Care of Sweden CuroCell NEO CX13 User manual

User manual
2018-10-17
CuroCell®NEO CX13
CuroCell®NEO CX19
Alternating pressure mattress
Item number user manual: 95-001297

2
Contents
Important safety precautions 3
Introduction 4
Product description 5
Assembly/Installation 8
Start-up 9
Cleaning and reconditioning 11
Storage 12
Maintenance 13
Troubleshooting 14
Technical description 15
Spare parts 17
Options and accessories 18
Warranty 19
Other information 19

3
WARNING! To minimise the risk of fire, electric shocks or bodily 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 (e.g.
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 pump in wet rooms or where there is a risk of the pump coming into
contact with water or another liquid. Never handle a pump that has come into
contact with water/liquid. Pull the plug out of the electrical socket immediately and
send the product to an authorised service technician for servicing.
3 DO 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.
4 Position 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.
5 Never use the product if the pump power cord or plug is defective, the pump casing is
damaged or it is not functioning properly. Contact a service technician for
examination and repair.
6 Regularly check product functionality through a hand check (see section 4.4). Also
check that the comfort setting is correct as indicated in the table on the pump.
7 Continual monitoring is required when the product is used for individuals needing
special supervision, such as children.
8 The mattress are protected with a hygiene cover; Please try to avoid the simultaneous
use of multiple hygiene covers with this mattress. Because of the risk that the vapour
permeability can be destroyed.
9 The hygiene cover does not allow liquid or air to penetrate, but is vapour permeable.
Make sure that the patient is positioned correctly to avoid the risk of suffocation.
10 Prevent damage to the hygiene cover from sharp objects.
11 If the covers are 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.
IMPORTANT SAFETY PRECAUTIONS
Read all instructions prior to use

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1. Introduction
CuroCell® air mattresses operate according to the alternating pressure principle, a technique
that is well proven and been used for a long time. Alternating pressure is when the pressure
regularly alternates between the mattress cells to replicate body movement. Variable pressure
cycles are set up where there is little or no pressure. This is optimal for skin improvement or to
prevent skin damage.
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.
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: 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® NEO CX is an alternating pressure mattress that can be used in all kinds of health
care environments, to prevent pressure ulcers, as well as treatment up to and including
category 4(1) pressure ulcers. It is available in two versions, as an overlay (CuroCell® NEO CX13)
or as a mattress replacement (CuroCell® NEO CX19). The mattress is meant for use for persons
of a recommended minimum lenght of 120 cm. The recommended user weight is up to 160 kg.
The mattress should only be used lying in the lengthwise direction on the
mattress with the feet at the end marked with the feet symbol.
We recommend that position changes are made regularly. The time interval must be evaluated
by the responsibel personnel, depending on the patient´s status diagnosis and general
condition.
The mattress must always be cleaned between patients.

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1. CPR (rapid deflation)
2. Pump
3. Mattress
4. Pump connector
(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 Pressure ulcers
To achieve the best possible result for this product it is recommended that a well-planned and
well-structured working environment be used. In our guideline "Action plan" you will find
examples which can be applied and put into practice when using our products.
Mattress guide
This practical guide gives you as a care giver, help in choosing the correct mattress from the
Care of Swedens range. CuroCell® NEO CX13/CX19 are mattresses in function group C. This
information can be found on our website www.careofsweden.com or you can order a copy
from our Customer services by sending your details to [e-mail].
2. Product description
2.1 Pump and mattress
C
P
R
1
2
3
4
NOTE!
•For certain patients, such as amputees, are the recommended minimum weight not
valid. These users may however have other requirements as the entire mattress is not
being loaded. Please refer to sections 4.2 and 4.3 for operating control.
•When used together with positioning pillows, read the user’s manual carefully to
ensure correct positioning of the patient.
•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 trapped 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.

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3 static head cells.
If the product is fitted with ventilated cells, they are located here (9 cells).
3
4
5
6
1
2
Tubing system
2.2 Pump
Front Back
1. Quick connector unit, air 1. Off/On (0/1) 4. Air filter
2. Control panel 2. Power cord connection 5. Bed hooks
3. Fuses (2 pcs)
2.3 Pump functions – control panel
1 COMFORT – COMFORT SETTING
The appropriate air pressure is selected using the comfort arrows (1-10). Recommendations
for different user weights are provided in a table on the pump.
2 CYCLE TIME
There are four selectable cycle times. Press the button to select cycle time.
3 PROGRAM (THERAPY)
Change the mode by pressing the button, the chosen mode is indicated by the green light. The
modes’ order is: Autofirm, Alternate, Static, Alternate - seat inflation, Static - seat inflation.
7
1
2
1
2
3
4
5

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A. Autofirm
Autofirm is used to fill the mattress completely with air for firm support. The pump always
starts in this mode. When the correct pressure is reached, it changes automatically to the
previous setting or to the presetting outlined below.
Presetting features for Autofirm process
1. Program (Therapy): Select the required program.
2. Comfort setting: Set the required air pressure (1-10).
3. Cycle time: Select from 10, 15, 20 or 25 minutes.
Note: The preset Cycle Time, Comfort Level and Therapy mode will be illuminated to indicate
the settings during the Autofirm process. (Autofirm LED is also illuminated.) After mattress is
inflated, Autofirm LED will be turned off automatically.
B. Alternate
In this mode, the pressure alternates between the cells and there are four different cycle times
to choose from.
C. Static
When" Static" is chosen, the alternating process is terminated and the pressure between the
cells evens out. The function can be used in association with patient care,
repositioning/transferring in and out of bed. The function is turned off by pressing the button
again, or it will automatically go back to alternating mode after 20 minutes.
D. Seat inflation
This mode gives extra support when sitting up and can be set for both alternating and static
mode.
4 PANEL LOCK
Press down the Panel lock button for about 2 seconds to lock or unlock the panel.
5 ALARM MUTE
Press the ALARM MUTE button to temporary turn off the alarm. Should the situation not be
resolved within 5 minutes, the alarm will be activated again. Please refer to section 8 to
troubleshoot any problems with the alarm.
A. Power failure alarm
During a power failure, both the sound and light alarm will go on. Turn it off by pressing the
ALARM MUTE button.
B. Low pressure alarm
When the low pressure light is on, the pressure in the mattress is below normal. Both the light
and sound alarm will activate. The alarm will sound until the ALARM MUTE button is pressed.
If the problem remains, see chapter 8 for trouble shooting.
6 SERVICE
This light indicates a technical failure in the pump. First check that the air filter is clean and
that the pump is not covered by anything (such as a pillow or a blanket). If the problem
remains, please contact the manufacturer or your local dealer for further information.
7 POWER
Power on/off.

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3. Assembly/Installation
When unpacking the mattress, check that none of the parts are damaged. In the event of
damage, contact the manufacturer or your local dealer before using the product.
1. Place the mattress on top of an existing mattress
and fasten it with the elastic bands around the
underlying mattress. If the mattress has a built- in
foam pad (CuroCell® NEO CX19) it can be placed
directly on the bed frame. Fix the mattress to the
bed frame using the bands on the cover.
Note!
• Make the bed with sheets for added comfort.
• Check that the CPR valve is closed.
• Check the cells and snaps to make sure that they
have been attached correctly.
2. Hang the pump at the foot end of the bed or place it
on a flat, steady surface.
Route the power cord so that there is no risk of it
causing someone to trip, being run over by the bed
wheels or getting crushed when the bed is raised or
lowered.
If a cable holder is used (optional): open the snaps,
position the power cord in the pocket and close the
snaps.
3. Connect the tubes from the mattress to the side of
the pump. There is an audible "click" sound when
the connectors are properly attached.
4. Check that the power switch at the side of the
pump is set to 0 (off). Connect the plug to an
approved electrical socket (220-240 V).

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4. Operation
Note! Always read the user manual prior to use.
4.1 Start-up
1. Set the power switch on the side of the pump to 1 (On) and
start the pump by pressing the power button on the front
panel.
2. Air starts to inflate the mattress. It takes at least 20 minutes
until the mattress is inflated.
Note! The pump always starts in the Autofirm mode.
3. If necessary the patient can lie on the mattress even when
not inflated, in this case, the underlay will carry the load. When using a mattress with an
air underlay this must be inflated.
4. The light for ’Low pressure’ is lit until the mattress has reached the set pressure. When the
light goes out, the system changes mode (to previous settings) and the mattress are ready
to be used.
4.2 Program selection
There are four different programs. Please refer to section 2.3 for more details. As a standard
setting, we recommend an alternating mode and a 10 minute cycle time.
4.3 Comfort setting
The air pressure in the mattress can be adjusted
according to the patient´s desire for comfort.
Always consult the prescriber or other authorised
personnel for the appropriate setting.
Note! The pump always starts in the Autofirm mode. When the mattress has reached the
required pressure, the pump is set automatically to the previously used setting or to the
settings made in the Autofirm program. Please refer to section 2.3 for more details.
The mattress is now ready for use.
NOTE!
•We recommend the Seat inflation mode for all situations where the head of the bed is
raised.
•When only parts of the mattress are under load, e.g. if the patient is an amputee, the
pressure should be increased 1 or 2 levels.
•Always check the set pressure with a “hand check”, see 4.4 for more information.
•Recommended user weight: up to 160 kg.

10
WARNING!
If the air pressure remains low, check the mattress and tubes for damage. Repair if
necessary or contact the manufacturer or your local dealer for help.
4.4 Hand check, checking the pressure setting
Hand check is used to ensure that the mattress is properly
inflated. This should be done regularly, once per shift, after
changing the position in the bed or changing the comfort
settings.
Open the cover. Place a flat hand under the air cells directly
underneath the user’s pelvic region and make sure that the
user does not lay directly on the underlying mattress. There
should be about 1-2 fingers margin.
If you can feel the user´s body resting on your hand you need to increase the comfort settings
to next highest step. Wait 10 minutes and perform a new hand check.
4.5 Alarm
When the pressure drops to an abnormally low level, the Low Pressure diode lights up
together with an audio alarm. Please refer to section 8 for troubleshooting. The alarm is
deactivated by pressing the ALARM MUTE button on the pump's control panel. If the problem
is not resolved within 5 minutes, the alarm will start again. The diode remains on until the
pressure level is remedied and reset.
The pump is also fitted with a Power Failure alarm. An alarm sounds and flashes when the
pump is disconnected from the electric power. Turn off the alarm by pressing the ’ALARM
MUTE’ button.
4.6 CPR
In case of an emergency where CPR (cardiopulmonary
resuscitation) is necessary: Rapidly pull the CPR band on the tubes
between the pump and the mattress. Remove the tube
connections on the side of the pump, for even faster deflation.
NOTE! Make sure that the CPR connector is properly connected
after use.
4.7 Transport function
If the patient must be moved in the bed, the tubes can be
connected together (detached from the pump) and the mattress
put in “transport mode”. This mode should only be used for short
periods of time.

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4.8 Heel function (with check valves, option)
This feature allows pressure relief of the heels.
Disconnect the air cell which is directly under the heel.
This air cell will then be emptied for air. Press the
bottom (1) and disconnect the plug. Let the cell remain
in its place in the mattress. The air cell is activated by
assembling the connection again.
5 Cleaning and reconditioning
It is important to follow the instructions below before using the product for another user.
Consult the hygiene responsible or the supplier for help and instructions when unsure.
5.1 Cleaning
PUMP
Wipe off the pump with a damp cloth and 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 plastic of 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 %.
Multi-layer covers should be divided before washing. Wash with like colors.
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 %.
WARNING!
Do not open the pump housing – risk of electric shock. Service and maintenance must be
performed by authorised technicians. Do not get the pump wet or submerge it in any
liquid.
1

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INNER COVER AND DISTANCE 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 and let the air out, also open the CPR valve.
2. Remove the cover. See instructions in chapter 5.1 for cleaning covers. If the product is
equipped with a foam core this should be removed and cleaned separately.
3. Move the mattress to a clean area, which is suitable for cleaning.
4. Wipe off and disinfect the cells, all tubes and the CPR valve with a mild cleaning solution
for this purpose such as: alcohol with or without tensides, Isopropranol 70 %, oxidating
solutions or Chlorine max 1 %.
5. Wipe off and disinfect all the work surfaces with an alcohol-based cleaning agent intended
for this purpose.
6. Put the mattress together. If cells for any reason have loosened from the tubes, these
must be replaced according to drawing in chapter 2.1.
6. Storage
The mattress and pump are best stored in the product bag (optional extra). Handle the packed
product with care. Do not put anything heavy on top of it.
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. Maintenance
7.1 General
1. Check the power cord and plug for damage and scratches.
2. Check that the mattress cover is intact and that the cover and air cells are correctly
assembled.
3. Check that the air flow alternates between each outlet on the side of the pump.
4. Check for damaged or pinched tubes and connectors.
Contact the manufacturer or your local dealer for spare parts.
7.2 Changing fuses
1. Pull the plug out of the electrical socket before
replacing fuses.
2. Remove the cover from the fuses with a screwdriver.
Pull out the fuse holder.
3. Fit a new fuse of the same type (T1AL, 250 V) and
screw the protective cover back in place. There are two
fuses.
7.3 Changing the air filter
1. Unscrew the round safety plate on the back of the
pump.
2. Lean the pump backwards in order for the filter to fall
out from the holder.
3. Place the new filter in the filter holder and replace the
safety plate.
If the pump is used in a 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 the power socket.
Check the fuses.
Alarm is on Check that the quick connectors to air tubes on the pump side
(mattress looses air) of the pump are properly connected.
Check that the CPR valve is closed.
Open the mattress and check for leaks from air cells or tubes.
Check that all tube connectors are properly fitted and
connected.
No air in head cells When the mattress is inflated, the 3 static head cells are filled
last.
Patient is bottoming The comfort setting may be set incorrectly. Increase the
(“falls through”) pressure and wait a few minutes. Do a Hand check.
Check the mattress as described in the section "Alarm is on"
above. Read more in sections 4.3 and 4.4.
Check that the CPR valve is closed.
Mattress moves around Check that the air mattress is secured to the underlying
mattress with the elastic bands.
Some cells have less air This is normal, as air flow alternates between the cells for a set
cycle period, depending on the designated cycle period (one
cycle varies from 10 to 25 minutes depending on the setting
used).
Pump is noisy, Check how the pump is hung on the bed. Resonance can occur
vibrations are felt in parts of the bed. Remove the pump and listen whether this
makes a difference. Can be resolved by putting the pump on a
flat steady surface or by placing a towel between the pump and
bed.
If your questions are not answered by the above information, please contact Care of Sweden
or your local dealer for further assistance.
Problem Solution

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9. Technical description
9.1 Technical specification
PUMP
SPECIFICATION
Model
CuroCell VARI
Voltage
240 V, 50-60 Hz
Power consumption
0.07 A
Type of fuse
T1AL, 250 V
Cycle periods
Variable, 10, 15, 20 or 25 min
Dimension (LxWxH)
29.1 x 20 x 11.7 cm
Weight
2.2 kg
Surroundings
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
Classification
Class II, Typ BF, IP41
MATTRESS
SPECIFICATION
Model
CuroCell® NEO CX13/CX19
Dimension (WxLxH)
80/85/90/105/120 cm x 200/210 x 13/19 cm
Weight
8.5 kg (80x200 cm)
NOTE: Care of Sweden retains the right to modify the product specification at any time.
9.2 Labelling
The mattress is labelled with product name, production date, article 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.
WARNING!
Follow operating and maintenance instructions carefully to prevent injury, as well as
damage to the product or other equipment.

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9.3 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 user manual
Machine wash at 70 °C
CE marked acc. to
MDD 93/42/EEC
Machine wash at 95 °C
Tumble dry
Place on top of
existing
mattress
Do not iron
Recommended user weight
Patient information
–
category
Wipe off
Year-Month-Day
Counteract shear force
Article No
XXXX-XX-XX
Group of function
Do not wash
Manufacturer
Not in domestic refuse,
follow recycling instructions
Foot placement
Recommended user
weight when using Evac
function
IP-class
(Ingress Protection Rating)
Heel function
Directly on bed base

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10. Spare parts
CuroCell®NEO CX13
Size Cover Olivia Inner cover CX13
80x200 cm 295-080200 CC-928510
80x210 cm 295-080210 CC-928511
85x200 cm 295-085200 CC-928512
85x210 cm 295-085210 CC-928513
90x200 cm 295-090200 CC-928514
90x210 cm 295-090210 CC-928515
105x200 cm 295-105200 CC-928516
105x210 cm 295-105210 CC-928517
120x200 cm 295-120200 CC-928518
120x210 cm 295-120210 CC-928519
CuroCell®NEO CX19 – Cover grey
Size Top part Olivia Bottom part CuroCell Inner cover CX19
80x200 cm CC-906010 CC-905610 CC-928610
85x200 cm CC-906012 CC-905612 CC-928612
90x200 cm CC-906014 CC-905614 CC-928614
CuroCell®NEO CX19 – Cover Steel
Size Top part Steel Bottom part CuroCell
85x200 cm CC-925553 CC-905612
90x200 cm CC-925555 CC-905614
Art. 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 (set of 2)
CC-8202 Filter, disposable
If other spare parts are needed, please contact Care of Sweden or your local dealer for further
assistance.

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11. Options and accessories
11.1 Optionals
Comfort fabric (only CuroCell® NEO CX19)
For patients who are sensitive for the fluctations in the mattress a padded inner cover can be
placed over the air cells to increase comfort.
Heel section
Options available to relieve sensitive heels. Emptying the air cell with release valve.
NOTE! These options are only availiable with new orders.
Sturdy transport bag
Transport and storage bag.
Ventilated cells (Low-Air-Loss)
Micro-ventilation in 9 of the cells.
Covers
With welded seams.
Lf (low friction) top part
Top part with increased sliding function, can be used for example heavy, immobile patients.
Cable holder
NOTE! This option is only available with new orders.
11.2 Accessories
Art. no. Product info
CC-900220 Heel function with release valve (4 cells)
CC-900222 Heel function with release valve (3 cells)
58-900902 Sturdy transport bag
11.3 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 dealer for accessories or more information on our products.

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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 repairs
This CuroCell® mattress is a medical device, in accordance with MDD 93/42/EEC, that is used
as an aid in preventing and treating 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 technicians. Only use spare parts that have been approved by Care of Sweden. Use
of non-approved spare parts invalidate 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 dealer if you have questions regarding warranty
and service.
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 in waste incineration facilities.
Pump:
A used CuroCell®pump must not be disassembled. It must instead be taken to a recycling
centre and sorted as electronic waste.
Mattress:
A used CuroCell®mattress must be taken to a recycling centre and sorted as combustible
waste.
For more information, please contact Care of Sweden or your local dealer.
13.2 Returns and complaints
Complaints are to be reported to the supplier. Return of a product shall follow the supplier’s
instructions and can only be done after the complaint has been reported. Damages due to the
transportation should be reported to the transportation agent.

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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
Supplied by
Care of Sweden and CuroCell are trademarks of Care of Sweden AB
© Care of Sweden AB, 2018