MOXI Enterprises

BariSelect Mattress Operation Manual Rev M Oct 2010

Operation Manual

40 Pages

File Type: PDF

File Size: 8.21 MB

File Name: bariselect_mattress_operation_manual_rev_m_oct_2010.pdf

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Page 1

E N T E R P R I S E S ,

L L C

Innovative health solutions

Table of Contents

ENGLISH Section 1

Introduction

2-3

Section 2

System Components

4-5

Section 3

Safety Precautions

Section 4

Important Safeguards

7-8

Section 5

Installation

9-11

Section 6

Manual Setup

12-13

Section 7

Maintenance

14-15

Section 8

Cleaning and Disinfecting

16-18

Section 9

Troubleshooting

19-20

Section 10

SelectAir

21-22

Section 11

SelectAir Max

23-26

Section 12

BariSelect

27-31

Section 13

HybridSelect

32-34

Section 14

SelectAir Product Information

35-36

Section 15

Warranty

Manufactured by: MOXI Enterprises, LLC. 1939 South Vandeventer Avenue, Saint Louis, Missouri 63110 www.moxiusa.com Toll Free: 1.800.942.7678 • Local: 314.771.5222 • Fax: 314.771.5225

The following are trademarks and registered trademarks of The ROHO Group, Inc.: ROHO , shape fitting ® ® technology , HIGH PROFILE , ELIMSTAPH®, Hi-Tor®, Velcro® and Sentinal® are registered trademarks of their respective companies. MOXI Enterprises, LLC. has a policy of continual product improvement and reserves the right to amend specifications presented in this brochure.

Section 1

Introduction

Introduction SelectAir® low air loss mattress systems are pressure relief mattress systems designed for the treatment and/or prevention of pressure ulcers and other tissue trauma, including burns and other wounds. SelectAir systems are designed to work with any standard hospital mattress and will fit on a variety of different bed frames. Indications for Use • Pressure Ulcers • Rehabilitation • Oncology • Multiple Sclerosis • Cardiovascular • AIDS

ATTENTION:

• Burns • Spinal Cord Injury • Orthopedics • Neurosurgery • Plastic Surgery • Extended Care

• Geriatrics • Arthritis • Skin Flaps/Grafts • Pain Management • Dermatology • ALS

ELECTRICAL EQUIPMENT

1. Class I equipment 2. Type BF equipment 3. Ordinary equipment 4. Continuous Operation 5. Environmental Conditions: • Operating Limits: Temperature: 50˚- 90˚F (10˚C to 32˚C) Humidity: 80% RH Maximum Altitude: 6,560 Ft. (2,000 Meters) • Storage Limits: Temperature: 32˚-122˚F (0˚C to 50˚C) Humidity: 80% RH Max.

Section 1

Introduction

Symbol Legend

Attention- See accompanying instructions for use or information found in this manual or labels on the control unit. Electrical Hazard Fire or Explosion Hazard Replaceable fuse On/Off Button Off Only Button Function Button CPR / Emergency Off Button Auto Comfort Button Firm Button Softer

Firmer

Comfort Level Settings (Softer, Firmer) Lock, Unlock Button Pulsate Mode Low Setting Button for Pulsation Mode Medium Setting Button for Pulsation Mode (Not available on the HybridSelect model)

High Setting Button for Pulsation Mode Upright Button Type BF Equipment The above symbols are used on product labeling and in this manual as defined by International Electrotechnical Commission or MOXI Enterprises, LLC.

Section 2

System Components

System Components For Mattress Replacement Models

Figure 1

Water Resistant, Vapor Permeable Mattress Sheet (optional)

Water Resistant, Vapor Permeable Zippered Mattress Cover

Mattress

Mattress Pad

Control Unit with flexible hose attached

Note: SelectAir and SelectAir Max mattress replacements are available in different heights, lengths and widths. BariSelect is available in various widths.

Section 2

System Components

System Components For HybridSelect Mattress Overlay Models

Figure 2

Mattress Sheet

ROHO HIGH PROFILE Cushion Mattress Overlay

HealFloat Section

Control Unit with flexible hose attached

Section 3

Safety Precautions

Safety Precautions Please read and thoroughly understand the following safety precautions before using this product. WARNINGS • Explosion risk if used in the presence of flammable substances. •

Risk of fire, replace fuse as marked on control unit:

•

Possible fire hazard when used with oxygen administering equipment other than nasal mask or 1/2 bed length tent type. Oxygen tent shall not extend below the mattress support level or enclose the control unit.

•

Electrical shock hazard. Do not remove back cover.

•

Do not use in the presence of smoking materials or open flame. Air flowing through air mattress will support combustion.

PRECAUTIONS • Grounding reliability can only be achieved when the power cord supplied with the control unit is connected to an equivalent grounded receptacle. • Unplug the control unit from the wall outlet before cleaning (see Section 8). • Refer all servicing to qualified service personnel. •

For mattress overlays, use a side rail extender if the top of the bed rails are less than six (6) inches (15 cm) from the top of the mattress overlay.

•

The use of bed frame side rails in conjunction with any SelectAir low air loss mattress system should be determined based upon facility protocol, applicable laws and regulations, and individual user safety considerations. Bed frame side rail usage is not a requirement for the functional operation of any SelectAir product, but individual safety requirements and/or facility protocol may dictate that side rails be utilized.

Section 4

Important Safeguards

Important Safeguards Please read and follow the instructions regarding SelectAir mattress and overlay systems and retain this manual for future reference. Follow all warnings and instructions marked on the control unit and mattress as well as those listed in this manual. Note: DO NOT place liquids on top of the control unit. Handling Handle the control unit with care. Dropping it may cause internal damage and can cause the control unit to malfunction. Note: DO NOT use a control unit if it appears to be damaged. Consult an authorized MOXI / SelectAir distributor. Dust or Dirt Keep the SelectAir control unit away from excessive dust or dirt, which can cause premature failure. The control unit is supplied with a replaceable air filter that should be replaced every 90 days under normal conditions. The air filter should be inspected and cleaned every month under normal conditions, and more frequently when used in abnormally dusty or dirty environments. Cleaning Unplug the control unit from the wall outlet before cleaning. Do not use harsh liquid chemicals, cleaning solvents or aerosol cleaners. Water and a mild dish washing detergent may be used on a soft, damp cloth or paper towel. Please refer to Section 8. Accessories Do not place the control unit on an unstable surface because it may fall, causing severe damage to the control unit. Use only manufacturer-recommended accessories. Any mounting of the control unit must follow the manufacturer?sinstructions. The hospital bed footboard must be able to support the control unit and any additional weight. Heat and Ventilation Refer to page 2 of this manual for operating and storage limits. It is important that this opening is not blocked or covered during operation. The control unit should not be placed in a built-in installation, such as a closet or rack unless proper ventilation is provided. Power Sources The control unit should only be operated from an appropriate AC outlet capable of safely delivering at least three (3) amps of electrical current. If you are not sure of the type of power supply available, consult your MOXI / SelectAir distributor or a certified electrician. Object Entry and Excess Weight Never push objects of any kind into this product. Excess weight placed on the control unit can cause damage to the housing. Grounded Power Cord and Plug This control unit is equipped with a grounded power cord. The plug will fit into the power outlet only one way. If you are unable to insert the plug fully into the outlet, contact your

Section 4

Important Safeguards

MOXI / SelectAir distributor prior to operating the control unit. Do not alter the plug to fit into the power outlet. The power supply cord should be routed so it will not be walked on or pinched by items placed upon it or against it. Overloading Overloading wall outlets can result in a risk of fire or electric shock. A single grounded extension cord (three wires with grounded plugs) of less than 25 feet (7.6 meters) in length and with a minimum of a 15 amp rating can be used with the control unit. Servicing Do not attempt to service this control unit yourself. Opening or removing the cover may expose you to hazardous voltages. Refer all servicing to your MOXI / SelectAir distributor. Breaking or removing calibration seals voids the warranty of the control unit. Mattress Storage Clean and disinfect product as per this operation manual and store in a dry environment at room temperature. Replacement Parts When replacement parts are required, be sure that the control unit uses replacement parts from the manufacturer. Unauthorized substitutions will void the warranty. Safety Check Upon completion of any service to this product, the MOXI / SelectAir distributor must perform safety checks to determine that the product is in a safe operating condition. Interference The control unit is designed to prevent radiation of radio-frequency energy. There is no guarantee that communications or other radio-frequency interference will not occur in a particular installation. If this control unit does cause harmful interference to radio or television reception, which can be determined by turning the control unit off and on, the user is encouraged to try to correct the interference by one or more of the following steps: • Make sure electrical cord is properly grounded. • Relocate the receiving antenna of the device affected. • Increase the separation between the control unit and the device affected. • Connect the control unit to an outlet that is on a different circuit than the device being affected.

Installation

Section 5

Installation - Mattress Replacements Mattress Note: Make sure that the mattress hose fitting is at the foot end of the bed frame. A. When using the Mattress Cover with Mattress Replacement: While the mattress is inflating, it may be helpful to partially unzip the cover and guide the mattress into the correct formation. 1. Always remove the existing mattress from the bed. 2. Before placing mattress inside mattress cover, ensure that all four side bolster straps (two per side) are securing side bolsters to mattress sections and Velcro® fasteners are mated. 3. Insert the mattress and mattress pad inside the mattress cover and zip the cover shut. Place on the bed frame. Be sure the hole in the mattress cover is in the correct position to fit around the hose fitting outlet on the mattress. 4. Strap the cover to the bed frame using the four straps located on each side of the mattress cover. B. When using the Mattress Cover and the Mattress Sheet with Mattress Replacement: 1. Always remove the existing mattress from the bed. 2. Before placing mattress inside mattress cover, ensure that all four side bolster straps (two per side) are securing side bolsters to mattress sections and Velcro® fasteners are mated. 3. Insert the mattress and mattress pad inside the mattress cover and zip the cover shut. Place on the bed frame. Be sure the hole in the mattress cover is in the correct position to fit around the hose fitting outlet on the mattress. 4. Strap the cover to the bed frame using the four straps located on each side of the mattress cover. 5. Fit the mattress sheet over the covered mattress and attach the straps to the bed frame. Installation - Overlay Models Mattress Overlay Note: Make sure that the mattress hose fitting is at the foot end of the bed frame. A. Mattress Overlay Instructions 1. Place the mattress overlay on top of the existing mattress. 2. Insert hose into the foot section of the mattress overlay. 3. Insert the ROHO HIGH PROFILE cushion into the cushion cover.(HybridSelect TM only.)

Installation

Section 5

4. Place the ROHO HIGH PROFILE cushion into the HealFloat foot section of the mattress overlay. Note:

Refer to the cushion's enclosed operating instructions for proper setup and adjustment.

5. After inflating the mattress overlay, secure the mattress sheet to the mattress. 6. Remove the ROHO HIGH PROFILE cushion and place on chair to provide continued skin protection while patient is seated in a chair. Readjust the cushion for the patient according to the cushion's instructions.

Control Unit - All Models 1. Place the control unit handle over the edge of the footboard. The handle will self adjust to the width of the footboard (fig. 3). 2. Insert the hose fitting with the clip into the air outlet of the control unit and turn 1/4 turn. Ensure the hose fitting is firmly seated and that the latch ‘clicks’ into place (fig. 4). 3. Insert the other end of the hose into the mattress hose fitting located at the foot of the mattress (fig. 4).

Figure 4

Figure 3

Section 5

Installation Figure 7

Figure 6

Fuse Compartment Power Entry Switch Power Entry Receptacle 15 feet (4.6 meters) 4. Ensure the power entry switch is “OFF”.

Figure 5 On

Off

5. Firmly insert the power cord into the outlet on the control unit (fig. 6). 6. Insert the other end of the power cord into an equivalent grounded power receptacle. 7. Press the power entry switch “ON” and refer to Manual Setup (Section 6). Note:

Check to make sure all hose connections are secure before turning on.

Section 7

Manual Setup

Manual Setup 1. Press the “On/Off” button on the keypad to the “On” position and allow the mattress to FULLY inflate before making any adjustments or placing the patient on the mattress.

Figure 8

SelectAir, SelectAir Max, HybridSelect Models

BariSelect Models only ON/OFF

Section 6

Manual Setup

2. Press the firm mattress timer.

Figure 9A

SelectAir, SelectAir Max, HybridSelect Models

BariSelect Models only

3. Place the patient on the mattress, centered and in their habitual resting position, i.e. on their back, on their side, etc.

CAUTION: The bed rails should be locked in their highest position before proceeding.

4. Press the Firm Mattress “OFF” button if illuminated. SelectAir, SelectAir Max, HybridSelect Models

Figure 9B

BariSelect Models only

5. Determine the patient’s weight and set the Comfort Level using the Comfort Level “Softer” and “Firmer” buttons to the matching information on the Comfort Level Chart (pg.13). See section 12 for instructions on how to manually input the patient's weight on the BariSelect model.

Figure 10

SelectAir SelectAir Max Models

HybridSelect Models only

Comfort Level

BariSelect Models only

Note:

Due to the different shapes and sizes of each patient, the settings recommended on the Comfort Level Chart are only a guideline. User judgement must be applied to properly adjust the Comfort Level to the setting that best suits the patient.

6. Allow air in the mattress to equalize for a minimum of two (2) minutes before proceeding.

Section 6

Manual Setup

7. Check to ensure that the patient has immersed into the mattress about 40 – 50%. If they have not, adjust the Comfort Level using the Comfort Level “Softer” and “Firmer” buttons and repeat steps 6 and 7 until the proper results are achieved. 8. Once the desired setting is found, check to see if there is adequate clearance between the patient and the bed frame by placing your hand between the patient and the bed frame. There should be 3-4 inches (7-10 cm) of clearance, and the patient should not be touching the bed frame at any point. Adjust the Comfort Level setting until the proper results are achieved. Comfort Level Reference Chart Note: These charts are only a guideline because weight distribution varies from patient to patient.

{

Patient Weight (Pounds) (Kilograms)

SelectAir SelectAir Max Weight Ranges

BariSelect Weight Ranges

{

HybridSelect Weight Ranges

75 100 125 150 175 200 250 300 350 400

34 45 57 68 79 91 113 146 159 181

Setting (Comfort Level)

3.5-4 4 4-5 5 5-6 6-7 7-8 8-9 9 10

Patient Weight (Pounds) (Kilograms)

Setting (Comfort Level)

Patient Weight (Pounds) (Kilograms)

Setting (Comfort Level)

{

300 350 400 450 500 550 600 650 680

100 150 200 250 300

146 159 181 204 227 249 272 295 308

45 68 91 113 146

6 7 8 9 10 11 12 13 13.5

1 2 3 4 5

9. Follow facility protocol, applicable laws and regulations, and individual user safety considerations for usage of bed frame side rails.

Section 7

Maintenance

Maintenance Control Units

All control units are designed to be virtually maintenance free. The only servicing required is cleaning of the housing and changing the filter. Note:

Fuse

The control unit contains no other user serviceable parts and it should only be opened by qualified service personnel.

DANGER:

THE FUSE MUST ONLY BE REPLACED WITH THE PROPER FUSE AS LISTED ON THE INFORMATION LABEL. DO NOT REPLACE THE FUSE WITH ONE OF HIGHER VALUE OR OF DIFFERENT TYPE.

To replace the fuse: 1. Turn off the main power switch on the power entry module, located on the left side of the unit. 2. Unplug the line cord from the wall socket, remove the other end from the power entry module, and set aside. 3. Insert a small flat screwdriver into the slot located at the top of the power entry module and carefully open the fuse holder door. Note: Before opening, observe what voltage is visible on the red fuse holder through the window on the fuse holder door. 4. Carefully remove the red fuse holder to access the fuse. 5. Check fuse with a continuity tester. 6. Replace bad fuse with the correct version listed on the information label. 7. Replace the red fuse holder in the power entry module. 8. Close the fuse holder door ensuring the correct voltage appears when the door is closed. 9. Plug the line cord into the power entry module and plug the other end into an appropriate grounded outlet. 10. The unit is now ready to resume normal operation.

Section 7

Maintenance

Filter The filter should be inspected and cleaned every month under normal conditions. Inspect filter and clean or replace as necessary. Bariatric patients generally require higher air pressure for support, therefore, the air filter should be inspected and replaced more frequently.

Figure 11

To check and change the filter: 1. Firmly pull forward and then down on the filter tray located at the front of the control unit. The filter tray will automatically stop in the fully opened position (fig. 11). It is not necessary to completely remove the filter tray. Important:

Keep the filter clean and the air opening clear of obstacles.

Filter Tray and Filter

2. Remove the filter from the filter tray (Fig. 12) by grabbing the filter by its edges and inspect the condition of the filter.

Figure 12

If dirty, wash the filter in a mild detergent. Let the filter dry completely before replacing the filter back into the filter tray. If the filter is torn or in bad condition, replace it with a new one. Note:

Do not use the control unit without a filter.

Filter Tray

3. Replace the filter by firmly pressing the filter in around the edges in the filter tray.

Filter

4. Ensure the filter is laying flat and push the filter tray up into the housing.

HealFloat Feature (HybridSelect only) To properly maintain the ROHO HIGH PROFILE Cushion in the HealFloat feature, refer to the cushion's operation manual.

Section 8

Cleaning and Disinfecting

Cleaning and Disinfecting Note:

The following instructions are intended only as general guidelines. Follow your facility’s standard protocol for cleaning and disinfecting medical equipment. If you have any questions contact your MOXI / SelectAir representative or The MOXI Enterprises Service Department.

Mattress/Overlay (during use) Clean with a mild detergent and a damp cloth. Do not use harsh chemicals, alcohol, or solvents. Wipe dry. The air mattress should be inflated while cleaning. Note:

Do not heat or steam clean. To assure safety from infection, completely disinfect all bedding using the proper cleaning recommendations.

Mattress/Mattress Overlay (between patients) The air mattress or mattress overlay must be thoroughly cleaned between patients. To prevent moisture from entering the mattress, keep the mattress inflated throughout the cleaning process. 1. With the mattress or overlay inflated, spray the entire mattress with bleach diluted 1:10 bleach to water. 2. Allow bleach to remain on mattress or overlay for a maximum of 10 minutes. 3. Rinse the mattress or overlay with fresh water. 4. Spray surface with a disinfectant. MOXI recommends using LpHse® diluted 1:256. 5. Allow solution to remain on mattress or overlay for a maximum of 10 minutes. 6. Brush soiled areas and rinse with fresh water. 7. Allow air flow to continue through the mattress or overlay for 10 minutes after completion of cleaning procedure to prevent any moisture from entering the mattress' or overlay's air holes. 8. Hang to dry. 9. Spray surface with a quaternary ammonium compound mixed as a 1% solution in water. MOXI recommends using Calgon Vestal Laboratories Coverage Spray Disinfectant Cleaner®. Mattress Pad (between patients) 1. Spray pad with a disinfectant using high pressure spray. MOXI recommends using LpHse® diluted 1:256. 2. Allow solution to remain on pad for 10 minutes. 3. Brush all soiled areas and rinse with fresh water. 4. Hang to dry. Mattress Sheet for Mattress or Mattress Overlay (between patients) 1. Presoak the sheet in a disinfectant for 10 minutes. MOXI recommends using LpHse® diluted 1:256. 2. Remove the sheet from the presoaked disinfectant and place in a standard agitator type washing machine. Take care not to overload the washing machine. 3. Thoroughly remove the disinfectant from the sheet by using two full regular wash/ rinse cycles of the washing machine without any laundry detergent added. The

Section 8

Cleaning and Disinfecting

washing machine should be set at a regular wash, hot water setting. 4. Launder the sheet in a normal manner using the regular cycle and hot water wash setting of the washing machine. Use a standard laundry detergent as the laundering agent. Make sure that a full clear rinse cycle follows the wash cycle to remove all the cleaning solution residues. 5. Dry the sheet in a standard clothes dryer set at low heat (Delicate Fabrics) setting for 7-10 minutes. 6. After drying, the sheet may be repackaged and returned to clean inventory. Zippered Mattress Cover (during use) 1. Wipe surface with neutral soap and lukewarm water. 2. Rinse with water and dry. Zippered Mattress Cover (between patients) Note:

Do not clean with a phenolic-based cleaning solution as it will damage the urethane coating on the cover’s nylon fabric. These instructions must be followed to maintain the quality and integrity of the material.

1. Deflate and remove the mattress from the mattress cover. 2. Place the mattress cover in a standard agitator-type washing machine. Take care not to overload the washing machine. You may presoak the cover in a quaternary solution (disinfectant) diluted with water. We recommend using Sentinal, Elimstaph or Hi-Tor solutions diluted 1:256. Note: Wash in warm water [not warmer than 140°F (60°C)]. Do not use bleach. 3. After presoaking cycle is over, the washing machine should be set on delicate fabrics or permanent press cycle. Note: Wash in warm water [not warmer than 140°F (60°C)]. Do not use bleach. 4. To remove any remaining disinfectant, wash mattress cover on delicate fabrics or permanent press cycle. Use a standard laundry detergent with NO bleach. Wash one cycle using the laundry detergent. Note: Use cold water only. Do not use bleach. 5. Dry the cover in a standard clothes dryer set on delicate cycle with a low heat setting. TUMBLE DRY ONLY. Note: Do not use high heat! 6. After drying, the mattress cover may be repackaged and returned to clean inventory.

Section 8

Cleaning and Disinfecting

HealFloat feature (HybridSelect only) Refer to the ROHO HIGH PROFILE cushionʼs operating manual for specific cleaning instructions. Control Unit and Hose (between patients) 1. Unplug the control unit from the wall outlet before proceeding.

2. Wipe down entire control unit and all hoses with a disinfectant solution. MOXI recommends using LpHse® diluted 1:256.

3. Allow solution to remain on system for 10 minutes.

4. Wipe down entire control unit and dry with disposable cleaning cloth or sponge.

5. Only use a mild detergent (dishwashing) and warm water to clean the filter. Rinse the filter with cool water and thoroughly air dry the filter before replacing.

All Control Units DANGER:

Disconnect control unit from main power supply before cleaning. Failure to do so could result in electric shock.

Note:

•Do not immerse the control unit in liquids. •Do not heat or steam autoclave the control unit.

Note:

Do not saturate the surface of the control unit with liquids. Wipe off any dust. If necessary, clean the housing exterior with a disinfectant solution or mild detergent and a damp cloth. Wipe dry.

DANGER:

Make sure the control unit is completely dry before attempting to reconnect or operate it.

Section 9

Troubleshooting

Troubleshooting Problem/Corrective Action 1. Control unit does not function, and power light not illuminated. •

Ensure the power cord is connected to a functioning power outlet supplying voltage indicated on the control unit label.

•

Ensure that power cord is fully inserted into the power inlet receptacle on the side of the Control unit.

•

Ensure the power switch on the power entry receptacle is switched to the “On” position (switched marked “-/0”, depress “-” to turn on).

•

If above conditions are verified, check the control unit power fuse in the power inlet receptacle. See the “Maintenance” section of this manual for instructions on checking/changing the fuse.

•

If, after replacement, the fuse blows again when power is applied, remove the unit from service and contact your MOXI / Select Air Distributor for assistance.

2. Control Unit does not function. Power and all comfort level light flash alternately, unit sounds single repeating beep. •

CPR Shutdown activated. Turn power switch on side of unit off for 10 seconds and back on to resume normal operation.

3. Control Unit does not function. Power and comfort level lights 1 and 10 flash alternately, unit sounds single repeating beep. •

Hose-loss alarm triggered.

•

Ensure hose connections at control unit and mattress are secured, turn power switch on side of unit off for 10 seconds and back on to resume normal operation.

•

If alarm triggers again after above steps, check mattress for large air leaks.

4. Control Unit does not function. Power light flashes and unit sounds double repeating beep. •

Power loss alarm triggered.

•

Ensure the power cord is connected to a functioning power outlet supplying voltage indicated on the control unit label.

•

Ensure that power cord is fully inserted into the power inlet receptacle on the side of the control unit.

•

Press power button on front panel to resume normal operation.

5. Control Unit appears to function normally, but mattress does not inflate.

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