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Arjohuntleigh RotoProne User Manual

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RotoProne Therapy System
User Manual
The Indications for Use of the RotoProne Therapy System have recently been updated. The User
Manual provided with the product has the updated Indications for Use included. Please discard any
product manuals within your possession that have revisions prior to those shown below.
User Manual: 208662-AH Rev C
Maintenance Manual: 207562 Rev B
If you would like to obtain additional copies of the product manuals or have any questions related to
the use of the product contact ArjoHuntleigh at 1-800-343-0974.
208662-AH Rev C • 12/2014
...with people in mind

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Summary of Contents for Arjohuntleigh RotoProne

  • Page 1 RotoProne Therapy System User Manual The Indications for Use of the RotoProne Therapy System have recently been updated. The User Manual provided with the product has the updated Indications for Use included. Please discard any product manuals within your possession that have revisions prior to those shown below.

  • Page 3: Table Of Contents

    Instructions RotoProne Therapy System Overview ................ 2-1 Power-Up Procedure ....................2-2 Welcome to RotoProne / New Patient Screen ............2-3 Home Screen ......................2-3 • Prone / Supine Button and Prone / Supine Preparation ......... 2-4 - Checklist......................2-5 •...
  • Page 4 Stuck or Jammed Lock Pin Instructions ..............2-27 Patient Placement Preparation for Patient Placement ................3-1 - Therapy Settings Definitions................3-4 Patient Transfer to the RotoProne Therapy System ........... 3-10 Pack Installation ...................... 3-12 • Leg Abductor Pack .................... 3-12 • Side Support Packs .................... 3-13 •...
  • Page 5 Incontinence / Drainage .................... 4-6 Foot Support ......................4-6 Side-Lying Head Position ................... 4-6 Patient Transfer From the RotoProne Therapy System ..........4-7 Power-Down Procedures • Power-Down for Intra-Facility Transport / Storage ..........5-1 • Power-Down for Shipping ................... 5-3 Care and Cleaning Daily Equipment Check .....................

  • Page 7: Disclaimer Of Warranty And Limitation Of Liability

    Information in this publication may be subject to change at any time. Contact ArjoHuntleigh for updates. IMPORTANT INFORMATION FOR USERS In order for ArjoHuntleigh products to perform properly, ArjoHuntleigh recommends compliance with the following conditions.

  • Page 9: Introduction

    • RotoProne Therapy System - Allows an immobile patient to be moved from the supine to the prone position in an automated fashion. Additionally, the RotoProne Therapy System provides continuous, bilateral rotation up to 62° in the prone position.

  • Page 10: Risks And Precautions

    The RotoProne Therapy System is typically prescribed for patients suffering from the consequences of immobility. Although use of the RotoProne Therapy System is thought to help caregivers address potentially life-threatening conditions, proning itself may present inherent risks of serious injury. For instance, some...

  • Page 11: Safety Information

    safety Information Skin Care - Fitting the head support, face pack, proning packs or other accessory packs too tightly may increase pressure points, possibly leading to skin breakdown. Assess skin at frequent intervals depending on patient condition (at least once every four hours). give extra attention to skin at pressure points and locations where moisture or incontinence may occur or collect.
  • Page 12 Moving Parts - Keep all equipment, tubes and lines, loose clothing, hair and parts of the body away from moving parts and pinch points. Fluids - Avoid spilling fluids on unit controls. If spills do occur: unplug unit and clean fluid from unit, wearing rubber gloves to avoid any possibility of shock.

  • Page 13: Operating Instructions

    Contraindications, Risks and Precautions and Safety Information sections in the Introduction chapter as well as the Patient Placement chapter of this manual prior to operating the RotoProne Therapy System. Contact your local ArjoHuntleigh representative for product in-service and training.

  • Page 14: Power-Up Procedure

    6. Once calibration is completed, a Notice to Users screen will appear. Please read the Welcome to RotoProne statement and press the button to indicate you have read and complied with the statement. The Welcome to RotoProne / New Patient screen will appear.

  • Page 15: Welcome To Rotoprone / New Patient Screen

    Welcome To RotoProne / new Patient screen Use the Welcome To RotoProne / New Patient screen to set up the RotoProne Unit for a new patient or to access former patient data. • Press New Patient - Yes button to activate the RotoProne Set-up Wizard.

  • Page 16: Prone / Supine Button And Prone / Supine Preparation

    • Adjust patient surface position • Park the patient (hold the patient surface at a desired angle) • Access therapy meters • Access Help • Activate CPR Prone / Supine Button and Prone / Supine Preparation Use the Prone / Supine button to access the screens and buttons that will begin Kinetic Therapy in the desired position.

  • Page 17: Checklist

    Checklist The short Checklist screen appears prior to initiation of supine therapy or when rotating the patient from prone to supine. It requires assessment of the patient’s invasive lines and tubes, intubation system and placement in the head support. The long Checklist screen appears prior to rotating the patient from supine to prone. In addition to assessing patient’s invasive lines and tubes, intubation system and head placement, it requires assessment of the patient’s arm and abdominal support.

  • Page 18: Move To Prone / Supine

    6. If you are moving the patient into the prone position, a special Face Pack Caution screen will appear once the long checklist has been cleared. Assess position of the face pack, make any necessary adjustments, then press the Confirm button. Face pack buckles are not electronically alarmed.

  • Page 19: Therapy Settings Selection

    Therapy Settings Selection Use the Therapy Settings Selection screen to select supine or prone settings, direction of rotation and any acclimation options. 1. With the Home screen showing, press the Therapy Settings button. The Therapy Settings Selection screen will appear. 2.

  • Page 20: Prone / Supine Settings

    Prone / supine settings Use the Prone and Supine Therapy Settings screen to select and adjust left, center and right pause times and left and right rotation angles. Therapy settings should be determined per physician’s orders. 1. Select the desired setting to change by pressing the corresponding button location; button will turn yellow when selected.

  • Page 21: Scale

    Scale Setting Use the Scale screen to: • View current patient weight • Hold a current weight value in memory while equipment is added or removed • Recalibrate scale to zero • Delay patient weighing for a specified length of time •...

  • Page 22: Zero Scale

    1. Press the Hold Patient Weight button; the button will change to green and the scale freezes. 2. Add or remove items from the patient surface; wait approximately five to ten seconds. 3. Press the Hold Patient Weight button again; the button will change to red and the scale resumes function with no change in weight.

  • Page 23: Adjusted Weight

    adjusted Weight Use Adjusted Weight to change the current weight display to a known weight. This function is most useful if the scale has not been zeroed before placing the patient. 1. Press Adjusted Weight button. Adjusted Weight screen will appear. 2.

  • Page 24: Surface Position

    Surface Position Use the Surface Position screen to adjust the height and angle of the patient surface. Maximum Trendelenburg and Reverse Trendelenburg angle is + / - 11°. With the Home screen showing, press the Surface Position button. The Surface Position screen •...

  • Page 25: Park

    Park Use Park to turn and hold the patient at a desired angle. Supine Kinetic Therapy must be initiated before the park feature can be activated. Park Positions Patient can be parked (either supine or prone) in the following preset positions: •...

  • Page 26: Therapy Meters

    Therapy Meters Use the Therapy Meters screen to: • View daily and cumulative Kinetic Therapy time greater than or equal to 40° of rotation in both prone and supine positions. • View total daily and cumulative Kinetic Therapy time in both prone and supine positions. •...

  • Page 27: Therapy Chart

    Take care to ensure all lines and tubes remain attached when powered CPR is activated. As with any medical device, familiarity with the RotoProne Unit can save time in an emergency situation. Caregivers and other hospital personnel are encouraged to become familiar with the CPR function and the procedure required to access the patient in case of an emergency.
  • Page 28 • Continue pressing either button until patient surface is leveled, fully lowered and rotated into the 0° supine position. Bed will stop at 67° if unsafe operating condition occurs. • Once patient surface has reached 0° supine, the CPR Information screen will appear. 3.

  • Page 29: Emergency Release For Cpr / Supine Position

    Engagement of the emergency release feature disarms all safety alarms. As with any medical device, familiarity with the RotoProne Unit can save time in an emergency situation. Caregivers and other hospital personnel are encouraged to become familiar with the CPR function and the procedure required to access the patient in case of an emergency.
  • Page 30 If the patient surface has been rotated 360° during the emergency release, the information screen shown at right will appear when power is restored to the RotoProne unit. Press the Rotate 360° button as shown at right, to return the patient surface to supine in the proper direction.

  • Page 31: Manual Rotation To Prone Instructions

    5. Lift and hold manual rotation lever for duration of manual rotation. Audible notification will sound while manual rotation lever is active. 6. Instruct person 2 and 3 to rotate patient to prone position. 7. Release manual rotation lever and re-engage emergency release handle. Call ArjoHuntleigh at 1-800-343-0974. 2-19...

  • Page 32: Help

    Hand control is not for patient use. Hand control will not operate when RotoProne Unit is functioning on battery power. Return hand control to holder when not in use. Keep cord clear of moving parts. Supine / Prone Rotate...

  • Page 33: Alarms And Troubleshooting

    alarms and Troubleshooting Use the following chart to identify and correct alarm conditions: There is no general alarm silence button. All alarm conditions must be corrected to silence alarm and continue therapy. ALARM CONDITION WHAT IT MEANS CORRECTIVE ACTION Inactive - Parked Patient surface has Follow the instructions on the been parked in one...
  • Page 34 ALARM CONDITION WHAT IT MEANS CORRECTIVE ACTION Prone Time Exceeded Patient has been Return patient to supine in prone position position to assess the skin at for more than frequent intervals. If patient 3 hours and 15 remains in prone position in minutes.
  • Page 35 For questions regarding this product, supplies, for transport button. maintenance or additional information about 6. Pull lock pin to rotate unit. ArjoHuntleigh products and service, please 7. Press and hold the Rotate contact ArjoHuntleigh or an ArjoHuntleigh and Lower button.
  • Page 36 ALARM CONDITION WHAT IT MEANS CORRECTIVE ACTION Obstruction - Patient Surface Raising / There is a possible Follow the instructions on Lowering obstruction in the the screen. Use the manual way of the patient switches located behind the surface. small door at the foot of the unit to raise the patient surface off the obstruction.
  • Page 37 Follow the instructions on the been disconnected or screen. Once the hand control is reconnected, press Cancel damaged. to continue. If hand control is damaged, unplug it from the unit and press Cancel to resume operation without hand control. Contact ArjoHuntleigh for replacement. 2-25...
  • Page 38 Release Handle 4. Person 1 re-engage emergency release handle. 5. Follow instructions on screen display to return to therapy or emergency manual rotation to prone instructions. Call ArjoHuntleigh at 1-800-343-0974. 2-26...
  • Page 39 2-27...
  • Page 40 2-28...

  • Page 41: Patient Placement

    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 in the Introduction chapter of this manual prior to placing a patient on the RotoProne Therapy System. Preparation for Patient Placement 1.
  • Page 42 Slide block toward head end of unit. Rotate block 180°. Insert pin into top of block to lock block in place. 7. Press Yes button. The RotoProne Calibration Utility screen will appear. The No button may be pressed to skip calibration and continue directly to the Welcome To RotoProne / New Patient screen.
  • Page 43 10. Read through welcome information, then press round button at bottom of screen. The Welcome To RotoProne / New Patient? screen will appear. 11. Press Yes button. A confirmation screen will appear. If the No button is selected, any previously saved...

  • Page 44: Therapy Settings Definitions

    14. Select settings for Supine or Prone Therapy: Therapy settings should be determined per physician’s orders. 15. Select the desired setting to change by pressing the corresponding button; button will turn yellow when selected. 16. Press the Adjust up or down arrow button to reach the desired setting.
  • Page 45 19. Select desired therapy options: • Press Prone Direction button to select clockwise or counterclockwise rotation from supine to prone. The Prone Direction option determines which direction the patient surface rotates from supine to prone. When the patient surface is ready to return to the supine position from the prone position, it will always rotate back in the opposite direction.
  • Page 46 • Press the Home button. The Home / Pull Lock Pin screen will appear. Once the Pull Lock Pin screen appears, the patient surface is ready for the patient. DO NOT PULL LOCK PIN UNTIL PATIENT IS IN PLACE AND ALL PACKS HAVE BEEN SECURED.
  • Page 47 Pack will release once pin is pulled. Be sure pack is well-supported. Hold pack and fasten yellow strap, as shown at right. Push pack up until locked, as shown at right. There will be an audible click when pack locks into place. If pack does not lock, manually push pin in while pushing pack up.
  • Page 48 • Remove abdominal sling, if attached: , if attached Unfasten hook-and-loop straps, as shown at right. Pull straps from slots on top of side support packs. • Remove side support packs: Pull and hold pack pin. Lift pack straight up from patient surface. Place pack on a clean surface.
  • Page 49 23. Lower tube management system (for ease of access while placing patient’s head), if necessary: • Loosen black knobs contralaterally, as shown at right. Tube management system may fall if knobs are loosened too far. Support the system as knobs are loosened.

  • Page 50: Patient Transfer To The Rotoprone Therapy System

    Do not leave patient unattended at any time during patient transfer process. Perform transfer from the patient left side onto RotoProne Unit when possible. This will allow for line placement through the open side of the top frame hoop, into the tube management system.
  • Page 51 IV extension tubing is recommended to allow for adequate slack. 7. Position patient on RotoProne surface: • Place patient’s head on main pack within head support. • Ensure that the head support assembly is pulled all the way toward the head of the unit.

  • Page 52: Pack Installation

    Pack Installation Side support packs and all proning packs (chest, pelvic, upper leg and lower leg) are REqUIRED for prone positioning. In addition, the face pack is required if using prone therapy. For supine rotation, the lower leg proning packs and either the chest or pelvic proning packs are required. Leg Abductor Pack 1.

  • Page 53: Side Support Packs

    2. Adjust foot support boards to provide proper foot positioning and help prevent foot drop. The RotoProne Therapy System will accommodate patients up to approximately 6 ft 2 in tall with the foot support boards in their lowest position. •...
  • Page 54 • Packs may also be switched from side-to-side to accommodate narrow or wide body types: Assess patient to determine if packs need to taper in, as shown below left, or taper out, as shown below right. To place packs for narrow body type (tapered in), place pack with blue knob on patient left. Place pack with green knob on patient right.
  • Page 55 • Install side support extension packs accessory from accessory bag, if needed for smaller patient. If pack adjuster crank has been turned all the way in, but side support packs still do not fit snugly against patient’s upper body, use side support extension packs accessory to secure patient. Place extensions between patient’s sides and side support packs.

  • Page 56: Proning Packs

    • Open buckles for slings on sides of arm supports, as shown at right. • Place patient’s arms in slings, as shown at right. • Buckle slings closed. 2. Install abdominal sling: • Place sling on top of patient, with hook-and-loop straps facing up.
  • Page 57 Pack will release once pin is pulled. Be sure pack is well-supported. • Unsnap yellow support strap and release pack down into fully extended position. 2. Install lower leg proning packs: • Position packs across patient’s shins; avoid applying pressure to patient’s feet, toes, knees or top of foot.
  • Page 58 3. Install upper leg proning packs: • Position packs across patient’s thighs. In the case of a shorter patient, position upper leg packs across patient’s shins as described previously. Refer to illustration below to determine placement of packs on different patients. Avoid, if possible, direct placement on patient’s knees. Ensure invasive lines and tubes are not bent, compressed or kinked after upper leg proning pack placement.

  • Page 59: Assess Patient Position

    • Fasten pack buckles and tighten pack straps. Tightness of pack straps will vary according to each patient’s needs. Straps need to be as tight as can be tolerated, as patient will shift into the prone packs and away from the patient surface when moved into prone position.
  • Page 60 2. Feed face pack straps into head support assembly, as shown at right. 3. Press face pack down to secure patient’s head. Straps will click as they are tightened. Face pack should be tightened only so that pack rests lightly on patient’s forehead and cheeks with no compression of the foam.

  • Page 61: Chest Packs

    Chest Packs 1. Place chest pack accessory across patient’s torso (even with top of shoulder). 2. Position chest packs across patient’s upper torso (even with top of shoulder), as high as possible without contacting head support. DO NOT place chest packs over upper abdomen. Placement of the chest packs should allow for abdominal expansion during proning.
  • Page 62 • Ensure patient’s head is secure within head support. Adjust if necessary. • Ensure face pack (if using) is properly positioned. Adjust if necessary. • Ensure patient’s hands and arms are fastened securely within arm slings. Adjust if necessary. • Ensure side support packs are snug against patient’s sides.

  • Page 63: Starting Therapy

    • Press Done button. Scale screen will appear. If scale was not zeroed or if weight is not correct, push the Adjust Weight button on the Scale screen and enter the most accurate and current weight. • Press Home button. The Home / Pull Lock Pin screen will appear.
  • Page 64 2. Pull lock pin. The Checklist screen will appear. 3. Check and clear each item on the checklist: To clear each item, press the corresponding button. The arrow will change to a check mark. • Assess all invasive lines and tubes. Ensure lines are secure and have adequate slack to avoid pulling, tangling, binding or dislodging during a full 360°...

  • Page 65: Prone Therapy

    4. Observe patient through two full rotation cycles and check the following: • Verify all lines and tubes are secured and have adequate slack to avoid pulling, binding or dislodging during a full 360° of rotation. Adjust slack in lines, as necessary.
  • Page 66 2. Press Prone button. The Prone Preparation screen will appear. 3. Press and hold Rotate and Lower button to move patient surface to 0° supine and lowest height and cancel any Trendelenburg position. Once patient surface is level and fully lowered, the Long Checklist screen will appear.
  • Page 67 • Once checklist has been cleared, the Face Pack Caution screen will appear and an alert beep will sound. • Manually pull up on face pack to ensure it is attached securely. 5. Re-examine patient’s placement in head support assembly, paying particular attention to the position of face pack.
  • Page 68 7. Adjust (if necessary) head support alignment: • Assess position of patient’s head and neck. Check for proper alignment. • If alignment adjustment is required, turn head support adjustment handle to raise or lower patient’s head to the desired position, as shown at right. 8.

  • Page 69: Patient 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 in the Introduction chapter of this manual prior to performing nursing care for a patient on the RotoProne Therapy System.

  • Page 70: Midline Hatch

    2. Pull bar latch toward foot of unit to open. 3. Lift bar, hold open and perform care. 4. Lower bar and ensure bar latch is securely closed. Midline Hatch To open midline hatch: 1. Push down slightly on hatch, grasp and rotate handle clockwise, as shown at right.

  • Page 71: Bathing Patient

    bathing Patient During bathing, do not leave patient in the same position for longer than patient’s skin can tolerate. Bathing can be done in either the supine or prone position. Supine Bathing 1. Discontinue Kinetic Therapy or Prone Therapy. 2. Park patient surface supine to facilitate bathing. 3.

  • Page 72: Prone Bathing

    Prone Bathing 1. Park patient surface prone to facilitate bathing and access to patient’s posterior. 2. Push in lock pin at foot of bed. 3. Open upper body hatches, if not already open. It is recommended that all hatches be opened when patient is in the prone position. Hatch center bar may be opened briefly to facilitate cleaning.

  • Page 73: Skin Care

    skin Care Consider these steps to help manage potential skin complications that can be associated with Prone Therapy: Fitting the head support, face pack or other packs too tightly may increase pressure points, possibly leading to skin breakdown. Assess skin at frequent intervals depending on patient condition (at least every four hours).

  • Page 74: Shoulders And Iliac Crest

    Consider these precautions: • When prone, open as many back hatches of the RotoProne Therapy System as possible to help minimize risk of skin breakdown and provide maximal lung expansion. Always make sure hatches are closed and locked in position prior to rotating patient surface.

  • Page 75: Patient Transfer From The Rotoprone Therapy System

    Patient Transfer From the RotoProne Therapy System Do not leave patient unattended at any time during patient transfer. 1. Discontinue Kinetic Therapy or Prone Therapy. 2. Return patient surface to 0° supine and 0° Trendelenburg and secure. 3. Push in lock pin at foot of unit.

  • Page 77: Power-Down Procedures

    The RotoProne Therapy System is not recommended for patient transport. Should there be an emergency situation where hospital personnel transport the patient while on the RotoProne Unit, care should be taken in doorways and elevators or in any situation where casters can get caught. A minimum of two persons are recommended for emergency transport.
  • Page 78 Press and hold Rotate and Lower button until patient surface stops moving. The Turn Off Bed screen will appear and unit will automatically power down. 10. Unlock caster brakes. 11. Unplug unit from wall outlet. 12. Transport RotoProne Unit following all applicable safety rules and institutional protocols. It is recommended that two persons perform unit transport.

  • Page 79: Power-Down For Shipping

    Power-Down for Shipping 1. Discontinue therapy. 2. Ensure patient surface is at 0° supine. 3. Push lock pin in. 4. Transfer patient from unit. See Patient Care chapter of this manual for detailed instructions on patient transfer. 5. Press and hold OFF button on Home screen. Shutdown Information screen will appear and alarm will sound.
  • Page 80 The Turn Off Bed screen will appear and unit will automatically power down. 13. Unlock caster brakes. 14. Unplug unit from wall outlet. 15. Transport RotoProne Unit following all applicable safety rules and institutional protocols. It is recommended that two persons perform unit transport.

  • Page 81: Care And Cleaning

    The following are the ArjoHuntleigh-recommended daily cleaning and infection control procedures for the RotoProne Therapy System while it is in use. If the product is to be purchased or utilized for long term rentals, it is recommended that ArjoHuntleigh be contacted for recommended Infection Control Procedures to be utilized by the facility.

  • Page 83: Recommended Weight And Height

    sPeCIfICaTIons * Recommended Weight and Height Maximum Recommended Patient Weight ........350 lb (159 kg) Minimum Recommended Patient Weight .

  • Page 84: Environmental Storage / Transit Conditions

    Environmental Storage / Transit Conditions Temperature Range: 0°C to 60°C (32°F to 140°F) Relative Humidity Range: 30% to 95% Atmospheric Pressure Range: 500 hPa to 1060 hPa Environmental Operating Conditions Temperature Range: 10°C to 40°C (50°F to 104°F) Relative Humidity Range: 30% to 70% Atmospheric Pressure Range: 500 hPa to 1060 hPa symbols used UL Classified to UL-2601...
  • Page 85 Equal Potential grounded Equipment Power off Power on CPR (at foot-end of RotoProne Unit) CPR (on touch screen) Manual Head Switch...

  • Page 86: Electromagnetic Emissions Information

    Electrical Shock electromagnetic emissions Information RotoProne Unit uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause interference in nearby electronic equipment. The RotoProne Unit was tested to the following standards: •...

  • Page 87: Questions And Information

    QuesTIons anD InfoRMaTIon For questions regarding this product, supplies, maintenance or additional information about ArjoHuntleigh products and service, please contact ArjoHuntleigh or an ArjoHuntleigh authorized representative. 1-800-343-0974 www.arjohuntleigh.com are trademarks belonging to the ArjoHuntleigh group of companies ® ™ © ArjoHuntleigh 2014. 208662-AH Rev C • 12/2014...
  • Page 88 Manufactured for: ArjoHuntleigh AB Hans Michelsensgatan 10 211 20 Malmö, Sweden...

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