Joerns Healthcare Joerns-Healthcare-TxCair-Plus-Mattress-and-Overlay-Manual User-Service Manual TriLine Support Surface TxCair Plus and TxCair Plus Overlay Model

Joerns

Healthcare

TxCair Plus and TxCair Plus Overlay Model

User-Service Manual

TriLine Support Surface

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

transforming wound management

TriLine Support Surface

TxCair Plus and TxCair Plus Overlay

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
headboard, footboard, 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 headboard, footboard 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/cdrh/beds/.

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.

Immediately after using the TxCair Plus, 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.

Use this product only for its intended purpose as

1.
described in this manual. Only use attachments
and/or accessories that are recommended by
the manufacturer.
If this product has a damaged power cord or

2.
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.
Keep the control unit and power cord away from

3.
heated surfaces, e.g. space heaters.
Never block the air openings of the product. Do

4.
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.
Never drop or insert any object into any opening

5.
or hose.
Do not spill food or liquids onto the control unit.

6.
If a spill does occur, turn off the unit, disconnect
it from its power supply and allow at least 24
hours for drying.
Do not use the product outdoors, or where

7.
aerosol-spray products are used.
Plug this product only into a properly grounded

8.
outlet. Refer to “Grounding Instructions”.

2

Ensure nothing is placed on the power cord and

9.
ensure it is not located where it can be stepped
on or tripped over.
Do not attempt to service the control unit. Please

10.
call Joerns for any service requests.
The therapy pad (top cover) of this product is

11.
not air permeable and may present a suffocation
risk. It is the responsibility of the caregiver to
ensure that the patient can use this
product safely.

Save These Instructions for
Future Reference

Bed System Entrapment Information

In April 1999, the U.S. Food and Drug Administration
(FDA) in partnership with representatives
from the hospital and post-acute bed industry,
including Joerns Healthcare, national healthcare
organizations, patient advocacy groups, and other
federal agencies formed the Hospital Bed Safety
Workgroup (HBSW). The workgroup’s goal is to
improve the safety of bed frames for patients and
patients in all health care settings who are most
vulnerable to the risk of entrapment. The efforts of
the FDA and the HBSW culminated in the FDA’s
release of recommended guidelines intended to
reduce the risk of entrapment, including dimensional
limits for critical gaps and spaces between bed
system components and clinical guidance for
assessment and implementation of bed side rails in
various health care settings.

TriLine Support Surface

TxCair Plus and TxCair Plus Overlay

Joerns® Compliance Solutions

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

That’s why Joerns offers 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 home
care), 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
representatives at 800.826.0270 and ask for free
informational publications.

To learn more about entrapment zones,
assessment methods, and guidelines concerning
entrapment, contact Joerns Healthcaare at

800.826.0270 or consult the FDA website:
www.fda.gov/cdrh/beds.

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

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.

3

TriLine Support Surface

TxCair Plus and TxCair Plus Overlay

Table of Contents

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

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

Moisture Control
Shear and Friction Reduction

Indications for use ...................................................................................................................................... 5-6

Spinal Cord Injury
Moisture Management
Pressure Relief
Pain Management

Features....................................................................................................................................................... 6-7

Therapy Control Unit Features
Therapy Mattress System Features
Therapy Pads

Grounding Instructions .............................................................................................................................. 7

Setup ............................................................................................................................................................ 7-8

TxCair Plus Mattress
TxCair Overlay

Operation ..................................................................................................................................................... 9-10

Modes of Operation

Additional Features .................................................................................................................................... 10-11

CPR
Transport
Power Failure
CairRails
Optional Accessories

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

Therapy Surface Not Inating

Unable to Change Therapy Mode or Adjust Therapy Adjust

Nursing Procedures ................................................................................................................................... 11-12

Recommended Linen
Changing the Therapy Pad
Patient Positioning and Comfort
Incontinence

Safety information ...................................................................................................................................... 12

Patient Migration
Traction
Skin Care
Bed Height

Cleaning ......................................................................................................................................................12-13

Control Unit
General Cleaning
Disinfecting
Therapy Pad
Steam Cleaning
Filter Cleaning

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

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

Control Unit
Support Surface

System Specications ...............................................................................................................................14

Weight
Maximum Weight Capacity
Dimensions

Electrical Specications

Environmental Conditions
Agency Approvals

Call for Assistance ..................................................................................................................................... 14

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

4

TriLine Support Surface

TxCair Plus and TxCair Plus Overlay

Introduction

The TriLine TxCair Plus, provided by Joerns
Healthcare is a unique therapy system that
provides pressure relief by combining low air loss
with pulsation. Low air loss therapy has been
demonstrated to reduce the risk of pressure ulcers
as well as being a valuable aid in the treatment of
pressure ulcers. The pulsation feature may provide
additional patient comfort and enhance the
lymphatic system.

Warning: The risk of entrapment can arise when
equipment is placed on bed frames that leave gaps
of even a few inches between the mattress and the
headboard, footboard, and bed or side rails. The
equipment is NOT to be used when such gaps are
present. See “Important Precautions” section of
this manual.

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

featuring rapid ination in just ve minutes or less.

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

On the TxCair Plus, moisture is controlled via the

specially treated breathable, uid-proof, urethane

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

sufcient amount of air to circulate beneath the

pad and wicks away excess moisture.

Shear and Friction Reduction

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

Indications for Use

Note: The selection of a pressure-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.

Spinal Cord Injury

Additionally, low friction and low shear materials,
together with average interface pressures well below
capillary closure levels, means that the TxCair Plus
meets the comfort and clinical requirements of your
patients up to 500 lbs.*

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

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.

*Some models available in 350 lb. safe working load

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

Moisture Management

This product may be recommended for use
by patients at risk for skin maceration due to
excessive moisture from perspiration, incontinence
or wound drainage.

Pressure Relief

Pressure Ulcers Rehabilitation
Neurology Dermatology
Burns Amputations

5

TriLine Support Surface

TxCair Plus and TxCair Plus Overlay

Pain Management

AIDS Arthritis
Oncology

The TxCair Plus provides 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 TxCair Plus as an adjunct to pain
management interventions.

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

body positioning to be maintained in specic

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

Features

The TxCair Plus is comprised of two components:

Therapy control unit

•
Therapy mattress system/Therapy overlay

•
system

Therapy Control Unit Features

True low air loss with greater than 100 liters of

•

airow per minute

Three modes of operation – Autorm, Therapy

•
and Pulsate

Autorm mode provides maximum air ination

•

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

Pulsate mode oscillates the air throughout the

•

mattress every 30 seconds providing increased
patient comfort
Eight therapeutic settings to maximize patient

•
compliance and promote healing
Automatic panel lock out to avoid unwanted or

•
accidental adjustments
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 types
Quick disconnect hose feature allows for rapid

•

attach and CPR deate at the control unit

Compact lightweight control unit is quiet, robust

•

and powerful, with a reusable air lter

Crisp, easy to read graphics for intuitive set up and

•
therapy control

Therapy Mattress System Features

TxCair Plus Mattress

Twenty individual therapy cells help to evenly

•
distribute the patient’s weight and maximize
pressure relief. Modular cell design mattress
for ease of cleaning, re-assembly and cost
effective service.
Eight-inch deep therapy cells are constructed

•
of highly durable, polyurethane coated nylon to
provide adequate support and prevent bottoming
out for most patients within weight limit
Integrated low-pressure heel section provides

•
lower interface pressures for high-risk patients

Lower two-inch safety cell remains inated without

•
any power up to 12 hours
Durable base tub is constructed from 100% heavy

•
weight 1680 Denier nylon with 1.5 oz. urethane
coating and incorporates bed attachment loops
for stability
Anti-kink, easy clean air supply hose set

•
Integrated CairRails risk management side air

•

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.
Maximum weight capacity of 500 lbs.*

•

TxCair Plus Overlay

Twenty individual therapy cells help to evenly

•
distribute the patient’s weight and maximize
pressure relief. Modular cell design mattress
for ease of cleaning, re-assembly and cost
effective service.
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 weight limit
Integrated low-pressure heel section provides

•
lower interface pressures for high-risk patients

*Some models available in 350 lb. safe working load

6

Durable base tub is constructed from 100% heavy

•
weight 1680 Denier nylon with 1.5 oz. urethane
coating and incorporates bed attachment loops
for stability
Anti-kink, easy clean air supply hose set

•

TriLine Support Surface

TxCair Plus and TxCair Plus Overlay

Note: To install new wires on a circuit requires a

qualied electrician.

How to Determine if Your Outlet has
the Proper Grounding

Therapy Pads

Many healthcare facilities are facing the challenge
of infection control. Joerns Healthcare’s 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 effective bacteriostatic agent

•
to inhibit the growth of bacteria and fungus.
Constructed from a very smooth nylon fabric

•
with low friction and shear properties to protect
the patient’s skin from damaging friction and
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.
Designed for optimal comfort, moisture vapor

•
transfer, stain resistance and ease of laundering.

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.

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 please see
page two.

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

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

TxCair Plus Mattress

Remove the existing mattress from the bed.

•
Unroll the mattress with the hose connection

•
at the foot end of the bed and the therapy cells
facing up. Secure the straps on the mattress
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 additional straps to the
movable part of the bed frame.
Hang the control unit on the foot of the bed

•
facing away from the bed. Attach the hose
connector marked CPR to the control unit.

7

TriLine Support Surface

TxCair Plus and TxCair Plus Overlay

Plug in the control unit and the orange Standby

•
light will illuminate. Press the Power button.
The control unit will start and the green light will
illuminate. Keep the control unit ON while the
patient is on the mattress.
Fully inate the mattress by selecting Autorm.

•

When the mattress is fully inated, select the

Therapy mode, and place the patient on
the mattress.
Select the appropriate Therapy 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:

Begin by placing the head of the bed in the

1.

appropriate position based on the patient’s
clinical condition.

Select the highest or most rm Therapy

2.

Adjust setting.
Hand Check: Place a hand with three (3)

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.
Sequentially reduce the Therapy Adjust

4.

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 Therapy
Adjust setting for the patient to assure

proper ination of the air cells and prevent

bottoming out of the mattress.
Document the patient’s Therapy Adjust

5.

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

The CairRails risk management side air

•

bolsters can be inated or deated as required.

Locate the Ready Valve (Figure 2) on the hose
assembly between the mattress and the control

unit. Next, inate/deate the CairRails by moving
the Ready 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.

Figure 2

TxCair Overlay

Place the TxCair 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
to the mattress and movable part of the bed frame.
If the therapy pad is not already on the overlay,

•
place it on the overlay and secure the straps.
Hang the control unit on the foot of the bed facing

•
away from the bed. Attach the hose connector
marked CPR to the control unit.
Plug in the control unit and the orange Standby

•
light will illuminate. Press the Power button.
The control unit will start and the green light will
illuminate. Keep the control unit ON while the
patient is on the mattress.
Fully inate the overlay by selecting Autorm.

•

When the overlay is fully inated, select the

Therapy mode, and place the patient on
the mattress.
Select the appropriate Therapy Adjust level to

•
prevent bottoming out as outlined below:

Begin by placing the head of the bed in the

1.

appropriate position based on the patient’s
clinical condition.

Select the highest or most rm Therapy

2.

Adjust setting.

Hand Check: Place a at hand with your palm

3.

up beneath the cells of the overlay and above
the lower overlay enclosure directly between
the lowest point of the patient’s sacral area/
buttocks.

8

Sequentially reduce the Therapy Adjust

4.

setting to the rmest level where your palm

can easily slide beneath the patient’s sacral
area/buttocks and the lower overlay enclosure.
This is the proper Therapy Adjust setting for

the patient to assure proper ination of the air

cells and prevent bottoming out of the overlay.
Document the patient’s Therapy Adjust

5.
setting for future reference, and re-evaluate
with the Hand Check as the patient’s
condition warrants.

The CairRails risk management side air bolsters

•

can be inated or deated as required. Locate the

Ready Valve on the hose assembly between the

mattress and the control unit. Next, inate/deate

the CairRails by moving the Ready 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 please see
page two.

Caution: The patient’s head should be positioned in
the center of the top section of the mattress. When
using the mattress system always ensure that the

patient is positioned properly within the connes of

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

Power Button

The Power button is used to turn the power on
and off.

TriLine Support Surface

TxCair Plus and TxCair Plus Overlay

Figure 3

Modes of Operation (Figure 3)

Autorm

Autorm mode provides maximum air ination

designed to assist both patients and caregivers
during patient transfer and treatment. The unit
will automatically return to the mode it was in
prior to Autorm (either Therapy or Pulsate) in
approximately 10 minutes.

Therapy Modes: Therapy and Pulsate

Therapy: The unit starts in the Therapy mode,

•

which is the standard low air loss therapy.

Pulsate: Pulsate oscillates the air throughout the

•

mattress every 30 seconds providing increased
patient comfort.

Therapy Adjust

The Therapy Adjust function is located on the right
side of the control panel. The TxCair Plus can
be customized to meet individual patient needs
within a therapeutic window. See “Setup” section
for more information. This function will not work in
Autorm mode.

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.

9

TriLine Support Surface

TxCair Plus and TxCair Plus Overlay

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 (gure 4).
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.

Transport

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

Power Failure

The TxCair Plus control unit has an advanced
power failure system. In the event of a brief power
interruption, up to 20 minutes, the TxCair Plus
control unit will automatically restart and reset to
the previous Therapy Adjust settings. The power
interruption feature keeps the current settings in
memory based on the frequency of use and level of
battery charge.

In the event of a power failure in excess of
20 minutes, the control unit’s Standby 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.

Figure 4

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 by
lifting the latch and releasing the hose connector

at the bottom of the control unit. Deation times
will vary based on patient weight and prole.

To resume therapy, reattach the hose to the
control unit.

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 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.

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

10

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

TriLine Support Surface

TxCair Plus and TxCair Plus Overlay

Unable to Change Therapy Mode or
Adjust Therapy Adjust

Make sure the Lockout function is disabled. To

•
disable, press the up and down Therapy Adjust
arrows simultaneously
Contact Joerns Healthcare at 800.966.6662 if

•
problem persists

Ination/Deation

Set the control unit to Autorm mode or the

•
highest Therapy Adjust setting to achieve

quick ination

Locate the Ready Valve by unsnapping the ap on

•
the hose set
Turn the Ready Valve to inate or deate

•
as desired
Return the control unit to the desired settings and

•

snap the open ap closed

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.

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.

Optional Accessories

Additional therapy pads

•
Control unit hanger

•

Troubleshooting

Nursing Procedures

Recommended Linen

Special linens are not necessary for the TxCair
Plus. There is no need for a bottom sheet as the
therapy pad should be covering the therapy cells
at all times. The patient should never be lying
directly on the therapy cells. Based upon the

patient specic needs, the following linens may be

utilized:

Draw or slide sheet to aid in positioning and to

•
further minimize friction and shearing
Incontinence barrier pad for patients incontinent

•
of urine and/or stool, and patients with heavily
draining wounds
Add top sheet, blanket and/or bedspread as

•
needed for patient comfort
Keep the amount of padding between

•
the patient and bed to a minimum for
optimum performance

Changing the Therapy Pad

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)

Secure the therapy pad straps to the movable

•
part of the bed frame

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
Contact Joerns Healthcare at 800.966.6662 if

•
problem persists

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.

11

TriLine Support Surface

TxCair Plus and TxCair Plus Overlay

Unless counter indicated, it is desirable to keep

the back section of the bed in the at position to

provide optimal pressure relief and minimize the
risk of shearing injuries.

Elevating Patient into Sitting Position

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

knee section of the bed may be elevated rst, to

help prevent the patient from sliding when the
back section is elevated.

Incontinence

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

In the event of incontinence or excess drainage on
the therapy pad, you should wipe off the excess

uid from the bed surface.

Safety Information

Patient Migration

Skin Care

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

Bed Height

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

Cleaning

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

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

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

12

Specialty bed products are designed to reduce
or relieve pressure and the shearing and 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.

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” area.

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.
Processing of dirty patient 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 insures the most effective killing power of
the disinfectant.
Wash hands often and well, including after

•
removal of gloves.
Patient care equipment that is used in isolation

•
areas should be disinfected in accordance with
all internal policies and procedures regarding
such equipment.

Disinfecting

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

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.

TriLine Support Surface

TxCair Plus and TxCair Plus Overlay

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 and pulling outward. Replace with the
second supplied lter. Ensure the replaced lter
covers the entire lter region.

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

Maintenance

Warning: Only facility-authorized personnel
trained by Joerns Healthcare should perform
preventative maintenance. Preventative
maintenance performed by unauthorized
personnel could result in personal injury or
equipment damage.

Any maintenance done without Joerns’
authorization will invalidate any warranties on
this product.

Storage and Care

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

Note: Clean the TxCair Plus 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

Steam Cleaning

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

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.

13

TriLine Support Surface

TxCair Plus and TxCair Plus Overlay

System Specifications

Weight

Control Unit:.................................7.5 lbs. (3.5 Kg)

TxCair Plus Mattress: ....................22 lbs. (10 Kg)

TxCair Overlay: ................................20 lbs. (9 Kg)

Maximum Weight Capacity

TxCair Plus Mattress: .............. 500 lbs.2 (227 Kg)

TxCair Overlay: ........................ 500 lbs.2 (227 Kg)

Dimensions

Control unit:

12" (30 cm) W x 10" (25 cm) H x 7" (18 cm) D

Mattress:

36" (89 cm) W x 80" (203 cm) L x 10" (25 cm) D
42" (106 cm) W x 80" (203 cm) L x 10" (25 cm) D

TxCair Overlay:

36" (89 cm) W x 80" (203 cm) L x 5" (13 cm) D
36" (89 cm) W x 84" (213 cm) L x 5" (13 cm) D

1

Environmental Conditions

Operating Conditions

Ambient Temperature: +10°C to +40oC

Relative Humidity: 30% to 75% Non-Condensing

Storage and Shipping Conditions

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

Agency Approvals

UL Classied Medical Equipment UL 60601-1

•
CAN/CSA C22.2 No. 60601.1

UL Classication refers to the power unit only, not

the complete mattress replacement system.

Call for Assistance

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

800.966.6662.

Electrical Specifications

USA

120V AC, 60 Hz, 5A

1

Mattress weight capacity only; total weight must

not exceed bed frame manufacturers’ specied

load capacity.

2

Some models available in 350 lb. safe working load

14

Notes:

TriLine Support Surface

TxCair Plus and TxCair Plus Overlay

15

TriLine Support Surfaces

TxCair Plus and TxCair Plus Overlay

Joerns Healthcare Warranty Program

for TriLine TxCair Plus Support Surfaces

Joerns Healthcare warrants the TriLine TxCair
Plus mattress and Overlay 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

•
TxCair Plus user manual

Any modication, repair or alteration done to the

TxCair Plus that was not authorized in writing by
Joerns Healthcare will void this warranty.

Parts

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

Service

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

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

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

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

Joerns

Healthcare

www.joerns.com • email: [e-mail]

5001 Joerns Drive
Stevens Point WI 54481
(P) 800.826.0270
(F) 800.457.8827

VA/Government

7027 Hayvenhurst Avenue
Van Nuys, CA 91406
(P) 800.966.6662
(F) 800.232.9796

© 2009 Joerns Healthcare Inc. • 6110060 RevA • 07-1296

Canadian Ofce

1000 Clarke Road, Suite 6
London, ON Canada N5V 3A9
(P) 866.546.1151
(F) 519.451.8662