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Contents

General Safety  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  iii

Introduction  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

About this Manual  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   1
About the Nimbus

®

 Pediatric System  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   1

Clinical Applications  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   2
Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   2
Cautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   2

Product Description   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Mattress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   3
Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   4

Installation  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Preparing the Pump and Mattress Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . .   6
Connecting the Tubeset. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   8
Disconnecting the Tubeset  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   8
Inflating the Mattress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   9
Testing the Power Fail Alarm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   9
Deflating the Mattress  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   10

Operation  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

System Optimization  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   11
Modes of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   11
Mode Selection  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   12
CPR Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   12
To Reset CPR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   13
Patient Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   13
Controls, Indicators and Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   14

Decontamination  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Routine Maintenance   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Nimbus Pediatric System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   20
Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   20
Mattress Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   20

Troubleshooting   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Technical Description  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   22
Mattress Size Information  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   23
Cleaning Symbols  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   23

Summary of Contents for NIMBUS

Page 1: ...Instructions For Use Product Photo NIMBUS PEDIATRIC STSTEM ...

Page 2: ......

Page 3: ...he Tubeset 8 Disconnecting the Tubeset 8 Inflating the Mattress 9 Testing the Power Fail Alarm 9 Deflating the Mattress 10 Operation 11 System Optimization 11 Modes of Operation 11 Mode Selection 12 CPR Control 12 To Reset CPR 13 Patient Transport 13 Controls Indicators and Alarms 14 Decontamination 18 Routine Maintenance 20 Nimbus Pediatric System 20 Pump 20 Mattress Replacement 20 Troubleshootin...

Page 4: ... ii ...

Page 5: ...ving bed mechanisms or other possible entrapment areas Where cable management flaps are provided along the sides of the mattress these should be used to cover the mains power cable Electrical equipment may be hazardous if misused There are no user serviceable parts inside the pump The pump s case must only be removed by authorised technical personnel No modification of this equipment is allowed Th...

Page 6: ...trical equipment needs special precautions regarding EMC and needs to be installed in accordance with the following instructions The use of accessories not specified by the manufacturer may result in increased emissions by or decreased immunity of the equipment affecting its performance Portable and mobile radio frequency RF communications equipment e g mobile cell phones can affect medical electr...

Page 7: ...s are able to employ established practices for moving and handling patients A water resistant vapor permeable cover is supplied which enhances patient comfort by preventing heat build up while protecting the mattress replacement interior from contamination It is simple to clean in situ but can be easily removed for laundering In the event of cardiac arrest the mattress can be quickly deflated in a...

Page 8: ...o the weight limits indicated above those approaching this upper limit are likely to have additional care and mobility needs and may be better suited to a specialist bariatric system Active therapy alternating cushions may be unsuitable for patients with poor sitting posture or pelvic deformity advice from a seating specialist should be sought The above are guidelines only and should not replace c...

Page 9: ...re numbered 1 to 18 the odd number cells inflate simultaneously while the even number cells are deflated and then vice versa The sequence of dynamic pressure relief is Phase 1 odd numbered cells inflated for approximately 4 minutes Phase 2 total support period where all cells are inflated cross over for approximately one minute Phase 3 even numbered cells inflated for approximately 4 minutes Phase...

Page 10: ... use in the hospital environment Weight has been minimized and is evenly distributed throughout the case with the center of gravity beneath the carry handle The On Off switch is on the side panel Other controls and indicators lights are located on the front panel which is recessed to prevent accidental operation New pumps have different icons on the control panel compared to old pumps Refer to Con...

Page 11: ...b frames 18 50 mm wide and a hook that fits into the pump handle The pump can also be stood on the floor either vertically or horizontally Tube Set The tube set incorporates a flexible compact anti kink tube that is resistant to crushing and the obstruction of air flow Incorporated into the tube set is the facility to set the mattress to Normal or Transport mode There is a quick connect system for...

Page 12: ... and cover You should have the following items Mattress replacement with cover tube set Pump and bed bracket 2 The pump can be suspended from the crib foot rail by means of the hanging device or alternatively stood upright or on its back on any convenient horizontal surface 3 Check there are no protruding springs or similar sharp objects on the crib base 4 Place the Nimbus Pediatric mattress repla...

Page 13: ...three at each end to the moveable part of the crib base 7 Place the protective cover on the mattress replacement and fix into position with the zips and velcro provided 8 Ensure the transport facility on the tubeset is in the normal mode Make sure the CPR tag is not tucked under the mattress and it is routed out of the crib in an accessible position Fixing Straps ...

Page 14: ...connector until the tubeset connector clicks into position 3 Make sure both connections are secure Disconnecting the Tubeset To disconnect the tubeset from the mattress and pump 1 Move the tubeset connector down by pulling the tubeset extrusion downwards and then pull the bottom of the tubeset connector away from the bottom of the pump mattress connector 2 Lift the top of the tubeset connector off...

Page 15: ... powered by a rechargeable battery The duration of the alarm will depend on the level of charge in the battery In use it may have become discharged or reached the end of its life It is therefore recommended that the alarm be tested before use 1 Connect the pump to the mains switch on and allow to run for 10 15 seconds 2 Remove the power at the wall socket without switching the pump off 3 The alarm...

Page 16: ... to use the pump only under supervision to ensure that the power on status is checked at regular intervals All other alarms will continue to function as normal Deflating the Mattress To deflate and store the mattress switch off the pump and remove the tube set at the pump end Ensure the transport facility on the tube set is set to normal mode and roll up the mattress starting at the end furthest f...

Page 17: ...ter tubes between the patient and the mattress potentially reduces the benefits provided by the mattress and should be avoided or kept to minimum Modes of Operation The system provides 3 modes of operation Dynamic Static Autofirm The pump defaults to Dynamic mode when switched on Dynamic Mode Provides the optimum pressure relieving properties and should be used in most cases The support surface be...

Page 18: ... Audible Alarms Audible alarms can be silenced using the Mute button To silence an alarm simply push the Mute button once CPR Control To perform CPR pull the CPR tag firmly up and away from the mattress This will disconnect 2 CPR plugs and rapidly deflate the Nimbus Pediatric System On disconection the mattress replacement will rapidly deflate sufficient for CPR procedures to commence ...

Page 19: ...the two sets of cells will be maintained and the patient will continue to be supported for up to 12 hours with the patient in the supine position 2 Turn the pump off and disconnect the tubeset from the pump To resume normal operation re connect the tube set to the pump switch the pump on and turn the transport knob to normal If the tube set remains connected to the pump when the transport control ...

Page 20: ...rrect control panel section Old control panel icons for pumps which have a nine digit serial number starting with a 631 prefix e g 631000001 refer to Old Control Panel Icons on page 14 New control panel icons for pumps which have a ten digit serial number starting with a 09 prefix e g 0900000001 refer to New Control Panel Icons on page 16 Old Control Panel Icons Power Indicator A green light on th...

Page 21: ...celled by switching the pump off and then switching back on For possible causes for the alarm see the table in Section 8 Alarm Mute Button and Indicator An audible alarm mute is provided to cancel audible warning sounds during an alarm condition The yellow light is illuminated when the alarm has been silenced Mode Select Button Selects the operating mode switching between Dynamic Static and Autofi...

Page 22: ...ver an alarm occurs the flashing red indicator is illuminated Additionally an audible warning will sound unless cancelled by the MUTE button as described earlier Once an alarm has been initiated it can only be cancelled by switching the pump unit off and then switching back on Under some circumstances the low pressure alarm may be activated after the patient is removed from the mattress If this oc...

Page 23: ...mp is in Dynamic mode Static Mode Indicator Indicates that the pump is in Static mode Autofirm Mode Indicator Indicates that the pump is in Autofirm mode When Autofirm mode is selected it remains operational for 30 minutes before returning to Dynamic mode After 29 minutes an alarm sounds to warn of the imminent return to Dynamic operation ...

Page 24: ... of 1 000ppm available chlorine this may vary from 250ppm to 10 000ppm depending on local policy and contamination status Wipe all cleaned surfaces with the solution rinse and dry thoroughly Alcohol based disinfectants strength 70 may be used as an alternative Ensure the product is dry before storage If an alternative disinfectant is selected from the wide variety available we recommend that suita...

Page 25: ...9 DO NOT WRING MANGLE AUTOCLAVE OR USE PHENOLIC BASED SOLUTIONS Thermal Disinfection For information for the mattress top cover including laundering guidelines refer to Cleaning Symbols table on page 23 ...

Page 26: ...re Maintenance and Inspection Check all electrical connections and power cord for signs of excessive wear Test power fail alarm system before use For procedure see Installation section In the event of the pump being subjected to abnormal treatment e g immersed in water or dropped the unit must be returned to an authorized service depot Mattress Replacement General Care Remove the top cover and ins...

Page 27: ...attress 2 The tube set is not connected properly 3 There is a leak in the system 1 Reset pump 2 Check connections and resecure 3 Call service engineer HIGH PRESSURE 1 There is a block in the pneumatic circuit 2 Tube set blocked 1 Check in bottom layer of mattress replacement that the Auto Matt is flat and not kinked 2 Check for kinked tube POWER FAIL 1 No power 2 Fuse blown 1 Check plug and socket...

Page 28: ...connects from the mains supply Do not dispose of in domestic refuse Alternating Current Dangerous voltage I On Power Connects to the mains supply Refer to accompanying documents Type BF Refer to the User Manual With respect to electric shock fire and mechanical hazards only in accordance with UL60601 1 and CAN CSA C22 2 No 601 1 MEDICAL EQUIPENT Fuse Ref Model number SN Serial Number ENVIRONMENTAL...

Page 29: ...ed fabric Base Polyurethane coated woven fabric Cell 0 3mm 0 012 Polyurethane flexible sheeting 13 5 8 kg 51 1300mm 26 660mm 6 150mm CLEANING SYMBOLS Wash at 80 C 176 F Do Not Tumble Dry Do not iron Wipe surface with damp cloth Do Not Use Phenol based cleaning Solutions Use solution diluted to 1000 ppm of Available Chlorine ...

Page 30: ...24 ...

Page 31: ...LAND T 64 9 573 5344 Free Call 0800 000 151 F 64 9 573 5384 USA ArjoHuntleigh 2349 W Lake Street Suite 250 Addison IL 60101 T 1 630 307 2756 Toll Free US 800 323 1245 F 1 630 307 6195 DANMARK ArjoHuntleigh A S Vassingerødvej 52 DK 3540 LYNGE T 45 4 913 8486 F 45 4 913 8487 POLSKA ArjoHuntleigh Polska Sp z o o ul Ks Wawrzyniaka 2 PL 62052 KOMORNIKI T 48 61 662 1550 F 48 61 662 1590 SUOMI ArjoHuntle...

Page 32: ...631990US_03 September 2010 ...

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