Arjo AtmosAir 4000 Series User manual

EN · FR ·
Instructions for Use translation ·
407390-AH Rev 0 · 07/2018
INSTRUCTIONS FOR USE
AtmosAir with SAT Mattress
Replacement System
ATMOSAIR WITH SAT 4000 SERIES
ATMOSAIR WITH SAT 9000 SERIES
ATMOSAIR WITH SAT T-SERIES
ATMOSAIR WITH SAT V-SERIES
ATMOSAIR WITH SAT APOD 25

iii
DISCLAIMER OF WARRANTY AND LIMITATION OF REMEDY
ARJO HEREBY DISCLAIMS ALL EXPRESS OR IMPLIED WARRANTIES, INCLUDING WITHOUT LIMITATION
ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, ON THE
ARJO PRODUCT(S) DESCRIBED IN THIS PUBLICATION. ANY WRITTEN WARRANTY OFFERED BY ARJO
SHALL BE EXPRESSLY SET FORTH IN THIS PUBLICATION OR INCLUDED WITH THE PRODUCT. UNDER
NO CIRCUMSTANCES SHALL ARJO 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 ARJO TO ANY REPRESENTATION OR WARRANTY EXCEPT AS
SPECIFICALLY SET FORTH IN THIS PARAGRAPH.
Descriptions or specifications in Arjo 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. Contact Arjo for
updates.
Important Information For Users
In order for Arjo products to perform properly, Arjo 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 Arjo. Contact Arjo for
information regarding maintenance and repair.
• If applicable, ensure the electrical installation of the room complies
with the appropriate national / local electrical wiring standards.
Specic indications, contraindications, warnings, precautions and safety information exist
for Arjo’s therapeutic support systems. 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.

iv

1
Table Of Contents
Introduction ............................................................................................................................................ 2
Indications............................................................................................................................................................... 2
Contraindications ................................................................................................................................................. 2
Risks and Precautions.......................................................................................................................................... 2
Safety Information................................................................................................................................................ 3
Preparation for Use............................................................................................................................... 5
Mattress Installation............................................................................................................................. 5
AtmosAir with SAT 4000, 9000 (all models), T-Series* , V-Series** (allmodels),
and APOD 25 (all models).................................................................................................................................. 5
AtmosAir with SAT V-Series ................................................................................................................................ 6
AtmosAir Pump Installation ............................................................................................................... 7
LED Indicators ........................................................................................................................................ 8
Patient Placement and Nursing Care ............................................................................................. 9
Alternating Pressure / Rotation Adjustment............................................................................................... 9
CPR ...........................................................................................................................................................................10
Transport Mode...................................................................................................................................................10
Skin Care.................................................................................................................................................................10
Incontinence / Drainage...................................................................................................................................10
General Operation..............................................................................................................................................10
Care and Cleaning...............................................................................................................................11
Fire Barrier..............................................................................................................................................................11
Cover Cleaning Options ...................................................................................................................................11
Cleaning AtmosAir Pump and Tubes (A and AR models)......................................................................12
Preventive Maintenance Schedule ...............................................................................................12
Daily Cleaning......................................................................................................................................................12
Weekly Cleaning..................................................................................................................................................12
Inspection / System Check-Out ....................................................................................................................13
Troubleshooting ..................................................................................................................................14
Parts Diagram - AtmosAir with SAT 4000.....................................................................................15
Parts Diagram - AtmosAir with SAT 9000 and T-Series............................................................16
Parts Diagram - AtmosAir with SAT V-Series...............................................................................17
Parts Diagram - AtmosAir with SAT APod 25 Series...................................................................18
Parts Diagram - AtmosAir Pump (A and AR models)...............................................................19
Replacement Parts ..............................................................................................................................20
Specifications........................................................................................................................................23
Electromagnetic Compatibility ......................................................................................................24
Symbols Used .......................................................................................................................................27
Customer Contact Information ......................................................................................................28

2
Introduction
It is recommended that all sections of this User Guide be read prior to product use. Carefully review
the Contraindications, Safety Information and Risks and Precautions sections prior to placing
a patient on any AtmosAir® with SAT™Mattress Replacement System (MRS).
Caregivers should review this information with the patient and the patient's family and / or legal
guardian. Save this User Guide in an easily accessible location for quick reference.
This User Guide is comprised of the following AtmosAir MRS models / series:
• AtmosAir with SAT 4000 Series (non powered, indicates pump not available)
• AtmosAir with SAT 9000 Series (non powered)
• AtmosAir with SAT 9000A Series (powered with alternating pressure)
• AtmosAir with SAT 9000AR Series (powered with alternating pressure and rotation)
• AtmosAir with SAT T-Series (non powered)
• AtmosAir with SAT T-Series A (powered with alternating pressure)
• AtmosAir with SAT T-Series AR (powered with alternating pressure and rotation)
• AtmosAir with SAT V-Series (non powered)
• AtmosAir with SAT APOD 25 (non powered)
• AtmosAir with SAT APOD 25 A (powered with alternating pressure)
• AtmosAir with SAT APOD 25 AR (powered with alternating pressure and rotation)
The AtmosAir MRS comes in a wide variety of lengths and widths to support various customer
requirements. Contact an Arjo representative for additional product information.
Indications
• AtmosAir MRS are intended to treat and prevent all categories of pressure injuries.
Contraindications
• unstable vertebral fracture
• cervical and skeletal traction
Risks and Precautions
Transfer – Standard precautions should be taken during patient transfer.
Rotation / Alternating Pressure (for A and AR models) – Prior to engaging rotation or
alternating pressure, ensure that bed frame has side rails and that all side rails are fully engaged in
full upright and locked position. Ensure pump hoses are properly connected to appropriate side
of mattress for the desired function (see AtmosAir Pump Installation). WARNING: Incorrect
connection of pump hoses can increase risk of potential patient falls.
Side Rails and Restraints – WARNING: Use or non-use of restraints, including side rails, can
be critical to patient safety. Serious or fatal injury can result from the use (potential entrapment)
or non-use (potential patient falls) of side rails or other restraints. See related Safety Information.
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.

3
Oxygen Use – DANGER: Risk of explosion if the AtmosAir Pump is used in the presence of
flammable anesthetics. Use of this product’s pump 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. Unplug and do not use pump when
using oxygen-administering equipment other than the nasal mask or half-bed-length tent type.
Shock Hazard – Electrical shock hazard; do not remove pump case covers. Refer to qualified service
personnel.
Safety Information
Patient Entrance / Exit – Caregiver should always aid patient in exiting the bed. 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.
Turning - CAUTION: Prior to engaging turn feature, ensure that bed frame has side rails and that all
side rails are in their full up and locked position.
Brakes – Caster brakes should always be locked once the bed is in position. Verify wheels are locked
before any patient transfer to or from the bed.
Bed Height – To minimize risk of falls or injury, the bed should always be in the lowest practical
position when the patient is unattended.
Bed Frame – Always use a standard healthcare bed frame with this mattress, with any safeguards
or protocols that may be appropriate. Bed frame and side rails (if used) must be properly sized
relative to the mattress to help minimize any gaps that might entrap a patient's head or body. It is
recommended that bed and side rails (if used) comply with all applicable regulations and protocols.
CPR - Level the bed and disconnect pump (if present). Lower side rails and initiate CPR per facility
protocols. Consider use of backboard if indicated. After CPR remove backboard, if used, reconnect
pump, if present, raise siderails and reconfigure bed and accessories as in initial placement.
Head of Bed Elevation – Keep head of bed as low as possible to help prevent patient migration.
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.

4
CAUTION: 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.
I.V. and Drainage Tubes – I.V. and drainage tubes should always have slack for alternating pressure
or rotation and other patient movements.
Skin Care – Monitor skin conditions regularly and consider adjunct or alternative therapies for high
acuity patients. Give extra attention to any possible pressure points and locations where moisture or
incontinence may occur or collect. Early intervention may be essential to preventing skin breakdown.
Fluids – Avoid spilling fluids on pump controls. If spills do occur, clean fluid from pump wearing
rubber gloves or while unit is unplugged 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 operate erratically, possibly producing potential hazards for patient
and sta.
Avoid Fire Hazards – To minimize risk of fire, connect the bed’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.
No Smoking in Bed – Smoking in bed can be dangerous. To avoid the risk of fire, smoking in bed
should never be allowed.
Power Cord – Position power cord to avoid a tripping hazard and / or damage to the cord. Ensure
power cord is kept free from all pinch points and moving parts and is not trapped under casters.
Improper handling of the power cord can cause damage to the cord, which may possibly produce
risk of fire or electric shock.
General Protocols – Follow all applicable safety rules and institution protocols concerning patient
and caregiver safety.
Fire Barrier Contact – Care should be taken with regards to the fire barrier when the cover is
removed. It is recommended that Personal Protective Equipment (PPE) is used during handling of
the mattress with the fire barrier exposed to avoid contact with loose particles. To ensure optimal
product performance, avoid over-handling of the fire barrier and handle with care. If the fire barrier
becomes damaged or soiled it should be replaced.
Disposal – At the end of useful life, dispose of waste according to local requirements or contact
the manufacturer for advice.

5
Preparation for Use
For information concerning the bed frame refer to the manufacturers'
User Guide.
1. Open shipping container(s).
Do not use sharp instruments to open boxes. Damage to mattress could
result.
2. Remove AtmosAir with SAT MRS from plastic protective cover.
The mattress cover may appear wrinkled when unpacked. To remove
wrinkles, allow mattress up to 24 hours to accommodate; see
Troubleshooting for more information. Wrinkles will not aect ination
or function, so mattress may be used immediately if needed.
3. Check mattress surface for tears or cracking; do not use if tears or cracks are present.
4. If re-installing mattress onto a new frame or for a new patient, check mattress surface
for staining and soiling; clean and / or disinfect as required (see Care and Cleaning).
5. Level bed and lock brakes.
6. Remove existing mattress from bed frame.
Mattress Installation
AtmosAir with SAT 4000, 9000 (all models), T-Series* , V-Series**
(allmodels), and APOD 25 (all models)
1. Position mattress on bed frame with logo facing up and product information tags at foot
end of bed.
Magnets are integrated on the AtmosAir T-Series bottom cover to help
keep the mattress in place during foot section extension / retraction.
2. Ensure there are no gaps between mattress and bed frame or side rails.
Always use a standard healthcare bed frame with safeguards or protocols
that may be appropriate. Frame and side rails must be properly sized
relative to the mattress to help minimize any gaps that might entrap
a patient’s head or body.
* T-Series is compatible for use with the Hill-Rom Total Care® bed frame.
** V-Series is compatible for use with the Hill-Rom VersaCare® frame.

6
AtmosAir with SAT V-Series
V-Series mattress on VersaCare®Frame
1. Position mattress on bed frame
with logo facing up and product
information tags at foot end of bed.
2. Slide locking bar located in pocket
on underside of head-end of
mattress to one side, as shown
at right (Figure 1).
3. Slip end of locking bar into slot on
head-end of bed frame,
as shown below (Figures 2 and 3).
4. Slip other end of locking bar into other slot on head-end
of bed frame, as shown below (Figure 4).
5. Repeat steps 2 through 4 to secure foot-end of mattress.
Foot-end locking bar may
need to be exed slightly
to slip into foot-end slots.
Magnets are integrated
on the AtmosAir V-Series
bottom cover to help keep
the mattress in place
during foot section extension
/ retraction.
Bed Frame
HEAD OF BED
Underside of Mattress
Locking Bar
Pocket
Locking Bar
Bed Frame
Locking Bar Slot Slot
Figure 3
Figure 4
Figure 2
Locking Bar Slot
Figure 1