Stryker
Beds, Chairs, Stretchers and Stools
Ref FL19F-H CUB Pediatric Crib Operations Manual Rev B Oct 2014
Operations Manual
89 Pages
Preview
Page 1
CUB®
de i e u bl e G l a h c a ac ren manu t De efe ck of R ba k ic ee
Qu
Pediatric Crib REF FL19F/H (190)
s
Operations Manual
2014/10 B.0
1900-009-001 REV B
www.stryker.com
Symbols
Warning/Caution, consult accompanying documentation
Safe Working Load Symbol
Type BF device Battery-powered device with internal electrical source.
IPX4
Protection from liquid splash Direct Current 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.
REF
Model
Manufacturer
Symbols ... 1-1 Warning / Caution / Note Definition ... 1-5 Introduction... 1-6 Intended Use ... 1-6 Brief Product Description and Intended Use Statement ... 1-6 Specifications... 1-7 Environmental Conditions ... 1-8 Product Illustration ... 1-9 Contact Information ... 1-10 Summary of safety precautions... 1-11 Setup ... 1-13 Rail Verification (OPTIONAL)... 1-13 Access Door Verification (OPTIONAL)... 1-13 Scale Verification (optional) ... 1-13 Base Control Verification ... 1-14 Litter Movement Verification ... 1-14 Other Equipment:... 1-14 Operation ... 1-15 Base Controls... 1-15 Applying or Releasing the Brakes ... 1-16 Operating the Directional Fifth Wheel (Optional) ... 1-16 Raising or Lowering the Litter (Optional) - FL19H Only... 1-17 Trendelenburg / Reverse Trendelenburg (Optional) - FL19H Only... 1-17 Operating the Fowler / Foot Sections ... 1-18 Manual Fowler Positioning ... 1-18 Pneumatic Fowler Positioning... 1-18 Foot Section Positioning... 1-18 Operating the Siderails... 1-19 Operating Access Doors (Optional)... 1-19 Operating the Scale (Optional) ... 1-20 Battery Replacement ... 1-22 Accessories ... 1-23 Standard Accessory Bracket Usage ... 1-23 Premium Accessory Bracket Usage (Optional)... 1-23 Oxygen Bottle Clamp Usage (Optional)... 1-24 Operating the IV Caddy (Optional)... 1-24 Operating The Two-Stage Fixed IV Pole (Optional) ... 1-25 Operating the Three-Stage IV Pole (Optional) ... 1-26 Chart Holder / Monitor Holder Usage (Optional)... 1-27 Retracting Protective Top Installation (FA64074-BIL) ... 1-28 Retracting Protective Top Operations (FA64074-BIL) ... 1-29 Retracting Protective Top Cleaning ... 1-29
www.stryker.com
1900-009-001 REV B
1-3
English
Table of Contents
Table of Contents English
Accessories (Continued) Protective Top with Supports Installation (FA64183-BIL)... 1-30 Protective Top With Supports Operations (FA64183-BIL) ... 1-31 Protective Top with Supports Cleaning... 1-31 Cleaning... 1-32 Recommended Cleaning Method... 1-32 Recommended Disinfectants... 1-32 RINSE OFF CORROSIVE CLEANERS... 1-32 Special Instructions... 1-33 REMOVAL OF IODINE STAINS ... 1-33 Preventive Maintenance... 1-34 Checklist ... 1-34 Recycling passport ... 1-35 Limited Warranty... 1-36 Warranty exclusion and damage limitations... 1-36 To obtain parts and service... 1-36 Return Authorization... 1-36 Damaged Merchandise... 1-36 International Warranty Clause... 1-36 CUB Crib Quick Reference Guide ... 1-39 Base Controls... 1-41 Applying the Brakes ... 1-41 Raising / Lowering Litter (Optional) - FL19H Only... 1-41 Trendelenburg / Reverse Trendelenburg (Optional) - FL19H Only ... 1-41
1-4
1900-009-001 REV B
www.stryker.com
English
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.
Return To Table of Contents www.stryker.com
1900-009-001 REV B
1-5
Introduction English
INTENDED USE This manual is designed to assist you with the operation of the Stryker Model FL19 CUB® Pediatric Stretcher. It is extremely important for the patient’s safety to read and understand all the information in this manual before operating the stretcher. The manual must be available at all times to hospital staff for reference. This Operations Manual is an integral part of the stretcher and should be included if the unit is sold or transferred.
BRIEF PRODUCT DESCRIPTION AND INTENDED USE STATEMENT INTENDED MEDICAL INDICATIONS: The Stryker Cub Pediatric Crib is a pediatric hospital bed/stretcher intended for medical purposes that consists of a bed or crib designed for the use of a pediatric patient, with fixed end rails and movable and latchable siderails. The contour of the bed surface may be adjustable. INTENDED PATIENT POPULATION: The safe working load indicates the sum of the patient, the mattress, and accessory weight. The safe working load for Cub is 100lb (45 kg). This crib is not intended for use for any patient measuring greater than 35 inches. INTENDED PART OF THE BODY: The Stryker Cub Pediatric Crib is intended to support a patient while meeting safe working loads. The patient can come in contact with the crib, but should never be placed on the frame without a sleep surface. Cub is intended to be used with a 4 in. sleep surface, a thicker sleep surface or overlay that offers therapeutic value. The crib should be used with extra caution. Patient supervision is suggested. INTENDED USER PROFILE: The Stryker Cub Pediatric Crib is for patient use in acute Care settings, including emergency departments, critical care, step down, progressive care, med/surg, sub-acute care, post anesthesia care unit (PACU) or other locations in a professional healthcare facility as prescribed by a healthcare professional. Cub is not intended to be used in a home healthcare environment. The typical operator for Cub would be trained healthcare professionals. INTENDED CONDITION OF USE AND EXPECTED LIFE: The Stryker Cub Pediatric Crib is designed for a 10 year expected service life under normal use, conditions, and with appropriate periodic maintenance as described in the maintenance manual for each device. Stryker warrants to the original purchaser that the welds will be free from structural defects for the expected 10 year life of the product as long as the original purchaser owns the product.
Return To Table of Contents 1-6
1900-009-001 REV B
www.stryker.com
English
Introduction SPECIFICATIONS Model FL19H 190 Hydraulic Base Safe Working Load Overall Length & Width • No Accessory Supports • With Accessory Supports Weight Capacity Overall Weight (without options) Height Range (to litter top) • High • Low Litter Positioning • Manual Activated • Pneumatic Assist • Trend./Reverse Trend. • Foot Section Angle Patient Surface Caster Diameter Brake System Capacity Accuracy Scale (Optional)
Power System Electrical Rating
Model FL19F 190 Fixed Height Base
100 lb (45 kg)
100 lb (45 kg)
65.5 in. x 37 in. (166 x 94 cm) 72.25 in. x 37.5 in. (184 x 95 cm) 400 lb (181 kg) 375 lb (170 kg)
65.5 in. x 37 in. (166 x 94 cm) 72.25 in. x 37.5 in. (184 x 95 cm) 400 lb (181 kg) 310 lb (140,6 kg)
40 in. (102 cm) 33 in. (84 cm)
33 in. (84 cm) 33 in. (84 cm)
0° / 25° / 40° / 55° 0° / 25° / 40° / 55° 0° - 50° 0° - 50° +/- 9.5° 0° / 6° / 12° with manual foot prop 0° / 6° / 12° 0° / 6° / 12° 29.5 in. x 57 in. (75 x 145 cm) 29.5 in. x 57 in. (75 x 145 cm) 6 in. (15 cm) 5 in. (13 cm) Four Wheel Ring Brake System Four Locking Casters Patients weighing 4 lb (1.8 kg) to 100 lb (54.4 kg) Perform scale measurement when unit is flat: ± 0.5 lb (0.2 kg) at 50 lb (22 kg) or less ± 1.0 lb (0.4 kg) at ≥ 50 lb (22 kg) Battery operated - 4 x “C” Type, Alkaline, 1.5VDC 6 VDC, 0.15 A
Stryker provides special attention to product improvement and reserves the right to change specifications without notice. Compliant with the following standards: CSA C22.2, No. 60601.1; UL2601-1; IEC/EN 60601-1.
Note: The Cub® is CE Mark only without the scale option.
Return To Table of Contents www.stryker.com
1900-009-001 REV B
1-7
Introduction English
ENVIRONMENTAL CONDITIONS * Operating environment recommended to ensure scale precision. Environmental Conditions
Ambient Temperature
Relative Humidity (Non-Condensing)
Operation *
Storage and Transportation
85 0F (29.1 0C) 60 0F (15.5 0C)
122 0F (50 0C) -22 0F (-30 0C)
95% 0%
95% 0%
1060 hPa
1060 hPa
Atmospheric Pressure 700 hPa
500 hPa
Return To Table of Contents 1-8
1900-009-001 REV B
www.stryker.com
English
Introduction
PRODUCT ILLUSTRATION
FOWLER SIDE AND END RAILS SIDE AND END RAILS
OPTIONAL ACCESS DOOR
ACCESS DOOR RELEASE KNOBS (OPTIONAL) OPTIONAL ACCESS DOOR
(OPTIONAL) BRAKE / STEER PEDAL
(OPTIONAL) SCALE MODULE
(OPTIONAL)
FOOT SECTION SUPPORT ARM
FOOT SECTION
DRAINAGE BAG HOOK
HEAD PREMIUM ACCESSORY BRACKETS (OPTIONAL)
SIDERAIL ACTIVATION HANDLE
LITTER LIFT PEDAL
OXYGEN BOTTLE RETAINING COLLAR
(OPTIONAL)
(OPTIONAL)
GROUND CHAIN
IV CADDY ARM (OPTIONAL)
UNI-LOWER PEDAL
(OPTIONAL)
PNEUMATIC HEAD SECTION ACTIVATION LEVER
Figure 1 - Bed illustration
Return To Table of Contents www.stryker.com
1900-009-001 REV B
1-9
Introduction English
CONTACT INFORMATION Contact Stryker Customer Service or Technical Support at 1-800-327-0770. Stryker Medical 3800 E. Centre Avenue Portage, Michigan 49002 USA
Return To Table of Contents 1-10
1900-009-001 REV B
www.stryker.com
Before operating the Cub® Pediatric Stretcher, it is important to read and understand all information in this manual. Carefully read and strictly follow the safety precautions listed on this page. The safety precautions are repeated throughout the manual, where applicable.
WARNING •
•
• • • • • •
• • • • • • • • • • • • • • •
Hospital staff should ensure a safe environment to the patient by verifying that the stretcher components (rails, access doors, accessories, etc.) are in good condition and properly secured before placing a patient on the stretcher. Always apply the brakes when a patient is removed from or placed on the stretcher. Always engage the brakes unless the stretcher is being moved. Push on the stretcher to ensure the brakes are securely locked. Injury could result if a stretcher moves while a patient is placed or removed from the stretcher. When brakes are applied on a fixed height stretcher, be sure all four casters are locked to ensure a complete immobilization of the stretcher. To reduce risk of injury, ensure the litter is horizontal and in the lowest position with the rails fully raised when moving the pediatric stretcher with a patient on it. The rails must always remain in the highest position and the litter in the lowest position unless the patient is being tended. Never leave a patient unattended when the rails are lowered. Make sure that proper policies are applied to ensure the patient’s safety when an IV pole and/or an oxygen bottle is used. The patient should not be able to reach nor manipulate them. To prevent possible fire hazard when using an oxygen tent on a stretcher equipped with the scale system (optional), do not activate the scale. Also ensure that the rails are outside the tent. To avoid injury to the patient and/or the user, ensure the rails are in their highest position before lowering the litter or placing it in one of the Trendelenburg positions, and that all equipment and people are removed from the area below and around the litter. To avoid falls and injury, verify the rails and access doors are properly locked into position before leaving a patient unattended or after having moved a rail or an access door. To avoid injury to the patient, ensure the patient’s extremities are clear of all moving parts before operating a rail. Always ensure the rail is securely locked after moving it. To avoid falls and injury, ensure that both access door open/close indicators (located on both lock release knobs) show green when the door is closed and locked into position. Avoid using an access door or a rail handle as push/pull devices or damage to the unit or injury to the patient and/ or user may occur. To avoid injury to the patient and/or user, do not attempt to move the stretcher directly sideways with the steer mode engaged. The fifth steer wheel cannot pivot. To avoid injury to the patient, verify the patient is safely positioned on the litter before lowering the siderail or operating the Fowler or foot section. To avoid injury to the patient when raising or lowering the manual Fowler or the foot section, verify the support arm is securely engaged in the arm stoppers before releasing the Fowler or foot section. When patient is able to climb out the stretcher or reaches the height of 35 in. (90 cm), the stretcher shall no longer be used. Do not place cords, straps or similar items that could become wound around the patient’s neck in or near the stretcher. Do not leave objects or toys in the stretcher. Do not use a water mattress with this stretcher. To avoid injury to the patient, any mattress used on this stretcher must be at least 57 1/2 in. (146.05 cm) long by 29 3/8 in. (74.6 cm) wide and not less than 3 in. (7.6 cm) or more than 6 in. (15.3 cm) thick. Failure to properly clean the mattress, or dispose of it if defective, may increase the risk of exposure to pathogenic substances and may bring about diseases to the patient and/or the user. Do not use the stretcher if any components are missing or broken. Contact your dealer or Stryker for replacement parts. Use only replacement parts provided by Stryker. Maximum static weight capacity = 400 lb (181.4 kg).
Return To Table of Contents www.stryker.com
1900-009-001 REV B
1-11
English
Summary of safety precautions
Summary of safety precautions English
CAUTION • • •
• • • • • • •
To avoid damage to the scale electronic components, do not lean on the accessory bracket housing the scale module. Do not use a two or three stage fixed IV pole at the foot end of a stretcher equipped with the scale. The scale weighing zone is made up of all the upper part of the stretcher, including the safety end/siderails, the accessory brackets, the drainage bag hooks, the chart and monitor holders (optional) located under the mattress support. Ensure no external object is in contact with the stretcher during a weighing or when zeroing the scale. To maintain the scale accuracy, it is recommended to zero the scale at least once a week. Note that the patient must be removed from the stretcher before zeroing the scale. Use only 1.5 VDC alkaline batteries. The use of batteries other than the one recommended may damage the scale electronic components. Remove the batteries if the scale module or the stretcher is not used for long periods. Always store the IV Caddy when not in use to avoid damaging it when the stretcher is moved. The weight of the IV bags should not exceed 40 lb (18 kg). Do not install a two or three-stage fixed IV pole at the foot end of a stretcher equipped with the scale. Do not use the protective top as a push/pull device.
Note •
Throughout the manual, the words “right” and “left” refer to the right and left sides of a patient lying face up on the stretcher.
Return To Table of Contents 1-12
1900-009-001 REV B
www.stryker.com
English
Setup It is important to check that all the stretcher components operate properly before it is put into service. Some stretchers are equipped with one or both fixed endrails. Since stretchers are shipped with all four rails down, a special document describes the procedure to permanently install a fixed endrail. This document is part of the kit provided for the fixed endrail positioning and is to be found in a plastic envelop on the mattress as well as detailed in the Maintenance Manual.
RAIL VERIFICATION (OPTIONAL) Refer to page 1-19 1. Side/endrail handles operate properly, handle triggers and rotational movement operates smoothly. 2. Side/endrails raise and lower smoothly, and lock in the 9", 14" and upper positions when raised or lowered. 3. Side/endrails automatically stop at the 9" position when lowered without interruption (handle kept rotated to the left or right while lowering the rail) from upper positions. Rotating the handle to the left or right further lowers the rail from the 9" position to its lowest position under the mattress surface.
NOTE On some stretchers, the 9" double safety lock may not be present.
ACCESS DOOR VERIFICATION (OPTIONAL) Refer to page 1-19 1. Release knobs operate properly. 2. Access doors open, close and lock properly. 3. Both release knob open/close indicators show green when the door is closed and locked, and yellow when the door is open. Verify that the access doors are properly closed and locked when both open/close indicators show green.
SCALE VERIFICATION (OPTIONAL) Refer to page 1-20 1. Press and release the Weigh/On button. A weight will appear on the scale display four to ten seconds later. If the stretcher is unstable while the scale tries to weigh, the unstable stretcher icon (see icon and note page 1-21) will appear on the display. Repeat the current operation once the stretcher is stabilized. Next, press and keep pressed during at least two seconds the Zero button. A 0.0 lb/kg weight should appear on the display four to ten seconds later. NOTE: The scale automatically shuts off after a 30 seconds of inactivity, except during the Change Equipment procedure where there is a three minute delay. To reactivate the scale, press the Weigh/On button. 2. The weight reading can be displayed in pounds (lb) or kilograms (kg). Press the lb / kg button to switch from a weight reading unit to the other. The lb / kg button can be deactivated to prevent inadvertently changing scale units. To do so, press and hold the lb / kg and Memory buttons for at least two seconds. To reactivate the lb / kg button, repeat the operation. 3. Place a known weight on the mattress of the stretcher and press the Weigh/On button. A weight reading will be displayed four to ten seconds later. Ensure the unit is flat and the weight displayed is accurate to ± 0.5 lb (0.2 kg) at 50 lb (22 kg) or less and ± 1.0 lb (0.4 kg) at ≥ 50 lb (22 kg) of the actual weight. 4. The weight reading displayed can be stored. To do so, press the Weigh/On button. Press and hold the Memory button for two seconds, and release the button when "Memory" appears on the screen. The weight previously displayed by the scale should now be stored in memory. 5. The stored weight reading can be erased. To do so, press the Weigh/On button. Simultaneously press and hold the Memory and Zero buttons for at least two seconds. The value stored is erased when the keys are released and 0.0 lb/kg is displayed on the screen. 6. Equipment can be added or removed from the stretcher when the patient is in it. Leave the patient on the stretcher and press the Weigh/On button. A reading will appear on the display four to ten seconds later. Next, press the Change Equipment button; "Change Equipment" will appear on the screen four to ten seconds later. Add or remove the extra equipment to the stretcher and press the Change Equipment button. The weight of the initial load should now be displayed within ± 0.5 lb (0.2 kg) at 50 lb (22 kg) or less and within ± 1.0 lb (0.4 kg) at ≥ 50 lb (22 kg) when flat. Return To Table of Contents www.stryker.com
1900-009-001 REV B
1-13
Setup English
BASE CONTROL VERIFICATION Refer to page 1-14 1. Optional steer pedal operates properly. Fifth steer wheel operational with steer pedal (green side of the pedal) engaged. 2. Optional brake pedal operates properly. All casters lock with brake pedal engaged (red side of the pedal). 3. Optional lift pedal operates properly. Litter raises and reaches maximum height (40" - 102 cm) when lift pedal is pumped. 4. Trendelenburg positions and litter descent are operational when uni-lower pedal (optional) is depressed using respectively the extremities and its centre. 5. All casters lock and swivel properly. 6. Fixed height stretcher (optional) four casters lock and unlock properly using the brake lever. 7. Litter Movement Verification (see section 2.6): 8. Optional assisted or manual Fowler operates properly.
LITTER MOVEMENT VERIFICATION Refer to page 1-14 1.
Optional assisted or manual Fowler operates properly. NOTE: To raise the assisted Fowler, a slight push under the top part of the Fowler is needed to start its rise; to lower it, push down on its top part while lifting the activation lever.
2.
Foot section support arm operates properly.
OTHER EQUIPMENT: 1. 2. 3. 4. 5. 6.
Ground chain secured to base. Accessory brackets secure. Optional IV Caddy arm (see page 1-24) secure and working properly. Optional two or three-stage IV pole (see page 1-25 and page 1-26) secured to accessory bracket and is easily stored on the adjacent accessory bracket. Optional oxygen bottle clamp (see page 1-24) secured to hood. Optional chart holder (see page 1-27) located under the mattress support secured to frame.
If any problems are found during bed setup, contact the Technical Service department at 1-800-327-0770.
Return To Table of Contents 1-14
1900-009-001 REV B
www.stryker.com
English
Operation BASE CONTROLS Two types of base models are available: the Fixed Height and Variable Height (hydraulic).
F
A
B C
D
RIGHT
HEAD END
LEFT
D E
A
C B
Figure 2 - Base Controls
A
Pump to raise litter.
B
Depress the center of pedal (B) to lower both ends of the stretcher together.
C
Depress the side of pedal (B) closest to the stretcher head end to lower the head end.
D
Depress the side of pedal (B) closest to the stretcher foot end to lower the foot end.
E
Brake and Steer functions (left side) Steer.
F
Steer and Brake functions (right side).
Return To Table of Contents www.stryker.com
1900-009-001 REV B
1-15
Operation English
APPLYING OR RELEASING THE BRAKES WARNING • • • •
Always apply the brakes when a patient is removed from or placed on the stretcher. Always engage the brakes unless the stretcher is being moved. Push on the stretcher to ensure the brakes are securely locked. Serious injury could result if a stretcher moves while a patient is placed or removed from the stretcher. If brakes do not hold properly, refer to your stretcher maintenance manual for the brake adjustment procedure.
Two types of base are available: the Hydraulic Base and the Fixed Height Base.
Note Each of the two types of stretcher base available corresponds a different brake system: a pedal operated four-wheel brake system for the optional hydraulic base and four separate locking casters for the fixed height base. HYDRAULIC BASE • To engage the brakes at the left side of the stretcher, push fully down on the left side of the pedal (E, page 1-15). • To engage the brakes at the right side of the stretcher, push fully down on the right side of the pedal (F, page 1-15). • To disengage the brakes at either side of the stretcher, move the pedal to neutral position.
FIXED HEIGHT BASE
A
WARNING When brakes are applied, ensure all four casters are locked to ensure complete stabilization of the stretcher. • •
To engage the caster brakes, press fully down on all four caster brake levers (A) (see Figure 3). To disengage the caster brake, push the opposite side of the brake lever with your foot or lift up with your toe under the brake lever (see Figure 3).
A
A
A
Figure 3 - Fixed Height Base
OPERATING THE DIRECTIONAL FIFTH WHEEL (OPTIONAL) WARNING • •
To reduce risk of injury, ensure the litter is horizontal and in the lowest position with the rails fully raised when moving the pediatric stretcher with a patient in it. To avoid injury to the patient and/or user, or damage to the stretcher, do not attempt to move the stretcher directly sideways with the steer mode engaged. The fifth steer wheel cannot pivot.
The purpose of the steer mode (fifth steer wheel) is to help guide the stretcher when transporting a patient along a straight line and also for pivoting at corners. • To engage the steer mode at the left side of the stretcher, push fully down on the right side of the pedal (E, page 1-15). • To engage the steer mode at the right side of the stretcher, push fully down on the left side of the pedal (F, page 1-15). • To disengage the steer mode at either side of the stretcher, move pedal to neutral position. Positioning the pedal in neutral enables the stretcher to be moved in any directions, including sideways. Return To Table of Contents 1-16
1900-009-001 REV B
www.stryker.com
English
Operation RAISING OR LOWERING THE LITTER (OPTIONAL) - FL19H ONLY WARNING To avoid injury to the patient and/or the user, ensure the rails are in their highest position before lowering the litter or placing it in one of the Trendelenburg positions, and that all equipment and people are removed from the area below and around the litter. Be sure to move any equipment that may be in the way before raising or lowering the litter. • To raise the litter height, pump pedal (A, page 1-15) repeatedly until the desired height is achieved. • To lower both ends of the litter together, depress the center of pedal (B, see page 1-15) until the desired height is achieved. To lower only the head end of the litter, depress the side of pedal (B, page 1-15) closest to the head end. To lower only the foot end of the litter, depress the side of pedal (B, page 13) closest to the foot end.
TRENDELENBURG / REVERSE TRENDELENBURG (OPTIONAL) - FL19H ONLY NOTE The litter height must be raised first in order to achieve a Trendelenburg position.
WARNING To avoid injury to the patient and/or the user, ensure the rails are in their highest position before lowering the litter or placing it in one of the Trendelenburg positions, and that all equipment and people are removed from the area below and around the litter. • •
For Trendelenburg positioning (head down), depress the side of pedal (B, page 1-15) closest to the stretcher head end. For Reverse Trendelenburg positioning (foot down), depress the side of pedal (B, page 1-15) closest to the stretcher foot end.
NOTE The higher the litter is before a Trendelenburg positioning, the greater the Trendelenburg angle will be. (Maximum Trendelenburg angles: +9.5° to -9.5°).
Return To Table of Contents www.stryker.com
1900-009-001 REV B
1-17
Operation English
OPERATING THE FOWLER / FOOT SECTIONS NOTE Two types of Fowler are available: manually operated and pneumatic assisted. The foot section is manually operated.
WARNING • •
To avoid injury, verify the patient is safely positioned on the litter before lowering the siderail and operating the Fowler or foot section. To avoid injury when raising or lowering the manual Fowler or the foot section, verify the support arm is securely engaged in the arm supports before releasing the Fowler or foot section.
MANUAL FOWLER POSITIONING •
•
Fowler
To raise the Fowler, manually lift it up. As the Fowler is raised, the support arm (A) will fall into position and engage the support brackets into one of the three available angular positions: 25°, 40° and 55° (see Figure 4). To adjust the Fowler angle, lift it up slightly with one hand and with the other, lift one of the support arm handles (A) to disengage it from the support brackets. Engage the support arm at the desired position. To flatten the Fowler, hold the handle while lowering the Fowler to flat and release the support (see Figure 4).
A
Figure 4 - Fowler Positioning
PNEUMATIC FOWLER POSITIONING •
•
Fowler
To raise the Fowler, lift up the right or left activation lever (B) while lifting the Fowler to the desired postion (see Figure 5), and release the lever once the desired height is achieved. To lower the Fowler, push down on the Fowler while lifting up the right or left activation lever (B) (see Figure 5). Release the lever once the desired height is achieved.
Foot Section
FOOT SECTION POSITIONING •
•
To raise the foot section, lift it up manually. As the foot section is raised, the support arm will fall into position and engage the support brackets into one of the two available angular positions: 6° and 12° (see Figure 5). To lower the foot section to the next position or to flat, lift it up with one hand and with the other lift one of the support harm handles (C) to disengage it from the support brackets (see Figure 5). Lower the foot section and release the support so that it engages in the support brackets of the next position or lower to flat, releasing the support only at the end.
B
C
Figure 5 Pneumatic Fowler and Foot Positioning
Return To Table of Contents 1-18
1900-009-001 REV B
www.stryker.com
English
Operation OPERATING THE SIDERAILS WARNING • • •
To avoid injury, ensure the patient’s extremities are clear of all moving parts before operating a rail. Always ensure the rail is securely locked after moving it. The rails must always remain in the highest position and the litter in the lowest position unless a patient is being tended. Never leave a patient unattended when the rails are lowered. To avoid falls and injury, verify the rails and access doors are properly locked into position before leaving a patient unattended or after having moved a rail or an access door.
NOTE To ensure the rails are safely locked into position, verify that the arrow pointers (B) are aligned. •
•
To raise a siderail/endrail, grasp the top bar or the handle (A) and pull the rail up to the desired height. No turning of the handle to any side is necessary. The rail will lock into one of the three available positions: 9 in., 14 in. and 26 in. A “click” will be heard as available locking positions are crossed (see Figure 6). To lower a siderail/endrail, grasp the handle (A). Activate the trigger, turn handle to the left or right and guide the rail down to the desired height. Return the handle back to vertical to lock the rail into desired position (see Figure 6).
A
NOTE •
•
For safety reasons, side/endrails automatically stop and lock at the 9 in. position, even if the handle is kept turned during the rail descent. On some stretchers, the double safety lock at 9 in. may not be present.
B
Figure 6 - Siderails / Endrails
OPERATING ACCESS DOORS (OPTIONAL) WARNING To avoid falls and injury, ensure the access door open/close indicators (located on both release knobs) show green when the door is closed and locked into position. •
•
B
To open an access door, squeeze the two release knobs (A) located on each access door pivot bar and open the access door. The open/ close indicators (B) will show yellow (see Figure 7). To close an access door, return it back to the closed position and it will automatically lock. The open/close indicators (B) will show green. If one of them remains yellow, it means that the door is not completely closed; open and close the door again (see Figure 7).
A
Figure 7 - Access Door
Return To Table of Contents www.stryker.com
1900-009-001 REV B
1-19
Operation English
OPERATING THE SCALE (OPTIONAL) The scale system allows the reading of a patient’s weight in pounds (lb) or kilograms (kg) within ± 0.5 lb (0.2 kg) at 50 lb (22 kg) or less and within ± 1.0 lb (0.4 kg) at ≥ 50 lb (22 kg) when flat. The reading can be stored in memory. The system also allows to add or remove a device or accessory from the stretcher without removing the patient. SCALE CONTROL PANEL
CAUTION •
To avoid damage to the scale electronic components, do not lean on the accessory bracket housing the scale module. Do not use a two or three stage fixed IV pole at the foot end of a stretcher equipped with the scale.
•
C
D
E B
F A
Figure 8 - Scale Control Panel This table refers to Figure 8 above. Activates the scale. A weighing is performed when this button is pressed and released. A weight will be displayed on the display four to ten seconds later. However, no weight is displayed if the Error -Ex.x or the movement icon appears on display. The error will have to be corrected or the stretcher stabilized before using the scale again A Weigh/On (see the Error Code List in the Maintenance Manual). NOTE The scale does not work in continuous mode. It must be activated using the Weigh/ On key each time a reading of the patient’s weight is required.
B C D E
F
Memory
Stores the result of the weighing or recalls on display the weight stored.
Zero
Zeroes the weight displayed on screen and the weight stored.
lb / kg
Changes the unit of measurement (lb or kg).
Change Equipment
To remove or add equipment from the stretcher without removing the patient.
Scale Display
The scale will auto shut off after an inactivity period of 30 seconds, except during the Change Equipment operation where three minutes are allowed. Press the Weigh/On button to reactivate the scale. If the patient weighs more than 100 lb (54 kg), the “Error - E05” message will appear on the display to indicate that the scale should not be used in these conditions, as its maximal weighing capacity is exceeded. Some other error messages may be displayed while operating the scale. Refer to the Error Code List in the Maintenance Manual to understand their signification and what action to take when they appear.
Return To Table of Contents 1-20
1900-009-001 REV B
www.stryker.com