Operating Instructions
66 Pages
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OPERATING INSTRUCTIONS OPERATING TABLE SYSTEM ALPHAMAQUET 1150.01
GA 1150.01 EN 21
1150.01 5 4 3 2 1150.10X0
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29 1146.61A0
1146.60A0
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1146.62A0
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30 41 31 32 1150.01A1
1150.01D0
1150.01C2 61
50 90 51
60 80 82 81
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Overview - Operating Table System 1150 Universal operating table top 1150.10 1 2 3 4 5 6 7 8 9 10 11 12 13 14
Double-joint head rest 1130.53D0 Upper back plate Lower back plate Seat plate Leg plates 1150.50 Eccentric lever (abduct leg plates) Button (remove leg plates) Eccentric safety lever (inclination of upper back plate) Release lever (longitudinal extension of the upper back plate) Screw with handle (lock head rest in position) Swivel lever (tilt head rest) Eccentric lever (raise head rest) Mounting mechanism (interface to column) Safety lock device
20 21 22 23 24 25 26 27 28 29
Transporter 1146.60A0 Double swivel castors Locking pedal for double swivel castor Mount (interface to operating table top) Transfer lever (for column transfer) Supporting frame Slide handle Supports Pedal for stabilisation castor up/down Pedal for table top up/down
30 31 32 33 34 35
Stationary column 1150.01A1 Built-in base plate Locking lever (rotate column) Mount (interface to operating table top) IR receiver Socket for cable-connected hand control
40 41 42 43 44 45 47 48 49
Mobile column 1150.01C2 Battery charge level and recharging indicator Socket connection (for mobile transformer unit) Mount (interface to operating table top) IR receiver Socket connection for cable-connected hand control Socket for potential equalisation Foot pump lever Independently manoeuvrable column 1150.01D0
50 51
IR hand control Mobile charging station for IR hand control 3110.26X9
60 61
Cable-connected hand control Bracket for cable-connected hand control
80 81 82 90
Mobile transformer unit 1150.81A0 Connecting cable to mobile column Mains power cable Foot switch
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Contents Overview - Operating Table System 1150 ... 3 I. Important safety instructions ... 6 II. Important information ... 8 1. Important information on these Operating Instructions ... 8 2. Purpose: ... 8 3. Patient weight ... 9 3.1 General ... 9 3.2 Column ... 9 3.3 Table top ... 9 3.4 Transporters ... 9 4. Basic safety aspects ... 10 III. General description ... 11 1. Columns ... 11 1.1 Stationary columns ... 11 1.2 Mobile and independently manoeuvrable columns ... 11 1.2.1 Mobile columns ... 11 1.2.2 Independently manoeuvrable column ... 11 2. Activation of functions ... 12 2.1 Activation using IR hand control ... 12 2.1.1 IR system code ... 12 2.1.2 Control of the adjustment functions ... 13 2.1.3 Charging station ... 15 2.2 Activation by override control panel ... 16 2.3 Activation using cable-connected hand control ... 17 2.4 Activation using the foot switch ... 18 3. Operating table tops ... 19 3.1 Universal table top 1150.10 ... 19 3.1.1 Head rest ... 20 3.1.2 Upper back plate ... 20 3.2 Leg plates ... 21 3.3 Seat plate extension 1150.55XX (Fig. 19) ... 22 3.4 Table top pads (Fig. 20) ... 22 3.5 Accessories ... 23 3.6 Universal Operating Table Top 1140.10 ... 24 3.6.1 Head rests ... 24 3.6.2 Back plate adjustment ... 24 3.6.3 Longitudinal adjustment ... 25 3.6.4 Leg plates ... 25 3.6.5 Seat plate extension 1130.55XX ... 27 3.6.6 Table top pads ... 27 3.6.7 Accessories ... 27 4. Transporters (Fig. 30) ... 28 4.1 Trendelenburg adjustment ... 28 5. Acoustic and visual signals ... 29 5.1 Visual status indication on mobile/independently manoeuvrable columns ... 29 5.2 Acoustic signals ... 30 5.2.1 Columns ... 30 5.2.2 IR hand control ... 30 IV. Using the operating table system ... 31 1. Stationary columns ... 31 2. Mobile/independently manoeuvrable columns (Fig. 35) ... 31 2.1 Battery operation ... 31 2.2 Explosion protection regulations and operation on mains power ... 32 2.3 Potential equalisation ... 32 3. Transferring operating table tops ... 32 3.1 Automatic 0-position function ... 32
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Transferring the operating table top to the column ... 33 3.2.1 Sequence of operations ... 33 3.2.2 Checklist ... 33 3.3 Locking (general) ... 34 3.4 Locking 1140.10 ... 34 3.5 Transferring the operating table top to the transporter ... 35 3.5.1 Sequence of operations ... 35 3.5.2 Checklist ... 36 3.6 Collision prevention functions ... 36 3.7 Transporters ... 37 4. Transferring the mobile columns ... 38 4.1 Safety instructions for column transfer ... 38 4.2 Operating sequence for column transfer ... 38 V. Patient positionings ... 39 1. General safety instructions ... 39 2. General instructions for patient positioning ... 40 3. Positioning a patient weighing up to 135 kg (300 lb) ... 41 3.1 Universal table top 1150.10XX ... 41 3.2 Universal table top 1150.30XX ... 42 4. Positioning a patient weighing between 135 kg and max. 180 kg (300 lb - 400 lb) ... 43 4.1 Universal table top 1150.10XX ... 43 4.2 Universal table top 1150.30XX ... 44 5. Positioning a patient weighing between 180 kg and max. 225 kg (400 lb - 500 lb) ... 45 5.1 Universal table top 1150.10XX ... 45 5.2 Universal table top 1150.30XX ... 46 VI. Maintenance and servicing ... 47 1. Maintenance ... 47 1.1 Cleaning and disinfecting the equipment manually ... 47 1.1.1 Preserving the value of stainless steel products ... 48 1.1.2 Disinfectants suitable for operating table pads ... 49 1.2 Cleaning/decontamination in CLEANMAQUET ... 50 1.3 Cleaning the column trim panel ... 50 1.4 Other servicing work ... 50 2. Maintenance ... 51 3. Malfunctions ... 51 4. Protection of the environment ... 51 5. Disposal ... 51 VII. Specifications ... 52 VIII. Table tops which are suitable for use with the columns 1150.01A1/B1/C2 ... 54 IX. List of accessories for table top 1150.10 ... 55 1. General ... 55 2. Accessories for universal table top 1150.10XX ... 56 2.1. Accessories for head-end mounting point: ... 56 2.1.1 For patients weighing up to 135 kg (300 lb) ... 56 2.2. Accessories for the leg-end mounting point ... 57 2.2.1 For patients weighing up to 135 kg (300 lb) ... 57 3. Accessories for universal table top 1150.30XX ... 59 3.1. Accessories for back plate mounting point ... 59 3.1.1 For patients weighing up to 180 kg (400 lb) ... 59 3.1.2 For patients weighing up from 180 kg to maximal 225 kg (500 lb) ... 60 3.2. Accessories for head-end mounting point: ... 60 3.2.1 For patients weighing up to 135 kg (300 lb) ... 60 3.2.2 For patients weighing up to 180 kg (400 lb) ... 61 3.3. Accessories for the leg-end mounting point ... 62 3.3.1 For patients weighing up to 135 kg (300 lb) ... 62 3.3.2 For patients weighing up to 180 kg (400 lb) ... 63 3.3.3 For patients weighing up to 225 kg (500 lb) ... 63 4. Accessories for side rails ... 64 5. Special accessories ... 65 6. Accessories for transporters ... 65 GA115001EN21
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Chapter I I.
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Important safety instructions Make sure that the patient is lying in the specified position. Never position the patient’s torso on the leg plates. Make sure that the mobile column is horizontal and secure. Move the transporter away from the column before using the operating table system. Fix the transporter before transferring the patient. Make sure the patient is secured before adjusting the operating table system. Align all transporters with a tilt function and table tops with accessories attached so that they are horizontal prior to every transfer. Raise the supporting frame (25) of the height adjustable transporter up to the final position prior to each table top transfer. If there is a slight non visible level difference between the two supports (27), carry on pressing the pedal until the final position is reached. If the pedal force increases sharply, this indicates that the integrated hydraulic compensating feature has responded and the support which was in the lower position will reach the final position as well. Push the transporter onto the column until it is fully engaged prior to each table top transfer procedure. The mounting mechanism of the table top (13) and the transporter’s adaptation (23) must be located one on top of the other. Visual check! Lift up sterile sheets or other objects which might hide the column/transporter. For 1140 table tops with manual longitudinal adjustment, the patient’s centre of gravity must be located above the column. When using high-frequency equipment, defibrillators and defibrillator monitors, avoid contact between the patient and metal parts of the operating table system, the table tops and accessories, and do not position patients on wet or damp surfaces or electrically conductive paddings. This could result in the patient sustaining burns. It is absolutely essential to comply with the manufacturer’s Operating Instructions. Make sure that any table top accessories are fixed properly. When adjusting the operating table, be sure to avoid collisions between accessories and the operating table system. Do not use worn or damaged accessories. This could result in injury to the patient. Do not use non-original accessories which affect the longitudinal geometry of the table top without first consulting with MAQUET. There is no explosion protection during the battery charging cycle or when operating the table top system powered from the mains. Avoid endangering the patient’s respiratory system, nerve pathways and circulatory system by ensuring the patient is properly positioned and observing the patient’s condition. Check the electrical conductivity of the operating table system once a year. This check should only be performed by trained servicing personnel. Before opening the equipment, disconnect the mains plug. Please observe the correct procedure for connecting and disconnecting the mains plug. After every transfer procedure, check that the safety lock device has engaged and that the table top is horizontal. Make sure that the leg plates are not positioned one above the other before setting them to the 0-position. Risk of collision! Risk of injury! Do not use leg plates 1150.51XX or 1150.53EC/GC/HC when the table top extension 1150.55XX is fitted.
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Chapter I
Do not actuate the foot pump lever during the surgical procedure.
Crushing and shearing point! When lowering and setting down the independently manoeuvrable column, there is a hazard of pinching, crushing and shearing to the feet of the surgical team. When lowering and setting down the independently manoeuvrable column 1150.01D0, keep the necessary distance from the column.
Hazard of injury! If the patient is not secured when positioning or adjusting the operating table or when positioning the patient (especially in Trendelenburg/ reverse Trendelenburg position), he/she may slip off the table top. Always secure and watch the patient.
Caution! Property damage! The load is too high for the motor-powered drive. If the seat plate extension 1150.55XX is attached, the “legs up” and “legs down” adjustments can only be made up to a patient weight of 180 kg (400 lb). Warning! Hazard of injury! MAQUET products may be used only when properly lubricated and fully functional. Lubricate MAQUET products at regular intervals. Check to ensure that this MAQUET product is fully functional and in good working order prior to use.
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Chapter II
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II. Important information First of all, we would like to thank you for choosing our Type 1150 Operating Table System. 1. Important information on these Operating Instructions • Please read these Operating Instructions very carefully. They have been written so that you can familiarise yourself with the system’s characteristics. • Always comply with these instructions. • Keep these Operating Instructions near the equipment at all times. • As there are MAQUET products available in different designs (versions), a placeholder (X) is used at the corresponding places in the operating instructions (e.g. 1150.01XX standing for 1150.01A1, 1150.01B1, 1150.01C2). • In these Operating Instructions, we have used the following symbols: This symbol indicates safety instructions in accordance with the prevailing international standard for medical equipment. Î Note : This symbol is displayed with all notes which help to avoid equipment malfunctions. 2. Purpose: The operating tables which MAQUET sells are intended solely for the purposes of human medicine. Before the equipment is used, all users must be instructed in its proper use. The chosen place of use of the equipment must conform to the applicable standards and guidelines. Before using the equipment, make absolutely sure that it is properly installed and maintained.
Î Note In accordance with generally recognized hygiene regulations, the table top must be covered before positioning the patient. The purpose of the operating table system is to position patients for surgery: • directly before, during and after the operative phase • in rooms which are used for medical purposes and fulfil the following prerequisites: - devices providing electric shock protection - additional potential equalisation - electrically conductive floor covering (as per group 1 or 2 according to VDE 0100 Part 710) • under medical supervision. The table tops are interchangeable for various uses. 1140 system table tops can also be used with 1150 system columns. The various table tops can be transferred and moved while the patient is lying on the table top with transporter types 1140.60C0/61C0/62C0 , 1145.60A0/61A0/62A0 or 1146.60X0/61X0/62X0. The table tops can only be transferred onto the independently manoeuvrable column 1150.01D0 by means of the 1146.6XX0 transporters.Table tops are radiotranslucent and enable intraoperative use of X-ray equipment. The operating table system is suitable for all surgical disciplines due to the different designs of the individual table tops. Movements are executed electromechanically via the cable-connected hand control, IR remote control or foot switch. Side rails are provided for fitting accessories in accordance with the manufacturer’s specifications. The operating table system can be supplied with a built-in base plate, a surface-mounted base plate and mobile base (mobile operating table system). Systems with a mobile base can be moved completely with the transporter. The independent manoeuvrability feature of the 1150.01D0 column is used to position the operating table within the operating room. The independently manoeuvrable column is not to be used as a transporter for patient movement
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Chapter II
3. Patient weight 3.1 General The operating table column 1150.01XX and the transporters 1140.6XXX, 1145.6XXX, 1146.6XXX and 1150.6XXX are designed for safe handling of patients weighing up to 135 kg (300 lb), without restrictions. When used in conjunction with the table top 1150.10XX, the permissible patient weight is higher than 135 kg (300 lb). Î Notes: • Be sure to observe that the patient’s weight is distributed evenly on the table top. • The patient’s centre of gravity (near the navel) is as close as possible to the centre on the column or the transporter. This applies especially to overweight patients. (Especially with table top 1150.10XX in conjunction with seat plate extension 1150.55XX and attached leg plates 1150.53XX). 3.2 Column The following operating table columns are designed for a max. patient weight of 180 kg (400 lb): • stationary operating table column with built-in base plate 1150.01AX Î from serial no. 1514 • stationary operating table column with surface-mounted base plate 1150.01BX Î from serial no. 249 • mobile operating table column 1150.01CX Î from serial no. 853 The following operating table columns are designed for a max. patient weight of 225 kg (500 lb): • stationary operating table column with built-in base plate 1150.01A1 Î from serial no. 2716 • stationary operating table column with surface-mounted base plate 1150.01B1 Î from serial no. 420 • mobile operating table column 1150.01C2 Î from serial no. 1911 3.3 Table top The following operating table tops are designed for a max. patient weight of 180 kg (400 lb): • Table top for urology 1150.23B0/D0/F0 • Extension table top 1140.20AN/F0 The following operating table tops are designed for a max. patient weight of 225 kg (500 lb): • Universal table top 1150.10A0 (PUR padded) Î from serial no. 2550 • Universal table top 1150.10AE (PUR padded) Î from serial no. 0023 • Universal table top 1150.10D0 (washable) Î from serial no. 0376 • Universal table top 1150.10DE (washable) Î from serial no. 0007 • Universal table top 1150.10F0 (USA) Î from serial no. 0011 • Universal table top 1150.10FE (USA) Î from serial no. 0001
3.4 Transporters The adjustment can be made by a single person for max. patient weights of 135 kg (300 lb). If the patient weight exceeds 135 kg (300 lb) or when using a seat plate extension, then support by a second person is required. Î Notes: • Check after each transfer procedure whether the safety lock devices used to secure the operating table top on the column or the transporter have properly engaged. • Please refer also to Chapter IV, 3. Transferring operating table tops. The following transporters are designed for a max. patient weight of 180 kg (400 lb): • Transporter (fixed, can be moved laterally, washable) 1140.60C0 Î from serial no. 1110 • Transporter 1145.6XXX The following transporters are designed for a max. patient weight of 225 kg (500 lb): • Transporter 1146.6XXX • Transporter 1150.6XXX
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Chapter II 4.
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Basic safety aspects „CLASSIFIED BY UNDERWRITERS LABORATORIES INC: WITH RESPECT TO ELECTRIC SHOCK; FIRE AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH UL 2601-1 / CAN / CSA / C22.2 No. 601.1“
This operating table system meets the provisions of international standard IEC 60601-1. The operating table system 1150 is classified as Class I equipment according to the Medical Device Directive. According to the provisions of the Medical Device Directive, the operating table system may only be operated by persons who have received instruction regarding proper use of the equipment. The provision of instruction must be confirmed through a hand-over report. When performing maintenance work, please remember that the MAQUET customer services department is the only place to go for excellent quality workmanship and a continued guarantee. We are sure you will appreciate that MAQUET can only accept responsibility for the safety of your equipment if assembly, extensions, re-adjustments, modifications and repairs to your equipment have been carried out exclusively by our Customer Service or by technical experts authorised by us and if the equipment has been operated strictly in accordance with our Operating Instructions.
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Chapter III
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III. General description The ALPHAMAQUET 1150 operating table system consists of the following basic components: z operating table column z interchangeable operating table tops, and z transporters Each of these basic components is available in a range of versions, to suit customer specifications.
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1. Columns Columns are available in mobile and stationary versions. In all versions, the following motions are motor-powered: z Column up / down z Trendelenburg/reverse Trendelenburg adjustment of table top z Lateral tilt of table top left/right On the column head, there is an electrical interface for controlling the drives integrated in the operating table top (e.g. operating table top 1150.10).
Fig.1: Stationary column
1.1 Stationary columns The stationary columns for the built-in base plate (version 1150.01A1) and the surface-mounted base plate (version 1150.01B1) are permanently installed. The columns can be rotated through approx. 350°. To rotate the column, move the immobilising lever (32) at the bottom of the column to the left. To lock the column in the desired position, move the lever back to the right. 1.2 Mobile and independently manoeuvrable columns The electric motor drive for the column movements is battery-powered or, as an alterantive, powered from the mains via the mobile transformer unit. The battery charge level is monitored electronically and indicated optically. The operating voltage can be set to any common line voltage.
Fig. 2a: Mobile column
1.2.1 Mobile columns These columns 1150.01C2 can be moved with the transporter.
48 Fig. 2b: Independently manoeuvrable column 1150.01D0
Note: Use only the transporter 1146.6XX0 for the table top transfer onto the independently manoeuvrable column 1150.01D0. GA115001EN21
1.2.2 Independently manoeuvrable column The independently manoeuvrable column 1150.01D0 can be moved within the operating room without using a transporter. Lift the base from the floor to change the column’s position: Actuate the foot pump lever (48) until a slight resistance is perceptible. The clearance between the floor and the lower edge of the castor housing is 12 mm. Lift the foot pump lever to lower the column. The column will set down on the floor.
Do not acutate the foot pump lever during the surgical procedure.
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2. Activation of functions The electric motor powered functions can be activated by • Infrared (IR) hand control (2.1) • Override System / emergency command (2.2) • Cable-connected hand control (2.3) • Foot switch (certain functions only) (2.5)
2.1 Activation using IR hand control 2.1.1 IR system code To prevent accidental adjustment of operating tables, an IR system code is assigned to the hand control of each operating table column. The operating table system and the IR hand control are encoded by MAQUET when commissioning the equipment. To ensure that the correct IR hand control is assigned to the corresponding operating table system (i.e. column) at the customer’s, the IR system code is marked on the IR hand control and the operating table columns.
Fig. 3: IR system code on hand control
Affixed to the bottom of the IR hand control are two circular silver adhesive labels bearing a number from 0 9 or a letter from A to F. ● bottom left: 0, 1, 2,…, A, B…F ● bottom right: 0, 1, 2,…, A, B…F Examples of preset system codes: Markings: 1 3 C D
5 A 2 A
Î Notes : The order of the code letters/numbers is significant, i.e. the IR system code 4 B does not equal B 4. Columns are marked by means of an adhesive label at the top (see illustration) bearing two silver dots marked with the corresponding code numbers/ letters.
Fig. 4: IR system code on column
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Î As any operating table system can only be moved using the IR hand control with the matching IR code, we strongly recommend that the IR hand control be kept in the room where the associated operating table column is located at all times (or at the place of use in the case of the mobile columns). The column can, of course, be adjusted at any time by means of a cable-connected hand control (see Chapter III 2.3), regardless of the preset IR system code.
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2.1.2 Control of the adjustment functions To initiate the desired adjusting function of the operating table, press the appropriate function key on the hand control. The function keys on the hand control are arranged as follows: • the lower part for functions carried out by the operating table column • the upper part for functions of the operating table top (if the table top is equipped with the corresponding functions; depending on which table top is in use) Functions available
r
s
p
q
l
m
j
k
g
h
e
f
c
d
a
b z
a / b) Height down / up When the upper final position is reached (acoustic signal) an additional height adjustment of approx. 80 mm can be initiated by pressing the key once again. c / d) Lateral tilt left / right Tilts the entire table top about the head to foot axis. e / f) Trendelenburg / reverse Trendelenburg position Tilts the entire table top about the transverse axis. g / h) Flex / Reflex position Flex combines ”Reverse Trendelenburg” and ”Back plate down” functions until a flex position is reached. Reflex combines ”Trendelenburg” and ”Back plate up” functions. j / k) Slope (both) leg plates downward / upward Lowers and raises the leg section. l / m) Slope (lower) back plate downward / upward Lowers and raises the back section. p / q) Longitudinal shift towards the foot end / head end Shifts the table top towards the foot end / head end.
Fig. 5: IR hand control functions
r / s) Left / right leg plate Individual adjustment of the left / right leg plate when pressed together with the leg plate down / up function keys (j / k). z) 0-position Moves the table top in the horizontal position.
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Chapter III
1150.01 r) Movement of the left leg plate on its own Press (r + j) to move the left leg plate downwards or (r + k) to move it upwards (two-button control).
r
s
j
k
z
s) Movement of the right leg plate on its own The right leg plate can only be moved on its own by pressing this key at the same time as the function key corresponding to the desired direction of movement, either downwards (s + j) or upwards (s + k) (two-button control). z) Automatic 0-position function This function is for horizontal alignment of the lateral tilt, inclination, back and leg plate adjustments. Press function key (z), and the system will align the operating table top horizontally in sequence for each of the adjustments: lateral tilt/inclination/back. An acoustic signal indicates that horizontal alignment has been carried out. Release function key (z), press it again, and the inclined leg plates will be aligned horizontally. Individually adjusted leg plates are set up in parallel with one another. Notes: Î Please refer to Chapters III, 5. Visual/acoustic signals and IV.3.1. Automatic 0-position function.
Fig. 6: Special functions on the IR hand control
Î The IR remote control (and therefore the automatic zero position function) does not register manual adjustment functions such as upper back plate, head rest and abduct leg plates on Universal Table Top 1150.10. Î The longitudinal adjustment of Universal Table Top 1150.10 is automatically set to the correct position in preparation for transfer (refer to Chapter IV.); the 0-position function does not register this setting either when activated via function key (z). Î The transmission power of the IR hand control is sufficient for long-range adjustment of the covered operating table top. If the operating table system does not execute the desired motion even though the function key is fully pressed, adjust the direction in which you are pointing the hand control or change your position slightly. There is probably someone standing between you and the receiver.
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Chapter III Special functions of the operating table system If requested, the MAQUET Service personnel can set up the ”Neurolock” function for the operating table.
a b
Fig. 6a: Special functions of the operating table system
This prevents the hand control buttons being pressed accidentally and moving the operating table. a + b) The Neurolock function can be unlocked by simultaneously pressing the height down key (a) and the height up key (b) on the control modules*. The operating table can now be adjusted. If no further adjustment function is actuated within 8 seconds, the ”Neurolock” function is activated again. Before you can adjust the operating table again, you will need to press at the same time the height down (a) and height up (b) keys. Î Note: The height up and height down functions cannot be activated at the same time using the foot switch 1009.81X0. A second control module* is needed to unlock the ”Neurolock” function. *(IR- or cable-connected hand control, override control panel)
2.1.3 Charging station The IR hand control requires its own power supply. The IR hand control therefore incorporates a high-performance rechargeable battery that ensures several years of reliable service. The battery in the IR hand control can be recharged by inserting the hand control into the charging station.
Fig. 7: Permanently installed charging station
The charging station is available in two versions: • as a permanently installed version e.g. in the central operating table control panel or • as a mobile version with mains power cable This version can be wall-mounted near a power outlet. The mobile charging station must be connected to the mains in order to recharge the battery in the IR hand control. The green LED in this charging station indicates whether the required supply voltage is available. The rechargeable battery of the IR hand control has sufficient power for several days of operating table system use. Nevertheless, we recommend that you insert the IR hand control into the charging station at least every night.
Fig . 8: Mobile Charging station with mains power cable
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2.2 Activation by override control panel If the hand control is defective, you can actuate the operating table functions using the control panel (1) at the upper column casing. Î Note: • Always press the ON key together with the function key in question. • If there is no table top on the column, the column cannot be moved.
Functions available
p l j e c a ON
a / b) Height down / up When the upper final position is reached (acoustic signal) an additional height adjustment of approx. 80 mm can be initiated by pressing the key once again.
q m k f d b z
c / d) Lateral tilt left / right Tilts the entire table top about the head to foot axis. e / f) Trendelenburg / reverse Trendelenburg position Tilts the entire table top about the transverse axis. j / k) Slope (both) leg plates downward / upward Lowers and raises the leg section. l / m) Slope (lower) back plate downward / upward Lowers and raises the back section. 1
p / q) Longitudinal shift towards the foot end / head end Shifts the table top towards the foot end / head end. z) 0-position Moves the table top in the horizontal position. ON) Switches the motor on and must be pressed in addition to the function key in question.
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35/45
2.3 Activation using cable-connected hand control Insert the plug on the connector cable of the cable-connected hand control into one of the two socket connections (35/45) on the column head. Now you can execute the motor-powered adjustments of the operating table system by pressing the corresponding function key fully.
Fig. 9: Socket connection on the column
Functions available a / b) Height down / up When the upper final position is reached (acoustic signal) an additional height adjustment of approx. 80 mm can be initiated by pressing the key once again.
r p l j g e c a
s q m k h f d b z
c / d) Lateral tilt left / right Tilts the entire table top about the head to foot axis. e / f) Trendelenburg / reverse Trendelenburg position Tilts the entire table top about the transverse axis. g / h) Flex / Reflex position Flex combines ”Reverse Trendelenburg” and ”Back plate down” functions until a flex position is reached. Reflex combines ”Trendelenburg” and ”Back plate up” functions. j / k) Slope (both) leg plates downward / upward Lowers and raises the leg section. l / m) Slope (lower) back plate downward / upward Lowers and raises the back section.
Fig. 10: Activation using cable-connected hand control
p / q) Longitudinal shift towards the foot end / head end Shifts the table top towards the foot end / head end. r / s) Left / right leg plate Individual adjustment of the left / right leg plate when pressed together with the leg plate down / up function keys (j / k). z) 0-position Moves the table top in the horizontal position.
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2.4 Activation using the foot switch The foot switch 1009.81X0 must also be connected to one of the two socket connections 1009.81X0 (35/45) on the column head. This enables the following motor-powered functions to be adjusted either using the foot switch (refer to separate operating instructions 1009.81X0) or using the cable-connected hand control or IR hand control: • Lower table top • Raise table top • Trendelenburg position of table top • Reverse Trendelenburg position of table top • Raise back plate • Lower back plate • Table top – tilt to left • Table top – tilt to right Fig.11: Activation using the foot switch
Î Note : If the operating table is to be controlled in more than one way, please note the following: • When the operating table system is activated simultaneously using the IR hand control and the cable-connected hand control, the cable-connected hand control has “priority”, i.e. the function activated at the cable-connected hand control is executed. • When the operating table system is activated simultaneously using the IR hand control and the foot switch, the foot switch has priority. • When the operating table system is activated simultaneously using the foot switch and cableconnected hand control, all movements are stopped immediately until one of these two possible control modes is no longer used.
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Chapter III
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3. Operating table tops One of the main features of the operating table system is the option of using a variety of operating table tops to suit a range of surgical disciplines. 1150.10X0
ALPHAMAQUET also lets you use operating table tops for the BETAMAQUET 1140 operating table system upon ALPHAMAQUET 1150 columns. If you decide to make use of this possibility, please bear in mind that BETAMAQUET operating table tops have manual adjustments only (e.g. back plate/leg plates), and no motor-powered adjustments. In this case, only the elevation, lateral tilt and inclination motions of the column are motor-powered. Î Note A type 1150 table top cannot be used on a type 1140 BETAMAQUET column (1140.01EN/1140.01K0).
1150.01A1
1150.01C2
1150.01D0 Fig.12: Explanation of the system
Fig. 13: Universal table top 1150.10X0
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Î Note To keep these Operating Instructions down to a manageable size, they only deal with Universal Table Tops 1150.10. Special-purpose table tops such as the extension table top for traumatology are described in separate Operating Instructions. If you wish to use operating table top types other than those described in these Operating Instructions, you are strongly advised to familiarise yourself with proper use of the special-purpose table top by referring to the relevant Operating Instructions. Table tops which are approved for use with the columns 1150.01A1/B1/C2/D0, are described in Chapter VIII. Operating table tops. 3.1 Universal table top 1150.10 The universal table top 1150.10 is designed for a wide range of surgical disciplines. In principle it is suitable for all procedures in the area of the thorax and the abdomen, for head surgery and procedures in gynaecology and urology. Some of these procedures require separate accessory components (refer also to Chapter V. Patient positioning). Depending on the type of leg plates selected, the table top is divided into up to six sections. • head rest • upper back plate • lower back plate • seat plate • leg plate(s) As well as the column movements (elevation, lateral tilt, inclination), the table top has a motor-powered longitudinal shift feature which allows it to move through 270 mm and motor-powered adjustment functions for the back plate and leg plates. The head rest, upper back plate and leg plate abduction are adjusted manually. Guide rails used to insert X-ray film cassettes are located below the back plate.The side rails are intended for attaching accessories.Various head positioning accessories can be used instead of a head rest and attached at the head end of the back plate modules (see Chapter V. Patient positioning).
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Chapter III
11 12 10
Fig.14: Head rest
x
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3.1.1 Head rest • To mount the head rest, insert the two pins into the mounting holes in the upper back plate supporting arms as far as they will go. • Tighten the locking screws (10). • To adjust the head rest, move the swivel lever (11) to the right. • Incline the head rest as desired. • To lock the head rest, move the swivel lever (11) back to the left. • The head rest can be raised in addition by opening the eccentric lever (12). This function allows correct head positioning when the patient is in the lateral position. Re-tighten the eccentric lever (12) after raising the head rest. • To remove the head rest, loosen the screws (10) and pull the head rest out of the mounting holes.
3.1.2 Upper back plate The upper back plate can be inclined to set up a flex position for gall-bladder operations, for instance. 8
The upper back plate can be used as a head rest for small patients, e.g. for struma operations: • Press the push-button (x). • To incline the upper back plate, open the eccentric safety levers (8) on the right- and left-hand sides. • Hold the upper back plate with one hand while making the adjustment. • Re-tighten the eccentric levers (8).
Fig.15: Back plate adjustment
Fig.16: Back plate adjusted for struma operations
The upper back plate can, in addition, be extended by 60 mm towards the head end to adapt it to tall patients (Fig. 17). • Press the release levers (9) on the right- and lefthand sides with the hands against the frame. 9
•
Shift the back plate to the desired position.
•
The longitudinal extension is locked automatically in the two final positions as soon as the release levers have returned automatically to their initial position.
9 Fig.17: Back plate extension for tall patients
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