GYMNA
Classic, Advanced and Luxe Couches Instructions Manual V4.2
Instructions Manual
8 Pages
Preview
Page 1
GB
User Manual
For Gymna treatment and general practice couches models Classic, Advanced and Luxe. TABLE OF CONTENTS 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20.
Introduction ... 25 Use of the manual ... 25 Warranty ... 25 Liability... 25 Setting up ... 25 Safety precautions ... 26 Height adjustment ... 26 Adjustment of the Classic top sections ... 26 Adjustment of the Advanced and Luxe top sections ... 27 Quadroflex Advanced and Luxe ... 27 Adjustment of the arm supports... 28 Adjustment of the fold-down sections ... 28 Cleaning and disinfecting ... 28 User maintenance ... 28 Malfunctions ... 29 Decommissioning ... 29 Technical data ... 29 Conformity ... 29 Device Marking Symbols ... 29 Optional accessories ... 30
21. 21.1 21.2 21.3
Tilting safety precautions ... 31 Adjustments ... 31 Battery supply ... 31 Optional accessories ... 31
22. 22.1 22.2 22.3 22.4 22.5 22.6
Cushion heating ... 32 Operation... 32 Safety ... 32 Timer ... 32 Buttons ∆∇... 32 User maintenance ... 32 Technical data ... 32
1. Introduction Thank you for choosing a Gymna treatment and general practice couch. This product incorporates reliability, ease of use, safety and durability. The Gymna couches are exclusively designed in order to hold patients in different positions and may only be operated by qualified (para)medical personnel.
3. Warranty The warranty period for your Advanced and Luxe couch is three years, except for the imitation leather upholstery, which is guaranteed for one year. The warranty period for your Classic couch is two years, except for the imitation leather upholstery, which is guaranteed for one year. The above-mentioned warranty is not applicable in the following cases: a.
In the event of improper use of the couch;
b. In the event of non-observance of the precautions in this manual; c. If repair and maintenance are carried out by non-qualified service personnel who are not authorized by the manufacturer.
4. Liability The manufacturer cannot be held responsible for any consequences incurred by the user, the patient or by the couch itself as a result of e.g. a.
A wrong diagnosis;
b.
Incorrect use of the couch or any of its accessories;
c. The wrong interpretation or non-observance of this user manual; d.
A lack of maintenance of the couch;
e. Or maintenance works of the couch and/or repairs performed by persons not authorized by the manufacturer. After a period of 10 (ten) years since the manufacturing date of the couch (or any of its accessories), the manufacturer can no longer be held responsible for malfunctions of the couch or its accessories and he will no longer be obliged to supply any spare parts or accessories.
5. Setting up Lifting up
•
While lifting the couch, it should be handled by the metal frame exclusively.
Moving the couch
•
Push the pedal A down completely with your foot.
•
The couch is now resting on its castors.
In order to use this treatment and general practice couch correctly and safely, it is important that you read these instructions carefully before using the couch.
2. Use of the manual General Please make sure that this user manual is always accessible to the personnel involved with the use of this equipment. The manual describes the correct use of different models and types. Some texts and/or illustrations are therefore not relevant to your Gymna couch.
Explanation of the symbols in this manual
The easiest way to operate the pedal is if you are standing alongside the couch. Never leave the couch on its castors; the pedal A must always remain in the vertical position. The couch may only be moved around when it is not carrying a patient.
= Safety instructions = Tips for use
•
= Instructions
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115.310 V4.2
6. Safety precautions
7. Height adjustment
Generalities
Circuit switch (not for Classic)
The maximum lifting capacity of the couch (200 kg) may not be exceeded.
•
The entire top section moves up or down, when the circuit
switch A is activated.
Disconnect the plug from the power socket if there is any liquid on or in the motor housing. Have the couch checked by a qualified person or by a qualified agency. Use original Gymna accessories, consumables and spare parts only.
Electrical adjustments The following rules apply to electrical adjustable couches: Observe the mains voltage. Before connecting to the mains, check whether the required mains voltage and frequency, indicated on the model identification plate of the couch (refer to chapter 15. Malfunctions), match those of your local power grid. If this is not the case: do not connect but contact your local Gymna dealer immediately.
Footswitch
•
Advanced and Luxe models; push the footswitch B to set the
height.
•
Classic models; push the supplied footswitch
C to set the
height.
Arrange the mains power cable in such a way that it can not be jammed between the moving parts of the couch and so that the risk of tripping over it is as low as possible. An electrical adjustable couch may not be used in so-called wet rooms with high humidity (hydrotherapy). The electrical adjustable treatment couches may not be used in an area where combustible gases or vapours are present or in combination with oxygen administering equipment. Switch off electrically adjustable treatment couches when not in use.
Hydraulic height adjustment
•
The entire top section moves up when foot pedal E is pushed
downwards repeatedly. Getting trapped
•
The top section moves down if foot pedal E is pushed upwards.
Do not allow unqualified people, particularly children, near the treatment couch unless supervised. Always make sure that, during the treatment and when working with the couch, nobody, beside yourself (the therapist) and the patient, comes near the couch in order to prevent the danger of getting trapped. When operating the footswitch, be careful not to get caught between the footswitch itself and the frame as it is being lowered. You should therefore not place the footswitch under the frame. Always make sure that the patient keeps his/her hands on the top sections of the couch or on the arm supports.
8.
Make sure that the patient does not operate the handles by accidental moves of hands, legs or feet.
Generalities
In the lowest position of the couch, the arm supports and/or the head section comes very close to the floor if both are adjusted to the maximum setting.
Always use both hands when adjusting the different sections: one hand to operate the handle and the other to support the section.
Adjustment of the Classic top sections
Duo and Duoplus Classic
•
Push handle A upwards to set the head section.
Always make sure that neither yourself (the therapist) nor anyone else can get trapped in between the arm and/or the head support and the floor.
Danger for toppling over Patients having a weight above 80 kg may not be seated on the head support, as this would cause the couch to topple over. Have the patient seated at the foot end.
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Trio Classic
•
Backrest and separate leg section
Push handle B upwards to set the leg section.
•
Push handle D upwards to set the backrest.
•
Raise the levers E to adjust the separate leg sections.
Make sure that the patient does not operate the handles by accidental moves of hands, legs or feet. Middle section electric (not for Classic)
•
Traction Classic
•
Use lever C to release the sliding top section.
Handle vertical:
the top section cannot move.
Handle horizontal:
the top section is released.
Operate buttons
E to set the (optional) electric adjustable
middle section.
Make sure that the sliding top section is fixed when the patient steps up or down to or from the couch.
10. QUADROFLEX - Advanced and Luxe Head section
•
Push handle A upwards to set the head section.
Back section
9.
•
Adjustment of the Advanced and Luxe top sections
Operate buttons F to set the electric adjustable back section.
Sitting and leg section
Generalities Always use both hands when adjusting the different sections: one hand to operate the handle and the other to support the section.
•
Operate buttons G to set the electric adjustable sitting and leg
section.
Head section
•
Push handle A upwards to set the head section.
Middle section
•
Push handle B upwards to set the middle section.
Always make sure that the patient keeps his/her hands on the top sections of the couch or on the arm supports. Leg/backrest section
•
Push handle C upwards to set the leg section.
Be careful not to get caught between the frame and the downwards moving sections when operating the back and sitting section.
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11.
Adjustment of the arm supports
Duoflex, Trioflex, Osteoflex and Quadroflex
•
Blood stains have to be removed immediately with cold water.
•
Remove massage oil immediately with PH-neutral soap.
•
Do not use leather maintenance products containing oil or grease.
Lower the arm supports by loosening the wing
nuts A.
•
•
Baby shampoo is particularly suitable as a cleanser.
Remove the arm supports from the couch by
loosening the wing nuts B situated underneath the
Disinfecting the upholstery
head section.
The head section can be adjusted downwards if the arm supports are removed.
12.
almost
completely
Adjustment of the fold-down sections
Attention: Clean before disinfecting. Oil and fat residue must be removed from the surface by using PHneutral soap, before disinfecting. Only after thorough cleaning disinfection can be commenced. The support surfaces can be disinfected with a wide range of disinfectants: McDonald’s SK, McDonald’s HA, MC Playlandreiniger taski force Spray Z22, Sprint Performer, McDonald’s UR conc, Sprint Multiuso, Suma Quicksan D4.3, Sprint Spitfire Spray, 303 Fabric Cleaner, Micro Clean, Helipur, Meliseptol, Meliseptol Rapid, Melisep SF, Quatohex, Cosimed Desinfectionsmittel, Esemfix, Mikrozid AF, Incidur Spray, Incidur N, Incidin perfect Konzentrat, Incidin Plus, Incidin Extra N, Incidin Extra, Incidin liquid Pray, Sagrotan Hygienespray, Mikrobac forte, Desomed Rapid Universal.
The couches are not fit for sterilisation by using heat.
Generalities The fold-down sections are designed to narrow the middle sections of the Osteoflex couches if desired. They are not designed to carry the full weight of a patient. Lower the fold-down sections before the patient is seated on the couch and before he steps down from it.
Lowering
•
Support the section with both hands.
14.
User maintenance
Generalities In order to preserve the operating comfort and the correct functioning of your couch, we strongly recommend an annual inspection and service to be carried out by qualified personnel. Consult your local Gymna dealer for this. You can perform a certain number of simple maintenance activities yourself in order to extend the life cycle:
•
Push the section in the direction of the head support and downward.
Always disconnect the plug from the power socket first before starting any maintenance activities.
Mains power cable Regularly check the power cable for damage. A damaged power cable must be replaced immediately. Consult your local Gymna dealer. Raising
•
Support the section with both hands.
•
Push the section upwards and then backwards.
•
Make sure the section is secured in place by pushing on top of it.
13.
Cleaning and disinfecting
Always disconnect the plug from the power socket first before cleaning.
Hinges All hinged parts must be lubricated at least every 6 months, or earlier if function becomes troublesome. As lubricant, penetrating oil available on the market is to be used (apply sparingly).
Castors mechanism The castor mechanism must be lubricated at least every 6 months, or earlier if function becomes troublesome.
• Cleaning the frame
•
The metal parts of the frame can be cleaned using a soft dry cloth.
•
In the case of persistent stains, a damp cloth can be used.
•
Always use a PH-neutral soap solution.
First remove any remaining dirt and grease.
•
The new grease must be applied between the tangent planes of the axes and the varnished frame at the front and rear (refer to the figure below). To do this, use machinery grease available on the market (apply sparingly).
Cleaning the upholstery
•
Clean using lukewarm water and a microfibre cloth.
•
Remove more stubborn marks with a pH-neutral soap.
•
NEVER use detergents, solvents (alcohol), strong soap, bleaching or scouring agents: these can affect the synthetic leather and reduce the lifespan!
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Front (not for Classic)
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Rear
GB
15.
17.
Malfunctions
Technical data
The top sections cannot be adjusted
General
The supporting gas springs might “stick” if the couch has not been used for a long time
Max. lifting capacity
:
200 kg
Insulation class
:
II
•
Humidity proof
:
IP21 (dripping water)
Device classification
:
I
Electric motor strength
:
6.000 N
Hydraulic pump strength
:
10.000 N
Duty cycle
:
max. 10% (max. 2 min./18min.)
Maximum temperature
:
In such cases you have to push the appropriate lever with one hand, than wait a few seconds and pull the top section upwards with the other hand.
The electric adjustments do not function properly
•
Check the power cable for any damage.
•
Check all the plugs and connections.
Operating = 10 to 35°C Transport/storage = -20 to 60°C
Maximum humidity
:
•
Check the hand or foot switch together with the wiring for damage.
Operating = 30 to 75%rH Transport/storage = 15 to 85%rH
Atmospheric pressure
:
Operating = 700 to 1060hPa Transport/storage = 500 to 1060 hPa
Persisting problems Advanced and Luxe models
If problems persist, please contact the dealer. When doing this, do not forget to mention the serial and version number as they appear on the identification plate (refer to the illustration).
Dimensions
:
Height adjustment
:
200 x 67 cm ± 45 – 95 cm ± 62 – 110 cm (Tilting only)
Mains power supply
:
Current consumption
:
100-240 V∼, 50-60 Hz 1.5 A (Advanced) 3.0 A (Luxe)
16.
Decommissioning
0.8 A (Tilting only)
Generalities
Classic models
Do not dispose this electrical equipment with the general household waste. To forward them to recycling or proper disposal, use the public collection systems available to you. Or return them to your supplier.
Dimensions
:
197 x 67 cm
Height adjustment
:
± 47 – 100 cm
Mains power rating
:
230 V∼, 50 Hz, 1.0 A 120 V∼, 60 Hz, 1.7 A
Material information
18.
In the event you prefer to destroy the couch yourself or take the responsibility for this, please observe the procedures given below concerning the components used.
Conformity
The treatment couch complies with standards IEC/EN 60601-1, IEC/EN 60601-1-2 and CAN/SCA C22.2 No. 601.1.
•
The treatment couch meets the essential requirements of Council Directive 93/42/EEC Concerning Medical Devices (MDD).
•
The treatment couch and GymnaUniphy N.V. meet the requirements of the Waste Electrical and Electronic Equipment Directive 2002/96/EC of the European Parliament and of the Council (WEEE).
The frames are manufactured in painted or chromium-plated steel. The cushions are manufactured in chipboard, PE-foam and a PUR- or PVC upholstery. The foam and the upholstery are to be considered as “small chemical waste”.
The treatment couch meets the safety and effectiveness requirements of the Canadian Medical Devices Regulations SOR/98-282.
•
Actuator(s), gas springs and the hydraulic pumps are to be considered as if they were “kitchen and electrical household appliances“.
•
19.
Packaging and the user manual can be recycled.
•
Defective storage batteries (Tilting) must be recycled. Do not dispose of used batteries with household waste or throw into fire or water. Do not open batteries and dispose of it through the available collection points.
Device Marking Symbols The product meets the essential requirements of all applicable directives in force in the European Community. The product is certified by the Canadian Standards Association (Advanced and Luxe models, excluding Tilting). Maximum lifting capacity
IMPORTANT
Electrical insulation Class II equipment
In any event: please consult the local rules and regulations. Manufacturing date (followed by Year-Month) Manufacturer Alternating Current Electrical protection type BF applied part Do not dispose off product with regular household waste
Attention, consult accompanying documents
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20.
Optional accessories
Paper holder
Traction supports (not for Classic) They have to be installed in the openings between the hinges of the different sections of the couch.
The special dispenser must be attached at the rear end of the undercarriage. There is also a special model that can be attached to the back section of the Duo and Duoplan Advanced and Luxe. Follow the instructions supplied.
Set gynaecological leg supports
Extra foot switch (not for Classic)
They have to be mounted at the rear end of the couch (not possible on Tilting and Bobath models). Follow the instructions supplied.
Always disconnect the plug from the power socket first. A couch that is supplied with a foot switch can be equipped with a second one. The extra foot switch must be pushed in the connection as indicated. If the couch is equipped with an electrical driven midsection, a special T-piece (to be ordered separately) must be used also.
Extension frame + Auto Trac 450 Frame to mount an Auto Trac 450 unit to the couch. Must be mounted at the rear end of the couch (not possible on Tilting and Bobath models). Follow the instructions supplied.
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21.
21.2
Tilting safety precautions
Tilting with battery supply
Generalities
Capacity
The Tilting may be moved around while the patient is positioned on the couch, provided that the patient is strapped-in carefully.
Depending on the model, the Tilting treatment couch can be equipped with a battery supply. This will allow you to make the necessary adjustments without the mains power supply. If the battery is fully charged, you will be able to perform approximately five complete adjustments.
The Tilting may not be placed in a vertical position if the foot supports are in the downward position. Erect them in order to avoid contact with the metal frame.
Charging Use original Gymna accessories, consumables and spare parts only.
A beeping signal will inform you that it is time to charge the battery. Lowering the couch at that moment will remain possible. Do not allow the battery to become fully discharged.
Measures to be taken before tilting
•
Lock the four castors.
•
Erect the foot supports.
•
Strap the patient with the aid of the special strapping belts.
•
Place the height adjustment in its lowest position.
The battery will be charged automatically from the moment the plug has been connected to the mains socket. The complete charging procedure takes about 8 hours.
Life cycle A substantial drop in operating period per charge indicates that the battery must be replaced.
Commence tilting.
Measures to be taken during tilting
When exchanging batteries, it is important to use the original Gymna batteries only. Contact your local dealer.
•
Constantly check the security of the strapping.
Disposal: see chapter 15 ‘Ending life cycle’.
•
Never adjust the foot supports during tilting.
•
The foot supports can almost reach the floor. Take care that your own feet do not get trapped between the feet supports and floor.
21.3
Tilting optional accessories
Working table and arm supports They have to be installed into the metal T-pieces at the lateral side of the Tilting.
21.1
Tilting adjustments
•
First place the T-pieces at the same level before proceeding to the installation of the working table.
Height
•
Push the button on the hand switch to set the desired height.
Strapping belts for knees and chest These strapping belts have to be guided through the clamps at the lateral sides of the Tilting.
Tilting
•
First guide the belt along the back of the clamp and than along the front.
•
Push the button on the hand switch to set the desired tilting position. The tilting position can be read off the protractor under the head section.
•
First close the belt with the double Velcro and than place the other belt over it.
Foot support
• Pull the pin on the lateral side in order to unlock the foot supports. •
Set the foot supports in the desired position.
•
Release the pin in order to relock the support.
Set of small strapping belts for the legs The special fixation belt for the Tilting equipped with separated leg fixation, must be guided per leg under one clamp at the lateral side and under the clamp in the middle of the upper deck.
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22.
Cushion heating
Your Gymna couch is equipped with the Gymna cushion warming system. This system will help your patients to feel relaxed, comfortable and be more receptive to treatment. It is especially useful during passive treatments and also allows a more comfortable working environment for yourself. The comfortable warmth is generated by two flexible warming pads inside the cushions which are located near the centre of the couch, in the lower back – buttock region of the patient. The warming system is operated by a remote hand control.
22.1
22.4
∆ ∇ - Buttons
The hand control can be used to operate the couch’s motors also. There are buttons (∆ ∇) for height adjustment (standard) and middle- or head section (optional).
22.5
User maintenance
Hand control If needed a damp cloth can be used for cleaning. Always use a PH-neutral soap solution. Never use detergents, solvents (alcohol), strong soap, bleaching or scouring agents.
Cushions The Gymna warming system is build inside the impermeable cushions and does not require any specific maintenance. For cleaning and disinfecting the cushions see chapter 12 of the couch’s instructions manual.
Operation
Switching on/off LOW temperature
Blinking light on the hand control
•
Push the button ones. The green indicator lamp below the button lights up, signalling the system is activated.
The warming system detected a failure and is in safe-mode.
•
•
Check all plugs and connections.
•
Check the hand control’s wiring for damages.
Push the button again and the indicator lamp goes off, signalling the system is off.
Disconnect the plug from the wall power socket first.
If problems persist, please call your Gymna distributer. Switching on/off HIGH temperature
•
Push the button ones. The green indicator lamp below the button lights up, signalling the system is activated.
22.6
•
LOW temp. range
:
± 35 °C
HIGH temp. range
:
± 38 °C
Push the button again and the indicator lamp goes off, signalling the system is off.
It is possible to switch from LOW to HIGH and visa versa at any time.
22.2
Technical data
General
Warming pads
:
2 pieces, each 30 x 40 cm
Timer
:
maximum 30 minutes
Uout
:
24-36 VDC
Pmax
:
75W
Safety
When using the cushion warming always start in the LOW setting. Use the HIGH setting only after consulting the patient. Do not use the warming system if the cushions are seriously damaged (torn or perforated). Have them replaced immediately.
22.3
Timer
The Gymna cushion warming system is equipped with a timer. The timer switches off the system automatically after 30 minutes. The timer is reset each time one of the two (LOW or HIGH) buttons is used.
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