Joerns Healthcare JHC-AriseFamilyManual Joerns Support Surface Arise® LAL Mattress Replacement User-Service Manual

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Page 1

User-Service Manual

Joerns® Support Surface

Arise® LAL Mattress Replacement

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

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Joerns® Support Surfaces Arise® LAL Mattress Replacement Arise® LAL Overlay, Arise® 1000, Arise® 1000EX

Important Precautions

Important Notice: The equipment must be installed and operated in the manner for which it was intended.

Facility sta󰀨/user is responsible for reading and understanding the product user manual and contacting Joerns 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 Healthcare’s specialty support

surfaces are designed as mattress replacement

systems and overlays. The risk of entrapment may occur when the equipment is placed on bed frames

or mattresses 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 sta󰀨/user is responsible for ensuring that all mattresses and overlays 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.

Danger: To reduce the risk of shock, adhere to the

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

1. Immediately after using the Arise®, unplug it from its power source.

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

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

4. Do not remove the back of the control unit. Refer

servicing to Joerns Healthcare.

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 o󰀨 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. Be sure 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 Healthcare for any service requests.

11. The therapy pad (top cover) of this product is not

air permeable and may present a su󰀨ocation risk. It is the responsibility of the caregiver to ensure

that the patient can use this product safely.

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Joerns® Support Surfaces

Arise® LAL Mattress Replacement

Arise® LAL Overlay, Arise® 1000, Arise® 1000EX

Save These Instructions For Future Reference

Bed System Entrapment Information

Although essential in the practice of long-term care,

bedside assists, 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.

As the leading manufacturer of long-term care beds and a frontrunner in addressing this critical issue, Joerns Healthcare can o󰀨er 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 o󰀨ers a wide array of

compliance options. We assist customers in

selecting compliant accessories recommended for their specic bed model.

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.

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Joerns® Support Surfaces Arise® LAL Mattress Replacement Arise® LAL Overlay, Arise® 1000, Arise® 1000EX

Table of Contents

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

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

Pressure Redistribution 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 .......................................................................... 8

Comfort Adjust Setup

Arise LAL Mattress Setup

Arise LAL Overlay Setup Arise 1000 Setup Arise 1000EX Setup

Operation ................................................................. 10

Patient Comfort Controls and Monitoring Modes

Additional Features ................................................ 11

CPR

Transport

Power Failure

CairRails Optional Accessories

Troubleshooting ..................................................... 12

Therapy Surface Not Inating Unable to Change Therapy Mode or Adjust Comfort Control

Nursing Procedures ............................................... 12

Recommended Linen

Changing the Therapy Pad Patient Positioning and Comfort

Incontinence

Safety information .................................................. 13

Patient Migration

Traction Skin Care

Bed Height

Cleaning .................................................................. 13

Control Unit General Cleaning Disinfecting Therapy Pad Steam Cleaning Filter Cleaning

Maintenance ............................................................ 14

Storage and Care .................................................... 14

Control Unit

Support Surface

System Specications ........................................... 15

Weight Maximum Weight Capacity

Dimensions

Electrical Specications

Environmental Condition

Control Unit Classications

Call for Assistance ................................................. 15

Warranty .................................................................. 16

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Joerns® Support Surfaces

Arise® LAL Mattress Replacement

Arise® LAL Overlay, Arise® 1000, Arise® 1000EX

Introduction

The Arise®, provided by Joerns Healthcare, is a unique therapy system that provides pressure redistribution

by combining low air loss with pulsation. Low air loss

therapy has been demonstrated to reduce the risk of pressure ulcers and is a valuable aid in their treatment. The Arise is available as a mattress replacement system and as a mattress overlay.

Warning: The risk of entrapment can develop 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.

The Arise mattress replacement systems and overlays are suitable for both those in need of treatment for

existing pressure ulcers Stage I through Stage IV as

well as those who have been assessed at risk from the complications of immobility. The Arise 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. The Arise o󰀨ers special

features to increase peace of mind such as a power interruption alarm and a patient position sensor which optimizes support for seated patients (Fowler Boost).

Additionally, low friction and shear materials, together with average interface pressures below capillary closure levels (32mm of Mercury), means that the

Arise meets the comfort and clinical requirements.

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 Arise, 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 su󰀩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 Arise therapy pad is constructed from a very smooth nylon fabric with low friction and shear properties to protect the patient’s

skin from these damaging forces.

Indications for Use

Note: The selection of a pressure-relieving surface

needs to be based on each individual patient’s clinical

condition, diagnosis and/or co-morbidities. The choice

and use of a support surface is one factor in a holistic

program of wound care and treatment.

Pressure Redistribution

We have ensured that the Arise 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 Arise is divided into three distinct anatomical

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

ensure optimal pressure redistribution and provide a

comfortable sleeping surface.

Maximum pressure redistribution is achieved 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 wide surface area resulting in average pressure readings below capillary closure levels.

Pressure Ulcers Rehabilitation Neurology Dermatology

Burns Amputations

Pain Management

AIDS Arthritis Oncology

The Arise® provides uniform distribution of weight over

a wide surface area, which relieves 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 Arise as an adjunct to pain

management interventions.

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Joerns® Support Surfaces Arise® LAL Mattress Replacement Arise® LAL Overlay, Arise® 1000, Arise® 1000EX

Note: Pressure redistribution and pain management are conditions and diagnoses for which the Arise may

be indicated. Occasionally, there are orthopedic and

neurological patients that require body positioning to be maintained in specic alignment. The Arise has safety features to prevent deation of the therapy cells and to keep patients from bottoming out at all times.

The use of the Arise for these patients should be considered on an individual basis and discussed with

the attending physician.

Features

The Arise is comprised of two components:

• Therapy control unit

• Therapy mattress system

Therapy Control Unit Features

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

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

Pulsate

• Pulsating feature that oscillates the air throughout

the mattress every 30 seconds

• Autorm mode provides maximum air ination designed to assist both patients and caregivers during patient transfer and treatment.

• Patient position sensor optimizes support for seated occupants (Fowler Boost)

• 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

• Automatic panel lock out 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

• Quick disconnect hose feature allows for rapid

attach and CPR deate at the control unit

• Audible and visual alarms for power interruptions

* Mattress weight capacity only; total weight must not exceed

bed frame manufacturers’ specied load capacity.

Therapy Mattress System Features

Arise® LAL Mattress and Overlay

• Twenty (80") or twenty one (84") 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 e󰀨ective service.

• Lower two-inch support cell provides support in the event of a power failure.

• 6.5" deep mattress therapy cells and 5" deep

overlay therapy cells are constructed of highly

durable, polyurethane coated nylon to provide

adequate support and prevent bottoming out for most patients within weight limit.

• Integrated low-pressure heel section provides lower interface pressures

• 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: Up to 500 lbs. based on model*

• CPR deation in 30 seconds or less

• Anti-kink, easy clean air supply hose set

• Integrated CairRails risk management side

bolsters—two inch side bolsters that inate on both sides of the patient along the mattress edge

to provide additional support and to provide a

gentle reminder to the patient that they are near the edge of the mattress. Constructed with lower ingress/egress area.

Arise 1000 Mattress

• 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 e󰀨ective 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.

• 6.5" 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.

• Integrated low-pressure heel section provides lower interface pressures

• 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: 1000 lbs.*

• CPR deation in 30 seconds depending on the

patient’s weight and body shape.

• Anti-kink, easy clean air supply hose set

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Joerns® Support Surfaces

Arise® LAL Mattress Replacement

Arise® LAL Overlay, Arise® 1000, Arise® 1000EX

• Integrated CairRails risk management side

bolsters-two inch side bolsters that inate on both sides of the patient along the mattress edge to provide additional support and to provide a gentle reminder to the patient that they are near the edge of the mattress. Constructed with lower ingress/ egress area.

Arise 1000 EX Mattress

• Caregiver operated mattress control panel to

adjust the following mattress features:

- Independent ination and deation control of

the 6" wide side bolsters (left and right) when

used in combination with the Joerns Bari10A bed (36, 42 or 48 inches wide) allows for

close-in nursing procedures that may otherwise be a strain on the care giver and eases transportation through narrow doorways.

- Ination and deation of the CairRails

- Ination and deation of the length extension cells which in combination with the Joerns® Bari10A bed allow the bed and mattress to

extend from 80 to 88 inches in length.

• Sixteen (Eight paired) 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 e󰀨ective service.

• Lower three-inch foam support cell provides additional therapeutic support and remains supportive in the event of a power failure or for patient transport.

• Five-inch deep therapy cells are constructed of

highly durable, polyurethane coated nylon to provide adequate support and prevent bottoming out for most patients within the weight limit.

• Maximum weight capacity: 1000 lbs.*

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

from the growth of mold, mildew and bacteria.

Key features and benets:

• Treated with a highly e󰀨ective 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.

• Therapy pad is designed for optimal comfort, moisture vapor transfer, stain resistance and ease

of laundering.

Grounding Instructions

Warning: Use a properly grounded, AC outlet for this product. Failure to use a grounded outlet could result in personal injury or damage to equipment or structure 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

NA Tester Shown

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Joerns® Support Surfaces Arise® LAL Mattress Replacement Arise® LAL Overlay, Arise® 1000, Arise® 1000EX

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.

Comfort Adjust Setup

• 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.

• 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 below:

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.

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.

Arise® LAL Mattress Setup

• Remove the existing mattress from the bed.

• Place the Arise LAL mattress with the hose connection at the foot end of the bed and the

therapy cells facing up. Secure the six (6) straps on

the mattress securely to the movable part of the bed frame.

• If the therapy pad is not already on the mattress, attach it securely to the mattress.

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

marked CPR to the underside of the control unit.

• Plug the Fowler Boost sensor into the side of the control unit.

• Plug in the control unit and the yellow Standby light

will illuminate. Press the Power key. The control unit will start and the green light will illuminate.

• Allow three to ve minutes for full ination

• Select the appropriate Comfort Adjust setting (Refer

to “Comfort Adjust Setup” section).

• 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.

Arise® LAL Overlay Setup

• Place the Arise LAL overlay on top of the mattress with the hose connection at the foot end of the bed

and the therapy cells facing up. Secure the straps

around the head and foot ends of the mattress. Fasten the two straps by the seat section securely to the sleep deck of the bed frame.

• If the therapy pad is not already on the overlay,

attach it securely using the zippers.

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

• Plug the Fowler Boost sensor into the side of the control unit.

• Plug in the control unit and the yellow Standby light

will illuminate. Press the Power key. The control unit will start and the green light will illuminate.

• Allow three to ve minutes for full ination. Place the patient on the overlay. Overlay can be inated with patient on it, but will take longer, depending on patient weight/size. Note: Keep the control unit on

while the patient is on the overlay.

• The CairRails air side bolsters are currently not available with the Arise LAL overlay.

Page 9

Joerns® Support Surfaces

Arise® LAL Mattress Replacement

Arise® LAL Overlay, Arise® 1000, Arise® 1000EX

Arise 1000 Mattress Setup

• Remove the existing mattress from the bed.

• Place the Arise 1000 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, attach it securely to the mattress.

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

• Plug the Fowler boost sensor into the side of the control unit.

• Plug in the control unit and the yellow Standby light

will illuminate. Press the Power key. The control unit will start and the green light will illuminate.

• Allow three to ve minutes for full ination

• Select the appropriate Comfort Adjust setting (Refer

to “Comfort Adjust Setup” section).

• 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.

• Plug in the control unit and the yellow Standby light

will illuminate. Press the Power key. The control unit will start and the green light will illuminate.

• Allow three to ve minutes for full ination

• Select the appropriate Comfort Adjust setting (Refer

to “Comfort Adjust Setup” section).

• The CairRails air bolsters can be inated or deated

as required. Locate the control knob (Figure 2) on the lower right of the control panel on the mattress. Next, inate/deate the CairRails by moving the control knob to the up (inate) or down (deate)

position.

• If the patient needs the extended width functionality of the bed (36", 42" or 48") then complete the

following procedure. Note: this can be accomplished with the patient on the bed:

1. Adjust the Bari10A bed frame with the knee

section in the at position.

2. Widen the bed frame (see bed manual)

3. Un-strap the mattress side straps from the

Bari10A bed frame.

4. Un-snap the pocket that contains the extension

side cells so they are free to inate.

5. Attach the extended width mattress side straps

to the extended bed deck (Note: Do not over

tighten).

6. Inate the extension side cells by turning the

lower left knob on the mattress control panel up.

After 2-5 minutes the cells will inate. Leave the knob in this position to maintain ination.

Arise® 1000 EX Mattress Setup

• Remove the existing mattress from the bed.

• Place the Arise 1000 EX mattress with the hose connection at the foot end of the bed and the

therapy cells facing up. Secure the eight (8) straps

on the mattress securely to the loops provided on the Bari10A bed frame. Note: These straps should

not be over tightened as they may interfere with the Bari10A bed deck elements during width reduction.

• If the therapy pad is not already on the mattress,

attach it via the longitudinal zippers to the mattress. Note: This will require threading the hose set through the control window opening on the therapy

cover located on the mattress side at the patients left foot. Also attach the snaps around the control panel

opening from the therapy cover to the mattress

control panel in four (4) places so that the control

panel is not obscured (Figure 2).

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

• Plug the Fowler boost sensor into the side of the control unit.

Page 10

Joerns® Support Surfaces Arise® LAL Mattress Replacement Arise® LAL Overlay, Arise® 1000, Arise® 1000EX

• If the patient needs the extended length functionality

of the bed (80" - 88), complete the following

procedure. Note: This can be accomplished with the

patient on the bed:

1. Adjust the Bari10A bed frame with the knee

section in the at position.

2. Extend the bed frame (see bed manual).

3. Un-strap the mattress foot straps from the

Bari10A bed frame.

4. Un-snap the pocket that contains the

extension foot cells so they are free

to inate.

5. Attach the extended length mattress foot

straps to the extended bed deck (Note: Do not

over tighten).

6. Inate the extension foot cells by turning the

lower left knob on the mattress control panel

(Figure 2) up. After 2-5 minutes the cells will inate. Leave the knob in this position to maintain ination.

Operation

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.

Patient Comfort Controls and Monitoring (Figure 3)

Power Switch

The power switch is used to turn the power on and o󰀨.

Standby Light

The Standby indicator will illuminate when the unit is

plugged into a power outlet. Press the Power button to turn the unit on and inate the mattress. Therapy is

the default mode at startup. 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.

Figure 2

Modes

Autorm Mode

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.

The Arise® has two low air loss therapy modes,

Therapy and Pulsate:

• Therapy: The unit starts in the Therapy mode,

which is the standard low air loss therapy.

• Pulsate: Pulsate will slightly decrease the pressure

in all cushions every 30 seconds then return to the

programmed comfort adjust level.

Page 11

Joerns® Support Surfaces

Arise® LAL Mattress Replacement

Arise® LAL Overlay, Arise® 1000, Arise® 1000EX

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

The hose connection at the control unit is marked

CPR. Disconnect the hose from the control unit. CPR

connection style may vary by model. To

re-inate the air cells, reattach the hose to the control

unit.

Transport

Figure 3

Note: Label artwork may vary slightly,

but control functions are standard.

Comfort Adjust

The Comfort Adjust function is located on the right side of the control panel. The Arise 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. Refer to “Comfort Adjust Setup”

section for selecting the proper Comfort Adjust setting.

Lockout

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.

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.

To transport the patient in bed, turn the control unit

o󰀨. 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. Some models

incorporate a foam safety cell.

For the Arise® 1000 EX mattress, the control unit can be disconnected from the mattress as the 3" foam base will continue to support the patient. If the Bari10A bed frame is to be reduced in width for transport it may

be necessary to deate the CairRails. This can be done at the mattress control panel (Figure 2, pg 9) by turning the lower right control knob down.

Power Failure

The Arise 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 o󰀨 audible and visual alarm.

Power Interruption (Brown out)

In the event of a brief power interruption, up to twenty (20) minutes, the Arise 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.

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Joerns® Support Surfaces Arise® LAL Mattress Replacement Arise® LAL Overlay, Arise® 1000, Arise® 1000EX

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.

Safety cell

In the event of a power failure, the lower 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 patient to a hospital mattress or other surface.

CairRails

Integrated CairRails risk management air bolsters o󰀨er a bilateral side bolster solution designed to address healthcare’s growing concerns of liability in relation to patient falls and entrapment. CairRails are being recognized by some of the nations leading healthcare systems for improving their patient safety and risk management programs.

CairRails are recommended for patients requiring additional support during patient care and transfer. CairRails can help reduce costs while ensuring optimal clinical outcomes and increasing patient 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 which

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, while providing additional protection,

comfort and supports patient compliance.

• Designed to t on most key Joerns therapeutic support surfaces.

• Promotes maximum independence

by allowing caregiver to decide when added

protection is required.

Optional Accessories

• Additional therapy pads – available for purchase

• T-Bracket control unit hanger – available for purchase

Troubleshooting

Therapy Surface is not Inﬂating

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 Arise®. 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. Depending upon the patient’s 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

Note: Side bolsters are meant to be used with side rails and 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.

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.

Page 13

Joerns® Support Surfaces

Arise® LAL Mattress Replacement

Arise® LAL Overlay, Arise® 1000, Arise® 1000EX

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 Arise 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 patients should be repositioned after elevation. The knee gatch or foot of the bed may be elevated rst, to help prevent the patient from sliding when the head of the bed is

elevated.

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.

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 o󰀨 the excess uid from

the bed surface.

Safety Information

Patient Migration

Specialty bed products are designed to reduce/ relieve 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.

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.

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 o󰀨 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.

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.

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Joerns® Support Surfaces Arise® LAL Mattress Replacement Arise® LAL Overlay, Arise® 1000, Arise® 1000EX

3. Detergent/disinfectants should not be mixed with

other germicides or detergents. Using the proper dilution insures the most e󰀨ective 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,

it is recommended that the unit and mattress be disinfected 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 in-between 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

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

Filter Cleaning

Check the air lter on the rear of the unit regularly for buildup of dust/dirt. If buildup is visible turn o󰀨 the

control unit and disconnect the power cord from the

wall outlet. Remove the lter by grasping the lter pulling outward. Replace with a new 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

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

Note: Clean the Arise® 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

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.

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

this unit.

Page 15

Joerns® Support Surfaces

Arise® LAL Mattress Replacement

Arise® LAL Overlay, Arise® 1000, Arise® 1000EX

System Speciﬁcations

Weight

Control unit: .........................10 lbs. (4.5 Kg)

Mattress: ..............................24.5 lbs. (10 Kg)

Overlay: ...............................13.5 lbs. (6 Kg)

Maximum Weight Capacity*

Arise LAL Mattress: .............350 lbs. (159 Kg)

Arise LAL Overlay: ...............350 lbs (159 Kg)

Arise 1000 Mattress:............1000 lbs (454 Kg)

Arise 1000EX Mattress: .......1000 lbs (454 Kg)

Dimensions

Control unit:

13.5" (34 cm) W 11" (28 cm) H

7.5" (19 cm) D

Arise LAL Mattress:

35" (89 cm) W 80", 84" (203, 213 cm) H

8.5" (22 cm) D

Electrical Speciﬁcations

North America

120V AC, 60 Hz, 5A

Europe and Other

220V/240V AC, 50/60 Hz, 2A

Environmental Conditions

Operating Conditions

Ambient Temperature: +10ºC to +40ºC Relative Humidity: 30% to 75% Non-Condensing

Storage and Shipping Conditions

Ambient Temperature: -10ºC to +40ºC Relative Humidity: 10% to 100%

Control Unit Classiﬁcations

North America

UL 60601-1, Can/CSA C22.2 No. 60601-1

Europe

Conforms to EN60601-1 CE

42" (106 cm) W 80" (203 cm) H 10" (25 cm) D

Arise LAL Overlay:

35" (89 cm) W 80", 84" (203, 213 cm) H 5" (13 cm) D

Arise 1000 Mattress:

48" (122 cm) W 80" (203 cm) H

8.5" (22 cm) D

Arise 1000EX Mattress:

36", 42", 48" (91, 107, 122 cm) W 80", 88" (203, 224 cm) L

8.5" (22cm) D

Call for Assistance

If you have any questions or require service on a product, please call Joerns Healthcare at: North America - 800.862.0270

Europe - (+31) 30.6363.700

* Mattress weight capacity only; total weight must not exceed bed

frame manufacturers’ specied load capacity.

Page 16

Joerns Healthcare Warranty Program

for Joerns® Arise® Support Surfaces

Joerns Healthcare, Inc. warrants the Arise mattress replacement systems and overlays to be sold free from defects in workmanship and materials, under normal and proper use. Warranty periods vary. Check

with your customer care representative. 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 Arise user manual

Any modication, repair or alteration done to the Arise that was 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’ Arise contains various parts that wear from

normal use. Joerns Healthcare’s obligation under it’s warranty is limited to supplying replacement parts, servicing or replacing, at its option, any product which

is found by Joerns Healthcare to be defective.

When requested by Joerns Healthcare, 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.

Manufactured by:

Joerns Healthcare, LLC

2100 Design Road Arlington, TX 76014

Post Acute, Acute, HomeCare

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

VA/Government

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

Canadian O󰀩ce

35 Consortium Court London, ON Canada N6E 2S8 (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

Joerns Healthcare JHC-AriseFamilyManual Joerns Support Surface Arise® LAL Mattress Replacement User-Service Manual

Specifications and Main Features

Frequently Asked Questions

User Manual