Stryker
Beds, Chairs, Stretchers and Stools
Prime Series Stretcher Operations Manual Model 1115 Operations Manual Rev C Nov 2015
Operations Manual
93 Pages
Preview
Page 1
Prime Series® Stretcher 1115 Big Wheel®
Operations Manual
2015/11 C.0
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Symbols Refer to instruction manual/booklet
Operating instructions
CE mark
General warning
Caution
Safe working load
Maximum patient weight
In accordance with European Directive 2002/96/EC on Waste Electrical and Electronic Equipment, this symbol indicates that the product must not be disposed of as unsorted municipal waste, but should be collected separately. Refer to your local distributor for return and/or collection systems available in your country. Catalogue number
Serial number
Batch code
For US Patents, see www.stryker.com/patents
Manufacturer
No pushing
Do not store oxygen bottle
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Symbols
~
Alternating current
Direct current
Warning; non-ionizing radiation
Warning; crushing of hands
Dangerous voltage
Protective earth (ground)
Medical Equipment Classified by Underwriters Laboratories Inc. with Respect to Electric Shock, Fire, and Mechanical Hazards Only in Accordance with ANSI/AAMI ES606011:2005 and CAN/CSA C22.2 No. 60601.1:08. *For Prime-X Option, Associated Equipment of X-Ray Equipment IEC 60601-2-54 Type B Applied Part
Protection from powerful water jets
IPX6 1 min / 20 min
Units of Duty Cycle - maximum time on is 1 minute / maximum time off is 20 minutes
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Table of Contents Symbols ... 3 Warning/Caution/Note Definition... 7 Introduction... 8 Product Description ... 8 Intended Use of Product... 8 Intended Use of Product - Prime X Option... 8 Expected Service Life... 9 Contraindications ... 9 Specifications... 10 Standards Applied ... 11 Specifications - Optional Scale System (Non-Electric Litter/Electric Litter Option)... 12 Product Illustration - Electric Litter Option... 13 Product Illustration - Prime X Option... 14 Product Illustration - Type B Applied Parts - Prime... 15 Product Illustration - Type B Applied Parts - Prime X Option... 16 Contact Information ... 17 Serial Number Location... 17 Specification Labels ... 18 Summary of Safety Precautions... 19 Setup Procedures... 24 Operation Guide ... 25 Applying the Brake System... 25 Operating the Base Controls - Side Control Hydraulics... 26 Operating the Base Controls - Optional Three-Sided and Four-sided Control Hydraulics... 27 Raising and Lowering the Litter Height - Optional Electric Lift... 28 Adjusting Trendelenburg/Reverse Trendelenburg Positions - Side Control Hydraulics... 29 Adjusting Trendelenburg/Reverse Trendelenburg Positions - Optional Three-Sided or Four-Sided Control Hydraulics... 29 Operating the Big Wheel... 30 Transporting a Patient... 31 Operating the Siderails... 32 Operating the Siderail Patient Controls - Optional Electric Litter (Not Available With Prime X Option)... 33 Operating the Foot End Nursing Controls - Optional Electric Litter (Not Available With Prime X Option)... 34 Using Patient Control Lockout - Optional Electric Litter (Not Available With Prime X Option) ... 35 Operating the Optional Push Handles ... 36 Operating the Pneumatic Fowler - Non-Electric... 37 Operating the Fowler - Optional Electric Litter (Not Available With Prime X Option)... 38 Operating the Optional Gatch - Non-Electric (Not Available With Prime X Option)... 39 Operating the Gatch - Optional Electric Litter (Not Available With Prime X Option) ... 40 Operating the Recovery Chair (Not Available With Prime X Option)... 41 Using the Base Hood for Storage ... 42 Using the Optional Pump Rack ... 43 Using the Optional Retractable Cord Reel - Electric Lift/Litter Option... 44 Operating the Optional Scale System ... 45 Operating the Optional Scale System - Non-Electric Litter... 46 www.stryker.com
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Table of Contents Replacing the Optional Scale System Batteries - Non-Electric Litter... 47 Operating the Optional Scale System - Electric Litter Option Without Chaperone (Not Available With Prime X Option)... 48 Charging the Optional Scale System Battery Pack - Electric Litter Option (Not Available With Prime X Option)... 49 Operating the Optional Scale System - Electric Litter Option With Chaperone (Not Available With Prime X Option)... 50 Operating the Chaperone (Stretcher Exit) Option (Not Available With Prime X Option)... 51 Charging the Optional Scale System Battery Pack - Electric Litter Option with Chaperone (Not Available With Prime X Option) ... 51 Operating the Chaperone (Stretcher Exit) Option - Optional Setup (Not Available With Prime X Option)... 52 Using X-Ray Cassettes - Prime X Option... 53 Using the Optional Defibrillator Tray... 54 Using the Optional Foot Extension/Defibrillator Tray... 54 Using the Optional Footboard/Chartholder... 55 Using the Optional I.V. Caddy ... 55 Operating the Optional Foot Supports (Not Available With Prime X Option)... 56 Operating the Optional Two-Stage Permanently Attached I.V. Pole... 58 Operating the Optional Three-Stage Permanently Attached I.V. Pole ... 59 Operating the Optional Removable I.V. Pole... 60 Installing the Siderail Pads ... 60 Using the Optional Upright Oxygen Bottle Holder... 61 Using the Optional Serving Tray ... 61 Using the Restraint Straps... 62 Using the Optional Upright X-Ray Cassette Holder (Prime X Option Only)... 63 Using the Optional Lateral Cassette Holder (Prime X Option Only)... 64 Using the Optional Lateral Cassette Holder (Prime X Option Only)... 65 Optional Litter Extension... 66 Cleaning... 67 Cleaning the Stretcher ... 67 Cleaning the Mattress... 69 Disinfecting the Mattress... 70 Preventive Maintenance... 71 Checklist ... 71 EMC Information... 73 Warranty... 77 Limited Warranty... 77 To Obtain Parts and Service... 77 Service Contract Coverage... 77 Service Contract Programs... 78 Return Authorization... 78 Damaged Merchandise... 78 International Warranty Clause... 78 Recycling Passport ... 79
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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 1115 Prime Series® 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 1115 Prime Series stretcher with Big Wheel® decreases start-up force by 50 percent and steering effort by 60 percent.
INTENDED USE OF PRODUCT The Stryker Model 1115 Prime Series stretcher is a 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. A stretcher provides the caregiver a method of transporting patients within a healthcare facility. The device has two big wheels which reduce the required start-up force to move the stretcher. Some stretchers may also be used for minor procedures and short-term stay (treatment and recovery).
INTENDED USE OF PRODUCT - PRIME X OPTION The Prime X option provides a platform for the short-term outpatient clinical evaluation and treatment of human patients and additionally may be used for minor procedures and short-term outpatient stay (treatment and recovery). The Prime X option provides an articulating radiographic patient support surface and a platform below the patient support surface for X-Ray cassette placement to allow the capture of clinical X-Rays (AP Full Body, optional Full Body Lateral, and optional Upright Chest) when used in conjunction with a medical X-Ray system. The Prime X option is a wheeled device consisting of a platform mounted on a wheeled frame that is designed to transport patients in a horizontal position within the interior of a healthcare facility by health professionals and/or trained representatives of the user facility. The device has siderails and optional supports for fluid infusion equipment. The Prime X option is intended to be used to transport patients to and from all departments within the interior of a healthcare facility. The use of the Prime X option as a short-term outpatient clinical evaluation, treatment, minor procedure, and short-term outpatient recovery platform may include use in, but is not limited to, the Emergency Department (ED), including the Trauma area, and Post-Anesthesia Care Unit (PACU). The Prime X option is not intended to be used for long-term inpatient treatment and recovery. See the specification table on page 10 for the intended environmental conditions. The Prime X option has a safe working load up to 700 pounds (318 kg) and is intended to be used with all patients, including those mildly to critically ill. The stretcher may also be used to transport deceased patients within an enclosed healthcare facility. The Prime X option has an optional scale system intended to measure and display weight in pounds or kilograms of patients weighing 50 to 700 pounds (22.7 to 318 kg) and patients not exceeding the height of 75.25 inches (191 cm). See the specification table for accuracy claims.
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Introduction INTENDED USE OF PRODUCT - PRIME X OPTION (CONTINUED) The Prime X option has the following options available: three-sided brake/steer pedal controls, three-sided and foursided hydraulic lift controls, powered lift controls, dual siderail latch assembly, slider board assembly, pump bar, I.V. pole(s), restraint straps, defibrillator tray, defibrillator tray/foot extender, footboard/chartholder, serving tray, serving tray holder/footboard, siderail pads, upright oxygen bottle holder, and I.V. caddy.
EXPECTED SERVICE LIFE The Prime X option has an expected service life of 10 years under normal use, conditions, and with appropriate periodic maintenance as described in the maintenance manual for each device.
CONTRAINDICATIONS The Prime X option is not recommended for use with a Stryker Pioneer mattress or a mattress with a thickness greater than four inches and is not compatible for use with a C-Arm. The Prime X option is intended for use in all establishments other than home healthcare, domestic, and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes.
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Introduction SPECIFICATIONS Prime 26” Width Option
Prime 30” Width Option Prime HT Packs
Prime X Option 30” Width
Safe working load Note: Safe working load indicates the sum of the patient, mattress, and accessory weight.
700 lb
318 kg
700 lb
318 kg
700 lb
318 kg
Maximum patient weight
675 lb
306 kg
675 lb
306 kg
675 lb
306 kg
Overall Stretcher Length
85” (± .5”)
215.9 cm
85” (± .5”)
215.9 cm
85” (± .5”)
215.9 cm
Overall Stretcher Length (Litter Extension) Overall Stretcher Width (Siderails Up) Overall Stretcher Width (Siderails Down)
89.9”(± .75”)
228.3 cm
89.9”(± .75”)
228.3 cm
N/A
N/A
34” (± 1”)
86.4 cm
38” (± 1”)
96.5 cm
38” (± 1”)
96.5 cm
30.25” (± .5”) 20.75” / Minimum/Maximum Stretcher Height 34” (± 1”)
76.8 cm 52.7 cm / 86.4 cm
Fowler Angle
0° to 90° (± 5°)
Gatch Height
5.5” (14 cm) minimum
Trendelenburg/Reverse Trendelenburg
+17°/-17° (± 3°)
2.5” 6.4 cm nominal 1.75” under the hydraulic 4.5 cm Minimum Under-Stretcher Clearance jacks and fifth wheel 1” under the Big 2.5 cm Wheel Attenuation Equivalent Not applicable (Aluminum Equivalence)
30.5” (± .5”) 20.75” / 34” (± 1”)
77.5 cm 52.7 cm / 86.4 cm
30.5” 77.5 cm (± .5”) 23.25” / 59.1 cm / 36.5” (± 1”) 92.7 cm Not applicable
2.5” nominal 1.75” under the hydraulic jacks and fifth wheel 1” under the Big Wheel
6.4 cm
4.5 cm
2.5 cm
2.5” 6.4 cm nominal 1.75” under the hydraulic 4.5 cm jacks and fifth wheel 1” under the Big 2.5 cm Wheel Maximum value allowed is 1.7 mm Al
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Introduction SPECIFICATIONS (CONTINUED) Electric Options
Optional Electric Litter (available on Optional Electric Lift (available on Prime Only) Prime and Prime X Option)
Electrical Requirements
120V ~ , 60Hz, 10 A
Duty Cycle
Continuous operation with intermittent Continuous operation with intermittent loading is 1 min ON/20 min OFF loading is 1 min ON/20 min OFF
Optional Scale System
Non-Electric Litter (available on Optional Electric Lift (available on Prime and Prime X Option) Prime and Prime X Option)
Battery Type
4 x AA Battery (4 X 1.5V ) Alkaline 4 x AA Battery (4 X 1.5V ) Alkaline Type (LR6) Type (LR6)
Battery Voltage
6.0V
6.0V
Optional Scale System
Optional Electric Litter
Optional Electric Lift
Battery Type
1 x Rechargeable Lithium Ion Battery Not applicable Pack (0058-135-000)
Battery Voltage
10.8V , 2.4Ah
Not applicable
Optional Scale System with Chaperone (Stretcher Exit)
Optional Electric Litter
Optional Electric Lift
Battery Type
1 x Rechargeable Lithium Ion Battery Not applicable Pack (0058-134-000)
Battery Voltage
10.8V , 4.8 Ah
120V ~ , 60Hz, 10 A
Not applicable
Stryker reserves the right to change specifications without notice. Note: Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide.
STANDARDS APPLIED ID IEC 60601-1 IEC 60601-1-2 IEC 60601-1-3 IEC 60601-2-52 IEC 60601-2-54
Name Medical electrical equipment - Part 1: General requirements for basic safety and essential performance Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility - Requirements and tests Medical electrical equipment - Part 1-3: General requirements for basic safety and essential performance - Collateral Standard: Radiation protection in diagnostic X-Ray equipment Medical electrical equipment - Part 2-52: Particular requirements for the basic safety and essential performance of medical beds Medical electrical equipment - Part 2-54: Particular requirements for the basic safety and essential performance of X-Ray equipment for radiography and radioscopy
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Introduction SPECIFICATIONS (CONTINUED) Environmental Conditions
Temperature
Operation
Storage and Transportation
100°F (38° C) 50° F (10° C)
140°F (60° C) -4° F (-20° C)
95 %
75 % Relative Humidity
30 %
10 % 1060 hPa
1060 hPa
Atmospheric Pressure 700 hPa
500 hPa
Specifications listed are approximate and may vary slightly from unit to unit or by power supply fluctuations.
SPECIFICATIONS - OPTIONAL SCALE SYSTEM (NON-ELECTRIC LITTER/ELECTRIC LITTER OPTION) Optional Scale System Weight Operating Range
50 lb (22.7 kg) to 700 lb (318 kg)
Optional Scale System Accuracy
±3 lb (1.3 kg) for weights less than 100 lb (45 kg) and ±3% for weights greater than or equal to 100 lb (45 kg) *
Environmental Conditions
Temperature
Operation
Storage and Transportation
79°F (26° C) 61° F (16° C)
140°F (60° C) -4° F (-20° C)
95 %
75 % Relative Humidity
30 %
10 % 1060 hPa
1060 hPa Atmospheric Pressure
700 hPa
500 hPa
* To meet this accuracy claim, the patient surface must be in the flat position (fowler and gatch down) and the stretcher cannot exceed 5 degrees of Trendelenburg/reverse Trendelenburg.
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Introduction PRODUCT ILLUSTRATION - ELECTRIC LITTER OPTION
Optional Siderail Patient Controls
Optional Pop Up Push Handle
Siderail
Optional Patient Control Lockout
Siderail Optional Gatch Release Handle Push Pedal Uni-Lower Pedal Brake/Steer Control Pedal Option
Optional Scale System Optional Pump Rack Optional Foot End Nursing Controls
Integrated Bumpers
Brake/Steer Control Pedal
Siderail Release
Casters with Integrated Wheel Covers Figure 1: Electric Litter Option
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Introduction PRODUCT ILLUSTRATION - PRIME X OPTION
Optional Pop Up Push Handle
Cassette Tray Optional Scale System
Patient Surface with Clear View Technology
Siderail Release
Pump Pedal Siderail
Uni-Lower Pedal Brake/Steer Control Pedal Option
Optional Pump Rack
Casters with Integrated Wheel Covers
Integrated Bumpers
Brake/Steer Control Pedal
Figure 2: Prime X Option
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Introduction PRODUCT ILLUSTRATION - TYPE B APPLIED PARTS - PRIME
Figure 3: Type B Applied Parts - Prime
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Introduction PRODUCT ILLUSTRATION - TYPE B APPLIED PARTS - PRIME X OPTION
Figure 4: Type B Applied Parts - Prime X Option
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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
Figure 5: Serial Number Location
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Specification Labels
REF 1115 Prime Series® Big Wheel® SN
87VL
1115-101-002 6V
(4x AA, LR6)
IPX6 Made in U.S.A.
REF 1115 Prime Series® Big Wheel® SN
87VL
1115-101-003 120V ~ 60Hz, 10A 1 min / 20 min
IPX6
Made in U.S.A.
REF 1115 Prime Series® Big Wheel® SN
87VL
1115-101-006 240V ~ 50/60Hz, 5A 1 min / 20 min
IPX6
Made in U.S.A.
REF 1115 Prime Series® Big Wheel® SN
87VL
1115-101-007 120V ~ 60Hz, 10A 1 min / 20 min 6V
(4x AA, LR6)
IPX6
Made in U.S.A.
REF 1115 Prime Series® Big Wheel® SN
87VL
1115-101-008 240V ~ 50/60Hz, 5A 1 min / 20 min 6V
(4x AA, LR6)
IPX6
Made in U.S.A.
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Summary of Safety Precautions Carefully read and strictly follow the warnings and cautions listed within this manual. Service only by qualified personnel. See the maintenance manual for additional information.
WARNING •
•
• • • •
• • •
• • • • • • • • •
This stretcher is equipped with a hospital grade plug for protection against electric shock hazard. It must be plugged directly into a properly grounded three-prong receptacle. Grounding reliability can be achieved only when a hospital grade receptacle is used. 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 in the up 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. Powered stretcher mechanisms can cause serious injury. Operate stretcher only with persons clear of mechanisms. Operation of the 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. To avoid the risk of injury, ensure that the gatch prop rod is fully raised and securely placed in position. Use caution when operating the gatch while a patient is on the stretcher. Powered stretcher mechanisms can cause serious injury. Operate stretcher only with persons clear of mechanisms. Use caution when operating the recovery chair while a patient is on the stretcher. Powered stretcher mechanisms can cause serious injury. Operate stretcher only with persons clear of mechanisms. To avoid patient injury or equipment damage, all lines from any equipment stored on the pump rack must be diverted away from the gatch handles. To avoid patient injury or equipment damage, do not lift the stretcher by the pump rack. To avoid equipment damage, remove any equipment from the pump rack that may be in the way before lowering the litter. To avoid equipment damage while transporting the stretcher, verify that any equipment on the pump rack can safely pass through door openings and under light fixtures. When using the Prime X option in conjunction with devices that generate X-radiation, the generating devices may produce residual, stray, and/or scattered radiation. Users should refer to local, state, and federal use guidelines, as well as appropriate facility protocols, for safety before use. Special attention should be given when performing X-Rays with the stretcher’s fowler in the upright position and also when performing X-Rays using a lateral cassette.
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Summary of Safety Precautions WARNING (CONTINUED) • • • • • •
• •
• • • •
• • • •
• •
The Prime X option is not recommended for use with a Stryker Pioneer mattress or a mattress with a thickness greater than four inches and is not compatible for use with a C-Arm. To avoid the risk of patient or operator injury, ensure that all devices placed on the defibrillator tray are securely strapped to the tray. To avoid the risk of patient or operator injury, ensure that all devices placed on the foot extender/defibrillator tray are securely strapped to the tray. 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. To avoid the risk of patient injury or equipment damage, do not sit on the foot support. 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. 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. If your unit is equipped with the optional electric lift/litter, unplug the power cord from the power outlet before transporting or cleaning the unit. This device does not offer any protection against X-Ray radiation. Do not steam clean the unit. To avoid malfunction, the optional scale system or optional electric lift/litter should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the optional scale system or optional electric lift/litter should be observed to verify normal operation in the configuration in which it will be used. When using any mattress thicker than 2.5 inches or when using a mattress overlay with the Prime X option, extra caution and operator supervision is recommended to reduce the risk of patient falls due to lesser siderail coverage. Do not immerse mattress in cleaning or disinfectant solutions. Excess moisture could cause equipment malfunction resulting in equipment damage or patient injury. Do not allow fluid to pool on the mattress. Fluids can cause corrosion of components and may cause the safety and performance of this equipment to become unpredictable. Inspect mattress covers for tears, punctures, excessive wear, and misaligned zippers each time the covers are cleaned. If compromised, the mattress should be removed from service immediately and replaced to prevent cross-contamination. Disinfect the mattress between patients. Failure to do so could result in cross-contamination and infection. The mattress cover must be completely dry before storage or adding linens. Failure to remove excess disinfectant could cause degradation of the cover material.
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Summary of Safety Precautions CAUTION • • • • • • • • • • • • • • • •
• • • • • • • • • • • • • •
This stretcher is not intended for pediatric use or for patients under 50 lb. This stretcher is intended for use by trained hospital personnel only. 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 gatch is 200 lb. Do not sit or stand on the gatch. Injury or damage to the equipment could occur. To achieve recovery chair position, your stretcher must be equipped with the Lift Assist® backrest and gatch options. 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 engage the steer pedal when the Big Wheel is resting on a threshold or other raised area. The force required to engage the Big Wheel will be higher than normal, possibly causing damage. Do not use the cutout for the oxygen bottle holder on the base hood for the storage of oxygen bottles or patient belongings. The weight capacity of the pump rack is 40 lb. Do not use the pump rack as a push/pull device because equipment damage could occur. 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. The push handles were designed for use while transporting the stretcher. Avoid using other parts of the stretcher as push/pull devices unless otherwise specified in the manual because damage could occur. To avoid damage, do not put items weighing more than 30 lb on the foot extender/defibrillator tray. Do not use the foot extension/defibrillator tray as a push/pull device because equipment damage could occur. Do not use the footboard/chartholder 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 the risk of equipment damage, do not use the foot support to store patient belongings or other items. To avoid injury to the operator, ensure that the operator’s fingers are clear of the mechanism when positioning the foot support. Foot supports should be in the stored position when moving. The stretcher should be in brake position when foot supports are in use. To avoid the risk of damage to the equipment, do not use the foot support as a push/pull device. To avoid injury to the patient or operator, ensure foot supports are tightened securely prior to use. If the stretcher is equipped with the scale system option, the scale should not be utilized while the foot supports are in use because inaccurate readings may occur. If the stretcher is equipped with the chaperone option, the chaperone option should not be utilized while the foot supports are in use because false readings may occur. To avoid damage to the removable I.V. pole, the weight of the I.V. bags should not exceed 40 lb. To avoid damage, the safe working load of the two-stage permanently attached I.V. pole is 40 lb.
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