type even though there is no ground wire.

There is always a chance of a loose connection or poor installation of a ground wire that causes the loss of proper ground at the outlet. Inadequate grounding at electrical outlets can occur even if there is a ground wire. Wires can become loose over time at the connection to the outlet.

Note: To install new wires on a circuit requires a

qualied electrician.

How to Determine if Your Outlet has the Proper Grounding

Most hardware stores sell circuit testers (Figure

1) that can be used to test an outlet for proper grounding. The tester plugs into an outlet and by observing the indicator lights you can determine if the outlet is properly grounded. For a higher level of assurance, an electrician should be requested to thoroughly test the electrical system with more reliable equipment.

If repair or replacement of the cord or plug is necessary, please contact Joerns Healthcare for assistance.

Figure 1

Setup

Warning: For important precautions, see page two.

Caution: Do not place the control unit on the oor.

Position the power cord to keep personnel from tripping over it.

Note: The TurnCair system must be installed on bed frames that are equipped with side rails. Please raise side rails on the bed and lock them in position after the patient is on the mattress. Never leave patient

unattended on mattress system with bed side rails in the down position.

When the product is not in use, properly store the power cord. Failure to do so could result in personal injury.

• Remove the existing mattress from the bed.

• Unroll the mattress with the hose connection at the

foot end of the bed and the therapy cells facing up. Secure the straps on the mattress to the movable part of the bed frame.

• If the therapy pad is not already on the mattress, place it on the mattress. Attach the elastic straps to the mattress buckles around each corner of the mattress. Attach the additional straps to the movable part of the bed frame.

• Hang the control unit on the foot of the bed facing away from the bed. Attach the hose connector marked CPR to the control unit.

• Plug in the control unit and the orange Standby light will illuminate. Press the Power button. The control unit will start and the green light will illuminate. Keep the control unit ON while the patient is on the mattress.

• Fully inate the mattress by selecting Autorm. When the mattress is fully inated, select the

Therapy mode, and place the patient on the mattress. Note: Keep the control unit on while the patient is on the mattress.

• Select the appropriate Comfort Adjust level to prevent bottoming out (i.e. providing greater than one inch of air between the patient’s sacral area/buttocks and the lower safety mattress) as outlined:

1. Begin by placing the head of the bed in the

appropriate position based on the patient’s clinical condition.

2. Select the highest or most rm Comfort Adjust

setting.

3. Hand Check: Place a hand with three (3) ngers

(if head of bed at 30° or higher) or four (4)

ngers (if head of bed lower than 30°) stacked

vertically beneath the cells of the mattress and above the safety mattress directly between the lowest point of the patient’s sacral area/

buttocks. The smallest nger should be resting

on the safety mattress.

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Joerns Therapeutic Support Surfaces

TurnCair

4. Sequentially reduce the Comfort Adjust setting

to the rmness level where the height of the three (3) or four (4) ngers can slide with

minimal resistance between the patient’s sacral area/buttocks and the lower safety mattress. This is the proper Comfort Adjust setting for the

patient to assure proper ination of the air cells

and prevent bottoming out of the mattress.

5. Document the patient’s Comfort Adjust setting for future reference, and re-evaluate with the hand check as the patient’s condition warrants.

6. The safety side bolsters cannot be inated unless the CPR plug is installed. The plug is located on the hose assembly between the mattress and the control unit.

Caution: The safety side bolsters should always be

inated when patient is unattended on the mattress

and/or the mattress is in turn mode.

Troubleshooting

Therapy Surface is Not Inating

1. Ensure the hose connection from the therapy mattress system (mattress) to the control unit is securely connected.

2. Ensure that the control unit is plugged into an AC outlet.

3. Ensure that the power is not on Standby. If on Standby, press the Power button.

4. Ensure that all air cells are connected to the manifold.

Unable to Change Therapy Mode or Adjust Comfort Control

Make sure the Lockout function is disabled. To disable, press the up and down comfort adjust arrows simultaneously.

Nursing Procedures

Recommended Linen:

Special linens are not necessary for the TurnCair. While there is no need for a bottom sheet the therapy pad should be covering the therapy cells at all times. The patient should never be lying directly

on the therapy cells. Upon the patient specic needs the following linens may be utilized:

• Draw or slide sheet to aid in positioning and to

further minimize friction and shearing

• Incontinence barrier pad for patients incontinent

of urine and/or stool, and patients with heavily draining wounds

• Add top sheet, blanket and/or bedspread as

needed for patient comfort

• Keep the amount of padding between the patient

and bed to a minimum for optimum performance

Changing the Therapy Pad

1. Place the therapy pad over the therapy cells,

tting the corner of the cushions into the corner of the therapy pad. (Similar to a tted sheet)

2. Zip the therapy pad along each side of the mattress tub.

Patient Positioning and Comfort

General Repositioning

Patients should be turned and repositioned per individual turning schedule or per facility policy. It may be helpful to activate the Autorm mode to

achieve a rm surface for repositioning purposes.

The unit will automatically return to the mode it was in prior to Autorm in approximately 12 minutes or you can manually return to therapy mode once patient has been repositioned.

Unless counter indicated, it is desirable to keep the head of the bed in the low position to provide

optimal pressure redistribution and minimize the risk

of shearing injuries.

Elevating Patient into Sitting Position

The special properties of the TurnCair, therapy pad reduce the opportunity for shear and friction that may occur when raising the back section of other beds. As with any surface, sliding can be expected, therefore patients should be repositioned after elevation. The knee gatch or knee section of the bed

may be elevated rst, to help prevent the patient

from sliding when the back section of the bed is elevated.

Incontinence

Moisture against the skin surface leads to maceration, or softening of the tissues. To prevent maceration, we recommend you use an incontinence barrier pad to absorb the excess moisture.

In the event of incontinence or excess drainage on

the therapy pad, you should wipe off the excess uid

from the bed surface.

Safety Information

Patient Migration

Specialty bed products are designed to reduce/ redistribute pressure and the shearing/friction forces on the patient’s skin. The risk of gradual

movement and/or sinking into hazardous positions

of entrapment and/or inadvertent bed exit may be increased due to the nature of these products.

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Joerns Therapeutic Support Surfaces TurnCair

Traction

With any traction or unstable fractures, maintain physician-directed angle of articulation and guard against risks of patient migration or inadvertent

deation of patient surface.

Skin Care

Monitor skin conditions regularly, particularly 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.

Bed Height

To minimize the risks of falls or injury the patient

surface should always be in the lowest practical position when the patient is unattended. Make sure areas under and around the frame are clear of objects, persons and parts of body before adjusting height.

Cleaning

Warning: Unplug the control unit from its power source. Failure to do so could result in personal injury or equipment damage.

Warning: Do not expose the unit to excessive moisture that would allow for liquid pooling. Personal injury or equipment damage could occur.

Caution: Do not use harsh cleansers/detergents, such as scouring pads and heavy-duty grease removers, or solvents, such as acetone. Equipment damage could occur.

Control Unit

Wipe off dust. If necessary, clean the housing exterior with a disinfectant solution or a mild detergent and a damp cloth. Then wipe dry.

1. Patient care equipment that does not come in contact with mucous membranes or non-contact skin requires low-level disinfection. Wiping surfaces with a properly prepared detergent or disinfectant carries out low level disinfecting.

2. Processing of dirty patient care equipment should take place in a designated area away from clean or sterile supplies and food preparation areas.

3. Detergent/disinfectants should not be mixed with other germicides or detergents. Using the proper dilution insures the most effective killing power of the disinfectant.

4. Wash hands often and well, including after removal of gloves.

5. Patient care equipment that is used in isolation areas should be disinfected in accordance with all internal policies and procedures regarding such equipment.

Disinfecting

When there is visible soilage and between patients, we recommend that you disinfect the unit and mattress with a tuberculocidal disinfectant. Disinfectant should be registered with the Environmental Protection Agency (EPA).

1. Use rubber gloves and eye protection.

2. Prepare detergent/disinfectant (registered by EPA as hospital disinfectant) solution according to instructions on label for correct use-dilution.

3. With support surface deated, thoroughly wipe

down entire mattress, as air cells will lie at.

Be sure to reach all areas underneath and inbetween air cells. Allow to air dry.

4. If dust or other soiling has accumulated along air hoses, remove using swabs moistened with detergent/disinfectant as necessary. Allow all components to air dry. Wrap mattress in plastic and return to storage area.

5. Thoroughly wipe down outside of control unit and allow to air dry. Cover with plastic and return to storage area

6. Remove gloves and dispose; wash hands.

Therapy Pad

General Cleaning

If there is no visible soilage with possible body uids,

we recommend that you clean the mattress system with a mild detergent and warm water. If disinfection is desired, you may use a combination cleanser/ disinfectant as explained in “Disinfecting” area.

The therapy pad can be wiped down with a disinfectant solution or a mild detergent with a damp cloth. If heavily soiled, the therapy pad can be laundered in a washer and dryer with warm water (no more than 120º Fahrenheit). A non-bleach detergent should be used sparingly. Wipe dry or allow to air dry.

Steam Cleaning

Do not use any steam cleaning device on the unit. Excessive moisture can damage mechanisms in this unit.

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Joerns Therapeutic Support Surfaces

TurnCair

Filter Cleaning

Check the air lter on the rear of the unit regularly

for buildup of dust/dirt. If buildup is visible turn off the control unit and disconnect the power cord

from the wall outlet. Remove the lter by grasping the lter pulling outward. Replace with the second supplied lter. Ensure the replaced lter covers the entire lter region.

Hand-wash the removed lter in warm soapy water and allow to air dry. When dry, store the lter in a safe place for the next lter maintenance.

Maintenance

Warning: Only facility-authorized personnel trained

by Joerns Healthcare should perform preventative maintenance. Preventative maintenance performed

by unauthorized personnel could result in personal

injury or equipment damage. Any maintenance

done without Joerns authorization will invalidate any

warranties on this product.

Storage And Care

Note: Clean the TurnCair as described in the previous section prior to storage.

Control Unit

The power cord may be wrapped around the unit for convenience. Wrap the unit in a plastic bag for dust resistance then store the unit in an area appropriate for an electronic medical device.

Support Surface

System Specications

Weight

Control unit: ............................. 14 lbs ....... (6 Kg)

Mattress: ................................. 24 lbs. .....(11 Kg)

Maximum weight capacity*......... 36"(W) and 42"(W)

500 lbs. (227 kg)

............................................... 48"(W) 1000 lbs.

Dimensions

Control unit:

12" (31cm) L x 5.75" (15cm) W x 10.5" (27cm) H

Mattress:

36" (91cm) W x 80" (203cm) L x 10" (25cm) D 42" (107 cm) W x 80" (203 cm) L x 10" (25 cm) D 48" (122 cm) W x 80" (203 cm) L x 10" (25 cm) D

*Mattress weight capacity only; total weight must not

exceed bed frame manufactures’ specied load capacity

Electrical Specications

USA

88 -132V AC, 47- 63 Hz, 2A (Startup)

Less than 1A (Running)

European/Australian

176V - 264V AC, 47 - 63 Hz, 1A (Startup)

Less than 0.5A (Running)

Environmental Conditions

Operating Conditions:

Ambient temperature: +10°C to +40°C Relative humidity: 30% to 75% non-condensing

Gently roll up the support surface, expelling any residual air, for temporary storage. The mattress should be wrapped in plastic and/or a clean bag for storage.

Storage And Shipping Conditions:

Ambient temperature: 10ºC to +40ºC Relative humidity: 10% to 100%

Control Unit Agency Approvals

• UL Classied: UL 60601-1 CAN/CSA C22.2

No. 60601-1

• UL Classied per Canadian standard: Medical

Electrical Equipment, CSA 601.1 M90

Call For Assistance

If you have any questions or require service on a Joerns product, please call Joerns Healthcare at

800.826.0270, option 1.

Page 12

Joerns Healthcare Warranty Program

for Joerns® TxCair® Plus Support Surfaces

Joerns Healthcare warrants the TurnCair mattress to be sold free from defects in workmanship and materials, under normal and proper use, for a period of two (2) years on the mattress, and one (1) year on the cover and electromechanical mattress components (compressors, valves, printed circuit boards, hoses, and couplers). Damages arising from improper use will not be covered by this warranty.

Improper use is dened as those caused by:

• Burns

• Use of improper chemical agents

• Needle punctures, cuts or abrasions

• Excessive loads

• Staining

• Negligent or excessive usage

• Improper maintenance, handling and/or cleaning

• Failure to use in the manner indicated in the

TurnCair user manual

Any modication, repair or alteration done to the TurnCair that were not authorized in writing by

Joerns Healthcare will void this warranty.

Damage caused by use in unsuitable environmental conditions, abuse or failure to maintain the product in accordance with user and service instructions is not covered.

Parts

Joerns Healthcare’s TurnCair contain various parts that wear from normal use. Joerns Healthcare’s obligation under this warranty is limited to supplying replacement parts, servicing or replacing, at its option, any product which is found by Joerns to be defective. When requested by Joerns, parts must be returned for inspection at the customer’s expense. Credit will be issued only after inspection.

Service

Most service requests can be handled by the facility Maintenance Department with assistance from the Joerns Healthcare Product Service Department.

Most parts requested can be shipped next day air at the customer’s expense.

Should a technician be required, one will be provided by Joerns Healthcare, at our discretion. Only the Joerns Healthcare Product Service Department can

dispatch authorized technicians.

This warranty is extended to the original purchaser of the equipment.

Post Acute, Acute, HomeCare

2430 Whitehall Park Dr. Ste 100 Charlotte, NC 28273 (P) 800.826.0270 (F) 800.457.8827

www.Joerns.com • www.RecoverCare.com email: info@joerns.com

VA/Government

19748 Dearborn Street Chatsworth, CA 91311 (P) 800.966.6662 (F) 800.232.9796

Canadian Ofce

1000 Clarke Rd. Ste 6 London, ON Canada N5V 3A9 (P) 866.546.1151 (F) 519.451.8662

United Kingdom and Other Countries

+44 (0)844 811 1156 +44 (0)844 811 1157

Netherlands

+31 (0)30 6363700 +31 (0)30 6363799