Medistore ProCair 9000 User manual

User Guide
ProCair 9000

Important Notice
Before operating this medical equipment,
it is important to read this User Guide and
understand the operating instructions and
safety precautions. Failure to do so could
result in patient injury and/or damage to
the product.

Page
Safety Precautions 4-5
Product Overview 6
Installation 7
Unpacking & Inspection 7
System Installation 8
Control Unit Installation 8
Operation 9
Control Unit Panel 9
Mattress Function 10
Alarm Functions 11
Removal & Transport Function 12
Troubleshooting 13-14
Cleaning 15-16
Maintenance 17
Technical Specifications 18
Warranty Information 19

4
The purpose of safety precautions are to
attract your attention to possible dangers.
The safety symbols and the explanations
with them, require your careful attention
and understanding.
The safety warnings by themselves do not
eliminate any danger. The instructions or
warnings they give are not substitutes for
proper accident prevention measures.
The following symbols may appear in this
User Guide, on the Control Unit, or on its
accessories. Some of the symbols represent
standards and compliances associated with
its use.
SAFETY ALERT SYMBOL: Indicates
caution or warning.
WARNING: Failure to obey a safety
warning can result in serious injury
to yourself or to others. Always follow
the safety precautions to reduce the
risk of fire, electric shock and
personal injury.
DOUBLE INSULATION
Double insulation is a safety concept of
electrical equipment which eliminates
the need for earth grounding. Whenever
there is electric current in the Control Unit
there are two complete sets of insulation
to protect the user. All exposed metal parts
are isolated from the internal metal motor
components with protecting insulation.
WARNING: The double insulated
system is intended to protect the user from
shock resulting from a break in the Control
Unit’s internal wiring. Observe all normal
safety precautions related to avoiding
electrical shock.
WARNING: Servicing a Control Unit
with double insulation requires extreme
care and knowledge of the system and
should only be performed by a qualified
service technician. For service we suggest
you return the Control Unit to your nearest
Medistore Authorised Service Centre for
repair. When servicing, use only identical
replacement parts.
OPERATING INSTRUCTIONS
WARNING: Do not attempt to operate
this product until you have thoroughly
read and completely understand the safety
rules, etc contained in this manual. Failure
to comply can result in accidents involving
fire, electric shock or serious personal
injury. Save owner’s manual and review
frequently for continual safe operation
and for instructing others who may use
this product.
Maximum recommended patient
weight for this system is 180kg.
Only the control unit and
mattress combination as recommended
by Medistore should be used, otherwise
the correct function of this product cannot
be guaranteed.
Safety Precautions

5
Safety Precautions
In General
WARNING: This device is not suitable
for use in the presence of a flammable
anaesthetic mixture with air, or in the
presence of a flammable anaesthetic
mixture with oxygen or nitrous oxide.
WARNING: Bed frames used with the
systems can vary greatly depending on the
specific health care setting (ie hospitals,
nursing homes, home care, etc). It is the
responsibility of the caregiver to take the
necessary precautions to ensure the safety
of the patient. This includes, but is not
limited to, the appropriate use of side rails
to prevent falls and/or patient entrapment.
IMPORTANT: Minimise articles between
the system surface and patient, and secure
bed sheets loosely so as not to affect the
alternating cell movement.
WARNING: Significant risks of
reciprocal interference may be posed by
the presence of the system during specific
investigations or treatments. Potential
electromagnetic or other interference
between the system and other devices
may occur. If interference is suspected,
move equipment from sensitive devices or
contact Medistore.
Control Unit
Only plug into a grounded power
receptacle and use the power cord
supplied with the system.
Exposure of the electronic
Control Unit to any liquid while it is
plugged in could result in a severe
electrical hazard.
Medistore recommends placing
the cord under the bed frame and
attaching it to an electrical outlet by
the head of the bed.
The power cord to the Control Unit
should be positioned to avoid a
tripping hazard and/or damage to
the cord.
Do not place any objects or items,
such as blankets, on or over the
Control Unit.
The electronic Control Unit is a
precision electronic product. Use
care when handling or transporting.
Dropping or other sudden impacts
may result in damage to the unit.
Before attaching the Control Unit
to the floor or the foot board of
the bed, ensure they are sufficiently
robust and free of damage.
WARNING: Do not open the
Control Unit – risk of electrical shock.
Do not attempt to repair or service
the Control Unit. If parts need to be
repaired, circuit diagrams and parts
lists can be provided by Medistore to
suitably qualified service personnel.
WARNING: Only use fuses that
have the same specified rating (see
Technical Specifications). Using fuses
with higher ratings could result in
damage and/or injury.
NOTE: No special skills, training or
knowledge are required to operate the
Control Unit.

6
The ProCair 9000 is an Alternating Mattress
System providing pressure application and
relief for patients with, or vulnerable to,
pressure ulcers. It is designed to be used
on either standard or profiling single
bed frames.
The ProCair 9000 Alternating Mattress
System consists of the following:
• Control Unit
• Mattress
• Power Cord
• User Guide
• Carry Bag
The Control Unit provides the air supply
to the Mattress. It is controlled by a digital
touch membrane on the front panel which
controls eight comfort settings, Alternating
or Static Mode for treatment or transfers
respectively, and Max Firm function to
facilitate quick mattress inflation. The
Alarm LED indicator and Alarm Mute
completes the profile.
The visible and audible alarm function has
a number of indications depending on the
cause of the failure.
On the side of the Control Unit are four
male air connectors for quick connection
of air hoses. The connectors include a press
button release system on the handle for
ease of use.
The mains supply to the Control Unit can
be easily disconnected and is designed to
detach if pulled too firmly – protecting the
internal wiring of the unit.
The mattress comprises 19 high density
cells including 3 static head cells to provide
static ‘pillow’ support for optimum
comfort. Air pressure in the other 16 cells
including the heel zone is alternated over
a 12 minute cycle. This provides regular
periods of pressure reduction to aid blood
and lymphatic flow to vulnerable tissue.
The system includes a rapid release CPR tag
for emergency deflation.
Product Overview
ProCair 9000 Alternating Mattress System

7
NOTE: It is recommended that all packing
materials and instructions be kept in
the carry bag provided, in the event the
product has to be shipped to an approved
Medistore Service Centre.
Carefully remove the Control Unit, Mattress
and accessories from the shipping cartons.
Inspect all items for any damage that
may have occurred during shipping. Any
damage or missing components should be
reported to a Medistore Service Centre as
soon as possible.
The box should contain the
following items:
• Completely assembled
ProCair 9000 Mattress System
• Carry Bag
• Digital Control Unit
• Medical Grade Power Cord
• User Guide.
The Mattress is treated as an applied part.
Installation
Unpacking & Inspection

8
System Installation
The following describes the procedures to
follow upon setting up the system for the
first time.
a) Remove all covers, sheets and mattress
from the existing bed.
b) Position mattress replacement, with its
top cover, on top of existing bed and
position hose ends at foot of bed for
Control Unit.
c) In a profiling bed, secure the side straps
around the moveable sections of the
bed base. DO NOT SECURE TO THE SIDE
RAILS – THE STRAPS WILL TEAR OFF!
d) Check CPR hoses connections are pushed
fully onto the connectors.
e) Confirm there are no sharp objects in
the immediate area which may risk
damage to the mattress replacement.
Important: Make sure that the attachment
of the mattress replacement does not
interfere with the movement or operation
of the bed.
These systems are designed to operate in
a controlled environment, which is free
from extreme temperatures, high humidity
and/or excessive amounts of airborne
particles, such as dust and smoke.
Control Unit Installation
a) Position Control Unit by its hanging
hooks over foot board of the bed or on
the floor under the bed.
b) Attach the rapid release handle to the
Control Unit. Ensure air hoses do not kink
between bed frame and Control Unit.
c) Position the power cord through the
cord retention loops along the side
of the mattress base and insert
power cord into Control Unit, then
into a grounded 240 V AC 50 Hz
electrical outlet.
d) Press the power button for more than
three seconds to activate Control Unit.
The pressure LEDs’ will flash indicating
that the system has activated.
Allow up to 40 minutes for full inflation.
e) Once ready, the second LED as well as the
alternating LED will illuminate to indicate
that the system is ready for use (system
automatically defaults to alternation
mode after startup).
f) Once the mattress replacement is fully
inflated, bedding can be replaced. Secure
sheets loosely enough to ensure they do
not interfere with cell alternation.
g) Transfer the patient to the mattress
and perform a “bottoming out” test
to ensure that the patient is properly
suspended. Refer to page 10 for
more details.
Installation
1
23
40
min.

9
Operation
Control Unit Panel
A. Power Button
Turns system power on and off.
B. Alarm LED
This red light flashes, and an audible alarm
sounds, to alert when Control Unit or
Mattress pressure fails. The alarm has five
different signals to indicate the cause of
the failure.
The audible alarm also sounds when
power is switched off – press Alarm Mute
to silence.
C. Alarm Mute Button
Silences the audible alarm (on/off). Audible
alarm will resume after 20 minutes if cause
of failure not resolved.
D. Mode Button
Press to select either Alternation Mode
(alternative cells cyclically inflating and
deflating) or Static Mode (all cells fully
inflated with no dynamic alternation).
E. Pressure Arrow Buttons
Press arrows to increase or decrease
pressure setting. Eight pressure settings
from soft to hard are available (18mmHg
to 60mmHg; 6mmHg per step). The green
LEDs illuminate to indicate which of the
eight settings is operational.
F. Max Inflate Button
Press to facilitate rapid inflation to
maximum pressure setting (60mmHg).
After 20 minutes, the system automatically
reverts back to the previous pressure
setting for patient safety.
G. Control Unit Lock/Unlock Button
Press for at least three seconds to lock
the Control Unit settings – a beep sounds
and the amber LED illuminates to indicate
system is locked. When locked, only the
Alarm Mute and Lock/Unlock buttons
remain operational.
Press again for at least three seconds to unlock
(beep sounds and amber LED turns off).
WARNING: the Control Unit will
automatically unlock in the event of a
power failure.
D AE FB CG

10
Establishing Pressure (supine patient)
With the patient lying supine (on their
back, face upwards), use the Pressure
arrows to cycle through the eight available
pressure settings.
Based on patient weight and comfort
requirements, establish the best setting for
effective alternation, support and comfort.
Before changing or lowering the pressure,
ensure the system is working effectively by
performing a ‘bottoming out’ test:
a. With the patient lying supine, unzip
one side of the top cover just past sacral
region (lower spine).
b. Slide your hand underneath the patient
and feel for a deflated cell under the
patient’s lower spine. The inner static
cell will remain inflated, however
your hand should easily slide between
patient and base.
c. If patient is adequately suspended,
pressure setting can be lowered.
After approximately 20 minutes, reassess
system function and patient comfort. In the
event of a system malfunction, the alarm
will activate and pressure LEDs will flash.
Establishing Pressure (inclined patient)
When moving the patient to a sitting or
more upright position, pressure may need
to be increased (by approximately 20%)
to provide added support and to avoid
‘bottoming out’.
IMPORTANT: It is important to return to the
original pressure setting when the patient
returns to the supine position.
IMPORTANT: Wait a minimum of 12
minutes between pressure adjustment and
patient assessment, as it may take a full
cycle for the system to adjust.
CPR Function
Rapid deflation of the Mattress System
may be required for emergency treatment
or to decommission the unit. The CPR tag
located at mattress head should be used in
the event that patient CPR or emergency
treatment is required.
Firmly pull the CPR tag to rapidly deflate
the entire system, ensuring sealing
connectors are firmly disconnected from
the internal Mattress System air hoses.
To re-inflate the system after the CPR tag
has been pulled, restore the CPR sealing
connectors to the internal Mattress System
air hoses and wait for the system to gain
optimal pressure.
IMPORTANT: Do not position the system
to make it difficult to operate the
disconnection device (CPR Tag).
Mattress Function
Control Unit Panel

11
Operation
Alarm Function
The red Alarm LED flashes, and an audible
alert sounds, to indicate the Control Unit
or mattress pressure has failed. The LED
will remain illuminated until appropriate
pressure is restored. The audible alarm
can be silenced by pressing the
Alarm Mute button.
The system has five different alarm signals,
identified by five different Pressure Setting
illumination sequences. The signals and
corresponding Pressure Setting LED displays
are illustrated below.
If alarm activates and the system fails
to inflate or loses pressure, refer to
Troubleshooting on page 13-14.
Display Alarm Signal
Initial Failure Mattress has failed to reach minimum
operational pressure within 50 minutes
Low Pressure Pressure has fallen 5mmHg or more
below the setting minimum
High Pressure Pressure has exceeded the setting
maximum by 10mmHg or more
Alternating Mattress has failed to commence alternation
Mode failure
AC power failure No pressure output due to mains power failure

12
Operation
Transport Function
1. Before patient transport, press the Static
Mode button to switch modes and wait
at least five minutes for cells to inflate
to maximum pressure.
2. Once mattress pressure has reached
maximum inflation, press the Power
button for at least three seconds to
switch off the Control Unit. Switch off
the mains supply and unplug the
power cord.
3. Remove the ‘D’ handle from the
Control Unit and seal with the attached
handle cap. The length of time the air
is retained in the Mattress will depend
on the weight and height of the
individual patient.
If the patient is responsive, check
comfort level based on current pressure
and adjust accordingly.
IMPORTANT: Always perform a ‘bottoming
out’ test (see page 10) to ensure the
patient is adequately supported and not
touching bed base.
Dismantle System
1. Press the power button for at least
three seconds to switch off the Control
Unit. Switch off the mains supply and
unplug the power cord.
WARNING: Unplug the Control
Unit from the mains power supply to
disconnect the power.
2. Pull the handle to disconnect air
hoses from the Control Unit. This will
deflate all cells except the three static
head cells.
3. To deflate the head cells, firmly pull
the CPR tag to disconnect the sealing
connectors from the internal air hoses.
4. Place Control Unit and power cord on
top of the Mattress and detach Mattress
from bed.
5. Once air has been released from the
cells, roll up the Mattress and return all
items to Carry Bag for safe keeping.
IMPORTANT: Prior to re-starting the
system, ensure the CPR tag is replaced and
sealing connectors are fully inserted into
the internal air hoses.

13
Troubleshooting
Alarm/Fault Display Solution
Control Unit does not
operate; no display
lights illuminate
The Control
Unit may not be
attached to a
power source or
a fuse may need
replacing
1. Check the Control Unit is connected
to mains power outlet with the
correct voltage.
2. Check the Control Unit is switched
on. Switch off and unplug the unit
before restarting.
3. Check the mains plug fuse (3 AMP) then
check both Control Unit fuses (1 AMP) –
fuses can be released using a screwdriver
to push and turn.
WARNING: Do not try to open the
Control Unit. Opening the unit could cause
personal injury or equipment damage.
Alarm LED Initial failure 1. Reset the alarm – turn off Power and press
the Alarm Mute button.
2. Check all air hoses along the inside of
the mattress – each should be firmly
connected. Check each air cell is securely
attached to its connecting air pipe.
3. Check all cells, pipes and hoses for any
air leakage.
4. Switch on Power.
+ audible alarm
Alarm LED Pressure too low 1. Reset the alarm – turn off Power and press
the Alarm Mute button.
2. Check the CPR tag is intact, ensuring both
sealing connectors are firmly fitted to the
internal Mattress air hoses.
3. Check all air hoses along the inside of
the mattress – each should be firmly
connected. Check each air cell is securely
attached to its connecting air pipe.
4. Check all cells, pipes and hoses for any
air leakage.
5. Check that the air filter cover is correctly
secured and the air filter is clean.
6. Switch on Power.
+ audible alarm

14
Troubleshooting
Alarm LED AC power failure 1. Press the Alarm Mute button to silence
the audible alarm.
2. Check the power cord is firmly plugged
into the mains outlet and the Control
Unit; and check the mains power is
switched on.
3. Check the mains plug fuse (3 AMP) then
check both Control Unit fuses (1 AMP) –
fuses can be released using a screwdriver
to push and turn.
+ audible alarm
Patient is sinking or
“bottoming out”
whilst lying flat
on the Mattress
The pressure
maybe set too
low for the
patient’s weight
1. Increase the pressure setting by pressing
up the Pressure arrow.
2. To check effective system performance,
conduct a “bottoming out” test as
described on page 10.
NOTE: If the problem is not resolved,
please contact an authorised
Medistore Service Centre.
Alarm/Fault Display Solution
Alarm LED Pressure too high 1. Reset the alarm – turn off Power and press
the Alarm Mute button.
2. Disconnect the air hoses to reduce
pressure – reconnect when pressure
has decreased.
3. Check for twists in the air hoses between
Mattress and Control Unit.
4. Switch on Power.
+ audible alarm
Alarm LED Alternating
Mode Failure
(no alternation)
1. Reset the alarm – turn off Power and press
the Alarm Mute button.
2. Disconnect the air hoses to reduce
pressure – reconnect when pressure
has decreased.
+ audible alarm

15
Cleaning
Infection Control and routine cleaning
must be carried out in accordance with
your local Infection Control Policy.
It is suggested that all disinfection be
done with a high grade disinfectant
in accordance with manufacturer’s
instructions.
NOTE: The top cover seams are sealed to
help prevent moisture ingress and bacterial
growth in the seam stitching.
WARNING: Do not use high
temperature autoclave, or use Phenolic
based products for cleaning.
IMPORTANT: It is recommended the
system is cleaned between patients and
approximately every two weeks if in
constant use.
Mattress Base
Once deflated, disconnect air cells from the
base by unfastening the press studs at each
end. Remove double tubing from main
base air tubes and slide the cell out from
the cell straps. Swab the cell with a solution
of Sodium Hypoclorite or similar (up to
10,000ppm available chlorine).
Dry thoroughly before refastening.
CAUTION: Do not machine wash or dry
the air cells or Mattress base. The air cell
assembly does not need to be cleaned
or disinfected.
IMPORTANT: Do not disassemble the
Mattress unless cleaning is required. If
cleaning or disinfecting is required, do not
disconnect the hoses from the air cells.

16
Cleaning
Top Cover
NOTE: Refer to the top cover wash tag for
cleaning instructions.
If there are visible signs of body fluids or
other substances, the top cover should be
washed. The top cover can be machine
washed (up to 70°C) using disinfectant
according to manufacturer’s instructions.
To determine the amount of disinfectant to
use, determine the amount of water in the
washer and then follow the manufacturer’s
instructions for dilution.
Soak the top cover in the disinfectant
during the wash cycle. Rinse well in clean
water and dry thoroughly before use.
CAUTION: Do not dry the top cover using
the heat cycle or a dryer. Air dry or select a
low or non heat dry cycle.
If there are no visible signs of body fluids
or other substances, the top cover should
be sanitized.
Apply an intermediate level disinfectant
(or a solution of Sodium Hypochlorite or
similar up to 10,000ppm available chlorine)
to the top cover surface. Rinse well with a
clean damp cloth and air dry before use.
Control Unit
WARNING: Ensure the Control Unit
is disconnected from the mains electricity
supply before cleaning.
WARNING: Do not spray disinfectant
directly on to the Control Unit, or immerse
the Control Unit in any type of liquid. This
could result in a severe electrical hazard as
this equipment has no protection against
ingress of water.
Wipe down Control Unit with warm water
containing detergent (or with a solution
of Sodium Hypochlorite or similar) and dry
thoroughly before use.

17
Air Filter
1. Switch off the power supply to the
Control Unit.
2. Disconnect the power cord and
air hoses.
3. Place the Control Unit on a flat surface
with back panel uppermost (place soft
cloth under unit to prevent scratches).
4. Carefully remove air filter cover, remove
and discard the filter material and fit
new filter (there may be a small locking
screw – use a small small flat head
screwdriver to remove}.
5. Refit the air filter cover to the Control
Unit. The Control Unit is now ready for
re-connection.
NOTE: Good filter maintenance is critical
to maintain your system in optimal
operating condition. Failure to keep
the filters clean will result in system
downtime and increase repair costs.
It is recommended that the air filter
be replaced annually. Air filters are
available from a Medistore Service Centre.
Preventative inspection and calibration is
not required.
Fuse
1. Switch off the power supply to the
Control Unit.
2. Remove the power cord from the
electrical socket on the side of the base
of the Control Unit.
3. Insert a small flat head screwdriver into
the groove and turn anti-clockwise
(quarter turn).
4. Remove the “blown” fuse from the fuse
holder clip and discard.
5. Insert a new fuse into the plug.
Push against the force of the spring
and turn clockwise with the screwdriver
(quarter turn).
Maintenance

18
Technical Specifications
Control System Digital micro controller
Cycle Time 12 minutes (fixed)
Supply Voltage 220-240V AC 50/60Hz
0.2A for Control Unit
Fuse Rating Mains Plug – 3AMP, Control Unit – 1AMP (x2)
Power Rating 12VA
Standards CE, UL
No of Cells 19 cell in cells (including 3 static head cells and 5 narrow heel cells)
Cell Height 280mm
Maximum patient weight 180kg
Mattress Dimensions
Length 2000mm
Width 880mm
Height 280mm
Weight 11.6kg
Control Unit Dimensions
Height 270mm
Width 315mm
Depth 120mm
Weight 3.5kg
Cell material 0.15mm TPU film laminated on 210 denier nylon fabric
Base material Nylon fabric 420 denier with a 0.1mm TPU coating
Cover material PU coated polyester
Hose Connection Press on dual connector hoses
Emergency CPR tag
Mode of Operation Non-continuous
Operating environment
Air humidity 30% to 75%
Ambient temperature 0°C to 40°C
Altitude ≤ 2000m
NOTE: All product specifications are subject to change without notice.

19
Our goods come with guarantees that
cannot be excluded under the Australian
Consumer Law. You are entitled to a
replacement or refund for a major failure
and for compensation for any other
reasonably foreseeable loss or damage.
You are also entitled to have the goods
repaired or replaced if the goods fail to be
of acceptable quality and the failure does
not amount to a major failure.
Medistore warrants each of its products
to perform in accordance with established
specifications for the following time
periods, starting from the date the product
is shipped from Medistore.
Control Units 2 year
Soft Goods 2 year
During the warranty period, Medistore
through its distributors, will repair or
replace at no charge, any products that
are not performing in accordance with
established specifications, unless the
problem/failure is due to:
• customer damage, negligence
and/or misuse
• unauthorised repairs.
Items not covered under warranty include,
but are not limited to, stains, punctures,
cuts, damages to electrical cords, rips or
tears, dents and/or lost/missing parts.
All products returned for warranty repairs
must be assigned a Return Authorisation
Number prior to return. Returns should
include information describing the problem
and/or requested repair and be sent to
a Medistore Service Centre by prepaid
transportation. Medistore will return the
repaired/replaced product at no charge.
Warranty repairs do not extend the length
of the warranty period.
Neither Medistore, its distributors, officers,
directors, employees or agents shall be
liable for consequential or other damages,
including but not limited to personal injury,
loss, or any other expense, directly or
indirectly arising from the use of its products.
The sole remedy for breach of the limited
warranty granted herein shall be repair of
Mattress or the Control Unit or related parts.
Warranty Information

20
Medistore has a policy of continuous
product improvement and reserves
the right to amend specifications
presented in this brochure.
This product carries the CE mark
in accordance with EC Directive on
Medical Devices (93142lE EC) .
Control Number 95CG. Classified
by Underwriter’s Laboratory Inc.
for UL 2601-1 standard for Medical
Electrical Equipment.
0211A 11/12
Medistore Australia Pty Ltd
ABN 51 106 477 356
PO Box 347 Lane Cove NSW 1595 Australia
Freecall: 1300 882 194 Freefax: 1300 882 197
www.medistore.com.au