ADL arsos 111 510-DL-wds User manual

User Manual arsos®filius
+ dexos®light wds
Item No. 111 510-DL-wds
Ulcer Pressure Relief System
Assembly and Operation instructions
Health. Security. Independence.
Mattress arsos® filius
Power unit
dexos® light wds

User manual arsos® filius + dexos® light wds · Version 1.1 JS
Foreword page 3
1 Safety Instructions page 4
2 Product overview arsos® filius + dexos® light wds page 4
3 Introduction page 5
4 xplanation of indications and functions page 5
5 Installation arsos® filius page 6
6 Installation dexos® light wds page 6
7 Other settings page 10
8 Auxiliary functions page 10
9 Cleaning instructions · Service page 12
10 Troubleshooting page 13
11 Indications · Contra indications page 14
12 Technical data page 15
13 air foam combinations page 15
List of contents

User manual arsos® filius + dexos® light wds · Version 1.1 JS 3
Dear client!
You are now holding the user manual of the arsos® filius therapeutic support
system of ADL® Gmb in your hands.
arsos® filius is a mattress replacement system, divided into three segments, with
28 (20) independent removable air foam cells.
This air foam technology enables the mattress by means of air support to adjust
itself to the weight and convenience of the patient.
The functions are based upon known mechanisms. The system is equipped with
a soft foam mattress with reinforced edges. Further arsos® filius is a dynamic
or - when needed - static air filled mattress with an 11,5 cm safety foam layer
which prevents the patient to sink to the bed base level in case of a system
disorder.
When changing treatment of the patient, the foam mattress can be converted
into a dynamic system through connecting the mattress to different control power
units (e.g. dexos® light wds or dexos® autoplus).
The composition of the system can be considered a system in a system making
adaptations possible to suit a wide variety of diseases.
This module concept also combines more advantages concerning the safety aspects
as the protection of the bed side rails when large cell systems are being used.
Higher bed side rails, which head-contain again safety problems by falling heights,
do not become any longer necessarily, as the employment of the arsos® filius
mattress, offer appropriate defaults that are kept in accordance with DIN N
1970-2000 and DIN N 60601-2-38.
With the writing of this user manual the product management of the ADL® Gmb
has set itself the goal, to create a good and understandable aid and guidance for
the employment of the system. If nevertheless questions remain, please ask your
provider for direction and assistance.
Your
Foreword
GmbH

User manual arsos® filius + dexos® light wds · Version 1.1 JS
4
2 Product overview arsos® filius + dexos® light wds
Units Parts list Item No.
1 Mattress with 28 (20) Cell tubes, 6 fixation straps 111 510-DL-wds
and bi-elastic washable PU-cover
1 dexos® light wds, power unit, incl. power cord
1 Service manual 999 190
1 User Manual arsos® filius + dexos® light wds 112 002-GB
Spare PU cover 111 512
Spare cell 111 513
Spare power unit dexos® light wds, 111 203-DL-wds
incl. power cord
The system may not be used in presence of open flames, heaters a.o’s. Protect the
system against humidity. Operate it only in dry areas. No combustible gasses of
liquids may enter into the system.
EXPLOSION DANGER!
Warning! Note! The compressor is under power, as soon as the power supply
plug is put in. Before opening the housing of the compressor the power plug
is to be unplugged. Repairs must be performed only by qualified personnel.
The compressor may only to be used for it’s purpose. In case of damage to the
compressor, the power supply plug must be unplugged immediately. A damaged
power supply cord should be replaced immediately. Only room temperatures
of 0 – 35 °C provide assurance to good compressor operation. The use of a
pressure relieving mattress will not eliminate the need for a turning routine
for the patient. Do not remove (except for repairs) any cells from the system.
When applicable, batteries and accumulators should be disposed on a proper way.
These materials are not suitable to be disposed with normal (house)garbage.
1 Safety Instructions

User manual arsos® filius + dexos® light wds · Version 1.1 JS 5
arsos® filius + dexos® light wds is an air mattress system, meaning that no extra
treatment nursing mattress is required. This system is suitable for patients with a
body weigth from 20 – 100 kg.
Please note that these weight indications are applicable for patients in a laying
position. Other positions will result in another distribution of weight.
The core of soft foam will ensure adaptation to the shape of the human body
which results in an as large as possible surface and maximum pressure relaxation.
The reinforcements of the foam edges are an advantage for the sense of feeling
and the mobility of the patient. Touching the bed base is prevented by the 11,5 cm
foam core in the cell of the arsos® filius-modules.
This also helps to ensure compliance and conformity to DIN EN 1970:2000 and
DIN EN 60601-2-38 because even with full air pressure in the cells the safety
function of the bed rails remains unchanged.
3 Introduction
4 Explanation of indications and functions
On/off switch (Power)
Pressure setting (Pressure)
higher
lower
Cycle time (Cycle)
Mode (Static/Alternate)
Alarm button (Alarm)
1
2
3
4
5
3
2
1
4 5

User manual arsos® filius + dexos® light wds · Version 1.1 JS
6
Only use covers which are properly sized and sufficiently elastic in order
to prevent the "hammock effect" (see page 7). Creases in the sheets can be
smoothed from time to time, but do not tuck the sheets underneath the
mattress as the tension of the sheets can increase pressure.
Remove the existing nursing mattress.
Position the arsos® filius on the bed base frame and fix fixation straps
to the bed. (to the “up and down” moving parts of the bed). If not
properly attached to the bed can result in damage to the bed and mattress.
Place the mattress in such a way that the tubing’s are located at the
foot end of the bed.
Verify the CPR function is closed. CPR = Quick deflating function.
In systems with a valve this should be in horizontal position; in systems with a
plug closure, have all plugs put firmly in. The CPR is designed to deflate the
mattress immediately.
The dual stretch and breathing cover is to be fixed to the bed base with the
zipper on both sides.
Before putting the patient on the mattress you can fill air into the system with a
hand pump. As this is a 3-chambers-system, there will be 3 tubes at the foot end.
After placing the patient on the mattress the power unit must be connected
to the mattress.
Cover the mattress only with a cover normally used within nursing environments.
5 Installation arsos® filius
1.
2.
3.
4.
5.
6.
7.
8.
Before hanging the power unit at the foot end of the bed you have to mount the
bracket at the back of the power unit. Slide the bracket from below up into the
fixation slot. Hang the power unit at the foot end of the bed, but you can also
put it under the bed. Please note that the power unit should not be covered in
any way, as thermal damage can occur!
Connect the tubes to the power unit by connecting the tube connectors.
The connector must give a clear clicking sound. Check with a short pull at the
tube if the connecter is rightly adjusted.
Please check rubber O-rings on regular intervals!
6 Installation dexos® light wds
1.
2.

User manual arsos® filius + dexos® light wds · Version 1.1 JS 7
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1121314 15 16171819
20
Connection scheme: arsos® filius mattress with power unit dexos® light wds
Group A = Cells pair 1/2, 7/8, 13/14, 19/20
Group B = Cells pair 3/4, 9/10, 15/16
Group C = Cells pair 5/6, 11/12, 17/18
Check if the tubes are not bent or clamped between other parts.
Put the power supply plug in and switch on the unit with the power button .
When the lights at the display are lighting up, the unit is operational. The
power unit is pre-adjusted so at the start a pressure is building up in the
system right between the minimum and maximum level.
The unit starts up in alternating mode with a 5 minute cycle.
The red alarm light (5) is flashing and the system will start to be filled with air.
The red alarm light is put out of circuit when the process is completed.
After 15 -20 minutes the system is filled and you can put the patient on the
mattress. The red alarm light should be put out of circuit when the patient is
laying on the mattress. It has no meaning when the alarm now and then briefly
flashes. When pressure drops below the set level, the red alarm light is blinking
again for a long time. Together with the optic alarm, the power unit has an
acoustic alarm. The acoustic sound can be switched off and on with the
alarm button (5).
3.
4. 1
5.
6.
5
5
Group A
Group B
Group C
Group A
GroupB
Group C
Group A
Group B
GroupC
Group A

8User manual arsos® filius + dexos® light wds · Version 1.1 JS
There are no standard settings. The most effective pressure level can be set
with the pressure setting button.
The scale is divided into 8 parts. After the power unit is turned on, the standard
pressure is set in the middle of the scale, about 30 mbar. Pressure can be
lowered by repeated pressing on the left button 2 (▼lower) to about
5 mbar. By repeated pressing on the right button 2 (▲higher), a maximum
pressure of 60 mbar can be set.
Try to reach an as large as possible contact surface. This will reduce the pressure
at the patient’s skin to a minimum. If you need an indication for a
pre-adjustment you may use the following table:
But it is imperative to check the pre-adjustment with a “hand check”!
Move your hand under the knee-joint, the lumbar and neck lordosis. In order
to check if supporting material is present.
When the patient sinks too far in the mattress the so called “hammock-effect”
occurs. This should be prevented at all times.
When pressure is to high there will be a lack of supporting material underneath
the lumbar and cranial lordosis and the knee joints. The situation can be
improved by pressing button 2 (▼lower).
When pressure is too low (hammock effect), press button 2 (▲higher).
Please note that status of the air cells is to be checked daily and whenever
required adjustment is needed!
ach time when changing the pressure level you have to wait for the same time
interval of the set cycle time, before the right level has been reached. Only
after this you can check the contact area again.
8.
2
7.
2
The weight intervals only give a rough indication for
pre-adjustment and check of the setting. It can
never be an exact measure for the most effective
contact area of the body. How far the body sinks
into the mattress is not only determined by the
weight, but also by length and shape. It is imperative
to check the pre-adjustment with a “hand check”.
Try to move your hand under the knee-joint, the
lumbar and neck lordosis in order to check if
supporting material is present. When the patient
sinks to far in the mattress the so called Hammock-
effect occurs. This should be prevented at all times.
Indication mbar pressure to body weight
No. of lights pressure mbar body weight
1 Blue light 5 – 13 mbar ca. 10 – 15 kg
2 Blue lights 13 – 16 mbar ca. 15 – 20 kg
3 Blue lights 16 – 19 mbar ca. 20 – 30 kg
4 Blue lights 19 – 25 mbar ca. 30 – 40 kg
5 Blue lights 25 – 35 mbar ca. 40 – 50 kg
6 Blue lights 35 – 40 mbar ca. 50 – 65 kg
7 Blue lights 40 – 45 mbar ca. 65 – 80 kg
8 Blue lights 45 – 55 mbar ca. > 80 kg*
8.
2
2

User manual arsos® filius + dexos® light wds · Version 1.1 JS 9
„ ammock effect“ (to be avoided at any time)
High
extended
pressure
in the sacral area.
Optimal support of the patient
(Knee-joints, lumbar and cranial lordosis are supported)
Principle of alternating pressure
(every second cells pair deflated; showing group B)
}
Static pressure
( very cell has equal pressure)
}
min. 3 – 4 cm
Patient may not
sink to the base
of the bed.

The cycle time on the power unit can be varied from 5 to 20 minutes.
By pressing button 3 (”Cycle’), cycle time can be changed from standard
5 minutes with equal steps of 5 minutes to a maximum of 20 minutes.
Within one cycle all three cell groups are inflated and deflated once.
2.
In case of a contra indication for alternating pressure the system can be
switched to static mode by pressing button 4 (static/alternate). The light will
change from blue to green (static).
In static mode all cells of the system will be filled with air to the set pressure
level. In static mode all cells are active; therefore it is necessary to reduce the
set pressure with about 5-10 mbar (1 - 2 steps on the scale).
To switch back to alternating mode, again press button 4 (static/alternate).
The light will change from green to blue (alternate).
In alternate mode 2 out of 3 cells are filled with air to the set pressure level.
One cell remains without pressure.
Don’t forget to increase the pressure when switching over to alternating
pressure with the same difference used to reduce, switching over to static
mode.
7 Other settings
1.
3
4
4
Static
Cycle time
10 User manual arsos® filius + dexos® light wds · Version 1.1 JS
8 Auxiliary functions
1. Key lock
The keyboard has a key lock that is activated after about 5 minutes.
This is to prevent an unintentional displacement of the set values.
The key lock is released by simultaneous actuation of the following buttons:
alarm and pressure - and pressure +. After this the settings can be
changed.
2. Brightness of the display
The brightness of the display can be set in 3 stages with the key combination
alarm and static/alternate .
The starting situation is the brightest. By actuating the key combination it sets the
display less bright.
522
45

User manual arsos® filius + dexos® light wds · Version 1.1 JS 11
3. Power failure alarm
When the power system to which the unit is connected fails, there is a power failure
alarm. The unit beeps and the red alarm light flashes. The acoustic alarm can be
disabled with the alarm and power button. When the power supply is
restored, the alarm will also be disabled.
4. Memory function
The unit has a memory function. This means, when the power is interrupted,
the unit will remember the set values up to about 24 hours.
Thus, after transfer of a patient, connecting to the power supply again and
switching on the unit, is sufficient to continue with the same settings as before.
5. Reset function
By pressing the buttons alarm and cycle , the device can be put back to
factory settings. All settings are lost. The factory settings are alternating pressure
mode with pressure at 20 mbar, cycle time at 5 minutes, audible and visual alarm.
1
4
23

9 Cleaning instructions · Service
• During use the mattress and tubes should be cleaned weekly using a damp soft
cloth and mild detergent or non-phenol germicidal solution.
Never use any detergents containing aldehyds!
• After changing to another patient the mattress should be disinfected by a
accredited company approved by the Robert-Koch-Institute. Please ensure
conformity to the uropean guideline for medical devices , directions for
preparation of medicine products and directions for hospital hygiene and
prevention of infections from the Robert-Koch-Institute or other guidelines
they rule.
• The PU cover can be washed to a maximum temperature of 95° C and be prepared
after a thermal process (e.g. Ottalin - Peracet - process).
When disinfecting the mattress, a maximum temperature of 75° C should be kept.
In case of an arsos® filius-Mattress with an alternating power unit, this should be
cleaned with an damp cloth and soap detergent or a mild non- aldehyds cleaning
detergent.
• Disinfection with cleaning on locations is also possible, when instruction for use
and process time are properly followed.
Recommended disinfectants:
BACILLOCID RASANT (BOD ), BACILLOL AF (BOD ), BACILLOCID SP ZIAL (BOD ),
KOHRSOLIN FF (BOD ), KOHRSOLIN (BOD ), MICROBAC FORT (BOD ), DISMOZON
PUR (BOD ), INCIDIN FOAM ( COLAB), INDUR D S ( COLAB).
Check with your supplier that the disinfectant does not damage plastic
surfaces (PUR, PA, ABS, PVC).
Prevent contact on electrical components with damp or moisture.
Cleaning cloths should be damp, not wet.
Carefully check no moisture remains in the system.
xecute a functions control procedure before using the system again.
Check your cleaning process on effectiveness on a regular basis.
!
12 User manual arsos® filius + dexos® light wds · Version 1.1 JS

Module Problem Cause Measure
arsos® filius Mattress is not or Connectors are not Check connection and
insufficiently accurately locked. Tubes position of the tubes.
inflating. are twisted or kinked.
The patient sinks Air cell defect. Tubing Check cells and tubing
to deep into the defect. Pressure not connections. Check if
mattress. correctly set. the tubings are
properly functioning.
Check if cells are in
proper position.
Check pressure setting.
dexos® light wds The power unit No power available. Check power supply
does not operate Power supply plug plug and partition
(blue lamp at defect, power cord socket. Check the
the switch is not defect, safety fuse safety fuse.
illuminated). defect.
Red alarm light Defect air cell, Check cells, tubes,
is flashing and defect tube, CPR valve and
the acoustic alarm CPR valve open, connectors,
sounds connectors not check if pressure at the
properly connected outlet of the power
unit is within tolerance.
10 Troubleshooting
ADL® Gmb prescribes safety-related revisals of all electric powered parts after at
least 2 years.
The rules for accident prevention BGV A2 will remain unaffected.
The revisals may only be conducted by especially trained personal.
User manual arsos® filius + dexos® light wds · Version 1.1 JS 13

11 Indications · Contra indications
Function Indication Counter indication
Alternating Decubitus prevention and Instable fractures,
pressure with therapy support up loss of sensitivity,
dexos® light wds till stage III pain, muscular hypertonia,
(according to PUAP), (e.g. contractions, spasms)
with High Risk pressure ulcers stage III - IV
(according to Braden), (according to PUAP),
Patients with Patients with < 10 kg
< 50 body weight and > 50 kg body weight
Static Pressure ulcers prevention and Instable fractures,
soft bedding therapy support up loss of sensitivity,
with to stage III pressure ulcers stage III - IV
dexos® light wds (according to PUAP), (according to PUAP),
with high risk with High to Very High Risk
(according to Braden), (according to Braden),
Pain, muscular hypertonia Patients with < 10 kg
and > 50 kg body weight
14 User manual arsos® filius + dexos® light wds · Version 1.1 JS

Mattress Pump
arsos® filius dexos® light wds Cover
Item No. 100 510-DL-wds 111 203-wds-new 111 542
Material Polyurethane ABS PU/PA
Dimensions (cm) 140 x 90 x 11,5 23 x 15 x 8,5 200 x 95 x 12
Weight ca. 16,3 kg ca. 1,5 kg ca. 0,2 kg
Warranty* 2 years 2 years ––
lectrical 230 V/7 W
connections
Protection class II
Fuse 230 V/500 mA slow
Cleanng Wipe disinfectable with Wipe disinfectable 95 °C washable,
adequate detergents dryer can be
used to 50 °C
*Warranty only valid in case of production or material failures.
12 Technical data
13 air foam combinations
Item No. Description dexos® light dexos® autoplus lenos® light
111 500 arsos® light
stage I-II stage I - III stage I - IV stage I - IV
(up to 150 kg)
111 540 arsos® filius
stage I-II stage I - II stage I - III stage I - IV
(20 - 100 kg)
111 550 arsos® plus
stage I-II stage I - III stage I - IV stage I - IV
(up to 250 kg)
111 510 arsos® filius
stage I-II stage I - III stage I - IV stage I - IV
(20 - 100 kg)
User manual arsos® filius + dexos® light wds · Version 1.1 JS 15

User manual arsos® filius + dexos® light wds · Version 1.1 JS
In case of technical problems please contact your appointed dealer
or direct to ADL® Gmb .
(Dealer stamp)
ADL® Medical B.V. International
Maidstone 28
5026 SK Tilburg
The Netherlands
Phone: + 31 (0) 13 5772 088
Fax: + 31 (0) 13 5772 648
-mail: [email protected]
Internet: www.adlmedical.nl
ADL® Gmb
Lise-Meitner-Straße 3
48161 Muenster
Germany
Phone: + 49 (0)2534 6224-0
Fax: + 49 (0)2534 64270
ADL® Gmb
Production
and service centre rfurt
Thoereyer Strasse 1
99334 Ichtershausen
Germany
Phone: + 49 (0)36202 7519-0
Fax: + 49 (0)36202 751912
-Mail: [email protected]
Internet: www.adl-gmbh.de
Copyright by ©ADL GmbH · Muenster
Version 09/2011