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User manual CuroCell Cirrus® 2.0

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1. Care of sweden Supporting Life User manual 2015 02 13 CuroCell Cirrus 2 0 Alternating pressure system User manual item number 95 001283 i 32353 9450 5390374 CE Contents Important safety precautions Introduction Product description Assembly Installation Operation Cleaning and reconditioning Storage Maintenance Troubleshooting Technical description Spare parts Options and accessories Warranty Other information 11 12 14 15 16 17 18 20 21 22 23 IMPORTANT SAFETY PRECAUTIONS Read all instructions prior to use WARNING To minimise the risk of fire electric shocks or bodily injury m e The product must only be used for its intended purpose as described in this manual The product may not be combined assembled or repaired with other parts e g pump and mattress accessories or spare parts other than those described in this manual or other documentation from Care of Sweden 2 Do not use the pump in wet rooms or where there is a risk of the pump coming into contact with water or another liquid Never handle a pump that has come into contact with water liquid Pull the plug out of the electrical socket immediately and send the product to an authorised service technician for servicing 3 DO NOT USE in the vicinity of or in contact with fire sources hot surfaces such as fire burning cigarettes or hot lamps Although the product ha
2. Machine wash at 95 C lt 1 Chlorine Drip dry Do not iron Class Il equipment Type BF Double Insulated lam The mattress should only be used lying in the lengthwise direction on the mattress 19 Vv Foot placement ye Y a Recycling a Directly on bed base Daq Do not wash Tumble dry Ry Do not dry clean IP__ IP class Ingress Protection Rating 10 Spare parts Cover Stone Evac Size 80x200 cm 80x210 cm 85x200 cm 85x210 cm 90x200 cm 90x210 cm 105x200 cm 105x210 cm 120x200 cm 120x210 cm Art no CC 901801 CC 901802 CC 901803 CC 901804 CC 901805 CC 621 CC 8202 If other spare parts are needed please contact your distributor Art no Top part Stone CC 926010 CC 926011 CC 926012 CC 926013 CC 926014 CC 926015 CC 926016 CC 926017 CC 926018 CC 926019 Description Art no Bottom part Evac CC 926210 CC 926211 CC 926212 CC 926213 CC 926214 CC 926215 CC 926216 CC 926217 CC 926218 CC 926219 Air cell for mattress width 80 cm Air cell for mattress width 85 cm Air cell for mattress width 90 cm Air cell for mattress width 105 cm Air cell for mattress width 120 cm Fuse set of 2 Air filter 20 Art no Complete Stone Evac CC 925810 CC 925811 CC 925812 CC 925813 CC 925814 CC 925815 CC 925816 CC 925817 CC 925818 CC 925819 11 Accessories Inner cover Elastic Art no Size Art no Size CC 928230 80x200
3. regularly serviced and inspected to maintain functionality and performance Like other technical devices a pump that is properly cared for works better and lasts longer Service and maintenance must always be performed by an authorised technician Only use spare parts that have been approved by the manufacture use of non approved spare parts invalidates the warranty A warranty claim must be submitted to the manufacturer or your distributor before the product is returned Please contact the manufacturer or your distributor if you have any questions regarding warranty and services 12 3 Life expectance This produc st expected life is estimated to be 5 years 22 13 Other information 13 1 Disassembly and recycling Except for certain parts of the pumps energy recovery is possible for almost all material in CuroCell products through incineration in waste incineration facilities Pump A used CuroCell pump must not be disassembled It must instead be taken to a recycling centre and sorted as electronic waste Mattress A used CuroCell mattress must be taken to a recycling centre and sorted as combustible waste For more information contact the manufacturer or your distributor 13 2 Returns and complaints Complaints are to be reported to the supplier Return of a product shall follow the supplier s instructions and can only be done after the complaint has been reported Damages due to the transportation should be
4. the pump housing risk of electric shock Service and maintenance must be performed by authorised technicians e Do not get the pump wet or submerge it in any liquid as alcohol with or without tensides lsopropanol 70 oxidating solutions or chlorine max 1 If using a different agent choose one that does not affect the pump housing MATTRESS COVER Covers can be wiped off with a mild cleaning solution for this purpose such as alcohol with or without tensides Isopropanol 70 oxidating solutions or chlorine max 1 Excrements and blood spots must be removed immediately with cold water 87 O u Bat BS Multi layer covers should be divided before washing Wash with similar colours Chlorine and phenol based cleaners could have a negative impact on the PU surface zy and should be avoided If chlorine is used we recommend a mixture of max 1 INNER COVER ELASTIC 57 Q Ul Bet Bi Clean the affected area with a mild cleaning solution for this purpose such as alcohol with or without tensides Ilsopropanol 70 oxidating solutions or chlorine max 1 14 Wipe of the pump with a damp cloth and a mild cleaning solution for this purpose such 5 2 Reconditioning PUMP See section 5 1 for instructions MATTRESS 1 2 Remove the covers See instructions in chapter 5 1 for cleaning covers Disconnect the tubes from the pump Carefully pull the air cells out from the foam core Note Be cautious whe
5. where CPR is necessary follow local instructions Note Make sure that the CPR connector is properly connected after use 4 6 Alarms When the pressure drops to an abnormally low level the Low Pressure diode lights up together with an audio alarm Please refer to section 8 for troubleshooting The alarm is deactivated by pressing the ALARM MUTE button on the pump s control panel If the problem is not resolved within 5 minutes the alarm will start again The diode remains on until the pressure level is remedied and reset The pump is also fitted with a Power Failure alarm An alarm sounds and flashes when the pump is disconnected from the electric power Turn off the alarm by pressing the ALARM MUTE button WARNING 4 7 Transport function If the patient must be moved in bed the tubes can be connected together detached from the pump and the mattress put in transport mode We recommend that this function is only used for short periods of time 13 If the air pressure remains low check the mattress and tubes for damage Repair if necessary or contact the manufacturer or your local dealer for help 5 Cleaning and reconditioning It is important to follow the instructions below before using the product for another user Consult the Clinician responsible or the supplier for help and instructions when unsure 5 1 Cleaning PUMP eee E E eee ee ee eee eee ee ee ee ee ee ee ee S WARNING e Do not open
6. UTE Press the ALARM MUTE button to temporarily turn off the alarm Should the situation not be resolved within 5 minutes the alarm will be activated again Please refer to section 8 to troubleshoot any problems with the alarm A Power failure alarm During a power failure both the sound and light alarm will go on Turn it off by pressing the ALARM MUTE button B Low pressure alarm When the low pressure light is on the pressure in the mattress is below normal Both the light and sound alarm will activate The alarm will sound until the ALARM MUTE button is pressed If the problem remains see chapter 8 for trouble shooting 6 SERVICE This light indicates a technical failure in the pump First check that the air filter is clean and that the pump is not covered by anything such as a pillow or a blanket If the problem remains please contact the manufacturer or your local dealer for further information 7 POWER Power on off 10 3 Assembly Installation When unpacking the mattress check that none of the parts are damaged In the event of damage contact your distributor before using the product 1 Place the mattress on the bed base Note e Make the bed with sheets for added comfort e Check that the CPR valve is closed yxy 2 Hang the pump at the foot end of the bed or place it ona flat sturdy surface J Route the power cord so that there is no risk of it causing 4 wa i l someone to trip being run over by t
7. ate Static Alternate seat inflation Static seat inflation A Autofirm Autofirm is used to fill the mattress with air completely for firm support The pump always starts in this mode When the correct pressure is reached it changes automatically to the previous setting or to the presetting outlined below Presetting features for Autofirm process 1 Program Therapy Select the required program 2 Comfort setting Set the required air pressure 1 10 3 Cycle time Select from 10 15 20 or 25 minutes Note The preset Cycle Time Comfort Level and Therapy mode will be illuminated to indicate the settings during the Autofirm process Autofirm LED is also illuminated After mattress is inflated Autofirm LED will be turned off automatically B Alternate In this mode the pressure alternates between the cells and there are four different cycle times to choose from C Static When Static is chosen the alternating process is terminated and the pressure betweenthe cells evens out The function can be used in association with patient care repositioning transferring in and out of bed The function is turned off by pressing the button again or it will automatically go back to alternating mode after 20 minutes D Seat inflation This mode gives extra support when sitting up and can be set for both alternating and static mode 4 PANEL LOCK Press down the Panel lock button for about 2 seconds to lock or unlock the panel 5 ALARM M
8. d use of the Evac function Please read section 1 2 for more information To ensure proper function of the Evac cover it is important to regularly check the quality of the mattress Check for damages that could cause problems when evacuating PSPs FEE BBB BBB BBB BeBe eee 2 Product description 2 1 Pump and mattress CuroCell Cirrus 2 0 has eight alternating air cells which are encased in HR foam high resilient foam On top of the HR foam closest to the user is a thin layer of visco elastic foam 1 CPR rapid deflation 2 Pump 3 Mattress 4 Pump connector 1 Air cells 2 Foam core 3 CPR rapid deflation 4 Tubes Cross section of mattress 1 2 3 4 2 2 Pump The CuroCell Cirrus 2 0 pump applies alternating pressure that is adapted to the weight of the user The air cells inflate and deflate with different cycle times 1 Quick connector unit air 3 Fuses 2 pcs 6 Bed hooks 2 Front panel 4 Off On 0 1 7 Air filter 5 Power cord 2 3 Pump functions control panel 2 Gypole Time 7 A A 2 on 6 1 COMFORT SETTING Suitable air pressure is set using the comfort dial Guidelines for user weight can be found in the table on the pump 2 CYCLE TIME There are four selectable cycle times Press the button to select cycle time 3 PROGRAM THERAPY Change the mode by pressing the button the chosen mode is indicated by the green light The modes order is Autofirm Altern
9. e in a dry area Make sure the mattress is stored where it will not be exposed to thrusts impact or other things that can damage it Avoid direct exposure of sunlight If the mattress is to be stored more than 3 months we recommend it is stored on a flat surface not folded or rolled up 15 7 Maintenance 7 1 General 1 Check the power cord and plug for damage and scratches 2 Check that the mattress cover is intact and that the cover and air cells are correctly assembled 3 Check that the air flow alternates between each outlet on the side of the pump 4 Check for damaged or pinched tubes and connectors Contact the manufacturer or your local dealer for spare parts 7 2 Changing fuses 1 Pull the plug out of the electrical socket before replacing fuses a ae oda O 3 2 Remove the cover from the fuses with a screwdriver Pull i DD yA a out the fuse holder p 3 Fit a new fuse of the same type T1AL 250V and screw P the protective cover back in place There are two fuses 7 3 Changing the air filter 1 Unscrew the round safety plate on the back of the pump i 2 Lean the pump backwards in order for the filter to fall out nals L A 5 from the holder EE pers A DD E i 3 Place the cleaned new filter in the filter holder and replace the safety plate If the pump is used in a dirty environment the filter should be checked regularly 16 8 Troubleshooting Problem Solution Pump does n
10. e user to the mattress before commencing the evacuation The straps are folded in the protective pockets on the side of the mattress with the ends sticking out to ensure that they are easy to pull out WARNING Person to perform an evacuation needs to have the necessary training Always check the equipment cover and mattress before commencing to make sure an evacuation can be carried out safely It is the user s responsibility to ensure that it is safe to use for evacuation 5 Evacuation instructions Down from the bed e Inform the patient about what will happen e Lower and lock the bed in position e Disconnect the tubes from the pump e Pull out and fasten the Velcro straps e Use the outer handles at the foot end of the mattress and turn the mattress out from the bed e Slowly pull the patient down on to the floor Le SV On an even surface i e Pull on the outer handles at the foot end of the mattress e Working position should be a little bit leaning back Down the stairs e Walk backwards until the main part of the mattress has slide pass the top stair e Turn the back to the patient and look in the moving direction L e Hold one hand on the stair handle and pull with the other hand on the middle handle of the mattress e Walk down the stairs It is important to maintain speed without running Training practise To bear in mind when training Pulling down from the bed e The patient in the bed sh
11. echnique that is well proven and been used for a long time Alternating pressure is when the pressure regularly alternates between the mattress cells to replicate body movement Variable pressure cycles are set up where there is little or no pressure This is optimal for skin improvement or to prevent skin damage Always read the user manual prior to use 1 1 General information This CuroCell mattress is a medical device in accordance to MDD 93 42 EEC According to statutory regulations made by the authorietes regarding medical devices the manufacturer is required to report all accidents or incidents involving there products We would be very grateful for all information involving accidents or incidents relating to our products by reporting them immediately to us here at Care of Sweden The system has been tested and approved according to the following standards IEC 600601 1 IEC 60601 1 2 SS EN ISO 12182 SS EN ISO 14971 SS EN ISO 10993 EN 597 1 EN 597 2 EN 14126 1 2 Intended use CuroCell Cirrus 2 0 combines alternating pressure with soft foam and can be used in all types of health environments to prevent pressure ulcers and as an aid in the treatment of category 4 It is suitable for lightweight and sensitive people or to people with pain The mattress has a built in heel function for added relief of heels and reinforced sidewalls for better stability The mattress is placed directly on the bed Recommended user weig
12. he bed wheels or getting pinched when the bed is raised or lowered If a cable holder is used optional open the snaps position the power cord in the pocket and close the snaps 3 Connect the air tubes from the mattress to the side of the a pump There is an audible click sound when the quick connectors are properly attached 4 Check that the switch on the pump is in the O position Off Connect the plug to an approved electrical socket 220 V i 11 4 Operation Note Always read the user s manual prior to use 4 1 Start up a 1 Start the pump by pressing 1 On on the side of the pump as well as pressing the Power button on the front panel Ey the mattress is ready for use 2 Air starts to fill up the mattress It takes about 15 minutes until ii M Note The pump always starts in Autofirm mode 3 The light for Low pressure is lit until the mattress has reached the set pressure When the light goes out the system changes mode to previous settings and the mattress is ready to be used 4 2 Program selection There are four different programs Please refer to section 2 3 for more details As a standard setting we recommend an alternating mode and a 10 minute cycle time 4 3 Comfort settings kg The air pressure in the mattress can be adjusted according to 0 44 the patient s desire for comfort ALWAYS consult the 45 54 prescriber or other authorised perso
13. ht up to 230 kg EVA C For the Evac function the maximum user weight is 130 kg 0 130kg Important For users between 180 230 kg is the recommended weight usually modified for the treatment of pressure ulcers up to category 2 Cleaning of the mattress shall be made between replacements of each user We recommend that position changes are made regularly The time interval must be evaluated by the responsibel personnel depending on the patient s status diagnosis and general condition NOTE e When used together with positioning pillows read the pillow user manual carefully for correct positioning of the patient e If you are using this product with an evacuation sheet evacuation cover it is the user s responsibility to ensure that it is safe to use for evacuation e Be careful when using bed rails or other protection on the bed so that the mattress does not become trapped or damaged e The mattress must not be lifted with a person lying on it or used for any other type of transport other than a possible evacuation using an evacuation sheet e This mattress is unsuitable for x ray examinations because of the risk of blurred images or artefacts that may lead to diagnostics error Lee eee eee Pee eee eee eee eee eee eee eee eee eee eee eee eee eee eee eee eee eee eee ee eee 1 National Pressure Ulcer Advisory Panel European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance Prevention and Treatment of P
14. in o Dimensions BxLxH 29 XT X2OeM S Weist o ee po G Stoa po Shippea eoe Po Humidity Operations 10 90 non condensing ee ee Storage 10 90 non condensing Athmospheric pressure 700hPa 1060hPa __ J Classification Class tl Type BF IPT MATTRESS SPECIFICATION Model Curocell Cirrus 2 0 Dimensions BxLxH Po 80 85 90 105 120x200x20 cm Weight a kg width 85 cm NOTE The manufacturer retains the right to modify the product specification at any time WARNING Follow the operations and maintenance instructions carefully in order to prevent bodily injuries as well as damages to the product or other equipment 9 2 Labelling The mattress is labelled with product name production date article number size care and wash instructions EAN bar code as well as space for own labelling The product also displays which side is up down and head foot 18 WO AJ T1 E Article No zo Read the user manual pa Not in domestic refuse follow recycling instructions EVaC Recommended user weight when using Evac Machine wash at 70 C Do not tumble dry Temperature range 3 Symbol Definitions XXXX XX XX Year Month Day GROY nna C Group of function CE marked acc to MDD 93 42 EEC Manufacturer anna Rl Category Recommended user weight Patient information category Heel function x x S lt S Zi Counteract shear force
15. n handling the sidewall Place the air cells and the tubes on a clean area which is suitable for washing Wipe off the cells all tubes and the CPR valve with a mild cleaning solution for this purpose such as alcohol with or without tensides Isopropanol 70 oxidating solutions or chlorine max 1 Place the air cells back into the foam core Check that all the tubes and connectors are secure and tight before closing the cover Wipe off work surfaces with a mild cleaning solution for this purpose such as alcohol with or without tensides Isopropanol 70 oxidating solutions or chlorine max 1 If cells for any reason have loosened from the tubes these must be replaced according to drawing in chapter 2 1 FOAM CORE Clean the affect area with a mild cleaning solution for this purpose such as alcohol with or without tensides Isopropanol 70 oxidating solutions or chlorine max 1 Press out the water carefully Let the foam core dry in a warm ventilated area without direct exposure of sunlight The foam core needs to be completely dry before it is used again NOTE Check the hygiene cover each time the product is cleaned If damaged it must be replaced or repaired Also check the pump tube connectors and power cord during cleaning Damaged parts must be replaced or repaired 6 Storage Store the mattress on a flat surface or carefully rolled folded with the zipper closed Always store at room temperatur
16. nnel for the appropriate 55 64 setting 65 74 The mattress is now ready for use Use the comfort buttons 0 c o or a ofr 4 1 10 to set a suitable air pressure based on the table on the 19 94 pump 95 114 Note The pump always starts in the Autofirm mode When 115 144 the mattress has reached the required pressure the pump is 145 164 set automatically to the previously used setting or to the 165 184 settings made in the Autofirm program Please refer to 185 230 section 2 3 for more details NOTE e We recommend the Seat inflation mode for all situations where the head of the bed is raised e When only parts of the mattress are under load e g if the patient is an amputee the pressure should be increased 1 2 levels e Always check the set pressure with a hand check see 4 4 for more information 12 4 4 Hand check Hand check is used to ensure that the mattress is properly inflated This should be done regularly once per shift and after changing the position in the bed or changing the comfort settings Insert your hand between the air cells directly underneath the user s pelvic region use a vertical hand There should be a clearance of 2 3 fingers between mattress base and the patient If not you need to adjust the pressure setting 4 5 CPR Rapid deflation of the air cells To empty the air cells pull the CPR Cardio pulmunary rescue band placed between mattress and pump In case of an emergency
17. ot start Check that the power cord is connected to an approved electrical socket Check the fuses Make sure the power switch on the pump side is set to 1 Alarm is on Check that the quick connectors on the air tubes are properly but mattress is losing air connected to the side of the pump Check that the CPR valve is closed Check that all tube connectors are properly seated and connected Open the mattress and check for leaks from air cells or tubes The patient is bottoming out The pressure might be incorrectly set Adjust according to the weight table and wait a few minutes Check again using a Hand Check see section 4 4 Check that the CPR valve is closed Some cells have less air This is normal since the cells are alternately inflated and deflated when the system is set to alternating mode Pump is noisy Check that the pump hangs correctly on the bed Resonance vibrations are felt can occur in parts of the bed Remove the pump and listen whether this makes a difference Can be resolved by putting the pump on a flat steady surface or by placing a towel between the pump and bed If your questions are not answered by the above information please contact the manufacturer or your local dealer 17 9 Technical description 9 1 Technical specification PUMP SPECIFICATION Model Curocellvai S Voltage 2OV 240V 5060Wz i O Current consumption J O00A Fusetype TAAL 250M Cycletime Pf 10 15 200 25m
18. ould not be at the very top of the mattress There could be a risk of hitting the head in the bed when pulling down Pulling in the stairs e Start with pulling an empty mattress down the stairs in order to practice the technique e When training with a person on the mattress a string or rope can be fasten in the handles at the head end Another person can then walk behind the mattress and help out if problems should occur e It is advisable to practice in the same stairs where an evacuation can be necessary General e The main purpose of the training is not to reach high speed but to learn the correct technique Training covers e Because of the heavy strain on the equipment when evacuating always check the seams and handles at the end of training We recommend that equipment used for training is marked with Training equipment and is only used for this purpose Explanations e If the Velcro straps are not used there is a risk of the patient sliding rolling down from the mattress e Pulling at the foot end reduces the strain on the puller which means faster and safer evacuation is possible e Pulling in the stairs is the most difficult part of the evacuation and should be practiced extra carefully e The arms of the patient shall be inside of the Velcro straps This way reduces the risk of the user grabbing hold to something out of fear NOTE There is a difference in maximum user weight between use of the mattress an
19. reported to the transportation agent 23 i Manufactured by Care of sweden Supporting Life Contact Phone 46 771106600 Fax 46 325 12840 Email info careofsweden se Internet www careofsweden com Address Care of Sweden AB P O Box 146 SE 514 23 Tranemo SWEDEN Visit address Fabriksgatan 5A SE 514 33 Tranemo SWEDEN Cargo address Byns vag 4A SE 514 33 Tranemo SWEDEN Supplied by Care of Sweden and CuroCell Cirrus are trademarks of Care of Sweden AB Care of Sweden AB 2015 24
20. ressure Ulcers Quick Reference Guide Emily Haesler Ed Cambridge Media Osborne Park Western Australia 2014 1 3 Other information Action plan Pressure ulcers To achieve the best possible result for this product it is recommended that a well planned and well structured working environment be used In our guideline Action plan you will find examples which can be applied and put into practice when using our products Mattress guide This practical guide gives you as a care giver help in choosing the correct mattress from the Care of Swedens range CuroCell Cirrus 2 0 is a mattress in function group C This information can be found on our website www careofsweden com or you can order a copy from our Customer services by sending your details to info careofsweden se Evac cover A cover with protected zipper on all sides divisible top and bottom part EVaIC Functional handles for evacuation moving and transport Colour grey black 0 130kg 1 4 Evacuation instructions Evac is a mattress cover with a built in function for evacuation of bed bound users In case of fire or other emergency there is no time to think about what to do next Therefore it is very important that the safety equipment as well as the evacuation procedures are well planned and known in advance The Evac cover is equipped with three handles on the head and foot end On the sides there are handles with Velcro straps These straps are to be used to fixate th
21. s undergone fire testing it could become damaged if it comes into contact with fire sources 4 Position and use the product in a manner that prevents it from becoming trapped or damaged NOTE Be particularly aware of trapping damage when using bed rails 5 Never use the product if the pump power cord or plug is defective the pump casing is damaged or it is not functioning properly Contact a service technician for examination and repair 6 Regularly check product functionality through a hand check see section 4 4 Also check that the comfort setting is correct as indicated in the table on the pump 7 Continual monitoring is required when the product is used for individuals needing special supervision such as children 8 The mattress are protected with a hygiene cover Please try to avoid the simultaneous useof multiple hygiene cover with this mattress Because of the risk that the vapour permeability can be destroyed 9 The hygiene cover does not allow liquid or air to penetrate but is vapour permeable Make sure that the patient is positioned correctly to avoid the risk of suffocation 10 Prevent damage to the hygiene cover from sharp objects m e m e If the cover is equipped with side handles these are for lifting the mattress All other use takes place under your own liability and is not covered by the product guarantee 1 Introduction CuroCell air mattresses operate according to the alternating pressure principle a t
22. x20 cm CC 928235 90x210x20 cm CC 928231 80x210x20 cm CC 928236 105x200x20 cm CC 928232 85x200x20 cm CC 928237 105x210x20 cm CC 928233 85x210x20 cm CC 928238 120x200x20 cm CC 928234 90x200x20 cm CC 928239 120x210x20 cm Top part CuroCell LF low friction Top part with increased sliding function can be used for example heavy immobile patients Top part CuroCell LF low friction Art no Size Art no Size CC 916210 80x200 CC 916215 90x210 CC 916211 80x210 CC 916216 105x200 CC 916212 85x200 CC 916217 105x210 CC 916213 85x210 CC 916218 120x200 CC 916214 90x200 CC 916219 120x210 Art no Size 58 900905 Transport bag 105 120 cm 58 900906 Transport bag extra high 80 90 cm 58 900911 Transport bag extra high 105 120 cm To ensure the best level of comfort we recommend use of accessories from Care of Sweden since our products are designed to work well together Please contact Care of Sweden or your local dealer for accessories or more information on our products 21 12 Warranty 12 1 Scope This CuroCell system is covered by a 2 year warranty for manufacturing defects The warranty does not apply to normal wear and tear or product impairment or damage stemming from negligence or improper handling care 12 2 Service and maintenance This CuroCell mattress is a medical device in accordance with MDD 93 42 EEC that is used as an aid in preventing and treating pressure ulcers For this reason we recommend that the pump be

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