Apex Digital Pro-care Auto User manual

Pro-care Auto
User’s Manual

CONTENTS
ALTERNATING PRESSURE REDISTRIBUTION SYSTEM
USER’S MANUAL 1
SISTEMA DE REDISTRIBUCIÓN DE PRESIÓN ALTERNA
MANUAL DE INSTRUCCIONES 22
SISTEMA DE REDISTRIBUIÇÃO DE PRESSÃO ALTERNADA
INSTRUÇÕES DE UTILI AÇÃO 43
SYSTEME DE REDISTRIBUTION A PRESSION ALTERNEE
INSTRUCTIONS D'UTILISATION 63
ALTERNIERENDES DRUCKUMVERTEILUNGSSYSTEM
GEBRAUCHSANLEITUNG 83
ALTERNEREND DRUKSYSTEEM
GEBRUIKERSHANDLEIDING 102
SISTEMA DI RIDISTRIBUZIONE A PRESSIONE ALTERNATA
MANUALE DI ISTRU IONI 121
MODEL NO.: 9P-052580
PLEASE READ THE MANUAL BEFORE USE

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IMPORTANT SAFEGUARDS
READ ALL INSTRUCTIONS BEFORE USING
DANGER - To reduce the risk of electrocution:
1. Always unplug this product immediately after using.
2. Do not use while bathing.
3. Do not place or store this product where it can fall or be pulled into a tub or sink.
4. Do not place in or drop into water or other liquid.
5. Do not reach for a product that has fallen into water. Unplug immediately.
WARNING - To reduce the risk of burns, electrocution, fire, or injury to persons:
1. Evaluate patients for entrapment risk according to protocol and monitor patients
appropriately.
2. The product may be used for patients with spinal injury, but consulting a physician before
use is suggested. However, it should not be used for patients with unstable spinal
fractures.
3. Close supervision is necessary when this product is used on or near children. Electrical
burns or choking accident may result from a child swallowing a small part detached from
the device.
4. Use this product only for its intended use as described in this manual. Do not use other
mattress not recommended by the manufacturer.
5. Never operate this product if it has a damaged cord or plug, if it is not working properly, if it
has been dropped or damaged, or dropped into water. Return the product to your supplier
or Apex Medical Corp. for examination and repair.
6. Keep the cord away from heated surfaces.
7. Never block any air openings of this product or place it on soft surfaces, such as a bed or
couch, where openings may be blocked. Keep the air opening free of lint, hair and other
similar particles.
8. Never drop or insert any object into any opening or hose.
9. Do not modify this equipment without authorization of the manufacturer.
10. Mattress covers have passed skin sensitization and skin irritation test. However, if you
suspect that you may have had or are having an allergic reaction, please consult a
physician immediately.
11. Do not leave long lengths of tubing around the top of your bed. It could lead to
strangulation.
CAUTION –
1. If there is a possibility of electro-magnetic interference with mobile phones, please
increase the distance (3.3m) between devices or turn off the mobile phone.

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NOTE, CAUTION AND WARNING STATEMENTS:
NOTE - Indicates some tips.
CAUTION - Indicates correct operating or maintenance procedures in order to prevent
damage to or destruction of the equipment or other property
WARNING - Calls attention to a potential danger that requires correct procedures or practices
in order to prevent personal injury.
SYMBOLS
Authorized representative in the European community.
Manufacturer
Complies with standards protecting against electric shock for type BF equipment.
Consult operating instructions for use
Protected against solid foreign objects of 1 mm and greater; Protection against
vertically falling water drops
Class II
Temperature Limitation
Dry clean, Any Solvent Except Trichloroethylene
Do Not Iron
Tumble Dry, Normal, Low Heat
Do Not Tumble Dry
Do Not Bleach
Do Not Dry Clean
Machine wash, regular / normal, 95 degrees C (203 degrees F)
Attention
–
Observe proper Disposal of Electrical & Electronic Equipment (WEEE):
This product should be handed over to an appropriate collection point for the
recycling of electrical and electronic equipment. For more detailed information
about the recycling of this product, please contact your local city office,
household waste disposal service or the retail store where you purchased this
product.

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1. Introduction
This manual should be used for initial set up of the system and for reference purposes.
1 1 General Information
The system is a high quality and affordable mattress system suitable for treatment and
prevention of pressure ulcers.
The system has been tested and successfully approved to the following standards:
IEC/EN 60601-1
IEC/EN 60601-1-2
IEC/EN 61000-3-2 Class A
IEC/EN 61000-3-3
CISPR 11 Group 1, Class B
EMC Warning Statement
This equipment has been tested and found to comply with the limits for medical devices to the
EN 60601-1-2. These limits are designed to provide reasonable protection against harmful
interference in a typical medical installation. This equipment generates, uses and can radiate
radio frequency energy and, if not installed and used in accordance with the instructions, may
cause harmful interference to other devices in the vicinity. However, there is no guarantee that
interference will not occur in a particular installation. If this equipment does cause harmful
interference to other devices, which can be determined by turning the equipment off and on,
the user is encouraged to try to correct the interference by one or more of the following
measures:
 Reorient or relocate the receiving device.
 Increase the separation between the equipment.
 Connect the equipment into an outlet on a circuit different from that to which the other
device(s) are connected.
 Consult the manufacturer or field service technician for help.

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1 2 Intended Use
This product is intended:
 to help and reduce the incidence of pressure ulcers while optimizing patient comfort.
 for long term care of patients
 for pain management as prescribed by a physician
The product can only be operated by personnel who are qualified to perform general nursing
procedures and have received adequate training in knowledge of prevention and treatment of
pressure ulcers.
NOTE: The equipment is not suitable for use in the presence of a flammable anesthetic
mixture with air or with oxygen or nitrous oxide.
WARNING: Do not turn or flip patients who have bone fracture or spinal cord injury.

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2. Product Description
Unpack the box to check for any damage which may have occurred during shipment. If there is
any damage, please contact your dealer immediately.
2 1
Pump &
Mattress System
1. C.P.R.
2. Pump Unit
3. Mattress system
4. Quick Connector
5. Cable Management Loops
2 2
Pump Unit
Front
1. Quick Connector
2. Front Panel
Rear
1. Power Switch
2. Power Cord
3. Air Filter
4. Fuses
5. Bed Frame Hangers

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2 3 Front Panel
1 Auto-Adjust
The function can automatically adjust the mattress pressure based on the patient’s weight.
To remind user the process is on-going, the LED lights will periodically flash from left to right
until the Ready LED turns on permanently (the process is completed). Three conditions will
trigger this function to ensure the appropriate pressure setting for the patient.
A Press the Auto-Adjust button for 2 seconds, system will automatically re-adjust the
pressure setting.
B The system will automatically start Auto-Adjust immediately after the initial mattress
inflation is completed.
C When the system detects a significant change in patient’s weight on the mattress (e.g.
patient Ingress) for a period of time, the system will automatically run the function
again.
NOTE: Once the system finishes the Auto-Adjust process, the system will automatically
switch to the alternating mode or revert to the previously set therapy mode.
NOTE: During the Auto-Adjust operation, it is normal that system will go through a series
of inflations and deflations.
NOTE: Check if the pressure is suitable for the patient by sliding one hand beneath the air
cells at the level of the patient's buttocks. Always leave at least 1 " space between
patient and the static cell to prevent bottoming out.
2 TUNING
The Tuning function is to fine-tune the system auto-adjusted preset pressure. Three Tuning
levels are available. “0” is system auto-adjusted preset pressure. “+” is one level higher than
preset pressure, and “-” is one level lower than preset pressure.
NOTE: The Tuning function is only available in Alternate, Static and CLP mode.
NOTE: Always perform a hand-check after pressure setting to avoid patient bottoming
out.
Pro-
care Auto
3
5
4
1 2

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3 Modes
This button allows you to choose one of the modes. There are seven selectable modes
available. Continually press the button to select a desired mode:
A Max Firm
The surface will go into Max Firm automatically when the power switch is turned on. This
ensures the pump is able to reach its maximum operating pressure. Once the max pressure
level is reached, the pump will automatically switch into Auto-Adjust mode. User can also
use this function during patient transfers or nursing procedures for better support. This
mode will last for 20 minutes and then it will return to previous setting automatically. To
disable this function, press Max Firm button again.
NOTE: Max Firm and preset function mode LED indicator will be on simultaneously during
initial mattress inflation until the mattress reaches its maximum pressure.
B Alternate Mode
Continuously and sequentially inflates and deflates air cells to achieve periodic pressure
relief and facilitate improved cellular perfusion.
C Static Mode/Continuous Low Pressure Mode
 Static: Function LED indicator is flashing as non-alternating mode for 20 minutes
only. All of the cells are equally inflated for 20 minutes at lower pressure when
compared to the respective comfort level in alternative mode. The system will
automatically revert to previously set mode after 20 minutes.
 Continuous Low Pressure Mode: Function LED indicator is steady-on as in
constantly non-alternating mode. The system will redistribute body mass over a
greater surface area at a constant low pressure. All of the air cells are equally
inflated at lower pressures when compared to the respective comfort level in
alternating mode.
Alternate
Static
Alternate+Seat Inflate
CLP+Seat Inflate
Max Fir
m
Continuous
Low Pressure (CLP)
Static+Seat Inflate

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D Seat Inflation
In cases where patient needs to sit up or placed into Fowler’s position, this mode offers an
additional increase in the pressure of the whole mattress, better supporting the sacral area.
User can select this additional feature under either static, continuous low pressure, or
alternate mode. WARNING: The overlay mattress must be applied on an underlying mattress.
NOTE: Raise the Head-of-Bed no more than 30º to avoid excessive pressure on the sacral
region. Always perform hand-check to avoid bottoming-out.
4 Panel Lock
Should the panel remain untouched for 5 minutes, the Panel Lock feature will lock the panel
and a green LED light will display. This feature helps to prevent accidental or unintentional
setting changes. To unlock, press Panel Lock button for 3 seconds, and the green LED
indicator will begin to flash and count down again.
NOTE: User may press both and buttons simultaneously to change the
default setting from auto Panel Lock to manual panel lock only and vice versa.
5 Alarm Mute
Press Alarm Mute button to temporary suspend the low-pressure alarms. Should the problem
continue, the alarms will resound within 3 minutes to notify the caregiver until resolved.
A Low Pressure Indicator
When the pressure is below setting pressure, the Low Pressure indicator will light up along
with audio alarm. Please check whether the CPR is correctly installed and if all connections
are connected properly as per instructions. If the pressure level is consistently low, check
for any leakage (tubes or connecting hoses). If necessary, replace any damaged tubes or
hoses or contact local qualified dealer for repair.
NOTE: Even when pressing the Alarm Mute, the indicator light will stay on until the
problem is solved.
B PFA (Power Failure Alarm)
During a power failure situation, the Power Failure LED light and buzzer will activate. To
disable both buzzer and LED, press the mute button.
C Tech Support
The Service indicator light will activate if an issue occurs with the system. User can notify
the technician for repair.

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3. Installation
1
2
3
4 5 6
NOTE: Unpack the box to inspect for any damage which may have occurred during
shipment. If there is any damage, please contact your dealer immediately.
1. Place the mattress on top of the bed frame. There are securing straps on the base of the
mattress. Secure the mattress firmly by fixing the straps to the bed frame; ensure that
moving sections of the bed frame are still free to move.
WARNING: The 5 " (12.7cm) overlay mattress must be applied on the underlying mattress.
2. Hang the pump onto bed rail (foot-end), and adjust hangers to best upright position of the
pump, or place the pump on a flat surface.
3. Connect air hose connectors from air mattress to the pump unit. A “click” sound will be
heard when connection is completed and secured.
NOTE: Check and ensure the air hoses are not kinked or tucked under mattress.
4. Plug the power cord into electrical outlet.
CAUTION: Make sure the pump unit is suitable for the local power voltage and frequency.
CAUTION: Position the device in a place where it is easy to disconnect.

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5. Then turn the main power switch to ON position.
CAUTION: The pump should only be used with the mattress recommended by the
manufacturer. Do not use it for any other purpose.
6. After installation, the extra length of the power cord, if any, should be neatly arranged
through the cable management loops on the side of the mattress to avoid tripping hazard.
CAUTION: Please make sure the wire has no signs of damage.
The EQUIPMENT should be firmly placed in a position where users/doctors have easy access.

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4. Operation
1 2 3
NOTE: Always read the operating instructions before use.
4 1 General Operation
1. Switch on the main power switch found on the side of the pump.
2. The system will automatically go into Max Firm mode for the quickest inflation. Once the
pump begins delivering air into the mattress it will take approximately 30~40 minutes to
fully inflate the mattress.
NOTE: Please do not place patient on a mattress until it is fully inflated.
3. During the initial inflation (Max Firm process), user may preset the system by pressing the
Mode button and select a desired mode, while both selected mode and Max Firm LED
indicators will be simultaneously on.
4. When the initial inflation (Max Firm process) is completed, the system will automatically
enter the Auto-Adjust process. During the Auto-Adjust process, the preset function LED
indicator will be off.
5. According to patient weight differences, the system will automatically adjust an
appropriate pressure setting to ensure the patient’s comfort, and then go into the
alternating mode or the previously set mode.
NOTE: For 8 " & 10 " replacement systems, the last five
cells from the foot-end have heel-relief connectors.
Carers can easily disconnect the connector and heels
can be suspended in air to completely eliminate
pressure exerted on the heels.

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4 2 Pressure FINE-TUNE
Depending on the desired preference, user can adjust mattress pressure slightly by pressing
Tuning button .
NOTE: Check to see if the suitable pressure is selected by sliding one hand between the
deflated air cells and the patient to feel patient's buttocks. Users should be able to feel
the minimum contact.
4 3 Emergency CPR Operations
When there is an emergency to perform CPR on the patient, quickly turn the CPR knob to
release air from mattress. The CPR knob is located at the head-end, right-hand-side of the
mattress. The quick connector on the pump unit can be disconnected for even faster deflation.
NOTE: After CPR, activate Auto-Adjust to ensure proper pressure setting. Please
make sure the CPR valve and quick connector are correctly connected, and always
performs hand-check after Auto-Adjust or Tuning process.
4 4 Transportation
When there is a power outage or a need of transporting the patient, the quick connector can
be capped as shown to slow down the air leakage. Depending on the setting and mattress
height, the mattress can remain inflated for a period of time.
WARNING: If there is a bottom-out issue, please remove the patient from deflating
mattress to another suitable surface.

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5. Cleaning
It is important to follow the cleaning procedures to avoid cross contamination. Be sure to clean
the surface in a dry and dust free environment.
A) Pump Unit
Wipe down the pump unit with a damp cloth pre-soaked with a mild detergent. Avoid contact
with dust and proximity to dusty areas. Make sure that any cleaning agents you use will not
harm or corrode the plastic casing on the pump unit. If your doctor or medical facilities have
other special cleaning instructions, please follow the professional instructions.
CAUTION: Do not immerse or soak pump unit.
WARNING: Do not remove the housing of the pump to avoid electrical shock. All
disassembly or repair should be done by professional technicians.
CAUTION: The pump does not need oil lubrication; please do not dissemble the system.
B) Mattress Cover
Cover Material : Silver
+
Stretch
Cover Material : Stretch
Wipe-down the mattress unit with a damp cloth pre-soaked with warm water containing a mild
detergent, or chlorine bleach followed by an approved intermediate level disinfectant. Also the
mattress top cover can be completely removed for laundry with water temperature indicated
on the laundry label; however, it is recommended that the user still check with local policy to
determine the time/ temperature ratio required to achieve thermal disinfection. The cover may
also be cleaned using sodium hypochlorite diluted in water. After cleaning, please avoid dust
and proximity to dusty areas and all parts should be air dried thoroughly before use.
CAUTION: Do not use phenolic based products for cleaning.
CAUTION: After cleaning, dry the mattress without direct exposure to sunlight.

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6. Storage
1. Disconnect the quick connector
2. Roll from the foot end towards the head end with CPR valve open, and make sure the tubing
is not kinked
3. Foot-end strap can then be stretched around the rolled mattress to prevent unrolling.
Fasten the strap buckle to secure the packed mattress.
NOTE: Do not kink, crease or stack the mattresses and do not store the system in direct
sunlight, high temperature or moist place.

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7. Maintenance
7 1 General
1. Check main power cord and plug for abrasions or excessive wear.
2. Check mattress cover for signs of wear or damage. Ensure mattress cover and tubes are
connected together correctly.
3. Check airflow from the quick connector. The airflow should alternate between each
connector every half-cycle time if it is in alternating mode.
4. Check the air hoses for kink or breaks. For replacement, please contact our local provider.
7 2 Fuse Replacement
1. Disconnect the plug from mains power when a blown fuse is suspected.
2. Use a proper tool to remove the fuse holder cover.
3. Insert a new fuse with the correct rating, and replace the fuse holder cover. The fuse
should be rated as T1AL/250V type and VDE approved.
7 3 Air Filter Replacement
1. Use a proper tool to remove the air filter cover located at the back of pump.
2. Replace with a clean filter and put the cover lid back.
3. Check and replace air filter regularly if environment is dirty. Every three months is
suggested.

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8. Expected Service Life
The products are intended to offer safe and reliable operation when used or installed
according to the instructions provided by Apex Medical. Apex Medical recommends that the
system be inspected and serviced by authorized technicians if there are any signs of wear or
concerns with device function and indication on products. Otherwise, service and inspection
of the devices generally should not be required.
9. Trouble Shooting
Q 1 Power is not ON
‧ Check if the plug is connected to mains.
‧ Check for a blown fuse.
Q2 Low Pressure Alarm is on
‧ Check if the Quick Connector is tightly secured.
‧ Check if the CPR is closed.
‧ Check if all tubing connections along mattress are secured.
‧ Check if the air hoses are kinked or broken.
Q3 Power Failure Alarm is on
‧ Check if the power is suddenly shut down.
‧ Check if the power cord is connected properly.
Q4 Patient is bottoming out
‧ Please check if the function mode setting is correct.
‧ Press Auto-Adjust button again to readjust.
‧ Adjust pressure by using Tuning button + and wait for a few minutes. Perform a hand check
again to see if the problems were solved.
Q5 Mattress form is loose
‧ Check if all the snap buttons or straps of mattress are all securely fastened.
‧ Check if the mattress is fixed to the bed frame by straps.
Q6 No air produced from some air outlets of the air tube connector
‧ This is normal since there is alternating mode. Air outlets take turns to produce air during
their cycle time.

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10. Technical Specification
Control Unit
Power Supply (Note: See rating label
on the product) AC AC 220-240V 50 Hz, 0.07A
Fuse Rating T1AL, 250V
Cycle time 10 min. (5" & 8" mattress system)
15 min. (10" mattress system)
Dimension (L x W x H) 29.1 x 20 x 11.7 cm / 11.4" x 7.9" x 4.6"
Weight 2.2 Kg / 5 lb
Environment
Temperature
Operation: 10°C to 40°C (50°F to 104°F)
Storage: -15°C to 50°C (5°F to 122°F)
Shipping: -15°C to 70°C (5°F to 158°F)
Humidity
Operation: 10% to 90% non-condensing
Storage: 10% to 90% non-condensing
Shipping: 10 % to 90% non-condensing
Atmospheric
Pressure
Operation: 70 kPa to 101.3 kPa
Storage: 70 kPa to 101.3 kPa
Shipping: 70 kPa to 101.3 kPa
Classification
Class II, Type BF, IP41
Applied Part: Air Mattress
Not suitable for use in the presence of a flammable
anesthetic mixture (No AP or APG protection)
Mattress
Model Dimensions Weight Max. Weight
Capacity
Length Width Height
5" Overlay 200cm
78.7"
80/85/90cm
31.5"/33.5"/35.4"
12.7cm
5" 5.6 Kg
12.3 lb
180 kg
400 lb
5”+3” Replacement 20.3cm
5”+3”
8" Replacement 200cm
78.7"
80/85/90cm
31.5"/33.5"/35.4"
20.3cm
8"
7.1 Kg
15.7 lb
250 kg
551 lb
10" Replacement 200cm
78.7"
107 /122cm
42"/48"
25.4cm
10"
12.1 Kg
26.7 lb
450 kg
1,000 lb
NOTE :
1. Consult the distributor or EU representative for further technical documents.
2. The specification is also suitable for other areas operating with same power supply.
3. Mattress dimension and weight is measured without foam base
4. The manufacturer reserves the right to modify the specification without notice.