Direct Supply Panacea Air Overlay User manual

Please keep and refer to this Owner’s Manual.
Thank you for purchasing a Direct Supply®Panacea®Air Overlay. Please read
this entire guide carefully and keep it for future reference. This guide will provide
you with instructions, warnings, warranty information and other important
information about your Direct Supply Panacea Air Overlay. Share this information
with your housekeeping, nursing and maintenance staff to help ensure the overlay
is cared for properly.
1-800-634-7328 ■directsupply.com
Direct Supply®Panacea®Air Overlay &
Direct Supply®Panacea®Air Overlay Deluxe
Owner’s Manual

2
Table of Contents
Please keep and refer to this Owner’s Manual.
Table of Contents
Introduction ........................................................................................................................ 3
Contraindications ............................................................................................................... 3
Definitions & Symbols ....................................................................................................... 3
Product Description ........................................................................................................... 4
Product Specifications........................................................................................................ 4
Technical Description ......................................................................................................... 5
Warnings ..........................................................................................................................6-7
Directions for Use................................................................................................................ 8
Transportation & CPR ........................................................................................................ 9
Cleaning.............................................................................................................................. 10
Preventive Maintenance & Storage ............................................................................... 11
Troubleshooting Guide .................................................................................................... 12
Limited Warranty ........................................................................................................13-14
Customer Service ............................................................................................................. 15
Introduction

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Introduction
The Direct Supply Panacea Air Overlay is designed to assist in the prevention and
treatment of up to Stage IV pressure ulcers for long term care residents. The resident
support surface fits most standard healthcare beds, and runs underneath the entire
body. The air flotation system aids in pressure redistribution and relief, and helps
maintain low interface pressures throughout the surface.
The Direct Supply Panacea Air Overlay uses a quiet, energy-efficient control unit,
which provides alternating pressure and limited low air loss therapy. The inflation
levels are designed to maintain low interface pressures throughout the overlay, to
redistribute peak interface pressures during the cycle, and to further relieve peak
pressure points as the cycle alternates.
Contraindications
Patients conditions for which the application of pressure relieving therapy on an
alternation system is contraindicated as follows:
• Cervicalorskeletaltraction
• Unstablespinalcordinjuries
Definitions & Symbols
NOTE: Indicates a tip.
CAUTION: Indicates correct operating or maintenance procedures in order to
prevent damage to or destruction of the equipment or other property.
WARNING:Callsattentiontoapotentialdangerthatrequirescorrectprocedures
orpracticesinordertopreventpersonalinjury.
DEVICE: Your Direct Supply Panacea Air Overlay.
YOU and YOUR: The facility, community or other entity that has purchased
the device.
WE, US, and OUR: Direct Supply®Manufacturing™, Inc.
Attention. Read the instructions.
Introduction

4
Product Description & Specifications Technical Description
Product Description
Indications
for Use:
The Direct Supply Panacea Air Overlay is a flotation therapy
device that provides pressure management to assist in the
prevention and treatment of up to Stage IV pressure ulcers.
The alternating pressure mode provided with the Direct Supply
Panacea Air Overlay is indicated for use as a preventive tool
against further complications associated with critically ill
residents or immobility.
Air Cells: 130 air-filled polyurethane air bubbles/cells are divided into two
separate, alternating pressure zones. These air cells inflate to a
height of 21⁄2" for Air Overlay and 33⁄4" for Air Overlay Deluxe.
Overlay Height: Air Overlay The total pressure-management surface
height is 21⁄2".
Air Overlay Deluxe The total pressure-management surface
height is 33⁄4".
Overlay
Placement:
The overlay should be placed directly on an existing healthcare
mattress of an appropriate size.
Pressure
Management:
This overlay system is designed to provide pressure
management for the prevention and treatment of up to Stage IV
pressure ulcers.
Control Unit
Power on/off
switch:
Powers the control unit on and off.
Firmness dial*:Adjuststhepressurewithinthesystem.
*Not available on Panacea Air Overlay with non-adjustable pump
Product Specifications
Certificates and
Fire Ratings
MeetsCaliforniaTechnicalBulletin117(CA117)
UL1431(115V60Hz)
CE(230V50Hz)
Control Unit 120V,60Hertz
Surface Sizes Air Overlay 35"Wx21⁄2"Hx79"L,250lbweightcapacity
Air Overlay Deluxe 35"Wx33⁄4"Hx79"L
Check the weight capacity of the bed to make sure both the mattress and bed
are capable of supporting additional weight
Operating Mode Panacea Air Overlay – Alternating Pressure
Provides 10 minute loading and unloading cycle designed to
maintain low interface pressures throughout the overlay, to
redistribute peak interface pressures during the cycle.

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Technical Description
Technical Description
Direct Supply Panacea Air Overlay is designed and manufactured to meet the most
demanding environment. The specifications are listed below:
America, Canada
EquipmentfulfilstherequirementofthestandardUL1431.CE
• EuropeCE.
Specifications
Item Specification
Power supply AC120V/60Hz,230V50Hz10W
Pressure Range*40-90mmHg
Cycletime 10minfor60Hz,12minfor50Hz
Dimension 26cmx13cmx8cm
Weight 1.5kg
*Pressure setting is fixed at 80mm Hg on the Panacea Air Overlay with non-adjustable pump
Due to continued development of these devices, specifications may be changed
without prior notice.
Item Specification
Environment/
Temperature Operation: 50°F–95°F
Storage: 59°F – 122°F
Shipping: 59°F – 122°F
Operation: 20%–80%non-condensing
HumidityStorage: 10%–90%non-condensing
NOTE:
The specifications also apply to those areas operating with the same power supply.
Environment
The unit should be stored in a clean, dry environment. The following environmental
limitations apply to both storage and shipment:
• Temperature:59°F – 122°F
• Humidity:10%–90%(at104°F)

6
Warnings
Read and follow all directions and warnings before using this device.
WARNINGS
1. Failuretocomplywithalldirectionsandwarningsmayresultininjuryordeath;
use only as directed.
2. This device is designed for use on static mattresses only. DO NOT use this device
on alternating pressure or lateral rotation mattresses.
3. Due to the alternating pressure feature of the overlay, some devices and
products may not be appropriate for use with this device. Do not use pressure
padalarmoralertsystemsinconjunctionwiththeoverlay.
4. This device is not suitable for all individuals. Other devices may be required.
5. Inspectthedevicefordamagebeforeeachuseanddonotuseifdeviceappears
to be damaged or not functioning properly.
6. Neveralterthedeviceinanyway.
7. Thisdeviceisdesignedforindooruseonlywithincloseproximityto
skilled caregivers.
8. Thisdeviceisnotdesignedtooperatewithpatientsweighingmorethan250lbs.
NOTE: Resident’s body can not exceed the width of the overlay.
WARNING – This device is designed to assist in the prevention and treatment
of pressure ulcers and may require other equipment. This may include, but is not
limited to:
1. Bedrailsforrepositioningandfallprevention.
2. Resident monitoring devices for elopement prevention.
3. Other devices as specified by the caregiver.
GROUNDING INSTRUCTIONS
Three-wire plug ground instructions
This device is for use on a nominal 120V circuit. This device should be grounded. In
the event of an electrical short circuit, grounding reduces the risk of electric shock by
providing an escape wire for the electric current. This device is equipped with a cord
consisting of a grounding wire with a grounding plug.
DANGER
Improper use of the grounding plug can result in a risk of electric shock.
If repair or replacement of the cord or plug is necessary, do not connect the
grounding wire to either flat blade terminal. The grounding wire is insulated with
either a green or green with yellow stripe outer surface.
Checkwithaqualifiedelectricianorservicemanifthegroundinginstructionsarenot
completely understood, or if in doubt as to whether the device is properly grounded.
Warnings

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Warnings (continued)
If it is necessary to use an extension cord, use only a 3-wire extension cord that has
a three-blade grounding plug, and a 3-slot receptacle that will accept the plug on the
device. Replace or repair a damaged cord.
WARNING – To reduce the risk of electrocution:
1. Always unplug this unit immediately after using.
2. Do not operate near water.
3. Do not place or store device where it can fall or be pulled into a tub or sink.
4. Do not place in or drop into water or other liquid.
5. Donotreachforadevicethathasfallenintowater.Unplugimmediately.
6. Donotremovecontrolunitcover.Riskofelectricalshock.
WARNING–Toreducetheriskofburns,fireorinjurytopersons:
1. Usethisunitonlyforitsintendeduseasdescribedintheoperatinginstructions.
2. Never operate this device if it has a damaged cord or plug, if it is not working
properly, if it has been dropped or damaged, or dropped into water. Return the
unit for examination and repair.
3. Keep the cord away from heated surfaces.
4. Neverdroporinsertanyobjectintoanyopeningorhose.
5. Donotuseoutdoors.
WARNING
This device is only a tool to assist with pressure reduction as part of an overall care plan.
Failure to comply with all instructions, warnings and precautions or using the device for
apurposeotherthantherecommendedusecouldresultinbodilyinjuryordeath.
This device is not designed to replace good care giving practices including, but not
limited to:
• Directpatientandresidentsupervision;
• Adequate care plans and training for staff personnel for entrapment and fall prevent.
• Inspectionandtestingbeforeuse.
WARNING – This device is only one element of care in the prevention and
treatment of pressure ulcers by medical professionals and skilled caregivers to assist
in the treatment and prevention of up to Stage IV decubitus ulcers for residents
under their care. This device is not designed to and cannot replace good care giving
practices and treatment including, but not limited to:
• Appropriatenutritionandhydration,frequentpositioning,routineskin
assessment, wound treatment, infection control, and other generally accepted
standards of care and prevention.
• Adequatetrainingforandprecautionsbystaffpersonnelforbedentrapment.
• Selectionofanappropriatebedsystemtousewiththedeviceandproper
maintenance and use of the device.
• Testingofthedevicebeforeeachuse.

8
Directions for Use
Directions for Use
1. PlacetheDirectSupplyPanaceaAirOverlayontopofthemattress(notsupplied)
with the hoses exiting at the foot of the bed.
2. Secure the overlay to the mattress by tucking the flaps located at the head and
footends under the mattress to prevent movement.
3. Hangthecontrolunitontheendofthebedusingthehangers,orplaceona
stable horizontal surface.
4. Ensurethattheairlinesarenot“kinked”or“twisted”.Connecttheoverlaytothe
control unit by pushing the connector into the air ports located on the side of the
pump. The hoses can be connected to either port on the pump unit.
5. Ensurethattheelectricalpowersource,ifswitched,isinanOFFposition,
thenpluginthepowercordandswitchtoON.ThePOWERONlampis
now illuminated.
6. Setthefirmnesslevel*to the highest setting and allow approximately 20 minutes
for the overlay to fully inflate.
7. Afterpreparingtheoverlaysurfacewithappropriatelinens(notincluded),place
the resident on the overlay.
8. Decreasefirmness*if necessary for resident comfort, support, and immersion
into the overlay for optimal pressure redistribution.
 a)Acommonmethodforsizinganairoverlayistochecktoseeifsuitable
pressure is selected by sliding one hand between the air overlay and the air/
foambaseundertheresident’sbuttocks.Usersshouldbeabletofeelthe
space between their hand and the resident’s buttocks with the acceptable
rangebeing25-40mm(1"to11⁄2").Thishandcheckprocedureisissuedby
AHCPR(AgencyforHealthCarePolicyandResearch).
 b)Adjustthefirmness*byturningthedial;counterclockwiseformore
immersion(iftoomuchspaceduringhandcheck,toofirm)orclockwisefor
lessimmersion(notenoughspaceduringhandcheck,toosoft).
9. Anaudio-visualalarmissoundedintheeventoflowpressure.
Audio alarm can be muted using alarm silence key.
CAUTION–Becarefulnottopuncturetheoverlaywithneedlesorsharp
instruments. This may result in loss of integrity of the cover or internal air system.
*Firmness adjustment not available on Panacea Air Overlay with non-adjustable pump

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Transportation & CPR
Transportation
Turn the pump off and unplug from the electrical source.
You may now transport the resident while in bed. A properly sealed overlay will
continue to support a resident for approximately one hour without power. It is not
possible to provide an exact time because it is dependant upon on the resident’s
weight. Reattach the pump as soon as possible to restore overlay performance.
WARNING – DO NOT attempt to use the overlay as a carrying device as it is not
designed to carry a resident’s weight unsupported.
CPR
ThestandardsforlifesupportrecommendedbytheAmericanHeartAssociation
recommendahardlevelsurfaceforperformingCPR,movingthepersontothe
floor if possible. If unable to move the resident to another surface to perform
CPR,placeacrashboardunderneaththepatientandfollowappropriateCPR
procedures.
TodeflatetheoverlayforCPRfunction,pullthehosesfromthepumpallowingair
to escape. The control unit should be turned off and/or removed to prevent the
overlayfromre-inflatingduringCPR.
In case of emergency, use a scissors or knife to cut the hose and/or the air cells in
the overlay.

10
Cleaning
Cleaning and Disinfecting
OVERLAY
Approved products for cleaning the cover include standard hospital-approved
tuberculocidal disinfectants such as quaternary ammonia, germicidal phenols, or
soapandwater(Lysol®IC™QuaternaryCleanerDisinfectant;Procter&Gamble
CleanQuick®LiquidQuaternarySanitizer;Q-128QuaternaryDisinfectant).Use
products in dilutions as specified on the manufacturer’s label. DO NOT USE BLEACH.
For soils or stains, wipe fabric clean with neutral suds and lukewarm water. For hard
to clean spots, use standard liquid household/vinyl cleaners with a soft bristle brush.
DO NOT USE HARSH SOLVENTS OR CLEANERS.
CONTROL UNIT
WARNING – Beforeattemptingtocleanthecontrolunit,turnoffunitanddiscon-
nect the power cord from the power source.
DO NOT HEAT, STEAM AUTOCLAVE, OR IMMERSE THE CONTROL UNIT IN LIQUIDS.
1. Thefollowinggermicidaldetergents/disinfectantsarerecommendedbytheEPA
as hospital disinfectants.
Hi-TorGermicidalDetergent
HuntingtonLaboratories,Inc.
IndianaEPA#303-91
2. Follow the preparation instructions provided with the germicidal detergent/
disinfectant solution to prepare the required amount of disinfectant solution or
mild detergent solution.
3. Pour required amount of the germicidal solution into a spray bottle.
4. Usingabrushorcloth,wipeoffdust.Ifnecessary,spraytheexteriorofthetop
and the bottom enclosures, power cord and the cord plug with the prepared
disinfectantordetergentsolution.Usingadampclothwipedownthesprayed
surface cleanly.
 NOTE – Do not spray excess amount of solution on the control unit.
5. Oncethecontrolunitisclean,wipetheunit,thepowercordandthecordplug
down with a clean dry cloth.
6. Placethecontrolunittodryinacoolanddryareaforanhourbeforeoperating
the unit again. If the control unit is not used immediately, place the control unit
in a plastic bag and store it in a storage area.

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Preventive Maintenance
It is important to periodically test the Panacea Air Overlay control unit to verify the
properfunctionality.Lackofregularmaintenancecanresultinpoororreduced
resident support.
1. The air filter for the control unit should be checked routinely for signs of dirt or
contamination. The frequency for replacing depends on the air quality.
2. Theairfilterisaccessiblefromtheoutsideofthepump;itisapproximatelytwo
inches by one inch covered by a plastic cover.
3. As the filter is white, the need to replace dirty filters is apparent because they
will darken in color due to the collection of dirt. Simply remove the plastic cover,
remove the filter and replace with a new filter.
4. Replace the plastic cover.
5.Checkforairleaksandrepairleaksfollowingthepatchkitinstructions.
Storage
1. After cleaning the overlay and drying it completely it may be folded to smaller
size for easier storage.
Avoid storage of other equipment on top of the overlay.
2. The unit should be stored in a clean, dry environment. Follow the recommended
temperature and humidity guidelines when storing the unit:
 •Temperature:59°F–122°F
 •Humidity:10%–90%(at104°F)
Preventive Maintenance & Storage

12
Troubleshooting Guide
Overlay will not inflate or half the cells are not inflating:
• Disconnectthecontrolunitfromtheoverlayandmakesurethatairisflowing
from the open ports. This is done by disconnecting the control unit from the
overlay and physically feeling the air blowing out from one port and then
the other. It may take several minutes to switch from one port to the other
depending on the control unit’s cycle time. If the control unit is not blowing air
out of the ports, call for service.
• Checktomakesurethatthecontrolunitison.
• Checktomakesuretheunitispluggedintoaliveelectricaloutletandthatthe
outlet is not operated by a switch that is in the off position.
• Checktomakesurethatthecontrolunitisproperlyconnectedtotheoverlay.
• Visually inspect each air cell to make sure there are no cuts, punctures or tears in
the material. If defect is found, use repair kit provided to patch the leak. If defect
cannotberepaired,contactDirectSupplyEquipment&Furnishingsforfurther
assistance.
• Checktomakesurethattherearenokinksorleaksinthehoses.Ifadefectis
discovered, call for repair or replacement of defective component.
• Inspecttheairfiltertomakesureitisclean.Thefilterislocatedonthebackof
the control unit near the upper left corner. The filter should be white in color and
free of dust or other debris. If the filter is not clean, replace with a new filter.
Troubleshooting Guide Limited Warranty

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Limited Warranty
Weoffertoyou,astheoriginalpurchaser,awarrantyfortheDirect Supply®Panacea®
Air Overlay. Our warranty applies for the limited warranty period stated below.
If any device or device part listed below is defective in material or workmanship
during the applicable limited warranty period, we will repair or replace it at our cost.
Please note that the decision to repair or replace a device or device part will be at
our discretion. Our warranty applies only if the device is properly maintained by
the original purchaser for normal, indoor use and does not cover normal wear and
tear, modification of the device, or damage caused by abuse, improper use, failure
to maintain, use which exceeds the published device limitations, or the combination
of any device with another product. In addition, our warranty does not cover fading,
characteristics or natural variations in fabric, texture, colorfastness, stains, spills, or
exposure to chemicals, odors, heat or light. In certain cases, we may provide you
repairoradjustmentinstructionsand/orreplacementparts,andaskyoutoperforma
repairoradjustmentorreplaceadefectivepart.
Our warranty gives you specific legal rights, and you may also have other rights,
which vary, from state to state. Please note that our limited warranty period begins
when we ship the device to you. The limited warranty period and our obligations
under the warranty end once you transfer the device to someone else, or at the end
of the applicable limited warranty period identified below, whichever is earlier.
Product/Part Warranty Period &
Coverage (Parts)
Anticipated Useable
Device Life
ElectricalComponents 1 year 1 year
Overlay 6months 6months
AnticipatedUsableDeviceLifeisbasedonnormalusewithpropermaintenance,
cleaning and storage. You should still inspect, monitor and care for the device
as described in this guide, as the device may need to be replaced sooner than
anticipated in particular situations.
Limited Warranty

14
Customer Service
Limited Warranty (continued)
DIRECTSUPPLYMANUFACTURING,INC.MAKESNOIMPLIEDWARRANTIESOF
MERCHANTABILITYORFITNESSFORAPARTICULARPURPOSE;THESEANDALL
OTHERIMPLIEDWARRANTIESARESPECIFICALLYDISCLAIMED.TOTHEFULLEST
EXTENTALLOWEDBYLAW,DIRECTSUPPLYMANUFACTURINGINC.WILLNOT
BELIABLEFORANYINCIDENTAL,SPECIAL,CONSEQUENTIALORPUNITIVE
DAMAGES,ORLOSTPROFITSTHATMAYRESULTFROMTHEDEVICEORYOUR
USEOFORINABILITYTOUSETHEDEVICEEVENIFADVISEDOFTHEPOSSIBILITY
OFSUCHDAMAGES.OURTOTALLIABILITYTOYOU,IFANY,ISLIMITEDTOTHE
PRICEOFTHEDEVICEORSERVICEGIVINGRISETOYOURCLAIM.Somestatesdo
not allow an exclusion or limitation of incidental or consequential damages or how
long an implied warranty lasts, so the above limitations or exclusions may not apply
to you. If implied warranties are not excluded, and to the extent allowed by law,
we limit any and all implied warranties to the applicable warranty period identified
above.Exceptforrightsunderanyapplicablestatelaw,theremediesprovidedunder
this warranty are your sole and exclusive remedy for any breach of our warranty and
state the entire limit of our responsibilities.

1-800-634-7328 ■directsupply.com 15
Customer Service
Customer Service
Our promise to you is that you will have a convenient and easy ordering experience,
receiveaqualityoverlayandenjoyoutrageouscustomerservice.Ifyouhaveany
questions about the overlay you have purchased or would like to request warranty
service, please contact: Direct Supply Equipment & Furnishings®,1-800-634-7328,
6767NorthIndustrialRoad,Milwaukee,WI53223,[email protected]

#3602
1-800-634-7328 ■directsupply.com
Date of Printing: December 2011
Panacea®products are available to purchase exclusively through Direct Supply Equipment & Furnishings®, a division of Direct Supply®,
Inc. Distributed by Direct Supply®Manufacturing™, Inc., 6699 N Industrial Road, Milwaukee, WI 53223.
© 2009-2011 Direct Supply Manufacturing, Inc. All Rights Reserved. Direct Supply®, Panacea®and all associated logos are the
registered trademarks of Direct Supply Inc., used under license.