Direct Supply Panacea User manual

Panacea®
CONVERTIBLE MATTRESS
& CONVERTIBLE BARIATRIC
MATTRESS
Please keep and refer to this Owner’s Manual.
Owner’s Manual
Thank you for purchasing a Panacea®Convertible Mattress from Direct Supply Equipment
& Furnishings®. 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 Panacea mattress. Share this information with your
housekeeping, nursing and maintenance staff to help ensure the mattress is cared for
properly.
1-800-634-7328 DirectSupply.com

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Introduction ......................................................................................................................... 3
Definitions & Symbols......................................................................................................... 3
Specifications ...................................................................................................................... 4
Warnings ............................................................................................................................. 5
Product Description........................................................................................................ 6 - 7
Directions for Use ......................................................................................................... 8 - 9
Transportation .................................................................................................................. 10
CPR .................................................................................................................................. 10
Cleaning.............................................................................................................................. 11
Preventive Maintenance.................................................................................................... 12
Storage .............................................................................................................................. 12
Troubleshooting Guide ...................................................................................................... 13
Limited Warranty............................................................................................................... 14
Customer Service ............................................................................................................. 15
The optional pump is certified to E223556, UL60601-1 and CAN/USA C22.2 NO.601.1
Table of Contents

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Introduction
The Panacea®Convertible Nonpowered Mattress providing nonpowered zoned pressure
redistribution and Panacea Convertible Mattress with alternating pressure pump
providing alternating pressure are designed to assist in the prevention and treatment of
pressure ulcers for Long Term Care residents. The support surface fits most standard
healthcare beds and consists of 9 or 12 air cells that run laterally underneath the entire
body and are contained in a foam cavity. The heel section of the mattress is tapered
to further reduce pressure on the heel area. The air and foam flotation system aids in
pressure redistribution by maintaining low interface pressures throughout the surface.
The Panacea Convertible Mattress has the option of a quiet, energy-efficient pump,
which provides alternating pressure therapy in a 10-minute cycle. The inflation levels are
designed to maintain low interface pressures throughout the mattress, to redistribute
peak interface pressures during the cycle, and further relieve peak pressure points as
the cycle alternates.
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.
•:Attention. Read the instructions.
DEVICE: Your Panacea Convertible Mattress.
YOU and YOUR: The facility, community or other entity that has purchased the device.
WE, US and OUR: Direct Supply®Manufacturing™, Inc.
Introduction and
Definitions & Symbols

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Cover
4-Way Stretch Top Cover
PVC Bottom Cover
Antimicrobial
Flame Resistant
Fluid Resistant
Tear Resistant
Fire Ratings
CA #117 – Panacea Convertible Mattress meets California Technical Bulletin 117 requirements
CA #129 – Available option at time of purchase
TB603 – Available option at time of purchase
16 CFR 1633 – Panacea Convertible Mattress is exempt from this test
NOTE: 16 CFR 1633 – Available option at time of purchase
Top Foam Layer
2" Die-Cut Foam
Air Cylinders
70 Denier Nylon, Polyurethane Foam and Air Filled
Side Perimeters
Firm 3" foam, high density
Optional 3"H raised perimeters
Optional Pump
120V
60 Hz
Surface Sizes
32"W x 6"H x 80"L, 500 lb. weight capacity
35"W x 6"H x 75"L, 500 lb. weight capacity
35"W x 6"H x 80"L, 500 lb. weight capacity
35"W x 6"H x 84"L, 500 lb. weight capacity
39"W x 6"H x 80"L, 500 lb. weight capacity
42"W x 6"H x 80"L, 750 lb. weight capacity
48"W x 6"H x 80"L, 750 lb. weight capacity
54"W x 6"H x 80"L, 1,000 lb. weight capacity
60"W x 6"H x 80"L, 1,000 lb. weight capacity
•: 1. Resident’s body cannot exceed the width of the mattress.
2. Check the weight capacity of the bed to make sure both the mattress and bed are
capable of supporting additional weight.
Operating Modes
Panacea Convertible Nonpowered Mattress: reactive 3-zoned nonpowered
pressure redistribution
Panacea Convertible Mattress with powered alternating pressure therapy
Alternating Pressure Cycle – provides 10-minute loading and unloading cycles
designed to relieve peak interface pressures
Specifications

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Read and follow all directions and warnings before using this product.
• WARNINGS
1. Failure to comply with all directions and warnings may result in injury or death; use
only as directed.
2. This product is not suitable for all individuals. Other devices may be required.
3. Inspect the product for damage before each use and do not use it if it appears to be
damaged or not functioning properly.
4. Never alter the product in any way.
5. This product is designed for indoor use only within close proximity to skilled caregivers.
6. This device is not designed to operate with residents weighing more than 500 lbs. on
mattresses up to 39" wide, 750 lbs. for 42" to 48" mattresses and 1,000 lbs. for
54" to 60" wide mattresses.
NOTE: Resident’s body cannot exceed the width of the mattress at any weight capacity.
• NOTE – This product 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.
• 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 product 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 product 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 product 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 product for
a purpose other than the recommended use could result in bodily injury or death.
This product is not designed to replace good caregiving practices, including but not limited to:
• Direct patient and resident supervision
• Adequate care plans and training for staff personnel for entrapment and fall prevention.
• Inspection and testing before use
Warnings

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Indications For Use
The Panacea Convertible Nonpowered Mattress and the Panacea Convertible mattress
with alternating pressure are flotation therapy mattresses providing a pressure
management surface to assist in the prevention and treatment of up to Stage III pressure
ulcers when non-powered and up to Stage IV when powered. The optional alternating
pressure mode is indicated for use as a preventive tool against further complications
associated with critically ill residents or immobility.
Foam Cavity
A foam cavity is used to contain the air cells and stabilize the entire surface, assist with
ingress/egress and minimize resident falls. This foam cavity is tapered at the foot end to
provide additional pressure redistribution in the heel section. Mattress is also available
with optional 3" raised side perimeters to further reduce resident falls.
Air Cells
9 or 12 foam-filled polyurethane air cells are divided into three separate pressure zones.
By utilizing different foam ILDs (firmness types), the Panacea Convertible air cells are
specifically designed to meet the pressure needs of the different zones of the body.
Side Perimeters
3"W firm perimeter provides support when entering/exiting the bed. The Panacea
Convertible Plus Mattress has 3" raised side perimeters to help minimize falls.
Heel Section
9-cell design provides an extra-thick, super-soft foam heel section to reduce pressure.
12-cell design provides air cells and optional alternating pressure in the heel section
when deemed necessary.
Cover
Top Cover – The 4-way stretch bacteriostatic top fabric is fire resistant, fluid resistant,
tear resistant, cleanable and replaceable.
Bottom Cover – PVC vinyl bottom for durability and easy cleaning.
Mattress Height
The Panacea Convertible Plus mattress provides a 6" thick pressure management
surface and the total mattress height is 9" with raised perimeters.
Friction/Shear
The cover reduces both friction and shear.
Replacement Mattress
The mattress should be placed directly on an existing healthcare bed frame of an
appropriate size.
Product Description

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Warranty
The mattress warranty is 2 years against manufacturing defects (see warranty for
specific details).The optional alternating pressure control unit warranty is 18 months.
Pressure Management
This combination air/foam replacement mattress is designed to provide pressure
management for the prevention and treatment of up to Stage IV pressure ulcers.
Optional Alternating Pressure Pump Unit
Power On/Off Switch
Powers the control unit on and off.
Firmness Dial
Adjusts the pressure within the system.
Low Pressure Alarm
Indicates loss of air pressure.

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Panacea Convertible Mattress – Nonpowered
1. Place the mattress on the bed deck with the sloped heel section at the foot of the
bed. Allow 45 minutes for the mattress to self-inflate.
2. Locate the pressure adjustment connectors under the Velcro flap on the side of the
mattress near the foot end. Insert one end of the connector tube into each connector
by gently pushing them in.
3. After preparing the mattress surface with appropriate linens (not included), place the
resident on the mattress. LINEN NOTE: Deep-pocketed sheets are recommended (not
included). Multiple layering of linens or under pads beneath the resident can negatively
affect the mattress’s pressure management capabilities and should be avoided unless
recommended by a caregiver.
4. To soften the mattress for lighter residents simply remove one end of the connector
tube, located under velcro flap, to allow air to exit the system. When the desired
comfort level is achieved, re-insert the end of the tube.
NOTE: Mattress can be used safely with the connector completely removed.
5. Occasional checking may be required to compensate for temperature changes and
other variables.
Panacea Convertible Mattress – Powered
1. Place the mattress on the bed deck with the sloped heel section at the foot of the bed.
2. Hang the pump unit on the end of the bed using the hangers, or place on a stable
horizontal surface.
3. Locate the mattress connections on the side of the mattress under the Velcro flap
near the foot of the bed. Insert the connectors at the ends of the air lines into the
corresponding connectors on the side of the mattress. Push in securely until you
hear a “click.”
4. Connect the opposite end of the hose assembly to the alternating pressure pump.
The mattress operation will not be affected by the hose orientation. Ensure the air
lines are not “kinked” or “twisted.”
5. Ensure the electrical power switch on the side of the pump is in the OFF position
then plug in the power cord. Change the ON/OFF switch from the OFF position to
the ON position. The POWER ON lamp should now be illuminated.
6. Allow the mattress 10 minutes to inflate fully.
7. After preparing the resident surface, place the resident on the system.
Initially set the PRESSURE CONTROL knob to Low. Increase if necessary for
resident comfort.
Directions for Use

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•CAUTION: Be careful not to puncture the mattress with needles or sharp
instruments. This may result in loss of integrity of the cover or internal air system.
•NOTE – This product 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
product 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 product and proper
maintenance and use of the product
• Testing of the product before each use

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CPR
The standards for life support recommended by the American Heart Association for
performing CPR 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 resident and follow appropriate CPR procedures.
To deflate the mattress for CPR function in either powered or non-powered operation,
disconnect the hoses from the mattress by pressing the quick release buttons on the
hose connections and pull firmly. The connections are located at the side of the foot end
of the mattress under the Velcro flap.
In case of emergency, use a scissors or knife to cut the hose and/or the air cushions in
the mattress.
Transportation
With Optional Pump
1. Disconnect the hose from the pump and quickly place the cap over the end of the
hose to prevent air loss.
2. Check the fit of the cap for leaks.
3. Remove pump from bed/footboard.
You may now transport the resident while in bed. A properly sealed mattress will
continue to support a resident for approximately one hour without power. It is not
possible to provide an exact time because it is dependent upon the resident’s weight.
Re-attach the pump as soon as possible to restore mattress performance.
•WARNING: DO NOT attempt to use the mattress as a carrying device,as it is
not designed to carry a resident’s weight unsupported.
Without Optional Pump
You may transport the resident while in bed at any time provided proper surrounding
conditions are safe and cleared for moving.
•WARNING: DO NOT attempt to use the mattress as a carrying device as it is not
designed to carry a resident’s weight unsupported.
Transportation & CPR

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Mattress
Only the outer cover requires cleaning and maintenance. Disassembly of the mattress
for cleaning of internal components is not recommended. 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; Proctor & 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.
Alternating Pressure Pump – when used
• WARNING – Before attempting to clean the control unit, turn off unit and disconnect
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.
Cleaning

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Preventive Maintenance
It is important to periodically test the alternating pressure pump 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.
Storage
1. Always store the support surface flat on a clean, level surface.
2. Avoid storage of other equipment on top of the support surface.
Preventive Maintenance
& Storage

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•NOTE: This mattress needs one hour after unboxing to return to original condition.
Mattress will not inflate or if every other cell is not inflating while
connected to the alternating pressure pump:
• Disconnect the control unit and make sure air is flowing from the open ports. This is
done by disconnecting the control unit from the mattress 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 the control unit is on.
• Check to make sure the control unit is properly connected to the mattress.
• Open mattress and inspect the internal connections to make sure each individual air
cell is properly connected and not leaking. If a defect is discovered, call for repair or
replacement of defective component.
• Visually inspect each air cell to make sure there are no cuts, punctures or tears in
the mattress material. If a defect is discovered, call for repair or replacement of
defective component.
• Check to make sure there are no kinks or leaks in the internal and external hoses. If a
defect is discovered, call for repair or replacement of defective component.
Mattress is soft and will not get firm or Low Pressure Alarm is sounding
while connected to the control unit:
• Check control unit to make sure it is on and functioning properly. If the control unit is
not functioning, call for service.
• 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.
• Visually inspect each air cell to make sure there are no cuts, punctures or tears in
the mattress material. If a defect is discovered, call for repair or replacement of
defective component.
•NOTE: The pressure in the mattress lowers when the weight of the resident is
removed from the mattress. The alarm will sound until the pump re-establishes the
pressure level. In this situation, wait about five minutes and check it again.
Alternating pressure pump is not working:
• Check to make sure the control unit is plugged into a live electrical socket.
• Make sure the control unit is turned on.
• Check the external fuses to make sure the fuses are in good condition. Make sure the
control unit is unplugged from the power source. Locate the fuses on the side
of the control unit near the on/off switch. Unscrew the fuse cap and inspect the fuse
to see if the filament (small wire inside of the glass tube) is broken. If the filament is
broken, install new fuse and re-insert the fuse cap. Be sure the replacement fuse is of
the same voltage and amperage as the previous fuse.
Troubleshooting Guide

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We offer to you, as the original purchaser, a warranty for the Panacea®Convertible
Mattress. 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 Usable
Device Life
Electrical
Components 18 months 3 years
Mattress 2 years 5 years
Cover 1 year 1 year
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.
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.
Limited Warranty

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

Direct Supply®Panacea®products are available to purchase exclusively through Direct Supply Equipment & Furnishings®, a
division of Direct Supply®, Inc. Distributed by Direct Supply®Manufacturing™, Inc. 6635 N Industrial Road, Milwaukee WI 53223.
© 2009-2017 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.
5428Date of Printing: November 2017