DynaFlo 8000 with 2 way stretch Operating Instructions

INDICATIONS: ♦ Individuals at high risk or less of ulcer formation ♦ Persons with circulatory impairment ♦ The Mobility impaired ♦ Pain management associated with above conditions Map of pressure distribution from computer sensor: A medical research report indicates the average inner pressure of a human capillary vessel is 32mmHg (See APPENDIX B ). When the pressure outside the capillary is over 32mmHg, the blood will flow slower or obstruct. As time goes on, due to impeded blood circulation the nutritional requirements of cells may be reduced leading to potential tissue necrosis. If sufficient cells become necrotic a pressure sore or ulcer can develops. The map of the pressure distribution from the DynaFlo (APPENDIX A) indicates that the pressure on a client lying on the mattress is below 32mmHg helping in the minimisation of capillary occlusion and maximisation of blood flow. Without medical intervention this will help in the prevention and assist with the recovery of clients with a potential for pressure sore formation.

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CONTRAINDICATIONS: ♦ Cervical or skeletal traction ♦ Unstable spinal cord injuries

PRECAUTIONS: ♦ Monitor skin condition regularly and consult appropriate Medical/Allied health professionals if deterioration occurs.

SAFETY PRECAUTIONS: ♦ For use on a single hospital style bed, with the bed at the lowest possible height. ♦ Ensure safety sides are used as necessary for high-risk mobile or dementia clients. ♦ The brakes on the bed should be locked ♦ Pre-use, ensure the bed has no hazards that may endanger the client or puncture the mattress. ♦ Avoid liquids spilling on the pump. If a spillage occurs turn the power supply Off, disconnect the pump from the wall socket, and clean up spill. Check the pumps safety with appropriate personnel.

If you are not sure or have any concerns please consult with appropriate medical or allied health professionals!

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FEATURES: ♦ THE PUMP The DynaFlo 8000 pump is specially designed for simple operation. The pump is lightweight and quiet, with low power consumption. Operation of the pump is with a user-friendly ON/OFF switch, which illuminates when the pump is On. The Soft/Firm comfort control knob allows for the adjustment of air pressure to suit individual needs. The pump alternates airflow automatically. When the switch is turned on, the microprocessor will command the internal synchronous motor to regulate proper air volume output to quickly inflate the tubes at 8 litres/min. Once the correct inner pressure in the tubes is achieved the microprocessor then switches to the alternating mode. The fuzzy-logic chip will adjust the pressure level according to the user’s dialled pressure setting. The processor controls the motor by stopping operation once the preset pressure is reached, then recommences when pressure drops below the preset level. This mode enhances and prolongs pump life. The static mode allows the carer to suspend alternation, changing the mattress to a flat low pressure even surface. The benefits of this mode are that it does not change client position while various therapies or care is being undertaken. Although the alternation is suspended the pressure is maintained evenly at the preset value 10-40mmHg. Once the static mode button is re-pushed the pump will recommence the alternating mode. Whilst in the static mode a light, above the blue static mode switch, is illuminated. An alarm sounds and a visual LED indicator illuminates with an amber “ Low Pressure Alarm” when the preset pressure of the inner tubes drops below 5mmHg. The alarm can be suspended by pressing the red reset button on the side of the pump. After 3 minutes the alarm will recommence if the power is maintained and the pressure remains less than 5mmHg. LED indicators: There are 2 LED indicators to verify the pressure status of the mattress. The amber light indicates when the pressure is low A. During initial inflation it flashes 3 times B. When normal pressure decreases below 5mmHg. The green light indicates the inner pressure is normal. The Pump and air hoses come with CPC or Quick Release connectors. This maintains a secure connection, but also allows for the easy connection and disconnection of the air hoses from the pump. The air tubes are spring loaded to prevent unwanted kinks or bending ensuring maximum flow with least resistance. Page No

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THE MATTRESS: ♦ CELL IN CELL DESIGN The DynaFlo 8000’s 8” tubes are constructed with the patented “Cell-in-Cell” design. This can provide additional support in case of power failure, when the pump is unable to supply air pressure to the tubes. The inner tubes maintain nominal support until the CPR release valve is opened ♦ SLIP RESISTANT MATTRESS The bottom of the mattress comes with Slip- Resistant mats to help prevent unwanted slide movements of the mattress. They provide better stability and safety. ♦ PILLOW FUNCTION The top 3 cells (section C) form the pillow of the mattress and once inflated do not alternate with the 3rd being of Low air loss. Only when the mattress is deflated via the CPR release valve do these deflate. This allows for a more comfortable sleep for clients without their head altering in position. ♦ LOW AIR LOSS TUBES There are 9 tubes that have “Low Air Loss” micro laser holes. These provide a more comfortable, clean and dry resting surface. Page No

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♦ WATERPROOF COVER The zippered top cover is made of Polyester and Polyurethane with a soft to skin stretchable non-shearing surface. The waterproof surface is “breathable” by having a monolithic membrane, which allows moisture vapour transmission reducing client perspiration. The zip is covered by a flap of top cover causing a “waterfall” effect reducing the potential of fluids penetrating inside the cover via the zip. The cover is fully removable to assist with cleaning. ♦ CARRYING BAG The DynaFlo Kit includes an easy to use carry bag for the carers or clients convenience. ♦ ALTERNATING WAVES The alternation of air cells occurs in a wave like motion. Every 15 minutes the cells change from inflated to deflated ♦ CPR RELEASE VALVE The CPR Emergency Air release valves (qty=2) when activated releases air from the mattress, and allows a firm surface to perform CPR. This is an essential safety feature for the nursing care of clients. Always ensure though that pump operation is also suspended.

SPECIFICATION: PUMP AP-700000 Power Pressure Range Micro Processor Alarm

Air output Cycle Time Power Cord Indicators Static Mode

230-240V/50HZ, INPUT 0.17A 10mmHg ~ 40mmHg Mattress inner pressure Yes, with built in semiconductor pressure sensors Yes, at 5mmHg a buzzer sounds. There is an alarm reset button (red) active for 3 minutes on the side of the pump 8 lpm 15 minutes (50Hz) 4.5 metres Normal Pressure (green) LED Low pressure (amber) LED By activation of the Blue switch Static Mode operation indicated by LED above switch

Size 30cm (L) x 10.5cm (H) x 22.5cm (W) Quick Release CPC Quick Release connector’s for air hose 2 piece arm style stand which attaches to the bed

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SPECIFICATION: MATTRESS AX,MS8201 DIMENSIONS 200cm(L) x 90m(W) x 20cm(H) Inflated Cover Envelope (fully encased) zippered style Material- 2 way stretch, Polyester and Polyurethane Non shearing with full zip Printed with Dyna Flo 8000 & foot Total: 20 cells (Nylon laminated with P.U) , blue, Air Cells cell within cell design 2 No air loss Non alternating- Pillow 1 Air Loss Non alternating- Pillow 10 Low air loss Alternating with micro lasered holes 7 No air loss alternating- Feet Base Nylon laminated with P.U Pillow Function Yes Tubes Wrapped in Vinyl Cover Carry Bag Standard Safety CPR Air Release valve x 2 (pull tags yellow) Maximum Weight 120kgs USER’S INSTRUCTION Attention: Always read the Instruction Manual before use. 1. Place pump unit on a flat surface, or suspend the pump unit over end of bed. 2. Place air mattress on the top of bed base and ensure air mattress lies completely flat, without any kinks. Place the “Foot End” of air mattress towards the end of the bed as marked. NOTE-THIS IS A MATTRESS REPLACEMENT SYSTEM 3. Connect air hoses from air mattress to the CPC Quick-Release Connectors on the pump. When a “click” is heard or felt, the connection is complete. 4. Be sure air tubes are not twisted or trucked under air mattress. 5. Ensure power switch is in the OFF position, then plug AC power cord in to an AC outlet 6. Now switch the power on. The pump will begin to pump air into the mattress. 7. A beep announcing pump operation has commenced will be heard, then the Amber LED light flashes 3 times then goes out, whilst the air mattress inflates to preset pressure. When the appropriate pressure is reached, the green LED will illuminate. Now if a pressure reduction occurs the Amber LED and the audible alarm will operate. These are suspended during the inflation process. The processor during inflation ceases the alternating mode so that both cell bands inflate simultaneously. 8. Each time mattress in inflated; it is recommended that the pressure dial be set to "Soft". The user/carer can then adjust air mattress pressure afterwards, refer to page 8. 9. The Static mode suspends the alternation and equalises the pressure in both cell bands. Whilst in this mode the LED above the blue Static mode button is illuminated. To restore alternation, press the static mode button again. Page No

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Setting the pressure level appropriate to the client. It is important when setting up the client not to assume the middle pressure is the most appropriate. Clinicians and carers do not base the pressure level of the Dyna Flo 8000 on a client weight. The clearance between the underlying cells and any of the client’s bony prominences on the deflated cell band is what the pressure level dial should be set at. Pump up the mattress with the pressure adjustment valve on the minimum, and once the client is on the mattresses assess the clearance. To do so you need to wait until the mattress cycles and there is 1 cell band up and one cell band down. Unzip part of the cover and go to the gap between the cells underneath the main torso of the client.

A B The distance from any bony prominences ( for example position A) to the underlying surface, which in the case of the Dyna Flo 8000 is the internal cell (point B), should be no less than 5cms. This distance should be achieved with the pressure set at the lowest possible level to create the effective clearance. If the distance is less than 5cm, increase the pressure dial, if greater than 5cms reduce the pressure dial. After adjusting the pressure, reassess the client after 10 minutes. This allows time for the pump to adjust the mattress. If the client’s angle of lying is adjusted, for example a bed back is brought more upright then the pressure setting will need to be reassessed to maintain appropriate minimum clearance levels. Re-assessment of pressure and clearance levels is a constant responsibility of the clinician or carer so as to ensure the most appropriate therapeutic and preventative practices for the client.

USE OF THIS PRODUCT DOES NOT NEGATE THE CARER’S RESPONSIBILITY TO CHECK CLIENT SKIN INTEGRITY, ON A 2-4 HR BASIS. CONSULTATION WITH APPROPRIATE MEDICAL PERSONEL MAY BE NECESSARY

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CLEANING AND STORAGE ●CLEANING: The Pump 1. After pump has been returned and checked for external damage, move the pump to the cleaning area. 2. Place pump on a work surface and spray or wipe the outside of the case with quaternary ammonium solution. DO NOT spray any cleaning solution directly on the surface of the pump. DO NOT Use a Hypocarbonate or Phenolic based cleaning solution as this may cause damage to the case. Allow the solution to incubate for 10 minutes or according to the package insert from the manufacturer. 3. Wipe the case with a clean cloth (top, both sides and bottom). 4. Spray cloth with cleaning solution and clean faceplate. DO NOT allow excess cleaning solution on face plate or control panel. (if solution gets inside damage will occur) Allow surface to thoroughly dry after cleaning. 5. After pump is thoroughly cleaned and dried, proceed to plug in the pump and test the pump to see if it runs normally. 6. Unplug the pump and store it aside.

The Mattress 1. Brush off or wipe down all surfaces with soap and water before wetting with any liquid disinfectant. 2. Any obvious blood spots should be wet thoroughly with 1:10 Hypochlorite solution (1 part bleach to 9 parts water) and allow to dry for at least 10 minutes, then wipe with a clean, damp cloth. 3. Unzip or unsnap the top cover from the mattress. 4. Covers are immersed and soaked in disinfectant for the required incubation time. 5. After pre-soaking, the cover is rinsed through a regular cycle in a washer with no soap, then laundered with mild detergent (wash temperature on the coldest setting or less than 60 degrees Celsius). 7. Covers are aerated until they are fully dry. (Drying temperature on the coldest setting or less than 60 degrees Celsius). 8. If the air cells are soiled, spray them on all sides with a disinfectant, let sit for the required incubation time and wipe down with a clean cloth. ( The hoses need to be sprayed with a disinfectant on all sides, including all the connecting tubes and hoses. Let it sit for at least 10 minutes) 9. If the base is soiled, remove all cells and spray the base down with the disinfectant, inside and out. Let it sit for the required incubation time and wipe down with a cloth or launder as above. Page No

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10. Repeat the process with the tubing set, spray down, incubate, and then wipe clean. 11. The carrying bag should be turned inside out and completely wiped down using the disinfectant solutions. Allow it to thoroughly air dry. Once the inside is dry, turn it back and wipe down the outside of the bag with disinfectant or launder as above.

●REASSEMBLING: After the cover, base, air cells, and tubing are all cleaned as described above. Reconnect them together. Make sure they are all tightly connected to avoid any loss of air in the operation. Finally, connect the already cleaned pump to the mattress. Perform a test run to see if the whole system works properly. When the testing is done satisfactorily. Roll up the mattress and pump; store it inside the carrying bag. Then enclose the carrying bag with a large plastic bag or a plastic sheet. The system is now ready for the next use.

●STORAGE Before placing the unit in storage, please check the followings: 1. Check the power cord and plug for abrasions or excessive wear. 2. Plug in the unit and check the airflow from the unit hose connection port. 3. Check the air hoses for kinks or breaks. Replace it if necessary. 4. If unit is operating properly, coil the hoses loosely and cover the unit in plastic sheeting to protect from moisture and dust.

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TROUBLESHOOTING: 1. OUTPUT OF AIR BUT NO GREEN LIGHT ON SWITCH Replacement of ON/OFF switch required. Consult local dealer. 2. PUMP WILL NOT OPERATE, NO GREEN LIGHT ON SWITCH Check power supply, if power normal consult local dealer. 3. AIR PUMP IS NOT PROVIDING ENOUGH AIR PRESSURE The LOW-PRESSURE ALERT light will come on, when there is an abnormal situation such as an air leak. If this occurs check all air connection between pump and mattress, the 2x CPR release valve's on the mattress, and check all connections on the mattress itself. If the LOW PRESSURE ALERT light still illuminate’s check the output from the pump or consult the local agent. Check that the mattress does not have a hole. If no LOW PRESSURE ALERT light illuminates then a kink to the air tubing may be present. Check the air tubing 4. PUMP IS NOT CYCLING Contact the local agent. LOCAL AGENT:

Imported by: GMS REHABILITATION 154 PRINCES HWY P.O BOX 1897 TRARALGON, VIC 3844 PH 1800 060 919 e-mail: [email protected]

WARRANTY PUMP: 12 MONTHS PARTS & LABOUR EXCLUDING FREIGHT MATTRESS: 12 MONTHS DUE TO POOR WORKMANSHIP ONLY

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