Prime Series Stretcher Operations Manual Model 1105 Rev K Feb 2012

Table of Contents Symbols and Definitions ... 5 Symbols... 5 Warning/Caution/Note Definition ... 6 Introduction... 7 Product Description ... 7 Intended Use of Product... 7 Specifications... 8 Specifications - Optional Scale System (Non-Electric Litter/Electric Litter Option)... 9 Product Illustration (Electric Litter Option Shown)... 10 Contact Information ... 11 Serial Number Location... 11 Summary of Safety Precautions... 12 Setup Procedures... 15 Operation Guide ... 16 Applying the Brake System... 16 Operating the Base Controls - Side Control Hydraulics... 17 Operating the Base Controls - Optional Three-Sided Control Hydraulics... 18 Raising and Lowering the Litter Height - Optional Electric Lift... 19 Adjusting Trendelenburg/Reverse Trendelenburg Positions - Side Control Hydraulics... 20 Adjusting Trendelenburg/Reverse Trendelenburg Positions - Optional Three-Sided Control Hydraulics... 20 Operating the Fifth Wheel... 21 Operating the Siderails... 22 Operating the Siderail Patient Controls - Optional Electric Litter... 23 Operating the Foot End Nursing Controls - Optional Electric Litter ... 24 Using Patient Control Lockout - Optional Electric Litter ... 25 Operating the Optional Head End Push Handles ... 26 Operating the Optional Foot End Push Handles... 27 Operating the Pneumatic Fowler - Non-Electric... 28 Operating the Fowler - Optional Electric Litter... 29 Operating the Optional Gatch - Non-Electric ... 30 Operating the Gatch - Optional Electric Litter ... 31 Operating the Recovery Chair... 32 Using the Base Hood for Storage ... 33 Using the Optional Pump Rack ... 34 Using the Retractable Cord Reel - Optional Electric Lift/Litter ... 35 Operating the Optional Scale System ... 36 Operating the Optional Scale System - Non-Electric Litter... 37 Replacing the Optional Scale System Batteries - Non-Electric Litter... 38 Operating the Optional Scale System - Electric Litter Option without Chaperone... 39 Charging the Optional Scale System Battery Pack - Electric Litter Option... 40 Operating the Optional Scale System - Electric Litter Option with Chaperone... 41 Operating the Chaperone (Stretcher Exit) Option... 42 Charging the Optional Scale System Battery Pack - Electric Litter Option with Chaperone ... 42 Operating the Chaperone (Stretcher Exit) Option - Optional Setup... 43 www.stryker.com

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Table of Contents Optional Accessories... 44 Using the Defibrillator Tray ... 45 Using the Foot Extension/Defibrillator Tray... 45 Using the Footboard/Chartholder... 46 Using the I.V. Caddy... 46 Operating the Two-Stage Permanently Attached I.V. Pole... 47 Operating the Three-Stage Permanently Attached I.V. Pole ... 48 Operating the Removable I.V. Pole... 49 Installing the Siderail Pads ... 49 Using the Upright Oxygen Bottle Holder... 50 Using the Serving Tray ... 50 Using the Restraint Straps... 51 Cleaning... 52 Stretcher Cleaning ... 52 Mattress Cleaning... 53 Preventative Maintenance ... 55 Checklist ... 55 EMC Information... 56 Optional Electric Lift/Litter and Optional Scale System ... 56 Warranty... 60 Limited Warranty... 60 To Obtain Parts and Service... 60 Service Contract Coverage... 60 Service Contract Programs... 61 Return Authorization... 61 Damaged Merchandise... 61 International Warranty Clause... 61 Recycling Passport ... 62

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Symbols and Definitions SYMBOLS Warning/Caution: Consult accompanying documentation

Safe Working Load indicates the sum of the patient, mattress, and accessory weight

In accordance with European Directive 2002/96/EC 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. Manufacturer

Do not store oxygen bottle

Do not push/pull

~

Alternating Current

Direct Current

Type B Equipment: equipment providing a particular degree of protection against electric shock, particularly regarding allowable leakage current and reliability of the protective earth connection. Class 1 Equipment: equipment in which protection against electric shock does not rely on basic insulation only, but which includes an additional safety precaution in that means are provided for the connection of the equipment to the protective earth conductor in the fixed wiring of the installation in such a way that accessible metal parts cannot become live in the event of a failure of the basic insulation. Dangerous Voltage

Protective Earth Terminal

Protection from Liquid Jet

IPX6

87VL MEDICAL ELECTRICAL EQUIPMENT UL 60601-1 CAN/CSA C22.2 N0. 601.1

Medical Equipment Classified by Underwriters Laboratories Inc. with Respect to Electric Shock, Fire, Mechanical and Other Specified Hazards Only in Accordance with UL 60601-1 First Edition (2003) and CAN/CSA C22.2 No. 601.1.

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Symbols and Definitions 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 of Stryker Model 1105 Prime Series Stretcher. 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 stretcher.

PRODUCT DESCRIPTION The Stryker Model 1105 Prime Series Stretcher, with the retractable fifth wheel, optimizes traction and cornering to improve overall mobility.

INTENDED USE OF PRODUCT The Stryker Model 1105 Prime Series Stretcher is a wheeled device which consists of a platform mounted on a wheeled frame that is designed to support patients in a horizontal position. The device has siderails and has the option available to support the temporary or permanent placement of I.V. poles. A stretcher provides the operator a method of transporting patients within a healthcare facility. The device has a fifth wheel that may be engaged to guide the stretcher along a straight line during transport and pivots the stretcher around corners. Some stretchers may also be used for minor procedures and short-term stay (treatment and recovery).

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Introduction SPECIFICATIONS 26” Width

30” Width Option

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

700 lb

318 kg

700 lb

318 kg

Overall Stretcher Length

85” (± .5”)

215.9 cm

85” (± .5”)

215.9 cm

Overall Stretcher Width (Siderails Up)

34” (± 1”)

86.4 cm

38” (± 1”)

96.5 cm

76.8 cm

30.5” (± .5”)

77.5 cm

52.7 cm / 86.4 cm

20.75” / 34” (± 1”)

52.7 cm / 86.4 cm

5.75” nominal

14.6 cm

5.75” nominal

14.6 cm

1.75” under the hydraulic jacks and fifth wheel

4.5 cm

1.75” under the hydraulic jacks and fifth wheel

4.5 cm

Overall Stretcher Width (Siderails Down) 30.25” (± .5”) Minimum / Maximum Stretcher Height

20.75” / 34” (± 1”)

Fowler Angle

0° to 90° (± 5°)

Gatch Height

5.5” (14 cm) minimum

Trendelenburg / Reverse Trendelenburg

+17°/-17° (± 3°)

Minimum Under-Stretcher Clearance

Optional Electric Litter Electrical Requirements

120V ~ , 60Hz, 10 A

Duty Cycle

Continuous Operation with intermittent loading is 1 min ON/20 min OFF

Optional Scale System - Non-Electric Litter Battery Type

4 x AA Battery (4 X 1.5V ) Alkaline Type (LR6)

Battery Voltage

6.0V

Optional Scale System - Electric Litter Option Battery Type

1 x Rechargeable Lithium Ion Battery Pack (0058-135-000)

Battery Voltage

10.8V , 2.4Ah

Optional Scale System - Electric Litter Option with Chaperone (Stretcher Exit) Option Battery Type

1 x Rechargeable Lithium Ion Battery Pack (0058-134-000)

Battery Voltage

10.8V , 4.8 Ah

Stryker reserves the right to change specifications without notice. Note: Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide.

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Introduction SPECIFICATIONS (CONTINUED) Environmental Conditions

Temperature

Operation

Storage and Transportation

100 0F (38 0C) 50 0F (10 0C)

140 0F (60 0C) -4 0F (-20 0C)

95%

75% Relative Humidity

30%

10%

Atmospheric Pressure

Specifications listed are approximate and may vary slightly from unit to unit or by power supply fluctuations.

SPECIFICATIONS - OPTIONAL SCALE SYSTEM (NON-ELECTRIC LITTER/ELECTRIC LITTER OPTION) Optional Scale System Weight Operating Range

50 lb (22.7 kg) to 700 lb (318 kg)

Optional Scale System Accuracy

±3 lb (1.3 kg) for weights less than 100 lb (45 kg) and ±3% for weights greater than or equal to 100 lb (45 kg) *

Environmental Conditions

Temperature

Operation

Storage and Transportation

79 0F (26 0C) 61 0F (16 0C)

140 0F (60 0C) -4 0F (-20 0C)

95%

75% Relative Humidity

30%

10%

Atmospheric Pressure

* To meet this accuracy claim, the patient surface must be in the flat position (fowler and gatch down) and the stretcher cannot exceed 5 degrees of Trendelenburg/reverse Trendelenburg.

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Introduction PRODUCT ILLUSTRATION (ELECTRIC LITTER OPTION SHOWN)

Optional Siderail Patient Controls

Optional Pop Up Push Handle

Siderail

Optional Patient Control Lockout Optional Scale System

Siderail Optional Gatch Release Handle Pump Pedal Uni-Lower Pedal Brake/Steer Control Pedal Option

Integrated Bumpers

Siderail Release

Optional Pump Rack

Optional Foot End Nursing Controls

Brake/Steer Control Pedal

Casters with Integrated Wheel Covers

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Introduction CONTACT INFORMATION Contact Stryker Customer Service or Technical Support at: (800) 327-0770 or (269) 324-6500. Stryker Medical 3800 E. Centre Avenue Portage, MI 49002 USA Please 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.

SERIAL NUMBER LOCATION

A

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Summary of Safety Precautions Carefully read and strictly follow the warnings and cautions listed on this page. Service only by qualified personnel. See the maintenance manual for additional information.

WARNING •

•

• • •

• •

• • •

• • • • • • • • •

This stretcher is equipped with a hospital grade plug for protection against electric shock hazard. It must be plugged directly into a properly grounded three-prong receptacle. Grounding reliability can be achieved only when a hospital grade receptacle is used. Always apply the brakes when a patient is getting on or off the stretcher. Push on the stretcher to ensure that the brakes are securely locked. Always engage the brakes unless the stretcher is being moved. Injury could result if the stretcher moves while a patient is getting on or off the stretcher. Patients should be discouraged from sitting directly on the ends of the stretcher. Excessive weight could cause the litter surface to tip up, possibly causing patient injury. Leave the stretcher height in the lowest position when the patient is left unattended. Leaving the stretcher height in a raised position could increase the chance of patient falls and injury. If your unit is equipped with the optional electric lift/litter, unplug the power cord from the power outlet before transporting or cleaning the unit. To unplug, grasp the mold near the outlet and pull the cord in a direction parallel to the floor (not at an angle). Make sure that the brakes are completely released before attempting to move the unit. Attempting to move the unit with the brakes engaged could result in injury to the user and/or patient. After raising the siderails, pull firmly on the siderail to ensure that it is securely locked into the up position. Siderails are not intended to serve as a patient restraint device to keep patients from exiting the unit. Siderails are intended to keep a patient from inadvertently rolling off the unit. It is the responsibility of the attending medical personnel to determine the degree of restraint necessary to ensure that a patient will remain in place. Failure to utilize the siderails properly could result in patient injury. When lowering the siderail to the collapsed position, keep extremities of patients and staff away from the siderail spindles or injury could occur. Powered stretcher mechanisms can cause serious injury. Operate stretcher only with persons clear of mechanisms. Operation of the fowler is a manual procedure. Use caution when raising the fowler while a patient is on the stretcher. Use proper lifting techniques and get additional assistance, if necessary. Failure to use proper lifting techniques could cause injury to the operator. Keep hands/fingers clear of the area around the fowler release handle and the fowler frame when lowering the fowler. Injury could result if care is not taken when lowering the fowler. To avoid the risk of injury, ensure that the gatch prop rod is fully raised and securely placed into position. Use caution when operating the gatch while a patient is on the stretcher. Powered stretcher mechanisms can cause serious injury. Operate stretcher only with persons clear of mechanisms. Use caution when operating the recovery chair while a patient is on the stretcher. Powered stretcher mechanisms can cause serious injury. Operate stretcher only with persons clear of mechanisms. To avoid patient injury or equipment damage, all lines from any equipment stored on the pump rack must be diverted away from the gatch handles. To avoid patient injury or equipment damage, do not lift the stretcher by the pump rack. To avoid equipment damage, remove any equipment from the pump rack that may be in the way before lowering the litter. To avoid equipment damage while transporting the stretcher, verify that any equipment on the pump rack can safely pass through door openings and under light fixtures. To avoid the risk of injury to the patient or user or damage to the I.V. pole while transporting the stretcher, make sure that the I.V. caddy is securely tightened on the I.V. pole.

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Summary of Safety Precautions WARNING (CONTINUED) •

• •

• •

•

• •

Physical restraints, even if properly secured, may result in serious harm to patients and caregivers. The use of restraint straps may potentially cause entanglement, entrapment, physical injury, and/or death. Caution must be used in affixing restraint straps to avoid potential injury to both patients and caregivers. Restraint straps and/or devices must be attached only at the identified attachment points of the unit. Failure to do so may result in patient or caregiver injury. Do not attach restraints straps to the siderail. This unit accommodates the use of ankle, chest, wrist, and body restraints. The use of restraint straps is regulated by state and federal restrictions. Users, caregivers, and/or practitioners should refer to the applicable state and federal restrictions and the appropriate facility protocols before using any restraint strap and/or device. Do not steam clean the unit. Possible fire and/or explosion hazard when used with anesthesia, oxygen tents, hyperbaric chambers, other combustible gasses, or oxygen administering equipment of other than the nasal, mask, or 1/2 bed length type. Oxygen tent should not extend below the mattress support level and should not enclose electronic user interface controls. Lock patient controls when using oxygen administering equipment. Medical electrical equipment (such as the optional scale system or optional electric lift/litter) requires special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided on page 56 to prevent equipment malfunction. Portable and mobile RF communication equipment can affect Medical Electrical Equipment (such as the optional scale system or optional electric lift/litter). To avoid malfunction, the optional scale system or optional electric lift/litter should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the optional scale system or optional electric lift/litter should be observed to verify normal operation in the configuration in which it will be used.

CAUTION • • • • • • •

• • • • • •

Do not modify this stretcher. Modifying the unit can cause unpredictable operation resulting in injury to the patient or operator. Modifying the unit will also void its warranty. This stretcher is not intended for pediatric use or for patients under 50 lb. This stretcher is intended for use by trained hospital personnel only. To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height. Do not raise the unit (hydraulics on base) with a patient lift under the stretcher. To avoid injury or damage to the equipment, do not allow the siderail to lower on its own. The push handles were designed for use while transporting the stretcher. Avoid using other parts of the stretcher as push/pull devices because damage could occur. To avoid the risk of patient and/or operator injury, raise the foot end push handles when using optional accessories (such as the foot extension/defibrillator tray, chartholder, upright oxygen bottle holder, or scale) or the accessories will not function properly. To avoid the risk of injury, keep fingers clear of the foot end push handles when lowering the optional gatch. If the stretcher is equipped with the optional foot end push handles, use caution if the foot extension/defibrillator tray, chartholder, and/or upright oxygen bottle holder is installed to avoid pinching your fingers. The weight capacity of the gatch is 200 lb. Do not sit or stand on the gatch. Injury or damage to the equipment could occur. To achieve recovery chair position, your stretcher must be equipped with the lift assist backrest and gatch options. The weight capacity of the base hood is 60 lb. Do not sit or stand on the base hood. Injury or damage to the equipment could occur. Do not step on the base hood. Return To Table of Contents

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

• • • • • • • • • • • • • • •

•

Do not use the cutout for the oxygen bottle holder on the base hood for the storage of oxygen bottles or patient belongings. The weight capacity of the pump rack is 40 lb. Do not use the pump rack as a push/pull device, because equipment damage could occur. To avoid damage, do not put items weighing more than 30 lb on the defibrillator tray. Do not use the defibrillator tray as a push/pull device, because equipment damage could occur. If the stretcher is equipped with the optional foot end I.V. pole, the I.V. pole must be in the raised position when the foot extension/defibrillator tray is installed. If the I.V. pole is not raised, the foot extension will not function properly and injury could occur. If the stretcher is equipped with the optional foot end push handles, use caution if the foot extension/defibrillator tray, chartholder, and/or upright oxygen bottle holder is installed to avoid pinching your fingers. To avoid damage, do not put items weighing more than 30 lb on the foot extender/defibrillator tray. Do not use the foot extension/defibrillator tray as a push/pull device, because equipment damage could occur. Do not use the footboard/chartholder as a push/pull device because equipment damage could occur. Always store the I.V. caddy when not in use to avoid damaging it when the unit is moved. To avoid damage, the safe working load of the two-stage permanently attached I.V. pole is 40 lb. To avoid damage while transporting the stretcher, verify that the I.V. pole is at a low enough height to allow it to safely pass through door openings and under light fixtures. Do not use the I.V. pole as a push/pull device, because equipment damage could occur. To avoid damage, the weight of the I.V. bags should not exceed 12 lb while the weight of any one item attached to each stage of the three-stage permanently attached I.V. pole should not exceed 9.3 lb. To avoid damage, the weight of the I.V. bags should not exceed 40 lb. To avoid damage, do not put items weighing more than 40 lb in the upright oxygen bottle holder. Do not use the upright oxygen bottle holder as a push/pull device because equipment damage could occur. To avoid damage, do not put items weighing more than 30 lb on the serving tray. Do not use the serving tray holder/foot board as a push/pull device because equipment damage could occur. Before returning the unit to service after cleaning, ensure that the unit is functioning properly by verifying that all labels are intact, raise/lower the stretcher height, brake/steer pedal locks properly in both positions, latch/unlatch the siderails, raise/lower the fowler and gatch, and check all components for proper lubrication. Some cleaning products are corrosive in nature and may cause damage to the product if used improperly. If the products suggested above are used to clean Stryker patient handling equipment, measures must be taken to ensure that the stretcher is wiped with a damp cloth soaked in clean water and thoroughly dried following cleaning. Failure to properly rinse and dry the stretcher will leave a corrosive residue on the surface of the stretcher, possibly causing premature corrosion of critical components. Failure to follow the above directions when using these types of cleaners may void this product’s warranty.

NOTE • • •

Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide. The bottom of the brake pads should be cleaned regularly to prevent wax or floor remnant buildup. Clean the base hood storage area regularly.

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Setup Procedures If this unit is equipped with the optional electric lift/litter, the unit must reach room temperature prior to conducting any setup and/or unit operations to prevent permanent damage to the unit. Make sure that the unit is working properly before it is put into service. The following list will ensure that each part of the unit is checked. Stretcher checklist: 1. 2. 3. 4. 5. 6. 7. 8.

Depress the pedal at either end of the stretcher fully to set the four wheel brakes and verify that all of the four casters are locked (page 16). Raise and lower the hydraulic lift system (page 17 or page 18). Raise the unit completely and activate the Trendelenburg function. Ensure that the head end lowers to the full down position (page 20). Raise the unit completely and activate the reverse Trendelenburg function. Ensure that the foot end lowers to the full down position (page 20). Run through the operation of the fifth wheel to ensure that it is operating properly (page 21). Ensure that the siderails raise and lower smoothly and lock securely in the full up position (page 22). Raise and lower the fowler (head end) (page 28). Raise and lower the gatch (foot end) (page 30).

If equipped with the optional electric lift/litter: 1. 2. 3. 4. 5. 6. 7.

Check all items on the stretcher checklist above. Plug the unit into a properly grounded, hospital grade wall receptacle and ensure that the LED lights illuminate on the lockout keypad. Raise and lower the hydraulic lift system (page 19). Perform each function on the patient siderail controls to ensure that they are working properly (page 23). Perform each function on the foot end nursing controls to ensure that they are working properly (page 24). Raise and lower the fowler (head end) (page 29). Raise and lower the gatch (foot end) (page 31).

If equipped with the optional scale - electric litter option (with or without chaperone option): 1. 2.

Check all items on the stretcher checklist above. Plug the power cord into a properly grounded, hospital grade wall receptacle to charge the batteries. Note: To charge the battery, see “Charging the Optional Scale System Battery Pack - Electric Litter Option” on page 40 or “Charging the Optional Scale System Battery Pack - Electric Litter Option with Chaperone” on page 42.

WARNING This stretcher is equipped with a hospital grade plug for protection against electric shock hazard. It must be plugged directly into a properly grounded three-prong receptacle. Grounding reliability can be achieved only when a hospital grade receptacle is used.

CAUTION • •

Do not modify this stretcher. Modifying the unit can cause unpredictable operation resulting in injury to the patient or operator. Modifying the unit will also void its warranty. This stretcher is not intended for pediatric use or for patients under 50 lb. This stretcher is intended for use by trained hospital personnel only.

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Operation Guide APPLYING THE BRAKE SYSTEM For user convenience, a brake/steer control pedal is located on both ends of the stretcher as shown in Figure 1.

WARNING Always apply the brakes when a patient is getting on or off the stretcher. Push on the stretcher to ensure that the brakes are securely locked. Always engage the brakes unless the stretcher is being moved. Injury could result if the stretcher moves while a patient is getting on or off the stretcher. To engage the brakes on the head end, push down on the brake (red) side of pedal (A). To engage the brakes on the foot end, push down on the brake (red) side of pedal (B). To release the brakes on the head end, push down on the steer (green) side of pedal (A). To release the brakes on the foot end, push down on the steer (green) side of pedal (B). Note: Your stretcher may be equipped with optional side control brake and steer functions (C) in addition to the standard head end (A) and foot end (B) controls. The side control brakes operate the same as the head end and foot end brakes.

C

B

A

Head End

C Figure 1: Brake System Note: The bottom of the brake pads should be cleaned regularly to prevent wax or floor remnant buildup.

A

Steer/Brake functions (head end)

B

Brake/Steer functions (foot end)

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Operation Guide OPERATING THE BASE CONTROLS - SIDE CONTROL HYDRAULICS To operate the base controls, see Figure 2 to locate which pedals are used for what operation.

CAUTION • •

To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height. Do not raise the unit (hydraulics on base) with a patient lift under the stretcher.

To raise the litter height, pump pedal (A) repeatedly until the desired height is achieved. To lower both ends of the litter together, depress the center of pedal (B). To lower only the head end of the litter, depress the side of pedal (B) closest to the head end of the stretcher. To lower only the foot end of the litter, depress the side of pedal (B) closest to the foot end of the stretcher.

WARNING • •

Patients should be discouraged from sitting directly on the ends of the stretcher. Excessive weight could cause the litter surface to tip up, possibly causing patient injury. Leave the stretcher height in the lowest position when the patient is left unattended. Leaving the stretcher height in a raised position could increase the chance of patient falls and injury.

B

A

Head End

A

B

Figure 2: Stretcher Base Controls - Side Control

B

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Operation Guide OPERATING THE BASE CONTROLS - OPTIONAL THREE-SIDED CONTROL HYDRAULICS To operate the base controls, see Figure 3 to locate which pedals are used for what operation.

CAUTION • •

To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height. Do not raise the unit (hydraulics on base) with a patient lift under the stretcher.

To raise the litter height, pump pedal (A) repeatedly until the desired height is achieved. To lower both ends of the litter together, depress pedal (B) and pedal (D) together using the same foot or depress in the center of pedal (C). To lower the foot end of the litter, depress pedal (B) or the side of pedal (C) closest to the foot end. To lower the head end of the litter, depress pedal (D) or the side of pedal (C) closest to the head end.

WARNING • •

Patients should be discouraged from sitting directly on the ends of the stretcher. Excessive weight could cause the litter surface to tip up, possibly causing patient injury. Leave the stretcher height in the lowest position when the patient is left unattended. Leaving the stretcher height in a raised position could increase the chance of patient falls and injury.

C

A

B D Head End

C

A

A

Figure 3: Stretcher Base Controls - Optional Three-Sided Control

A C

kg

A B

D

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Operation Guide RAISING AND LOWERING THE LITTER HEIGHT - OPTIONAL ELECTRIC LIFT Ensure that the power cord is plugged into to a properly grounded, hospital grade wall outlet before using the optional electric lift.

CAUTION • •

To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height. Do not raise the unit (hydraulics on base) with a patient lift under the stretcher.

To raise the litter height electrically, depress pedal (A) (see Figure 2 on page 17 or Figure 3 on page 18). The litter will begin to raise. Hold the pedal down until the desired litter height is achieved. Release the pedal at any time to stop the litter motion. To lower the litter height manually, see the Operating the Base Controls - Side Control Hydraulics information on page 17 or Operating the Base Controls - Optional Three-Sided Hydraulic Controls information on page 18. The litter height does not lower electrically.

WARNING • •

Patients should be discouraged from sitting directly on the ends of the stretcher. Excessive weight could cause the litter surface to tip up, possibly causing patient injury. Leave the stretcher height in the lowest position when the patient is left unattended. Leaving the stretcher height in a raised position could increase the chance of patient falls and injury.

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Operation Guide ADJUSTING TRENDELENBURG/REVERSE TRENDELENBURG POSITIONS - SIDE CONTROL HYDRAULICS Litter height must first be raised in order to achieve a Trendelenburg or reverse Trendelenburg position.

CAUTION • •

To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height. Do not raise the unit (hydraulics on base) with a patient lift under the stretcher.

For Trendelenburg positioning (head down), depress the side of pedal (B) closest to the head end (see Figure 2 on page 17. For reverse Trendelenburg positioning (foot down), depress the side of pedal (B) closest to the foot end (see Figure 2 on page 17). To lower the stretcher from reverse Trendelenburg position, depress pedal (A) once to raise the foot end of the stretcher, and then depress pedal (B) (see Figure 2 on page 17). Note: The higher the litter is before pedal (B) is activated, the greater the Trendelenburg or reverse Trendelenburg angle will be. (Maximum Trendelenburg angle is +17°. Maximum reverse Trendelenburg angle is -17°.)

ADJUSTING TRENDELENBURG/REVERSE TRENDELENBURG POSITIONS - OPTIONAL THREE-SIDED CONTROL HYDRAULICS Litter height must first be raised in order to achieve a Trendelenburg or reverse Trendelenburg position.

CAUTION • •

To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height. Do not raise the unit (hydraulics on base) with a patient lift under the stretcher.

For Trendelenburg positioning (head down) (see Figure 3 on page 18): • Depress pedal (D) at the foot end of the unit or • Depress the side of pedal (C), located on the patient left or patient right side, closest to the head end of the unit. For reverse Trendelenburg positioning (foot down) (see Figure 3 on page 18): • Depress pedal (B) at the foot end of the unit or • Depress the side of pedal (C), located on the patient left or patient right side, closest to the foot end of the unit. To lower the stretcher from reverse Trendelenburg position, depress pedal (A) once to raise the foot end of the stretcher, and then depress pedal (C) or (D) (see Figure 3 on page 18. Note: The higher the litter is before pedal (B), (C), or (D) is activated, the greater the Trendelenburg or reverse Trendelenburg angle will be. (Maximum Trendelenburg angle is +17°. Maximum reverse Trendelenburg angle is -17°.)

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Operation Guide OPERATING THE FIFTH WHEEL WARNING • •

Make sure that the brakes are completely released before attempting to move the unit. Attempting to move the unit with the brakes engaged could result in injury to the user and/or patient. If your unit is equipped with the optional electric lift/litter, unplug the power cord from the power outlet before transporting or cleaning the unit. To unplug, grasp the mold near the outlet and pull the cord in a direction parallel to the floor (not at an angle).

The fifth wheel guides the stretcher along a straight line during transport and pivots the stretcher around corners. To operate the fifth wheel, push the steer (green) side (A) of any brake/steer pedal to the lowest position as shown in Figure 4. To disengage the fifth wheel, push the brake (red) side (B) of any brake/steer pedal to the neutral position as shown in Figure 4.

B

A Figure 4: Fifth Wheel (Head End View)

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1105-009-001 REV K

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