ARJOHUNTLEIGH NIMBUS 4 and NIMBUS PROFESSIONAL Quick Reference Guide Oct 2014

NIMBUS 4 & NIMBUS PROFESSIONAL Quick Reference Guide This Quick Reference Guide has been produced to assist Healthcare Professionals and other users with only the functional aspects of the system. The guide does not replace the general safety warnings, cautions and recommendations provided in the product instructions for use, part number 649933EN. Refer to the product instructions for use before using this product. Indications: • The Nimbus® 4 and Nimbus® Professional mattresses are designed for patients weighing up to 250 kg (550 lb). • The Nimbus 4 and Nimbus Professional systems are indicated for the prevention and/or management of all categories 1 of pressure ulcer , when combined with an individualised, comprehensive pressure ulcer protocol. Contraindication: Do not use Nimbus 4 and Nimbus Professional systems for patients with unstable spinal fractures. Caution: If patients have other unstable fractures, or conditions which may be complicated by a soft or moving surface, advice should be sought from an appropriate clinician before use. Note: For more information on putting the patient in the prone position on the Nimbus Professional mattress refer to the Instructions for Use document, section 6 “Nimbus Professional Mattress: Patient Positioning Guide”.

Press the Run/Standby Button to put the pump into the Run mode; the Run indicator will change to green. To put the pump into Standby, press and hold the Run/Standby button for approximately 3 seconds; this prevents accidental operation. The Run indicator will be extinguished.. The Wait indicator is illuminated when the mattress is being inflated. The indicator will remain illuminated until the mattress has been fully inflated. This may take up to 15 minutes. During an alarm condition the triangular Alarm symbol will flash, an audible alarm will sound and one of the following indicators will be illuminated: Low Pressure, High Pressure, Pump Fault or Power Fail. The Low Pressure indicator is illuminated whenever the pump detects low pressure within the mattress. An audible alarm will sound unless cancelled by the Mute button. The indicator will extinguish once normal pressure is reached. Make sure the CPR is closed, the tubeset is connected properly and the mattress is set to Normal. The High Pressure indicator is illuminated whenever the pump detects high pressure within the mattress. An audible alarm will sound unless cancelled by the Mute button. If this condition occurs, the air supply from the pump is switched off until normal pressure is detected. After two seconds of normal pressure being detected the indicator is switched off and the air supply restarted. Make sure the tubeset is not kinked. The Pump Fault indicator is illuminated when an internal pump malfunction is detected. Call the Service Engineer. The Power (Fail) alarm indicator will illuminate when a mains power failure has been detected. An audible alarm will sound. The alarm will continue until the mains power is resumed or the Run/Standby button is pressed to put the pump into Standby. If the power failure is prolonged, switch to Transport mode and disconnect the tubing. Examples of conditions causing the Power (Fail) alarm are mains lead removal and power failure. The Service indicator will illuminate and remain on after a set number of running hours indicating the pump is ready for a service. The pump will continue to function normally while the Service indicator is illuminated. During an alarm condition the audible alarm can be muted by pressing and holding the Mute button for 3 seconds. The indicator on the Mute button will illuminate to show the audible alarm has been silenced. The Alarm Mute button does not operate in a Power Fail condition. Press and hold the Static button for 3 seconds to select Static mode. An audible tone will sound when the button is pressed. The indicator on the Static button will only illuminate when the pump is in Static mode. Press and hold the button for 3 seconds to return to Dynamic mode. The mattress cell pressure can be manually adjusted for patient comfort using the rotary Comfort Control. Turn the Comfort Control clockwise for a firmer setting and counterclockwise for a softer setting.

1. NPUAP/EPUAP International Pressure Ulcer Guideline, 2009.