Transport Stretcher Model ST104 Operations Manual Rev A Sept 2006

Table of Contents Introduction Specifications... 2 Warning / Caution / Note Definition... 2 Summary of Safety Precautions... 3 Operating Base Controls... 4, 5 Raising And Lowering Litter Height... 6 Trendelenburg/Reverse Trendelenburg Positioning... 6 Applying the Brake System... 7 Operating the Fifth Wheel... 7 Using the Siderails... 8 Using the Push Handles... 8 Operating the Fowler... 9 Operating Optional Permanently Attached I.V. Poles... 10, 11 Operating the Optional Foot Extension/Defibrillator Tray... 12 Preventative Maintenance Checklist... 13 Cleaning... 14 Warranty Obtaining Parts and Service... 15 Supplemental Warranty Coverage... 15 Return Authorization... 16 Freight Damage Claims... 16

Introduction INTRODUCTION This manual is designed to assist you with the operation of the Model 737 Transport Stretcher. Read it thoroughly before using the equipment or beginning any maintenance on it.

SPECIFICATIONS Maximum Weight Capacity

500 pounds

Overall Stretcher Length Width

83” / 30”

Minimum Maximum Bed Height

21.5” / 36”

Fowler Angle

0_ to 90_

Trendelenburg Reverse Trendelenburg

+18_ to −18_

Minimum Under Stretcher Clearance

6” (15 cm) nominal 1.75” (4.5 cm) under the hydraulic cyclinders and 5th wheel

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.

Safe Working Load

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Summary of Safety Precautions 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. Be sure the siderail latching mechanism is working properly at all times. If it is not, refer to your stretcher maintenance manual for ”Siderail Latch Adjustment”. 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 the Fowler release handle and the 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. 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. If the Pneumatic Fowler is difficult to operate, refer to the stretcher maintenance manual for “Pneumatic Fowler Adjustment” 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 unit cannot be raised (hydraulics on base) with a patient lift under the stretcher. The hood may not be used for stepping. Note Clean hood storage area regularly. The bottom of the brake rings should be cleaned regularly to prevent wax and/or floor remnant buildup.

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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

FOOT END

HEAD END

F

B

D

A

C

A

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 4). 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 4).

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 5). 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 4). 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 +18_. Maximum reverse trend. angle is −18_).

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 5). 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.

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.

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 proper side of the brake/steer pedal to the full down position.

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Stretcher Operation USING THE SIDERAILS

A

B

WARNING Be sure the siderail latching mechanism (B) is working properly at all times. If it is not, refer to your stretcher maintenance manual for ”Siderail Latch Adjustment”. To engage siderails: Pull up siderail (A) and raise to full up position so that latch (B) engages. To disengage siderails: Pull up on latch (B) and guide siderail to the full down position. 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 avoid injury or damage to the equipment, do not allow the siderail to lower on its own.

USING THE PUSH HANDLES CAUTION 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. To use the push handles: Pivot the handles up and push down until they are locked into position. To store the push handles: Lift the handles up and pivot them down to store in the handle rests.

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Stretcher Operation OPERATING THE FOWLER

A

Squeeze handle (A) for pneumatic assistance in lifting the Fowler to the desired height. Remove hand(s) from handle when the desired height is achieved. To lower the Fowler, squeeze handle (A) and push down until the Fowler has reached the desired height. Remove your hand(s) from the handle when the desired height is achieved. WARNING 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.

CAUTION If the pneumatic Fowler is difficult to operate, refer to the stretcher maintenance manual for a pneumatic Fowler adjustment procedure.

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

A B

C

A

C

DETAIL OF IV 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. 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) clockwise 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 OPTIONAL 3−STAGE PERMANENTLY ATTACHED IV POLE A C E

C

B D B A E

DETAIL OF IV POLE LATCH

D

DETAIL OF IV 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. 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) clockwise 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 FOOT EXTENSION/DEFIBRILLATOR TRAY B

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.

C

A

WARNING 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.

D

FOOT END

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Preventative Maintenance CHECKLIST All fasteners secure Siderails move and latch properly Engage the brake pedal and push on the stretcher to ensure all casters lock securely All casters secure and swiveling properly Body restraints working properly I.V. pole intact and operating properly Oxygen bottle holder intact and operating properly Fowler operates and latches properly 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

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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Cleaning Hand wash all surfaces of the stretcher with warm water and mild detergent. Dry thoroughly. DO NOT STEAM CLEAN, PRESSURE WASH, HOSE OFF OR ULTRASONICALLY CLEAN. Using these methods of cleaning is not recommended and may void this product’s warranty. Clean Velcro AFTER EACH USE. Saturate Velcro with disinfectant and allow disinfectant to evaporate. (Appropriate disinfectant for nylon Velcro should be determined by the hospital.) In general, when used in those concentrations recommended by the manufacturer, either phenolic type or quaternary type disinfectants can be used. Iodophor type disinfectants are not recommended for use because staining may result. The following products have been tested and have been found not to have a harmful effect WHEN USED IN ACCORDANCE WITH MANUFACTURERS RECOMMENDED DILUTION.*

TRADE NAME

DISINFECTANT TYPE

MANUFACTURER

*MANUFACTURER’S RECOMMENDED DILUTION

A33

Quaternary

Airwick (Professional Products Division)

2 ounces/gallon

A33 (dry)

Quaternary

Airwick (Professional Products Division)

1/2 ounce/gallon

Beaucoup

Phenolic

Huntington Laboratories

1 ounce/gallon

Blue Chip

Quaternary

S.C. Johnson

2 ounces/gallon

Elimstaph

Quaternary

Walter G. Legge

1 ounce/gallon

Franklin Phenomysan F2500

Phenolic

Purex Corporation

1 1/4 ounce/gallon

Franklin Sentinel

Quaternary

Purex Corporation

2 ounces/gallon

Galahad

Phenolic

Puritan Churchill Chemical Company

1 ounce/gallon

Hi−Tor

Quaternary

Huntington Laboratories

1/2 ounce/gallon

LPH

Phenolic

Vestal Laboratories

1/2 ounce/gallon

Matar

Phenolic

Huntington Laboratories

1/2 ounce/gallon

Omega

Quaternary

Airwick (Professional Products Division)

1/2 ounce/gallon

Quanto

Quaternary

Huntington Laboratories

1 ounce/gallon

Sanikleen

Quaternary

West Chemical Products

2 ounces/ gallon

Sanimaster II

Quaternary

Service Master

1 ounce/gallon

Vesphene

Phenolic

Vestal Laboratories

1 1/4 ounce/ gallon

Quaternary Germicidal Disinfectants, used as directed, and/or Chlorine Bleach products, typically 5.25% Sodium Hypochlorite in dilutions ranging between 1 part bleach to 100 parts water, and 2 parts bleach to 100 parts water are not considered mild detergents. These products are corrosive in nature and may cause damage to your stretcher if used improperly. If these types of products are used to clean Stryker patient handling equipment, measures must be taken to insure the stretchers are rinsed with clean water and thoroughly dried following cleaning. Failure to properly rinse and dry the stretchers will leave a corrosive residue on the surface of the stretcher, possibly causing premature corrosion of critical components. NOTE Failure to follow the above directions when using these types of cleaners may void this product’s warranty.

REMOVAL OF IODINE COMPOUNDS This solution may be used to remove iodine stains from mattress cover surfaces. 1. Use a solution of 1−2 tablespoons Sodium Thiosulfate in a pint of warm water to clean the stained area. Clean as soon as possible after staining occurs. If stains are not immediately removed, allow solution to soak or stand on the surface. 2. Rinse surfaces which have been exposed to the solution in clear water before returning bed to service.

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Warranty Limited Warranty: Stryker Medical Division, a division of Stryker Corporation, warrants to the original purchaser that its products should be free from defects in material and workmanship for a period of one (1) year after date of delivery. Stryker’s obligation under this warranty is expressly limited to supplying replacement parts and labor for, or replacing, at its option, any product which is, in the sole discretion of Stryker, found to be defective. If requested by Stryker, products or parts for which a warranty claim is made shall be returned prepaid to Stryker’s factory. Any improper use or any alteration or repair by others in such manner as in Stryker’s judgement affects the product materially and adversely shall void this warranty. Any repair of Stryker products using parts not provided or authorized by Stryker shall void this warranty. No employee or representative of Stryker is authorized to change this warranty in any way. Stryker Medical stretcher products are 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 on its stretcher products will be free from structural defects for the expected 10 year life of the stretcher product as long as the original purchaser owns the product. This statement constitutes Stryker’s entire warranty with respect to the aforesaid equipment. STRYKER MAKES NO OTHER WARRANTY OR REPRESENTATION, EITHER EXPRESSED OR IMPLIED, EXCEPT AS SET FORTH HEREIN. THERE IS NO WARRANTY OF MERCHANTABILITY AND THERE ARE NO WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE. IN NO EVENT SHALL STRYKER BE LIABLE HEREUNDER FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES ARISING FROM OR IN ANY MANNER RELATED TO SALES OR USE OF ANY SUCH EQUIPMENT.

To Obtain Parts and Service: Stryker products are supported by a nationwide network of dedicated Stryker Field Service Representatives. These representatives are factory trained, available locally, and carry a substantial spare parts inventory to minimize repair time. Simply call your local representative, or call Stryker Customer Service at (800) 327−0770.

Service Contract Coverage: Stryker has developed a comprehensive program of service contract options designed to keep your equipment operating at peak performance at the same time it eliminates unexpected costs. We recommend that these programs be activated before the expiration of the new product warranty to eliminate the potential of additional equipment upgrade charges.

A SERVICE CONTRACT HELPS TO: S

Ensure equipment reliability

S

Stabilize maintenance budgets

S

Diminish downtime

S

Establish documentation for JCAHO

S

Increase product life

S

Enhance trade−in value

S

Address risk management and safety

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Warranty Stryker offers the following service contract programs: SPECIFICATIONS

GOLD

SILVER

PM* ONLY

Annually scheduled preventative maintenance

X

X

All parts,** labor, and travel

X

X

Unlimited emergency service calls

X

X

Priority one contact; two hour phone response

X

X

Most repairs will be completed within 3 business days

X

X

JCAHO documentation

X

X

X

On−site log book w/ preventative maintenance & emergency service records

X

Factory−trained Stryker Service Technicians

X

X

X

Stryker authorized parts

X

X

X

End of year summary

X

Stryker will perform all service during regular business hours (9−5)

X

X

X

X

* Replacement parts and labor for products under PM contract will be discounted. ** Does not include any disposable items, I.V. poles (except for Stryker HD permanent poles), mattresses, or damage resulting from abuse.

Stryker Medical also offers personalized service contracts. Pricing is determined by age, location, model and condition of product. For more information on our service contracts, please call your local representative or call (800) 327−0770 (option #2).

Return Authorization: Merchandise cannot be returned without approval from the Stryker Customer Service Department. An authorization number will be provided which must be printed on the returned merchandise. Stryker reserves the right to charge shipping and restocking fees on returned items. SPECIAL, MODIFIED, OR DISCONTINUED ITEMS NOT SUBJECT TO RETURN.

Damaged Merchandise: ICC Regulations require that claims for damaged merchandise must be made with the carrier within fifteen (15) days of receipt of merchandise. DO NOT ACCEPT DAMAGED SHIPMENTS UNLESS SUCH DAMAGE IS NOTED ON THE DELIVERY RECEIPT AT THE TIME OF RECEIPT. Upon prompt notification, Stryker will file a freight claim with the appropriate carrier for damages incurred. Claim will be limited in amount to the actual replacement cost. In the event that this information is not received by Stryker within the fifteen (15) day period following the delivery of the merchandise, or the damage was not noted on the delivery receipt at the time of receipt, the customer will be responsible for payment of the original invoice in full. Claims for any short shipment must be made within thirty (30) days of invoice.

International Warranty Clause: This warranty reflects U.S. domestic policy. Warranty outside the U.S. may vary by country. Please contact your local Stryker Medical representative for additional information.

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European Representative Stryker EMEA RA/QA Director Stryker France ZAC Satolas Green Pusignan Av. De Satolas Green 69881 MEYZIEU Cedex France

3800 E. Centre Ave., Portage, MI 49002 (800) 327−0770 www.stryker.com JH 9/06 737−009−001 REV A