Jackson Spinal Surgery Top NW0504 Owners 5927, 5943, 5943AP Owners Manual Rev D

IMPORTANT NOTICES CAUTION: To ensure safe operation of the equipment, please READ THESE INSTRUCTIONS COMPLETELY and keep this manual readily available to operating room personnel for future reference. Carefully observe and comply with all warnings, cautions and instructions which are printed on the equipment or described in this manual.

The WARNING symbol in this manual is intended to alert the user to the presence of important operation, maintenance, or safety instructions.

Warning: Proper pre-operative and intra-operative procedures must be followed to prevent venous stasis and pooling, pressure sore development, neuropathy, improper electrosurgical tissue grounding, hypotension and hypothermia. NOTE: The application techniques outlined in these instructions are the manufacturer’s suggested techniques. The final disposition of each patient’s care as related to the use of this equipment rests with the attending physician. This device is to be used by trained personnel only. PROTECTION AGAINST ELECTRICAL SHOCK HAZARD: This symbol indicates this equipment is an applied part, TYPE B in accordance with IEC 60601-1 and is generally suitable for applications involving external or internal contact with the patient, excluding the heart. The patient circuit is connected to a protective earth ground, and this equipment should be connected only to outlets with a protective earth ground.

This symbol indicates an external ground stud that is required for use when the AC power cable is not connected to a protective earth ground outlet in your operating room or facility. To protect the patient and hospital staff from any possible hazards, an external ground wire connection is required between the external ground stud and protective earth ground. Warning: Medical electrical equipment needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in this manual. MIZUHOSI 2009

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Warning: Portable and mobile RF communications equipment can affect medical electrical equipment. Warning: This equipment should not be used adjacent to or stacked with other equipment and that if adjacent or stacked use is necessary, the equipment should be observed to verify normal operation in the configuration in which it will be used. Warning: The use of accessories, transducers and cables other than those specified by MIZUHO OSI may result in increased emissions or decreased immunity of the equipment. Disposal of Electrical Components In accordance with the WEEE directive, all electrical components, batteries and carbon composite components must be returned to Mizuho OSI for proper disposal. Please contact Mizuho OSI Technical Service Department at 1-800-7774674 for further information regarding this requirement.

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TABLE OF CONTENTS 1.0

2.0

3.0

4.0

5.0

6.0

7.0

OVERVIEW ... 6 1.1 General Description ...6 1.2 Storage...6 1.3 Acceptance & Transfer...6 1.4 Inspection and Transfer ...6 COMPONENT IDENTIFICATION ... 7 2.1 Jackson Spinal Surgery Top ...7 2.2 Radiolucent Imaging Top ...8 2.3 H-Frame ...8 2.4 T-Pin...9 2.5 Patient Safety Straps ...9 2.6 Articulating Arm Board Assembly...9 2.7 Cervical Traction Vector...10 2.8 Pulley Assembly...10 2.9 Coupling Device Identification...11 TABLE TOP COUPLING PROCEDURES ... 12 3.1 5890/5891 Modular Table Bases ...12 3.2 5890/5891 Patient Transfer Safety Lock...12 3.3 5890/5891 Rotational Friction Control ...13 3.4 Twenty-Five Degree Rotation Stop ...13 3.5 Installing The H- Frames...14 3.6 Selecting The Mounting Holes For The Table Top ...15 3.7 5892/5803 Advanced Control Base ...17 3.8 5892/5803 Table Control Identification ...17 3.9 Rotation Safety Lock Switch ...18 3.10 180° Rotation Lock Indicator ...18 3.11 Tilt Drive Status Indicator ...19 3.12 Installing The H-Frames...19 3.13 Selecting The Mounting Holes For The Table Top ...20 IMAGING PROCEDURES ... 21 4.1 5890/5891 Modular Table Bases ...21 4.2 5892/5803 Advanced Control Bases...21 SUPINE POSITIONING FOR ANTERIOR SPINE SURGERY AND PROCEDURES ... 23 5.1 5890/5891 Modular Table Bases ...23 5.2 5892/5803 Advanced Control Bases...23 LATERAL POSITIONING FOR LUMBAR & THORACIC SPINE SURGERY AND PROCEDURES.. ... 25 6.1 5890/5891 Modular Table Bases ...25 6.2 5892/5803 Advanced Control Bases...25 PRONE POSITIONING FOR POSTERIOR SPINE SURGERY AND PROCEDURES... 27 7.1 5890/5891 Modular Table Bases ...27 7.2 5892/5803 Advanced Control Bases...27 7.3 5943AP Jackson Spinal Surgery Top with Advanced Control Pad System...28 7.4 Patient Support Pad Operation...28 7.5 Selection Of Hip Pads ...29 7.6 Use Of The Leg Sling ...30 7.7 Selection Of Head Support Method...31 7.8 Transferring The Patient...33 7.9 Positioning Of The Head ...33 7.10 Positioning Of The Arms...33 7.11 Positioning Of The Chest...33 7.12 Positioning Of The Hips And Thighs ...34 7.13 Positioning Of The Legs ...35

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8.0

9.0 10.0

11.0 12.0 13.0 14.0

15.0

ROTATION PROCEDURES ... 36 8.1 Intra-Operative Lateral Rotation or Lateral Tilt ...36 8.2 5890/5891 Modular Table Bases ...36 8.3 5892/5803 Advanced Control Bases...37 8.4 180-Degree Patient Rotation ...37 8.5 Preparation For Rotation ...38 8.6 Compression Sequence ...39 8.7 Rotation Procedure For The 5890/5891 Modular Table Bases...41 8.8 Rotation Procedure For The 5892/5803 Advanced Control Base...42 8.9 Removing The Radiolucent Imaging Top After Rotation...42 8.10 Rotating The Patient From Prone To Supine ...45 CART AND STORAGE IDENTIFICATION... 46 USE OF OPTIONAL ACCESSORIES ... 47 10.1 Dual Chest Pads...47 10.2 Wilson Plus™ Radiolucent Wilson Frame...48 5943 JACKSON SPINAL SURGERY TOP STANDARD COMPONENTS... 49 5943APJACKSON SPINAL SURGERY TOP WITH ADVANCED CONTROL PAD SYSTEM... 52 OPTIONAL ACCESSORIES ... 53 CLEANING... 56 14.1 Maintenance ...56 14.2 Cleaning and Disinfecting...56 14.3 Table Top...56 14.4 Casters ...56 14.5 Table Pads...56 REPAIR AND TECHNICAL SERVICE ... 57 15.1 Contact for Parts and Service...57 15.2 Instant Support Value Package ...57 15.3 To order Replacement Parts (RP) ...57 15.4 To return damaged parts (RGA)...57 15.5 To send a part for repair (RA)...58 15.6 EC Authorized Representative ...58

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1.0 OVERVIEW 1.1 General Description The Mizuho OSI Jackson Spinal Table System is comprised of a Modular Table Base with two interchangeable procedure-specific table tops and a variety of table accessories. The two tops are the Jackson Spinal Surgery Top and the Radiolucent Imaging Top. For detailed information on the operation and components of the Modular Table Bases, Cervical Management Systems and Wilson Plus Radiolucent Frame, refer to the owner’s manual for each of those specific products. A thorough understanding of the use of each of these products is required in order to perform certain procedures using the Jackson Spinal Table System. This manual requires the reader to be thoroughly familiar with the operation of the appropriate Mizuho OSI Modular Table Base owner’s manual (NW0498). 1.2 Storage When not in use, store table top in a clean, dry environment with temperature between 32°F and 120°F (0° C to 49°C). It is recommended that the 5803 Base be stowed with the power cord plugged into a proper AC receptacle with the on/off power-switch “on” to assure batteries are fully charged and ready for service. If recharge is required, charge a minimum of 3 hours. A full charge should be available after 18 hours. 1.3 Acceptance & Transfer Upon receipt of your table top, remove the table top from the shipping crate according to the unpacking instructions. Visually inspect all surfaces for freight damage. NOTE: Any freight damage must be reported to the freight carrier immediately upon delivery. It is the responsibility of the recipient to make freight damage claims. 1.4 Inspection and Transfer Before use, inspect the device for possible damage, excessive wear or non-functioning parts. Carefully inspect all critical, inaccessible areas, joints, electrical cords and all movable parts for possible damage. Damaged or defective products should not be used or processed. Contact your local Mizuho OSI sales representative for repair or replacement.

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2.0 COMPONENT IDENTIFICATION 2.1 Jackson Spinal Surgery Top The Jackson Spinal Surgery Top is 17” (43 cm) wide, 84” (213 cm) long, made from a carbon composite material and has a patient weight limit of 500 pounds (226 kg). The table top is labeled to indicate its patient weight limit. The Jackson Spinal Surgery Top includes the following items as standard components (see Figure 1):

5943 and 5943AP JACKSON SPINAL SURGERY TOPS (Standard Components) Components Small Hip Pad Regular (Medium) Hip Pad Large Hip Pad Thigh Pad (Right/Left) Chest Pad Assembly Head Support Section (Face Plate) Leg Support Section (Leg Boards) Leg Sling Buttock Strap Safety Strap 60” Safety Strap 90” Articulatiing Arm Board

5943 2 2 4 2 1 1 2 1 1 1 4 2

5943AP 2 2 2 2 1 1 2 1 1 1 4 2

Figure 1: 5943/5943AP Jackson spinal surgery tops (standard components)

HEAD END Head support (face plate)

Chest pad

Thigh pads (2)

Hip pads (2) H-frame

FOOT END Spinal surgery top

Support sections (leg boards)

Articulating arm boards (2)

H-frame

Figure 2: 5943 Jackson spinal surgery top with components (The table top is shown coupled to the 5803 Advanced Control Modular Table System Base.)

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2.2 Radiolucent Imaging Top The Radiolucent Imaging Top is 21.5” (54.6 cm) wide, 84” (213 cm) long, made from a carbon composite material and has a patient weight limit of 500 pounds (226 kg). Each Radiolucent Imaging Top is labeled to indicate its patient weight limit. The imaging top is radiolucent including views through the radiolucent side rails. It includes a 2” thick Mizuho OSI Tempur-Med® table pad and two (2) side rail mounted safety straps. HEAD END

FOOT END H-frame

Table pad

H-frame

Safety strap (2)

Radiolucent imaging top

Figure 3: Radiolucent Imaging Top component identification (The table top is shown coupled to the 5803 Advanced Control Modular Table System Base)

NOTE: Mizuho OSI P/N 5855-830 side rail adapters must always be used to attach these types of devices to the table to prevent damage. If retractors, clark sockets, arm boards or other accessories are attached directly to the side rail of the radiolucent imaging top, they may cause damage in the form of cracking or splintering of the carbon fiber table top. Please see section 3.0 in this owner’s manual for more information related to the use of the Radiolucent Imaging Top. 2.3 H-Frame Each Jackson Spinal Surgery Top and Radiolucent Imaging Top is supplied with two (2) H-frames (see Figure 4). The H-frames are used to connect the table tops to the base with T-pins. Four (4) H-frames are required to attach both table tops for a 180 degree patient rotation (see section 8.0: Rotation Procedures).

Figure 4: H-Frame

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2.4 T-Pin Each Jackson Spinal Surgery Top and Radiolucent Imaging Top is supplied with four (4) T-pins (see Figure 5). The T-pins are used to connect the H-frames to the crossbars on the table base and to connect the table tops to the H-frames. Eight (8) T-pins are required to attach both table tops for a 180 degree patient rotation (see section 8.0: Rotation Procedures). Drop lock

Figure 5: T-pin

2.5 Patient Safety Straps The Jackson Spinal Surgery Top is supplied with six (6) patient safety straps; four (4) 90” straps, one (1) 60” strap, and one (1) buttock strap (see Figure 6). When a patient is positioned on the Jackson Spinal Surgery Top or Radiolucent Imaging Top, verify that the appropriate patient safety straps are applied and secured as described in section 7.0 of this owner’s manual. Buttock strap

60"

90"

Figure 6: Jackson Spinal Surgery Top patient safety straps

2.6 Articulating Arm Board Assembly The Jackson Spinal Surgery Top is supplied with two (2) articulating arm boards and mounting brackets (see Figure 7). These arm boards may be attached directly to the spinal top at any location along the length of the frame. The articulating arm board is adjustable in six directions as shown by the arrows in Figure 7.

Armboard assembly

Mounting bracket

Figure 7: Articulating arm board for the Jackson Spinal Surgery Top MIZUHOSI 2009

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2.7 Cervical Traction Vector The modular table base is equipped with a cervical traction vector (see Figure 8). The cervical traction vector provides the adjustability of the angle of pull for cervical traction as shown in Figure 9.

Figure 8: Cervical traction vector

2.8 Pulley Assembly The pulley assembly is permanently attached to the head end column to guide a traction rope. The cervical traction vector attaches to the medial side of the head end H-frame in the mounting holes to achieve the desired angle of traction (see Figure 9). Sandbag weights may be added to provide the appropriate traction load during anterior or posterior cervical surgery or any other time cervical traction is desired. The traction weight is connected to a rope, which passes over the pulley assembly, threads through the pivot shaft of the head end crossbar and connects to the patient traction apparatus (see Figure 10).

Pivot shaft

Cervical traction vector Pulley

Traction rope connecting to patient traction apparatus Weight Figure 9: Cervical traction vector installed in H-frame.

Figure 10: Traction pulley assembly

NOTE: The amount of traction load applied to the patient is completely at the discretion of the attending physician.

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2.9 Coupling Device Identification Identify the coupling device on the end of the table top (see Figures 11 and 12). Early versions of the Jackson Spinal Surgery Top and Imaging Tops have fixed mounting tubes. Jackson Spinal Surgery Tops built after October 1999 and Radiolucent Imaging Table Tops built after January 1997 will have gimbal mounting assemblies (Figure 12). Gimbals allow for rotation of the table top when positioned in extreme lateral tilt and trendelenburg or reverse trendelenburg. Both designs couple to the H-frame in the same fashion. The 5890/5891 Modular Table Bases can utilize either version of the coupling devices but the 5892/5803 Advanced Control Bases must use only gimbal mounting assemblies (Figure 12).

WARNING: Use of table tops on the 5892/5803 Advanced Control Bases without gimbal mounting assemblies (Figure 12) can result in damage to the table top.

Gimbal mounting tube

Fixed mounting tube

Figure 11: Fixed mounting tube on Jackson Spinal Surgery Top

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Figure 12: Gimbal mounting assembly on Radiolucent Imaging Top

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3.0 TABLE TOP COUPLING PROCEDURES The Jackson Spinal Surgery Top and Radiolucent Imaging Top may be coupled and interchanged to any modular table base, as needed, to provide flexibility and procedural capability. NOTE: For complete instructions on the modular table base operation and functions, please refer to the appropriate owner’s manual supplied with the Modular Table Base. A thorough understanding of the operation of the 5890 and 5891 Modular Table Base is required before continuing. 3.1 5890/5891 Modular Table Bases The following instructions are directed toward the use of a table top on the 5890 or 5891 Modular Table Base. These bases do not have the powered lateral tilt function. 3.2 5890/5891 Patient Transfer Safety Lock Each 5890/5891 Modular Base is equipped with a patient transfer safety lock at both the head and foot end columns. The patient transfer safety lock is actuated by positioning the lever protruding out of the right side of the control box at the head end column (see Figure 13). A second patient transfer safety lock is located on the side of the foot end control box (see Figure 14). When engaged, the patient transfer safety lock prevents rotation of the crossbar by locking the crossbar in the horizontal position. Rotational friction control

Crossbar

Crossbar

Patient transfer safety lock

Patient transfer safety lock

Disengage motion

Disengage motion

Figure 13: Head end column (5890/5891 bases shown)

Figure 14: Foot end column (5890/5891 bases shown)

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3.3 5890/5891 Rotational Friction Control The rotational friction control is located at both the head and foot end columns. At the head end, the rotation friction control is the large right-angled lever on top of the head end control box (see Figure 13). At the foot end, the rotation friction control is the black lever that is located on the lower side of the control box (see Figure 15). The rotation friction control may be tightened to act as a friction brake or it can be adjusted to hold the table top at any degree of lateral tilt. As a friction brake, it can be loosened to maintain the desired amount of resistance while still allowing the table top to be adjusted to a different degree of tilt. When completely loose, the rotation friction control will facilitate 180 degree rotations. Rotate the rotation friction control clockwise to increase friction and counterclockwise to reduce friction. It is recommended that the rotation friction control be left in the maximum friction position (fully clockwise) whenever table top movement is not intended.

Crossbar

Rotation friction control

Figure 15: Foot end column (5890/5891 base shown)

NOTE: Because the foot end rotation friction control lever has limited range of movement, occasionally it may not be possible to fully loosen or tighten the brake with one turn of the handle. In that case, once the end of the movement range has been reached, pull the handle down. This will disengage the mechanism and allow the handle to be returned to its starting position without affecting the amount of friction. Repeat the process until the desired amount of friction is achieved. 3.4 Twenty-Five Degree Rotation Stop

Each modular base is equipped with a 25-degree rotation stop. The rotation stop is actuated by the lever located on the left side of the control box near the top of the head end column. It can be easily activated with the left hand when standing at the head end of the table (see Figure 16). When engaged, the rotation stop prevents lateral rotation greater than 25 degrees from the horizontal position. The rotation stop should be left in the engaged position and disengaged only during a 180-degree rotation. Crossbar Disengage motion 25 Degree rotation stop

Figure 16: Head end column 25 degree rotation stop (5890/5891 base shown) MIZUHOSI 2009

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3.5 Installing The H- Frames The following coupling procedure assumes the head end and foot end columns do not have either the Jackson Spinal Surgery Top or the Radiolucent Imaging Top in place. 1. Lock the table base in position by engaging the (4) caster locks. 2. Install an H-frame to head end crossbar and secure with a T-pin (see Figures 17 and 18). Drop lock

Crossbar

T-pin

H-frame

Mounting stud

HEAD END

Crossbar

T-pin

H-frame

Figure 18: T-pin insertion into H-frame and crossbar head end column (5890/5891 base shown)

Figure 17: H-frame aligned with mounting stud and T-pin prepared for insertion

WARNING: Failure to install the T-pin will result in the patient and table assembly being dropped. 3. Install an H-frame to foot end crossbar and secure with a T-pin. Fully retract the foot end crossbar by sliding it toward the foot end column (see Figure 19). T-pin

Crossbar

T-pin

SLIDE

Drop lock

ON H-frame

Rotation friction control Figure 19: H-frame installed – foot end column (5890/5891 base shown)

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4. Engage the patient transfer safety lock on the head end and foot end columns (see Figures 13 and 14) Warning: For safe patient transfer, the patient transfer safety lock must be engaged prior to transfer in order to prevent the possibility of the table top rotating while the transfer occurs. Failure to do so may result in the patient being dropped. 5. Set the rotational friction control on the head and foot end columns to maximum friction by fully rotating clockwise (see Figures 13 and 15). 6. Set the 25 degree rotation stop on the head end column (see Figure 16). Warning: Prior to coupling the table tops, verify that the two (2) H-frames are properly installed to the crossbar. Confirm the T-pins passes completely through the Hframes and the crossbars and that the T-pin drop locks are in sight and pivot freely. Failure to do so may result in the patient being dropped. 3.6 Selecting The Mounting Holes For The Table Top When selecting the H-frame mounting hole, it is intended that the center of gravity of the patient be at or below the centerline of the crossbars. For most patients, the fourth open mounting hole below the crossbar is the appropriate position (see Figure 20). Centerline of crossbars

Center of gravity of patient

Figure 20: Center of gravity axis of patient below the centerline of crossbars

NOTE: Two people are required to complete the following sequence of actions. 7. Select the appropriate mounting holes on the H-frame to support the table top. Insert the T-pin into the H-frame on the head end column first. Align the mounting tube on the table top to the selected mounting hole on the H-frame. Push the T-pin through the H-frame, completely through the mounting tube and through the opposite side of the H-frame. The T-pin drop lock should be in sight and pivot freely (see Figure 21).

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HEAD END

H-frame T-pin

Jackson Spinal Surgery Top

Drop lock

Figure 21: Head end column with coupled Jackson Spinal Surgery Top

Warning: Verify that the T-pin is inserted through the H-frame, passes completely through the table mounting tube and through the opposite side of the H-frame and that the T-pin drop lock is in sight and pivots freely. 8. To couple the foot end of the table top, slide the H-frame and crossbar as necessary to accommodate the length of the table top (see Figure 22). Align the mounting tube on the table top to the selected hole on the foot end H-frame. Push the T-pin through the H-frame, completely through the mounting tube on the table top and through the opposite side of the H-frame. This should be done at the same level as the mounting hole where the head end was coupled. The T-pin drop lock should be visible and pivot freely.

FOOT END

H-frame T-pin

Jackson Spinal Surgery Top

Drop lock

Figure 22: Foot end column with coupled Jackson Spinal Top

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Warning: Failure to follow the above prescribed procedures regarding securing the H-frame to the crossbars and the table top to the H-frames may result in the patient being dropped.

Figure 23: Jackson Spinal Surgery Top coupled to 5890/5891 Modular Table Base (shown without patient support pads)

3.7 5892/5803 Advanced Control Base The Jackson Spinal Surgery Top and Radiolucent Imaging Top may be coupled and interchanged to the 5892/5803 Advanced Control Base as needed to provide flexibility and procedural capability. Identify the coupling device on the end of the table top as described in section 2.9, Figures 11 and 12 of this manual. Warning: The Jackson Spinal Surgery or Radiolucent Imaging Tops used on the 5892/5803 Advanced Control Base must have gimbals (Figure 12). Earlier versions of these table tops do not have gimbals. Use of table tops without gimbals can result in damage to the table top. NOTE: For complete instructions on the 5892/5803 Advanced Control Base operation and functions, please refer to the appropriate owner’s manual supplied with the advanced control base. A thorough understanding of the operation of the 5892/5803 advanced control base is required before continuing. 3.8 5892/5803 Table Control Identification The head end of the 5892/5803 Advanced Control Base is equipped with three indicator lights. These lights are: 1) 180° rotation lock indicator light, 2) tilt drive status light and 3) rotation safety indicator light. Verify that the rotational safety lock switch is in the ON position, and the 180 degree rotation lock lever is in the locked position. All three lights must be illuminated before a patient is transferred to the table.

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Rotation safety lock switch / indicator light

180° rotation lock indicator light

Crossbar

Tilt drive status indicator light

Traction pulley

180° rotation lock lever

Figure 24: Indicator lights, head end column 5892/5803 Advanced Control Base

3.9 Rotation Safety Lock Switch The rotation safety lock switch (with the lighted indicator) locks out the lateral tilt function. This feature is designed to prevent unintended lateral tilt of the table top. The rotation safety lock switch should be turned off only when a 180-degree patient rotation is to be performed. If the rotation safety lock switch is not illuminated, press the rocker switch to the ON position. 3.10 180° Rotation Lock Indicator The 180° rotation lock indicator light, when lit, indicates the 180-degree rotation lock is engaged and the table cannot be rotated 180 degrees. If the 180-degree rotation lock indicator is not on, rotate the rotation lock lever clockwise until the light is illuminated. NOTE: If a 180 degree patient rotation is to be performed, the rotation lock lever should be rotated counterclockwise approximately one half rotation past the point that the rotation lock indicator light goes out. Rotating the lock lever to this point lessens the drag of the friction control, thereby allowing the table tops to rotate more freely during the patient rotation. If even less friction is desired, the lock lever may be rotated further, counterclockwise, as necessary. After the patient rotation is complete, rotate the rotation lock lever clockwise until the rotation lock indicator light is illuminated. Warning: When the rotation lock indicator light is not illuminated, the table top is UNLOCKED regardless of how much the lock lever has been rotated clockwise or counterclockwise. Always rotate the lock lever until the rotation lock Indicator light is illuminated after a 180° rotation. If increased friction lock on the rotation is required, rotate handle in a clockwise direction until desired friction is met. Warning: All three lights must be illuminated before a patient is transferred to the table. If all three lights are not illuminated, do not transfer the patient until they are illuminated. MIZUHOSI 2009

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3.11 Tilt Drive Status Indicator The tilt drive status indicator light is lit when the power lateral tilt mechanism is in the center position of the +/- 25 degree powered lateral tilt range. If the tilt drive indicator is not illuminated, operate the lateral tilt function using the hand pendant in the appropriate direction until the indicator is lit. The head end crossbar should be horizontal when the tilt drive status indicator is lit. If the head end crossbar is not horizontal, the internal power tilt mechanism is out of synchronization with the crossbar. Refer to the section on synchronizing the lateral tilt function in the 5892 advanced control base user guide or the 5803 owner’s manual, to reset this function. 3.12 Installing The H-Frames The following coupling procedure assumes the head end and foot end columns do not yet have either the Jackson Spinal Surgery Top or the Radiolucent Imaging Top in place. The coupling procedure for the Jackson Spinal Surgery Top or the Radiolucent Imaging Top is as follows: 1. Lock table base in position by engaging the (4) caster locks. 2. Install an H-frame to head end crossbar and secure with a T-pin (see Figure 25). Fully retract the head end crossbar against the head end column. 3. Install an H-frame to foot end crossbar and secure with a T-pin (see Figure 26). HEAD END

Sliding assembly

FOOT END Crossbar T-pin

Drop lock

ON

T-pin

ON H-frame H-frame

Figure 25: H-frame installed - head end column 5892/5803 Advanced Control Base

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Figure 26: H-frame installed – foot end column 5892/5803 Advanced Control Base

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3.13 Selecting The Mounting Holes For The Table Top When selecting the H-frame mounting hole, it is intended that the center of gravity of the patient be at or below the centerline of the crossbars. For most patients, the fourth mounting hole below the crossbar is the appropriate position (see Figure 20). NOTE: Two people are required to complete the following sequence. 4. Select the appropriate mounting holes on the H-frame to support the table top. Insert the T-pin into the H-frame on the foot end column first. Align the mounting tube on the table top to the selected mounting hole on the H-frame. Push the T-pin through the H-frame, completely through the mounting tube and through the opposite side of the H-frame. The T-pin drop lock should be visible and pivot freely (see Figure 22). Warning: Verify that the T-pin is inserted through the H-frame, passes completely through the table mounting tube, and through the opposite side of the H-frame and the Tpin drop lock is in sight and pivots freely. Failure to do so will result in the patient and table assembly being dropped. 5. To couple the head end of the table top; slide the H-frame and crossbar away from the foot end (shown in Figure 25) as necessary to accommodate the length of the table top. Select the appropriate mounting holes on the H-frame to support the table top. Align the mounting tube on the table top to the selected mounting hole on the H-frame. Push the T-pin through the H-frame, completely through the mounting tube and through the opposite side of the H-frame. This should be done at the same level as the mounting hole where the head end was coupled. The T-pin drop lock should be in sight and pivot freely (see Figure 21). A table top completely coupled to a table base is shown in Figure 23.

Warning: Failure to follow the above prescribed procedures regarding securing the H-frame to the crossbars and the table top to the H-frames may result in the patient being dropped.

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