M- Series Stretcher Model SM 104 Operations Manual Rev B May 2011

Table of Contents Introduction... 2−4 Operating Base Controls... 5, 6 Raising And Lowering Litter Height... 7 Trendelenburg/Reverse Trendelenburg Positioning... 7 Applying The Brake System... 8 Operating the Fifth Wheel... 9 Using the Siderails... 10 Operating the Pneumatic Fowler... 11 Operating the Knee Gatch... 12 Operating the Optional 2−Stage Permanently Attached IV Pole... 13 Operating the Optional 3−Stage Permanently Attached IV Pole... 14 Operating the Optional Foot Extension / Defibrillator Tray... 15 Using the Optional Serving Tray... 16 Optional Scale System Operation... 17, 18 Preventative Maintenance Checklist... 19 Cleaning... 20, 21 Limited Warranty Obtaining Parts and Service... 22 Supplemental Warranty Coverage... 22 Return Authorization... 23 Freight Damage Claims... 23

Introduction INTRODUCTION This manual is designed to assist you with the operation of the Model SM104 Stretcher. Read it thoroughly before using the equipment or beginning any maintenance on it.

SPECIFICATIONS Maximum Weight Capacity

700 pounds

Overall Stretcher Length

84” (
.5”)

Overall Stretcher Width (Siderails Up)

33.5” & 37” (
.5”)

Overall Stretcher Width (Siderails Down)

30.25” & 30.75” (
.5”)

Minimum / Maximum Bed Height

20.75” / 34” (
.5”)

Fowler Angle

0 to 90° (

3°)

Knee Gatch Angle

0 to 40° (

1°)

Trendelenburg / Reverse Trendelenburg

+16 / −16 ° (

1°)

Optional Scale System Weight Operating Range

0 lbs. to maximum capacity of the stretcher

Optional Scale System Accuracy

Between 10° Trend & 10° reverse Trend*
2 lbs. of weights below 100 lbs.
2% of weights above 100 lbs.

Optional Scale System Environmental Requirements for Operation

60_ F − 80_ F 0% − 90% Relative Humidity

* Scale does not meet accuracy claims at Trend angles outside the specified range. Stryker reserves the right to change specifications without notice.

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 This provides special information to make maintenance easier or important instructions clearer.

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Introduction Before operating this stretcher, it is important to read and understand all information in this manual. Carefully read and strictly follow the warnings and cautions listed on this page.

WARNING Always apply the caster brakes when a patient is getting on or off the stretcher. Push on the stretcher to ensure 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. If brakes do not hold properly, refer to your stretcher maintenance manual for a brake adjustment procedure. When lowering the siderail to the collapsed position, keep extremities of patients and staff away from the siderail spindles or injury could occur. Keep fingers/hands clear of area around Fowler release handle and Fowler frame when lowering. Injury could result if care is not taken when lowering the Fowler. If the stretcher is equipped with the optional foot end IV pole, the IV pole must be in the raised position when the foot extension/defibrillator tray is installed. If the IV pole is not raised, the foot extension will not function properly and injury could occur.

CAUTION To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height. To avoid injury or damage to the equipment, do not allow the siderail to lower on its own. To avoid damage, the weight of the I.V. bags should not exceed 40 pounds. To avoid damage while transporting the stretcher, verify the I.V. pole is at a low enough height to allow it to safely pass through door openings and under light fixtures. The weight capacity of the Knee Gatch is 200 pounds. Do not sit or stand on the Gatch. Injury or damage to the equipment could occur. To avoid damage, do not put items weighing more than 30 pounds on the serving tray.

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Introduction OPTIONAL SCALE SYSTEM

Warning, Refer to Service/Maintenance Manual Internally Powered Mode of Operation: Continuous IPX5 Electromagnetic Interference − product conforms to IEC 60601−1−2:1993 − Class B Type: 4 x AA Battery (4 x 1.5VDC) Voltage: 6.0VDC Medical Equipment Classified by Underwriters Laboratories Inc. with Respect to Electric Shock, Fire, Mechanical and Other Specified Hazards Only in Accordance with UL 2601−1 and CAN/CSA C22.2 No. 601.1 UL60601−1 CAN/CSA C22.2 NO.601.1

Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide.

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Stretcher Operation OPERATING BASE CONTROLS − SIDE CONTROL C

FOOT END

B

A

B

A

D

HEAD END

Pump pedal (A) to raise the litter. Depress in the center of pedal (B) to lower both ends of the stretcher together. Depress the side of pedal (B) closest to the foot end of the stretcher to lower the foot end. Depress the side of pedal (B) closest to the head end of the stretcher to lower the head end.

Pedal (C) − Brake and Steer functions (foot end)

Pedal (D) − Brake and Steer functions (head end)

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Stretcher Operation OPERATING BASE CONTROLS − 3−SIDED CONTROLS E

C

A

C

A

F

B

D

A

FOOT END

HEAD END

Pump pedal (A) at the foot end or sides of the stretcher to raise the litter Depress pedal (B) or the side of pedal (C) closest to the head end of the stretcher to lower the head end of the stretcher. Depress pedal (D) or the side of pedal (C) closest to the foot end of the stretcher to lower the foot end of the stretcher. Depress in the center of pedal (C) or depress pedals (B) and (D) together to lower both ends of the stretcher together. Pedal (E) − Brake and Steer functions (foot end).

Pedal (F) − Brake and Steer functions (head end)

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Stretcher Operation RAISING AND LOWERING LITTER HEIGHT − SIDE CONTROL CAUTION To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height. To raise the litter height, pump pedal (A) repeatedly until the desired height is achieved (see illustration on page 5). 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 (see illustration on page 5).

RAISING AND LOWERING LITTER HEIGHT − 3−SIDED CONTROLS To raise the litter height, pump pedal (A) repeatedly until the desired height is achieved (see illustration on page 6). To lower both ends of the litter simultaneously, depress pedal (B) and (D) together using the same foot or depress in the center of pedal (C). To lower only the head end of the litter, depress pedal (B) or the side of pedal (C) closest to the head end of the stretcher. To lower only the foot end of the stretcher, depress pedal (D) or the side of pedal (C) closest to the foot end of the stretcher.

TRENDELENBURG/REVERSE TRENDELENBURG − SIDE CONTROL NOTE Litter height must be raised first in order to achieve a trend. or reverse trend. position. CAUTION To avoid damage, remove any equipment that may be in the way before lowering the stretcher. For Trendelenburg positioning (head down), depress the side of pedal (B) closest to the head end of the stretcher (see illustration, page 5). For Reverse Trendelenburg positioning (foot down), depress the side of pedal (B) closest to the foot end. NOTE The higher the litter is before pedal (B) is activated, the greater the trend. or reverse trend. angle will be. (Maximum trend. angle is +16_ . Maximum reverse trend. angle is −16_ ).

TRENDELENBURG/REVERSE TRENDELENBURG − 3−SIDED CONTROLS CAUTION To avoid damage, remove any equipment that may be in the way before lowering the stretcher. For Trendelenburg positioning (head down), depress pedal (B) or the side of pedal (C) closest to the head end of the stretcher (see illustration, page 6). For Reverse Trendelenburg positioning (foot down), depress pedal (D) or the side of pedal (C) closest to the foot end of the stretcher.

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Stretcher Operation APPLYING THE BRAKE SYSTEM Brake/Steer Pedal (Optional) A

B

FOOT END

Brake/Steer Pedal (Optional)

HEAD END

NOTE For user convenience, a brake/steer control pedal is located on both ends of the stretcher. WARNING Always apply the caster brakes when a patient is getting on or off the stretcher. Push on the stretcher to ensure 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. If brakes do not hold properly, refer to your stretcher maintenance manual for a brake adjustment procedure.

To engage the brakes on the head end, push fully down on the left side of pedal (A). To engage the brakes on the foot end, push fully down on the right side of pedal (B). NOTE Your stretcher may be equipped with optional side control brake and steer functions in addition to the standard head and foot end controls. The side control brakes operate the same as the head and foot end versions.

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Stretcher Operation OPERATING THE FIFTH WHEEL The purpose of the Fifth Wheel is to help guide the stretcher along a straight line during transport and to help pivot the stretcher around corners. To engage the Fifth Wheel, push the side of any brake/steer pedal marked STEER to the full down position.

HEAD END

BRAKE/STEER PEDAL

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Stretcher Operation OPERATING THE GLIDEAWAYt SIDERAILS

B A

B

FOOT END

NOTE 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. WARNING When lowering the siderail to the collapsed position, keep extremities of patients and staff away from the siderail spindles or injury could occur. To raise the siderails: Pull up on the siderail (A) and raise it to the full up position until the latch (B) engages. To lower the siderails: Pull up on the latch (B) and guide the siderail to the full down position. NOTE The latches (B) are colored yellow for easy identification. The foot end of the siderail top rail can be used as a push/pull handle.

CAUTION To avoid injury or damage to the equipment, do not allow siderail to lower on its own. NOTE There is a dual siderail latch option available with latches on both ends of the stretcher.

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Stretcher Operation OPERATING THE PNEUMATIC FOWLER Squeeze either or both of the yellow Fowler handles (A) for pneumatic assist in lifting the Fowler to the desired height. Remove hand(s) from handle when the desired height is achieved. The optional drop seat/lift assist Fowler uses the weight of the patient for additional assistance with lifting the Fowler. It also helps keep the patient from sliding toward the foot end of the stretcher when the Fowler is raised.

A A

WARNING Keep hands/fingers clear of the area around the Fowler release handles and the Fowler frame when lowering. Injury could result if care is not taken when lowering the Fowler.

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Stretcher Operation OPERATING THE OPTIONAL KNEE GATCH

FOOT END

B

A

To raise the Knee Gatch, pump handle (A) repeatedly to the left. To lower the Knee Gatch, pull out handle (B). CAUTION The weight capacity of the Knee Gatch is 200 pounds. Do not sit or stand on the Gatch. Injury or damage to the equipment could occur.

To prop the foot end of the Knee Gatch up, lift up the end of the Knee Gatch, allowing the prop rod to swing down and engage in the bracket. To release the prop, lift up on the end of the Gatch, swing the prop rod toward the head end of the bed to disengage the bracket and lower the foot end.

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Stretcher Operation OPERATING THE OPTIONAL 2−STAGE PERMANENTLY ATTACHED IV POLE

A B

C

A

C

DETAIL OF I.V. POLE LATCH

NOTE The 2−stage permanently attached IV pole is an option and may have been installed at either the head, foot or both ends of the stretcher. The choice was made at the time the stretcher was purchased. To use the 2−stage permanently attached IV pole: 1. Lift and pivot the pole from the storage position and push down until it is locked into the receptacle. 2. To raise the height of the pole, pull up on the telescoping portion (A) until it locks into place at its fully raised position. 3. Rotate the IV hangers (B) to desired position and hang the IV bags. 4. To lower the IV pole, turn the latch (C) until section (A) lowers. CAUTION To avoid damage, the weight of the IV bags should not exceed 40 pounds. To avoid damage while transporting the stretcher, verify the IV pole is at a low enough height to allow it to safely pass through door openings and under light fixtures.

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Stretcher Operation OPERATING THE OPTIONAL 3−STAGE PERMANENTLY ATTACHED IV POLE A C E

C B D B

A E DETAIL OF I.V. POLE LATCH

D

DETAIL OF I.V. POLE GRIP

NOTE The 3−stage permanently attached IV pole is an option and may have been installed at either the head, foot or both ends of the stretcher. The choice was made at the time the stretcher was purchased. To use the 3−stage permanently attached IV pole: 1. Lift and pivot the pole from the storage position and push down until it is locked into the receptacle. 2. To raise the height of the pole, pull up on the telescoping portion (A) until it locks into place at its fully raised position. 3. For a higher IV pole, pull up on section (B). Release section (B) at any desired height and it will lock into place. 4. Rotate the IV hangers (C) to the desired position and hang the IV bags. 5. To lower the IV pole, push up on the red portion of grip (D) while holding onto section (B) until it lowers. Turn latch (E) until section (A) lowers. CAUTION To avoid damage, the weight of the IV bags should not exceed 40 pounds. To avoid damage while transporting the stretcher, verify the IV pole is at a low enough height to allow it to safely pass through door openings and under light fixtures.

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Stretcher Operation USING THE OPTIONAL FOOT EXTENSION/DEFIBRILLATOR TRAY

1. To use as a defibrillator tray, pull out the top knob (A) and pivot the tray (B) over the foot extension (C) until the tray extends flat over the foot end of the stretcher. 2. To use as a foot extension, pull out knob (A) and pivot the defibrillator tray back until it locks against the foot extension (C). While holding onto the assembly, pull out the bottom knob (D) and lower the foot extension down until it is flat.

B

A C

CAUTION If the stretcher is equipped with the optional foot end IV pole, the IV pole must be in the raised position when the foot extension/defibrillator tray is installed. If the IV 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 pounds on the defibrillator tray.

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D

FOOT END

Stretcher Operation USING THE OPTIONAL SERVING TRAY

FOOT END

Pull out on either end of the serving tray to extend it to the proper width to fit on top of the stretcher siderails. To store the serving tray in the optional serving tray holder/foot board, push in both ends of the serving tray and slide it into the holder. CAUTION To avoid damage, do not put items weighing more than 30 pounds on the serving tray.

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Stretcher Operation OPTIONAL SCALE SYSTEM OPERATION

4.

1.

3.

2.

Battery Charge Level Indicator 1. Display − Displays patient weight, unit of measurement and battery status. 2. “Zero” − Push and hold for 2 seconds to zero the scale system before putting a patient on the stretcher. If the display flashes “hold”, press and hold the “Zero” button again until the display reads “rEL” (release). Release the “Zero” button. The display flashes “000.0”, then displays “000.0”. The system is not zeroed until the “000.0” stops flashing. For the most accurate results, always zero the scale system before putting a new patient on the stretcher. The display will shut off after approximately 40 seconds. 3. “Weigh” − Push to weigh the patient. The display will show the patient’s weight for approximately 40 seconds before turning off. 4. “lb/kg” − Push to display patient weight in pounds or kilograms. NOTE Do not touch the stretcher while the scale system is weighing or zeroing. The patient must remain still while the system is weighing. If the patient is moving, the system will try for 20 seconds to get a stable weight or zero value before displaying the error message . If there is a loose connection or a malfunctioning component, the display will show “Err”. Attempt the function again. If the system is functional, “Good” will display and the scale system is ready to use. If the malfunction is still present, the display shows “Err” again. Call Stryker technical support at 800−327−0770. For the most accurate results, weigh the patient with the litter at zero degrees of Trend.

SYMBOL Weigh

ACTION

Press and release ”WEIGH”.

− − − − "XXX.X lbs

Press and hold ”ZERO”

"hold

Zero

lb/kg

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DISPLAY

"rEL" Release ”ZERO”

"000.0" (flashing) "000.0 (solid)

To convert the patient’s weight to kilograms, press and release ”lb/kg”

"XXX.X kg

Repeat to return to pounds.

XXX.X lbs

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Stretcher Operation OPTIONAL SCALE SYSTEM BATTERIES NOTE To avoid completely draining the batteries and having the optional scale system shut down, replace the batteries whenever only one of the charge indicator bars on the display is black (see page 17 for an example). 1. Remove the two Phillips head screws holding the battery compartment cover on the display assembly. 2. Replace all four AA batteries, being sure to install the positive and negative poles as indicated on the battery holder. Standard alkaline batteries are recommended. Do not mix old and new batteries or mix different types of batteries. Properly dispose of the old batteries in accordance with local regulations. 3. Reinstall the screws and the cover. If the display is flashing “Lo Batt”, the batteries are drained and the scale system is disabled. Replace the batteries with four new AA batteries as described above.

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Preventative Maintenance CHECKLIST All fasteners secure Siderails move and latch properly Engage brake pedal and push on the stretcher to ensure all casters lock securely Steer function working properly All casters secure and swivel properly Body restraints working properly IV pole intact and operating properly Oxygen bottle holder intact and operating properly Fowler operating and latching properly Knee Gatch operating properly (optional equipment) Trendelenburg/Reverse Trendelenburg operating properly No rips or cracks in mattress cover Ground chain intact No leaks at hydraulic connections Hydraulic jacks holding properly Hydraulic drop rate set properly Hydraulic oil level sufficient Lubricate where required Accessories and mounting hardware in good condition and working properly No cables worn or pinched (optional scale system) All electrical connections tight (optional scale system) All grounds secure to the frame (optional scale system) Batteries sufficiently charged (optional scale system) Display housing intact and not damaged (optional scale system) Display label intact and not damaged (optional scale system) Load cells intact and not damaged (optional scale system) Scale calibrated properly. Recalibrate, if necessary (optional scale system)

Serial No. ______________

______________

______________

______________

______________

______________

Completed By:_________________________________

Date:_____________

NOTE Preventative maintenance should be performed at a minimum of annually. A preventative maintenance program should be established for all Stryker Medical equipment. Preventative maintenance may need to be performed more frequently based on the usage level of the product.

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