Acelity V.A.C.ULTA 4 User manual

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USER MANUAL
For Clinicians
Rx Only
Do not discard. Please retain this user manual for
future reference. For additional copies, in the US,
visit www.acelity.com, www.verao.com and www.
vaculta.com or contact KCI at 1-800-275-4524.
Outside the US, visit www.kci-medical.com.

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Important Safety Information Accompanies This Device
Indications, Contraindications, Warnings, Precautions and other Safety Information are contained in the
V.A.C.ULTA™ Negative Pressure Wound Therapy System (V.A.C.ULTA™ Therapy System) Safety Information.
This safety information booklet is provided with the therapy unit and also included in V.A.C. VERAFLO™
Dressing cartons. Please consult this V.A.C.ULTA™ Therapy System User Manual and the safety information
before applying V.A.C.® Therapy or V.A.C. VERAFLO™ Therapy. Before applying PREVENA™ Therapy
or ABTHERA™ Therapy, consult the safety information and instructions for use provided in PREVENA™
and ABTHERA™ Dressing cartons. If there are questions, or if the safety information is missing,
immediately contact your local KCI representative.
Additional product information can be found at www.acelity.com, www.veraflo.com or www.vaculta.com
(US), www.kci-medical.com (OUS).
As with all prescription medical devices, failure to follow product instructions or adjusting
settings and performing therapy applications without the express direction and/or supervision
of your trained clinical caregiver may lead to improper product performance and the potential
for serious or fatal injury. For medical questions, please consult a physician. In case of medical
emergency, immediately contact your local emergency services provider.
CAUTION: Federal law (US) restricts this device to sale or rental by or on the order of a
physician.
DISCLAIMER OF WARRANTY AND LIMITATION OF REMEDY
KCI HEREBY DISCLAIMS ALL EXPRESS OR IMPLIED WARRANTIES, INCLUDING WITHOUT LIMITATION ANY IMPLIED WARRANTY OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, ON THE KCI PRODUCT(S) DESCRIBED IN THIS PUBLICATION. ANY
WRITTEN WARRANTY OFFERED BY KCI SHALL BE EXPRESSLY SET FORTH IN THIS PUBLICATION OR INCLUDED WITH THE PRODUCT.
UNDER NO CIRCUMSTANCES SHALL KCI BE LIABLE FOR ANY INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES AND EXPENSES,
INCLUDING DAMAGES OR INJURY TO PERSON OR PROPERTY, DUE IN WHOLE OR IN PART TO THE USE OF THE PRODUCT OTHER THAN
THOSE FOR WHICH DISCLAIMER OF WARRANTY OR LIMITATION OF LIABILITY IS EXPRESSLY PROHIBITED BY SPECIFIC, APPLICABLE LAW.
NO PERSON HAS THE AUTHORITY TO BIND KCI TO ANY REPRESENTATION OR WARRANTY EXCEPT AS SPECIFICALLY SET FORTH IN THIS
PARAGRAPH.
Descriptions or specifications in KCI printed matter, including this publication, are meant solely to generally describe the product at
the time of manufacture and do not constitute any express warranties except as set forth in the written limited warranty included
with this product. Information in this publication may be subject to change at any time. Contact KCI for updates.

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Table of Contents
Important Safety Information Accompanies This Device ................................................................................................................................................................................ 3
Warnings: Important Information For Users...........................................................................................................................................................................................................11
Colors Used in this Manual...................................................................................................................................................................................................................................11
Introduction................................................................................................................................................................................................................................................................................13
V.A.C.ULTA™ Therapy System Key Features and Benefits....................................................................................................................................................................16
V.A.C.ULTA™ Therapy Unit Component Identification ......................................................................................................................................................................................18
Alert and Alarm Symbols.......................................................................................................................................................................................................................................20
Preparation for Use.................................................................................................................................................................................................................................................................23
Charge Battery..............................................................................................................................................................................................................................................................23
Therapy Unit Placement.........................................................................................................................................................................................................................................25
Attaching the Therapy Unit to an I.V. Pole...................................................................................................................................................................................................26
Attaching the Therapy Unit to a Bed Footboard.....................................................................................................................................................................................27
Attaching the V.A.C. VERALINK™ Cassette....................................................................................................................................................................................................28
Attaching Solution Bag / Bottle.........................................................................................................................................................................................................................29
Hang Solution Bag / Bottle...................................................................................................................................................................................................................................30
Connect Instillation Line ........................................................................................................................................................................................................................................31
Canister Installation...................................................................................................................................................................................................................................................32
Changing the Canister ............................................................................................................................................................................................................................................34
Operation .....................................................................................................................................................................................................................................................................................37
Touch Screen.................................................................................................................................................................................................................................................................37
V.A.C.ULTA™ Therapy System - Therapy Options.....................................................................................................................................................................................38
Touch Screen - Tabs...................................................................................................................................................................................................................................................40
Common Touch Screen Buttons.......................................................................................................................................................................................................................41
Power the V.A.C.ULTA™ Therapy Unit On or Off .......................................................................................................................................................................................42
New Patient Screen...................................................................................................................................................................................................................................................43
V.A.C. VERAFLO™ Therapy Configuration - Default Settings Overview......................................................................................................................................44
V.A.C. VERAFLO™ Therapy Configuration - Advanced User Defined Settings Overview................................................................................................45
Configure V.A.C. VERAFLO™ Therapy - Advanced User Defined Settings ................................................................................................................................46
Fill Assist Screens.........................................................................................................................................................................................................................................................48
Home Screen - V.A.C. VERAFLO™ Therapy....................................................................................................................................................................................................50
Information Screens - V.A.C. VERAFLO™ Therapy.....................................................................................................................................................................................51
Stop V.A.C. VERAFLO™ Therapy Confirmation ...........................................................................................................................................................................................52

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V.A.C. VERAFLO™ Therapy Paused.....................................................................................................................................................................................................................52
V.A.C. VERAFLO™ Therapy Alerts and Alarms .............................................................................................................................................................................................53
V.A.C. VERAFLO™ Therapy Blockage Alert ....................................................................................................................................................................................................54
V.A.C. VERAFLO™ Therapy Blockage Alarm (Therapy Interrupted)...............................................................................................................................................55
V.A.C. VERAFLO™ Therapy Canister Full Alarm (Therapy Interrupted)........................................................................................................................................56
V.A.C. VERAFLO™ Therapy Canister Not Engaged Alarm ....................................................................................................................................................................57
V.A.C. VERAFLO™ Therapy Therapy Inactive Alarm.................................................................................................................................................................................58
V.A.C. VERAFLO™ Therapy Leak Alarm............................................................................................................................................................................................................59
V.A.C. VERAFLO™ Therapy Leak Alarm (Therapy Interrupted)..........................................................................................................................................................60
V.A.C. VERAFLO™ Therapy Low Pressure Alarm (Therapy Interrupted)......................................................................................................................................61
V.A.C. VERAFLO™ Therapy V.A.C. VERALINK™ Not Engaged Alert...................................................................................................................................................62
V.A.C. VERAFLO™ Therapy Solution Bag / Bottle Empty Alert..........................................................................................................................................................63
V.A.C. VERAFLO™ Therapy Fill Assist Inactive Alert..................................................................................................................................................................................64
V.A.C. VERAFLO™ Therapy Pressure Deviation Alarm (Therapy Interrupted)..........................................................................................................................65
V.A.C. VERAFLO™ Therapy Instill Tube Blockage Alert (Therapy Interrupted)........................................................................................................................66
V.A.C. VERAFLO™ Therapy Battery Low Alert..............................................................................................................................................................................................68
V.A.C. VERAFLO™ Therapy Battery Critical Alarm .....................................................................................................................................................................................69
Battery Exhausted Alarm........................................................................................................................................................................................................................................70
V.A.C. VERAFLO™ Therapy Internal Temperature Alert.........................................................................................................................................................................71
V.A.C. VERAFLO™ Therapy System Error Alarm (Therapy Interrupted) (after Power On).................................................................................................72
System Error Alarm (at Power On)....................................................................................................................................................................................................................73
Utilities Tab - V.A.C. VERAFLO™ Therapy.........................................................................................................................................................................................................74
Dressing Soak................................................................................................................................................................................................................................................................75
Test Cycle.........................................................................................................................................................................................................................................................................79
V.A.C.® Therapy Configuration - Default Settings Overview.............................................................................................................................................................81
V.A.C.® Therapy Configuration - Advanced User Defined Settings Overview.......................................................................................................................82
V.A.C.® Therapy Settings Screen.........................................................................................................................................................................................................................83
Home Screen - V.A.C.® Therapy...........................................................................................................................................................................................................................85
Information Screens - V.A.C.® Therapy............................................................................................................................................................................................................86
V.A.C.® Therapy Alerts and Alarms....................................................................................................................................................................................................................87
V.A.C.® Therapy Blockage Alert ...........................................................................................................................................................................................................................88
V.A.C.® Therapy Blockage Alarm (Therapy Interrupted)......................................................................................................................................................................89
V.A.C.® Therapy Canister Full Alarm (Therapy Interrupted)...............................................................................................................................................................90
V.A.C.® Therapy Canister Not Engaged Alarm ...........................................................................................................................................................................................91

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V.A.C.® Therapy Therapy Inactive Alarm........................................................................................................................................................................................................92
V.A.C.® Therapy Leak Alarm...................................................................................................................................................................................................................................93
V.A.C.® Therapy Leak Alarm (Therapy Interrupted) ................................................................................................................................................................................94
V.A.C.® Therapy Low Pressure Alarm (Therapy Interrupted).............................................................................................................................................................95
V.A.C.® Therapy V.A.C. VERALINK™ Not Engaged Alert..........................................................................................................................................................................96
V.A.C.® Therapy Solution Bag / Bottle Empty Alert.................................................................................................................................................................................97
V.A.C.® Therapy Pressure Deviation Alarm (Therapy Interrupted) ................................................................................................................................................98
V.A.C.® Therapy Instill Tube Blockage Alert (Therapy Interrupted)...............................................................................................................................................99
V.A.C.® Therapy Battery Low Alert..................................................................................................................................................................................................................100
V.A.C.® Therapy Battery Critical Alarm .........................................................................................................................................................................................................101
Battery Exhausted ...................................................................................................................................................................................................................................................102
V.A.C.® Therapy Internal Temperature Alert.............................................................................................................................................................................................103
V.A.C.® Therapy System Error Alarm (Therapy Interrupted) (after Power On).....................................................................................................................104
System Error Alarm (at Power On).................................................................................................................................................................................................................105
Utilities Tab - V.A.C.® Therapy ............................................................................................................................................................................................................................106
Dressing Soak.............................................................................................................................................................................................................................................................107
PREVENA™ Therapy Configuration - Overview .....................................................................................................................................................................................109
Home Screen - PREVENA™ Therapy .............................................................................................................................................................................................................110
Information Screens - PREVENA™ Therapy ..............................................................................................................................................................................................111
PREVENA™ Therapy Alerts..................................................................................................................................................................................................................................113
PREVENA™ Therapy Blockage Alert ..............................................................................................................................................................................................................114
PREVENA™ Therapy Blockage Alert (Therapy Interrupted)............................................................................................................................................................115
PREVENA™ Therapy Canister Full Alert .......................................................................................................................................................................................................116
PREVENA™ Therapy Canister Not Engaged Alert.................................................................................................................................................................................117
PREVENA™ Therapy Therapy Inactive Alert..............................................................................................................................................................................................118
PREVENA™ Therapy Leak Alert.........................................................................................................................................................................................................................119
PREVENA™ Therapy Battery Low Alert........................................................................................................................................................................................................120
PREVENA™ Therapy Battery Critical Alert..................................................................................................................................................................................................121
Battery Exhausted ...................................................................................................................................................................................................................................................122
PREVENA™ Therapy Internal Temperature Alert...................................................................................................................................................................................123
PREVENA™ Therapy System Error Alert (Therapy Interrupted) (after Power On) .............................................................................................................124
System Error Alert (at Power On)...................................................................................................................................................................................................................125
Utilities Tab - PREVENA™ Therapy ..................................................................................................................................................................................................................126
ABTHERA™ Therapy Overview.........................................................................................................................................................................................................................127

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Confirm Settings Screen - ABTHERA™ Therapy ...................................................................................................................................................................................128
Home Screen - ABTHERA™ Therapy.............................................................................................................................................................................................................129
Information Screens - ABTHERA™ Therapy..............................................................................................................................................................................................130
ABTHERA™ Therapy Alerts..................................................................................................................................................................................................................................131
ABTHERA™ Therapy Blockage Alert..............................................................................................................................................................................................................132
ABTHERA™ Therapy Blockage Alert (Therapy Interrupted)...........................................................................................................................................................133
ABTHERA™ Therapy Canister Full Alert.......................................................................................................................................................................................................134
ABTHERA™ Therapy Canister Not Engaged Alert.................................................................................................................................................................................135
ABTHERA™ Therapy Therapy Inactive Alert.............................................................................................................................................................................................136
ABTHERA™ Therapy Leak Alert ........................................................................................................................................................................................................................137
ABTHERA™ Therapy Battery Low Alert........................................................................................................................................................................................................138
ABTHERA™ Therapy Battery Critical Alert..................................................................................................................................................................................................139
Battery Exhausted ...................................................................................................................................................................................................................................................140
ABTHERA™ Therapy Internal Temperature Alert...................................................................................................................................................................................141
ABTHERA™ Therapy System Error Alert (Therapy Interrupted) (after Power On).............................................................................................................142
System Error Alert (at Power On)...................................................................................................................................................................................................................143
Utilities Tab - ABTHERA™ Therapy..................................................................................................................................................................................................................144
SEAL CHECK™ Leak Detector Overview.....................................................................................................................................................................................................145
SEAL CHECK™ Leak Detector - V.A.C. VERAFLO™ Therapy...............................................................................................................................................................146
SEAL CHECK™ Leak Detector - V.A.C.® Therapy......................................................................................................................................................................................147
SEAL CHECK™ Leak Detector - PREVENA™ Therapy............................................................................................................................................................................148
SEAL CHECK™ Leak Detector - ABTHERA™ Therapy ...........................................................................................................................................................................149
Log - V.A.C. VERAFLO™ Therapy.......................................................................................................................................................................................................................150
Log - V.A.C.® Therapy..............................................................................................................................................................................................................................................151
Log - PREVENA™ Therapy....................................................................................................................................................................................................................................152
Log - ABTHERA™ Therapy ...................................................................................................................................................................................................................................153
History Tab Screen ...............................................................................................................................................................................................................................................................155
Patient History or Imaging Configuration (First Time Use) - Overview..................................................................................................................................156
Patient History or Imaging Configuration (New Access Code) - Overview ........................................................................................................................157
Patient History...........................................................................................................................................................................................................................................................158
Create New Patient History ...............................................................................................................................................................................................................................158
Access Patient History ..........................................................................................................................................................................................................................................159
Create New Access Code....................................................................................................................................................................................................................................160
Patient History Screen ..........................................................................................................................................................................................................................................162

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View Patient History Screen..............................................................................................................................................................................................................................163
Export Patient History Screen..........................................................................................................................................................................................................................164
View Graph - Wound Area (cm2) Screen....................................................................................................................................................................................................165
Delete Patient History Screen..........................................................................................................................................................................................................................166
Wound Imaging .......................................................................................................................................................................................................................................................167
Imaging Screen.........................................................................................................................................................................................................................................................168
Analyzing Images - Touch Corners of Reference Square................................................................................................................................................................171
Analyzing Images - Trace Wound Perimeter...........................................................................................................................................................................................172
Analyzing Images - Image Area Depth......................................................................................................................................................................................................174
Delete Images............................................................................................................................................................................................................................................................175
Therapy History Screen........................................................................................................................................................................................................................................177
Alarm History Screen.............................................................................................................................................................................................................................................178
Export History Screen...........................................................................................................................................................................................................................................179
Data Transfer Errors.................................................................................................................................................................................................................................................180
Utilities Tab................................................................................................................................................................................................................................................................................181
Regional Settings Screen....................................................................................................................................................................................................................................182
About and Contact Information Screen....................................................................................................................................................................................................183
Screen Calibration Screen..................................................................................................................................................................................................................................184
Date & Time Settings Screen ............................................................................................................................................................................................................................186
Screen Brightness Screen...................................................................................................................................................................................................................................187
Leak Alarm Threshold Screen...........................................................................................................................................................................................................................188
Confirm Serial Number.....................................................................................................................................................................................................................................................189
Care and Cleaning................................................................................................................................................................................................................................................................191
Standard Precautions............................................................................................................................................................................................................................................191
Waste Disposal ..........................................................................................................................................................................................................................................................191
Cleaning the V.A.C.ULTA™ Therapy Unit.....................................................................................................................................................................................................191
Cleaning the Touch Screen ...............................................................................................................................................................................................................................192
Explanation of Symbols Used.......................................................................................................................................................................................................................................193
Specifications..........................................................................................................................................................................................................................................................................194
Electromagnetic Compatibility.......................................................................................................................................................................................................................195
Customer Contact Information ...................................................................................................................................................................................................................................198

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