Operators Manual
56 Pages
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Operating Table MOT-5602BW Operator's Manual
This operating table is designed for medical operations. Using this operating table for any other purpose other than this intended use may cause serious injury. The operator and the person in charge of the maintenance of this operating table must read this operator's manual thoroughly and understand the contents before operating, inspecting, adjusting and maintaining it. Keep this manual for reference in a place where is readily accessible. MES-CK18-450-10EN Ver.4 2021-09-29
Table of contents 1.
Introduction…………………………………………………………… 1 1.1 1.2 1.3
2.
Safety precaution…………………………………………………… 3 2.1 2.2
3.
Installation and battery charging………………………………………………..13 Turning on/off the power…………………………………………………………18 Operating the emergency stop switch……………………………………………21 Fixing and unfixing the operating table…………………………………………22 Brake Release………………………………………………………………………23 Tilting the tabletop laterally………………………………………………………24 Trendelenburg………………………………………………………………………25 Bending the back plate……………………………………………………………27 Changing the tabletop height……………………………………………………28 Sliding the tabletop…………………………………………………………………29 Flexing or reflexing the tabletop…………………………………………………30 Returning to level…………………………………………………………………32 Adjusting the head plate…………………………………………………………33 Adjusting the leg plate……………………………………………………………35
Maintenance and inspection………………………………………39 5.1 5.2 5.3
6.
Main unit…………………………………………………………………………… 11 Control unit…………………………………………………………………………12
Operation………………………………………………………………13 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 4.10 4.11 4.12 4.13 4.14
5.
Read thoroughly before using…………………………………………………… 3 Labeling…………………………………………………………………………… 7
Section Introduction…………………………………………………11 3.1 3.2
4.
This manual………………………………………………………………………… 1 Intended use and this product…………………………………………………… 1 Accessories………………………………………………………………………… 2
Inspection before and after use…………………………………………………39 Periodic replacement parts………………………………………………………41 Version information of the software………………………………………………41
Specification…………………………………………………………42 6.1 6.2
Specification table…………………………………………………………………42 External view………………………………………………………………………44
7.
Troubleshooting………………………………………………………45
8.
Before contacting for repairs………………………………………46
App.-1 Electromagnetic Compatibility…………………………………48 App.-2 Glossary………………………………………………………………51
1. Introduction
Introduction
1.1
1
This manual
This manual contains information for safely and effectively using this product. Before operating this product, read this manual thoroughly to understand how to operate and inspect the product. Failure to follow these instructions could lead to serious injury. The safety information is categorized as per the following so that the contents of warnings and cautions, and the details of warnings and cautions which are labeled on the product may be comprehended.
WARNING
CAUTION
If this indication is ignored and the product is incorrectly used, serious injury or death may result.
If this indication is ignored and the product is incorrectly used, serious injury and/or damage to property may result.
NOTE This notice notes additional information on the product’s functions. The warning and caution notices on this manual relating to operating and inspecting, apply to the intended use (surgical operations) of this product. If the product is used for purposes other than surgery, the user is responsible in regard to safety for performing operations and inspections which are not contained in this manual.
1.2
Intended use and this product
This product is an operating table on which a patient is placed for surgical operations. The product is intended to support a patient during surgical operations. In conforming with the objectives of surgery, the product is equipped with features for adjusting its height, and for freely changing and setting the patient’s body position. The product uses both medical grade outlets and batteries as power sources. This product is to be used by health care professionals, including but not limited to surgeons, nurses and biomedical technicians.
1
1.3
1
Accessories
Introduction
Standard components and accessories Mattresses (for head, back and seat, and legs)
Control unit
Main unit
Power cord
Operator’s manual
2
2. Safety precaution 2
Read thoroughly before using
Safety precaution
2.1
Never perform the following when you use the product. Otherwise, damage to the operating table, electrical shock, and/or fire may occur. Any serious incident that has occurred in relation to the device should be reported to the manufacturer and the competent authority in which the user and/or patient is established.
(1)
(2) (3)
(4) (5)
(1) Head plate and leg plate WARNING
CAUTION
CAUTION
Do not step or sit on the head plate or the leg plate(s). The operating table may tip over resulting in injury.
Before lowering the table or placing it in a reverse Trendelenburg position, check if there are any devices under the leg plate. If the leg plate comes in contact with devices that are to be subjected to excessive force, the leg plate insertion shaft may be damaged.
When transferring a patient from an operating table (Fig. a) or changing a patient’s body position (Fig. b), do not apply excessive force to the head plate or leg plate. The operating table may get deformed or damaged. Fig. a
Fig. b
Head plate Leg plate
Head plate
Leg plate
3
(2) Control unit
2
WARNING
• Do not forcibly pull the control unit cord. • Do not subject the control unit to strong shocks. The control unit may get damaged.
Safety precaution
(3) Upper area of the cover
CAUTION
Do not put any object on the cover. When the table moves downward, or into the Trendelenburg or the lateral tilt position, the slide cylinder may come in contact with the object and get damaged. Also, because the cover has a magnetic component inside, any objects such as a magnetic card, if put on the cover, may be affected.
(4) Power cord WARNING
• Do not place any heavy objects on the power cord. • Do not roll over the power cord with a castered device. • Do not forcibly pull the power cord. • Do not place any objects in the place where the power cord is to be unplugged from the medical grade outlet, which would obstruct it from being unplugged.
Power cord
(5) Installation of the operating table WARNING
• Do not install the operating table on an uneven floor. • Do not place a pad under the base for raising the operating table. The operating table may tip over resulting in injury.
Uneven floor
Pad
Patient's position during surgical operation WARNING
• Make sure to always securely attach the mattresses to the operating table so that they do not come off. The mattresses may come off, and the patient may get injured. • Position the patient's body 10 mm (0.39 in) or more away from the metal side rail. The side rail may produce high temperatures due to the usage of electric scalpels, etc., which may result in a burn injury.
Positioning the patient zz Follow the steps below to position the patient.
1. Attach the accessory mattress onto the tabletop with their Velcro fastenings aligned with each other.
2. Put the patient on the mattresses. (Do not reverse the head side and the leg side and put the patient on them.)
3. Position the patient according to the purpose of the surgical operation. 4
CAUTION
Have the person who operates the operating table to operate it in a position where the emergency stop switch can be immediately pressed, and the patient’s condition can constantly observed.
Operator position
180°
Patient’s head
2 Safety precaution
Head plate Back plate
Other
● Prohibited WARNING
• Do not disassemble and/or modify the operating table. Otherwise, malfunction may occur. Patient position • When using the tabletop or accessories to secure a patient’s body position, always observe the patient’s condition. Being in the same position for long periods of time causes neuroparalysis or bedsores. Other medical electrical equipment to be used together with the operating table • When using a high-frequency surgical equipment and/or a cardiac defibrillator etc. with the operating table, refer to their operator's manual provided by the manufacturers and observe the precautions and usage. Improper precautions and usage may cause the operator or the patient to get burned and/or devices to malfunction. • When using medical electrical equipment etc. with the operating table, check that the operating table does not malfunction before using it. Electromagnetic interference may result in malfunctioning of the operating table. Allowable patient body weight • Do not apply loads which exceed the allowable patient body weight (total of the patient and accessories)*. The operating table may not function, which may result in failures. * Lift: 250 kg (550 lbs) / Trendelenburg, Lateral tilt : 250 kg (550 lbs) Preventive maintenance and inspections • Make sure to inspect and maintain the operating table before and after use. The operating table may require replacement of the parts due to significant wear, deterioration, and/or breakage depending on the length of service and frequency of use. • For preventive maintenance and inspections, contact your distributor or Mizuho directly. Antistatic measure • Do not use the operating table on floors and/or with accessories that do not possess static electricity countermeasures. This may impede surgical operations.
●
●
●
●
●
5
● Devices and accessories used together with this product CAUTION
2 Safety precaution
• Before using other devices or accessories, thoroughly read the instruction manual of the devices and make sure that the operating table is not affected adversely. Before fitting on accessories from third party companies, contact your distributor or Mizuho. Some accessories cannot be fitted on. • While operating the operating table, check the position of other devices or the accessories used with them. They may come in contact with each other during the operation, operating table, devices, and/or accessories may get damaged. • For hygiene, be sure to use sterilized drapes on the areas on this product where the patient comes into contact with it. Cleaning and disinfection • After using the operating table, make sure to follow the steps below to clean up and disinfect the operating table. 1. Turn off the power and disconnect the power cord from the medical grade outlet. 2. Detach all the mattresses from the operating table. 3. Use a lint-free cloth soaked with proper volume of disinfectant to wipe off the upper, side, and back side of the mattresses. 4. As with step 3, disinfect the surfaces of the tables and side rails. 5. Wipe off the operating table with a clean dry cloth 15 minutes after disinfecting it. • Make sure to use Mizuho authorized disinfectants. The disinfectants are as shown below.
●
a) b) c) d) e) f) g) h) i)
Sodium hypochlorite 0.1% (halogen containing compound) Hypo Alcohol (iodine color removing agent) Chlorhexidine (chlorhexidine gluconate 0.5%) Benzalkonium chloride (invert soap 10%) Povidone iodine Ethanol 80% Hydrogen peroxide Saline (0.9%) Isopropyl alcohol (IPA)
● Moving and transporting
• Do not move the operating table with a patient on it. • Follow the procedures below to move the operating table. * Before moving the operating table, disinfect the entire operating table in order to prevent infection. 1. Turn off the power and disconnect the power cord from the medical grade outlet. 2. Check if the handles and levers are in fixed positions, and each section is fixed firmly. 3. Unlock the brakes, and move the operating table. * Do not move the operating table by pulling on the head plate or leg plate. • The operating table should be transported with the following conditions met. 1.Disinfect the entire operating table before transporting it. 2.Take measures to prevent it from tipping over, such as lowering the tabletop to the bottom position. 3.Actuate the brake. 4.Suitably position cushioning on the product to prevent it from getting damaged during transport. 5.Store the product in a container so that it does not get exposed to dust, and the weather. Disposal • In accordance with the European Union Waste Electrical and Electronic Equipment (WEEE) Directive, all electrical components and batteries must be disposed of in accordance with local regulations. Please contact your local distributor for proper disposal.
●
6
2.2
Labeling
The operating table is labeled at the locations shown as below. Before use, make sure to understand the contents of the labels.
2
Warning and Caution labels
(4)*
(9) (7)
(8)
Safety precaution
(1)
(2)
(3)*
(5)
*: Applied on both sides. (6)
(1) C655650
(2) C655608
(4) C655732
(5) C655649
(6) C655740
(7) C655803
(8) C657333
(9) C653614
(3) C653624
7
Other labels (1/2)
(10)*
2
(11)*
(19)
Safety precaution
(16)
(12)* (13) (14) (15)
(17)
(18)
*: Applied on both sides.
(10) C600516
(13) C655648
(16) C600559
(19) C655683
8
(11) C655646
(12) C600020
(14) C653515
(17) C653513
(15) C653516
(18) C642002
YYYY-MM-DD Made in ***
Other labels (2/2) (20)
(20)
(20)
(20)
(20)
2 Safety precaution
(21)
(22) (23) (27)
(24) (20) C653620
(25) (21) C646067 (ASIA)
(26)
(22) C655692 (ASIA)
or
or
C646070 (EU)
C655690 (EU)
or
or
C646073 (US)
C655687 (US)
(24) PIN 50005M2
(25) PIN 562G6M2
(26) PIN 630D8M4
(27) PIN 630D8M3
(23) C655691 (ASIA)
or C655689 (EU)
or C655686 (US)
9
Symbol mark for labeling Symbol
2
Description
Safety precaution
Indicates a possibility of injury or even death if operates the table without following the warning.
(1) (2) (3) (4) (5) (6) (7) (8)
General prohibition sign
(6)
General mandatory action sign
(6)
Emergency stop
(9)
Refer to the operator's manual
(6) (9) (13) (18)
Indicates AC power supply
(18)
Enclosure Class (Splash-proof)
(18)
Serial number
(18)
Catalogue Number
(18)
Indicates waste disposal information
(18)
European authorized representative
(18)
Date of manufacture
(18)
Manufacturer
(18) (24) (25) (26) (27)
Equalization terminal
(17)
Indicates protection against electric shock and defibrillator (Class B).
10
Label no.
(20)
Defibrillation - proof Type B applied part
(24) (25) (26) (27)
Medical Device
(18)
3. Section Introduction 3.1
Main unit Emergency stop switch
Leg plate (*1)
3
Mattresses
Section Introduction
Seat plate
Back plate
Head plate (*1)
Control unit
Leg plate flexing lever Leg plate fixing handle Side frame Head plate flexing lever
Side rail
Slide cylinder Column
Head plate fixing handle
Base
Auxiliary switch
Control unit connector
Power cord
Fig. A
Brake
Emergency brake release handle
Caster Fig. A Power connector
Power switch Battery indicator
Equipotential terminal Foot switch connector (*2) *1: The head plate and the leg plate are detachable. *2: The foot switch is optional.
11
3.2
Control unit MO T-5602B W Power lamp Pilot lamp
3 Section Introduction
Reverse Trendelenburg: Head up Lateral tilt: Left down Back plate bending: Up Table up (Lock operating table) Slide head
Flex: Center up
Brake unlock
PILOT
POWER BATT.
REV. TREND.
TREND.
TILT LEFT
TILT RIGHT
BACK UP
BACK DOWN
TABLE UP
TABLE DOWN
Trendelenburg: Head down Lateral tilt: Right down Back plate bending: Down Table down
SLIDE HEAD
SLIDE FOOT
FLEX
REFLEX
Slide foot
Reflex: Center down
BRAKE UNLOCK
LEVEL
E switch
Battery lamp
ENERGIZE
ON/OFF
Return to level Power ON/OFF switch
PRESS TO LOCK BRAKES
NOTE • The switches other than the E switch continue to function while being pressed. • About 7 minutes of halting will be need when operating the table continuously for about 3 minutes. If the motor gets overheated you will not be able to operate the table. When overheat occurs, about 60 minutes of rest will be need to operate the table as usual. • If
ENERGIZE
is pressed, the pilot lamp lights up for 3 seconds. While the lamp is lit, pressing any function switch
activates its function.
12
4. Operation 4.1 CAUTION
Installation and battery charging • Use the equipotential wire to ground the equipotential terminal to the medical grounding terminals. Prepare the equipotential wire yourself. • When moving this product, carry it out with two or more persons.
4 Operation
Equipotential terminal Equipotential wire
Installing the operating table
1. Move the operating table to a flat area. 2. Check the battery lamp.
If the battery lamp (orange) on the control unit flashes, battery charging is required. MOT-5602BW
PILOT
POWER BATT.
REV. TREND.
TREND.
TILT LEFT
TILT RIGHT
BACK UP
BACK DOWN
TABLE UP
TABLE DOWN
SLIDE HEAD
SLIDE FOOT
FLEX
REFLEX
Battery lamp (Orange・flash)
BRAKE UNLOCK
LEVEL
ENERGIZE
ON/OFF
PRESS TO LOCK BRAKES
3. If the battery indicator shows empty (red), battery charging is required.
Red・light up
E
F
BATTERY INDICATOR
13
Installation space This product requires the installation space shown as below.
2.5m (98.43 in) or more
4 Operation
2.5m (98.43 in) or more
2.5m (98.43in) or more
2.5m (98.43in) or more
14
Charging the battery
NOTE
• Connect the product to the power source provided with the protective grounding to prevent the risk of an electrical shock. • Make sure to use the dedicated power cord with the "MIZUHO" logo. • Before inserting the power cord into the power connector, check that the power connector does not have any fluid in it nor is dusty. • When turning off the power completely, disconnect the power cord from the medical grade outlet.
CAUTION
medical grade outlet with the power cord.
Power connector Power cord Medical grade outlet
• If the battery lamp on the control unit blinks or the battery indicator on the lower part of the operating table lights up only red while using the operating table with the battery power, charge the battery immediately. When the battery is discharged, only the AC power is available and will not be able to use the battery power. • The operating table battery life-span is about 2 years. Once it reaches its life-span, request your distributor or Mizuho for a battery replacement.
2. When turn on the power switch, battery charging starts. While charging, the battery indicator sequentially flashes orange.
3. When the battery indicator sequentially flashes orange and green, charging is completed.
• The life-span for the battery varies greatly depending on operating conditions. The battery could degrade quicker if charging and discharging the battery are repeated frequently after using the operating table for short operations. • It is recommended that you charge the battery once a week on weekends, since it takes about 24 hours to fully charge the battery.
BATTERY INDICATOR Orange and Green Orange light up in order light up in order
Red light up
E
F
E
F
E
F
Needs charging Charging in progress Charging complete
• If the battery is discharged soon even after charging, the battery may be degraded. Request repairs from your distributor or Mizuho. • While the battery is being charged, you can operate the operating table by using on the control unit. ON/OFF
15
4 Operation
1. Connect the power connector of the product and the
• Make sure to charge the battery when initially using the purchased product, or when it has not been used for a long time. The battery naturally discharges itself when it is not being used and is being stored.
Attaching the control unit
1. Align the connector with the guide and insert it into the receptacle properly.
Insert the connector
4 Operation
Detaching the control unit
1. Turn the connector ring in the direction of the arrow until it stops.
2. Pull up the connector. 2. Pull up the connector 1. Turn the ring
16
Using the self-diagnostic function This product is equipped with an embedded self-diagnostic function capable of checking the communication status between the main unit and the control unit.
1. Connect the power connector of the product and the medical grade outlet with the power cord.
2. Press 3. Press
ON/OFF
ENERGIZE
of the control unit. and one of the function switches on the control
4
unit at the same time.
Operation
If two lines of green of the battery indicator light up, the control unit is functioning properly. Green・light up
Control unit is normal
17
4.2
Turning on/off the power
This procedure is different between the powers from the medical grade outlet and the battery.
When the medical grade outlet is used Turning on the power zz
1. Turn on the power switch on the base.
The power switch (green) and battery indicator will be lighted on.
4
NOTE • In an emergency or when turning off the power completely, disconnect the power cord from the medical grade outlet. of the control • If you press unit before turning on the power switch on the base, the battery power will be turned on.
Operation
Power switch (Green・light up)
2. Press
ON/OFF
of the control unit.
The power lamp (green) of the control unit lights up and the power is turned on. MOT-5602BW
PILOT
POWER BATT.
REV. TREND.
TREND.
TILT LEFT
TILT RIGHT
BACK UP
BACK DOWN
TABLE UP
TABLE DOWN
SLIDE HEAD
SLIDE FOOT
FLEX
REFLEX
BRAKE UNLOCK
LEVEL
ENERGIZE
ON/OFF
PRESS TO LOCK BRAKES
18
Power lamp (Green・light up)
ON/OFF