Hillrom PrimeAire P49EA User manual

USER MANUAL
PrimeAire® ARS
Pressure
Redistribution
Mattress
From Hill-Rom
Product No. P492EA/P493EA/P494EA/P495EA/
P496EA/P497EA/P735EA/P3252EA/
P1436EA/P1437EA
USR137 REV 5

PrimeAire® ARS Pressure Redistribution Mattress i
User Manual (USR137 REV 5)
© 2007 by Hill-Rom Services, Inc. ALL RIGHTS RESERVED.
Manufactured for Hill-Rom by: Span-America Medical Systems, Inc.
Distributed by:
HILL-ROM COMPANY, INC.
4349 CORPORATE ROAD
CHARLESTON, SC 29405
UNITED STATES
Authorized European Union Representative:
HILL-ROM SAS
B.P. 14 - Z.I. DU TALHOUET
56330 PLUVIGNER
FRANCE
TEL: [phone]
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.
Fifth Edition
First Printing 2005
Printed in the USA
Advanta™ is a trademark of Hill-Rom Services, Inc.
Air Reflex™ is a trademark of Hill-Rom Services, Inc.
CareAssist® is a registered trademark of Hill-Rom Services, Inc.
FlexAfoot™ is a trademark of Hill-Rom Services, Inc.
Geo-Matt® is a registered trademark of Span-America Medical
Systems, Inc.
Hill-Rom® is a registered trademark of Hill-Rom Services, Inc.
Hytex Poly® is a trademark of Hill-Rom Services, Inc.
PrimeAire® is a registered trademark of Hill-Rom Services, Inc.
Velcro® is a registered trademark of Velcro Industries, BV (a Dutch
corporation).
VersaCare® is a trademark of Hill-Rom Services, Inc.

ii PrimeAire® ARS Pressure Redistribution Mattress
User Manual (USR137 REV 5)
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 (USR137), 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.
Revision Pages Affected Date
1 January 2005
2 All June 2005
3 Cover through 10,
14, 15, and 17
through 19
April 2006
4 Cover, 3, 4, 7, 13,
and 15 June 2006
5 All January 2007

PrimeAire® ARS Pressure Redistribution Mattress iii
User Manual (USR137 REV 5)
Table of Contents
Document Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Intended Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Model Identification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Ticking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Bed Mattress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Stretcher Mattress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Foam Topper. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Perimeter Foam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Air Reflex™ System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Heel Zone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Install and Use the Mattress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Calibrate the Air Reflex™ System. . . . . . . . . . . . . . . . . . . . . . . . . 8
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
General Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Steam Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Cleaning Hard to Clean Spots. . . . . . . . . . . . . . . . . . . . . . . . 11
Disinfecting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Service Calls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Mattress is Overly Soft or Overinflated . . . . . . . . . . . . . . . . 13
Mattress Has a Marked Depression. . . . . . . . . . . . . . . . . . . . 13
Product Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Standard Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Regulations, Standards, and Codes. . . . . . . . . . . . . . . . . . . . 16
Safety Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Warranty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

iv PrimeAire® ARS Pressure Redistribution Mattress
User Manual (USR137 REV 5)

PrimeAire® ARS Pressure Redistribution Mattress 1
User Manual (USR137 REV 5)
Document Symbols
This manual contains different typefaces and symbols to make the
content easier to read and understand:
• Standard text—used for regular information.
•Boldface text—stresses a word or phrase.
•NOTE:—sets apart special information or important instruction
clarification.
• WARNING or CAUTION:
– A WARNING identifies situations or actions that may have an
effect on patient or user safety. Ignoring a warning could cause
patient or user injury.
– A CAUTION points out special procedures or precautions that
persons must obey to help prevent equipment damage.
• CAUGHT HAZARD WARNING:
• CHEMICAL HAZARD WARNING:
• ELECTRICAL SHOCK HAZARD WARNING:

2 PrimeAire® ARS Pressure Redistribution Mattress
User Manual (USR137 REV 5)
Intended Use
The PrimeAire® ARS Pressure Redistribution Mattress for Hill-Rom®
beds helps with the prevention and early treatment of stages I, II, and
uncomplicated III and IV pressure ulcers in patients with multiple
turning surfaces.
WARNING:
Unstabilized spinal cord injuries. Under normal circumstances,
correct alignment on an air bladder system is easy to maintain.
However, user error (such as the activation of Turn Assist,
Rotation, Opti-Rest, or Percussion/Vibration functions, when
available) or equipment malfunction (such as cushion deflation)
could put correct alignment at risk. The choice of a therapeutic
support for such conditions as an unstabilized spinal cord injury is
based upon the medical judgment of professionals. Each case
should be evaluated individually.

PrimeAire® ARS Pressure Redistribution Mattress 3
User Manual (USR137 REV 5)
Introduction
The Air Reflex™ System (ARS) is not electric and uses individual
interconnected air tubes and elasticized reservoirs. Air flows through the
tubes and automatically adjusts to the patient’s body.
The PrimeAire® ARS Pressure Redistribution Mattress has a top layer
of foam, cut with a patented surface shape and a foam bolster shell
which is tapered to contain the Heel Zone feature.
The mattress for Hill-Rom® stretchers can support a patient weight up
to 700 lb (318 kg).
The mattress for Hill-Rom® beds can support a patient weight up to
500 lb (227 kg).
NOTE:
The CareAssist® Bed supports a patient weight up to 400 lb (181 kg).
The CareAssist® ES Bed and the VersaCare® Bed support a patient
weight up to 500 lb (227 kg). For all other bed frames, refer to the
manufacturer’s documentation for the patient weight limit.
The mattress is compatible with most bed exit systems from Hill-Rom.
NOTE:
P3252EA model only—The mattress is not for use on a VersaCare®
Bed with the “A” model bed exit alarm system.
NOTE:
P735EA model only—The tape switch-based bed exit alarm system for
the CareAssist® Bed is for use with a patient weight of 125 lb to 400 lb
(57 kg to 181 kg).
NOTE:
Advanta™ Bed with the Patient Position Monitor (PPM) only—The
performance of the PPM is reduced when it is used with patients who
weigh less than 144 lb (65 kg) and it is set to any mode except Out of
Bed mode.

4 PrimeAire® ARS Pressure Redistribution Mattress
User Manual (USR137 REV 5)
Model Identification
Model Number Description
P492EA 36.25" x 80" (92.08 cm x 203 cm) model for use
with an applicable flat deck bed from Hill-Rom
P493EA 36.25" x 84" (92.08 cm x 213 cm) model for use
with an applicable flat deck bed from Hill-Rom
P494EA 32" x 79" (81 cm x 201 cm) model for use with
an applicable flat deck bed
P495EA 35" x 80" (89 cm x 203 cm) model for use with
an applicable flat deck bed
P496EA 35" x 84" (89 cm x 213 cm) model for use with
an applicable flat deck bed
P497EA 39" x 80" (94 cm x 203 cm) model for use with
an applicable flat deck bed
P735EA 35" x 80" (89 cm x 203 cm) model for use with a
CareAssist® Bed
P3252EA 35.5" x 86.4" (90.2 cm x 219.5 cm) model for use
with a VersaCare® Bed
P1436EA 26" x 75" (66 cm x 191 cm) model for use with a
26" (66 cm) wide Hill-Rom® Stretcher
P1437EA 30" x 75" (76 cm x 191 cm) model for use with a
30" (76 cm) wide Hill-Rom® Stretcher

PrimeAire® ARS Pressure Redistribution Mattress 5
User Manual (USR137 REV 5)
Features
Ticking
Bed Mattress
The Hytex Poly® Top Ticking is pliable, soft, radiolucent, and flame-
resistant. The top ticking is made of vapor-barrier material with a very
low moisture vapor transmission rate. The ticking’s bi-directional
stretch helps with patient comfort.
On the P492EA/P493EA/P494EA/P495EA/P496EA/P497EA/
P735EA model, the bottom ticking is made of durable anti-skid vinyl
and has a zipper that goes around 360° of the mattress.
On the P3252EA model, the bottom ticking is made of durable
urethane-coated fabric. The P3252EA model has a zipper that goes
around 270° of the mattress.
Stretcher Mattress
The top and bottom ticking is made of durable urethane-coated fabric.
The ticking has a zipper that goes around 360° of the mattress.
Foam Topper
The Geo-Matt®1foam topper has more than 800 individually responsive
cells and distinct head, torso, calf, and heel zones. The thickness of the
topper helps protect the ARS from puncture.
1. Geo-Matt® is a registered trademark of Span-America Medical Systems, Inc.

6 PrimeAire® ARS Pressure Redistribution Mattress
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Perimeter Foam
The Dual Foam Perimeter Bolster is a two part bolster system that
supplies a firm edge for patient safety during egress, ingress, and while
seated on the edge. The bolster system also helps keep the patient in the
center of the mattress when the patient is in the supine position.
Air Reflex™ System
The ARS is a system of interconnected support tubes with elastic
reservoirs to distribute pressure. The ARS is made of a durable, welded
nylon material. To permit calibration, the ARS is easily accessible
through access ports.
Heel Zone
The subtle taper of the heel zone redistributes the
weight from the patient’s heels to the more weight-
tolerant calves. The raised calf area further
redistributes the weight from the patient’s heels.

PrimeAire® ARS Pressure Redistribution Mattress 7
User Manual (USR137 REV 5)
Install and Use the Mattress
1. Make sure the bed or stretcher frame is applicable for use with the
mattress:
• To install the P492EA/P493EA model, make sure the bed
frame from Hill-Rom accommodates a 36.25" (92.08 cm)
width mattress (refer to the product recommendations from
Hill-Rom).
• To install the P494EA model, make sure the bed frame
accommodates a 32" (81 cm) width mattress (refer to the bed
frame manufacturer’s recommendations).
• To install the P495EA/P496EA model, make sure the bed
frame accommodates a 35" (89 cm) width mattress (refer to the
bed frame manufacturer’s recommendations).
• To install the P497EA model, make sure the bed frame
accommodates a 39" (94 cm) width mattress (refer to the bed
frame manufacturer’s recommendations).
• To install the P735EA model, refer to the mattress installation
instructions in the CareAssist® Bed Service Manual
(MAN330).
• To install the P3252EA model, refer to the foam surface
installation instructions in the VersaCare® Bed User Manual
(USR119)
• To install the P1436EA model, make sure the stretcher frame
accommodates a 26" (66 cm) width mattress (refer to the
stretcher frame manufacturer’s recommendations).
• To install the P1437EA model, make sure the stretcher frame
accommodates a 30" (76 cm) width mattress (refer to the
stretcher frame manufacturer’s recommendations).
2. Turn the mattress so the Heel Zone label is up at the foot end of the
bed or stretcher.
3. Put the mattress on the bed or stretcher.
4. Put linens on the mattress as applicable.
5. Put the patient in position on the mattress:
a. Make sure the patient’s heels are within the heel zone and the
lower legs are over the calf support region.

8 PrimeAire® ARS Pressure Redistribution Mattress
User Manual (USR137 REV 5)
b. Make sure the patient is centered on the mattress so his or her
body aligns correctly within the perimeter foam.
c. With a P3252EA model, if the bed has the FlexAfoot™
Retractable Foot Mechanism, set the heel section for the
patient’s height.
6. If one of these occurs after the unit is first installed for use,
calibrate the mattress (see “Calibrate the Air Reflex™ System” on
page 8):
• The mattress is moved to a new location for use that changes in
altitude by 300' (91.4 m) or more.
• The mattress has a marked depression.
• The mattress is overly soft or hard.
Calibrate the Air Reflex™ System
1. Make sure the patient is off the mattress.
2. Prepare the pump:
a. Remove the nozzle tip
from the pump handle.
b. Install the nozzle tip at
the end of the pump.
c. Put the nozzle that
shows IN Inflate on the
nozzle tip.
3. Add air to the mattress:
a. Open the mattress
zipper, and pull the
cover back.
b. Put the nozzle into the
inflation port until it
clicks.
c. Pump in at least four
strokes of air.

PrimeAire® ARS Pressure Redistribution Mattress 9
User Manual (USR137 REV 5)
d. Push the silver thumb
release, and disconnect
the pump from the
inflation port.
NOTE:
There are two inflation ports: one
white and one black port; or one
blue and one black port. You
must complete steps 3b through
3d for both ports.
WARNING:
Failure to complete the ARS calibration process after inflation
could cause an overinflated mattress. Patient injury or equipment
damage could occur.
4. Complete the calibration process:
NOTE:
If one of your inflation ports is blue, use a blue OUT Auto-Adjust
valve on both of the inflation ports.
a. Put the white end of the
OUT Auto-Adjust
valve into the inflation
port until it clicks. Air
will automatically
escape to the correct
setting.
NOTE:
If no air escapes, the mattress is
not pressurized enough. Repeat
step 3 until air escapes during calibration.
b. When you no longer feel the air escape, remove the auto adjust
valve from the inflation port.
c. Repeat steps a and b on the second inflation port.
d. Close the mattress zipper.

10 PrimeAire® ARS Pressure Redistribution Mattress
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Cleaning
WARNING:
Follow the product manufacturer’s instructions. Failure to do so
could cause personal injury or equipment damage.
WARNING:
Clean the mattress in accordance with facility protocols and
applicable government regulations for blood borne pathogens.
Failure to do so could cause patient injury, personal injury, or
equipment damage.
CAUTION:
Do not expose the mattress 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 mattress with detergent and warm
water. Do not use excessive liquid or harsh cleansers.
To clean and disinfect the mattress, do as follows:
1. Use a soft cloth or paper towel dampened with soapy water to wipe
away any visible soil from the mattress.
2. Disinfect the mattress (see “Disinfecting” on page 11).
3. Let the mattress air dry.
Steam Cleaning
Do not use any steam cleaning device on the mattress. Excessive
moisture and heat can damage this mattress.

PrimeAire® ARS Pressure Redistribution Mattress 11
User Manual (USR137 REV 5)
Cleaning Hard to Clean Spots
To remove difficult spots or stains, we recommend that you use standard
facility-approved disinfectants and 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 soilage and also between patient use, we
recommend that you disinfect the mattress with an EPA registered (US
only), tuberculocidal, disinfectant.
Dilute the disinfectant as specified on the manufacturer's label.
Maintenance
WARNING:
Only facility-authorized persons should service the PrimeAire®
ARS Pressure Redistribution Mattress.Service by unauthorized
persons could cause personal injury or equipment damage.
WARNING:
Do not use a mattress with a damaged cover. Patient injury or
equipment damage could occur.
WARNING:
Examine and disinfect the mattress between patient use. Failure
to do so could cause patient injury.
Occasional maintenance is necessary for the mattress:
1. Regularly examine the cover for cuts, rips, cracks, or tears. Replace
as necessary. Do not use a mattress with a damaged cover.
2. To help prevent cross-contamination, examine and disinfect the
mattress between patient use (see “Disinfecting” on page 11).
3. To help make sure the mattress performs as intended, examine and
calibrate the mattress every 6 months (see “Calibrate the Air
Reflex™ System” on page 8).

12 PrimeAire® ARS Pressure Redistribution Mattress
User Manual (USR137 REV 5)
Replacement Parts
Service Calls
When you call Hill-Rom about your mattress, be prepared to give the
serial number or date of manufacture from the product identification
label at the foot end of the mattress.
Part Number Quantity Description
129418 1 Replacement top ticking,
80" (P492A only)
129419 1 Replacement top ticking,
84" (P493A only)
138073 1 Ticking, 32"x 79" top
replacement (P494A only)
138074 1 Ticking, 35"x 80" top
replacement (P495A only)
138075 1 Ticking, 35"x 84" top
replacement (P496A only)
135965 1 Ticking replacement
(P3252EA only)
138072 1 Replacement top ticking
(P735EA only)
P498B 1 Service kit, mattress
inflation (includes hand-
operated air pump, air pump
inlet valves, outlet pressure
adjustment valves, and
instruction label)
129640 1 Kit, siderail warning
(includes five siderail
warning labels and
instructions) (P492A/P493A
only)
143233 1 Ticking (P1436)
143236 1 Ticking (P1437)

PrimeAire® ARS Pressure Redistribution Mattress 13
User Manual (USR137 REV 5)
Troubleshooting
WARNING:
Only facility-authorized persons should service the PrimeAire®
ARS Pressure Redistribution Mattress.Service by unauthorized
persons could cause personal injury or equipment damage.
Mattress is Overly Soft or Overinflated
Calibrate the ARS (see “Calibrate the Air Reflex™ System” on page 8).
Mattress Has a Marked Depression
Calibrate the ARS (see “Calibrate the Air Reflex™ System” on page 8).
Product Symbols
Symbol Definition
Foot end—identifies the foot end of the mattress
(P492EA, P493EA, P494EA, P495EA,
P496EA, P497EA, and P3252EA models only)
Foot end—identifies the foot end of the mattress
(P735EA, P1436EA, and P1437EA models
only)
Inflation ports—shows the location of the infla-
tion ports (P735EA model only)

14 PrimeAire® ARS Pressure Redistribution Mattress
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Specifications
Standard Features
P492EA/P493EA Model
(for Applicable Flat Deck Beds from Hill-Rom only)
P494EA Model (for Applicable Flat Deck Beds only)
P495EA/P496EA Model (for Applicable Flat Deck Beds only)
P497EA Model (for Applicable Flat Deck Beds only)
Feature Dimension
Length 80" or 84" ± 1" (203 cm or 213 cm ±
25 mm)
Width 36.25" ± 0.5" (92.08 cm ± 13 mm)
Height 7.5" ± 0.375" (19.1 cm ± 9.53 mm)
Weight 28.5 lb (12.9 kg)
Feature Dimension
Length 79" ± 1" (201 cm ± 25 mm)
Width 32" ± 0.5" (81 cm ± 13 mm)
Height 7.5" ± 0.375" (19.1 cm ± 9.53 mm)
Weight 28.5 lb (12.9 kg)
Feature Dimension
Length 80" or 84" ± 1" (203 cm or 213 cm ±
25 mm)
Width 35" ± 0.5" (89 cm ± 13 mm)
Height 7.5" ± 0.375" (19.1 cm ± 9.53 mm)
Weight 28.5 lb (12.9 kg)
Feature Dimension
Length 80" ± 1" (203 cm)
Width 39" ± 0.5" (94 cm ± 13 mm)
Height 7.5" ± 0.375" (19.1 cm ± 9.53 mm)
Weight 28.5 lb (12.9 kg)