Getinge Arjohuntleigh AtmosAir User manual

Instrukcja Obsługi • Návod k použití • Používateľská príručka
Felhasználói kézikönyv • Uporabniški priročnik • Korisnički priručnik
Руководство пользователя • Manualul utilizatorului
AtmosAir with SAT 4000 Series
AtmosAir with SAT 9000 Series
AtmosAir with SAT T-Series
AtmosAir with SAT A-Series
EN
PL
CS
SK
HU
SL
BS
RU
RO
AtmosAir
Mattress Replacement System
User Manual
...with people in mind
407391-EE-AH Rev C • 01/2018

ENGLISH
MAGYAR
ČEŠTINA
BOSANSKI
POLSKI
SLOVENŠČINA
SLOVENČINA
РУССКИЙ
ROMÂNĂ

ENGLISH

vii
DISCLAIMER OF WARRANTY AND LIMITATION OF REMEDY
ARJOHUNTLEIGH HEREBY DISCLAIMS ALL EXPRESS OR IMPLIED WARRANTIES, INCLUDING
WITHOUT LIMITATION ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR
A PARTICULAR PURPOSE, ON THE ARJOHUNTLEIGH PRODUCTS DESCRIBED IN THIS PUBLICATION.
ANY WRITTEN WARRANTY OFFERED BY ARJOHUNTLEIGH SHALL BE EXPRESSLY SET FORTH
IN THIS PUBLICATION OR INCLUDED WITH THE PRODUCT. UNDER NO CIRCUMSTANCES SHALL
ARJOHUNTLEIGH BE LIABLE FOR ANY INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES
AND EXPENSES, INCLUDING DAMAGES OR INJURY TO PERSON OR PROPERTY, DUE IN WHOLE
OR IN PART TO THE USE OF THE PRODUCT OTHER THAN THOSE FOR WHICH DISCLAIMER OF
WARRANTY OR LIMITATION OF LIABILITY IS EXPRESSLY PROHIBITED BY SPECIFIC, APPLICABLE
LAW. NO PERSON HAS THE AUTHORITY TO BIND ARJOHUNTLEIGH TO ANY REPRESENTATION
OR WARRANTY EXCEPT AS SPECIFICALLY SET FORTH IN THIS PARAGRAPH.
Descriptions or specifications in ArjoHuntleigh printed matter, including this publication, are
meant solely to generally describe the product at the time of manufacture and do not constitute
any express warranties except as set forth in the written limited warranty included in this publication
or with this product. Information in this publication may be subject to change at any time.
Contact ArjoHuntleigh for updates.
Important Information For Users
In order for ArjoHuntleigh products to perform properly, ArjoHuntleigh recommends the following
conditions. Failure to comply with these conditions will void any applicable warranties.
• Use this product only in accordance with these instructions and applicable product labeling.
• Assembly, operations, extensions, re-adjustments, modifications, technical maintenance
or repairs must be performed by qualified personnel authorized by ArjoHuntleigh.
Contact ArjoHuntleigh for information regarding maintenance and repair.
• If applicable, ensure the electrical installation of the room complies with the appropriate
national / local electrical wiring standards.
Specic indications, contraindications, warnings, precautions and safety information
exist for ArjoHuntleigh’s therapeutic support systems. It is important for users to read
and familiarize themselves with these instructions and to consult the treating physician
prior to patient placement and product use. Individual patient conditions may vary.

viii

1
Table Of Contents
Introduction..............................................................................................................2
Indications...............................................................................................................................................................................................2
Contraindications................................................................................................................................................................................2
Risks and Precautions.......................................................................................................................................................................2
Safety Information..............................................................................................................................................................................3
Preparation for Use ..................................................................................................5
Mattress Installation ................................................................................................5
AtmosAir with SAT 4000, 9000, AtmosAir with SAT T-Series* and AtmosAir with SAT A-Series..............5
Patient Placement and Nursing Care......................................................................................................................................6
CPR...............................................................................................................................................................................................................6
Skin Care...................................................................................................................................................................................................6
Incontinence / Drainage ................................................................................................................................................................6
General Operation..............................................................................................................................................................................6
Care and Cleaning .................................................................................................... 7
Fire Barrier................................................................................................................................................................................................7
Cover Cleaning Options..................................................................................................................................................................7
Preventive Maintenance Schedule.......................................................................... 8
Daily Cleaning.......................................................................................................................................................................................8
Inspection / System Check-Out ................................................................................................................................................8
Troubleshooting ...................................................................................................... 9
Parts Diagram - AtmosAir with SAT 4000 ..............................................................10
Parts Diagram - AtmosAir with SAT 9000 and T-Series .........................................11
Parts Diagram - AtmosAir with SAT A-Series ........................................................12
Replacement Parts+ ...............................................................................................13
Specifications..........................................................................................................15
Symbols Used..........................................................................................................17
Customer Contact Information..............................................................................19

2
Introduction
It is recommended that all sections of this User Guide be read prior to product use. Carefully review
the Contraindications, Safety Information and Risks and Precautions sections prior to placing
a patient on any AtmosAir™with SAT™Mattress Replacement System (MRS).
Caregivers should review this information with the patient and the patient's family and / or legal
guardian. Save this User Guide in an easily accessible location for quick reference.
This User Guide is comprised of the following AtmosAir MRS series:
• AtmosAir with SAT 4000 Series
• AtmosAir with SAT 9000 Series
• AtmosAir with SAT T-Series
• AtmosAir with SAT A-Series
The AtmosAir MRS comes in a wide variety of lengths and widths to support various customer
requirements. Contact an ArjoHuntleigh representative for additional product information.
Indications
• The AtmosAir MRS is intended to treat and prevent all categories of pressure ulcers.
Contraindications
• unstable vertebral fracture
• cervical and skeletal traction
Risks and Precautions
Transfer – Standard precautions should be taken during patient transfer.
Side Rails and Restraints – WARNING: Use or non-use of restraints, including side rails, can be
critical to patient safety. Serious or fatal injury can result from the use (potential entrapment) or non-
use (potential patient falls) of side rails or other restraints. See related Safety Information.
Patient Migration – Specialty surfaces have different shear and support characteristics than
conventional surfaces and may increase the risk of patient movement, sinking and /or migration into
hazardous positions of entrapment and / or inadvertent bed exit. Monitor patients frequently
to guard against patient entrapment.

3
Safety Information
Patient Entrance / Exit – Caregiver should always aid patient in exiting the bed. Make sure a
capable patient knows how to get out of bed safely (and, if necessary, how to release the side rails)
in case of fire or other emergency.
Brakes – Caster brakes should always be locked once the bed is in position. Verify wheels are locked
before any patient transfer to or from the bed.
Bed Height – To minimize risk of falls or injury, the bed should always be in the lowest practical
position when the patient is unattended.
Bed Frame – Always use a standard healthcare bed frame with this mattress, with any safeguards
or protocols that may be appropriate. Bed frame and side rails (if used) must be properly sized
relative to the mattress to help minimize any gaps that might entrap a patient's head or body. It is
recommended that bed and side rails (if used) comply with all applicable regulations and protocols.
CPR - Level the bed. Lower side rails and initiate CPR per facility protocols. Consider use of backboard
if indicated. After CPR remove backboard, if used, raise siderails and reconfigure bed and accessories
as in initial placement.
Head of Bed Elevation – Keep head of bed as low as possible to help prevent patient migration.
Side Rails / Patient Restraints - Whether and how to use side rails or restraints is a decision that
should be based on each patient’s needs and should be made by the patient and the patient’s
family, physician and caregivers, with facility protocols in mind. Caregivers should assess risks and
benefits of side rail / restraint use (including entrapment and patient falls from bed) in conjunction
with individual patient needs, and should discuss use or non-use with patient and / or family.
Consider not only the clinical and other needs of the patient but also the risks of fatal or serious
injury from falling out of bed and from patient entrapment in or around the side rails, restraints or
other accessories. In the US, for a description of entrapment hazards, vulnerable patient profile and
guidance to further reduce entrapment risks, refer to FDA’s Hospital Bed System Dimensional and
Assessment Guidance To Reduce Entrapment. Outside the US, consult the local Competent Authority
or Government Agency for Medical Device Safety for specific local guidance. Consult a caregiver and
carefully consider the use of bolsters, positioning aids or floor pads, especially with confused, restless
or agitated patients. It is recommended that side rails (if used) be locked in the full upright position
when the patient is unattended. Make sure a capable patient knows how to get out of bed safely
(and, if necessary, how to release the side rails) in case of fire or other emergency. Monitor patients
frequently to guard against patient entrapment.
CAUTION: When selecting a standard mattress, ensure the distance between
top of side rails (if used) and top of mattress (without compression)
is at least 8.66 in (220 mm) to help prevent inadvertent bed exit or falls.
Consider individual patient size, position (relative to the top of the side
rail) and patient condition in assessing fall risk.
I.V. and Drainage Tubes – I.V. and drainage tubes should always have slack for alternating pressure
or rotation and other patient movements.
Skin Care – Monitor skin conditions regularly and consider adjunct or alternative therapies for high
acuity patients. Give extra attention to any possible pressure points and locations where moisture or
incontinence may occur or collect. Early intervention may be essential to preventing skin breakdown.
No Smoking in Bed – Smoking in bed can be dangerous. To avoid the risk of fire, smoking in bed
should never be allowed.
General Protocols – Follow all applicable safety rules and institution protocols concerning patient
and caregiver safety.

4
Fire Barrier Contact - Care should be taken with regards to the fire barrier when the cover is
removed. It is recommended that Personal Protective Equipment (PPE) is used during handling of
the mattress with the fire barrier exposed to avoid contact with loose particles. To ensure optimal
product performance, avoid over-handling of the fire barrier and handle with care. If the fire barrier
becomes damaged or soiled it should be replaced.
Disposal – At the end of useful life, dispose of waste according to local requirements or contact
the manufacturer for advice.

5
Preparation for Use
For information concerning the bed frame refer to the manufacturers'
User Guide.
1. Open shipping container(s).
Do not use sharp instruments to open boxes. Damage to mattress could result.
2. Remove AtmosAir with SAT MRS from plastic protective cover.
The mattress cover may appear wrinkled when unpacked. To remove
wrinkles, allow mattress up to 24 hours to accommodate; see for more
information. Wrinkles will not aect ination or function, so mattress may
be used immediately if needed.
3. Check mattress surface for tears or cracking; do not use if tears or cracks are present.
4. If re-installing mattress onto a new frame or for a new patient, check mattress surface
for staining and soiling; clean and / or disinfect as required (see Care and Cleaning).
5. Level bed and lock brakes.
6. Remove existing mattress from bed frame.
Mattress Installation
AtmosAir with SAT 4000, 9000, AtmosAir with SAT T-Series*
andAtmosAir with SAT A-Series
1. Position mattress on bed frame with logo facing up and product information tags at foot
end of bed.
Magnets are integrated on the AtmosAir T-Series bottom cover to help keep
the mattress in place during foot section extension / retraction.
2. Ensure there are no gaps between mattress and bed frame or side rails.
Always use a standard healthcare bed frame with safeguards or protocols that
may be appropriate. Frame and side rails must be properly sized relative to the
mattress to help minimize any gaps that might entrap a patient’s head or body.
* T-Series is compatible for use with the Hill-Rom Total Care™ bed frame.

6
Patient Placement and Nursing Care
It is recommended that all sections of this User Guide be read prior to product use. Carefully review
the Contraindications, Safety Information and Risks and Precautions sections prior to placing
a patient on any AtmosAir MRS.
1. Transfer patient following all applicable safety rules and institution protocols.
2. Center patient side-to-side and head-to-foot on AtmosAir MRS surface.
3. Ensure all sections of the mattress fully support the patient.
Mattress handles are for mattress transport only.
CPR
1. Level bed.
2. Lower or remove side rail on caregiver's side if necessary.
3. Begin CPR as per facility protocol. Consider use of backboard if indicated.
4. After CPR is performed:
• Remove backboard if used.
• Raise or install side rail as necessary.
• Reconfigure bed and accessories as in initial placement.
Skin Care
• Remove excess moisture and keep skin dry and clean.
• Check patient’s skin regularly, particularly in areas where incontinence and drainage occur.
• Ensure linens under patient are not wrinkled.
Incontinence / Drainage
• Use moisture-impermeable underpads for incontinent patients.
• Wipe surface clean and replace bed linens as required (see Care and Cleaning).
General Operation
Avoid contact of sharp instruments with the AtmosAir MRS. Punctures, cuts and
tears may prevent proper inflation and air pressure maintenance.
Figure 4

7
Care and Cleaning
The following processes is recommended, but should be adapted to comply with local institution
protocols. If you are uncertain, you should seek advice from your local Infection Control Specialist.
The AtmosAir MRS should be routinely decontaminated between patients and at regular intervals
while in use.
Do not use Phenol-based solutions or abrasive componds or pads on the cover
during decontamination process as these will damage the surface coating.
Do not boil or autoclave the cover.
Fire Barrier
Care should be taken with regards to the fire barrier when the cover is removed. It is recommended
that Personal Protective Equipment (PPE) is used during handling of the mattress with the fire barrier
exposed to avoid contact with loose particles. To ensure optimal product performance, avoid over-
handling of the fire barrier and handle with care. Fire barrier should be replaced if soiled or damaged.
Cover Cleaning Options
Sewn AtmosAir MRS (Top cover can not be removed from base)
1. Remove or push bed linens to center of mattress.
The sewn AtmosAir MRS cover is cleaned by wipe down methods only.
Do not launder as damage to the base may occur.
2. Wipe and rinse any soiling from the mattress surface and base.
Use 1000 ppm chlorine or 70% alcohol.
3. Rinse with a wet towel to remove chemicals.
4. After wipe down, dry surface with towel.
5. Ensure bed linens are refitted and not wrinkled under patient.
RF Welded AtmosAir MRS (Detachable top cover)
1. Push bed linens to center of mattress to wipe down, remove to launder top cover
or wipedowns as described below.
The RF Welded AtmosAir MRS has a detachable top cover that can be
laundered. However the base is cleaned by wipe down methods only.
Do not launder base as damage may occur.
2. Wipe and rinse any soiling from the mattress surface and base.
Use 1000 ppm chlorine or 70% alcohol.
3. Rinse with a wet towel to remove chemicals.
4. After wipe down, dry surface with towel.
5. Ensure bed linens are refitted and not wrinkled under patient.
6. Clean pump and tubes (if needed) by wiping with a damp cloth.

8
Laundering Detachable Top Cover
1. Unzip the top cover from the base for laundering.
Do not launder base as damage may occur.
2. Recommended wash temperature for top cover is 60°C (140°F) for 15 minutes.
3. Maximum wash temperature is 95° C (203° F) for 15 minutes.
4. Tumble dry at 60° C (140° F) or air dry.
5. Maximum drying temperature 80° C (176° F).
Preventive Maintenance Schedule
Preventive maintenance for the AtmosAir MRS consists of regular cleaning (see Care and Cleaning)
and an overall system check-out to be performed at the intervals described below.
All components must be cleaned, disinfected and inspected after each patient’s use and
before use by a new patient. Always use standard precautions, treating all used equipment
as contaminated. Institutions should follow local protocols for cleaning and disinfection.
Daily Cleaning
The cover should be wiped daily with a mild soap and water solution.
Inspection / System Check-Out
Check each of the following before placing the AtmosAir MRS with a new patient:
1. Check mattress surface for tears or cracking; do not use if tears or cracks are present.
2. Ensure mattress is free of stains and is not overly faded.

9
Troubleshooting
Do not attempt troubleshooting outside this guide or where the solution recommends to contact
ArjoHuntleigh. Any unauthorized service, modification, alteration or misuse may lead to serious injury
and / or product damage and will void all applicable warranties.
SYMPTOM POSSIBLE CAUSE SOLUTION
Mattress too rm upon arrival. Dierence in altitude not sucient to open valves. Apply weight to mattress to open valves.
Mattress cover too wrinkled upon removal from
shipping container.
Internal components have not accommodated
to environment. This does not aect ination or
function.
Let mattress accommodate for 24 hours. If problem
continues, contact ArjoHuntleigh for assistance.

10
Parts Diagram - AtmosAir with SAT 4000
The fire barrier (standard on all RF welded mattresses, optional for some sewn mattresses)
is a sleeve that fits over the foam and SAT assemblies.
The SAT Cover, SAT Cells and SAT Interliner are all part of the integrated
SAT System and cannot be ordered separately. See Replacement Parts+
for a complete list of SAT Systems.
RF Welded Mattress
Separate Cover
Separate Base
Detachable Top Cover
Sewn Mattress
Cover and Base
Cover not detachable
Foam
SAT Cover
(part of SAT system)
SAT Interliner
(part of SAT system)
SAT Cell
(part of SAT system)
Fire Barrier (standard)
OR

11
Parts Diagram - AtmosAir with SAT 9000 and T-Series
The fire barrier (standard on all RF welded mattresses, optional for some sewn mattresses)
is a sleeve that fits over the foam and SAT assemblies.
The SAT Cover, SAT Cells and SAT Interliner are all part of the integrated
SAT System and cannot be ordered separately. See Replacement Parts+
for a complete list of SAT Systems.
Foam
SAT Cover
(part of SAT system)
SAT Interliner
(part of SAT system)
(image for reference only)
SAT Cell
(part of SAT system)
Fire Barrier (standard)
RF Welded Mattress
Separate Cover
Separate Base
Detachable Top Cover
Sewn Mattress
Cover and Base
Cover not detachable
OR

12
Parts Diagram - AtmosAir with SAT A-Series
All hoses were removed to improve diagram readability.
The fire barrier (standard on all RF welded mattresses, optional for some sewn mattresses)
is a sleeve that fits over the foam and SAT assemblies.
The SAT Cover, SAT Cells and SAT Interliner are all part of the integrated
SAT System and cannot be ordered separately. See Replacement Parts+
for a complete list of SAT Systems.
Foam
SAT Cover
(part of SAT system)
SAT Interliner
(part of SAT system)
(image for reference only)
SAT Cell
(part of SAT system)
Fire Barrier (standard)
RF Welded Mattress
Separate Cover
Separate Base
Detachable Top Cover
Sewn Mattress
Cover and Base
Cover not detachable
OR