Instructions for Use
44 Pages
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BRUMABA | Instruction Manual | Operating Table GENIUS 4.0
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THANK YOU
The product you purchased is a comfortable and versatile operating table, which can either be hydraulically adjusted to the required position using the manual control or the optional foot control. The patient can be positioned automatically and appropriately thanks to the division of the table top.
INFORMATION REGARDING THE INSTRUCTION MANUAL
This instruction manual enables a safe and efficient handling of the operating table. The instruction manual is an integral part of the operating table and must be kept in the direct vicinity of the operating table and be available to the staff at all times. The staff members must read this instruction manual carefully and understand it prior to beginning any work. BRUMABA customer service is available in the event of any questions. A prerequisite for a safe operation is adhering to all indicated safety precautions and instructions in this instruction manual. Furthermore, the local occupational health and safety regulations and general safety regulations for the application area of the operating table apply.
COPYRIGHT
CUSTOMER SERVICE
INCIDENT REPORTING
TECHNICAL DATA
The contents of this instruction manual are protected by copyright. Their use is permitted in line with the use of the BRUMABA operating table. Any use extending beyond that is not permitted without the written consent of the BRUMABA GmbH & Co. KG. Address: BRUMABA GmbH & Co. KG Bürgermeister-Graf-Ring 17 82538 Geretsried GERMANY Phone: Fax:
+49 8171 2672-250 +49 8171 2672-10
Email: Web:
[email protected] www.brumaba.com
Any severe incidents that occurred in connection with this product must be reported to the manufacturer and the responsible authority of the Member State. Refer to the separate data sheet "Technical data GENIUS 4.0 Operating Table“
BRUMABA GmbH & Co. KG Bürgermeister-Graf-Ring 17 82538 Geretsried GERMANY Telefon: +49 8171 2672-0 Telefax: +49 8171 2672-10 Technical customer service: Tel +49 8171 2672-250 E-Mail: [email protected] Internet: www.brumaba.com GA.0003-2022-05-04-EN This instruction manual was created by: BRUMABA
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Operating Table GENIUS 4.0 | Instruction Manual | BRUMABA
Operating Table GENIUS 4.0 | Instruction Manual | BRUMABA
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CONTENTS 1.
OVERVIEW
04
2.
SAFETY
05
2.1. Symbols in this instruction manual 2.2. Purpose 2.3. Staffing requirements 2.4. Danger zones 2.5. Safety devices 2.5.1. Position of the safety devices 2.5.2. Description of the safety devices 2.6. Residual risks 2.6.1. Electrical hazard 2.6.2. Risks due to poor hygiene 2.6.3. Risks caused by the operating table moving 2.6.4. Basic risks at the place of use 2.7. Operator’s responsibilities 2.8. Personal protective equipment 2.9. Spare parts 2.10. Environmental protection 2.11. Service life 2.12. Warranty
05 06 06 07 07 07 08 09 09 10 10 12 12 12 12 13 13 13
3.
14
FUNCTIONAL DESCRIPTION
3.1. Overview of the operating table 3.2. Operating table functions 3.3. Component functions 3.3.1. Head section with horse-shoe shaped headrest 3.3.3. Seat section 3.3.5. Padding 3.3.2. Back section and back section extension 3.3.4. Foot section 3.3.6. Hydraulic housing 3.3.7. Battery case (battery version) (BRUMABA GENIUS STA, BRUMABA GENIUS DTA) 3.3.8. Power supply housing (plug-in version) (BRUMABA GENIUS STN, GENIUS DTN) 3.3.9. Telescopic column 3.3.10. Base plate with stand or undercarriage 3.4. Control elements 3.4.1 Manual Control 3.4.2. Foot control (optional) 3.4.3. Locking brake 3.5. Display elements 3.5.2. Battery indicator (battery version) (GENIUS 4.0 STA, GENIUS 4.0 DTA) 3.5.3. Charge status indicator (battery version) (STA, DTA) 3.5.4. Operating mode display (plug-in version) (STN, DTN) 3. 6. Connections 3.6.1. Connections for manual control and foot control 3.6.2. Connection for charging cable (battery version) (GENIUS STA, GENIUS DTA) 3.6.3. Power cord connection (plug-in version) (GENIUS STN, GENIUS DTN) 3.6.4. Connection for potential equalization
14 14 14 14 14 14 14 14 15
4.
18
TRANSFER AND STORAGE
4.1. Transfer and storage safety precautions 4.2. Symbols on the packaging
15 15 15 15 16 16 16 17 17 17 17 17 18 18 18 18 18 18 18
4.3. 4.4.
Transferring the operating table Storing the packages
19 19
5.
ASSEMBLY AND INSTALLATION
19
5.1. Prior to assembly 5.2. Unpacking 5.2.1. Transfer inspection 5.2.2. Unpack the operating table 5.3. Connection and initial operation
19 19 19 20 21
6.
21
OPERATION
6.1. Operational safety precautions 6.2. Emergency shutdown 6.3. Switching the operating table on and off 6.4. General procedures 6.5. Operating the foot control and manual control 6.5.1. Key assignment 6.5.2. Foot control 6.5.3. Adjusting the position 6.5.4. Storing the position 6.6. Adjusting the head section 6.7. Using and removing the back section extension 6.8. Adjusting the horseshoe-shaped headrest 6.9. Operating the swivel castor undercarriage 6.10. Transferring patients 6.11. Charging the battery (battery version) (BRUMABA CL GENIUS 4.0 STA, BRUMABA CL GENIUS DTA) 6.12. Show battery voltage
21 22 22 23 24 24 24 25 25 26 26 27 28 29 30 31
7. CLEANING AND DISINFECTING THE OPERATING TABLE
32
7.1. Safety precautions for cleaning and disinfecting the operating table 7.2. Cleaning agents, disinfectants and care products 7.3. Attaching and removing the padding 7.4. Cleaning, disinfection, care 7.5. Service-Kit
32 33 34 34 36
8.
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SERVICING
8.1. Servicing safety precautions 8.2. Service schedule 8.3. Service work 8.3.1. Lubricating the cylinders 8.3.2. Remove abrasive residue from the lifting column 8.3.3 Replace battery 8.4. After servicing
37 37 38 38 38 38 38
9.
39
MALFUNCTIONS
9.1. Troubleshooting safety recautions 9.2. Malfunction displays 9.3. Reading out error codes 9.4. Error code table 9.5. Troubleshooting table
39 39 39 40 41
10.
ACCESSORIES
41
11.
DISASSEMBLY, DISPOSAL
42
11.1. Safety 11.2. Disassembly 11.3. Disposal
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1.
Overview
2
3 1
4 5
13
Fig. 1.A: Potential equalization connector
7
8
9 7
17
GENIUS
8
16
9
14 6 15
Fig. 1.B: Display elements
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10 12
13
1 Head section 2 Horseshoe-shaped headrest 3 Back section 4 Seat section 5 Foot section 6 Battery case/power supply housing 7 Charge status indicator (battery version) (BRUMABA CL GENIUS 4.0 STA, BRUMABA CL GENIUS 4.0 DTA)
BRIEF DESCRIPTION
EXPLANATION OF THE DIFFERENT MODELS
04
8 Error code display 9 Battery charge level indicator (Akkuversion)
(BRUMABA CLGENIUS 4.0 STA, BRUMABA CL GENIUS 4.0 DTA)
10 Base plate with stand or undercarriage 11 Pressure sensitive safety edge (only for dual telescopic column) (BRUMABA CL GENIUS 4.0 DTN, BRUMABA CL GENIUS 4.0 DTA)
12 Precision column guide
13 Potential equalization connector 14 Emergency off switch 15 Hydraulic housing 16 Charging cable connection (battery version) (BRUMABA CL GENIUS 4.0 STA, BRUMABA CL GENIUS 4.0 DTA)
17 Hydraulic cylinder not shown manual control not shown foot control (optional)
(here: optional dual telescopic column)
The operating table serves accommodating patients during procedures, surgeries, treatments and examinations. The head, back, seat and foot sections are adjusted using the provided manual control or the optionally available foot control. The horseshoe-shaped headrest is adjusted manually. More details: Chapter 3 “Functional description” on page14.
NAME
MODEL
Operating Table BRUMABA CL 4.0 GENIUS STN
Standard telescopic column 525-815mm, + padding 55 mm or 65mm, plug-in version
Operating Table BRUMABA CL 4.0 GENIUS DTN
Dual telescopic column 465-895mm, + padding 55 mm or 65mm, plug-in version
Operationg Table BRUMABA CL 4.0 GENIUS STA
Standard telescopic column 525-815mm, + padding 55 mm or 65mm, battery version
Operating Table BRUMABA CL 4.0 GENIUS DTA
Dual telescopic column 465-895mm, + padding 55 mm or 65mm, battery version
Operating Table GENIUS 4.0 | Instruction Manual | BRUMABA
Operating Table GENIUS 4.0 | Instruction Manual | BRUMABA
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2. 2.1.
Safety Symbols in this instruction manual SAFETY PRECAUTIONS
This instruction manual uses symbols indicate safety precautions and warnings. The signal words express the degree of risk.
DANGER
This combination of symbol and signal word indicates a hazardous situation. If these warnings are ignored, this can lead to severe injuries or even death.
WARNING!
This combination of symbol and signal word indicates a hazardous situation. If these warnings are ignored, this can lead to severe injuries or even death.
CAUTION!
This combination of symbol and signal word indicates a hazardous situation. If these warnings are ignored, this can lead to minor injuries or adverse effects.
NOTICE! SAFETY PRECAUTIONS IN INSTRUCTIONS
This signal word marks a passage with information that is important but is not connected to a hazardous situation. Safety precautions can refer to specific, individual instructions. They are integrated into the instruction for the sake of readability while taking action. The aforementioned signal words are used. Example:
1. Loosen screw. 2. CAUTION! Danger of getting fingers caught under the lid! Close lid carefully.
3. Tighten screw.
TIPS AND RECOMMENDATIONS
This symbol highlights useful tips and recommendations as well as information for an efficient and smooth running operation.
ADDITIONAL IDENTIFIERS
The following identifiers are used to highlight instructions, results, lists, references and other elements in this instruction manual:
IDENTIFIER
EXPLANATION
Step-by-step instructions
Results of steps
References to sections of this instruction manual and further applicable documents
Lists without a determined order
[Keys]
Control elements (e. g. keys, switches), display elements (e. g. signal lights)
„Display“
Screen elements (e.g. buttons, assignment of function keys)
BRUMABA | Instruction Manual | Operating Table GENIUS 4.0
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2.2.
The operating table solely serves conducting procedures, surgeries, treatments and examinations on people. The operating table can only be used in the rooms intended for that purpose.
Purpose
The operating table can only be used for patients with a maximum weight of 250 kg (551 lbs.). Only BRUMABA accessories are permitted to be used with the operating table. Please observe that the operating table can only be used within professional healthcare facilities. Observing all information in this instruction manual is also an integral part of the purpose. Any use beyond the purpose or any other type of use is deemed misuse. Danger due to misuse!
DANGER
•
Never use the operating table for any purposes other than those described above.
•
Never use the operating table for heavier patients.
•
Only use BRUMABA accessories with the operating table.
A misuse of the operating table can lead to dangerous situations.
2.3.
Staffing requirements
WARNING!
Risk of injury if staff is not sufficiently qualified! •
Only allow qualified staff members to carry out all tasks.
•
Keep unqualified staff away from the operating table.
If unqualified staff members work on the operating table or remain in the danger zone of the operating table, risks, which can lead to severe injuries and significant material damage, can arise. The following staff qualifications are listed in this instruction manual for the different areas of operation: Instructed medical professionals Medical professionals are trained in the specific area of operation in which they work. Medical professionals are familiar with the content of all regulations, guidelines and standards, which apply for a safe use of the device, and can implement the requirements stated therein. Furthermore, medical professionals can safely carry out tasks they are assigned based on an instruction in connection with this instruction manual as well as their medical training and experience and can independently recognize, assess and prevent possible dangers to themselves or the patient. Additionally, medical professionals were also trained by BRUMABA or by a retailer authorized by BRUMABA in handling the operating table. The content of this training program also includes the functions of the operating table and the accessories. Medical professionals have the expertise required for the respective area of application of the device and in particular, diligently adhere to all hygiene regulations for medically used rooms and the use of medical devices. Manufacturer or authorized service technician Certain tasks can only be carried out by qualified BRUMABA staff members or by service technicians authorized by BRUMABA. Other staff is not authorized to carry out these tasks. Please contact our customer service, to have the necessary work taken care of. Only individuals from whom can be expected that they will carry out their tasks in a reliable manner can be permitted as staff. Individuals whose responsiveness is compromised, e.g. due to drugs, alcohol or medication, are not authorized. Please observe the specific applicable regulations regarding age and occupation at the place of use when selecting staff.
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UNAUTHORIZED PERSONS
Mortal danger for patients and unauthorized persons due to risks in the danger and work zone! •
Only allow the tasks to be carried out by individuals qualified to do so.
WARNING!
•
Keep unqualified individuals out of the work area.
Unqualified individuals cannot assess the risks in handling the device and expose themselves and others to the risk of severe or fatal injuries.
Operating Table GENIUS 4.0 | Instruction Manual | BRUMABA
Operating Table GENIUS 4.0 | Instruction Manual | BRUMABA
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2.4.
AREAS WITH THE RISK OF CRUSHING OR JAMMING BODY PARTS
Danger zones
Fig. 2.4.A: Overview danger zones
Fig. 2.4.B: Overview of the danger zones on the back of the operating table
1 2 3 4 5 6 7
Between head and back section Between back and seat section Between seat and foot section Between foot section and floor Between cylinder and telescopic column Between base plate and telescopic column Between bracket for horseshoe-shaped headrest and head section 8 Between cylinder and back section greater risk of crushing or jamming body parts
There is a risk of injuring body parts such as skin, fingers or feet, when adjusting the operating table. At the same time, particularly dangerous areas are the cylinders (Fig. 2.4.A/5 and Fig. 2.4.B/5), where the distance to other components becomes smaller depending on the direction of movement. Additional dangerous areas are the head section and the horseshoe-shaped headrest (Fig. 2.4.A/1 and Fig. 2.4.B/7). If screws are not tightened, these can fall into the guide rail and in doing so, injure fingers. There is also the risk of body parts being crushed between the padding; particularly on the edges (Fig. 2.4.A/1, Fig. 2.4.A/2 and Fig. 2.4.A/3) Attached accessories can also create additional crushing and jamming points.
WARNING!
2.5. Safety devices 2.5.1. Position of the safety devices
1 Emergency off switch “Emergency off switch!” on page 8 2 Error code display for error monitoring “Error monitoring” on page 8 3 Pressure sensitive safety edge “Pressure sensitive safety edge (BRUMABA CL 4.0 GENIUS DTA und BRUMABA CL 4.0 GENIUS DTN)“ on page 8 4 Potential equalization “Potential equalization connector and conductive castors or stands” on page 8 5 (not shown) Position m onitoring “Position monitoring” on page 8 6 (not shown) Error monitoring “Error monitoring” on page 8 7 (not shown) Temperature monitoring “Temperature monitoring” on page 8 8 (not shown) Single-acting cylinder “Single-acting cylinder“ on page 8
Fig. 2.5.1.A: Position of the safety devices
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2.5.2. Description of the safety devices
DESCRIPTION OF SAFETY
The operating table is immediately disconnected from the power supply (battery or power supply unit), when the emergency off switch is pressed. Die in der Steuerung des Operationstisches integrierte Positionsüberwachung sorgt dafür, dass sich der Operationstisch immer in einer für den Patienten ergonomischen Position befindet. So bewegt sich das Rückenteil beispielsweise automatisch mit, sobald der Winkel zwischen Rücken- und Sitzteil kleiner als 100° wird.
POSITION MONITORING
Fig. 2.5.2.A: Emergency off switch
The position monitoring feature also recognizes how far the bottom of the foot section is away from the floor. As soon as the foot section is less than 12 cm above the floor, the foot section swerves upwards.
TEMPERATURE MONITORING The temperature monitoring feature automatically switches off the rechargeable battery in case of overheating.
Fig. 2.5.2.B: Position monitoring
ERROR MONITORING
Certain functions are shut down when errors occur and an error code is shown in the error display.
SINGLE-ACTING CYLINDER
Fig. 2.5.2.C: Potential equalization connector
The cylinders installed in the operating table are open on the top. This enables lifting the foot section up manually e.g. without having to use the control system. This serves minimizing the crushing hazard.
POTENTIAL EQUALIZATION CONNECTOR AND CONDUCTIVE CASTORS OR STANDS The operating table consists of conductive materials, so that electrostatic charges caused by padding, the stainless steel hinges, the column and the conductive castors or stands are discharged into the floor. If the floor is not conductive, the table must be grounded via the potential equalization connector (Fig. 2.5.2.B/1). he frame and all conductive housing parts are coupled and connected to the local potential equalization panel after installation, to prevent sparks and touch voltages in the event of an error in connection with the ground fault circuit interrupter.
Fig. 2.5.2.D: Potential equalization connector and conductive castors or stands
Conductive parts of the system are highlighted in red in the diagram (Fig. 2.5.2.E) on the left.
WARNING! Fig. 2.5.2.E: Conductive parts of the system
Mortal danger due to touch voltages and sparks! •
Before initial operation, connect the device to the local potential equalization panel and check the functioning of potential equalization.
Touch voltages and sparks can arise if potential equalization is missing or defective. Those in turn pose the risk of injury and even death.
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The operating table is designed in accordance with the best available technology and the current safety requirements. Nevertheless, there are residual risks that require prudent practices. The residual risks and appropriate behavior and measures resulting from them are listed in the following.
2.6. Residual risks 2.6.1. Electrical hazard
ELECTRIC CURRENT
DANGER
Danger of life-threatening injuries due to electric current! • Do not touch the plug with wet hands. • When unplugging, never pull on the cord but only on the plug. • Lay the cord in a manner that does not allow it to be kinked, pinched or rolled over. • Cords and electronic parts cannot come in contact with cleaning agents, disinfectants, oils, greases or other media containing moisture as well as heat sources. • Do not connect to extension cords or power strips. • Careful when moving the table: Unplug the cord first! • The power outlet must be easily accessible at all times. • Cord version: Switch off the operating table and remove the cord from the outlet before conducting any cleaning or service work. • Battery version: Switch off the operating table before conducting any cleaning or service work. • Before undoing screws or detaching parts from the operating table, switch it off and unplug the power cord. • The device can only be connected to a grid suitable for this purpose. Immediate danger of electrocution if live parts are touched. Damage to the insulation or individual components can be deadly.
LEAD-ACID BATTERIES
WARNING!
Risk of injury if lead batteries are handled incorrectly! • Only use the provided power cord and charger to charge the battery. • Only use this battery for this operating table. • Never short-circuit the contacts (positive and negative pole) of the battery. • Never expose the battery to wetness or moisture. Never use or charge a moist or wet battery. • Any contact with liquid leaking from the battery must be avoided; if you come in contact with it, consult a physician immediately. If the battery used is not handled properly, there is a risk of the lead battery exploding or harmful liquid leaking from the battery. If it comes in contact with skin, this liquid can cause chemical burns, if swallowed, severe poisoning and if it comes in contact with your eyes, to blindness.
NOTICE!
NOTICE!
The service life of the battery decreases due to an incorrect ambient temperature and when the power supply is disconnected while charging! • Do not connect the battery to a power outlet that is turned off at night for example. • Do not unplug the battery until it is fully charged. • Observe the ambient conditions of the operating table when storing the battery and using the operating table. The service life of the battery also depends on the ambient temperature and the number of charge cycles. The warmer the room is, in which the battery is stored or the operating table is used, the shorter the service life of the battery. A new charge cycle begins every time a connection is made to the power supply; it does not matter whether the battery was fully charged during the last charge cycle or not. However: It is better to charge the battery too soon rather than too late! Reduction of the service life of the battery due to exhaustive discharge of the battery! • Check the charge level every time it is switched on. • Charge the battery as soon as the yellow LED on the battery indicator is on. A full discharge of the battery reduces the service life or the battery ends up completely defective.
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ELECTROSTATIC RESIDUAL POTENTIAL
WARNING!
Danger of life-threatening injuries and fire hazard due to electrostatic residual potential! • Only use the operating table on conductive floors or with connected potential equalization. • Do not operate the operating table in rooms in which flammable substances such as disinfectants are stored. Electrostatic charges can build up due to friction of the patient on the operating table, which can cause flammable substances to ignite.
INTERACTION WITH OTHER EQUIPMENT
Danger if an MRI is used at the same time! •
Do not use the operating table on an MRI.
Interaction can take place if an MRI is used simultaneously.
WARNING!
Danger due to high frequency surgical equipment, defibrillators and defibrillator monitors! •
Observe the manufacturer’s instructions of the respective device.
•
In the event of a malfunction, immediately press the emergency off switch.
•
Disconnect the operating table from the grid.
When using high frequency surgical equipment, defibrillators and defibrillator monitors, unexpected changes in position, burns and danger due to electric current can result.
2.6.2. Risks due to poor hygiene
Danger of infection due to insufficient hygiene, cleaning and disinfection!
RISK OF INFECTION
WARNING!
• • • • • •
Clean and disinfect the operating table every time before it is used. Replace damaged padding immediately. If sterile drapes are used, still clean and disinfect the operating table at least once daily. Only use sterile drapes once. Put down new sterile drapes before each treatment, surgery and procedure. Please observe all locally applicable requirements pertaining to hygiene, cleaning and disinfection.
There is a higher risk of infection if you come in contact with components that were not cleaned or disinfected
BURNS
WARNING! DANGER OF MATERIAL DAMAGE TO THE OPERATING TABLES
NOTICE! 2.6.3. Risks caused by the operating table moving FALLING DOWN OF THE PATIENT
DANGER
10
Danger due to excessive use of disinfectants, cleaning agents and care products! •
Routinely wash off residue from disinfectants, cleaning agents and care products using clear water.
Patients can get burned due to excessive residue from disinfectants, cleaning agents and care products on the padding. Danger of material damages to the operating table due to poor hygiene! •
Clean the operating table immediately after use.
An insufficient cleaning and disinfection of the operating table can lead to corrosion and damages of/to plastic parts and padding.
Danger of the patient falling down! •
The patient should be positioned in a manner that enables his/her lying safely on the OR table. If the patient moves on the OR table or the operating table is moved, the medical staff must provide safe assistance, so that the patient cannot fall off the OR table. Move the operating table carefully.
The patient can fall off the operating table when it is being moved.
Operating Table GENIUS 4.0 | Instruction Manual | BRUMABA
Operating Table GENIUS 4.0 | Instruction Manual | BRUMABA
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ROLLING AWAY OF THE OPERATING TABLE
WARNING! NARROWING SPACES
WARNING!
NOTICE!
COLLISION
WARNING!
CAUTION!
ACCESSORIES
WARNING!
Risk of the operating table rolling away if the brake is not applied! • Before beginning the treatment, surgery, procedure or examination, please ensure that the brake is on and the operating table is no longer moving. If the brake is not applied, the operating table can roll away unintentionally. This can result in the patient being injured. Risk of crushing and jamming injuries in narrowing spaces! • When in use, do not touch moving components or tamper with moving parts. • Make sure that there are no body parts of individuals or individuals themselves underneath the operating table during its use. • When changing positions, please make sure that there is no crushing hazard for the patient, the user or third parties. • Observe the overview of the danger zones “Areas with the risk of crushing or jamming body parts” on page 7. When moving the operating table, the user or the patient can crush or jam body parts in narrowing spaces; this can cause severe injuries. Material damage due to rolling over, crushing or tearing off hydraulic lines and cords! • Please do not place the stands of the operating table on top of electrical wires or other cords. • Pay attention to hydraulic lines and cords when moving the operating table. • Move the operating table carefully. • Before moving it, unplug the foot control and transfer it separately. • Attach the manual control unit to the magnetic plate and make sure that the cord is not hanging down or unplug it and transfer it separately as well. When moving the operating table, hydraulic lines, the manual control unit cords, the foot control or the ground wire can be rolled over, torn off or crushed. That will result in material damage. Risk of injury due to collision! • Make sure that the patient surfaces on the operating table can move freely and that there is no danger of colliding with accessories, additional devices, chairs or other objects if movement takes place. • Install accessories so that the maneuverability of the operating table is not restricted. • Position additional devices, chairs, etc. in a manner that does not restrict the maneuverability of the operating table. Injuries can result if the table top or the patient collides with accessories, additional devices, chairs or other objects. Risk of injury and material damage caused by collision! • Move the operating table slowly and with caution. • Do not roll the operating table over any objects. • Do not roll the operating table into any persons. • Do not roll the operating table into any obstacles; e.g. door frames or walls. Injuries and material damage can result if the operating table collides with people, objects or obstacles. Risk of injury if attached accessories are leaned on for support! • Never lean on accessory parts. • Observe the instruction manuals for the accessories. Accessories are not designed for heavy loads. Therefore, there is a risk of injury when leaning on attached accessories.
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ACCESSORIES FROM OTHER MANUFACTURERS
WARNING!
Risk of injury caused by accessories from other manufacturers! •
Only use BRUMABA accessories with the operating table.
•
Only use BRUMABA manual controls and foot controls with BRUMABA tables.
Do not connect other devices to the electronic interface. Using accessories from other manufacturers can lead to injuries. In the event of incidents involving accessories from other manufacturers, there is no liability claim and no guarantee.
2.6.4. Basic risks at the place of use ACCUMULATION OF LIQUIDS
CAUTION! ADHESIVE STRIPS, ADHESIVE TAPE, ADHESIVE BANDAGES
WARNING! 2.7.
Operator’s responsibilities OPERATOR OPERATOR’S DUTIES
Risk of slipping if liquids have leaked! • Use appropriate means to immediately remove spilled or leaked liquids. • Wear slip resistant shoes. Slipping on liquids in the area of the operating table can lead to severe injuries. Material damage to the padding by applying adhesive strips or bandages, etc.! • Do not attach any adhesive tape, adhesive bandages or the like to the padding. The adhesive in the adhesive strip, adhesive tape, adhesive bandages, etc. reacts to the faux leather and in doing so, damages the faux leather padding. The operator is the person who operates the operating table him- or herself for commercial or economic purposes or gives it to a third party for use / application and who bears the legal responsibility for the product regarding the protection of the user, the staff or a third party during its use. This device is used in the medical field. Therefore, the operator of the device is subject to the legal obligations; amongst others, occupational safety and patient safety. In addition to the safety precautions in this instruction manual, the applicable safety regulations, occupational health and safety measures and environmental protection regulations must be observed. Furthermore, the operator must also ensure that the operating table is always in a technically flawless condition. Therefore, the following applies: The operator must make sure that the service intervals defined in this instruction manual are adhered to. Kapitel 8.2 auf Seite 37. The operator must have all safety devices checked for proper functioning and completeness on a regular basis.
2.8.
Personal protective equipment DESCRIPTION OF THE PERSONAL PROTECTIVE EQUIPMENT
Personal protective equipment serves protecting individuals against health and safety being compromised while working with this device. The staff must wear personal protective equipment while conducting different tasks on and with the operating table, which are indicated separately in the individual sections of this instruction manual. The personal protective equipment is defined in the following: Chemical resistant gloves Chemical resistant gloves protect hands against aggressive chemicals such as disinfectants for instance. Safety gloves Safety gloves protect hands against friction, abrasions, punctures or deeper wounds well as against coming in contact with hot surfaces.
2.9.
Spare parts INCORRECT SPARE PARTS
WARNING! ORDERING SPARE PARTS
Risk of injury due to the use of incorrect spare parts! • Only BRUMABA original spare parts or spare parts approved by BRUMABA can be used. • If you are uncertain, always contact BRUMABA customer service. If incorrect or defective spare parts are used, danger to the staff can arise and damages, malfunctions or a complete breakdown can result. Spare parts can be ordered from BRUMABA customer service. „Customer service“ on page 2
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2.10. Environmental protection
NOTICE!
Danger to the environment caused by incorrect handling of environmentally hazardous substances! •
Always observe the information provided below in regard to handling environmentally hazardous substances and their disposal.
•
Immediately take appropriate measures if environmentally hazardous substances are accidentally released into the environment. In cases of doubt, inform the responsible local authority of the damage and ask about and take appropriate measures.
Significant damage to the environment can result if environmentally hazardous substances are handled incorrectly, particularly if they are disposed of incorrectly. The following environmentally hazardous substances are used:
RECHARGEABLE BATTERIES Rechargeable batteries and batteries contain toxic heavy metals. They are OR BATTERIES subject to special waste treatment and must be brought to municipal collection points or be disposed of by a specialized company.
Alternatively, the rechargeable battery can be returned to BRUMABA for disposal.
HYDRAULIC OIL LUBRICANTS ELECTRICAL COMPONENTS
2.11. Service life
Hydraulic oil cannot be released into the environment. Hydraulic oil can lead to a long-term harmful impact on water bodies. Disposal must be carried out by a waste management company. Lubricants, such as greases and oils contain toxic substances. They cannot be released into the environment. Disposal must be carried out by a waste management company. Electrical components can contain toxic substances. They cannot be released into the environment. Disposal must be carried out by a waste management company. If the instruction manual is observed, the device is used properly, the service intervals are adhered to and maintenance is conducted on a regular basis, each BRUMABA OR table has a service life of 10 years. During this period, BRUMABA recommends routine servicing (1x yearly) by a BRUMABA service technician. Particularly high demands on the product, depending on the operator’s use of it, can, under certain circumstances, call for shorter service intervals. Additionally, please observe the legal provisions of your country regarding safety inspections.
2.12. Warranty
There is a 2-year warranty from the date of delivery. The rechargeable battery, damages caused by improper use or load capacities as well as damage to the padding are excluded from the warranty. To benefit from the applicable warranty, the service schedule must be adhered to. Original BRUMABA spare parts must be used when repairing BRUMABA products. As soon as spare parts are used that were not verifiably supplied by BRUMABA, the guarantee and any kind of warranty for BRUMABA products expire.
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2
3
3. 3.1.
Functional description Overview of the operating table
1 Head section 2 Horseshoeshaped headrest 3 Back section
1
4 5
4 Seat section 5 Foot section 6 Battery case/power supply housing
7 Charge statusindicator (battery version) (BRUMABA CL GENIUS 4.0 STA, BRUMABA CL GENIUS 4.0 DTA) 8 Error code display 9 Battery charge level indicator (battery version) (BRUMABA CL GENIUS 4.0 STA, BRUMABA CL GENIUS 4.0 DTA) 10 Base plate with stand and undercarriage 11 Pressure sensitive safety edge (only for dual telescopic column)
7
17 16
8 9
14 6
15
(BRUMABA CL GENIUS 4.0 DTN, BRUMABA CL GENIUS 4.0 DTA)
11 12 Precision column guide (here: dual telescopic column) not shown manual control 13 Potential equalization connector not shown foot control (optional) 14 Emergency off switch 15 Hydraulic housing 16 Charging cable connection (battery version) (BRUMABA CL GENIUS 4.0 STA and CL GENIUS 4.0 DTA) 10 12 17 Hydraulic cylinder 13 The operating table serves accommodating patients during procedures, 3.2. Operating table functions surgeries, treatments and examinations. The head, back, seat and foot section of the table can each be moved up or down with the help of the control elements (manual control and foot control). The cylinders for this purpose are controlled hydraulically. The adjustment of the distance between the head section and the back section and the adjustment of the horseshoe-shaped headrest are conducted manually using the adjustment device intended for this purpose.
3.3. Component functions 3.3.1. Head section with horse-shoe shaped headrest
3.3.2. Back section and back section extension
Fig. 3.3.1.A: Head section (1) with horseshoe shaped headrest (2)
Fig. 3.3.2.A: Back section (2) and back section extension (1)
The head section with horseshoe-shaped headrest serves keeping the head in the required position during surgery. The angle between the back section and the head section can be adjusted with the help of the manual control or the foot control. The distance between the back section and the head section and horseshoeshaped headrest can be manually adjusted to the patient’s height.
The patient’s back lies on the back section (Fig. 3.3.2.A/1). Patients who are up to 200 cm (6.56 ft.) tall can be positioned comfortably using the provided back section extension (Fig. 3.3.2.B/2). The back section extension is attached between the back section and the head section. This provides additional support for the shoulders of patients as of a height of 185 cm (6 ft.).
3.3.3. Seat section
3.3.4. Foot section
Chapter 6.7 “Using and removing the back section extension“ on page 26 Other versions are optionally available, with which patients taller than 200 cm (6.56 ft.) can be comfortably positioned.
Fig. 3.3.3.A: Seat section
Fig. 3.3.4.A: Foot section
The patient's thighs are positioned on the seat section (Abb. 3.3.3.A). The seat section serves as a seat when the operating table is in an upright position.
The patient’s feet are positioned on the foot section (Fig. 3.3.4.A).
3.3.5. Padding The surface of the padding consists of high frequency heat-sealed faux leather. The individual padding is attached to pins installed on the operating table (Fig. 3.3.5.A/1) and can be completely removed.
Fig. 3.3.5.A: Padding
14
The padding is slightly smaller than the corresponding section of the operating table, to prevent damage to the padding when the operating table is accidentally pushed too closely to a wall, door frame, or the like.
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3.3.6. Hydraulic housing The electronic system (Fig. 3.3.6.A/1) to control the operating table is located in the hydraulic housing. The connections for the control elements (Fig. 3.3.6.A/2) of the operating table are also located here.
The battery version (BRUMABA CL GENIUS 4.0 STA, BRUMABA CL GENIUS 4.0 DTA) additionally includes a charger and a charging cable connector on the hydraulic housing. As soon as the charging cable is connected, the rechargeable battery starts charging. The operating table cannot be used while it is charging. Chapter 6.10 “Charging the battery (battery version) (BRUMABA CL GENIUS 4.0 STA, BRUMABA CL GENIUS 4.0 DTA)” on page 30
Fig. 3.3.6.A: Hydraulic housing
3.3.7. Battery case (battery version) (BRUMABA GENIUS STA, B RUMABA GENIUS DTA)
GENIUS
Emergency off switch „Emergency off switch“ on page 8
2.
Battery indicator Chapter 3.5.2 „Battery indicator“ on page 17
3.
Error code display Chapter 3.5.1 „Error code display“ on page 17
4.
Charge status indicator Chapter 3.5.3 „Charge status indicator“ on page 17
The battery case contains the battery of the operating table. On the front you can find the battery indicator, the error code and charge status indicator.
Fig. 3.3.7.A: Battery case with display (2-4)
3.3.8. Power supply housing (plug-in version) (BRUMABA GENIUS STN, GENIUS DTN)
1.
Power
GENIUS
Fig. 3.3.8.A: Battery case/power supply housing
1. Emergency off switch 2. Operating mode display (LED) 3. Error code display 4. Power cord, picture above The power supply unit can be found in the power supply housing. On the front you can find the error code and operating mode display.
3.3.9. Telescopic column The operating table can be moved up and down using the telescopic column.
The standard telescopic column (BRUMABA CL GENIUS 4.0 STN) (BRUMABA CL GENIUS 4.0 STA) consists of a single-stage lifting column. It enables adjusting the height of the operating table between 20.67 in (525 mm) and 32.09 in (815 mm) (+ 55 mm padding or + 65 mm padding) +/- 0.39 in (+/-10 mm). The optionally available dual telescopic column (BRUMABA CL GENIUS 4.0 DTN) (BRUMABA CL GENIUS 4.0 DTA) consists of a two-stage lifting column. It enables adjusting the height of the operating table between 18.31 in (465 mm) and 35.24 in (895 mm) (+ 55 mm padding or + 65 mm padding) +/- 0.39 in (+/-10 mm).
Fig. 3.3.7.A: Telescopic column (1)
BASE PLATE WITH STAND
3.3.10. Base plate with stand or undercarriage Base plate with stand As a standard feature, the base plate of the operating table is equipped with a stand.
4-EASY-DRIVE Fig. 3.3.10.A: Operating table with stand
4 EASY-DRIVE
(optional)
With this swivel castor undercarriage, the castors lock into place when moving straight ahead, so that there is no problem staying on track. As soon as the table is turned and the castors are needed, they are released. This undercarriage version has extremely smooth-running rollers. This makes pushing the operating table in any direction extremely easy. When the brake for this undercarriage version is applied, stands are extended in addition to the rollers, so that the rollers can be lifted and the operating table is securely on the floor on the stands. Chapter "“Operating the brake on the swivel castor undercarriage with directional lock” on page 28.
Fig. 3.3.10.B: Two swivel castor undercarriages with directional lock (optional)
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5 WHEEL-DRIVE
5 WHEEL-DRIVE (optional)
When the 5th wheel is activated, the table can be driven straight ahead or around bends with a stable track. If the 5th wheel is deactivated, the table can be pushed sideways. „Operating the brake on the swivel castor undercarriage“ on page 29.
Fig. 3.3.10.C: Operating table with 5 Wheel-Drive
2-GUIDE-DRIVE
2-GUIDE-DRIVE (optional)
The base plate is optionally available with the swivel caster undercarriage 2-GUIDE-DRIVE and a fixed wheel axle. This enables pushing the operating table around corners. The locking brake on the swivel castor undercarriage prevents the operating table from being able to make any unintentional movements. Chapter „Operating the swivel castor undercarriage“ on page 28.
Fig. 3.3.10.D: Operating table with fixed wheel axle (1) and swivel caster undercarriage (2)
3.4. Control elements 3.4.1 Manual Control
The manual control can be used to move the table to the required position. Furthermore, positions can be stored and called up again. The stored positions are recorded in the control system of the operating table and can therefore still be called up even after replacing the manual control. The manual control can be attached to the control housing of the operating table using the included selfadhesive magnetic plate. "Key assignment manual control" on page 24 Chapter "Adjusting positions" on page 25 Chapter "Storing and calling up positions" on page 25 Chapter "Coupling control elements with the table" on page 21
Fig. 3.4.1.A: Manual control
3.4.2. Foot control (optional)
Fig. 3.4.2.A: Foot control
16
The foot control and the manual control have the same functions. The stored positions are recorded in the control system of the operating table and can therefore either be called up using the manual control or the foot control. Chapter “Operating the foot control” on page 24 Key assignment foot control (optional)" on page 24 Chapter "Adjusting positions" on page 25 Chapter "Storing and calling up positions" on page 25 Chapter "Coupling control elements with the table" on page 21 The bottom of the foot control is slip resistant, so that it cannot slip away during use. With the help of the metal bracket (Fig. 3.4.2.A) , the foot control can be lifted to the required position with your foot.
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3.4.3. Locking brake The operating table can be secured against being unintentionally shifted or rolling away using the locking brake on the swivel castor undercarriage. Chapter 6.9 "Operating the swivel castor undercarriage" on page 28
Fig. 3.4.3.A: Locking brake on the swivel castor undercarriage (closed position)
3.5.
Display elements 3.5.1. Error code display In the event of an error, the display on the power supply unit or battery case shows an error code.
Chapter 9.4 “Error code table” on page 39
GENIUS
Chapter 9.3 “Reading out error codes” on page 40
Fig. 3.5.1.A: Error code display (1)
3.5.2. Battery indicator (battery version) (GENIUS 4.0 STA, GENIUS 4.0 DTA)
The battery indicator (Fig. 3.5.2.A) on the left of the display shows the charge status of the battery.
GENIUS Fig. 3.5.2.A: Battery indicator (1)
battery full
The battery still has sufficient capacity to operate the operating table. The full extent of the functions is available.
Charge battery
The battery still has approx. 20% of its capacity. The battery should be charged, to prevent any malfunctions. Chapter 6.9 „Charging battery“ on page 28 When this battery charge status is reached, the table peeps three times every 60 seconds.
Battery empty
The battery no longer has sufficient capacity to operate the operating table. It must be charged immediately
Chapter 6.9 „Charging battery“ on page 28
When this battery status is achieved, the table will peep six times every 30 seconds.
NOTICE!
Reduction of the service life of the battery due to exhaustive discharge of the battery! • Check the charge level every time it is switched on. • Charge the battery as soon as the yellow LED on the battery indicator is on. A full discharge of the battery reduces the service life or the battery ends up completely defective.
3.5.3. Charge status indicator (battery version) (STA, DTA)
GENIUS
The charge status indicator goes on as soon as the operating table is connected to the power supply and the battery is charging. First is indicates a red light, then a yellow one. When the battery is fully charged, the LED turns green. If the LED is flashing red, an error has occurred.
Fig. 3.5.3.A: Charge status indicator (1)
„Battery or charger malfunctions” on page 41
3.5.4. Operating mode display (plug-in version) (STN, DTN)
Power
GENIUS Fig. 3.5.4.A: Operating mode display (1)
The LED goes on as soon as the operating table is connected to the power supply and is therefore ready for operation. After the emergency off switch has been e nabled and the operating table has been switched off, the LED for the operating mode display is still on for a brief moment.
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3. 6.
Connections
3.6.1. Connections for manual control and foot control The connections (Fig. 3.6.1.A/1) for the manual control and the foot control are located on the top of the hydraulic housing D
Fig. 3.6.1.A: Manual control and foot control connections (1)
3.6.2. Connection for charging cable (battery version) (GENIUS STA, GENIUS DTA) The connection for the charging cable is located on the hydraulic housing (Fig. 3.6.2.A/1).
Fig. 3.6.2.A: Connection for charging cable (1)
3.6.3. Power cord connection (plug-in version) (GENIUS STN, GENIUS DTN) Das Netzkabel ist an der rechten Seite des Netzteilgehäuses angeschlossen (Fig. 3.6.3.A/1).
Fig. 3.6.3.A: Power cord (1)
3.6.4. Connection for potential equalization The potential equalization connector is attached to the base plate on the foot end of the operating table.
Fig. 3.6.4.A: Connection for potential equalization (1)
4. Transfer and Storage 4.1. Transfer and storage safety precautions IMPROPER TRANSFER
NOTICE!
If the floor is not conductive, the table must be connected to the potential equalization panel provided at the installation site via the potential equalization connector(Fig. 3.6.4.A./1). „Potential equalization connector and conductive castors or stands” on page 8 Material damage due to improper transfer! • Proceed cautiously and observe the symbols and notes on the packaging when unloading the transfer parts upon delivery as well as during internal transfer. • Only use the intended suspension points. • Do not tilt the pallet. •
Do not remove packaging until right before assembly.
If not transferred properly, transfer parts can fall down or tip over. This can result in a significant amount of material damage.
4.2.
Symbols on the packaging
SYMBOL
MEANING Attention fragile Treat the packages with care. Top The arrowheads of the symbol mark the top of the package. They must always point upwards. Otherwise, the content can be damaged. Keep dry Keep packages dry. Do not stack the packages Do not place another package on top of this one.
+700C
-20 C 0
18
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Temperature Do not store below -20°C or above +70°C.
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4.3.
Transferring the operating table TRANSFERRING FROM PALLETS USING A FORKLIFT/ LIFT TRUCK
Fig. 4.3.A: Transport using a forklift/lift truck
TRANSFER
4.4.
Storing the packages AMBIENT CONDITIONS FOR STORAGE AND TRANSFER
5. 5.1.
Assembly and installation Prior to assembly INSTALLATION SITE REQUIREMENTS
Delivery! The operating table is delivered screwed to a pallet and packed in a box. •
Transfer parts attached to pallets can be transferred using a forklift under the following conditions:
•
The forklift/lift truck must be designed for the weight of the transfer parts.
•
The transfer part must be securely mounted on the pallet.
•
The forklift driver must be authorized to drive industrial trucks with an operator’s seat or driver’s station according to the locally applicable regulations.
Â
1. Using the forklift/lifting truck, move the forks between or under the beams of the pallet.
Â
2. Insert the forks so far that they stick out on the opposite side.
Â
3. NOTE! Material damage caused by leaking hydraulic oil! Make sure that the pallet cannot tip over.
Â
4. Lift the pallet and begin transferring.
Â
5. Place the pallet down at the installation site.
There may be information regarding storage on the packages, which exceed the requirements stated here. Observe this accordingly. Store the packages under the following conditions: • Do not store outdoors. • Store dry and dust-free. • Do not subject to any aggressive media. • Protect against direct sunlight. • Avoid mechanical vibrations. • Storage temperature: -20°C to +70°C (-4°F to +158°F) • Relative humidity: 10% to 95%. • Air pressure: 500 hPa to 1060 hPa (7.25 psi to 15.37 psi). • If stored for longer than 1 month: Check the battery charge. If necessary, recharge or remove battery. • • • • • • • • • • •
The maximum load-bearing capacity of the floor must exceed 500 kg (1100 lbs.) (weight of the operating table plus maximum patient weight). The operating table must also be able to be moved under the maximum load capacity without damaging the floor. The floor must be firm and level. The room must comply with the legal provisions for the intended application (e.g. operating room, treatment room, examination room, procedure room). The floor must be conductive. Alternatively, there must be a potential equalization panel available. Do not position the operating table in the swivel range of doors and windows. Keep the operating table away from sources of heat and humidity. Ambient temperature during operation: +10°C to +40°C (50°F to 104°F). Relative humidity: 30% to 75%. Air pressure: 700 to 1060 hPa (10.15 to 15.37 psi). Observe guidelines on electromagnetic compatibility.
Appendix “Information on electromagnetic compatibility (EMC)”
5.2. Unpacking 5.2.1. Transfer inspection
pon receiving delivery, please check for completeness and transfer damage. U • Proceed as follows if externally recognizable transfer damage is apparent: • Do not accept or only accept delivery with reservations. • Record the extent of damage on the transfer documents or on the delivery note of the forwarding agent. • Initiate complaint. Object to every defect as soon as it is determined. Claims for damages can only be asserted within the applicable complaint periods.
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5.2.2. Unpack the operating table PROTECTIVE EQUIPMENT: SAFETY GLOVES
Fig. 5.2.2.A: Box with protective plastic wrap and plastic straps
Fig. 5.2.2.B: Box without lid
Fig. 5.2.2.C: Operating table sealed in plastic wrap
Â
1. Remove the plastic wrap.
Â
3. Remove the lid.
Â
2. Remove plastic straps (Fig. 5.2.2.A).
Â
4. Take out the padding and accessories.
Â
6. Unscrew the screws on the slats used to secure the operating table on the pallet.
Â
7. Remove the slats (Fig. 5.2.2.D/1).
 • •
8. Risk of injury due to the weight of the operating table! Have another person help you. Operating table without castors: • Have a third person help if the operating table does not have castors. • Have a trolley available with sufficient load bearing capacity and in a sufficient size. • With the help of another person, slowly and carefully lift the operating table and with the help of the third person, push the trolley under the operating table. Only remove the operating table from the pallet on an inclined plane. Make sure the inclined plane can bear the weight of the operating table. When selecting the angle of the inclined plane, bear in mind that the bottom of the operating table cannot touch the pallet. Slowly and carefully remove the operating table from the pallet. Make sure that the operating table does not fall on anyone’s feet and in doing so, cause injuries.
Â
5. Remove the box.
Fig. 5.2.2.D: Slats (attachment of the operating table to the pallet)
WARNING!
• • •
Fig. 5.2.2.E: Pallet with operating table
• • •
NOTICE!
The operating table is heavy. This can lead to injuries and material damage in the event of it rolling off/slipping off the pallet uncontrollably.
Remove the operating table from the pallet with the help of on an inclined plane.
Â
9. Unpack padding.
WARNING! Pointy objects can damage the padding! • Unpack the padding carefully. Fig. 5.2.2.F: Padding sealed in plastic wrap
20
•
Do not use pointy objects such as scissors or knives directly on the padding.
Â
10. Open the box.
Â
11. Remove the control elements and accessories.
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5.3.
Connection and initial operation
Â
1. If the floor is not conductive, connect the potential equalization connector (Fig. 5.3.A) to the potential equalization panel provided at the installation site.
WARNING! Mortal danger due to touch voltages and sparks! •
Fig. 5.3.A: Potential equalization (1)
WARNING! CAUTION!
Before initial operation, connect the device to the local potential equalization panel and check the functioning of potential equalization.
Touch voltages and sparks can arise if potential equalization is missing or defective. Those in turn pose the risk of injury and even death. Â
2. Risk of injury due to poor hygiene and disinfection! • Clean and disinfect the operating table every time before it is used.
3. Charging the operating table Chapter “Charging the battery” on page 30 Mains operation: plug the power cord into a power outlet. Risk of tripping! Lay cables in a manner that rules out the risk of tripping and ensures the cables cannot be kinked or crushed. Â
Â
4. Plug in manual control and if applicable foot control. When doing so, observe the red marking on the jack and on the plug (Fig. 5.3.B). The red dots must be precisely above one another.
5. Switch on the operating table. Chapter 6.3. “Switching the operating table on and off” on page 22 Â 6. Store useful positions in the control system. Chapter 6.5.4. "Storing and calling up positions" on page 25 Â 7. Record the positions on the provided information sheet “Memory Functions” vermerken. The operating table is ready for use. Â
Fig. 5.3.B: Connecting the control elements (1)
6. 6.1.
Operation Operational safety precautions MOVEMENTS OF THE OPERATING TABLE
DANGER
WARNING!
Danger of life-threatening injuries due to the patient falling down! •
Protect patient against falling down.
Risk of injury caused by the operating table moving! •
Always apply the brake on the swivel castor undercarriage after moving the operating table. • Before beginning the treatment, surgery, procedure or examination, please ensure that the brake is on and the operating table is no longer moving. If the brake is not applied, the operating table can move unintentionally. This can lead to the patient being injured. Risk of crushing and jamming injuries in spaces which become tighter and tighter! •
When in use, do not touch moving components or tamper with moving parts. • Make sure that there are no body parts of individuals or individuals themselves underneath the operating table during its use. • When changing positions, please make sure that there is no crushing hazard for the patient, the user or third parties. • Observe the overview of the danger zones. “Areas with the risk of crushing or jamming body parts” on page 7 When moving the operating table, the user or the patient can crush or jam body parts in narrowing spaces; this can cause severe injuries. Risk of injury caused by the operating table moving! •
If the patient is awake, inform him or her of changes in position.
Sudden movements can scare patients, who are awake during surgery.
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