Power-PRO TL Cot Ref 6550 Operations Manual Rev G.0 Dec 2019

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Power-PRO™ TL Cot

Operations Manual

6550

EN

6550-709-001 Rev G.0

2019/12

Page 3

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

6550-709-001 Rev G.0

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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

EN

_

+

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

6550-709-001 Rev G.0

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Hanging equipment from the equipment hook.........................................................................................36

Positioning the two-stage IV pole...........................................................................................................36

Positioning the optional three-stage IV pole............................................................................................37

Attaching an oxygen bottle to the oxygen bottle holder ............................................................................38

Installing the optional push bars ............................................................................................................39

Removing and storing the push bars in the push bar storage pouch .........................................................39

Installing the optional base storage net ..................................................................................................40

Installing the backrest storage pouch .....................................................................................................40

Transferring larger patients ...................................................................................................................41

Attaching the mattress ..........................................................................................................................41

Installing a SMRT Pak ..........................................................................................................................42

Removing a SMRT Pak from the cot ......................................................................................................42

Storing the battery ................................................................................................................................43

Charging the SMRT Pak .......................................................................................................................43

Checking the SMRT Pak power level with the SMRT charger ..................................................................44

Electrical power installation requirements...............................................................................................44

Installing the SMRT charger ..................................................................................................................45

Installing the optional mounting bracket .................................................................................................45

Installing the charger onto the optional mounting bracket.........................................................................46

Powering the charger ...........................................................................................................................47

Disconnecting the charger ....................................................................................................................48

Accessories and parts .................................................................................................................................49

Cleaning and disinfecting with wipes ............................................................................................................51

Cleaning ....................................................................................................................................................52

Suggested cleaners..............................................................................................................................52

Cleaning the charger ............................................................................................................................53

Cleaning the battery .............................................................................................................................53

Preventive maintenance ..............................................................................................................................54

Lubrication...........................................................................................................................................54

Regular inspection and adjustments ......................................................................................................54

Every month or two hours...............................................................................................................54

Every three months or six hours......................................................................................................55

Every six months or 12 hours..........................................................................................................56

Every 12 months or 24 hours ..........................................................................................................56

EMC information .........................................................................................................................................58

6500-101-010 .............................................................................................................................................62

6500-201-010 .............................................................................................................................................63

6550-101-036 .............................................................................................................................................64

6550-001-172 .............................................................................................................................................65

6550-101-014 .............................................................................................................................................66

6500-001-214 .............................................................................................................................................67

6500-201-148 .............................................................................................................................................68

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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 install the cot fastener by qualified personnel only. Improper installation could result in injury to the patient or

operator.

• Always make sure that all cots meet the installation specifications for the Stryker cot fastener system.

• Do not remove the battery when the cot is active.

• Always operate the cot only when all persons are clear of the mechanisms. Entanglement in powered cot mechanisms

can cause serious injury.

• Always inspect S M R T Paks for damage before every use.

• Do not allow untrained assistants to assist in the operation of the product.

• Always follow proper hand placement on hand grips. Keep all hands clear of the red safety bar pivots when you load or

unload the cot or change cot height position.

• Do not ride on the base of the cot.

• Do not transport the cot sideways to avoid the risk of tipping. Always transport the cot in a lowered position, head end or

foot end first to minimize the risk of tipping.

• Always keep hands, fingers, and feet away from moving parts. Use caution when placing your hands and feet near the

base tubes while you raise or lower the cot.

• Always install the in-fastener shut-off system in any emergency vehicle that will be used with this cot if using an antler

style cot fastener.

• Always conduct patient monitoring when the cot is idle. If you hydraulically raise or lower the product you may

temporarily affect electronic patient monitoring equipment.

• Always use all restraint straps to secure the patient on the product. An unrestrained patient may fall from the product and

be injured.

• Do not leave a patient unattended. Hold the product while a patient is on the product.

• Do not apply a wheel lock when a patient is on the product or when you move the product to avoid the risk of tipping.

• Do not use siderails as a patient restraint device.

• Always transport the cot at a lower height to reduce the risk of a cot tip. If possible, obtain additional assistance or take

an alternate route.

• Always avoid high obstacles, such as curbing, steps, or rough terrain to avoid the risk of the product tipping over.

• Always make sure that the cot is not able to roll back off of the lift before you use the tail lift with a cot and patient. Make

sure that the lift gate stop is maintained and functioning.

• Always lock the head section into place before you operate the cot.

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• Do not attempt to load the cot into the vehicle patient compartment with the head section retracted. Loading the cot with

the head section retracted may cause the product to tip or not connect to the vehicle cot fastener.

• Do not install or apply a wheel lock on a product with worn wheels that are less than 6 in. diameter.

• Do not leave a patient or occupant unattended. Hold the product while a patient or occupant is on the product.

• Always use all restraint straps to secure the patient on the cot. An unrestrained patient may fall from the cot.

• Do not attach restraint straps to the base tubes or cross tubes.

• Always locate the buckle away from obstructions or accessories on the cot to avoid the risk of accidental release of

P e d i - M a t e ® infant restraint system and injury to the infant.

• Always lock the optional push bar into its mount to prevent the push bar from coming out during use.

• Do not lift the product with the optional push bars.

• Always store the push bars in the base storage pouch when not in use.

• Do not remove the battery when the cot is activated.

• Do not attempt to open the battery pack for any reason, to avoid the risk of electric shock. If the battery pack case is

cracked or damaged, do not insert it into the charger. Return damaged battery packs to a service center for recycling.

• Always avoid direct contact with a wet battery or battery enclosures. Contact may cause injury to the patient or operator.

• Do not insert a cracked or damaged S M R T Pak into the S M R T charger. Return damaged S M R T Paks to a service

center for recycling.

• Always have a certified mechanic, familiar with ambulance vehicle construction, install the optional mounting bracket

and the S M R T charger.

• Always mount the S M R T charger to the optional mounting bracket in an enclosed cabinet and out of patient reach

during transport to comply with established crash test standards.

• Always make sure that the optional mounting bracket is securely attached to the surface.

• Always use any appropriate personal protective equipment while power washing to avoid inhaling contagion. Power

washing equipment may aerate contamination.

• Always wipe the product with clean water and dry after cleaning. Some cleaning products are corrosive in nature and

may cause damage to the product. Failure to properly rinse and dry the product leaves a corrosive residue on the

surface of the product and may cause premature corrosion of critical components.

• Always wear insulated rubber gloves, in addition to personal protective equipment, when cleaning the S M R T Pak to

reduce the risk of injury.

• Always disconnect the S M R T charger from the wall outlet before cleaning to avoid the risk of electrical hazards.

• Do not spray fluid directly onto the S M R T charger.

• Do not power wash the S M R T charger.

• Do not use solvents, lubricants, or other chemicals to clean the S M R T charger unless otherwise directed.

• Do not immerse the S M R T charger in water or allow water to collect on top of the S M R T charger to avoid the risk of

electric shock.

• Always use only non-conductive materials to wipe the S M R T Pak.

• Always avoid excessive water exposure to the S M R T Pak terminals.

• Always refer to the disinfectant’s Material Safety Data Sheet (MSDS) to verify the pH range. Disinfectants with pH levels

higher than 10.5 may cause the S M R T Pak housing material to crack.

• Do not directly handle or make contact with the S M R T Pak terminals while cleaning to avoid the risk of injury.

• Do not immerse the S M R T Pak in liquid to reduce the risk of electric shock.

• Do not use solvents, lubricants, or other chemicals to clean the S M R T Pak unless otherwise directed.

• 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 charge the battery before you place the product into service. An uncharged or depleted battery may cause poor

product performance.

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• Always clear any obstacles that may interfere and cause injury to the operator or patient before operating the product.

• Do not use the jog function to jog past the set cot load height after the cot safety bar connects with the vehicle safety

hook.

• Always lower the cot to the lowest position to make sure that the cot connects to the cot fastener.

• Do not attempt to change the product height while the cot is connected to the cot fastener.

• Do not sit or stand on the siderails (XPS option).

• Do not use the siderails (XPS option) as a patient transfer device or surface (for example, to slide a patient from the cot

to another surface).

• Do not position patients with full weight on the siderails (XPS option).

• Do not use the siderails (XPS option) as a push/pull device or to steer the product.

• Do not entangle the restraint straps in the base frame when you raise or lower the cot.

• Always secure the defibrillator platform to the product when you use the defibrillator platform.

• Always use and adjust the straps that are provided with the defibrillator platform to secure the defibrillator.

• Always change the installation location or adjust the straps for your specific defibrillator size or shape.

• Do not load the defibrillator platform above the safe working load of 30 lb (13.6 kg).

• Do not load the equipment hook above the safe working load of 35 lb (15.8 kg).

• Always remove all accessories or equipment from the equipment hook when in the vehicle.

• Do not load the IV pole above the safe working load of 25 lb (11.3 kg).

• Do not load the oxygen bottle holder above the safe working load of 1.1 stones (6.8 kg) (15 lb).

• Do not use two oxygen bottle holders at the same time.

• Do not load the base storage net above the safe working load of 20 lb (9 kg).

• Always be careful when you retract the base to avoid damaging items that are stored in the base storage net.

• Do not load the backrest storage pouch above the safe working load of 20 lb (9 kg).

• Do not allow the storage pouch to interfere with the operation of the retractable head section.

• Do not store items under the mattress. Items under the mattress may interfere with product operation.

• Always remove the battery if the cot is not going to be used for an extended period of time (more than 24 hours).

• Always place the electrical S M R T charger power cord where it will not be stepped on, tripped over, or otherwise

subjected to damage or stress.

• Do not touch the S M R T Pak receptacle terminals with metal objects.

• Always grasp and pull the plug, not the cord, when you disconnect the S M R T charger to avoid the risk of damage to the

electrical plug and cord.

• Do not steam clean or ultrasonically clean the product.

• Do not exceed 180 °F (82 °C) as the maximum water temperature.

• Do not exceed 1500 psi (130.5 bar) as the maximum water pressure. If you are using a hand held wand to wash the

product, keep the pressure nozzle at a minimum of 24 in. (61 cm) from the product.

• Always allow to air dry.

• Always remove the battery before you wash the cot.

• Do not clean, service, or perform maintenance while the product is in use.

• Do not steam clean or ultrasonically clean the S M R T Pak.

• Do not exceed 180 °F/82 °C as the maximum water temperature.

• Do not exceed 240 °F/115 °C as the maximum air dry temperature (cart washers).

• Do not exceed 1500 psi (130.5 bar) as the maximum water pressure. If you use a hand held wand to wash the product,

keep the pressure nozzle at a minimum of 24 in. (61 cm) from the product.

• 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.

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• 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.

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.

Clinical benefits

Cot: patient transport

Fastener: support cot for transport

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Cot and fastener system: support and transport patients

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

N o t e - Safe working

load indicates the

sum of the patient,

mattress, and

accessory weight.

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Hydraulic oil

Stryker part number 6500-001-293

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 10)

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

-4 °F

(-20 °C)

75%

30%

1060 hPa

Atmospheric pressure

6550-709-001 Rev G.0

43 °F

(6 °C)

88 °F

(31 °C)

93%

0%

1060 hPa

700

104 °F

(40 °C)

1060 hPa

500

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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

EN

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

A

B

C

D

E

S M R T charger

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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Setup

During setup, unpack the cartons and check all items for proper operation. Make sure that the product operates before you

place it into service

Remove all the shipping and packaging materials from the product before use.

The patient compartment of the vehicle where the product will be used, must have a:

•

Level floor large enough for the folded product

•

Stryker cot fastener system

N o t e - Loose items or debris on the patient compartment floor can interfere with the operation of the safety hook and

product fastener. Keep the patient compartment floor clear.

Unpack the S M R T Paks and S M R T charger. Charge the S M R T Pak before use.

When necessary, modify the vehicle to fit the cot. Do not modify the cot.

Installation

Installing the cot fastener

The Stryker cot fastener systems are compatible only with cots that conform to the installation specifications.

WARNING

• Always install the cot fastener by qualified personnel only. Improper installation could result in injury to the patient or

operator.

• Always make sure that all cots meet the installation specifications for the Stryker cot fastener system.

N o t e - You may need to adjust the rail clamp assembly to compensate for any variation in the cot retaining post position

depending on the cot manufacturer and model number.

These instructions are intended for cots with antler style cot fastener systems. For crash-rated cot fasteners, see the

appropriate Operations Manual for installation instructions.

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Operation

Checking the battery power level

Use the cot battery LED indictor to check the S M R T Pak power level. A charged S M R T Pak, in working condition, provides

up to 25 calls with a 250 pound patient (actual results may vary). The 24 VDC P o w e r - P R O system and the S M R T Pak is

rated for 2.4 amp-hours of electric energy.

W A R N I N G - Do not remove the battery when the cot is active.

C A U T I O N - Always charge the battery before you place the product into service. An uncharged or depleted battery may

cause poor product performance.

To check the battery power level, press the retract (-) button on the cot control switch to activate the cot battery LED

indicator. The cot battery LED indicator is located at the foot end control enclosure (shown as a battery symbol).

•

The LED is solid green when the battery has a full charge or has an adequate battery power charge.

N o t e - For best results, use the S M R T Pak until the cot battery LED indicator changes from solid green to flashing

amber.

•

The LED flashes amber when you need to charge or replace the battery

N o t e - The cot battery LED indicator does not have to flash amber before you remove and replace the S M R T Pak,

however, this is considered to be a best practice. You can remove and recharge the S M R T Pak at any time.

•

The LED is a solid amber to indicate a battery error.

Note

• Only use Stryker approved batteries.

• If equipped, the powered cot fastener automatically charges the S M R T Pak battery. Automatic charging occurs when

you lock the cot into the powered cot fastener (no cable or connectors required). The cot battery LED indicator flashes

green for a moment to signify that it is charging.

• Automatic charging will only occur with S M R T Pak batteries.

Checking the hour meter and error display

The hour meter indicates the amount of time (HHH.H hours) that the hydraulics were in use. The error display provides

error code information for troubleshooting.

Use the hour meter (A) (Figure 6) to determine the frequency of preventive maintenance. Use the error display (A) for

troubleshooting. The error display overrides the hour meter display when an error occurs.

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B

A

A

6506/6516

6550

Figure 6 – Checking the hour meter (A), error display (A), and battery status (B)

Operating guidelines

WARNING

• Always operate the cot only when all persons are clear of the mechanisms. Entanglement in powered cot mechanisms

can cause serious injury.

• Always inspect S M R T Paks for damage before every use.

• Do not allow untrained assistants to assist in the operation of the product.

• Always follow proper hand placement on hand grips. Keep all hands clear of the red safety bar pivots when you load or

unload the cot or change cot height position.

• Do not ride on the base of the cot.

• Do not transport the cot sideways to avoid the risk of tipping. Always transport the cot in a lowered position, head end or

foot end first to minimize the risk of tipping.

• Always keep hands, fingers, and feet away from moving parts. Use caution when placing your hands and feet near the

base tubes while you raise or lower the cot.

• Always install the in-fastener shut-off system in any emergency vehicle that will be used with this cot if using an antler

style cot fastener.

• Always conduct patient monitoring when the cot is idle. If you hydraulically raise or lower the product you may

temporarily affect electronic patient monitoring equipment.

C A U T I O N - Always clear any obstacles that may interfere and cause injury to the operator or patient before operating the

product.

•

Operate the product only as described in this manual.

•

Read all labels and instructions on the product before use.

•

Practice changing height positions and loading the cot until you fully understand the operation of the product.

•

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

•

Always load or unload an occupied cot with a minimum of two trained operators. Two operators must be present when a

cot is occupied. Stryker recommends that both operators are at the foot end to reduce the load on each operator. One or

two operators can lift from the foot end of the cot.

•

Do not adjust, roll, or load the cot into a vehicle without advising the patient. Stay with the patient and control the product

at all times.

•

You can transport the cot in any position. Stryker recommends that the operators transport the patient in the lowest

comfortable position to maneuver the cot.

•

Only use the wheel locks during patient transfer or without a patient on the product.

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•

Do not apply a wheel lock when an occupant is on the product or when moving the product to avoid the risk of tipping.

•

Use properly trained helpers to control the cot, when necessary.

Proper lifting techniques

When you lift the product and occupant, follow these proper lifting techniques to avoid the risk of injury:

•

Keep your hands close to your body

•

Keep your back straight

•

Coordinate all movement with your partner

•

Lift with your legs

•

Avoid twisting

Transferring the patient to the cot

WARNING

• Always use all restraint straps to secure the patient on the product. An unrestrained patient may fall from the product and

be injured.

• Do not leave a patient unattended. Hold the product while a patient is on the product.

• Do not apply a wheel lock when a patient is on the product or when you move the product to avoid the risk of tipping.

• Do not use siderails as a patient restraint device.

To transfer the patient to the product:

1. Roll the product to the patient (Rolling the cot with a patient (page 18)).

2. Place the product beside the patient and raise or lower the product to the level of the patient.

3. Lower the siderails and open the restraint straps.

4. Transfer the patient to the product. Follow accepted EMS procedures.

5. Secure the patient to the product with all of the restraint straps.

6. Raise the siderails and adjust the backrest and footrest as necessary.

N o t e - Use the Transfer Flat (6005-001-001) to transfer larger patients.

Rolling the cot with a patient

WARNING

• Always transport the cot at a lower height to reduce the risk of a cot tip. If possible, obtain additional assistance or take

an alternate route.

• Always avoid high obstacles, such as curbing, steps, or rough terrain to avoid the risk of the product tipping over.

To roll the cot with a patient:

1. Position one operator at the foot end and one operator at the head end of the cot.

2. Make sure that the litter is perpendicular when you approach door sills or other low obstacles.

3. Lift each set of wheels over the door sill or obstacle separately.

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Raising or lowering the cot

You can raise or lower an unoccupied cot with one operator. If a patient is on the cot, a minimum of two trained operators

(one located at each end of the cot) are required to raise or lower the cot.

WARNING

• Always keep hands, fingers, and feet away from moving parts. Use caution when placing your hands and feet near the

base tubes while you raise or lower the cot.

• Always follow proper hand placement on hand grips. Keep all hands clear of the red safety bar pivots when you load or

unload the cot or change cot height position.

C A U T I O N - Do not use the jog function to jog past the set cot load height after the cot safety bar connects with the vehicle

safety hook.

To raise or lower the cot:

1. Operator 1 (foot end): Grasp the cot frame and press the:

• Extend (+) button to raise the cot to the desired height

• Retract (-) button to lower the cot to the desired height

2. Operator 2 (head end): Maintain a firm grip on the outer rail until the cot is at the desired height.

Note

• Operator 2 is required to raise or lower the cot with a patient.

• If you press the extend (+) button on the cot control switch after the cot reaches the set cot load height, the motor will

remain halted until you release the button. After you release the button, press the extend (+) button again to jog the cot

height up higher.

Raising, lowering, or releasing the cot with power

There are two identical cot control switches located on the P o w e r - P R O cots. Press the button on either of these switches

to raise (extend) the cot, lower (retract) the cot, or release the cot from P o w e r - L O A D , if applicable (Figure 7).

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A

C

B

Figure 7 – Cot control switches

Reference

Name

Description

A

Release

Press to unlock the cot (for use with

P o w e r - L O A D only)

B

Retract (-)

Press and hold to lower the litter or

retract the cot undercarriage

C

Extend (+)

Press and hold to raise the litter or

extend the cot undercarriage

Raising or lowering the cot manually with the manual override

In the event of loss of electrical function, you can use the cot manual override. This allows manual operation of the product

until the restoration of the electrical, powered functions. Use the red manual back-up release handle to raise or lower the

cot.

The manual back-up release handle is located is along the patient left side of the lower lift bar at the foot end of the cot.

To raise or lower the cot with the manual back-up release handle:

1. Both operators: Lift the cot during the raise or lower operation to support the weight of the cot at each end.

2. Operator 1 (foot end):

a. Pull the manual back-up release handle toward the lift bar.

b. While pulling the manual back-up release handle, raise or lower the cot to the desired position.

c. Release the handle to lock the cot into position

Note

• Both operators must lift the cot weight off of the wheels to use the manual extend or retract while a patient is on the cot.

• Activation of the manual back-up release handle may cause the cot to lower at a slow rate if less than 50 lb (23 kg) are

on the cot.

• Hydraulic fluid will become more viscous when the cot is used for extended periods in cold temperatures. When using

the manual back-up release function to extend the base, while unloading in cold weather conditions, hold the manual

back-up release handle for approximately one second after the cot wheels touch the ground to minimize sagging of the

litter as you remove the cot from the vehicle patient compartment.

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Expediting load with the high speed retract mode

When you press the retract (-) button, the cot will enter the high speed retract mode when the cot wheels are not supporting

the weight of the cot and patient.

The high-speed retract mode expedites loading of the cot into a vehicle. The undercarriage retracts toward the highest

position once the weight of the cot and patient is no longer supported by the wheels. Press the retract (-) button to actuate

the control switch.

Loading the cot to the cot fastener

CAUTION

• Always lower the cot to the lowest position to make sure that the cot connects to the cot fastener.

• Do not attempt to change the product height while the cot is connected to the cot fastener.

To load the cot to the cot fastener:

1. Depress the cot pedal and lower the cot. Press the retract (-) button until the product stops moving down to lower the

cot.

2. Guide the cot into both the head end and foot end of the cot fastener until the cot locks into place (Figure 8).

3. Make sure that the cot is secure at both the head end and foot end before you release your grip on the cot (Figure 9).

Figure 8 – Cot in both the head end and foot end of the

cot fastener

Figure 9 – Cot fastened

Removing the cot from the cot fastener

To remove the cot from the cot fastener:

1. Press down on the foot pedal (Figure 10).

2. Roll the cot out of the vehicle patient compartment.

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Figure 10 – Press down on the foot pedal

Loading the cot with a tail lift

Always load an occupied cot with a minimum of two trained operators. Two operators must be present when a cot is

occupied. Operators must be able to lift the total weight of the patient, cot, and any items on the cot.

WARNING

• Always make sure that the cot is not able to roll back off of the lift before you use the tail lift with a cot and patient. Make

sure that the lift gate stop is maintained and functioning.

• Always follow proper hand placement on hand grips. Keep all hands clear of the red safety bar pivots when you load or

unload the cot or change cot height position.

CAUTION

• Always lower the cot to the lowest position to make sure that the cot connects to the cot fastener.

• Do not attempt to change the product height while the cot is connected to the cot fastener.

To load the cot:

1. Press the retract (-) button to move the cot to its lowest position for greater stability.

2. Push the cot forward onto the tail lift, head end first (Figure 11). Make sure that the wheels are in the proper location on

the tail lift to allow the safety stop to rotate into place and prevent the cot from rolling backward.

3. Before you raise the tail lift, make sure that there is adequate distance between the cot and the rear of the ambulance.

Make sure that there is nothing hanging from the cot.

4. As one operator raises the tail lift, the second operator should maintain a firm grip on the cot frame to provide greater

stability.

5. Both operators should guide the cot into the vehicle patient compartment and into the vehicle cot fastener (not included)

(Figure 12).

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