Instructions for Use
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Instructions for use 1433.02B0/F0 YUNO II mobile operating table
IFU 1433.02 EN 04 2019-10-10
Copyright notice All rights reserved. Any duplication, adaptation or translation without prior written consent is prohibited unless otherwise provided for in the relevant copyright laws. © Copyright MAQUET GmbH
Subject to technical modification! Due to further development of the product, the figures used and technical specifications given in these Instructions for Use may slightly differ from the current state of the product.
V04 09 10-10-2019
1433.02B0/F0 IFU 1433.02 EN 04
Contents
Contents 1
Introduction ...
9
1.1
How to use these operating instructions... 1.1.1 Abbreviations ... 1.1.2 Symbols and formatting ... 1.1.3 Definitions ... 1.1.3.1 Design of safety notes... 1.1.3.2 Structure of notes ... 1.1.3.3 Definition for 3-dimensional coordinate system... 1.1.3.4 Definition of inclination and tilt... 1.1.3.5 Definition of permitted overall load ... 1.1.3.6 Definition of protrusion ... 1.1.3.7 Definition of hazardous location, Zone AP-M ... 1.1.3.8 Definition Positioning- / Transporting ... 1.1.3.9 Definition of travelling forwards / backwards ... 1.1.3.10 Definition of patient orientation...
9 9 9 10 10 10 11 11 12 12 12 12 13 13
1.2
Symbols used ...
15
1.3
Disposal ... 1.3.1 Old products... 1.3.2 Packaging ... 1.3.3 Pads and covers ... 1.3.4 Batteries and rechargeable batteries ... 1.3.5 Used electrical devices ...
17 17 17 17 17 18
1.4
Overview...
19
1.5
Basic requirements ... 1.5.1 Use in accordance with the intended purpose ... 1.5.2 Applicable standards... 1.5.3 YUNO II mobile operating table ... 1.5.3.1 Intended use of YUNO II mobile operating table... 1.5.3.2 Variants ... 1.5.4 Hand controls... 1.5.5 Corded control device (1433.90A0) ... 1.5.5.1 Intended use corded control device (1433.90A0)... 1.5.5.2 Mounting points ... 1.5.5.3 Variants ... 1.5.6 Side rails ... 1.5.7 Product features... 1.5.7.1 Significant features of YUNO II mobile operating table ... 1.5.7.2 Latex-free materials... 1.5.8 Reportable event...
20 20 20 20 20 21 21 21 21 22 22 22 22 22 22 22
2
Safety notes... 23
2.1
General safety notes ...
23
2.2
Safety notes for the OR table ...
25
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Contents
2.3
Safety notes regarding the use of accessories...
27
2.4
Safety notes regarding service ...
29
2.5
Safety notes EMC...
30
2.6
Safety notes regarding padding...
30
3
Initial operation ... 32
3.1
Storage ...
32
3.2
Ambient conditions ...
32
3.3
Power supply ...
32
3.4
IR code ... 3.4.1 Grouping of IR codes according to product groups ... 3.4.2 Determining / specifying the IR code ... 3.4.3 Carrying out a functional test ...
33 33 34 34
3.5
Venting the hydraulic oil ...
34
3.6
Setting the mains voltage ...
35
4
Hand controls and functions ... 36
4.1
General hand controls ...
36
4.2
Mounting the control device to the side rail ...
37
4.3
Override control panel ... 37 4.3.1 Overview of override control panel ... 38
4.4
Corded hand controls ... 4.4.1 Connecting corded control devices... 4.4.2 Corded hand control (1433.90A0)... 4.4.3 Foot switch (1009.81G0/G1/G3) ...
39 39 40 40
4.5
IR remote control (1433.91A0) ... 4.5.1 Control buttons and functions ... 4.5.1.1 Switching on the illumination ... 4.5.1.2 [Leg side] selector key... 4.5.2 Special feature of the IR remote control ... 4.5.2.1 Acoustic signals of the IR remote control ... 4.5.2.2 IR code ... 4.5.2.3 Transmission power ... 4.5.3 Recharging the IR remote control ...
41 42 43 43 44 44 44 44 45
4.6
Adjustment functions ... 4.6.1 Adjusting the height of the OR table ... 4.6.2 Adjusting accessories using the motor ... 4.6.3 Align the leg plate ... 4.6.4 Inclining the table top ... 4.6.5 Tilting the table top laterally ... 4.6.6 Moving the table top to the horizontal position... 4.6.7 Deactivating the lock function temporarily ...
46 46 46 47 48 49 50 51
4.7
Operating menu ... 52 4.7.1 General ... 52
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Contents
4.7.2 4.7.3 4.7.4 4.7.5
4.7.6 4.7.7
4.7.8
4.7.9
4.7.10
Display design... Symbols for status bar ... Symbols for navigation bar ... Standard patient positions ... 4.7.5.1 FLEX / REFLEX position ... 4.7.5.2 BEACH CHAIR / BACK HORIZONTAL position ... 4.7.5.3 NORMAL / REVERSE patient orientation ... Menu item [System information] ... Menu [Patient positions]... 4.7.7.1 Select patient position ... 4.7.7.2 Moving into patient position... 4.7.7.3 Saving the patient position ... 4.7.7.4 Editing names for patient position ... Menu [Settings] ... 4.7.8.1 Select the menu item in the [Settings] menu... 4.7.8.2 Activating / deactivating the operating table lock ... 4.7.8.3 Activating/deactivating the table top lock ... 4.7.8.4 Switching the illumination on and off ... 4.7.8.5 Switching the signal tone of the OR table on and off ... [Service] menu ... 4.7.9.1 Select the menu items in the [Service] menu ... 4.7.9.2 Setting the IR code... 4.7.9.3 Set the language ... 4.7.9.4 Display system information ... 4.7.9.5 Editing system names ... 4.7.9.6 Set the display contrast ... 4.7.9.7 Reset to the factory settings... Menu [Fast memory] ... 4.7.10.1 Selecting the function in the [Fast memory] menu ... 4.7.10.2 Moving into patient position... 4.7.10.3 Saving the patient position ...
52 53 54 55 55 56 56 57 57 58 59 59 60 60 60 61 61 62 62 63 63 64 64 65 65 66 66 68 68 68 69
5
Operation and use... 70
5.1
General ...
70
5.2
OR table ... 5.2.1 Acoustic signals issued by the OR table... 5.2.2 Setting up equipotential bonding... 5.2.3 Status indicators mains connection / battery charge state... 5.2.3.1 Overview of status display for mains connection ... 5.2.3.2 Overview of status display for battery charge state... 5.2.4 Charge batteries (mains operation) ... 5.2.5 Battery operation... 5.2.6 Displace / immobilise the OR table ... 5.2.6.1 Overview of status indicator LOCK / UNLOCK ... 5.2.6.2 Moving the OR table using autodrive (UNLOCK)...
70 70 70 71 71 72 73 74 74 75 75
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Contents
5.2.6.3
Immobilise the OR table (LOCK)...
76
5.3
Table tops and accessories ... 5.3.1 Accessory recognition... 5.3.2 Collision warning... 5.3.3 Mounting the table width extensions (1001.75A0 / 76A0)... 5.3.4 Mounting / removing the head rest ... 5.3.4.1 Mounting/removing the head rest using the head rest adapter (1130.81A0) ... 5.3.5 Mounting/removing the extension plate (1131.31BC/FC) ... 5.3.6 Mounting/removing the seat plate extension (1131.55BC/FC) ... 5.3.7 Mounting / removing the leg plates ... 5.3.7.1 Mounting/removing the pair of leg plates (1133.53BC) ... 5.3.7.2 Mounting and removing the leg plate (1133.58BC)... 5.3.8 Mounting / removing the standard plate... 5.3.9 Removing/mounting pads ...
77 77 77 78 79 79 81 82 83 83 84 85 86
5.4
Establishing the extension position ... 5.4.1 Mounting the extension plate ... 5.4.2 Mounting the traction bar with ball joint (1007.40A0)... 5.4.3 Mounting the pair of leg plates (1007.42AC) ... 5.4.4 Mounting the screw tension device (1007.43A0) ... 5.4.5 Mounting the extension shoe (1003.67A0/B0) to the screw tension device (1007.43A0)... 5.4.6 Mounting the countertraction post... 5.4.7 Removing the pair of leg plates ...
87 87 88 89 89 90 91 91
5.5
Releasing the extension position ... 5.5.1 Aligning the traction bar with ball joint (1007.40A0)... 5.5.2 Mounting the pair of leg plates (1007.42AC) ... 5.5.3 Removing the extension shoe (1003.67A0/B0) from the screw tension device (1007.43A0) 5.5.4 Removing the countertraction post ... 5.5.5 Removing the screw tension device (1007.43A0)... 5.5.6 Removing the traction bar with ball joint (1007.40A0) ... 5.5.7 Removing the pair of leg plates ... 5.5.8 Removing the extension plate...
92 92 92 93 93 94 94 95 96
5.6
Explanation of instructions for use... 96 5.6.1 Height for releasing the OR table lock with an overall load of up to 250 kg... 96 5.6.2 Sled positioning on traction bar... 97
6
Approved accessories and table top configuration ... 98
6.1
Table top configuration for an overall load up to 155 kg... 99 6.1.1 NORMAL patient orientation ... 99 6.1.2 REVERSE patient orientation ... 103
6.2
Table top configuration with an overall load of 155-250 kg ... 106 6.2.1 NORMAL patient orientation ... 106 6.2.2 REVERSE patient orientation ... 109
6.3
Table top configuration with an overall load of 250-454 kg ... 111 6.3.1 Usage-related restrictions for 250-454 kg... 111 6.3.2 NORMAL patient orientation ... 112
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Contents
6.4
Special accessories ... 113 6.4.1 Special accessories for YUNO II... 113 6.4.2 Specialised accessories Suspension mounting point ... 114
6.5
Approved accessories ... 114 6.5.1 Side rail accessories ... 114 6.5.2 Maximum overall load up to 155 kg ... 115 6.5.2.1 Accessories for NORMAL mounting point up to 155 kg ... 115 6.5.2.2 Accessories for the NORMAL mounting point up to 155 kg, OR table locked (LOCK) ... 116 6.5.2.3 Accessories for REVERSE mounting point up to 155 kg ... 116 6.5.2.4 Accessories for REVERSE mounting point up to 155 kg, OR table locked (LOCK) ... 117 6.5.3 Maximum overall load 155–250 kg ... 118 6.5.3.1 Accessories for NORMAL mounting point 155–250 kg ... 118 6.5.3.2 Accessories for REVERSE mounting point 155–250 kg ... 119 6.5.3.3 Accessories for the REVERSE mounting point up to 250 kg, OR table locked (LOCK) ... 120 6.5.3.4 Accessories for insert mounting point ... 120 6.5.3.5 Extension accessories, maximum overall load 250 kg... 120 6.5.4 Maximum overall load 250–454 kg ... 121 6.5.4.1 Accessories for NORMAL mounting point 250–450 kg ... 121 6.5.4.2 Accessories for REVERSE mounting point 250–454 kg ... 121 6.5.5 Hand controls... 121 6.5.6 Accessories for insert mounting point ... 121
6.6
Projection... 122 6.6.1 Protrusion with a NORMAL patient orientation ... 122 6.6.2 Protrusion with a REVERSE patient orientation ... 123 6.6.3 Maximum height with moveable OR table (UNLOCK) ... 123
7
Display notes... 124
7.1
Structure of display notes ... 124
7.2
Notes on use ... 124
7.3
Warning notes / Status messages ... 126
8
Cleaning and disinfection ... 130
8.1
General information ... 130 8.1.1 No mechanical preparation ... 131 8.1.2 Padding... 132
8.2
Cleaning agents and disinfectants... 133 8.2.1 Suitable cleaning agents... 133 8.2.2 Suitable disinfectants ... 133 8.2.3 Non-usable products / substances... 133
8.3
Prepare the OR table for cleaning ... 134
8.4
Preparation ... 134 8.4.1 Pre-cleaning... 134 8.4.2 Disinfection ... 134
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Contents
8.4.3 8.4.4
Drying... 135 Inspections... 135
8.5
Clean and disinfect the swivel castors... 135
9
Maintenance ... 136
9.1
Visual and functional inspections ... 136
9.2
Malfunctions and troubleshooting ... 138 9.2.1 Emergency operation mode... 138 9.2.2 Faults and troubleshooting... 138
9.3
Inspection and Maintenance... 138
9.4
Maintenance of corded hand controls ... 139
9.5
Repair ... 139
9.6
Type plate ... 140
9.7
Exchanging the fuse ... 141
10
Technical specifications... 143
10.1 General specifications ... 143 10.2 Ambient conditions ... 143 10.3 Electrical specifications ... 143 10.4 Noise level ... 143 10.5 Weight ... 144 10.6 Dimensions ... 144 10.7 Inclination ... 145 10.8 Lateral tilt ... 145 10.9 Inclination and lateral tilt with attached carbon-fibre insert plate (1433.45XX)... 146 10.10Motor-operated joints... 147 10.10.1 REVERSE mounting point ... 147 10.10.2 NORMAL mounting point ... 147 10.11Radiolucent area ... 148 10.12Adjustment range for extension positioning... 149 10.13Electromagnetic compatibility (EMC)... 150 10.13.1 Cable lengths ... 150 10.13.2 Resistance to electromagnetic interference... 150 10.13.3 Electromagnetic emissions ... 151
Index... 152
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Introduction How to use these operating instructions
1
Introduction
1.1
How to use these operating instructions
1
These operating instructions are provided to familiarise you with the features of this product. The operating instructions are divided into separate chapters. Please note: • Read these operating instructions through carefully and completely before using the product for the first time. • Always proceed in accordance with the information provided in these operating instructions. • Store these operating instructions in the vicinity of the product.
1.1.1
Abbreviations DAA EC EMC ESD EN EEC HD IEC IR ISO INT IPS LED OR PUR SELV SFC UPS VDE
1.1.2
Direct Anterior Approach European Community Electromagnetic compatibility Electrostatic discharge European standard European Economic Community Harmonization document International Electrotechnical Commission Infrared International Organization for Standardization Intermittent Internal Power Source Light-Emitting Diode Operating room Polyurethane integral foam Safety Extra Low Voltage Soft Foam Core (special foam core) Uninterrupted Power Supply Verband der Elektrotechnik Elektronik Informationstechnik
Symbols and formatting Symbol
Meaning
1. 2.
Instructions to follow / list with numbered steps Result of an action
●
Numbered steps / List entry / precondition Reference to other pages within this document
Tab. 1:
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Symbols and formatting
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1
Introduction How to use these operating instructions
Symbol
Meaning
[...]
Key / Module / Mode
bold
Menu / on-screen button
[italics]
Field to be filled in
1122.33XX
Order number with different variants (XX)
Tab. 1:
Symbols and formatting
1.1.3
Definitions
1.1.3.1
Design of safety notes Pictogram
Tab. 2:
1.1.3.2
Text
DANGER!
Identifies an immediate danger to people, which may result in death or serious injuries.
WARNING!
Identifies a potential danger to people or property, which may result in damage to health or serious property damages.
CAUTION!
Identifies a potential danger to property, which may result in property damages.
Design of safety notes
Structure of notes Pictogram
Tab. 3:
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Descriptor
Descriptor
Explanation
NOTE
Supplementary assistance or further useful information which does not indicate a risk of injury to persons or a risk of property damage are described in the text of the note.
ENVIRONMENT
Information regarding proper disposal.
Structure of notes
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Introduction How to use these operating instructions
1.1.3.3
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. 1:
1.1.3.4
1
Definition of terms for the 3-dimensional coordinate system
1
Frontal plane (horizontal plane)
2
Sagittal plane
3
Transverse plane
Definition of inclination and tilt
Fig. 2:
Definition of inclination and tilt
1
Reverse Trendelenburg
3
Lateral tilt
2
Trendelenburg (head down)
4
Inclination
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1
Introduction How to use these operating instructions
1.1.3.5
Definition of permitted overall load The maximum permitted overall load is derived by adding the patient weight, side rail accessory weights and weight of positioning aids. The maximum permitted overall load is the maximum load that may be placed on the table top. Restrictions may result from special patient positioning devices or the accessories used for which other weight loads may apply.
1.1.3.6
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. The maximum protrusion of a table top may not be exceeded.
1.1.3.7
Definition of hazardous location, Zone AP-M The term "AP-M zone" 1 is used to refer to the medical environment.
1
Fig. 3:
1.1.3.8
Area with a risk of explosions, AP-M zone
Definition Positioning- / Transporting When moving, a distinction is made between moving the mobile operating table with a patient and without a patient. Positioning Positioning refers to the process of moving the mobile operating table with a patient and within the operating room. Transporting Transporting refers to the process of moving the mobile operating table without a patient in the operating room.
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Introduction How to use these operating instructions
1.1.3.9
1
Definition of travelling forwards / backwards The following applies to motorised travel movements: • forwards 1 • backwards 2
2
Fig. 4:
1.1.3.10
1
Travelling forwards / backwards
Definition of patient orientation
WARN ING ! Risk of injury! Incorrectly adjusted patient orientation may cause adjustment of the OR table in a direction that was not intended. Check the correct patient orientation prior to making any adjustments. The patient orientation is indicated in the status bar on the display on the hand control. The patient orientation is based on the position of the patient on the table compared to the OR table base.
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1
Introduction How to use these operating instructions
NORMAL patient orientation The upper part of the patient's body is located above the longer section of the OR table base 1.
1
Fig. 5:
NORMAL patient orientation
REVERSE patient orientation The legs are located above the longer section of the OR table base 1 .
1
Fig. 6:
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REVERSE patient orientation
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Introduction Symbols used
1.2
1
Symbols used Symbols are attached to products, type plates and packaging. Symbols
Labelling Labelling of products developed and marketed in accordance with relevant European legal provisions.
Labelling in accordance with the standard ISO 15223-1. Symbol for "Catalogue number / product number".
Labelling in accordance with the ISO 15223-1 standard. Symbol for "Serial number".
Symbol for the labelling of medical devices
Labelling in accordance with the standard ISO 15223-1. Symbol for "Name and address of the manufacturer". The date of manufacturing can be combined with this symbol. Labelling in accordance with the ISO 15223-1 standard. Symbol für "Consult instructions for use".
Marking according to the standard ISO 15223-1. Symbol for "Pay attention to the supplied documents".
Labelling in accordance with the IEC 60601-1 standard. Symbol for "Follow Instructions for use".
Labelling of devices with an applied part of Type B in accordance with the IEC 60601-1 standard. Level of protection against electric shock.
Tab. 4:
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Symbols
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1
Introduction Symbols used
Symbols
Labelling Labelling in accordance with the IEC 60601-1 standard. Symbol for "Class II Equipment"
Labelling in accordance with the 2012/19/EU directive (on used electrical equipment and electronics). Symbol for "Do not dispose of product via the municipal collection points for used electrical equipment". Labelling in compliance with the IEC 60529 standard. Symbol for "Splash protection".
Labelling in compliance with the IEC 60601-1 standard. Symbol for "Equipotentiality".
Labelling of devices in the AP class in accordance with the IEC 60601-1 standard. Explosion protection ensured by the avoidance of ignition sources when using flammable blends of anaesthetics that are mixed with air, oxygen or nitrous oxide. Marking in compliance with the standard ISO 7010 Symbol for “warning concerning injury to hands e.g. Hazard of crushing, shearing Labelling in accordance with the ISO 15223-1 standard. Labelling of packaging materials. Symbol for "Keep dry". Labelling in accordance with the ISO 15223-1 standard. Symbol for "Fragile! Handle with care".
Labelling in accordance with the ISO 7000 standard. Symbol for "Top".
Labelling in accordance with the ISO 15223-1 standard. Symbol for "Temperature limit".
Tab. 4:
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Symbols
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Introduction Disposal
Symbols
1
Labelling Labelling in accordance with the ISO 15223-1 standard. Symbol for "Humidity limitation".
Labelling in accordance with the ISO 15223-1 standard. Symbol for "Atmospheric pressure limitation".
Tab. 4:
Symbols
1.3
Disposal
1.3.1
Old products Getinge will take back used products or those which are no longer in service. For further information, please contact your personal Getinge representative. Used products or parts thereof may be contaminated. In order to prevent a potential infection, the product must be cleaned and disinfected prior to its return/disposal. The national regulations and disposal regulations must be observed for all disposal measures.
1.3.2
Packaging The packing materials are made of materials compatible with the environment. The packing material may be disposed of by Getinge on request.
1.3.3
Pads and covers Pads and covers may be disposed of via the household waste.
1.3.4
Batteries and rechargeable batteries Rechargeable batteries/batteries can be submitted to your regional disposal system.
EN VI RON MENT Defective rechargeable batteries must be recycled in accordance with guideline 2006/66/EC. Defective rechargeable batteries may not be opened, disposed of in household waste, burned or thrown in water. Defective rechargeable batteries should be returned to local collection points.
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1
Introduction Disposal
1.3.5
Used electrical devices Within the European Economic Community This product is within the scope of the validity of guideline 2012/19/EU (waste electrical and electronic equipment). This product is not registered for use in private households, it may also not be disposed of disposal via municipal collection points for waste electrical and electronic equipment. For further information on legally compliant disposal, please contact the assigned Getinge representative. Outside the European Economic Community When disposing of this product, ensure compliance with the applicable national regulations on the handling and disposal of used electrical equipment.
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Introduction Overview
1.4
1
Overview
6
2 1
7
8
9
5 3
11 10 12 14 4
13 15
16
18 19
17
20
Fig. 7: 1 2 3 4 5
Overview of OR table (1433.02B0/F0)
The screw tension device (1007.43A0), not included in the scope of delivery
11 Extension shoe (1003.67A0/B0), not included in 12 the scope of delivery 13 Traction bar (1007.40A0) with ball joint, not included in the scope of delivery 14 Traction bar (1007.41A0), not included in the 15 scope of delivery 16 Countertraction post (included in the scope of delivery of (1433.66AC/BC))
6 7
10 NORMAL mounting point Basic table top IR receiver Connections for corded control device/foot switch Override control panel Connection for equipotential bonding Connection for the mains cable
17 Service mounting point
Extension plate (1433.66AC), not included in the 18 IR remote control (1433.91A0), not included in the scope of delivery scope of delivery 19 Corded control device (1433.90A0) REVERSE mounting point
8
Extension plate (1433.66BC), not included in the 20 Foot switch (1009.81G0/G1/G3), not included in the scope of delivery scope of delivery
9
Extension plate (1131.31BC), not included in the scope of delivery
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1
Introduction Basic requirements
1.5
Basic requirements
1.5.1
Use in accordance with the intended purpose This product is a medical device. The product may only be operated by persons who have been instructed in the use of the product by an authorised person. The product is designed solely for the purpose of human medicine. The patient may only be placed and positioned under medical supervision. Rooms used for medical purposes in which the product is operated must comply with HD 60364-7-710 or equivalent national regulations. The EMC characteristics of this product allow its use in industrial and hospital environments (CISPR 11, Class A). This product may not provide adequate protection against radio services when used in a residential environment (which typically requires Class B according to CISPR 11). If necessary, the user must take corrective measures such as conversion or reorientation of the product. Accessories Accessories or combinations of accessories may only be used as and when indicated in these instructions for use. Other accessories, combinations of accessories or consumables may only be used if they are designed specifically for the use in question and will not adversely affect either performance features or safety requirements.
1.5.2
Applicable standards The product meets the basic safety and performance requirements in accordance with the local applicable legal specifications for medical devices.
NO TE Basic safety aspects for North America market only: CLASSIFIED BY UNDERWRITERS LABORATORIES INC. WITH RESPECT TO ELECTRICAL SHOCK, FIRE, AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH BASE STANDARDS: ANSI/AAMI ES60601-1 (2005/(R)2012 + A1:2012, C1:2009/ (R)2012 + A2:2010/(R)2012) - Amendment 1 - Revision Date 2012/08/21; CAN/ CSA-C22.2 No. 60601-1:14 - Edition 3 - Revision Date 2014/03 ADDITIONAL STANDARDS: IEC 60601-2-46: 2016 (Third Edition) CSA CAN/CSAC22.2 No. 60601-2-46:12 (Second Edition) .
1.5.3
YUNO II mobile operating table
1.5.3.1
Intended use of YUNO II mobile operating table The YUNO (1433.02XX) mobile operating table is designed to be used for the placement and positioning of the patient for surgical treatment immediately prior to, during and after surgical interventions. The table top is radiolucent and enables the intraoperative use of x-ray equipment. The design of the table top means that it is suitable for all surgical disciplines.
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