AirMed PLUS ADS clinic User manual

Bedienungsanleitung
Mode d‘emploi
Wechseldrucksystem
Système anti-escarre
ADS Clinic

Content
Content 2
Product description 3
Product images 4
Product images 4
Explanation of the symbols 7
Operation the device 8
Operational location 11
Turning on the device 12
Choice of operating mode 14
Nursey mode 14
Pressure relief position 15
Security key 15
Set the interval time 15
Set the weight of the patient 15
Display of operating hours 16
Turning off the device 16
The alarm 16
Cleaning / Disinfection 17
Filter 18
Contra-indications 18
Maintenance 18
Certificate of conformity 19
Information manufacturer and technical details20

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Productdescription
The ADS clinic is a medical device and provides support for ‘functional static therapy¹’,
alternating pressure position, and non-taxable position of patients with the target-prevention
of pressure ulcers and decubitus therapy. For this purpose the ADS clinic is linked to a special
type of matress from AirMedPLUS. The ADS clinic is microprocessor controlled device, equip-
ped with an active pressure control and keeps the pressure in the air cells constantly,related
to the set weight of the patient. The device with the corresponding mattress can be used till
pressure ulcers gradation 4.
¹ Functional Static Therapy = all cells have the same pressure, the cells are not up to hard, but so hard on basis of the
set weight of the patient. The patient optimally drops, so the patient is kept in therapeutic mode.

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Productimages
Front view
1. 2. 3. 4. 5. 6. 7. 8. 9.
10. 11. 12.
Rear view
14. 13.

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Top view
15. 16. 17. 18. 19. 16.
14. 20 . 21. 13. 22.
Display
23. 24. 25. 26. 23. 27. 25.

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. 28. 29.
Patient’s mattress
. 30. 31. 32.
. 33. 34. 36. 37. 35.
. 38. 39.

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Explanationofthe symbols
Front view:
1. Button „ON“
2. Button „OFF“
3. Buttons for operating mode „Static“
4. Buttons for operating mode „Alternating pressure“
5. Icon of the selected operating mode „Alternating mode“
6. Selected cycle time in operating mode „Alternating mode“
7. Buttons to acknowledge the alarms
8. Buttons to display the number of operating hours
9. Buttons to activate / deactivate locking
10. Button to set more (+) or less (-) weight of the patient
11. Display of the set weight of the patient
12. Buttons to set the cycle time in operating mode “Alternating pressure”, shorter (-)
of longer (+)
Rear view
13. Pneumatic coded connector to fit the mattress
14. Powercord
15. Screw
16. Bed suspension
17. Vibration damper
18. Pump shock absorbers
19. Type plate
20. Fuse 1 A, 250 V
21. Fuse 1 A, 250 V
22. Dustfilter
Display
23. View of the selected mattress type
24. Shows set cycle time for type “Alternating pressure”
25. Shows set weight of the patient
26. Show set cycle time for operating type “Alternating pressure”
27. Symbol selected set for operating type “Static”
28. Symbol „Alarm“ for leakage alarms
29. Symbol to display activated key lock
Patient’s mattress
30. Rubber strap for attaching the mattress und the mattress type 1
31. Lateral bed fixings type 1, 2 and 3
32. CPR connection type 1, 2 and 3
33. Transport function type 1, 2 and 3
34. Pneumatic coded plug for connecting to the pump, for mattress types 1, 2 and 3
35. Zipper
36. Cover
37. Low – Air-Loss cells
38. Fill pillow (optional for the 12,5 cm mattress „Type 1“ and the 20 cm replacement
mattress „Type 2“)
39. Base (base mattress with interchangeable air chambers)

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Operationthedevice
Connecting the device to the power supply.
The ADS clinic must connect to a power strip of 230 V/50Hz to operate. Other voltages or
frequencies are not allowed, it can lead to damage of the device.
Connecting an AirMed PLUS mattress to the device
For the operating of the ADS clinic, an AirMedPLUS patient’s mattress must be connected. See
chapter “Turning on the device” for instructions. The ADS clinic offers specially adapted
pressure protocols, which contains parameters to set the pressure value of the mattresses
exactly, in order to ensure optimal pressure relief. Other types of patient’s mattresses from
manufacturers other than listed are not allowed and should not be used in combination with
the ADS clinic.
Connecting the mattress to the ADS clinic is made via the triple pneumatic encrypted plug at
the bottom of the pump. Both the pneumatic plug and the pneumatic plug on the pump side
are encoded and fit, but in one direction. For support, there are two identical looking triangle
symbols on both parts made, which should be on the same side of the mattress for connecti-
on, and visible on both sides for the user.
To the three hose connector plugs, at the mattress side, black O-rings for sealing are there.
To connect the mattress to the device (pump) checks the O-ring per connection. Three O-
rings in total should be available and undamaged. You can order the O-rings at the service
center as a replacement part (item number 99-1131). Make sure all hoses are at one
direction of the pneumatic plug and whether they are stuck. For attaching, you press the
locking hooks at the mattress side together easy. You have to stick the plug on the mattress
side into the pneumatic connector of the pump and release the clamps.
At a normal connection without pressing the clamps together, you will hear a "click" sound.
If you can't hear a "click" as the mounting clamps of the pneumatic plug when inserting the
plug into the pneumatic box be squeezed.
Please note:
One of both damaged fasteners or one or more missing or damaged O-rings or one
or more pneumatic hose couplings not stuck on the plug of the mattress can lead
to leakages and thus lead to a not intended use of the system.
The mattress is placed on a suitable bed, the connection of the hose must always at the
foot end of the bed are. All surfaces in beds with adjustable mattresses can be used.
Please make sure, that hoses or cells aren’t snapped, dense or damaged, by the bed or
parts of the bed, or adjustable surfaces.
Mattress type 1:
At this type of mattress it acts to an existing mattress which remains in bed.
The mattress will be stabbed to the rubber pull direction at the head and foot area
of the mattress. On both sides of the mattress (3 left and 3 right), top straps
are located, that only to the slatted or when available, to place able parts of
the slatted may fixed. The top straps possess snap-pieces, which once on the
right length, can be set and retain its customer specific length.

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Mattress type 2:
At this type of mattress it acts to a mattress which will replace the existing
mattress. The existing mattress should be removed from the bed first.
On both sides of the mattress (3 left and 3 right), top straps are located, that
only to the slatted or when available, to place able parts of the slatted may
fixed. The top straps possess snap-pieces, which once on the right length, can
be set and retain its customer specific length.
Mattress type 3:
At this type of mattress it acts to a mattress, where the existing mattress should
be removed from the bed first. On both sides of the mattress (3 left and 3
right), top straps are located, that only to the slatted or when available, to
place able parts of the slatted may fixed. The top straps possess snap-pieces,
which once on the right length, can be set and retain its customer specific
length.
Please note:
The top straps should not be attached to the bed, if mobility of the bed in any
circumstance is limited. The top straps may only the be connected at the
placeable part of the mattress. It’s not allowed to connect the mattress and the
bed using the top straps. Otherwise, there is danger that the maneuvarability
of the bed and even the functionality of bed will be limited. In addition there is
a danger of damage to the bed and/or the ADS clinic system.
Please note:
You have to depend on the bed and mattress, the content of the so called “Bed
bars standard / Side wings standard”, DIN EN 606601-2-52 (previous DIN EN IO
1970) and compliance of the minimum distance between the upper side of the bed
bars and/or side wings of the bed and upper side of the mattress.
Please note:
Be alert on correct working snap-locking. If you discover defect snap-locking’s,
please exchange these a.s.a.p. For security reasons three top straps are located on
both sides of the mattress. These guarantee the handhold of the mattress on the
bed.
Please note:
There should always be a sheet between the mattress and the patient present. The
mattress should not contact the skin of the patient or the patient wounds directly.
Please note:
There should be no moisture in the device. You will use the device only, where it is
safe, that no moisture can get inside the device.

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Please note:
The device should not be used in environments where flammable gases are used.
You will use the device only there, where guarantee is set, that there are no flam-
mable gases in the area or ambient air.
Please note:
The device should not be covered. There is a danger, in case the device is covered.
The heat will accumulate.
Please note:
Alarm-function will only work when ADS clinic is conneted to the electricity supply
system. If the electricity supply system has been switched off or has failed and the
ADS clinic was temporarily switched off, you have to turn the ADS clinic on again to
make sure, that the alarming system of the ADS clinic will work fine.

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Operationallocation
The device's operational location is perpendicular to the foot end of the bed on the ground or
for setting up and operating the device briefly hanging on the foot of bed - only and
exclusively to operate the device and not during the use. On behalf of security reasons it
should be established, that no humidity can run inside the device! These locations are
featured as construction vibrations and vibrations of some patients can be experienced as
disturbing. The transfer of vibrations and noise is thereby limited. The device can also be used
in landscape situations.

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Turningonthedevice
You connect the ADS clinic as described above to.
You press button (1) for ca. 3 seconds, till the light from the display is turned
on. Once you see a number in the display, which corresponds to one of the
digits “1”, “2”, or “3”, the ADS clinic is ready to be set. Mutiple settings shown in
the display, after the device has been turned on, are based on it’s last usage
and before the last turning off.
Please determing yourself:
Before turning on, the attached mattress must be connected
first. Here, the last selected mattress, will as default choice
proposed. At each mattress, a pneumatic connector is atta-
ched foreseen with the digits „1“, „2“ or „3“. These digits are
related to its mattresses.
Number
Type
Minimum weight
patient
Maximum weight
patient
1
Mattress, REF 10-8200
20 Kg
180 Kg
1
Patients replacement mattress
system (foam pocket inside for
max 6 cm foam mattress, foam
not included) REF 10-8215
20 Kg
180 Kg
2
Mattress replacement system
(support stop in June 2015)
50 Kg
210 Kg
3
Mattress replacement system
REF 10-8335
70 Kg
250 Kg
You change the selected mattress by pressing button (10). To set the weight of patient
you must use the button „+“ or „-„. The selected mattress type is shown in the middle of
the display (you see a large digit). The choice and the confirmation of the type, shall be
carried out by pressing the keys (3) or (4) (choice operating mode „Static“ or „Alterna-
ting mode“), each time for the operating mode for which you have selected.
The alarm, caused by a leakage, is a safety precaution against the bed sores.
When using mattress type “1” you are required to lay a mattress between the patient’s
mattress and the slatted mattress/bars.
The footage of the patients mattress is at the end, where the pneumatic connection hose
is. The headboard is located opposite the feet ends and contains no connection hose. The
top of the mattress is that side where the zipper for attachmed to the tracing (deck) is.
The tracing (deck, cover) itself has a foot end where the overprint (logo) "AirMed PLUS"
is located.

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The top of the cover (deck, cover) is the smooth side; the bottom of the cover contains
Jersey-upholstery. The tracing consists of Polyurethane stretch at the top and a Jersey-
layer at the bottom.
After the selection of the type of mattress, the ADS clinic starts filling the connected
mattress. In doing so, the microprocessor of the ADS getting a pressure control to de-
termine, when the correct pressure for the selected patient's weight is reached. Further,
the operating mode icon in the upper-left corner, flashes (three filled rooms, if you have
selected operating mode "static", and two filled rooms and one non-filled room, if you
have selected operating mode "alternating pressure"). If the symbol shown in the upper
left corner of the display no longer flashes, the filling process is completed. From now on,
the patient may be placed on the mattress.
Please note:
Never place a patient on the mattress before the filling process is completed
and the ADS clinic indicates that the system is operational. The patient may
not guaranteed bed sores by pressure relief at the filling process and missing
volume fill early. The ADS clinic features a log system, that duration, the er-
ror code, the set weight, cycle time and counter-pressure of the patient re-
cords.
The key ‘security’ is during start-up not activated. During the start-up process, no
attention should be given to this.
The mattress consists of nylon and polyurethane coated nylon fabric.

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Choiceof operatingmode
The ADS clinic has two operating modes to select i.e.:
“Static mode” and “Alternating mode”
Static mode
The symbol identification in the display of the mode:
By pressing button (3) the function “Static mode” of the ADS clinic is selected and the
operating will start. In this function, the ADS clinic works like a therapeutically static
function. All cells are filled with the same selected pressure, via the set weight of the
patient.
In static therapeutic function and the carefully selected weight of the patient, the patient
descends deeper in the mattress. By increasing the surface, the pressure load is spread
over multiple planes, and for the individual the risky areas of the body reduced.
Alternating mode
The symbol identification in the display of the mode:
By operating, key (4), the function of the ADS clinic changes into a three room alterna-
ting pressure system. By a user-set interval time (3-30 min., set in steps of one minute)
the cell pattern A-B-C-A-B-C.. will, for the duration of the set interval time, inflate the
cells A and B, C not. After the interval time, cell A is deflated, cell B remains filled, and
cell C will be inflated. At the end of the next interval time, cell B will be inflated, cell C
remains fill and cell A is refilled. The filling/deflating of cells causes 'air flow sound‘, by
the so-called ‚Airshifting‘ procedure. At ' Airshifting ' is the volume moved from one room
to another room. So has the ADS clinic on short interval times for a momentary peak
load.
Nursey mode
By simultaneous pressing of buttons (8) and (9) for approximately three sconds you will
enable or disable the "nursery mode". "Nursery mode" means, all cells will be inflated with
maximum pressure for maximum 20 minutes. In the display, you will see the icons „Rest“
und „MAX“ (flashing), see picture:
After 20 minutes in "nursery mode", „ADS clinic“ will turn
automatically back to the previous mode before enabled the
"nursery mode". The remaining time is shown into the display
with the word „Rest“. If nursery mode is enabled, you can turn
into the previous mode at any time by pressing the buttons (8)
and (9) simultaneously for approximately 3 seconds.

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Pressurereliefposition
In pressure relief position of particular body parts, in operating mode ‘Static’, cells can be
removed individually. To do this, you have to remove the cover of the mattress, pull out
the push buttons from the cells to be removed, left and right from the base mattress.
Tear the connection hose of the cell, to the hose system in the mattress base loose. You
now close, with the exit cover (article number 10-8007) the resulting opening at the hose
system, in order to avoid a leakage including its alarm. Pull, the temporarily cells pulled
off, from the cell regulation and connect the cover to the mattress (base system).
At a pressure relief position, in operating mode ‚Alternating pressure‘, double as large,
not filled, free areas may arise, in case the adjacent cell for non-pressure position remo-
ved cell, for the duration of the interval cycle is not filled. In this case, the patient bed
sores.
Securitykey
Symbol for active security key in the display:
The security key will activate automatically after ca. 5 minutes. You will recognize the
active security key by the symbol, as shown in the display. Pressing a key, in case the of
an activated security key, please follow the instructions shown in the display.
You will deactivate the security key by pressing button (9). If the security key in the
display is not visible, you can adjust the settings. The security key is activating itself,
after ca. 5 minutes after the last touch of the key or by pressing key (9).
The security key function is to prevent unintended operation of the device. Turning off
the device is not prohibited by the security key (2). Nevertheless, the user should press
key (2) for 2 seconds consciously, to turn off the device
Set theintervaltime
Setting the interval time is only possible in operating mode ‘Alternating pressure’. An
interval time from 3 till 30 minutes can be set, each time with a step of one minute. The
interval time is needed to switch cell to cell.
The desired interval time is set, by pressing key (12). For a shorter interval period press
'-' for a longer interval period press '+'. The period of time interval is displayed in minu-
tes on the display.
Set theweightofthepatient
Setting the weight of the patient is both possible in operating mode ‚Alternating pressure‘
and ‚Static‘.
The weight of the patient is set by key (10). The steps are based on entire kilograms.
For a lower weight of the patient press '-' and for a higher weight of the patient, press
'+'.

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Please note:
The pressure value for each patient is at the ADS clinic after the test schedule for
establishing the value of the pressure relief, published by the dome of the legal
health insurance funds (GKV Union-Germany), determined. In the test report (prior
art) it is assumed that a patient, in central back position on the mattress and the
patient possesses all limbs.
If the patient is on an ADS clinic mattress, but now not centrally on the
mattress or as well as nursing tie in the embryonic position and only on a
higher or lower scope of the mattress is, must be the setting of the weight
of the patient, if necessary, be corrected, otherwise the patient get bed so-
res.
The cause of having bed sores can be cause by moving patients weight on a smaller
area, quasi a pressure point causes.
Displayofoperatinghours
By pressing key (8), the operating hours are displayed in whole hours. The operating hours
counter, can be turned back only by the service department of AirMedPLUS GmbH.
Turningoffthe device
To turn of the device, press for 2 seconds key (2). Key (2) can also be pressed in case the
key security is switched on. The power-off function will take precedence over the security key.
The alarm
The ADS clinic is equipped with an optical and visible alarm. Early warning is monitored by the
microcontroller. The optical alarm in case of device issues, will be shown in the display as a
‚clock‘. The symbol of the optical alarm, in case of device problems, is shown by a triangle
with an exclamation mark. The acoustic alarm is an alternating beep.
'Pressure too low’ (2) will be displayed via the LED indicator, in case there are pressure
issues. The alarm caused by a leakage or by a not yet air-filled patient’s mattress, is a safety
precaution against bed sores. The alarm, caused by a leakage, is a security against bed sores.
When using patients mattress type 1, it is necessary to insert a mattress between patient’s
mattress type 1 and the slatted/rack.
Symbol of the optical alarm at pressure issues:
This symbol will be shown on behalf of one of the following causes:
Leakage in the pneumatic system
Mattress not connected
Leakage in one of the cells or connection hose or in the device.
Symbol of the optical alarm at problems with the device:
An audible alarm is always together with a visible alarm on.

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If the audible alarm goes off, it can be turned off, by pressing the alarm off button (7). The
alarm clock sign or triangle warning sign with exclamation mark in the display ( ) remains.
An optical alarm remains active as long as, until the cause of the alarm is resolved and the
calculated pressure value of the patient’s weigh has been reached. The acoustic alarm occurs
only once per error message.
If an optical alarm (clock symbol) occurs in case of pressure problems, please search for
a possible leakage first. The leakage may have arisen in response to one of the following
reasons:
No AD-mattress connected.
CPR-vent is open.
One or more cells are for non-pressure lie are removed and the hose connection is not
connected with the exit cover.
The hoses are not fastened with the pneumatic plug.
O-rings are defect or missing entirely up to the pneumatic plug.
The mattress has a hole or a crack.
Other leaks.
If you've checked all possible causes and you cannot find the cause, contact our service
department please.
If an optical alarm for device issues occurs, please disconnect the device from the power
supply and don’t use the device anymore. Please contact our service department.
Please note:
Alarm-function will only work when ADS clinic is conneted to the electricity supply
system. If the electricity supply system has been switched off or has failed and the
ADS clinic was temporarily switched off, you have to turn the ADS clinic on again to
make sure, that the alarming system of the ADS clinic will work fine.
Cleaning/Disinfection
For the killing of germs and bacteria, the device can de disinfected with a suitable
disinfectant. The company AirMedPLUS uses itself the product ANTISEPTICS Poly-Alcohol
skin-colorless-antiseptic.
Please note:
There should be no moisture in the device.
The AD-mattress and the cover can be disinfected by the user. For killing of germs and
bacteria, the AD-mattress can be disinfected with a cloth and a suitable disinfectant product,
egg. With a means as mentioned above. The AD-mattress included the tracing (cover) or the
tracing only, are washed in a washing machine. You should take into account the using of a
suitable detergent for killing germs and bacteria and a thermal 60 º C washing program.
E.g. the detergent ELTRA of the company Henkel/Ecolab. Note the symbols of the AD-
mattress and cover.
The AD-mattress and the cover should not be washed hotter than 65°. The material may
otherwise become damaged. For each re-use of the device and AD-mattress, it must be
cleaned and disinfected.

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Filter
The ADS clinic features a dust filter (14) on the back of the device. The dust filter must be
changed at least once a month, depending on the environment even several times.
For example: at the latest if the filter is brown or green colored. You buy the dust filter as a
set of 10 pieces at the Service Center of AirMedPLUS (item number 99-1129).
Please note:
That dust and polluted air, in particular nicotine, drops out the filter very quickly. As a result,
there is a danger that the built-in pump, the mattress does not fill as expected, whereby the
patient can bed sores and/or that the device gets damaged. In addition can eg. Nicotine, and
nicotine particles, get inside the device in particular by slots and seams and lead to pollution.
Avoid using the device in a polluted environment. Do not smoke where the unit is in operati-
on. Otherwise you will lose your warranty claims.
Contra-indications
Alternating systems transmit construction-related vibrations. The profile of the patient’s
mattress is changed, in case the AD system is in alternating mode. For certain patient’s
the mobilization can lead to health problems.
In order to avoid contraindications to the use of alternating AD-systems are raiser
column fractures, fractures of areas and places of patients, that by the turn of the air
cells affect the healing and the desired fixed positioning of the fracture location of the
patient does not enable and patients who may be not moved.
Do you have doubts, consult a physician to get clarity, or an alternating pressure
implementation for the individual, can result in contra-indicative clinical picture. Equally,
monitoring disorders can occur, if the system is in operating mode ‘alternating pressure’.
Maintenance
From the manufacturer no maintenance is required for the ADS clinic.
However, this does not mean that requirements from other requirements, e.g. the repeat
tests for electrical safety for electrical devices.
Annual maintenance is recommended because the ADS clinic is a high-quality medical
device. The product life cycle can be extended, in case of regular monitoring and
preventive maintenance. Along with the maintenance, safety tests of the electrical safety
are carried out and controlled.

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Certificateof conformity
EC-Certificate of conformity
The manufacturer: AirMed PLUS GmbH,
Harpener Feld 34
447805 Bochum
Germany
Declares herewith, that the following medical device:
Product name: ADS clinic
Meets the requirements of the European directive for medical products 93/42/EWG and
2007/47/EC. The ADS clinic is consistent with risk class 1 based on annex IX rule 1 of the
directives 93/42/EWG and 2007/47/EC.
Applied standaards:
DIN EN 980
DIN EN 1041
DIN EN ISO 14971
DIN EN 60601-1
DIN EN 60601-1 -1, -2, -4, -6,
B O C H U M ,
29.05.2015
Date Director AirMed PLUS GmbH

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Informationmanufacturerand technicaldetails