Hillrom careselections Synergy Air Elite User manual

USER MANUAL
Synergy® Air Elite
Low Airloss
Alternating
Therapy System
From Hill-Rom
139122 REV 1

Synergy® Air Elite Low Airloss Alternating Therapy System User Manual i
(139122 REV 1)
© 2005 by Hill-Rom Services, Inc. ALL RIGHTS RESERVED.
Manufactured for Hill-Rom by: Caremed Supply, Inc.
Distributed by:
HILL-ROM COMPANY, INC.
4349 CORPORATE ROAD
CHARLESTON, SC 29405
No part of this text shall be reproduced or transmitted in any form or by
any means, electronic or mechanical, including photocopying,
recording, or by any information or retrieval system without written
permission from Hill-Rom Services, Inc. (Hill-Rom).
The information in this manual is confidential and may not be disclosed
to third parties without the prior written consent of Hill-Rom.
First Edition
First Printing 2005
Printed in the USA
CareSelections™ is a trademark of Hill-Rom Services, Inc.
Hill-Rom® is a registered trademark of Hill-Rom Services, Inc.
Synergy® is a registered trademark of Mediq/PRN Life Support
Services, Inc.
Underwriters Laboratories, Inc.® is a registered trademark of
Underwriters Laboratories, Inc.
The information contained in this manual is subject to change without
notice. Hill-Rom makes no commitment to update or keep current, the
information contained in this manual.
Hill-Rom reserves the right to make changes without notice in design,
specifications, and models. The only warranty Hill-Rom makes is the
express written warranty extended on the sale or rental of its products.
To order additional copies of this manual (139122), refer to the back
cover for contact information. For countries not listed on the back
cover, contact your distributor.
NOTE:
The back cover is a comprehensive list of Technical Support contact
information for Hill-Rom. The product discussed in this manual may
not be available in all of the countries listed.

ii Synergy® Air Elite Low Airloss Alternating Therapy System User Manual
(139122 REV 1)
Revision Pages Affected Date
1 December 2005

Synergy® Air Elite Low Airloss Alternating Therapy System User Manual iii
(139122 REV 1)
Table of Contents
Document Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Safety Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Instructions for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
CPR Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Alternating Therapy Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Static Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Auto Firm Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Power Failure Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
General Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Control Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Mattress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Steam Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Cleaning Hard to Clean Spots . . . . . . . . . . . . . . . . . . . . . . . . 12
Disinfecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Service Calls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Control Unit Does Not Operate. . . . . . . . . . . . . . . . . . . . . . . 13
Some Air Cells Have Lower Air Pressure
Than Others with Normal Air Pressure. . . . . . . . . . . . . . . . . 13
Control Unit Supplies Air but
Mattress Does Not Inflate . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Storage and Handling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

iv Synergy® Air Elite Low Airloss Alternating Therapy System User Manual
(139122 REV 1)

Synergy® Air Elite Low Airloss Alternating Therapy System User Manual 1
(139122 REV 1)
Document Symbols
This manual contains different typefaces and symbols designed to
improve readability and increase understanding of its content:
• Standard text—used for regular data.
•Boldface text—emphasizes a word or phrase.
•NOTE:—sets apart special data or important instruction
clarification.
• WARNING or CAUTION
– A WARNING identifies situations or actions that may have an
effect on patient or user safety. To ignore a warning could
cause patient or user injury.
– A CAUTION identifies special procedures or precautions that
persons must obey to help prevent equipment damage.
• CAUGHT HAZARD WARNING
• CHEMICAL HAZARD WARNING
• ELECTRICAL SHOCK HAZARD WARNING

2 Synergy® Air Elite Low Airloss Alternating Therapy System User Manual
(139122 REV 1)
Intended Use
WARNING:
Contraindication: The Synergy® Air Elite Low Airloss Alternating
Therapy System surface is not for use with patients who have an
unstabilized spinal cord injury. Patient injury could occur.
WARNING:
The Synergy® Air Elite Low Airloss Alternating Therapy System
surface is not for pediatric applications. Patient injury could
occur.
Features
Controls
•Comfort Control Soft/Firm—Press the Soft or Firm control to
adjust the Comfort Control setting shown on the eight increment
scale.
•Cycle Timer—Press the Cycle Timer control to adjust the
Alternating Therapy cycle time in 5-minute increments between
5 minutes and 95 minutes.
•Alternate—Press the Alternate control to start Alternating Therapy.
•Static—Press the Static control to stop the Alternating therapy and
supply low airloss therapy only.
•Auto Firm—Press the Auto Firm control to quickly inflate the air
cells and supply uniform firmness to help the caregiver do routine
procedures.
•Standby/Operate—Press the Standby/Operate control to start or
stop the control unit.

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•Power Failure—For
additional safety, the
Power Failure alarm and
indicator come on when
the power to the control unit fails or the main Power switch is turned
off.
•Alarm Reset—Press to turn the Power Failure alarm off.
Specifications
Feature Dimension
Control unit length 16.5" (42 cm)
Control unit width 6.7" (17 cm)
Control unit height 10.6" (27 cm)
Control unit weight 13.2 lb (6.0 kg)
Control unit phase time 5 minutes to 95 minutes
Control unit maximum flow
rate
1200 lpm
Control unit rated voltage 110 V to 120 V
Control unit maximum
current
5 A
Control unit rated frequency 60 Hz
Control unit protection type Class II, Type BF
Control unit mode of
operation
Continuous
Control unit safety standard Conformity European (CE) and
Underwriters Laboratories Inc.®a(UL)
Mattress width 36" (91 cm), 39" (99 cm), or 48"
(122 cm)
Mattress length 79.9" (203 cm)
Mattress height 9.4" (24 cm)
Mattress weight 33.1 lb (15.0 kg)
Air cell material Navy blue, nylon-woven fabric with
polyurethane back
Coverlet type Fully-quilted zipper cover with a
removable, 2", convoluted foam base
Coverlet material Navy blue, woven fabric with
polyurethane coat finish

4 Synergy® Air Elite Low Airloss Alternating Therapy System User Manual
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Safety Tips
To help prevent the risk of hospital bed fires, make sure facility
personnel follow the safety tips in the FDA Public Health Notification:
Safety Tips for Preventing Hospital Bed Fires. (US only)
WARNING:
Evaluate patients for entrapment risk according to facility
protocol, and monitor patients appropriately.
WARNING:
Evaluate patients for entrapment risk according to facility
protocol, and monitor patients appropriately. Ensure that all
siderails are fully latched when in the raised position. Failure to
do either of these could result in serious injury or death.
NOTE:
Siderails are intended to be a reminder to the patient of the unit's edges,
not a patient-restraining device.When appropriate, Hill-Rom
recommends that medical personnel determine the proper methods
necessary to ensure a patient remains safely in bed.
Base material Woven polyester fabric with
polyvinyl chloride (PVC) back
Maximum patient weight
36" mattress 300 lb (136 kg)—static and alternating
therapy modes
39" mattress 850 lb (386 kg)—static mode
500 lb (227 kg)—alternating therapy
mode
48" mattress 850 lb (386 kg)—static mode
700 lb (318 kg)—alternating therapy
mode
a. Underwriters Laboratories Inc.® is a registered trademark of Underwriters
Laboratories Inc.
Feature Dimension

Synergy® Air Elite Low Airloss Alternating Therapy System User Manual 5
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SHOCK HAZARD:
The potential for electrical shock exists with electrical equipment.
Failure to follow facility protocols may result in death or serious
personal injury.
WARNING:
Contraindication: The Synergy® Air Elite Low Airloss Alternating
Therapy System surface is not for use with patients who have an
unstabilized spinal cord injury. Patient injury could occur.
WARNING:
The Synergy® Air Elite Low Airloss Alternating Therapy System
surface is not for pediatric applications. Patient injury could
occur.
WARNING:
Before you plug the control unit into an applicable power source,
carefully read the instructions. Failure to do so could cause
patient injury, personal injury, or equipment damage.
WARNING:
Do not use the unit in the presence of any flammable gases such
as anesthetic agents. Patient injury, personal injury, or equipment
damage could occur.
WARNING:
Keep the control unit and mattress away from flammable liquids.
Failure to do so could cause patient injury, personal injury, or
equipment damage.
WARNING:
Keep the mattress away from sharp objects. Failure to do so
could cause patient injury or equipment damage.
WARNING:
Do not put any heating device close to the mattress. Patient
injury, personal injury, or equipment damage could occur.

6 Synergy® Air Elite Low Airloss Alternating Therapy System User Manual
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WARNING:
Use the unit under the order of a physician only. Failure to do so
could cause patient injury or equipment damage.
WARNING:
When you use the unit, it may be necessary to change the
patient’s position from time to time. Failure to do so could cause
patient injury or equipment damage.
WARNING:
Only Hill-Rom-authorized persons should service the Synergy®
Air Elite Low Airloss Alternating Therapy System. Service by
unauthorized persons could cause personal injury or equipment
damage.
CAUTION:
Do not drop the control unit. Equipment damage could occur.
CAUTION:
Do not store the Synergy® Air Elite Low Airloss Alternating
Therapy System in direct sunlight or extreme cold conditions.
Equipment damage could occur.
Installation
1. Remove the existing mattress from the bed frame.
2. Turn the Synergy® Air Elite Low Airloss Alternating Therapy
System mattress so its air tubes are at the foot end of the bed.
3. Put the mattress on the bed frame.
4. Use the elastic straps to attach the mattress to the bed frame.
5. Hang the control unit on the footboard of the bed frame.
6. Attach the air tube connectors and exhaust connector to the left-
hand side of the control unit.
7. Examine the air hoses. Make sure the air hoses are not kinked under
the mattress.
8. Plug the unit into an applicable power source.

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9. Turn the Power switch On. The Standby
indicator comes on.
10. Press the Standby/Operate control. The Operate
indicator comes on, and the control unit starts.
11. Press the Auto Firm control. The Auto Firm
indicator comes on, and the mattress starts to
inflate.
12. Let the mattress fully inflate.
NOTE:
In Auto Firm mode, the mattress should fully inflate
within 2 to 3 minutes.
13. After the mattress is fully inflated, move the
patient on to the mattress in accordance with
facility protocol.
14. After the patient is in position on the mattress, press the Auto Firm
control to stop the inflation of the mattress.

8 Synergy® Air Elite Low Airloss Alternating Therapy System User Manual
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Instructions for Use
CPR Mode
To quickly deflate the mattress for CPR
procedures, pull the CPR release on the side
of the control unit to disconnect the hose
connector.
Alternating Therapy Mode
Alternating Therapy mode inflates and deflates the 18
air cells in this order:
1. Every third air cell fully inflates
2. Air cells 2, 5, 8, 11, 14, 17 deflate
3. Every next third air cell fully inflates
4. Air cells 3, 6, 9, 12, 15, 18 deflate
5. Every final third air cell fully inflates
To start the Alternating Therapy mode, do as follows:
1. Press the Alternate control. The Alternate indicator comes on.
2. To set the necessary cycle time interval of the
therapy, press the Cycle Timer control to adjust the
Cycle Timer setting in 5 minute increments
between 5 minutes and 95 minutes.
NOTE:
To estimate the total cycle time, multiply the Cycle
Timer setting by 4.

Synergy® Air Elite Low Airloss Alternating Therapy System User Manual 9
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Static Mode
Static mode supplies low airloss therapy without
alternating therapy.
1. Press the Static control. The Static indicator comes
on.
NOTE:
When Static mode is on, the Cycle Timer display is off.
2. If necessary, adjust the
Comfort Control
setting:
•Decrease
pressure—press the
Soft (-) control.
•Increase
pressure—press the
Firm (+) control.
3. Put your hand between
the air cells and the foam pad in the mattress assembly. Make sure
at least 2" (5 cm) exists between the patient and the top of the foam
pad.
Auto Firm Mode
Auto Firm mode quickly inflates the air cells to their
maximum pressures to supply uniform firmness to help
the caregiver do routine procedures. To turn the Auto
Firm mode on or off, press the Auto Firm control.
When the Auto Firm mode is on, the Auto Firm
indicator comes on.
Power Failure Alarm
If power to the control unit is
lost, or the Power switch is
turned off, the Power
Failure indicator and alarm
come on to show that power to the unit has failed. To turn the alarm off,
press the Alarm Reset control.

10 Synergy® Air Elite Low Airloss Alternating Therapy System User Manual
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Cleaning
WARNING:
Follow the product manufacturer’s instructions. Failure to do so
could result in personal injury or equipment damage.
SHOCK HAZARD:
The potential for electrical shock exists with electrical equipment.
Failure to follow facility protocols may result in death or serious
personal injury.
SHOCK HAZARD:
Unplug the unit from its power source. Failure to do so could
result in personal injury or equipment damage.
SHOCK HAZARD:
Do not expose the unit to excessive moisture. Personal injury or
equipment damage could occur.
CAUTION:
Do not use harsh cleansers, solvents, or detergents. Equipment
damage could occur.
General Cleaning
We recommend that you clean the unit with detergent and warm water.
Do not use excessive liquid, harsh cleansers, or phenol-based cleaning
solutions.
Control Unit
1. Before you clean and examine the control unit, turn the Power
switch Off, and unplug the unit from its power source.
2. Use a damp soft cloth with mild detergent and warm water to clean
the control unit.
3. If soil is present, wipe down the control unit with a sodium
hypochlorite solution diluted to 1000 ppm or an EPA registered
(US only), tuberculocidal, disinfectant.
NOTE:
The control unit case is made from acrylonitrile butadiene styrene
(ABS) plastic.

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Mattress
To clean the mattress on the bed, use a damp soft cloth with mild
detergent and warm water. Wipe down the air cells with a solution of
sodium hypochlorite (1000 ppm) or any other non-phonetic germicidal
solution.
If the top coverlet or bottom encasement is soiled, either discard it, or do
as follows to machine wash and thermally disinfect it:
1. Put on applicable protective personal equipment (PPE).
Discard
a. Remove and discard the top coverlet or bottom encasement in
accordance with the facility’s procedures for contaminated
waste.
b. Replace with a clean top coverlet or bottom encasement.
Wash
Industrial laundry—
a. Break wash cycle in cold water for 10 minutes.
b. Main wash cycle I at 140°F (60°C) for 6 minutes.
c. Main wash cycle II at 158°F (70°C) for 10 minutes.
d. Cold rinse for three standard cycles
e. Extraction cycle for 5 minutes.
Normal laundry—
a. Pre-wash in cold water for a standard cycle.
b. Main wash cycle at 158°F (70°C) for 10 minutes.
c. Extraction cycle for 2 minutes.
d. Cold rinse for a standard cycle.
e. Extraction cycle for 5 minutes.
2. Let the top coverlet or bottom encasement air dry, or machine dry at
110°F (43°C) for one hour.
Steam Cleaning
Do not use any steam cleaning device on the unit. Excessive moisture
can damage mechanisms in this unit.

12 Synergy® Air Elite Low Airloss Alternating Therapy System User Manual
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Cleaning Hard to Clean Spots
To remove difficult spots or stains, we recommend that you use
standard household cleansers and a soft bristle brush. To loosen heavy,
dried-on soil, you may first need to saturate the spot.
Disinfecting
When there is visible soil and also between patient use, we recommend
that you disinfect the unit with an EPA registered (US only),
tuberculocidal, disinfectant.
Dilute the disinfectant as specified on the manufacturer's label.
Maintenance
WARNING:
Only Hill-Rom-authorized persons should service the Synergy®
Air Elite Low Airloss Alternating Therapy System. Service by
unauthorized persons could cause personal injury or equipment
damage.
No daily maintenance is necessary. Only Hill-Rom-authorized persons
should service the Synergy® Air Elite Low Airloss Alternating Therapy
System. For minor problems, refer to “Troubleshooting” on page 13.
Service Calls
When you call Hill-Rom about your unit, be prepared to give the serial
number from the product identification label. When you give the serial
number, the Hill-Rom representative can identify your unit and give you
the information you need more quickly.

Synergy® Air Elite Low Airloss Alternating Therapy System User Manual 13
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Troubleshooting
WARNING:
Only Hill-Rom-authorized persons should service the Synergy®
Air Elite Low Airloss Alternating Therapy System. Service by
unauthorized persons could cause personal injury or equipment
damage.
Control Unit Does Not Operate
1. Make sure the power cord is plugged into the control unit and an
applicable power source that supplies the correct voltage.
2. It may be necessary to replace the fuse in the control unit. Call
Hill-Rom Technical Support for assistance.
Some Air Cells Have Lower Air Pressure than Others with
Normal Air Pressure
1. Put the unit in Static mode. Unzip the top coverlet from the bottom
encasement, and examine the air tubes between the air cells and the
main air supply line for kinks. Adjust the air tubes as necessary.
2. Examine the air cells for leaks. If a leak is found, call Hill-Rom
Technical Support for assistance.
Control Unit Supplies Air but Mattress Does Not Inflate
1. Make sure the unit is plugged into an applicable power source that
supplies the correct voltage.
2. Examine the air tubes for kinks. Adjust the air tubes as necessary.
3. Make sure the air tubes are correctly connected. Connect the air
tubes as necessary.
4. Unzip the top coverlet from the bottom encasement, and examine
the air cells and air tubes for leaks. If a leak is found, call Hill-Rom
Technical Support for assistance.

14 Synergy® Air Elite Low Airloss Alternating Therapy System User Manual
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Storage and Handling
CAUTION:
Do not store the Synergy® Air Elite Low Airloss Alternating
Therapy System in direct sunlight or extreme cold conditions.
Equipment damage could occur.
Feature Specification
Storage temperature range -50°F to 104°F (-46°C to 40°C)
Storage relative humidity 30% to 95%