GETINGE GROUP ARJOHUNTLEIGH Bari-Breeze User manual

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Bedienungsanleitung • Instrucciones de uso • Notice d’utilisation
Istruzioni per l’uso • Gebruiksaanwijzing
Bari-Breeze
Instructions for Use
...with people in mind
647901ML Rev 2 • 04/2015

WARNING
To avoid injury, always read this Instructions for Use and accompanied documents
before using the product.
Mandatory to read the Instructions for Use
Design Policy and Copyright
® and ™ are trademarks belonging to the ArjoHuntleigh group of companies.
© ArjoHuntleigh 2015.
As our policy is one of continuous improvement, we reserve the right to modify designs
without prior notice.The content of this publication may not be copied either whole or in
part without the consent of ArjoHuntleigh.

English
Deutsch
Français
Italiano
Nederlands
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English

WARNING
To avoid injury, always read this Instructions for Use and accompanied documents
before using the product.
Mandatory to read the Instructions for Use
Design Policy and Copyright
® and ™ are trademarks belonging to the ArjoHuntleigh group of companies.
© ArjoHuntleigh 2015.
As our policy is one of continuous improvement, we reserve the right to modify designs
without prior notice.The content of this publication may not be copied either whole or in
part without the consent of ArjoHuntleigh.

(i)
Contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
About this Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
About Bari-Breeze . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Bari-Breeze Mattress. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Clinical Applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Contraindications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Precautions for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Installation and Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CPR Facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Controls, Alarms and Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Controls and Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Initial Power Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Comfort Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Static Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Turn Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Turn Times. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
To Deflate and Store the Bari-Breeze Mattress. . . . . . . . . . . . . . . . . . . . . . . . 12
Decontamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Troubleshooting Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Spare Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Warranty and Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
Technical Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

(ii)
General Safety
Before you connect the system pump to a mains socket, read carefully all the
installation instructions in Section 3 - Installation. The system has been designed to
comply with regulatory safety standards including:
• EN60601-1:1990/A13:1996
• UL60601-1 1st Edition
• CAN/CSA C22.2 No 601.1-M90
Precautions
For your own safety and the safety of the equipment, always take the following
precautions:
• Keep the pump away from sources of liquids and do not immerse in water.
• Do not expose the system, especially the mattress, to naked flames, such as
cigarettes etc.
• Do not store the system in direct sunlight.
• Switch off the electrical supply to the pump by disconnecting the pump from the
mains socket before cleaning and inspection.
• Ensure the system is clean and dry prior to storage.
• Never use sharp objects or electrically heated under blankets on or under the
system.
• Store the pump and mattress in the protective bags supplied.
• Only the pump and mattress combination as indicated by ArjoHuntleigh should
be used. The correct function of the product cannot be guaranteed if the incorrect
pump or mattress combinations are used.
Safety Warnings
• The cover of this product is vapour permeable but not air permeable and may
present a suffocation risk. It is the responsibility of the care provider to ensure
that the user can use this product safely.
• Electrical equipment may be hazardous if misused. The front and rear case of
the pump unit should only be separated by authorised technical personnel.
• Do not use the pump in the presence of flammable gases such as anaesthetic
agents.
• Make sure that the mains power cable is positioned to avoid causing a trip or
other hazard, and is clear of moving bed mechanisms or other possible
entrapment areas.

(iii)
Caution
Electromagnetic compatibility (EMC). This product complies with
the requirements of applicable EMC Standards. The use of
accessories not specified by the manufacturer may result in
increased emissions by, or decreased immunity of, the equipment,
affecting its performance.

1
1. Introduction
About this Manual This manual is your introduction to the Bari-Breeze®
system. Use it to initially set up the low air loss system,
keep it as a reference for day-to-day routines, and as a
guide to maintenance.
About Bari-Breeze The Bari-Breeze is a constant low pressure support
surface.
A permanently inflated sub-base and bolsters along each
side of the mattress are designed to provide optimal
support and comfort for patients particularly when the
system is operating in Turn mode.
The Bari-Breeze pump is fully programmable and
provides the following modes of operation:
• Static Mode (Default) - When Turn therapy settings
are set to , the system remains flat, providing a
continuous low pressure surface.
•Turn (Rotation) Mode - Provides an angled support
surface to assist with nursing procedures.
•Firm Mode (Maxflow) - Provides a firm support
surface (for 15 minutes) to facilitate nursing
procedures and/or patient handling.
The Bari-Breeze cover is water resistant and vapour
permeable to enhance patient comfort whilst protecting
the cells from ingress of contaminants. The cover is
simple to clean in situ, but may easily be removed for
laundering, preventing cross contamination.
In the event of cardiac arrest the mattress replacement
can be easily deflated to allow cardiac resuscitation
procedure (CPR) to be performed.

2
Bari-Breeze Mattress
A self contained mattress replacement system with easily
detachable components for cleaning.
Cover
Pump Connector
Base Air Pad Plug

3
Cells Polyurethane cells approximately 250mm (10”) high
providing support to the patient.
Tubeset Manufactured from material to reduce accidental
kinking.
Tubeset Connector/CPR Located at the pump end of the tubeset is a specially
designed twin snap lock connector. This design helps
prevent accidental disconnection of the mattress from
the pump. Releasing the connector allows rapid
deflation of the mattress in order to facilitate CPR.
For additional access or to facilitate transfer, the side
bolsters and base air pad can be deflated by removing
the air plug.
Cover The mattress is totally enclosed in a double zipped
cover. The top and sides of the cover are constructed
from a two-way stretch and water resistant material,
which is vapour permeable for maximum patient
comfort. The base of the cover is constructed from a
tough abrasion resistant material and is fitted with bed
attachment straps.
Base Air Pad A 50 mm (2”) thick sub-mattress made of a single air-
filled cell enclosed in the base to support the patient in
the event of loss of air pressure in the mattress.
Bolsters Two side air bolsters which provide optimal support and
comfort for the patient particularly when the system is
operating in Turn mode.
Air Plug The air plug is used to deflate both the side bolsters and
base air pad. It is located close to the tubeset/pump
connector.

4
Bari-Breeze Pump
Mounting Hooks Integrated mounting hooks fitted to the rear casing allow
easy positioning of the pump from the bed foot rail.
Keypad The keypad is angled to provide the user with a clear
visual display. An LED display and individually
illuminated control buttons give precise indications of
the status of the system at any point in time.
LED Display Highly visible and bright 7 segment blue LED digital
display panel.

5
2. Clinical Applications
Indications The Bari-Breeze system is indicated for patients up to
the highest risk of pressure ulceration and weighing up
to 455Kgs (1000 lbs), and is suitable for the prevention
and management of all grades of pressure ulcers.
Contraindications Patients with unstable spinal fractures should not be
placed on the Bari-Breeze system.
Precautions for Use In the case of patients with unstable fractures advice
should be obtained from the appropriate physician
before using the Bari-Breeze system.
Care should be taken to ensure that all patient tubes and
lines are suitably positioned. This will help minimise the
risk of pull or disconnection whilst Turn mode is
selected or in the event of a power failure.
Regular monitoring of patients is recommended,
particularly whilst in Turn mode.
In any lateral rotation system there may be an increased
risk of gradual patient migration into hazardous
positions. This may result in entrapment and/or
inadvertent bed exit.
A risk assessment tool combined with clinical judgement should be used
when determining a patient’s level of risk of developing pressure ulcers.
Patient risk assessment should be an ongoing process as changes in the
patient’s condition may increase or decrease their risk level.
The above are guidelines only and should not replace clinical judgement or
experience.

6
3. Installation and Setup
Warnings The following warnings should be taken note of before
installing the Bari-Breeze system.
Installation The following components should be found within your
Bari-Breeze packaging:
•Bari-Breeze Mattress Replacement
•Pump
•UserManual
•PowerCord
1. Before using the Bari-Breeze mattress replacement
system, please remove all other mattress systems
from the bed.
2. When installing the Bari-Breeze mattress, care
should be taken such that the mattress is placed
directly on the bed frame.
Make sure that the tubeset end of the mattress is towards the foot end of the
bed.
WARNING
The Bari-Breeze system must be installed on bed frames that are
equipped with Safety Sides. Please raise safety sides on the bed
and lock them in position after the patient is on the mattress.
NEVER LEAVE A PATIENT UNATTENDED ON THE MATTRESS
SYSTEM WITH THE SAFETY SIDES IN THE DOWN POSITION.
WARNING
Never use sharp objects or electrically heated underblankets on or
under the mattress.
WARNING
Make sure that the mains power cable is positioned to avoid
causing a hazard and is clear of moving bed mechanisms or other
possible entrapment areas.

7
3. There are 16 nylon black straps with buckles, on the
base of the mattress. Loop each strap around the
bed frame and fasten it securely to the bed frame
using the buckle.
If the bed can be profiled to any position (i.e. raised or lowered), attach the
mattress to the movable parts of the bed only.
4. Open the hooks on the back of the pump and
suspend the pump from the bed foot rail. If the bed
you are using does not have a foot rail, place the
pump on its base (not on its back where the filter is
located) on a flat surface underneath the bed near
the foot of the bed frame.
Care should be taken such that the air inlet vent on the pump is not covered,
and the pump is not placed on the floor in such a manner that it is a hazard.
5. Plug the power cord into the pump and press it in
place. Uncoil the power cord and plug the cord into
a properly grounded AC power source.
6. Securely attach the pump connector onto the pump
until it clicks, and make sure the side bolster and
base air pad plug is secure.
Care should be taken such that the mattress hose is freely suspended without
being pinched or kinked.
7. If not already fitted, place the protective cover over
the mattress and secure in position. Make sure the
ArjoHuntleigh logo is uppermost and at the foot end
of the mattress.
8. Push the Power/Standby button to turn the pump on
and enter the required therapy settings, see
“Controls, Alarms and Indicators” on page 9.
9. Unzip the cover and ensure the cells, side bolsters,
and the base pad are all fully inflated. Refit cover.
10. Place a bed sheet loosely over the mattress before
use.

8
4. CPR Facility
Located on the right hand side of the pump is a CPR
device marked with an arrow. In the event of cardiac
arrest, press the two quick release catches on the
tubeset/pump connector, and simultaneously pull the
hose away from the pump.
To reinflate the mattress 1. Switch the pump into standby mode and reconnect
the tubeset and base air pad plug if removed.
Switch the pump on and reset the therapy settings.
IMPORTANT
In the event of cardiac arrest, depress the two release catches on
the tubeset/pump connector, and at the same time pull the tubeset
out and away from the pump.

9
5. Controls, Alarms and Indicators
Controls and Indicators
Standby When the pump has power but is in Standby mode, the
7 segment LED display will show a single bar.
Power/Standby Press the Power/Standby button to turn the pump on.
Max Flow Press to enable maximum air flow from the pump.
A blue LED on the button will indicate that Max Flow is
active.
If Max Flow ‘F’ is selected when the system is operating
in Turn mode then Turn mode will be deselected and the
indicator will show .
Unless deactivated, Max Flow will remain active for 15 minutes, during this
time an audible warning will sound every three minutes. After this, the
comfort level will revert to the previous setting, and remain in Static mode.
Turn Options The button selects the turn settings of the mattress.
Each press of the button selects the next setting. For
instance, to change the mattress from Bi-lateral Turn
()to Static ( ) position, press the button twice until
is selected.
In Left Turn () mode the right air cushions in the
mattress will be held at a constant high pressure, and the
left air cushions will be held at a constant low pressure.
This process is reversed for the Right Turn () mode.
When is selected, the system will alternate between
left and right turn, stopping in the central position.
LED Display
Comfort Control
Power/Standby
Lock Out Button/Indicator
Turn Angle
Turn Time Turn Options
(Soft)
Comfort Control
(Firm)
Max Flow
(Fast Inflate)
Button/Indicator Button/Indicator
Button/Indicator

10
During this time the display will show “C” or “d” to
indicate the system is in the centralising phase.
Turn Times The time selected for the turn is the amount of time (in
minutes) the mattress will remain in each position
during the selected turn sequence.
Turn Angle Four settings are available to select the amount of turn
given to the patient. These are selected using the turn
angle button , where 4/4 is equal to approximately 40
degrees.
Comfort Control Level These controls adjust the firmness of the mattress. Using
the button reduces the pressure setting, and the
button increases it.
The current comfort level (1-9) will be displayed in the
LED display.
Lock Out Pump functions (including power/standby switch) can
can be locked out to prevent unintentional change of
modality / cell pressures. To activate, press the lock
button for approximately 2-3 seconds until the blue LED
illuminates. To deactivate, press and hold the lock out
button until the LED turns off.
Alarms
Power Fail In the event of a power fail situation, the pump will alert
the carer by flashing the amber Power Fail LED and
sounding the buzzer. Once the power is restored to the
pump the alarm will cease and the pump will return to its
previous operating settings.
Low Pressure In the event of hose disconnection, an ‘L’ and ‘P’ will
alternate on the LED display (representing "Low
Pressure") while the buzzer sounds to alert the carer to
the alarm condition. Once the hose is reconnected, the
alarm will cease and the pump resume its previous
therapy settings.

11
6. Operation
Before using the Bari-Breeze mattress system, make sure it has been installed
correctly in accordance with “Installation and Setup” on page 6, and ensure that the
side bolster and base plug is secure in the connector at the foot end of the mattress.
Initial Power Up Press the power/standby button to turn the pump on. An
audible beep will sound. The system will go into a start
up cycle for 30 seconds, during this time the pump will
rapidly inflate the mattress. During this process the 7
segment display will alternate between ‘b’ and ‘f’ to
indicate bolster fill.
These may reflect the therapy settings that were applied last time the system
was in use.
Comfort Controls Once the mattress is fully inflated and with the patient in
position, adjust the comfort controls to the desired level.
Adjust if neccesary to ensure that the patient does not
sink through to the base air pad.
Recommended Pressure Settings
For extra firm support during patient handling or nursing
procedures, it is recommended to set the mattress
pressure to maximum by pressing MAX FLOW ( ).
When the patient is to be placed in the gatched position,
it is recommended to press the button to increase
the pressure/comfort level accordingly. to ensure the
patient does not bottom out.
Static Mode
Max Flow Pressing the button sets the blower to maximum
flow, fully inflating the mattress overriding the comfort
control. This feature is only available in static mode. If
pressed during Turn mode, it will revert the system to
Static mode and return the patient to a central position.
Max Flow inflates the mattress to maximum pressure for
15 minutes, and this will be indicated by a blue LED and
an ‘F’ being shown in the LED display.
To cancel Max Flow and to enter Turn mode settings,
press the button once. To continue Max Flow for
more than 15 minutes, press once to cancel, and
quickly again to enter Max Flow for a further 15 minutes.
After 15 minutes, Max Flow is automatically cancelled.