Arjohuntleigh Citadel Patient Therapy System C100 Instructions For Use Manual

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Citadel Patient Therapy System
Instructions for Use
...with people in mind
830.238 Rev F •
/201

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Table of Contents
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Summary of Contents for Arjohuntleigh Citadel Patient Therapy System C100

  • Page 1 Citadel Patient Therapy System Instructions for Use ...with people in mind 830.238 Rev F • /201...
  • Page 2 Design Policy and Copyright ® and ™ are trademarks belonging to the 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.
  • Page 3: Table Of Contents

    Table of Contents General Warnings ....................5 • Safety Information ..................6 Introduction ......................8 Clinical Applications ..................8 • Intended Use ....................8 • Indications ....................9 • Contraindications ..................9 • General Product Information ..............9 • Risks and Precautions ................9 • Precautions ....................10 Installation .....................11 •...
  • Page 4 • Cleaning and Maintenance Between Patients ..........31 • Care 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...
  • Page 5: General Warnings

    Always unplug the Citadel Bed Frame System from wall outlet before cleaning. Failure to do so could result in equipment damage and / or electric shock. personnel authorized by ArjoHuntleigh. Contact 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.
  • Page 6: Safety Information

    Safety Information General Protocols – Follow all applicable safety rules and institution protocols concerning patient and caregiver safety. Brakes – Set all caster brakes before transferring patient. Bed Height – To minimize risk of falls or injury, the bed should always be in the lowest practical position when the patient is unattended.
  • Page 7 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.
  • Page 8: Introduction

    INTRODUCTION These instructions contain information for the installation, use and maintenance of the ArjoHuntleigh Citadel™ Patient Therapy System. The Citadel Patient Therapy System provides an integrated pressure redistribution surface for the Citadel™ Bed Frame System. The Citadel Patient Therapy System can only be used with the Citadel Bed Frame System.
  • Page 9: Indications

    Indications Patient conditions for which the Citadel Patient Therapy System is indicated are: patients. Contraindications Patient conditions for which the Citadel Patient Therapy System is contraindicated are: Cervical traction Unstable vertebral fracture General Product Information Citadel Citadel Patient Therapy System: Expected Service Life............Five years All accessories added to the system reduce the safe working load of the frame by the same amount.
  • Page 10: Precautions

    Electromagnetic Interference – Although this equipment conforms with the intent of electromagnetic compatibility, all electrical equipment may produce interference. If interference is suspected, move equipment 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:...
  • Page 11: Installation

    INSTALLATION Attach Air Mattress Control Unit 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. 3.
  • Page 12 under the foot end of bed. Disconnect the air hoses and electrical connectors from the foot extension cover plate. Figure 2: Foot extension cover plate with air hoses and electrical connections 6. Remove cover plate by unscrewing two Philips Pan head screws (see hardware in storage bag in case air mattress control unit is removed later.
  • Page 13 8. Lift air mattress control unit and slightly tilt the air mattress control unit forward and then gently lower it onto the frame. Carefully align holes on top of mounting bracket with holes on frame. As air mattress control unit sits onto the frame, gently tilt to full upright position while control unit aligns to hole in frame.
  • Page 14: Attach Integrated Air Mattress

    Attach Integrated Air Mattress 1. Remove air mattress from its packaging and roll out on the bed. should be placed at the foot end of the bed. Locate the dump valve / air connectors incorporated into the foot end of the air mattress support deck.
  • Page 15 5. To fully draw down and secure the air connections: Use a rocking motion while pressing down on the top of the connectors. down until they are slightly tight. Repeat steps 1 and 2 until the knobs are fully tightened. This will ensure a robust air seal.
  • Page 16 Figure 9: Attach mattress straps to articulated section of frame 7. Place strap 1 and strap 2 through the opening in the backrest deck section and draw together as show in Figure 9. Secure them together with their buckles. Wrap both ends of straps around the frame cross- member and secure with the buckle.
  • Page 17: Testing

    Testing Prior to patient placement, the following test procedures should be performed to make sure air mattress control unit and air mattress installation are complete: 1. Plug the power cord into power outlet. 2. Turn the air mattress control unit on by pressing and holding the mattress section LEDs on the control unit panel will blink whilst the blinking.
  • Page 18: Mattress Length Adjustment

    Mattress Length Adjustment required position and release the handle. Figure 10: Extending the bed frame To extend the deck: 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.
  • Page 19: Air Mattress Length Extension

    Air Mattress Length Extension section. This will lengthen the mattress. X-Ray Sleeve An X-ray sleeve is provided in the mattress 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.
  • Page 20: Control Panel

    CONTROL PANEL Citadel Patient Therapy System 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

    - Press to activate or deactivate head body for procedures such as intubation. An audible tone will sound to indicate when the pressure in the head section has dropped by 50%. Periodically an audible tone will sound to remind the user that the function is still alive. Firm Mattress Button to facilitate actions such as patient transfer or positioning.
  • Page 22: Pressure Zone Indicators

    Pressure Zone Indicators The pressure zone indicators will indicate the individual pressure settings for each zone. Solid green LEDs indicate relative pressure set points for each mattress zone. target pressure. Each zone is independently adjustable using up and down arrows. The up arrows will increase pressure;...
  • Page 23 Press to initiate continuous patient turn and select the desired hold time. This function rotates the patient approximately 20 right, center then approximately 20 left pausing at each position for the set hold time. Pressing the button multiple times will cycle through the hold time settings and off. Alternating Pressure High Pulsation Medium Pulsation...
  • Page 24: Patient Placement / Transfer

    PATIENT PLACEMENT / TRANSFER It is recommended that all chapters of this manual be reviewed prior to product use. Carefully read the Contraindications, Risks and Precautions Safety Information sections in the Introduction chapter of this manual prior to placing a patient on the Citadel Patient Therapy System. Preparation for Patient Placement / Transfer 1.
  • Page 25: Patient Transport

    6. If patient will not be returning, press and hold the On / Off button for two seconds to turn off the control unit. When the unit turns off, you Patient Transport above the set pressures to prepare for patient transport. 2.
  • Page 26: Nursing Care

    NURSING CARE It is recommended that all chapters of this manual be reviewed prior to product use. Carefully read the Contraindications, Risks and Precautions Safety Information sections of the Introduction chapter of this manual prior to performing nursing care for a patient on the Citadel Patient Therapy System.
  • Page 27 Active Alarm Icons Alarm Description Head angle raised above 30° during patient turn solid amber solid amber Head angle raised above 30° during continuous patient turn. solid amber solid amber Mattress cannot reach target pressure after 10 minutes. Tighten air connectors See page 15.
  • Page 28: Audible Tone Indicators

    Audible Tone Indicators Name Indication Tone Description Power On System is powered on Function Complete Function has achieved intended state Disabled Function User attempts to activate a function that is not allowed due to an alarm state or an existing unsafe condition Time-Out Function has been left in a state longer than allowed...
  • Page 29: Care And Cleaning

    CARE AND CLEANING General Recommendations The following are the ArjoHuntleigh-recommended cleaning and infection control procedures for the Citadel Patient Therapy System. It is recommended that all sections of this guide be reviewed prior to product use. Carefully read the Risks and Precautions...
  • Page 30: Disinfecting

    9. Allow all components to dry completely before returning to use. 10. Inspect all parts of the Citadel Patient Therapy System for damage prior to returning the unit to use. Contact ArjoHuntleigh for service or replacement. 11. Plug bed into wall outlet and adjust settings.
  • Page 31: Cleaning And Maintenance Between Patients

    2. Allow all components to dry completely before returning to use. System control panels. 3. Inspect all parts of the Citadel Patient Therapy System for damage prior to returning to use. Contact ArjoHuntleigh for service or replacement. When not in service, bed frame must remain plugged in to the wall outlet to maintain battery charge.
  • Page 32 Feature Reliant IS Removable Cover Moisture Vapor Permeable Low Friction Water Resistant / Repellent Polyurethane coating includes an anti-fungal agent to control microbial deterioration of fabric Fire Retardant* BS 7175: 0,1 & 5 2-Way Stretch Recommended Wash Temperatures Maximum Wash Temperatures Max 95 Recommended Drying Temperatures...
  • Page 33: Operating Instructions

    OPERATING INSTRUCTIONS It is recommended that all chapters of this manual be reviewed prior to product use. Carefully read the Contraindications, Risks and Precautions Safety Information sections in the Introduction 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 Nurse Assist Functions...
  • Page 34: Therapies

    Patient Turn is 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 achieved by a patient is dependent on many factors including: patient weight, patient weight distributions, pressure settings and patient positioning on the mattress surface.
  • Page 35: Power Off Citadel Patient Therapy System

    Symbol Therapy Pressure Target in Pressure Target in description Increased Bladders. Decreased Bladders. (% of Set Pressure) (% of Set Pressure) Alternating 125% Pressure High Pulsation 148% Medium Pulsation 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.
  • Page 36: Warranty And Service

    WARRANTY AND SERVICE ArjoHuntleigh standard terms and conditions apply to all sales; a copy is available upon request. Standard 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.
  • Page 37 Product has been tested for compliance with current regulatory standards external sources. Some procedures can help reduce electromagnetic interferences: • Use only ArjoHuntleigh cables and spare parts to avoid increased emissions or decreased immunity which can compromise the correct functioning of the equipment. •...
  • Page 38 Guidance and manufacturer’s declaration – electromagnetic immunity Immunity test IEC 60601-1-2 Compliance level Electromagnetic test level environment - guidance Floors should be wood, concrete or ceramic tile. Electrostatic ±2kV, ±4kV, ±8kV, ±2kV, ±4kV, ±8kV, ±15kV air ±15kV air synthetic material the relative IEC 61000-4-2 ±8kV contact ±8kV contact...
  • Page 39 Guidance and manufacturer’s declaration – electromagnetic immunity Immunity test IEC 60601-1-2 Compliance level Electromagnetic environment test level - guidance Floors should be wood, Electrostatic ±2kV, ±4kV, ±8kV, ±2kV, ±4kV, ±8kV, discharge ±15kV air ±15kV air are covered with synthetic ±8kV contact ±8kV contact material the relative humidity 61000-4-2...
  • Page 40: 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 Check for leaking mattress cushion...
  • Page 41: Explanation Of Symbols Used

    0086 down in the council directive requirements, or contact your local ArjoHuntleigh representative for advice. Maximum Patient Weight Safe Working Load Consult Instructions for Use Alternating Current Power...
  • Page 42 EXPLANATION OF SYMBOLS USED CONTINUED Tumble Dry Wipe-down Only No Phenol Chlorine Bleach Do Not Iron 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...
  • Page 43 Overall 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...
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  • Page 47 E-mail: Info.ME@arjo.com E-mail: info.canada@arjo.com SVERIGE NEDERLAND Arjo International HQ Arjo BV Hans Michelsensgatan 10 ArjoHuntleigh s.r.o. SE-211 20 MALMÖ 4004 MB TIEL Tel: +46 (0) 10 494 7760 140 00 Praha 4 Postbus 6116 Fax: +46 (0) 10 494 7761...
  • Page 48 ArjoHuntleigh AB Hans Michelsensgatan 10 211 20 Malmö, Sweden www.arjohuntleigh.com ArjoHuntleigh is a world-leading provider of integrated products and solutions that improve the lives of patients and residents with reduced mobility. We help healthcare facilities deliver wellness and effective everyday care, early mobilisation, safe patient...

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