User Manual - Direct Healthcare Services
Contents
1. Connect the equipment to an outlet on a circuit different from that to which the interfering equipment was connected Information regarding Electro Magnetic Compatibility EMC according to IEC60601 1 2 2007 clause 6 8 With the increased number of electronic devices such as PC s and mobile telephones medical devices in use may be susceptible to electromagnetic interference from other devices The EMC Electro Magnetic Compatibility standard IEC60601 1 2 defines the levels of immunity to these electromagnetic interferences From the other hand medical devices must not interfere with other devices IEC60601 1 2 also defines the maximum levels of emissions for these medical devices e Direct Healthcare Delivering the Promise R R R er AR On on AR Op or AR Op amp yy amp s amp yy a AA D oO 2 Ee m E m E m CRO E CRO E RO 2 a 2 7 2 7 e e ice So 1342 So 140 Issue 1 Date August 2014 sales Offices UK amp Europe Direct Healthcare Services Ltd 6 10 Withey Court Western Industrial Estate Lon y Llyn Caerphilly CF83 1BF UK T 44 0 845 459 9831 info directhealthcareservices co uk Asia Pacific Direct Healthcare Services PTY Ltd PO Box 562 Wembley Western Australia 6913 T 61 0 423 852 810 info directhealthcareservices com au2. Dyna Pad A Mercury Advance Alternating Cushion User Manual Direct Healthcare DIRECTHEALTHCARESERVICES CO UK Dyna Pad Mercury Advance Alternating Cushion The Dyna Pad Mercury Advance is a Very High Risk dynamic replacement seating system combined with the benefits of modern foam technology Offering high levels of patient comfort this unique system has the facility to step up to that of a dynamic cushion when clinically required similarly the cushion s function can be downgraded as the patient s condition improves A higher maximum weight capacity up to 24 stone 152kg allows the product to meet the modern challenges of those heavier clients The outer cover comprising a high frequency welded multi stretch and vapour permeable fabric satisfies the strictest infection control policies Designed using the latest medical grade cell technology to create greater postural management and pressure relief this product is specifi cally made for users considered to be at Very High Risk of pressure ulcer development and those with minor postural issues Contents OCO sea sauieastoeunatarostonwitinigate tat E N EE E EA E 3 2 Quick Reference Guide amp Frequently Used FUNCIONS 3 AOUE MOO OIE perar E E E asia ecstatic cette conn 4 re NS O a atest alec neatacseassnauieneeta E aqiaeeeo ema ange aiar encanta cin D ODE AO e EE E E EA E AES 6 O O i E E EEE EE 6 Ti PUIG WMI S coreapcest ce eapr va moneyed E
3. EA EE O Maintenance PrOCEAUTG S eiesetescs de ucteacececreseesaverwatees oeteandluctccute sneataraduestpetanvatereasesonaicesaievescantes OO WECM A Ma ETE tp aeauean OE EE AE E E E 8 10 Optimum Conditions for USE sdcs tiunicunnisratacar er wtividdutinnsumnigtaiadaaatintic airain ASi NERA 8 11 Symbols Guide amp Contraindications fOr USC sssrssssriresrrrrrrrrrrrirrrrerrriirrrrrrerrrerrreen 8 9 12 Detachable Removable Pang ssrsrrisenriisissrrenianao a eea ananta EEE E 9 eE a E E EA E EE E EE E NT 9 USER MANUAL 1 Introduction The cushion consists of a foam head cell and series of 4 transverse air cells each containing a unique foam profiled insert which are in turn held within a foam base all protected by a vapour permeable waterproof cover The transverse cells are arranged to alternate in a Sequence to Increase and decrease pressure over the thighs coccyx and ischial areas The digitally controlled Power Unit controls a pump that allows air to flow into or out of the air cells as required according to the operating mode selected It also maintains the air pressure within the cushion at the required level and controls the action of the audible visual Audible Warning system in the event of mains supply failure or over or under inflation pressure 2 Quick Reference Guide Frequently used functions This is a quick reference guide for the Dyna Form Mercury Advance Cushion Product Code CUSH ADV ALT 46 46 10 r
4. For heavy contamination use a Hypochlorite solution 1 000 parts per million available chlorine 6 Using suitable brush hot water detergent or Hypochlorite solution clean Umbilical Hose and CPR Valve Dry with paper towel 7 lf required the cushion Cover may be removed and machine washed at a temperature of 80 degrees C for not less than 10 minutes The individual Air Cells can be wiped down with established disinfectants 8 To avoid shrinkage of the cover line dry in an indoor clean environment or tumble dry on a low heat setting not exceeding 40 degrees C and not for longer than 10 minutes Covers must be thoroughly dried before re fitting to the cushion 8 4 Warning Cleaning the Power Unit Pump The Power Unit can be cleaned by wiping with a cloth dampened with a detergent solution or Hypochlorite solution Also refer to symbol chart 8 4 1 Warning Ensure the Mercury Advance cushion is not exposed to 1 Excessive heat sources e g fires radiators etc 2 Water particularly immersion of the pump 9 Technical data 9 1 Power Unit Pump Serial NUMDEP cas As per label on rear of pump Electrical Supply ccc 220 240 volt 50 Hz Power CONSUMPTION c cc cceccccceseeecssseeeeeeeesneeen 10 watts FES T E E TEE iene TA1H 250V Protection against SROCK ccce Class 2 NOISE CEVO irispena nE Approx 30 dB A DIME IONS seara 235 X 180 x 80 mm Weight re 1 7 kg Service nterval na 12 months 0 c101 5 0 one ne ne ee
5. Warning Do not modify this equipment without authorisation of Direct Healthcare Services 8 1 1 Servicing Direct Healthcare Services DHS recommend that the Power Unit Pump should be serviced every year The unit contains no user serviceable parts and should only be carried out by persons as described in section 8 1 DHS will make available on request service manuals component parts lists and other information necessary for any suitably qualified person As in 8 1 to carry out repair or service the system For Service maintenance and any questions regarding this please contact DHS 8 2 Cleaning Procedures Warning Before cleaning the System make sure that the Power Unit Pump is disconnected from the mains electricity supply Do not immerse the Power Unit Pump in water or other fluids Do not autoclave nor use phenol for cleaning Do wash hands before commencing the cleaning process Wear appropriate protective clothing such as gloves apron and a mask Ensure all work surfaces are cleaned before and after contact with the cushion 8 3 Warning Cleaning the Cushion 1 Cleaning should take place after use or between patients 2 With cover left on the cushion disconnect the cushion from the Power Unit Pump 3 Clean the surface of the wash down table with Hypochlorite solution or equivalent disinfectant 4 Wash cushion top using hot water 60 degrees C containing detergent dry with a paper towel 9
6. A Dyna Form Mercury Advance e A Power Switch Audible Warning Reset The power switch simply switches the mains power to the pump on and off When the pump detects an Audible Warning condition this can be silenced as below and re set by switching the pump off and then back on again Pump Connector Please ensure that the Pump connector is always placed fully home prior to inflating the cushion NB The cushion will NOT inflate properly should this not be the case DIRECTHEALTHCARESERVICES CO UK LED Mode Settings This symbol when illuminated The blue indicator light is not used to indicate that the equipment is on or ready for use When a patient requires a true dynamic function or indeed more pressure in the cells as they may be uncomfortable or feel as though the cushion surface if too soft or unstable then please select a Hi setting pressure 26mmbHg This must only be used by a trained clinician as often too high pressures can further agitate certain patients conditions Power On Off True Dynamic Firmer Setting When a patient requires less pressure in the cells as they may be uncomfortable or indeed hyper sensitive to cell movement or indeed if the patient is still reddening further then please select a Lo setting This must only be used by a trained clinician This function is used to silence the Audible Warning The LED will remain lit if the Audible Warning has been silenced previ
7. TED WITH ITS USE OR MISUSE JA p4 A D PROTECT FROM HEAT TEMPERATURE AND RADIOACTIVE SOURCES LIMITATION General Symbols ZAIN gt CAUTION A HUMIDITY ATMOSPHERIC PRESSURE LIMITATION LIMITATION Pump Unit Symbols ofan oe D X KEEP DRY REFER TO DO NOT DISPOSE OF USER MANUAL CE MEDICAL DEVICES DIRECTIVE 93 42EEC WITH HOUSEHOLD WASTE PLEASE REFER TO DHS WEBSITE m DOUBLE INSULATED CLASS II Contraindications For Use Warning The Mercury Advance Cushion should not be used for patients with unstable fractures gross oedema burns or intolerance to motion General Information Caution Warning There are no special skills required to operate the system The Medical Professional is responsible for applying his her best medical judgment when using the system The electricity supply is of the type indicated on the Power Unit pump Check the mains lead is free from damage and is positioned So as not to cause an obstruction or injury E g Strangulation of a child or trip hazard Ensure the mains lead cannot become trapped or crushed e g within the mechanism of the chair footstool or another object The power unit oump must only be used with a suitably approved power cord and plug set as supplied by DHS The system is not to be used in the presence of flammable anaesthetics Suitable for continuous use Not suitable for sterilisation Do not position the p
8. des to be selected in turn 5 2 Deflation The deflation system consists of a manually operated button located on the Air Inlet connector attached to the pump By pressing the Red Button which will release the connector locking system the user can remove the connector unit which will deflate the cushion air system back to that of a Static foam cushion Note After a short period as the cushion deflates the Low Pressure Audible Warning is activated and can be cancelled by switching the Power Unit off 5 3 Troubleshooting For assistance if needed in setting up using or maintaining the Mercury Advance Cushion or to report unexpected operation or events please contact Direct Healthcare Services on the contact details on the reverse of this manual 6 Transportation To change the location of the cushion remove the Umbilical cord and allow the cushion to return to its Static cushion form Switch off the Power Unit Pump using the on off switch and disconnect the electrical supply cable from the mains socket The cushion can now be moved to a new location where it must immediately be reconnected to the mains electrical supply and the Power Unit Pump switched back on Once the cushion has been refilled the Alternating mode will automatically revert back to the Lo setting and should be reselected to Hi should this be desired by the clinician Warning The cushion will not alternate when disconnected from the Power Uni
9. e 5 years Shelf life Of parts ocene 5 years 9 2 Cushion Serial NUMDET Label on inside of cushion cover Number of Air Cells 14 Air Cells 1 Static Foam Cell DIMENSIONS o c 460 x 460 x 100mm Nominal SE A EEEE E AE Aaeeupeluieicem 3 kg Expected life Of CUSR ON crre 5 years Shelf life of cushion parts cccrne 5 years 10 Optimum conditions Applies to Cushion and Pump 10 1 Environment Conditions for Use TANS PO rerseanaserain aecantosneeanoe 25 C 70 C SLE E AOE E E EE E 25 C 70 C U E aeaa ea A ENEA 5 C 40 C RUT nae a 10 93 Atmospheric Pressure ccn 00hPa 1060hPa Operational Altitude oo ccc seeeessesseeeerseeas lt 2000m 10 2 Exposure Exposure to direct sunlight dust lint and general debris is not considered to be an issue with the Mercury Advance Cushion 11 Symbols Guide Cushion Symbols TUMBLE DRY ON LOW CE MEDICAL DEVICES DIRECTIVE 93 42EEC eS DO NOT DRY CLEAN TYPE BF APPLIED PART E 80 C WASH AT 80 REFER TO USER MANUAL DO NOT BLEACH DO NOT IRON NO SMOKING e a O gt E PAIS 152 Ko A MAXIMUM USER DO NOT USE DO NOT USE WEIGHT LIMIT SHARP INSTRUMENTS PHENOL 152 KG 24 STONES WARNING CAUTION THIS IS A STATEMENT THAT ALERTS THE USER TO THE POSSIBILITY OF SERIOUS INJURY OR OTHERWISE ADVERSE REACTIONS WITH THE USE OR MISUSE OF THE DEVICE THIS IS A STATEMENT THAT ALERTS THE USER TO THE POSSIBILITY OF A PROBLEM WITH THE SYSTEM ASSOCIA
10. hand side of the pump The mains cable has been designed specifically as a removable part to aid in easy replacement should it become damaged in use The mains plug should be turned off and removed from wall socket as a means of isolation Plug the mains cable into a suitable 230v mains socket and switch on the Power Unit using the on off switch After the pump has been turned on both the Hi and the Lo lights will flash together intermittently until the pump has attained its initial operating pressure Once the pump has attained its initial operating pressure the Lo light will stay on constantly and the cushion is ready for use 5 1 Lo Hi Settings The Dyna Form Mercury Advance Cushion in Alternating Mode has two pressure settings The initial setting that the pump will revert to upon set up is Lo The Lo comfort setting is ideal for the lighter patient or those who feel discomfort when on a normal alternating air tyoe cushion However for patients with existing pressure damage or those at Very High Risk it is recommended that dependant on the clinical judgement of the clinician the Hi setting is activated by pressing the button once which is located on top of the pump In Hi Mode the pump attains more of the characteristics of an alternating air cushion whilst still utilising the advantages of the static foam inserts Repeatedly pressing the mode button enables the Lo amp Hi mo
11. ously however a fault is still detected Refer to the power switch as above in order to re set fully If the Audible Warning continues to sound repeatedly along with an illuminated light then an engineer must be called This symbol indicates an Audible Warning Failure Please see trouble shooting guide below for how to re set For shut down procedure see 4 2 Power Unit Pump section Audible Warning Failure 3 Troubleshooting Symptoms Problems Cause Points to check Low Pressure The cushion is set toa mode that Change the mode button to standard from Lo to High iS t00 SOFT a firmer pressure setting as required If the cushion is still too soft after a short period of 5 to 10 minutes then please call an engineer The pump connector is not Check all tubing is not kinked within the cushion fully home There may be a leak inthe cushion Ensure that the tubing within the cushion is fully connected High Pressure The cushion is excessively firmona Set cushion to a softer setting as clinically required constant basis Ea l Evaluate that the cushion is of a less firm state after a short period of 5 to 10 minutes lf this is not achieved then please follow the task as below before calling an engineer for assistance Note Check all tubing is not kinked within the cushion 4 Installation 44 Cushion This is the applied part type BF Place the Dyna Form Mercury Advance Cushion directly on to the chai
12. ower unit to make it difficult to disconnect the power supply or plug Do not place the System on or close to a source of heat Do not use with hot water bottles or electric blankets DHS strongly advise against smoking whilst the Power Unit oump is in use This is to prevent accidental secondary ignition of items which may be flammable e g bed linen The materials used in the manufacture of the Mercury Advance Cushion comply with the required fire safety regulations Do not use sharp objects on or near the cushion system as this will cause damage Do not store in damp conditions Do not use in an oxygen enriched environment Not suitable for use in an Outdoor Environment Intended for both Home Healthcare and Professional Healthcare environments Do not connect to any other medical device or equipment Correct fuse rating MUST be used Failure to do so could result in the risk of a fire The cushion should be cleaned after use or between patients Refer to Cleaning section All internal and external hoses must be free of twists kinks The external hose should also be properly connected and positioned so that the risk of obstruction or injury Is eliminated Do not use bleach phenol s Chlorine based products which exceed 1000ppm Solvents or alcohol based cleaners All the above warnings and cautions together with safety considerations should be observed at ALL times during its use Selec
13. r ensuring that the Blue multi stretch waterproof cover is on top and that the umbilical hose is located at the left hand front corner of the chair Note Do not place any other cover on top of the cushion as this will reduce the cushion s pressure reducing characteristics Static Cushion Use The Dyna Form Mercury Advance Cushion can be used as a pressure reducing cushion for patients at risk of pressure ulcer damage without the need to attach the pump Alternating Cushion Use lf When required the Dyna Form Mercury Advance Cushion can be used as an alternating cushion by attaching the Dyna Form Mercury Advance pump system No other system should be attached to the cushion as the design settings and internal air pressure properties of the Dyna Form Mercury Advance pump are specific to this cushion only The startup time from static to dynamic mode is immediate 4 2 Power Unit Pump Hang the Power Unit Pump on the chair or place safely on the floor The mounting hooks swivel to suit the thickness Connecting the Umbilical Hose to the Power Unit Pump place the 3 pin electrical plug into the wall outlet and switch on Attach the Blue Umbilical Hose to the Power Unit Pump by connecting the air connector at the end of the Umbilical Hose to the air inlet connector at the bottom left hand side of the pump 5 Operation Attach the mains cable to the pump by inserting the kettle type connector into the recess located on the left
14. r television reception or other equipment which can be determined by turning the equipment off and on the user is encouraged to try to correct the interference by one of the following measures Reorient or relocate the receiving antenna Increase the separation between the equipment Connect the equipment to an outlet on a circuit different from that to which the receiver or equipment was connected The equipment having been tested to operate within the limits of electromagnetic compatibility Immunity to interference from nearby sources radiating radio frequency energy Sources exceeding these limits may give rise to operation faults Where possible the system will sense the interference and if it is of short duration transparently take countermeasures whilst operating near normally or failing this will issue a warning and take measures for the continued safely of the user Further increased levels of energy may cause the system to stop operating continuously generate random faults or continuous resets Try to ascertain the source of the interference by turning nearby or suspect equipment off and see if the interference effects Stop In any such event the user is encouraged to try to correct the interference by one of the following measures Have the interfering equipment repaired or replaced Reorient or relocate the interfering equipment Increase the separation between the equipment and the possible source of the interference
15. t Pump and or the mains electrical Also refer to environmental conditions section at rear of this manual 7 Audible Warnings Audible Warning conditions are indicated by a flashing red display accompanied by an audible warning In each case the user should respond by turning the Power Unit s switch off and investigating the cause 7 1 High Pressure Audible Warning This condition could be caused for example by a kinked Umbilical Hose or visitors and others sitting suddenly on the cushion 7 2 Low Pressure Audible Warning This condition could be caused for example by incorrect fitting of the air inlet connector opening of the Pump Connector or a leak in the cushion due to a cut or puncture 7 3 Mains Failure Audible Warning If mains power is lost the all Mode lights will turn off This Audible Warning condition will only be audible The red Audible Warning light will not flash 8 Maintenance procedures 8 1 Safety Warning Only qualified technicians trained or formally approved by Direct Healthcare Services Ltd in the operation and maintenance of Direct Healthcare Services products may carry out maintenance modification or repair work on the equipment Unqualified personnel attempting to work on Direct Healthcare Services Power Units risk serious injury to themselves and others and possibly death by electrocution Inlet fuse NOT to be replaced by operator or patient to be replaced by service personnel only
16. t correct setting Hi or Low as required Care should be taken not to accidently change settings once set This may affect the desired requirement of the therapy This could also be caused by pets pests or children 12 Detachable Removable Parts 1 Cushion Detached from the pump by removing the CPR connector Part No CUSH ADV ALT 46 46 10 or variants of for the size 2 Electric power cable Removed from the pump by pulling the cable away from the mains inlet on the side of the pump Part No DHS ADV MLEAD N B The battery is an integral part of the Rotor PCB and is not removable or changeable Caution Use of detachable parts not listed is not recommended by Direct Healthcare Services 13 Disposal Please refer to DHS website for recommendations and responsibilities for disposal within the UK WEEE guidelines EMI EMC Statement and Manufacturer s Declaration This equipment has been tested and found to comply with the limits of EN 60601 1 2 2007 These limits are designed to provide reasonable protection against harmful interference in both a medical and residential environment This equipment generates uses and can radiate radio frequency energy and if not used in accordance with manufacturer s instructions may cause harmful interference to radio communications However there is no guarantee that interference will not occur in a particular installation If this equipment does cause harmful interference to radio o
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