Care of Sweden CuroCell AREA Zone User manual

Instructions for use
2020-08-24
CuroCell®AREA Zone
Hybrid mattress
Instructions for use item number: 95-001222

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Table of contents
WARNINGS AND SAFETY PRECAUTIONS 3
Introduction 4
Product description 8
Instruction for use 9
Reuse, cleaning and reconditioning 10
Storage 11
Troubleshooting 11
Technical description 11
Spare parts 13
Options and accessories 14
Warranty 15
Other information 15

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WARNINGS AND SAFETY PRECAUTIONS
Read all instructions prior to use
WARNING!
1The product must only be used for its intended purpose as described in this manual.
The product may not be combined, assembled or repaired with other parts,
accessories or spare parts other than those described in this manual or other
documentation from Care of Sweden.
2The mattress is protected by a hygiene cover; avoid using multiple hygiene covers as
this can affect the vapor permeability of the mattress.
3DO NOT USE in the vicinity of or in contact with fire sources/hot surfaces, such as fire,
burning cigarettes or hot lamps. Although the product has undergone fire testing, it
could become damaged if it comes into contact with fire sources.
4Position and use the product in a manner that prevents it from becoming trapped or
damaged. NOTE: Be particularly aware of trapping damage when using bed rails.
5Always make sure the mattress has the right size.
6The hygiene cover does not allow liquid or air to penetrate, but is vapour permeable.
Make sure that the user is positioned correctly to avoid the risk of suffocation.
7Prevent damage to the hygiene cover from sharp objects.
8If the cover is supplied with handles on the long sides, theses handles are only to be
used for lifting and moving the mattress itself. All other use will be at your own
responsibility and is not covered by the product warranty.
9Follow the operations and maintenance instructions carefully in order to prevent
bodily injuries, as well as damages to the product or other equipment.

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1. Introduction
Always read the user instructions for use prior to use.
1.1 General information
This CuroCell®mattress is a medical device in accordance to Medical Device Regulation
(2017/745). According to statutory regulations made by the authorities regarding medical
devices, the manufacturer is required to report all accidents or incidents involving their
products. We would be very grateful for all information involving accidents or incidents
relating to our products, by reporting them immediately to us, here at Care of Sweden. The
system has been tested and approved according to the following standards: SS-EN ISO 12182,
SS-EN ISO 14971, SS-EN ISO 10993, EN 597-1, EN 597-2, EN 14126.
Unprevented/untreated pressure ulcers/pressure injuries can very quickly deteriorate
resulting in higher risk of complications, pain and suffering for the user.
1.2 Intended use
The CuroCell® hybrid mattresses can be used for prevention and as an aid in the treatment of
pressure ulcers/pressure injuries (PU/PI).
1.3 Indications
For users with pressure ulcers/pressure injuries (PU/PI) up to and including category 3. As well
as for users in risk of PU/PI.
1.4 Contraindications
There are no known contraindications.
1.5 User application
CuroCell® AREA Zone can be used in all kinds of healthcare environments and is a full
replacement mattress to be used for users up to and including 230 kg.
We recommend that position changes are made regularly. The time interval must be evaluated
by the responsible personnel, depending on the patient’s status, diagnosis and general
condition.

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(1) European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel and Pan Pacific Pressure Injury Alliance.
Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline. The International Guideline. Emily Haesler (Ed).
EPUAP/NPIAP/PPPIA: 2019
1.3 Evacuation instructions
Evac is a mattress cover with a built-in function for evacuation of bed-bound users. In case of
fire or other emergency, there is no time to think about what to do next. Therefore, it is very
important that the safety equipment, as well as the evacuation procedures, are well planned
and known in advance.
The Evac cover is equipped with three handles on the head and foot end. On the sides, there
are handles with velcro straps. These straps are to be used to fixate the user to the mattress
before commencing the evacuation. The straps are folded in the protective pockets on the side
of the mattress with the ends sticking out to ensure that they are easy to pull out.
NOTE!
•When used together with positioning pillows, read the pillow instructions for use
carefully for correct positioning of the user.
•If you are using this product with an evacuation sheet, it is the user’s responsibility to
ensure that it is safe to use for evacuation.
•Be careful when using bed rails or other protection on the bed so that the mattress
does not become crushed or damaged.
•The mattress must not be lifted with a person lying on it or used for any other type of
transport other than a possible evacuation using an evacuation sheet.
•This mattress is unsuitable for use during x-ray examinations because of the risk of
blurred images or artefacts that may lead to diagnostic errors.
WARNING!
Person to perform an evacuation needs to have the necessary training. Always check the
equipment, cover and mattress before commencing, to make sure an evacuation can be
carried out safely. It is the user’s responsibility to ensure that it is safe to use for
evacuation.

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Evacuation instructions
Down from the bed
• Inform the user about what will happen.
• Lower and lock the bed in position.
• Disconnect the tubes from the pump.
• Pull out and fasten the velcro straps.
• Use the outer handles at the foot end of the mattress and turn the mattress out from the
bed.
• Slowly pull the user down on to the floor.
On an even surface
• Pull on the outer handles at the foot end of the mattress.
• Working position should be a little bit leaning back.
Down the stairs
• Walk backwards until the main part of the mattress has slide
pass the top stair.
• Turn the back to the user and look in the moving direction.
• Hold one hand on the stair handle and pull with the other
hand on the middle handle of the mattress.
• Walk down the stairs. It is important to maintain speed, without running.
Training/practise
To bear in mind when training.
Pulling down from the bed:
• The user in the bed should not be at the very top of the mattress. There could be a risk of
hitting the head in the bed when pulling down.
Pulling in the stairs:
• Start with pulling an empty mattress down the stairs, in order to practice the technique.

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• When training with a person on the mattress, a string or rope can be fasten in the handles at
the head end. Another person can then walk behind the mattress and help out if problems
should occur.
• It is advisable to practice in the same stairs where an evacuation can be necessary.
General:
• The main purpose of the training is not to reach high speed, but to learn the correct
technique.
Training covers
• Because of the heavy strain on the equipment when evacuating, always check the seams and
handles at the end of training. We recommend that equipment used for training is marked
with “Training equipment” and is only used for this purpose.
Explanations
• If the velcro straps are not used, there is a risk of the user sliding/rolling down from the
mattress.
• Pulling at the foot end reduces the strain on the puller, which means faster and safer
evacuation is possible.
• Pulling in the stairs is the most difficult part of the evacuation and should be practiced extra
carefully.
• The arms of the user shall be inside of the velcro straps. This way reduces the risk of the user
grabbing hold to something out of fear.
1.4 Other information
Action plan for Pressure ulcers/pressure injuries
For the best possible results when using these products, we recommend a structured and
planned approach. Examples that can be applied to the use of our products can be found in
the ‘Action plan for pressure ulcers’ guidelines.
Mattress guide
This guide provides guidance to personnel and prescribers when choosing a mattress from
Care of Sweden. CuroCell® AREA Zone is a mattress in function group B. This information can
be found on our website www.careofsweden.com or ordered from Customer Services (see
contact information on the final page).
NOTE!
When using wider mattresses, make sure that the evacuation routes are clear (size of
doors etc.). Responsible personnel have to ensure that the evacuation can be performed
safely. To ensure proper function of the Evac cover, it is important to regularly check the
quality of the mattress. Check for damages that could cause problems when evacuating.

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2. Product description
Because of its unique construction combining foam and air, this mattress provides high user
comfort, as well as a solution for pressure care without the need for external pump or
electricity. The system uses user weight and movements to distribute the internal air reservoir
amongst the cells, in order to always maintain low surface pressure.
The CuroCell® AREA Zone is produced in high quality materials for function and durability.
Foam part in two layers. Zone profiled top part.
All mattresses have a sloped heel section for protection of heels.
Available sizes are (width, length and height) 80/85/90/105/120 x 200/210 x 18 cm. For
request of other sizes please contact Care of Sweden or your local distributor.
2.1 Description covers
CuroCell® AREA Zone is delivered with hygiene cover Steel/Duro. It is easy to handle and
maintain, and conforms to the stringent requirements in respect of cleaning and hygiene. The
cover is vapor permeable, which reduces risk of skin maceration. An inner cover protects foam
and cells.
Cover Steel/Duro is a two-part cover with welded seams and a protected zipper. Has functional
handles for transportation of the mattress. Colour: blue.
An inner cover is also included.
Cover Steel/Evac
Cover with welded seams and a protected zipper on all sides, divisible (top and bottom part).
Functional handles for evacuation, moving and transport. Colour: blue/black.
Cover Stone/Duro
Crib 5 cover with welded seams and a protected zipper on all sides, divisible (top and bottom
part). Colour grey/blue.
Cover Stone/Evac
Crib 5 cover with welded seams and a protected zipper on all sides, divisible (top and bottom
part). Functional handles for evacuation, moving and transport. Colour grey/black.

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2.2 Description mattress
CuroCell®AREA Zone
1 Label “Head end” 2 Foam core 3 Tubing system 4 Air cells 5 Foam top part
3. Instruction for use
3.1 Unpacking the mattress
The mattress is packed in a box.
1. Start with making sure that the package is not damaged. When opening the box and any
other protective material, avoid using a knife since this could damage the mattress and
cover.
2. Put the mattress on the bed frame and correct the cover if necessary.
3. After a few minutes the product is ready to be used.
3.2 Hand check
Hand check is used to ensure that the function of the
mattress is correct. This should be done regularly.
Open the cover and insert your hand between the air
cells directly underneath the user’s pelvic region, use a
vertical hand. There should be a clearance of 2-3
fingers between mattress base and the user. If not, you
need to check cells and tubing.
If the problem is not resolved, please contact Care of
Sweden or your local distributor.
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2
3
5

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4. Reuse, cleaning and reconditioning
The product is reusable. When reusing, it is important to follow the instructions below for
cleaning and reconditioning. Before using the product again for a new user, it is recommended
to clean the mattress in accordance with the instructions below. Consult your hygiene
manager or Care of Sweden for help and instructions if you are unsure.
Cleaning and reconditioning should otherwise be performed as required.
4.1 Covers
MATTRESS COVER
Covers can be wiped off with a mild cleaning solution for this purpose such as: alcohol
with or without tensides, Isopropanol 70 %, oxidating solutions or chlorine max 1 %.
Excrements and blood spots must be removed immediately with cold water. Carefully
follow local instructions and usage instructions for the cleaner.
Multi-layer covers should be divided before washing. Wash with similar colours.
Chlorine and phenol-based cleaners could have a negative impact on the PU surface
and should be avoided. If chlorine is used, we recommend a mixture of max. 1 %.
INNER COVER
Clean the affected area with a mild cleaning solution for this purpose such as: alcohol with or
without tensides, Isopropanol 70 %, oxidating solutions or chlorine max 1 %.
4.2 Foam core
Clean the affected area with a mild cleaning solution for this purpose such as: alcohol
with or without tensides, Isopropanol 70%, oxidating solutions or chlorine max 1%.
Press out the water carefully. Let the foam core dry in a warm, ventilated area, without direct
exposure of sunlight. The foam core needs to be completely dry before it is used again.
4.3 Air cells
1. Remove the covers. See instructions in chapter 4.1 for cleaning covers.
2. Carefully remove the air cells from the foam core. Remove the cell holder from the cells.
3. Place the air cells and the tubes on a clean area which is suitable for washing.
4. Wipe off the cells, all tubes with a mild cleaning solution for this purpose such as: alcohol
withor without tensides, Isopropanol 70 %, oxidating solutions or chlorine max 1 %.
NOTE!
Check the hygiene cover each time the product is cleaned. If damaged, it must be
replaced or repaired.

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5. Replace the cells into the cell holder. Place the air cells back into the foam core. Check that
all the tubes and connectors are secure and tight, before closing the cover.
6. Wipe off work surfaces with alcohol-based disinfectant/cleaner intended for this purpose.
5. Storage
Store the mattress on a flat surface or carefully rolled/folded with the zipper closed. Always
store at room temperature in a dry area. Make sure the mattress is stored where it will not be
exposed to thrusts, hits or other things that can damage it. Avoid direct exposure of sunlight. If
the mattress is to be stored more than 3 months, we recommend it is stored on a flat surface
(not folded or rolled up).
6. Troubleshooting
The user is bottoming out Open covers and check cells and tubing.
Check again through Hand check (see chapter 3.2).
If your questions are not answered by information above, please contact Care of Sweden or
your local distributor.
7. Technical description
7.1 Technical specification
MATTRESS
SPECIFICATION
Model
CuroCell® AREA Zone
Dimension (WxLxH)
80/85/90/105/120 x 200/210 x 18 cm
Weight
16 kg (90x200x18 cm)
NOTE: The manufacturer retains the right to modify the product specification at any time.
7.2 Labelling
The mattress is labelled with product name, production date, item number, size, care and
wash instructions, EAN-bar code, as well as space for own labelling. The product also displays
which side is up/down and head/foot.
Problem Solution
NOTE:
Check the hygiene cover, cells and hoses each time the product is cleaned. If damaged, it
must be replaced or repaired.
Do not wring or roll the foam core to extract the water. Let it dry in a warm, ventilated
area (not in direct sunlight). The foam core must be completely dry before it is used again.

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7.3 Symbol Definitions
Type BF
Class II equipment
(Double Insulated)
The mattress should only
be used lying in the
lengthwise direction
o
n the mattress
Temperature range
Drip dry
Do not tumble dry
Do not dry clean
Chlorine
Recycling
Read the instructions
for use
CE marked acc.
to
Device
Regulation MDR
Machine wash at 95 °C
Directly on bed base
Tumble dry
Do not iron
Recommended user weight
User information
–
category
Wipe off
Year-Month-Day
Counteract shear force
Item number
XXXX-XX-XX
Group of function
Do not wash
Manufacturer
Not in domestic refuse,
follow recycling instructions
Foot placement
IP-class
(Ingress Protection Rating)
Heel function
Recommended user
weight when using Evac
function
Distributed by
Medical device
UDI

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8. Spare parts
Cover Steel/Duro and Stone/Duro for CuroCell AREA Zone
Top part Steel Top part Stone Bottom part Duro
Size Art.no. Art.no. Art.no.
80x200 cm CC-925511 CC-925581 CC-925011
80x210 cm CC-925512 CC-925582 CC-925012
85x200 cm CC-925513 CC-925583 CC-925013
85x210 cm CC-925514 CC-925584 CC-925014
90x200 cm CC-925515 CC-925585 CC-925015
90x210 cm CC-925516 CC-925586 CC-925016
105x200 cm CC-925517 CC-925587 CC-925018
120x200 cm CC-925519 CC-925589 CC-925019
105x210 cm CC-925518 CC-925588 CC-925030
120x210 cm CC-925523 CC-925590 CC-925031
Art. no. Description Size
CC-900050 Air cell AREA, 1 pcs 63x15x12 cm
If other spare parts are needed, please contact Care of Sweden or your local distributor for
further assistance.

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9. Options and accessories
9.1 Options
Sturdy transport and storage bag
Art. No. Description Width
58-900905 Mattress bag 105-120 cm
58-900906 Mattress bag extra high 80-90 cm
58-900911 Mattress bag extra high 105-120 cm
9.2 Accessories
Cover Steel/Evac and Stone/Evac for CuroCell AREA Zone
Top part Steel Top part Stone Bottom part Evac Complete cover Complete cover
Steel/Evac Stone/Evac
Size Art.no. Art.no. Art.no. Art.no. Art.no.
80x200 cm CC-926110 CC-925581 461-080200 CC-925940 CC-925860
80x210 cm CC-926111 CC-925582 461-080210 CC-925941 CC-925861
85x200 cm CC-926112 CC-925583 461-085200 CC-925942 CC-925862
85x210 cm CC-926113 CC-925584 461-085210 CC-925943 CC-925863
90x200 cm CC-926114 CC-925585 461-090200 CC-925944 CC-925864
90x210 cm CC-926115 CC-925586 461-090210 CC-925945 CC-925865
105x200 cm CC-926116 CC-925587 461-105200 CC-925946 CC-925866
105x210 cm CC-926117 CC-925588 461-105210 CC-925947 CC-925867
120x200 cm CC-926118 CC-925589 461-120200 CC-925948 CC-925868
120x210 cm CC-926119 CC-925590 461-120210 CC-925949 CC-925869
Inner cover elastic for CuroCell AREA Zone
Art. No. Size Art. No. Size
CC-928250 80x200 cm CC-928255 90x210 cm
CC-928251 80x210 cm CC-928256 105x200 cm
CC-928252 85x200 cm CC-928257 105x210 cm
CC-928253 85x210 cm CC-928258 120x200 cm
CC-928254 90x200 cm CC-928259 120x210 cm
9.3 Other accessories
To ensure the best level of comfort, we recommend use of accessories from Care of Sweden
since our products are designed to work well together. Please contact Care of Sweden or your
local distributor for accessories or more information on our products.

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10. Warranty
10.1 Scope
This CuroCell®system is covered by a 5-year warranty for manufacturing defects. The warranty
does not apply to normal wear and tear or damage due to negligence or improper
handling/care.
10.2 Service and repairs
Service and maintenance must always be performed by Care of Sweden or one of its
authorised technicians. Only use spare parts that have been approved by Care of Sweden. Use
of non-approved spare parts invalidates the warranty.
A warranty claim must be submitted to Care of Sweden before the product is returned.
Please contact Care of Sweden or your local distributor if you have questions regarding
warranty and service.
10.3 Recommended life time of the product
The estimated life time of this product is 5 years.
11. Other information
11.1 Disassembling and recycling
A used CuroCell®mattress must be taken to a recycling centre and sorted as combustible
waste.
For more information contact Care of Sweden or your local distributor.

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Manufactured by
Contact:
Phone: + 46 771 106 600
Fax: + 46 325 128 40
Email: [e-mail]
Internet: www.careofsweden.com
Address:
Care of Sweden AB
P.O. Box 146
SE-514 23 Tranemo
SWEDEN
Visit address:
Fabriksgatan 5A
SE-514 33 Tranemo
SWEDEN
Cargo address:
Byns väg 4A
SE-514 33 Tranemo
SWEDEN
Distributed by:
Care of Sweden and CuroCell are trademarks of Care of Sweden AB
© Care of Sweden AB, 2020