ARJOHUNTLEIGH SHOWER and DISINFECTION PANELS Instructions for Use Dec 2011

® and ™ are trademarks belonging to the ArjoHuntleigh group of companies. © ARJO Hospital Equipment AB 2011. ArjoHuntleigh products are patented or patent pending. Patent information is available by contacting $UMR+XQWOHLJK. Our policy is one of continuous development, and we therefore reserve the right to make technical alterations without notice. The content of this publication may not be copied either whole or in part without the consent of ARJO Hospital Equipment AB.

Contents Foreword ... 4 Intended Use ... 5 Safety Instructions ... 6 Preparations ... 7 Product Models ... 8 Parts Designation ... 10 Product Description / Functions... 12 Disinfection flow control... 12 Lockable door for disinfectant... 12 Flow Meter... 12 Shower handle ... 12 Shower flow control ... 12 Temperature control... 12 Thermometer... 12 Flushing valve / Flush button ... 12 Shower a resident in a Concerto®/Basic™... 14 Shower a resident in a Prelude ... 16 Disinfection Instructions ... 18 Microbiological Formation Prevention... 19 Accessories for disinfecting the equipment ... 19 Replacing disinfectant bottle ... 20 Disinfecting Concerto®/Basic™ ... 22 Disinfecting Prelude ... 24 Care and Preventive Maintenance ... 26 Technical Specification... 32 Labels on the Shower & Disinfection panel... 34 Accessories... 36 Addresses ... 37

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Foreword Thank you for purchasing ArjoHuntleigh equipment

operating procedures of your product. See chapter, Care and Preventive Maintenance.

Your Shower & Disinfection panel is a part of a series of quality products designed especially for hospitals, nursing homes and other health care use. We are dedicated to serving your needs and providing the best products available along with training that will bring your staff maximum benefit from every ArjoHuntleigh product.

If you require further information, please contact ArjoHuntleigh for comprehensive support and service programs to maximize the longterm safety, reliability and value of the product. Contact your local ArjoHuntleigh representative for replacement parts. The telephone number appear on the last page of this Instructions for Use (IFU).

Please contact us if you have any questions about the operation or maintenance of your ArjoHuntleigh equipment.

Definitions in this IFU

WARNING

Please read this Instructions for Use thoroughly!

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

Please read this Instructions for Use (IFU) in its entirety before using your Shower & Disinfection panel. 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.

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CAUTION

Means: Failure to follow these instructions may cause damage to all or parts of the system.

ArjoHuntleigh strongly advise and warn that only ArjoHuntleigh designed parts, which are designed for the purpose, should be used on equipment and other appliances supplied by ArjoHuntleigh, to avoid injuries or malfunction caused by the use of inadequate parts.

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NOTE

Means: This is important information for the correct use of this system or equipment.

Unauthorized modifications on any ArjoHuntleigh equipment may affect its safety. ArjoHuntleigh 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.

Service and Support A service routine must be performed on your Shower & Disinfection panel every year by qualified personnel to ensure the safety and 4

Intended Use This equipment must be used in line with its intended use and in accordance with these safety instructions. Anyone using this equipment must also have read and understood the instructions in this Instructions for Use (IFU). If there is anything you are not sure about, contact your ArjoHuntleigh representative. This equipment is intended for showering hospital or care facility residents under the supervision of trained skilled nursing staff in accordance with the instructions outlined in the Instructions for Use (IFU). All other uses must be avoided. For equipment fitted with a disinfection device, such equipment must be disinfected according to the instructions established in the Instructions for Use (IFU). All other uses of the disinfection device must be avoided.

Installation & Service requirements The equipment must only be used for the purposes stated, and must be installed according to the Assembly and Installation Instructions, which can only be superseded by local code. The useful life of this equipment, unless otherwise stated is ten (10) years, subject to required preventative maintenance as specified in the Instructions for Use (IFU), the Assembly and Installation Instructions and the Spare Part Catalogue.

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Safety Instructions WARNING This equipment is not suitable for use in presence of flammable medical and/ or anaesthetic gases due to a fire risk.

WARNING Modifications made to the equipment or use of incompatible parts without expressed written consent of ArjoHuntleigh will invalidate the supplier’s product liability. This can compromise the safety of resident and caregiver.

WARNING Make sure to check the flow meter for correct disinfectant mix ratio at the beginning of the disinfection process. Not following this instruction can cause cross-contamination.

WARNING Failure to clean equipment according to instructions can cause crosscontamination. Make sure that there is enough disinfectant fluid in the bottle.

WARNING Make sure to refer to the compatible products IFU when using it together with the Shower & Disinfection panel, to avoid bodily injury.

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Preparations Actions before first use

Actions before every use

1 Visually check the package for damage. If the product looks damaged due to freight, make a complaint to the transport agency. 2 The packaging should be recycled according to local regulations. 3 Install the Shower & Disinfection panel by qualified personnel. See separate Assembly and Installation Instructions. 4 Check that all parts of the product are supplied. Compare with the Parts Designation chapter in this IFU. If any part is missing or damaged - DO NOT use the product. 5 Read the IFU. 6 Clean the product according to the Disinfection Instructions in this IFU. 7 Perform a functionality test. See chapter, Care and Preventive Maintenance. 8 Choose a designated area, where the IFU should be kept and is easily accessible at all times.

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Check that all parts are in place. Compare to the Parts Designation page. 2 If any part is missing or damaged - DO NOT use the product. 3

WARNING To prevent cross-contamination: • always disinfect after every use, • always check the disinfectant bottle to make sure there’s enough disinfectant and • check the flow meter for correct disinfectant mix ratio at the beginning for the disinfection process.

WARNING To prevent scalding, remember to calibrate the thermostatic mixer after every installation. Contact qualified personnel or an ArjoHuntleigh technician.

Make sure the Shower & Disinfection panel thermostatic mixer has been calibrated according to the Assembly and Installation Instructions by qualified personnel or an ArjoHuntleigh technician. 10 Make sure to have a rescue plan ready in case of a resident emergency. 11 If you have any questions, please contact your local ArjoHuntleigh representative for support and service. The contact number appear on the last page of this IFU.

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Product Models MODEL 1: With thermostatic mixer for shower and disinfection. BCA 1201/1202/1204-04

BCA 1207-04 (France only)

MX MX

MODEL 2: With thermostatic mixer for shower and disinfection and a flush tank. BCA 1211/1212/1214-04

BCA 1217-04 (France only)

0 0

0

0

0

0

MIX

X

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MODEL 3: With thermostatic mixer for shower and disinfection and a flush valve. BCA 1221/1224-04

BCA 1227-04 (France only)

X

X

Flush sinks are available as an accessories for the following models: BCA 1211/1212/1214/1217/1221/1224/1227-04

NOTE There are no flush sinks available for the Shower & Disinfection panel model 1, since they have no flushing capability.

Accessory option: Flush sink with toilet function.

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Accessory option: Flush sink made of stainless steel

Parts Designation The Shower & Disinfection panels include the following parts: 1 Disinfection spray handle with trigger 2 Hook for disinfection spray handle 3

Disinfection flow control

4 Lockable door for disinfectant 5 Flow meter 6 Shower flow control 7 Temperature control 8

Thermometer

9 Shower handle with trigger 10 Shut-off valve 11 Hose for leakage from the back flow prevention device 12 Flush button (BCA 1211/1212/1214/1217-04 only) 13 Flush valve (BCA 1221/1224/1227-04 only) 14 French shower or disinfection handle without trigger (Replaces part number1 and 9 on the BCA 1207/1217/1227-04 only) 15 Flush sink - stainless steel (Accessory) (Not available for BCA 1201/1202/1207-04) 16 Flush sink - toilet function (Accessory) (Not available for BCA 1201/1202/1207-04)

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BCA1201/1202/1204/1207-04

BCA1211/1212/1214/1217-04 5

5 6 4

6

4

MX

8

7

3

3

X

7 8

2

2 9

12 9 1

1

10

10 11

BCA1221/1224/1227-04 5

14

15

6 4

MX

7 3 8

2

16 1

9

13 10

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Product Description / Functions Disinfection flow control

Shower flow control

Turn the knob to adjust the flow of the disinfectant. (Figure 1.)

Turn the knob to adjust the water flow. (Figure 5.)

Lockable door for disinfectant

Temperature control

The disinfection compartment has a key lock. Behind the compartment door is the disinfectant bottle. Make sure to keep the door locked at all times and the key safely stored away. (Figure 2.)

Turn the temperature control to adjust the water temperature as well as the temperature of the disinfectant. (Figure 6.)

Thermometer It measures the temperature of the out coming shower water as well as the disinfectant. (Figure 7.)

Flow Meter The flow meter shows the mix ratio between the disinfectant and water. To adjust the mix ratio turn the suction part on the bottle cap. Activate disinfection and at the beginning of the disinfection process look at the flow meter to make sure it’s at the right mix ratio. (Figure 3.)

Flushing valve / Flush button There are two different flush functions depending on shower model. (Figure 8.) If a flush sink is connected to the Shower & Disinfection panel it can be flushed by either:

Shower handle

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The shower handle is grey and not to be mistaken by the yellow disinfection spray handle. (Figure 4.)

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Press the trigger on the shower handle to let the water out. Hold the trigger in for constant water flow. To get continues water flow without holding in the trigger do as follows: •

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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.

French model only (1207/1217/1227-04): The shower and disinfection spray handles on the French model has no triggers.

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moving the flushing valve forward or backwards or pushing the flush button.

1

2

A joHuntleigh

Arjo C ean

4

3

Lock Button

Trigger

5

6

7

8

F C

Flush valve

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Flush button

Shower a resident in a Concerto/Basic Follow these 12 steps.

10 Release the brakes. 11 Raise the Concerto/Basic to an ergonomic height and transport the resident back.

1 Move the Concerto/Basic to the Shower & Disinfection panel equipped with a flush sink. 2

12 Make sure to disinfect the Concerto/Basic after every use to prevent crosscontamination. See chapter, Disinfection Instructions.

Make sure that the Concerto/Basic drainage hole goes over the flush sink.

3 Apply the brakes and lower or raise the Concerto/Basic to a comfortable ergonomic working height. 4 Lift off the shower handle from the Shower & Disinfection panel and hold it over the Concerto/Basic. 5 Set the temperature control to desired temperature. 6

WARNING To prevent scalding, always check the water temperature with your naked hand before directing the water on the resident. (Figure 1.) Do not use gloves as it may insulate to the extent that the water temperature can be misjudged. Point the flow of water away from the resident. Press the trigger on the shower handle while opening the shower flow control to desired flow. The thermometer shows the water temperature of the out coming water. (Allow a few seconds for the water to reach the set /desired temperature). (Figure 1.)

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Keep the water stream away from the resident and check the temperature. Adjust the temperature and the flow of water so that it suits the resident.

8 Shower the resident. (Figure 2.) 9 After the shower, turn off the shower flow control, return the shower handle and dry the resident.

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Shower a resident in a Prelude Follow these 13 steps.

10 Make sure to rinse away all soap, shampoo and bath oil collected at the bottom of the Prelude

1 Set the temperature control to desired temperature.

11 After the shower, turn off the shower flow control, return the shower handle and dry the resident.

2 Lift off the shower handle, hold it over the Prelude and direct the shower handle away from the resident. 3

12 Use the flush function if the Shower & Disinfection panel is equipped with a flush valve or a flush button.

WARNING To prevent scalding, always check the water temperature with your naked hand before directing the water on the resident. (Figure 1.)

13 Make sure to disinfect the Prelude after every use to prevent cross-contamination. See chapter, Disinfection Instructions.

Do not use gloves as it may insulate to the extent that the water temperature can be misjudged. Point the flow of water away from the resident. Press the trigger handle while opening the shower flow control to desired flow. (Figure 1.) The thermometer shows the water temperature of the out coming water. (Allow a few seconds for the water to reach the set/ desired temperature.) 4

Keep the water stream away from the resident, and check the temperature. Adjust the temperature and the flow of water so that it suits the resident.

5 Turn off the shower flow control and return the handle to the hook when finished. 6 Position the splash guard. (Figure 2.) 7 Adjust the flow of water so that it suits the resident. Shower and shampoo the resident from his or her head downwards. (Figure 2.) 8

Place a towel around the resident’s shoulders after having washed and rinsed the upper body.

9 Remove the splash guard to have easy access to legs and feet. 16

1

2 MX

Splash guard

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Disinfection Instructions Thorough disinfection and cleaning routines are necessary to prevent the build-up of bacteria on and in the equipment and to prevent cross-contamination. This is particularly vital in cases where there is a shared facility.

For optimal performance only use ArjoHuntleigh Disinfectants such as Arjo Clean™. If you have any questions regarding disinfecting the equipment or wish to order cleaning fluid, please contact your ArjoHuntleigh Customer Service.

WARNING

WARNING The disinfection procedure must be carried out after every shower. No resident is allowed in the room during the disinfection procedure. Always use protective gloves and protective eye wear when dealing with disinfectant. Avoid getting it on your skin, in your eyes or on your clothes. If contact occurs, rinse with extensive amounts of water. If skin or eyes become irritated, consult a physician. Carefully follow the instructions on the ArjoHuntleigh disinfectant bottle.

Failure to clean equipment according to instructions can cause crosscontamination.

CAUTION Use only disinfecting chemicals specifically formulated for bathing and shower systems. Other chemicals may damage the equipment or be harmful to the residents. Polishing or corrosive agents must not be used. Do not use the following substances: Iodine, bromide, methylene blue, potassium permanganate etc. (discolouration) Citric acid, chlorine, heavy metal chlorides, petroleum based solvents, trichloroethylene, phenol based disinfectants or similar solvents (damages the plastic surfaces). Do not wash the product with a high pressure washer.

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Microbiological Formation Prevention.

Accessories for disinfecting the equipment.

In order to enhance the on-site curative actions (chlorine or thermal shock), which do not guarantee a reduction of the contamination long term, make sure to follow the instructions below.

1 Protective gloves. 2 Protective eye wear 3 Soft bristle brush 4 Cloth or paper towels 5 Disinfection fluid 6 Toilet brush 7 Towel

Installation Precautions In order to limit the growth of bacterial flora, it is necessary to take action at four levels: •

Avoid stagnating water and ensure proper water circulation;

•

Take precautions against the formation of scale and corrosion based on to the water quality;

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Maintain a high water temperature from production to the different distribution circuits;

•

Mix hot and cold water as close as possible to the point of use.

Use • Make sure that the water circulates in the shower on a daily basis even if the shower is not used; and particular to make sure to remove any water that may be left behind in the hose. •

Let the water flow approximately 5 minutes before the first shower of the day.

•

Clean and disinfect according to the IFU before the first shower of the day and after the shower of each resident.

Do not forget to contact ArjoHuntleigh for the annual Care and Preventive Maintenance visit.

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Replacing disinfectant bottle. (9 steps)

8 If necessary, adjust the suction part on the bottle by hand to get the right mix ratio. (Figure 3.) 9 Adjust water temperature so that the disinfectant mixture reaches approximately 20° C (68°F).

WARNING Do not refill the disinfectant bottles due to danger of mixing different chemicals together.

CAUTION To prevent equipment surface damage only use Arjo Clean.

1 Put on protective gloves and glasses. 2

Open the compartment for the disinfectant bottle. (Figure 1.)

3

If the disinfectant bottle is empty do as follows:

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open the bottle lock,

•

disconnect the suction part from the bottle,

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discard the old bottle and replace with a new one and

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attach the suction part on the bottle opening.

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Open the disinfection flow control as far as it will go and set the temperature control as low as possible.

5 Grab the disinfection spray handle. 6 Spray disinfection fluid while keeping an eye on the flow meter. 7 Check the mix ratio on the flow meter so that it is in accordance with the setting range stated in this IFU. (Figure 2.)

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1

ArjoHuntleigh

Arjo Clean

2

Arjo Clean (50)

3

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