NoDec AIRSTREAM 2 Operator's manual

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User Manual

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User Manual

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User Manual
INSTRUCTIONS FOR USE
Version 1.1
July 2015

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Version
Implemented
By
Revision
Date
Approved
By
Approval
Date
Reason
1.0
Ben Smith
N/A
G. Ball
June ‘15
Original copy
1.1
Ben Smith
July ‘15
Corrective
actions by
Cranage EMC
Testing Limited.
(IEC 60601-1)

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Introduction …………………………………….………… 6
Further Information …..……………………………….… 7
Contraindications ……………………………….. 8
Symbols / Explanations …..…………................
List of Components …..……………………………….… 9
General Cautions / Warnings ….…………………….… 10
Installation ……...………………………………………… 12
Display Screens / Operation Modes …………………. 16
Loading ………………………………………..… 16
Lockout Function ……………………................
Automatic Alternating Mode …………………….
Different Modes / Displays ……………………… 17
Firm Alternating …………………………………. 19
Firm Static ……………………………………….
Soft Alternating …………………………………. 20
Soft Static ……………………………………….
Alarms ……………………………………………………… 21
High Pressure ………………………………….. 21
Low Pressure ……………………..................... 22
Electrical Failure ……………….......................
Power Failure ………………………………….. 23
CPR Emergency …………………………………………. 24
Transportation Mode …………………………………… 25
Storage (and Shipping) …………………………………
Cleaning and Maintenance ……………………………. 26
Cleaning Procedures …………………………… 26
Maintenance ……………………………………. 27
Technical Data ………………………………….............. 28

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Congratulations on purchasing the NoDec® AIRSTREAM 2 two-cell
cycle alternating pressure air mattress system. This high quality
medical product, if installed and cared for in accordance with these
instructions, will provide many years of trouble free service and
outstanding clinical performance.
The NoDec® AIRSTREAM 2 is an alternating pressure mattress
replacement system designed for the prevention of pressure
ulcers.
This mattress system is manufactured to conform with international
standards, EN 60601-1, EN 60601-1-2, and is registered to CE
Mark.
Please read this Instruction Manual thoroughly before using
the NoDec® AIRSTREAM 2.

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The NoDec® AIRSTREAM 2 replaces the mattress on any hospital,
style bed frame. This mattress replacement system is quiet,
comfortable and simple enough for a single caregiver installation.
The frequent relief of contact (interface)pressure has been
demonstrated to reduce the risk of pressure injury which is caused
by reduced capillary blood flow in the tissue surrounding the bony
prominences. The NoDec® AIRSTREAM 2 is also a valuable aid in
the treatment of existing pressure injuries up to Grade IV.
The objective of the NoDec® AIRSTREAM 2 is to reduce the
contact pressure created by the patient lying on the mattress. This
is achieved by sequentially inflating and deflating the air cells of
the mattress. This regularly reduces the contact pressure which
restores blood flow and tissue oxygenation in the deep tissues
about the vulnerable bony prominences.
The system consists of an air filled mattress that is placed on top
of a conventional bed frame and is connected via an air supply
hose (umbilical) to a separate control unit. This mattress consists
of two intergrated cell structures, protected by the cover.
The control unit is software driven which gives the capability to
maintain the air pressure in the cells at the required level and to
automatically alter the air pressure depending on the weight of the
patient and their position in bed.
The additional presence of a CPR valve located at the side of the
power unit permits the rapid deflation of the mattress in an
emergency.

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Contraindications
As with all alternating mattress systems, the NoDec® AIRSTREAM
is contraindicated for use where patients have unstable fractures
or spinal injuries.
Descriptions of Symbols
Throughout this user manual and on the pump unit itself, the
NoDec® AIRSTREAM 2 has numerous symbols:
Symbol Explanation
Type B –Applied Part
Class II Medical Device
I / O On / Off
Refer to Instruction Manual
General Warning
Button (for operation of pump unit only)
Mode

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Unpack your NoDec® AIRSTREAM 2 mattress system and check
that you have the following:
NoDec® AIRSTREAM 2 Pump Unit:
Please note the Name, Model and the Serial Number of your
pump in case you need to reference these when contacting
Rober or your local distributor.
NoDec®AIRSTREAM2 Mattress:
The top cover is made from
Dartex™which is an
antimicrobial, mutli-stretch,
vapour permeable, PU coated
fabric. The bottom cover is made
from durable PVC coated Nylon.
Power Cord:
The power plug should be appropriate to your country or
region.
Model
Name
NODEC AIRSTREAM 2
NDA2 0000:2015
Serial
Number

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Before setting up the mattress, it is important to read all
of the safety instructions below. Any actions or
operations performed outside the guidance of this
manual are carried out at the user’s risk. Rober and/or
the supplier are not liable for any such actions.
Inspect before use. If any faults are discovered, the mattress
system should not be used and the supplier immediately notified.,
Check the power cord is positioned so there is no risk of obstruction
or potential injury.
Risk of explosion:
Do not use in the presence of flammable chemicals or gases.
Risk of fire:
Do not place near heat sources or naked flames.
Risk of electrocution:
Ensure that the mains power is fully earthed.
Never partially or fully submerge electrical equipment in fluids.
Check the power cord is free from any damage.
Never handle the plug with wet hands.
Do not open the case.Any repairs should be made by qualified
service engineers.
Do not spill food or liquids on the pump unit. If spillage occurs,
disconnect from the mains and allow to dry before re-use.
Do not use phenol based cleaning solutions on the mattress or
cover.

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Do not place any components of the mattress system in either heat
or steam autoclaves.
Risk of Suffocation:
The cover is not air permeable. Ensure the patient can use the
product safely.
Do not drop the pump unit and do not drop objects onto it.
Never use sharp objects on or near the mattress.
Never insert objects into the pump.

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Please follow these instructions to install your
NoDec® AIRSTREAM 2 mattress replacement safely and
appropriately.
1. Place the mattress onto the bed frame, ensuring the light grey top
cover is facing upwards and the air supply hose (umbilical) is
positioned at the foot end of the bed.

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2. Secure the mattress to the bed using the straps and fasteners
provided.
3. The hooks on the back of the NoDec® AIRSTREAM 2 have been
designed to accommodate a variety of bed frames and can be
adjusted easily by pushing down on the hooks and rotating.
Ensure that fastened straps do not restrict the operation of any
moving parts of the the hospital bed. Straps attached around
both moving parts and fixed parts of a bed frame will cause
severe damage to the mattress. After installation carefully test
the functions of the bed to ensure the mattress moves freely
with the bed platorm.

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4. Hang the unit onto the bed frame at the foot end of the bed with the
control panel facing outwards.
5. Check that the CPR clip is in the closed position and plug the
umbilical hose into the dock.

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6. Plug the power cable into the pump using the international
connector and then plug the other end (the main disconnection
devise) into an easily accessible mains supply socket. Turn the
unit on using the switch to the right of the unit’s international plug
socket.
7. Wait for approximately 20-30 minutes and your NoDec®
AIRSTREAM 2 Mattress Replacement System is ready for use.
Ensure that the power cable is safely guided through the
loops located under the skirt (waterfall). This will help reduce
any hazards in relation to the power cable.
Due to the special design on the power cable’s connection, it
cannot be pulled out easily without pushing the yellow button.
Ensure that the pump unit is positioned so this button is
accessible.

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Before using your NoDec® AIRSTREAM 2 it is important to
understand the display on the front panel of the pump unit and the
various operation modes of the system.
Loading
There will be 4 cells shown slowly inflating simultaneously on the
screen whilst the NoDec unit pumps up the mattress.
Unlocking
60 seconds after either full inflation or mode change, the system
will automatically lock out the display panel.
This is indicated by the BLUE DOTTED LINE beneath the padlock
symbol. To unlock the front panel hold down the “Mode” button
until the blue line goes out.
Automatic Alternating Mode
Once the unit has inflated the mattress it will automatically default
to Firm Alternating Mode (see below) and calibrate to the patients
weight.

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Different Modes / Displays
The NoDec® AIRSTREAM 2 mattress is configured into two decks
of air cells, one deck (Integrated Cells) with lateral cells sitting on
top of another with longitudinal cells. While the bottom deck
remains inflated, including two side formers, the 18 air cells of the
top deck are pneumatically connected into two groups.
Mattress Structure
Side Profile
Section View
‘A’ Cells
‘B’ Cells
Static Cells
BA B
AB A
BA B
AB A
Side Former
‘A’ / ‘B’ Cell
‘Top Deck’
‘Bottom Deck’
‘Top Deck’
‘Bottom Deck’

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Alternating Mode
The air cells inflate and deflate in a 1 in 2 pattern with a cycle time
of 10 minutes.
When the "A" cells deflate, pressure is reduced in that portion of
the body in contact with those cells.
After 5 minutes, the "A" cells re-inflate and the "B" cells deflate for
the next 5 minutes.
At the end of 10 minutes, contact pressure is reduced under all
parts of the body in contact with the active components of the
mattress.

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The NoDec® AIRSTREAM 2 has four different modes:
Firm Alternating
Firm Static
Soft Alternating
Soft Static
When pressing the mode button multiple times the screen will cycle
through these different modes until the desired mode is found.
Firm Alternating
On Start-up the
system defaults to
Firm alternating mode
and automatically
calibrates to patient
weight and body
position.
Firm Static
The mattress
calibrates to patient
weight and remains in
static mode. In static
mode all cells are
inflated.

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Soft Alternating
The mattress
changes to a lower
range of pressure
settings more suited
to the comfort of
small and under
weight patients.
Soft Static
The mattress remains
at the lower range of
pressure settings and
alternation ceases.
N.B. Both Static Modes revert to Alternating Mode after a preset period
of 30 or 120 minutes, depending on your local distributor.
The ‘SOFT’ setting of the NoDec® AIRSTREAM 2 is suitable
for frail underweight patients and children.