User Manual arsos®filius
Contents
1. Instable fractures loss of sensitivity pressure ulcers stage III IV according to EPUAP with High to Very High Risk according to Braden Patients with 10 kg and gt 50 kg body weight User manual arsos filius dexos light wds Version 1 1 JS 12 Technical data Item No Material Dimensions cm Weight Warranty Electrical connections Protection class Fuse Cleanng T H H Warranty only valid in case of production or material failures Mattress arsos filius 100 510 DL wds Polyurethane 140 x 90 x 11 5 ca 16 3 kg 2 years Wipe disinfectable with adequate detergents 13 air foam combinations Item No 111 500 111 540 111 550 111 510 nn Description arsos light stage I II up to 150 kg stage Ill arsos filius stage I II 20 100 kg stage Il arsos plus stage I II up to 250 kg stage Ill arsos filius stage I II 20 100 kg stage Ill dexos light E ur Pump dexos light wds 111 203 wds new ABS REED ca 1 5 kg 2 years 230 V 7 W ll 230 V 500 mA slow Wipe disinfectable dexos autoplus stage IV stage Ill stage IV stage IV User manual arsos filius dexos light wds Version 1 1 JS Cover 111 542 PU PA 200 x 95 x 12 ca 0 2 kg 95 C washable dryer can be used to 50 C lenos light stage IV stage IV stage IV stage IV E2. E ca User Manual arsos filius dexos light wds Item No 111 510 DL wds Ulcer Pressure Relief System Assembly and Operation instructions Mattress arsos filius Power unit C dexos light wds pressure relief products Health Security Independence E Aca List of contents of List of contents Foreword page 3 1 Safety Instructions page 4 2 Product overview arsos filius dexos light wds page 4 3 Introduction page 5 4 Explanation of indications and functions page 5 5 Installation arsos filius page 6 6 Installation dexos9 light wds page 6 7 Other settings page 10 8 Auxiliary functions page 10 9 Cleaning instructions Service page 12 10 Troubleshooting page 13 11 Indications Contra indications page 14 12 Technical data page 15 13 air foam combinations page 15 User manual arsos filius dexos light wds Version 1 1 JS E Aa Foreword Dear client You are now holding the user manual of the arsos filius therapeutic support system of ADL9 GmbH in your hands arsos filius is a mattress replacement system divided into three segments with 28 20 independent removable air foam cells This air foam technology enables the mattress by means of air support to adjust itself to the weight and convenience of the patient The functions are based upon known mechanisms The system is equipped with a soft foam mattress with reinforced edges Further arsos filius is a dyna
3. Please note that the power unit should not be covered in any way as thermal damage can occur 2 Connect the tubes to the power unit by connecting the tube connectors The connector must give a clear clicking sound Check with a short pull at the tube if the connecter is rightly adjusted Please check rubber O rings on regular intervals END User manual arsos filius dexos light wds Version 1 1 JS E ca Connection scheme arsos filius mattress with power unit dexos light wds Group A Cells pair 1 2 7 8 13 14 19 20 Group B Cells pair 3 4 9 10 15 16 Group C Cells pair 5 6 11 12 17 18 3 Check if the tubes are not bent or clamped between other parts 4 Put the power supply plug in and switch on the unit with the power button When the lights at the display are lighting up the unit is operational The power unit is pre adjusted so at the start a pressure is building up in the system right between the minimum and maximum level The unit starts up in alternating mode with a 5 minute cycle 6 The red alarm light is flashing and the system will start to be filled with air The red alarm light is put out of circuit when the process is completed After 15 20 minutes the system is filled and you can put the patient on the mattress The red alarm light should be put out of circuit when the patient is laying on the mattress It has no meaning when the alarm now and then briefly flashes When pressure drops b
4. A In case of technical problems please contact your appointed dealer or direct to ADL GmbH Dealer stamp ADL Medical B V International Maidstone 28 5026 SK Tilburg The Netherlands Phone 31 0 13 5772 088 Fax 31 0 13 5772 648 E mail info adlmedical nl Internet www adlmedical nl Qualit tsmanagement Wir sind zertifiziert Ragolmabige trowillige berwachung nach EN ISO 13485 2003 AC 2007 Copyright by ADL GmbH Muenster Version 09 2011 ADL9 GmbH Lise Meitner Stra e 3 48161 Muenster Germany Phone 49 0 2534 6224 0 Fax 49 0 2534 64270 ADL9 GmbH Production and service centre Erfurt Thoereyer Strasse 1 99334 Ichtershausen Germany Phone 4 49 0 36202 7519 0 Fax 49 0 36202 751912 E Mail infoQpadl gmbh de Internet www adl gmbh de User manual arsos filius dexos light wds Version 1 1 JS
5. d High o 00000000000 oi A Cell group A O Cell group B Q Cell group C in the sacral area Optimal support of the patient Knee joints lumbar and cranial lordosis are supported o Cell group O Cel group B Cell group C min 3 4 cm O Patient may not Cell group x o ed Static pressure sink to the base Every cell has equal pressure of the bed Cell group C User manual arsos filius dexos light wds Version 1 1 JS ES Aa 7 7 Other settings 7 Other settings Static e In case of a contra indication for alternating pressure the system can be switched to static mode by pressing button static alternate The light will change from blue to green static In static mode all cells of the system will be filled with air to the set pressure level In static mode all cells are active therefore it is necessary to reduce the set pressure with about 5 10 mbar 1 2 steps on the scale To switch back to alternating mode again press button static alternate The light will change from green to blue alternate In alternate mode 2 out of 3 cells are filled with air to the set pressure level One cell remains without pressure Don t forget to increase the pressure when switching over to alternating pressure with the same difference used to reduce switching over to static mode Cycle time 2 The cycle time on the power unit c
6. joint the 6 Blue lights lumbar and neck lordosis in order to check if 7 Blue lights supporting material is present When the patient sinks to far in the mattress the so called Hammock 8 Blue lights 45 55 mbar ca gt 80 kg effect occurs This should be prevented at all times But it is imperative to check the pre adjustment with a hand check Move your hand under the knee joint the lumbar and neck lordosis In order to check if supporting material is present When the patient sinks too far in the mattress the so called hammock effect occurs This should be prevented at all times When pressure is to high there will be a lack of supporting material underneath the lumbar and cranial lordosis and the knee joints The situation can be improved by pressing button W lower When pressure is too low hammock effect press button A higher Please note that status of the air cells is to be checked daily and whenever required adjustment is needed Each time when changing the pressure level you have to wait for the same time interval of the set cycle time before the right level has been reached Only after this you can check the contact area again User manual arsos filius dexos light wds Version 1 1 JS 1 4 gt B D LU D w Q o E Principle of alternating pressure Gaas every second cells pair deflated showing group B Cel group C Hammock effect to be avoided at any time
7. an be varied from 5 to 20 minutes By pressing button Cycle cycle time can be changed from standard 5 minutes with equal steps of 5 minutes to a maximum of 20 minutes Within one cycle all three cell groups are inflated and deflated once 8 Auxiliary functions 1 Key lock The keyboard has a key lock that is activated after about 5 minutes This is to prevent an unintentional displacement of the set values The key lock is released by simultaneous actuation of the following buttons alarm and pressure and pressure After this the settings can be changed 2 Brightness of the display The brightness of the display can be set in 3 stages with the key combination alarm and static alternate The starting situation is the brightest By actuating the key combination it sets the display less bright User manual arsos filius dexos light wds Version 1 1 JS E A0 3 Power failure alarm When the power system to which the unit is connected fails there is a power failure alarm The unit beeps and the red alarm light flashes The acoustic alarm can be disabled with the alarm and power button When the power supply is restored the alarm will also be disabled 4 Memory function The unit has a memory function This means when the power is interrupted the unit will remember the set values up to about 24 hours Thus after transfer of a patient connecting to the power supply again and switching on the un
8. elow the set level the red alarm light is blinking again for a long time Together with the optic alarm the power unit has an acoustic alarm The acoustic sound can be switched off and on with the alarm button User manual arsos filius dexos light wds Version 1 1 JS E urs 2 There are no standard settings The most effective pressure level can be set with the pressure setting button The scale is divided into 8 parts After the power unit is turned on the standard pressure is set in the middle of the scale about 30 mbar Pressure can be lowered by repeated pressing on the left button W lower to about 5 mbar By repeated pressing on the right button A higher a maximum pressure of 60 mbar can be set Try to reach an as large as possible contact surface This will reduce the pressure at the patient s skin to a minimum If you need an indication for a pre adjustment you may use the following table Indication mbar pressure to body weight No of lights body weight The weight intervals only give a rough indication for 1 Blue lich SE E pre adjustment and check of the setting It can never be an exact measure for the most effective 2 Blue lights contact area of the body How far the body sinks 3 Blue lights into the mattress is not only determined by the 5 weight but also by length and shape It is imperative DELIS to check the pre adjustment with a hand check 5 Blue lights Try to move your hand under the knee
9. isted or kinked Air cell defect Tubing defect Pressure not correctly set No power available Power supply plug defect power cord defect safety fuse defect Defect air cell defect tube CPR valve open connectors not properly connected User manual arsos filius dexos light wds Version 1 1 JS Measure Check connection and position of the tubes Check cells and tubing connections Check if the tubings are properly functioning Check if cells are in proper position Check pressure setting Check power supply plug and partition socket Check the safety fuse Check cells tubes CPR valve and connectors check if pressure at the outlet of the power unit is within tolerance ES Ai 11 Indications Contra indications Contra indications Function Alternating pressure with dexos light wds Static soft bedding with dexos light wds Indication Decubitus prevention and therapy support up till stage III according to EPUAP with High Risk according to Braden Patients with lt 50 body weight Pressure ulcers prevention and therapy support up to stage Ill according to EPUAP with high risk according to Braden Pain muscular hypertonia Counter indication Instable fractures loss of sensitivity pain muscular hypertonia e g contractions spasms pressure ulcers stage Ill IV according to EPUAP Patients with 10 kg and 50 kg body weight
10. it is sufficient to continue with the same settings as before 5 Reset function By pressing the buttons alarm and cycle the device can be put back to factory settings All settings are lost The factory settings are alternating pressure mode with pressure at 20 mbar cycle time at 5 minutes audible and visual alarm User manual arsos filius dexos light wds Version 1 1 JS E urs 9 9 Cleaning instructions Service instructions 9 Cleaning instructions Service During use the mattress and tubes should be cleaned weekly using a damp soft cloth and mild detergent or non phenol germicidal solution Never use any detergents containing aldehyds After changing to another patient the mattress should be disinfected by a accredited company approved by the Robert Koch Institute Please ensure conformity to the European guideline for medical devices directions for preparation of medicine products and directions for hospital hygiene and prevention of infections from the Robert Koch Institute or other guidelines they rule The PU cover can be washed to a maximum temperature of 95 C and be prepared after a thermal process e g Ottalin Peracet process When disinfecting the mattress a maximum temperature of 75 C should be kept In case of an arsos filius Mattress with an alternating power unit this should be cleaned with an damp cloth and soap detergent or a mild non aldehyds cleaning detergent Disi
11. mic or when needed static air filled mattress with an 11 5 cm safety foam layer which prevents the patient to sink to the bed base level in case of a system disorder When changing treatment of the patient the foam mattress can be converted into a dynamic system through connecting the mattress to different control power units e g dexos light wds or dexos autoplus The composition of the system can be considered a system in a system making adaptations possible to suit a wide variety of diseases This module concept also combines more advantages concerning the safety aspects as the protection of the bed side rails when large cell systems are being used Higher bed side rails which head contain again safety problems by falling heights do not become any longer necessarily as the employment of the arsos filius mattress offer appropriate defaults that are kept in accordance with DIN EN 1970 2000 and DIN EN 60601 2 38 With the writing of this user manual the product management of the ADL9 GmbH has set itself the goal to create a good and understandable aid and guidance for the employment of the system If nevertheless questions remain please ask your provider for direction and assistance Your ALT GmbH User manual arsos filius dexos light wds Version 1 1 JS ES AX 1 Safety Instructions 1 Safety Instructions The system may not be used in presence of open flames heaters a o s Protect the
12. nfection with cleaning on locations is also possible when instruction for use and process time are properly followed Recommended disinfectants BACILLOCID RASANT BODE BACILLOL AF BODE BACILLOCID SPEZIAL BODE KOHRSOLIN FF BODE KOHRSOLIN BODE MICROBAC FORTE BODE DISMOZON PUR BODE INCIDIN FOAM ECOLAB INDUR DES ECOLAB Check with your supplier that the disinfectant does not damage plastic surfaces PUR PA ABS PVC Prevent contact on electrical components with damp or moisture Cleaning cloths should be damp not wet Carefully check no moisture remains in the system Execute a functions control procedure before using the system again E Check your cleaning process on effectiveness on a regular basis User manual arsos filius dexos light wds Version 1 1 JS E AC ADL9 GmbH prescribes safety related revisals of all electric powered parts after at least 2 years The rules for accident prevention BGV A2 will remain unaffected The revisals may only be conducted by especially trained personal 10 Troubleshooting Module arsos filius dexos light wds n H Problem Mattress is not or insufficiently inflating The patient sinks to deep into the mattress The power unit does not operate blue lamp at the switch is not illuminated Red alarm light is flashing and the acoustic alarm sounds Cause Connectors are not accurately locked Tubes are tw
13. on 1 1 JS 3 Introduction arsos filius dexos light wds is an air mattress system meaning that no extra treatment nursing mattress is required This system is suitable for patients with a body weigth from 20 100 kg Please note that these weight indications are applicable for patients in a laying position Other positions will result in another distribution of weight The core of soft foam will ensure adaptation to the shape of the human body which results in an as large as possible surface and maximum pressure relaxation The reinforcements of the foam edges are an advantage for the sense of feeling and the mobility of the patient Touching the bed base is prevented by the 11 5 cm foam core in the cell of the arsos filius modules This also helps to ensure compliance and conformity to DIN EN 1970 2000 and DIN EN 60601 2 38 because even with full air pressure in the cells the safety function of the bed rails remains unchanged 4 Explanation of indications and functions On off switch Power o9 Pressure setting Pressure A higher v lower e Cycle time Cycle Mode Static Alternate e Alarm button Alarm User manual arsos filius dexos light wds Version 1 1 JS BENT Aa 5 Installation arsos filius 5 Installation arsos filius arsos filius Position the arsos filius on the bed base frame and fix fixation straps to the bed to the up and down moving parts of the bed If not prope
14. rly attached to the bed can result in damage to the bed and mattress G Place the mattress in such a way that the tubing s are located at the foot end of the bed Verify the CPR function is closed CPR Quick deflating function In systems with a valve this should be in horizontal position in systems with a plug closure have all plugs put firmly in The CPR is designed to deflate the mattress immediately 5 The dual stretch and breathing cover is to be fixed to the bed base with the zipper on both sides Before putting the patient on the mattress you can fill air into the system with a hand pump As this is a 3 chambers system there will be 3 tubes at the foot end D After placing the patient on the mattress the power unit must be connected to the mattress Cover the mattress only with a cover normally used within nursing environments Remove the existing nursing mattress Only use covers which are properly sized and sufficiently elastic in order to prevent the hammock effect see page 7 Creases in the sheets can be smoothed from time to time but do not tuck the sheets underneath the mattress as the tension of the sheets can increase pressure 6 Installation dexos light wds e Before hanging the power unit at the foot end of the bed you have to mount the bracket at the back of the power unit Slide the bracket from below up into the fixation slot Hang the power unit at the foot end of the bed but you can also put it under the bed
15. system against humidity Operate it only in dry areas No combustible gasses of liquids may enter into the system EXPLOSION DANGER Warning Note The compressor is under power as soon as the power supply plug is put in Before opening the housing of the compressor the power plug is to be unplugged Repairs must be performed only by qualified personnel The compressor may only to be used for it s purpose In case of damage to the compressor the power supply plug must be unplugged immediately A damaged power supply cord should be replaced immediately Only room temperatures of 0 35 C provide assurance to good compressor operation The use of a pressure relieving mattress will not eliminate the need for a turning routine for the patient Do not remove except for repairs any cells from the system When applicable batteries and accumulators should be disposed on a proper way These materials are not suitable to be disposed with normal house garbage 2 Product overview arsos filius dexos light wds Units Parts list Item No 1 Mattress with 28 20 Cell tubes 6 fixation straps 111 510 DL wds and bi elastic washable PU cover 1 dexos light wds power unit incl power cord 1 Service manual 999 190 1 User Manual arsos filius dexos light wds 112 002 GB Spare PU cover 111 512 Spare cell 111 513 Spare power unit dexos light wds 111 203 DL wds incl power cord User manual arsos filius dexos light wds Versi
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