Joerns Healthcare DermaFloat APL User & Service Manual

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User-Service Manual
Joerns® Support Surface
DermaFloat® APL
To avoid injury, read user’s manual before using.
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Joerns® Support Surfaces DermaFloat® APL
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 residents.
Warning: An optimal bed system assessment should
be conducted on each resident by a qualied clinician
or medical provider to ensure maximum safety of the resident. 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 resident 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.
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 DermaFloat® APL,
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 resident can use this product safely.
© 2013 Joerns Healthcare • 6110062 RevE • 13-2625
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Joerns® Support Surfaces
DermaFloat® APL
Save These Instructions for Future Reference
Bed System Entrapment Information
Although essential in the practice of long-term care, bedside rails, in recent years, have also been a subject of regulatory review and evolution in design and use.
That focus includes not only the challenge of achieving an appropriate balance between resident security and unnecessary restraint, but also the additional safety issue of entrapment.
The U.S. Food and Drug Administration (FDA), working with our company and other industry representatives has addressed the potential danger of entrapment with new safety guidelines for medical beds. These guidelines recommend dimensional limits for critical gaps and spaces between bed system components.
Entrapment zones involve the relationship of 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 at home), long-term care facilities have particular exposure since serious entrapment events typically involve frail, elderly or dementia patients.
For More Information
To learn more about compliance options with Joerns products, visit our website at www.joerns.com, or contact our Customer Care reps at 800-826-0270 and ask for free informational publications.
To learn more about entrapment zones, assessment methods and guidelines concerning entrapment, contact Joerns Healthcare 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 Healthcare 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.
© 2013 Joerns Healthcare • 6110062 RevE • 13-2625
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Joerns® Support Surfaces DermaFloat® APL
Table of Contents
Important Precautions ..........................................................................................................................................2
Introduction ............................................................................................................................................................5
Moisture Control 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
Grounding Instructions .........................................................................................................................................7
Setup .......................................................................................................................................................................7
Operation ................................................................................................................................................................8
Resident Comfort Controls and Monitoring
Additional Features ............................................................................................................................................... 9
CPR Transport Power Failure CairRails Optional Accessories
Troubleshooting ....................................................................................................................................................10
Therapy Surface Not Inating
Unable to Change Therapy Mode or Adjust Comfort Control
Nursing Procedures .............................................................................................................................................. 10
Recommended Linen Changing the Therapy Pad Resident Positioning and Comfort Incontinence
Safety Information ................................................................................................................................................. 10
Resident Migration Traction Skin Care Bed Height
Cleaning .................................................................................................................................................................11
Control Unit General Cleaning Disinfecting Therapy Pad Steam Cleaning Filter Cleaning
Maintenance ........................................................................................................................................................... 12
Storage and Care ................................................................................................................................................... 12
Control Unit Support Surface
System Specications ..........................................................................................................................................12
Weight Dimensions
Electrical Specications
Environmental Conditions Agency Approvals
Call for Assistance ................................................................................................................................................ 12
Warranty .................................................................................................................................................................14
© 2013 Joerns Healthcare • 6110062 RevE • 13-2625
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Joerns® Support Surfaces
DermaFloat® APL
Introduction
The DermaFloat® APL, provided by Joerns Healthcare, is a unique therapy system that provides pressure redistribution by alternating pressure between adjacent (A-B) air cells. The alternating pressure in the therapy cells automatically alternates on a regular basis to maximize wound healing. Alternating pressure can aid the healing process by increasing circulation to the resident’s wounds.
The DermaFloat APL also offers low air loss therapy through an integrated air delivery system beneath the therapy pad. Alternating pressure and low air loss therapy have been demonstrated to be valuable aids
in the treatment of those identied as being at risk of
developing 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 head panel, foot panel, and bed or side rails. The equipment is NOT to be used when such gaps are present. See “Important Precautions” section of this manual.
Moisture Control
Residents are at risk for skin maceration if excess moisture is permitted to accumulate beneath the resident. This may be due to perspiration, incontinence or wound drainage.
On the DermaFloat APL, 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 resident’s skin rubs against another surface, the result is friction. The top surface of the DermaFloat APL therapy pad is constructed from a very smooth nylon fabric with low friction and low shear properties to protect the resident’s skin from these damaging forces.
The DermaFloat APL mattress replacement system is suitable for both the treatment of existing pressure ulcers Stage I through Stage IV, as well as for those who have been assessed at risk from the complications of immobility. The DermaFloat APL is quiet, comfortable and simple enough for single
caregiver installation, featuring rapid ination in just
15 minutes or less. The user-friendly controls allow for easy adjustment of resident comfort.
Additionally, low friction and low shear materials, together with average interface pressures well below capillary closure levels, means that the DermaFloat APL meets the comfort and clinical requirements of your residents up to 350 lbs.
We have ensured that the DermaFloat APL addresses the four key areas in the treatment of compromised skin: pressure redistribution, moisture control, and reduction in both friction and shearing forces.
Indications for Use
Note: The selection of a pressure-redistributing surface needs to be based on each individual resident’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.
Spinal Cord Injury
The DermaFloat APL is not recommended for use by residents with unstable spinal fractures. Advice should be obtained from the appropriate physician before using the DermaFloat APL system for these residents.
Pressure Redistribution
Pressure Ulcers Rehabilitation Neurology Dermatology Burns Amputations
Pain Management
AIDS Arthritis Oncology
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Joerns® Support Surfaces DermaFloat® APL
The DermaFloat® APL provides 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 residents experiencing severe pain and discomfort due to pressure and/or positioning limitations, consider the DermaFloat APL as an adjunct to pain management interventions.
Note: Pressure redistribution and pain management are conditions and diagnoses for which the DermaFloat APL may be indicated. Occasionally, there are orthopedic and neurological residents that
require body positioning to be maintained in specic
alignment. The use of the DermaFloat APL for these residents should be considered on an individual basis and discussed with the attending physician.
Features
The DermaFloat APL is comprised of two components:
Therapy control unit
Therapy mattress system
Therapy Control Unit Features
Eight comfort control settings to maximize resident
compliance and promote healing.
Three modes of operation – Autorm, Therapy
(static) and Alternating.
• Autormmode provides maximum air ination
designed to assist both residents and caregivers during resident transfer and treatment.
Choice of three alternating cycle times: 5, 10 and
15 minutes.
Eight therapeutic comfort control settings to
maximize resident compliance and promote healing.
Quick disconnect hose feature allows for rapid attach and CPR deate at the control unit.
Automatic panel lock out to avoid unwanted or
accidental adjustments.
Resident position sensor optimizes support for seated residents.
Compact lightweight control unit is quiet, robust and powerful, with a reusable air lter and integrated
carrying handle for portability.
Crisp, easy to read graphics for intuitive set up and therapy control.
Closed loop pressure sensor control system eliminates concerns of changes in mattress interface pressure due to ambient temperature and pressure changes.
Audible and visual power fail alarms.
Forty liters per minute pump.
Specially designed enclosure for low noise
and durability.
• Integrated swing out hanging brackets for xing to
most bed types.
• Suitable for special needs residents in specic
clinical specialties.
Therapy Mattress System Features
Twenty individual therapy cells help to evenly
distribute the resident’s weight and maximize pressure redistribution. Modular cell design mattress for ease of cleaning, re-assembly and cost effective service.
Integrated low air loss delivery system below the
therapy cover.
Eight-inch deep therapy cells are constructed of
highly durable, polyurethane coated nylon to provide adequate support and prevent bottoming out for most residents within weight limit. (Lower safety mattress not required)
Lower mattress therapy enclosure is constructed
from 100% heavy weight 1680 Denier nylon with
1.5 oz Urethane coating and incorporates bed attachment loops for stability.
Maximum weight capacity of 350 lbs.
Anti-kink, easy clean air supply hose set.
• Quick CPR deation.
Therapy Pads
Many healthcare facilities are facing the challenge of infection control. Joerns’ quilted therapy pads 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 resident’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 resident dry and helps to prevent skin maceration.
Two-way stretch therapy pad is designed for
optimal comfort, moisture vapor transfer, stain resistance and ease of laundering.
© 2013 Joerns Healthcare • 6110062 RevE • 13-2625
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Joerns® Support Surfaces
DermaFloat® APL
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 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.
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 ten (10) straps on the mattress securely 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 six (6) 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 hoses to the control unit.
Plug in the control unit and the yellow 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 resident 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 resident on the mattress.
Select the appropriate Comfort Adjust level to prevent bottoming out (i.e., providing greater than one inch of air between the resident’s sacral area/ buttocks and the lower safety mattress) as outlined below:
1. Begin by placing the head of the bed in the
appropriate position based on the resident’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 resident’s sacral area/
buttocks. The smallest nger should be resting
on the safety mattress.
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 resident’s sacral area/buttocks and the lower safety mattress. This is the proper Comfort Adjust setting for the
resident to assure proper ination of the air cells
and prevent bottoming out of the mattress.
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Joerns® Support Surfaces DermaFloat® APL
5. Document the resident’s Comfort Adjust setting for future reference, and re-evaluate with the Hand Check as the resident’s condition warrants.
The CairRails risk management side air bolsters can be inated or deated as required. Locate
the turn valve on the hose assembly between the
mattress and the control unit. Next, inate/deate the CairRails by moving the turn valve to the up (inate) or down (deate) position.
Note: When inating or deating CairRails it is
recommended that the support surface be in Autorm mode.
Operation
Warning: For important precautions, see page two.
Caution: The resident’s head should be positioned
in the center of the top section of the mattress. When using the mattress system always ensure that the
resident 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.
Figure 2
Resident Comfort Controls and Monitoring (Figure 2)
Power
The Power button is used to turn the power on and off.
Standby
The unit starts up in Standby. Press the Power button to inate the mattress. When the Standby light is on, it may also indicate that there has been a power interruption and the therapy control unit is ready to be turned back on. Press the Power button and reset the preferred mode of therapy and comfort level.
Modes
Autorm
Autorm mode provides maximum air ination
designed to assist both residents and caregivers during resident transfer and treatment. The unit will automatically return to the mode it was in prior to Autorm (either Therapy or Alternating) in approximately 12 minutes.
Therapy Modes: Therapy and Alternating
• Therapy: The unit starts in the Therapy mode, which is the standard low air loss therapy.
• Alternating: The air cylinders are inated and deated in an A-B-A-B pattern; that ensures the
resident is always supported.
© 2013 Joerns Healthcare • 6110062 RevE • 13-2625
Cycle Times
The Cycle Times function is located in the center of the control panel. Select the frequency of the alternation of the therapy cells in 5, 10 or 15 minutes
cycles. For more aggressive therapy, choose the ve
minute option.
Comfort Adjust
The Comfort Adjust function is located on the right side of the control panel. The DermaFloat® APL can be customized to meet individual resident needs within a therapeutic window. See “Setup” section for more information. This function will not work in Autorm mode.
Lockout
This feature is to prevent any unauthorized changes to the resident 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.
Note: The unit is designed to lock out all the adjustment controls after the resident has been
positioned correctly. In approximately ve minutes
after the last button push the power on light begins to ash indicating Lockout is enabled.
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Joerns® Support Surfaces
DermaFloat® APL
Additional Features
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.
CPR
Disconnect the hose from the control unit. Deation times will vary based on resident weight and prole. To
resume therapy, reattach the hose to the control unit.
Transport
To transport the resident in bed, turn the control unit off. Unplug the power cord from the outlet. Transport can be done with the unit plugged in to the mattress.
Power Failure
The DermaFloat® APL control unit has an advanced
power failure notication alarm and Comfort Adjust
setting memory capability. Upon power failure the
control unit will ash a red Alarm light on the keypad
and sound an audible signal every two (2) seconds for up to twenty (20) minutes. The power interruption feature keeps the current settings in memory based on the frequency of use and level of battery charge. The Alarm Reset will turn off audible and visual alarm.
Power Interruption (Brown out)
In the event of a brief power interruption, up to twenty (20) minutes, the DermaFloat APL control unit will automatically restart and reset to the previous Comfort Adjust settings. The power interruption feature keeps the current settings in memory based on the frequency of use and level of battery charge.
CairRails
Integrated CairRails risk management air bolsters offer a bilateral side bolster solution designed to address healthcare’s growing concerns of liability in relation to resident falls and entrapment. CairRails are being recognized by some of the nations leading healthcare systems for improving their resident safety and risk management programs.
CairRails are recommended for residents requiring additional support during resident care and transfer. CairRails can help reduce costs while ensuring optimal clinical outcomes and increasing resident safety.
Note: When inating CairRails, it is recommended that
the control unit be inAutormmode to achieve optimal results.
Features and Benets
A bilateral side air bolster solution that can enhance
your facilities entrapment/risk management program.
Easy to engage Ready Valve for instant ination and deation.
• Transfer friendly-deate for ease of assisted transfer
or when bolsters are not required.
Unique contoured design allows ease of ingress/ egress, provides additional protection, and comfort and supports resident compliance.
• Designed to t on most key Joerns therapeutic
support surfaces.
Promotes maximum independence by allowing caregiver to decide when added protection is required.
Note: CairRails are meant to provide a documentable and functional intervention for the risk management issues of falls and entrapment, but in no way guarantee the prevention of falls or entrapment occurrences.
Power Loss
In the event of a power failure in excess of twenty (20) minutes, the control unit’s stand by light will be illuminated after power restoration. Press the Power button and reset the preferred mode and comfort level as described in the “Operation” section.
Therapy cells
In the event of a power failure, the therapy support
cells should remain inated for up to 12 hours as long
as the control unit remains connected. In case of an extended power failure, transfer the resident to a hospital mattress or other surface.
Optional Accessories
Additional therapy pads – available for purchase
• Quick ination pump
© 2013 Joerns Healthcare • 6110062 RevE • 13-2625
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Joerns® Support Surfaces DermaFloat® APL
Troubleshooting
Therapy Surface is Not Inflating
Ensure the hose connection from the therapy
mattress system (mattress) to the control unit is securely connected.
Ensure that the control unit is plugged into an AC
outlet.
Ensure that the power is not on Standby. If on
Standby, press the Power button.
Ensure that all air cells are connected to the internal
mattress 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 DermaFloat® APL. There is no need for a bottom sheet as the therapy pad should be covering the therapy cells at all times. The resident should never be lying directly on
the therapy cells. Depending on the specic needs of
the resident, 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 residents incontinent
of urine and/or stool, and residents with heavily draining wounds.
Add top sheet, blanket and/or bedspread as
needed for resident comfort.
Keep the amount of padding between the resident
and bed to a minimum for optimum performance.
Resident Positioning and Comfort
General Repositioning
Residents 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 resident 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 Resident into Sitting Position
The special properties of the DermaFloat APL, therapy pad reduce the opportunity for shear and friction that may occur when raising the head of other beds. As
with any surface, sliding can be expected; therefore,
residents should be repositioned after elevation. The
knee gatch or foot of the bed may be elevated rst, to
help prevent the resident from sliding when the head 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
Resident Migration
Changing the Therapy Pad
• 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)
Attach the therapy pad to the mattress tub using the
straps provided.
10
© 2013 Joerns Healthcare • 6110062 RevE • 13-2625
Specialty bed products are designed to reduce/ redistribute pressure and the shearing/friction forces on the resident’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.
Traction
With any traction or unstable fractures, maintain physician-directed angle of articulation and guard against risks of resident migration or inadvertent
deation of resident surface.
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Joerns® Support Surfaces
DermaFloat® APL
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 residents. Early intervention may be essential to preventing serious skin breakdown.
Bed Height
To minimize the risks of falls or injury the resident surface should always be in the lowest practical position when the resident 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.
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” section.
Resident 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.
Processing of dirty resident care equipment should
take place in a designated area away from clean or sterile supplies and food preparation areas.
Detergent/disinfectants should not be mixed with
other germicides or detergents. Using the proper dilution ensures the most effective killing power of the disinfectant.
Wash hands often and well, including after removal of gloves.
Resident 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 residents, we recommend that you disinfect the unit and mattress with a tuberculocidal disinfectant. Disinfectant should be registered with the Environmental Protection Agency (EPA).
Use rubber gloves and eye protection.
Prepare detergent/disinfectant (registered by EPA
as hospital disinfectant) solution according to instructions on label for correct use-dilution.
• With support surface deated, thoroughly wipe down entire mattress, as air cells will lie at. Be sure to
reach all areas underneath and in-between air cells. Allow to air dry.
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.
Thoroughly wipe down outside of control unit and allow to air dry. Cover with plastic and return to storage area.
• Remove gloves and dispose; wash hands.
Therapy Pad
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® Support Surfaces DermaFloat® APL
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 should perform preventative maintenance. Preventative maintenance performed by unauthorized personnel could result in personal injury or equipment damage. Any maintenance done without Joerns’s authorization will invalidate any warranties on this product.
Storage and Care
When the product is not in use, properly store the power cord. Failure to do so could result in personal injury.
Note: Clean the DermaFloat® APL as described in the previous section prior to storage.
System Specifications
Weight:
Control Unit:........................................... 10 lbs (4.5 kg)
Mattress: ................................................. 22 lbs (10 kg)
Maximum Weight Capacity*: .............. 350 lbs (159 kg)
Dimensions:
Control Unit
7.5" (19 cm) W x 12.25" (31 cm) H x 5.5" (14 cm) D
Mattress:
35" (89 cm) W x 80" (203 cm) L x 8" (20 cm) D
Electrical Specifications:
USA
120V AC, 60 Hz, 0.6A
Environmental Conditions:
Operating Conditions:
Ambient temperature: +10°C to +40°C Relative humidity: 30% to 75% non-condensing
Storage And Shipping Conditions:
Ambient temperature: 10ºC to +40ºC Relative humidity: 10% to 100%
Control Unit Agency Approvals:
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
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.
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© 2013 Joerns Healthcare • 6110062 RevE • 13-2625
• UL Classied Medical Equipment UL 60601-1 Can/
CSA C22.2 No. 601.1
Call for Assistance
If you have any questions or require service on a Joerns product, please call Joerns Healthcare at
800.826.0270.
*Mattress weight capacity only; total weight must not exceed
bedframemanufacturers’speciedloadcapacity.
Page 13
Notes:
Joerns® Support Surfaces
DermaFloat® APL
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Page 14
Joerns Healthcare Warranty Program
for Joerns® DermaFloat® APL Support Surfaces
Joerns Healthcare warrants the DermaFloat APL 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, but not limited to, 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
DermaFloat APL user manual
Any modication, repair or alteration done to the
DermaFloat APL that was not authorized in writing by Joerns will void this warranty.
Parts
Joerns’ DermaFloat APL contains various parts that wear from normal use. Joerns’ 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 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, at our discretion. Only the Joerns Product Service Department can dispatch authorized technicians.
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.
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 • email: info@joerns.com © 2013 Joerns Healthcare • 6110062 RevE • 13-2625
VA/Government
19748 Dearborn Street Chatsworth, CA 91311 (P) 800.966.6662 (F) 800.232.9796
Manufactured by:
Joerns Healthcare, LLC 2100 Design Rd. Ste 100 Arlington, TX 76014
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
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