Penner Bathing Spas Cascade Comfort 560010-X Installation and operation manual

Cascade Comfort
Bathing Systems with Aqua-Aire ™
Safe Operation & Daily Maintenance
Instructions
PENNER PATIENT CARE, INC
Box 523 / 101 Grant St.
Aurora, NE 68818
560750 Revision A – 12/11/15
1-866-PENNERS 1-866-736-6377 1-800-732-0717
E-mail Address: [e-mail]
Web Site: www.pennerpatientcare .com

Table of Contents
TABLE OF CONTENTS..............................................................................................2
INTRODUCTION.........................................................................................................3
SYMBOLS AND TERMS............................................................................................3
TECHNICAL DESCRIPTION .....................................................................................3
BASIC COMPONENTS...............................................................................................4
CASCADE COMFORT SPA CONTROLS..................................................................5
CASCADE DOOR........................................................................................................6
LOCKING CASCADE DOOR.....................................................................................6
UNLOCKING CASCADE DOOR ...............................................................................6
SYSTEM PREPARATION (BEFORE BATH)............................................................7
USING CASCADE COMFORT BATHING SYSTEM...............................................8
BATHING PROCEDURE ............................................................................................8
TRANSFERRING OUT OF CASCADE COMFORT .................................................9
SYSTEM CLEANING (AFTER EVERY BATH) .....................................................10
DAILY MAINTENANCE ..........................................................................................12
DAILY SAFETY CHECKLIST .................................................................................13
CASCADE COMFORT SPA......................................................................................13

Cascade Comfort System
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Introduction
The Cascade Comfort System is designed to significantly improve the efficiency and
environmental safety of your nursing care operation and yet have the quality appearance and
appeal of a home system. However, the benefits designed into the Cascade Comfort System
will be realized only if the system is operated and cared for properly. The purpose of this
manual is to provide you with a recommended procedure to help you obtain the maximum
efficiency and safety from your Cascade Comfort System.
Symbols and Terms
WARNING
The warning symbol identifies important safety messages. Failure to obey a safety warning
may result in injury to you or to others.
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The caution heading identifies important maintenance and operation information. Failure to
obey a caution warning may result in damage to the equipment and may void the warranty.
Left or Right
When the terms “left” or “right” are used with reference to the spa, this means left or right as
you look at the control panel from the seat end of the spa.
Technical Description
The Cascade Comfort Spa is an “Aqua-Aire” bathing system intended for use in nursing
homes, hospitals, and assisted living facilities to bath residents under the direct supervision of
trained staff. The system is mainly constructed of gel-coated fiberglass laminate on a powder
coated steel frame. The spa has an Aqua-Aire system for mixing the water with air. It has a
disinfecting system to aid in cleaning the spa. The spa has a locking door on one side for
access to the spa by the resident. A thermostatic mixing valve controls incoming water
temperature. Digital temperature read-outs indicate all incoming and spa water temperatures.
A hand shower sprayer is also provided.

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Manufacturer: Penner Manufacturing Inc
101 Grant St / PO Box 503
Aurora, NE 68818
[phone]
Models: Cascade – Comfort
560010-X Cascade Comfort bathing system Right hand entry
560010-XL Cascade Comfort bathing system Left hand entry
560010-XSB Cascade Comfort bathing system Right hand entry Still Bath
560010-XLSB Cascade Comfort bathing system Left hand entry Still Bath
(X in the model number represents a number which denotes a Color of the Spa)
Spa Electrical Ratings: 120 Volts AC
60 Hz 1 Phase
Aqua-Aire: 9.25 amp
60 Hz 1 Phase
UL Classification: Class I; Type B; Ordinary EQUIPMENT
Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with
oxygen or nitrous oxide.
MEDICAL EQUIPMENT
WITH RESPECT TO ELECTRIC SHOCK
FIRE AND MECHANICAL HAZARDS ONLY
IN ACCORDANCE WITH UL2601-1, AND
CAN/CSA C22.2 NO. 601.1 IEC 60601
Patient weight rating: 400 lbs Maximum
Upright position to reclined position angle: approximately 30°
Reclining actuator rating: 1 minute ON - 9 minutes OFF
All temperature read-out values are accurate to +/- 2ºF (per NSF C-2). The read-out range is
-40/199ºF. The resolution is 1º.
An electrical circuit diagram can be found on the inside of the lid of the electrical box located inside the service
access door on the right side of the spa cabinet.
Service parts and technical information are available by contacting your distributor or by calling one of the
telephone numbers located on the front or back cover of this manual.
Environmental conditions for transport and storage for up to 15 weeks (as packaged from the manufacturer) are
as follows:
Temperature range -40º F (-40º C) to 120º F (49º C)
Relative Humidity 10% to 90%
Atmospheric Pressure 7.5 PSI to 15.5 PSI
Basic Components
The Cascade Comfort System is composed of the following components:
Cascade Spa with Cascade Door and Control Panel Cabinet.
The remainder of this section describes the components and their relationship to each other.
61LN

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Cascade Comfort Spa Controls
1 RINSE JETS
2 DISINFECT JETS
3 HAND SPRAYER ON/AUTO - OFF
4 FILL/SHOWER TEMPERATURE DISPLAY
5 FILL/SHOWER TEMPERATURE CONTROL (MIXING VALVE)
6 SPA TEMPERATURE DISPLAY
7 AQUA-AIRE ON/OFF
8 TUB FILL ON/OFF
9 HAND SHOWER
10 SPORICIDE PUMP
11 SPA TILT BACK
12 SPA TILT FORWARD
3
1
2
4
5
6
7
8
9
10
11
12

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The Cascade Comfort Aqua-Aire Spa is a specialized spa with built-in air jets. It has been
designed for ease of use and resident comfort. The spa has a built-in control panel, which
provides controls for all the functions of the spa, as shown above.
WARNING: DO NOT PLACE LIQUIDS OR CONTAINERS OF LIQUIDS
ON TOP OF THE LID OF THIS SYSTEM. FAILURE TO HEED THIS WARNING
MAY RESULT IN INJURY TO A RESIDENT AND OR OPERATOR.
Cascade Door
The Cascade Comfort Door is a specially designed reinforced door with locking door handle
to open and close the door.
Locking Cascade Door Figure 2
1. With door handle in the upright position, close the door tight against the spa.
2. When the door is against the spa push the door handle to the left or down so the door handle is
in the LOCK position. (Label at base of lever indicates “UNLOCK” or “LOCK” positions)
3. The door is now locked in place.
4. (Note) To extend the life of the Water Door Seal, leave the door open when not in use.
Unlocking Cascade Door
WARNING:
NEVER ATTEMPT TO UNLOCK THE DOOR WHILE THERE IS ANY WATER IN
THE SPA. FAILURE TO HEAD THIS WARNING MAY RESULT IN INJURY TO A
RESIDENT AND OR OPERATOR.
1. To unlock, first pull up on the door handle release and hold it.
2. Then move the door handle to the “unlock” position.
3. The door is now unlocked and able to be opened.
Figure 2
DOOR LOCK RELEASE
DOOR HANDLE

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System Preparation (Before Bath)
WARNING
Only personnel who have been thoroughly trained in the operation of the Cascade
Comfort System should operate this equipment. Operation of this equipment by
untrained personnel could result in injury to the operator or patient. Your Penner Spa
distributor is available at your request to provide complete in-service training on the
equipment’s proper operation.
Prior to the bath, perform the following preparation steps.
1. Make sure you have your bathing aids ready such as a washcloth, towels and liquids such as
shampoo and body wash. You are now ready to bring the Resident or Patient to the Bathing
Area with your Patient Transfer System or Wheel Chair.
2. At the bathing area, position your patient transfer equipment near the access of the Cascade
Comfort for a normal wheel chair-to-chair transfer. Ensure the water door is open wide to
allow easy access.
3. Lock the brakes of your patient transfer equipment before transferring the Resident or
Patient.
WARNING: Failure to lock the caster brakes of your equipment before the
resident is transferred onto the Cascade Comfort could result in injury to the operator
or patient.
4. Close the water door and lock it by pressing the door handle downward.

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WARNING
In addition to monitoring the temperature readout, always check the water
temperature by allowing it to run over your wrist. Failure to do this could result in a
hot-water burn to the resident.
Using Cascade Comfort Bathing System
Reference page 5 for locations of the controls listed in this section.
WARNING
Failure to manually check the water temperature before putting a resident in the spa
may result in burn injuries to the resident and/or operator.
1. Push the Tub Fill button located on the Cascade Comfort Control Panel and adjust the water
temperature by turning the Temperature Control knob to normal bathing temperature, 95
to105 degrees Fahrenheit (35 to 41 degrees Celsius).
2. When water reaches the overflow push Tub Fill button again to shut water off.
3. Press and hold the up button and recline the resident until you have reached a position suitable
for resident bathing.
Bathing Procedure
You are now ready to begin washing the resident. The suggested bathing time is 5 to 10
minutes. Bathing a patient more than 10 minutes is not required.
To bathe the resident, use the following procedures:
(Reference Figure 1 for the location of the controls listed in this section)
After resident is comfortable in spa you can recline the spa using the up and down buttons
pictured on page 5 of this manual.

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1. Start the air blower by pressing the Aqua-Aire ON/OFF button.
WARNING
In the following bathing instructions it is recommended that the resident be rinsed with
the shower sprayer. Before doing so each time, make sure the temperature is between
95 and 105 degrees Fahrenheit (35 to 41 degrees Celsius) by viewing the temperature
readout. As a further precaution, always test the water on the inside of your wrist
before turning the shower sprayer toward the resident. Failure to follow the
precautions in this warning could result in a burn injury to the operator or the resident.
2. Bathe the resident’s upper body as follows:
a) Begin gently washing the resident’s upper body. Pay special attention to folds or creases in
the skin and under the arms.
3. Rinse the upper body with the shower sprayer as follows.
a) Pull out the Hand Sprayer.
b) Press the “HAND SPRAYER ON/AUTO OFF” button. This starts the water flow to the hand
sprayer for a set period of time. Then the water flow is automatically stopped. It can be
restarted at any time by pressing the “HAND SPRAYER ON/AUTO OFF” button.
Note. This time period is adjustable, up to 10 minutes, by the maintenance department.
c) Direct the sprayer into the spa, not at the resident. Press the trigger on the hand sprayer and
adjust the mixing valve, if needed, to the normal bathing range of 95 to 105 degrees
Fahrenheit (35 to 41 degrees Celsius). Monitor the temperature via the Fill/Shower
Temperature readout. As a further precaution, always test the water on the inside of your wrist
before turning the sprayer toward the resident.
d) The Aqua-Aire action in the Cascade Comfort will help clean the resident’s.
Transferring Out Of Cascade Comfort
After the bath has been given, you are now ready to transfer the resident out of the spa.
1. Drain the spa by pulling the drain plug from the drain. To avoid water overflow start draining
the spa before bringing the spa to the full upright position.
WARNING
Failure to have the spa completely drained before unlocking the door could cause
injury to the operator and resident.
2. Press and hold the down button until the spa is in the full upright position.
3. Unlock door by pulling up on the door handle release and pulling up on the lever at the same
time.
4. Open door to widest position.
5. Dry off resident.
6. Carefully maneuver resident’s legs around and use proper nursing techniques to transfer to a
wheelchair.
7. If using a sit-to-stand lift or total lift, follow the manufacturer’s instructions on the use of that
particular lift.
8. You are now ready to disinfect the Cascade Comfort Spa.

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System Cleaning (After Every Bath)
Clean and disinfect the spa after every bath with Penner Cleaner/Disinfectant as follows:
Note. Penner Cleaner/Disinfectant is a special non-abrasive cleaning and disinfecting solution
that will not harm the spa’s fiberglass surface. Penner Cleaner/Disinfectant is the only
cleaning solution designed and recommended for use with your Penner Spa.
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Some cleaners, disinfectants, and floor strippers contain ingredients that are corrosive
or abrasive. These solutions or compounds may contain chlorine, acid, basic ingredients
or abrasives. DO NOT allow such solutions or compounds to come in contact with your
Penner equipment. Failure to heed this caution could result in damage to the equipment
and void the warranty.
1. Close and lock the door.
2. Press the Tub Fill Button and turn the Temperature Control Knob all the way to the left to its
warmest level to heat the disinfectant solution and maximize its effectiveness.
3. Remove any visible tissue, residue, or fluids from the spa by pressing the Shower Button and
rinsing the inside spa surfaces with the shower sprayer.
4. Press the Tub Fill Button again to turn off the water. Allow the spa to drain, and place the
drain plug over the drain.
5. Press and hold the Disinfect Button located on the control panel. As the button is held down,
the properly mixed cleaning solution is running through the air injection system and out all of
the air jets. Release the button after you see solution coming out of all the air jets and you
have 1 to 1 1/2 gallons of disinfectant solution in the foot well of the spa.
WARNING
Housekeeping personnel should wear protective glasses and gloves to prevent
disinfectant from damaging their eyes or skin. If disinfectant gets on the skin or in the
eyes, rinse thoroughly with plenty of water. Seek medical advice if irritation occurs.
6. Using the long-handled brush, available from your Penner distributor; thoroughly scrub all
interior surfaces of the spa. Let disinfectant stay on surface for 10 minutes. (Or, as
recommended by the instructions on the disinfectant concentrate container.)
7. Remove the plug from the drain.
8. Rinse the spa’s interior surfaces thoroughly with the shower sprayer. (Continue with step16)
9. Press and hold the Rinse button located on the control panel until clear water runs from all the
air jets. Then release the Rinse button.
10. Finish rinsing the interior surfaces of the spa with the shower sprayer.
11. Start the air blower by pushing the Aqua-Aire Button. Allow it to run for 30 seconds. This
pushes the rinse water out of the air injection system. If this was the last bath of the day, allow
the blower to run for 2 minutes to dry out the system.

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12. Stop the Aqua-Aire blower by again pushing the Aqua-Aire button.
13. Visibly check that the spa was effectively cleaned during the disinfecting procedure. If not,
repeat the procedure.
14. If there is a delay of one or more hours before the next bath, we recommend using a towel to
wipe off all excess water. This will keep your Cascade spa looking great for years to come.

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Daily Maintenance
To properly maintain the Cascade Comfort Spa, perform the following daily maintenance
procedures.
1. Check that there is an adequate supply of disinfectant concentrate in the supply bottle located
behind the access door on the left side of the spa cabinet. Replace the bottle before it is empty
to avoid re-priming the system. Be sure each bottle label matches the label found on the hose
to which the bottle is attached.
WARNING
While replacing system liquids, housekeeping personnel should wear protective glasses
and gloves to prevent disinfectant concentrate from damaging their eyes or skin. If
disinfectant gets on the skin or in the eyes, rinse thoroughly with plenty of water. Seek
medical advice if irritation occurs.
2. Perform the Daily Safety Checklist described in the following section before using the system.
WARNING
Failure to perform the daily safety checks and take corrective action, when required,
prior to the operation of the equipment each day could result in injury to the resident
or operator.
WARNING
If any part of the system is not functioning properly, cease all bathing activities until
the problem is corrected by maintenance. The system must be maintained on a
scheduled basis to ensure it is functioning properly. Failure to heed these precautions
could result in injury to the operator or resident.

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Daily Safety Checklist
CHECK THE FOLLOWING ITEMS EACH DAY BEFORE USING YOUR CASCADE
COMFORT SPA.
Cascade Comfort Spa
Perform the following safety checks for the Cascade Spa:
1. High temperature limit – Press the Fill Button and turn the Temperature Control Knob all the
way to the left to the highest setting. Test the fill and shower water temperature to ensure that
it reaches no more than 115 degrees Fahrenheit (lower if required by local regulations).
2. Temperature Read-Out Accuracy – Temperature should be verified with a calibrated
thermometer.
3. Seal Wear - Open the door and check to see that the seal is not cracked or peeling away from
the door.
WARNING
If during the safety checks you find parts are missing, are excessively worn, do not
function properly, or do not meet the recommended safe operating levels, do not
operate the equipment until the maintenance department has taken the appropriate
corrective action.
Your Penner Distributor and his personnel are trained to provide in-service instruction and
maintenance on your Cascade Sit-Bath System. If you have any questions about the operation
or maintenance of your Cascade Sit-Bath System, please contact your Penner Distributor. For
your nearest Penner distributor, contact Penner Patient Care, Inc at 1-866-736-6377 OR 1-
800-732-0717.
For your nearest distributor, contact:
PENNER PATIENT CARE, INC.
Box 523 / 101 Grant St.
Aurora, NE 68818
1-866-PENNERS 1-866-736-6377 1-800-732-0717
E-mail Address: [e-mail]
Web Site: www.pennerpatientcare.com