Duocare 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 DUOCARE™ mattress overlay system. In doing so you have selected an effective product for the prevention and management of pressure ulcers for patients at medium risk. The DUOCARE™ features alternating air pressure cells which operate in a one in two system to cyclically relieve tissue loading at pressure points. The advanced ODS™ cell design uses differential pressure across its width to accommodate different patient proportions and counters instability at the mattress edges, optimising therapy, comfort and security for the patient. The DUOCARE™ features a CPR rapid deflation device and a patient transport facility.

Manufacturer’s Declaration of Conformity

PRODUCT IDENTIFICATION PRODUCT:DUOCARE 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

A cushion is available for use with the DUOCARE™ power unit for continuation of pressure relief when the patient is seated out of bed.

PAGE 2

The DUOCARE™ 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: ABS Plastic 335mm x 165mm x 233mm 3.4kg 5 metres 230V +/- 10% 50Hz 12W 500mA 10 minutes

Weight: Type:

PU coated nylon base, PU coated stretch nylon cover, polyurethane cells 1930mm x 855mm x 130mm (inflatable support area) 4.7kg 17 air cells operating in a 1-in-2 alternating air pressure cycle

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

PAGE 14

O the system is not used in the presence of flammable anaesthetics.

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

Although the materials used in the manufacture of all components of the DUOCARE™ 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. Contraindications for Use Alternating pressure therapy should not be used for patients with unstable fractures, gross oedema, burns or an intolerance to motion. We recommend the use of safety side rails with this system.

PAGE 3

Dimensions:

O the mains lead is free from damage and is positioned so as not to cause an obstruction.

Do not place mattress or power unit on or near a heat source. Do not use with hot water bottles or electric blankets.

Other voltages available.

Mattress Construction:

O the electricity supply is of the type indicated on the power unit.

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

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 DUOCARE™ 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 DUOCARE™ system.

Low Pressure Alarm – If this alarm sounds, the pressure within the system is insufficient for correct operation. Check mattress is connected to power unit 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. 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.

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.

1. Ensure bed frame to be used has an existing mattress in place. 2. Place the DUOCARE™ mattress on the bed mattress with the connection tubing exiting at the foot end, and with the blue cover uppermost - the words ‘FOOT END’ should be visible and at the foot end of the bed.

Fig. 1

3. Secure the DUOCARE™ to the mattress using adjustable straps. Pass straps under bed mattress, securing with buckle at other side. (Fig. 1). This is important as it stops the DUOCARE™ becoming detached from the mattress and causing possible injury to the patient. 4. Suspend the DUOCARE™ 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 power unit using CPC connectors as described on the power unit’s labelling, and as shown. (Fig. 2).

Fig. 2

PAGE 5

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.

6. Plug the smaller end of the power lead into the left hand side of the DUOCARE™ power unit, and the other end into mains outlet in wall. Ensure that mains lead and tubing cannot become trapped in bed frame.

Power Unit Always disconnect the power unit from the electricity supply before cleaning. The DUOCARE™ power unit can be wiped down with a damp cloth or alcohol wipe. Do not use solvents.

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

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.

9. When bottom sheet is added to mattress, ensure that it is left loose to allow the mattress surface to conform with the patient’s body as much as possible.

PAGE 6

10. Allow mattress to partly inflate before positioning patient on mattress. 11. The B.A.S.E™ ALTERNATING cushion can also be used with the DUOCARE™ power unit to provide continuation of pressure relief when the patient is seated out of bed. a. To use cushion with DUOCARE™ power unit currently operating a mattress, disconnect mattress from power unit by releasing CPC connectors (press silver buttons and pull hose away).

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. O contamination status is documented as per the NHS Guidelines HSG(93)26. O assistance is given to Talley Medical personnel to bag the equipment if the mattress has been in a known or suspected infectious environment.

PAGE 11

8. Set the pressure selection on the front of the DUOCARE™ power unit to the position required according to the patient’s weight. A chart for this purpose is situated next to the pressure selector. 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. The mattress will take approximately 20 minutes to inflate.

Care and Maintenance

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

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 the air supply hose has been disconnected and the two ends joined together and the CPR device is fully closed, as fluid may enter the air cells or tubing.

b.

When reconnecting mattress, remember to reset power unit pressure according to patient’s weight. N.B. It should be noted that the use of the B.A.S.E™ ALTERNATING 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

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 with stand the thermal disinfection washing procedures described in the Department of Health Circular HC(95)18.

Once hose is disconnected from power unit immediately connect the two ends of hose together (push together until they click). This will seal the air within the mattress and it will remain fully inflated. Connect air supply hoses from cushion to power unit, pairing male and female connectors on the power unit and mattress and clicking into place. Set power unit pressure to maximum.

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 102kg (16 stone). Minimum recommended weight 26kg (4 stone). Check pressure setting periodically. 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. 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 handle is fully closed, i.e. the red CPR device is pushed together with no white plastic visible.

Back rests or pillows for support should be placed beneath the DUOCARE™ mattress to allow uninterrupted body contact with the mattress surface. Place bottom sheet loosely on the mattress to allow the mattress sur face 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.

Fig. 1

The DUOCARE™ mattress can be used on profiling bedframes.

PAGE 9

PAGE 8

Patient Transport Facility (Fig. 2) Detach hose from power unit by pressing silver buttons of CPC connectors and pulling hose away. Immediately push the CPC connectors on the two ends of the hose together. The mattress will remain inflated, so supporting the patient.