QA3 Patient Trolley System Operating Instructions Issue 8 Nov 2015

Contents 1.

Introduction . . . . . . . 1.1. Warnings & Cautions . . . . . 1.2. Intended Use & Contraindications . . . . 1.3. Equipment Classification . . . . . 1.4. Serial Number Label . . . . . 1.5. Putting the Trolley into Service . . . . 2. Abridged Summary of Warnings and Cautions . . . 3. Product Specifications . . . . . . 4. QA3 v3.0 Patient Trolley Product Functions . . . 5. QA3 v3.0 Emergency Trolley Product Functions . . . 6. Height Adjustment . . . . . . 7. Using the Brakes . . . . . . 8. Using the Steering Pedal . . . . . 9. Using the Side Rails . . . . . . 10. Using the Backrest . . . . . . 11. Using the Trendelenburg Function . . . . 12. Using the ‘Fold-away’ Pushing Handles . . . . 13. Using the Transfusion Pole . . . . . 14. Additional Features of Emergency Trolley . . . 15. Patient Weight Limit . . . . . . 16. K8 Pressure Care Mattress . . . . . 17. Cleaning and Disinfecting the Trolley . . . . 18. Using the Optional Monitor Shelf with removable refreshment tray (catalogue no. 21152) 19. Using an Optional Loose Transfusion Pole (catalogue no. 21161) 20. Product Warranty . . . . . . 21. Product Maintenance . . . . . . 22. Label Identification . . . . . . 23. Product Accessories . . . . . .

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1.

Introduction These instructions are intended to assist you with the operation of the QA3 v3.0 Patient Trolley and the QA3 v3.0 Emergency Trolley and it is important that they are read thoroughly before using the equipment. The device will be adversely affected and its life expectancy reduced if the following instructions are not observed. It is also important to check the trolley before use to ensure there is no loss or change in performance; ensure that all trolley functions operate to their full range of movement and that all 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. NOTE: If the trolley is damaged or faulty it must be taken out of use with immediate effect and the fault reported to Anetic Aid, your authorised dealer or maintenance department. The trolley must not be used until the damage or fault has been repaired.

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. Intended Use & Contraindications The device’s intended use is as a method of transporting a patient to and from and in a theatre, clinical or emergency medical department environment, being used for examination, intubation, radiography and recovery of a patient following anaesthesia. CONTRAINDICATIONS: − The trolley is not compatible with hospital bed/trolley washers. − The trolley must not be used near magnetic resonance imaging (MRI) machines, or any machines generating a large magnetic field. − Do not use the trolley for transporting patients in a moving vehicle. − The trolley should not be used outside; it may be damaged by pushing it across rough or uneven ground.

1.3. Equipment Classification The equipment covered by this document has been classified as a Class 1 medical device under the scope of the Medical Devices Directive 93/42/EEC and is CE marked.

1.4. Serial Number Label The serial number label is located on the base cover moulding; see Fig.2 for the exact location.

1.5. Putting the Trolley into Service Care should be taken when removing packaging, avoid the use of sharp implements wherever possible. It is important that the trolley is working properly and cleaned and disinfected before it is put into service. Use this manual to check all the functions and refer to section 17, ‘Cleaning and Disinfecting the Trolley’. The trolley should only be used, for its intended use, by suitably trained personnel who have familiarised themselves with the functions of the trolley. Our representatives are available for on-site consultation or training and our head office team will be pleased to answer any queries you may have.

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2.

Abridged Summary of Warnings and Cautions In common with all medical devices of this nature there are inherent risks that the user should be made aware of, including potential pinch points from moving parts. Whilst every effort has been taken to eliminate these risks, care should be taken when using the trolley. It is important that the user familiarise themselves with the all of the warnings and cautions contained within this document. − If the trolley is damaged or faulty it must be taken out of use with immediate effect and the fault reported to Anetic Aid, your authorised dealer or maintenance department. The trolley must not be used until the damage or fault has been repaired. − When leaving patients unattended the trolley should be fully lowered to minimise any risk of injury should the patient fall off the trolley. − Always apply the brakes when a patient is getting on or off the trolley, or when transferring patients from the trolley to another platform. − It is important to ensure that nothing impedes the side rail release lever from locking correctly; ensure that the release lever remains visible at all times. − After raising the side rail, it is important to ensure that it has locked in position by pushing down on the side rail; failure to ensure the side rail is properly locked could result in injury to the patient. − If the side rail mounted IV pole is in use when either raising or lowering the side rail it is important to check the infusion flow rate as the height of the infusion above the patient will change by approximately 30cm. − When the backrest is raised the fold-away pushing handles can come in close proximity to the patient’s head and care should be taken. − When folding the transfusion pole away ensure that it is fully retracted and returned to its storage position within the side rail; failure to do this may cause the pole to get caught on obstructions when pushing the trolley. − Using the transfusion pole to either push or pull the trolley may cause permanent damage to the transfusion pole and the side rail. − Do not raise the backrest with the x-ray tray, x-ray cassette or digital plate across the backrest hinge as damage may occur. − Incompatible mattresses can create hazards; only replace the mattress with a new mattress supplied by Anetic Aid, or your authorised dealer, to ensure compatibility in accordance with BS EN 60601-2-52:2010+A1:2015. − Disinfectant products are corrosive in nature; failure to properly wash and dry the trolley surfaces could leave a corrosive residue which may cause damage to the trolley. − Do not use concentrated bleaching disinfectant solutions, organic solvents, abrasive powders or expose any part of the trolley to excessive heat.

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3.

Product Specifications

Fig 1

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QA3 Patient Trolley QA3 Emergency Trolley Catalogue No. 21110 Catalogue No. 21120 Castor Diameter Ø150mm Ø200mm Ø150mm Ø200mm Minimum Trolley Height 475mm 520mm 535mm 580mm A. Maximum Trolley Height 775mm 820mm 835mm 880mm NOTE: Height is measured from the floor to the patient platform and does not include the mattress. Ground Clearances Under the Trolley Base: Under the 5th Wheel Pedal 90mm 90mm 90mm 90mm B. Mechanism at the Head End of the Trolley Under the Base Frame at the 90mm 135mm 90mm 135mm C. Foot End of the Trolley D. Under the Lifting Column 44mm 90mm 44mm 90mm NOTE: The ground clearance figures quoted are general guidelines; as per Fig.1 the trolley is compatible with hoists with leg heights up to 120mm on either castor option, Ø150 or Ø200mm. Trolley Weight 128kg 130kg 148kg 150kg E. Mattress Length 2025mm F. Mattress Width 705mm G. Mattress Depth 90mm NOTE: Refer to section 16, ‘K8 Pressure Care Mattress’, for full specification details. Trolley Length: H. Patient Platform Flat 2150mm I. Backrest Raised 1820mm J. Trolley Width Side Rails Up 805mm Trolley Width Side Rails 735mm K. Down Trolley Width Brakes Off 735mm L. Width between Side Rails Up 745mm Trendelenburg 14° Reverse Trendelenburg 10° M. Backrest Articulation 0 - 90° IV Pole: N. Maximum Height of Pole 2110mm 2155mm Maximum Weight per Hook 3kg (3 Litres) Safe Working Load 6kg Maximum Patient Weight 320kg Safe Working Load 320kg NOTE: Refer to section 15, ‘Patient Weight Limit’, for more information about maximum patient weight limit, safe working load and special precautions when handling heavy patients. Maximum Weight Limit on 25kg the Monitor Shelf NOTE: The monitor shelf is an optional accessory (catalogue no. 21150) Key to Fig. 1

Environmental Conditions Temperature: Relative Humidity: Atmospheric Pressure:

Operation Storage & Transport Operation Storage & Transport Operation Storage & Transport

10°C to 50°C -20°C to 50°C 30% to 75% 10% to 75% 70kPa to 106kPa 50kPa to 106kPa

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4.

Patient Trolley Product Functions (catalogue no. 21110)

Key to Fig.2 1. Backrest Actuation Lever 2. Trendelenburg Actuation Lever 3. Steering Pedal (activates 5th wheel) 4. Brake Pedal 5. Raise and Lower Pedal 6. Side Rail 7. Side Rail Release Lever 8. Fixed Transfusion Pole 9. Fold-away Pushing Handles 10. Fixed Pushing Handles 11. Oxygen Cylinder Mounting Trough (accommodates F, ZX, D, E & CD size's) NOTE: A CD cylinder support bracket is available (catalogue no. 53556) 12. Storage Recess

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5.

Emergency Trolley Product Functions (catalogue no. 21120)

Key to Fig.3 - See QA3 v3.0 Patient Trolley specification for standard features (Fig.2) 13. X-Ray Platform 14. Additional Fixed Transfusion Pole 15. ‘V’ Mounting for 1 Litre Suction Canister NOTE: Fig 3 shows the trolley fitted with an F size cylinder, a 1 litre suction canister and two IV bags; these items are not supplied with the trolley.

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6.

Height Adjustment The height of the patient platform is adjusted by using either of the raise and lower pedals (item 5, Fig.2). Pumping either pedal will raise the patient platform, lifting either pedal will lower the patient platform. 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. WARNING: When leaving patients unattended the trolley should be fully lowered to minimise any risk of injury should the patient fall off the trolley.

7.

Using the Brakes All four castors are simultaneously braked by depressing either of the brake pedals at any point along the length of the pedal (item 4, Fig.2). The brakes are disengaged by lifting either pedal. WARNING: Always apply the brakes when leaving a patient unattended, a patient is getting on or off the trolley, or transferring patients from the trolley to another platform.

8.

Using the Steering Pedal (activates 5th wheel) The trolley can be manoeuvred more easily by engaging the 5th wheel steering mechanism (item 3, Fig.2); the mechanism is engaged by pressing down on the steering pedal and disengaged by lifting the pedal. To move the trolley sideways disengage the 5th wheel. 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, i.e. a lift threshold, or damage may occur.

9.

Using the Side Rails The trolley is fitted with two siderails that can be individually raised and lowered (item 6, Fig.2). Lower the side rail by pulling up on the side rail release lever (item 7, Fig.2) and pushing the side rail down. Raise the side rail by gripping it and pulling up firmly to its full height; the release lever will make an audible ‘CLICK’ when engaged. The side rail will now be locked into position. WARNING: It is important to ensure that nothing impedes the side rail release lever from locking correctly; ensure that the release lever remains visible at all times. WARNING: After raising the side rail it is important to ensure that the release lever has properly locked in position by pushing down firmly on the side rail. Failure to ensure the side rail is properly locked could result in injury to the patient. NOTE: The side rails are designed to prevent a patient inadvertently rolling off the trolley; they are not intended to restrain the patient.

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NOTE: When the IV pole is in use, the weight of the side rail is increased and the side rail may lower more quickly. Keep a firm grip on the side rail as it lowers to control its movement; see section 13, ‘Using the Transfusion Pole’ for details on the maximum weight for the IV pole. CAUTION: If the side rail mounted IV pole is in use when either raising or lowering the side rail it is important to check the infusion flow rate as the height of the infusion above the patient will change by approximately 30cm.

10.

Using the Backrest The backrest is moved up or down by pulling up on the backrest actuation lever (item 1, Fig.2) whilst keeping a firm grip on the pushing handle to control the movement. NOTE: It is important to note that the backrest provides only minimal lift assistance; the patient should be assisted into a sitting position as the backrest articulated up. CAUTION: When the backrest is raised the fold-away pushing handles can come in close proximity to the patient’s head and care should be taken.

11.

Using the Trendelenburg Function The patient platform can be moved into a Trendelenburg position by pulling up on the Trendelenburg actuation lever (item 2, Fig.2) whilst maintaining a firm grip on the platform handle to control the movement. The tilt speed can be controlled by the gradual squeezing of the actuation lever rather than pulling it fully. WARNING: When handling heavy patients, 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.

12.

Using the Fold-away Pushing Handles The trolley is fitted with two fold-away pushing handles at the head end of the trolley (item 9, Fig.2). NOTE: It is an option to have fold-away pushing handles fitted to the foot end of the trolley (catalogue no. 21155).

As illustrated in Fig.4 each pushing handle is swivelled out (A), up (B), and then allowed to drop down into the mounting socket ready for use (C). The handles should be folded away when not in use.

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CAUTION: When the backrest is raised the fold-away pushing handles can come in close proximity to the patient’s head and care should be taken.

13.

Using the Transfusion Pole The Patient Trolley is supplied with one fixed transfusion pole fitted into the patient’s left hand side rail (item 8, Fig.2). The Emergency Trolley is fitted with two fixed transfusion poles, one on each side rail. To use the transfusion pole, as illustrated in Fig.5; pull the transfusion pole away from the side rail storage position (A), articulate the transfusion pole up 90 degrees to the vertical position (B), and allow the transfusion pole to drop down and engage into the mounting socket (C).

To adjust the height of the transfusion pole, as illustrated in Fig.5; grasp the locking mechanism (A) and using your thumb, lift the mechanism to release the lock and move the pole up or down to the required height (B); release the mechanism to lock the pole in position. CAUTION: When adjusting the height of the pole use two hands; one to adjust the height of the inner pole and hooks, and the other to hold the outer pole to ensure that it remains fully engaged in the mounting socket. The transfusion pole is fitted with two spring-loaded hooks that are designed to return to their original upright position when not in use. Swivel one or both hooks outwards (C) to hang the IV bags, as illustrated in Fig.6. NOTE: The maximum weight limit per IV hook is 3kg or 3 litres, and the safe working load for the IV pole is 6kg. CAUTION: When folding the transfusion pole away ensure that it is fully retracted and returned to its storage position within the side rail; failure to do this may cause the pole to get caught on obstructions when pushing the trolley. CAUTION: Using the transfusion pole to either push or pull the trolley may cause permanent damage to the transfusion pole and the side rail. CAUTION: If the side rail mounted IV pole is in use when either raising or lowering the side rail it is important to check the infusion flow rate as the height of the infusion above the patient will change by approximately 30cm.

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14.

Additional Features of Emergency Trolley The QA3 v3.0 Emergency Trolley is specially designed to accommodate the needs of accident and emergency departments and includes: a raised x-ray translucent platform (item 13, Fig.3), an additional fixed transfusion pole fitted into the patient’s right hand side rail (item 14, Fig.3) and a suction system mounting ‘V’ bracket (item 15, Fig.3). NOTE: The following options are available: x-ray tray (catalogue no. 21195), x-ray guide strips (catalogue no. 21196) and x-ray graduation labels (catalogue no. 21197) X-ray cassettes and digital plates are loaded beneath the x-ray platform and can be positioned anywhere beneath the platform; there is 48mm gap beneath the x-ray platform to accept cassettes and digital plates, see fig 7. Alternatively the x-ray cassettes and digital plates can be loaded on the optional x-ray tray and then positioned anywhere beneath the platform.

To improve access for cleaning beneath the x-ray platform both the backrest section (A) and the leg section (B) articulate upwards, as illustrated in Fig.8 below.

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CAUTION: Do not raise the backrest with the x-ray tray, x-ray cassette or digital plate across the backrest hinge as damage may occur.

15.

Patient Weight Limit The trolley is designed to accommodate a maximum patient weight of 320kg and has a safe working load of 320kg. NOTE: The safe working load is the sum of the maximum patient weight, the weight of any accessories attached to the trolley and the weight of the items on or attached to those accessories. Therefore, if using accessories, the weight of those accessories must be subtracted from 320kg to establish the maximum patient weight that can be put onto the trolley. CAUTION – Special Precautions for Handling Heavy Patients: − Heavy 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 may result in tipping. − Once the patient has mounted the trolley the trolley should be manoeuvred as little as possible; take care to avoid uneven floors, door thresholds and lift thresholds. − Extreme care should be taken when attempting to raise or lower the backrest and assistance should be sought to take the weight of the backrest when released. − Extreme care should be taken when tilting the platform head down and assistance should be sought to take the weight of the platform when released. WARNING: Exceeding the maximum specified patient weight limit could result in failure of the trolley and injury to the patient and/or user.

16.

K8 Pressure Care Mattress The mattress is fixed to the patient platform with touch fastener; this enables the mattress to be removed from the trolley for cleaning and replacement. NOTE: When a fitting a new mattress to the trolley the touch fastener on the patient platform must also be replaced. NOTE: The mattress parts should be visually inspected for damage on a daily basis. If the outer mattress fabric is torn, then fluids may penetrate and the mattress should be replaced. Do not attempt to repair tears or splits with self adhesive tapes. K8 Pressure Care Mattress Specification Latex free X-ray translucent Foam Base Layer Polyether polyurethane foam, density 48 to 52kg/m², nominal hardness 210N – 250N Foam Top Layer Viscoelastic temperature sensitive foam, density 58 to 62kg/m², nominal hardness 70N – 100N Fabric Cover Polyurethane coated nylon/polyamide/polyester which is; breathable, anti-microbial, chlorine resistant (<1%, 10,000 ppm) and waterproof (to 2000mm) Fabric Cover High frequency welded seams which are fully sealed and high Seams strength Touch Fastener Polyamide with high strength adhesive Fire Safety Compliant to Fire Crib Test 5 BS7177

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Life Expectancy Warranty Judith Waterlow Score

The mattress life expectancy is 4 years. Dependent upon the level of care and maintenance the pressure care properties of this mattress may reduce once the life expectancy has been exceeded The mattress is guaranteed against defects found in material or workmanship for a period of 12 months from the date of invoice. The mattress is rated as medium to high risk and suitable for the majority of patients up to 23 hours. It is important to remain aware of individual patient needs, and standard nursing practices must always apply for patients immobile or at high risk to pressure sores

CAUTION: Ensure that the mattress is correctly orientated on the patient platform with the touch fastener of the mattress aligning with the touch fastener on the patient platform. CAUTION: Ensure that the mattress is centrally positioned across the width of the patient platform otherwise it may prevent the side rail from locking when raised. WARNING: Incompatible mattresses can create hazards; only replace the mattress with a new mattress supplied by Anetic Aid, or your authorised dealer, to ensure compatibility in accordance with BS EN 60601-2-52:2010.

17.

Cleaning and Disinfecting the Trolley It is recommended that only CE marked cleaning products are used in the cleaning of the trolley and the mattress. Cleaning and Disinfection should be carried out by hand only. Clean the trolley and mattress with warm water and neutral detergent and dry the surfaces thoroughly using a soft cloth. Suitable disinfectants are: quaternary ammonium compounds, isopropyl alcohol & chlorine bleach up to 1% (10,000 ppm). Apply disinfectant by cloth, spray or disinfectant wipe. Following disinfection, wash off the all surfaces with clean warm water and dry thoroughly using a soft cloth. Clean all touch fastener attachments periodically with a soft brush, neutral detergent and suitable disinfectant as listed. The product will be adversely affected and its life expectancy reduced if the above cautions are not observed. CAUTION: − Do not steam clean or jet wash this device. − Do not soak or immerse this device. − Do not use concentrated bleaching disinfectant solutions, organic solvent or abrasive powders in the cleaning or disinfection of this product. − Dilute all disinfectants in accordance with the manufacturer’s guidelines. − Disinfectant products are corrosive in nature; failure to properly wash and dry the product surface could leave a corrosive residue which may cause damage to the product. − Ensure the mattress is thoroughly dried before refitting.

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18.

Using the Optional Monitor Shelf with Removable Refreshment Tray (catalogue no. 21152) NOTE: A monitor shelf cannot be fitted on the trolley if optional fold-away pushing handles (catalogue no. 21155) are fitted to the foot end. As illustrated in Fig.10 overleaf, insert the monitor shelf with removable refreshment tray (A) in to the location sockets at the foot end of the trolley (B). Pivot the removable refreshment tray (C) over the frame so that it sits above the foot end of the patient platform as a monitor shelf, as shown in Fig.11. The monitor shelf has a safe working load of 25kg. CAUTION: Do not tilt the patient platform into a trendelenburg position when equipment is placed on the monitor shelf as this could result in injury to the patient and/or user. WARNING: Exceeding the maximum specified weight limit could result in failure of the monitor shelf and injury to the patient and/or user. The monitor shelf frame can be fitted with two transfusion poles (catalogue no. 21152B1) as a factory fitted option. The height of the transfusion pole is adjusted by releasing the thumb lock (D), lifting the pole to the desired height, and retightening the thumb lock. Each transfusion pole is fitted with two spring-loaded hooks (E) that are designed to return to their original upright position when not in use. Swivel one or both hooks outwards to hang the IV bags, as illustrated in Fig.6. NOTE: The maximum weight limit per IV hook is 3kg or 3 litres. Fig’s.12&13 illustrate how the removable refreshment tray is set up and used. The refreshment tray is removed from the monitor shelf frame by depressing the yellow release button (F). When the tray has been removed both support legs (G) can be hinged open and the refreshment tray placed on to the trolley siderails, orientated so that the tall lip of the tray is furthest away from the patient; as illustrated in Fig.13. CAUTION: When using the refreshment tray observe the following; − Ensure the tray is orientated correctly; the tall lip of the tray is furthest away from the patient. − Do not tilt the patient platform into a trendelenburg position. − Do not lower either of the siderails.

19.

Using an Optional Loose Transfusion Pole (catalogue no. 21161) NOTE: A loose transfusion pole cannot be used with the trolley if fold-away pushing handles are fitted to the foot end. A loose transfusion pole can be inserted into either of the location sockets at the foot end of the trolley; see Fig.10 (B). For instructions on how to use the pole see section 13, ‘Using the Transfusion Pole’. CAUTION: Using the loose transfusion pole to either push or pull the trolley may cause permanent damage to the transfusion pole.

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20.

Product Warranty The product, when new, is guaranteed to be free from defects in materials and workmanship and to perform in accordance with the manufacturer’s specification for a period of one year from the date of invoice from Anetic Aid Ltd or their approved distributor. Anetic Aid Ltd will repair or replace, at their discretion, any components found to be defective or at variance with the manufacturer’s specification within this time at no cost to the purchaser. Warranty exclusions; the warranty does not provide cover for breakage or failure due to tampering, misuse, neglect, accidents, modifications or shipping. The warranty is also void if the product is not used in accordance with the manufacturer’s instructions or is repaired during the warranty period by any persons other than Anetic Aid or its appointed agent. No other expressed or implied warranty is given. Extended warranty; the warranty may be extended from the date of purchase, if the product is maintained by Anetic Aid or its appointed distributor, commencing at the end of the initial one year warranty period (quotations available upon request). Extended warranty limitations; the extended warranty does not cover pressure care mattresses or ancillary equipment (12 month warranty only applied). For warranty, service and calibration, please contact Anetic Aid or their appointed distributor.

21.

Product Maintenance The life expectancy of a QA3 Patient or Emergency trolley is 10 years from date of introduction to clinical use, dependant on the level of care and maintenance. The performance of this device may reduce once the life expectancy has been reached and exceeded. It is recommended that the trolley is serviced on an annual basis in accordance with the manufacturer’s service schedule. Before use, ensure all trolley functions operate to their full range of movement and that all 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. NOTE: If the trolley is damaged or faulty it must be taken out of use with immediate effect and the fault reported to Anetic Aid, your authorised dealer or maintenance department. The trolley must not be used until the damage or fault has been repaired. CAUTION: In line with the MHRA Device Bulletin DB2006(5), maintenance work should only be conducted by suitably trained personnel following manufacturer’s guidelines.

22.

Label Identification The following list is a description of all the labels used on the trolley;

Maximum patient weight limit is 320kg and the trolley safe working load is 320kg.

Depress the brake pedal to brake all four castors.

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Depress the steering pedal to engage the 5th wheel steering function.

Pump the raise and lower pedal to raise the patient platform, lift the raise and lower pedal to lower the patient platform. Lift the side rail release lever to lower the side rail. Pull up on the backrest actuation lever to adjust the backrest angle.

Pull up on the Trendelenburg actuation lever to adjust the patient platform angle.

The IV pole must be fully inserted into the mounting socket to be locked into the vertical position. The maximum weight per hook is 3kg and the safe working load for the IV pole is 6kg.

Incompatible mattresses can create hazards.

The screen printed Anetic Aid brand logo with multiple information symbols (reading from left to right); manufactured using K8 technology, CE marked, refer to the instructions for use, mattress is x-ray translucent, latex free, and compliant to Fire Crib Test 5 BS7177.

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23.

Product Accessories Code Description 21110 QA3 Patient Trolley System v3.0 - Variable Height (non-Xray) 21120 QA3 Emergency Trolley System v3.0 - Variable Height (Xray) Generic Accessories 21157 QA3 v3.0 - Lateral Arm Positioner 21159 QA3 / QA4 - Paper Roll Holder (up to 620mm wide) - Universal 21390 QA3 v3.0 Push / Pull Bar 21172 QA3 v3.0 Cotside - Grey Covers - Pair 21173 QA3 v3.0 Cotside - Child Print Covers - Pair 21175 Department Identification 21188 Theatre Pillow With QA3 Mattress Retention Strap 21189 QA3 v3.0 Foot End Mattress Protector 21393 Cylinder Bracket Kit for CD sized Oxygen Cylinder Patient Trolley Model Specific Accessories 21165 QA3 Cotside - Endoscopy Height Extension Demi-frame 21395 QA3 v3.0 Patient Trolley - Foot-end Extension c/w 30mm Pad Emergency Trolley Model Specific Accessories 21151 Foot End Stop / Monitor Shelf v3.0 21153 QA3 v3.0 Emergency Trolley - Foot-end Extension c/w 100mm Pad 21192 QA3 v3.0 - Lateral Cassette Holder 21195 QA3 - X-Ray Tray 55884 QA3 v3.0 Emergency Trolley - X-ray Cassette Support Shelf Suction apparatus 21130 Medirail - T-bar Rail - QA3 v2.0 for 21140 System 21130/2 Medirail - T-bar Rails - QA3 v3.0 for 21140 System 21130/3 Medirail - T-bar & V-bracket - QA3 v3.0 for 21140 & Serres 21130/4 Medirail - T-bar & V-bracket - QA3 v3.0 for Carnet System 21149/2 V-bracket - QA3 v3.0 for VacSax Canister 21143 Suction - Injector & Probe for CD and HX Cylinder - Complete 21145 Suction - Emergency Venturi System - Complete 21146 1 Litre VacSax Canister V Mounted for Suction System 21147 1 Litre VacSax Standard Bore Liners (Box of 25) 21148 Tubing c/w Connector For Vac Sax Canister Mattresses 21185 QA3 v3.0 K8 Pressure Care Mattress - Standard Cover - Black 21185-B1 QA3 v3.0 K8 Pressure Care Mattress - Standard Cover - Black - Complete Replacement Cover Kit 21186 QA3 v3.0 K8 Pressure Care Mattress - with Zip Cover - Black 21186-B1 QA3 v3.0 K8 Pressure Care Mattress - with Zip Cover - Black Replacement Cover

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