Panacea AIR APL MATTRESS User manual

Please keep and refer to this Owner’s Manual.
Owner’s Manual
1-800-634-7328 DirectSupply.com
Panacea®
AIR APL MATTRESS
Thank you for purchasing a Panacea®Air APL Mattress from Direct Supply Equipment &
Furnishings®. Please read this entire guide carefully and keep it for future reference. This
guide will provide you with instructions, warnings, warranty information, and other important
information about your Panacea mattress. Share this information with your housekeeping,
nursing and maintenance staff to help ensure the mattress system is cared for properly.

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Introduction................................................................................................................ 3
Definitions & Symbols ............................................................................................... 3
Product Description .............................................................................................. 4 - 5
Product Specifications ............................................................................................... 6
Warnings ................................................................................................................... 7
Directions for Use ................................................................................................. 8 - 9
Transportation & CPR ...............................................................................................10
Cleaning ....................................................................................................................11
Preventive Maintenance ..........................................................................................12
Storage......................................................................................................................12
Troubleshooting Guide .............................................................................................13
Limited Warranty ......................................................................................................14
Customer Service ....................................................................................................15
Table of Contents

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Table of Contents Introduction
The Air APL™mattress pump is certified to E223556, UL60601-1 and CAN/USA C22.2 NO.601.1
Introduction
The Panacea®Air APL Mattress with alternating pressure and limited low air loss is
designed to assist in the prevention and treatment of up to Stage IV pressure ulcers
for Long Term Care residents. The resident support surface fits most standard
healthcare beds, and consists of 20 air cells that run laterally underneath the entire
body. The air flotation system aids in pressure redistribution and relief, and helps
maintain low interface pressures throughout the surface.
The Panacea Air APL mattress uses a quiet, energy-efficient control unit, which
provides alternating pressure and limited low air loss therapy. The inflation levels are
designed to maintain low interface pressures throughout the mattress, to redistribute
peak interface pressures during the cycle, and to further relieve peak pressure points
as the cycle alternates. The low air loss feature helps reduce maceration and further
skin breakdown by keeping the skin surface cool and dry.
Definitions & Symbols
NOTE: Indicates a tip.
CAUTION: Indicates correct operating or maintenance procedures in order to prevent
damage to or destruction of the equipment or other property.
WARNING: Calls attention to a potential danger that requires correct procedures or
practices in order to prevent personal injury.
DEVICE: Your Panacea Air APL Mattress.
YOU and YOUR: The facility, community or other entity that has purchased the device.
WE, US, and OUR: Direct Supply®Manufacturing, Inc.
•Attention. Read the instructions.

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Product Description
INDICATIONS FOR USE:
The Panacea Air APL mattress is a flotation therapy mattress that provides pressure
management to assist in the prevention and treatment of up to Stage IV pressure ulcers.
The alternating pressure mode provided with the Panacea Air APL mattress is indicated
for use as a preventive tool against further complications associated with critically ill
residents or immobility.
Air Cells:
Air cells provide A-B-A-B alternating pressure therapy. These air cells inflate to height of 6”.
Specific cells are designed with holes which allow the Panacea Air APL mattress to provide
limited low air loss.
Safety Air Base:
A 2”H foam base assures the resident is safe and comfortable in the event of a power
failure.
CPR VALVE:
Allows for rapid deflation and is located at the head end of the mattress. See directions
for proper use.
Cover:
Top cover – The antimicrobial top fabric is fire resistant, fluid resistant, tear resistant,
cleanable, and the two-way stretch cover is replaceable.
Bottom cover – PVC vinyl bottom for durability and easy cleaning.
Mattress Height:
The total pressure-management surface height is 8”.
Friction/Shear:
The cover reduces both friction and shear.
Replacement Mattress:
The mattress should be placed directly on an existing healthcare bed frame of an
appropriate size.
Warranty:
The mattress warranty is 2 years against manufacturing defects (see warranty for
specific details). The control unit warranty is 12 months.
Pressure Management:
This replacement mattress system is designed to provide pressure management for the
prevention and treatment of up to Stage IV pressure ulcers.

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Product Description
CONTROL UNIT
Power on/off Button:
Powers the control unit on and off.
Firmness Dial:
Adjusts the pressure within the system.
Static button:
Allows for the alternating pressure
functionality to be turned off.
Low Pressure Alarm:
Indicates loss of air pressure.
Alarm Silence button:
Silences the low pressure alarm.

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Product Specifications
COVER:
Top Cover: 2-Way Stretch
Bottom Cover: PVC
Antimicrobial
Flame Resistant
Fluid Resistant
Tear Resistant
FIRE RATINGS:
CA #117 – Panacea Air APL meets California Technical Bulletin 117 requirements
CA #129 – Panacea Air APL is exempt from this test
TB603 – Panacea Air APL is exempt from this test
16 CFR 1633 – Panacea Air APL is exempt from this test
AIR Cells:
70 Denier Nylon/Polyurethane
SIDE PERIMETERS:
70 Denier Nylon/Polyurethane
SAFETY AIR BASE:
2” polyurethane foam wrapped in moisture proof
polyurethane material
CONTROL UNIT:
120V, 60 Hz
SURFACE SIZES:
35”W x 8”H x 75”L
35”W x 8”H x 80”L
•1. Resident’s body cannot exceed the width of the mattress.
2. Check the weight capacity of the bed to make sure both the mattress and bed
are capable of supporting additional weight.
OPERATING MODES:
Panacea Air APL — Alternating Pressure
Provides 10 minute loading and unloading cycle designed to maintain low interface
pressures throughout the mattress, to redistribute peak interface pressures during
the cycle.
Panacea Air APL — Low Air Loss
Efficient pump provides continuous 8 lpm airflow to help cool the skin surface. The
non-quilted cover maximizes the system’s benefits.

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Product Specifications Warnings
Read and follow all directions and warnings before using this product.
•WARNINGS
1. Failure to comply with all directions and warnings may result in injury or death; use
only as directed.
2. This product is not suitable for all individuals. Other devices may be required.
3. Inspect the product for damage before each use and do not use it if it appears to
be damaged or not functioning properly.
4. Never alter the product in any way.
5. This product is designed for indoor use only within close proximity to skilled
caregivers.
6. This device is not designed to operate with residents weighing more than 450 lbs.
NOTE: Resident’s body cannot exceed the width of the mattress at any weight capacity.
NOTE: This product is designed to assist in the prevention and treatment of pressure
ulcers and may require other equipment. This may include, but is not limited to:
1. Bedrails for repositioning and fall prevention.
2. Resident monitoring devices for elopement prevention.
3. Other devices as specified by the caregiver.
•WARNING – To reduce the risk of electrocution:
1. Always unplug this unit immediately after using.
2. Do not operate near water.
3. Do not place or store product where it can fall or be pulled into a tub or sink.
4. Do not place in or drop into water or other liquid.
5. Do not reach for a product that has fallen into water. Unplug immediately.
6. Do not remove control unit cover. Risk of electrical shock.
•WARNING – To reduce the risk of burns, fire or injury to persons:
1. Use this unit only for its intended use as described in the operating instructions.
2. Never operate this product if it has a damaged cord or plug, if it is not working
properly, if it has been dropped or damaged, or dropped into water. Return the
unit for examination and repair.
3. Keep the cord away from heated surfaces.
4. Never drop or insert any object into any opening or hose.
5. Do not use outdoors.
•WARNING
This device is only a tool to assist with pressure reduction as part of an overall care plan.
Failure to comply with all instructions, warnings and precautions or using the product for
a purpose other than the recommended use could result in bodily injury or death.
This product is not designed to replace good caregiving practices, including but not
limited to:
• Direct resident supervision.
• Adequate care plans and training for staff personnel for entrapment and fall prevention.
• Inspection and testing before use.

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Directions for Use
1. Place the Panacea Air APL alternating pressure and low air loss mattress on the
bed frame with the hoses exiting at the foot of the bed.
2. Secure the mattress to the bed deck using the black straps attached to the
bottom of the mattress. Be sure to only attach the straps to the parts of the bed
that articulate and not any stationary parts of the frame.
3. Hang the control unit on the end of the bed using the hangers, or place on a
stable horizontal surface.
4. Ensure the air lines are not “kinked” or “twisted”. Connect the mattress to the
control unit by pushing the connector into the air ports located on the side of the
pump until you hear it “click” securely into place. The mattress operation will not
be affected by the hose/connector orientation.
5. Ensure at the electrical power source, if switched, is in an OFF position, then
plug in the power cord and switch to ON. The POWER ON lamp is now illumi-
nated.
6. Set the firmness level to the lowest setting and allow approximately 40 minutes
for the mattress to fully inflate. A green light next to the Alarm Silence button
will indicate when it is fully inflated.
7. After preparing the mattress surface with appropriate linens (not included), place
the resident on the mattress.
LINEN NOTE: Deep-pocketed sheets are recommended (not included). Multiple
layering of linens or under pads beneath the resident can negatively affect the
mattress’s pressure management capabilities and should be avoided unless
recommended by a caregiver.
8. Increase firmness if necessary for resident comfort, support, and immersion into
the mattress for optimal pressure redistribution.
a) A common method for sizing an air mattress is to check to see if suitable pres-
sure is selected by sliding one hand between the air mattress and the air/foam
base under the resident’s buttocks. Users should be able to feel the space
between their hand and the resident’s buttocks with the acceptable range
being 25 to 40mm
(1” to 1½”). This hand check procedure is issued by AHCPR (Agency for
Health Care Policy and Research).
b) Adjust the firmness by turning the dial; Counter clockwise for more immer-
sion (if too much space during hand check, too firm) or clockwise for less
immersion (not enough space during hand check, too soft)
9. An audio-visual alarm is sounded in the event of low pressure.
a) Audio alarm can be muted using alarm silence key
1. Place the mattress on the bed deck with the external manifold at the foot
of the bed.
2. Hang the pump unit on the end of the bed using the hangers, or place on a
stable horizontal surface.
3. Locate the red and blue connectors halfway down the external manifold.
Match each red connector to each blue connector for rotational therapy.
Directions for Use

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4. Connect the end of the external manifold to the alternating pressure
pump. The mattress operation will not be affected by the hose orientation.
Ensure the air lines are not “kinked” or “twisted.”
5. Ensure the electrical power switch on the side of the pump is in the OFF
position then plug in the power cord. Change the ON/OFF switch from the
OFF position to the ON position. The POWER ON lamp should now be
illuminated.
6. Allow the mattress 45 minutes to inflate fully.
7. After preparing the mattress surface with appropriate linens (not included),
place the resident on the mattress. Initially set the PRESSURE CONTROL
knob to Low. Increase if necessary for resident comfort. LINEN NOTE:
Deep-pocketed sheets are recommended (not included). Multiple layering
of linens or under pads beneath the resident can negatively affect the
mattress’s pressure management capabilities and should be avoided
unless recommended by a caregiver.
•CAUTION: Be careful not to puncture the mattress with needles or sharp
instruments. This may result in loss of integrity of the cover or internal air system.
•NOTE – This product is only one element of care in the prevention and treatment
of pressure ulcers by medical professionals and skilled caregivers to assist in the
treatment and prevention of pressure ulcers. This product is not designed to and
cannot replace good caregiving practices and treatment, including but not limited to:
• Appropriate nutrition and hydration, frequent positioning, routine skin
assessment, wound treatment, infection control, and other generally accepted
standards of care and prevention
• Adequate training for and precautions by staff personnel for bed entrapment
• Selection of an appropriate bed system to use with the product and proper
maintenance and use of the product
• Testing of the product before each use
Directions for Use

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Transportation & CPR
Transportation
1. Disconnect the hose from the pump and quickly place the cap over the end of the
hose to prevent air loss.
2. Check the fit of the cap for leaks.
3. Verify the red CPR valve at head-end of the mattress is closed and no air is
escaping.
4. Remove pump from bed/footboard.
You may now transport the resident while in bed. A properly sealed mattress will
continue to support a resident for approximately one hour without power. It is not
possible to provide an exact time because it is dependant upon on the resident’s
weight. Reattach the pump as soon as possible to restore mattress performance.
•WARNING: DO NOT attempt to use the mattress as a carrying device, as it is not
designed to carry a resident’s weight unsupported.
CPR
The standards for life support recommended by the American Heart Association for
performing CPR recommend a hard level surface for performing CPR, moving the
person to the floor if possible. If unable to move the resident to another surface to
perform CPR, place a crash board underneath the resident and follow appropriate
CPR procedures.
To deflate the mattress for CPR function, rotate the red CPR valve to the open
position. The CPR valve is located at the head section of the mattress. The control
unit should be turned off and/or removed to prevent the mattress from re-inflating
during CPR.
In case of emergency, use a scissors or knife to cut the hose and/or the air cells in the
mattress.

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Transportation & CPR Cleaning
Cleaning and Disinfecting
Mattress
Only the outer cover requires cleaning and maintenance. Disassembly of the mattress
for cleaning of internal components is not recommended. Approved products for
cleaning the cover include standard hospital-approved tuberculocidal disinfectants such
as quaternary ammonia, germicidal phenols, or soap and water (Lysol IC Quaternary
Cleaner Disinfectant; Proctor & Gamble Clean Quick Liquid Quaternary Sanitizer; Q-128
Quaternary Disinfectant). Use products in dilutions as specified on the manufacturer’s
label. DO NOT USE BLEACH. For soils or stains, wipe fabric clean with neutral suds and
lukewarm water. For hard-to-clean spots, use standard liquid household/vinyl cleaners
with a soft-bristle brush. DO NOT USE HARSH SOLVENTS OR CLEANERS.
Control Unit
•WARNING – Before attempting to clean the control unit, turn off unit and disconnect
the power cord from the power source.
DO NOT heat, steam autoclave or immerse the control unit in liquids.
1. The following germicidal detergents / disinfectants are recommended by the
EPA as hospital disinfectants.
Hi-Tor Germicidal Detergent
Huntington Laboratories, Inc.
Indiana EPA #303-91
2. Follow the preparation instructions provided with the germicidal detergent/
disinfectant solution to prepare the required amount of disinfectant solution or mild
detergent solution.
3. Pour required amount of the germicidal solution into a spray bottle.
4. Using a brush or cloth, wipe off dust. If necessary, spray the exterior of the top and
the bottom enclosures, power cord and the cord plug with the prepared disinfectant
or detergent solution. Using a damp cloth, wipe down the sprayed surface cleanly.
NOTE: Do not spray excess amount of solution on the control unit.
5. Once the control unit is clean, wipe down the unit, the power cord and the cord plug
with a clean, dry cloth.
6. Place the control unit to dry in a cool and dry area for an hour before operating the
unit again. If the control unit is not used immediately, place the control unit in a plastic
bag and store it in a storage area.

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Preventive Maintenance & Storage
Preventive Maintenance
It is important to periodically test the Panacea Air APL mattress control unit to verify
the proper functionality. Lack of regular maintenance can result in poor or reduced
resident support.
1. The air filter for the control unit should be checked routinely for signs of dirt or
contamination. The frequency for replacing depends on the air quality.
2. The air filter is accessible from the outside of the pump; it is approximately two
inches by one inch covered by a plastic cover.
3. As the filter is white, the need to replace dirty filters is apparent because they
will darken in color due to the collection of dirt. Simply remove the plastic cover,
remove the filter and replace with a new filter.
4. Replace the plastic cover.
Storage
1. Always store the support surface flat on a clean, level surface.
2. Avoid storage of other equipment on top of the support surface.

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Mattress will not inflate or if every other cell is not inflating:
• Disconnect the control unit and make sure air is flowing from the open ports. This is
done by disconnecting the control unit from the mattress and physically feeling the air
blowing out from one port and then the other. It may take several minutes to switch
from one port to the other depending on the control unit’s cycle time. If the control unit
is not blowing air out of the ports, call for service.
• Check to make sure the control unit is on.
• Check to make sure the control unit is properly connected to the mattress.
• Check to make sure the red CPR release valve is closed.
• Open mattress and inspect the internal connections to make sure each individual air
cell is properly connected and not leaking. If a defect is discovered, call for repair or
replacement of defective component.
• Visually inspect each air cell to make sure there are no cuts, punctures or tears in the
material with the exception of the low air loss holes designated by the white circles
on the air cells. If a defect is discovered, call for repair or replacement of defective
component.
• Check to make sure there are no kinks or leaks in the internal and external hoses. If a
defect is discovered, call for repair or replacement of defective component.
Mattress is soft and will not get firm or Low Pressure Alarm is sounding:
• Check control unit to make sure it is on and functioning properly. If the control unit is
not functioning, call for service.
• Inspect the air filter to make sure it is clean. The filter is located on the back of the
control unit near the upper left corner. The filter should be white in color and free of
dust or other debris. If the filter is not clean, replace with a new filter.
• Visually inspect each air cell to make sure there are no cuts, punctures or tears in the
material with the exception of the low air loss holes designated by the white circles
on the air cells. If a defect is discovered call for repair or replacement of defective
component.
NOTE: The pressure in the mattresses lowers when the weight of the resident is
removed from the mattress. The alarm will sound until the pump re-establishes the
pressure level. In this situation wait about 5 minutes and check it again.
Control unit is not working:
• Check to make sure the control unit is plugged into a live electrical socket.
• Make sure the control unit is turned on.
• Check the external fuses to make sure the fuses are in good condition. Make sure the
control unit is unplugged from the power source. Locate the fuses on the side
of the control unit near the on/off switch. Unscrew the fuse cap and inspect the fuse
to see if the filament, small wire inside of the glass tube, is broken. If the filament is
broken, install new fuse and reinsert the fuse cap. Be sure the replacement fuse is of
the same voltage and amperage as the previous fuse.
Troubleshooting Guide

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We offer to you, as the original purchaser, a warranty for the Panacea®Air APL
mattress. Our warranty applies for the limited warranty period stated below. If any
device or device part listed below is defective in material or workmanship during the
applicable limited warranty period, we will repair or replace it at our cost. Please note
that the decision to repair or replace a device or device part will be at our discretion.
Our warranty applies only if the device is properly maintained by the original purchaser
for normal, indoor use and does not cover normal wear and tear, modification of the
device, or damage caused by abuse, improper use, failure to maintain, use which
exceeds the published device limitations, or the combination of any device with
another product. In addition, our warranty does not cover fading, characteristics
or natural variations in fabric, texture, colorfastness, stains, spills or exposure to
chemicals, odors, heat or light. In certain cases, we may provide you repair or
adjustment instructions and/or replacement parts and ask you to perform a repair or
adjustment or replace a defective part.
Our warranty gives you specific legal rights, and you may also have other rights, which
vary from state to state. Please note that our limited warranty period begins when
we ship the device to you. The limited warranty period and our obligations under
the warranty end once you transfer the device to someone else or at the end of the
applicable limited warranty period identified below, whichever is earlier.
Product/Part
Warranty Period &
Coverage (Parts)
Anticipated Usable
Device Life
Electrical Components 12 months 3 years
Mattress 2 years 5 years
Cover 1 year 1 year
Anticipated Usable Device Life is based on normal use with proper maintenance,
cleaning and storage. You should still inspect, monitor and care for the device as
described in this guide, as the device may need to be replaced sooner than anticipated in
particular situations.
DIRECT SUPPLY MANUFACTURING, INC. MAKES NO IMPLIED WARRANTIES OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE; THESE AND ALL
OTHER IMPLIED WARRANTIES ARE SPECIFICALLY DISCLAIMED. TO THE FULLEST
EXTENT ALLOWED BY LAW, DIRECT SUPPLY MANUFACTURING, INC. WILL NOT
BE LIABLE FOR ANY INCIDENTAL, SPECIAL, CONSEQUENTIAL OR PUNITIVE
DAMAGES, OR LOST PROFITS THAT MAY RESULT FROM THE DEVICE OR YOUR
USE OF OR INABILITY TO USE THE DEVICE EVEN IF ADVISED OF THE POSSIBILITY
OF SUCH DAMAGES. OUR TOTAL LIABILITY TO YOU, IF ANY, IS LIMITED TO THE
PRICE OF THE DEVICE OR SERVICE GIVING RISE TO YOUR CLAIM. Some states do
not allow an exclusion or limitation of incidental or consequential damages, or how long
an implied warranty lasts, so the above limitations or exclusions may not apply to you.
If implied warranties are not excluded, and to the extent allowed by law, we limit any
and all implied warranties to the applicable warranty period identified above. Except for
rights under any applicable state law, the remedies provided under this warranty are your
sole and exclusive remedy for any breach of our warranty and state the entire limit of our
responsibilities.
Limited Warranty

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Limited Warranty Customer Service
Our promise to you is that you will have a convenient and easy ordering experience,
receive a quality mattress and enjoy outrageous customer service. If you have any
questions about the mattress you have purchased or would like to request warranty
service, please contact: Direct Supply Equipment & Furnishings®, 1-800-634-7328,
6767 N. Industrial Road, Milwaukee, WI 53223, [e-mail]

Distributed by Direct Supply Manufacturing, Inc. 6635 N Industrial Road, Milwaukee, WI 53223.
© 2017 Direct Supply Manufacturing, Inc. All Rights Reserved. Direct Supply®, Panacea®, and all associated logos are the
registered trademarks of Direct Supply, Inc., used under license.
2387Date of Printing: November 2017