INVACARE 4NG Esprit Action Power Wheelchair User Manual

Invacare® Propad®
Propad® Overlay, Propad® Trolley

This manual MUST be given to the user of the product.
BEFORE using this product, this manual MUST be read and saved for future reference.

General

1.1 Introduction
This user manual contains important information about the handling of the product. To ensure safety when using the product, read the user manual carefully and follow the safety instructions.
Invacare reserves the right to alter product specifications without further notice.
Before reading this document, make sure you have the latest version. You find the latest version as a PDF on the Invacare website.
If you find that the font size in the printed document is difficult to read, you can download the PDF version from the website.
The PDF can then be scaled on screen to a font size that is more comfortable for you.
In case of a serious incident with the product, you should inform the manufacturer and the competent authority in your country.
1.2 Symbols in this Document
Symbols and signal words are used in this document and apply to hazards or unsafe practices which could result in personal injury or property damage. See the information below for definitions of the signal words.
WARNING!
Indicates a hazardous situation that could result in serious injury or death if it is not avoided.
CAUTION!
Indicates a hazardous situation that could result in minor or slight injury if it is not avoided.
NOTICE!
Indicates a hazardous situation that could result in damage to property if it is not avoided.
Tips and Recommendations
Gives useful tips, recommendations, and information for efficient, trouble- free use.
Other Symbols
(Not applicable for all manuals)
Triman
Indicates recycling and sorting rules (only relevant for France).
UKRP
UK Responsible Person. Indicates if a product is not manufactured in the UK.
1.3 Compliance
Quality is fundamental to the company’s operation, working within the disciplines of ISO 13485.
This product features the CE mark, in compliance with the Medical Device Regulation 2017/745 Class I.
This product features the UKCA mark, in compliance with Part II UK MDR 2002 (as amended) Class I.
We are continuously working towards ensuring that the company’s impact on the environment, locally and globally, is reduced to a minimum.
We only use REACH compliant materials and components.
1.4 Warranty Information
We provide a manufacturer’s warranty for the product in accordance with our General Terms and Conditions of Business in the respective countries.
Warranty claims can only be made through the provider from whom the product was obtained.
1.5   Limitation of Liability

• Invacare accepts no liability for damage arising from:
• Non-compliance with the user manual
• Incorrect use
• Natural wear and tear
• Incorrect assembly or set-up by the purchaser or a third party
• Technical modifications
• Unauthorised modifications and/or use of unsuitable spare parts

1.6   Service Life
The expected service life of this product is three years when used daily and in accordance with the safety instructions, maintenance intervals and correct use, stated in this manual.
The effective service life can vary according to frequency and intensity of use.

Safety

2.1 Safety Information
Education, clinical judgement and action-based planning based on vulnerability are fundamental factors in prevention of pressure injuries.
A range of assessment scales can be used as a formal method of assessing risk from pressure injury development, and should be used in conjunction with an informal assessment (informed nursing judgement). Informal assessment is considered to be of greater importance and clinical value.
WARNING!
Risk of Serious Injury or Damage
Improper use of this product may cause injury or damage.
— If you are unable to understand the warnings, cautions or instructions, contact a health care professional or provider before attempting to use this equipment.
— Do not use this product or any available optional equipment without first completely reading and understanding these instructions and any additional instructional material such as user manual, service manual or instruction sheet supplied with this product or optional equipment.
WARNING!
Risk of Fire or Explosion!
Before reaching the bed, the cigarette can burn a hole through the product surface and cause damage to the device. Also, patient clothing, bed sheets, etc. may be combustible and cause a fire. Failure to observe this warning can result in a severe fire, property damage and cause physical injury or death.
— Take special care in oxygen rich environments.
— Do not smoke.
WARNING!
Risk of Developing Pressure Injuries
The device delivers effective pressure redistribution, when the support surface is covered with a cotton, cotton combination or linen bed sheet, and any one of these is the only item deployed between the support surface and the user.
— Bed sheets must be loosely fitted, with creases smoothed out.
— Ensure that the support surface in contact with the user is kept free from crumbs and other food debris, and that drip cables, stents, and other foreign objects do not become entrapped between the support surface and the user.
— Heated over blankets must only be used in consultation with a qualified healthcare professional, as an increase in temperature can increase the risk of developing pressure injuries.
CAUTION!
Risk of Injury
Non-original or wrong parts may affect the function and safety of the product.
— Only use original parts for the product in use.
— Due to regional differences, refer to your local Invacare catalogue or website for available options or contact your Invacare distributor. See addresses at the end of this document.
CAUTION!
Risk of Injury or Damage to Property
— Mattress must be used with the cover at all times.
2.2 Safety Information for Transport

• Take care when handling the product to ensure no damage to the cover.
• It is recommended that two people lift/carry the product.
• Avoid contact with jewellery, nails, abrasive surfaces, etc.
• Do not drag the product.
• Avoid contact with wall, door frames, door catches or locks, etc.
• Do not transport in roll cages unless completely protected from the sharp edges of the cage.

Product Overview

3.1 Product Description
Propad Overlay is a foam overlay which is designed with geometrically cut castellations to provide immersion and even weight distribution.
Propad Trolley is a foam mattress designed to provide comfort and support for patients that need to stay on a trolley.
The water-resistant cover provides a vapour-permeable surface, to ensure patient comfort and maximise the effectiveness of the foam.
3.2 Intended Use
This product is intended to be used in combination with a conventional mattress and in conjunction with an appropriately sized bed frame as part of an overall pressure injury prevention program of care.
Intended Users
Intended users are adults and adolescents with restricted or limited mobility and or activity in a hospital, long term care or homecare setting.
Indications
Suitable for users “At Risk (Propad Overlay) / High Risk (Propad Trolley) ” of developing pressure injuries.
3.3 Symbols on the Product

| European Conformity| | Medical device
---|---|---|---
| Manufacturer| | UK Conformity Assessed
| European representative| | Date of manufacture
| Importer| | LOT number
| Do not pierce or cut| | Unique device identifier
| Maximum user weight. See Technical data.| | Read user manual
| Do not put near flame| | Do not dry clean
| Do not iron| | Do not bleach
| Machine wash temperature. Max. temperature is  shown in symbol.| | Tumble dry low heat
| Line dry| |

3.4 Scope of Delivery
The following components are included within the scope of delivery:*

• This example is based on the Propad Overlay, other product configurations may vary.

Usage

4.1 Safety Information
WARNING!
Invacare advises that the patient is assessed by a trained health care professional. This is to ensure the correct size and positioning requirements are achieved for the best pressure and postural care and that the individuals needs are met.
WARNING!
It is very important for the patient to reposition themselves, or to be repositioned, on a regular basis. This relieves pressure which helps prevent both tissue compression and potential injury formation. This must be based on the clinical judgement of a qualified healthcare professional.
— Always consult a qualified health care professional before using the product.
— Monitor the patient frequently.
NOTICE!
In domestic settings common causes of damage  include cigarette burns and the claws of pets that puncture covers, allowing fluid ingress and staining.
NOTICE!
— To prevent accidental cover damage, please ensure that sharp objects are not placed on the cover. When using patient transfer aids, care should be taken not to damage the cover. All transfer aids should be checked for sharp edges or burrs before use.
NOTICE!
The covers are breathable and water resistant, however with sustained periods of moisture the top layer of the cover may absorb fluids.
— To avoid this, wipe away any liquid as soon as it is identified.
4.2 Preparing the Product for Use
CAUTION!
Risk of Injury or Damage to Property
— Before use, check the product for any defect.
— Do not use a defective product.

1. Remove all packaging before use.
2. Place the mattress directly on the mattress support of the bed or place the mattress overlay on the existing mattress.

Compress rolled products must be left to recover before use.
Follow the instructions on the packaging inlay.
Products that are delivered flat-packed can be used immediately.

Maintenance

5.1 Inspection
Check product (foam and cover) for strike-through (this may include fluid ingress, stains, rips or damage) after the use of each patient and on a minimum monthly basis (depending on which occurs first) by a suitably qualified and competent person.
Check overlays

1. Unzip the cover completely.
2. Check for any staining on the white underside of the cover.
3. Check for any staining on the interior foam.
4. Replace any damaged cover or stained foam and dispose of as per local authority procedure.

5.2 Cleaning and Disinfection
General Safety Information

CAUTION!
Risk of Contamination
— Take precautions for yourself and use appropriate protective equipment.
NOTICE!
Wrong fluids or methods can harm or damage the product.
— All cleaning agents and disinfectants used must be effective, compatible with one another and must protect the materials they are used to clean.
— Never use corrosive fluids (alkalines, acid etc.) or abrasive cleaning agents. We recommend an ordinary household cleaning agent such as dishwashing liquid, if not specified otherwise in the cleaning instructions.
— Never use a solvent (cellulose thinner, acetone etc.) that changes the structure of the plastic or dissolves the attached labels.
— Always make sure that the product is completely dried before taking into use again.
For cleaning and disinfection in clinical or long-term care environments, follow your in-house procedures.

Cleaning Intervals
NOTICE!
Regular cleaning and disinfection enhance smooth operation, increases the service life and prevents contamination.
Clean and disinfect the product
— Regularly while it is in use,
— Before and after any service procedure,
— When it has been in contact with any body fluids,
— Before using it for a new user.
NOTICE!
— Keep a cleaning record as part of cleaning the system.

Cleaning Instructions
Cleaning Covers
(Removal of contaminants such as dust and organic matter)

1.  Remove cover for laundering.
2. Launder the cover with maximum temperature as stated on product label, using a diluted detergent solution (Instructions on label).

NOTICE!
— Washing at higher temperatures will cause shrinkage.
Drying Covers

1. Hang cover from a line or bar and drip dry in a clean indoor environment or;
2. Tumble dry on a low temperature.

NOTICE!
— Tumble dry setting must not exceed 40 °C.
— Do not tumble dry for longer than 10 minutes.
— Dry thoroughly before use.
Disinfection Instructions
NOTICE!
— Only use disinfectants and methods approved by your local infection control institution and follow your local infection control policy.
— Follow your local decontamination protocols.
Disinfecting Covers
(Reducing the number of microorganisms)
NOTICE!
Failure in disinfection process may result in the accumulation of reagent that could damage the polyurethane coating, react with the bed frame, or negate the biocompatibility results.
— Ensure that all cleaning agents, and disinfectants, are thoroughly rinsed off.
— Dry thoroughly before use.

1. Wipe down the cover with a suitable detergent.
2. Rinse the cover thoroughly with clean water using a single use nonabrasive cloth.
3. Dry the cover thoroughly.

NOTICE!
Heavy Soilage
Where the mattress is badly soiled, we recommend cleaning with a dilute cleaning solution at maximum temperature in the washing machine (see product label).
— Clean up all spillages of bodily fluids e.g., blood, urine, faeces, sputum, wound exudate and all other bodily secretions as soon as possible using a suitable detergent.
— Large spillages of blood should be absorbed andremoved with paper towels first.

WARNING!
— In event of contamination, contact your hygiene specialist.
— Remove contaminated foams from use.
5.3 Replacing Cover

1. Unzip cover and remove it carefully from the foam core.
2. Place new cover onto the foam core.
3. Close zipper.

NOTICE!
— Ensure that the corners of the foam core are positioned correctly into the corners of the cover.
— Ensure that the castellated foam is facing upwards when inserted into its cover.
WARNING!
— In event of contamination, contact your hygiene specialist.
— Remove contaminated foams from use.

After Use

6.1 Storage
NOTICE!
— Store device in a dry environment.
— Store device within a protective cover.
— Carefully roll up the device and store it on a clean, dry (off-floor) surface with no sharp edges to prevent possible damage.
— Never store other items on top of a device.
— Do not store device next to radiators or other heating devices.
— Protect device from direct sunlight.

6.2  Reconditioning
This product is suitable for reuse. To recondition the product for a new user, carry out the following actions:

• Inspection according to service plan
• Cleaning and disinfection

For detailed information, see 5 Maintenance, página 5.
Make sure that the user manual is handed over with the product.
If any damage or malfunction is detected, do not reuse the product.
6.3  Disposal
Be environmentally responsible and recycle this product through your recycling facility at its end of life.
Disassemble the product and its components, so the different materials can be separated and recycled individually.
The disposal and recycling of used products and packaging must comply with the laws and regulations for waste handling in each country. Contact your local waste management company for information.

Technical Data

7.1 General Data

1 Weight can vary depending on product size. Average weight used as an indication.
7.2   Materials

All product components do not contain natural rubber latex.

United Kingdom & Ireland:
Invacare Limited
Pencoed Technology Park, Pencoed
Bridgend CF35 5AQ
Tel: (44) (0) 1656 776 200
uk@invacare.com
www.invacare.co.uk| España:
Invacare S.A.
Avenida del Oeste, 50 – 1º-1a
Valencia-46001
Tel: (34) 972 493 214
contactsp@invacare.com
www.invacare.es
---|---
Portugal:
Invacare Lda
Rua Estrada Velha, 949
P-4465-784 Leça do Balio
Tel: (351) (0)225 193 360
portugal@invacare.com
www.invacare.pt| Sverige:
Invacare AB
Fagerstagatan 9
S-163 53 Spånga
Tel: (46) (0)8 761 70 90
Fax: (46) (0)8 761 81 08
sweden@invacare.com
www.invacare.se

Invacare UK Operations Limited
Unit 4, Pencoed Technology Park, Pencoed
Bridgend CF35 5AQ
UK
Invacare Portugal, Lda
Rua Estrada Velha 949
4465-784 Leça do Balio
Portugal Making Life’s Experiences Possible®

Documents / Resources

| INVACARE 4NG Esprit Action Power Wheelchair [pdf] User Manual
4NG Esprit Action Power Wheelchair, 4NG, Esprit Action Power Wheelchair, Action Power Wheelchair, Power Wheelchair, Wheelchair
---|---

References

• | Invacare GB
• | Invacare ES
• | Invacare PT
• | Invacare SE

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