ARJO HUNTLEIGH AUTO LOGIC User manual

Instructions For Use
AUTO LOGIC™ AUTOFIRM

(i)
Contents
General Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
About this Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
About Auto Logic™ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Clinical Applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Contraindications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Cautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Care of the patient when sitting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Preparing the Auto Logic systems for use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Installing the Auto Logic 110, 175 or the 200 Mattress . . . . . . . . . . . . . . . . . . . 7
Installing the Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Installing the Aura Logic Seat cushion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Controls, Alarms and Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Alarms and Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Quick Start. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Comfort Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Autofirm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Power Fail Condition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
To Disconnect the Tube-set. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Transport Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
To Deflate and Store the Auto Logic Mattress. . . . . . . . . . . . . . . . . . . . . . . . . 20
To Deflate the Aura Logic Seat Cushion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
CPR Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Battery Pack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Installing the Battery Pack. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Battery Storage and Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Checking the Status of the Battery Pack. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Charging the Battery Pack. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Decontamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
Routine Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
Auto Logic System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Auto Logic Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Auto Logic 110, 175 & 200 and Aura Logic Seat Cushion . . . . . . . . . . . . . . . 27
Serial Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

(ii)
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Technical Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Environmental Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Mattress. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Mattress Size Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Seat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Cover Specification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Cleaning Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

(iii)
General Safety
Before you connect the system pump to a mains socket, read carefully all the installation
instructions contained within this manual.
The system has been designed to comply with regulatory safety standards including:
• EN60601-1:1990/A13:1996 and IEC 60601-1:1988/A2:1995
• UL60601-1, UL2601-1 and CAN/CSA C22.2 No. 601.1-M90
Safety Warnings
• It is the responsibility of the care giver to ensure that the user can use this product
safely.
• Whilst the patient is unattended, safety sides should be used based on clinical
assessment and in line with local policy.
• Alignment of the bed frame, safety sides and the mattress should leave no gap
wide enough to entrap a patient's head or body, or to allow egress to occur in a
hazardous manner where entanglement with the mains power cable and tubeset or
air hoses may result. Care should be exercised to prevent occurrence of gaps by
compression or movement of the mattress. Death or serious injury may occur.
• Make sure that the mains power cable and tubeset or air hoses are positioned to
avoid causing a trip or other hazard, and are clear of moving bed mechanisms or
other possible entrapment areas. Where cable management flaps are provided
along the sides of the mattress, these should be used to cover the mains power
cable.
• Electrical equipment may be hazardous if misused. There are no user-serviceable
parts inside the pump. The pump's case must only be removed by authorised
technical personnel. No modification of this equipment is allowed.
• The mains power socket/plug must be accessible at all times. To disconnect the
pump completely from the electricity supply, remove the plug from the mains
power socket.
• The CPR control and/or the CPR indicator tag must be visible and accessible at all
times.
• Disconnect the pump from the mains power socket before cleaning and inspecting.
• Keep the pump away from sources of liquids and do not immerse in water.
• Do not use the pump in the presence of uncontained flammable liquids or gasses.
• The cover of this product is vapour permeable but not air permeable and may
present a suffocation risk.
• Only the pump and mattress combination as indicated by ArjoHuntleigh should be
used. The correct function of the product cannot be guaranteed if incorrect pump
and mattress combinations are used.
• Due to the inherently lower flame retardancy of the high performance eVENT®1
fabric, it is NOT suitable for use in the homecare environment.
1. eVENT®is a registered trademark of BHA Technologies Inc.

(iv)
Precautions
For your own safety and the safety of the equipment, always take the following
precautions:
• Placing extra layers between the patient and the mattress potentially reduces the benefits
provided by the mattress and should be avoided or kept to a minimum. As part of sensible
pressure area care, it is advisable to avoid wearing clothing which may cause areas of
localised high pressure due to creases, seams, etc. Placing objects in pockets should be
avoided for the same reason.
• Do not expose the system, especially the mattress, to naked flames, such as cigarettes,
etc.
• In the event of a fire, a leak in the seat or mattress could propagate the fire.
• Do not store the system in direct sunlight.
• Do not use phenol-based solutions to clean the system.
• Make sure the system is clean and dry prior to use or storage.
• Never use sharp objects or electrically heated under blankets on or under the system.
• Store the pump and mattress in the protective bags supplied.
Electromagnetic Compatibility (EMC)
This product complies with the requirements of applicable EMC Standards. Medical electrical
equipment needs special precautions regarding EMC and needs to be installed in accordance
with the following instructions:
• The use of accessories not specified by the manufacturer may result in increased
emissions by, or decreased immunity of, the equipment, affecting its performance.
• Portable and mobile radio frequency (RF) communications equipment (e.g. mobile/cell
phones) can affect medical electrical equipment.
• If this equipment needs to be used adjacent to other electrical equipment, normal
operation must be checked before use.
• For detailed EMC information contact ArjoHuntleigh service personnel.
Environmental Protection
Incorrect disposal of this equipment and its component parts, particularly batteries or other
electrical components, may produce substances that are hazardous to the environment. To
minimise these hazards, contact ArjoHuntleigh for information on correct disposal.
Service Information
ArjoHuntleigh recommend that this system should be serviced every 12 calender months or,
where applicable, when the service indicator is illuminated.
Design Policy and Copyright
® and ™ are trademarks belonging to the ArjoHuntleigh group of companies. As our policy is
one of continuous improvement, we reserve the right to modify designs without prior notice.
© ArjoHuntleigh 2009.

1
1. Introduction
About this Manual This manual is your introduction to the
Auto Logic™ AUTOFIRM Dual Mode support systems
and the Aura Logic™ seat cushion. Use it to initially set
up the mattress or seat cushion, keep it as a reference for
day-to-day routines and as a guide to maintenance.
About Auto Logic™ The Auto Logic systems comprise of a mattress
replacement, overlay or seat cushion, all operated by the
same pump. The pump incorporates Self Set
Technology (SST), which adjusts air pressure every
10 mins for the alternating mode and 20 mins for the
Constant Low Pressure (CLP) mode to suit the Body
Mass Index (BMI) and position of the patient. Both
support systems can be used on standard hospital and
domestic beds.
Auto Logic AUTOFIRM
Pump The Auto Logic AUTOFIRM pump comprises of a
moulded case with non slip feet on the base and rear and
integral hanging brackets.
The controls are situated on the top of the pump and a
sophisticated alarm system differentiates between
normal operation and genuine system faults. If an alarm
situation is detected an indicator will illuminate on the
top and front of the pump and an audible warning will
sound.
Once activated, Autofirm mode createsa temporary firm
surface to allow nursing procedures to be performed.
Control Panel
Power and Alarm
Indicators
Hanging Brackets

2
Auto Logic 110 Mattress Overlay
The Auto Logic 110 mattress overlay comprises the
following components:
Detachable Cover The standard cover comprises of a 2-way stretch PU
coated knitted fabric zipped toa durable nylonbase. The
zips are protected by flaps to prevent ingress of
contaminants and allow easy removal of the cover for
cleaning.
Alternative covers with advanced properties, such as
Advantex®and eVENT®, are also available (Refer to
’Cover Specification’ page 31).
Cells The mattress comprises of 20 polyurethane (PU) cells
providing support to the user in either Active
(Alternating) or Reactive (Constant Low Pressure)
modes. The cells are slightly curved to reduce patient
movement down the mattress.
The side supporting cells incorporate Cell-in-Cell
technology to help the transfer of patients on and off the
bed by keeping the edges of the mattress firm.
Micro Air Loss System A micro air loss system is incorporated into the base
cover which de-humidifies the air surrounding the cells
to reduce heat build up within the mattress and ensure
patient comfort. This system is separate from the cell
Detachable Cover
Cover Attachment Zips
10 Side Supporting Cell-in-Cells
3 Static Head Cells
(Dark Blue)
CPR Unit
Fixed
Corner Straps
Overlay Base Cover (Including Micro Air Loss System)
2 Standard Cells (Dark Blue)
5 Standard Cells (Dark Blue)
(Light Blue)
Serial Label
Cable
Management
(Inside Base Cover)
Tube-set

3
inflation to enable both micro air loss and patient
transport modes to be incorporated into the mattress.
CPR function A CPR (Cardio-Pulmonary Resuscitation) control is
positioned at the head end of the mattress. In the event
of CPR needing to be administered, activating the CPR
will rapidly deflate the mattress.
Tube-set The tube-set has a 3-way pneumatic connection which
incorporates a flexible, compact anti-kink tube that is
resistant to crushing and any subsequent obstruction of
air flow.
If the tube-set is disconnected from the pump, the
mattress automatically changes to transport mode.
Overlay Base Cover The base cover for the mattress overlay is PU coated
nylon on the underside. Four corner retention straps are
incorporated, which slide under the corners of the base
mattress.
Auto Logic 175 & 200 Mattress Replacement
The Auto Logic 175 & 200 mattress replacements are of
a similar construction to the overlay with the addition of
a non-slip base. Within the non-slip base, the 175
mattress includes a foam underlay and the 200 mattress
has an air filled zoned sub-mattress both of which
replace the need for a mattress on the bed. The base can
be removed to convert the mattress replacement to an
overlay,see your ArjoHuntleighrepresentative formore
information.

4
Air Sub-Mattress
(200 Only) The Sub-Mattress provides an integral constant pressure
support which removes the need for a standard mattress.
The pressure in the central zone of the pad is
automatically adjusted in line with the Active
(Alternating)/Reactive (Constant Lower Pressure)
(CLP) of the mattress. The pressure in the perimeter
zone of the pad is maintained at a higher level to help
transfer of patients on and off the bed.
On the underside of the Sub-Mattress there are eight
straps to attach the mattress replacement to the bed
frame. The straps can be moved to any of the 10 anchor
points to allow attachment of the mattress to different
bed frames.
Aura Logic Seat Cushion The Aura Logic seat cushion comprises of a pressure
relieving alternating cell system and can be used on
standard hospital and normal domestic chairs.
The seat cushion can be operated using any of the Logic
pumps. The pumps automatically recognises which
system has been connected and adjusts the pressure
accordingly.
Securing Straps 175 - Non-slip base including foam underlay
Cover Attachment Zips
CPR Unit
Fixed Tube-set
Detachable Cover
3 Static Head Cells
(Dark Blue)
10 Side Supporting Cell-in-Cells
2 Standard Cells (Dark Blue)
5 Standard Cells (Dark Blue)
(Light Blue)
Cable
Management
200 - Air Filled Zoned Sub-Mattress (Non-Slip)

5
Battery Pack (Optional) The Battery Pack is an optional extra and allows the
pump to operate for a minimum of 8 hours without a
mains power supply.
The Battery Pack easily slides onto the base of the pump
and will recharge itself when thepump isoperating from
the mains power supply.
Detachable Cover
Alternating Cells
Zip
Non-Slip Base
Fixing Straps Fixed Tube-set
Serial Label
(Inside Base Cover)
Deflation Valves (on
underside for packing
& storage)

6
2. Clinical Applications
Indications The Auto Logic systems are indicated for the prevention
and management of all categories1of pressure ulcer when
combined with an individualised monitoring,
repositioning and wound care programme.
TheAuto Logic mattress is designedfor patientsweighing
up to 200kg (440 lb).
The Aura Logic cushion is designed for patients weighing
up to 200kg (440 lb).
Contraindications Do not use Auto Logic systems for patients with unstable
spinal fractures.
Cautions If patients have other unstable fractures, or conditions
which may be complicated by a soft or moving surface,
advice should be sought from an appropriate clinician
before use.
While the Auto Logic systems have been designed to
manage patients up to the weight limits indicated above,
those approaching this upper limit are likely to have
additional care and mobility needs and may be better
suited to a specialist bariatric system.
Active therapy (alternating) cushions may be unsuitable
for patients with poor sitting posture or pelvic deformity;
advice from a seating specialist should be sought.
Care of the patient
when sitting Seated patients are at increased risk of pressure ulcers
particularly if they are immobile or have wounds over the
seating area. For optimal outcome, provide a pressure
redistributing seat cushion in a chair which promotes a
good sitting posture and has a levelbase seatto supportthe
cushion, in addition to an individualised repositioning
programme.
The above are guidelines only and should not replace clinical judgement.
The Auto Logic systems represent one aspect of a pressure ulcer management
strategy; if existing wounds do not improve or the patients condition changes
the overall therapy regimen should be reviewed by the prescribing clinician.
Mattress and cushion combinations may have different upper weight limits.
Cushions should be used in combination with pressure-redistributing
mattresses to provide 24-hour therapy.
1. NPUAP/EPUAP International Pressure Ulcer Guideline, 2009.

7
3. Installation
Preparing the Auto Logic systems for use
The system is very simple to set up using the following
guidelines:
1. Remove the system from the packaging. You
should have the following items:
•Auto Logic AUTOFIRM pump including mains
power cord and hanging brackets.
• Either the Auto Logic 110 mattress overlay, the
Auto Logic 200 mattress replacement or the
Aura Logic seat cushion, which all have integral
tube-sets.
• Cover.
• Battery Pack (optional).
Installing the Auto Logic 110, 175 or the 200 Mattress
Auto Logic 110
Mattress Overlay If you have the Auto Logic 110 mattress overlay system,
it should be installed as follows:
1. Place the overlay on top of the base mattress, with
the tube-set located near the foot end of the bed and
the CPR at the head end. The cells of the mattress
must be uppermost.
Caution
Do not use the Auto Logic 110 mattress overlay directly on the bed
frame.

8
2. Secure the overlay to the base mattress by placing
and tightening the four long straps under the
corners of the base mattress.
Auto Logic 175 or 200
Mattress Replacement If you have the Auto Logic 175 or 200 mattress
replacement system, it should be installed as follows:
1. Remove the existing mattress from the bed frame
and check that there are no protruding bed springs
or sharp objects on the bed frame surface.
2. Unroll the mattress onto the bed frame and ensure
that the tube-set is located near the foot end of the
bed and the CPR at the head end. The cells of the
mattress must be uppermost.
3. Attach the mattress to the bed frame using the 8
fastener straps.
The 8 fastener straps can be moved to any of the 10 anchor points on the base
of the mattress replacement. This allows for attaching the mattress to
different types of bed frame.
If the bed can be profiled to any position (i.e. raised or lowered), attach the
mattress to the movable parts of the bed only.
Care should be taken at all times to check that tubes/lines are positioned
correctly.

9
To Complete the Mattress Installation
Complete the installation of the mattress overlay or the
mattress replacement as follows:
1. If not already fitted, place the protective cover over
the mattress. Ensure that the ArjoHuntleigh logo is
uppermost and at the foot end of the mattress.
2. Zip the cover onto the mattress starting from the
head end and taking care not to trap any material in
the zip.
3. Ensure that the CPR unit is clicked into the closed
position.
The CPR must be accessible at all times.
“Click”
WARNING
Make sure that the mains power cable is positioned to avoid
causing a hazard and is clear of moving bed mechanisms or other
possible entrapment areas. Refer to “Cable Management” on
page 11.

10
Installing the Pump The pump should be installed as follows:
1. Position the pump, feet down, on any convenient
horizontal surface or alternatively suspend from the
bed foot rail by means of the swing out hooks.
2. Ensure that the mattress/seat tube-set is not
"kinked" or twisted and connect it to the pump until
it clicks into place. Ensure that the tube-set is
securely connected to the pump.
3. Insert the mains power plug into a suitable mains
power socket.
Battery Pack If you have a battery pack, refer to “Installing the
Battery Pack” on page 22.
“Click”

11
Cable Management If using the mattress replacement or mattress overlay,
the power cable can be positioned in the cable
management flap running down the side of the mattress
as follows:
1. Locate the flap running along the mattress on the
opposite side to the tubeset and CPR.
2. Run the straight part of the cable along the side of
the mattress securing the flap round the cable using
the press studs.
System Operation The system is now ready for use. Refer to “Controls,
Alarms and Indicators” on page 14 and “Operation” on
page 17 for day-to-day operating instructions.

12
Installing the Aura Logic Seat cushion
The system should be installed as follows:
1. Check that there are no sharp objects on the chair
which may puncture the cushion.
2. Place the cushion on top of the chair surface. From
a standing position in front of the chair and facing
it, ensure that:
• The cells are uppermost.
• The tube-set appears from the front right corner of
the cushion.
• The cells in the seat cushion are in a horizontal
position across the chair, with the ‘V’ shape
pointing towards the front.
3. Secure the seat cushion to the chair by using the
fixing straps as shown in the following illustrations.
Cautions
• Do not use the Aura Logic seat cushion without a foam cushion
beneath it.
• Always use the Aura Logic seat cushion with the protective top
cover.
• Always use the Aura Logic seat cushion in the correct
orientation.
• Avoid trailing cables - ensure that cables and tubing are
positioned beneath the chair to avoid causing a hazard.

13
4. If the chair is of the open sided construction, then
fix the cushion as shown below:
5. If the chair is of the closed side type with a
removable seat cushion, fix the seat cushion as
shown below:
6. If the chair is of the closed side type with a non-
removable seat cushion, then security will rely on
the anti-slip base material of the seat cushion.
7. Place the protective cover over the seat cushion and
ensure that the ArjoHuntleigh logo and the
orientation icon, printed on the cover, are
uppermost and at the front of the seat.
8. Zip the cover onto the seat cushion, taking care not
to trap any material in the zip.
9. Connect to the Auto Logic pump, refer to page 10.

14
4. Controls, Alarms and Indicators
Controls
Run/Standby Button Pressing the Run/Standby button will activate the pump.
The green indicators on the control panel and the front
of the pump will illuminate when the pump is on.
To switch the pump to Standby, the button must be
pushed for 2 seconds. This prevents accidental
operation.
Unless Transport mode is required, always put the pump into Standby before
disconnecting mattress or seatpad.
Alarm Mute During an alarm condition (except Power Fail Alarm),
the sound of the alarm can be muted by pressing this
button. The yellow indicator will then remain on but the
alarms will be muted for 15 minutes or until the alarm
condition has been corrected.
Constant Low
Pressure (CLP) Mode Selects the Constant Low Pressure (CLP), non-
alternating mode. The yellow indicator will illuminate
when the pump is in this mode.
When the alternating mode (default) is selected, the
yellow indicator will be switched off.
Run/Standby
Constant Low
Alarm Mute Comfort
Service Indicator
Pressure Mode (CLP) Power Fail Indicator
Battery Low Indicator
Wait Indicator Low Pressure Indicator
Autofirm
Controls