Eye Surgery Strecher Ref 1089 Operations Manual Rev E Dec 2012

Table of Contents Symbols and Definitions ... 5 Symbols... 5 Warning/Caution/Note Definition ... 5 Introduction... 6 Product Description ... 6 Intended Use of Product... 6 Specifications... 6 Contact Information ... 7 Serial Number Location... 7 Summary of Safety Precautions... 8 Setup Procedures... 11 Operation Guide ... 12 Applying the Brake System... 12 Operating the Base Controls - Side Control Hydraulics... 13 Operating the Base Controls - Three-Sided Control Hydraulics... 14 Adjusting Trendelenburg/Reverse Trendelenburg Positions - Side Control Hydraulics... 15 Adjusting Trendelenburg/Reverse Trendelenburg Positions - Optional Three-Sided Control Hydraulics... 15 Operating the Fifth Wheel Option ... 16 Operating the Siderails... 17 Operating the Pneumatic Fowler... 18 Operating the Optional Crank Fowler /Optional Crank Gatch ... 19 Operating the Enhanced Clearance Head Piece ... 20 Using the Base Hood for Storage ... 21 Transferring a Patient with the Optional Patient Transfer Board ... 22 Operating the Two-Stage Permanently Attached I.V. Pole... 23 Operating the Three-Stage Permanently Attached I.V. Pole ... 24 Using the Surgery Accessory Rail... 25 Using the Defibrillator Tray ... 26 Using the Defibrillator Tray/Foot Extender/Chart Service ... 26 Using the Footboard/Chartholder... 27 Using the I.V. Caddy... 27 Using the Serving Tray ... 28 Using the Pre-Op/Post-Op Head Extensions (Crank Fowler Only)... 29 Using the Inflatable Head Support Cushion ... 29 Using the Wrist Rests... 30 Using the Drape Support/Air Delivery System ... 30 Operating the Removable I.V. Pole... 31 Installing the Siderail Pads ... 31 Installing the Upright Oxygen Bottle Holder ... 31 Operating the Foot End Push Handles... 32 Using the Restraint Straps... 33

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Table of Contents Cleaning... 34 Stretcher Cleaning ... 34 Mattress Cleaning... 35 Disinfecting the Mattress... 37 Preventative Maintenance ... 38 Lubrication Points... 39 Warranty... 40 Limited Warranty... 40 To Obtain Parts and Service... 40 Service Contract Coverage... 40 Service Contract Programs... 41 Return Authorization... 41 Damaged Merchandise... 41 International Warranty Clause... 41

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Symbols and Definitions SYMBOLS Warning/Caution: Consult accompanying documentation

Safe Working Load indicates the sum of the patient, mattress, and accessory weight

Do not store oxygen bottle

Do not push/pull

WARNING/CAUTION/NOTE DEFINITION The words WARNING, CAUTION and NOTE carry special meanings and should be carefully reviewed.

WARNING Alerts the reader about a situation which, if not avoided, could result in death or serious injury. It may also describe potential serious adverse reactions and safety hazards.

CAUTION Alerts the reader of a potentially hazardous situation which, if not avoided, may result in minor or moderate injury to the user or patient or damage to the equipment or other property. This includes special care necessary for the safe and effective use of the device and the care necessary to avoid damage to a device that may occur as a result of use or misuse.

NOTE Provides special information to make maintenance easier or important instructions clearer.

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Introduction This manual is designed to assist you with the operation of Stryker Model 1089 Eye Surgery Stretcher. Read this manual thoroughly before using the equipment or beginning maintenance on it. To ensure safe operation of this equipment, it is recommended that methods and procedures be established for educating and training staff on the safe operation of this stretcher.

PRODUCT DESCRIPTION The Stryker Model 1089 Eye Surgery Stretcher is a general purpose patient transport and treatment stretcher.

INTENDED USE OF PRODUCT The Stryker Medical Eye Surgery Stretcher is a non-powered, wheeled device which consists of a platform mounted on a wheeled frame that is designed to support patients in a horizontal position. The device has siderails and has the option available to support the temporary or permanent placement of I.V. poles. The Eye Surgery Stretcher provides the caregiver a method of transporting patients within a healthcare facility and may also be used for minor procedures and short-term stay (treatment and recovery).

SPECIFICATIONS Safe Working Load Note: Safe Working Load indicates the sum of the patient, mattress, and accessory weight.

500 lb

226.8 kg

Overall Stretcher Length/Width

90”/31.5”

228.6 cm/80 cm

Minimum/Maximum Stretcher Height

22.25”/34”

56.5 cm/86.4 cm

Fowler Angle

0° to 90°

Gatch Angle (Optional)

0° to 30°

Trendelenburg/Reverse Trendelenburg

+18°/-18° 6” nominal

Minimum Under-Stretcher Clearance

15 cm

1.75” under the hydraulic cylinders 4.5 cm and fifth wheel

Stryker reserves the right to change specifications without notice.

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Introduction CONTACT INFORMATION Contact Stryker Customer Service or Technical Support at: (800) 327-0770 or (269) 324-6500. Stryker Medical 3800 E. Centre Avenue Portage, MI 49002 USA Please have the serial number (A) of your Stryker product available when calling Stryker Customer Service or Technical Support. Include the serial number in all written communication.

SERIAL NUMBER LOCATION

A

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Summary of Safety Precautions Carefully read and strictly follow the warnings and cautions listed on this page. Service only by qualified personnel. See the maintenance manual for additional information. WARNING •

• • • •

• • •

• •

• • •

• •

•

Always apply the brakes when a patient is getting on or off the stretcher. Push on the stretcher to ensure that the brakes are securely locked. Always engage the brakes unless the stretcher is being moved. Injury could result if the stretcher moves while a patient is getting on or off the stretcher. Patients should be discouraged from sitting directly on the ends of the stretcher. Excessive weight could cause the litter surface to tip up, possibly causing patient injury. Leave the stretcher height in the lowest position when the patient is left unattended. Leaving the stretcher height in a raised position could increase the chance of patient falls and injury. Make sure that the brakes are completely released before attempting to move the unit. Attempting to move the unit with the brakes engaged could result in injury to the user and/or patient. After raising the siderails, pull firmly on the siderail to ensure that it is securely locked into the fully raised position. Siderails are not intended to serve as a patient restraint device to keep patients from exiting the unit. Siderails are intended to keep a patient from inadvertently rolling off the unit. It is the responsibility of the attending medical personnel to determine the degree of restraint necessary to ensure that a patient will remain in place. Failure to utilize the siderails properly could result in patient injury. When lowering the siderail to the collapsed position, keep extremities of patients and staff away from the siderail spindles or injury could occur. During patient transfer, keep patient and operator extremities away from collapsed siderails or injury could occur. Operation of the pneumatic fowler is a manual procedure. Use caution when raising the fowler while a patient is on the stretcher. Use proper lifting techniques and get additional assistance, if necessary. Failure to use proper lifting techniques could cause injury to the operator. Keep hands/fingers clear of the area around the fowler release handle and the fowler frame when lowering the fowler. Injury could result if care is not taken when lowering the fowler. The weight of the patient’s head is resting on the head piece and must be supported by the operator when the latches are released and the head piece is being positioned. Failure to adequately support the head piece while positioning the head could result in patient injury. Do not reach between the side of the head extension and the articulating head piece to pull the release handle. Finger injury could result. To avoid possible pinch points when adjusting the head piece, keep your fingers away from the jointed areas. When using the transfer board to transfer a patient from one patient support platform (for example, bed, stretcher, gurney, operating table) to another, always lock the brakes on both patient support platforms. Make sure that the transfer board is placed securely on the surface of the patient support platforms. The patient support platforms and surfaces must be at the same height before the patient is transferred. To avoid the risk of injury to the patient or user or damage to the I.V. pole while transporting the stretcher, make sure that the I.V. caddy is securely tightened on the I.V. pole. Physical restraints, even if properly secured, may result in serious harm to patients and caregivers. The use of restraint straps may potentially cause entanglement, entrapment, physical injury, and/or death. Caution must be used in affixing restraint straps to avoid potential injury to both patients and caregivers. Restraint straps and/or devices must be attached only at the identified attachment points of the unit. Failure to do so may result in patient or caregiver injury. Do not attach restraints straps to the siderail.

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Summary of Safety Precautions WARNING (CONTINUED) •

• •

•

This unit accommodates the use of ankle, chest, wrist, and body restraints. The use of restraint straps is regulated by state and federal restrictions. Users, caregivers, and/or practitioners should refer to the applicable state and federal restrictions and the appropriate facility protocols before using any restraint strap and/or device. Disinfect the mattress between patients. Failure to do so could result in cross-contamination and infection. Some disinfectants may cause damage to the product if used improperly. If the products described below are used to disinfect the mattress, measures must be taken to ensure the entire surface is wiped with a damp cloth soaked in clean water and thoroughly dried following disinfection. The cover can be damaged when exposed to such disinfectants beyond the manufacturers’ recommendations. Failure to follow these directions when using these types of disinfectants may void this product warranty. The mattress cover must be completely dry before storage or adding linens. Failure to remove excess disinfectant could cause degradation of the cover material. CAUTION

• • • • • • • • • • • • • •

• • • • • • • •

Do not modify this stretcher. Modifying the unit can cause unpredictable operation resulting in injury to the patient or operator. Modifying the unit will also void its warranty. To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height. Do not raise the unit (hydraulics on base) with a patient lift under the stretcher. To avoid injury or damage to the equipment, do not allow the siderail to lower on its own. The weight capacity of the base hood is 60 lb. Do not sit or stand on the base hood. Injury or damage to the equipment could occur. Do not step on the base hood. Do not use the cutout for the oxygen bottle holder on the base hood for the storage of oxygen bottles or patient belongings. To avoid damage, the weight of the I.V. bags should not exceed 40 lb. To avoid damage while transporting the stretcher, verify that the I.V. pole is at a low enough height to allow it to safely pass through door openings and under light fixtures. Do not use the I.V. pole as a push/pull device because equipment damage could occur. To avoid damage, the weight of the I.V. bags should not exceed 12 lb. while the weight of any one item attached to each stage of the three-stage permanently attached I.V. pole should not exceed 9.3 lb. To avoid damage, do not put items weighing more than 30 lb on the defibrillator tray. Do not use the defibrillator tray as a push/pull device because equipment damage could occur. If the stretcher is equipped with the optional foot end I.V. pole, the I.V. pole must be in the raised position when the foot extension/defibrillator tray is installed. If the I.V. pole is not raised, the foot extension will not function properly and injury could occur. If the stretcher is equipped with the optional foot end push handles, use caution while the foot extension/defibrillator tray is installed to avoid pinching your fingers. To avoid damage, do not put items weighing more than 30 lb on the defibrillator tray/foot extender/chart service. Do not use the defibrillator tray/foot extender/chart service as a push/pull device because equipment damage could occur. Do not use the footboard/chart holder as a push/pull device because equipment damage could occur. Always store the I.V. caddy when not in use to avoid damaging it when the unit is moved. To avoid damage, do not put items weighing more than 30 lb on the serving tray. Do not use the serving tray as a push/pull device because equipment damage could occur. The maximum PSI level for the drape support/oxygen tubing is 20 PSI (1.38 Bars/140 KPA). Return To Table of Contents

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Summary of Safety Precautions CAUTION (CONTINUED) • • • •

•

• •

To avoid damage, do not put items weighing more than 40 lb in the upright oxygen bottle holder. Do not use the upright oxygen bottle holder as a push/pull device because equipment damage could occur. The push handles were designed for use while transporting the stretcher. Avoid using other parts of the stretcher as push/pull devices because damage could occur. Before returning the unit to service after cleaning, ensure that the unit is functioning properly by verifying that all labels are intact, raise/lower the stretcher height, brake/steer pedal locks properly in both positions, latch/unlatch the siderails, raise/lower the fowler and gatch, and check all components for proper lubrication. Some cleaning products are corrosive in nature and may cause damage to the product if used improperly. If the products suggested above are used to clean Stryker patient handling equipment, measures must be taken to ensure that the stretcher is wiped with a damp cloth soaked in clean water and thoroughly dried following cleaning. Failure to properly rinse and dry the stretcher will leave a corrosive residue on the surface of the stretcher, possibly causing premature corrosion of critical components. Failure to follow the above directions when using these types of cleaners may void this product’s warranty. Frequent or prolonged exposure to higher concentration disinfectant solutions may prematurely age the cover fabric. The use of accelerated hydrogen peroxides or quaternaries containing glycol ethers may damage the cover.

NOTE • •

Clean the base hood storage area regularly. The bottom of the brake pads should be cleaned regularly to prevent wax or floor remnant buildup.

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Setup Procedures Make sure that the unit is working properly before it is put into service. The following list will ensure that each part of the unit is checked. 1. 2. 3. 4. 5. 6. 7. 8.

Fully depress the brake pedal of the stretcher to set the four wheel brakes and verify that all four casters are locked (page 11). Raise and lower the hydraulic lift system (page 12). Raise the unit completely and activate the Trendelenburg function. Ensure that the head end lowers to the lowest position (page 14). Raise the unit completely and activate the reverse Trendelenburg function. Ensure that the foot end lowers to the lowest position (page 14). Activate the fifth wheel to ensure that it is operating properly (page 15). Ensure that the siderails raise and lower smoothly and lock securely when fully raised (page 16). Raise and lower the fowler (head end) (page 17). Rotate the head piece in both directions to ensure that it is operating properly (page 19).

CAUTION Do not modify this stretcher. Modifying the unit can cause unpredictable operation resulting in injury to the patient or operator. Modifying the unit will also void its warranty.

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Operation Guide APPLYING THE BRAKE SYSTEM WARNING Always apply the brakes when a patient is getting on or off the stretcher. Push on the stretcher to ensure that the brakes are securely locked. Always engage the brakes unless the stretcher is being moved. Injury could result if the stretcher moves while a patient is getting on or off the stretcher. To engage the brakes on the foot end, push down on the brake (red) side of pedal (A). To release the brakes on the foot end, push down on the steer (green) side of pedal (A). Note: Your stretcher may be equipped with optional side control brake and steer functions in addition to the standard foot end controls. The side control brakes operate the same as the foot end versions. Note: The bottom of the brake pads should be cleaned regularly to prevent wax or floor remnant buildup.

A

Head End

Figure 1: Brake System

A

Steer/Brake functions (foot end)

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Operation Guide OPERATING THE BASE CONTROLS - SIDE CONTROL HYDRAULICS To operate the base controls, see Figure 2 to locate which pedals are used for what operation.

CAUTION • •

To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height. Do not raise the unit (hydraulics on base) with a patient lift under the stretcher.

To raise the litter height, pump pedal (A) repeatedly until the desired height is achieved. To lower both ends of the litter together, depress the center of pedal (B). To lower only the head end of the litter, depress the side of pedal (B) closest to the head end. To lower only the foot end of the litter, depress the side of pedal (B) closest to the foot end.

WARNING • •

Patients should be discouraged from sitting directly on the ends of the stretcher. Excessive weight could cause the litter surface to tip up, possibly causing patient injury. Leave the stretcher height in the lowest position when the patient is left unattended. Leaving the stretcher height in a raised position could increase the chance of patient falls and injury.

B

A

Head End

B

A

Figure 2: Stretcher Base Controls - Side Control

A

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Operation Guide OPERATING THE BASE CONTROLS - THREE-SIDED CONTROL HYDRAULICS To operate the base controls, see Figure 3 to locate which pedals are used for what operation.

CAUTION • •

To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height. Do not raise the unit (hydraulics on base) with a patient lift under the stretcher.

To raise the litter height, pump pedal (A) repeatedly until the desired height is achieved. To lower both ends of the litter together, depress pedal (B) and pedal (D) together using the same foot or depress in the center of pedal (C). To lower the head end of the litter, depress pedal (B) or the side of pedal (C) closest to the head end. To lower the foot end of the litter, depress pedal (D) or the side of pedal (C) closest to the foot end.

WARNING • •

Patients should be discouraged from sitting directly on the ends of the stretcher. Excessive weight could cause the litter surface to tip up, possibly causing patient injury. Leave the stretcher height in the lowest position when the patient is left unattended. Leaving the stretcher height in a raised position could increase the chance of patient falls and injury.

C

A

C

A

B D A

Head End

Figure 3: Stretcher Base Controls - Three-Sided Control

A

B

D

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Operation Guide ADJUSTING TRENDELENBURG/REVERSE TRENDELENBURG POSITIONS - SIDE CONTROL HYDRAULICS Litter height must first be raised in order to achieve a Trendelenburg or reverse Trendelenburg position.

CAUTION • •

To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height. Do not raise the unit (hydraulics on base) with a patient lift under the stretcher.

For Trendelenburg positioning (head down), depress the side of pedal (B) closest to the head end (see Figure 2 on page 12). For reverse Trendelenburg positioning (foot down), depress the side of pedal (B) closest to the foot end (see Figure 2 on page 12). Note: The higher the litter is before pedal (B) is activated, the greater the Trendelenburg or reverse Trendelenburg angle will be. (Maximum Trendelenburg angle is +18°. Maximum reverse Trendelenburg angle is -18°.)

ADJUSTING TRENDELENBURG/REVERSE TRENDELENBURG POSITIONS - OPTIONAL THREE-SIDED CONTROL HYDRAULICS Litter height must first be raised in order to achieve a Trendelenburg or reverse Trendelenburg position.

CAUTION • •

To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height. Do not raise the unit (hydraulics on base) with a patient lift under the stretcher.

For Trendelenburg positioning (head down) (see Figure 3 on page 13): • Depress pedal (B) at the foot end of the unit or • Depress the side of pedal (C), located on the patient left or patient right side, closest to the head end of the unit. For reverse Trendelenburg positioning (foot down) (see Figure 3 on page 13): • Depress pedal (D) at the foot end of the unit or • Depress the side of pedal (C), located on the patient left or patient right side, closest to the foot end of the unit. Note: The higher the litter is before pedal (B), (C), or (D) is activated, the greater the Trendelenburg or reverse Trendelenburg angle will be. (Maximum Trendelenburg angle is +18°. Maximum reverse Trendelenburg angle is -18°.)

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Operation Guide OPERATING THE FIFTH WHEEL OPTION WARNING Make sure that the brakes are completely released before attempting to move the unit. Attempting to move the unit with the brakes engaged could result in injury to the user and/or patient. The fifth wheel guides the stretcher along a straight line during transport and pivots the stretcher around corners. To operate the fifth wheel, push the steer (green) side of any brake/steer pedal to the lowest position (see Figure 1 on page 11). To disengage the fifth wheel, push the brake (red) side of any brake/steer pedal to the neutral position (see Figure 1 on page 11).

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Operation Guide OPERATING THE SIDERAILS Raising and lowering the siderails safely is a two-handed operation. Use one hand to hold and position the siderail and the other hand to operate the siderail latch. To raise the siderails, pull up on the siderail (A) and raise it to the highest position until the latch (B) engages as shown in Figure 4. Note: If the unit is equipped with the optional three-position siderail, you can pull up on the siderail (A) and raise it to the mid position until the latch (B) engages. To raise the siderail to the highest position, pull up on the siderail and guide it to its highest position until the latch engages.

A

B

Figure 4: Siderails

WARNING •

• •

After raising the siderails, pull firmly on the siderail to ensure that it is securely locked into the fully raised position. Siderails are not intended to serve as a patient restraint device to keep patients from exiting the unit. Siderails are intended to keep a patient from inadvertently rolling off the unit. It is the responsibility of the attending medical personnel to determine the degree of restraint necessary to ensure that a patient will remain in place. Failure to utilize the siderails properly could result in patient injury. When lowering the siderail to the collapsed position, keep extremities of patients and staff away from the siderail spindles or injury could occur. During patient transfer, keep patient and operator extremities away from collapsed siderails or injury could occur.

To lower the siderails, pull up on the latch (B) and guide the siderail to the lowest position as shown in Figure 4. Note: If the unit is equipped with the optional three-position siderail, you can pull up on the latch (B) and guide the siderail to the mid position. To lower the siderail to the lowest position, pull up on the latch (B) and guide the siderail down.

CAUTION To avoid injury or damage to the equipment, do not allow the siderail to lower on its own. Make sure that the siderail latching mechanism is working properly at all times. If it is not, see the stretcher maintenance manual for ”Siderail Latch Adjustment”. Return To Table of Contents www.stryker.com

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Operation Guide OPERATING THE PNEUMATIC FOWLER To raise the fowler, squeeze the red fowler handles (A & B) for pneumatic assist until the fowler has reached the desired angle. To lower the fowler, squeeze the red fowler handles (A & B) and push down until the fowler has reached the desired angle.

A

B

Figure 5: Pneumatic Fowler

WARNING •

•

Operation of the pneumatic fowler is a manual procedure. Use caution when raising the fowler while a patient is on the stretcher. Use proper lifting techniques and get additional assistance, if necessary. Failure to use proper lifting techniques could cause injury to the operator. Keep hands/fingers clear of the area around the fowler release handle and the fowler frame when lowering the fowler. Injury could result if care is not taken when lowering the fowler.

If the pneumatic fowler is difficult to operate, see the stretcher maintenance manual for ”Pneumatic Fowler Adjustment”.

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Operation Guide OPERATING THE OPTIONAL CRANK FOWLER /OPTIONAL CRANK GATCH The fowler and gatch crank handles are stored under the litter and held out of the way with magnets. Pivot the crank out and push in to engage it. To raise the fowler, turn the crank handle (A) clockwise. To lower the fowler, turn the crank handle (A) counterclockwise.

A

B Figure 6: Fowler and Gatch Crank Handles

To raise the gatch, turn the crank handle (B) clockwise. To lower the gatch, turn the crank handle (B) counterclockwise. Note: The stretcher may have a stationary foot end instead of a gatch.

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Operation Guide OPERATING THE ENHANCED CLEARANCE HEAD PIECE To operate the articulating head piece, grasp either handle under the head section and squeeze. • •

Handle (A) releases one latch and rotates the head piece on axis ”A”. Handle (B) releases the other latch and rotates the head section on axis ”B”.

Note: For ease of operation, it is recommended to release only one latch at a time.

WARNING •

• •

The weight of the patient’s head is resting on the head piece and must be supported by the operator when the latches are released and the head piece is being positioned. Failure to adequately support the head piece while positioning the head could result in patient injury. Do not reach between the side of the head extension and the articulating head piece to pull the release handle. Finger injury could result. To avoid possible pinch points when adjusting the head piece, keep your fingers away from the jointed areas.

B A

Figure 7: Fowler and Gatch Crank Handles

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Operation Guide USING THE BASE HOOD FOR STORAGE You can store items in the base hood (A) as shown in Figure 8.

CAUTION • • •

The weight capacity of the base hood is 60 lb. Do not sit or stand on the base hood. Injury or damage to the equipment could occur. Do not step on the base hood. Do not use the cutout for the oxygen bottle holder on the base hood for the storage of oxygen bottles or patient belongings.

Note: Clean the base hood storage area regularly.

A

Figure 8: Base Hood Storage

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