Power-PRO TL Cot Ref 6550 Maintenance Manual Rev E.0 Dec 2019

Symbols Refer to instruction manual/booklet

Operating instructions CE mark Authorized representative in the European Community European medical device

General warning

Caution Warning; crushing of hands Warning; non-ionizing radiation No pushing

Do not lubricate Catalogue number Lot (batch) code

 

Serial number For US Patents see www.stryker.com/patents Manufacturer Date of manufacture Mass of equipment with safe working load Safe working load Type B applied part Type BF applied part

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Medical Equipment Classified by Underwriters Laboratories Inc. With Respect to Electric Shock, Fire, and Mechanical Hazards Only in Accordance with ANSI/AAMI ES60601-1:2012 and CAN/ CSA-C22.2 No. 60601-1:14.

87VL

Direct current

~

Alternating current Class II electrical equipment: equipment in which protection against electric shock does not rely on basic insulation only, but in which additional safety precautions such as double insulation or reinforced insulation are provided, there being no provision for protective earthing or reliance upon installation conditions. Dangerous voltage

S M R T power system

Extend Retract IPX0

Non-protected

IPX6

Protection from powerful water jets In accordance with European Directive 2012/19/EU on Waste Electrical and Electronic Equipment (WEEE) as amended, this symbol indicates that the product should be collected separately for recycling. Do not dispose of as unsorted municipal waste. Contact local distributor for disposal information. Ensure infected equipment is decontaminated prior to recycling.

WEEE Directive (2012/96/EC). Contains cadmium.

Cd The Rechargeable Battery Recycling Corporation (RBRC) is a non-profit, public service organization that promotes the recycling of portable rechargeable batteries. Batteries must be delivered to a battery collection site. Visit the RBRC website (www.rbrc.org) to find a nearby collection site or call the phone number shown on the recycling symbol.

Contains nickel cadmium cells and should be recycled accordingly

DATA

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_

+

Battery terminal identification (data line, negative, and positive)

KRX 23/44

Ni-Cd cell identification per IEC 61951-1:2003

2300 mAh (1.2A/2h)

Battery capacity, typical charge, and duration

6550-109-002 Rev E.0

Table of Contents Warning/Caution/Note Definition ...4 Summary of safety precautions ...4 Pinch points ...5 Mechanical stability ...5

Introduction ...7 Product description ...7 Indications for use...7 Expected service life ...8 Disposal/recycle ...8 Contraindications ...8 Specifications - Power-PRO...8 Standards with required options ...9 Specifications - SMRT ...10 Product illustration - Power-PRO...11 Product illustration - SMRT ...12 Contact information ...12 Serial number location - Power-PRO ...13 Serial number location - SMRT ...13 Date of manufacture...13

Preventive maintenance ...14 Lubrication ...14 Regular inspection and adjustments ...14 Every month or two hours ...14 Every three months or six hours...15 Every six months or 12 hours ...16 Every 12 months or 24 hours...16 Maintenance record...17 Training record...17

Troubleshooting ...19 Electronic and hydraulics locator ...19 Hydraulic manifold components locator...20 Wiring schematics...20 Electrical system block diagram - lower and retract functions...21 Electrical system block diagram - lift and extend functions...22 Troubleshooting guide...22 Litter drifts (without patient weight) ...22 Base drifts (without patient weight) ...22 Litter does not lower in the powered mode ...22 Litter does not extend in powered mode - check the power indicator LED ...23 Litter does not extend in the powered mode - check motor ...23 Base does not retract in the powered mode...23 Base does not extend in the manual mode ...24 Base does not retract in the manual mode ...24 Litter does not retract in the manual mode (with patient weight) ...24 Litter does not extend in the manual mode ...24 High speed retract does not engage ...24 Main cable assembly...24 Electronics assembly ...25 Electronics assembly wiring schematics ...26 SMRT charger power LED is NOT illuminated ...26 SMRT charger will not charge the SMRT Pak...27 SMRT charger indicator LEDs are NOT illuminated when the Pak is inserted...27 A fully charged SMRT Pak does not provide sufficient power for cot operation ...27 SMRT charger indicates a SMRT Pak error (amber LED), but the Pak performs well on the cot...28 6550-109-002 Rev E.0

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Charger indicates a temperature delay (flashing amber LED), but the Pak is within the normal operating temperature range ...28

Service ...29 Accessing the hydraulic subassembly (6550-001-030)...29 Manual release cable adjustment ...30 Filling the hydraulics assembly reservoir ...30 Wheel locking force adjustment...31 Siderail assembly replacement (standard) ...31 Siderail assembly replacement (XPS option) ...32 Ratchet assembly replacement (XPS option) ...33 Release handle assembly replacement (XPS option) ...34 Spring handle assembly replacement (XPS option) ...35 12 VDC automotive cable fuse replacement ...35

Cot assembly ...37 Base assembly ...43 Two wheel lock option ...48 Four wheel lock option ...49 Caster horn assembly - 6082-002-012 ...50 Adjustable caster Steer-Lock assembly ...51 Inner lift tube assembly, litter pivot, right - 6550-001-034 ...52 Inner lift tube assembly, litter pivot, left - 6550-001-035 ...53 Hitch assembly, head end ...54 Standard siderail ...57 Siderail assembly...58 Outer rail, right ...59 Outer rail, left ...60 Optional siderail (XPS option) ...61 XPS main assembly, right - 6500-003-034 ...62 XPS main assembly, left - 6500-003-044 ...63 Oxygen bottle holder option - 6550-150-000 ...64 Mounted hydraulics assembly ...65 Hydraulics subassembly ...67 Hitch assembly, foot end ...68 Switch assembly ...71 Switch housing assembly ...72 Telescoping foot end - 6550-001-015...73 Telescoping head section - 6550-001-020 ...75 Fowler assembly ...77 Gatch assembly ...78 Gatch telescoping assembly - 6550-001-017 ...81 Optional push bar - 6550-040-000 ...82 Optional corner handle assembly ...83 EMS restraint package - 6060-160-010 ...84 R U G G E D ™-X restraint package - 6506-001-430 ...85 Belt extension - 6082-160-050 ...86 Battery pack, SMRT - 6500-033-000 ...87 Defibrillator platform - 6550-170-000 ...88 Defibrillator platform assembly - 6082-170-000 ...89 Defibrillator platform common components ...90 EN

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Equipment hook option ...92 No IV pole assembly option ...93 Two-stage IV pole, right - 6550-310-000 ...94 IV pole assembly, two-stage, right - 6500-101-041 ...95 Two-stage IV pole, left - 6550-311-000 ...96 IV pole assembly, two-stage, left - 6500-101-042 ...97 Two-stage IV pole, dual - 6550-312-000 ...98 Three-stage IV pole, right - 6550-315-000 ...99 IV pole assembly, three-stage, right - 6500-101-043 ... 100 Three-stage IV pole, left - 6550-316-000... 101 IV pole assembly, three-stage, left - 6500-101-044 ... 102 Three-stage IV pole, dual - 6550-317-000 ... 103 Oxygen bottle holder ... 104 Removable oxygen bottle holder - 6080-140-000 ... 105 Base storage net - 6500-160-000 ... 106 Backrest pouch - 6500-130-000 ... 107 Knee Gatch bolster mattress - 6550-001-084 ... 108 Flat knee Gatch mattress - 6550-001-295 ... 109 Knee Gatch bolster mattress, XPS - 6500-003-130 ... 110 Knee Gatch bolster mattress grey, XPS - 6506-003-130 ... 111 EMC information ... 112 6500-101-010 ... 116 6500-201-010 ... 117 6550-101-036 ... 118 6550-001-172 ... 119 6550-101-014 ... 120 6500-001-214 ... 121 6500-201-148 ... 122

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Warning/Caution/Note Definition The words W A R N I N G , C A U T I O N , and N O T E 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 product 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. N o t e - Provides special information to make maintenance easier or important instructions clearer.

Summary of safety precautions Always read and strictly follow the warnings and cautions listed on this page. Service only by qualified personnel. WARNING • Always keep your hands clear of the red safety bar pivots when you load, unload, or change the height position of the cot. • Always use both hands when transporting the cot. • Always relieve pressure before you disconnect hydraulic or other lines. Escaping fluid under pressure can penetrate the skin and cause serious injury. Tighten all connections before you apply pressure. If an accident occurs, see a doctor immediately. • Do not use bare hands to check for hydraulic leaks. CAUTION • Improper usage of the product can cause injury to the patient or operator. Operate the product only as described in this manual. • Do not modify the product or any components of the product. Modifying the product can cause unpredictable operation resulting in injury to patient or operator. Modifying the product also voids its warranty. • Always use authorized parts to avoid the risk of product damage. • Always check hoses and lines regularly to avoid damage to the cot. Check and tighten loose connections. Hydraulic lines, hoses, and connections can fail or loosen due to physical damage, kinks, age, and environment exposure. • Do not tip the cot onto its load wheels and actuate the product as this will allow air to enter the hydraulic system. • Do not lubricate the bearings in the X-frame as it will degrade the performance of the cot and may void its warranty. • The use of accessories, transducers, and cables, other than those specified or provided by the manufacturer, could result in increased electromagnetic emissions or decreased electromagnetic immunity and result in improper operation. • The emissions characteristics of this equipment make it suitable for use in industrial areas and hospitals (CISPR 11 class A). If it is used in a residential environment, for which CISPR 11 class B is normally required, this equipment might not offer adequate protection to radio frequency communication services. The user might need to take mitigation measures, such as relocating or reorienting the equipment. • Portable RF communications equipment, including peripherals such as antenna cables and external antennas, should be used no closer than 12 inches (30 cm) to any part of P o w e r - P R O and S M R T charger, including cables specified by the manufacturer. • Avoid stacking or placing other equipment adjacent to P o w e r - P R O and S M R T charger to prevent improper operation of the products. If such use is necessary, carefully observe P o w e r - P R O and S M R T charger and the other equipment to make sure that they are operating properly.

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Pinch points W A R N I N G - Always keep your hands clear of the red safety bar pivots when you load, unload, or change the height position of the cot.

Figure 1 – Pinch points

Mechanical stability W A R N I N G - Always use both hands when transporting the cot.

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Figure 2 – Mechanical stability N o t e - If the cot is on a plane steeper than five degrees, place the cot in the lowest position.

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Introduction This manual assists you with the operation or maintenance of your Stryker product. Read this manual before operating or maintaining this product. Set methods and procedures to educate and train your staff on the safe operation or maintenance of this product. CAUTION • Improper usage of the product can cause injury to the patient or operator. Operate the product only as described in this manual. • Do not modify the product or any components of the product. Modifying the product can cause unpredictable operation resulting in injury to patient or operator. Modifying the product also voids its warranty. Note • This manual is a permanent part of the product and should remain with the product even if the product is sold. • Stryker continually seeks advancements in product design and quality. This manual contains the most current product information available at the time of printing. There may be minor discrepancies between your product and this manual. If you have any questions, contact Stryker Customer Service or Technical Support at 1-800-327-0770.

Product description The Stryker Model 6550 P o w e r - P R O ™ TL cot is a powered ambulance cot that consists of a platform mounted on a wheeled X-frame designed to support and transport a maximum weight of 700 lb (318 kg) in pre-hospital and hospital environments. The device is collapsible for use in emergency vehicles and the NiCd battery-powered hydraulic lift system allows operators to raise and lower the cot using the powered controls. The cot is equipped with a manual back-up release handle to allow the operation of cot functions in the event of power loss. The device is equipped with the following: retractable head and foot sections to reduce foot print and allow the cot to maximize maneuverability in tight spaces, siderails, patient securement straps, an adjustable pneumatic backrest and various optional accessories that assist with transport of the patient. Maximum patient comfort is attainable with the three different litter positions of shock, flat leg, and optional knee Gatch positioning. The S M R T ™ power system consists of a S M R T charger and a S M R T Pak. The S M R T Pak powers the hydraulic lift system of the Stryker powered ambulance cots.

Indications for use The Stryker P o w e r - P R O TL is a powered wheeled stretcher that is intended to support and transport the entire body of a traumatized, ambulatory or non-ambulatory human patient (includes infants and adults). The battery-powered hydraulic lift system helps to reduce the effort required by the operator to raise and lower the cot. The device is made to support patients in a supine (horizontal) or sitting position and to facilitate the transportation of associated medical equipment (such as oxygen bottles, monitors, or pumps) in emergency or transport vehicles. This ambulance cot is to be used in pre-hospital and hospital environments, in emergency and non-emergency applications. It is rated to a maximum capacity of 700 lb (sum of the patient, mattress and accessory weight) and the intended operators of the device are trained professionals, including emergency medical service and medical care center personnel, as well as medical first responders. P o w e r - P R O TL is not intended for extended stay or use as a hospital bed or in devices that modify air pressure, such as hyperbaric chambers.

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Expected service life P o w e r - P R O has a seven year expected service life under normal use conditions and with appropriate periodic maintenance. The S M R T charger has a seven year expected service life under normal use conditions and with appropriate periodic maintenance. The S M R T Pak battery has a two year expected service life under normal use conditions.

Disposal/recycle Always follow the current local recommendations and/or regulations governing environmental protection and the risks associated with recycling or disposing of the equipment at the end of its useful life.

Contraindications None known.

Specifications - Power-PRO 700 lb

318 kg

Maximum unassisted lift capacity

700 lb

318 kg

Backrest articulation/shock position (standard Fowler - 6506-012-003)

0° to 73°/+15°

Backrest articulation/shock position (1865 Fowler option - 6506-012-004)

0° to 75°/+15°

Overall length

81 in.

206 cm

Standard length/minimum length/width

76.5 in./55 in./23 in.

194.3 cm/139.7 cm/ 58 cm

Height1

Adjustable from 14 in. to 41.5 in.

Adjustable from 36 cm to 106 cm

Weight2

145 lb

66 kg

Caster diameter/width

6 in./2 in.

15 cm/5 cm

Minimum operators required for loading/ unloading an occupied cot

2

Minimum operators required for loading/ unloading an unoccupied cot

1

Recommended fastener systems

Model 6385, 6386, 6387, 6388, or 6389

Double wheel lock/four wheel lock

Standard/optional

Hydraulic oil

Stryker part number 6500-001-293

N o t e - Safe working load indicates the sum of the patient, mattress, and accessory weight.

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Power system Battery

24 VDC NiCd - S M R T power system

Charger

100-240 VAC 1.20 A, 50/60 Hz or 12 VAC 4.16 A - S M R T power system

Cot duty cycle

10% (33 sec. on/5 min. off)

Standards (cots and chargers)

ANSI/AAMI ES60601-1:2012, CAN/CSAC22.2 No. 60601-1:14, KKK-A-1822 For standards that require specific options, see Standards with required options (page 9)

1 Height measured from bottom of mattress at seat section to ground level. 2 Cot is weighed with one battery and without mattress and restraints.

Stryker reserves the right to change specifications without notice. P o w e r - P R O TL is designed to conform to the Federal Specification for the Star-of-Life Ambulance (KKK-A-1822). P o w e r - P R O TL is designed to be compatible with some competitive cot fastener systems. Patents pending. The yellow and black color scheme is a proprietary trademark of Stryker Corporation. Labels may be unreadable from a viewing distance greater than 12 inches. Environmental conditions

Operation 130 °F (54 °C)

Temperature -30 °F (-34 °C)

93%

Relative humidity 0%

1060 hPa

Atmospheric pressure 700

N o t e - In accordance with the European REACH regulation and other environmental regulatory requirements, the 6500001-210 and 6500-001-211 hydraulic hoses contain dibutyl phthalate (DBP).

Standards with required options To be compliant with the standards, you must install the following required options on your cot.

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Option selection Standard

Restraint package

Mattress

BS EN 1789:2007+A2:2014 crash-test standards with the use of a crash-rated fastener

EMS restraint package (6060-160-010), X-restraint package (6500-001-430), or R U G G E D -X restraint package (6506-001-430)

Knee Gatch bolster mattress (6550-001-084) or XPS mattress (6500-003130/6506-003-130) (depending on cot siderail)

Option

N o t e - The X-restraint package and R U G G E D -X restraint package are compatible with the XPS mattress (6500-003-130/ 6506-003-130) only. BS EN 1865-3:2012 +A1:2015

XPS option (6506-040-000)

BS EN 1865-2:2010 +A1:2015

1865 Fowler option (6506012-004)

Specifications - SMRT

Electrical input

SMRT charger

SMRT Pak

AC power supply

13.9 VDC 4.16 A

Not applicable

100-240 VAC 1-2 A 50/60 Hz

Electrical output

Open circuit 40 VDC 1.20 A

24 VDC NiCd

12 VDC 4-6 A

Height

2.375 in. (60.325 mm)

3.25 in. (82.55 mm)

Varies

Width

5.125 in. (130.175 mm)

4 in. (101.6 mm)

Varies

Length

7 in. (177.8 mm)

5.75 in. (146.05 mm)

Varies

Weight

1.3 lb (.59 kg)

3.8 lb (1.7 kg)

Varies

Enclosure protection

IPX0

IPX6

IPX0

Equipment type

Not applicable

Not applicable

Class II

Approvals

ANSI/AAMI ES 60601-1: 2012, CAN/CSA-C22.2 No. 60601-1:14

Not applicable

Not applicable

Environmental conditions

Operation

Charging

Storage and transportation

Temperature 43 °F (6 °C)

88 °F (31 °C)

93%

Relative 0%

700

10

-4 °F (-20 °C)

75% 30%

1060 hPa

Atmospheric pressure

EN

43 °F (6 °C)

88 °F (31 °C)

93% 0%

1060 hPa 700

104 °F (40 °C)

1060 hPa 500

6550-109-002 Rev E.0

Specifications are approximate and may vary from unit to unit or as a result of power supply fluctuations. Stryker reserves the right to change specifications without notice.

Product illustration - Power-PRO

L N

M

K

P J

A

I G B D

H F

C

E Figure 3 – Power-PRO TL A B C D E F G H

Retractable foot section Height adjustment switch Wheel lock Battery Load wheels Steer-Lock Hydraulic unit

I J K L M N P

Battery Retractable head section Backrest adjustment handle Backrest Siderail release handle Gatch/leg rest Push bars (optional)

Head section release handle

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Product illustration - SMRT

I H G B A

F

E C

D Figure 4 – SMRT power system S M R T charger

A B C D E

S M R T Pak DC cable AC power supply AC power cord

F G H I

Output cord Data Power (-) Power (+)

Contact information Contact Stryker Customer Service or Technical Support at: 1-800-327-0770. Stryker Medical 3800 E. Centre Avenue Portage, MI 49002 USA N o t e - The user and/or the patient should report any serious product-related incident to both the manufacturer and the Competent authority of the European Member State where the user and/or patient is established. To view your operations or maintenance manual online, see https://techweb.stryker.com/. Have the serial number (A) of your Stryker product available when calling Stryker Customer Service or Technical Support. Include the serial number in all written communication.

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Serial number location - Power-PRO

A

Figure 5 – Serial number location

Serial number location - SMRT The serial number for the S M R T charger is located on the bottom of the unit. The lot number for the S M R T Pak is located on the top of the S M R T Pak above the red release button.

Date of manufacture The year of manufacture is the first 2 digits of the serial number.

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Preventive maintenance WARNING • Always relieve pressure before you disconnect hydraulic or other lines. Escaping fluid under pressure can penetrate the skin and cause serious injury. Tighten all connections before you apply pressure. If an accident occurs, see a doctor immediately. • Do not use bare hands to check for hydraulic leaks. CAUTION • Always use authorized parts to avoid the risk of product damage. • Always check hoses and lines regularly to avoid damage to the cot. Check and tighten loose connections. Hydraulic lines, hoses, and connections can fail or loosen due to physical damage, kinks, age, and environment exposure. • Do not tip the cot onto its load wheels and actuate the product as this will allow air to enter the hydraulic system. Establish and follow a maintenance schedule and keep records of the maintenance activity. Remove product from service before you perform the preventive maintenance inspection. You may need to perform preventive maintenance checks more often based on your level of product usage. Service only by qualified personnel. When using maintenance products, follow the directions of the manufacturer and reference all material safety data sheets (MSDS).

Lubrication The cot has been designed to operate without the need for lubrication. C A U T I O N - Do not lubricate the bearings in the X-frame as it will degrade the performance of the cot and may void its warranty.

Regular inspection and adjustments The following schedule is a general guide to maintenance. Factors such as weather, terrain, geographical location, and individual usage will alter the required maintenance schedule. If you are unsure how to perform these checks, contact your Stryker service technician. If you are in doubt as to what intervals to follow to maintain your product, consult your Stryker service technician. Check each routine and replace worn parts if necessary.

Every month or two hours Inspect these items every month or two hours, whichever comes first. Item

Inspect

Settings

In-fastener shutoff configuration

Cylinder

Extend cylinder rod. Wipe the cylinder rod with a soft cloth and household cleaner.

Cables and wires

No hanging wires from routings or connections

Manual backup release handle

Manual backup release handle functions

Litter

Frame and litter

Base

Frame and base

Wheels

All wheels are secure, roll, and swivel

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Item

Inspect

Head section

Safety bar operates. Pull toward the head section to make sure that the safety bar swings and rotates freely and pulls back to the home position

Restraint

Restraints function with no excessive wear (such as a bent or broken receiver or latch plate or torn or frayed webbing)

Battery

S M R T Pak housing and terminal area for cracks or damage before first and every use

Charger

S M R T charger and parts for cuts in the cord, bent pins or contacts, or cracks in the housing before first and every use

Every three months or six hours Inspect these items every three months or six hours, whichever comes first. Item

Inspect

Cylinder

All fasteners are secure No hydraulic fluid (red) leaks Loose fittings - tighten, if needed

Hydraulics

Motor mount fasteners are secure No hydraulic fluid leaks No leaks from reservoir

Cables and wires

No damage or pinching of wiring harness, cable, or lines No damaged connectors

Manual backup release handle

Base extends and retracts when you pull the manual backup release handle Cot does not lower when you pull the manual backup release handle with 100 lb (45 kg) or more on the cot

Litter

All fasteners are secure Backrest cylinder operates Adjust pneumatic cylinder for full range of motion, if required

Base

All fasteners are secure

X-frame

X-frame expands and retracts

Head section

All fasteners are secure Head section extends and locks

Accessories and parts (optional)

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All accessories and parts operate (such as IV pole, restraint extender, push bars, and oxygen bottle holder)

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Every six months or 12 hours Inspect these items every six months or 12 hours, whichever comes first. Item

Inspect

Hydraulics

Hoses and fittings for damage or wear Hydraulic velocity fuse - place a weight of approximately 50 lb (23 kg) on the cot, raise the cot, lift the cot with two operators, pull the manual backup release handle, rapidly set the cot down, and make sure that the cot does not drop

Electronic controls

Extend cot to raised position, measure and check load height Jog function operates High speed retract works

Switches

No damage or wear to either switch Both switches operate

Litter

No bent, broken, or damaged components No damage or tears on cot grips Siderails operate and latch Foot rest operates

Mattress

No cracks or tears

Base

No bent, broken, or damaged components

Wheels

Free of debris

Head section

No bent, broken, or damaged components Grip bar has no excessive damage or tears Load wheels are secure and roll

Kickstand (optional)

Lubricate the kickstand spring and internal spring housing (optional) using T r i - F l o w ® lubrication.

Every 12 months or 24 hours Inspect these items every 12 months or 24 hours, whichever comes first. Item

Inspect

Settings

Cot and fastener fit and function Safety bar connects to the vehicle safety hook

Cylinder

Cylinder is adjusted - lock nut is tight and the cot stops moving when it hits the dead stops

Manual backup release handle

Returns to the stowed position

Litter

All welds are intact, not cracked, or broken Warning labels present, legible

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Item

Inspect

Base

All welds are intact, not cracked, or broken

Wheels

Check and adjust wheel locks

Retractable head section oxygen bottle holder (optional)

Straps and clips for wear

Defibrillator platform (optional)

Straps not frayed or torn Latch hooks are intact and secure

Maintenance record Date

Maintenance operation performed

By

Hours

Refresher update

Owner’s manual, inservice, formal class, etc.

Training record Training date Trainee name

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Basic training

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