M-Series Stretcher Model SM104 (1007) Operations Manual Rev A July 2006

Table of Contents Introduction... 4 Specifications... 4 Warning/Caution/Note Definition ... 5 Symbols... 6 Summary of Safety Precautions... 7 Stretcher Operation... 8 Operating base controls - side control... 8 Operating base controls - 3-sided controls ... 9 Raising and lowering litter height - side control ... 10 Raising and lowering litter height - 3-Sided Controls ... 10 Trendelenburg/Reverse Trendelenburg - side control... 10 Trendelenburg/Reverse Trendelenburg - 3-sided Controls ... 11 Applying the brake system ... 12 Operating the fifth wheel... 13 Operating the GLIDEAWAY ™ Siderails... 14 Operating the pneumatic fowler... 15 Operating the optional knee gatch... 16 Operating the optional 2-stage permanently attached I.V. Pole... 17 Operating the optional 3-stage permanently attached I.V. Pole... 18 Using the optional foot extension/defibrillator tray ... 19 Using the optional serving tray ... 20 Optional scale system operation... 21 Optional scale system batteries... 22 Preventative Maintenance ... 23 Cleaning... 24 Removal of iodine compounds... 25 Warranty... 26 Limited Warranty... 26 To Obtain Parts and Service... 26 Service Contract Coverage... 26 Service Contract Programs... 27 Return Authorization... 27 Damaged Mechanidise... 27 International Warranty Clause... 27

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Introduction Introduction This manual is designed to assist you with the operation of the Model SM104 Stretcher. Read it thoroughly before using the equipment or beginning any maintenance on it.

Specifications Maximum Weight Capacity

700 pounds

317.5 kg

Overall Stretcher Length Overall Stretcher Width (Siderails raised) Overall Stretcher Width (Siderails lowered)

84” (± .5”) [ 33.5” & 37” (± .5”) 30.25” & 30.75” (± .5”) 20.75”/34” (± .5”) 0° to 90° (± 3°) 0° to 40° (± 1°) +16°/-16° (± 1°) 6” nominal 1.75” under the hydraulic cyclinders and 5th wheel

213.3 cm 85.1 cm & 93.9 cm 76.8 cm & 78.1 cm

Minimum/Maximum Bed Height Fowler Angle Knee Gatch Angle Trendelenburg/Reverse Trendelenburg Minimum Under-Stretcher Clearance

Optional Scale System Weight Operating Range Optional Scale System Accuracy

Optional Scale System Environmental Requirements for Operation

52.7 cm / 86.4 cm

15 cm 4.5 cm

0 lbs. to maximum capacity of the stretcher Between 10° Trend. & 10° Reverse Trend.* ± 2 lbs. of weights below 100 lbs. ± 2% of weights above 100 lbs. 60° F - 80° F 0% - 90% Relative Humidity

Internally Powered Mode of Operation: Continuous Electromagnetic Interference - product conforms to IEC 60601-1-2:1993 - Class B Type: 4 x AA Battery (4 x 1.5VDC) Voltage: 6.0VDC * Scale does not meet accuracy claims at Trend. angles outside the specified range.

NOTE Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide.

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Introduction Warning/Caution/Note Definition The words Warning, Caution and Note carry special meanings and should be carefully reviewed.

WARNING Alerts the reader about a situation, which if not avoided, could result in death or serious injury. It may also describe potential serious adverse reactions and safety hazards.

CAUTION Alerts the reader of a potentially hazardous situation, which if not avoided, may result in minor or moderate injury to the user or patient or damage to the equipment or other property. This includes special care necessary for the safe and effective use of the device and the care necessary to avoid damage to a device that may occur as a result of use or misuse.

NOTE This provides special information to make maintenance easier or important instructions clearer.

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Symbols

Warning, Refer to Service/Maintenance Manual

IPX4

Protection from Liquid Jet

Medical Equipment Classified by Underwriters Laboratories Inc. with Respect to Electric Shock, Fire, Mechanical and Other Specified Hazards Only in Accordance with UL 2601-1 and CAN/CSA C22.2 No. 601.1.

Safe Working Load Symbol

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Summary of Safety Precautions Before operating this stretcher, it is important to read and understand all information in this manual. Carefully read and strictly follow the warnings and cautions listed on this page.

WARNING •

• • •

Always apply the caster brakes when a patient is getting on or off the stretcher. Push on the stretcher to ensure the brakes are securely locked. Always engage the brakes unless the stretcher is being moved. Injury could result if the stretcher moves while a patient is getting on or off the stretcher. When lowering the siderail to the collapsed position, keep extremities of patients and staff away from the siderail spindles or injury could occur. Keep fingers/hands clear of area around Fowler release handle and Fowler frame when lowering. Injury could result if care is not taken when lowering the Fowler. If the stretcher is equipped with the optional foot end I.V. pole, the I.V. pole must be in the raised position when the foot extension/defibrillator tray is installed. If the I.V. pole is not raised, the foot extension will not function properly and injury could occur.

CAUTION • • • • • • • • •

To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height. To avoid injury or damage to the equipment, do not allow the siderail to lower on its own. To avoid damage, the weight of the I.V. bags should not exceed 40 pounds. To avoid damage while transporting the stretcher, verify the I.V. pole is at a low enough height to allow it to safely pass through door openings and under light fixtures. The weight capacity of the Knee Gatch is 200 pounds. Do not sit or stand on the Gatch. Injury or damage to the equipment could occur. To avoid damage, do not put items weighing more than 30 pounds on the serving tray. The unit cannot be raised (hydraulics on base) with a patient lift under the stretcher. The cutout for the oxygen bottle holder may not be used for storage of oxygen bottles or patient belongings. The hood may not be used for stepping.

Note • •

Clean Hood storage area regularly. The bottom of the brake rings should be cleaned regularly to prevent wax and/or floor remnant buildup.

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Stretcher Operation Operating base controls - side control C

FOOT END

B

A

B

A

D

HEAD END

Pump pedal (A) to raise the litter.

Depress in the center of pedal (B) to lower both ends of the stretcher together. Depress the side of pedal (B) closest to the foot end of the stretcher to lower the foot end. Depress the side of pedal (B) closest to the head end of the stretcher to lower the head end.

Pedal (C) - Brake and Steer functions (foot end).

Pedal (D) - Brake and Steer function (head end).

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Stretcher Operation Operating base controls - 3-sided controls E

C

A

C

A

F

B D

A

FOOT END

Pump pedal (A) at the foot end or sides of the stretcher to raise the litter.

B

HEAD END

D

Depress pedal (B) or the side of pedal (C) closest to the head end of the stretcher to lower the head end of the stretcher. Depress pedal (D) or the side of pedal (C) closest to the foot end of the stretcher to lower the foot end of the stretcher. Depress in the center of pedal (C) or depress pedals (B) and (D) together to lower both ends of the stretcher together.

C

Pedal (E) - Brake and Steer functions (foot end).

Pedal (F) - Brake and Steer functions (head end).

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Stretcher Operation Raising and lowering litter height - side control Caution To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height. To raise the litter height, pump pedal (A) repeatedly until the desired height is achieved (see illustration for “Operating Base Controls - Side Controls”) To lower both ends of the litter together, depress the center of pedal (B). To lower only the head end of the litter, depress the side of pedal (B) closest to the head end. To lower only the foot end of the litter, depress the side of pedal (B) closest to the foot end (see illustration for “Operating Base Controls - Side Controls”)

Raising and lowering litter height - 3-Sided Controls To raise the litter height, pump pedal (A) repeatedly until the desired height is achieved (see illustration for “Operating Base Controls - 3-Sided Controls”). To lower both ends of the litter simultaneously, depress pedal (B) and (D) together using the same foot or depress in the center of pedal (C). To lower only the head end of the litter, depress pedal (B) or the side of pedal (C) closest to the head end of the stretcher. To lower only the foot end of the stretcher, depress pedal (D) or the side of pedal (C) closest to the foot end of the stretcher.

Trendelenburg/Reverse Trendelenburg - side control Note Litter height must be raised first in order to achieve a trendelenburg or reverse trendelenburg position.

Caution To avoid damage, remove any equipment that may be in the way before lowering the stretcher. For Trendelenburg positioning (head down), depress the side of pedal (B) closest to the head end of the stretcher (see illustration for “Operating Base Controls - Side Controls”). For Reverse Trendelenburg positioning (foot down), depress the side of pedal (B) closest to the foot end.

Note The higher the litter is before pedal (B) is activated, the greater the trendelenburg or reverse trendelenburg angle will be. (Maximum trendelenburg angle is +16°. Maximum reverse trendelenburg angle is -16°.)

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Stretcher Operation Trendelenburg/Reverse Trendelenburg - 3-sided Controls Caution To avoid damage, remove any equipment that may be in the way before lowering the stretcher. For Trendelenburg positioning (head down), depress pedal (B) or the side of pedal (C) closest to the head end of the stretcher (see illustration for “Operating Base Controls - 3-sided Controls”). For Reverse Trendelenburg positioning (foot down), depress pedal (D) or the side of pedal (C) closest to the foot end of the stretcher.

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Stretcher Operation Applying the brake system Brake/Steer Pedal (Optional) A

B

FOOT END

Brake/Steer Pedal (Optional)

HEAD END

Note For user convenience, a brake/steer control pedal is located on both ends of the stretcher.

Warning Always apply the caster brakes when a patient is getting on or off the stretcher. Push on the stretcher to ensure the brakes are securely locked. Always engage the brakes unless the stretcher is being moved. Injury could result if the stretcher moves while a patient is getting on or off the stretcher.

To engage the brakes on the head end, push fully down on the left side of pedal (A). To engage the brakes on the foot end, push fully down on the right side of pedal (B)

Note Your stretcher may be equipped with optional side control brake and steer functions in addition to the standard head and foot end controls. The side control brakes operate the same as the head and foot end versions.

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Stretcher Operation Operating the fifth wheel The purpose of the Fifth Wheel is to help guide the stretcher along a straight line during transport and to help pivot the stretcher around corners. To engage the Fifth Wheel, push the side of any brake/steer pedal marked STEER to the full down position.

HEAD END

BRAKE/STEER PEDAL

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Stretcher Operation Operating the GLIDEAWAY ™ Siderails

B A

B

FOOT END

Note Raising and lowering the siderails safely is a two-handed operation. Use one hand to hold and position the siderail and the other hand to operate the siderail latch.

Warning When lowering the siderail to the collapsed position, keep extremities of patients and staff away from the siderail spindles or injury could occur.

To raise the siderails: Pull up on the siderail (A) and raise it to the full up position until the latch (B) engages. To lower the siderails: Pull up on the latch (B) and guide the siderail to the full down position.

Note The latches (B) are colored yellow for easy identification. The foot end of the siderail top rail can be used as a push/pull handle.

Caution To avoid injury or damage to the equipment, do not allow siderail to lower on its own.

Note There is a dual siderail latch option available with latches on both ends of the stretcher.

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Stretcher Operation Operating the pneumatic fowler Squeeze either or both of the yellow Fowler handles (A) for pneumatic assist in lifting the Fowler to the desired height. Remove hand(s) from the handle when the desired height is achieved. The optional drop seat/lift assist Fowler uses the weight of the patient for additional assistance with lifting the Fowler. It also helps keep the patient from sliding toward the foot end of the stretcher when the Fowler is raised. A

A

Warning Keep hands/fingers clear of the area around the Fowler release handles and the Fowler frame when lowering. Injury could result if care is not taken when lowering the Fowler.

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Stretcher Operation Operating the optional knee gatch FOOT END

B

A

To raise the Knee Gatch, pump handle (A) repeatedly to the left. To lower the Knee Gatch, pull out handle (B).

Caution The weight capacity of the Knee Gatch is 200 pounds. Do not sit or stand on the Gatch. Injury or damage to the equipment could occur.

To prop the foot end of the Knee Gatch up, lift up the end of the Knee Gatch, allowing the prop rod to swing down and engage in the bracket. To release the prop, lift up on the end of the Gatch, swing the prop rod toward the head end of the bed to disengage the bracket and lower the foot end. Return To Table of Contents 16

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Stretcher Operation Operating the optional 2-stage permanently attached I.V. Pole B

A

A

C

C

DETAIL OF I.V. POLE LATCH

Note The 2-stage permanently attached I.V. Pole is an option and may have been installed at either the head, foot or both ends of the stretcher. The choice was made at the time the stretcher was purchased.

To use the 2-stage permanently attached I.V. pole: 1. 2. 3. 4.

Lift and pivot the pole from the storage position and push down until it is locked into the receptacle. To raise the height of the pole, pull up on the telescoping portion (A) until it locks into place at its fully raised position. Rotate the I.V. hangers (B) to desired position and hang the I.V. bags. To lower the I.V. Pole, turn the latch (C) until section (A) lowers.

Caution To avoid damage, the weight of the I.V. bags should not exceed 40 pounds. To avoid damage while transporting the stretcher, verify the I.V. Pole is at a low enough height to allow it to safely pass through door openings and under light fixtures.

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Stretcher Operation Operating the optional 3-stage permanently attached I.V. Pole A C E C B D A

B

E

DETAIL OF I.V. POLE LATCH

D DETAIL OF I.V. POLE GRIP

Note

The 3-stage permanently attached I.V. pole is an option and may have been installed at either the head, foot or both ends of the stretcher. The choice was made at the time the stretcher was purchased.

To use the 3-stage permanently attached I.V. pole: 1. 2. 3. 4. 5.

Lift and pivot the pole from the storage position and push down until it is locked into the receptacle. To raise the height of the pole, pull up on the telescoping portion (A) until it locks into place at its fully raised position. For a higher I.V. pole, pull up on section (B). Release section (B) at any desired height and it will lock into place. Rotate the I.V. hangers (C) to the desired position and hang the I.V. bags. To lower the I.V. pole, push up on the red portion of grip (D) while holding onto section (B) until it lowers. Turn latch (E) until section (A) lowers.

Caution To avoid damage, the weight of the I.V. bags should not exceed 40 pounds. To avoid damage while transporting the stretcher, verify the I.V. pole is at a low enough height to allow it to safely pass through door openings and under light fixtures. Return To Table of Contents 18

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Stretcher Operation Using the optional foot extension/defibrillator tray To use as a defibrillator tray: B

Pull out the top knob (A) and pivot the tray (B) over the foot extension (C) until the tray extends flat over the foot end of the stretcher. To use as a foot extension: Pull out knob (A) and pivot the defibrillator tray back until it locks against the foot extension (C). While holding onto the asssembly, pull out the bottom knob (D) and lower the foot extension down until it is flat.

A

C

Caution If the stretcher is equipped with the optional foot and I.V. pole, the I.V. pole must be in the raised position when the foot extension/defibrillator tray is installed. If the I.V. pole is not raised, the foot extension will not function properly and injury could occur. If the stretcher is equipped with the optional foot end push handles, use caution while the foot extension/defibrillator tray is installed to avoid pincing your fingers. To avoid damage do not put items weighing more than 30 pounds on the defibrillator tray.

D

FOOT END

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Stretcher Operation Using the optional serving tray

FOOT END

Pull out on either end of the serving tray to extend it to the proper width to fit on top of the stretcher siderails. To store the serving tray in the optional serving tray holder/foot board, push in both ends of the serving tray and slide it into holder.

Caution To avoid damage, do not put items weighing more than 30 pounds on the serving tray.

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Stretcher Operation Optional scale system operation 4.

1.

3.

2.

Battery Charge Level Indicator 1. 2.

3. 4.

Display - Displays patient weight, unit of measurement and battery status. “Zero” - Push and hold for 2 seconds to zero the scale system before putting a patient on the stretcher. If the display flashes “hold”, press and hold the “Zero” button again until the display reads “rel” (release). Release the “Zero” button. The display flashes “000.0”, then displays “000.0”. The system is not zeroed until the “000.0” stops flashing. For the most accurate results, always zero the scale system before putting a new patient on the stretcher. The display will shut off after approximately 40 seconds. “Weigh” - Push to weigh the patient. The display will show the patient’s weight for approximately 40 seconds before turning off. “lb/kg” - Push to display patient’s weight in pounds or kilograms.

Note Do not touch the stretcher while the scale system is weighing or zeroing. The patient must remain still while the system is weighing. If the patient is moving, the system will try for 20 seconds to get a stable weight or zero value before displaying the error message . If there is a loose connection or a malfunctioning component, the display will show “Err”. Attempt the function again. If the system is functional, “Good” will display and the scale system is ready to use. If the malfunction is still present, the display shows “Err” again. Call Stryker technical support at 800-327-0770. For the most accurate results, weigh the patient with the litter at zero degrees of Trendelenburg.

Symbol Action Display

Weigh

Zero

lb/kg

Press and release “WEIGH”

____ XXX.X lbs

Press and hold “ZERO” Release “ZERO”

hold rel 000.0 (flashing) 000.0 (solid)

XXX.X kg XXX.X lbs

To convert the patient’s weight to kilograms, press and release “lb/kg” Repeat to return to pounds.

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