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Citadel Patient Therapy System

NURSING CARE

It is recommended that all chapters of this manual be reviewed prior to

product use. Carefully read the

Contraindications

,

Risks and Precautions

and

Safety Information

sections of the

Introduction

chapter of this manual

prior to performing nursing care for a patient on the

Citadel

Patient Therapy

System.

CPR

CPR is initiated from the bed frame Attendant Control Panel or backrest

release handle. When CPR is activated the mattress control unit will shut off

the CPR button until the bed frame is in the proper position. Press and hold

the power button for two seconds to reactivate system. Refer to

Citadel

Bed

Frame System Instructions for Use for details.

Alarms

Once an alarm condition is detected, the typical delay in

sounding the audible and visual alarm signals is no more

than one second.

An amber-colored alarm indicator will light up when an

alarm condition is present. Typically, the alarm indicator is

accompanied by another indicator to indicate why an alarm

occurred.
Press and hold the

Alarm Silence / Clear Button

for

three seconds to silence the alarm tone for ten minutes. If

the condition causing the alarm is not corrected within ten

minutes the alarm tone will resume.

For optimal recognition of alarm conditions, user should be

positioned at the end of the bed.

Active Alarm Icons

Alarm Description

solid amber

solid amber

Side rail lowered during

solid amber

solid amber

Side rail lowered during
continuous patient turn.

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Содержание Citadel Patient Therapy System C100

Страница 1: ...Citadel Patient Therapy System Instructions for Use with people in mind 830 238 Rev F 201 ...

Страница 2: ...e ArjoHuntleigh group of companies unless otherwise stated ArjoHuntleigh 2017 As our policy is one of continuous improvement we reserve the right to modify designs without prior notice The content of this publication may not be copied either wholly or in part without the consent of ArjoHuntleigh ...

Страница 3: ...Length Extension 19 X Ray Sleeve 19 Control Panel 20 Citadel Patient Therapy System Control Panel 20 Air Pressure Adjustment Controls 21 Height Weight Presets 21 Pressure Zone Indicators 22 Turning 22 Patient Placement Transfer 24 Preparation for Patient Placement Transfer 24 Patient Placement 24 Patient Transfer from the Citadel Patient Therapy System 24 Patient Transport 25 Nursing Care 26 CPR 2...

Страница 4: ...And Cleaning Mattress Cover Fabrics 31 Operating Instructions 33 Normal Therapy Mode 33 Nurse Assist Functions 33 Therapies 34 Alternating Pressure Pulsation 34 Power Off Citadel Patient Therapy System 35 Warranty and Service 36 37 Troubleshooting 40 Explanation of Symbols Used 41 43 ...

Страница 5: ...ntact ArjoHuntleigh for information regarding maintenance and repair All accessories added to the system reduce the safe working load of the frame by the same amount If the power supply cord or plug is damaged the cord must be replaced Make sure the power supply cord is not stretched kinked or crushed Make sure the power supply cord does not become entangled with moving parts of the bed or trapped...

Страница 6: ...equirements or contact the manufacturer for advice There may be special requirements for disposal of batteries leaded foam and or angle sensors if regulatory non compliance Moving Parts Keep all equipment tubes and lines loose clothing hair and parts of the body away from moving parts and pinch points Patient Entrance Exit Caregiver should always aid patient in exiting the bed Make sure a capable ...

Страница 7: ...ollect Early intervention may be essential to preventing skin breakdown Maximum Recommended Patient Weight Total patient weight capacity decrease the patient weight capacity of the bed Contact ArjoHuntleigh Customer Service for questions concerning the use of accessories and see the Questions and Information section of this guide for contact information I V and Drainage Tubes Prior to activating a...

Страница 8: ... height and weight presets Patient turn Firm mattress Patient transport mode The following features are additionally included in the C200 model Continuous patient turn Alternating pressure Pulsation CLINICAL APPLICATIONS Intended Use The Citadel Patient Therapy System is intended for the acute and post acute care environments It is not intended for use in the homecare environment When used with th...

Страница 9: ...ns Patient Migration Specialty surfaces have different shear and support characteristics than conventional surfaces and may increase the risk of patient movement sinking and or migration into hazardous positions of entrapment and or inadvertent bed exit Monitor patients frequently to guard against patient entrapment Side Rails and Restraints WARNING Use or non use of restraints including side rail...

Страница 10: ...quipment away from sensitive devices or contact the manufacturer Shock Hazard Electrical shock hazard do not remove electrical Precautions Precautions may need to be taken when using this product with certain patient conditions including but not limited to Hemodynamic instability Severe agitation Uncontrollable diarrhea Pregnancy Extensive facial trauma Any other unstable fracture ICP monitoring o...

Страница 11: ...ower is unplugged from the wall outlet 2 Remove the existing mattress if applicable 3 The air mattress control unit is provided with the following items Item Description Quantity Air Mattress Control Unit 1 Citadel Patient Therapy System IFU 1 Citadel Patient Therapy System QRG 1 Storage Bag 1 Philips Pan Head Screws 4 Hex Head Screws 3 Grounding Screws 2 4 1 2 3 4 Figure 1 Foot board and foot ext...

Страница 12: ...tension cover plate will need to be reinstalled to secure air hoses and electrical connectors Electrical connectors must be connected to the air mattress control unit when installed or attached to the foot extension cover plate if the air mattress control unit is not installed 7 If not already installed Install the air mattress control unit mounting Figure 2 Foot extension cover plate with air hos...

Страница 13: ...lips Pan Head screws through the top of 11 Install three hex socket screws through the holes on the front of mounting bracket These pass through the mounting bracket frame extension and screw into the mattress control unit Torque screws to 10 Nm 12 Now tighten the four Philips Pan head screws started earlier on top of the mounting bracket Torque screws to 10 Nm 13 the control unit RH LH lower corn...

Страница 14: ...ess support deck Ensure all packaging materials are removed from air connectors on bottom of air mattress 2 Unzip the bottom zipper of the air mattress and lift foot end of air mattress to access the air connectors under the air mattress cushions and mattress base 3 Look at the air connectors under the mattress and ensure O rings 4 mattress into connection ports Figure 5 Air connectors under mattr...

Страница 15: ...until they are slightly tight Repeat steps 1 and 2 until the knobs are fully tightened This will ensure a robust air seal 6 secure mattress to frame There are three straps located on each side of the frame for a total of six straps at the head and foot ends see Skin IQ straps are also available Make sure mattress is 1 Figure 8 Mattress straps head to foot view ...

Страница 16: ...Figure 9 Secure them together with their buckles Wrap both ends of straps around the frame cross member and secure with the buckle Repeat for other side of the mattress 8 Replace foot board 9 Before using the mattress system test the product using the procedure listed below Figure 9 Attach mattress straps to articulated section of frame 1 2 ...

Страница 17: ...Put the head right side rail into the lowered position and verify that the appropriate side rail down indicator is lit on the Air Mattress Control unit Raise the side rail Repeat this procedure for the other three side rails Lower backrest to approximately 15 6 Press the patient turn right button Wait a few seconds to verify the mattress has begun to turn Put one of the right side rails into the l...

Страница 18: ...position and release the handle Figure 10 Extending the bed frame To extend the deck 2 Figure 11 Extending the deck After extending the deck make sure the calf extension sheet is clipped over the end of the deck frame 3 To shorten the bed Reverse the above procedure 1 2 1 2 ...

Страница 19: ...ss in order to place an X ray cartridge under the patient without having to take the patient off of the mattress The sleeve is located at the head end at the shoulder and chest section mattress to access the sleeve located above the zipper on the mattress It is not necessary to unzip the mattress to access the X ray sleeve 1 2 Figure 13 X ray sleeve X ray Sleeve ...

Страница 20: ...arm condition exists in the Citadel Patient Therapy System The icon will turn off when all alarm conditions are no longer present and the alarm has been acknowledged by pressing the Alarm Silence Clear Button Alarm Silence Clear Button Press to acknowledge an alarm Pressing this button will clear an alarm indicator for a condition that has been resolved If the alarm condition has not been resolved...

Страница 21: ... Transport Button Press to activate or deactivate mattress slightly above the set pressures prior to unplugging the bed in preparation for transporting the patient in the bed Pressing the Patient Transport Button allows for continued patient support while the system is not powered An audible tone will sound when the function has completed Periodically an audible tone will sound to remind the user ...

Страница 22: ... upright and locked position Do not activate the turning feature on any mattress system when patient restraints are in use Patient Turn Right Button nurse assist Press to rotate the patient approximately 20 to their right An audible tone will sound when the turn has completed Patient Center Button Press to return patient from a Patient Turn Left Button nurse assist Press to rotate the patient appr...

Страница 23: ...rough low pulsation medium pulsation high pulsation alternating pressure settings and off Pulsation AP Cycle Time Button Press to select the pulsation cycle time The AP cycle time will be automatically set to 10 minutes when the AP button is pressed It can be adjusted to another setting as desired Cycle times are selectable in 5 10 and 15 minute increments Pressing the button multiple times will c...

Страница 24: ...res using the control panel that most closely represents the patient being placed Cushions and weight Presets are provided for reference only Individual patient needs should be assessed and the pressure settings should be adjusted to meet each patient s individual needs Patient Placement 1 Adjust the pressure settings in each section of the mattress to meet individual patient needs Pressure is adj...

Страница 25: ...ed has emitted an audible tone and the transport indicator is solid green 3 If necessary place patient s IV therapy onto IV poles that may be placed into sockets located on all four corners of the unit 4 Verify side rails are raised and locked 5 Unlock brakes 6 Transport patient following all applicable safety rules and institution protocols 7 Plug power cord into wall outlet immediately following...

Страница 26: ...er to Citadel Bed Frame System Instructions for Use for details Alarms Once an alarm condition is detected the typical delay in sounding the audible and visual alarm signals is no more than one second An amber colored alarm indicator will light up when an alarm condition is present Typically the alarm indicator is accompanied by another indicator to indicate why an alarm occurred Press and hold th...

Страница 27: ...id amber Mattress cannot reach target pressure after 10 minutes Tighten air connectors See page 15 solid amber Mattress base cannot reach pressure after connectors See page 15 solid amber Turn bladder cannot reach pressure in patient connectors See page 15 solid amber Turn bladder cannot reach pressure in continuous minutes Tighten air connectors See page 15 solid amber CPR switch cable disconnect...

Страница 28: ...in a state longer than allowed Alarm Alarm condition has been Two tones One short medium tone seconds Gateway Communication Cable Becomes unplugged Two tones One short medium tone seconds Patient Bathing 1 Adjust height and level patient surface to facilitate ease of bathing 2 3 frame control panels Fluids remaining on controls can cause corrosion which may cause components to fail or operate erra...

Страница 29: ...do so could result in equipment damage and or electric shock Decontamination Do not allow the mains plug or power cord to get wet Do not use abrasive compounds or pads or phenol based disinfectants Do not use jet stream cleaning or wash tunnels The air mattress control unit should be cleaned and disinfected weekly and before a new patient is placed on the bed The bed should be cleaned and disinfec...

Страница 30: ...use 6 Unplug the Citadel Patient Therapy System from wall outlet 7 Inspect the power cord for any signs of wear or damage The Citadel Patient Therapy System should not be operated with a worn or damaged power cord Contact ArjoHuntleigh if damage is found 8 Using a cloth dipped in warm soapy water or approved hospital the surfaces of the Citadel Patient Therapy System Rinse with plain water System ...

Страница 31: ...ame must remain plugged in to the wall outlet to maintain battery charge Care And Cleaning Mattress Cover Fabrics ArjoHuntleigh has introduced the next generation of medical fabrics These customer value through enhanced durability described below For cleaning components other than mattress covers refer to the relevant product Instructions for Use or other product labeling Cleaning processes should...

Страница 32: ...r Alcohol at 70 concentration no phenol ensure product is dry before storage Cleaning Symbols 60 C Max 95 15 Min Recommended wash temperature 15 min at 60 C 140 Maximum wash temperature 15 min at 95 C 60 Max 80 Tumble dry at 60 C 140 Maximum drying temperature 80 C 176 1000 ppm NaOCl NaDCC Use solution diluted to 1000 ppm of Available Chlorine Do not use Phenol based cleaning Wipe all surfaces wit...

Страница 33: ...not automatically time out the same time Firm Mattress increases pressure to aid in lateral transfer Pressing this When the system reaches maximum pressure an audible tone will sound return to previously selected pressure settings Turning CAUTION Prior to engaging any mattress turn feature make sure that bed frame has side rails and that all side rails are fully engaged in their full upright and l...

Страница 34: ...ler angle is increased to above 30 this function will be cancelled Press the Continuous Patient Turn button to cancel therapy this function will not automatically time out Rotation therapies are not available when fowler angle is above 30 or any side rail is down It is recommended that turning only be initiated when bed is level and thigh and calf sections are down The actual angle of rotation ach...

Страница 35: ... Pressure 125 0 High Pulsation 148 42 Medium Pulsation 128 55 Low Pulsation 115 75 Power Off Citadel Patient Therapy System 1 Press and hold the On Off button on the mattress control unit for two seconds to turn off the control unit When the unit turns off you will 2 Unplug the power cord from the wall outlet 3 Wrap the power cord around the cord hook on the head end of the frame ...

Страница 36: ...ard terms and conditions contain full details of warranty terms and do not limit the statutory rights of the consumer For service maintenance and any questions regarding this product Questions and Information section Have the model number and serial number of the equipment available when contacting ArjoHuntleigh regarding service spare parts or accessories ...

Страница 37: ... HF Surgical Equipment and the RF Shielded room of an ME SYSTEM for magnetic resonance imaging Use of this equipment adjacent to or stacked with other equipment should be avoided because it could result in improper operation If such use is necessary this equipment and the other equipment should be observed to verify that they are operating normally Guidance and manufacturer s declaration electroma...

Страница 38: ...agnetic site survey should be less than the compliance level in each frequency rangeb Interference may occur in the vicinity of equipment marked with this symbol Radiated RF electromagnetic EN 61000 4 3 Professional Healthcare environment 3 V m 80 MHz to 2 7 GHz 80 AM at 1 kHz Professional Healthcare environment 3 V m 80 MHz to 2 7 GHz 80 AM at 1 kHz from RF wireless communications equipment EN 61...

Страница 39: ...e Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 0 UT 0 5 cycle At 0 45 90 135 180 225 270 and 315 0 UT 1 cycle and 70 UT 25 30 cycles Single phase at 0 0 UT 250 300 cycle 0 UT 0 5 cycle At 0 45 90 135 180 225 270 and 315 0 UT 1 cycle and 70 UT 25 30 cycles Single phase at 0 0 UT 250 300 cycle UT is the a c mains voltage prior to the application ...

Страница 40: ...Ensure CPR valve is fully closed Open CPR valve by pulling CPR handle and then close CPR valve by unplugging bed from AC Mains and then plugging it back in to AC Mains Correct leaking hose on mattress control unit Mattress Control Unit Will Not Power Up Check that AC power connector from the Bed Frame is plugged into the back of the Air Mattress Control Unit Check for Blown fuse in mattress contro...

Страница 41: ...dures laid down in the council directive This product or its parts are designated for separate collection at an appropriate collection point At the end of useful life dispose of all waste according to local requirements or contact your local ArjoHuntleigh representative for advice Maximum Patient Weight Safe Working Load i Consult Instructions for Use Alternating Current Power Manufacturer Shock H...

Страница 42: ... down Only No Phenol Chlorine Bleach Do Not Iron Fuse Communications CPR Switch H Head Cushion B Body Section S Seat Cushion L Leg Section L C Lower Chamber TR Turning Right TL Turning L BA Body Section A BB Body Section B SA Seat Section A SB Seat Section B LA Leg Section A LB Leg Section B ...

Страница 43: ...erall width Environmental protection Incorrect disposal of this equipment and its component parts may produce substances that are hazardous to the environment To minimize these hazards contact ArjoHuntleigh for information on correct disposal Transport and storage Handle with care Do not drop Avoid shock or violent impact This equipment should be stored in a clean dry and well ventilated area whic...

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Страница 47: ...7426222 E mail Italy promo arjo com MIDDLE EAST Huntleigh Middle East Biotechnology Research Park P O Box 214742 Dubai United Arab Emirates Tel 971 0 4 447 0942 E mail Info ME arjo com NEDERLAND Arjo BV 4004 MB TIEL Postbus 6116 4000 HC TIEL Tel 31 0 344 64 08 00 Fax 31 0 344 64 08 85 E mail info nl arjo com NEW ZEALAND Arjo Ltd 34 Vestey Drive Mount Wellington Tel 64 0 9 573 5344 Free Call 0800 0...

Страница 48: ... healthcare facilities deliver wellness and effective everyday care early mobilisation safe patient handling venous thromboembolism prevention pressure injury prevention hygiene routines bariatric care and diagnostics With extensive knowledge and caregivers and their patients ArjoHuntleigh AB Hans Michelsensgatan 10 211 20 Malmö Sweden www arjohuntleigh com ...

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