onCare Dolphin Fluid Immersion Simulation System Troubleshooting guide

User-Service Manual
Dolphin Fluid Immersion Simulation®System
To avoid potential injury, read user’s manual before using.

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User Manual
Dolphin Fluid Immersion Simulation®System
Dolphin Fluid Immersion Simulation®is a registered trademark of Joerns
Important Precautions
Important Notice: The equipment must be
installed and operated in the manner for which it
was intended. Facility staff/user is responsible for
reading and understanding the product user manual
and contacting OnCare if anything in this manual is
unclear. OnCare will not be held responsible for any
injuries resulting from failure to comply with the
instructions and precautions in this manual.
Warning: OnCare support surfaces are designed
as mattress replacement systems. The risk of
entrapment may occur when the equipment is placed
on bed frames that leave gaps of even a few inches
between the mattress and the head panel, foot
panel, and bed or side rails. The equipment is NOT to
be used when such gaps are present.
Facility staff/user is responsible for ensuring that all
mattresses properly t the bed frames. OnCare is
not responsible for the placement of its equipment
on bed frames that leave gaps between the mattress
and the head panel, foot panel or bed or side rails
which present a risk of harm to patients.
Warning: An optimal bed system assessment
should be conducted on each patient by a
qualied clinician or medical provider to ensure
maximum safety of the patient. The assessment
should be conducted within the context of, and in
compliance with, the state and federal guidelines
related to the use of restraints and bed system
entrapment guidance, including the Clinical
Guidance for the Assessment and Implementation
of Side Rails published by the Hospital Bed
Safety Workgroup of the U.S. Food and Drug
Administration. Further information can be obtained
at the following web address: http://www.fda.gov/
MedicalDevices/ProductsandMedicalProcedures/
GeneralHospitalDevicesandSupplies/HospitalBeds/
default.htm.
When using the mattress system, always ensure that
the patient is positioned properly within the connes
of the bed. Do not let any extremities protrude over
the side or between the bed rails when the mattress
is being used.
Danger Explosion Hazard: Do not use in the
presence of ammable anesthetics. Do not use in
the presence of smoking materials or open ame.
Air owing through the air mattress will support
combustion.
Danger: To reduce the risk of shock, adhere to the
following instructions. Failure to do so could result in
personal injury or equipment damage.
• Immediately after using the Dolphin Fluid
Immersion Simulation System, unplug it from its
power source.
• Do not place or store the product where it can fall
or be pulled into a tub or sink.
• Do not place or drop the product into water or
other liquid.
• Do not remove the back of the control unit. Refer
servicing to OnCare.
Warning: To reduce the risk of burns, shock, re, or
personal injury, adhere to the following instructions.
Failure to do so could result in personal injury or
equipment damage.
1. Use this product only for its intended purpose as
described in this manual. Only use attachments
and/or accessories that are recommended by the
manufacturer.
2. If this product has a damaged power cord or
plug, is not working properly, has been dropped
or damaged, or has been dropped into water, do
not operate it. For examination and repair, return
the product to OnCare.
3. Keep the control unit and power cord away from
heated surfaces, e.g. space heaters.
4. Never block the air openings of the product. Do
not place the control unit on a surface, such as a
bed or couch, where the air opening and/or lter
compartment, located on the back of the control
unit, may be blocked. Keep the air openings free
of lint and hair.
5. Never drop or insert any object into any opening
or hose.
6. Do not spill food or liquids onto the control
unit. If a spillage does occur, turn off the unit,
disconnect it from its power supply and allow at
least 24 hours for drying.
7. Do not use the product outdoors, or where
aerosol-spray products are used.
8. Plug this product only into a properly grounded
outlet. Refer to “Grounding Instructions”.
9. Ensure nothing is placed on the power cord and
ensure it is not located where it can be stepped
on or tripped over.
10. Do not attempt to service the control unit. Please
call OnCare for any service requests.
11. The therapy pad (top cover) of this product is
not air permeable and may present a suffocation
risk. It is the responsibility of the caregiver to
ensure that the patient can use this product
safely.
Save These Instructions for Future Reference

3
User Manual
Dolphin Fluid Immersion Simulation®System
Dolphin Fluid Immersion Simulation®is a registered trademark of Joerns
Important Precautions .........................................................................................................................2
Introduction .........................................................................................................................................4
Shear and Friction Reduction
Indications for use ...............................................................................................................................4
Spinal Cord Injury
Pressure Redistribution
Pain Management
Features ...............................................................................................................................................5
Therapy Control Unit Features
Therapy Mattress and Specialty Surface Features
Therapy Pads
Additional Features ..............................................................................................................................6
CPR
Battery Back Up
Transport
Keyboard Functions..............................................................................................................................7
Grounding Instructions ........................................................................................................................9
Setup....................................................................................................................................................9
Therapy Mattress
Specialty Surface - Wheelchair Cushion
Troubleshooting .................................................................................................................................10
Therapy Surface Not Inating
Unable to Change Therapy Mode or Adjust Comfort Control
Nursing Procedures ............................................................................................................................10
Recommended Linen
Changing the Therapy Pad
Patient Positioning and Comfort
Incontinence
Safety Information .............................................................................................................................11
Patient Migration
Traction
Skin Care
Bed Height
Cleaning .............................................................................................................................................12
Control Unit
General Cleaning
Disinfecting
Therapy Pad
Steam Cleaning
Maintenance.......................................................................................................................................13
Storage and Care................................................................................................................................13
Control Unit
Therapy Mattress and Specialty Surface
System Specications.........................................................................................................................13
Weight
Safe Working Load
Dimensions
Electrical Specications
Environmental Conditions
Control Unit Agency Approvals
Call for Assistance ..............................................................................................................................13
Appendix A .........................................................................................................................................14
Warranty ............................................................................................................................................18
Table of Contents

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User Manual
Dolphin Fluid Immersion Simulation®System
Dolphin Fluid Immersion Simulation®is a registered trademark of Joerns
OnCare’ Dolphin System is suitable for the treatment
and prevention of all stages of pressure ulcers, for
patients who have been assessed to be at risk for
pressure ulcers, the complications of immobility and
for patients with healing grafts and ap sites.
The Dolphin FIS System is quiet, comfortable and
simple enough for single caregiver installation and
operation. As the Dolphin System is self-monitoring,
there is no need for direct intervention or manual
entry to adjust comfort settings. The system
allows manual adjustment of the comfort setting
to accommodate patient preference. After manual
adjustment, the Dolphin AutoVector Control Module
will optimize the immersion prole automatically at
the new comfort setting.
Additionally, the low friction surface materials
coupled with the shear-reducing aspects of the FIS
technology result in a surface system that effectively
manages both vertical and horizontal shear forces,
allowing the Dolphin FIS System to meet the comfort
and clinical requirements of your patients up to
1,000 lbs.1(250 lbs.2)
We have ensured that the Dolphin FIS System
addresses the three key areas in the treatment of
compromised skin: pressure redistribution, reduction
in friction and reduction in shearing forces.
Shear and Friction Reduction
Friction results when a patient’s skin rubs against
another surface. Shear injury occurs when the skin
is stationary in relation to the support surface, while
the underlying tissues and vessels are stretched
and damaged. The exterior surface of the Dolphin
FIS System therapy pad is constructed from a very
smooth nylon fabric with low friction and low shear
properties to protect the patient’s skin from these
damaging forces.
Indications for Use
Note: The selection of a pressure redistribution
surface should be based on each individual patient’s
clinical condition, diagnosis and/or co-morbidities.
The choice and use of a support surface is one
factor in a holistic program of wound prevention and
treatment.
Spinal Cord Injury
The Dolphin FIS System can be used for patients
with spinal cord injury once the acute injury has
been stabilized and these patients have been
accessed and cleared by the appropriate physician.
The Dolphin FIS System is not recommended for use
by patients with unstable spinal fractures.
Introduction
The Dolphin Fluid Immersion Simulation®(FIS)
System is an advanced therapy system designed to
provide state-of-the-art pressure redistribution by
simulating the effects of a body immersed in a uid
medium. The Dolphin System includes three key
components: proprietary software containing the
Dolphin FIS protocols, a microprocessor-containing
Dolphin AutoVector®control module, and the Dolphin
advanced support surface.
The Dolphin System automatically measures the
specic anthropometric characteristics of the
individual patient as they engage the support
surface. Based on active feedback measurements,
the Dolphin AutoVector control module monitors the
support surface more than 100 times per second
for any patient movement or surface changes. The
system’s software integrates this specic weight and
body contour data and directs automatic adjustments
to maintain an optimized three-dimensional support
surface environment. The result is an individualized
immersion prole, based on specic patient
measurements and movements, that creates a near
neutrally buoyant state on the support surface.
The Dolphin FIS System delivers many of the best
elements of air-uidized therapy such as three-
dimensional volumetric engagement and the
elimination of gradient shear forces, leading to
positive outcomes for aps, grafts, and pressure
ulcers. The Dolphin technology provides minimal
distortion to the body, while maintaining the normal
orientation of bone, muscle, and subcutaneous
tissue. The Dolphin FIS System has been
demonstrated to reduce the risk of pressure ulcer
formation as part of protocols for the prevention and
treatment of pressure ulcers.
The Dolphin FIS System is designed as a therapeutic
mattress system for patients weighing up to
1,000 lbs.1 It is customizable to t bed frames,
including bariatric bed frames, up to 48" wide.
The Dolphin System is also designed for specialty
surfaces (stretcher pad, wheelchair cushion) for
patients weighing up to 250 lbs.2
Warning: The risk of entrapment can arise when
equipment is placed on bed frames that leave gaps
of even a few inches between the therapy mattress
and the head panel, foot panel, and bed or side rails.
The equipment is NOT to be used when such gaps
are present. See “Important Precautions” section of
this manual.
1Mattress weight capacity only; total weight must not
exceed bed frame manufacturers’ specied load capacity,
and when paired with an appropriate surface.
2Specialty surface weight capacity only; total weight must
not exceed wheelchair manufacturers’ specied load
capacity, and when paired with an appropriate surface.

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User Manual
Dolphin Fluid Immersion Simulation®System
Dolphin Fluid Immersion Simulation®is a registered trademark of Joerns
Pressure Redistribution
Amputations Grafts
Burns Neurology
Dermatology Pressure Ulcers
Flaps Rehabilitation
Pain Management
AIDS Arthritis Oncology
The Dolphin FIS System is a state-of-the-art
pressure redistribution technology designed to
alleviate vertical shear forces.
The therapy mattresses and specialty surfaces
conform to the specic shape of the patient,
minimizing soft tissue distortion, reducing ischial
tuberosity penetration into muscle fascia, and
promoting improved blood ow compared to
traditional surfaces.
Note: Pressure redistribution and pain management
are conditions and diagnoses for which the Dolphin
FIS System may be indicated. Occasionally, there
are orthopedic and neurological patients that
require body positioning to be maintained in specic
alignment. The use of the Dolphin FIS System for
these patients should be considered on an individual
basis and cleared by the attending physician.
Features
The Dolphin FIS System is comprised of two
components:
• Therapy control unit
• Therapy mattress system or specialty surface
(wheelchair cushion, stretcher pad)
Therapy Control Unit Features (Figure 1)
• Easy to read graphics for intuitive set up and
therapy control.
• The Bed position operates the system when the
patient is in a traditional healthcare bed. Chair/
Stretcher position can be used when the patient
is on a smaller specialty surface; the timing cycle
adjusts for use on the smaller surface (i.e. Dolphin
Wheelchair Cushion).
• Requires no manual data input – automatically
adjusts to patient’s body weight and prole
to create a neutrally buoyant, 3D support
environment.
• A microprocessor and proprietary software
analyzes the patient’s shape in a 3D volumetric
format.
• Continuously monitors the surface more than 100
times per second for any patient movement.
• Comfort Adjust for manual pressure adjustment to
accommodate patient preference - recommended
manual adjust up one LED or down one LED for
comfort as needed. Note (applies to therapy
mattress): If patient is over 250 lbs., moving
the Comfort Adjust indicator to one LED above
the Auto Feedback LED may improve comfort. If
patient is less than 100 lbs., moving the Comfort
Adjust indicator to one LED below Auto Feedback
LED may improve comfort.
• Autorm mode may be desirable for patient
transfer and other patient care procedures. The
system will automatically return to the previous
setting after approximately 15 minutes.
• An alarm will sound and LED will illuminate in
the event of a fault condition (see Alarm fault
conditions; p.7).
• The rechargeable battery back-up will provide
alternate power to the control unit for
approximately 12 hours in the event that the
system is disconnected or during a power failure.
The battery will begin to recharge when power is
restored. Note: The Storage Switch must be in the
Battery On position to recharge.
Figure 1

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User Manual
Dolphin Fluid Immersion Simulation®System
Dolphin Fluid Immersion Simulation®is a registered trademark of Joerns
Therapy Mattress System and
Specialty Surface Features
• State-of-the-art pressure redistribution technology
designed to alleviate vertical shear forces.
• Customizable therapy mattress that can t any
healthcare bed frame, including bariatric frames,
up to 48" wide.
• Conforms to specic shape of the patient,
minimizing soft tissue distortion, reducing ischial
tuberosity penetration into muscle fascia, and
promoting improved blood ow compared to
traditional surfaces
• Able to accommodate patients up to 1000 lbs1for
therapy mattresses
• Able to accomodate patients up to 250 lbs2for
specialty surfaces
• Quick CPR deation valve on the thearpy mattress
• For V-Matt Therapy Mattress Models Only:
an air-lled safety cell to protect patients from
bottoming out in the event of a power failure that
exceeds battery life for step-deck bed frames.
• For V-Matt Therapy Mattress Models Only:
CairEdge feature wraps around the bed frame edge
at point of ingress/egress, providing extra padding.
Therapy Pad Features
• Constructed from smooth nylon fabric with low
friction and low shear properties to protect the
patient’s skin from these damaging forces.
• Breathable, moisture vapor permeable fabric allows
air to circulate beneath the pad and wicks away
excess moisture. This helps to keep your patient
dry and helps prevent skin maceration.
Additional Features
Warning: A possible re hazard exists. This product
is suitable for use with oxygen administering
equipment of the nasal, mask, or half bed-length,
tent-type only. To prevent personal injury or
equipment damage, ensure that the oxygen tent
does not extend below the mattress.
CPR
CPR deation can be done by twisting the CPR valve.
The therapy mattress will deate rapidly (deation
time varies depending on patient weight and prole).
For V-Matt Therapy Mattress Models Only: For
quick CPR deation, locate the red CPR ag and twist
the valve lightly. The mattress will rapidly deate.
Note: The safety cell will remain inated.
Battery Back-up
A sealed 12 VDC rechargeable battery automatically
provides all necessary power to the system
when normal AC source is removed or fails for
approximately 12 hours. The Dolphin FIS System
will continue to provide therapy. This allows a
patient to be moved freely without the AC cord being
attached to an outlet. When reconnected to an AC
source or power is restored, the AC section of the
system automatically re-initializes and the battery is
recharged.
Note: The Storage Switch must be in the Battery On
position to recharge.
Transport
To transport the patient in bed, unplug the power
cord from the main power outlet. The battery back-
up will provide power for continued therapy mattress
system operation for approximately 12 hours.
1Mattress weight capacity only; total weight must not
exceed bed frame manufacturers’ specied load capacity,
and when paired with an appropriate surface.
2Specialty surface weight capacity only; total weight must
not exceed wheelchair manufacturers’ specied load
capacity, and when paired with an appropriate surface.

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User Manual
Dolphin Fluid Immersion Simulation®System
Dolphin Fluid Immersion Simulation®is a registered trademark of Joerns
Keyboard Functions
Warning: For important precautions, see page two.
Caution: The patient’s head should be positioned in
the center of the top section of the therapy mattress.
When using the therapy mattress system, always
ensure that the patient is positioned properly within
the connes of the bed. Do not let any extremities
protrude over the side or between the bed rails when
the therapy mattress is being used.
Storage Switch (Figure 2)
The Storage Switch is located on the bottom of the
control unit by the power cord. Turn the Storage
Switch to Battery On for normal operation of the
control unit and to insure the battery charges when
connected to AC power. Turn the Storage Switch to
Storage Mode when the control unit will not be in
use.
Power Button (Figure 3)
Use the Power button to turn the power on and off.
Mode (Figure 3)
In the Bed position, the system operates normally,
but when switched to the Chair/Stretcher position,
the timing cycles change to allow use on a specialty
surface.
Using the specialty surface allows the system to be
moved from the patient bed to a wheelchair cushion
or stretcher pad, providing the normal functions of
the system.
Alarm (Figure 4)
The warning or alarm subsystem consists of LED’s
and a beeper which displays red and beeps when a
fault condition occurs.
A fault condition is considered to be any of the
following conditions:
• Pressure too hard for more than a 10 second
period
• Pressure too soft for more than a 30 minute
period
• Differential error between “Comfort Adjust
setting” and “Auto Feedback” for more than a 30
minute period
The beeper may be manually disabled for up to 30
minutes by pressing the yellow Alarm button.
This feature avoids annoyance while a fault is being
corrected, but will automatically re-assert itself after
30 minutes time, or until the fault is corrected. The
LED’s continue to function normally, regardless of the
Alarm on/off state.
Figure 3
Figure 4
Lock (Figure 4)
The Lock button and associated yellow LED permit
the entire control panel to be locked from further
adjustments.
When locked, pressing the Lock button again
restores normal operation and the yellow LED is
extinguished.
Battery Indicators (Figure 4)
The Battery indicator will blink when the AC power
has been interrupted and the control unit is running
on the battery back-up power.
The Battery Low indicator will blink when the battery
back-up is at the end of its charge life. Plug control
unit back into a power outlet as soon as possible to
resume normal operation. Upon restoration of AC
power, the battery back-up will begin the recharge
process. Note: To ensure the battery recharges
when connected to AC power, the Storage Switch
must be in the Battery On position.
Figure 2

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User Manual
Dolphin Fluid Immersion Simulation®System
Dolphin Fluid Immersion Simulation®is a registered trademark of Joerns
Immersion Prole Window (Figure 5)
The Immersion Prole indicates the system response
to patient initial positioning and position change.
When in optimal position, the green LED will
illuminate. When the system is in transition, the
yellow/red LEDs will illuminate. The Dolphin FIS
System will recreate the optional prole based on
individual patient body characteristics. No manual
adjustment is needed.
Comfort Controls (Figure 6)
Autorm
The Autorm mode is used for patient transfers,
repositioning and to quickly inate the surface when
it has not been in use.
To override the Autorm mode, press the Autorm
button again.
The Autorm button causes the therapy mattress or
specialty surface to ll to maximum ination. After
15 minutes, the system will automatically reset to
the previous ination level.
While in the Autorm mode, the Comfort Adjust
indicator LED will remain on its normal setting to
show where the ination will return upon resumption
of normal operation. Also, the Comfort Adjust
indicator will blink amber at the rm position when
in Autorm mode. There is no restriction against the
user immediately returning to the Autorm mode
once leaving that mode.
The Comfort Adjust indicator indicates where the
manual pressure adjustment is set by the Comfort
Adjust arrows.
Comfort Adjust
OnCare recommends that caregivers allow the
Dolphin FIS System to set and control the immersion
prole. However, to accommodate individual patient
preference, caregivers can press the Comfort Adjust
arrows to manually adjust comfort settings. It is
recommended that manual adjustments of more
than one (1) LED step up or down from the system
prole be avoided.
Note (applies to therapy mattress): If patient is
over 250 lbs., moving the Comfort Adjust indicator to
one LED above the Auto Feedback LED may improve
comfort. If patient is less than 100 lbs., moving the
Comfort Adjust indicator to one LED below Auto
Feedback LED may improve comfort.
Figure 6
Figure 5
Auto Feedback
The Auto Feedback indicator scale is represented by
10 LED’s and cover the full control range from Soft to
Firm.
When operating within normal parameters, the Auto
Feedback LED scale will be amber. Should the system
be outside of normal parameters, the LED scale will
move from amber to red, indicating a potential need
to manually adjust with Comfort Adjust arrows.
It is normal for the Auto Feedback LED to move to
red when the patient is transitioning on the therapy
mattress. Allow the Dolphin FIS System to optimize.
If the LED lights remain consistently red after the
system has had the chance to optimize, manual
adjustment with the Comfort Adjust arrows is
needed.

9
User Manual
Dolphin Fluid Immersion Simulation®System
Dolphin Fluid Immersion Simulation®is a registered trademark of Joerns
Grounding Instructions
Warning: Use a properly grounded, three-prong,
120V AC outlet for this product. Failure to use a
grounded outlet could result in personal injury or
damage to equipment or house wiring, including risk
of re. A qualied electrician should be contacted to
correct the wiring and ensure a properly grounded
outlet.
Before installing this product, have the electrical
system checked to make sure the electrical circuits
and the electrical service are properly grounded.
Having a three-prong outlet does not necessarily
mean it is grounded. Sometimes two-prong outlets
are replaced with a three-prong type even though
there is no ground wire.
There is always a chance of a loose connection or
poor installation of a ground wire that causes the
loss of proper ground at the outlet. Inadequate
grounding at electrical outlets can occur even if there
is a ground wire. Wires can become loose over time
at the connection to the outlet.
Note: To install new wires on a circuit requires a
qualied electrician.
How to Determine if Your Outlet has the
Proper Grounding
Most hardware stores sell circuit testers (Figure
7) that can be used to test an outlet for proper
grounding. The tester plugs into an outlet and by
observing the indicator lights you can determine if
the outlet is properly grounded. For a higher level
of assurance, an electrician should be requested
to thoroughly test the electrical system with more
reliable equipment.
If repair or replacement of the cord or plug is
necessary, please contact OnCare for assistance.
Setup
Warning: For important precautions, see page two.
Caution: Do not place the control unit on the oor.
Position the power cord to prevent tripping hazards.
Therapy Mattress
• Remove the existing mattress from the bed.
• Unpack the therapy mattress with the hose
connection at the foot end of the bed and the
therapy cells facing up. Secure the therapy
mattress straps to the movable part of the bed
frame.
• If the therapy pad is not already on the therapy
mattress, place it on the therapy mattress. Attach
the zipper around the perimeter of the therapy
mattress.
• Hang the control unit on the foot of the bed facing
away from the bed.
• Connect hose set from the therapy mattress to the
control unit securely. When properly installed, the
hose connectors should click into place.
• Turn Storage Switch to Battery On position. The
Storage Switch is located on the underside of the
unit.
• Plug in the control unit and the yellow Standby
light will illuminate. Press the Power button. The
control unit will start and the green light will
illuminate. Keep the control unit ON while the
patient is on the therapy mattress.
• The control unit must be set to the Bed setting
using the Mode button when connected to a
therapy mattress. Use the Chair/Stretcher mode
when the control unit is connected to a specialty
surface.
• Inate the therapy mattress using the Autorm
button. The therapy mattress is fully inated when
the immersion prole is indicated in green.
• Place the patient on the therapy mattress and
allow system to optimize. Note: If patient is over
250 lbs., moving the Comfort Adjust indicator
to one LED above the Auto Feedback LED may
improve comfort. If patient is less than 100 lbs.,
moving the Comfort Adjust indicator to one LED
below Auto Feedback may improve comfort.
• When the Dolphin FIS System is working properly,
no hand check is normally recommended.
If needed, a traditional hand check may be
preformed as outlined below:
1. Begin by placing the back section of the bed in
the appropriate position based on the patient’s
clinical condition.
2. Select the highest or most rm Comfort Adjust
setting.
Figure 7

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User Manual
Dolphin Fluid Immersion Simulation®System
Dolphin Fluid Immersion Simulation®is a registered trademark of Joerns
3. Hand Check: Place a hand with three (3)
ngers (if head of bed at 30° or higher) or
four (4) ngers (if head of bed lower than
30°) stacked vertically beneath the cells of
the mattress and above the safety mattress
directly between the lowest point of the
patient’s sacral area/buttocks. The smallest
nger should be resting on the safety mattress.
4. Sequentially reduce the Comfort Adjust setting
to the rmness level where the height of the
three (3) or four (4) ngers can slide with
minimal resistance between the patient’s sacral
area/buttocks and the lower safety mattress.
This is the proper Comfort Adjust setting for
the patient to assure proper ination of the
air cells and prevent bottoming out of the
mattress.
5. Document the patient’s Comfort Adjust setting
for future reference, and re-evaluate with the
hand check as the patient’s condition warrants.
Specialty Surface - Wheelchair Cushion
• Remove any existing cushion from the wheelchair.
• Unpack the wheelchair cushion with the hose
connection at the back of the wheelchair and the
therapy cells facing up. Secure the wheelchair
cushion straps to the seat section of the wheelchair
frame.
• If the therapy pad is not already on the wheelchair
cushion, place it on the wheelchair cushion. Attach
the zipper around the perimeter of the wheelchair
cushion.
• Secure the control unit to the back of the
wheelchair.
• Connect hose set from the wheelchair cushion to
the control unit securely. When properly installed,
the hose connectors should click into place.
• Turn Storage Switch to Battery On position. The
Storage Switch is located on the underside of the
unit.
• Press the Power button. The control unit will start
and the green light will illuminate. Keep the control
unit ON while the patient is on the wheelchair
cushion. Note: The control unit battery must be
periodically recharged. Follow instructions under
Battery Indicators on page 8.
• The control unit must be set to the Chair/Stretcher
setting using the Mode button when connected to
a wheelchair cushion. Use the Bed mode when the
control unit is connected to a therapy mattress.
• Inate the wheelchair cushion using the Autorm
button. The wheelchair cushion is inated and
ready for use when the immersion prole is
indicated in green.
• Place the patient on the wheelchair cushion and
allow system to optimize.
Troubleshooting
Support Surface is Not Inating
• Ensure the hose connection from the therapy
mattress or specialty surface to the control unit is
securely connected. When properly installed, the
hose connectors should click into place.
• Ensure that the control unit is plugged into an
AC outlet or that the control unit is operating on
Battery Back-up.
• Ensure that the power is not on Standby. If on
Standby, press the Power button.
• Ensure that all air cells are connected.
• Ensure that the Mode is in the appropriate position
for the attached advanced support surface (i.e.
Bed position for therapy mattresses).
• Ensure that the Storage Switch is turned to the
Battery on position.
• Ensure that the CPR valve is closed.
• Ensure that the CPR ag plugs are inserted (if
applicable).
• If the control unit runs constantly but cannot
establish the optimized Immersion Prole; check
for faulty connections, leaking surfaces, or
damaged control unit.
• If the Auto Feedback indicator is always RED,
check for proper surface ination and unit
operation.
Unable to Change Therapy Mode or Adjust
Comfort Control
Make sure the Lock function is disabled. To disable,
press the Lock button.
Nursing Procedures
Recommended Linen:
Special linens are not recommended for the Dolphin
FIS therapy mattress. There is no need for a bottom
sheet as the therapy pad should be covering the
therapy cells at all times. The patient should never
be lying or sitting directly on the therapy cells. Based
upon the patient’s specic needs, the following linens
may be utilized:
• Draw or slide sheet to aid in positioning and to
further minimize friction and shearing.
• Incontinence barrier pad for patients incontinent
of urine and/or stool, and patients with heavily
draining wounds.
• Add top sheet, blanket and/or bedspread as
needed for patient comfort.
• Keep the amount of padding between the patient
and therapy mattress or specialty surface to
a minimum for optimum performance. Placing
excessive pads or sheets between the patient and
the therapy mattress or specialty surface may
negatively impact performance.

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Dolphin Fluid Immersion Simulation®System
Dolphin Fluid Immersion Simulation®is a registered trademark of Joerns
Changing the Therapy Pad
• Place the therapy pad over the therapy cells, tting
the corner of the cushions into the corner of the
therapy pad (similar to a tted sheet).
• Secure the therapy pad over the therapy mattress
or specialty surface tub.
Patient Positioning and Comfort
General Repositioning
Patients should be turned and repositioned per
individual turning schedule or per facility policy. It
may be helpful to activate the Autorm mode to
achieve a rm therapy mattress for repositioning
purposes. The unit will automatically return to the
mode it was in prior to Autorm in approximately 15
minutes or you can manually return to therapy mode
once patient has been repositioned.
Unless contraindicated, it is desirable to keep the
back section of the bed in the at position to provide
optimal pressure redistribution and minimize the risk
of shearing injuries.
Elevating Patient into Sitting Position
The special properties of the Dolphin FIS System
therapy pad reduce the opportunity for shear and
friction that may occur when raising the back
section of other bed systems. As with any surface,
sliding can be expected, therefore patients should
be repositioned after elevation. The knee gatch or
foot section of the bed may be elevated rst, to
help prevent the patient from sliding when the back
section is elevated.
Incontinence
Moisture against the skin surface leads to
maceration, or softening of the tissues. To prevent
maceration, an incontinence barrier pad may be used
to absorb the excess moisture.
In the event of incontinence or excess drainage
on the therapy pad, the pad should be cleaned as
recommended in the Cleaning section of this manual.
Safety Information
When using the Dolphin FIS System, always ensure
that the patient is positioned properly within the
connes of the bed or other specialty item. Do not
let any extremities protrude over the side or between
the bed rails when the mattress is being used.
Patient Migration
Specialty bed products are designed to reduce/
redistribute pressure and the shearing/friction
forces on the patient’s skin. The risk of gradual
movement and/or sinking into hazardous positions
of entrapment and/or inadvertent bed exit may be
increased due to the nature of these products.
Traction
With any traction equipment or unstable fractures,
maintain physician-directed angle of articulation
and guard against risks of patient migration or
inadvertent deation of patient surface.
Skin Care
Monitor skin conditions regularly, particularly in areas
where incontinence and drainage occur or collect,
and consider adjunct or alternative therapies for high
acuity patients. Early intervention may be essential
to preventing serious skin breakdown.
Bed Height
To minimize the risks of falls or injury, the patient
surface should always be in the lowest practical
position when the patient is unattended. Make sure
areas under and around the frame are clear of
objects, persons and parts of body before adjusting
height.

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Dolphin Fluid Immersion Simulation®is a registered trademark of Joerns
Cleaning
Warning: Unplug the control unit from its power
source. Failure to do so could result in personal
injury or equipment damage.
Warning: Do not expose the unit to excessive
moisture that would allow for liquid pooling. Personal
injury or equipment damage could occur.
Caution: Do not use harsh cleansers/detergents,
such as scouring pads and heavy-duty grease
removers, or solvents, such as acetone. Equipment
damage could occur.
Control Unit
Wipe off dust. If necessary, clean the housing
exterior with a disinfectant solution or a mild
detergent and a damp cloth. Then wipe dry.
General Cleaning
If there is no visible soilage with possible body uids,
we recommend that you clean the therapy mattress
and specialty surface with a mild detergent and
warm water. If disinfection is desired, you may use
a combination cleanser/disinfectant as explained in
“Disinfecting” area.
• Patient care equipment that does not come in
contact with mucous membranes or non-contact
skin requires low-level disinfection. Wiping surfaces
with a properly prepared detergent or disinfectant
carries out low level disinfecting.
• Processing of dirty patient care equipment should
take place in a designated area away from clean or
sterile supplies and food preparation areas.
• Detergent/disinfectants should not be mixed with
other germicides or detergents. Using the proper
dilution ensures the most effective killing power of
the disinfectant.
• Wash hands often and well, including after removal
of gloves.
• Patient care equipment that is used in isolation
areas should be disinfected in accordance with all
internal policies and procedures regarding such
equipment.
Disinfecting
When there is visible soilage and between patients,
we recommend that you disinfect the unit and
therapy mattress or specialty surface with a
tuberculocidal disinfectant. Disinfectant should be
registered with the Environmental Protection Agency
(EPA).
• Use rubber gloves and eye protection.
• Prepare detergent/disinfectant (registered by EPA
as hospital disinfectant) solution according to
instructions on label for correct use-dilution.
• With the therapy mattress or specialty surface
deated, thoroughly wipe down entire mattress,
as air cells will lie at. Be sure to reach all areas
underneath and in-between air cells. Allow to air
dry.
• If dust or other soiling has accumulated along
air hoses, remove using swabs moistened with
detergent/disinfectant as necessary. Allow all
components to air dry. Wrap therapy mattress or
specialty surface in plastic and return to storage
area.
• Thoroughly wipe down outside of control unit and
allow to air dry. Cover with plastic and return to
storage area.
• Remove gloves and dispose; wash hands.
Therapy Pad
The therapy pad can be wiped down with a
disinfectant solution or a mild detergent with a
damp cloth. If heavily soiled, the therapy pad can
be laundered in a washer and dryer with warm
water (no more than 120º Fahrenheit). A non-bleach
detergent should be used sparingly. Wipe dry or
allow to air dry.
Steam Cleaning
Do not use any steam cleaning device on the unit.
Excessive moisture can damage mechanisms in this
unit.

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Dolphin Fluid Immersion Simulation®System
Dolphin Fluid Immersion Simulation®is a registered trademark of Joerns
Maintenance
Warning: Only facility-authorized personnel
trained by OnCare should perform preventative
maintenance. Preventative maintenance performed
by unauthorized personnel could result in personal
injury or equipment damage.
Any maintenance done without OnCare’s
authorization will invalidate any warranties on this
product.
Storage and Care
When the product is not in use, store the power cord
properly. Failure to do so could result in personal
injury.
Note: Clean the Dolphin FIS System as described in
the previous section prior to storage.
Control Unit
The power cord may be stored in the space provided
under the unit for convenience. Wrap the unit in a
plastic bag for dust resistance then store the unit in
an area appropriate for an electronic medical device.
Turn the Storage switch to Storage Mode when not in
use. The Storage switch is located at the underside
of the unit.
Therapy Mattress and Specialty Surfaces
Gently roll up the therapy mattress or specialty
surface, expelling any residual air, for temporary
storage. The therapy mattress or specialty surface
should be wrapped in plastic and/or a clean bag for
storage.
System Specications
Weight
Control Unit:.................................. 10 lbs (4.5 Kg)
Therapy Mattress: ........................... 22 lbs (10 Kg)
Wheelchair Cushion: .........................5 lbs (2.3 Kg)
Safe Working Load
Therapy Mattress:
Maximum weight capacity1:...... 1000 lbs (454.5 Kg)
Wheelchair Cushion:
Maximum weight capacity2..........250 lbs (113.6 Kg)
Dimensions
Control Unit:
11.5" (29.2 cm) W x 12.5" (31.8 cm) H x 6" (15.2 cm) D
Standard Therapy Mattress:
35" (89 cm) W x 82" (208 cm) L x 10" (25 cm) D
42" (107 cm) W x 82" (208 cm) L x 10" (25 cm) D
48" (122 cm) W x 82" (208 cm) L x 10" (25 cm) D
Low Prole Therapy Mattress:
35" (89 cm) W x 82" (208 cm) L x 8" (20 cm) D
42" (107 cm) W x 82" (208 cm) L x 8" (20 cm) D
48" (122 cm) W x 82" (208 cm) L x 8" (20 cm) D
Step-Deck (Dolphin V-Matt):
35" (89 cm) W x 88" (224 cm) L x 10" (25 cm) D
Wheelchair Cushion:
17" (43 cm) W x 17" (43 cm) L x 4" (10 cm) D
Electrical Specications
USA:
115V AC, 60 Hz
Environmental Conditions
Operating Conditions:
Ambient Temperature: +10°C to +40°C
Relative Humidity: 30% to 75% Non-Condensing
Storage and Shipping Conditions:
Ambient Temperature: 10ºC to +40ºC
Relative Humidity: 10% to 100%
Control Unit Agency Approval
Conforms to UL 60601-1 and IEC 60601-1-2,
Certied to CAN/CSA C22.2 No. 601.1
Call for Assistance
If you have any questions or require service
on a OnCare product, please call OnCare at
800.847.7368.
1Mattress weight capacity only; total weight must not
exceed bed frame manufacturers’ specied load capacity,
and when paired with an appropriate surface.
2Specialty surface weight capacity only; total weight must
not exceed wheelchair manufacturers’ specied load
capacity, and when paired with an appropriate surface.

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Dolphin Fluid Immersion Simulation®System
Dolphin Fluid Immersion Simulation®is a registered trademark of Joerns
Appendix A: Electromagnetic Compatibility (EMC) Information
AutoVector®Fluid Immersion Simulator
Medical Electrical Equipment needs special precautions regarding EMC and needs to be installed and put into
service according to the EMC information provided in this manual.
Portable and mobile RF communications equipment can affect Medical Electrical Equipment.
The use of Accessories, transducers, and cables other than those specied by the manufacturer, may result in
increased Emissions or decreased Immunity of the Auto Vector Fluid Immersion Simulator.
The AutoVector Fluid Immersion Simulator should not be used adjacent to or stacked with other equipment and
that if adjacent or stacked use is necessary, the Auto Vector Fluid Immersion Simulator should be observed to
verify normal operation in the conguration in which it will be used.
Guidance and Manufacturer’s Declaration –Electromagnetic Emissions
The AutoVector Fluid Immersion Simulator is intended for use in the electromagnetic environment specied
below. The customer or the user of the Auto Vector Fluid Immersion Simulator should assure that it is used in
such an environment.
Emissions test Compliance Electromagnetic environment – guidance
RF emissions
CISPR 11 Group 1
The AutoVector Fluid Immersion Simulator uses RF energy only for
its internal function. Therefore, its RF emissions are very low and are
not likely to cause any interference in nearby electronic equipment.
RF emissions
CISPR 11 Class B
The AutoVector Fluid Immersion Simulator is suitable for use in all
establishments, including domestic establishments and those directly
connected to the public low-voltage power supply network that
supplies buildings used for domestic purposes.
Harmonic emissions
IEC 61000-3-2 Class A
Voltage uctuations /
icker emissions
IEC 61000-3-3
Complies

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Dolphin Fluid Immersion Simulation®System
Dolphin Fluid Immersion Simulation®is a registered trademark of Joerns
Guidance and Manufacturer’s Declaration - Electromagnetic Immunity:
The AutoVector® Fluid Immersion Simulator is intended for use in the electromagnetic environment specied
below. The customer or the user of the Auto Vector Fluid Immersion Simulator should assure that it is used in
such an environment.
Immunity Test IEC60601 Test Level Compliance Electromagnetic Environment-Guidance
Electrostatic
discharge (ESD)
IEC 61000-4-2
±6 kV contact
±8 kV air
±6 kV contact
±8 kV air
Floors should be wood, concrete or ceramic tile.
If oors are covered with synthetic material, the
relative humidity should be at least 30%.
Electrical fast
transient/burst
IEC 61000-4-4
±2 kV for power
supply lines
±1 kV for input/
output lines
±2 kV for power
supply lines
Not applicable
Not applicable Mains power quality should
be that of a typical commercial or hospital
environment.
Surge
IEC 61000-4-5
±1 kV line(s) to
line(s)
±2 kV line(s) to
earth
±1 kV line(s) to
line(s)
±2 kV line(s) to
earth
Mains power quality should be that of a typical
commercial or hospital environment.
Voltage
dips, short
interruptions
and voltage
variations on
power supply
input lines IEC
61000-4-11
<5% Uτ
(>95% dip in Uτ)
for 0,5 cycle
40% Uτ
(60% dip in Uτ)
for 5 cycles
70% Uτ
(30% dip in Uτ)
for 25 cycles
<5% Uτ
(>95% dip in Uτ)
for 5 sec
<5% Uτ
(>95% dip in Uτ)
for 0,5 cycle
40% Uτ
(60% dip in Uτ)
for 5 cycles
70% Uτ
(30% dip in Uτ)
for 25 cycles
<5% Uτ
(>95% dip in Uτ)
for 5 sec
Mains power quality should be that of a typical
commercial or hospital environment. If the user
of the AutoVector Fluid Immersion Simulator
requires continued operation during power mains
interruptions, it is recommended that the Auto
Vector Fluid Immersion Simulator be powered
from an uninterruptible power supply or a
battery.
Power
frequency
(50/60 Hz)
magnetic eld
IEC 61000-4-8
3 A / m Not applicable Power frequency magnetic elds should be at
levels characteristic of a typical location in a
typical commercial or hospital environment.
Note: Uτ is the a.c. mains voltage prior to application of the test level.

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Dolphin Fluid Immersion Simulation®System
Dolphin Fluid Immersion Simulation®is a registered trademark of Joerns
Guidance and Manufacturer’s Declaration – Electromagnetic Immunity
The AutoVector® Fluid Immersion Simulator is intended for use in the electromagnetic environment specied
below. The customer or the user of the Auto Vector Fluid Immersion Simulator should assure that it is used in
such an environment.
Immunity test IEC 60601 test
level
Compliance level Electromagnetic environment – guidance
Conducted RF
IEC 61000-4-6
Radiated RF
IEC 61000-4-3
3 Vrms
150 kHz to 80 MHz
3 V/m
80 MHz to 2,5 GHz
3 Vrms
3 V/m
Portable and mobile RF communications equipment
should be used no closer to any part of the Auto
Vector Fluid Immersion Simulator, including
cables, than the recommended separation distance
calculated from the equation applicable to the
frequency of the transmitter.
Recommended separation distance
d=1.2√P
d=1.2√P 80 MHz to 800 MHz
d=2.3√P 800 MHz to 2,5 GHz
Where Pis the maximum output power rating of the
transmitter in watts (W) according to the transmitter
manufacturer and dis the recommended separation
distance in metres (m).
Field strengths from xed RF transmitters, as
determined by an electromagnetic site survey,
ashould be less than the compliance level in each
frequency range. b
Interference may occur in the vicinity of equipment
marked with the following symbol:
Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reection from structures, objects and people.
a Field strengths from xed transmitters, such as base stations for radio (cellular/cordless) telephones and land
mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically
with accuracy. To assess the electromagnetic environment due to xed RF transmitters, an electromagnetic
site survey should be considered. If the measured eld strength in the location in which the Auto Vector Fluid
Immersion Simulator is used exceeds the applicable RF compliance level above, the Auto Vector Fluid Immersion
Simulator should be observed to verify normal operation. If abnormal performance is observed, additional
measures may be necessary, such as re-orienting or relocating the Auto Vector Fluid Immersion Simulator.
b Over the frequency range 150 kHz to 80 MHz, eld strengths should be less than 3 V/m.

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Dolphin Fluid Immersion Simulation®System
Dolphin Fluid Immersion Simulation®is a registered trademark of Joerns
Recommended separation distances between portable and mobile RF communications equipment
and the Auto Vector Fluid Immersion Simulator
The AutoVector Fluid Immersion Simulator is intended for use in an electromagnetic environment in which
radiated RF disturbances are controlled. The customer or the user of the AutoVector Fluid Immersion Simulator
can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile
RF communications equipment (transmitters) and the AutoVector Fluid Immersion Simulator as recommended
below, according to the maximum output power of the communications equipment.
Rated maximum output
power of transmitter
W
Separation distance according to frequency of transmitter
m
150 kHz to 80 MHz
d=1.2√P
80 MHz to 800 MHz
d=1.2√P
800 MHz to 2,5 GHz
d=2.3√P
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in
metres (m) can be estimated using the equation applicable to the frequency of the transmitter, where Pis the
maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reection from structures, objects, and people.

© 2012 Joerns Healthcare • 6110127 RevA • 12-0175
Corporate Ofce 7700 France Ave. S., Suite 275 Edina, MN 55435-5228
Toll Free: 800.847.7368 Phone: [phone] Fax: [phone] www.oncaremedical.com
OnCare™ Dolphin Fluid Immersion Simulation®is a proud offering of Universal Hospital Services, Inc.
©2012 Universal Hospital Services, Inc. All rights reserved.
OnCare warrants the Dolphin FIS System advanced
support surfaces to be sold free from defects in
workmanship and materials, under normal and
proper use, for a period of two (2) years on the
advanced support surfaces, and two (2) years
on the electromechanical mattress components
(compressors, valves, printed circuit boards, hoses,
and couplers). Damages arising from improper use
will not be covered by this warranty.
Improper use is dened as, but not limited to, those
caused by:
• Burns
• Use of improper chemical agents
• Needle punctures, cuts, or abrasions
• Excessive loads
• Staining
• Negligent or excessive usage
• Improper maintenance, handling and/or cleaning
• Failure to use in the manner indicated in the
Dolphin FIS System user manual
Any modication, repair or alteration done to the
Dolphin FIS System that was not authorized in
writing by OnCare will void this warranty.
Damage caused by use in unsuitable environmental
conditions, abuse or failure to maintain the product
in accordance with user and service instructions is
not covered.
This warranty is extended to the original purchaser
of the equipment.
Parts
OnCare’s Dolphin FIS System contains various parts
that wear from normal use. OnCare’s obligation
under this warranty is limited to supplying
replacement parts, servicing or replacing, at its
option, any product which is found by OnCare to be
defective. When requested by OnCare, parts must be
returned for inspection at the customer’s expense.
Credit will be issued only after inspection.
Service
Most service requests can be handled by the facility
Maintenance Department with assistance from the
OnCare Product Service Department.
Most parts requested can be shipped next day air at
the customer’s expense.
Should a technician be required, one will be provided
by OnCare, at our discretion. Only the OnCare
Product Service Department can dispatch authorized
technicians. Please call 800.847.7368 for assistance.
OnCare Warranty Program
for Dolphin Fluid Immersion Simulation®System Advanced Support Surfaces