QA3 Patient Trolley System Operating Instructions Issue 20 March 2013

QA3 Patient Trolley Operating Instructions

Contents

Page

1. Introduction 1.1. Warnings & Cautions 1.2. Scope of Use 1.3. Equipment Classification 1.4. Serial Number Label 2. Product Specifications 3. Product Functions 3.1. X-ray Product Functions 3.2. Height Adjustment 3.2.1. Problems Raising the Patient Platform 3.2.2. Pump Bleeding Instructions 3.3. Using the Brakes 3.4. Using the Steering Pedal 3.5. Using the Cotsides 3.5.1. Cotside Arm Table Position 3.6. Using the Backrest 3.7. Using the Trendelenberg Function 3.8. Using the Transfusion Pole 3.9. X-ray Features 4. Patient Weight Limit 5. K8 Pressure Care Mattress 5.1. Infection Control 6. Cleaning & Disinfecting the Trolley 6.1. Cleaning 6.2. Disinfecting 7. Product Maintenance

1 1 1 1 1 2 3 4 5 5 5 5 5 5 5 6 6 6 7 7 7 7 7 7 8 8

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QA3 Patient Trolley Operating Instructions

1. Introduction

These instructions are intended to assist you with the operation of the QA3 patient trolley and it is important that they are read thoroughly before using the equipment. It is also important to check the trolley before use; ensure that all trolley functions operate to their full range of movement and that all detachable components disengage, re-engage and lock correctly. We recommend that the trolley is visually inspected for any loose or damaged parts, foreign bodies caught in the castors, and hydraulic fluid leakage.

1.1. Warnings & Cautions

Various warnings and cautions are made throughout these operating instructions. A WARNING is given when the personal safety of the patient or user may be affected and when disregarding this information could result in injury. A CAUTION is given when special instructions must be followed. Disregarding this information could result in permanent damage being caused to the trolley.

1.2. Scope of Use

This product is intended for transporting patients in theatre or casualty environments, and can also be used for examinations, intubations and radiography. CAUTION: The trolley may be damaged by pushing it across rough or uneven ground.

1.3. Equipment Classification

This trolley has been classified a ‘Class 1’ medical device.

1.4. Serial Number Label

The serial number label is located on the patients left hand side of the mid section cover, see fig 1. overleaf.

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QA3 Patient Trolley Operating Instructions

2. Product Specifications

Fig. 1

Key to Fig. 1 A. B. C. D. E. F. G. H.

Height, MIN Height, MAX Mattress Length Trolley Length, MAX Trolley Length, MIN Mattress Width Trolley Width; Cotside Width Brake Width (Brakes Off) Base Length Mattress Depth Trendelenberg Tilt; Trendelenberg Reverse Trendelenberg Backrest Articulation Maximum Weight Limit Trolley Weight Castor Diameter

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STD 665 mm 915 mm 2000 mm 2100 mm 1900mm 610 mm

X-RAY 715 mm 965 mm 2000 mm 2100 mm 1900mm 610 mm

695 mm 760 mm 1220 mm 90 mm

695 mm 760 mm 1220 mm 90 mm

15° 12° 0 - 90° 160 kg 118 kg 150 mm

15° 12° 0 - 90° 160 kg 128 kg 150 mm

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QA3 Patient Trolley Operating Instructions

3. Product Functions Standard (CAT No. 21110)

Fig.1

Key to Fig. 2 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.

Backrest Actuation Lever Trendelenberg Actuation Lever Steering Pedal Brake Pedal Raise & Lower Pedal Cotside Cotside Release Lever Cotside Arm Table Knobs Fixed Transfusion Pole (See Fig. 3) Oxygen Cylinder Mounting Trough (Accommodates F, D, E & CD Size's) Storage Trough

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3.1 Product Functions X-ray (CAT no. 21120)

Fig. 3

Key to Fig. 3 See Standard Trolley (Cat no. 21110) for Core Features 1. 2. 3. 4. 5. 6.

X-Ray Platform Fixed Transfusion Pole Loose Transfusion Pole ‘V’ Mounting for Suction Canister Positional Scale X-Ray Cassette Runners

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QA3 Patient Trolley Operating Instructions

3.2. Height Adjustment

3.3. Using the Brakes

The height of the patient platform is adjusted by using either of the ‘raise and lower’ pedals (no.5, fig.2). Pumping either pedal will raise the patient platform, lifting either pedal will lower the patient platform.

All four castors are braked simultaneously by depressing either of the brake pedals (no.4, fig.2) at any point along the length of the pedal. The brakes are disengaged by lifting either pedal.

WARNING: Ensure there is nothing to impede the raising or lowering of the patient platform as this could result in damage to the equipment and/or injury to the patient.

The trolley can be manoeuvred more easily by engaging the steering mechanism. The mechanism is engaged by pressing the steering pedal (no.3, fig.2), and disengaged by lifting the pedal.

3.2.1. Problems Raising the Patient Platform

If the trolley will not ascend, or excessive pumping is required to raise the trolley to its maximum height, the trolley’s pump may need bleeding to remove a build up of air.

3.2.2. Pump Bleeding Instructions Priming

Two People will be required as both the raise & lower pedals need to be operated simultaneously. One person lifts either of the raise & lower pedals & holds it in this position while the second person pumps the other raise & lower pedal for 20 strokes. Switch Sides and repeat this procedure.

Cycling

Pump either of the raise & lower pedals to position the top as high as it will go & continue to pump for a further 10 strokes. Fully lower the trolley and repeat on the same side. Switch sides and repeat the procedure. It may be necessary to repeat these procedures up to three times to fully bleed the pump.

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3.4. Using the Steering Pedal

CAUTION: Applying the steering pedal with excessive force, i.e. by standing on it, will cause permanent damage to the mechanism. CAUTION: The steering pedal is designed to disengage automatically when the trolley is pushed foot end first over an obstruction. Attempting to prevent this will cause damage to the mechanism. The steering pedal should be allowed to disengage and then can be reengaged after negotiating the obstruction. CAUTION: The steering pedal must be disengaged manually when the trolley is pushed or pulled head end first over an obstruction, e.g. a lift threshold, or damage may occur.

3.5. Using the Cotsides

The trolley is fitted with two cotsides (no.6, fig.2) that can be individually lowered and raised. Lower either cotside by pulling up on the cotside release lever (no.7, fig.2), while keeping a firm grip on the cotside as it drops. Raise either cotside by taking a grip on the cotside and pulling up firmly, the cotside will automatically lock in position.

3.5.1. Cotside Arm Table Position

Either cotside can be articulated horizontally into an arm table platform position. To do this rotate both pairs of cotside knobs (no.8, fig.2) to the horizontal position and then move the cotside to the horizontal position, see fig. 4.

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QA3 Patient Trolley Operating Instructions

3.8. Using the Transfusion Pole

The trolley is fitted with a fixed transfusion pole (no.9, fig.2) situated along the left hand side of the patient platform. To use the transfusion pole lift it and allow it to drop down and engage into its mounting socket, as illustrated in fig. 5.

Fig. 4 CAUTION: When in its horizontal position the cotside should not be sat upon or used to transfer a prone patient. Attempting to do this may cause damage to the mechanism.

3.6. Using the Backrest

The backrest is moved up or down by pulling up on the backrest actuation lever (no.1, fig.2) whilst keeping a firm grip on the pushing handle to control the movement.

To adjust the height of the hooks, grasp the height adjustable pole firmly, just below the locking mechanism and using your thumb, lift the mechanism to release the lock. When the desired height is achieved release the mechanism with your thumb to once again lock the pole in position. WARNING: Always ensure the pole is firmly held when released, to avoid an uncontrolled decent. . Fig. 5

NOTE: It is important to note that the backrest provides only minimal lift assistance; the patient should be assisted into a sitting position and the backrest articulated up.

3.7. Using Function

the

Trendelenberg

The patient platform can be moved into a trendelenberg position by pulling up on the trendelenberg actuation lever (no.2, fig.2) whilst maintaining a firm grip on the pushing handle to control the movement. WARNING: When handling patients in excess of 160kg extreme care should be taken when attempting to tilt the platform head down, and assistance should be sought to take the weight of the platform when released. Failure to do so could result in injury to the user. Fig. 6

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QA3 Patient Trolley Operating Instructions

CAUTION: When folding the transfusion pole assembly away ensure that the pole is fully retracted and the hooks are in the up position. CAUTION: Pulling the transfusion pole sideways in the socket may cause permanent damage to the equipment.

3.9. X-Ray Features

The QA3 X-ray trolley is specially designed to accommodate the needs of accident and emergency departments and includes: a raised x-ray translucent platform, an additional loose transfusion pole and a suction system mounting bracket. X-ray cassettes are loaded beneath the x-ray platform either on their own, or positioned on an optional x-ray tray (catalogue no. 21195). Use the numbered scale on the trolley platform to accurately position the x-ray cassette. The x-ray tray must be loaded beneath the x-ray platform, as indicated by the arrows. Locating the runners of the tray between the rails on the platform allows the tray to slide centrally along the length of the trolley. CAUTION: Do not raise the backrest with the x-ray tray across the backrest hinge as damage may occur.

4. Patient Weight Limit

In general use the trolley is designed to accommodate a maximum patient weight of 160kg. However, the trolley can accommodate an extreme patient weight limit of 250kg, subject to the following restrictions; 1. Patients must mount the trolley at the centre of the platform and their weight must be kept as evenly distributed as possible. Patients must not sit at either end of the trolley as this will result in tipping. 2. Once the patient is on board, the trolley should be manoeuvred as little as possible, avoiding any uneven floors, i.e. lift or door thresholds.

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3. Extreme care should be taken if attempting to tilt the platform head down, and assistance should be sought to take the weight of the platform when released. WARNING: Exceeding the maximum specified weight limits, or not observing the above restrictions, could result in failure of the trolley and injury to the patient and staff.

5. K8 Pressure Care Mattress

Understanding the needs for greatest possible patient pressure area care, the mattress is manufactured using the most up to date materials and manufacturing methods available. They consist of; 1. Body Mould Visco Foam; through it’s sensitivity to temperature this gel feel foam actually moulds to the patient’s body, relieving pressure by distributing the load as evenly as possible. 2. Flexi-Fabric; a polyurethane water resistant vapour permeable outer cover with the properties of Lycra ensures maximum effect of the body mould foams. 3. Pressure Care Properties; the effective pressure care properties of the mattress will decline below satisfactory levels after 4 years at which time we recommend the mattress be replaced. NOTE: An independent pressure care report produced by Salford University is available from Anetic Aid upon request. CAUTION: Do not press the mattress with sharp objects or store items on top of the mattress or repair tears and splits with adhesive tape as contamination may occur.

5.1. Infection Control

Ultra sonic welding of materials creates an impervious seal ensuring an ideal product for infection control. Each mattress part is fixed to the patient platform with Velcro, this enables the mattress sections to be removed from the trolley for cleaning and replacement.

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QA3 Patient Trolley Operating Instructions

NOTE: The mattress parts should be visibly inspected for damage on a daily basis. If the outer mattress fabric is torn then fluids will penetrate and the mattress should be replaced. Do not attempt to repair tears or splits with self adhesive tapes.

6. Cleaning and Disinfecting the Trolley 6.1. Cleaning

The trolley should be wiped over thoroughly after each use with warm water and neutral detergent and then wiped dry using a soft cloth; adequate drying is crucial in the care and maintenance of this product.

6.2. Disinfecting

The trolley should be wiped over thoroughly with warm water and disinfectant; diluted chlorine or alcohol based solutions are suitable for this purpose as is a 1% solution of sodium hyperchloride. Always ensure that the disinfectant manufacturer’s guidelines are followed. Following disinfection wipe the trolley thoroughly with warm water and dry with a soft cloth. This is very important as adequate drying is crucial in the maintenance of this product. CAUTION: Do not use; strong bleaching disinfectant solutions, organic solvents, abrasive powders or expose materials to excessive heat.

7. Product Maintenance

It is recommended that the trolley is serviced on an annual basis in accordance with the manufacturer’s service schedule. For details of extended warranties and service programmes please contact Anetic Aid. Before use, ensure all trolley functions operate to their full range of movement and that all detachable components disengage, re-engage and lock correctly. Also visually inspect the trolley for any loose or damaged parts, foreign bodies caught in the castors, and hydraulic fluid leakage.

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QA3 Patient Trolley Operating Instructions

QA3 Patient Trolley Operating Instructions

DO NOT LIFT BY BRAKE PEDALS OR TOP. LIFT FROM STEEL BASE FRAME ONLY. NO LO LEVANTE SUJETÁNDOLO POR LOS PEDALES DE FRENO NI POR LA PARTE SUPERIOR LEVÁNTELO ÚNICAMENTE SUJETÁNDOLO POR LA BASE DE ACERO FREN PEDALLARINDAN VEYA EN ÜST KISIMDAN KALDIRMAYINIZ YALNIZCA ÇELİK TABAN ÇERÇEVESİNDEN KALDIRIN NE PAS SOULEVER AVEC LES PEDALES DE FREIN OU PAR LE HAUT NE SOULEVER QUE PAR LE CADRE EN ACIER NICHT AN DEN BREMSPEDALEN ODER AM OBERTEIL ANHEBEN. NUR AM STAHLGESTELL ANHEBEN

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