Ultimate Healthcare Viola II UPRA1717-2 User manual

Viola II
Dynamic Cushion Replacement System
UPRA1717-2 and UPRA2020-2
_________________________________________________
User Manual
Issue 9 –17/12/2020
UPRA1717-2+UPRA2020-2.UM-9

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Contents
1. Introduction ......................................................................................................................................4
2. Intended Use....................................................................................................................................4
2.1 Contraindications.....................................................................................................................4
3. About the Product ............................................................................................................................4
4. Symbols and Statements.................................................................................................................6
5. Important Safety Information ...........................................................................................................7
6. Technical Specification....................................................................................................................8
6.1 Power unit................................................................................................................................8
6.2 Cushion....................................................................................................................................8
7. Installation and Set-Up.....................................................................................................................9
7.1 Setting up Cushion ..................................................................................................................9
7.2 Setting up power unit...............................................................................................................9
7.3 Connecting cushion to the power unit .....................................................................................9
8. Control Panel Operation Guide......................................................................................................10
8.1 Comfort level..........................................................................................................................10
8.2 Function mode switch............................................................................................................11
8.2.1 Alternating ...................................................................................................................11
8.2.2 Static............................................................................................................................11
9. Transport Mode..............................................................................................................................11
10. Alarm Indicator...............................................................................................................................12
10.1Low pressure alarm...............................................................................................................12
11 Troubleshooting .............................................................................................................................12
12 Cleaning and Decontamination......................................................................................................13
12.1Basic cleaning information.....................................................................................................13
12.2Cushion and cover disinfection..............................................................................................13
12.3Power unit disinfection...........................................................................................................14
12.4Cover laundering ...................................................................................................................14
13 Storage ..........................................................................................................................................14
14 Service and Maintenance ..............................................................................................................15
14.1General..................................................................................................................................15
14.2Fuse replacement..................................................................................................................15
14.3Air filter replacement..............................................................................................................15
15 EMC Information............................................................................................................................16

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1. Introduction
This User Manual contains instructions for the installation, use and maintenance of the Ultimate
Healthcare Viola II dynamic cushion replacement system. You must read and fully understand this
manual before using the system.
Caution: Ultimate Healthcare shall not be liable for any damage or injury caused by
failure to follow the proper instructions as described in this User Manual.
Caution: Before using the dynamic cushion replacement system all staff must
familiarise themselves thoroughly with the various parts and controls as detailed in
this User Manual.
Note: Ultimate Healthcare reserves the right to modify the information in this User Manual at any time.
The information in this User Manual may vary slightly with respect to the basic design of the product.
2. Intended Use
The intended use of this product is to prevent and/or manage pressure ulcers while optimising patient
comfort for patients up to 160kg / 25 stone on UPRA1717-2 and 220kg / 34 stone on UPRA2020-2.
2.1 Contraindications
The cushion is not suitable for use on patients with unstable fractures.
3. About the Product
The Viola II dynamic cushion replacement is a compact, lightweight and easy to operate system
which provides optimum pressure relief and comfort in a multitude of care environments.
Patient comfort requirements are enhanced by a waterproof and vapour permeable PU cover and a
user friendly comfort control dial.

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Cushion
UPRA1717-2
UPRA2020-2
Air Pipe Connector
7 x Standard Cells
Removable Cover
Cell retaining band
Air Pipe Connector
Removable Cover
Cell retaining band
6 x Standard Cells
Foam Insert

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Power Unit
4. Symbols and Statements
Note: Indicates tips and advice for the correct use of this product.
Caution: Indicates correct operating or maintenance procedures in order to
prevent damage to or destruction of the product or other property.
Warning: Indicates potential danger that requires correct procedures or
practises in order to prevent personal injury.
BF symbol, indicates this product is according to degree of protection against
electric shock for type BF equipment
The operator must read this document (User Manual) before use.
IP21
Water and dust protection classification.
Disposal of electrical and electronic equipment (WEEE): This product should be
handed over to an applicable collection point for the recycling of electrical and
electronic equipment.
0197
CE certified.
Air Pipe
Connection Point
ON/OFF Switch
Swing Out
Hooking Hooks
Control Panel
Power Connection

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5. Important Safety Information
Please read all instructions prior to using any Ultimate Healthcare supplied product. The Viola II
dynamic cushion replacement system must be used in accordance with this User Manual.
The cushion must only be operated by personnel who have been properly trained or have suitable
experience with products of this nature.
Ensure a clinical Risk Assessment is conducted, which should take account of the suitability of
use of this product, patient’s condition, any ancillary equipment in use and the surrounding
environment. Pressure settings should be advised or prescribed by a medical practitioner.
Only personnel trained or formally approved by Ultimate Healthcare in operation and
maintenance of Ultimate Healthcare products may perform maintenance; modification or repair
work on any Ultimate Healthcare supplied product.
Ensure the power cable is not trapped or twisted and is routed suitably to avoid crushing or
entrapment when connected to the product.
Do not use your cushion system power unit in the presence of flammable gases. This excludes
oxygen cylinders.
Avoid hazards caused by inappropriate handling of the power cable e.g. by kinking, shearing or
other mechanical damages.
The power cable for this product must be unplugged from the mains power outlet socket and
suitably stowed before moving, cleaning or maintenance activities.
Disconnect from mains (power supply) before cleaning the power unit.
When cleaning do not immerse the power unit in water.
Use only the cleaning and disinfectant agents recommended in this User Manual.
When connecting product after transportation or storage, inspect the power cable visually for any
signs of damage. If evident, do not use product and contact Ultimate Healthcare or your local
distributor for repair.
When storing, ensure the product is stored away from direct sunlight and extreme cold conditions.
Never block the air openings of this product or place it on a soft surface, such as a bed or couch,
where their openings may be blocked. Keep the air opening free of lint, hair, and other similar
particles. Air ventilation through the power unit is vital for correct and safe operation.
If this product is used for any activity other than detailed within this User Manual then personal
risk to the end user or patient may occur. Ultimate Healthcare shall not be held liable/responsible
for such an event.
Do not smoke, or allow the patient to smoke when using this product. Keep all possible ignition
sources clear of this product.

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6. Technical Specification
6.1 Power unit
Dimensions:
280mm x 145mm x 130mm (D x W X H)
Weight:
2.4 kg
Alternating cycle time:
10 mins
Output pressure range:
30 to 70mmHg (+/-5)
Power supply:
AC 230V 50 Hz
Current:
0.12 A
Classification:
Class I, Type BF
Warranty:
2 years
Operation environment:
50C to 400C 15%RH ~ 93%RH (no condensation)
Storage environment:
-25℃~70℃≦93%RH (no condensation)
Environment pressure:
70 kPa-101.3 kPa
Water & dust protection
classification:
IP21
6.2 Cushion
Dimensions:
430mm x 430mm x 100mm (L x W X H)
510mm x 510mm x 100mm (L x W x H)
Weight:
1.7 kg
No of cells:
17 x 17 = 6 cells and foam base / 20 x 20 = 7 cells
Cover material:
2 way stretch polyester with PU Coated
Bottom material:
PU coated polyester
Max user weight:
440mm x 440mm = 160 kg 25 stone / 510mm x 510mm = 220 kg
/ 34 stone

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7. Installation and Set-Up
7.1 Setting up Cushion
For the comfort and safety of the patient do not put them onto the cushion until system indicates that it
is fully inflated. The cushion is designed to completely replace any existing cushion which may be in
use on a bed.
Remove any existing cushion and ensure that there are no protruding parts or sharp objects on the
seat which could cause damage to the cushion. Lay the cushion on the seats surface ensuring that it
is located as per the label.
To check if the pressure is adequately supporting the patient, slide 2 fingers between the air cushion
and the patient’s bottom. You should be able to slide in-between confirming the inflated cells are
supporting the patient.
7.2 Setting up power unit
The power unit can be placed on the floor underneath the chair.
Caution: Ensure that the power cable is routed in such a manner so that it cannot
be twisted, trapped, crushed or stressed.
7.3 Connecting cushion to the power unit
Remove the cover of the air pipe connector and connect the air pipe
connector to the power unit and then ensure that the air tubes are free
from any kind of obstruction, and are not kinked.
Plug the power cable into a suitable electrical socket and switch ‘ON’
using mains power switch found at the side of the power unit. All
indicators on control panel will light up.
The power unit will start Inflation (inflation mode) and the Normal
Pressure indicator will flash. Turn the comfort control to the maximum.
Once the cushion replacement is fully inflated, you can then set to the
appropriate setting suitable for the patient.
Caution: The power unit must only be connected to the cushion replacement
recommended by the manufacturer. Do not use it for any other purpose.

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8. Control Panel Operation Guide
The Control Panel of the power unit is used to make adjustments to the cushion replacement and also
indicates fault conditions. These are either visual (indicator lights) or audible.
1
Static Mode Indicator
4
Comfort Control Dial
2
Function Mode Selection Button
5
Normal Pressure Indicator
3
Alternating Mode Indicator
6
Low Pressure Indicator
8.1 Comfort level
The comfort level adjustment dial allows carers to adjust pressures within a safe pre-set range to
provide patients with enhanced comfort or support whilst maintaining a very good level of protection
and therapy. Qualified clinical advice must always be taken before adjusting cushion replacement
pressures.
When the dial is turned towards Firm, the output pressure will increase to provide a higher pressure
output and thus increased support.
5
8
4
6
2
3
1

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When the dial is turned towards Soft, the output pressure will be decreased to provide a lower
pressure output and thus increased comfort.
To check if the pressure is adequately supporting the patient, slide one hand between the cushion
replacement and chair cushion to feel under the patient’s bottom. You should be able to slide the
hand in-between and an acceptable range is approximately 25 to 40 mm (1” to 1-1/2”) to ensure the
patient is not bottoming out.
8.2 Function mode switch
8.2.1 Alternating
Alternating mode is the default mode for the system. Within this mode the cushion
replacement will operate in an alternating 1-in-2 cell cycle. The alternating cycle will
continue until another mode is selected.
8.2.2 Static
Pressing the Mode button until the Static indicator illuminates puts the system into
Static mode.
Within this mode the cushion replacement will maintain a selected constant pressure.
The power unit MUST be manually switched back to alternating mode.
9. Transport Mode
If the patient is being moved on the cushion replacement, or there is
a power cut, general pressure can be maintained in the system for
an adequate period of time whilst disconnected from the mains.
Simply disconnect air pipe connector and place the connector cover
over it. The air pressures in the cushion replacement will now
equalise, but maintain a degree of comfort. This will maintain the
cells in their present state for approximately 48 hours.
It is important to restore the Viola II dynamic cushion replacement
as quickly as possible by reconnecting the supply tubes to the
power unit.

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10. Alarm Indicator
The Viola II is equipped with a visual alarm indicator.
10.1 Low pressure alarm
Upon detection of low pressure, the Low Pressure indicator will illuminate. The Low Pressure
indicator will continuously illuminate until the low pressure fault condition is resolved.
This condition could be caused, for example, by incorrect fitting of the air pipe connector or a leak in
the cushion replacement due to a cut or puncture.
11 Troubleshooting
PROBLEM
SOLUTION
No lights on power unit
Check the power unit is connected to the mains power
supply and that the mains switch is turned ON.
Check power unit for any blown fuses.
Low Pressure indicator is flashing
Check whether power was suddenly shut down.
Check that the connection between air tube and power
unit is tightly secured.
Check that all tubing connections along the cushion are
secured.
Patient is bottoming out (without
alarm being triggered)
Pressure setting might be inadequate for the patient,
adjust comfort level to Firm and wait for a few minutes
for a better comfort.
The power unit is operating but the
cushion is not alternating
Ensure that the cushion inflation process is complete.
Check that the ‘Alternate’ indicator on the control panel
is illuminated. If not, turn the Mode dial to switch to
alternating mode.
Power unit is noisy
Ensure that the power unit is resting against a solid
surface.
If the problem persists, contact Ultimate Healthcare or your local service provider.

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12 Cleaning and Decontamination
The following processes are recommended, but should be adapted to comply with the local or
national guidelines (Decontamination of Medical Devices) which may apply within the Healthcare
Facility of use.
The Viola II system should be routinely decontaminated between patients and at regular intervals
while in use; as is good practice for all reusable medical devices.
Warning: Disconnect the power unit from the electricity supply before carrying out
cleaning/decontamination procedures.
Do not immerse or soak power unit.
12.1 Basic cleaning information
Caution: Only use disinfectants designed for cleaning healthcare equipment i.e.
Sodium Hypochlorite or similar (up to 10,000 ppm available chlorine).
Caution: Do not use abrasives (scouring powder), scourers or other
materials/agents which could damage the cushion system.
Caution: Do not use sodium carbonate or phenol based solutions.
Caution: Do not use fabric softener or biological washing detergents.
Caution: Do not immerse the power unit in water.
Caution: When cleaning/disinfecting, ensure that only a damp cloth is used.
Caution: After cleaning, dry the cushion out of direct exposure to sunlight.
Caution: Using inappropriate detergents or disinfectants and not observing the
manufacturer’s guidelines may result in damage to the cushion which Ultimate
Healthcare cannot be held liable for.
Caution: The appropriate qualified staff must be consulted when specifying a
suitable cleaning fluid. Ultimate Healthcare shall not be liable for any damages
caused by the use of inappropriate detergents or disinfectants.
12.2 Cushion and cover disinfection
The Viola II cushion replacement, cushion cover and air pipe cover can be cleaned using the following
simple procedures in accordance with your Local Infection Control Policy:
Liberally swabbing with a damp cloth pre-soaked with hot water at 84°C containing detergent,
and then drying.
Swabbing with a solution of sodium hypochlorite (up to 10,000 parts per million available
chlorine) and then drying.
Caution: Frequent or prolonged exposure to higher concentration disinfectant
solutions may prematurely age the fabric cover of cushion. Surfaces must be
protected during use and rinsed and thoroughly dried after application of a
disinfectant.

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12.3 Power unit disinfection
The power unit can be cleaned by wiping down with a cloth dampened with hot water at 600C
containing detergent or with sodium hypochlorite (up to 10,000 parts per million available chlorine).
12.4 Cover laundering
The cushion cover and air pipe cover can also be machine washed. Cushion covers and air pipe
cover should be completely removed prior to laundering.
Where required cushion covers can be laundered in a pre-wash at 600C for up to 15 minutes and in a
main wash at 840C for up to 15 minutes. This should be followed by a cold rinse and extraction.
However it is recommended that you check your local policy to determine the time/temperature ratio
required to achieve thermal disinfection.
Cushion covers may be tumble dried or air dried. They may be tumble dried on a low heat for up to 90
minutes. Drying temperature must not exceed 400C.
The cushion cover and cushion must be dry prior to refitting.
Caution: Exceeding the temperature can cause significant damage to the cushion
cover.
13 Storage
The cushion replacement should be loosely rolled lengthwise with the cover innermost, taking care
not to strain the air pipe. It should then be placed in in a suitable protective cover with the power unit
and stored in an area appropriate for electronic medical devices.
Disconnect the air hose connector to release the air.
The power cord could be wrapped around the power unit bumper or disconnected for storage.
Caution: Do not fold or crease cushions

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14 Service and Maintenance
It is recommended that this product be part of a routine preventative maintenance schedule with a
planned service every 12 months regardless of product usage.
14.1 General
(1) Check power cable and plug if there are abrasions or excessive wears.
(2) Check cushion cover for signs of wear or damage. Ensure cushion cover and tubes are
stubbed together correctly.
(3) Check the air hoses for any kink or break. For replacement, please contact Ultimate
Healthcare or your local distributor.
14.2 Fuse replacement
(1) Disconnect the plug from mains power when a blown fuse is suspected.
(2) Remove the cover of the fuse holder by means of a small screwdriver.
(3) Insert a new fuse of the correct rating in, and replace the cover of the fuse holder back. The
fuse should be rated as T1A.
14.3 Air filter replacement
(1) Replace the air filter located at the handle on the back of the power unit.
(2) The filter is reusable and can be washed gently with a mild detergent and water. Dry the filter
before use.
(3) Check and replace air filter regularly if environment is dirty.

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Recommended separation distancesbetween
portable and mobile RFcommunications equipment and the ME equipment
TheAlternating Pressure Air Flotation Mattress is intended for use in an electromagnetic environment in which radiated
RF disturbances are controlled. The customer or the user of theAlternating Pressure Air Flotation Mattress can help
prevent electromagnetic interference by maintaining a minimum distance between portable andmobile RF communications
equipment (transmitters) and theAlternating Pressure Air Flotation Mattress 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
80 MHz to 800 MHz
800 MHz to 2.5 GHz
3,5
3,5
7 
d=P
d=P
d=P

1  

 1 

 1 
0.01
0.12
0.12
0.23
0.1
0.37
0.37
0.74
1
1.17
1.17
2.33
10
3.7
3.7
7.37
100
11.67
11.67
23.33
15 EMC Information

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Notes:

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Ultimate Healthcare Ltd
Calmore Industrial Estate, Nutwood Way, Totton
Southampton, Hampshire, SO40 3WW
Tel: [phone]
Fax: [phone]
Email: [e-mail]
www.ultimatehealthcare.co.uk