Apex Digital Pro-care Optima User manual

Pro-care Optima
Pro-care Optima Prone
User’s Manual

CONTENTS
ENGLISH
USER MANUAL 1
ESPAÑOL
MANUAL DE INSTRUCCIONES 29
PORTUGUÊS
INSTRUÇÕES DE UTILIZAÇÃO 59
FRANÇAIS
INSTRUCTIONS D'UTILISATION 88
DEUTSCH
GEBRAUCHSANLEITUNG 119
DUTCH
MANUALE DI ISTRUZIONI 148
ITALIANO
GEBRUIKERSHANDLEIDING 174
Model No.: 9P-086520, 9P-086530
PLEASE READ ALL INSTRUCTIONS BEFORE USE

Pro-care Optima / English 1
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 with caution for patients with spinal injury, but suggested to consult
with physician before use. 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.
12. Keep the pump away from flammable liquids or gases.
13. Do not use the extension cord for a long time.
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.
NOTE, CAUTION AND WARNING STATEMENTS:
NOTE - Indicate some tips.
CAUTION - Indicate 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.

Pro-care Optima / English 2
SYMBOLS
Authorized representative in the European community.
Catalog, reorder or reference number
Manufacturer
Complies with standards protecting against electric shock for type BF equipment.
Attention, you should read the accompanying information carefully!
Consult operating instructions for use
Protected against solid foreign objects of 12.
5 mm and greater; Protection against
vertically falling water drops
Class II
Temperature limitation/temperature range
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)
Machine wash, regular / normal, 60 degrees C (140 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 offic
e, household waste
disposal service or the retail store where you purchased this product.
CE Marketing

Pro-care Optima / English 3
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 mattress system suitable for treatment and prevention of
pressure injury.
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
IEC/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.
1.2 Intended Use
This product is intended to help and reduce the incidence of pressure injuries while optimizing
patient’s comfort. It can support patient up to 250 kg (550 lb). And It can also provide the following
purposes:
For long term home care of patients suffering from pressure injury.
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 injury.
NOTE- Equipment is not suitable for use in the presence of flammable anesthetic
mixture with air or with oxygen or nitrous oxide.

Pro-care Optima / English 4
2.Pro-care Optima Prone: Patient Positioning Guide
Pro-care Optima Prone is able to provide effective pressure relief to the patient being placed either in
supine or in prone position.
WARNING
1.Please pay particular attention to the patient’s head, neck and shoulders as each anatomical
position should be placed on each corresponding section of mattress correctly. Upmost care must
be provided to support the head and neck. Avoid any displacement or winding of tubes or lines.
2.Check regularly whether tubes and lines are in the correct position.
3.Obtain authorization from the clinician who is responsible for the patient's care before placing the
patient in Prone Position.
4.When patient is being placed in the Prone position, areas that are most susceptible to pressure
injuries, including forehead, chin, cheeks, ears, anterior shoulder, elbow, chest, genitalia, anterior
pelvic bones (iliac crests & ischium), knees, dorsal feet and toes, should be treated with care1.
1. European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention
and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline. The International Guideline. Emily Haesler (Ed.).
EPUAP/NPIAP/PPPIA: 2019. Section 8: Repositioning and Mobilization. Page 139 & 140.
2.1 General
Patient’s shoulders should be aligned with the 4th cell, the shoulder support cell, either in the supine
position or the prone position.
2.2 Supine Position
1. In Alternating Mode, all 21 cells will alternate according to the selected cycle time 10, 15, 20 or 25
minutes).
2. The 3 knobs in the Head Section are closed to support the head of the patient.
2.3 Activate the deflation of the head section when patient in supine position
5.The air cells in the head section can be deflated individually to provide nursing procedures such as
hygiene, cannulation, etc. or provide pressure relief to patient’s occiput.
6. This action should be conducted under the supervision of a competent clinician.
7. Make sure the head and neck are supported when deflating the air cells in the head section.
8. Under no circumstance should you leave the patient unattended while the air cells are deflated.
9. If the air cells in the head section are to stay deflated, the head and shoulders should be provided
with appropriate support.
NOTE-The 4th cell of the mattress or the Shoulder Support cell will alternate when in
alternating mode.
2.4 Prone Position – Not available for Homecare Environment
NOTE- Prone ventilation requires sufficient human resources and expertise to be
performed safely.
NOTE-Obtain authorization from the clinician who is accountable for the patient's care
before placing the patient in Prone Position.
1. Select Prone Position Mode to provide a firm and stable surface (Max Firm) for the following
procedures.

Pro-care Optima / English 5
NOTE- A stable surface is for the correct placement of the patient on the mattress.
NOTE- Once the Prone Position Mode is selected, it will start the Prone Position timer
automatically to show caregivers how long the patient have been positioned in prone
position.
2. Patient’s shoulders should be aligned with the 4th cell, the Shoulder Support cell.
3. Support the head when turning the patient into the Prone Position.
4. Hyperextension of the neck should be avoided to provide a comfortable posture.
NOTE- A special design of the foam in the head section to relieve the pressure to the ear of
patient.
5. Avoid any displacement or winding of tubes or lines.
6. Make sure the patient’s shoulders are still aligned with the 4th cell, the Shoulder Support cell.
7. Select a personalized repositioning schedule based on the professional assessment of the
patient’s condition by the competent clinician.
2.5 Reposition Patient’s Head when in Prone Position – Not available for Homecare Environment
1. Select Head Reposition Mode to provide a firm and stable surface for the following procedures.
2. The air cell underneath the base cover will start inflating to lift the patient's shoulders and chest
upward.
3. A beep sound indicates the air cell underneath the base cover is fully inflated.
4. Make sure the head and neck are supported when deflating the air cells in the head section.
5. Reposition the patient’s head.
6. Turn the 3 knobs in the head section counter-clockwise to re-inflate the air cells.
7. Carefully place the patient’s head on the fully inflated air cells.
8. Hyperextension of the neck should be avoided to provide a comfortable posture.
NOTE- A special design of the foam in the head section to relieve the pressure to the ear of
patient.
9. Avoid any displacement or winding of tubes or lines.
10. To cancel this function, select the Head Reposition mode again to cancel it and the air cell
underneath the base cover will start to deflate slowly.
NOTE– Head Reposition Mode will automatically turn off after 10 minutes.
11. Make sure the patient’s shoulders are still aligned with the 4th cell, the Shoulder Support cell.
12. The mattress will return to its previous therapy mode automatically to avoid long term
pressurization of tissue.

Pro-care Optima / English 6
3. Product Description
Unpack the box to check for any damage which may have occurred during shipment. If there are
damages, please contact your dealer immediately.
3.1 Pump and Mattress System
1. CPR
2. Pump unit
3. Mattress system
4. Quick connector
5. Position sensor
3.2 Pump Unit
Front
1. Quick connector
2. Position sensor
3. Front panel
Rear
1. Power switch
2. Air filter
3. Fuses
4. Mounting brackets
5. Battery cover
5
4
3
2
1
5
4
2
1, 3
3
2
1

Pro-care Optima / English 7
3.3 Front Panel
Pro-care Optima serie includes Pro-care Optima and Pro-care Optima Prone.
3.3.1 Pro-care Optima
This model includes a supine position, and its front panel displays as follows:
3.3.2 Pro-care Optima Prone
This model includes a supine position and a prone position. The front panel of the prone
position is shown as follows:
1. Power Key
Power Key is to turn on and turn off pump.
2. Panel Lock key
3.1User interface will be locked automatically 5 minutes after last operation. To unlock interface,
press and hold Panel Lock key for 1 second.
NOTE- Always unlock user interface before turning off the pump.
3. Max Firm key
This key is to make sure mattress can be reached maximal operating pressure. This mode will
last for 20 minutes and then return to previous setting automatically. This function can be used
during patient transfers or nursing procedures for better support. To disable this function,
please press Max firm key again.
4. LCD & Knob
Knob is to choose and confirm setting displayed on LCD, rotate the knob and press once to
select the setting mode desired in the highlight.

Pro-care Optima / English 8
5. Alarms and alarm mute key
When there is an alert situation happened, the LCD screen will display a corresponding error
code with an audible buzzer in an interval of a few seconds. The buzzer can be temporarily
suspended by pressing the Alarm Mute key. Alarm buzzer will signal repeatedly every 3 minute
until the alert situation is resolved.
Below presents 2 types of alarm and please refer to the attached error code table for details.
5.1For issues that can be checked and solved by user, such as low pressure alarm in head, body
and foot areas, there’ll be corresponding image. (see the table below)
Low Pressure Alarm
Alarm will be indicated when the pump detects low pressure condition within the mattress.
NOTE- Under the alternating mode, for patient support, the system will first inflate and
hold the cells with the right pressure level, keep monitoring the cells with low pressure
condition. The system will remain in this state until the low pressure condition in the air
cells is solved.
NOTE-The pump can seal the air inside the mattress, which temporaily keeps the patients
from bottoming out during low pressure condition. Patient should be moved if the power
failure issue cannot be solved soon.
Low battery volume
NOTE- When low battery volume image is shown on the display, plug the power cord into
the wall outlet immediately.
CAUTION- Pump system will stop running but display the alarm image and buzzer when low
battery volume <10% is detected. To restore the system to the operating mode, plug
the power cord into the wall outlet, and press the power key to restart the pump.
Code No. Diagram Description
01、02、05
Low pressure alarm: body section
03、04、06
Low pressure alarm: foot section
07
Low pressure alarm: head section

Pro-care Optima / English 9
19
Position sensor is not connected
20
Quick connector is not connected
21
Low battery volume (< 25 %)
21_1
Low battery volume (< 10 %)
21_2
Initial inflation:
Low battery volume (< 10 %)
After initial inflation:
Low battery volume (<= 2 %)
24
Connect a wrong mattress

Pro-care Optima / English 10
30、31、34
Low pressure alarm: body section
(Pro-care Optima Prone)
32、33、35
Low pressure alarm: foot section
(Pro-care Optima Prone)
36
Low pressure alarm: Shoulder
Lifting Mode
(Pro-care Optima Prone)

Pro-care Optima / English 11
5.2 For issues that will affect the operation of pump and need to be solved by technician, it will
show a wrench screwdriver with different error code. (see the table below)
Power failure alarm
NOTE- There wil be buzz sound and the alarm mute LED will light up constantly with dark
screen when POWER FAILURE occurs.
NOTE- The pump can seal the air inside the mattress, which temporaily keeps the patients
from bottoming out during power failure. Patients should be moved if the power failure
issue cannot be solved soon.
Code No. Diagram Description
00 Initial inflation overtime
08-16 System malfunction
17
Pressure control system
malfunction
18
System access control
malfunction
37-41
System malfunction
(Pro-care Optima Prone)

Pro-care Optima / English 12
4. Installation
4.1 Pump & Mattress Installation
NOTE-Unpack the box to inspect for any damage which may have occurred during shipment. If
there are any damages, please contact your dealer immediately.
1
2
3
4 5
6
1. Place the mattress on top of bed frame and foot print toward foot end. Secure the mattress
firmly by fixing the straps to bed frame to ensure mattress will be free from sliding. Securing
straps are located on the base of the mattress
NOTE- Make sure that ALL the Relief kbobs and emergency CPR knob are closed and locked
in position.
CAUTION- Placing another layers of sheet or bed linen between the patient and the
mattress may reduce the benefits provided by the mattress and should be avoided at all time.
2. Hang the pump onto bed panel at the foot-end and adjust hangers to hang the pump to best
upright position, or place the pump on a flat surface.
3. Connect the air hose connector of air mattress and the electrical cord of position sensor to
the pump unit. Make sure the air hose connection is completed and secured when a "click"
sound is felt or heard and position sensor assemble the alignment with the arrow pointing up.
NOTE- Check and ensure the air hose is not kinked or tucked under mattress.
NOTE- Auto recognition mattress of Pro-care optima or Pro-care Optima Prone.
4. Plug the power cord into electrical outlet.
NOTE- Make sure the pump unit is suitable for the local power voltage.
NOTE-The plug is also served to stop the device.

Pro-care Optima / English 13
NOTE- Pump might still be in operation after the power cord disconnection if optional
battery is built-in (9P-086520)
5. Turn the power switch to ON position.
CAUTION-The pump can only be applied to the mattress recommended by the
manufacturer. Do not use it for any other purpose. (Applied part: air mattress) Do
not position the equipment so that it is difficult to operate the disconnecting
device.
CAUTION-Allow the mattress to inflate before positioning the patient on the mattress.
6. The cable management tape is provided along the side of the mattress to manage power cord.
Please make sure the wire has no signs of damage. After installation, extra length of the
power cord, if any, should be neatly managed to prevent stumble accident and should be
clear of moving bed mechanisms or other possible entrapment areas.
NOTE- The EQUIPMENT should be firmly placed at position where users can easily access to.
5. Operation
NOTE- Always read the operating instruction before use.
5.1 General Operation
5.1.1 Pro-care Optima
1. Switch the power switch on the side of the pump and press power key to turn it on.
2. Pre-set program
2.1 If the pre-set program is desired, you can choose TICK and press the knob, pump will
automatically
3. Perform pre-set program:
Mode Alternating
Cycle time 10 mins.
2.2 If you have preferred setting, you can choose Mode and Cycle time to enter setting
3. Once pump recognizes mattress size through quick connector, it will begin to inflate mattress
whichtakes around 30 minutes to complete initial inflation.

Pro-care Optima / English 14
The 5 blue bars displayed on the screen represents the status of the
automatic adjustment detection. When completes, the 5 bars will stop
running and become
.
4. After completing initial inflation, system will conduct automatic detection of patient weight
and provide corresponding pressure to optimize mattress pressure relieving performance.
NOTE-Patient is NOT supposed to lie on the mattress before initial inflation is completed,
but to be on the mattress when the auto adjustment process about to start.
NOTE-Once the patient is on the mattress, the pump will automatically sense and adjust
the pressure in the cells to support the patient.
NOTE-Pressing the knob for a minimum of 3 seconds can quickly start the auto
adjustment.
5. Main LCD screen displays the current therapy. Setting can be changed by turning the knob and
the mode which is chosen will be highlighted, then press the knob once to enter or confirm
the setting.
5.1 Mode
NOTE- When changing between operating modes, the patient’s monitoring and
repositioning program should be reviewed.
5.2 Cycle time
5.3 Tuning
Alternating Back to previous page
10 mins 15 mins 20 mins 25 mins Back to previous page
Original setting
Back to previous page
Increase
mattress pressure
Decrease
mattress pressure
Mode Cycle time Tuning
Continuous Low Pressure

Pro-care Optima / English 15
The 5 blue bars displayed on the screen represents the status of the
automatic adjustment detection. When completes, the 5 bars will stop
running and become .
NOTE- The pressure in the air cells can be manually adjusted for patient comfort by
entering the tuning mode in the lower right corner of the LCD screen .
NOTE-You can also check if the pressure is suitable for the patient by sliding one hand
underneath the aircells at the level of the patient's buttocks. Always leave at least 2.54
cm (1 inch) space between patient and the Continuous Low Pressure cell to prevent
bottoming-out.
5.1.2 Pro-care Optima Prone
6. Switch the power switch on the side of the pump and press power key to turn it on.
7. Pre-set program
2.1 If the pre-set program is desired, you can choose TICK and press the knob, pump will
automatically
Perform pre-set program:
Mode Alternating
Cycle time 10 mins.
2.2 If you have preferred setting, you can choose Mode and Cycle time to enter setting.
8. Once pump recognizes mattress size through quick connector, it will begin to inflate mattress
whichtakes around 30 minutes to complete initial inflation.
9. After completing initial inflation, system will conduct automatic detection of patient weight
and provide corresponding pressure to optimize mattress pressure relieving performance.
NOTE-Patient is NOT supposed to lie on the mattress before initial inflation is completed,
but to be on the mattress when the auto adjustment process about to start.
NOTE-Once the patient is on the mattress, the pump will automatically sense and adjust
the pressure in the cells to support the patient.
NOTE-Pressing the knob for a minimum of 3 seconds can quickly start the auto
adjustment.

Pro-care Optima / English 16
10.Main LCD screen displays the current therapy. Setting can be changed by turning the knob
and the mode which is chosen will be highlighted, then press the knob once to enter or
confirm the setting.
5.1 Mode
NOTE- When changing between operating modes, the patient’s monitoring and
repositioning program should be reviewed.
5.2 Cycle time
5.3 Tuning
NOTE- The pressure in the air cells can be manually adjusted for patient comfort by
entering the tuning mode in the right side of the LCD screen .
NOTE-You can also check if the pressure is suitable for the patient by sliding one hand
underneath the aircells at the level of the patient's buttocks. Always leave at least 2.54
cm (1 inch) space between patient and the Continuous Low Pressure cell to prevent
bottoming-out.
10 mins 15 mins 20 mins 25 mins Back to previous page
Tuning
Mode Choose
Mode Cycle time
Head Reposition Mode
Shoulder Lifting Mode Prone Position Timer
Alternating Continuous Low Pressure Back to previous page
Original setting Back to previous page Decrease mattress pressure Increase mattress pressure

Pro-care Optima / English 17
5.4 Mode Choose
5.5 Head Reposition mode
The bottom air cell will start to inflate to lift the patient's shoulder and chest upward for
caregivers to reposition the patient’s head easier.
5.6 Shoulder Lifting Mode
This mode can prevent hyperextension of the neck by lifting the patient’s chest up to certain
angle when in prone position.
Two angles are provided, medium and maximum, to fit each patient’s condition.
5.7 Prone Position Timer
Once the Prone Position Mode is selected, the timer will start counting automatically.
5.2 Emergency CPR Operation
CPR knob is located at the patient’s left-hand side
of the mattress near the head area. When there is a
need to perform CPR on the patient, quickly turn the
CPR knob to release air from mattress. The quick
connector on the pump unit can be disconnected
for even faster deflation.
Supine Position Mode
Prone Position Mode
Back to previous page
No angle Back to previous page
medium angle
maximum angle

Pro-care Optima / English 18
5.3 Relief Function
5.3.1 Pro-care Optima
The 5 knobs are on the patient’s left-hand side at the foot end of the mattress. Turning the knob to
deflate the cell enables the caregivers to float the patient’s heels and take away the pressure from
bony prominences.
For permanent off-loading/pressure relief:
‧
Select no more than two cells directly under
the area that desired to relieve.
‧
Rotate the knob in a counterclockwise
direction to the 12 o'clock position to
deflate the cell.
NOTE- This one to two cells can be left permanently deflated.
NOTE- Deflating more than two adjacent cells may affect the support of the patient during the
normal alternating cycle.
5.3.2 Pro-care Optima Prone
Turning the knob to deflate the cell enables the caregivers to float the patient’s and take away the
pressure from bony prominences.
‧
The 3 air cells in the head section are equipped with a knob.
‧
The 11 air cells in the torso section and the 6 air cells in the lower leg section cells are
equipped with a knob.
‧
The single Shoulder Support (4th) cell has no knob and cannot be deflated.
For complex patient needs off-loading/pressure relief:
You can off-load more than one area on the patient for longer periods, but with the following
restrictions:
‧
Select only two cells in the torso section to deflate.
‧
Select only one to two cell in the heel section to deflate.
‧
In the Prone position select three cells in the head section to deflate, or in the Supine position
select three cells in the head section to deflate.
‧
Rotate the knob in a counterclockwise
direction to the 12 o'clock position to
deflate the cell.
NOTE- Deflating more than two adjacent cells may affect the support to the patient during the
normal alternating cycle.