Huntleigh AUTO Logic 110, 175 & 200 and AURA Logic User Manual 2005

Contents Introduction...1 About this Manual... 1 About Auto Logic™... 1 Clinical Applications...6 Indications... 6 Contra-Indications... 6 Installation...7 Preparing the Auto Logic systems for use... 7 Installing the Auto Logic 110, 175 or the 200 Mattress... 7 Installing the Pump... 10 Installing the Aura Logic Seat cushion... 12 Controls, Alarms and Indicators...14 Controls... 14 Alarms and Indicators... 15 Operation...16 Quick Start... 16 Comfort Control... 16 Power Fail Condition... 17 To Disconnect the Tube-set... 17 Transport Mode... 17 To Deflate and Store the Auto Logic Mattress... 18 To Deflate the Aura Logic Seat Cushion... 18 CPR Control... 19 Patient Handset and Battery Pack...20 Installing the Patient Handset... 20 Installing the Battery Pack... 20 Battery Storage and Disposal... 21 Checking the Status of the Battery Pack... 22 Charging the Battery Pack... 23 Decontamination...24 During Use... 24 Routine Maintenance...25 Auto Logic System... 25 Auto Logic Pump... 25 Auto Logic 110, 175 & 200 and Aura Logic Seat Cushion... 25 Serial Labels... 25 Troubleshooting...26 Warranty and Service...27

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Technical Description...28 Cover options and features... 31

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General Safety Before you connect the system pump to a mains socket, read carefully all the installation instructions in Section 3 - Installation. The system has been designed to comply with regulatory safety standards including EN60601-1:1990/A13:1996. Safety Warnings • The cover of this product is vapour permeable but not air permeable and may present a suffocation risk. It is the responsibility of the care giver to ensure that the user can use this product safely. • Electrical equipment may be hazardous if misused. The pump's case back should only be removed by authorised technical personnel. • Do not use the pump in the presence of flammable gases such as anaesthetic agents. • To assess suitability of safety sides for the AUTO Logic™ 175 mattress replacement, the mattress provides a patient position equivalent to a 160mm thick foam hospital mattress. We would therefore recommend that in most cases safety sides of at least 380mm (160+220mm)1 above the mattress support platform are used with this product. The AUTO Logic™ 200 mattress replacement provides a patient position equivalent to a 175mm thick foam hospital mattress. We would therefore recommend that in most cases safety sides of at least 395mm (175+220mm)1 above the mattress support platform are used with this product. However, as with all bed and mattress combinations, it is important for the carers to make decisions on safety sides based on clinical assessment and in line with local hospital policy. • When assessing the suitability of safety sides for the AUTO Logic™ 110 mattress overlay, we recommend using safety side extensions due to the varying thickness of hospital mattresses. However, as with all bed and mattress combinations, it is important for the carers to make decisions on safety sides based on clinical assessment and in line with local hospital policy. • Whilst patient is unattended, safety sides should be used in line with the above information and local hospital policy. • Alignment of the bed frame, safety sides and the system should leave no gap wide enough to entrap a patient's head or body. Care should be exercised to prevent occurrence of gaps by compression or movement of the mattress. Death or serious injury may occur. Due to the inherently lower flame retardancy of the high performance eVENT® 2 fabric, it is NOT suitable for use in the homecare environment.

1. IEC 601-2-38 states that there must be a minimum clearance of 220mm between the top of the safety sides and the top of the mattress when the bed is flat and the mattress uncompressed. 2. eVENT® is a registered trademark of BHA Technologies Inc.

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Precautions For your own safety and the safety of the equipment, always take the following precautions: • Placing extra layers between the patient and the mattress/seat cushion potentially reduces the benefits provided by the mattress/seat cushion and should be avoided or kept to a minimum. As part of sensible pressure area care, it is advisable to avoid wearing clothing which may cause areas of localised high pressure due to creases, seams, etc. Placing objects in pockets should be avoided for the same reason. • Keep the pump away from sources of liquids and do not immerse in water. • Do not expose the system, especially the mattress/seat, to naked flames, such as cigarettes etc. • Do not store the system in direct sunlight. • Switch off the electrical supply to the pump by disconnecting the pump from the mains socket before cleaning and inspection. • Do not use hypercarbonate or phenolic based cleaning solutions. • Ensure the system is clean and dry prior to use or storage. • Never use sharp objects or electrically heated under blankets on or under the system. • Store the pump and mattress/seat in the protective bags supplied. • Only the pump and mattress/seat combination as indicated by Huntleigh Healthcare should be used. The correct function of the product cannot be guaranteed if the incorrect pump and mattress/seat combinations are used.

Caution Electromagnetic compatibility (EMC). This product complies with the requirements of applicable EMC Standards. The use of accessories not specified by the manufacturer may result in increased emissions by, or decreased immunity of, the equipment, affecting its performance

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1. Introduction About this Manual

This manual is your introduction to the Auto Logic™ Dual Mode support systems and the Aura Logic™ seat cushion. Use it to initially set up the mattress or seat cushion, keep it as a reference for day-to-day routines and as a guide to maintenance.

About Auto Logic™

The Auto Logic systems comprise of a mattress replacement, overlay or seat cushion, all operated by the same pump. The pump incorporates Self Set Technology (SST), which adjusts air pressure every 10 mins for the alternating mode and 20 mins for the Constant Low Pressure (CLP) mode to suit the Body Mass Index (BMI) and position of the patient. Both support systems can be used on standard hospital and domestic beds.

Auto Logic Pump

The Auto Logic pump comprises of a moulded case with non slip feet on the base and rear and integral hanging brackets. The controls are situated on the top of the pump and a sophisticated alarm system differentiates between normal operation and genuine system faults. If an alarm situation is detected an indicator will illuminate on the top and front of the pump and an audible warning will sound. Control Panel Power and Alarm Indicators

Hanging Brackets Patient Handset Socket

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Auto Logic 110 Mattress Overlay

The Auto Logic 110 mattress overlay comprises the following components: Detachable Cover

3 Static Head Cells (Dark Blue) Cover Attachment Zips

Cable Management

CPR Unit 2 Standard Cells (Dark Blue) 10 Side Supporting Cell-in-Cells (Light Blue) Fixed Tube-set

5 Standard Cells (Dark Blue)

Serial Label (Inside Base Cover) Detachable Cover

Overlay Base Cover (Including Micro Air Loss System) Corner Straps

The standard cover comprises of a 2-way stretch PU coated knitted fabric zipped to a durable nylon base. The zips are protected by flaps to prevent ingress of contaminants and allow easy removal of the cover for cleaning. Alternative covers with advanced properties, such as Advantex® and eVENT®, are also available (Refer to “Cover options and features” on page 31).

Cells

The mattress comprises of 20 polyurethane (PU) cells providing support to the user in either Alternating or Constant Low Pressure modes. The cells are slightly curved to reduce patient movement down the mattress. The side supporting cells incorporate Cell-in-Cell technology to help the transfer of patients on and off the bed by keeping the edges of the mattress firm.

Micro Air Loss System

A micro air loss system is incorporated into the base cover which de-humidifies the air surrounding the cells to reduce heat build up within the mattress and ensure patient comfort. This system is separate from the cell

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inflation to enable both micro air loss and patient transport modes to be incorporated into the mattress. CPR function

A CPR (Cardio-Pulmonary Resuscitation) control is positioned at the head end of the mattress to allow the air to be evacuated in under 10 seconds.

Tube-set

The tube-set has a 3-way pneumatic connection which incorporates a flexible, compact anti-kink tube that is resistant to crushing and any subsequent obstruction of air flow. If the tube-set is disconnected from the pump, the mattress automatically changes to transport mode.

Overlay Base Cover

The base cover for the mattress overlay is PU coated nylon on the underside. Four corner retention straps are incorporated, which slide under the corners of the base mattress.

Auto Logic 200 Mattress Replacement

The Auto Logic 175 & 200 mattress replacements are of a similar construction to the overlay with the addition of a non-slip base. Within the non-slip base, the 175 mattress includes a foam underlay and the 200 mattress has an air filled zoned sub-mattress both of which replace the need for a mattress on the bed. The base can be removed to convert the mattress replacement to an

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overlay, see your Huntleigh representative for more information. Detachable Cover

3 Static Head Cells (Dark Blue) Cover Attachment Zips

Cable Management

CPR Unit 2 Standard Cells (Dark Blue)

Fixed Tube-set

Securing Straps

Air Sub-Mattress (200 Only)

10 Side Supporting Cell-in-Cells (Light Blue) 5 Standard Cells (Dark Blue) 175 - Non-slip base including foam underlay 200 - Air Filled Zoned Sub-Mattress (Non-Slip)

The Sub-Mattress provides an integral constant pressure support which removes the need for a standard mattress. The pressure in the central zone of the pad is automatically adjusted in line with the Alternating / Constant Low Pressure (CLP) of the mattress. The pressure in the perimeter zone of the pad is maintained at a higher level to help transfer of patients on and off the bed. On the underside of the Sub-Mattress there are eight straps to attach the mattress replacement to the bed frame. The straps can be moved to any of the 10 anchor points to allow attachment of the mattress to different bed frames.

Aura Logic Seat Cushion

The Aura Logic seat cushion comprises of a pressure relieving alternating cell system and can be used on standard hospital and normal domestic chairs. The seat cushion can be operated using any of the Logic pumps. The pumps automatically recognises which

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system has been connected and adjusts the pressure accordingly. Detachable Cover

Deflation Valves (on underside for packing & storage) Alternating Cells Zip

Non-Slip Base

Serial Label (Inside Base Cover) Fixed Tube-set

Fixing Straps Battery Pack (Optional)

The Battery Pack is an optional extra and allows the pump to operate for a minimum of 8 hours without a mains power supply. The Battery Pack easily slides onto the base of the pump and will recharge itself when the pump is operating from the mains power supply.

Patient Handset (Optional)

The Patient Handset is an optional extra and gives the patient control over the comfort settings of the mattress and also enables the patient to mute the alarm.

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2. Clinical Applications Indications

The Auto Logic systems are indicated for patients weighing up to 180 kgs (28 stones) and are suitable for the prevention of pressure ulcers and management of pressure ulcers (Grade 1, 2 & 3 EPUAP 1999)1. The Auto Logic systems may be used for patients with severe pressure ulcers (Grade 4) with frequent monitoring and repositioning. The Aura Logic seat cushion is indicated for patients weighing up to 180 kgs (28 stones) and is suitable for the prevention and management of all grades of pressure ulcers.

Contra-Indications

The Auto Logic systems in both alternating and Constant Low Pressure modes should not be used for patients with unstable spinal fractures. In the case of patients with other unstable fractures, where a moving surface can be harmful, advice should be obtained from the appropriate physician before using the Auto Logic system in either mode. The Aura Logic seat system should not be used for patients with poor sitting balance.



The Auto Logic systems and Aura Logic seat cushion are 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. The above are guidelines only and should not replace clinical judgement or experience.

1. European Pressure Ulcer Advisory Panel (1999), Guidelines on Treatment of Pressure Ulcers EPUAP Review 1(2):31-33.

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3. Installation Preparing the Auto Logic systems for use The system is very simple to set up using the following guidelines: 1. Remove the system from the packaging. You should have the following items: • Auto Logic pump including mains power cord and hanging brackets. • Either the Auto Logic 110 mattress overlay, the Auto Logic 200 mattress replacement or the Aura Logic seat cushion, which all have integral tube-sets. • Cover. • Patient Handset (optional). • Battery Pack (optional). Installing the Auto Logic 110, 175 or the 200 Mattress Auto Logic 110 Mattress Overlay

If you have the Auto Logic 110 mattress overlay system, it should be installed as follows: 1. Place the overlay on top of the base mattress, with the tube-set located near the foot end of the bed and the CPR at the head end. The cells of the mattress must be uppermost. Caution

Do not use the Auto Logic 110 mattress overlay directly on the bed frame.

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2. Secure the overlay to the base mattress by placing and tightening the four long straps under the corners of the base mattress.

Auto Logic 175 or 200 Mattress Replacement

If you have the Auto Logic 175 or 200 mattress replacement system, it should be installed as follows: 1. Remove the existing mattress from the bed frame and check that there are no protruding bed springs or sharp objects on the bed frame surface. 2. Unroll the mattress onto the bed frame and ensure that the tube-set is located near the foot end of the bed and the CPR at the head end. The cells of the mattress must be uppermost. 3. Attach the mattress to the bed frame using the 8 fastener straps.



The 8 fastener straps can be moved to any of the 10 anchor points on the base of the mattress replacement. This allows for attaching the mattress to different types of bed frame. If the bed can be profiled to any position (i.e. raised or lowered), attach the mattress to the movable parts of the bed only.

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To Complete the Mattress Installation

Complete the installation of the mattress overlay or the mattress replacement as follows: 1. If not already fitted, place the protective cover over the mattress. Ensure that the Huntleigh logo is uppermost and at the foot end of the mattress. “Clic

k”

2. Zip the cover onto the mattress starting from the head end and taking care not to trap any material in the zip. 3. Ensure that the CPR unit is clicked into the closed position.



The CPR must be accessible at all times. WARNING

Make sure that the mains power cable is positioned to avoid causing a hazard and is clear of moving bed mechanisms or other possible entrapment areas. Refer to “Cable Management” on page 11.

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Installing the Pump

The pump should be installed as follows: 1. Position the pump, feet down, on any convenient horizontal surface or alternatively suspend from the bed foot rail by means of the swing out hooks. 2. Ensure that the mattress/seat tube-set is not "kinked" or twisted and connect it to the pump until it clicks into place. Ensure that the tube-set is securely connected to the pump. 3. Insert the mains power plug into a suitable mains power socket. ” ick “Cl

Battery Pack Patient Handset

If you have a battery pack, refer to “Installing the Battery Pack” on page 20. If you have a Patient Handset, refer to “Installing the Patient Handset” on page 20.

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Cable Management

If using the mattress replacement or mattress overlay, the power cable can be positioned in the cable management flap running down the side of the mattress as follows: 1. Locate the flap running along the mattress on the opposite side to the tubeset and CPR. 2. Run the straight part of the cable along the side of the mattress securing the flap round the cable using the press studs.

System Operation

The system is now ready for use. Refer to “Controls, Alarms and Indicators” on page 14 and “Operation” on page 16 for day-to-day operating instructions.

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Installing the Aura Logic Seat cushion The system should be installed as follows: 1. Check that there are no sharp objects on the chair which may puncture the cushion. 2. Place the cushion on top of the chair surface. From a standing position in front of the chair and facing it, ensure that: • The cells are uppermost. • The tube-set appears from the front right corner of the cushion. • The cells in the seat cushion are in a horizontal position across the chair, with the ‘V’ shape pointing towards the front.

Cautions • Do not use the Aura Logic seat cushion without a foam cushion beneath it. • Always use the Aura Logic seat cushion with the protective top cover. • Always use the Aura Logic seat cushion in the correct orientation. • Avoid trailing cables - ensure that cables and tubing are positioned beneath the chair to avoid causing a hazard. 3. Secure the seat cushion to the chair by using the fixing straps as shown in the following illustrations. 12

4. If the chair is of the open sided construction, then fix the cushion as shown below:

5. If the chair is of the closed side type with a removable seat cushion, fix the seat cushion as shown below:

6. If the chair is of the closed side type with a nonremovable seat cushion, then security will rely on the anti-slip base material of the seat cushion. 7. Place the protective cover over the seat cushion and ensure that the Huntleigh H and the orientation icon, printed on the cover, are uppermost and at the front of the seat. 8. Zip the cover onto the seat cushion, taking care not to trap any material in the zip. 9. Connect to the Auto Logic pump, refer to page 10.

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4. Controls, Alarms and Indicators Controls Wait Indicator

Run/Standby

Low Pressure Indicator Comfort Controls

Alarm Mute

Constant Low Pressure Mode (CLP)

Battery Low Indicator Service Indicator

Run/Standby Button

Power Fail Indicator

Pressing the Run/Standby button will activate the pump. The green indicators on the control panel and the front of the pump will illuminate when the pump is on. To switch the pump to Standby, the button must be pushed for 2 seconds. This prevents accidental operation.

Alarm Mute

During an alarm condition (except Power Fail Alarm), the sound of the alarm can be muted by pressing this button. The yellow indicator will then remain on but the alarms will be muted for 15 minutes or until the alarm condition has been corrected. This can be controlled using the Patient Handset (optional).

Constant Low Pressure (CLP) Mode

Selects the Constant Low Pressure (CLP), nonalternating mode. The orange indicator will illuminate when the pump is in this mode. When the alternating mode (default) is selected, the orange indicator will be switched off.

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Comfort Control

Two buttons control the relative firmness/softness of the mattress/seat cushion for patient comfort. The pressure setting is indicated by the yellow indicator to the left of the buttons. This can also be adjusted using the Patient Handset (optional).

Alarms and Indicators Wait Indicator

The yellow Wait indicator is illuminated when the mattress/seat is being inflated. The indicator will remain illuminated until the mattress/seat has been fully inflated.

Low Pressure Indicator

The red Low Pressure indicator is illuminated whenever the pump detects low pressure within the mattress/seat. An audible alarm will sound unless cancelled by the mute button. The indicator will extinguish once normal pressure is reached.



See “Troubleshooting” on page 26 for possible causes of Low Pressure.

Battery Low Indicator

The yellow Battery Low indicator will illuminate 2 hours before battery failure. 1 hour before battery failure, the pump will default to Constant Low Pressure (CLP) mode, an audible alarm will sound and the yellow indicator will flash.

Power Fail Indicator

The red Power Fail indicator will illuminate when a mains power failure has been detected and no battery backup is available. An audible alarm will sound until power is resumed or the pump is switched off using the run/standby button. If a Power Fail condition arises and no battery is connected, disconnect the tubeset from the pump. This will put the mattress into transport mode (Refer to page 17).

Service Indicator

The yellow Service indicator will illuminate and remain on after a set number of running hours. This indicates that the pump is ready for a service. The pump will continue to function normally even when the service indicator is illuminated. If the yellow Service indicator flashes, the pump has detected an internal fault and a Service Engineer should be called. 15