Lifestream Angel of Water CM-1 Series User manual

Australian Sponsor:
Emergo Australia
Level 20, Tower II
Darling Park
201 Sussex Street
Sydney NSW 2000
Installation Guide
LC-15-100-002.F (rev 01.01.20)
Angel of Water®CM-1 Series (120G5/240G7)
HyGIeaCare® Prep System (120G5/240G7)
ETL CLASSIFIED
Lifestream Purification Systems, LLC
7303 Burleson Rd., Suite 801
Austin, TX 78744 USA
TEL [phone]
Toll Free U.S. 877.564.3185
lifestream.systems
4001754 2797

© Copyright Lifestream Purification Systems, LLC 2004-2020
All rights reserved.
Trademark Notice
All products and brand names are trademarks of their respective companies. All rights reserved.
Proprietary Statement
The information contained in this Installation Guide is proprietary to Lifestream Purification
Systems, LLC and is intended solely for the use of purchasers and operators of the medical
device(s) herein described. Reproduction in any manner is prohibited without written permission
of Lifestream Purification Systems, LLC.
Lifestream
Purification Systems, LLC
7303 Burleson Rd., Suite 801
Austin, TX 78744 USA
Tel [phone] Fax [phone]
www.angelofwater.com/[e-mail]
lifestream.systems

TABLE OF CONTENTS
Technical Information and Specifications……………………………………… 6
WARNINGS/CAUTIONS................................................................................ 8
Steps to Installation........................................................................................ 12
Appendix A. Electromagnetic Compatibility Information............................... 30

1
SAVE THESE INSTRUCTIONS
NOTE: Check ALL parts for shipping damage. If shipping damage is noted,
DO NOT USE.
Contact carrier or manufacturer for further instructions.
NOTICE
The information contained in this document is subject to change without notice.

2
INTERNATIONAL SYMBOLS IN USE FOR LABELING
TYPE B APPLIED PART (for human use)
CAUTION: U.S. Federal Law restricts this device to sale by or
on the order of a physician.
ATTENTION: Uniquement sur ordonnance.
Dangerous voltage
Caution
Warning: dangerous voltage
General warning sign
Manufacturer
YYYY
Date of manufacture
UV Light hazard symbol
Single use/Do not reuse
Instructions for use
Serial number
Sterilization using ethylene oxide

3
INTERNATIONAL SYMBOLS IN USE
Presence of phthalates (flex tube only). Any risk of leaching in this
application is minimal as component is not used for fluid storage;
however, residual risk has not been evaluated for children or for
pregnant or nursing women.
Authorized representative
in the European Community
Lower limit
of temperature
Upper limit
of temperature
Use by
Batch code
Reference number
Temperature limit
OTHER SYMBOLS IN USE
Open here - arrow peel pouch
Case Pouch - peel open

4
Technical Information and Specifications
ELECTRICAL:
This System is a Class I, Type B Applied Part.
This ME equipment conforms to AAMI Std ES60601-1 & IEC Std
60601-1 and is certified to CSA Std C22.2 No. 60601-1.
This ME equipment is tested to IEC 60601-1-2:2014, Edition 4.0
ELECTRICAL RATINGS for Models 120G5 and 240G7
MODEL 120G5: 110-120 V~ 60 Hz unit is rated for 2A (U.S.,
Canada)
MODEL 240G7: 220-240 V~ 50/60 Hz unit is rated for 1A (EU, Asia)
POWER CORDS
This system comes with a ten-foot-long, hospital grade power cord
manufactured by Volex or equivalent (UL, CSA Listed) for the
110-120 V~ 60 Hz unit.
This system comes with an eight-foot-long, hospital grade power
cord manufactured by Volex or equivalent (UL, CSA Listed) for the
220-240 V~ 50/60 Hz unit.
FILTERS
Pre-Filter: Rated per filter manufacturer's instructions
UV Sediment: Rated at 16,000 gallons or 4 months
NORMAL USE
For this system in normal use, the patient is positioned on basin
cabinet with nozzle inserted for duration of procedure (30-40
minutes). The operator is in the room monitoring patient. There is
no change of setting of a control. The operator does not touch the
patient while touching the viewing tube bulb holder or the
UV harness assembly. In the event of a power outage to the system
or any other performance change or change in the operating
environment, the operator should have the patient slide off the rectal
nozzle and stop the session. The procedure may resume once
normal operating conditions have been restored.
APPLIED PARTS
Colon cleansing nozzle (rectal nozzle), backrest, basin cabinet

5
UV LIGHT
This system comes with a UV Light/Sediment Filter manufactured by
Severn Trent Services. Germicidal 254 nanometers; rated for 7,500
hours of continuous use or 24 months of intermittent use.
LIGHT BULBS (only two varieties may be used with this device)
(Compact Fluorescent)
Viewing tube: Rated at 10,000 hours, 9W
Tower: Rated at 8,000 hours,14W
OR
(LED under 3000 K)
Viewing tube: Rated 10W or less
Tower: Rated 10W or less
TEMPERATURE SENSOR/CONTROLLER SOFTWARE
Accuracy at 25° C: ± 1° F + 1 digit
PLUMBING:
PRESSURE, FLOW RATE, AND WATER TEMPERATURE TO THE PATIENT
Gravity only - averages 1 p.s.i.; 1 liter or less per minute of flow
Temperature safe range 37°C / 99°F – 39.8°C / 103°F
PRESSURE, FLOW RATE, AND WATER TEMPERATURE TO THE ME
EQUIPMENT FROM MUNICIPAL WATER SOURCE
Pressure of incoming water not to exceed 100 p.s.i.
(NOTE: Municipal water pressures average 35 – 60 p.s.i..)
Temperature of water from incoming water source not to exceed 55°C / 131°F
DISPOSAL OF ME
Before disposing of applied parts (disposable accessories) and/or the entire ME
system into the municipal waste stream at the end of its EXPECTED SERVICE
LIFE, consult and follow local guidelines and procedures, including safe disposal
of mercury-containing components.
UPON REQUEST
Manufacturer will provide diagrams, component part descriptions, calibration
instructions, revision levels of software for temperature sensor/controller, or other
information as necessary to assist service personnel to repair parts.

6
Warnings and Caution Statements/Avis
GENERAL WARNINGS/AVERTISSEMENTS GÉNÉRAUX
WARNING: GENERAL WARNING
DO NOT install or use this equipment without first reading and understanding these INSTRUCTIONS. If you are
unable to understand these instructions, including all warnings and cautions, contact the manufacturer, a health
care professional, or technical personnel before attempting to install or use this equipment. Otherwise, injury or
damage may occur.
AVERTISSEMENT : MISE EN GARDE GÉNÉRALE
NE PAS installer ou utiliser cet équipement sans avoir préalablement lu et compris ces INSTRUCTIONS. Si vous
ne comprenez pas ces instructions, y compris tous les avertissements et les mises en garde, contactez le
fabricant, un professionnel de la santé ou technique avant d'essayer d'installer ou d'utiliser cet équipement. Dans
le cas contraire, des blessures ou des dommages peuvent survenir.
WARNING: NO MODIFICATION OF THIS EQUIPMENT IS ALLOWED.
AVERTISSEMENT: Modification de l’appareil EM interdite.
WARNING: To avoid risk of electric shock, this equipment must only be connected to a supply mains with
protective earth.
AVERTISSEMENT: Pour éviter tout risque de choc électrique, cet appareil doit être raccordé uniquement
à un réseau d’alimentation équipé d’une terre de protection.
WARNING: Connecting electrical equipment to MSO effectively leads to creating an ME SYSTEM, and
can result in a reduced level of safety. Responsible organization is referred to the standard IEC 60601-1
for requirements applicable to ME systems.
AVERTISSEMENT: La connexion d'un appareil électrique au socle a prises multiples conduit
effectivement à créer un système EM et que cela peut entraîner un niveau réduit de sécurité. Pour les
exigences qui sont ap- plicable à un système EM, l’organisme responsable doit être renvoyé à la
présente norme (IEC 60601-1).
CAUTIONS/MISES EN GARDE
CAUTION: If moving the system to another location, move by hand or padded piano dolly. To avoid
cracking the fiberglass body, never move the system by metal-bladed forklift or dolly. Do NOT push or pull
on equipment from its high side. When necessary push the equipment from a lower point near its base.
MISE EN GARDE: Pour déplacer l’appareil, utilisez un chariot ou un socle roulant rembourré. Pour éviter
de fendre la membrane de fibre de verre, n’utilisez jamais un chariot élévateur à fourche ou un chariot
dont les lames sont en métal. Évitez de pousser ou de tirer l’enceinte en empoignant le haut; s’il faut la
déplacer, pous- sez sur la partie inférieure, près de la base.
CAUTION: Flush out rough plumbing lines before final connection to equipment.
MISE EN GARDE: Rincez les conduites de plomberie avant d'effectuer le raccord final à l'équipement.

7
COMPONENT WARNINGS/CAUTIONS
AVERTISSEMENTS/MISES EN GARDE CONCERNANT LES COMPOSANTS
UV LIGHT UNIT / UNITÉ UV
WARNING: Protect eyes and skin from direct UV radiation.
AVERTISSEMENT: Protéger les yeux et la peau contre le rayonnement UV direct.
DANGER: Ultraviolet light. Protect eyes and skin. May damage exposed tissue.
DANGER: Lampe à ultraviolets. Protéger les yeux et la peau. Peut endommager les tissus
exposés.
DANGER: Electrical hazard. No user serviceable parts inside.
DANGER: Risque d'électrocution. Pas de pièce réparable par l'utilisateur à l'intérieur.
DANGER: High Voltage. Disconnect all power to unit before servicing.
DANGER: Tension élevée. Coupez l'alimentation électrique avant toute tâche de maintenance.
FILTER CANISTER / FILTRE RÉSERVOIR
WARNING: Do not use where water is microbiologically unsafe or with water of unknown quality
without adequate disinfection before and after the unit.
AVERTISSEMENT: Ne pas utiliser lorsque l'eau est dangereuse d'un point de vue microbi-
ologique ou avec de l'eau dont la qualité n'est pas connue sans une désinfection adéquate avant
et après l'unité.
CAUTION: O-ring must be properly seated in the groove of the lower housing, or a water leak
could occur. Protect filter from freezing!
MISE EN GARDE: Le joint torique doit être correctement positionné dans la rainure du boîtier
inférieur, sinon une fuite d'eau peut se produire. Filtre de protection contre le gel!
WATER CYCLING DEVICE / DISPOSITIF DE CIRCULATION D'EAU
CAUTION: For longer and quieter performance keep housing filled with liquid.
MISE EN GARDE: Pour des performances plus longues et plus silencieuses, veillez à ce que le
boîtier soit toujours rempli de liquide.

8
Electromagnetic Compatibility for Medical Electrical Equipment Warnings and Caution
Statements /
Compatibilité Électromagnétique pour les Appareils Électromédicaux Avis
(IEC 60601-1-2 3rd Edition 2007-03)
This equipment generates, uses, and can radiate radio frequency energy. If not installed and used in ac-
cordance with the instructions in this manual, electromagnetic interference may result. The equipment has been
designed to provide reasonable protection against electromagnetic interference when operated in the intended use
environments described in this manual.
Cet appareil produit, utilise, et peut transmettre par rayonnement de l’énergie de fréquences radio. Un as-
semblage ou un usage non conformes aux instructions données dans ce manuel peuvent entraîner des perturbations
électromagnétiques. Nos appareils sont conçus pour assurer une protection raisonnable contre les perturbations élec-
tromagnétiques, dans la mesure où on les fait fonctionner dans les conditions pertinentes décrites dans ce manuel.
This equipment contains electronic and ferrous components whose operation can be affected by intense
electromagnetic fields. Do not operate this system in an MRI environment or in the vicinity of high-frequency surgical
diathermy equipment, defibrillators, or shortwave therapy equipment. Electromagnetic interference could disrupt the
operation of the system.
Cet appareil contient des composants électroniques et ferreux dont le fonctionnement peut être compromis
par la présence de puissants champs électromagnétiques. N’utilisez pas l’appareil dans un milieu où s’effectue de
l’IRM ni près d’appareils de diathermie chirurgicale, de défibrillateurs, ou d’appareils de thérapie à ondes courtes. Les
perturbations électromagnétiques pourraient nuire au bon fonctionnement du système.
The following warning applies any time you operate or service the system: To avoid explosion, do not operate
the system in the presence of flammable anesthetics or in an atmosphere of explosive gases. Operating the system in
flammable or explosive atmospheres may result in fire or explosion.
Les mises en garde qui suivent s’appliquent en tout temps pendant le fonctionnement ou l’entretien du sys-
tème: Pour éviter les explosions, n’utilisez pas l’appareil lorsqu’un anesthésique inflammable ou un gaz explosif est
présent. L’utilisation de l’appareil dans une atmosphère explosive ou inflammable peut entraîner un incendie ou une
explosion.
See more electromagnetic compatibility warnings, precautions,
and data tables in APPENDIX A.

9
Environmental Conditions / Les conditions environnementales
Environmental Conditions
Temperature:
Operating
Storage
Transport
Relati
ve Humidity:
Operating
Storage
Transport
Atmospheric Pressure:
Operating
Storage
Altitude:
Operating
+15°C/+59°F
+1°C/+33°F
-20°C/0°F
+30°C/+86°F
+50°C/+120°F
+50°C/+120°F
0-75% (non condensing)
0
-75% (non condensing)
0-95% (non condensing)
700 hPa to 1060 hPa
700 hPa
to 1060 hPa
a ≤ 3000 m
Les conditions environnementales
Température:
fonctionnement
stockage
transport
Humidité relative:
fonctionnement
stockage
transport
Pression atmosphérique:
fonctionnement
stockage
Altitude:
fonctionnement
+15°C/+59°F
+1°C/+33°F
-20°C/0°F
+30°C/86°F
+50°C/+120°F
+50°C/+120°F
0-75% (sans condensation)
0
-75% (sans condensation)
0-95% (sans condensation)
700 hPa to 1060 hPa
700 hPa
to 1060 hPa
a ≤ 3000 m

10
Steps to Installation
All diagrams and images in this section are for illustrative
purposes only.
Step 1. Electrical Outlet and Rough Plumbing Placement
1) An aerial view of the system appears in Figure 1.1 below. Both electrical outlet and rough
plumbing (One 1/2–inch Hot; One 1/2-inch Cold Drain Connection) need to be placed in
either Range A or B pictured. You may choose A or B depending upon procedure room
constraints. The Exhaust Vent Opening (1 1/2" (3.8 cm) pipe, See Step 11) needs to be
placed in the ceiling above or in the wall beside the tower cabinet depending upon
procedure room constraints and building code requirements.
Manufacturer’s Recommendation: Bring 1-inch water lines to the procedure room for
optimal water pressure. Connect the 1/2-inch fittings that go to the device to the 1-inch
water lines from the wall.

11
Figure 1.1
Aerial View of System
Placement Ranges A and B are for the
Electrical Outlet and Rough Plumbing Connections (Hot, Cold, Drain)
A-B = Access Points to Rough Plumbing
Corner of Room
0"/cm
Wall
32.5" (82.6 cm) from
Back Corner
72" (182.9 cm)
Basin Cabinet
17" + 12"
(43.2 cm + 30.5 cm)
Tower Cabinet + Door When Opened
Total System
Width
Approx. 32.5"
(82.6 cm)
Approx. 101" (256.5 cm)
Total System Length
(with door open)
At least a Nine Foot Wall (274.3 cm)
All diagrams and images are for illustrative purposes only.
B – on Back Wall –
0-7 inches from
Corner of Room
A – on Side Wall –
12-40 inches from
Corner of Room
Exhaust Fan/
Vent
Connection

12
Step 2. Electrical Outlet Installation
Install an outlet socket that conforms to national and/or local municipal electrical standards (110-
120V~ for U.S. and Canada/220-240V~ for Europe and Asia) in the wall closest to the system.
Lifestream recommends a hospital grade (green dot) duplex outlet or a GFCI outlet. For UK,
Lifestream recommends an RCD (residual current device) protected socket outlet. CONSULT A
LICENSED (QUALIFIED) ELECTRICIAN TO DETERMINE THE LOCAL CODE REQUIREMENTS
FOR YOUR HEALTH CARE FACILITY.
1) Side Wall Placement of Electrical Outlet (must be within 18" (45 cm) of the floor). If side
wall is used for outlet, make placement between 12 and 40 inches (30.5 – 101.6 cm) from
the corner of the room (RANGE A) to avoid interfering with the supporting leg and sides of
the system's basin cabinet.
2) Back Wall Placement of Electrical Outlet (must be within 18" (45 cm) of the floor). If back
wall is used for outlet, make placement inside of 7 inches (0 - 17.8 cm) from the corner of the
room (RANGE B) to avoid interfering with the supporting leg and sides of the system's basin
cabinet. Figure 2.1
Standard U.S. GFCI Outlet

13
Step 3. Rough Plumbing (Supply Lines and
Drain Connection) Installation
CONSULT A LICENSED (QUALIFIED) PLUMBER TO DETERMINE THE LOCAL CODE
REQUIREMENTS FOR YOUR HEALTH CARE FACILITY.
1) The drain must be of 3-inch (7.6 cm) PVC pipe.Install the 3-inch drain pipe so that it is 8
inches (20.3 cm) from the center of the pipe off the floor or less, BUT NOT MORE THAN
8 INCHES HIGH. See Figure 3.1 below. A wall-mounted drain pipe is shown. (A floor-placed
drain is acceptable in either Range A or B next to the side or back wall. The center of 3-inch
drain pipe should be at least 3 inches to finished side or back wall but no more than 4 inches to
not interfere with basin cabinet placement later).
Figure 3.1
2) The system requires both one hot and one cold line—as suggested bring 1-inch water lines to
the procedure room for optimal water pressure. To the 1-inch water lines, connect male-
threaded ½-inch (1.3 cm) fittings that then can connect to the device. The hot and cold water
supply lines coming from the wall should be within 18" (45 cm) of the floor and should be in the
Side / Back corner of the room where system is to be placed. Rough plumbing supplies are
not included with the system.
Manufacturer’s Recommendation: Use 1/2-inch x 1/2-inch FIP braided polymer faucet
connectors of the proper length to connect from the wall to the device. See figure below.
Figure 3.2
Hot valve
with ½-
inch male
thread
Cold valve
with ½-inch
male thread
Center of
drain pipe
must be no
more than 8
inches (20.3
cm) from the
floor

14
Step 4. Tower Cabinet Placement and Connections
1) Lay out the following items included
with the system (see Figure 4.1):
•3-inch female union + P-trap
2) Position front of tower cabinet at
exactly 74 inches (cm) from back
finished wall and next to side wall.
Attach female union + P-trap to tower
male fitting and mock up any
additional rough plumbing fittings and
pipe lengths necessary before gluing.
Confirm drain connection is correct for
proper drainage. Then glue
components into place.
Figure 4.1
3) Get Power Cord from Installation box. Plug male connection to wall electrical outlet and
send other side through rectangular opening in front of tower cabinet as shown above in
Figure 4.1. DO NOT plug female connection side of cord to Junction (Mains) Box yet.
Figure 4.2

15
Step 5. Basin Cabinet Placement to Tower Cabinet
1)Take basin cabinet and unroll the 2 electrical cords located to the right of the basin pipe
connection (See Figure 5.1).
2)Slide basin cabinet into place in between back wall and front of tower cabinet just enough to
send the 2 electrical cords into tower cabinet rectangular opening (to plug into each of their
respective tower large junction box outlets later) (See Figure 5.2).
3) Align basin cabinet drain fitting to tower cabinet front opening and slide the two cabinets
together until they are snug (See Figure 5.3), making sure that round male threads from
basin drain go into round tower cabinet opening.
Figure 5.1 Figure 5.2
Basin Light
Cord (green)
Remote Switch Cord
(round connection)
Power Cord

16
Figure 5.3
Basin
Tower