Berchtold Corporation
OPERON D850 Installation and Operating Manual Jan 2007
Installation and Operating Manual
44 Pages
Preview
Page 1
INSTALLATION AND OPERATOR MANUAL 70-000-0121 Related Publications: OPERON D 850 Uncrating Instructions 60-000-0122 OPERON D 850 Service and Parts Manual 70-000-0120
This manual contains proprietary information of Berchtold Corp. It shall not be reproduced in whole or in part without the written permission of Berchtold Corp. ETL/CETL LISTED TO IEC 60601-1. MEDICAL ELECTRICAL EQUIPMENT OPERON® IS A REGISTERED TRADEMARK OF BERCHTOLD CORPORATION.
171823 Operon D 850 Book.indd 2
3/1/07 2:13:58 PM
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 (227 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 non-hazardous anesthetizing locations.
The table load capacity is 400 lb (181 kg) when the beach chair accessory is installed on the table. PINCH POINTS
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 Corp., when used as intended, are designed to perform safely with the patient loads for which this table was designed. A Berchtold Corporation accessory that puts additional restrictions on patient weight, when used as intended, will be clearly labeled to indicate the maximum allowed loads.
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.
700000121
171823 Operon D 850 Book.indd 7
Rev. 01 S-1
3/1/07 2:14:04 PM
OPERON D 850 SURGICAL TABLE SPECIAL SAFETY INSTRUCTIONS 5) 5. Back / Leg section link to seat channel 6) 6. Side shields to column shields (in tilt) 7) 7. Column shields to base cover 8) 8. Base to floor 9) 9. Floor feet to base 10) 10. Floor feet to floor 11) 11. Leg section to column shield 12) 12. Foot pump handle to floor 13) 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) 1. Kidney elevator to seat top 2) 2. Kidney elevator to seat channels 3) 3. Kidney elevator to back section 4) 4. Headrest to back section
1
2
3
4
13
5
5 6
11
7
12
Figure S-1
Rev. 01 S-2
171823 Operon D 850 Book.indd 8
8
9
10
Pinch Points
700000121
3/1/07 2:14:07 PM
OPERON D 850 SURGICAL TABLE SPECIAL SAFETY INSTRUCTIONS 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
AUXILIARY HAND PENDANT WARNING
CAUTION
WARNING
Full articulation and full slide in either direction can be safely achieved with a 1000 lb (453kg) patient if these steps are followed.
WARNING
WARNING
CAUTION
700000121
171823 Operon D 850 Book.indd 9
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 hand pendant does not have the following functions: FLEX, REFLEX, CHAIR, RETURN TO LEVEL, UROLOGY, or SLIDE. 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.
HEADREST
OPERATION 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 shields and prevent proper elevation or descent of the table.
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
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 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.
Rev. 01 S-3
3/1/07 2:14:09 PM
OPERON D 850 SURGICAL TABLE SPECIAL SAFETY INSTRUCTIONS REMOVABLE BACK SECTION WARNING
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
ACCESSORIES DESIGNED BY OTHERS Berchtold Corporation 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. RADIOLUCENT TABLE TOP AND PADS CAUTION
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. 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.
FOOTSWITCH CAUTION
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
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.
HYDRAULIC HOLLOW PLUGS CAUTION
CAUTION
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 306762 for correct fluid designation in Manual 700000120.)
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
ELECTRICAL SYSTEM
WARNING
171823 Operon D 850 Book.indd 10
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, Document #7000000120 for hollow plug torque requirements.
HYDRAULIC FLUID
WARNING
Rev. 01 S-4
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.
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.
700000121
3/1/07 2:14:12 PM
OPERON D 850 SURGICAL TABLE SPECIAL SAFETY INSTRUCTIONS
WARNING
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.
CLEANING AND DISINFECTION WARNING
700000121
171823 Operon D 850 Book.indd 11
CAUTION
WARNING
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 - 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.
Rev. 01 S-5
3/1/07 2:14:14 PM
OPERON D 850 SURGICAL TABLE SPECIAL SAFETY INSTRUCTIONS FIGURE S-2 shows the patient safety warning label attached to the table. The label is located on the base at the foot end.
WARNING LABELS
Figure S-2
Figure S-3
Rev. 01 S-6
171823 Operon D 850 Book.indd 12
Patient Safety Warning Labels
Serial Number and Regulatory Approval Labels
700000121
3/1/07 2:14:15 PM
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.
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.
ELECTRICAL POWER REQUIREMENTS
ENVIRONMENTAL 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. 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 (publication 70-000-0027) 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 700000121
171823 Operon D 850 Book.indd 13
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
NOTE
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. NOTE - Warranty shall be void if customer fails to call Berchtold Corporation Sales Representative before unpacking.
Rev. 01 1-1
3/1/07 2:14:18 PM
OPERON D 850 SURGICAL TABLE INSTALLATION INSTRUCTIONS 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
5) 6)
7)
8)
c) Power Cord d) Installation and Operator Manual Remove primary hand pendant from the smaller carton. 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. Place the ON/OFF switch located on the base in the ON position. It is not necessary to plug in the power cord. 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. 4) Check contents of smaller carton: a) Primary Hand Pendant b) Headrest
Rev. 1 1-2
171823 Operon D 850 Book.indd 14
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.
700000121
3/1/07 2:14:20 PM
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
700000121
171823 Operon D 850 Book.indd 15
Loading/Unloading Ramp
Rev. 01 1-3
3/1/07 2:14:23 PM
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.
Rev. 01 1-4
171823 Operon D 850 Book.indd 16
700000121
3/1/07 2:14:26 PM
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
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.
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.
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 1-8
Figure 1-7
700000121
171823 Operon D 850 Book.indd 17
Leg Section Attachment
Headrest
Rev. 01 1-5
3/1/07 2:14:29 PM
OPERON D 850 SURGICAL TABLE INSTALLATION INSTRUCTIONS • • • • • • Figure 1-9 Assembled Leg Section To remove the sections: 1) 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. 2) Examine table to be sure that all straps, shims, and other packaging materials have been removed. 3) Verify that the AC line voltage (mains) is within the range of 108 to 132VAC. 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). Rev. 01 1-6
171823 Operon D 850 Book.indd 18
• •
Slide forward and reverse moves tabletop through 16.8”' (427 mm) of travel. Tabletop tilts right and left 20°. Leg section adjusts from 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'' (76 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°. Chair position enables formation of a chair (see Figure 1-10 ).
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. May require Lo Micromove Setting. • 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. 700000121
3/1/07 2:14:32 PM
OPERON D 850 SURGICAL TABLE INSTALLATION INSTRUCTIONS 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 (700000120). The other is explained below: 1. Level all sections using the hand pendant for motion control and an accurate level for measurement: •
Headrest
•
Back
•
Kidney
•
Seat
•
Leg
•
Tilt
•
Trendelenburg
700000121
171823 Operon D 850 Book.indd 19
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. 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. AC FUSES (MAINS AC) The table has been supplied with two 3.15-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.)
Rev. 01 1-7
3/1/07 2:14:35 PM
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 115V ±10%) or by battery power, which requires no power cord except when charging the batteries. 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.
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 Section
Patient’s pelvis must not extend beyond the end of the seat
Head section Seat
Back section
Main hand control
Leg section
Auxiliary Pendant
Floor locking feet Manual foot pump pedal
Figure 2-1 OPERON D850 Surgical Table
700000121
171823 Operon D 850 Book.indd 21
Rev. 01 2-1
3/1/07 2:14:37 PM
OPERON D 850 SURGICAL TABLE GENERAL INFORMATION RADIOLUCENT TABLE TOP AND 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.
The tabletop surface is made from electrically conductive radiolucent panels. The table is fitted with a matching set of conductive radiolucent pads. Velcro tape holds the pads in place. CAUTION
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.
Each table section has a cassette channel that can accommodate x-ray cassettes up to 14'' x 17'' (356 x 432 mm). Use of a BERCHTOLD Corporation X-Ray Cassette Tray (OZ 7518475) is required.
provide power to the table. In either case, the ON/OFF switch on the base must be ON to articulate any table sections. When the ON/OFF switch on the base is OFF, the table's electronics and pump motor are isolated from the power supply and the batteries, regardless of the pendant used. When the charge indicator lamp near the power cord receptacle is lit, the table senses AC power and activates the battery charging system. If AC is present, the battery charging system is activated whether the ON/OFF switch on the base is in the ON or OFF position. The table can remain plugged into AC indefinitely without damaging the batteries. The battery indicator on the primary hand pendant displays the battery charge status. This display has three sections: green (full charge), yellow (low charge) and red (recharge). Only one color will be activated at a time. NOTE
NOTE - In the unlikely event of a control pendant failure, the table movements can be stopped by switching the breaker on the base to the off (down) position.
INTERCHANGEABLE HEADREST The headrest can be attached to the seat section to allow for positioning the patient toward the leg end of the table. POWER SUPPLY WARNING
NOTE
WARNING - Repeated breaker tripping or fuse replacement may indicate a ground fault or overload condition. The table will not operate reliably under these conditions, and may be electrically unsafe. Do not use the table until these conditions are corrected. NOTE - Recharge the batteries as indicated by the battery indicator on the control pendant. For longevity, it is good practice to charge the batteries at least once a week
The locations of the primary Power Supply components are shown in Figure 2-2. When the table is plugged into a 120VAC receptacle, it is powered by AC (mains). When the power cord is not plugged in, the batteries Rev. 01 2-2
171823 Operon D 850 Book.indd 22
700000121
3/1/07 2:14:40 PM
OPERON D 850 SURGICAL TABLE GENERAL INFORMATION COVER
FUSES GROUND
ON/OFF CIRCUIT BREAKER CHARGE INDICATOR
Figure 2.2 Power Center Components FLOOR LOCK SYSTEM Four self-stabilizing floor feet compensate up to 0.25'' (6 mm) for uneven floors. The floor feet can be lowered (locked) or raised (unlocked) using the control pendant. When the floor feet are raised, the table rests on four non-conductive casters. FUSES Fuses are accessible without removing the base covers. They are located within the receptacle for the power cord, contains two fuses labeled F1 and F2. These fuses protect against current surges in the AC (mains) line. In addition to the fuses, the ON/OFF switch serves as a circuit breaker with a 20 Amp rating. See Figure 2-2 for the fuse locations.
NOTE
NOTE - The ON/OFF function on the control pendant can be used to stop the table while in motion.
The Auxiliary Hand Pendant is identical to Primary Hand Pendant and can be used as a replacement for a failed Primary Hand Pendant. To replace the Primary Hand Pendant, unplug it from the primary pendant receptacle and plug in the auxiliary pendant. The Auxiliary Hand Pendant will now have all of the functions and indicators of the primary hand pendant.
PRIMARY HAND PENDANT A primary hand pendant controls all table functions. The floor feet must be locked by activating the FLOOR LOCK function to operate any other pendant functions. This ensures that the table base will not move while the tabletop is articulating. The primary hand pendant plugs into the PATIENT RIGHT side of the remote control connector box, which is located on the head end of the column beneath the table top (see Figure 2-3). Insert the pendant so the red dot on the connector aligns with a red dot on the socket in the Primary Hand Pendant Connector Box.
700000121
171823 Operon D 850 Book.indd 23
Figure 2-3 Hand Pendant Plug
Rev. 01 2-3
3/1/07 2:14:42 PM
OPERON D 850 SURGICAL TABLE GENERAL INFORMATION PRIMARY HAND PENDANT INDICATORS See Figure 2-3 for the location of the indicators 1) AUX. PENDANT (amber flashing) - Auxiliary hand pendant is active. The primary hand pendant will be disabled if the auxiliary hand pendant is active. 2) SERVICE (red) - Table malfunction. It is likely that most of the functions still work properly and can still be controlled from the primary hand pendant. If the control pendant is not working, use the auxiliary hand pendant and the manual foot pump (if necessary) to articulate the table until the malfunction can be repaired. NOTE
Service
10) BACKLIGHT – Pendant backlighting (electroluminescent panel) combined with the green Power LED indicates that the pendant is active. The Backlight will time out after a preset time period, which can be set in the service software. The backlight timer can be set to a shorter time than the Controls Wakened state. This will reduce electrical current drain on the batteries, slightly extending the battery charge cycle. The lowest backlight timer setting is 1 second.
NOTE - If the SERVICE indicator lights, call your local Berchtold Corporation Service Representative.
3) TABLE LIMIT (amber flashing) - Indicates that the movement commanded has reached a software controlled limit to avoid damage to the table components. 4) POWER (green) – hand pendant is active. Backlight may or may not be lit. 5) FLOOR UNLOCK ² (amber) - Floor feet are raised so table is mobile. 6) FLOOR LOCK ± (amber) - Floor feet are lowered so table is locked in place. Floor Lock LED will flash until floor lock sequence is completed. 7) SPEED ADJUST HI (green) – articulation speed of all functions is set to normal. 8) SPEED ADJUST LO (green) – articulation speed of all functions is set to low. 9) BATTERY - LEDs indicate the charge status of the batteries: • Green - Full to medium charge. Normal Operation. • Yellow - Low charge. Table still operates normally, but batteries should be charged at the first opportunity. • Red (steady) - Recharge battery. Pump motor is shut off and manual foot pump must be used. • Red (flashing) - Auxiliary pendant must be used. Recharge battery immediately! NOTE
Berchtold Corporation Representative.
Figure 2-4
Primary Hand Pendant Indicators
NOTE - In the event of a primary hand pendant failure, use the auxiliary hand pendant and foot pump to complete the procedure and contact your local
Rev. 01 2-4
171823 Operon D 850 Book.indd 24
700000121
3/1/07 2:14:45 PM
OPERON D 850 SURGICAL TABLE GENERAL INFORMATION PRIMARY HAND PENDANT FUNCTIONS 1) POWER - Turns the primary hand pendant on and off. The pendant will be backlit when activated (unless backlight timer is exceeded. See hand pendant operation section). NOTE
NOTE
NOTE: - The power switch on the base of the table must be in the ON position before the hand pendant will operate. NOTE - If AC power is not present, the auto-shutdown feature will turn the control pendant off after a preset period of non-use. To reactivate the pendant, press any function button. If AC is present, the auto-shutdown feature is disabled, and the hand pendant remains on until it is turned off.
2) FLOOR LOCK - Raises (unlocks) or lowers (locks) the floor feet. 3) SPEED ADJUST (HI/LO) – changes the rate of speed of all movements between normal and slow. This is useful when gradual motion is required. 4) AUTO DRIVE REV/FWD - (Optional) drives the table toward the head (forward) or foot (reverse). There is a slow acceleration, followed by a higher speed (~0.75m/s) if held. 5) BACK ! - Raises and lowers the back section. 6) TABLE ! - Raises and lowers the entire tabletop. 7) LEG ! - Raises and lowers the leg section. 8) TREND/REV TREND (Trendelenburg) - Tilts the entire tabletop about the transverse axis. 9) SLIDE FOOT/SLIDE HEAD - Slides the table top toward and away from the head. 10) TILT LEFT/TILT RIGHT - Rotates the entire tabletop about the head to foot axis. 11) UP KIDNEY/DOWN KIDNEY - Raises and lowers the kidney elevator. 12) FLEX - Combines back down with reverse Trendelenburg to form an inverted V (jackknife position). 13) REFLEX - Combines back up with Trendelenburg to return from FLEX position. 14) CHAIR – Combines back up, Trendelenburg, and leg down functions to form a chair-like support. The three functions operate in a 700000121
171823 Operon D 850 Book.indd 25
repeating sequence until the back section reaches 90° relative to the seat section and the leg sections reach 105° degrees relative to the seat section.
Figure 2-5
Primary Hand Pendant Functions 15) UROLOGY - Levels the table sections, then lowers the leg section to 90° or until a software limit is reached. (To bring the table to its lowest position and have LEG at 90°, slide must be fully toward the leg end) 16) LEVEL - Moves the table to a horizontal position that is within 1 degree of level. This function should be used prior to the Flex and Chair Functions. Rev. 01 2-5
3/1/07 2:14:48 PM
OPERON D 850 SURGICAL TABLE GENERAL INFORMATION FOOTSWITCH (OPTIONAL) A footswitch control is available for procedures where the surgeon is normally seated at the pelvic end of the patient (Figure 2-6). Footswitch functions include: • Trendelenburg/Reverse Trendelenburg • Tilt Left/Tilt Right • Table Up/Down The footswitch is connected into the remote control connector box by aligning the red dot on the footswitch connector with the red dot on the socket in the remote control connector box. See Figure 2-3 for location of connector.
Table Up/ Table Down Tilt Left/ Tilt Right Reverse Trendelenburg
Figure 2-6
Footswitch
Pressing one of the footswitch controls turns the table on and places it in “controls active” status. However, none of the functions will operate unless the floor locks are set. The floor locks must be operated through the hand pedant. MANUAL FOOT PUMP The manual foot pump is used to provide hydraulic pressure when there is no electric power to operate the hydraulic pump. This could occur due to any of the following conditions: • Battery power is low as indicated by a steady or flashing red battery light on the hand pendant. • A combined failure of the battery and AC mains power supplies. • A failure of the table’s hydraulic pump or the electrical system that powers the hydraulic pump. • A failure of table controls The manual pump pedal is located at the patient left side near the head end of the base. DEPLOYING THE FOOT PUMP HANDLE TO ITS FULL OUTERMOST POSITION
Rev. 01 2-6
171823 Operon D 850 Book.indd 26
ENABLES THE AUXILIARY PENDANT AND DISABLES THE MAIN HAND PENDANT. To use the manual foot pump: 1) Pull the foot pedal straight out as far as it will go. It will rotate counter clockwise as it is pulled outward.
Figure 2-7 Deploying Foot Pump Pedal 2) Extend the pedal until it clicks into position. 3) To articulate the table, press and hold the desired function button on the auxiliary control pendant (see next section) and operate the manual pump with your foot. For best results, depress the pump pedal completely, making full strokes, at the rate of about one stroke per second. To re-insert the pump pedal: 1) Push the pedal back into the table until the end is inserted into the base cover. 2) Continue to push the pedal into the table until it snaps into the retracted position. EMERGENCY UNLOCK In the unlikely situation where the control system is completely disabled AND the auxiliary system is disabled, there is a back-up emergency switch that will allow the table to be unlocked and moved. It is wired directly to the batteries. There should always be enough power in the batteries to open the valve solenoids. This switch is located inside the base near the foot pump handle storage location.
700000121
3/1/07 2:14:51 PM