Power-PRO XT Operations and Maintenance Manual Stretcher Rev E

Symbols Refer to instruction manual/booklet

Operating instructions

CE Mark

Manufacturer

Safe working load

Dangerous voltage

General warning

Caution

Warning; crushing of hands

No pushing

Do not lubricate

SMRT™ Power System

Extend

Retract Warning; non-ionizing radiation

IPX6

Protection from powerful water jets

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Symbols Type B Applied Part

Medical Equipment Classified by Underwriters Laboratories Inc. With Respect to Electric Shock, Fire, and Mechanical Hazards Only in Accordance with ANSI/AAMI ES60601-1: 2005 and CAN/CSA-C22.2 No. 60601-1:08. In accordance with European Directive 2012/19/EU on Waste Electrical and Electronic Equipment, this symbol indicates that the product must not be disposed of as unsorted municipal waste, but should be collected separately. Refer to your local distributor for return and/or collection systems available in your country. Keep dry

450 lb/205 kg weight capacity

Do not stack more than three high 3

Dangerous voltage

This device complies with Part 15 of the FCC rules Date of manufacture

Serial number Lot (batch) code Catalog/model number

<60s

>300s

Cot duty cycle: 16.7% (less than 60 seconds on, more than 300 seconds off) Lift here

This way up

Fragile

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Symbols Two person lift Direct current

European authorized representative

U.S.A. 49

English text below this symbol is intended for USA audiences only Approved by independent communications authority of South Africa Registered in United Arab Emirates by the Telecommunications Regulatory Authority

Product complies with applicable EMC standards in Australia/New Zealand

Box manufacturer’s certificate - this packaging box has minimum bursting test value of 500 lbs per sq inch

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Table of Contents Symbols ... 3 Warning/Caution/Note Definition ... 10 Introduction ... 11 Product Description... 11 Intended Use of Product ... 11 Expected Service Life ... 11 Contraindications ... 11 Specifications ... 12 Contact Information ... 14 Serial Number Location ... 14 Serial Number Key ... 14 Product Illustration ... 15 Summary of Safety Precautions ...16 Pinch Points ...21 Mechanical Stability ... 22 Setup Procedures ... 23 Setting Cot Load Height and “Jog” Function ... 24 Cot Fastener Installation ... 25 Installing the In-Fastener Shut-Off ... 27 Vehicle Safety Hook Selection ... 28 Vehicle Safety Hook Installation ... 29 Vehicle Configuration ... 29 Required Hardware for Installation of the Safety Hook (Not Supplied) ... 29 Front to Back Positioning of the Safety Hook ... 30 Side to Side Positioning of the Safety Hook ...31 Installing the Safety Hook ...31 Power-PRO™ Cot User Controls ... 32 Using the Cot Control Switches ... 32 Checking the Cot Battery Power Level ... 33 Checking the Hour Meter/LCD Error Display ... 34 Operation Guide ... 35 Operating Guidelines ... 35 Proper Lifting Techniques ... 35 Transferring the Patient to the Cot ... 36 Rolling the Cot ... 36 Adjusting The Height of the Cot ... 37 Loading or Unloading the Cot ... 38 Loading or Unloading the Cot with the Power-LOAD Option... 38 High Speed Retract/Extend ... 38 Loading the Cot into a Vehicle with Two Operators - Powered Method ... 39 Loading an Empty Cot into a Vehicle with One Operator - Powered Method ... 41 Unloading the Cot from a Vehicle with Two Operators - Powered Method ... 42 Unloading an Empty Cot from a Vehicle with One Operator - Powered Method ... 44 Using the Manual Override ... 45 www.stryker.com

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Table of Contents Loading the Cot into a Vehicle with Two Operators - Manual Method... 46 Unloading the Cot from a Vehicle with Two Operators - Manual Method ... 48 Unloading an Empty Cot from a Vehicle with One Operator - Manual Method ... 50 Using Additional Assistance ... 51 Operating the Backrest ... 52 Raising and Lowering the Siderails (Standard) ... 52 Raising and Lowering the Siderails (XPS Option) ... 53 Operating the Retractable Head Section... 54 Adjusting the Footrest... 55 Raising and Lowering the Optional Knee Gatch ... 56 Operating the Optional Wheel Locks... 57 Operating the Optional Steer-Lock ... 58 Using the Optional Kickstand for Dialysis Scale... 59 Using Restraint Straps ... 60 Using X-Restraint Straps ... 62 Adjusting Restraint Straps ... 64 Using the Restraint Extender ... 65 Attaching the Pedi-Mate® Infant Restraint System... 66 Removing and Replacing a SMRT™ Pak ... 68 Using the Defibrillator Platform ... 69 Using the Equipment Hook ... 71 Using the Head Extension with Pillow ... 71 Operating the Optional Two-Stage I.V. Pole ... 72 Operating the Optional Three-Stage I.V. Pole ... 73 Attaching an Oxygen Bottle to an Oxygen Bottle Holder ... 74 Using the Retractable Head Section Oxygen Bottle Holder ... 75 Installing the Base Storage Net ... 76 Installing the Backrest Storage Pouch ... 77 Installing the Head End Storage Flat... 78 Using the Transfer Flat ... 78 Attaching the Mattress... 79 Cleaning ... 80 Washing Procedure ... 80 Washing Limitations ... 80 Removal of Iodine Compounds ... 81 Preventive Maintenance ... 82 Lubrication ... 82 Regular Inspection and Adjustments ... 83 Maintenance Record ... 86 Training Record ... 87 Troubleshooting Guide... 88 Electronics and Hydraulics Locator ... 88 Hydraulic Assembly ... 89 Hydraulic Assembly Wiring Schematics ... 89 8

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Table of Contents Electrical System Block Diagram ... 90 Troubleshooting Guide ... 92 LCD Error Codes ... 95 Main Cable Assembly ... 96 Main Cable Assembly Wiring Schematics... 96 Control Board Assembly ... 97 Control Board Wiring Schematics ... 97 Quick Reference Replacement Parts List ... 98 Accessories... 100 Service Information... 101 Backrest Adjustment... 101 Headsection Replacement... 102 Backrest Gas Cylinder Replacement... 102 Manual Release Cable Adjustment... 103 Filling the Hydraulics Assembly Reservoir... 104 Wheel Locking Force Adjustment... 105 Steer-Lock Mechanism Adjustment... 106 Cot Retaining Post Adjustment... 107 Cot Retaining Post Replacement... 108 Cot Retaining Post Screw Replacement... 108 Hydraulic A Valve or B Valve Replacement... 109 Hydraulic Manual Release Valve Replacement ... 110 Hydraulic Cylinder Replacement... 111 Hydraulic Hose Replacement ... 112 Terminal Block Replacement ... 113 Siderail Assembly Replacement (Standard)... 114 Siderail Assembly Replacement (XPS Option) ... 115 Ratchet Assembly Replacement (XPS Option) ...116 Release Handle Assembly Replacement (XPS Option) ... 117 Spring Handle Assembly Replacement (XPS Option)... 117 Warranty ... 118 Stryker EMS Return Policy... 119 Return Authorization ... 119 Damaged Merchandise ... 119 International Warranty Clause ... 119 Patent Information ... 119 EMC Information... 120

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

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

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

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

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Introduction This manual is designed to assist you with the operation and maintenance of the Stryker Power-PRO™ XT cot. Read this manual thoroughly before using the equipment or beginning maintenance on it. To ensure safe operation of this equipment, it is recommended that methods and procedures be established for educating and training staff on the safe operation of this cot.

PRODUCT DESCRIPTION The Stryker Model 6506 Power-PRO™ XT 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 has an adjustable load height feature to allow the device to be set to different ambulance deck heights for proper body mechanics during loading and unloading. The NiCd battery-powered hydraulic lift system allows operators to raise and lower the cot using the powered controls, while duplicate foot-end controls on the upper and lower lift bars accommodate different operator positions or sizes. 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: a retractable head section for 360-degree mobility in any height position, side rails, 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.

INTENDED USE OF PRODUCT The Stryker Power-PRO™ is a powered wheeled stretcher, which 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 is intended to help reduce the effort required by the operator to raise and lower the cot. The device is designed to support patients in a supine (horizontal) or sitting position and facilitate the transportation of associated medical equipment (i.e. oxygen bottles, monitors, and/or pumps) in emergency/transport vehicles. This ambulance cot is intended 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 (318 kg) (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.

EXPECTED SERVICE LIFE • • •

7 years for Power-PRO™ XT cot 7 years for SMRT™ charger 2 years for SMRT™ Pak battery

CONTRAINDICATIONS p p

Power-PRO™ XT is not intended for extended stay or to be used as a hospital bed. Power-PRO™ XT is not intended to be used in devices which modify air pressure, such as hyperbaric chambers.

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Introduction SPECIFICATIONS Safe Working Load Note: Safe Working Load indicates the 700 lb sum of the patient, mattress and accessory weight.

318 kg

Maximum Unassisted Lift Capacity 1 Backrest Articulation/Shock Position (Standard Fowler - 6506-012-003) Backrest Articulation/Shock Position (1865 Fowler Option - 6506-012-004)

500 lb 0° to 73° / +15°

Overall Length/Minimum Length/Width Height 2

81 in. / 63 in. / 23 in. Adjustable from 14 in. to 41.5 in. 125 lb 6 in. / 2 in. 2

0° to 75° / +15°

Weight 3 Caster Diameter/Width Minimum Operators Required for Loading/ Unloading an Occupied Cot Minimum Operators Required for Loading/ Unloading an Unoccupied Cot Recommended Fastener Systems

206 cm / 160 cm / 58 cm Adjustable from 36 cm to 105 cm 57 kg 15 cm / 5 cm

1

Recommended Loading Height 4 Recommended Working Height (excluding mattress) Single Adjustable Wheel Lock/ Double Adjustable Wheel Lock Hydraulic Oil Power System Battery Charger Cot Duty Cycle Standards (Cots and Chargers) 5

227 kg

Model 6370 or 6377 Floor Mount Type Model 6371 Wall Mount Type Model 6390 Power-LOAD Up to 36 in. Up to 91 cm 15.75 in. 40 cm Optional Stryker Part Number 6500-001-293 24V NiCd - SMRT™ Power System 100-240V 1.20 A, 50/60Hz or 12V 4.16 A - SMRT™ Power System 16.7% (1 Min. On / 5 Min. Off) ANSI/AAMI ES60601-1: 2005, CAN/CSA-C22.2 No. 60601-1:08, BS EN 1789:2007+A2:2014, AS/NZS-4535, KKK-A-1822, SAE J3027, BS EN 1865-2:2010 (for 1865 fowler option), BS EN 1865-3:2012 (for XPS option) ~

1

Cot loads over 300 lb (136 kg) may require additional assistance to meet the set cot load height. Height measured from bottom of mattress at seat section to ground level. 3 Cot is weighed with one battery and without mattress and restraints. 4 Cot may be set to any ambulance deck height ranging from 26 in. to 36 in. (66 cm to 91 cm). 5 To meet SAE J3027 and AS/NZS-4535 crash-test standards with the use of a crash-rated fastener, such as Power-LOAD (Model 6390), you must install the X-restraint package (6500-001-430) and either a knee gatch bolster mattress (6500-002-150/6506-002150) or XPS mattress (6500-003-130) (depending on cot siderail). To meet BS EN 1789:2007+A2:2014 crash-test standards with the use of a crash rated fastener, such as Power-LOAD (Model 6390), you must install the G-rated restraint package (6500-002-030) and knee gatch bolster mattress (6500-002-150/6506-001-150) or XPS mattress (6500-003-130) (depending on cot siderail). Cot is compliant to the BS EN 1865-3:2012+A1:2015 standard with the XPS option (6506-040-000). Cot is compliant to the BS EN 18652:2010+A1:2015 standard with the 1865 fowler option (6506-012-004). 2

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Introduction SPECIFICATIONS (CONTINUED)

Environmental Conditions

Temperature

Operation

Storage and Transportation

130 °F (54 °C) -30 °F (-34 °C)

130 °F (54 °C) -30 °F (-34 °C)

93%

93%

Relative Humidity

0%

0% 1060 hPa

1060 hPa

Atmospheric Pressure

700

700

Stryker reserves the right to change specifications without notice. The Power-PRO™ XT is designed to conform to the Federal Specification for the Star-of-Life Ambulance (KKK-A-1822). The Power-PRO™ XT is designed to be compatible with competitive cot fastener systems. Patents pending. The yellow and black color scheme is a proprietary trademark of Stryker Corporation.

Stryker hereby declares that this Power-PRO™ XT ambulance cot (model 6506) is in compliance with the essential requirements and other relevant provisions of Directive 1999/5/EC. A copy of the original declaration of conformity can be obtained by contacting Stryker Medical at 3800 E. Centre Ave. Portage, MI 49002 Attn. Regulatory Affairs.

CAUTION • •

Changes or modifications to the unit not expressly approved by Stryker could void the user’s authority to operate the system. This equipment has been tested and found to comply with the limits for a Class A digital device, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a commercial environment. This equipment generates, uses, and can radiate radio frequency energy and, if not installed and used in accordance with the instruction manual, may cause harmful interference to radio communications. Operation of this equipment in a residential area is likely to cause harmful interference in which case the user will be required to correct the interference at their expense.

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Introduction CONTACT INFORMATION Contact Stryker Customer Service or Technical Support at: (800) 327-0770. Stryker Medical 3800 E. Centre Avenue Portage, MI 49002 USA Please have the serial number (A) of your Stryker product available (as shown in Figure 1) when calling Stryker Customer Service or Technical Support. Include the serial number in all written communication.

SERIAL NUMBER LOCATION Head End

2 1

A

3

Figure 1

SERIAL NUMBER KEY See Figure 1 and the following key for additional serial number information:

1

2 digit month

2

2 digit year

3

5 digit sequence that starts with 39000 each month

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Introduction PRODUCT ILLUSTRATION Footrest Release Handle

Backrest Adjustment Handle

Backrest

Height Adjustment Switches

Manual Back-Up Release Handle

HEAD END Battery Release Battery

Retractable Head Section

Siderail Release

Head Section Release

Foot Rest

Lifting Bar Load Wheels Height Sensor Housing (on other side) Wheel Lock (Optional)

Cot Retaining Post

FOOT END

Hydraulic Unit

Transport Wheels J Safety Hook Stryker part number 6092-036-018

Long Safety Hook Stryker part number 6060-036-018

Short Safety Hook Stryker part number 6060-036-017

Figure 2 Return To Table of Contents www.stryker.com

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Summary of Safety Precautions Carefully read and strictly follow the warnings and cautions listed on these pages. Service only by qualified personnel.

WARNING •

Ensure proper hand placement on hand grips. Hands should be clear of red safety bar pivots while loading and unloading the cot or whenever changing height position of the cot with two or more operators. • To avoid the risk of patient or operator injury, use both hands when transporting the cot. • Improper usage of the cot can cause injury to the patient or operator. Operate the cot only as described in this manual. • Do not modify the cot or any components of the cot. Modifying the product can cause unpredictable operation resulting in injury to the patient or operator. Modifying the product also voids its warranty (see page 118). • Any emergency vehicle to be used with this cot must have the in-fastener shut-off system installed (if not using Power-LOAD) (see page 27). • It is the responsibility of the cot operator to ensure that the cot being used in the Stryker Cot Fastener Systems meets the installation specifications listed on page 26. Injury may result if a non-compatible cot is used in the Stryker Fastener System. • The in-fastener shut-off must be positioned properly before placing the cot into service. Failure to install the infastener shut-off may cause injury to the patient or operator and/or damage to the vehicle. • Do not attempt to operate the cot when it is loaded into a cot fastener. • The in-fastener shut-off is only a means for disabling the electronic functionality. Damage to the product and/or injury to the patient and/or operator may occur if used for any other purpose. • Have the vehicle safety hook installed by a certified mechanic. Improper safety hook installation can cause injury to the patient or operator and/or damage to the cot. • Failure to install the safety hook can cause injury to the patient or operator. Install and use the safety hook as described on page 29. • The face of the safety hook that engages the safety bar should be located at least 3-3/4” from the leading edge of the door sill. After installation, verify that the cot legs lock into the load position without contacting the vehicle bumper. • To avoid injury, verify that the safety bar has engaged the safety hook before removing the cot from the patient compartment. • Verify that the safety hook always engages the cot safety bar regardless of how the cot is unloaded from the vehicle or injury to the patient or operator and/or damage to the cot may occur. • The cot must have at least 5/8” of clearance between the vehicle bumper and the cot to disengage the safety bar when unloading the cot from the vehicle. Verify that the cot legs lock into the load position before disengaging the safety bar from the safety hook. Failure to properly lock the cot height into position can cause injury to the patient or operator and/or damage to the cot. • To avoid risk of electric shock, never attempt to open the battery pack for any reason. 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. • Do not remove the battery when the cot is activated. • Avoid direct contact with a wet battery or battery enclosure. Contact may cause injury to the patient or operator. • Entanglement in powered cot mechanisms can cause serious injury. Operate the cot only when all persons are clear of the mechanisms. • Inspect SMRT™ Paks for damage before every use. • Practice changing height positions and loading the cot until operation of the product is fully understood. Improper use can cause injury. • Do not allow untrained assistants to assist in the operation of the cot. Untrained technicians/assistants can cause injury to the patient or themselves. • Do not ride on the base of the cot. Damage to the product could occur, resulting in injury to the patient or operator. Ǩ Transporting the cot sideways can cause the cot to tip, resulting in possible damage to the product and/or injury to the patient or operator. Transporting the cot in a lowered position, head or foot end first, minimizes the potential of a cot tip. • Grasping the cot improperly can cause injury. Keep hands, fingers and feet away from moving parts. To avoid injury, use extreme caution when placing your hands and feet near the base tubes while raising and lowering the cot.

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Summary of Safety Precautions WARNING (CONTINUED) • • • • • • • • •

•

• • •

• • • • • • • • • • •

Always use all restraint straps to secure the patient on the cot. An unrestrained patient may fall from the cot and be injured. Never leave a patient unattended on the cot or injury could result. Hold the cot securely while a patient is on the product. Never apply the optional wheel locks while a patient is on the cot. Tipping could occur if the cot is moved while the wheel lock is applied, resulting in injury to the patient or operator and/or damage to the cot. Siderails are not intended to serve as a patient restraint device. See page 60 for proper restraint strap usage. Failure to use the restraint straps properly could result in patient injury. Hydraulically raising or lowering the cot may temporarily affect electronic patient monitoring equipment. For best results, patient monitoring should be conducted when the cot is idle. High obstacles such as curbing, steps or rough terrain can cause the cot to tip, possibly causing injury to the patient or operator. If the cot is equipped with the optional kickstand, make sure that the kickstand remains in the retracted position and does not engage during transport. Transporting the cot in lower positions reduces the potential of a cot tip. If possible, obtain additional assistance or take an alternate route. Power-LOAD is designed to be compatible with the 6085/6086 Performance-PRO XT, 6500/6506 Power-PRO™ XT, and 6510/6516 Power-PRO™ IT cots with the Power-LOAD option only. In certain situations, you can use Power-LOAD as a standard antler for most X-frame cots, but a rail clamp assembly is required for all cots without the Power-LOAD option. It is the responsibility of the cot operator to ensure that the cot being used in the Stryker Model 6390 Power-LOAD system is a Power-LOAD compatible cot. Injury may result if a non-compatible cot is used in the Stryker Model 6390 Power-LOAD system. Two operators must be present when the cot is occupied. Operators must be able to lift the total weight of the patient, cot and any items on the cot. The higher an operator must lift the cot, the more difficult it becomes to hold the weight. An operator may need help loading the cot if he/she is too short or if the patient is too heavy to lift safely. The operator must be able to lift the cot high enough for the cot legs to unfold completely and lock when the cot is unloaded. A shorter operator needs to raise their arms higher to enable the undercarriage to unfold. There must be a safety hook properly installed in the vehicle so that the bumper does not interfere with the front legs of the base frame. When using a cot fastener, do not load the cot into the vehicle with the head section retracted. Loading the cot with the head section retracted may cause the product to tip or not engage properly in the cot fastener, possibly causing injury to the patient or operator and/or damage to the cot. Whenever the weight of the cot and patient is no longer supported by the wheels, the cot will automatically enter the high speed retract mode if the retract (–) button is pressed. After the weight is off of the ground, the operators must support the load of the patient, cot and any accessories. Failure to support the load properly may cause injury to the patient or operator. The one person loading and unloading procedures are for use only with an empty cot. Do not use the procedures when loading/unloading a patient. Injury to the patient or operator could result. Do not pull or lift on the safety bar when unloading the cot. Damage to the safety bar could result and injury to the patient or operator could occur. Do not press the extend (+) button until the safety bar has engaged the safety hook. To avoid injury, always verify that the head section is locked into place prior to operating the cot. Do not attempt to load the cot into the patient compartment with the head section retracted. Loading the cot with the head section retracted may cause the product to tip or not engage properly in the cot fastener, possibly causing injury to the patient or operator and/or damage to the product. Never install or use a wheel lock on a cot with excessively worn wheels. Installing or using a wheel lock on a wheel with less than a 6” diameter could compromise the holding ability of the wheel lock, possibly resulting in injury to the patient or operator and/or damage to the cot or other equipment. Do not attach restraints to the base tubes, cross tubes, or fowler skin. Improper restraint attachment could result in damage to the cot further resulting in injury to the patient or operator. Return To Table of Contents

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Summary of Safety Precautions WARNING (CONTINUED) • • • • • • • • • • • • • • • •

• •

• •

• •

p

To avoid the risk of patient injury or equipment damage, ensure that you properly mount and secure the defibrillator platform to the cot. To avoid the risk of patient injury or equipment damage, you must use the provided straps to secure the defibrillator to the defibrillator platform. Due to the difference in sizes and shapes of available defibrillators, you may have to change the location and adjustment of the straps that secure the defibrillator to the defibrillator platform. To avoid the risk of patient injury or equipment damage, use and adjust all straps properly to ensure the security of the defibrillator. To avoid the risk of patient injury or equipment damage, the weight placed on the defibrillator platform must not exceed 30 lb (13.6 kg). Stryker recommends a two person operation when using the kickstand. Make sure that the patient weight is centered on the cot before using the kickstand. Engage the kickstand with your foot only. Lower cot height prior to engaging kickstand for increased stability. Make sure that the kickstand remains in the retracted position and does not engage during transport. Do not use the kickstand as a brake. Do not engage kickstand on a sloped surface. If the cot is equipped with the optional retractable head section oxygen bottle holder, use caution while the oxygen bottle holder is installed to avoid pinching your fingers between the fowler bracket and the oxygen bottle. To avoid accidental release of the Pedi-Mate®, and possible injury to the infant, ensure that the restraint buckle is located away from obstructions on the cot or accessories. When the optional head end storage flat is being used, ensure that it does not interfere with the operation of the retractable head section, safety bar and safety hook. Injury to the patient or operator could result. When cleaning, use any appropriate personal safety equipment (goggles, respirator, etc.) to avoid the risk of inhaling contagion. Use of power washing equipment can aerate contamination collected during the use of the cot. SOME CLEANING PRODUCTS ARE CORROSIVE IN NATURE AND MAY CAUSE DAMAGE TO THE PRODUCT IF USED IMPROPERLY. If the products described above are used to clean Stryker EMS equipment, measures must be taken to ensure the cots are wiped with clean water and thoroughly dried following cleaning. Failure to properly rinse and dry the cots will leave a corrosive residue on the surface of the cots, possibly causing premature corrosion of critical components. Failure to properly clean or dispose of contaminated mattress or other cot components will increase the risk of bloodborne pathogens and may cause injury to the patient or operator. Escaping fluid under pressure can penetrate the skin causing serious injury. Avoid the hazard by relieving pressure before disconnecting hydraulic or other lines. Tighten all connections before applying pressure. If an accident occurs, see a doctor immediately. Any fluid injected into the skin must be surgically removed within a few hours or gangrene may result. Doctors unfamiliar with this type of injury should reference a knowledgeable medical source. To avoid the risk of injury, do not use bare hands to check for hydraulic leaks. Take special precautions regarding electromagnetic compatibility (EMC) when using medical electrical equipment like Power-PRO™. Install and place Power-PRO™ into service according to the EMC information in this manual. Portable and mobile RF communications equipment can affect the function of Power-PRO™. The use of accessories, transducers and cables other than those specified, with the exception of transducers and cables sold by Stryker as replacement parts for internal components may result in increased emissions or decreased immunity of the Power-PRO™ cot. The Power-LOAD system and the Power-PRO™ cot should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, observe the Power-PRO™ cot to verify normal operation in the configuration in which it will be used. Power-PRO™ operates at the following frequencies: 70 - 125 kHz for inductive charging and 13.56 MHz±7 kHz, Amplitude Modulated (OOK), ERP: -79.57 dBm. The Power-PRO™ cot may be interfered with by other equipment, even if that other equipment complies with CISPR emission requirements.

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Summary of Safety Precautions CAUTION •

Changes or modifications to the unit not expressly approved by Stryker could void the user’s authority to operate the system. • This equipment has been tested and found to comply with the limits for a Class A digital device, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a commercial environment. This equipment generates, uses, and can radiate radio frequency energy and, if not installed and used in accordance with the instruction manual, may cause harmful interference to radio communications. Operation of this equipment in a residential area is likely to cause harmful interference in which case the user will be required to correct the interference at their expense. • The cot can be set at any cot load height position. Establish the required cot load height before placing the cot into service. • Set the cot load height to the proper stop height prior to operation. • Installation of the safety hook should be done by a certified mechanic familiar with ambulance vehicle construction. Consult the vehicle manufacturer before installing the safety hook and be sure that the installation of the safety hook does not damage or interfere with the brake lines, oxygen lines, fuel lines, fuel tank or electrical wiring of the vehicle. • Only use the battery and charger as specified in the SMRT™ Power System Operations/Maintenance Manual. • The cot is not for use with an AC adapter. • When charging a battery in an ambulance, locate the charger in an enclosed cabinet and out of patient reach during transport. • Ensure that the battery is fully charged prior to placing into service. An uncharged or depleted battery may cause poor cot performance. • Before operating the cot, clear any obstacles that may interfere and cause injury to the operator or patient. • Do not “jog” the cot past the established cot load height of the product when the safety bar engages the vehicle safety hook or damage may occur to the product. • When unloading the cot from the patient compartment, ensure that the caster wheels are safely set on the ground or damage to the product may occur. • Do not use the XPS option with a standard mattress. Use the wider gatch bolster mattress (6500-003-130) with the XPS option. • 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 unit. • Remove the battery if the cot is not going to be used for an extended period of time (more than 24 hours). • Wheel locks are only intended to help prevent the cot from rolling while unattended and to aid in patient transfer. A wheel lock may not provide sufficient resistance on all surfaces or under loads. • Ensure that the restraints are not entangled in the base frame when raising and lowering the cot. Ǩ The weight of the equipment in the base storage net (if equipped) must not exceed 20 lb (9 kg). Ǩ Be careful when retracting the base to avoid damaging items stored in the base storage net. • To avoid damage to the equipment hook, the weight of the accessories or equipment must not exceed 35 lb (15.8 kg). • To avoid damage to the I.V. pole, the weight of the I.V. bags or equipment must not exceed 25 lb (11.3 kg). • To avoid damage to the oxygen bottle holder (if equipped), the weight of the equipment must not exceed 15 lb (6.8 kg). • Do not use two head end oxygen bottle holders at the same time. • Do not store items under the cot mattress. Storing items under the mattress can interfere with the operation of the cot. • The weight of the equipment in the pocketed backrest storage pouch (if equipped) must not exceed 20 lb (9 kg). • The weight of the equipment in the head end storage flat (if equipped) must not exceed 40 lb (18 kg).

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Summary of Safety Precautions CAUTION (CONTINUED) • • • • • • • •

• • • • • •

DO NOT STEAM CLEAN OR ULTRASONICALLY CLEAN THE UNIT. Maximum water temperature should not exceed 180°F/82°C. Maximum water pressure should not exceed 1500 psi/130.5 bar. If a hand held wand is being used to wash the unit, the pressure nozzle must be kept a minimum of 24 inches (61 cm) from the unit. Allow cot to air dry. Towel dry all casters and interface points. Failure to comply with these instructions may invalidate any/all warranties. Always remove the battery before washing the cot. A preventive maintenance program should be established for all Stryker EMS equipment. Preventive maintenance may need to be performed more frequently based on the usage level of the product. Close attention should be given to safety features including, but not limited to: • Hydraulic power mechanism • All electrical controls return to off or neutral position when released. For additional maintenance information, see the preventive maintenance information. Improper maintenance can cause injury or damage to the product. Maintain the cot as described in this manual. Use only Stryker approved parts and maintenance procedures. Using unapproved parts and procedures could cause unpredictable operation and/or injury and will void the product warranty (see page 118). Failure to use authorized parts, lubricants, etc. could cause damage to the cot and will void the warranty of the product. Hydraulic lines, hoses, and connections can fail or loosen due to physical damage, kinks, age, and environment exposure. Check hoses and lines regularly to avoid damage to the cot. Check and tighten loose connections. 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 (see page 118). The cot retaining post is shipped preconfigured for an X-frame cot. If the cot fastener has been configured for an H-frame cot, you must adjust the cot retaining post to accommodate the cot fastener.

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Summary of Safety Precautions PINCH POINTS

Figure 3

WARNING Ensure proper hand placement on hand grips. Hands should be clear of red safety bar pivots while loading and unloading the cot or whenever changing height position of the cot with two or more operators.

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Summary of Safety Precautions MECHANICAL STABILITY

Figure 4

WARNING To avoid the risk of patient or operator injury, use both hands when transporting the cot. Notes: • If the cot is on a plane steeper than five degrees, place the cot in the fully lowered position. • The defibrillator option and the foot end oxygen bottle holder option can not be used at the same time.

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