Care of Sweden Optimal 5zon User manual

Instructions for use
2021-06-08
Optimal preventative mattresses
For following products:
Optimal 5zon®
Optimal 5zon®BM
Optimal 5zon®Plus
Optimal Care
Optimal Cool
Optimal Cura
Optimal Mono
Optimal Solett
Optimal Solett BM
Optimal Maxx
Prima 12
Instructions for use item number: 95-001101

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Table of contents
WARNINGS AND SAFETY PRECAUTIONS 3
Introduction 4
Product description and performance 8
Unpacking the mattress 12
Reuse, cleaning and reconditioning 13
Other information 14
Accessories 16
Own notes 18

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WARNING!
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,
accessories or spare parts other than those described in this manual or other
documentation from Care of Sweden.
2. 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.
3. 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.
4. Always make sure the mattress has the right size.
5. The 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.
6. The mattresses are protected by a hygiene cover; avoid using multiple hygiene
covers as this can affect the vapor permeability of the mattress.
7. Prevent damage to the hygiene cover from sharp objects.
8. Mattresses with the Evac cover have handles and velcro straps for evacuation. If the
cover has handles, they are intended for lifting the empty mattress. All other use is at
your own risk and is not covered in the product guarantee.
WARNINGS AND SAFETY PRECAUTIONS
Read all instructions prior to use

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1 Introduction
Always read the instructions for use prior to use.
1.1 General information
This product is a medical device and is CE-marked according to MDR (EU) 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 report-
ing them immediately to us here at Care of Sweden. It also fulfills the applicable standards
according to the medical directives: SS 876 00 01, SS 876 00 02, SS 876 00 04, SS 876 00 11, SS
876 00 20, SS-EN ISO 20342, SS-EN ISO 14971, SS-EN ISO 10993-1, EN 597-1, EN 597-2.
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 preventative support surface/-s can be used as aid for prevention and in the treatment of
pressure ulcers/pressure injuries (PU/PI).
1.3 Indications
Suitable for a wide range of persons with increased risk for pressure ulcers/injuries, including
those with superficial ulcers, up to category 1-2 (in association with an individualised plan of
care)1. The Optimal 5zon®, Optimal 5zon® Plus, Optimal Care, Optimal Cool, Optimal Cura,
Optimal Mono, Optimal Solett, Optimal Maxx and Prima 12 mattresses are replacement mat-
tresses to be placed directly on the base of the bed. Optimal 5zon®BM and Optimal Solett BM
are overlay mattresses to be placed on top of an existing mattress.
1.4 Contraindications
There are no known contraindications.
1.5 Intended user
The mattress systems are intended to be used by all kind of users, including lay persons.
1.6 Intended use environment
The mattresses can be used in all kinds of health care environments, including home
care.
(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

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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.
1.7 Other information
Action plan Pressure ulcers/pressure injuries
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.
Mattress guide
This guide provides guidance to personnel and prescribers when choosing a mattress from
Care of Sweden. Optimal Preventative mattresses are mattresses in function group B.
This information can be obtained from our website, www. careofsweden.com, or ordered from
Customer Services (see contact information on the final page).
1.7 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.
Evacuation instructions
Down from the bed
• Inform the user about what will happen.
• Lower and lock the bed in position.
• Pull out and fasten the velcro straps so that the mattress forms a tube around the user.

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• 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 slided
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.
• When training with a person on the mattress, a string or rope can be fastened to 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.

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• 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.
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 and performance
The Optimal preventative mattresses are available in following sizes: In the width
80/85/90/105/120 cm and in the length 200/205/210 cm. If other sizes are needed, contact
Care of Sweden or your local distributor.
For more information contact Care of Sweden or your local distributor.
2.1 Introduction covers
All covers are hygienic covers. They are easy to handle and operate. The covers are vapour
permeable, which reduces the risk of skin maceration.
Cover Olivia – Cover with protected zipper on three sides. Several different heights are
available. Colour: grey.
Cover Olivia H – Same as Olivia cover but with handles for transport and moving.
Cover Olivia/Evac – Cover with protected zipper on all sides, divisible (top and bottom part).
Functional handles for evacuation, moving and transport. Colour: grey/black.
Cover Olivia/5zon® Plus – Same as the Olivia/Evac cover but without handles for evacuation.
Functional handles on four sides for transportation of mattress. Colour: grey/black.
Cover Nordic – Cover with welded seams and a protected zipper on three sides. Handles on
one long side, for transportation of the mattress. Colour: blue.
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 – Crib 5 cover with welded seams and a protected zipper on three sides. Colour:
grey.
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.
Other covers
Cover Quilt – Quilted cover with zipper on three sides. This cover is only available for some
products and only in a limited number of sizes.
Cover Tricot – Thin knitted cover.
Top part LF (Low Friction) – With increased sliding function, can be used for heavy immobile
users.
Inner cover Optimal 5zon - Inner cover to be placed on the underlying foam part with the
orange sliding surface upwards. Provides an improved comfort during position changes and
contributes to reduce the risk of shearing forces. Suitable for Optimal 5zon.

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2.2 Product description
Optimal 5zon®
A replacement mattress that offers good pressure redistri-
bution and is equipped with our patented sit function.
Function: For prevention and as an aid in treatment of
pressure ulcers/pressure injuries up to and including category 2.
Core: HR-foam 65 + 50 kg/m3
Height: 14 cm
Cover: Olivia/Evac, Olivia, Olivia H, Nordic, Steel/Evac, Stone, Stone/Evac, LF/Evac, Quilt and
Tricot
User weight: 0-180 kg
Warranty: 3 years
This product´s expected life time is estimated to be 5 years
Optimal 5zon®BM
A soft and flexible overlay mattress that is placed on top of an existing mattress. The design of
the mattress ensures good pressure redistribution properties.
Function: For prevention and as an aid in treatment of pressure ulcers/pressure injuries up to
and including category 2.
Core: HR-foam 65 kg/m3
Height: 6 cm
Cover: Olivia and Quilt
User weight: 0-150 kg*
Warranty: 2 years
This product´s expected life time is estimated to be 5 years
*Please note that the underlying mattress affects the overall function including the recommended user
weight.
Optimal 5zon® Plus
A mattress replacement system especially designed for
heavy people and is equipped with our patented sit func-
tion.
Function: For prevention and as an aid in treatment of pressure ulcers/pressure injuries up to
and including
category 2.
Core: HR-foam 65 kg/m3+ 50 kg/m3
Height: 15 cm
Cover: Olivia/5zon® Plus
User weight: 0-300 kg (Optimal 5zon®is recommended for user weights up to 180kg)
Warranty: 2 years
This product´s expected life time is estimated to be 5 years

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Optimal Care
A replacement mattress with a profiled surface.
Function: For prevention and treatment of pressure ulcers/pressure injuries up to and
including category 2.
Core: HR-foam 50 kg/m3
Height: 14 cm
Cover: Olivia/Evac, Olivia, Olivia H, Nordic, Steel/Evac, LF/Evac, Quilt and Tricot
User weight: 0-160 kg
Warranty: 3 years
This product´s expected life time is estimated to be 5 years
Optimal Cool
A mattress replacement system with a profiled surface.
Function: For prevention and treatment of pressure ulcers/pressure injuries up to and
including category 1.
Core: HR-foam 35 kg/m3
Height: 13 cm
Cover: Olivia and Nordic
User weight: 0-110 kg
Warranty: 2 years
This product´s expected life time is estimated to be 3 years
Optimal Cura
A mattress replacement system in two layers, HR-foam and visco elastic foam.
Function: For prevention and treatment of pressure ulcers/pressure injuries up to and
including category 1.
Core: HR-foam + visco-elastic foam 50 kg/m3
Height: 13 cm
Cover: Olivia, Olivia/Evac, Olivia H, Nordic, Steel/Evac and Tricot.
User weight: 0-130 kg
Warranty: 3 years
This product´s expected life time is estimated to be 5 years
Optimal Mono
A replacement mattress with a profiled surface.
Function: For prevention and treatment of pressure ulcers/pressure injuries up to and
including category 2.
Core: HR-foam 45 kg/m3
Height: 14 cm
Cover: Olivia/Evac, Olivia, Nordic, Steel/Evac, Quilt and Tricot
User weight: 0-160kg
Warranty: 3 years
This product´s expected life time is estimated to be 5 years

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Optimal Solett
A mattress replacement system, especially designed for light and sensitive persons.
Function: For prevention and as an aid in treatment of pressure ulcers/pressure injuries up to
and including category 1.
Core: HR-foam 35 kg/m3+ visco-elastic foam 50 kg/m3
Height: 12 cm
Cover: Olivia/Evac, Olivia, Nordic, Steel/Evac and Tricot
User weight: 0-60 kg
Warranty: 2 years
This product´s expected life time is estimated to be 5 years
Optimal Solett BM
A soft mattress overlay, especially designed for light and sensitive persons.
Function: For prevention and as an aid in treatment of pressure ulcers/pressure injuries up to
and including category 1.
Core: HR-foam 35 kg/m3+ visco-elastic foam 50 kg/m3
Height: 6 cm
Cover: Olivia, Quilt and Tricot
User weight: 0-60 kg*
Warranty: 2 years
This product´s expected life time is estimated to be 5 years
*Please note that the underlying mattress affects the overall function including the recommended user
weight.
Optimal Maxx
A standard replacement mattress specially made for higher
user weights.. The foam core is made of cold foam with high
density and is equipped with our patented sit function.
Function: For prevention and as an aid in treatment of pres-
sure ulcers/pressure injuries up to and including category 1.
Core: HR foam 50 kg/m³ (High Resilience)
Height: 15 cm
Cover: Marin/Evac and Quilt
User weight: 0-180 kg
Warranty: 3 years
This product´s expected lie time is estimated to be 5 years.
PRIMA 12
PRIMA 12 is a reversible replacement mattress. PRIMA is a simple and functional line of basic
mattresses that offer good comfort and durability.
Function: For prevention and as an aid in treatment of pressure ulcers/pressure injuries up to
and including category 1.
Core: HR foam 35 kg/m³ (High Resilience)
Height: 13 cm
Cover: Marin, Marin/Evac, Quilt and Tricot
User weight: 0-130 kg

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Warranty: 3 years
This product´s expected life time is estimated to be 5 years.
3 Unpacking the mattress
Our mattresses are delivered compressed in recyclable plastic. The reason for the compression
is to make the handling of the mattress easier.
1. Start with making sure that the package is undamaged. Remove the plastic bag and any
protective material. Avoid using a knife when opening the package, since this could dam-
age the hygiene cover.
2. Always check that the mattress is correctly placed inside the cover, see
label.
3. Correct the cover. Mattresses that are delivered with the divisible Evac
cover are packed with the top part folded inside the mattress. Lay out the
top part and close the zipper.
4. The mattress should lay unpacked, on a flat surface, for about 2 hours
before it is used. However, if needed, the mattress can be used immedi-
ately. It can take up to one week before the mattress has resumed its full
width/length/height after the compression.

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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 Hygiene cover including inner cover
MATTRESS COVER HYGIENE
Covers can be wiped off with a mild cleaning solution or disinfected with solution for this
purpose such as: alcohol with or without tensides, Isopropanol 70 %, oxidating
solutions or Chlorine max 1 %.
Excrement and blood spots must be removed immediately with cold water. Carefully follow
local instructions and usage instruction for the cleaning solutions.
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 %.
MATTRESS COVER TRICOT
The cover can be machine washed and tumble dried.
MATTRESS COVER QUILT
The cover can be machine washed and tumble dried.
4.2 Mattress core
The hygiene cover protects the foam core completely, which means cleaning seldom
is necessary. If, for any reason, the core needs to be cleaned, use a mild cleaning
solution and water (for example spray on). 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. When needed, use a mild
cleaning solution or disinfect with solutions for this purpose such as: alcohol with or without
tensides, Isopropanol 70 %, oxidating solutions or Chlorine max 1 %.
Carefully follow local instructions and usage instruction for the cleaning solutions.

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Note!
Check the hygiene cover every time it is being cleaned. If the cover is damaged, it is to be
replaced or repaired. If the product is equipped with an Evac-cover, handles and straps
also need to be check regularly. Follow the local instructions and the cleaning agents’
instructions carefully.
5 Other information
5.1 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).
5.2 Labelling
The mattresses are labelled with product name, production date, item number, size, care and
wash instructions, EAN-bar code, as well as space for own labelling.
5.3 Warranty
See section 2.2 for detailed information regarding warranty for each mattress. The warranty is
valid for production errors. It is not valid for normal wear or deterioration of the product or
damages that occur because of careless handling or care of the product.
5.4 Service and maintenance
The mattress needs no other service or maintenance than cleaning as described in this
instructions for use.
5.5 Repairs
For instructions, contact the supplier.
5.6 Recycling
All bed products are fully recyclable and should be recycled as “combustible waste”. No dis-
mantling needed.
5.7 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
transport should be reported to the transportation agent.

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Counteract shear force
Item number
Manufacturer
5.8 Symbol Definitions
Read the instructions
for use
CE-marked in accordance with
Medical Device Regulation
(EU)
2017/745
Directly on bed base
Place on top of
existing mattress
Place on top
Place underneath
Recommended user weight
User information
– category
Can be rotated
Can be turned
Machine wash at 70 °C
Machine wash at 95 °C
Tumble dry
Drip dry
Do not tumble dry
Do not dry clean
Wipe off
Do not iron
Recycling
Year-Month-Day
XXXX-XX-XX
Group of function
Do not wash
Chlorine
Distributed by
Medical Device
UDI

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6 Accessories
For these mattresses, there is a number of accessories. These are shown in the list below.
Description and size Item number
Inner cover Optimal 5zon (Optimal 5zon) 400-xxxxxx*
Top part Olivia, 4 cm (Optimal 5zon®, Optimal 5zon® Plus, Optimal Care,
Optimal Cura, Optimal Mono, Optimal Solett) 431-xxxxxx*
Top part Marin, 4 cm (PRMA 12, Optimal Maxx) 421-xxxxxx*
Top part Steel, 4 cm (Optimal 5zon®, Optimal Care, Optimal Cura, Optimal Mono,
Optimal Solett) 451-xxxxxx*
Top part Stone, 4 cm (Optimal 5zon®) 452-xxxxxx*
Top part LF (Low Friction), 4 cm (Optimal 5zon®, Optimal Care) 441-xxxxxx*
Bottom part Evac, 11 cm (Optimal 5zon®, Optimal Care, 461-xxxxxx*
Optimal Cura, Optimal Mono, Optimal Solett, PRIMA 12)
Bottom part Evac, 15 cm (Optimal Maxx) 471-xxxxxx*
Bottom part 5zon® Plus (Optimal 5zon® Plus) 481-xxxxxx*
Cover Olivia, 7 cm (Optimal 5zon®BM, Optimal Solett BM) 29-xxxxxx*
Cover Olivia, 13 cm (Optimal 5zon®, Optimal Care, Optimal Cool, Optimal Cura,
Optimal Mono, Optimal Solett) 292-xxxxxx*
Cover Olivia H, 13 cm (Optimal 5zon®, Optimal Care, Optimal Cura) 297-xxxxxx*
Cover Marin, 12 cm, zipper on one short side (PRIMA 12) 23-xxxxxx*
Cover Marin, 12 cm, zipper on three sides (PRMA 12) 234-xxxxxx*
Cover Marin, 12 cm, zipper on three sides, handles on the long side (PRIMA 12) 236-xxxxxx*
Cover Nordic, 13 cm (Optimal 5zon®, Optimal Care, Optimal Cool, Optimal Cura,
Optimal Mono, Optimal Solett) 287-xxxxxx*
Cover Quilt, 7 cm (Optimal 5zon®BM, Optimal Solett BM) 820-xxxxxx*
- only available in sizes: 80/90/105/120 x 200 cm
Cover Quilt, 15 cm (Optimal 5zon®, Optimal 5zon® Plus, Optimal Care,
Optimal Mono, Optimal Maxx) – only available in size: 90 x 200 821-xxxxxx*
Cover Tricot (PRIMA 12) 91-xxxxxx*
Bag to mattress overlay, 80-90 cm width 58-900904
Bag to mattress replacement, 80-90 cm width, polyester 58-900902
Bag to mattress replacement, 105-120 cm width, polyester 58-900905
*-xxxxxx in the item numbers signifies the size of the product. For example, 29-090200 signi-
fies a cover Olivia in the size 90x200 cm.

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6.1 Other accessories
Optimal Extension
The extension part is an accessory used to fill out the space that a short mattress leaves in a
long bed. The extension is available in many different sizes, depending on width and height of
the mattress.
Extending a mattress with Optimal Extension is only a temporary solution and doesn't replace
a mattress in the preferred size. In the need of an extension during a longer period of time, we
recommend that a mattress in the preferred size is used.
Optimal Hygiene Pillow
The Optimal Hygiene Pillow is developed for caring environments, is comfortable and very
easy to clean. Delivered with a removable hygiene cover. The pillow is available in the
following sizes: 35x45, 50x60 and 50x70 cm.
Optimal Sens
An anatomically shaped pillow, that gives maximum neck support. Produced in visco-elastic
foam and delivered with a removable hygiene cover.
Curera®Support Wedge
An aid for positioning and position changes. The support wedge is easy to use and has a
removable liquid resistant hygiene cover.
Molly Heel Protection
Molly provides comfort for relief of heel. The user can move the leg and make position
changes. Comes with a removable liquid resistant hygiene cover. Molly is available in sizes
Small, Medium and Large.
Curera®Positioning Pillows
Curera®is a range of pillows used for positioning, relief and support in all kinds of care
facilities. When bedbound individuals don’t move enough, it increases the risk of pressure
ulcers/pressure injuries. With regular position changes, this risk can be reduced and the
comfort level increased.
Please contact Care of Sweden or your local distributor for accessories or more information on
our products.

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7. Own notes

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Own notes

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Manufactured by
Contact:
Phone: + 46 771 106 600
Fax: + 46 325 12840
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, Optimal 5zon, CuroCell, Curera and DuoCore are trademarks of Care of Sweden AB
© Care of Sweden AB, 2021