Care of Sweden CuroCell AUTO420 User manual

User Manual
2019-01-24
CuroCell®AUTO420
Alternating pressure mattress
Item no. user manual: 95-001617

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Contents
Important safety instructions 3
Introduction 4
Product description 5
Assembly/Installation 8
Operation 9
Cleaning and reconditioning 11
Storage 12
Maintenance 12
Troubleshooting 13
Technical description 14
Spare parts 16
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.

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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 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, IEC 60601-1-2, SS-EN ISO 12182, SS-EN ISO
14971, SS-EN ISO 10993, EN 597-1, EN 597-2, EN 14126.
1.2 Intended use
CuroCell® AUTO420 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). 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 250 kg. CuroCell® AUTO420 is a combi mattress placed
directly on the bed base. We recommend changing position regularly. The time interval must
be assessed by the attending personnel, depending on the user’s status, diagnosis and general
health.
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.
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® AUTO420 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 Pump and mattress
1. Mattress
2. CPR (Rapid deflation)
3. Pump connector
4. Pump
1
4
NOTE:
1. 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.
2. When used together with positioning pillows, read the pillow user manual carefully for
correct positioning of the user.
3. 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.
4. Be careful when using bed rails or other protection on the bed so that the mattress is
not pinched or damaged.
5. 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.
6. 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.
2
3
C
P
R

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1
2
3
4
5
6
7
Heel
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.
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.
1
3
2
4
5
6
7

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2. Only the light under the checkmark (left) is lit – The mattress is ready to use, normal mode.
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.
3. Programmes
Two programmes are available. Press the button to switch between 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”.
4. Maximum pressure (Nursing mode)
With this function, the entire mattress is inflated and provides firm support. This function
automatically reverts to the previous setting after about 30 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.

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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. Place the mattress on the bed base. Secure the mattress to
the bed using the straps on the underside of the 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 in the cable holder by opening the
fasteners, inserting the cable and closing the fasteners.
If the cable holder is not used: 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.
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 (220-240 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 about 30 minutes to fully inflate the mattress.
3. You can start using the mattress when the top-left light is lit
(only the light under the checkmark).
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.
If necessary, the user may lie down on the mattress immediately without it being inflated. The
undermattress bears the weight during the inflation phase. If the undermattress is an air-filled
type, it must be fully inflated.
4.2 Programme selection
Two different programmes are available, alternating pressure and static low pressure. See
section 2.3 for detailed information. We recommend alternating mode as the default setting.
There is another programme called Maximum Pressure. This function is used in
conjunction with nursing duties, changing the user’s position and getting the user in or out of
the bed.
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
The hand check is used to ensure that the mattress
is working properly.
This must be performed regularly; we recommend
once per shift.
Place a hand between the cells under the user’s
pelvic region. Check that the user doesn’t “bottom
out” and rest on the underlying mattress. We
recommend a margin of one or two fingers.
If the margin is too small, initiate automatic
settings adjustment. 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.
4.8 Heel function
The mattress has built-in heel relief. The last six cells at the foot end are designed to relieve
sensitive heels.
WARNING!
If the air pressure remains low, search for damage to the mattress and the tubes. Repair
when required or contact Care of Sweden or one of its authorised service providers.

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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.
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.
3. Move the mattress to a clean area that is suitable for cleaning.
WARNING!
1. 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.
2. Do not get the pump wet or submerge it in any liquid.

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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.
Note: The upper and lower layer of air cells can be divided using a quick connector, making
it easier to clean the cells.
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.
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 (T1AL / 250 V)
and screw the protective cover back into place.
There are two fuses.
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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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.
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
= mattress losing air the side 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.
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 to the bed base with
the straps underneath (two at the head end and two on
each of the long sides).
Some cells less inflated This is normal if the alternating pressure programme is
selected 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.
This can be resolved by placing the pump on a level
surface. Or by 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® AUTO420
Voltage
220V-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 (or air pressure)
700 hPa-1060 hPa
Classification
Class II, Type BF, IP41
MATTRESS
SPECIFICATION
Model
CuroCell® AUTO420
Dimensions (WxLxH)
80/85/90/105/120x200/210x20 cm
Weight
11 kg (80x200 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 ends, 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)
Temperature range
Do not tumble dry
Do not dry clean
Chlorine
Machine wash at 70°C
Machine wash at 95°C
Placed directly on the
bed base
Tumble dry
Recommended user weight
User information – category
Wipe clean
Year-Month-Day
Counteracts shearing
Item number
Do not machine
Manufacturer
Do not dispose of with
household waste; follow
recycling instructions
Foot placement
IP code (ingress protection
rating)
Heel function
The mattress should be
used
with the user lying in
the lengthwise direction
Drip dry
Recycling
Read the user manual
CE-marked in accordance
with MDD 93/42/EEC
Do not iron
XXXX-XX-XX
Function group

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10. Spare parts
Item no. Description Size
CC-906010 Top part Olivia, grey 80x200 cm
CC-906011 Top part Olivia, grey 80x210 cm
CC-906012 Top part Olivia, grey 85x200 cm
CC-906013 Top part Olivia, grey 85x210 cm
CC-906014 Top part Olivia, grey 90x200 cm
CC-906015 Top part Olivia, grey 90x210 cm
CC-906016 Top part Olivia, grey 105x200 cm
CC-906017 Top part Olivia, grey 105x210 cm
CC-906018 Top part Olivia, grey 120x200 cm
CC-906019 Top part Olivia, grey 120x210 cm
CC-905610 Bottom part CuroCell, black 80x200 cm
CC-905611 Bottom part CuroCell, black 80x210 cm
CC-905612 Bottom part CuroCell, black 85x200 cm
CC-905613 Bottom part CuroCell, black 85x210 cm
CC-905614 Bottom part CuroCell, black 90x200 cm
CC-905615 Bottom part CuroCell, black 90x210 cm
CC-905616 Bottom part CuroCell, black 105x200 cm
CC-905617 Bottom part CuroCell, black 105x210 cm
CC-905618 Bottom part CuroCell, black 120x200 cm
CC-905620 Bottom part CuroCell, black 120x210 cm
CC-901410 Head cell, PU 80x15 cm
CC-901412 Head cell, PU 85x15 cm
CC-901414 Head cell, PU 90x15 cm
CC-901416 Head cell, PU 105x15 cm
CC-901418 Head cell, PU 120x15 cm
CC-901420 Heel cell, PU 80x13 cm
CC-901422 Heel cell, PU 85x13 cm
CC-901424 Heel cell, PU 90x13 cm
CC-901426 Heel cell, PU 105x13 cm
CC-901428 Heel cell, PU 120x13 cm
CC-901514 Safety cell, PU (for mattress width 80 cm) 75x60 cm
CC-901512 Safety cell, PU (for mattress width 85 cm) 80x60 cm
CC-901510 Safety cell, PU (for mattress width 90 cm) 85x60 cm
CC-901516 Safety cell, PU (for mattress width 105 cm) 100x60 cm
CC-901518 Safety cell, PU (for mattress width 120 cm) 115x60 cm
CC-901524 Safety cell, PU (for mattress width 80 cm) 75x80 cm
CC-901522 Safety cell, PU (for mattress width 85 cm) 80x80 cm
CC-901520 Safety cell, PU (for mattress width 90 cm) 85x80 cm
CC-901526 Safety cell, PU (for mattress width 105 cm) 100x80 cm
CC-901528 Safety cell, PU (for mattress width 120 cm) 115x80 cm

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CC-901544 Safety cell, PU (for mattress width 80 cm) 75x70 cm
CC-901542 Safety cell, PU (for mattress width 85 cm) 80x70 cm
CC-901540 Safety cell, PU (for mattress width 90 cm) 85x70 cm
CC-901546 Safety cell, PU (for mattress width 105 cm) 100x70 cm
CC-901548 Safety cell, PU (for mattress width 120 cm) 115x70 cm
CC-400905 Pump for mattress width 80, 85, 90 cm
CC-400906 Pump for mattress width 105, 120 cm
CC-8217 Fuse (2-pack) -
If other spare parts are required, please contact Care of Sweden.
11. Options and accessories
11.1 Options
Sheet holder
Helps keep the sheet in place. A clip for attaching to the cover; six per mattress.
11.2 Accessories
Sturdy transport bag Sheet holder, each
Item no. Size Item no. Size
58-900909 80-120 cm CC-9075 -
Top part LF (low friction) - Top part with increased sliding function, can be used for heavy
immobile patients.
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.

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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.
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.

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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