AKRON STREAMLINE 2 and 3 SECTION Instructions for Use Jan 2014

Design Policy and Copyright ® and ™ are trademarks belonging to the ArjoHuntleigh group of companies unless otherwise stated. © ArjoHuntleigh 2012. As our policy is one of continuous improvement, we reserve the right to modify designs without prior notice. The content of this publication may not be copied either wholly or in part without the consent of ArjoHuntleigh.

Contents Warnings, Cautions and Notes ... ii General Warnings ... ii

1. Introduction ... 1 Product overview... 2

2. Clinical Applications ... 3 Intended use ... 3 Contraindications ... 4

3. Installation ... 5 Adjustable Foot ... 5 Electric models ... 5 Recharging the battery backup ... 6

4. Operation ... 7 Elevation Controls ... 7 Hydraulic Models... 7 Electric Models ... 7 2 Way Electric Foot Switch (A7329)... 8 Wheel Locking... 8 Casters (RWB - Retractable Wheel Base) ... 8 Wheels (LWB - Large Wheel Base) ... 9 Brakes and steering ... 9 Using the steering castor ... 9 Breathing Hole and Plug ... 10 Head and Foot Sections... 10 A and B Type Head Section Operating Lever ... 10 C Type Head Section Operating Lever ... 11 Foot Section Operating Lever ... 11 C Type Head Section Arm Rests ... 11

5. Product Care ... 12 Cleaning / Decontamination ... 12 To Clean... 12 Chemical Disinfection... 12 Preventive maintenance... 13 Troubleshooting ... 15 Product lifetime ... 16

6. Accessories ... 17 Fold Down Side Supports (A1034 / A1034-70, A1028 / A1028-70) ... 18 Detachable Head Support (AHC1) ... 19 Paper Roll Holder (A8611) ... 19 Side Support Pads (A1039 / A1038A)... 19 Arm Support (A3293 / A3293-70)... 20 IV Pole (A7334) ... 20 Leg Stirrups (A3295) ... 21 Leg Supports (A7309) ... 21

7. Technical Data ... 22 8. Warranty and Service... 27

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Warnings, Cautions and Notes

WARNING

Indicates possible hazards in procedures or conditions which, if not correctly followed, could result in death, injury or other serious adverse reactions.

Caution

Indicates possible hazards in procedures or conditions which, if not correctly followed, could result in equipment damage or failure. Explains or amplifies a procedure or condition.

General Warnings

WARNING Keep these instructions in a safe place; you may need to refer to them later on. Read and understand these instructions before operating the couch. Caregivers must be trained in the proper use of this product, its functions and controls, and any accessories. These instructions are mandatory for the safe and effective use of this product, including the safety of patients and caregivers. Unauthorised modifications or repairs to this product may affect its safety and will invalidate any warranty. ArjoHuntleigh accepts no liability for any incident, accident or reduction in performance that may occur as a result of such repairs or modifications. Do not use electrically powered couches in the presence of uncontained flammable liquids or gases. The couch is intended for indoor use only.

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WARNING Do not use accessories that have not been designed or approved for use with couch. Always apply the brakes when the couch is stationary. When the couch is operated, make sure that obstacles such as furniture do not restrict its movement. Before operating the couch, make sure the patient is positioned correctly to avoid entrapment or imbalance. Take care not to squeeze or trap trailing cables from the handset and other equipment between moving parts of the couch. Be aware that cables, hoses, etc., may present a strangulation hazard. Take care not to allow clothing to become snagged on moving parts of the couch. Do not place the couch on an incline greater than 10° as this may, in extreme circumstances, cause the couch to overbalance. This equipment should not be used adjacent to other electrical equipment. If such use is necessary, normal operation of the equipment should be verified by observation. Medical Electrical Equipment maybe affected by portable and/or mobile RF communications equipment (e.g. mobile telephones). These products are not intended for Patient Transportation. Maximum Load 225kg (495lbs) must be distributed evenly. Do not concentrate weight on either side of the couch. Plug acts as a disconnecting device (only on models without the battery backup). Do not allow children to play with the couch at any time. This product contains small parts that may present a choking hazard to children if inhaled or swallowed. Adequately supervise children in the proximity of the couch. The patient should not be left on the couch unattended at any time. Do not use the couch in area of high humidity (e.g. the shower). To avoid the risk of electric shock, this product must only be connected to an electricity supply with a protective earth.

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Caution Electromagnetic Compatibility (EMC). This product complies with the requirements of applicable EMC standards. The use of accessories not specified by the manufacturer may result in increased emissions by, or decreased immunity of, the equipment, affecting its performance. Do not exceed the specified duty cycle as stated on the Product Identification Label.

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1. Introduction The STREAMLINE ™ 2 & 3 Section product range of treatment & examination couches, have been designed to cover a wide range of disciplines, from simple examination to heavier manipulative and manual therapy techniques. The STREAMLINE couches in this range provide ergonomic solutions to a variety of manual handling issues, benefiting both the patient and clinician. These products can be further enhanced with a wide range of additional accessories also available. However, these products are not designed to be used as a bed and are not suitable for sleeping on. You must read and fully understand this manual before using the system. This manual is your introduction to the following STREAMLINE couches: 2 Section

Merit: model 2221, 2222, 2223 Mobile Treatment: 2321, 2322,2323 Popular A: model 2221A, 2222A

3 Section

Merit: model 2231, 2232 Mobile Treatment: 2332 Continental A: model 2231A, 2232A Continental B: model 2232B Continental C: model 2231C, 2232C

Always keep this Instruction for Use publication available for reference.

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Product overview

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1. Upholstery: • 2 or 3 sections, depends on the model; • with or without the breathing hole, depends on the model. 2. Backrest lever (in case of the model with a gas strut) 3. Gas strut lever (in case of the 3 section model) 4. Holes for accessories 5. Lifting arms 6. Rubber pedals 7. Hydraulic (or electric) actuator, depends on the model 8. Castors

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2. Clinical Applications WARNING To ensure the patient can use the couch safely, their age, size and condition should be assessed by a clinically qualified person.

Intended use Streamline Merit 2,3 – The 2,3 section couch was designed for general examinations and minor treatment procedures by positioning patients in seated or prone positions whilst promoting good posture for the practitioner. The versatile two section couch offers ergonomic solutions to a wide range of clinical and therapeutic procedures. The versatile three section couch has all the features of the Akron Streamline Merit Two but with the addition of a third section permitting greater flexibility when positioning patients for a wider range of examination and treatment procedures and offer even greater ergonomic solutions. With accessories such as armrest, IV pole for minor procedures and fold down side supports, the couch is mostly used in consulting rooms in Hospital Clinical environments, such as Outpatients Dept’s, Accident and Emergency, Lymphodema, Ante Natal, ENT, Cardiology, Plaster Rooms, Fracture Clinics, Maternity and IV Clinics. It’s also used in Private Clinics such as complimentary clinics, and GP surgery. Streamline Popular – The 2 section couch was designed primarily to suit the rigorous treatment procedures of Physiotherapists, Osteopaths and Chiropractors. The versatile two section couch offers ergonomic solutions to a wide range of Physiotherapy and Therapeutic procedures. It is a widely used and adaptable couch for Hospital Physiotherapy departments and Private Physiotherapy Clinics, offering head configurations with breathing holes and removable plugs, essential for face down treatment and most manipulative procedures used by Physiotherapist, Osteopaths and Chiropractors. The couch is also used for Massage treatments, Reflexology, other such Complimentary Medicines, Sports Clubs Treatment rooms, and multi - purpose GP Surgeries. It can also be used for general examinations and minor treatment procedures by positioning patients in seated or prone positions whilst promoting good posture for the practitioner and can have a range of accessories.

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Streamline Mobile Treatment 2,3 – The 2,3 section Streamline Mobile Treatment Couches fitted with the large wheels are solution if couch is often moved between departments/rooms. The couch was designed for general examinations and minor treatment procedures by positioning patients in seated or prone positions whilst promoting good posture for the practitioner. This versatile two section couch offers ergonomic solutions to a wide range of clinical and therapeutic procedures with the added functionality of the transport wheels. The three section couch has all the features of the Akron Streamline Mobile Treatment 2 couch but with the addition of a third section permitting greater flexibility when positioning patients for a wider range of examination and treatment procedures and offer even greater ergonomic solutions. With accessories such as armrest, IV pole for minor procedures and fold down side supports, the couch is used predominantly in Hospital Accident and Emergency or Outpatients departments. It’s also used to a lesser extent in consulting rooms in Hospital Clinical environments, such as Lymphodema, Ante Natal, ENT, Cardiology, Plaster Rooms, Fracture Clinics, Maternity and IV Clinics. It’s also used in Private Clinics such as complimentary clinics, and GP surgery. The variable height and backrest couch descend low enough for wheelchair transfers to enable easy mount for the frail and elderly or for those with physical deficiencies. Streamline Continental – The 3 section couch was designed primarily to suit the rigorous treatment procedures of Physiotherapists, Osteopaths and Chiropractors. The three section couch has all the features of the Akron Streamline Popular 2 couch but with the addition of a third section permitting greater flexibility when positioning patients for a wider range of examination and Physiotherapy treatment procedures for increased ergonomic solutions. It is the most widely used and adaptable couch for Hospital Physiotherapy departments and Private Physiotherapy Clinics, offering 3 different head configurations with breathing holes and removable plugs, essential for face down treatment and most manipulative procedures used by Physiotherapist, Osteopaths and Chiropractors. The couch is also used for Massage treatments, Reflexology, other such Complimentary Medicines, Sports Clubs Treatment rooms, and multi -purpose GP Surgeries. It can also be used for general examinations and minor treatment procedures by positioning patients in seated or prone positions whilst promoting good posture for the practitioner and can have a range of accessories.

Contraindications The safe working load (SWL) of the couch... 225kg The maximum recommended patient weigh... 195kg Accessories (including attached loads) ... 30kg

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3. Installation Adjustable Foot

WARNING Lock all castors before adjusting.

A. Lock castors first. B. Adjust foot. C. Lock foot by tightening half nut.

Electric models

Connect the mains plug to a suitable socket outlet. Make sure the mains plug is easily accessible so it can be disconnected quickly in an emergency.

WARNING Ensure mains supply cable is not stretched when connected. If the power cord or mains plug is damaged, the complete assembly must be replaced by authorised service personnel. Do not remove the fitted plug, or use a rewireable plug or adapter. Do not allow the power supply cord to trail on the floor where it may cause a trip hazard. Ensure, during couch use, no obstacles are in its path. Make sure the power supply cord does not become entangled with moving parts of the couch. Damaged cables can cause an electrocution risk when handled. Disconnect the power supply cord from the electricity supply before moving the couch. Ensure hand / foot switch tubes or leads are not trapped by moving parts of the couch.

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Caution Before the first use, or if the couch has been unused for more than three months, connect the couch to the electricity supply for at least 24 hours to allow the backup battery to recharge fully. Failure to do this may reduce the life of the battery. To ensure the battery is kept fully charged and prevent damage to the battery, the couch should be connected to the electricity supply at all times during normal use. The battery is intended for occasional short term use. Its life will be reduced if it is used to power the couch for long periods. To maintain best performance, the backup battery should be replaced every four years by an approved service agent.

Recharging the battery backup

To recharge the battery, connect the couch to the electricity supply. Allow at least twelve hours to recharge the battery when it is completely discharged.

Caution Do NOT insert hands or feet into the mechanism as this could result in serious injury!

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4. Operation Elevation Controls

WARNING Safely position patient before elevating couch. Position all electrical cables away from the moving parts. Position hand/foot switch where accidental operation is not possible.

Hydraulic Models

Push pedal to rise couch

Lift pedal to lower couch

Electric Models Handswitch (Models 2223 & 2323)

Handswitch Press

to raise couch.

Press

to lower couch.

Footswitch

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Press

to raise couch.

Press

to lower couch.

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Press tube down to raise couch. Lift tube up to lower couch. Foot bar switch (FBS) - Available only on models 2222, 2222A, 2232, 2232A, 2232B & 2232C.

2 Way Electric Foot Switch (A7329) To use the foot switch: A. Remove existing hand switch from the control box. B. Plug in the 2R11227Z adapter D-sub lead into handset port on control box. C. Plug in the 2 Way Electric Foot Switch into the 2R11227Z adaptor.

Wheel Locking

WARNING Lock all couch wheels/castors prior to patient transfer or treatment. These couches are not designed for the transportation of patients. Disconnect and coil electrical cord away from moving parts prior to repositioning couch.

Casters (RWB - Retractable Wheel Base)

Castors locked

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Castors unlocked

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Wheels (LWB - Large Wheel Base)

Wheels locked

Directional Lock

Wheels unlocked

Brakes and steering The brake pedals at the foot end of the couch have three positions as shown:

• LOCKED: brakes are applied on all four castors. • DIRECTIONAL LOCK: all four castors can rotate, but the steering castor is locked so that it cannot swivel. This helps to keep the couch on a straight line. • UNLOCKED: all four castors are free to rotate and swivel.

Using the steering castor Position the couch so that all the castors line up in the direction of travel. Raise the pedals to lock the steering castor and move the couch by pushing it from the opposite end.

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Breathing Hole and Plug Remove plug for patient prone position. Press out from underneath.

Head and Foot Sections I

Caution Support upholstery section while manually altering the angle. Apply pressure to ensure the upholstery is locked. If movement is detected, seek advice.

A and B Type Head Section Operating Lever A. Press lever UP to alter section angle. B. Support section when altering angle. C. Release lever to lock section in position.

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C Type Head Section Operating Lever A. Press lever UP to alter section angle. B. Support section when altering angle. C. Release lever to lock section in position.

Foot Section Operating Lever A. Press lever UP to alter section angle. B. Support section when altering angle. C. Release lever to lock section in position.

C Type Head Section Arm Rests A. Tilt Armrest towards head section. B. Move armrest into position. C. Release lever to lock section in position.

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5. Product Care WARNING Do not use Alkalis or other organic solvents for routine cleaning. Replace torn or damaged vinyl immediately. Always cover vinyl with fresh paper or sheet between patients. If contamination is known or suspected always decontaminate couch before use. Do not saturate hinge pin location and it is essential to ensure that they are dry before re-use. Disconnect any mains supply. Do not allow the mains plug or power supply cord to get wet. Caution Do not use Phenol-based solutions or abrasive compounds or pads during the decontamination process as these will damage the surface coating. Avoid immersing electrical parts in water during the cleaning process.

Cleaning / Decontamination Frequency of routine couch cleaning will depend on exact application, local policy and contamination status.

To Clean Clean all exposed surfaces and remove any organic debris by wiping with a cloth moistened with a simple (neutral) detergent and water.

Chemical Disinfection ArjoHuntleigh recommend a chlorine-releasing agent, such as sodium hypochlorite, at a strength of 1,000ppm available chlorine (this may vary from 250ppm to 10,000ppm depending on local policy and contamination status). Use low strength solution for upholstery. Wipe all cleaned surfaces with the solution, then wipe with a cloth moistened with water and dry thoroughly. Alcohol based disinfectants (strength 70%) may be used as an alternative. Ensure the product is dry before storage. If an alternative disinfectant is selected from the wide variety available we recommend that suitability for use is confirmed with the chemical supplier prior to use. 12

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Preventive maintenance This product is subject to wear and tear during use. To ensure that it continues to perform within its original specification, preventive maintenance procedures should be carried out at the intervals shown.

WARNING This list indicates the minimum recommended level of preventive maintenance. More frequent inspections should be carried out when the product is subjected to heavy use or aggressive environments, or where required by local regulations. Failure to carry out these checks, or continuing to use the product if a fault is found, may compromise the safety of both the patient and caregiver. Preventive maintenance can help to prevent accidents.

Actions to be done by caregiver Check operation of side rails

Daily

Weekly

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Check patient handset and cable

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Visually check castors

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Visually check power supply cord and mains plug

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Examine the accessories (if applicable)

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Visually check the upholstery

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Check gas strut controls and moveable sections for their full range of movement for locking.

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If the result of any of these tests is unsatisfactory, contact ArjoHuntleigh or an approved service agent.

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WARNING The procedures below must be carried out by suitably trained and qualified personnel. Failure to do so may result in injury or an unsafe product.

Actions to be done by qualified personnel

Every six months

Carry out a full test of all electrical couch positioning functions (backrest, height, etc.)

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Check that the couch operation correctly using the backup battery

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Check operation of the manual backrest/footrest

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Check operation of the castors, paying special attention to braking and steering functions

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Examine the power supply cord and mains plug; if damaged, replace the complete assembly; do not use a rewireable plug

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Examine all accessible flexible cables for damage and deterioration

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Check all accessible nuts, bolts and other fasteners are present and correctly tightened

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Check hydraulic couches for smooth operation and signs of leakage

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Check any accessories fitted to the couch, paying particular attention to fasteners and moving parts

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WARNING All electrical checks should be performed by a suitably qualified and licensed electrician.

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