Operating Instructions. Transair Alternating Pressure Care Mattress Replacement System

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Operating Instructions Transair Alternating Pressure Care Mattress Replacement System Version 5 March 2013

Transair - Alternating Pressure Care Mattress Replacement System Position the Pump Unit on the end of the bed. Insert the heel of the connector into the recess. Press in the toe of the connector to engage the retaining clip.

Insert the power connector and switch on. Transair Alternating Pressure Care Mattress Replacement System Contents General Installing the System Controls Operating the System Troubleshooting Cleaning and Infection Control Decontamination Service and Maintenance Warranty Technical Specifications WARNING: These units must only be operated by qualified medical staff. Operation of these units by any other person is entirely the responsibility of that person. WARNING: This manual must be read and fully understood before these units are applied to patients.

Transair - Alternating Pressure Care Mattress Replacement System General The Transair Mattress Replacement is an alternating pressure relief mattress replacement system for Very High Risk patients.* The complete system comprises of a mattress with three sets of air cells, a microprocessor controlled pump unit, a four way hose set and a 5 metre power lead with moulded plugs fitted at each end. Installing the System Remove the normal bed mattress. Unroll the Transair Mattress Replacement onto the bed base (ensuring that there are no sharp objects which may puncture the mattress) with the connector valve at the right hand foot end of the bed. Controls The control panel has tactile push buttons to select the operating mode and to adjust operating pressure to suit the comfort requirements of the patient. The left hand button adjusts pressure, for comfort purposes, in eight steps. The level selected is indicated on the liquid crystal display by a black square moving between Soft and Firm. The next two buttons select the desired mode of operation, static or sitting while the fourth button is used to mute the audible alarm. The selection of a mode is indicated by an LED above the button and is also indicated on the liquid crystal display. The display is also used to communicate any warning messages. Comfort Control Button Place the pump unit at the foot end of the bed, preferably hung by the built in hooks onto the foot board or rail. The hooks are released from their carrying position by depressing them into the case and turning outwards. Connect the hose set between the pump and mattress. The hose connectors are universal and may be connected either way round. Ensure that the mattress control valve is set to the Normal position. Connect the pump mains lead to a suitable power supply and switch on. Switch on the pump unit. The switch will be illuminated green. The display will be illuminated and will show the Transair 2002 System Test Message and Software Version Number. The system should now be left to pressurise. The Transair Mattress Replacement supersedes the system previously branded Transair 2002. All instructions and functions remain the same for both systems. On power-up the system will display: TRANSAIR 2002/MR SYSTEM TEST The processor will test the various component parts of the system. Any failure will be detected by the system and the alarm will emit rapid beeps which cannot be muted. The problem will be identified on the display. In the unlikely event of a failure please switch off and try again. If the problem persists please contact the Karomed Service Centre. * Waterlow.

Operating the System The Transair Mattress Replacement has the following operating modes: Sitting Mode LED Pressurising Normal (Recumbent) Sitting Static Alarm After the self test the system will enter Pressurising Mode and display the message: PRESSURISING PLEASE WAIT The control panel will be in-operative, the alarm mute indicator will be lit and the alarm will not function. All three banks of cells will commence to inflate until the minimum working pressure is achieved (nominally 30 mmhg) when the system will enter: Normal Mode Three bleeps will indicate this change. The system will normally reach working pressure within twenty minutes. Failure to inflate to pressure will be detected and the alarm will emit rapid beeps, indicating a system failure. When Normal Mode is entered the system will display: SOFT- - - - - - - - FIRM NORMAL MODE The control panel will become operational, the alarm will be functional and the alarm mute indicator will be extinguished. By default the system will select the fourth level of comfort. The comfort control may now be adjusted to suit the needs of the patient. Each press of the button will increment the pressure by one step on the display. When the maximum has been reached the next press will revert the pressure to minimum. Static Button Normal Mode LED Sitting Mode Sitting Mode may be selected by pressing the MODE button and will be indicated by the associated LED. The system will display the message: SOFT- - - - - - - - FIRM SITTING MODE Mode Button The Kings Fund backrest (U.K. only) may be placed under the mattress. If the Care Plan requires the patient to be sitting almost totally upright for long periods then the option is available to increase the surface area for best clinical support and symmetry. The Sitting Mode is also effective for very heavy patients in either recumbent or sitting positions. Sitting Mode delays the exhausting of the next cell due to relieve until the preceding exhausted cell has become re-inflated sufficiently to offer support to the patient. The period of delay is adjusted by the processor and will depend on the weight of the patient, the sitting angle, and the selected operating pressure. The maximum permitted delay is set to 30 seconds. This mode may be cancelled by pressing the MODE button again when the system will return to Normal Mode.

Transair - Alternating Pressure Care Mattress Replacement System Static Mode Static Mode may be selected by pressing STATIC button. The system will display the message: STATIC MODE NURSE USE ONLY This mode causes all three banks of cells to be inflated to the maximum pressure setting. As it is not intended that the system will normally be operated with the mattress fully inflated, without alternating, the system will automatically revert to Normal Mode after twenty-five minutes. Static Mode may be cancelled by pressing the STATIC button and the system will revert to Normal Mode and will continue to operate at the pressure level in use before Static Mode was selected. Selecting Sitting Mode will also terminate Static Mode. Alarm Mode The alarm facility is functional in all modes except Pressurising Mode. Should the pressure in the system fall below effective levels continuously for longer than forty seconds then Alarm Mode is triggered. If Alarm Mode is triggered then the system will display the message: LOW PRESSURE CHECK MATTRESS Alarm Indicator Mute Indicator Alarm Mute Button The alarm indicator will flash and the audible alarm, will sound intermittently. The audible alarm may be muted by pressing the ALARM MUTE button. Repressing the button will cause the alarm to be audible again. The system will now attempt to counter pressure loss by inflating all three banks of cells. The purpose of this is to prevent a bank of cells from exhausting to relief in normal cycle, whilst another bank may be deflated due to leakage. Should pressure be restored to effective levels then the Alarm Mode will be cancelled and the system will return to the mode in use prior to the pressure loss. Note: In Alarm Mode the pressure is set by the system to maximum, therefore the comfort control button is inoperative in this mode. Transport Mode Alarm If the pump is connected to a mattress on which the mattress valve is set to Transport and the pump switched on without turning the valve to Normal position, after approximately 90 seconds an intermittent bleep will sound and the LCD display will show the message: TRANSPORT MODE CHECK MATTRESS VALVE This feature is intended to prevent the mattress and pump being reconnected and switched on after transport with the mattress valve inadvertently left in the Transport position. When the Transport Mode Alarm, has been activated, the mattress can be returned to normal operation simply by turning the mattress valve to the Normal position. The pump will then resume operating in the mode selected before the alarm sounding. Power Fail In the event of power loss the alarm will sound continuously until the ALARM MUTE button is pressed. Note: Whenever power is interrupted, and subsequently restored, the system will reset into Pressurising Mode. Alarm Mute The Alarm Mute will automatically TIME OUT after

6 minutes so the system cannot be accidentally left muted. Mattress Valve At the mattress end of the hose set is a manually operated valve which has three positions - normal operation; CPR; and transport. The transport position seals the air in the mattress to allow for movement of the bed without the pump operating. CPR Procedures In the event of CPR procedures becoming necessary turn the mattress valve anti - clockwise to the CPR position. Switch off the pump unit. When procedures have been completed return the valve to the normal position and switch on the pump. The display will show the pressurising message. Troubleshooting Karomed operates a 24 hour support service for all of it s products but experience has shown that many faults can be cured without the need to call for assistance. Please check the following before calling for an engineer. System appears to be dead If the mains switch is not illuminated then mains power has been lost. Check that the unit is plugged in and switched on. Check / replace fuses in mains plug and / or mains inlet. System will not pressurise or pressure is lost System shoes Pressurising Failed or Low Pressure, Check Mattress. Check hose set is correctly fitted into the pump unit and mattress valve. Check that the bed frame does not foul the hose set. Check that the mattress valve control knob is set to the Normal position. Check for mattress leaks, especially at tee-piece connections into the cells. Check for punctures in mattress cells. System shows Cycle Fault, Call Engineer Switch the unit off, wait for a few seconds then switch on again. If the problem persists then call the engineer. Note: The pump unit will not allow you to use any functions until the system has reached operating pressure. Cleaning and Infection Control Procedures Always use universal precautions, especially where the product is known or suspected of being infected. Refer to your Infection Control Manual or Department for advice. For every day cleaning the mattress cover may be wiped with neutral detergent and warm water. For heavier soiling the mattress cover may be removed and machine washed (not tunnel washed) at 75 degrees C. and tumble dried. Protect against iodine based products which may stain the cover. If the internal cells become stained with body fluids, they may be sponged with a mild detergent and dried thoroughly. This depends on the type and extent of soiling. For extensive soiling with potentially infected body fluids, 0.1 percent Hypochlorite solution may be used under careful control. This applies to both the cover and the cells. The mattress base and sides may be washed over with either mild detergent or 0.1 percent Hypochlorite solution as above. The pump unit, tubing and mains lead may be wiped over with a mild detergent after ensuring that the mains supply is disconnected. Do not over wet the pump as fluid may then enter the case.

Transair - Alternating Pressure Care Mattress Replacement System Decontamination The Karomed Service Centre operates a Cleaning and Decontamination Service for the users of Transair systems. Further details may be obtained from the Karomed National Helpline Number. In the event of return to the Centre a completed HSG (93)26 form should be provided and all the components (mattress, tubing and pump) placed in yellow bags and sealed. The contamination status should be clearly indicated and provision made for staff protection (Universal Precautions) during disassembly and/or transport. Service and Maintenance Apart from regular cleaning as detailed above the Transair system is designed to be virtually maintenance free. The hose set and connections from the mattress to the pump unit should be periodically checked for damage or excessive wear. The mains lead should be carefully checked for wear or exposure of the inner conductors at the entry to the plugs. Damaged leads should not be used. Refer to a competent electrician for advice or repair. The pump unit may be powered up in the Normal Mode to test alarm functions etc, without waiting for the mattress to be pressurised. This is achieved by switching on the pump unit with the alarm mute button held pressed. Three bleeps will be heard to identify that Normal Mode has been entered. With no mattress connected the alarm should sound within three minutes. There is no user adjustment to the set levels and on no account should attempts be made to make any adjustment to the control circuit board. Karomed recommends that the internal filters of the pump unit are checked and cleaned or replaced every twelve months. This involves the dismantling of the pump unit and should therefore only be carried out by competent qualified staff. The Karomed Service Centre offers full service facilities and may be contacted through the National Helpline. +44 (0)1460 66033 Warranty The Transair Mattress Replacement system is manufactured from quality materials engineered to operate effectively and give many years of good service. Karomed provide a warranty for the product of two years. Under the terms of its warranty, Karomed agrees to cover its product against component failure for a period of two years. Upon receipt of the product, at the Karomed Service Centre, Karomed will correct the fault and ensure that the system is running effectively thereafter. Parts and Labour will be covered by Karomed. If the product fails because: i) it has not been used in accordance with the manufacturer s instructions. ii) has been damaged by the customer or his/her staff. iii) all reasonable care has not been taken to maintain proper accommodation and facilities for the equipment. then Karomed reserves the right to raise an Invoice for the cost of repair, parts and labour at rates published from time to time. In the event of the need to return the product under warranty, or otherwise, prior arrangement should be made by calling the National Helpline Number. Contamination procedures detailed in Cleaning and Infection Control Procedures must be adhered to when returning any product.

Spare Parts CODE DESCRIPTION K01612 PSU ASSY 1001/2002 K01614 T2002 PCB ASS K00572 END CAP RIGHT HAND K00868 BELLOWS K00573 END CAP LEFT HAND A00154 2002 REPLACEMENT BACK K00645 T2002 FRONT COVER CASING K00647 T2002 REAR CASING K00653 4 WAY SILICONE AIR INSERT (2002) K01698 2002 COMPRESSOR K00692 2002 HOSE SET K00813 2002 SHORT CELL (TOP) K00814 2002 SHORT CELL (MIDDLE) K00815 2002 SHORT CELL (BOTTOM) K00816 2002 LONG CELL (TOP) K00817 2002 LONG CELL (MIDDLE) K00818 2002 LONG CELL (BOTTOM) K00819 2002 SMALL MANIFOLD CELL (TOP) K00820 2002 SMALL MANIFOLD CELL (MIDDLE) K00821 2002 SMALL MANIFOLD (BOTTOM) K00823 2002 MATTRESS TOP COVER K00918 2002 PLASTIC HOSE END K00950 LARGE 2002 MANIFOLD SET K01125 2002 MATTRESS VALVE (REFURBISHED) K01238 FABRICATED TIE BAR 2002 K01147 MAINS INPUT UNIT K01357 2002 MATTRESS BASE COVER K00721 MAINS LEADS K01387 PUMP BRACKET 2002 K00646 TRANSAIR MATTRESS FRONT LABEL K00648 TRANSAIR MATTRESS REAR LABEL K00189 MATTRESS T - PIECE K01280 BINDER SCREWS (POPPERS) K00180 HALF FOAM INLET FILTER K00632 4MM L PIECE

Transair - Alternating Pressure Care Mattress Replacement System Karomed Bariatric Range Transflo Bariatric Foam / Gel Cushion and Transair Bariatric Dynamic Seat Cushion Transwave Supreme Bariatric Foam Mattress Bariatric Trolly Toppers Transair Bariatric Alternating Pressure Care Mattress Replacement System and Karomed Bariatric Profiling Bed

Transcare Cover Plan Prevention and management of pressure ulcers is a high priority and rapid response is vital. "a first class service for as little as 62p per day" Take advantage of Karomed's full maintenance cover scheme. Emergency call out - within 6 hours of request. Single point of contact, 24 hours per day, 365 days per year for all technical service support. Free loan equipment - if it is not possible to carry out a repair on site. Planned maintenance to include annual electrical safety check and service to factory standards. To take out your Transcare cover plan or for further information: Telephone +44 (0)1460 66033 Fax +44 (0)1460 66252 or Email pressurecare@karomed.com

Transair - Alternating Pressure Care Mattress Replacement System Technical Specification Pump Unit Mains Supply 220/240v AC 50Hz Rated Input Current 1 Amp Supply Fuses 2 x T1A Noise Level <32 db Classification Class I Type B Cycle Time 18 Minutes Nominal Size (W x H x D) 320mm x 260mm x 150mm Weight 5.46Kg Compressor Flow Rate > 9 litres per minute Operating Pressure Range 28mmHg to 45mmHg (±2) Mattress Cover Inner Cells Dartex P083 Antimicrobial High Strength Polyether TPU Film MRSA and S AUREUS and E COLI resistant Passed JIS Z 2801 log 2 (specification which require a >log 2, ie: >99% reduction to be considered efficacious) Size (Nominal) Fire Retardency to Current British Standards 2000mm x 850mm x 200mm Approvals Tested to EC Directive 89/336/EEC. BS EN 44022 1998 EN 61001-1-2 1993 Maximum Patient Weight Minimum Patient Weight 39 stones (247kg) 3 stones (19kg) Call the Karomed National Helpline on +44 (0)1460 66033 or Fax +44 (0)1460 66252 or visit www.karomed.com Email: pressurecare@karomed.com Karomed, Millfield, Chard, Somerset. TA20 2BB.