Quattro Plus User Manual

Notes

Notes

Contents

PAGE 16

Page INTRODUCTION

2

CAUTION INFORMATION

3

LIST OF COMPONENTS

4

INSTALLATION

5

USER GUIDELINES

8

CARE AND MAINTENANCE

10

FAULT FINDING

12

WEIGHT CONVERSION TABLE

13

SPECIFICATION

14

MANUFACTURER’S DECLARATION OF CONFORMITY

15

Thank you for choosing to use the Talley Medical QUATTRO PLUS™ mattress replacement system. In doing so you have selected an effective product for the prevention and management of pressure ulcers for patients at high risk. The QUATTRO PLUS™ mattress comprises a polyurethane foam underlayer topped with a single layer of heavy duty polyurethane alternating pressure cells. The foam underlayer is independently encased in a sealed waterproof vapour permeable cover to prevent soiling. The QUATTRO PLUS™ system benefits from QUATTRO THERAPY™ with ODS™, featuring a unique 1 in 4 cell cycle, a low air loss feature which maintains the patient’s skin at an ambient temperature and lower humidity level, and a cell design which allows optimum therapy, comfort and security for the patient.

Manufacturer’s Declaration of Conformity

PRODUCT IDENTIFICATION PRODUCT:QUATTRO PLUS SYSTEM TYPE:PRESSURE RELIEF DEVICE DECLARATION To our knowledge the product conforms with Directive 93/42/EEC for medical equipment. Tested by:

EMC PROJECTS LTD, BTTG

Standards:

EN 60601-1-2:1993 FCC CFR Part 15B Section 15.107 & 15.109 BS 7177

Test Report No:

4621/01 12511/1/STC004

Manufacturer:

Talley Group Limited, Premier Way, Abbey Park Industrial Estate, Romsey, Hampshire, SO51 9AQ, UK

The QUATTRO PLUS™ features a CPR rapid deflation device and a patient transport facility. A cushion is available for use with the QUATTRO PLUS™ for continuation of pressure relief when the patient is seated out of bed. The cushion simply connects into the head end of the mattress without the need to swap hoses, reposition pump, or wait for either product to reach operating pressure.

PAGE 2

The QUATTRO PLUS™ system will benefit from careful installation and use, providing a long and effective service life. Please read this user manual in order to achieve the best possible results.

PAGE 15

Introduction

Specification

Caution

Pump Unit Construction: Dimensions: Weight: Mains Cable: Electricity Supply: Full Load Wattage: Fuse Rating: Cycle Time:

Before using this product ensure that:

Other voltages available.

Mattress Construction:

Dimensions: Weight: Type:

PU coated nylon base, polyurethane foam base layer, polyurethane cells, PU coated stretch nylon cover 1950mm x 855mm x 180mm (inflatable support area) 9.7kg Foam base layer topped with 17 air cells operating in a 1-in-4 alternating air pressure cycle

PAGE 14

Talley Medical products are manufactured to comply with BSI, IEC, UL, CSA and other European safety standards.

O the electricity supply is of the type indicated on the power unit. O the mains lead is free from damage and is positioned so as not to cause an obstruction. O the system is not used in the presence of flammable anaesthetics. Do not place mattress or power unit on or near a heat source. Do not use with hot water bottles or electric blankets. Although the materials used in the manufacture of all components of the QUATTRO PLUS™ comply to the latest fire safety regulations, Talley Medical advise against smoking whilst the system is in use, to prevent the accidental secondary ignition of associated items which may be flammable, such as bed linen. In order for the system to operate effectively, please avoid placing objects on the mattress surface that may obstruct the movement of air between the cells. For the same reason, please discourage people from sitting on the edge or on the end of the mattress whilst it is in use. The system is used as part of a pressure ulcer prevention programme, not solely relied upon for this purpose.

Talley Medical design and manufacture products to ISO9001, EN46001 and ISO13485 standards, and comply with Medical Directive (93/42/EEC).

Contraindications for Use Alternating pressure therapy should not be used for patients with unstable fractures, gross oedema, burns or an intolerance to motion.

Talley Medical reserves the right to modify the specification of any product without prior notice in line with a policy of continual product development. Our standard terms and conditions apply.

We recommend the use of safety side rails with this system.

PAGE 3

ABS Plastic 325mm x 165mm x 233mm 3.4kg 5 metres 230V +/- 10% 50Hz 18W 500mA 15 minutes

Your Talley Medical QUATTRO PLUS™ system should comprise the following items - please ensure you have all of these before installation. O QUATTRO PLUS™ power unit. O Separate mains power lead. O QUATTRO PLUS™ mattress replacement. O Mattress replacement top cover (supplied attached to mattress). O Mattress air supply hose set.

PAGE 4

O System carry bag.

WEIGHT CONVERSION TABLE - stone and lbs to kgs (Conversions are correct to the nearest 0.1kg (100gm); i.e. approx. 3oz.) Stone 5 5 5 5 5 5 5 6 6 6 6 6 6 6 7 7 7 7 7 7 7 8 8 8 8 8 8 8 9 9 9 9 9 9 9 10

lbs 0 2 4 6 8 10 12 0 2 4 6 8 10 12 0 2 4 6 8 10 12 0 2 4 6 8 10 12 0 2 4 6 8 10 12 0

Kgs 31.8 32.7 33.6 34.5 35.4 36.3 37.2 38.1 39.0 39.9 40.8 41.7 42.6 43.5 44.5 45.4 46.3 47.2 48.1 49.0 49.9 50.8 51.7 52.6 53.5 54.4 55.3 56.2 57.2 58.1 59.0 59.9 60.8 61.7 62.6 63.5

Stone 10 10 10 10 10 10 11 11 11 11 11 11 11 12 12 12 12 12 12 12 13 13 13 13 13 13 13 14 14 14 14 14 14 14 15 15

lbs 2 4 6 8 10 12 0 2 4 6 8 10 12 0 2 4 6 8 10 12 0 2 4 6 8 10 12 0 2 4 6 8 10 12 0 2

Kgs 64.4 65.3 66.2 67.1 68.0 68.9 69.6 70.8 71.7 72.6 73.5 74.4 75.3 76.2 77.1 78.0 78.9 79.8 80.7 81.6 82.6 83.5 84.4 85.3 86.2 87.1 88.0 88.9 89.8 90.7 91.6 92.5 93.4 94.3 95.2 96.2

Stone 15 15 15 15 15 16 16 16 16 16 16 16 17 17 17 17 17 17 17 18 18 18 18 18 18 18 19 19 19 19 19 19 19 20

lbs 4 6 8 10 12 0 2 4 6 8 10 12 0 2 4 6 8 10 12 0 2 4 6 8 10 12 0 2 4 6 8 10 12 0

Kgs 97.0 98.0 98.9 99.8 100.7 101.6 102.5 103.4 104.3 105.2 106.1 107.0 107.9 108.9 109.8 110.7 111.6 112.5 113.4 114.3 115.2 116.1 117.0 117.9 118.8 119.7 120.7 121.6 122.5 123.4 124.3 125.2 126.1 127.0

PAGE 13

List of Components

Fault Finding

Installation

The QUATTRO PLUS™ power unit has several alarm systems to warn of possible malfunction. All alarms can be reset by pressing the RESET button twice, or silenced by pressing once.

How to install and set up your Talley Medical QUATTRO PLUS™ system.

Mains Failure Alarm – this will sound when the power is interrupted by either a power cut, mains lead disconnection or the power switch is turned off. Reset by pressing the RESET button at the front of the unit adjacent to the pressure control or alternatively re-connect to power supply.

1. Ensure bed frame to be used has no existing mattress components, and is free from items which could cause damage to the QUATTRO PLUS™ mattress.

Low Pressure Alarm – If this alarm sounds, the pressure within the system is insufficient for correct operation. Check that hose is connected to mattress and pump correctly. Check that CPR device is fully closed, i.e. no white plastic is visible. Check that internal cell connections are correct and that no cell is punctured. Reset by pressing RESET button twice. If problem reoccurs, contact Talley Medical.

It should be noted that this system is intended to completely replace existing mattresses.

PAGE 12

Cycle Fault Alarm – a warning that the automatic sequential cycle has stopped. Reset by pressing RESET button twice. If alarm persists, contact Talley Medical.

If you have any queries relating to this system please call our 24 Hour Helpline on 0845 7585301.

2. Place the QUATTRO PLUS™ mattress on the bed frame with the mattress hoses on the right hand side and the purple cover uppermost - the words ‘FOOT END’ should be visible at the foot end of the bed. 3. Fasten the mattress security straps to the bed frame, allowing for the moving components on profiling electric beds (Fig. 1). The straps are important as they stop the system becoming detached from the bed frame and causing possible injury to the patient. 4. Suspend the QUATTRO PLUS™ power unit from the foot board of the bed having first adjusted the hanger brackets as instructed at the rear of the unit. Alternatively the power unit may be placed on the floor. 5. Attach air supply hose to the mattress hose situated towards the foot end of the right hand side of the mattress by matching up alignment markings and pushing together CPC connectors until they click into place (Fig. 2).

PAGE 5

System Fault Alarm – this alarm indicates an electronics fault with the microprocessor controlled air pressure regulator. Reset by pressing RESET button twice. If alarm persists, contact Talley Medical.

Fig. 1

Power Unit Always disconnect the power unit from the electricity supply before cleaning. The QUATTRO PLUS™ power unit can be wiped down with a damp cloth or alcohol wipe. Do not use solvents. The unit contains no user servicable parts, and should only be serviced by a competent electrical engineer, or returned to Talley Medical, or your local authorised dealer.

7. Plug the smaller end of the power lead into the left hand side of the QUATTRO PLUS™ power unit, and the other end into mains outlet in wall.

Fig. 3

Fig. 2

Ensure that mains lead and tubing cannot become trapped in bed frame.

PAGE 6

8. Switch the power on at outlet, and at side of power unit adjacent to power lead entry.

All Talley Medical products should be serviced annually by Talley Medical or authorised dealer in order to comply with warranty conditions. It is the customer’s responsibility to ensure the following prior to collection: O the system is cleaned of any obvious contaminants.

9. Set the pressure selection on the front of the QUATTRO PLUS™ power unit to the position required according to the patient’s weight. A chart for this purpose is situated next to the pressure selector.

O contamination status is documented as per the NHS Guidelines HSG(93)26.

10. Allow mattress to partly inflate before positioning patient on mattress. The QUATTRO PLUS™ mattress will take approximately 20 minutes to fully inflate.

O assistance is given to Talley Medical personnel to bag the equipment if the mattress has been in a known or suspected infectious environment.

11. The B.A.S.E.™ SEQUENTIAL cushion can be used with the QUATTRO PLUS™ mattress system, either operated with the mattress or, using a cushion adaptor, with the power unit. a) To use cushion with QUATTRO PLUS™ mattress system, simply attach air supply hose from cushion to connection port at side of head of mattress by matching up alignment markings and pushing together the CPC connectors until they click into place and increase power unit pressure to maximum setting.

PAGE 11

6. Attach air supply hose plate to power unit using clamp handle as described on the power unit’s labelling (Fig. 3).

Care and Maintenance

Cover Always keep the mattress cover as clean as is practicable. The material is waterproof and vapour permeable. The cover may be removed and will withstand the thermal disinfection washing procedures described in the Department of Health Circular HC(95)18.

PAGE 10

For day to day cleaning purposes it is suggested that covers are cleaned using hot water and soap or neutral detergent, or chlorine releasing agents at a concentration of 1000 ppm. Covers can also be machine washed and tumble-dried at temperatures not exceeding 71oC. Do not use bleach, chlorine releasing agents in concentrations over 1000 ppm, solvents or alcohol-based cleansers, e.g. Phenicol, Hibiscrub, Clearsol, Stericol, Hycoline as these will destroy the mattress materials. Alcohol wipes may be used sparingly. Do not Autoclave. Mattress Components The individual cells can also be wiped clean with a mild antiseptic solution. Care should be taken to avoid puncturing these cells with sharp objects. All cells are replaceable and can be obtained easily from Talley Medical. Do not immerse the mattress in water, unless air supply hose set has been disconnected, and CPR device is fully closed, as fluid may enter the air cells or tubing. Do not immerse the foam undersection of the mattress. Its PU cover is designed to be wiped clean.

Mattress and cushion will operate simultaneously, allowing simple transfer of patient between bed and chair (Fig. 4). b)To use cushion with QUATTRO PLUS™ mattress system independently of mattress, disconnect power unit from mattress tubing at mattress Fig. 4 end first by releasing CPC connector (press green button and pull hose away). This will seal the air within the mattress and it will remain fully inflated. After disconnecting mattress air supply hose from power unit,connect adaptor to power unit, then connect air supply hose from cushion to adaptor, setting power unit presure to maximum. To reconnect power unit to mattress, disconnect cushion adaptor from power unit, then attach mattress air supply tubing at power unit end first. Reconnect mattress air supply tubing to mattress, turn on power unit and reset pressure for mattress operation, according to patient’s weight. N.B. It should be noted that the use of the B.A.S.E.™ SEQUENTIAL cushion will increase the patient’s seated height by approximately 5cm, and care should be taken to ensure the patient’s comfort and security regarding height of foot and arm rests. 12. Place the carry bag and user manual in a safe place for future use.

PAGE 7

The QUATTRO PLUS™ system will provide years of efficient service if it is cared for in the following way:

User Guidelines

Pressure Setting/User Weight Guidelines The pressure setting guidelines indicated on the power unit assume that the patient has an average height to weight ratio (or Body Mass Index). However if the patient’s height to weight ratio is above or below average, increase or decrease the pressure setting accordingly. As a guide, maximum user weight should not exceed 250kg (39 stone). Minimum recommended weight 26kg (4 stone). Check pressure setting periodically.

Back rests or pillows for support should be placed beneath the QUATTRO PLUS™ mattress to allow uninterrupted body contact with the mattress surface. Place bottom sheet loosely on the mattress to allow the mattress surface greater contact with the patient’s body. Avoid using fitted sheets. The use of incontinence sheets may reduce the effect of the mattress. To remove air from the mattress when dismantling the system, use CPR facility as described previously.

If the patient is in a sitting position on the mattress, increase the pressure to the maximum setting to prevent the patient from sinking through the mattress.

PAGE 8

Patient Transport Facility (Fig. 2) Detach air supply hose from mattress hose by simply pressing green button of CPC connector and pulling hoses apar t. The mattress will remain inflated, so supporting the patient. The QUATTRO PLUS™ mattress can be used on profiling bedframes.

Fig. 1

Fig. 2

PAGE 9

CPR Facility (Fig. 1) For CPR, pull the red handle of the CPR device situated on the right hand side of the mattress (viewed from foot end). If re-inflating the mattress, make sure the CPR device is fully closed, i.e. the red CPR device is pushed together with no white plastic visible.