Arjo Citadel Instructions For Use Manual
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Arjo Citadel Instructions For Use Manual

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INSTRUCTIONS FOR USE
Citadel
Patient Therapy System
830.238-EN Rev 10 • 11/2021

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Questions and answers

Kim Weadock
February 6, 2025

What is the constant Tic tic tic sound? Coming from foot of bed. It’s like a clock ticking every second. How do can this be muted or stopped? Very annoying.

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Summary of Contents for Arjo Citadel

  • Page 1 INSTRUCTIONS FOR USE Citadel Patient Therapy System 830.238-EN Rev 10 • 11/2021...
  • Page 2 Design Policy and Copyright ® and ™ are trademarks belonging to the Arjo group of companies. © Arjo 2021 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...

  • Page 3: Table Of Contents

    Patient Placement / Transfer ................. 26 • Preparation for Patient Placement / Transfer ........... 26 • Patient Placement .................... 26 • Patient Transfer from the Citadel Patient Therapy System ......27 • Patient Transport ....................27 Nursing Care ......................28 •...
  • Page 4 • Decontamination ....................31 • Cleaning ......................31 • Disinfecting ....................32 • Cleaning the Citadel Patient Therapy System While in Use ......32 • Cleaning and Maintenance Between Patients ..........33 • Care And Cleaning Mattress Cover Fabrics ............. 33 Operating Instructions ...................

  • Page 5: General Warnings

    Tubes and lines should always have su cient 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 It is recommended that turning only be initiated when bed is level and thigh and calf sections are down. Do not allow uid to penetrate the Citadel Patient Therapy System control panels. If a serious incident occurs in relation to this medical device, a ecting the user, or the patient then the user or patient should report the serious incident to the medical device manufacturer or the distributor.

  • Page 7: Safety Information

    Lock-Outs – Lock-outs for air mattress system functions should be used at sta ’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 8 227 kg (500 lb). The use of accessories on the bed may decrease the patient weight capacity of the bed. Contact Arjo Customer Service for questions concerning the use of accessories and see the Questions and Information section of this guide for contact information.

  • Page 9: Introduction

    Arjo 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. All Citadel Patient Therapy Systems (C100 and C200 models) have the following standard features: •...

  • Page 10: 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 11: Risks And Precautions

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

  • Page 12: Installation

    Unit should only be installed by quali ed 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 13 7. If not already installed, Install the air mattress control unit mounting bracket (see gure 3, item 1) to the back of the air mattress control unit (2), using the six hex head ush mount screws (4). Figure 3: Air mattress control unit and mounting bracket Citadel Patient Therapy System...
  • Page 14 / right to left. 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 ( gure 4, item 3), CPR cable (4) and communication cable (5). Citadel Patient Therapy System...

  • Page 15: Attach Integrated Air Mattress

    1) are in place on each connector. Figure 5: Air connectors under mattress 4. Lift cushions ( 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 16 (see gure 8). Two Skin IQ straps are also available. Make sure mattress is secured to an articulated section of the frame (see gure 8). Figure 8: Mattress straps head to foot view Citadel Patient Therapy System...
  • Page 17 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. Citadel Patient Therapy System...

  • Page 18: Testing

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

  • Page 19: 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 20: Air Mattress Length Extension

    Lower the side rails and lift the outer 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 21: Control Panel

    Alarm Indicator - Lights up when an alarm or alarm condition exists in the Citadel Patient Therapy System. The icon will turn o when all alarm conditions are no longer present and the alarm has been acknowledged by pressing the Alarm Silence / Clear Button.
  • Page 22 • Deactivation of the following functions: Seat De ate, Head De ate, Firm Mattress, Patient Transport. • Turning o Continuous Patient Turn Therapy. • Disconnecting the power cord and connecting it to the wall outlet again. Citadel Patient Therapy System...

  • Page 23: 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 24: 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 25: Continuous Patient Turn Hold Time Button (Optional Con Guration)

    Cycle times are selectable in 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 26: Patient Placement / Transfer

    Introduction 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 27: Patient Transfer From The Citadel Patient Therapy System

    Patient Transfer from the Citadel Patient Therapy System 1. Level patient surface. Make sure that Firm Mattress function is active. 2. Adjust height of patient surface to same level as surface to which patient is being transferred. 3. Ensure brakes on both units are locked.

  • Page 28: Nursing Care

    The user must continue to press 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.
  • Page 29 Turn bladder cannot reach pressure in continuous patient turn after ve minutes. Tighten air connectors See page 15. solid amber ashing green CPR switch cable disconnected. Reconnect CPR switch cable. solid amber Citadel Patient Therapy System...

  • Page 30: 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 sta . 4. Raise and lock side rails. 5. Adjust patient surface for patient comfort. Citadel Patient Therapy System...

  • Page 31: Care And Cleaning

    Patient Therapy System. To prevent cross contamination or equipment damage, Arjo recommends that the Citadel Patient Therapy System be cleaned during use and between patients according to the instructions below. Local protocols and regulations / procedures for blood borne pathogens may be used provided the manufacturer’s instructions are followed.

  • Page 32: Disinfecting

    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 Arjo if damage is found.

  • Page 33: Cleaning And Maintenance Between Patients

    Do not allow uid to penetrate the Citadel Patient Therapy System control panels. 3. Inspect all parts of the Citadel Patient Therapy System for damage prior to returning to use. Contact Arjo for service or replacement. When not in service, bed frame must remain plugged in to the wall outlet to maintain battery charge.
  • Page 34 ** 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, Arjo recommended that suitability for use is con rmed with the chemical supplier prior to use.

  • Page 35: Operating Instructions

    Information sections in the Introduction chapter of this manual prior to placing a patient on the Citadel Patient Therapy System. Nurse Assist Functions Deactivation of Nurse Assist Functions will return to the previous therapy. Seat De ate - lowers pressure in the seat section of mattress to zero. When the pressure reaches 50% of the previous pressure setting, an audible tone will sound.
  • Page 36 20° is the target turn angle, but will not be achieved by all patients based on the variables mentioned above. It is possible to interrupt Patient Turn with other Nurse Assist Functions. After deactivation of those functions, the previous therapy is restarted. Citadel Patient Therapy System...

  • Page 37: Therapies

    20° is the target turn angle, but will not be achieved by all patients based on the variables mentioned above. Deactivation of Continuous Patient Turn, by setting the therapy to o , returns to the previous therapy. Citadel Patient Therapy System...

  • Page 38: Power O Citadel Patient Therapy System

    Deactivation of Pulsation Therapy or Alternating Pressure Therapy, by setting the therapy to o , switches to Normal Therapy Mode. Power O Citadel Patient Therapy System 1. Press and hold the On / O button on the mattress control unit for two seconds to turn o the control unit.

  • Page 39: Warranty And Service

    For service, maintenance and any questions regarding this product, please contact your local Arjo o ce or approved distributor. A list of Arjo o ces can be found at the back of this manual in the Questions and Information section.

  • Page 40: Electromagnetic Compability (Emc)

    EMI (electromagnetic interference) from external sources. Some procedures can help reduce electromagnetic interferences: • Use only Arjo cables and spare parts to avoid increased emissions or decreased immunity which can compromise the correct functioning of the equipment. •...
  • Page 41 Power frequency Power frequency magnetic elds Magnetic eld should be at levels characteristic 30A/m 30A/m EN 61000-4-8 of a typical location in a typical 50 Hz or 60 Hz 50 Hz commercial or hospital environment. Citadel Patient Therapy System...
  • Page 42 If abnormal performance is observed, additional measures may be necessary. Over the frequency range 150 kHz to 80 MHz, eld strengths should be less than 1 V/m. Citadel Patient Therapy System...

  • Page 43: Troubleshooting

    TROUBLESHOOTING Contact Arjo 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 rmly under CPR valve for leaks into CPR valve...

  • Page 44: Explanation Of Symbols Used

    At the end of useful life, dispose of legislation. all waste according to local requirements, Figures indicate Noti ed Body supervision. or contact your local Arjo representative for advice. Indicates the product is a Medical Device according to EU Medical Device Regulation...

  • Page 45: Explanation Of Symbols Used Continued

    Turning L Body Section A Body Section B Seat Section A Seat Section B Leg Section A Leg Section B Product Weight Safe Working Load Max Patient Weight Recommended patient size ≥ 146 cm BMI ≥ 17 Citadel Patient Therapy System...

  • Page 46: Speci Cations

    -15°C to 60°C (4°F to 140°F) Relative humidity non-condensing For the dimension and weight speci cations in this IFU, there could be some tolerance but not explicitly listed. Arjo is entitled to have the nal explanation on these speci cations. Citadel Patient Therapy System...
  • Page 47 AUSTRALIA FRANCE POLSKA Arjo Australia Arjo SAS Arjo Polska Sp. z o.o. Building B, Level 3 2 Avenue Alcide de Gasperi ul. Ks Piotra Wawrzyniaka 2 11 Talavera Road CS 70133 PL-62-052 KOMORNIKI (Pozna ) Macquarie Park, NSW, 2113, Australia...
  • Page 48 At Arjo, we are committed to improving the everyday lives of people affected by reduced mobility and age-related health challenges. With products and solutions that ensure ergonomic patient handling, personal hygiene, disinfection, diagnostics, and the effective prevention of pressure ulcers and venous...

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