Care of Sweden CuroCell AUTO4 User manual

User Manual
2019-04-26
CuroCell®AUTO4
CuroCell®AUTO4 CX13
Alternating pressure mattress
Item no. user manual: 95-001616

2
Contents
Important safety instructions 3
Introduction 4
Product description 5
Assembly/Installation 8
Operation 9
Cleaning and reconditioning 11
Storage 13
Maintenance 13
Troubleshooting 14
Technical description 15
Spare parts 17
Options and accessories 17
Warranty 18
Other information 19

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IMPORTANT SAFETY INSTRUCTIONS
Read all instructions prior to use
WARNING! To minimise the risk of fire, electric shock or personal injury:
1. The 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 (such as
the pump and mattress), accessories or spare parts other than those described in this
manual or other documentation from Care of Sweden.
2. Do not use the product in wet rooms or where there is a risk of the pump coming into
contact with water or other liquids. Never handle a product that has come into
contact with water/liquid. Pull the plug out of the electric socket immediately and
send the product to an authorised service provider for service.
3. DO NOT USE in the vicinity of or in contact with naked flames or hot surfaces, such as
fires, burning cigarettes or hot lamps. Although the product has undergone fire
testing, it could become damaged if it comes into contact with naked flames.
4. The product must be placed and used so that it is not pinched or damaged.
NB: Be particularly aware of pinching when using bed rails.
5. Never use the product if the pump power cord or plug is defective, the pump casing is
damaged or the pump is not functioning properly. Contact a service provider for
examination and repair.
6. Regularly check product functionality with a hand check (see section 4.4).
7. Continual monitoring is required when the product is used for individuals needing
special supervision, such as children.
8. The mattress is protected by a hygiene cover; avoid combining the mattress with
other fully covering plastic protectors. The cover’s vapour permeability may be
affected.
9. The hygiene cover does not allow liquid or air to penetrate, but is vapour permeable
(vapour is wicked away). Make sure that the patient is positioned correctly to avoid
the risk of suffocation.
10. Avoid damaging the hygiene cover when using sharp objects.
11. If the cover is equipped with side handles, these are for lifting the mattress. All other
use takes place under your own liability and is not covered by the product warranty.
12. In order to minimize the risk of wounds occurring on the feet, make sure that the user
doesn’t come into contact with the hangers of the pump.

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1. Introduction
CuroCell® air mattresses work according to the alternating pressure principle, a technique that
is thoroughly tried and tested and that has been used for a long time. Alternating pressure
means that the pressure is alternated regularly between the cells in order to simulate the
body’s own movements. Periods are created in which the pressure is lower or completely
absent. This provides good conditions for the skin to recover and to prevent injury.
Always read the user manual prior to use.
1.1 General information
This system is a medical device with CE marking in accordance with MDD 93/42/EEC. In
accordance with Swedish Medical Products Agency (Läkemedelsverket) regulations in respect
of medical devices, the manufacturer is obliged to report accidents and near-accidents. We
would therefore be grateful if any accidents and near-accidents involving our products could
be reported immediately to Care of Sweden. This system has been tested and approved
according to the following standards: IEC 600601-1, SS-EN ISO 10993, EN 597-1, SS-EN ISO
14971, IEC 60601-1-2, SS-EN ISO 12182, EN 597-2, EN 14126.
1.2 Intended use
CuroCell®AUTO4 is an alternating pressure mattress that can be used in all types of medical
environments to prevent and help treat pressure ulcers up to category 4(1).It is available in
two versions. CuroCell®AUTO4 CX is a top mattress and is placed on an underlying mattress.
CuroCell®AUTO4 is a combi mattress placed directly on the bed base. This mattress is
intended to be used directly on the bed base. The mattress is intended to be used for people
with a recommended minimum height of 120 cm and a recommended user weight of up to
180 kg.
The mattress should be used with the user lying in the lengthwise direction on
the mattress with the user’s feet positioned according to the instructions on
the mattress.
We recommend that the user’s position is changed regularly. The time interval must be
assessed by the attending personnel, depending on the user’s status, diagnosis and general
health.
The mattress must always be cleaned between users.

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(1) National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury
Alliance. Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. Emily Haesler (Ed.). Cambridge Media:
Osborne Park, Western Australia; 2014.
1.3 Other information
Action plan for pressure ulcers
For the best possible results when using this product, 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.
The Mattress Guide
This Guide provides guidance to personnel and prescribers when choosing a mattress from
Care of Sweden. CuroCell® AUTO4/AUTO4 CX is a mattress in function group C. This
information can be obtained from our website, www.careofsweden.se, or ordered from
Customer Service (see contact information on the last page).
2. Product description
2.1 Mattress
1. Mattress
2. CPR (Rapid deflation)
3. Pump connector
4. Pump
1
2
3
NOTE:
•For certain users, such as amputees, the recommended height measurement may not
be met. Users in these groups may, however, require other settings, as the entire
surface is not under load. To check functionality, see sections 4.2, 4.3 and 4.4.
•When used together with positioning pillows, read the pillow user manual carefully for
correct positioning of the user.
•Whenever this product is used with an evacuation sheet, it is the responsibility of the
attending personnel to ensure that evacuation can be performed safely.
•Be careful when using bed rails or other protection on the bed so that the mattress is
not pinched or damaged.
•The mattress must not be lifted with a person lying on it or used for any other type of
transport other than necessary evacuation using an evacuation sheet.
•The mattress is not suitable for use during X-ray examinations. This is because of the
risk of image blurring and artefacts that may lead to diagnostic errors.
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C
P
R

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1
2
3
4
5
6
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3 static head cells.
If the product is equipped with ventilated cells, they are found here (9 cells).
Mattress (without cover)
2.2 Pump
1. Tube connector 3. Fuses (two) 6. Hooks
2. Control panel 4. Off/On (0/1) 7. Air filter
5. Power cord connector
2.3 Pump functions – control panel
1. Automatic settings
This pump is equipped with a function that automatically sets the pressure based on the user’s
weight, posture and position. There are three ways to use this function.
1. The system adjusts the settings automatically when the system has been started.
2. Press the button and the system readjusts the automatic settings.
3. The system itself will start this function if any significant changes occur during use.
Status lights
1. All three lights lit – Automatic settings adjustment under way.
2. Only the light under the checkmark (left) is lit – The mattress is ready to use, normal mode.
C
P
R
1
3
2
4
5
6
7

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3. The light on the right is lit – The pump will automatically adjust its settings within five
minutes.
Once the settings have been automatically adjusted, the system will revert to the previously
used programme. However, when started it will switch to alternating mode by default.
To stop the automatic setting adjustments, press the button.
2. Comfort setting
The pressure can be increased or decreased one level depending on the user’s comfort
requirements. This function cannot be used when the Sit function programme is activated.
3. Programmes
Four programmes are available. Repeatedly pressing the button switches between the
different programmes.
1. Alternating mode. Here, the pressure alternates between the cells.
2. Static mode. Here, the pressure will be same in all cells. This is also called “low pressure”.
3. Sit function. Gives the user more support in a sitting position. This function can be used in
both alternating and static mode.
4. Maximum pressure
With this function, the entire mattress is inflated and provides firm support. This function
automatically reverts to the previous setting after about 24 minutes. NOTE: The automatic
settings are overridden when using this programme.
5. Panel lock
Press the Panel lock button to lock or unlock the panel. The green light is lit when the panel is
locked. The panel locks automatically after five minutes of inactivity. This is to prevent the
settings being changed inadvertently.
6. Power off/on
Turns the power to the control panel on or off. NOTE: Check that the power cord is properly
connected and that the power switch on the side of the pump is in position 1 (on).
7. Alarm off
In the event of problems with alarms, see section 8 for troubleshooting.
A. Power supply alarm
If the pump loses power an audio/visual alarm is triggered. Turn off the alarm by pressing the
Alarm off button.
B. Low pressure alarm
If the mattress pressure is too low an audio/visual alarm is triggered. Turn off the alarm by
pressing the Alarm off button. It is reactivated after about five minutes if the pressure has not
returned to normal.
Alternating
Static
Alternating + Sit function
Static + Sit function

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3. Assembly/Installation
When unpacking, check that no parts are damaged. If any damage is found, contact Care of
Sweden before using the product.
1. If the mattress has an integrated foam cushion (CuroCell®
AUTO4) then the mattress is placed directly on the bed
base. Secure the mattress to the moving parts of the bed
using the straps on the cover.
In the case of CuroCell® AUTO4 CX, place the mattress on
the existing mattress and secure the elastic straps around
the underlying mattress.
Note:
• Make up the bed with a sheet to improve user comfort.
• Check that the CPR valve is closed.
• If an adjustable bed is used, the mattress should be
secured only to the moving parts of the bed.
• Check the cells and push-buttons to ensure they are
correctly assembled.
2. Hang the pump on the foot end of the bed or place the
pump on a firm, level surface.
Place the power cord so there is no risk of tripping over it,
running over it with the bed wheels or pinching it when
raising or lowering the bed.
If a cable holder is used (optional): open the fasteners,
insert the power cord and close the fasteners.
Note! In order to minimize the risk of wounds occurring on
the feet, make sure that the user doesn’t come into contact
with the hangers of the pump.
3. Connect the air tubes from the mattress to the side of the
pump. A click is heard or felt when they are correctly
connected.
4. Check that the power switch on the side is set to 0 (off).
Plug the power cord into an approved socket (220 V).
For 80/85/90x200/210
For 105/120x200/210

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4. Operation
Note: Always read the user manual prior to use.
4.1 Start
1. Set the power switch on the side of the pump to 1 (on).
2. The mattress will start to inflate. It takes at least 15 minutes to fully inflate the mattress.
3. If necessary, the user may lie down on the
mattress immediately without it being inflated.
The under mattress bears the weight during the
inflation phase. If the under mattress is an air-
filled type, it must be fully inflated. When the
top-left light is lit (only the light under the checkmark) the system is fully inflated.
NOTE: Each time the systems starts up, it always begins by fully inflating the mattress and
automatically adjusting the settings. See section 2.3 for more information. After automatically
adjusting the settings, the system switches to alternating mode by default.
4.2 Programme selection
Four different programmes are available. See section 2.3 for detailed information. We
recommend alternating mode as the default setting.
4.3 Comfort setting, fine-tuning
The air pressure in the mattress can be adjusted up to three levels.
NOTE: When only parts of the mattress are under load, such as in the case of amputees, it may
be necessary to raise the setting using the comfort setting.
4.4 Hand check, checking the set
pressure
A hand check is used to ensure that the mattress is
properly inflated. This should be done regularly,
such as once per shift, as well as after changing
position in the bed or changing the comfort setting.
Place a hand between the cells under the user’s
pelvic region. Check that the user doesn’t “bottom
out” and rest on the base. We recommend a
margin of one or two fingers.
If the margin is too small, one of the following two
alternatives can be used.
Initiate automatic settings adjustment or raise the comfort setting to the next level. Wait ten
minutes and perform a new hand check.

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4.5 CPR
In case of an emergency where CPR (cardiopulmonary
resuscitation) is necessary: Quickly pull the CPR strap then
loosen the quick connectors on the side of the pump for the
fastest possible deflation.
NOTE:
Make sure that the CPR strap is properly secured after use.
4.6 Alarms
In the event of unusually low air pressure in the mattress, the light for the low pressure alarm
lights and a buzzer sounds. See section 8 for troubleshooting.
Deactivate the alarm by pressing the Alarm off button on the pump control panel. If the
problem is not resolved within about five minutes the alarm will be reactivated.
The pump is also equipped with a power loss alarm. If the pump loses power an audio/visual
alarm is triggered. Turn off the alarm by pressing the Alarm off button.
4.7 Transport function
If the user needs to be moved in the bed the tubes can be
connected together (detached from the pump). The mattress
becomes static and is in so-called transport mode.
We recommend using this function for short periods only.
WARNING!
If the air pressure remains low, search for damage to the mattress and the tubes. Repair if
necessary or contact Care of Sweden or one of its authorised service providers.

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4.8 Heel function
The following alternatives can be used to relieve sensitive heels.
CuroCell AUTO4 is a combination of foam and air. The foam core has a tapered design to
further reduce pressure.
CuroCell AUTO4 CX is available with the following options:
Heel function with valve (option)
This function enables pressure relief for the user’s heels.
This is achieved by disconnecting (shutting down) the
cell in the mattress directly under the user’s heel(s). It
will no longer be inflated and will create a space
between the cells, providing relief to the user’s heel(s).
This function is activated by pressing the button (1) and
separating the connector, leaving the cell in place in the
mattress. The cell is reactivated by reattaching the
connector.
The other alternative is an option with lower cells at the foot end.
5. Cleaning and reconditioning
It is important to follow the instructions below before the product is used for another user.
Consult your hygiene manager or Care of Sweden for help and instructions if you are unsure.
5.1 Cleaning
PUMP
Wipe off the pump with a damp cloth and a mild cleaning solution for this purpose
such as: alcohol with or without tensides, Isopropanol 70 %, oxidating solutions or
chlorine max 1 %. If using a different agent, choose one that does not affect the pump housing.
WARNING!
•Do not open the pump housing – risk of electric shock. Service and maintenance must
be performed by Care of Sweden or one of its authorised service providers.
•Do not get the pump wet or submerge it in any liquid.
1

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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 separated before washing. The parts should be washed with
similar colours.
Chlorine and phenol-based cleaners could adversely affect the PU surface and should
be avoided. If chlorine is used, we recommend a maximum concentration of 1%.
INNER COVER AND COMFORT FABRIC (accessories)
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 %.
5.2 Reconditioning
PUMP
See section 5.1 for instructions.
MATTRESS
1. Disconnect the tubes from the pump and deflate the mattress. Also open the CPR valve.
2. Remove the cover. For more information on cleaning covers, see section 5.1. If the product
is equipped with a foam cushion it should be removed and cleaned separately.
3. Move the mattress to a clean area that is suitable for cleaning.
4. Wipe off the cells, all tubes and the CPR valve with a mild cleaning solution for this purpose
such as: alcohol with or without tensides, Isopropanol 70 %, oxidating solutions or chlorine
max 1 %. Let it dry.
5. Wipe the work surfaces clean using a suitable detergent and/or disinfectant.
6. Put the mattress together. If the tubes have come loose from any of the cells, they must be
reattached according to the illustration in section 2.1.
FOAM CUSHION
Clean the affected area with a mild detergent (such as washing-up liquid) and water or
with an alcohol-based disinfectant/cleaner intended for this purpose, such as DAX
surface cleaner or similar. Perform, Virkon or Desisoft can also be used.
Gently squeeze out any water. NB: Don’t wring or roll the cushion to extract water. Let the
cushion dry in a warm, ventilated area (not in direct sunlight). The cushion must be completely
dry before it is used again.
NOTE:
Check the hygiene cover each time the product is cleaned. If damaged, it must be
replaced or repaired. Also check the pump, tube connectors and power cord during
cleaning. Damaged parts must be replaced or repaired.

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6. Storage
It is advisable to store the mattress and pump in the product bag (accessory). Handle the
stored product with care. Do not place any heavy objects on top of it.
7. Maintenance
7.1 General
1. Check the power cord and plug for damage and scratches.
2. Check the mattress protection to make sure it is undamaged and that covers and cells are
correctly assembled.
3. Check that the air flow alternates between the different outputs on the side of the pump.
4. Check that no tubes or connectors are damaged or pinched. Contact Care of Sweden if any
spare parts are required.
7.2 Changing fuses
1. Remove the plug from the wall socket when replacing
fuses.
2. Use a screwdriver to remove the fuse cover. Pull out
the fuse holder.
3. Insert a new fuse of the same type (T1A, 250 V) and
screw the protective cover back into place. There are
two fuses.
7.3 Changing the air filter
1. Loosen the small, round protective plate on the back of
the pump.
2. Remove the filter from the holder.
3. Insert the new filter in the holder and replace
the protective plate.
If the pump is used in a very dirty environment, the filter
should be checked regularly.

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8. Troubleshooting
Pump does not start Check that the power cord is connected to a socket.
Check the fuses.
Alarm triggered Check that the quick connectors for the tubes on the side
= mattress losing air of the pump are properly connected.
Check that the CPR valve is closed.
Open the mattress and check for any leaks from air cells or
tubes. Check that all tube connectors are fine and properly
connected.
No air in head cells When inflating the mattress the three static head cells are
inflated last.
User bottoms out Check the mattress in accordance with “Alarm triggered”
above. See sections 4.3 and 4.4 for more.
Mattress not stationary Check that the mattress is secured with the elasticated
straps to the underlying mattress or, if the mattress has an
integrated foam cushion, secured with the straps to the
bed base.
Some cells less inflated This is normal as the air supply alternates between cells
every cycle (one cycle = ten minutes).
Noisy pump, vibrations can be Check that the pump is correctly attached to the bed.
felt Resonance may occur in parts of the bed. Remove the
pump and listen to see whether there’s any difference. Can
be resolved by placing the pump on a level surface or
putting, for instance, a towel between the pump and the
bed.
If your questions are not answered by the above information, please contact Care of Sweden
or one of its authorised service providers.
Problem Solution

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9. Technical description
9.1 Technical specification
PUMP
SPECIFICATION
Model
CuroCell® AUTO4
Voltage
220 V-240 V, 50-60 Hz
Current
0.07 A
Fuse type
T1AL, 250 V
Cycle
10 min
Dimensions (LxWxH)
29.1 x 20 x 11.7 cm
Weight
2.2 kg
Ambient environment
Temperature
Operation: 10°C ˜ 40°C
Storage: -15°C ˜50°C
Shipping: -15°C ˜70°C
Humidity
Operation: 10%
˜
90% non-condensing
Storage: 10% ˜90% non-condensing
Atmospheric pressure
700 hPa-1060 hPa
Classification
Class II, Type BF, IP41
MATTRESS
SPECIFICATION
Model
CuroCell® AUTO4, AUTO4 CX
Dimensions (WxLxH)
80/85/90/105/120x200/210x19 cm
Weight
CuroCell® AUTO4, 13 kg (90x200 cm)
NB: Care of Sweden reserves the right to modify the product specification at any time.
9.2 Labelling
Labels on the mattress include product name, item number, date of manufacture, size, EAN
number and care and washing instructions. The mattress also has labels for the top and
bottom and head and foot, as well as space for your own marking (such as ward number and
name).
WARNING!
Follow the operation and maintenance instructions carefully in order to prevent physical
injury, as well as damage to the product or other equipment.

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9.3 Symbol key
Type BF
Class II equipment (Double-
insulated)
The mattress should be
used with the user lying in
the
lengthwise direction
Temperature range
Drip dry
Do not tumble dry
Do not dry clean
Chlorine
Recycling
Read the user manual
Machine wash at 70°C
CE-marked in accordance
with MDD 93/42/EEC
Machine wash at 95°C
Placed directly on the
bed base
Tumble dry
Do not iron
Recommended user weight
User information – category
Wipe clean
Year-Month-Day
Counteracts shearing
Item number
XXXX-XX-XX
Function group
Do not machine wash
Manufacturer
Do not dispose of with
household waste; follow
recycling instructions
Foot placement
IP code (ingress protection
Heel function

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10. Spare parts
Top part Olivia, AUTO4 Bottom part CuroCell, AUTO4 Cover Olivia, AUTO4 CX13
Item no. Size Item no. Size Item no. Size
CC-906010 80x200 cm CC-905610 80x200 cm 292-080200 80x200 cm
CC-906011 80x210 cm CC-905611 80x210 cm 292-080210 80x210 cm
CC-906012 85x200 cm CC-905612 85x200 cm 292-085200 85x200 cm
CC-906013 85x210 cm CC-905613 85x210 cm 292-085210 85x210 cm
CC-906014 90x200 cm CC-905614 90x200 cm 292-090200 90x200 cm
CC-906015 90x210 cm CC-905615 90x210 cm 292-090210 90x210 cm
CC-906016 105x200 cm CC-905616 105x200 cm 292-105200 105x200 cm
CC-906018 120x200 cm CC-905618 120x200 cm 292-120200 120x200 cm
Item no. Description Size
CC-901001 Air cell, PU 80x13 cm
CC-901002 Air cell, PU 85x13 cm
CC-901003 Air cell, PU 90x13 cm
CC-901004 Air cell, PU 105x13 cm
CC-901005 Air cell, PU 120x13 cm
CC-8217 Fuse (2-pack) -
CC-400903 Pump for mattress width 80, 85, 90 cm
CC-400904 Pump for mattress width 105, 120 cm
If other spare parts are required, please contact Care of Sweden.
11. Options and accessories
11.1 Options
Comfort fabric
For users who are very sensitive to alternating pressure a comfort fabric can be used, which
further improves the comfort offered by the mattress.
Heel function
The following two alternatives are available to relieve sensitive heels. Deflation of cells with
check valves or lower cells.
Sturdy transport bag
Transport and storage bag.
Sheet holder
An aid for AUTO4 to help keep the sheet in place. A clip for attaching to the cover; six per
mattress.
Covers
With welded seams.

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11.2 Accessories
Comfort fabric CuroCell
Item no. Size
CC-907210 80x200 cm
CC-907211 80x210 cm
CC-907212 85x200 cm
CC-907213 85x210 cm
CC-907214 90x200 cm
CC-907215 90x210 cm
CC-907216 105x200 cm
CC-907218 120x200 cm
Sturdy transport bag
Item no. Size
58-900909 80-90 cm
CC-9093 80-90 cm (AUTO4 CX)
CC-9094 105-120 cm (AUTO4 CX)
Sheet holder, each (Only AUTO4)
Item no.
CC-9075
Item no. Description
CC-900220 Heel function with valve (4 cells)
CC-900222 Heel function with valve (3 cells)
11.3 Other accessories
To ensure the best level of comfort, we recommend the use of accessories from Care of
Sweden since our products are designed to work well together. If you require any accessories,
or for more information about our products, please contact Care of Sweden or visit our
website – www.careofsweden.com.
12. Warranty
12.1 Scope
This CuroCell® system is covered by a 2-year warranty for manufacturing defects. The warranty
does not apply to normal wear and tear or damage due to negligence or improper
handling/care.
12.2 Service and maintenance
The CuroCell®alternating pressure mattress is a medical device, in accordance with MDD
93/42/EEC, that is used to prevent and help treat pressure ulcers. For this reason, we
recommend that the pump be regularly serviced and inspected to maintain functionality and
performance. Like other technical devices, a pump that is properly cared for works better and
lasts longer.

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Service and maintenance must always be performed by Care of Sweden or one of its
authorised service providers. Only use spare parts that have been approved by Care of
Sweden. The use of non-approved spare parts invalidates the warranty.
Faults and defects regarded as warranty faults are rectified free of charge.
A warranty claim must be submitted to Care of Sweden before the product is returned.
12.3 Life expectance
This product’s expected life is estimated to be 5 years.
13. Other information
13.1 Disassembly and recycling
Except for certain parts of the pumps, energy recovery is possible for almost all material in
CuroCell®products through incineration at waste incineration facilities.
Pump:
A used CuroCell®pump must not be disassembled. Instead it should be taken to a recycling
centre. The product is sorted as “electronic waste”.
Mattress:
A used CuroCell®mattress must be taken to a recycling centre. The product is sorted as
“combustible waste”. Care of Sweden complies with its manufacturer responsibility through its
affiliation with the REPA register and El-kretsen AB. For more information, please contact Care
of Sweden.
13.2 Returns and warranty claims
Contact Care of Sweden before returning the product. The return postage will be paid by Care
of Sweden if the fault is covered by the product warranty, otherwise by the customer.

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Manufactured by
Contact:
Telephone: [phone]
Fax: [phone]
E-mail: [e-mail]
Internet: www.careofsweden.com
Postal address:
Care of Sweden AB
Box 146
SE-514 23 Tranemo
SWEDEN
Visiting address:
Fabriksgatan 5A
SE-514 33 Tranemo
SWEDEN
Deliveries address:
Byns väg 4A
SE-514 33 Tranemo
SWEDEN
Care of Sweden and CuroCell are trademarks of Care of Sweden AB.
© Care of Sweden AB, 2019