ARJO HUNTLEIGH Bari-Breeze User manual

Low Air Loss Turn Assist System
User Manual
Bari-Breeze

(i)
Contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
About this Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
About Bari-Breeze . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Bari-Breeze Mattress. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Clinical Applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Contraindications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Precautions for Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Installation and Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CPR Facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Controls, Alarms and Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Controls and Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Initial Power Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Comfort Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Static Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Turn Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Turn Times. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
To Deflate and Store the Bari-Breeze Mattress. . . . . . . . . . . . . . . . . . . . . . . . 12
Decontamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Troubleshooting Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Spare Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Warranty and Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Technical Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18

(ii)

(iii)
General Safety
Before you connect the system pump to a mains socket, read carefully all the
installation instructions in Section 3 - Installation. The system has been designed to
comply with regulatory safety standards including:
• EN60601-1:1990/A13:1996
• UL60601-1 1st Edition
• CAN/CSA C22.2 No 601.1-M90
Precautions
For your own safety and the safety of the equipment, always take the following
precautions:
• Keep the pump away from sources of liquids and do not immerse in water.
• Do not expose the system, especially the mattress, to naked flames, such as
cigarettes etc.
• Do not store the system in direct sunlight.
• Switch off the electrical supply to the pump by disconnecting the pump from the
mains socket before cleaning and inspection.
• Ensure the system is clean and dry prior to 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.
• Only the pump and mattress combination as indicated by ArjoHuntleigh should
be used. The correct function of the product cannot be guaranteed if the incorrect
pump or mattress combinations are used.
Safety Warnings
• The cover of this product is vapour permeable but not air permeable and may
present a suffocation risk. It is the responsibility of the care provider to ensure
that the user can use this product safely.
• Electrical equipment may be hazardous if misused. The front and rear case of
the pump unit should only be separated by authorised technical personnel.
• Do not use the pump in the presence of flammable gases such as anaesthetic
agents.

(iv)
Caution
Electromagnetic compatibility (EMC). This product complies with
the requirements of applicable EMC Standards. The use of
accessories not specified by the manufacturer may result in
increased emissions by, or decreased immunity of, the equipment,
affecting its performance.

1
1. Introduction
About this Manual This manual is your introduction to the Bari-Breeze®
system. Use it to initially set up the low air loss system,
keep it as a reference for day-to-day routines, and as a
guide to maintenance.
About Bari-Breeze The Bari-Breeze is designed to maintain a constant low
pressure support surface.
Bolsters situated along each side of the mattress are
designed to provide comfort and support for patients
when the system is operating in Turn mode.
A single safety air pad provides protection from the
effects of bottoming out.
By controlling the level of pressure in all of the cells,
consistent levels of turn are achieved whilst maintaining
the integrity of the support surface in contact with the
patient.
The Bari-Breeze pump is fully programmable and
provides the following modes of operation:
• Static Mode (Default) - When Turn therapy settings
are set to , the system remains flat, providing a
continuous low pressure surface.
•Turn (Rotation) Mode - Provides an angled support
surface to assist with nursing procedures.
•Firm Mode (Maxflow) - Provides a firm support
surface (for 15 minutes) to facilitate nursing
procedures and/or patient handling.
The Bari-Breeze cover is water resistant and vapour
permeable to enhance patient comfort whilst protecting
the cells from ingress of contaminants. The cover is
simple to clean in situ, but may easily be removed for
laundering, preventing cross contamination.
In the event of cardiac arrest the mattress replacement
can be easily deflated to allow cardiac resuscitation
procedure (CPR) to be performed.

2
Bari-Breeze Mattress
A self contained mattress replacement system with easily
detachable components for cleaning.
Cover
Pump Connector
Safety Air Pad Plug

3
Cells 21 polyurethane cells approximately 200mm (8”) high
providing support to the patient.
Tubeset Manufactured from material to reduce accidental
kinking.
Tubeset Connector/CPR Located at the pump end of the tubeset is a specially
designed twin snap lock connector. This design helps
prevent accidental disconnection of the mattress from
the pump. Releasing the connector allows the air to
escape from the cells in approximately 10 seconds to
facilitate CPR.
Cover The mattress is totally enclosed in a double zipped
cover. The top and sides of the cover are constructed
from a two-way stretch and water resistant material,
which is vapour permeable for maximum patient
comfort. The base of the cover is constructed from a
tough abrasion resistant material and is fitted with bed
attachment straps.
Safety Air Pad A 50 mm (2”) thick sub-mattress made of a single air-
filled cell enclosed in the base to support the patient in
the event of loss of air pressure in the mattress.
Bolsters Two safety side air bolsters provide comfort and support
during Turn mode.
Safety Air Plug The safety air plug is used to deflate both the side
bolsters and safety air pad. It is located close to the
tubeset/pump connector.

4
Bari-Breeze Pump
Mounting Hooks Integratedmounting hooksfitted totherearcasingallow
easy positioning of the pump from the bed foot rail.
Keypad The keypad is angled to provide the user with a clear
visual display. An LED display and individually
illuminated control buttons give precise indications of
the status of the system at any point in time.
LED Display Highly visible and bright 7 segment blue LED digital
display panel.

5
2. Clinical Applications
Indications The Bari-Breeze system is indicated for patients
weighing between 22-455Kgs (50-1000 lbs), including
those assessed to be at high risk of developing pressure
ulcers and for all grades of pressure ulcer up to and
including grade 4 (EPUAP, 1998)1for Europe,
(NPUAP, 1989)2for USA.
Contraindications Patients with unstable spinal fractures should not be
placed on the Bari-Breeze system.
Precautions for Use In the case of patients with unstable fractures advice
should be obtained from the appropriate physician
before using the Bari-Breeze system.
A risk assessment tool combined with clinical judgement should be used
when determining a patient’s level of risk of developing pressure ulcers.
Patient risk assessment should be an ongoing process as changes in the
patient’s condition may increase or decrease their risk level.
The above are guidelines only and should not replace clinical judgement or
experience.
1. European Pressure Ulcer Advisory Panel (1998). Pressure Ulcer Treatment Guidelines, British Journal of
Nursing 7(r5):888-9.
2. National Pressure Ulcer Advisory Panel (1989), Clinical Practice Guideline, Number 3, AHCPR, US
Department of Health & Human Services, 1992.

6
3. Installation and Setup
Warnings The following warnings should be taken note of before
installing the Bari-Breeze system.
Installation The following components should be found within your
Bari-Breeze packaging:
•Bari-Breeze Mattress Replacement
•Pump
•UserManual
•PowerCord
1. Before using the Bari-Breeze mattress replacement
system, please remove all other mattress systems
from the bed.
2. When installing the Bari-Breeze mattress, care
should be taken such that the mattress is placed
directly on the bed frame.
Make sure that the tubeset end of the mattress is towards the foot end of the
bed.
WARNING
The Bari-Breeze system must be installed on bed frames that are
equipped with Safety Sides. Please raise safety sides on the bed
and lock them in position after the patient is on the mattress.
NEVER LEAVE A PATIENT UNATTENDED ON THE MATTRESS
SYSTEM WITH THE SAFETY SIDES IN THE DOWN POSITION.
WARNING
Never use sharp objects or electrically heated underblankets on or
under the mattress.
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.

7
3. There are ten nylon black straps with buckles, on
the base of the mattress. Loop each strap around the
bed frame and fasten it securely to the bed frame
using the buckle.
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.
4. Open the hooks on the back of the pump and
suspend the pump from the bed foot rail. If the bed
you are using does not have a foot rail, place the
pump on its base (not on its back where the filter is
located) on a flat surface underneath the bed near
the foot of the bed frame.
Care should be taken such that the air inlet vent on the pump is not covered,
and the pump is not placed on the floor in such a manner that it is a hazard.
5. Plug the power cord into the pump and press it in
place. Uncoil the power cord and plug the cord into
a properly grounded AC power source.
6. Securely attach the pump connector onto the pump
until it clicks, and make sure the side bolster and
safety air pad plug is secure.
Care should be taken such that the mattress hose is freely suspended without
being pinched or kinked.
7. If not already fitted, place the protective cover over
the mattress and secure in position. Make sure the
ArjoHuntleigh logo is uppermost and at the foot end
of the mattress.
8. Push the Power/Standby button to turn the pump on
and enter the required therapy settings, see
“Controls, Alarms and Indicators” on page 9.
9. Unzip the cover and ensure the cells, side bolsters,
and the base pad are all fully inflated. Refit cover.
10. Place a bed sheet loosely over the mattress before
use.

8
4. CPR Facility
Located on the right hand side of the pump is a CPR
device marked with an arrow. In the event of cardiac
arrest, press the two quick release catches on the
tubeset/pump connector, and simultaneously pull the
hose away from the pump.
To reinflate the mattress 1. Switch the pump into standby mode and reconnect
the tubeset and safety air pad plug if removed.
Switch the pump on and reset the therapy settings.
IMPORTANT
In the event of cardiac arrest, depress the two release catches on
the tubeset/pump connector, and at the same time pull the tubeset
out and away from the pump.

9
5. Controls, Alarms and Indicators
Controls and Indicators
Standby When the pump has power but is in Standby mode, the
7 segment LED display will show a single bar.
Power/Standby Press the Power/Standby button to turn the pump on.
Max Flow Press to enable maximum air flow from the pump.
A blue LED on the button will indicate that Max Flow is
active. When used during mattress installation, the
mattress will inflate to its normal size within 60 seconds.
If Max Flow ‘F’ is selected when the system is operating
in Turn mode then Turn mode will be deselected and the
indicator will show .
Unless deactivated, Max Flow will remain active for 15 minutes. After this,
the comfort level will revert to the previous setting, and remain in Static
mode.
Turn Options The button selects the turn settings of the mattress.
Each press of the button selects the next setting. For
instance, to change the mattress from Bi-lateral Turn
()to Static ( ) position, press the button twice until
is selected.
In Left Turn () mode the right air cushions in the
mattress will be held at a constant high pressure, and the
left air cushions will be held at a constant low pressure.
This process is reversed for the Right Turn () mode.
When is selected, the system will alternate between
left and right turn, stopping in the central (dwell)
position. During this time the display will show ‘d’.
LED Display
Comfort Control
Power/Standby
Lock Out Button/Indicator
Turn Angle
Turn Time Turn Options
(Soft)
Comfort Control
(Firm)
Max Flow
(Fast Inflate)
Button/Indicator Button/Indicator
Button/Indicator

10
Turn Times The time selected for the turn is the amount of time (in
minutes) the mattress will remain in each position
during the selected turn sequence.
Turn Angle Four settings are available to select the amount of turn
given to the patient. These are selected using the turn
anglebutton ,where4/4is equaltoapproximately40
degrees.
Comfort Control Level Thesecontrolsadjust the firmnessofthemattress. Using
the button reduces the pressure setting, and the
button increases it.
The current comfort level (1-9) will be displayed in the
LED display.
Lock Out Pump functions (including power/standby switch) can
can be locked out to prevent unintentional change of
modality / cell pressures. To activate, press the lock
buttonforapproximately 2-3secondsuntiltheblue LED
illuminates. To deactivate, press and hold the lock out
button until the LED turns off.
Alarms
Power Fail In the event of a power fail situation, the pump will alert
the carer by flashing the amber Power Fail LED and
sounding the buzzer. Once the power is restored to the
pump the alarm will cease and the pump will return to its
previous operating settings.
Low Pressure In the event of hose disconnection, an ‘L’ and ‘P’ will
alternate on the LED display (representing "Low
Pressure") while the buzzer sounds to alert the carer to
the alarm condition. Once the hose is reconnected, the
alarm will cease and the pump resume its previous
therapy settings.

11
6. Operation
Before using the Bari-Breeze mattress system, make sure it has been installed
correctly in accordance with “Installation and Setup” on page 6, and ensure that the
side bolster and base plug is secure in the connector at the foot end of the mattress.
Initial Power Up Press the power/standby button to turn the pump on. An
audible beep will sound and the current comfort level,
turn time, turn mode, and turn angle will be displayed.
These may reflect the therapy settings that were applied last time the system
was in use.
Comfort Controls Once the mattress is fully inflated and with the patient in
position, adjust the comfort controls to the desired level.
Perform a four finger check as follows:
Place four fingers between the air cushions directly
underneath the sacral region of the patient's body.
There should be a minimum of 4 finger width clearance between the bottom
of the patient and the safety air pad.
Recommended Pressure Settings
Forextra firmsupportduringpatienthandlingornursing
procedures, it is recommended to set the mattress
pressure to maximum by pressing MAX FLOW ( ).
When the patient is to be placed in the gatched position,
it is also recommended to press the button to ensure
the patient does not bottom out.
In the case of a patient who has an above average weight
to height ratio, it is recommended to increase the
pressure/comfort level accordingly.
Static Mode
Max Flow Pressing the button sets the blower to maximum
flow, fully inflating the mattress overriding the comfort
control. This feature is only available in static mode. If
pressed during Turn mode, it will revert the system to
Static mode and return the patient to a central position.
Comfort settings however, are retained.
Max Flow inflates the mattress to maximum pressure for
15 minutes, and this will be indicated by a blue LED and
an ‘F’ being shown in the LED display.

12
To cancel Max Flow and to enter Turn mode settings,
press the button once. To continue Max Flow for
more than 15 minutes, press once to cancel, and
quickly again to enter Max Flow forafurther 15 minutes.
After 15 minutes, Max Flow is automatically cancelled.
For extra firm support during patient addition/removal, wound care, patient
turning, or patient hygiene procedures, it is recommended to set the mattress
pressure to max by pressing button.
Turn Options
Uni-Lateral Turn To enter uni-lateral Turn mode, press the button to
cycle through until or is indicated, this is
confirmed by the illuminated blue LED.
Bi-lateral Turn Toenterbi-lateralTurn mode, pressthe buttonuntil
is indicated, this is confirmed by the illuminated
blue LED.
Selecting Max Flow will cancel any Turn options set, resulting in the system
returning to the Static ( )setting.
Turn Times To set therapy turn times, press the button until
the desired time is indicated, this is confirmed by the
illuminated blue LED.
Turn times are only considered when the pump is operating in Turn mode.
To Deflate and Store the Bari-Breeze Mattress
To deflate the Bari-Breeze mattress:
1. Activate the CPR control to deflate the mattress.
2. Remove the side bolster and safety air pad plug
from the connector on the mattress hose assembly.
To store the mattress Following deflation:
Roll the mattress from the head end toward the foot end,
ensuring the tubeset lies safely within the mattress.

13
7. Decontamination
The following processes are recommended, but should be adapted to comply with
the local or national guidelines (Decontamination of Medical Devices) which may
apply within the Healthcare Facility or the country of use. If you are uncertain, you
should seek advice from your local Infection Control Specialist.
The Bari-Breeze system should be routinely decontaminated between patients and at
regular intervals while in use; as is good practice for all reusable medical devices.
During Use It is recommended that were practical, all parts of the
system (including mattress, top cover, pump, and
tubeset) should be cleaned weekly whilst in use.
To clean Wipe all exposed surfaces with a cloth which has been
moistened in simple detergent and water. Ensure to
remove any organic debris that may be adherent to the
surfaces. Dry.
To disinfect Wipe all cleaned surfaces with a solution which
contains a chlorine-releasing agent diluted up to a
strength of 10,000 parts per million (depending on local
policy): an example is sodium hypochlorite. Dry.
Alternatively use a cloth moistened with alcohol (70%)
and allow to air dry.
Laundering The mattress cover can be easily unzipped for complete
removal to allow laundering at 65°C for 10 minutes or
80°C for 3 minutes to achieve thermal disinfection. This
complies with HSG (95) 18 Hospital Laundry
arrangements for used and infected linen (UK) 1995.
DO NOT TUMBLE DRY COVERS ABOVE 30°C.
WARNING
Remove the power cord from the mains supply before cleaning and
decontamination.
Caution
Do not use Phenol-based solutions or abrasive compounds or pads
during the decontamination process as these will damage the
surface coating. Do not boil or autoclave the cover.
Avoid immersing electrical parts in water during the cleaning
process.

14
8. Troubleshooting Guide
The following table contains fault symptoms, their possible causes and suggests
steps to rectify the problem. These may occur during initial installation and power
up.
Symptom Possible Cause Check Action
Pump keyboard does
not respond. Lock out is on preventing set
up.
Lock out button LED
illuminated. Press and hold the lock button until the LED
extinguishes.
Mattress does not
inflate when the
system is switched
on.
Pump is left in
standby mode,
indicated by a
single dash on
the LED display.
If the pump is plugged into a
power socket, a dash will be
visible on the LED display to
indicate standby mode.
Check status of LED display.
Turn on the pump unit.
If the LED display is blank,
check integrity of power
supply at the wall socket.
Blower failure
within pump unit. Check to ensure blower is generating airflow through
the manifold connector.
If blower has failed call a
Service Engineer to replace
the blower/pump unit.
Mattress inflates but
appears to be noisy as
if a leak has appeared
in the tube-set
connection with the
pump.
Hose-set
connection not
correctly fitted.
Check to ensure the hose
connector clicks into place. Re-connect hose connection to pump, ensuring firm
fitment.
Bolster/Sub-
Mattressplugnot
fitted correctly or
failing.
Check plug is fitted correctly
in hose manifold.
Check integrity of plug.
Ensure plug is firmly located.
Replace if neccesary.
Mattress inflates but
doesn't appear to turn. No turn angle set. Therapy Settings. Set Turn angles.
Firm inflate
activated. Maxflow LED illuminated. Press the button to
deactivate, and enter
required therapy settings.
Dwelling in
centre (check
turn time).
Check status of LED display. If LED display is illuminated
with ’d’ mattress is dwelling.
Mattress inflates but
only appears to turn to
one side.
Therapy is set for
left or right turn
only.
Ensure bilateral therapy
setting has been set. Enter Bi-lateral therapy
settings.
Both setting may
not be
illuminated.
For bilateral turn ensure
is activated (LED
illuminated).
If not, press to select
and ensure the LED
illuminates.
Mattress turns but
then suddenly stops
mid cycle.
Maxflow
activated. LED display showing ‘F’. Press the button to
deactivate, and set turn
angles.
Dwelling in
centre (check
turn time).
Check status of LED display. If LED display is illuminated
with ’d’ mattress is dwelling.