U S E R G U I D E Key Definition of symbols used User guide Mattress replacement Wash instruction here Caution symbol Zip located here Electrical hazard Do not immerse control unit Infection control Do not ... Iron - low i ANSI/AAMI ES 60601-1 Important information Aeda – a brand actively supporting your health A fresh approach to proven pressure care solutions The Aeda mattress and seating category - medium - high CAN/CSA-C22.2 NO.60601-1 Class II Equipment Type BF Applied Part Visual alarm Alternating mode Static mode Do not iron Power CL Bleach - chlorine Switch ON/OFF Do not bleach System ready / functioning normally Serial number BLEACH Tumble dry - low - medium - high Do not tumble dry OROETH HL P 70 E AN PER C If dry cleaning - do not use a solution stronger than perchloroethane Control unit Manufacturer Operating instructions Keep dry Maximum water temperature (in this example - 160°F 70ºC) key Aeria 8 LAL User Guide Contents System overview 2 System features 3 Intended use 4 Safety5 Protection against hazards 5 System set up 6 Dismantling the system 7 Operation8 Control unit layout 8 Establishing pressure 9 Alarm10 Care and cleaning 11 Troubleshooting 12 Specifications13 Warranty14 Aeda - Actively supporting your health introductionpage 1 System overview Introducing the Aeria 8 LAL Mattress Replacement System, this chapter provides a basic system overview, intended use guidelines and a summary of system features and box contents. Applied part. The mattress is treated as an applied part. Box contents • • • dynamic mattress replacement with dual air hoses (includes 15 standard cells and 6 ventilated cells) and CPR tag analogue control unit power cord • • • Aeria 8 LAL User Guide • carry bag Aeria 8 LAL Quick Set Up Guide square hanging hooks (optional spare part) straps elastic mattress top cover mattress base dual hoses page 2 system overview Aeria 8 LAL User Guide Introducing the Aeria 8 LAL Mattress Replacement System, this chapter provides a basic system overview, intended use guidelines and a summary of system features and box contents. • the Aeria 8 LAL is indicated for the prevention and treatment of skin breakdown and pressure ulcers in patients at high to very high risk • constructed from 21 transverse cells – 8 inch 215 mm high – that cyclically inflate and deflate in an alternating pattern, providing gentle and dynamic support • • • the system is designed to replace your existing single bed mattress, for use on top of a standard single bed frame • throughout all cell cycles, six low air loss cells located beneath the pressure prone sacral area and ventilated by laser treated mircoholes, continuously release air beneath the cover to reduce humidity and moisture build up, help maintain the ambient skin temperature and keep the patient dry cyclic alternation of pressure prevents arterial and venous capillary occlusion in the patient’s surface tissue – maintaining and stimulating the flow of blood and lymphatic fluids through these tissues to provide essential oxygen and remove metabolic waste • connected to the control unit by dual air hoses, mattress cells are inflated by an electronic control unit which includes a pressure sensor for monitoring mattress pressure and adjustable pressure settings to match patient weight and comfort needs • air pressure in the mattress replacement is continually monitored and a visual alarm displays in the event mattress pressure becomes too low or high • operator controls are kept to a minimum for simplicity and ease of use suitable for use at home or in long term or extended care environments System Features Support • 21 x 8” 215 mm high density alternating cells • vapor permeable, waterproof top cover prevents moisture transfer, while multi-stretch fabric minimizes friction and reduces shear • • six ventilated cells for continuous low air loss and added ventilation under pressure prone areas help manage heat and moisture of the skin, regulating body temperature and keeping patient dry adjustable pressure level to match users weight and comfort needs Aeda - Actively supporting your health • static pillow for stable head support and optimal comfort • visible alarm light to warn of pressure failure • supporting users to a maximum weight of 330 pounds 150 kilograms • reinforced air hoses prevent unwanted kinks or interference to air flow Safety Simplicity • rapid release CPR tag for emergency deflation • machine washable top cover is fully elasticized for firm fit • fully adjustable support straps securely fastens system to any standard single bed frame • • quick connector air hose attachments control unit includes inbuilt rear hanging hooks for easy mounting and system portability; two size options to match different size bed ends system overviewpage 3 Intended use Indications Connecting the system to other devices The Aeria 8 LAL Mattress Replacement System is indicated for: There are other devices necessary for normal operation. • The Aeria 8 LAL mattress replacement can be fitted to most standard hospital or single bed bases. the prevention and treatment of skin breakdown and pressure ulcers in patients of medium to high risk Contraindications Patient conditions for which the application of pressure relief therapy on the Aeria 8 LAL Mattress Replacement System is contraindicated include: • • instable spinal cord injury The Aeria 8 LAL analogue control unit can be fitted to the foot or head board of most hospital or home care beds. Alternatively, the control unit can be placed on the floor, underneath the bed, or on any other stable surface. cervical traction The Aeria 8 LAL Mattress Replacement System is an aid to the prevention and management of pressure ulcers. If there is no improvement in the patient’s condition, clinical advice should be sought. Therapeutic devices should only be used in accordance with manufacturer’s instructions and under the consent, supervision and management of a suitably qualified health professional. Aeda Healthcare accepts no liability for any use, change or assembly of the product other than that stated in this User Guide. Intended care setting Intended care settings for the Aeria 8 LAL Mattress Replacement System are: • • long term or extended care home care Operating environment • • • Temp: 5°C to 40°C Humidity: 15% to 93% RH Pressure altitude: 700 hPa to 1060 hPa Storage and shipping conditions • • • Temperature: 10°C to 40°C Humidity: 10% to 95% RH Pressure altitude: 700 hPa to 1060 hPa page 4 intended use Aeria 8 LAL User Guide Safety This chapter provides general safety precautions and recommended patient specifications. General safety precautions Protection against hazards For your own safety and the safety of equipment, always take the following precautions: Fluids • Before commencing set up or installation, ensure the power is switched off and disconnect the power cord from the control unit. • Unplug the system from the supply mains to disconnect its circuits. • Placing layers between patient and mattress should be avoided or kept to a minimum. As part of sensible pressure care, avoid wearing clothing that may cause areas of localized damage due to creases, seams, objects in pockets, etc. • Never use sharp objects or electrically heated blankets on or under the system. • Product top cover is not completely 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. • Avoid blocking the air intakes of the control unit, located at the rear of the unit. • Only the control unit and mattress combination as indicated by Aeda Healthcare should be used, otherwise the correct function of the product cannot be guaranteed. Avoid spilling fluids on any part of the control unit. If spills do occur: • • Aeda - Actively supporting your health Immediately clean fluids from the casing by wiping with a soft cloth. Ensure there is no moisture in or near the power inlet, power switch and power cord before reconnecting the power supply. Do not position the system so that it is difficult to operate the disconnection device. Check the operation of controls and other components around the spill area. Fluid or liquid remaining on the electronic controls can cause corrosion that may cause the electronic components to fail. Component failures may cause the unit to operate erratically, possibly producing potential hazards to patient and carers. Explosion hazard Do not open the control unit – risk of electrical shock. Refer servicing to qualified service personnel. • Do not modify this system without the authorization of the manufacturer. Disposal At the end of useful life, dispose of all components (air filter, air cells, mattress cover and base) according to local procedures and regulations or contact your local Aeda Healthcare authorized dealer for advice. Power cord The system should never be operated with a worn or damaged power cord. Should the power cord be found to be worn or damaged, contact your local Aeda Healthcare authorized dealer for a replacement. Interference Significant risks of reciprocal interference may be posed by the presence of the system during specific investigations or treatments. Potential electromagnetic or other interference between the system and other devices may occur. If interference is suspected, move equipment from sensitive devices of contact the manufacturer. Equipment is not suitable for use in the presence of a flammable anesthetic mixture with air, oxygen or nitrous oxide. Maximum patient weight The maximum recommended patient weight for this system is 330 pounds 150 kilograms. Turn off control unit power and disconnect the unit from the main electricity supply. • • Do not use in the presence of smoking materials or open flame – air flowing through the mattress will support combustion. safetypage 5 System set up Preparing the system for use Carefully unpack the system and locate all items shown in the picture below. Inspect each item for any damage that may have occurred during shipping. Any damage or missing components should be reported to your local Aeda Healthcare authorized dealer as soon as possible. 1.Remove all covers, sheets and existing mattress from the bed. Place the mattress replacement on top of your bed frame – printed top cover facing upwards and air hoses towards the base of the bed. mattress replacement (top cover & base) 2.Hang the control over the foot end of your bed, using the inbuilt rear hanging hooks. For greater reach over larger bed ends, replace the standard round hooks with the optional square hooks included with the system. The control unit can also be placed on a flat surface (ie on the floor or underneath the bed). Attach to the bed by securing the adjustable straps, located on the underside of the mattress base, under each bed end. control unit Ensure the strap buckles are securely fastened together and the straps are pulled tight. Ensure the control unit is firmly secured to the bed. Failure to do so could result in equipment damage. power cord square hanging hooks (optional spare part) Do not secure mattress straps to bed side rails – straps will tear. Before attaching the control unit to the floor or the foot board of the bed, ensure they are sufficiently robust and free of damage. Ensure that straps do not interfere with the operation of the bed, and that the mattress is properly secured. Failure to do so could result in patient injury or equipment damage. page 6 system set up Aeria 8 LAL User Guide This chapter describes the steps necessary to prepare the Aeria 8 LAL system for use. 3.Attach the two air hoses to the control unit – the quick connectors simply press into place. The connectors include a press button release system for ease of use. Straighten any twists in the air hoses to ensure uninterrupted air flow between the control unit and mattress. Also ensure the hoses are not trapped between the mattress and bed. Failure to do so could result in under inflated mattress leading to patient injury. 5.Before inflating, pull back the top cover to ensure the cells are straight and the cell straps are not twisted. Refit the top cover, ensuring both air hoses are fitted through the custom opening in the base. 1. Switch off the control unit. 2. Switch off mains power and unplug the power cord from the mains outlet. 3. Disconnect both air hoses from the control unit (press the release buttons and pull). This will deflate all cells except static head cells. 3 1 Aeda - Actively supporting your health 8.Once the mattress is fully inflated, bedding can be replaced. Secure sheets loosely enough to ensure they do not interfere with cell alternation. Dismantling the system 6.Insert the power cord into the base of the control unit, then plug into an appropriate electrical outlet and switch on mains power. 2 4.Locate the CPR tag at the head of the mattress and ensure the CPR sealing connectors are fully inserted into the air hoses, as shown below. Allow up to 50 minutes for complete inflation. The green Ready indicator illuminates when the system is ready for use. 7.On the control unit, turn the Pressure dial to maximum and then switch on (the Power switch illuminates to indicate the system is operational and inflating). For rapid inflation, ensure the system is switched to Static Mode. 4.To deflate static head cells, firmly pull the CPR tag. 5.Once air has been released from the system, detach the mattress from your bed by unfastening the straps, then fold and roll the mattress for storage. 6. Return all items to the custom carry bag for safe keeping. Do not store the system in direct sunlight. system set uppage 7 Operation Control unit layout Power switch Turns system power on and off. The switch illuminates to indicate power is on. Ready indicator This green light displays when the system reaches (and maintains) operational pressure. Alarm indicator This red light displays to alert when the control unit or mattress pressure fails. The alarm indicator remains illuminated until pressure is restored. Pressure dial Adjusts mattress pressure from low to high, in line with patient weight and comfort requirements. No special skills, training or knowledge are required to operate the control unit. Static / Alternating switch Switches between Static and Alternating operational modes. The orange Static Mode indicator illuminates when the mattress is operating in Static Mode (all cells fully inflated with no dynamic alternation). When the Static Mode indicator is not illuminated, the mattress is operating in Alternating Mode (alternate cells cyclically inflating and deflating). page 8 operation Aeria 8 LAL User Guide This chapter describes how to safely operate the Aeria 8 LAL system, including patient set up and control unit function. Establishing pressure (lying) Establishing pressure (inclined) 1.Prepare the system for use as described in System Set Up. The green Ready indicator illuminates when the system is ready for use. When moving the patient to a sitting or more upright position, pressure should be increased to provide added support and to avoid ‘bottoming out’. It is recommended the maximum pressure setting be selected while the patient is semi-recumbent (sitting or inclined). 2.Cover loosely with a sheet before placing patient on the mattress. The patient may lie on the Aeria 8 LAL system during inflation however the mattress will fill faster if allowed to inflate first. 3.When the patient is lying comfortably, turn the Pressure dial to reach the desired setting for effective patient comfort and support. When adjusting or lowering the pressure, ensure the Aeria 8 LAL system is still working effectively by performing a ‘bottoming out’ test. ‘Bottoming out’ test a.With the patient lying in the supine position (lying on back, face upwards), pull back one side of the top cover. b.Slide your hand underneath the patient and feel for a deflated cell under the patient’s lower spine. Remember that the inner static cell will remain inflated however your hand should easily slide between patient and base. Aeda - Actively supporting your health c.If the patient is adequately suspended, the pressure setting can be lowered. After approximately 12 minutes, reassess system function and patient comfort. If pressure fails for whatever reason, the red Alarm indicator will display - immediately turn the Pressure dial to the maximum pressure setting. d.Repeat the testing process until an optimal pressure setting is reached. After lowering the pressure setting, always check the Aeria 8 LAL system is working effectively. Failure to do so could cause patient injury. Always return to the original pressure setting when patient returns to a lying position. i A “control setting guide” is included on the side of the control unit, to provide a quick reference for recommended weight setting. These settings are a guide only. Always verify pressure settings with a ‘bottoming out’ test. Wait at least 12 minutes between any pressure adjustment or patient assessment as the Aeria 8 LAL system may take a full cycle to adjust to the new pressure setting. operationpage 9 Operation Mode CPR / Re-inflation Alarm In Static Mode, all mattress cells remain fully inflated to maximum pressure setting, thereby terminating the alternation cycle and any therapeutic patient benefits. This mode should be used to create a firm base for stable patient handling or other special circumstances. Rapid deflation of the mattress replacement may be necessary for emergency treatment (or to decommission the unit). The Alarm indicator illuminates to indicate control unit or mattress pressure has failed (when pressure drops below the accepted minimum level). The indicator will remain illuminated until appropriate pressure is restored. In Alternating Mode, alternate mattress cells inflate and deflate following a fixed cycle time of 10 to 12 minutes, with the exception of three static head cells. Alternating Mode is used for normal therapeutic function. The Aeria 8 LAL system provides no therapeutic benefits when operating in Static Mode. If emergency treatment is required, firmly pull the CPR tag located at mattress head ensuring both sealing connectors are fully disengaged. Pulling this tag will rapidly deflate the entire system. For maximum deflation rate, disconnect both air hoses from the control unit. To reinflate the system after the CPR tag has been pulled, restore all disconnected air hoses to the mattress and wait for the system to gain optimal pressure (the green Ready indicator will illuminate when system is ready for use). If the Alarm indicator is illuminated, and the system fails to inflate or loses pressure: • check the air hoses are securely connected to the control unit • check the CPR tag is intact, ensuring both sealing connectors are fully fitted to the mattress air hoses • check all mattress air cells are securely connected to the air pipes • check all cells, pipes and hoses for any air leakage • check that the air filter cover is correctly secured • check the air filter is clean If the problem persists, contact your local Aeda Healthcare authorized dealer for further advice about repair. Do not try to open the control unit. Opening the unit could cause personal injury or equipment damage. If parts need to be repaired, circuit diagrams and a list of component parts can be provided by the manufacturer. page 10 operation Aeria 8 LAL User Guide Care & cleaning This chapter describes general care and cleaning for the Aeria 8 LAL system, including basic maintenance procedures. To prevent cross contamination, the mattress should be examined and disinfected between patient use. Clean the mattress in accordance with local infection control policy and government regulations for blood borne pathogens. Failure to do so could cause patient or personal injury. The mattress is not protected against excessive amounts of water. Disconnect power supply before cleaning. Failure to do so could result in equipment damage or electric shock. Do not use high temperature autoclave steam cleaning devices or phenolicbased products for cleaning. This could result in damage to the equipment and loss of waterproof qualities of the top cover. Switch off and disconnect the control unit from mains power supply before cleaning. Do not immerse the control unit in water. Disinfection The mattress, top cover and control unit may be decontaminated by using ETO (Ethylene Oxide). Cleaning & infection control It is recommended that the system be cleaned regularly if in constant use. Base cleaning Air filter replacement Should the base require cleaning deflate the mattress, disconnect air cells from the base by unfastening the press studs at each end. Remove double tubing from main base air tubes and slide the cell out from the cell straps. Swab the cell with a solution of sodium hypoclorite or similar (up to 10,000 ppm available chlorine). Dry thoroughly before refastening. Do not machine wash the overlay base. 1.Switch off power supply to the control unit and disconnect the air hoses and power cord. Top cover cleaning Remove the top cover from the base before washing. For basic care and cleaning, wipe down with warm water containing detergent. The top cover can also be machine washed at 160ºF 70ºC. For infection control, swab with a solution of sodium hypoclorite or similar (up to 10,000 ppm available chlorine). Dry thoroughly before use. Refer to the top cover wash tag for cleaning instructions. Do not use the system without the top cover. Control unit external cleaning Disconnect control unit from mains power before cleaning. Gently wipe down the external case with a soft cloth. Soak the cloth in warm water containing detergent, and twist dry any excess water before use. Repeat the process with a dry cloth to remove excess moisture. Periodic maintenance Care should be taken to avoid the risk of electric shock when changing the air filter and fuse. Aeda - Actively supporting your health care& cleaning 2.Place the control unit face down on a soft, flat surface with back panel uppermost (use a soft cloth to prevent scratches). 3.Use a small screwdriver to carefully remove the air filter cover. Clean the dust from the filter or discard and replace with a new filter. 4.Refit the air filter cover to the control unit before use. It is recommended that the air filter be replaced each year. Replacement air filters are available from your local Aeda Healthcare authorized dealer. Fuse replacement 1.Switch off power supply to the control unit and remove the power cord from the socket in the base of the unit. 2.Insert a small screwdriver into the groove and turn anti-clockwise (quarter turn). 3.Remove the ‘blown’ fuse from the fuse holder clip and discard. 4.Insert a new fuse into the plug. Push against the force of the spring and turn clockwise with the screwdriver (quarter turn). When changing the replaceable fuse, use same rating fuse only (T1AL/250V). Preventive inspections and calibration are not required. page 11 Troubleshooting This chapter provides basic troubleshooting support for the Aeria 8 LAL system. Problem Cause Solution Control unit does not operate The control unit may not be attached to a power source or a fuse may need replacing. . Check the control unit is connected to an electrical power outlet. The alarm illuminates when mattress pressure fails to reach or drops below the accepted minimum level – this can be an indication of an air leak in the system. Check both air hoses are properly attached to the control unit. Control unit operational but red alarm indicator illuminates Mattress fails to inflate Check the control unit is switched on. Check the mains plug fuse (3 AMP) and both control unit fuses (1 AMP). Check the CPR tag is intact, ensuring both sealing connectors are fully fitted to the mattress air hoses. Check all hoses along the inside of the mattress – each should be firmly connected. Check each air cell is securely attached to the connecting air pipe. Check all cells, pipes and hoses for any air leakage. Check that the air filter cover is correctly secured and the air filter is clean. Do not try to open the control unit. Opening the unit could cause personal injury or equipment damage. Patient is sinking or bottoming out while lying flat on the mattress The pressure may be set too low for the patient’s weight Increase pressure setting – usually an incremental increase is sufficient however wait 10-12 minutes (one full cycle) before checking the increase was sufficient. To check effective system performance, conduct a “bottom out” test as described on page 9. If the problem cannot be resolved, please contact your local Aeda Healthcare authorized dealer for further support. page 12 troubleshooting Aeria 8 LAL User Guide Specifications This chapter provides the various physical and technical specifications of the Aeria 8 LAL system, including details of replacement parts. Technical specifications Classification Equipment not suitable for use in the presence of a flammable anesthetic mixture with air, oxygen or nitrous oxide. Continuous operation Type B Equipment Class II Equipment Ordinary Equipment Maximum recommended patient weight 330 lb 150 kg Risk category High - very high Operation altitude ≤ 2000 m Mattress replacement Control unit Dimensions (inflated)80” x 35” x 8” 2000 x 880 x 230 mm Type Analogue Weight 19.8 lb 9.0 kg Dimensions 10.5” x 6.5” x 11.5” 270 x 140 x 290 mm Number of cells 21 Weight 6.5 lb 2.9 kg Cell height 8” 215 mm Rated voltage 100-120VAC 60Hz 0.3A Alternation type 1 in 2 Rated input power 20 va Cell material PVC coated nylon Protection class Class 2 Base material PVC Power cord length 16 ft 5 m Air output (Lpm) 6.5 Cycle time (mins) 10 - 12 minutes Top cover materialPU coated multi-stretch polyester Cover attachment Elastic Skirt seams Taped and sewn Aeda - Actively supporting your health System part numbers Aeria 8 LAL Mattress Replacement System MT-A3-025 Aeria 8 LAL Control Unit: MT-S4-035 Aeria 8 LAL Mattress: MT-S4-125 specifications page 13 Warranty The warranty and lifetime is two years. During this warranty period, in the unlikely event of a defect in materials or workmanship, a local Aeda Healthcare authorized dealer will repair, replace or supply replacement parts under standard warranty terms and conditions in effect at time of purchase, unless the problem and/or failure is due to customer damage, negligence and/or misuse; or unauthorized repairs. to a local Aeda Healthcare authorized dealer. Items not covered under warranty include, but are not limited to; stains, punctures, cuts, damage to power cords, rips or tears, dents, electrical overload, surge, spikes and lost or missing parts. Warranty repairs do not extend the length of the warranty period. Warranty terms and conditions are subject to change at any time without notice. In the event of a defect, repair work should be completed by returning the faulty system page 14 warranty Neither Aeda Healthcare, its distributors, officers, directors, employees or agents shall be liable for consequential or other damages, including but no limited to personal injury, loss, or any other expense, directly or indirectly arising from the use of its products. The sole remedy for breach of the limited warranty granted herein shall be repair or replacement of the Aeda Healthcare products. Visit www.aeda.com to view a copy of the manufacturer’s Warranty Statement. Aeria 8 LAL User Guide Notes Aeda - Actively supporting your health notes page 15 Notes page 16 notes Aeria 8 LAL User Guide Notes Aeda - Actively supporting your health notes page 17 Aeda Healthcare is all about helping people enjoy a freedom of life, throughout every stage of life. About improving mobility, independence, dignity and offering choice. About making products that are practical, reliable, affordable – and stylish. Aeda Healthcare Ltd. 20F-1, No. 79, Sec. 1, Xintai 5th Rd., Xizhi Dist., New Taipei City, Taiwan T +852 6832 5199 F +852 6832 5373 E [email protected] www.aeda.com Actively supporting your health E362187 ANSI/AAMI ES 60601-1 CAN/CSA-C22.2 NO.60601-1 AU-L000
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