ARJO HUNTLEIGH Triadyne Proventa User manual

...with people in mind
406019-AH Rev C • 04/2015
TriaDyne Proventa
Critical Care Therapy System
User Manual

DISCLAIMER OF WARRANTY AND LIMITATION OF LIABILITY
ArjoHuntleigh hereby disclaims all express or implied warranties, including without limitation any implied
warranty of merchantability or fitness for a particular purpose, on the ArjoHuntleigh product(s) described in
this publication. Any written warranty offered by ArjoHuntleigh shall be expressly set forth in this publication
or included with the product. Under no circumstances shall ArjoHuntleigh be liable for any indirect, incidental
or consequential damages and expenses, including damages or injury to person or property, due in whole or
in part to the use of the product other than those for which disclaimer of warranty or limitation of liability
is expressly prohibited by specific, applicable law. No person has the authority to bind ArjoHuntleigh to any
representation or warranty except as specifically set forth in this paragraph.
Descriptions or specifications in ArjoHuntleigh printed matter, including this publication, are meant solely
to generally describe the product at the time of manufacture and do not constitute any express warranties,
except as set forth in the written limited warranty included in this publication or with this product.
Information in this publication may be subject to change at any time. Consult the manufacturer for updates.
IMPORTANT INFORMATION FOR USERS
In order for ArjoHuntleigh products to perform properly, ArjoHuntleigh recommends the following conditions.
Failure to comply with these conditions will void any applicable warranties.
• Use this product only in accordance with these instructions and applicable product labeling.
• Assembly, operations, extensions, re-adjustments, modifications, technical maintenance or repairs
must be performed by qualified personnel authorized by ArjoHuntleigh. Contact ArjoHuntleigh for
information regarding maintenance and repair.
• Ensure the electrical installation of the room complies with the appropriate national electrical wiring
standards.
Specific indications, contraindications, warnings, precautions and safety information exist for
ArjoHuntleigh’s therapeutic support surface products. It is important for users to read and
familiarize themselves with these instructions and to consult the treating physician prior to patient
placement and product use. Individual patient conditions may vary.
NOTICE
This product has been configured from the manufacturer to meet specific voltage requirements. Refer to the
product information label for specific voltage.

i
TABLE OF CONTENTS
Introduction
Indications ................................................................................................................1-1
Contraindications......................................................................................................1-1
Contraindications for Percussion Therapy .................................................................. 1-2
Risks and Precautions................................................................................................1-2
Safety Information ....................................................................................................1-3
Patient Placement
Preparation for Patient Placement .............................................................................2-1
Patient Transfer to TriaDyne Proventa Critical Care Therapy System ........................2-2
Air Pressure Adjustment............................................................................................2-3
Rotation Adjustment.................................................................................................2-4
Pulsation Adjustment................................................................................................2-5
Percussion Adjustment..............................................................................................2-5
Completion of Patient Placement..............................................................................2-5
Nursing Care
CPR ..........................................................................................................................3-1
Alarms......................................................................................................................3-2
Skin Care ..................................................................................................................3-2
Incontinence / Drainage ............................................................................................3-3
Patient Repositioning Using Dri-Flo Breathable Underpads .......................................3-3
Patient Bathing .........................................................................................................3-4
Bedpan Placement ....................................................................................................3-5
Bedpan Removal.......................................................................................................3-5
Patient Transfer to TriaDyne Proventa Critical Care Therapy System ........................3-6
Patient Transfer from TriaDyne Proventa Critical Care Therapy System ....................3-7
Patient Transport.......................................................................................................3-7
Patient Positioning ....................................................................................................3-8
• Right Hold...........................................................................................................3-9
• Center Hold ........................................................................................................3-9

ii
• Left Hold.............................................................................................................3-9
• Trendelenburg / Reverse Trendelenburg .............................................................3-10
• Cardiac Chair ....................................................................................................3-10
General Operation ..................................................................................................3-10
Care and Cleaning
Daily Care and Cleaning of TriaDyne Proventa Critical Care Therapy System
While In Use ............................................................................................................. 4-1
Daily Equipment Check.............................................................................................4-2
Weekly Care and Cleaning of TriaDyne Proventa Critical Care Therapy System...........4-3
Preventive Maintenance ............................................................................................4-3
Operating Instructions
Power-Up Procedure .................................................................................................5-1
Main Control Panel...................................................................................................5-2
• Home Menu........................................................................................................5-2
-Instaflate Feature ..............................................................................................5-3
- Seat Deflate......................................................................................................5-3
- Head Deflate ....................................................................................................5-4
- Main Menu ......................................................................................................5-5
- Rotation Menus.............................................................................................5-6
- Pulsation Menu .............................................................................................5-8
- Height / Weight Preset................................................................................... 5-9
- Percussion Menu .........................................................................................5-10
- Warmer Menu ............................................................................................. 5-11
- Right Hold ...................................................................................................5-12
- Center Hold.................................................................................................5-12
- Left Hold .....................................................................................................5-13
-Kinetic Therapy Log .....................................................................................5-14
- Status Menu...................................................................................................5-15
- Lock-out Menus..............................................................................................5-16
- Accessing Lock-Out menus without Patient on Unit ......................................5-16

iii
- Accessing Lock-Out Menus with Patient on Unit ...........................................5-17
• Bar Graph Display ............................................................................................. 5-19
• Scale Menu.......................................................................................................5-20
- Save In Weight Trend......................................................................................5-20
- Weight Trend Chart ........................................................................................ 5-21
Transport Mode ......................................................................................................5-21
Bed Exit / Scale Control Panel..................................................................................5-22
• Arm / Disarm Bed Exit Alarm ............................................................................. 5-22
• Scale On ...........................................................................................................5-23
• Zero ..................................................................................................................5-24
• Change Patient Weight Reading........................................................................5-24
• View Fowler and Trendelenburg Angles.............................................................5-26
• Change Equipment ...........................................................................................5-26
Bed Motion Control Panel.......................................................................................5-27
LED Display Panel....................................................................................................5-28
Side Rail Nurse Control Panels and Nurse Display Panel ...........................................5-28
• Nurse Controls on Headend Side Rails...............................................................5-28
• Nurse Controls on Footend Side Rails ................................................................ 5-29
• Right Hold.........................................................................................................5-29
• Center Hold ......................................................................................................5-30
• Left Hold........................................................................................................... 5-30
• Rotation............................................................................................................ 5-31
• Instaflate Feature ..............................................................................................5-31
• Seat Deflate ......................................................................................................5-32
• Scale.................................................................................................................5-32
• Additional Nurse Display Panel Messages ..........................................................5-33
Patient Control Panel ..............................................................................................5-34
CPR ........................................................................................................................5-34
Kinetic Therapy Adjustment Lever ...........................................................................5-35
Power-Down Procedures .........................................................................................5-36

iv
• Power-Down for Storage...................................................................................5-36
• Power-Down for Maintenance........................................................................... 5-36
Specifications
• Dimensions .........................................................................................................6-1
• Radiolucency....................................................................................................... 6-1
• Fluoroscopy.........................................................................................................6-1
• Duty Cycle ..........................................................................................................6-1
• Articulation.........................................................................................................6-1
• Scale...................................................................................................................6-2
• Electrical (115 V) ................................................................................................. 6-2
• Electrical (230 V) ................................................................................................. 6-2
Symbols Used ...........................................................................................................6-2
Miscellaneous .........................................................................................................6-11
• Classification..................................................................................................... 6-11
• Environmental Storage / Transit Conditions........................................................6-11
• Environmental Operating Conditions................................................................. 6-11
• Hospital Grade Power ....................................................................................... 6-11
• Nurse Call System ............................................................................................. 6-11
• Electromagnetic Compatibility...........................................................................6-12
Customer Contact Information

1-1
Introduction
The TriaDyne Proventa™ Critical Care Therapy System provides a comprehensive system of pulmonary
therapies clinically proven to improve outcomes and advanced skin care therapies for the critically ill,
immobilized patient.
• Early Mobilization – The application of Kinetic Therapy™, the gentle, side-to-side rotation of a patient to
a minimum of 40° degrees on each side has been demonstrated to significantly reduce the prevalence of
ventilator associated pneumonia as well as leading to shorter ventilation time and length of stay.1
Rotation is programmable in 5° increments up to 40° and also features an acclimation mode as well as
pause and hold functions to suspend the patient in a side lying position for ease in nursing care.
• Percussion Therapy – Chest physiotherapy can be used in conjunction with Kinetic Therapy during
rotation to further mobilize pulmonary secretions. Percussion Therapy can be customized by adjusting
frequency, intensity and duration of therapy.
• Pulsation Therapy – Pulsating air suspension therapy automatically alternates cushion air pressures in
chambers under the torso and leg that run from foot to head and emulate the body’s natural intermittent
movements. Clinical benefits include improved capillary blood flow, increased oxygenation to the wound
and skin, stimulation of lymphatic flow, reduced edema and reduced pressure-induced pain.2
Pulsation Therapy can be customized with programmable intensities and cycle times, used in conjunction
with Kinetic Therapy and Percussion Therapy or used as a stand-alone therapy.
• Low Air Loss Therapy – Optimizes skin microclimate, keeping the patient cool and dry while conforming
to bony prominences to help mitigate development of pressure ulcers and prevent pressure induced pain.
• Prone Therapy – The TriaDyne Proventa Critical Care Therapy System offers a Proning Accessory Kit to
provide customized therapeutic options for individual patient needs.
Indications:
The TriaDyne Proventa Critical Care Therapy System is indicated for complications associated with immobility:
• Prevention or treatment of pulmonary complications
• Prevention or treatment of pressure ulcers
• Any other use where medical benefits may be derived from continuous lateral rotation therapy or
percussion / vibration therapy.
Contraindications:
• Unstable vertebral, pelvic, skull* or facial* fractures
• Cervical and / or skeletal traction
• Unstable spinal cord injury
• Uncontrolled intracranial pressure (ICP)*
*Only contraindicated for prone therapy
1 Continuous lateral rotation therapy to prevent ventilator-associated pneumonia. (2010). Critical Care
Medicine, 38(2), 486-490.
2 Therapeutic and Financial Outcomes Using a Pulsating Low-Air-Loss Surface for Patients Surviving Severe
Posterior Burns. (2000). Ostomy Wound Management, 46(3), 64-69.

1-2
Contraindications for Percussion Therapy:
• Multiple rib fractures
• Persistent intracranial hypertension
• Bronchospasm
• Post-operative periods following cardiac surgery
Risks and Precautions
Side Rails / Patient Restraints - Whether and how to use side rails or restraints is a decision that should
be based on each patient’s needs and should be made by the patient and the patient’s family, physician and
caregivers, with facility protocols in mind. Caregivers should assess risks and benefits of side rail / restraint
use (including entrapment and patient falls from bed) in conjunction with individual patient needs, and
should discuss use or non-use with patient and / or family. Consider not only the clinical and other needs of
the patient but also the risks of fatal or serious injury from falling out of bed and from patient entrapment
in or around the side rails, restraints or other accessories. In the US, for a description of entrapment hazards,
vulnerable patient profile and guidance to further reduce entrapment risks, refer to FDA’s Hospital Bed System
Dimensional and Assessment Guidance To Reduce Entrapment. Outside the US, consult the local Competent
Authority or Government Agency for Medical Device Safety for specific local guidance. Consult a caregiver
and carefully consider the use of bolsters, positioning aids or floor pads, especially with confused, restless or
agitated patients. It is recommended that side rails (if used) be locked in the full upright position when the
patient is unattended. Make sure a capable patient knows how to get out of bed safely (and, if necessary,
how to release the side rails) in case of fire or other emergency. Monitor patients frequently to guard against
patient entrapment.
It is recommended that electrically operated beds conform to IEC 60601-2-38. Medical Electrical Equipment
Part 2: particular requirements for the safety of electrically operated hospital beds.
When selecting a standard mattress, ensure the distance between top of side rails (if used) and top
of mattress (without compression) is at least 8.66 in (220 mm) to help prevent inadvertent bed exit or
falls. Consider individual patient size, position (relative to the top of the side rail) and patient condition
in assessing fall risk.
Side rails must be in the full upright and locked position before bed rotation.
Patient Migration - Specialty surfaces have different shear and support characteristics than conventional
surfaces and may increase the risk of patient movement, sinking and / or migration into hazardous
positions of entrapment and / or inadvertent bed exit. Monitor patients frequently to guard against patient
entrapment.
Percussion - Chest physiotherapy should be used with precaution in patients without sputum production.
Adjust duration and intensity of percussion depending upon patient’s condition and response to therapy.
Skeletal Traction or Unstable Fracture (if not contraindicated) - With skeletal traction, unstable pelvic
fracture or any other unstable fracture (to the extent not contraindicated), maintain physician directed angle
of articulation and guard against risks of patient migration or inadvertent deflation of surface.
Electromagnetic Interference - Although this equipment conforms with the intent of the directive 89 /
336 / EEC in relation to electromagnetic compatibility, all electrical equipment may produce interference. If
interference is suspected, move equipment away from sensitive devices or contact the manufacturer.

1-3
Shock Hazard - Electrical shock hazard; do not remove covers. Refer to qualified service personnel.
Proning (using TriaDyne Proventa Proning Accessory Kit) - Proning may present inherent risks of serious
injury. For instance, some studies and caregiver experience have suggested or reported risk of the following in
relation to proning in general:
• skin breakdown and / or pressure necrosis
• wound dehiscence
• cardiac arrest
• loss of invasive lines or tubes or extubation (endotracheal and oral)
• edema and / or swelling
• splenic rupture
• blindness and other consequences of damage to the ocular nerve
• corneal abrasion
• myositis ossification
• venous air embolism
• increased intraorbital pressure
• central retinal artery occlusion
• pain and discomfort
• difficulty performing CPR
Precautions may also need to be taken when using this product with certain patient conditions, including, but
not limited to:
• hemodynamic instability
• severe agitation
• uncontrollable claustrophobia or fear of confinement
• uncontrollable diarrhea
• intolerance to face down position
• any implant that potentially increases the risk of skin breakdown, including, but not limited to, breast
implants or penile prosthesis
• pregnancy
• patient in the prone position with open sternal wound or thoracic post-surgical incision
• patient in the prone position with open abdomen
• extensive facial trauma
• any other unstable fracture not listed in the Contraindications section
• ICP monitoring or intracranial drainage devices
Caregivers should make sure to discuss safety information, risks and precautions with
patient (or patient’s legal guardians) and patient’s family.
Safety Information
General Protocols - Follow all applicable safety rules and institution protocols concerning patient and
caregiver safety.
Skin Care - Monitor skin conditions regularly, especially at bony prominences and in areas where
incontinence and drainage occur or collect, and consider adjunct or alternative therapies for high acuity
patients. It is recommended that skin pressure points be assessed at least every two hours. Early intervention
may be essential to preventing serious skin breakdown.

1-4
Brakes - Lock all steer casters in line and set all caster brakes before transferring patient.
Bed Height - To minimize the risks of falls or injury, the unit should always be in the lowest practical position
when the patient is unattended. Make sure area under and around bed frame is clear of objects, persons and
parts of body before adjusting height.
Bed Exit Alarm - Activation of the bed exit alarm is recommended whenever patient is unattended. Be sure
to reactivate the bed exit alarm each time patient returns to unit.
Bed exit alarm is triggered by dramatic weight reduction and may not alarm if patient is only partially
exited from unit.
Ambulatory Patient Entrance and Exit - Caregiver should always aid patient in entering and exiting the
unit. Lower patient surface completely during assisted patient entrance / exit and patient turning.
Arm Cushions - If Kinetic Therapy patient turning is to be provided, it is recommended that the patient
be secured with the straps on the arm cushions when they are used. Maintain a one-inch clearance
(approximately two fingers’ width) between the end of the arm cushion and the patient’s axilla. Never place
arm cushion snugly against patient’s axilla. Undue pressure on axillary blood vessels and brachial plexus may
result.
Rotation Pack Support - Do not remove rotation pack supports which must be used to help position
the patient when rotation angles are more than 20° to either side. Rotation pack supports (or body packs)
include the head pack, side support packs and leg abductor pack. Also refer to side rails in the Risks and
Precautions section.
Tube and Line Management - Prior to activating rotation, assess the security of all invasive lines and tubes
to accommodate a full 60° angle of rotation and minimize the risk of binding, disconnecting or dislodging.
Tubes and lines should always have slack for rotation and patient movement.
Fluids - Avoid spilling fluids on unit controls. If spills do occur, unplug unit, clean fluid from unit wearing
rubber gloves to avoid any possibility of shock. Once fluid is removed, check operation of components in area
of spill.
Fluids remaining on controls can cause corrosion, which may cause components to fail or to operate
erratically, possibly producing hazards for patient and staff.
Oxygen Use - DANGER: Risk of explosion if used in the presence of flammable anesthetics. Use of this
product in an oxygen-enriched environment may produce potential of fire hazard. This equipment is not
suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide.
When using half-bed-length-type oxygen administering equipment, ensure that side rails are
outside of oxygen tent and not contained within the oxygen environment. Hand control not
available with this product.
Lock-Outs - Lock-outs for bed functions and air functions should be used at staff’s discretion to ensure
against unintentional operation of system settings.
Moving Parts - Powered bed mechanisms can cause serious injury. Keep all equipment, tubes and lines,
loose clothing, hair and parts of body away from moving parts and pinch points.

1-5
Power Cord - Ensure power cord is kept free from all pinch points and moving parts and is not trapped
under casters. Improper handling of power cord can cause damage to the cord, which may produce risk of
fire or electric shock.
Avoid Fire Hazards - To minimize the risk of fire, connect the unit’s power cord directly into a wall-mounted
outlet. Do not use extension cords or multiple outlet strips. In the US, review and follow FDA’s Safety Tips for
Preventing Hospital Bed Fires. Outside the US, consult the local Competent Authority or Government Agency
for Medical Device Safety for specific local guidance.
Scale Readings - Scales / patient weights are for reference only. Scale readings should not be relied upon for
medication dosage. All equipment on the weighed portion of the unit is included in weight displayed.
Tobacco Smoke - If routine laundering and cleaning procedures are not followed, tobacco smoke buildup
may conceivably reduce the amount of air flow through the product. Severe air restrictions (whatever the
source) may cause the unit to overheat and deactivate automatically.
Blank Display - If main control panel remains blank, call for service immediately.
Batteries - Unit contains batteries and must be plugged in when not in service.
Disposal - At the end of useful life, dispose of waste according to local requirements or contact the
manufacturer for advice. There may be special requirements for disposal of batteries, leaded foam and / or
angle sensors (if present in this product).

1-6

2-1
Patient Placement
It is recommended that all chapters of this manual be reviewed prior to product use. Carefully read the
Contraindications, Risks and Precautions and Safety Information sections in the Introduction chapter
of this manual prior to placing a patient on the TriaDyne Proventa Critical Care Therapy System.
Preparation for Patient Placement
1. Lock caster brakes.
2. Plug power cord into properly grounded wall outlet.
Do not use wall outlet controlled by a wall switch. Refer to Avoid Fire Hazards safety information in
the Introduction chapter of this manual.
3. Level patient surface and adjust Kinetic Therapy option, if needed.
The Kinetic Therapy adjustment feature is not available on all units. Refer to pg 5-35 of the
Operating Instructions chapter.
4. Configure unit as required (add pillows, blankets, lines, IV poles, other equipment, accessories, etc., to
the weighed portion of unit).
5. Press On / Off button on main control panel to activate air supply to the unit.
Pulsation will be automatically activated. Rotation, percussion and warmer will not automatically
restore.
6. Calibrate scale to zero:
• Press and hold Scale On / Off button on bed motion control panel (located beneath main control
panel).
• Release the Scale On / Off button when the words Let Go For Scale appear on Scale display. This
will turn off the Trend Angle display and activate the scale.
• Press and hold Zero button to set weight value of all equipment currently on weighed portion of unit
to 0.0 lb (0.00 kg).
• Release the Zero button. Allow scale to zero out. Scale display will read 0.0 lb (0.00 kg).
7. Enable bed exit alarm:
• Press and hold Arm and Disarm buttons on bed motion control panel together for five seconds.
• Release buttons. Armed light will flash.
• Do not touch unit until Armed light stops flashing.
Bed exit alarm will be armed once patient is in place.
8. Preset air pressures using main control panel:
• Press button for Menu on Home menu.

2-2
• Press button for Height / Weight.
• Press buttons for Increase or Decrease to enter patient’s height and weight.
• Press button for Enter to save settings and return to the Main menu.
• Press button for Exit to return to Home menu.
Cushions will inflate to a preset air pressure based on the patient’s height and weight.
Patient Transfer to TriaDyne Proventa Critical Care Therapy System
1. Press Instaflate™ button to fill cushions and create a firm surface for patient transfer.
Five beeps will sound when the Instaflate function is activated, and will sound every 20 minutes until
it is cancelled.
2. Adjust height of patient surface to same level as surface from which patient is being transferred.
3. Ensure brakes on both surfaces are locked.
4. Lower side rails.
5. Transfer patient, following all applicable safety rules and institution protocols.
6. Press Cancel button to turn off Instaflate function and return cushions to previous air settings.
Pulsation will be restored automatically.
7. Position patient on mattress and adjust positioning packs:
• Position head on head support pack and top of
shoulders between second and third cushion.
Each cushion has two inflatable segments, as
shown at right.
The cushions in the head section do not pulsate.
• Position arms in arm packs.
• Secure strap across cushions, as shown at right.
If arm packs are used, maintain a one-inch (25 mm)
clearance (approximately two fingers’ width) between end
of the arm pack and the axilla, as shown at right.
Never place arm packs snugly against patient’s axilla. Undue
pressure on axilla may result in nerve damage.
• Position head end of leg abductor pack at or just below
the knees.
• Extend legs and abduct with pack.
1st & 2nd
Cushions
Patient Shoulder
Placement

2-3
8. Raise and lock side rails on both sides of unit. (If used, refer to Risks and Precautions section in the
Introduction chapter of this manual).
9. Install foot cushion(s) as required.
If foot cushion is installed next to footboard, no
additional support is required. If foot cushion is installed
for a shorter patient, two foot cushions should be used
together for support, as shown at right. The cover sheet
must not extend over the foot cushion. Tuck the cover
sheet under the foot cushion.
Air Pressure Adjustment
1. Verify proper air pressure adjustment using the following
methods:
• Allow a cradling effect, approximately a 40%
depression where the patient lies, as shown at right.
The percussion bladder and turning bladders are
shown partially inflated to make them visible for
illustrative purposes only.
• Perform a hand check beneath the shoulders,
hips and heels, as shown at right:
- Unzip cover sheet, slide hand under cover
sheet and beneath cushions to rest on
turning bladders and cushion base support.
- Lift hand slightly to verify 1 in to 1.50 in
(25 mm to 38 mm) of air is supporting the
patient.
- Re-zip cover sheet.
2. Manually adjust air pressure as needed:
• Press triangular buttons shown at right to increase or
decrease air pressures for head, body, seat and leg
cushion sections.
Cover
Sheet
Standard
Cushion
Foot
Cushion
Standard
Cushion
Percussion
Bladder
Turning
Bladders
Percussion
Bladder
Turning
Bladders
Foot
Cushions
(Leg)
(Seat)(Body)
(Head)
Press to
decrease
Press to
increase

2-4
• Bar graph display shown at right will appear.
The individual bar graph for the adjusted
section of cushions (head, body, seat and leg)
will increase / decrease by one bar each time
the triangular button is pressed twice.
• The dotted line in each bar graph represents
height / weight preset target pressures.
• The solid lines represent manually adjusted target
pressure.
• The arrows on each side of the bar graphs
represent actual pressures. As cushions pulsate, arrows will rise and fall as alternating cushions in
the section inflate and deflate. Left arrows represent the pressure level in the foot-end side of that
section of cushions. Right arrows represent the pressure level in the head end side of that section of
cushions.
• Press Exit button to return to Home menu.
Allow sufficient time for cushions to respond to air pressure adjustments. The arrows shown on
each side of the bar graph should be allowed to move to the new setting, indicating that the target
pressure has been reached before additional adjustments are made.
3. Verify air pressure adjustments by checking cradling effect and using hand check.
Rotation Adjustment
Adjust rotation settings as described below:
1. Press Menu button on Home menu.
2. Press Rotation button on Main menu. With rotation menu #1 showing:
• Adjust right rotation angle.
• Adjust right pause time.
• Adjust center pause time.
• Zero rotate hour meter (if desired).
• Press Left Rotation Setting button.
• Adjust left rotation angle.
• Adjust left pause time.
• Press Enter button to save settings.
• Read message for IV drainage and ventilator tubing and press button Next to continue.
• Accept or reject the acclimation option and return to the Home menu (if accepted), or the Main
menu (if rejected).
Use the acclimation option to help the patient to adjust to Kinetic Therapy by increasing the degree of
rotation in a series of steps until the target rotation angle is reached. During acclimation, the patient
will rotate to 25° angle for six cycles, then increase 10° angle every six cycles until the target rotation
angle is reached.
Manually adjusted
setting (solid lines)
Warmer: OFF Pulsation: LOW
Height / Weight
preset (dotted line) Actual
pressures
(arrows)
EXIT >

2-5
Pulsation Adjustment
Adjust pulsation settings as described below:
1. Press Menu button on Home menu.
2. Press Pulsation button on Main menu. With Pulsation menu showing:
• Adjust intensity.
• Adjust cycle time.
• Press Enter button to save settings and return to Main menu.
• Press Exit button to return to Home menu.
Percussion Adjustment
Adjust percussion settings as required:
1. Press Menu button on Home menu.
2. Press Percussion button on Main menu. With Percussion menu showing:
• Adjust intensity.
• Adjust duration.
• Adjust frequency.
• Press Exit button to save settings and return to the Main menu.
• Press Exit button to return to the Home menu.
Completion of Patient Placement
1. Adjust warmer status and settings as required:
• Press Menu button on Home menu.
• Press Warmer button on Main menu. With Warmer menu showing:
- Change current status to On.
- Adjust warmer setting.
- Press Enter button to save settings and return to the Main menu.
- Press Exit button to return to the Home menu.
2. Perform initial patient weighing and save the dated initial weight in the weight trend chart:
It is recommended that the patient be weighed in a level position.
Scales / patient weights are for reference only. Scale readings should not be relied upon for
medication dosage. All equipment on the weighed portion of the unit is included in weight displayed.
• Press Scale button on main control panel. Scale menu will appear.
• Press Save in WT Trend button to save weight and date of reading into weight trend chart.
• Press WT Trend Chart button to view weight trend chart. Verify current weight and date are shown
on the first line of the display.

2-6
The top line of the weight trend chart will display the date and initial weight. This line is for reference
and will not change. When future weight readings are taken and entered into the weight trend chart,
the most recent reading will appear on the bottom line of the display. This information will move up
one line each time a new weight reading is saved into the weight trend chart, and will eventually
move up and off the display.
• Press Exit button to return to the Scale menu.
• Press Exit button to return to the Home menu.
Pulsation is deactivated when Scale button is pressed, but is restored when Scale menu is exited.
3. Set the bed exit alarm:
• Press Arm button on bed exit control panel.
• Armed light will come on, indicating bed exit alarm is now on.
Scale functions are deactivated when bed exit alarm is set.
4. Verify rotation, pulsation, percussion and warmer settings are adjusted as required:
• Press Status button.
• Review and verify settings.
• Press Exit button to return to the Home menu.
5. Adjust patient surface for patient comfort.
Rotation will be deactivated if head of unit (Head Angle display) is raised over 35° angle. This
includes a combination of Fowler and Trend angles.
6. Activate rotation and percussion as required.
Be aware that unique Contraindications and Risks and Precautions apply for percussion therapy
and rotation. Refer to these sections in the Introduction chapter of this manual before activating
these functions.
With Home menu showing:
• Press Rotation button to highlight ON.
• Press Percussion button to highlight ON.
7. Observe patient through a full rotation cycle and check the following:
• Verify all lines and tubes are secured and have adequate slack to avoid pulling, binding or dislodging
during a full 60° angle of rotation. Adjust slack in lines as necessary.
• Verify air pressure adjustments with hand check beneath the shoulders, hips and heels during right
pause, center pause and left pause.
8. Manually adjust air pressures, as required. Allow time for cushions to reach new air pressures and
observe patient through rotation cycle again. Verify air pressures during cycle with hand check after each
adjustment.
9. Ensure caster brakes are locked. (Refer to related Safety Information in the Introduction chapter of
this manual.)