Parker Instructions for Use

Contents Foreword ... 4 Intended Use ... 5 Safety Instructions ... 6 Preparations ... 7 Parts Designation ... 8 Control Panel ... 10 Hand Controls ... 11 Product Description/Functions ... 12 Drain Control Knob ... 12 Auto Fill Function ... 12 Scalding Protection ... 12 Temperature Display ... 12 Emergency Stop ... 13 Shower Handle ... 13 Functions Lock ... 13 Door Lock ... 13 Air Spa System (option) ... 14 Sound & Vision® System (option) ... 14 Disinfection Unit (option) ... 15 Battery Back-up ... 15 Head Cushion, Back Support Cushions and Leg Rest (accessories) ... 16 Bathe Patient ... 17 Bathe Patient using a Standing & Raising Aid ... 23 Bathe Patient using a Ceiling Lift ... 26 Cleaning and Disinfection Instructions ... 28 Care and Preventive Maintenance ... 42 Troubleshooting ... 47 Technical Specifications ... 49 Labels ... 54 Electromagnetic Compatibility ... 57 Parts and Accessories ... 60

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Foreword Definitions in this IFU

Thank you for purchasing Arjo Equipment Your Parker® is part of a series of quality products designed especially for hospitals, nursing homes and other health care uses.

WARNING Means: Safety warning. Failure to understand and obey this warning may result in injury to you or to others.

Please contact us if you have any questions about the operation or maintenance of your Arjo equipment. Please read this Instructions for Use thoroughly! Please read this Instructions for Use (IFU) in its entirety before using your Parker bathing system. Information in this IFU is crucial to the proper operation and maintenance of the equipment, will help protect your product, and ensure that the equipment performs to your satisfaction. Some of the information in this IFU is important for your safety and must be read and understood to help prevent possible injury.

CAUTION Means: Failure to follow these instructions may cause damage to all or parts of the system or equipment. NOTE Means: This is important information for the correct use of this system or equipment.

Unauthorized modifications on any Arjo equipment may affect its safety. Arjo will not be held responsible for any accidents, incidents or lack of performance that occur as a result of any unauthorized modification to its products.

Means: The name and address of the manufacturer.

Serious incident If a serious incident occurs in relation to this medical device, affecting the user, or the patient then the user or patient should report the serious incident to the medical device manufacturer or the distributor. In the European Union, the user should also report the serious incident to the Competent Authority in the member state where they are located.

Service and Support A service routine has to be done to your Parker bath to ensure the safety and operating procedures of your product. See section Care and Preventive Maintenance on page 42. If you require further information, please contact Arjo for comprehensive support and service programs to maximize the long-term safety, reliability and value of the product. Contact Arjo for replacement parts. Contact information appears on the last page of this IFU.

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Intended Use Installation requirements

The Parker bath is intended for assisted bathing and showering of dependant patients and residents in hospitals and care facilities.

The equipment must only be used for the purposes stated above and must be installed according to the Assembly and Installation Instructions, which can only be superseded by local code.

The bathing must be assisted by appropriately trained caregivers with an adequate knowledge of the care environment and its common practices and procedures, and in accordance with the guidelines in the Instructions for Use (IFU). Transfer to the bathtub shall take place by means of an appropriate transfer device.

Expected service life The expected lifetime of this equipment, unless otherwise stated is ten (10) years, subject to required preventative maintenance as specified in the section Care and Preventive Maintenance, the Assembly and Installation Instructions and the Parts List.

The bathtub must be disinfected according to instructions in the IFU. The Parker bath should only be used for the purpose specified in this IFU. Any other use is prohibited.

Indication for Use The Parker bath can be used for alleviation of, or compensation for an injury or disability associated with dependant persons with reduced mobility.

Patient/Resident Assessment We recommend that facilities establish regular assessment routines. Caregivers should assess each patient/resident according to the following criteria prior to use: •

The residents weight should not exceed 210 kg/ 463 lbs (Max Patient Weight). • Active and semi-active residents (i.e. able to sit upright self-supported on the side of a bed or toilet) can use the bath correct transfer equipment shall be used, if needed. • Residents with no capacity to support themselves at all (i.e. able to sit upright with support) can use the bath, only with a ceiling lift and a 2-point spreader bar with loop sling for transfer and bath. • The resident should have the ability to understand and respond to instructions, or have limited physical capacity to move, to ensure a safe position during the bathing procedure. If a patient/resident does not meet these criteria an alternative equipment or system shall be used.

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Safety Instructions WARNING To avoid injury to both the patient and the caregiver, never modify the equipment or use incompatible parts.

WARNING To avoid explosion or fire, never use the equipment in oxygen rich environment, in presence of heat source or flammable anaesthetic gases.

WARNING To avoid electric shock, never use other electrical equipment near this device.

WARNING To avoid injury, make sure that the patient is not left unattended at any time.

WARNING To avoid the device in use from tipping, do not raise or lower other equipment close to it and be aware of stationary object when lowering.

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Preparations Site Preparations

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Prior to the installation of the Parker bath the floor and walls within the required area must be finished. Material: The floor should be made of a slip-resistant material, free of bumps.

To prevent scalding, make sure that the water mixer has been calibrated. Confirm that responsible organization has established calibration routines.

Floor Slope: When using a floor drain, the slope towards the drain should not exceed 1:50.

Make sure the Parker bath thermostatic mixer has been calibrated according to the Assembly and Installation Instructions by qualified personnel or an Arjo technician.

Floor attachments: The floor construction must be suitable for anchoring the bolts

11 Make sure to have a rescue plan ready in case of a patient emergency.

Actions Before First Use (11 steps) 1 Visually check the package for damage. If the product looks damaged due to freight, make a complaint to the transport agency. 2 3

Actions Before Every Use (3 steps) 1 Check that all parts are in place. Compare to section Parts Designation on page 8.

The packaging should be recycled according to local regulations. Install the Parker bath by qualified personnel. See Assembly and Installation Instructions.

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Check that all parts of the product are supplied. Compare with section Parts Designation on page 8. If any part is missing or damaged - do NOT use the product.

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Unpack the hand control(s) from the plastic.

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Read the IFU.

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Disinfect the product according to section Cleaning and Disinfection Instructions on page 28.

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Perform a functionality test. See section Care and Preventive Maintenance on page 42.

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Choose a designated area, where the IFU should be kept and is easily accessible at all times.

WARNING

2

If any part is missing or damaged - do NOT use the product.

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WARNING To prevent cross-contamination, always follow the disinfection instructions in this Instructions for Use. Before every use, make sure the Parker bath is cleaned and disinfected according to section Cleaning and Disinfection Instructions on page 28.

NOTE If you have any questions, please contact your local Arjo representative for support and service. The contact numbers appear on the last page of this IFU.

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Parts Designation 26 Compartment for disinfectant bottle (with Disinfection option)

1 Trigger handle 2 Lock button

27 Sound & Vision system speakers (with Sound & Vision system option)

3 USB connection (with Sound & Vision system option)

28 Disinfection suction part (with Disinfection option)

4 USB memory stick (with Sound & Vision system option) 5

Disinfectant flowmeter (with Disinfection option)

6

Sound & Vision system hand control (with Sound & Vision system option)

7

Disinfection spray handle (with Disinfection option)

29 Disinfectant bottle (with Disinfection option) 30 Lock keys for disinfectant compartment (with Disinfection option) 31 Head cushion (accessory) 32 Back support cushions (accessory) 33 Leg rest (accessory)

8 Door lock handle 9

Shower stand (for UK only)

Type B Applied part. Degree of Protection - Electrical shock

10 Filling spout 11 Shower holder/shower handle 12 Emergency stop button 13 Grab handle 14 Hand control 15 Cover (with Disinfection and/or Sound & Vision system option) 16 Control panel 17 Door hinge 18 Sound & Vision system light (with Sound & Vision system option) 19 Water sensory knobs (3 pcs) 20 Drain 21 Drain control knob with built-in surface overflow outlet 22 Disinfectant/Rinsing Inlet (with Air Spa system option) 23 Bathtub 24 Air Spa system outlets (9 pcs) (with Air Spa system option) 25 Height adjustable feet 8

2 3

1

4 5 6

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MIX

7

8

9

10 11 12

14

13

15 16 17

21 22

27

18 19 20

28

23 24 25

29

26

30

31

32

33

9

Control Panel

1

8

2

9

3

10

4

5

11 12

13

6

7

14 15

1

LED for shower indication

8

Auto fill ON/OFF

2

Filling water and Shower temperature display with scalding protection

9

Shower ON/OFF

3

Bath water temperature display with scalding protection.

4

LED, lock function indicator

11 Air Spa system - foot well ON/Intensity/OFF (option)

5

Mixing gradient

12 Function lock ON/OFF

10 Air Spa system - whole tub ON/Intensity/OFF (option)

6 LED, ON/OFF disinfectant indicator (option)

13 Knob for water temperature adjustment

7 Disinfection ON/OFF (option)

14 LED, battery back-up indicator 15 LED, mains indicator

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Hand Controls Hand Control 1

Raise bathtub

2 Lower bathtub 1

3

2

4

3 Tilt bathtub to upright position 4

Tilt bathtub to reclined position

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Air Spa system - whole tub ON/Intensity/OFF (option)

6

Air Spa system - foot well ON/Intensity/OFF (option)

5 6

Sound & Vision® System Hand Control (option) 1 2

3

1

LED - activity indicator

2

Sound & Vision system light - ON/OFF

3 Automatic light colour change - ON/OFF 4

5

8

6

7

4

MP3 player ON/PAUSE

5

Reduce (–) volume.

6

Increase (+) volume

7

MP3 track forward

8

MP3 track reverse

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Product Description/Functions Fig. 1

Drain Control Knob The drainage plug opens and closes by turning the drain control knob in the bathtub. (See Fig. 1) •

Open - turn clockwise

• Close - turn counter clockwise The drain control knob is equipped with a built in surface overflow outlet to prevent water from overflowing the tub.

Auto Fill Function Fig. 2

The auto fill function prefills the footwell. (See Fig. 2) • • • •

Activate it by pressing the auto fill button. Once the filling level is reached it stops by itself. Press the auto fill button again and filling continues for another 60 s. Stop filling at any time by pressing the auto fill button.

Scalding Protection If a dangerous temperature level of 45 °C (113 °F) is reached, the electronic scalding protection shuts off the water after 10 s. •

Activated scalding protection: a yellow flashing light and a beeping sound on both temperature displays. If scalding protection turns on, get the patient out safely. Stop using the bath and contact an Arjo service technician.

Temperature Display Fig. 3

The Parker bath has two temperature displays: (See Fig. 3) •

•

Top temperature display: shows the active filling or shower temperature. If filling or shower is not turned on, the display shows “– –. –” During disinfection the display shows the temperature of the disinfectant mixture. The bottom temperature display: shows the current bathtub water temperature.

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Emergency Stop

Fig. 4

•

Press the emergency stop button, to stop all functions. (See Fig. 4) • To release the emergency stop button, turn it clockwise. (See Fig. 4) If the emergency stop button was used due to an equipment error, stop using the bath and contact an Arjo technician.

Shower Handle The shower handle is located in the holder or the stand. (See Fig. 5)

Fig. 5

•

Press the shower button to start the shower. The green LED will turn on when active. • Press the trigger on the shower handle to regulate the water. Hold the trigger in for constant water flow. To get continuous water flow without having to hold in the trigger do as follows:

Lock Button

• Trigger •

Press the trigger and push the lock button on the side. The water will continue to flow without having to press the trigger. Unlock by pressing the handle trigger and the lock button will pop out by itself.

Functions Lock Press the function lock button on the control panel and it locks all the functions except:

Fig. 6

• scalding protection • emergency stop For example, if the function lock is activated during a shower, the shower can only be turned off after deactivating the function lock. The function lock LED is flashing yellow when active. A

Door Lock The Parker bath has a door handle that works as a door lock.The door handle needs to be aligned with the sticker showing an open or closed lock. (See Fig. 6) • •

To unlock the door: press the door handle down until aligned with the sticker showing an open lock. (A) To lock the door: press the door handle up until the handle is aligned with the sticker showing a closed lock. (This may require some physical force). (B)

B

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Air Spa System (Option) A Parker bath with Air Spa system allows the patient to sit comfortably and enjoy a massage by air jets in the water. Both the Air Spa system tub button and the Air Spa system footwell button have two adjustable intensities that can be selected. The maximum session time is 15 minutes. The Air Spa system can be activated either for the whole bathtub or just in the footwell. NOTE Operating the Air Spa system with soapy water can cause excessive foaming.

Sound & Vision® System (option)

WARNING To avoid electric shock, only use the USB memory stick in the connector on the bath. NOTE Operating the hand control or control panel in the vicinity of other electrical appliances may lead to unintended compatibility actions with other equipment.

Fig. 7

The USB outlet is located behind the cover. (See Fig. 7)

A

• B

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•

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• • •

Unscrew the black cap counter clockwise to get to the USB outlet (A) and plug in the Sound & Vision system memory stick (B). To get colored light in the tub, press the Sound & Vision system light button on the Sound & Vision system hand control. Press the Sound & Vision system light button one more time to change light colour. Press the Sound & Vision system light button for 2 s to turn the light off. To start a rotation of different light colours press the Sound & Vision system automatic light colour change button. Continue with the steps on the next page.

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•

•

To start the music press the MP3 button on the Sound & Vision system hand control. Only MP3 files can be read and only files from the root (not in “folders”). Sound & Vision system hand control LED flashes when active.

NOTE The music function will stop automatically 30 minutes after activation. Press the MP3 player button on the Sound & Vision system hand control for continued listening. NOTE The Sound & Vision system will stop automatically 30 minutes after activation. Press the Sound & Vision system light ON/OFF button on the Sound & Vision system hand control for continued lighting.

Disinfection Unit (Option)

Fig. 8

The Parker bath has the a built in disinfection unit as an option. (See Fig. 8) There is a disinfectant bottle with an adjustable top to adjust the mixing value of the disinfectant concentration and water. It is located in the lockable compartment between the bathtub legs. There is also a disinfection spray handle and flowmeter, located behind the cover. To use the disinfection unit: 1

Press the activate it.

disinfection button and hold it in for 5 s to

2

The LED will turn green when active.

3

If the disinfectant bottle is empty, the LED will start flashing when pressing the disinfection button. A beeping sound comes on and it is not possible to disinfect the bath.

Replace with a full disinfection bottle and try again (see section Replace Disinfectant Bottle on page 30).

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Battery Back-up A battery will work as a back-up if there is a power failure. It is possible to help a patient out of a bathtub during that time. Everything on the bath will work under the battery back-up except for the auto fill function, Air Spa system and Sound & Vision system. If the battery fails to work during a power failure contact your Arjo technician. CAUTION Never put the patient in the bathtub when the power indicator light on the control panel is out. Ensure that the bath is connected to a power outlet or the battery might run out of power. Contact your local Arjo technician if problem occurs. Battery charge level when the main power supply is not connected.

Fig. 9

Yellow LED on

No mains connected

Yellow LED flashing

No mains connected and battery is running low. The Battery is automatically charged when the Parker bath is connected to the mains.

No LED light

Connect the Parker bath to the mains to charge the battery.

Head Cushion, Back Support Cushions and Leg Rest (accessories) Extra cushions are available for added comfort for the patient. The back support cushions have suction cups for easy attachment to the bath. (See Fig. 9) These accessories can be ordered from your local Arjo representative. CAUTION Always fit leg rest on the opposite side of the door. If hung on the door, damage to the door may occur.

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Bathe Patient To complete a full patient bath follow these 36 steps.

WARNING Fig. 1 To prevent scalding, always check the water temperature with your naked hand before directing the water on the patient. Do not use gloves as it may insulate to the extent that the water temperature can be misjudged. Point the flow of the water away from the patient.

Fill the Footwell with Water (Step 1-3 of 36) 1 Ensure that the bathtub is in a upright position. (See Fig. 1) Fig. 2

Fig. 3

2

Close the drainage plug by rotating the drain control knob counter clockwise. (See Fig. 2)

3

Activate prefill by pressing the Fig. 3)

auto fill button. (See

• Feel the water temperature with a naked hand and let the patient feel the water. Adjust the knob to a comfortable temperature. • The filling stops automatically when the footwell is filled. Continue with the steps on the next page.

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Bathe the Patient (Step 4-14 of 36) 4 Open the bath door by pressing the door handle down. Make sure no objects are in the path of opening the door. Raise the door to a fully open position. 5

WARNING To avoid falling, make sure the patient always remains in a seated position.

Fig. 4

Adjust the bathtub height by pressing up or down button on the hand control, in order to get the right patient seating height. (See Fig. 4) 6

WARNING To avoid falling, make sure the patient uses the grab rails for support when entering or exiting the bath. If needed, help the patient get seated in the Parker bath. (See Fig. 4)

7

WARNING To avoid falling, make sure the patient always remains in a seated position.

Fig. 5

If needed, help the patient to place their feet into the footwell. (See Fig. 5) 8

WARNING To avoid entrapment, make sure to keep the patients hair, arms and feet close to the body and use designated grab supports during any movement. Close and lock the bath door by pulling the door handle fully up (with some physical force) until aligned with the closed lock sticker. Continue with the steps on the next page.

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9 Fig. 6

WARNING To avoid entrapment, make sure to keep the patients hair, arms and feet close to the body and use designated grab supports during any movement. Recline the bathtub by pressing the the hand control.

tilt back button on

10 Position the bathtub to the preferred working height by pressing up or down buttons on the hand control. (See Fig. 6) 11 Adjust bath water depth by pressing

auto fill button.

• The filling stops automatically after 60 s. • To stop filling within this time frame, press auto fill button. • If the button is pressed once again, the filling starts for another 60 s. 12 Adjust the water temperature by rotating the temperature knob on the control panel. Fig. 7

13 Feel the water temperature with a naked hand and let the patient feel the water as well. (See Fig. 7) 14 Stop filling at desired water level.

Shower the Patient (Step 15-24 of 36) 15 Lift off the shower handle from the holder or stand. 16 Hold the shower handle away from the patient. 17 Press the shower button on the control panel (the LED lights up when active). Continue with the steps on the next page.

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18

Fig. 8

WARNING To prevent scalding, always check the water temperature with your naked hand before directing the water on the patient. Do not use gloves as it may insulate to the extent that the water temperature can be misjudged. Point the flow of the water away from the patient. Press the trigger on the shower handle directing the water stream away from the patient.

19 The top display shows the shower water temperature. Allow a few seconds for the display to adjust the temperature. If needed, turn the knob to adjust the water temperature. 20 Also check by placing your naked hand in the water stream that the water temperature is not to hot. (See Fig. 8) Fig. 9

21 Allow the patient to feel the water with his or her hand before the water stream is directed onto the patient. If needed, adjust water temperature by turning the knob. (See Fig. 9) 22 To keep the trigger handle in for a longer period, activate the lock button by pushing it in. To deactivate, push the trigger. 23 When showering is finished, press the the control panel.

shower button on

24 Make sure the shower trigger is unlocked before placing the shower handle back into the holder or stand. NOTE Raise the bathtub, for optimum use of the shower stand, and turn the shower stand away from the patient when not in use. (UK only) Continue with the steps on the next page.

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Air Spa System (option) (Step 25-25 of 36) 25 To activate the Air Spa system, use either the buttons on the control panel or on the hand control. • To activate the Air Spa system in the whole bath, press the Air Spa - whole bath button. The Air Spa system will start with low intensity in the whole tub. • If pressed a second time the Air Spa system intensity will increase. • If pressed a third time the Air Spa system will stop. • The above sequence apply to the Air Spa system footwell button as well.

Fig. 10

Sound & Vision® System (option) 80 70 60 50 40 30 20

MIX

Fig. 11

(Step 26 of 36) 26 Activate the Sound & Vision system through the USB outlet and the Sound & Vision system hand control, which is located behind the cover. Unscrew the black cap counter clockwise to get to the USB outlet and plug in the USB memory stick. (See Fig. 10)

End the bath cycle (Step 27-35 of 36) 27 When bathing is complete, drain the bathtub by opening the drain. Turn the drain control knob clockwise. 28 With intervals, tilt the bathtub to upright position by pressing the tilt up button on the hand control. Try to keep the patient in the water as long as possible. 29 In the mean time, keep the patient warm by showering the upper body or covering him or her with a towel.

Fig. 12

30 When the bathtub is in an upright position, lean the patient forward and ask him or her to grab the handles. Shower and dry the patient’s upper body and place a towel around the patient to preserve heat. (See Fig. 11) 31 Lower the bathtub to the lowest position. (See Fig. 12) Continue with the steps on the next page.

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