OPERON B850 Installation and Operator Manual Nov 2010

INSTALLATION AND OPERATOR MANUAL

Related Publications: OPERON D 850 Service and Parts Manual

This manual contains proprietary information of BERCHTOLD. It shall not be reproduced in whole or in part without the written permission of BERCHTOLD. The device meets the requirements of the EU directive on medical products 93/42/EWG. UL/cUL LISTED TO IEC 60601-1. MEDICAL ELECTRICAL EQUIPMENT OPERON® IS A REGISTERED TRADEMARK OF BERCHTOLD.

OPERON D 850 SURGICAL TABLE TABLE OF CONTENTS TABLE OF CONTENTS SPECIAL SAFETY INSTRUCTIONS...S-1 SAFETY SYMBOLS ...S-1 USE CONDITIONS ...S-1 POWER SUPPLY ...S-1 LOAD CAPACITY ...S-1 PINCH POINTS ...S-1 PATIENT POSITIONING...S-3 OPERATION ...S-3 TABLE MOVEMENT WITH PATIENT...S-3 AUXILLARY HAND PENDANT...S-3 HEADREST...S-4 REMOVABLE LEG SECTION...S-4 REMOVABLE BACK SECTION ...S-4 ACCESSORIES DESINGED BY OTHERS ...S-4 RADIOLUCENT TABLE TOP AND PADS ...S-4 FOOTSWITCH ...S-4 HYDRAULIC SYSTEM ...S-4 HYDRAULIC PLUGS ...S-5 HYDRAULIC FLUID ...S-5 ELECTROMAGNETIC INTERFERENCE ...S-5 ELECTRICAL SYSTEM ...S-5 CLEANING AND DISINFECTION...S-5 WARNING LABELS ...S-5 INSTALLATION INSTRUCTIONS ...1-1 ELECTRICAL POWER REQUIREMENTS...1-1 ENVIRONMENTAL REQUIREMENTS ...1-1 UNPACKING ...1-1 INSTALLING THE PADS ...1-4 INSTALLING THE HEADREST...1-5 REMOVING THE HEADREST ...1-5 REMOVEABLE BACK & LEG SECTIONS...1-5 REMOVEABLE SPLIT LEG ...1-5 CHECKS AND ADJUSTMENTS ...1-6 SETTING THE TABLE LEVELS ...1-7 AS FUSES (MAINS AC) ...1-8 GENERAL INFORMATION...2-1 GENERAL DESCRIPTION ...2-1 RADIOLUCENT TABLE TOP AND PADS ...2-2 INTERCHANGEABLE HEADREST...2-2 POWER SUPPLY ...2-2 FLOOR LOCK SYSTEM ...2-3 FUSES ...2-3 PRIMARY HAND PENDANT...2-3 PRIMARY HAND PENDANT INDICATORS...2-4 PRIMARY HAND PENDANT FUNCTIONS ...2-5 RS232 CONNECTION...2-6 FOOTSWITCH ...2-6 MANUAL FOOT PUMP...2-6 EMERGENCY UNLOCK ...2-6 AUXILIARY HAND PENDANT...2-7

i

OPERON D 850 SURGICAL TABLE TABLE OF CONTENTS TABLE OF CONTENTS CONTINUED AUXILIARY PENDANT ACCESS INSTRUCTIONS ... 2-8 AUXILIARY PENDANT STORAGE INSTRUCTIONS. ... 2-9 TECHNICAL DATA ... 2-10 OPERATING INSTRUCTIONS... 3-1 PINCH POINTS ... 3-1 ELECTROMAGNETIC INTERFERENCE... 3-2 LOAD CAPACITY... 3-2 PATIENT ORIENTATION... 3-2 PATIENT POSITIONING ... 3-2 OPERATION... 3-3 HAND PENDANT OPERATION... 3-3 FUNCTION PRIORITY ... 3-4 TABLE MOVEMENT LIMITS ... 3-4 SOFTWARE CONTROLLED LIMITS... 3-5 USER-CONTROLLED LIMITS ... 3-5 HEADREST ... 3-5 REMOVABLE BACK AND LEG SECTIONS ... 3-6 REMOVABLE SPLIT LEG ... 3-6 FOOTSWITCH... 3-8 OPERATOR TROUBLE SHOOTING GUIDE... 4-1 MAINTENANCE... 5-1 RECOMMENDED PERIODIC MAINTENANCE... 5-1 CLEANING AND DISENFECTION ... 5-2 STAINLESS STEEL SURFACES ... 5-2 CLEANING METHODS ... 5-2 CLEANING AGENTS... 5-2 REMOVING STAINS. ... 5-2 APPLYING DISINFECTANTS... 5-2 PAINTED SURFACES... 5-2 CONDUCTIVE ITEMS ... 5-2 HAND PENDANTS ... 5-3 IMPORTANT TELEPHONE NUMBERS... 5-3 SPAREPARTS AND ACCESSORIES... 5-3 OPERATOR’S MANUAL PUBLICATION HISTORY... 6-1

ii

OPERON D 850 SURGICAL TABLE TABLE OF CONTENTS

FIGURE S-1 FIGURE S-2 FIGURE S-3 FIGURE 1-1 FIGURE 1-2 FIGURE 1-3 FIGURE 1-4 FIGURE 1-5 FIGURE 1-6 FIGURE 1-7 FIGURE 1-8 FIGURE 1-9 FIGURE 1-10 FIGURE 2-1 FIGURE 2-2 FIGURE 2-3 FIGURE 2-4 FIGURE 2-5 FIGURE 2-6 FIGURE 2-7 FIGURE 2-8 FIGURE 2-9 FIGURE 3-1 FIGURE 3-2 FIGURE 3-3 FIGURE 3-4 FIGURE 3-5 FIGURE 3-6 FIGURE 3-7

TABLE OF FIGURES PINCH POINTS………………………………………………………………… PATIENT SAFETY WORNING LABELS……………………………………. SERIAL NUMBER AND REGULATORY APPROVAL LABEL……………. SHIPPING CONTAINER………………………………………………………. SHIPPING CLAMPS & STRAPPING………………………………………… LOADING/ULOADING RAMP……………………………………………… REMOVE TABLE FROM SKID………………………………………………. PAD SET……………………………………………………………………….. LATCHES……………………………………………………………………… HEADREST…………………………………………………………………… LEG SECTION ATTACHMENT ASSEMBLED LEG SECTION CHAIR POSITION…………………………………………………………… OPERON D 850 SURGICAL TABLE………………………………………… POWER CENTER COMPONENTS………………………………………… HAND PENDANT PLUG PRIMARY HAND PENDANT INDICATIORS………………………………. PRIMARY HAND PENDANT FUNCTIONS………………………………. FOOTSWITCH………………………………………………………………. DEPLOYING FOOTPUMP PEDAL……………………………………… EMERGENCY SWITCH……………………………………………………. AUXILIARY HAND PENDANT…………………………………………… PINCH POINTS…………………………………………………………… TABLE ORIENTATION…………………………………………………… NORMAL PERINEAL POSITION………………………………………… HEADREST………………………………………………………………… LEG SECTION ATTACHMENT…………………………………………… ASSEMBLED LEG SECTION……………………………………………… FOOTSWITCH……………………………………………………………….

S-2 S-6 S-6 1-2 1-3 1-3 1-4 1-4 1.5 1.5 1-5 1-6 1-6 2-1 2-3 2-3 2-4 2-5 2-6 2-7 2-7 2-7 3-1 3-2 3-2 3-6 3-7 3-7 3-8

TABLE 2-1 TABLE 3-1 TABLE 3-2 TABLE 4-1 TABLE 5-1

TABLE OF TABLES TECHNICAL DATA…………………………………………………………. ALLOWED SIMULTANEOUS MOVEMENTS SOFTWARE CONTROLLED LIMITS OPERATOR TROUBLESHOOTING GUIDE……………………………… RECOMMENDED MAINTENANCE SCHEDULE…………………………..

2-11 3-4 3-5 4-1 5-1

iii

OPERON D 850 SURGICAL TABLE SPECIAL SAFETY INSTRUCTIONS

- IMPORTANT – THE SAFETY INSTRUCTIONS THAT FOLLOW APPEAR WITHIN THE MANUAL. READ THEM CAREFULLY BEFORE OPERATING THE UNIT AND FOLLOW INSTRUCTIONS. SPECIAL SAFETY INSTRUCTIONS SAFETY SYMBOLS This manual uses special symbols to help alert you to important safety information: WARNING

CAUTION

NOTE

This symbol identifies a WARNING. A warning indicates that the procedure in the following text involves actions that could cause harm or death to an individual if certain precautions are not taken. The warning text always provides specific information on what you must do to avoid the risk. This symbol identifies a CAUTION. A caution indicates that the procedures in the following text involve actions that could cause damage to the equipment, including the failure to operate. The caution text always provides specific information on what you must do to avoid the risk. This symbol identifies a NOTE. A note contains information that can help you perform the procedure in the following text more effectively.

LOAD CAPACITY In normal orientation, this table has a patient lifting and articulation capacity of 1000 lb (453 kg). In reverse orientation, this table has a patient lifting and articulation capacity of 500 lbs (226 kg). Positioning and constraints are discussed on page S-3. Do not exceed this maximum load in service. See Figure1-1. WARNING

NOTE

USE CONDITIONS WARNING

WARNING - POSSIBLE EXPLOSION HAZARD: Do not operate the table in the presence of flammable anesthetics. The OPERON D 850 table is designed for use in nonhazardous anesthetizing locations.

POWER SUPPLY WARNING

WARNING - ELECTRICAL HAZARD: Repeated breaker tripping or fuse replacement may indicate a ground fault or overload condition. The table will not operate reliably under such a condition and may be electrically unsafe. Do not use the table until this condition is corrected.

WARNING - Overloading may result in tipping of the table or failure of the table sections to move. Do not exceed the maximum load in service. NOTE - The use of some positioning capabilities or table accessories will put additional restrictions on patient weight. Accessories provided by BERCHTOLD, when used as intended, are designed to perform safely with the patient loads for which this table was designed. A BERCHTOLD accessory that puts additional restrictions on patient weight, when used as intended, will be clearly labeled to indicate the maximum allowed loads.

The table load capacity is 400 lb (181 kg) when the beach chair accessory is installed on the table. For the split leg plates, the load capacity of each plate is 34 kg. PINCH POINTS WARNING

CAUTION

WARNING - Cutting or crushing injury may occur if any part of a patient or staff member is caught in a pinch point when the table is articulated. CAUTION - Damage to the table or object may occur if any foreign object is caught in a table pinch point when the table is articulated.

Due to the variety of table positions attainable with the OPERON D 850 table, pinch or crushing points exist (Ref. Figure S-1). The OR staff must be trained to ensure that body parts or surgical apparatus are not caught in pinch points when the table is operated.

S-1

OPERON D 850 SURGICAL TABLE SPECIAL SAFETY INSTRUCTIONS 5) Back and leg plate module connection, split leg plates/perineal cutout 6) Side shields to column shields (in tilt) 7) Column shields to base cover 8) Base to floor 9) Floor feet to base 10) Floor feet to floor 11) Leg plate module, split leg plates/ column pads 12) Foot pump handle to floor 13) Back Section to seat top

This list is not all-inclusive, because pinch points can be created by the attachment of accessories. Always ensure that the patient and staff are clear of all pinch points before moving the table or while the table is in motion. Pinch points include but are not limited to: 1) Kidney elevator to seat top 2) Kidney elevator to seat channels 3) Kidney elevator to back section 4) Headrest to back section

1

2

3

4

13

5

5 6

11

7

9 12

Figure S-1

S-2

8

Pinch Points

10

OPERON D 850 SURGICAL TABLE SPECIAL SAFETY INSTRUCTIONS shields and prevent proper elevation or descent of the table.

PATIENT POSITIONING WARNING

WARNING

WARNING

WARNING

WARNING - POSSIBILITY OF TIPPING: Table stability may be compromised if patients are positioned beyond the following limits: The patient's pelvis should not be extended beyond the end of the seat section. The patient’s legs may be placed on a leg extension attached to the end of the leg section. WARNING - POSSIBILITY OF TIPPING: IF FULL SLIDE FORWARD IS REQUIRED, the patient’s pelvis must always be located over the seat section when in normal orientation. Utilizing full forward slide while the patient’s pelvis is on the leg section can impair table stability and result in patient injury or equipment damage. WARNING - The leg section may be removed from the table. If it is left on the table, use caution when raising the leg section while the patient is in the normal perineal position. WARNING - The back section may be removed from the table.

TABLE MOVEMENT WITH PATIENT WARNING

WARNING

WARNING

AUXILIARY HAND PENDANT WARNING

CAUTION

Full articulation and full slide in either direction can be safely achieved with a 1000 lb (453kg) patient if these steps are followed. CAUTION

CAUTION - If the Trendelenburg or reverse Trendelenburg angle is greater than 15 °, patient weight may not exceed 280 kg for the slide to work properly.

WARNING - If the table needs to be moved with a patient on the table, it is very important to follow the following instructions to prevent patient injury or equipment damage. WARNING - The table should not be used to transport a patient over a long distance. This procedure is only meant for repositioning the table in the surgical suite. WARNING - To guarantee patient safety, the user must visually monitor all table movements.

WARNING

WARNING - The auxiliary hand pendant functions will operate regardless of whether the floor feet are locked or unlocked. If the floor feet are unlocked, the table may roll when the manual pump is operated. CAUTION - The auxiliary control pendant does not offer the following functions: InstaDrive, FLEX, CHAIR, SLIDE, REV POSITION and LEVEL. This pendant is intended to be used for completing procedures, followed by charging the batteries or servicing the table. WARNING - When using the auxiliary pendant, the software controlled limits are not active. DAMAGE MAY OCCUR. Review the user controlled limits section of this manual.

OPERATION WARNING

WARNING

CAUTION

WARNING - The table should always be locked to the floor whenever a patient is on the table or being transferred to or from the table. This is accomplished by extending the table’s feet by activating the FLOOR LOCK function. This table is not intended for patient transport. WARNING - Weight Limit in reverse, while not recommended, it is possible to place a patient in reverse orientation. Patient weight must not exceed 500 lbs. when placed in reverse orientation. CAUTION - Storage of clamps, accessories, etc., on the base cover may result in damage to lift column

S-3

OPERON D 850 SURGICAL TABLE SPECIAL SAFETY INSTRUCTIONS HEADREST WARNING

WARNING

WARNING

WARNING - Do not mount knee crutches or leg holders to the headrest side rail. The headrest should only be used for supporting the head or feet. Do not lean on the headrest. The headrest has a weight limit of 50 lbs. WARNING - When articulating the headrest, be sure that the locking mechanism engages completely, and does not hang in between positions. Until the locking mechanism engages, the headrest may move when a load is applied. WARNING - When releasing the locking mechanism, support the headrest, as it will fall freely if the locking mechanism is not engaged.

REMOVABLE LEG PLATE MODULE/ REMOVABLE SPLIT LEG PLATES WARNING

WARNING - If the leg plate module or the split leg plates are not securely locked in place, patient injuries can result. Always check the locking mechanism when attaching the leg plate module or the split leg plates.

REMOVABLE LEG SECTION WARNING

WARNING - Failure to securely lock the leg section into place may result in patient injury. Always check the retention of the leg section upon installation.

RADIOLUCENT TABLE TOP AND PADS CAUTION

CAUTION

FOOTSWITCH CAUTION

WARNING

ACCESSORIES DESIGNED BY OTHERS BERCHTOLD assumes no liability for table performance when used with accessories designed by others for use on BERCHTOLD equipment, or damage resulting to BERCHTOLD equipment resulting from the use of accessories designed by others.

S-4

CAUTION - The Footswitch’s electrical connections are resistant to fluid intrusion, but if fluid drainage is anticipated, the footswitch should be protected by wrapping it with a clear disposable footswitch bag. This will reduce the need to disinfect the footswitch.

HYDRAULIC SYSTEM WARNING

REMOVABLE BACK SECTION WARNING - Failure to securely lock the back section into place may result in patient injury. Always check the retention of the leg section upon installation.

CAUTION - The anti-static properties of the table depend on the use of the recommended mattress. Compromise of the anti-static properties could expose the patient or OR personnel to an electrostatic shock. It could also deliver a shock to the table’s electronics that could damage or destroy critical components. CAUTION - Protect the top and bottom surfaces from nicks and scratches. Scratches more than 0.005 inches (127 microns) deep may appear on x-rays. Damaged or scratched panels should be replaced if x-ray quality is affected.

CAUTION

WARNING – POSSIBILITY OF INJURY: The hydraulic system must be kept free of contamination. Contamination can cause the hydraulic system to fail, resulting in personal injury or equipment damage. CAUTION – The hydraulic system on the OPERON D 850 surgical table contains micro-hydraulic valves, which are very sensitive to contamination. Only a qualified, trained service technician should open the hydraulic system, and only after all other repair procedures have been tried. Always use clean tools, and cover or wrap any loose hydraulic lines with clean plastic bags.

OPERON D 850 SURGICAL TABLE SPECIAL SAFETY INSTRUCTIONS HYDRAULIC HOLLOW PLUGS CAUTION

CAUTION

CAUTION - Do not over tighten the hollow plugs. Over tightening can cause the seals to deform and leak. CAUTION - Hollow plugs used in the hydraulic system have different torque values than the mechanical fasteners. See Service and Maintenance Manual, for hollow plug torque requirements.

CLEANING AND DISINFECTION WARNING

HYDRAULIC FLUID CAUTION

CAUTION – Do not mix hydraulic fluid types. Other hydraulic fluids can be incompatible with the seals in the OPERON D 850 table and can cause equipment failure or reduce the service life. (See drawing for correct fluid designation in Service Manual)

ELECTROMAGNETIC INTERFERENCE WARNING

WARNING

WARNING - When using the table in the vicinity of high-frequency surgical equipment, such as cardiac defibrillators and cardiac defibrillator monitors, refer to the equipment manufacturers’ instructions to ensure compatibility issues are considered. WARNING - When using the table in the vicinity of neuro-diagnostic monitoring equipment, interference may appear on the monitoring device. To eliminate this, set the BACKLIGHT TIMER to 1 sec using the service software

CAUTION

WARNING

WARNING - Unplug the power cord before cleaning the table if cleaning liquids will be used near the power cord receptacle. Under no circumstances should steam or extremely hot water (over 150°F/66°C) be used to disinfect or clean the table. Elevated temperatures and high humidity will weaken the hydraulic lines and result in failure of the hydraulic system and increased leakage currents. Do not clean this table in automatic cart washing equipment. Use of high-pressure water guns could lead to an electrical malfunction and must be avoided. CAUTION - Failure to thoroughly dry the surface after cleaning may result in rust. WARNING - Always replace fuses with fuses of the same voltage and current rating. Failure to use the correct fuse could cause a fire and injury to the patient or hospital personnel.

WARNING LABELS FIGURE S-2 shows the patient safety warning label attached to the table. The label is located on the base at the foot end.

ELECTRICAL SYSTEM WARNING

WARNING

WARNING

WARNING - When servicing the table, turn power off or remove the appropriate fuses to prevent personal injury. If power is required, use care to avoid contact with live parts. WARNING – Even a “dead” battery can contain enough power to cause a serious shock or explosive spark. Always disconnect the battery charger plug at the power center before disconnecting cables. WARNING – The batteries contain acid, which can cause serious burns. While the batteries are sealed, a dead battery may be damaged and may leak. Always handle batteries in a way that will prevent acid from spilling on your skin or clothes.

S-5

OPERON D 850 SURGICAL TABLE SPECIAL SAFETY INSTRUCTIONS

Figure S-2

Figure S-3

S-6

Patient Safety Warning Labels

Serial Number and Regulatory Approval Labels

OPERON D 850 SURGICAL TABLE INSTALLATION INSTRUCTIONS INSTALLATION INSTRUCTIONS These instructions provide the information necessary to unpack and install the OPERON D 850 Surgical Table. ELECTRICAL POWER REQUIREMENTS WARNING

NOTE

NOTE

NOTE

WARNING - POSSIBLE EXPLOSION HAZARD: Do not operate the table in the presence of flammable anesthetics. The OPERON D 850 table is designed for use in nonhazardous anesthetizing locations. NOTE - This table has been designed to be connected to circuits installed in accordance with NFPA 70 - National Electrical Code. The user should also be familiar with NFPA 99 - Health Care Facilities. Consult these references if you have any doubt about the compliance of the user’s maintenance program or electrical system with code requirements. NOTE - This table is classified as Class 1, Type B equipment in its type and degree of protection against electrical shock. According to Guideline 92/42/EWG attachment XI, operating tables are listed as Class 1 products. NOTE – The table can be factory configured for 230 VAC operation based on customer order requirements. The modifications involve only components associated with the AC mains supply. The information below describes only the 115 VAC components. Refer to the Service Manual for identification of the 230 VAC components.

The BERCHTOLD OPERON D 850 table is completely battery-operated. It only requires AC power for battery charging, but it may be operated directly from AC power when necessary or desirable. The table is provided with a 20-ft. (6 m), 16 AWG, three-conductor power cord terminated with a hospital grade, three-prong plug. Attachment of a plug of alternate design, if required, is the responsibility of the customer. The OPERON D 850 contains two (2) 12V 28 Amp-hour Sealed Lead Acid (SLA) batteries. The batteries are connected in series to provide 24V for the table’s electrical system. The

batteries are fused to prevent high discharge due to a power short. The charging system is designed to allow the table to be connected to AC indefinitely without overcharging or damaging the batteries. Other than periodic charging, the batteries do not require maintenance. ENVIRONMENTAL REQUIREMENTS WARNING

WARNING

CAUTION

CAUTION

CAUTION

WARNING - The batteries are sealed to prevent spilling of the acid electrolyte. If punctured and contact is made with the acid, flush with cold water for 15 minutes. WARNING - Although the batteries are sealed to prevent spilling, they are vented to allow for normal out gassing. Because of this, the table should not be used in a room that has no ventilation system. CAUTION - The batteries contain LEAD and, if replaced, need to be recycled in accordance with local environmental regulations. CAUTION - Do not expose the table to steam or heat sources, or place the table where it may be exposed to unusually high temperatures. CAUTION - Allow the table to reach room temperature prior to operation if the table was exposed to excessively hot or cold conditions during transport or storage.

See “ENVIRONMENTAL REQUIREMENTS” in Table 1.1 for the appropriate environmental conditions for the OPERON D 850 table. Store the table in a cool, dry place. Do not subject the table to environmental conditions in excess of those specified in Table 2-1. UNPACKING WARNING

WARNING

WARNING - POSSIBILITY OF INJURY: This table weighs approximately 750 pounds (341 kg). At least two persons are required to remove the table from its shipping container. WARNING - POSSIBILITY OF INJURY: Do not attempt to lift the table by its top sections. Failure to follow uncrating instructions in the order given will result in difficulty in removing the table from the skid and possible personal injury.

1-1

OPERON D 850 SURGICAL TABLE INSTALLATION INSTRUCTIONS

NOTE

NOTE - Warranty shall be void if customer fails to call BERCHTOLD Sales Representative before unpacking.

TOOLS REQUIRED The following tools are required: • Level • Angle indicator • Tape measure • 11 & 14mm socket wrench • Diagonal cutters • Flathead screwdriver • Pliers 1) Cut the strapping around the shipping box, and remove the top cover (Figure 1-1 ). Top Cover

Straps

4) Check contents of smaller carton: a) Primary Hand Pendant b) Headrest c) Power Cord d) Installation and Operator Manual 5) Remove primary hand pendant from the smaller carton. 6) Plug pendant into receptacle on the right side of the remote control box located on the left side of the table’s column, aligning the red dots on the connectors. 7) Place the ON/OFF switch located on the base in the ON position. It is not necessary to plug in the power cord. 8) Press the ON button on the primary hand pendant. The pendant will turn on and illuminate. NOTE

Carton

Figure 1-1 Shipping Container 2) Remove the ramp from the box. 3) Cut and remove all strapping and top bracing frames. a) Be careful not to mar finish. b) Remove the plastic bag covering the table.

1-2

NOTE

NOTE - If battery indicator on the primary hand pendant is green or yellow, it is not necessary to use the manual foot pump or plug the table into AC. If battery indicator is red, the table can be plugged into AC; or when using the auxiliary hand pendant, follow the manual foot pump procedure outlined under “MANUAL FOOT PUMP” later in this manual. NOTE - The primary hand pendant will automatically turn off after 90 minutes if a table function is not selected and the table is not plugged into AC. To reactivate the pendant, press either the pendants ON button or a function button to move the selected function.

9) Remove the wing nuts that retain the bracing supports. See Figure 1-2.

OPERON D 850 SURGICAL TABLE INSTALLATION INSTRUCTIONS

Figure 1-2

Shipping Clamps & Strapping

10) Align the ramp on the side of the shipping skid (Figure 1-3 ).

Figure 1-3

Loading/Unloading Ramp

1-3

OPERON D 850 SURGICAL TABLE INSTALLATION INSTRUCTIONS

CAUTION

WARNING

CAUTION - Do not attempt to lift the table by its seat section or side rails. Do not allow the table to drop off the ramp, as this can damage the casters. WARNING - POSSIBILITY OF TIPPING: The table will roll freely with the legs unlocked. At least two people are required to roll the table down the ramp.

Figure 1-4

With a partner, slowly move the table down the ramp (Figure 1-4 ). 11) Save all packaging materials. .

Remove Table from Skid

INSTALLATION INSTALLING THE PADS The tabletop is fitted with a matching set of conductive radiolucent pads. CAUTION

CAUTION - The anti-static properties of the table depend on the use of the recommended mattress. Compromise of the anti-static properties could expose the patient or OR personnel to an electrostatic shock. It could also deliver a shock to the table’s electronics that could damage or destroy critical components.

Figure 1-5 Pad Set To install the pads, align them with the edge of the tabletop and press down. Velcro tape will hold the pads in place.

1-4

OPERON D 850 SURGICAL TABLE INSTALLATION INSTRUCTIONS To remove the pads, pull up at one corner and peel them from the tabletop. If pad replacement is necessary, replace with BERCHTOLD replacement pads. Cleaning instructions are outlined under “MAINTENANCE” beginning on page 4-1. HEADREST The headrest can be installed at either end of the table. Attach headrest to back/seat section for standard table set-up.

Figure 1-6 Latches Latches are located on the underside head section and are used to secure the headrest. The latches are spring loaded and will automatically lock the section when it is engaged.

REMOVING THE HEADREST 1) Depress the two latches on the underside of the table while you pull the headrest away from the table. 2) Grasp the headrest on each side, and remove. REMOVABLE BACK AND LEG SECTIONS WARNING

Install the section as follows: 1) Using the pendant, activate BACK or LEG function until the section pivots are horizontal. 2) Once the pivots are horizontal, slide the section onto the pivots. The leg section has guides formed into the underside of the support plate to aid in alignment. 3) Slide the section towards the seat section until it comes to a stop and the locks on both sides snap into place. Look for the green dot to appear in the window on the side of the section frame. 4) Attempt to pull the section away from the table to make sure that it is retained. If not, push evenly until the locks engage. REMOVABLE SPLIT LEG PLATES

HEADREST INSTALLATION 1) Slide the headrest into its location as far as possible, until you hear the locks engage. 2) Pull the headrest towards you to ensure that it is locked into place.

Figure 1-7

Headrest

WARNING - Failure to securely lock the leg section into place may result in patient injury. Always check the retention of the leg section upon installation.

WARNING

WARNING - If the split leg plates are not securely locked in place, patient injuries can result. Always check the locking mechanism when attaching the split leg plates.

Attach the split leg plates as follows: 1) Attach each leg plate to its pivot pin. Each leg plate has guides on the underside of the bearing plate to help with proper alignment. 2) Slide the leg plate toward the seat until it reaches the end stop. The lock has to be secured on each side. 3) The mounted leg plates must be attached with the side screw clamps and firmly tightened into position. 4) To ensure that each leg plate is securely locked, try pulling the plates away from the table. If necessary, push until the lock engages.

1-5

OPERON D 850 SURGICAL TABLE INSTALLATION INSTRUCTIONS 2) Examine table to be sure that all straps, shims, and other packaging materials have been removed.

Figure 1-8

Leg Section Attachment

Figure 1-9 Assembled Leg Section To remove the sections: • Depress the two latches located in the underside of the section frame to release the locking mechanism. Pull back evenly. CHECKS AND ADJUSTMENT WARNING

NOTE

WARNING - The installation checkout is necessary to ensure that handling during shipment did not damage the table. NOTE - If the table was stored where the ambient temperatures were significantly hotter or colder than 50° to 100° Fahrenheit (10° to 38° Celsius), the table’s hydraulic fluid may have expanded or contracted enough to affect the positions of table sections. This situation will correct itself as the table warms or cools to room temperature.

After carefully uncrating the table, perform the following checks: 1) Be sure that all accessories and attachments have been removed from packing material.

1-6

3) Verify that the AC line voltage (mains) is 110 / 120V AC 60Hz / 230V AC 50Hz. 4) Operate the table to confirm the articulation range of all functions. Follow the checklist below: • Table locking system engages and disengages properly and immobilizes table. • Tabletop travels from a minimum height of 22.6'' (574 mm) to a maximum of 46.4” (1178 mm) (without pads). • Slide forward and reverse moves tabletop through 16.6”' (423 mm) of travel. • Tabletop tilts right and left 20°. • Leg section adjusts from 30° above horizontal to a minimum of 105° below horizontal. • If at least one split leg module is attached adjustments between 30 ° above horizontal to a minimum of 105° below horizontal. • Back section adjusts from 90° above horizontal to 45° below horizontal. • Kidney elevator raises 3.1'' (78 mm) above table surface and retracts properly. • Trendelenburg and reverse Trendelenburg allows movement to 30° above and below horizontal. • Flex position enables formation of an inverted “V” of 225°.

OPERON D 850 SURGICAL TABLE INSTALLATION INSTRUCTIONS •

Chair position enables formation of a chair (see Figure 1-10 ).

1) Level all sections using the hand pendant for motion control and an accurate level for measurement: •

Headrest

•

Back

•

Kidney

•

Seat

•

Leg/Split leg

•

Tilt

•

Trendelenburg

Figure 1-10 Chair Position • Return-to-Level returns all table sections to within 1 degree of level head-to-foot and side-to-side. • Auxiliary control pendant and manual foot pump operate correctly. (Refer to instructions on page 2-8.) 5) Inspect exterior surfaces for presence of hydraulic fluid, especially under the base and side panels. If a leak is evident, contact the manufacturer. 6) It is recommended the batteries be fully charged overnight before introducing table into service. The charging system is activated when the table is plugged into mains AC power (hospital receptacle) and the green charging indicator lamp next to the plug is illuminated. SETTING THE TABLE LEVELS The table must know the zero position of all articulation functions for the return-to-level function to work properly. These zero positions are set at the factory, but they should be checked when the table is first installed and adjusted if necessary. The level settings also should be checked periodically and reset whenever necessary. There are two ways to set the zero (or level) position for each articulation. One uses the service software program and is explained in detail in the Service and Parts Manual. The other is explained below:

1-7

OPERON D 850 SURGICAL TABLE INSTALLATION INSTRUCTIONS 2) Turn the main ON/OFF switch in the base power center to the OFF position. 3) Perform the following actions as listed: a) Press and hold the OFF button on the hand pendant. b) Press and hold the LEVEL button on the hand pendant. c) While continuing to hold both the hand pendant OFF and LEVEL buttons, turn the main ON/OFF switch in the base power center to the ON position.

1-8

The table will record the leveled positions as the zero positions and will return to these settings whenever the Return-to-Level button in pushed. NOTE

NOTE - Pay close attention that both split leg sections are leveled before the table records the leveled position as the zero position.

AC FUSES (MAINS AC) The table has been supplied with two 3.15-amp / 1.6-amp 5x20mm time delay fuses in the power cord receptacle. These fuses are accessible through the right hand power center without removing the covers. (See Figure 2-2 for the power center location.)

OPERON D 850 SURGICAL TABLE GENERAL INFORMATION GENERAL INFORMATION GENERAL DESCRIPTION The BERCHTOLD OPERON D 850 surgical table is a remote controlled, full-function design offering a high level of patient positioning and imaging flexibility to the surgical team. The table can be activated by AC power through the power cord (input range of 110 / 120V AC ±10% / 230V ±10%) or by battery power, which requires no power cord except when charging the batteries.

A hand-held control pendant is used to control table positions. The tabletop is divided into the following sections: • Headrest • Back Section • Kidney Elevator • Seat Section • Leg plate module/split leg plates

An electric motor with a belt driven screw is used to slide the table top head to foot. Hydraulic cylinders are used to articulate the table's sections. Hydraulic pressure is provided by a motor driven pump during normal use, and by a manual foot pump in manual back-up mode.

Patient’s pelvis must not extend beyond the end of the seat

Head section Seat

Leg section/ split leg plates

Back section

Main hand control

Auxiliary Pendant

Floor locking feet Manual foot pump pedal

Figure 2-1 OPERON D 850 Surgical Table

2-1