Stryker
Model 1080 Fluoroscopy Stretcher Operations Manual Rev A July 2017
Operations Manual
26 Pages
Preview
Page 1
Fluoroscopy Stretcher 1080
Operations Manual
2017/07 A.1
1080-109-001 REV A
www.stryker.com
sample text
Symbols Operating instructions
General warning
Caution
Warning; crushing of hands
No pushing
Do not store the oxygen bottle
Catalogue number Serial number Batch code For US Patents see www.stryker.com/patents CE mark EC REP Manufacturer
Date of manufacture
Safe working load
Lubricate
www.stryker.com
1080-109-001 REV A
sample text
Table of Contents Warning/Caution/Note Definition ...2 Summary of safety precautions ...3 Introduction...4 Product description...4 Indications for use ...4 Expected service life...4 Contraindications ...4 Specifications...5 Product illustration...6 Contact information ...6 Serial number location ...7 Date of manufacture ...7 Operation ...8 Applying and releasing the brakes ...8 Raising or lowering the litter...8 Positioning the product in Trendelenburg/Reverse Trendelenburg ...9 Raising or lowering the siderails ...9 Raising or lowering the pneumatic Fowler backrest ... 10 Accessories ... 11 Attaching the footboard/chart holder ... 11 Positioning the two-stage permanently attached IV pole option ... 11 Positioning the three-stage permanently attached IV pole option ... 12 Attaching and positioning the removable IV pole ... 13 Attaching the upright oxygen bottle holder ... 14 Locating the patient restraint strap tie-ins ... 15 Cleaning... 16 Cleaning the product... 16 Cleaning the mattress ... 16 Remove iodine... 17 Special instructions ... 17 Disinfecting... 18 Disinfecting the product ... 18 Disinfecting the mattress ... 18 Preventive maintenance ... 20 Warranty ... 21 Warranty exclusion and damage limitations ... 21 To obtain parts and service ... 21 Return authorization... 21 Damaged product... 21 International warranty clause ... 21
www.stryker.com
1080-109-001 REV A
1
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 product 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.
2
1080-109-001 REV A
www.stryker.com
Summary of safety precautions Carefully read and strictly follow the warnings and cautions listed on this page. Service only by qualified personnel.
WARNING •
•
Always apply the brakes when a patient is getting on the product or off the product or when the product is not moving. Push on the product to make sure that the brakes are locked. Injury could result if the product moves while a patient is getting on the product or off the product. Always remove any devices that may be in the way before you raise or lower the litter.
•
Always put the product in the lowest position with the siderails up and latched when you leave a patient unattended on the product. Do not leave the product at a higher height.
•
Always lock the siderails in the full up position with the sleep surface horizontal in the lowest position when you transport a patient.
• •
Always keep the patient’s limbs away from the siderail spindles when you lower the siderail. Do not allow the siderails to lower on their own.
•
Always keep hands and fingers clear of the Fowler backrest release handles and the Fowler backrest frame when you lower the Fowler backrest.
•
Always use caution when you raise a pneumatic Fowler backrest while a patient is on the product. Use proper lifting techniques and get help, if necessary.
• •
Do not use the IV pole as a push/pull device. Product damage may occur. Do not place objects that exceed 40 lb (18 kg) in the upright oxygen bottle holder.
•
Always use caution when you attach restraint straps. Patient or operator injury may occur. Physical restraints, even if secured, may result in serious harm to patients and operators, including entanglement, entrapment, physical injury, or death.
•
Always attach restraint straps or devices only at the identified attachment points of the product. Failure to do so may result in patient or operator injury. Do not attach restraints straps to the siderail.
•
Always refer to the applicable state and federal restrictions and regulations and the appropriate facility protocols before you use any restraint strap or device.
• •
Do not clean, service, or perform maintenance while the product is in use. Do not immerse the mattress in cleaning or disinfectant solutions. Excess moisture could cause product malfunction that results in product 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 product to become unpredictable. Always inspect mattress covers for tears, punctures, excessive wear, and misaligned zippers every time you clean the covers. Remove and replace a damaged mattress immediately to prevent cross-contamination.
• • •
Do not steam clean, pressure wash, hose off, or ultrasonically clean mattresses. These methods of cleaning may void this product’s warranty.
•
Always disinfect the mattress between patients. Failure to do so could result in cross-contamination and infection.
CAUTION • •
Improper usage of the product can cause injury to the patient or operator. Operate the product only as described in this manual. Do not modify the product or any components of the product. Modifying the product can cause unpredictable operation resulting in injury to patient or operator. Modifying the product also voids its warranty.
www.stryker.com
1080-109-001 REV A
3
Introduction This manual assists you with the operation or maintenance of your Stryker product. Read this manual before operating or maintaining this product. Set methods and procedures to educate and train your staff on the safe operation or maintenance of this product.
CAUTION • •
Improper usage of the product can cause injury to the patient or operator. Operate the product only as described in this manual. Do not modify the product or any components of the product. Modifying the product can cause unpredictable operation resulting in injury to patient or operator. Modifying the product also voids its warranty.
Notes • This manual is a permanent part of the product and should remain with the product even if the product is sold. • Stryker continually seeks advancements in product design and quality. This manual contains the most current product information available at the time of printing. There may be minor discrepancies between your product and this manual. If you have any questions, contact Stryker Customer Service or Technical Support at 1-800-327-0770.
Product description The Stryker Model 1080 Fluoroscopy Stretcher is a wheeled stretcher that consists of a platform mounted on a wheeled frame to transport patients in a horizontal position within a healthcare facility by health professionals or trained representatives of the user facility. The device has a U-shaped base and full-length C-arm access to enhance imaging capabilities. The device has siderails, supports for fluid infusion equipment, and various options and accessories that assist with the support and position of the patient during imaging or procedures requiring fluoroscopic X-ray system and transport of the patient.
Indications for use The Stryker Model 1080 Fluoroscopy Stretcher is a wheeled device that provides support and positioning of a patient during transport, imaging, or interventional procedures, especially those requiring the use of a general-purpose fluoroscopic X-ray system, within healthcare facilities. The device has full-length C-arm access that offers flexibility during imaging and a dual pneumatic backrest that helps to provide access for imaging without the need to reposition the patient. The stretcher may be used for minor procedures and short-term stay, typical of existing stretcher applications, including outpatient clinical evaluation, treatment, minor procedures, and outpatient recovery. The Fluoroscopy Stretcher is for use in all acute care hospitals and medical outpatient services. The Fluoroscopy Stretcher has a safe working load up to 500 lb (225 kg). The Fluoroscopy Stretcher is not for long-term inpatient treatment and recovery.
Expected service life The Fluoroscopy Stretcher has a 10 year expected service life under normal use conditions and with appropriate periodic maintenance.
Contraindications None known.
4
1080-109-001 REV A
www.stryker.com
Introduction Specifications 500 lb
225 kg
87 in.
220.9 cm
High
32.75 in.
83.2 cm
Low
23.5 in.
59.7 cm
30.5 in.
77.4 cm
Safe working load indicates the sum of the patient, mattress and accessory weight Overall length Height
Overall width Litter positioning Dual backrest operation
0°-90°
Trendelenburg/Reverse Trendelenburg
±8°
Patient surface
26 in. x 84 in.
66 cm x 213.4 cm
Siderails
13 in. x 55 in.
33 cm x 139.5 cm
Fluoroscopy window
27.5 in. x 66 in.
69.9 cm x 167.6 cm
Caster diameter/width
6 in.
15 cm
C-arm access width
54 in.
137.2 cm
Stryker reserves the right to change specifications without notice.
www.stryker.com
1080-109-001 REV A
5
Introduction Product illustration
F
G
H
K
K
A B E C
J
D
A
Brake/steer pedal
F
IV pole
B
Bumper
G
Pneumatic backrest
C
Caster
H
Pneumatic backrest release handle
D
Foot end hydraulic release pedal
J
Pump pedal
E
Head end hydraulic release pedal
K
Siderail
Contact information Contact Stryker Customer Service or Technical Support at: 1-800-327-0770. Stryker Medical 3800 E. Centre Avenue Portage, MI 49002 USA To view your operations or maintenance manual online, see https://techweb.stryker.com/. 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.
6
1080-109-001 REV A
www.stryker.com
Introduction Serial number location
A
Date of manufacture The year of manufacture is the first 2 digits of the serial number.
www.stryker.com
1080-109-001 REV A
7
Operation Applying and releasing the brakes WARNING Always apply the brakes when a patient is getting on the product or off the product or when the product is not moving. Push on the product to make sure that the brakes are locked. Injury could result if the product moves while a patient is getting on the product or off the product. To apply the brakes, push down on the brake/steer pedal (A) (Figure 1 on page 8). Push on the product to make sure that the brakes work. To release the brakes, push up on the brake/steer pedal (B). To put the brake/steer pedal in the neutral position, put the brake/steer pedal (C) straight.
B C A Figure 1: Brake pedal
Raising or lowering the litter WARNING Always remove any devices that may be in the way before you raise or lower the litter. To raise the litter, press down on the pump pedal (C) (Figure 2 on page 9). To lower the head end, push down on the hydraulic release pedal (B) at either end of the product. To lower the foot end, push down on the hydraulic release pedal (A) at either end of the product. To lower the entire litter, push down on both hydraulic release pedals (A and B) together.
8
1080-109-001 REV A
www.stryker.com
Operation Raising or lowering the litter (Continued)
D
D
A B C
B A C
Figure 2: Raising or lowering the litter
Positioning the product in Trendelenburg/Reverse Trendelenburg WARNING Always remove any devices that may be in the way before you raise or lower the litter. To lower the head end of the litter (Trendelenburg), press down on the hydraulic release pedal (B) at either end of the product (Figure 2 on page 9). To lower the foot end of the litter (Reverse Trendelenburg), press down on the hydraulic pedal (A) at either end of the product.
Raising or lowering the siderails WARNING •
Always put the product in the lowest position with the siderails up and latched when you leave a patient unattended on the product. Do not leave the product at a higher height.
•
Always lock the siderails in the full up position with the sleep surface horizontal in the lowest position when you transport a patient.
• •
Always keep the patient’s limbs away from the siderail spindles when you lower the siderail. Do not allow the siderails to lower on their own.
To raise the siderails, use two hands to grasp the siderail. Raise the siderail until the release latch clicks into place. Pull on the siderail to make sure that the siderail is locked. To lower the siderails, pull up on the release latch. Guide the siderail to the lowest position. Note: Do not use siderails as restraint devices to keep the patient from exiting the product. The siderails keep the patient from rolling off the product. The operator must determine the degree of restraint necessary to make sure that the patient is safe.
www.stryker.com
1080-109-001 REV A
9
Operation Raising or lowering the pneumatic Fowler backrest WARNING •
Always keep hands and fingers clear of the Fowler backrest release handles and the Fowler backrest frame when you lower the Fowler backrest.
•
Always use caution when you raise a pneumatic Fowler backrest while a patient is on the product. Use proper lifting techniques and get help, if necessary.
To raise the Fowler backrest, squeeze the red Fowler backrest release handle. Pull the Fowler backrest up to the desired position. To lower the Fowler backrest, squeeze the red Fowler backrest release handle. Push the Fowler backrest down to the desired position. Note: You can operate the Fowler backrest from both ends of the product litter. This allows the patient to be reversed on the product when taking X-rays.
10
1080-109-001 REV A
www.stryker.com
Accessories These accessories may be available for use with your product. Confirm availability for your configuration or region. Call Stryker Customer Service: 1-800-327-0770. Name
Part number
Footboard/chart holder
1080-134-000
IV pole, 2-stage permanent, foot end
1080-112-000
IV pole, 2-stage permanent, head end
1080-110-000
IV pole, removable
0390-025-010
Oxygen bottle holder, upright
1020-130-000
Restraint strap, ankle
0946-043-001
Restraint strap, chest
1010-058-000
Restraint strap, full package
1010-077-000
Restraint strap, wrist
0946-044-000
Restraint strap, body-chest
0390-019-000
Attaching the footboard/chart holder WARNING Always use caution if the defibrillator tray/foot extender, footboard/chart holder, or upright oxygen bottle holder is attached to avoid pinching your fingers when you position the foot end push handle option. To attach the footboard/chart holder, insert the footboard/chart holder pins into the sockets at the foot end of the product. Note: Do not use the footboard/chart holder as a push/pull device. Product damage may occur.
Positioning the two-stage permanently attached IV pole option WARNING Do not use the IV pole as a push/pull device. Product damage may occur. You can purchase the product with the two-stage IV pole option permanently attached at the head end, foot end, or both ends of the product. The IV pole is equipped with a telescopic pole that extends to provide a second height position. You can fold and store the IV pole when not in use. To position the two-stage IV pole (Figure 3 on page 12): 1. 2. 3. 4. 5.
Lift and pivot the pole from the storage position. Push the IV pole down until the IV pole locks in place. To raise the height of the IV pole, pull up on the telescoping portion (A) until the pole locks in place at the fully raised position. Rotate the IV hangers (B) to the desired position and hang the IV bags. To lower the IV pole, hold the telescoping portion of the IV pole, turn the latch (C), and lower the telescoping portion. Notes • Do not hang IV bags that exceed 40 lb (18 kg) on the IV pole. • Always make sure that the IV pole is at a low height to pass safely through door openings when you transport a patient.
www.stryker.com
1080-109-001 REV A
11
Accessories Positioning the two-stage permanently attached IV pole option (Continued)
A
B
A
C
Figure 3: Positioning the 2 stage permanently attached IV pole
Positioning the three-stage permanently attached IV pole option WARNING Do not use the IV pole as a push/pull device. Product damage may occur. You can purchase the product with the three-stage IV pole option permanently attached at the head end, foot end, or both ends of the product. The IV pole is equipped with a telescopic pole that extends to provide a second and third height position. You can also fold and store the IV pole when not in use. To position the three-stage IV pole (Figure 4 on page 13): 1. 2. 3. 4. 5. 6. 7.
Lift and pivot the pole from the storage position. Push the IV pole down until the pole locks in place. To raise the height of the IV pole, pull up on the telescoping portion (A) until the pole locks into place at the fully raised position. For a higher IV pole, pull up on section (B). Release section (B) at any desired height to lock the pole in place. Rotate the IV hangers (C) to the desired position and hang the IV bags. To lower the IV pole, push up on the yellow portion of the grip (D) while holding on to section (B) until the pole lowers. Turn the latch (E) and lower the IV pole telescoping portion. Notes • Do not hang IV bags that exceed 12 lb (5 kg) total for all bags on the IV pole. • •
12
Do not hang IV bags that exceed 9.3 lb (4.2 kg) on a single IV hanger. Always make sure that the IV pole is at a low height to allow the pole to pass safely through door openings when you transport a patient.
1080-109-001 REV A
www.stryker.com
Accessories Positioning the three-stage permanently attached IV pole option (Continued)
C
B
D A E
Figure 4: Positioning the three-stage permanently attached IV pole
Attaching and positioning the removable IV pole WARNING Do not use the IV pole as a push/pull device. Product damage may occur. To attach and position the removable IV pole (Figure 5 on page 14): 1. 2. 3.
Insert the IV pole into a socket at the head end or foot end of the product. Turn the knob (A) counterclockwise and pull up on the telescoping portion (B) until you reach the desired height. Turn the knob (A) clockwise to lock the telescoping portion in place. Notes • Do not hang IV bags that exceed 40 lb (18 kg) on the IV pole. •
Always make sure that the IV pole is at a low height to pass through door openings when you transport a patient.
www.stryker.com
1080-109-001 REV A
13
Accessories Attaching and positioning the removable IV pole (Continued)
B
A
Figure 5: Removable IV pole
Attaching the upright oxygen bottle holder WARNING • •
Do not place objects that exceed 40 lb (18 kg) in the upright oxygen bottle holder. Always use caution if the defibrillator tray/foot extender, footboard/chart holder, or upright oxygen bottle holder is attached to avoid pinching your fingers when you position the foot end push handle option.
The upright oxygen bottle holder supports an oxygen bottle in a vertical position. To attach the upright oxygen bottle holder: 1. 2.
14
Insert the support bar into any of the IV sockets. Insert the cotter pin through the hole in the support bar to secure the bottle holder to the product. Note: Do not use the upright oxygen bottle holder as a push/pull device.
1080-109-001 REV A
www.stryker.com
Accessories Locating the patient restraint strap tie-ins WARNING •
Always use caution when you attach restraint straps. Patient or operator injury may occur. Physical restraints, even if secured, may result in serious harm to patients and operators, including entanglement, entrapment, physical injury, or death.
•
Always attach restraint straps or devices only at the identified attachment points of the product. Failure to do so may result in patient or operator injury. Do not attach restraints straps to the siderail.
•
Always refer to the applicable state and federal restrictions and regulations and the appropriate facility protocols before you use any restraint strap or device.
There are eight patient restraint strap tie-in locations on the litter assembly for attaching patient restraint straps (Figure 6 on page 15).
Figure 6: Restraint strap tie-in locations
www.stryker.com
1080-109-001 REV A
15
Cleaning Cleaning the product WARNING Do not clean, service, or perform maintenance while the product is in use. Recommended cleaning method 1. 2. 3. 4. 5.
Follow the cleaning solution manufacturer’s dilution recommendations. Hand wash all surfaces of the product with warm water and mild detergent. Avoid over-saturation and make sure that the product does not stay wet longer than the detergent manufacturer’s guidelines for proper cleaning. Dry thoroughly. Do not replace the mattress on the product until the product is dry. Check functionality before you return the product to service. • Raise and lower the product • Lock and unlock the brake/steer pedal in both positions • Latch and unlatch the siderails • Raise and lower the Fowler backrest • Raise and lower the gatch • Make sure all components have proper lubrication • Make sure all labels are intact Notes • Some cleaning agents are corrosive in nature and may cause damage to the product if you use them improperly. If you do not properly rinse and dry the product, a corrosive residue may be left on the surface of the product that could cause premature corrosion of critical components. Failure to follow these cleaning instructions may void your warranty. •
Do not steam clean, power wash, hose off, or ultrasonically clean the product. Use of these methods of cleaning is not recommended and may void the product’s warranty.
• •
Clean the base hood. Clean the bottom of the brake pads to prevent wax or floor remnant buildup.
Cleaning the mattress WARNING •
Do not clean, service, or perform maintenance while the product is in use.
•
Do not immerse the mattress in cleaning or disinfectant solutions. Excess moisture could cause product malfunction that results in product 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 product to become unpredictable. Always inspect mattress covers for tears, punctures, excessive wear, and misaligned zippers every time you clean the covers. Remove and replace a damaged mattress immediately to prevent cross-contamination. Do not steam clean, pressure wash, hose off, or ultrasonically clean mattresses. These methods of cleaning may void this product’s warranty.
• • •
The life of the mattress can be affected by an increase in frequency of usage, which might include more frequent cleaning and disinfection. 1. 2.
Use a clean, soft cloth to wipe down the entire mattress with a mild soap and water solution to remove foreign material. Wipe down the mattress with a clean, dry cloth to remove any excess liquid or cleaning agents.
16
1080-109-001 REV A
www.stryker.com