ARJO HUNTLEIGH RotoProne Bedienungsanleitung

...with people in mind

RotoProne Therapy System

User Manual

208662-AH Rev C • 12/2014

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.

iii

TABLE OF CONTENTS

DISCLAIMER OF WARRANTY AND LIMITATION OF LIABILITY........................................ vii

Introduction

Indications for Use ....................................................................................................1-1

Contraindications......................................................................................................1-1

Risks and Precautions................................................................................................1-2

Safety Information ....................................................................................................1-3

Operating 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

• Move to Prone / Supine.......................................................................................2-6

• Therapy Settings Selection...................................................................................2-7

- Prone / Supine Settings.....................................................................................2-8

- Therapy Settings Deﬁnitions..............................................................................2-8

• Scale...................................................................................................................2-9

- Hold Patient Weight .........................................................................................2-9

- Zero Scale.......................................................................................................2-10

- Display ...........................................................................................................2-10

- Weigh Delay...................................................................................................2-10

- Adjusted Weight.............................................................................................2-11

- Weight Trends ................................................................................................2-11

• Surface Position ................................................................................................2-12

- Surface Height................................................................................................2-12

- Trendelenburg / Reverse Trendelenburg...........................................................2-12

• Park ..................................................................................................................2-13

- Park Positions .................................................................................................2-13

- Therapy Meters...............................................................................................2-14

- Therapy Chart.................................................................................................2-15

Powered CPR ..........................................................................................................2-15

Emergency Release for CPR / Supine Position ..........................................................2-17

Manual Rotation to Prone Instructions ....................................................................2-19

Help........................................................................................................................2-20

Hand Control..........................................................................................................2-20

Alarms and Troubleshooting....................................................................................2-21

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

• Proning Packs....................................................................................................3-16

• Assess Patient Position ......................................................................................3-19

• Face Pack..........................................................................................................3-19

• Chest Packs.......................................................................................................3-21

Completion of Patient Placement............................................................................ 3-21

Starting Therapy .....................................................................................................3-23

Prone Therapy.........................................................................................................3-25

Patient Care

Hatches ....................................................................................................................4-1

• Upper Body Hatches............................................................................................4-1

• Hatch Center Bar (X-ray Facilitation).................................................................... 4-1

• Midline Hatch .....................................................................................................4-2

• Lower Body Hatch...............................................................................................4-2

Bathing Patient .........................................................................................................4-3

• Supine Bathing....................................................................................................4-3

• Prone Bathing .....................................................................................................4-4

Skin Care ..................................................................................................................4-5

• Face....................................................................................................................4-5

• Axilla...................................................................................................................4-5

• Shoulders and Iliac Crest .....................................................................................4-6

• Feet ....................................................................................................................4-6

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............................................................................................. 6-1

Preventive Maintenance ............................................................................................6-1

Speciﬁcations

• Recommended Weight and Height......................................................................7-1

• Dimensions .........................................................................................................7-1

• Articulation.........................................................................................................7-1

• Scale...................................................................................................................7-1

• Electrical .............................................................................................................7-1

• Classiﬁcation.......................................................................................................7-1

• Environmental Storage / Transit Conditions..........................................................7-2

• Environmental Operating Conditions...................................................................7-2

Symbols Used ...........................................................................................................7-2

Electromagnetic Emissions Information .....................................................................7-4

Questions and Information

Customer Contact Information .................................................................................8-1

vii

DISCLAIMER OF WARRANTY AND LIMITATION OF LIABILITY

ARJOHUNTLEIGH HEREBY DISCLAIMS ALL EXPRESS OR IMPLIED WARRANTIES, INCLUDING WITHOUT

LIMITATION ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE,

ON THE ARJOHUNTLEIGH PRODUCT(S) DESCRIBED IN THIS PUBLICATION. ANY WRITTEN WARRANTY

OFFERED BY ARJOHUNTLEIGH SHALL BE EXPRESSLY SET FORTH IN THIS PUBLICATION OR INCLUDED WITH

THE PRODUCT. UNDER NO CIRCUMSTANCES SHALL ARJOHUNTLEIGH BE LIABLE FOR ANY INDIRECT,

INCIDENTAL, OR CONSEQUENTIAL DAMAGES AND EXPENSES, INCLUDING DAMAGES OR INJURY TO

PERSON OR PROPERTY, DUE IN WHOLE OR IN PART TO THE USE OF THE PRODUCT OTHER THAN THOSE FOR

WHICH DISCLAIMER OF WARRANTY OR LIMITATION OF LIABILITY IS EXPRESSLY PROHIBITED BY SPECIFIC,

APPLICABLE LAW. NO PERSON HAS THE AUTHORITY TO BIND ARJOHUNTLEIGH TO ANY REPRESENTATION

OR WARRANTY EXCEPT AS SPECIFICALLY SET FORTH IN THIS PARAGRAPH.

Descriptions or speciﬁcations in ArjoHuntleigh printed matter, including this publication, are meant solely

to generally describe the product at the time of manufacture and do not constitute any express warranties,

except as set forth in the written limited warranty included in this publication or with this product.

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. Failure to comply with these conditions will void any applicable warranties.

• Use this product only in accordance with these instructions and applicable product labeling.

• Assembly, operations, extensions, re-adjustments, modiﬁcations, technical maintenance or repairs

must be performed by qualiﬁed personnel authorized by ArjoHuntleigh. Contact ArjoHuntleigh for

information regarding maintenance and repair.

• Ensure the electrical installation of the room complies with the appropriate national electrical wiring

standards.

Speciﬁc indications, contraindications, warnings, precautions and safety information exist for

ArjoHuntleigh’s therapeutic support surface products. It is important for users to read and

familiarize themselves with these instructions and to consult the treating physician prior to

patient placement and product use. Individual patient conditions may vary. Contact your local

ArjoHuntleigh representative for product in-service and training.

NOTICE

This product has been conﬁgured from the manufacturer to meet speciﬁc voltage requirements. Refer to the

product information label for speciﬁc voltage.

1-1

INTRODUCTION

The RotoProne™ Therapy System is a patient care system for the prevention and treatment of complications

associated with immobility.

• Kinetic Therapy™- Allows an immobile patient to be rotated bilaterally up to 62° in the supine

position.

• 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.

The RotoProne Therapy System features include rotation that is programmable in one-degree increments

bilaterally, up to 62° in either the prone or supine position.

Additional features include:

• acclimation mode to build patient tolerance to rotation

• pause and hold functions to suspend the patient in a side lying position

• tube management system

• electronically monitored buckles

• ergonomically designed head positioning system

• ability to move a patient quickly from prone to supine or vice-versa

Indications

The RotoProne Therapy System is indicated for prevention and treatment of complications due to immobility:

Contraindications

Patient conditions for which the application of Kinetic Therapy and the RotoProne Therapy System are

contraindicated include:

• unstable cervical, thoracic, lumbar, pelvic, skull* or facial* fractures

• cervical and / or skeletal traction

• uncontrolled Intracranial Pressure (ICP)

• patient weight below 88 lb / 40 kg

• patient weight above 350 lb / 159 kg

• patient height above 6 ft 6 in / 201.18 cm

• patient height below 4 ft 6 in / 140.21 cm

*Only contraindicated for prone therapies.

1-2

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

studies and caregiver experience have suggested or reported risk of the following in relation to proning in

general:

• skin breakdown and / or pressure necrosis

• wound dehiscence

• cardiac arrest

• loss of invasive lines or tubes or extubation (endotracheal and oral)

• edema and / or swelling

• splenic rupture

• blindness and other consequences of damage to the ocular nerve

• corneal abrasion

• myositis ossiﬁcation

• venous air embolism

• increased intraorbital pressure

• central retinal artery occlusion

• pain and discomfort

• difﬁculty performing CPR

Precautions may also need to be taken when using this product with certain patient conditions, including

but not limited to:

• hemodynamic instability

• severe agitation

• uncontrollable claustrophobia or fear of conﬁnement

• uncontrollable diarrhea

• intolerance to face down position

• wounds at risk of dehiscence while in prone position

• patient in the prone position with open sternal wound or thoracic post-surgical incision

• patient in the prone position with open abdomen

• any implant that potentially increases the risk of skin breakdown including, but not limited to, breast

implants or penile prosthesis

• pregnancy

• extensive facial trauma

• any other unstable fracture not listed as a contraindication

• ICP monitoring or intracranial drainage devices

Caregivers should make sure to discuss Safety Information, Risks and Precautions with

the patient (or the patient’s legal guardians) and the patient’s family.

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