Operating Instructions
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OPERATING INSTRUCTIONS 1180.01XX OPERATING TABLE SYSTEM MAGNUS
GA 1180.01 EN 20
Copyright notice All rights reserved. Any duplication, adaption or translation without prior written consent is prohibited unless otherwise provided for in the relevant copyright laws. © Copyright MAQUET GmbH Subject to technical modification! Illustrations and technical specifications may vary slightly from those in these Operating Instructions as a result of ongoing product development. V20.02 01-04-2014
1180.01XX GA 1180.01 EN 20
Table of contents
1 Introduction 1.1 Foreword... 1 1.2 How to use these operating instructions... 1 1.2.1 General... 1 1.2.2 Abbreviations... 1 1.2.3 Symbols... 2 1.2.3.1 Order number... 2 1.2.3.2 Cross-references... 2 1.2.3.3 Actions and responses... 2 1.2.3.4 Buttons and menus... 2 1.2.4 Definitions... 3 1.2.4.1 Design of safety notes... 3 1.2.4.2 Design for other notes... 3 1.2.4.3 Definition for 3-dimensional coordinate system... 4 1.2.4.4 Definition of slope and tilt... 4 1.2.4.5 Definition of patient positioning... 5 1.2.4.6 Definition of patient orientation... 6 1.2.4.7 Definition of permissible overall load... 7 1.2.4.8 Definition of protrusion... 7 1.2.4.9 Definition of area prone to explosion, Zone AP-M... 7 1.2.4.10 Definition of positioning and transportation positions... 7 1.2.5 Symbols used... 8 1.3 Disposal... 11 1.3.1 General... 11 1.3.2 Packing... 11 1.3.3 Rechargeable batteries/ Batteries... 11 1.3.4 Padding... 11 1.3.5 MAQUET products... 11 1.3.6 Used electrical equipment... 11 1.3.6.1 Within the European Economic Community... 11 1.3.6.2 Outside the European Economic Community... 11 1.4 Overview of the MAGNUS 1180 operating table system... 12 1.4.1 Overview of basic components... 12 1.4.2 Overview of columns... 13 1.4.3 Overview of table top modules... 14 1.4.4 Overview of hand controls and charging stations... 15 1.4.5 Overview of the transporter (1180.65BX)... 16 1.5 Use in accordance with the intended purpose... 17 1.6 Applicable standards... 17 1.7 Intended purposes... 18 1.7.1 Operating table system MAGNUS 1180... 18 1.7.2 Column... 18 1.7.2.1 Stationary transformer unit (1150.80A0)... 19 1.7.2.2 Mobile transformer unit (1180.81A0/B0/C0/D0/E0/G0)... 19 1.7.3 Table top... 19 1.7.3.1 Basic table top versions... 19 1.7.3.2 Side rails... 19 1.7.4 Hand controls... 20 1.7.4.1 Charging unit / Charging station... 20 1.7.5 Transporters... 20 1.7.5.1 Transporter versions... 21 1.7.5.2 Battery charger (1009.74X0)... 21 1.7.6 Product features... 21
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2 2.1 2.2 2.3 2.4
Basic safety notes Personal safety notes... 22 Safety notes for the product... 27 Safety notes regarding the use of accessories... 28 Safety notes regarding padding... 29
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Table of contents
3 Operation 3.1 Columns... 30 3.1.1 General... 30 3.1.2 Motor-powered adjustments... 30 3.1.3 IR system code... 30 3.1.4 Stationary column (1180.01AX/BX)... 31 3.1.4.1 General... 31 3.1.4.2 Rotating/locking the stationary column... 31 3.1.5 Mobile column (1180.01C0) / independently manoeuvrable column (1180.01D0)... 32 3.1.5.1 General... 32 3.1.5.2 Set up the equipotential bonding... 32 3.1.5.3 Status display... 32 3.1.5.4 Indicator for positioning / transporting... 34 3.1.5.5 Switching on the mobile / independently manoeuvrable column... 34 3.1.5.6 Battery operation... 35 3.1.5.7 Charging the rechargeable battery (operation on mains power)... 36 3.1.5.8 Moving the mobile column... 37 3.1.5.9 Independently manoeuvrable column (1180.01D0)... 38 3.2 Table top modules... 42 3.2.1 General... 42 3.2.2 Avoiding collisions... 42 3.2.3 Module mounting points... 43 3.2.3.1 General... 43 3.2.3.2 Basic mounting point... 44 3.2.3.3 Joint mounting point... 45 3.2.3.4 Back plate mounting point... 45 3.2.3.5 Head rest mounting point... 46 3.2.4 Joint module (1180.11X0)... 47 3.2.4.1 Mounting the joint module... 47 3.2.4.2 Removing the joint module... 48 3.2.5 Back plate (1180.31X0)... 50 3.2.5.1 Mounting / removing the back plate... 50 3.2.6 Pair of leg plates (1180.54X0)... 51 3.2.6.1 Mounting/removing the pair of leg plates... 51 3.2.6.2 Abducting the thigh plate... 52 3.2.6.3 Attaching/removing the calf plate... 53 3.2.6.4 Abducting the calf plate... 53 3.2.6.5 Folding down/raising the calf plate... 54 3.2.7 Transfer board (1180.57X0)... 55 3.2.7.1 Mounting / removing the transfer board... 55 3.2.8 Extension plate (1180.32X0)... 56 3.2.8.1 Mounting / removing the extension plate... 56 3.2.9 Head rest (1180.53X0)... 57 3.2.9.1 Mounting/removing the head rest... 57 3.2.9.2 Adjusting the head rest... 58 3.2.10 Mounting and removing OR table width extensions (1001.75A0/76A0)... 59 3.2.11 Padding... 60 3.2.11.1 Removing / attaching PUR padding... 60 3.2.11.2 Remove/ mounting the SFC padding... 61 3.2.12 Side rails... 62 3.3 Hand controls... 63 3.3.1 General... 63 3.3.2 Override control panel... 64 3.3.3 Foot switch (1009.81G0/G1/G2)... 65 3.3.4 Corded hand control (1180.90A0)... 66 3.3.4.1 Connecting / unplugging the corded hand control... 66 1180.01XX GA 1180.01 EN 20
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3.3.5 IR remote control (1180.91A0)... 66 3.3.5.1 General... 66 3.3.5.2 Acoustic signals of the IR remote control... 66 3.3.5.3 IR code... 67 3.3.5.4 Transmission power... 67 3.3.6 Charging unit (1009.70A0) / Charging station (1009.71A0)... 67 3.3.6.1 General... 67 3.3.6.2 Mobile charging unit... 68 3.3.6.3 Stationary charging station... 69 3.3.6.4 Recharging the IR remote control... 69 3.3.6.5 Removing the IR remote control... 70 3.3.7 Attaching the hand control to the side rail... 70 3.3.8 User interface... 71 3.3.9 Switching on the illumination... 72 3.3.10 Selector button [Patient position]... 73 3.3.11 [Leg side] selector key... 74 3.3.12 Motorised adjustment of the table top... 75 3.3.13 Aligning the patient horizontally... 76 3.3.14 Inclining the patient... 77 3.3.15 Lowering / raising the patient (column)... 78 3.3.16 Tilting the patient... 79 3.3.17 Shifting the patient longitudinally... 81 3.3.18 Deactivating the lock function temporarily... 82 3.3.19 Display... 83 3.3.19.1 General... 83 3.3.19.2 Display design... 83 3.3.19.3 Symbols for status bar... 84 3.3.19.4 Symbols for the navigation bar... 85 3.3.19.5 Standard patient positions... 86 3.3.19.6 Menu item [System information]... 87 3.3.19.7 [Patient positions] menu... 88 3.3.19.8 [Transfer] menu... 91 3.3.19.9 [Settings] menu... 92 3.3.19.10[Fast memory] menu... 95 3.4 Transporter (1180.63B0 / 1180.64B0 / 1180.65BX)... 96 3.4.1 General... 96 3.4.2 Locking / unlocking the transporter... 96 3.4.3 Moving the transporter... 97 3.4.4 Switch button for table top transfer / column transport... 98 3.4.5 Transporter (1180.65BX)... 99 3.4.5.1 Adjusting the transporter height... 99 3.4.6 Transporter (1180.64B0/1180.65BX)... 100 3.4.6.1 Storing the corded hand control... 100 3.4.6.2 Inclining the table top electrically... 101 3.4.6.3 Replacing the battery... 102 3.4.7 Table top transfer... 103 3.4.7.1 General... 103 3.4.7.2 Table top transfer from transporter to column... 103 3.4.7.3 Table top transfer from column to transporter... 105 3.4.7.4 Moving the mobile column... 107 3.5 Explanation of the directions for use... 109 3.5.1 Tilt indicator of the operating table (1180.01C0)... 109 3.5.2 Tilt indicator of the operating table (1180.01D0)... 110 3.5.3 Lock the stationary column (1180.01AX/BX)... 111 3.5.4 Transport / positioning height (1180.01D0)... 111 3.5.5 Extending / retracting the swivel castors of the independently manoeuvrable
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3.5.5.1 3.5.5.2 3.5.5.3 3.5.5.4
column (1180.01D0)... 112 Release function "Extending swivel castors"... 112 No tilting with extended swivel castors... 112 No longitudinal shift with extended swivel castors... 113 Switch button for "table top transfer / column transport"... 113
4 4.1 4.2 4.2.1 4.3 4.3.1 4.3.2 4.3.3 4.3.4
Patient positioning General... 114 Positioning a patient, overall load of 250 kg to 380 kg... 114 Table top configuration for an overall load of 250 kg to 380 kg... 116 Special patient positions, overall load of 250 kg to 320 kg... 117 General... 117 Laparoscopic adiposity surgery position, standing, with abducted leg plates... 117 Laparoscopic adiposity surgery position, sitting (Variant I)... 118 Laparoscopic adiposity surgery position, sitting (Variant II)... 119
5 5.1 5.1.1 5.1.1.1 5.1.1.2 5.1.2 5.2 5.3 5.3.1 5.3.2 5.3.3 5.3.4 5.4 5.4.1 5.4.2 5.4.3 5.4.4 5.5 5.5.1 5.5.2 5.5.3 5.5.4
Hybrid operating table General... 120 Operating modes of the hybrid operating table... 121 Operating mode... 121 Examination mode... 121 Symbols on the hand control... 121 Hybrid operating table in conjunction with angiography system... 122 Hybrid operating table in conjunction with PHILIPS angiography systems... 123 General... 123 Examination mode... 123 Table top configurations... 123 Lock-in positions... 124 Hybrid operating table in conjunction with SIEMENS angiography systems... 125 General... 125 Examination mode... 125 Table top configurations... 126 Lock-in positions... 127 Hybrid operating table in conjunction with TOSHIBA angiography systems... 128 General... 128 Examination mode... 128 Table top configurations... 128 Lock-in positions... 129
6 6.1 6.1.1 6.1.2 6.1.3 6.1.4 6.1.5 6.2 6.2.1 6.2.2 6.3 6.3.1 6.3.2 6.3.3
Cleaning and disinfection General... 130 Basic notes... 130 No mechanical cleaning and disinfection... 131 Stainless steel surfaces... 132 Stationary columns... 132 Padding... 132 Cleaning... 133 General... 133 Cleaning procedure... 133 Disinfection... 134 General... 134 Suitable disinfectants... 134 Disinfection procedure... 135
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7 7.1 7.2 7.3 7.3.1 7.3.2 7.3.3 7.3.4 7.3.5 7.3.6 7.4 7.4.1 7.4.1.1 7.4.2 7.4.3 7.5 7.6
Maintenance Visual and functional inspections... 136 Inspection and Maintenance... 137 Malfunctions and troubleshooting... 138 General... 138 OR table... 139 Transporters... 141 Mobile charging unit... 141 Mobile transformer unit... 142 IR remote control... 142 Display notes... 143 General... 143 Structure of display notes... 143 Notes on operation / special notes on operation... 143 Warning notes / Status messages... 145 Repair... 147 Spare parts... 147
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8 8.1 8.2 8.2.1 8.2.2 8.2.2.1 8.2.2.2 8.2.2.3 8.2.2.4 8.2.3 8.3 8.3.1 8.3.2 8.3.2.1 8.3.2.2 8.3.2.3 8.3.2.4 8.3.3 8.3.3.1 8.3.4 8.4 8.4.1 8.4.2 8.4.2.1 8.4.2.2 8.4.3 8.4.3.1 8.4.3.2 8.4.3.3 8.5 8.5.1 8.5.2 8.5.3 8.6 8.6.1 8.6.2 8.6.3 8.6.4 8.7 8.7.1 8.7.1.1 8.7.2
Technical specifications Ambient conditions... 149 OR table... 150 Inclination and lateral tilt... 150 Height adjustment range... 151 Height adjustment range of stationary column (1180.01AX)... 151 Height adjustment range of stationary column (1180.01BX)... 151 Height adjustment range of mobile column (1180.01CX)... 151 Height adjustment range of independently manoeuvrable column (1180.01DX)... 152 Radiolucent area... 152 Table top modules... 154 Dimensions... 154 Motor-powered adjustment ranges... 155 Basic table top... 155 Joint module... 157 Back plate... 157 Leg plate / thigh plate... 158 Manual adjustment ranges... 158 Calf plate... 158 Weight... 159 Columns... 159 General... 159 Stationary column (1180.01AX/BX)... 160 General specifications... 160 Dimensions... 160 Mobile / independently manoeuvrable column... 161 Mobile column (1180.01C0)... 161 Stationary transformer unit (1150.80A0)... 163 Mobile transformer unit (1180.81A0/B0/C0/D0/E0/G0)... 163 Mobile charging unit (1009.70A0)... 164 Dimensions... 164 Weight... 164 Electrical specifications... 164 Stationary charging unit (1009.71X0)... 164 Dimensions... 164 Weight... 164 Electrical data, version (1009.71A0)... 165 Electrical data, version (1009.71B0)... 165 Transporter (1180.6XXX)... 166 Dimensions... 166 Adjustment ranges... 167 Weight... 167
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9 9.1 9.2 9.2.1 9.2.2 9.2.3 9.2.4 9.3 9.3.1 9.3.1.1 9.3.2 9.3.2.1 9.3.2.2 9.3.2.3 9.3.2.4 9.3.3 9.3.3.1 9.3.3.2 9.3.3.3 9.3.3.4 9.4 9.5 9.5.1 9.5.2 9.6 9.7
Approved accessories General... 168 Table tops... 169 Table tops, overall load up to 150 kg... 169 Table tops, overall load up to 180 kg... 169 Table tops, overall load up to 250 kg... 169 Table tops, overall load up to 380 kg... 169 Table top modules... 170 Table top modules, overall load up to 180 kg... 170 Table top modules with joint mounting point... 170 Table top modules, overall load up to 250 kg... 170 Table top modules with basic mounting point... 170 Table top modules with joint mounting point... 170 Table top modules with back plate interface... 171 Table top modules with head rest interface... 171 Table top modules, overall load up to 380 kg... 171 Table top modules with basic mounting point... 171 Table top modules with joint mounting point... 171 Table top modules with back plate interface... 172 Table top modules with head plate interface... 172 Control devices... 172 Transporter... 173 Transporter, overall load up to 250 kg... 173 Transporter, overall load up to 380 kg... 173 Side rail accessories... 173 Accessories for radiation protection... 173
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Introduction Foreword
1
Introduction
1.1
Foreword Your facility has selected the leading-edge medical technology made by MAQUET. We sincerely appreciate the trust you have placed in us. MAQUET is a member of the GETINGE group which is consistently directing its attention to pioneering medico-technical solutions.
1.2
How to use these operating instructions
1.2.1
General These operating instructions are provided to familiarise you with the features of this MAQUET product. They are subdivided into several chapters.
1.2.2
1
MAQUET is one of the world’s leading suppliers for emergency rooms, operating rooms and intensive care units. MAQUET has been standing for innovation and advance in medical technology ever since it was founded in 1838. Solutions relevant to the needs of practice and customer-oriented services optimise working cycles and boost economy in hospitals – all to the benefit of the patient.
Please note: • Please read these operating instructions carefully and completely before using the product for the first time. • Always proceed in accordance with the information contained herein. • Store these operating instructions in a location near the product.
Abbreviations CSA DBAB EC EMC EN EU IEC IR INT IPS ISO OR PUR SELV SFC VDE
Canadian Standards Association Continuous operation with intermittent loading European Community Electromagnetic compatibility European standard European Economic Community International Electro-technical Commission Infrared Intermittent Internal Power Source International Standardisation Organisation Operating room Polyurethane integral foam Safety Extra Low Voltage Soft Foam Core (special foam core) Verband der Elektrotechnik Elektronik Informationstechnik (Association for Electrical, Electronic & Information Technology)
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1.2.3
Symbols
1.2.3.1
Order number An "X" in the order number (e.g. 1122.33X4) is a placeholder for a number of variants.
1.2.3.2
Cross-references References to other pages in these operating instructions are identified with a double arrow symbol "".
1.2.3.3
Actions and responses The "" symbol identifies an action taken by the user while the "" symbol identifies the reaction that this will induce in the system.
1.2.3.4
Example: Turn on the light switch. Lamp lights up.
Buttons and menus Buttons and menus are enclosed in square brackets.
Example: Press the [DOWN] button in the [Operation]
menu.
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1.2.4
Definitions
1.2.4.1
Design of safety notes Pictogram
Descriptor
1
Text
DANGER!
Indicates a direct and immediate risk The text for the safety to persons, which may be fatal or note describes the type result in most serious injury. of risk and how to avert it.
WARNING!
Indicates a potential risk to persons or property which may result in health hazard or grave property damage.
CAUTION!
Indicates a potential risk to property which may result in property damage.
Fig. 1: Design of safety notes
1.2.4.2
Design for other notes Notes not referring to personal injury or property damage are used as follows: Pictogram
Descriptor
Reference to
NOTE
Supplementary assistance or further useful information.
ENVIRONMENT
Proper disposal.
Fig. 2: Design for other notes
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1.2.4.3
Definition for 3-dimensional coordinate system Reference
X axis
Y axis
Z axis
Product
Longitudinal direction
Lateral direction
Height
Patient
Longitudinal
Transverse
Sagittal
Neutral
Horizontal
Horizontal
Vertical
Fig. 3: Definition of terms for the 3-dimensional coordinate system 1 Frontal plane (horizontal plane) 2 Sagittal plane
1.2.4.4
3 Transverse plane
Definition of slope and tilt
Fig. 4: Definition of slope and tilt 1 Reverse Trendelenburg (foot down) 2 Trendelenburg (head down)
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3 Tilt 4 Slope
Introduction How to use these operating instructions
1.2.4.5
1
Definition of patient positioning The hand control (IR remote control or corded hand control) is used to set the patient position and patient orientation(Page 6) in order to enable table top adjustments in accordance with the button assignment.
The patient position depends on the exposed area of the patient and is defined by the positon of the patient's pelvis. Distinction is made as follows: • CENTRAL position • CRANIAL position • CAUDAL position
CENTRAL position CENTRAL position means that the patient's pelvis is located above the basic joint (1).
1
Fig. 5: CENTRAL position
CRANIAL position CRANIAL position means that the patient's pelvis is not located on the basic table top but e. g. on a joint module and the patient's trunk is lying on a back plate. This provides a large exposed area and great freedom of access to the patient's trunk.
Fig. 6: CRANIAL position
CAUDAL position CAUDAL position means that the patient's pelvis is not located on the basic table top but e. g. on a joint module and the patient's legs are lying on a leg plate. This provides a large exposed area and great freedom of access to the patient's abdomen and the lower extremities.
Fig. 7: CAUDAL position
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1.2.4.6
Definition of patient orientation The patient orientation defines the direction in which the patient is lying with reference to the basic table top. The patient orientation is adjusted automatically after the table top transfer
onto the column or it can be set in the menu [Main menu] . Distinction is made between the NORMAL and the REVERSE patient orientation. NORMAL patient orientation • The patient's head is lying on the marked (1) end of the basic table top.
1
Fig. 8: NORMAL patient orientation
REVERSE patient orientation • The patient's head is lying opposite the marked (1) end of the basic table top.
1
Fig. 9: REVERSE patient orientation
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1.2.4.7
Definition of permissible overall load The "permissible overall load" results from adding up patient weight, side rail accessory weight and positioning aids. The "permissible overall load" is the load which may be put on the table top.
1.2.4.8
Restrictions might result from the components table top and transporter for which other overall loads may be valid, or from special patient positions.
Definition of protrusion Protrusion is the gap between the mounting point(s) of a table top to the relevant outer edge of the table top components (e.g. head rest, leg plates) applied to the front.
1.2.4.9
1
The maximum protrusion of a table top may not be exceeded.
Definition of area prone to explosion, Zone AP-M The medical environment is designated as ""Zone AP-M"" (1).
1
Fig. 10: Area prone to explosion, Zone AP-M
1.2.4.10
Definition of positioning and transportation positions When moving, a distinction is made between moving the mobile operating table (1180.01D0) with a patient and without a patient. Positioning position Moving the mobile operating table with a patient is only permitted within the operating theatre under the following conditions: • The mobile operating table must be in the positioning position, i.e. lateral tilt and longitudinal shift are reset and the table top height is restricted. • The mobile operating table is not approved for patient transfer.
Transport position Moving the mobile operating table without a patient is only permitted within the hospital under the following conditions: • The mobile operating table must be in the transportation position, i.e. lateral tilt, inclination, motor-powered leg plate adjustment and longitudinal shift are reset and the table top height is restricted.
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Introduction How to use these operating instructions
Symbols used Symbols are attached to products, type plates and packaging. Symbols
Identification Labelling for Class I products, developed and marketed in compliance with Medical Device Directive 93/42/EEC.
Labelling for product with CSA permission.
Identification of products with UL-approval.
Labelling in compliance with the ISO 15223-1 standard. Symbol for "Product number"
Labelling in compliance with the ISO 15223 -1 standard. Symbol for "Serial number".
Designation in compliance with the ISO 15223-1 standard. Symbol for "Name and address of the manufacturer as well as date of manufacture". Labelling in compliance with the IEC 60601-1 standard. Symbol for "Observe the accompanying documents".
Labelling in compliance with the IEC 60601-1 standard. Symbol for "Follow Operating Instructions".
Symbol for "Observe operating instructions".
Labelling as per 2002/96/EU Directive (Directive on Waste Electrical and Electronic Equipment). Symbol for "Do not dispose of at the municipal collection points for used electrical equipment". Labelling for devices incorporating a Type B applied part as defined in the IEC 60601-1 standard. Degree of protection against electric shock. Fig. 11: Symbols (Part 1 of 3)
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Symbols
1
Identification Labelling in compliance with the IEC 60601-1 standard. Symbol for "Class II".
Labelling as per IEC 60529 standard. Symbol for "splash protection".
Identification in accordance with standard IEC 60529. Symbol for "protection against touching components under tension (larger than 1 mm diameter)" and "protection against vertically falling drip water". Identification in accordance with standard IEC 60529. Symbol für "unspecified protection".
Internal Power Source
Safety Extra Low Voltage
Labelling for intermittent operation, i. e. if the product is operated continuously for the time "x", the product may not be operated thereafter for the time "y". Example: E.g. "int 10/20" means that after 10 minutes of continuous use / adjustment, the product may not be used / adjusted for 20 minutes. Labelling of Category AP equipment as per the IEC 60601-1 standard. Explosion protection by avoiding sources of ignition when using flammable blends of anaesthetics which are mixed with air, oxygen or nitrous oxide. Labelling in compliance with the IEC 60601-1 standard. Symbol for "Potential equalisation".
Labelling for machinable decontaminable components CLEANMAQUET.
Labelling for components which cannot be machine-decontaminated.
Cleaning Label. Symbol for "Do not splash with water".
Fig. 11: Symbols (Part 2 of 3)
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Symbols
Identification Packaging label. Symbol for "Keep dry".
Packaging label. Symbol for "Fragile! Handle with care".
Packaging label. Symbol for "Top".
Labelling in compliance with the ISO 15223 -1 standard. Symbol for "Temperature limit".
Labelling in compliance with the ISO 15223-1. Symbol for "Humidity limitation".
Labelling in compliance with the ISO 15223-1. Symbol for "Atmospheric pressure limitation".
Fig. 11: Symbols (Part 3 of 3)
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