Arjohuntleigh citadel Instructions For Use Manual
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Arjohuntleigh citadel Instructions For Use Manual

Patient therapy system
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Citadel Patient Therapy System
Instructions for Use
...with people in mind
830.238 Rev D • 12/2015

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Summary of Contents for Arjohuntleigh citadel

  • Page 1 Citadel Patient Therapy System Instructions for Use ...with people in mind 830.238 Rev D • 12/2015...
  • Page 2 Design Policy and Copyright ® and ™ are trademarks belonging to the ArjoHuntleigh group of companies unless otherwise stated. © ArjoHuntleigh 2015 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.
  • Page 3 • Audible Tone Indicators ................28 • Patient Bathing ..................28 Care and Cleaning..................29 • General Recommendations ..............29 • Decontamination ..................29 • Cleaning ....................29 • Disinfection ...................29 • Cleaning the Citadel Patient Therapy System While in Use .....30 Citadel Patient Therapy System...
  • Page 4 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 EMC Information....................37 Troubleshooting .....................41 Explanation of Symbols Used................42 Specifications ....................44...

  • Page 5: General Warnings

    Tubes and lines should always have sufficient slack for articulation and patient movement. Before patient transfer to or from the Citadel Bed Frame System, all brakes should be engaged. Always unplug the Citadel Bed Frame System from wall outlet before cleaning.

  • Page 6: Safety Information

    Oxygen tent should not extend below mattress support level. Lock-Outs – Lock-outs for air mattress system functions should be used at staff’s discretion to ensure against unintentional operation of Citadel Patient Therapy System. Disposal – At the end of useful life, dispose of waste according to local requirements or contact the manufacturer for advice.
  • Page 7 Maximum Recommended Patient Weight - Total patient weight capacity should not exceed 227 kg (500 lb). The use of accessories on the bed may 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.

  • Page 8: Introduction

    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 the Citadel Bed Frame System, the Citadel Patient Therapy System is intended for the prevention and treatment of pressure ulcers, to treat burns and to aid circulation.

  • Page 9: Indications

    Indications Patient conditions for which the Citadel Patient Therapy System is indicated are: • Prevention and treatment of pressure ulcers (stages I-IV) in high-risk patients. Contraindications Patient conditions for which the Citadel Patient Therapy System is contraindicated are: • Cervical traction •...

  • Page 10: Precautions

    • Hemodynamic instability • Severe agitation • Uncontrollable claustrophobia or fear of confinement • Uncontrollable diarrhea • Pregnancy • Extensive facial trauma • Any other unstable fracture • ICP monitoring or intracranial drainage devices Citadel Patient Therapy System...

  • Page 11: Installation

    Unit should only be installed by qualified personnel. A second person may be needed for the lifting of the air mattress control unit. 1. Ensure the Citadel Bed Frame System mains power is unplugged from the wall outlet. 2. Remove the existing mattress, if applicable.
  • Page 12 7. If not already installed, Install the air mattress control unit mounting bracket (see figure 3, item 1) to the back of the air mattress control unit (2), using the six hex head flush mount screws (4). Figure 3: Air mattress control unit and mounting bracket Citadel Patient Therapy System...
  • Page 13 A distinct click will be heard when the air connectors are fully attached. Figure 4: Connect air hoses to mattress control unit 15. Connect AC power cable (figure 4, item 3), CPR cable (4) and communication cable (5). Citadel Patient Therapy System...

  • Page 14: Attach Integrated Air Mattress

    (fi gure 5, item 1) are in place on each connector. Figure 5: Air connectors under mattress 4. Lift cushions (fi gure 6) and visually guide air connectors on the air mattress into connection ports. Figure 6: Air connectors under cushion inside mattress Citadel Patient Therapy System...
  • Page 15 (see fi gure 8). Two Skin IQ straps are also available. Make sure mattress is secured to an articulated section of the frame (see fi gure 8). Figure 8: Mattress straps head to foot view Citadel Patient Therapy System...
  • Page 16 Wrap both ends of strap 3 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. Citadel Patient Therapy System...

  • Page 17: Testing

    9. Raise backrest to approximately 15°, pull CPR handle on the side of the bed frame. Verify that the backrest flattens (if in an articulated position), the CPR valves open, the air mattress deflates and the Air Mattress Control unit turns off. Citadel Patient Therapy System...

  • Page 18: Mattress Length Adjustment

    (2) to the required position and release the handles. 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. Citadel Patient Therapy System...

  • Page 19: Air Mattress Length Extension

    Lower the side rails and lift the outer fl ap of the 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. X-ray Sleeve Figure 13: X-ray sleeve Citadel Patient Therapy System...

  • Page 20: Control Panel

    Power On / Off Button - Press and hold for two seconds to turn Citadel Patient Therapy System on or off. LED will light and an audible tone will sound. Bed must be plugged into AC power for control unit to turn on.

  • Page 21: Air Pressure Adjustment Controls

    Pressure zone indicators will indicate pressure settings for each preset. 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. Citadel Patient Therapy System...

  • Page 22: Pressure Zone Indicators

    20° is the target turn angle, but will not be achieved by all patients based on the variables mentioned above. Citadel Patient Therapy System...

  • Page 23: Continuous Patient Turn Hold Time Button (Optional Configuration)

    5, 10 and 15 minute increments. Pressing the button multiple times will cycle through 5, 10 and 15 minute settings. One of the Pulsation / AP settings must be selected before cycle time can be set. Citadel Patient Therapy System...

  • Page 24: Patient Placement / Transfer

    Introduction sections in the chapter of this manual prior to placing a patient on the Citadel Patient Therapy System. Preparation for Patient Placement / Transfer 1. Lock caster brakes on frame. 2. Evaluate foot extension, extend frame and mattress if necessary.

  • Page 25: Patient Transport

    7. Plug power cord into wall outlet immediately following completion of patient transport. 8. Once bed is plugged into the wall outlet, press and hold the On / Off button on the mattress control unit for two seconds to turn on the control unit. Citadel Patient Therapy System...

  • Page 26: Nursing Care

    Introduction chapter of this manual prior to performing nursing care for a patient on the Citadel Patient Therapy System. 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 and the mattress will deflate.
  • Page 27 See page 15. Turn bladder cannot reach pressure in continuous patient turn after five minutes. Tighten air solid amber flashing green connectors See page 15. CPR switch cable disconnected. Reconnect CPR switch cable. solid amber Citadel Patient Therapy System...

  • Page 28: Audible Tone Indicators

    Fluids remaining on controls can cause corrosion, which may cause components to fail or operate erratically, possibly producing potential hazards for patient and staff. 4. Raise and lock side rails. 5. Adjust patient surface for patient comfort. Citadel Patient Therapy System...

  • Page 29: Care And Cleaning

    Local protocols and regulations / procedures for blood borne pathogens may be used provided the manufacturer’s instructions are followed. Always disconnect the Citadel Bed Frame System from wall outlet before cleaning. Failure do so could result in equipment damage and / or electric shock.

  • Page 30: Cleaning The Citadel Patient Therapy System While In Use

    3. Unplug the Citadel Patient Therapy System from wall outlet. 4. 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.

  • Page 31: Care And Cleaning Mattress Cover Fabrics

    Healthcare Facility or the country of use. If you are uncertain, you should seek advice from you local Infection Control Specialist. The Citadel Patient Therapy System is made of Reliant IS material and can be laundered and / or disinfected according to the Cover Specification table.
  • Page 32 ** Chlorine concentrations may vary from 250 ppm to 10,000 ppm depending on local policy and contamination status. If an alternative disinfectant is selected from the wide variety available, ArjoHuntleigh recommended that suitability for use is confirmed with the chemical supplier prior to use.

  • Page 33: Operating Instructions

    Introduction sections in the chapter of this manual prior to placing a patient on the Citadel Patient Therapy System. Normal Therapy Mode Control of set pressures for patient support (head, shoulders, body, feet and lower cushions), without other therapeutic features activated.

  • Page 34: Therapies

    Once achieved, the other cells are deflated to a slightly lower pressure and this is held for a period of time. The total time taken to complete this is one cycle. Cycle times and intensity are selectable by the user. Intensity settings for each therapy are described below: Citadel Patient Therapy System...

  • Page 35: Power Off Citadel Patient Therapy System

    128% Low Pulsation 115% 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 hear the valves open and the mattress will deflate.

  • Page 36: Warranty And Service

    For service, maintenance and any questions regarding this product, please contact your local ArjoHuntleigh office or approved distributor. A list of ArjoHuntleigh offices can be found at the back of this manual in the Questions and Information section. Have the model number and serial number of the equipment available when contacting ArjoHuntleigh regarding service, spare parts or accessories.

  • Page 37: Emc Information

    Guidance and manufacturer’s declaration - electromagnetic emissions The Citadel Mattress Control Unit is intended for use in the electromagnetic environment specified below. The customer or the user of the Citadel Mattress Control Unit should ensure that it is used in such an environment.
  • Page 38 25 cycles dips, short 40% U T 40% of input interruptions If the user of the Citadel (60% dip in U T ) voltage for 100ms and voltage Mattress Control Unit requires for 5 cycles variations on continued operation during <5% U T...
  • Page 39 Guidance and manufacturer’s declaration – electromagnetic immunity The Citadel Mattress Control Unit is intended for use in the electromagnetic environment specified below. The customer or the user of the Citadel Mattress Control Unit should ensure that it is used in such an environment.
  • Page 40 RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the Citadel Mattress Control Unit is used exceeds the applicable RF compliance level above, the Citadel Mattress Control Unit should be observed to verify normal operation.

  • Page 41: Troubleshooting

    TROUBLESHOOTING Contact ArjoHuntleigh if you are unable to correct a symptom by performing the suggested action listed in the table below. Symptom Check Action Check hose elbow connections Press hose elbow connections under CPR valve for leaks firmly into CPR valve...

  • Page 42: Explanation Of Symbols Used

    ArjoHuntleigh representative for advice. Maximum Patient Weight Safe Working Load Consult Instructions for Use Alternating Current Power Manufacturer Shock Hazard Date of Manufacture Type B Applied Part Safe Working Load Reference Number 60˚C Serial Number Recommended Wash Temperature Citadel Patient Therapy System...
  • Page 43 Fuse Communications CPR Switch Head Cushion Body Section Seat Cushion Leg Section Lower Chamber Turning Right Turning L Body Section A Body Section B Seat Section A Seat Section B Leg Section A Leg Section B Citadel Patient Therapy System...

  • Page 44: Specifications

    89 cm (35 in) 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...

  • Page 45: Questions And Contact Information

    QUESTIONS AND CONTACT INFORMATION For questions regarding this product, supplies, maintenance or additional information about ArjoHuntleigh products and service, please contact ArjoHuntleigh or an ArjoHuntleigh authorized representative, or see www.ArjoHuntleigh.com. AUSTRALIA FRANCE POLSKA ArjoHuntleigh Pty Ltd ArjoHuntleigh SAS ArjoHuntleigh Polska Sp. z o.o.
  • Page 46 Citadel Patient Therapy System...
  • Page 47 Citadel Patient Therapy System...
  • Page 48 Maquet specializes in solutions, therapies and products for surgical interventions, interventional cardiology and intensive care. ArjoHuntleigh focuses on patient handling and hygiene, disinfection, DVT prevention, medical beds, therapeutic surfaces and diagnostics. ArjoHuntleigh AB Hans Michelsensgatan 10 211 20 Malmö, Sweden...

This manual is also suitable for:

Citadel c200Citadel c100

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