Model 1105 Prime Series Stretcher Operations Manual Rev B Dec 2017

sample text

Symbols

Refer to instruction manual/booklet

Operating instructions/Consult instructions for use

General warning

Caution

Warning; crushing of hands

Warning; non-ionizing radiation

No pushing

Do not store the oxygen bottle

Do not lubricate 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

Maximum patient weight

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Symbols Mass of equipment with safe working load Direct current

~

Alternating current

Dangerous voltage

Protective earth ground IPX6

Protection from powerful water jets Type B applied part Medical Equipment Classified by Underwriters Laboratories Inc. With Respect to Electric Shock, Fire, and Mechanical Hazards Only in Accordance with ANSI/AAMI ES60601-1: 2005 and CAN/CSA-C22.2 No. 60601-1:08. *For Prime X option, Associated Equipment of X-ray Equipment IEC 60601-2-54 In accordance with European Directive 2012/19/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. Contact your local distributor for disposal information. Lubricate Lift here

U.S.A.

English text below this symbol is intended for USA audiences only

CANADA

English text below this symbol is intended for Canada audiences only

Top view

Bottom view

Head end

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Symbols

Foot end

Patient foot end, left

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Table of Contents Warning/Caution/Note Definition ...4 Summary of safety precautions ...5 Pinch points ...8 Introduction...9 Product Description ...9 Indications for use ...9 Expected service life... 10 Contraindications ... 10 Specifications... 10 Product illustration - Prime base... 13 Product illustration - Prime litter ... 14 Position adjustment button identification... 15 Scale button identification ... 15 Applied parts - Electric litter option... 17 Applied parts - Prime X option... 18 Contact information ... 18 Serial number location ... 19 Date of manufacture ... 19 Setup... 20 Operation ... 21 Applying and releasing the brakes ... 21 Prime base controls ... 21 Raising the non-electric litter ... 21 Lowering the non-electric litter ... 22 Raising the electric litter option ... 22 Lowering the electric litter option ... 23 Positioning the product in Trendelenburg... 23 Positioning the product in Reverse Trendelenburg... 23 Transporting a patient with the retractable fifth wheel ... 24 Positioning or stowing the head end push handles option... 24 Positioning or stowing the foot end push handles option ... 25 Raising the siderail ... 26 Lowering the siderail ... 27 Positioning the product with the siderail patient control panel - electric litter - not available with Prime X option ... 27 Operator control panel - electric litter option - not available with Prime X option ... 27 Locking and unlocking the patient control panel lockout - electric litter option - not available with Prime X option ... 28 Raising or lowering the Fowler backrest - non-electric litter... 28 Raising or lowering the Fowler backrest - electric litter... 28 Raising or lowering the gatch - non-electric litter - not available with Prime X option... 29 Raising or lowering the gatch - electric litter option - not available with Prime X option... 29 Positioning the recovery chair - not available with Prime X option ... 30

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Table of Contents Storing objects in the base hood... 31 Hanging devices with the pump rack option... 31 Extending or retracting the power cord with the retractable cord reel option - electric lift option or electric litter option ... 31 Scale system option... 32 Replacing the batteries for the scale system option - non-electric litter... 33 Charging the scale system battery pack option - electric litter option or electric litter option with Chaperone option - not available with Prime X option ... 33 Arming or disarming the Chaperone option ... 33 Setting the Chaperone option alert pattern... 34 Setting the Chaperone option alert volume ... 34 Accessories ... 35 Attaching the defibrillator tray ... 36 Converting the defibrillator tray/foot extender to a defibrillator tray ... 37 Converting the defibrillator tray/foot extender to a foot extender ... 38 Attaching the footboard/chart holder ... 38 Attaching the IV caddy... 38 Positioning or stowing the foot supports - not available with Prime X option ... 39 Positioning the two-stage permanently attached IV pole option ... 41 Positioning the three-stage permanently attached IV pole option ... 42 Attaching and positioning the removable IV pole ... 43 Attaching the upright oxygen bottle holder ... 43 Extending or stowing the serving tray holder/footboard... 44 Attaching the siderail pads ... 44 Locating the patient restraint strap tie-ins ... 44 Positioning the upright X-ray cassette holder - Prime X option ... 45 Positioning the lateral X-ray cassette holder - Prime X option ... 46 Inserting or removing X-ray cassettes - Prime X option... 47 Cleaning... 49 Cleaning the product... 49 Cleaning the product using a cart washer ... 49 Cleaning the mattress ... 50 Remove iodine... 51 Special instructions ... 51 Disinfecting... 52 Disinfecting the product ... 52 Disinfecting the mattress ... 52 Preventive maintenance ... 54 Retractable fifth wheel lubrication... 55 EMC information ... 56 Warranty ... 60 Warranty exclusion and damage limitations ... 60 To obtain parts and service ... 60

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Table of Contents Return authorization... 60 Damaged product... 60 International warranty clause ... 60

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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 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.

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Summary of safety precautions Always read and strictly follow the warnings and cautions listed on this page. Service only by qualified personnel.

WARNING •

Always allow the product to reach room temperature before you set up the product or test functional operations. Permanent product damage may occur.

•

Always operate the product when all operators are clear of the mechanisms.

•

Always use care when you handle the power cord. Entanglement, damage to the power cord, or potential shock hazards may occur. If the power cord is damaged, immediately remove the product from service and contact the appropriate maintenance personnel.

•

Always plug the product directly into a grounded, hospital grade wall outlet. You can only achieve grounding reliability when you use a hospital grade wall outlet. This product is equipped with a hospital grade plug to protect against electric shock hazard.

•

Always apply the brakes when a patient is getting on the product or off the product or when the product is not moving. Injury could result if the product moves while a patient is getting on the product or off the product.

• •

Always position the patient in the center of the product. 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 remove any devices that may be in the way before you raise or lower the litter.

• • •

•

Do not sit on the end of the product. The product may tip. Always unplug the power cord from the wall outlet before you transport or clean the product if your product is equipped with the electric lift or electric litter option. Always lock the siderails in the full up position with the sleep surface flat in the lowest position when you transport a patient. Always keep hands and fingers clear of the foot end push handles when you use the defibrillator tray/foot extender, chart holder, or upright oxygen bottle holder. Always use extra caution when you use a mattress thicker than 2.5 in. or a mattress overlay with Prime X option.

• •

Always keep the patient’s limbs away from the siderail spindles when you raise or 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.

• •

Always keep hands and fingers clear of the foot end push handles when you lower the gatch. Always keep device lines on the pump rack away from the gatch handles.

• •

Always make sure that devices on the pump rack can pass safely through door openings. Do not lift the product by the pump rack.

•

Always unplug the power cord from the wall outlet before you transport or clean the product.

• •

Always use the retractable cord reel to store the power cord inside the base when you transport the product. Do not use the scale system option or electric lift option or electric litter option adjacent to or stacked with other devices. If adjacent or stacked use is necessary, the scale system option or electric lift option or electric litter option should be observed to make sure that all devices are operating normally in the configuration in which they will be used.

•

Do not place items that weigh more than 30 lb (14 kg) on the defibrillator tray. Always strap down all devices that you place on the defibrillator tray.

•

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.

• •

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Summary of safety precautions WARNING (CONTINUED) •

Do not place items that weigh more than 30 lb (14 kg) on the defibrillator tray/foot extender. Always strap down all devices that you place on the defibrillator tray.

• •

Always secure the IV pole to the IV caddy when you transport the product. Always store the IV caddy when not in use to avoid product damage.

• •

Do not sit on the foot supports. This may cause the product to tip. Always clear your fingers from the mechanisms when you operate the foot supports.

• •

Always stow the foot supports when you transport a patient with the product. Always tighten the foot supports before you use the foot supports.

•

Do not operate the scale system with the foot supports. Inaccurate readings may occur.

• •

Do not operate the Chaperone option with the foot supports. Inaccurate readings may occur. 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. Do not place objects that exceed 30 lb (14 kg) on the serving tray.

•

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 restraint 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.

• • •

Always take protective measures when you use the upright or lateral X-ray cassette holder. The X-ray cassette holder does not protect against radiation.

•

Always refer to local, state, and federal guidelines in addition to facility protocols for safety before you use Prime X option with radiation generating devices. Radiation generating devices may produce residual, stray, or scattered radiation.

•

Always follow the Positioning the upright X-ray cassette holder - Prime X option instructions to insert the X-ray cassette.

•

Always follow the Positioning the lateral X-ray cassette holder - Prime X option instructions to insert the X-ray cassette.

•

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.

•

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.

•

Do not use the hydraulics on the base to raise the product with a patient lift under the product.

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Summary of safety precautions CAUTION (CONTINUED) •

The weight capacity of the gatch is 200 lb (90.7 kg).

• •

Always make sure that the gatch prop rod is secure before use. Do not sit or stand on the gatch.

•

Always use caution when you attempt to lower the gatch while the product is unpowered. Gravity may cause a rapid drop of the gatch.

•

Do not place objects that exceed 60 lb (27 kg) in the base hood.

• •

Do not sit, step, or stand on the base hood. The weight capacity of the pump rack is 40 lb (18 kg).

• •

Do not use the pump rack as a push/pull device. Do not use the scale for pediatric use or for patients under 50 lb.

•

Always raise the IV pole before you attach the defibrillator tray/foot extender to the product. If you do not raise the IV pole, the foot extender will not operate.

•

Do not use abrasive cleaners to clean the display enclosure for the scale system option. Do not allow cleaning solutions or other fluids to pool on the display unit. Dry all surfaces after spills or cleaning.

•

Portable RF communications equipment, including peripherals such as antenna cables and external antennas, should be used no closer than 12 inches (30 cm) to any part of the Prime stretcher, including cables specified by the manufacturer.

•

Avoid stacking or placing other equipment adjacent with other equipment to prevent improper operation of the products. If such use is necessary, carefully observe stacked or adjacent equipment to make sure that they are operating properly.

•

The use of accessories, transducers, and cables, other than those specified or provided by the manufacturer, could result in increased electromagnetic emissions or decreased electromagnetic immunity and result in improper operation. The emissions characteristics of this equipment make it suitable for use in industrial areas and hospitals (CISPR 11 class A). If it is used in a residential environment, for which CISPR 11 class B is normally required, this equipment might not offer adequate protection to radio frequency communication services. The user might need to take mitigation measures, such as relocating or reorienting the equipment.

•

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Summary of safety precautions Pinch points

Figure 1: Prime X option

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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 1105 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. A stretcher provides the operator with a method of transporting patients within the interior of a healthcare facility by health professionals or trained representatives of the facility. The Stryker Model 1105 Prime Series stretcher with the retractable fifth wheel optimizes traction and cornering to improve overall mobility.

Indications for use The Prime Series stretcher with retractable fifth wheel is intended to steer the stretcher along a straight line during transport and pivot the stretcher around corners.

The Prime Series stretcher may be used as a short-term outpatient clinical evaluation, treatment, minor procedure, and short-term outpatient recovery platform. The stretcher may include use in, but is not limited to: • Emergency department (ED) • Trauma area • Post-anesthesia care unit (PACU) The Prime Series stretcher may be used for minor procedures and short-term stay (treatment and recovery). See the specifications table for the intended environmental conditions. The Prime Series stretcher is not for use for long-term inpatient treatment and recovery. The Prime Series stretcher has a safe working load up to 700 lb (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 Series stretcher has siderails and has the option available to support the temporary or permanent placement of IV poles, along with various other options and accessories to assist with the transport of the patient. Prime X® option provides an articulating radiographic patient support surface and a platform below the patient support surface for X-ray cassette placement. Prime X option is intended to allow the capture of clinical X-rays (AP full body, optional full body lateral, and optional upright chest) when used with a medical X-ray system.

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Introduction Expected service life Prime Series stretchers and Prime Series stretchers with Prime X option have a 10 year expected service life under normal use conditions and with appropriate periodic maintenance.

Contraindications Do not use Prime X option with a mattress with a thickness greater than 4 in. Do not use a C-Arm with Prime X option. Prime X option is not compatible with a C-Arm. 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.

Specifications Prime Prime

Prime X option 30 in. width

26 in. width

30 in. width Prime Series HT Packs

Safe working load indicates the sum of the patient, 700 lb mattress and accessory weight

318 kg

700 lb

318 kg

700 lb

318 kg

675 lb

306 kg

675 lb

306 kg

675 lb

306 kg

Overall length

85 in. (± 0.5 in.)

215.9 cm

85 in. (± 0.5 in.)

215.9 cm

85 in. (± 0.5 in.)

215.9 cm

Overall length (litter extension option)

89.9 in. (± .75 in.)

228.3 cm

89.9 in. (± .75 in.)

228.3 cm

N/A

N/A

Overall width (siderails up)

34 in. (± 1 in.)

86.4 cm

38 in. (± 1 in.)

96.5 cm

38 in. (± 1 in.)

96.5 cm

Overall width (siderails down)

30.25 in. (± .5 in.)

76.8 cm

30.5 in. (± .5 in.)

77.5 cm

30.5 in. (± .5 in.)

77.5 cm

Minimum / maximum height

20.75 in. / 34 in. (± 1 in.)

52.7 cm / 86.4 cm

20.75 in. / 34 in. (± 1 in.)

52.7 cm / 86.4 cm

23.25 in. / 36.5 in. (± 1 in.)

59.1 cm / 92.7 cm

Maximum height with hood 1105-101-046

34 in. (± 1 in.)

86.4 cm

34 in. (± 1 in.)

86.4 cm

36.5 in. (± 1 in.)

92.7 cm

55.9 cm

22 in.

55.9 cm

23.25 in.

59.1 cm

Maximum patient weight

Minimum height with hood 110522 in. 101-046 Fowler angle

0° to 90° (± 5°)

Gatch height

5.5 in. (14 cm) minimum

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Not applicable

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Introduction Specifications (Continued) Prime Prime

Prime X option 30 in. width

26 in. width

30 in. width Prime Series HT Packs

Trendelenburg-Reverse Trendelenburg

+17°/-17° (± 3°) 5.75 in. nominal

Minimum clearance

1.75 in. under the hydraulic jacks and fifth wheel

Attenuation equivalent (aluminum equivalence)

14.6 cm

5.75 in. nominal

4.5 cm

1.75 in. under the hydraulic jacks and fifth wheel

14.6 cm

5.75 in. nominal

14.6 cm

4.5 cm

1.75 in. under the hydraulic jacks and fifth wheel

4.5 cm

Maximum value allowed is 1.7 mm Al

Not applicable

Scale system option weight operating range

50 lb (22.7 kg) to 700 lb (318 kg)

Scale system option 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) *

* To meet the scale accuracy claim, the patient surface must be in the flat position (Fowler backrest and gatch down), in the highest position, and the product cannot exceed 5 degrees of Trendelenburg-Reverse Trendelenburg.

Electric litter option (available on Prime only)

Electric lift option (available on Prime and Prime X option)

120 VAC, 60 Hz, 10 A

120 VAC 60 Hz, 10 A

240 VAC, 50/60 Hz, 5 A

240 VAC, 50/60 Hz, 5 A

Duty cycle

Continuous operation with intermittent loading is 1 min. ON/20 min. OFF

Continuous operation with intermittent loading is 1 min. ON/20 min. OFF

Scale system option

Non-electric litter (available on Prime and Prime X option)

Electric lift option (available on Prime and Prime X option)

Battery type

4 x AA battery (4 x 1.5 VDC) alkaline type (LR6)

4 x AA battery (4 x 1.5 VDC) alkaline type (LR6)

Battery voltage

6.0 VDC

6.0 VDC

Scale system option

Electric litter option (available on Prime only)

Electric lift option

Battery type

1 x rechargeable Lithium Ion Battery Pack (0058-135-000)

Not applicable

Battery voltage

10.8VDC, 2.4Ah

Not applicable

Electric options

Electrical requirements

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Introduction Specifications (Continued) Scale system option with Chaperone option (stretcher exit)

Electric litter option (available on Prime only)

Electric lift option

Battery type

1 x Rechargeable Lithium Ion Battery Pack (0058-134-000)

Not applicable

Battery voltage

10.8 VDC, 4.8 Ah

Not applicable

Stryker reserves the right to change specifications without notice. Note: This product is not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide. ID

Name

IEC 60601-1

Medical electrical equipment - Part 1: General requirements for basic safety and essential performance

IEC 60601-1-2

Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance Collateral standard: Electromagnetic compatibility Requirements and tests

IEC 60601-1-3

Medical electrical equipment - Part 1-3: General requirements for basic safety and essential performance Collateral Standard: Radiation protection in diagnostic Xray equipment

IEC 60601-2-52

Medical electrical equipment - Part 2-52: Particular requirements for the basic safety and essential performance of medical beds

IEC 60601-2-54

Medical electrical equipment - Part 2-54: Particular requirements for the basic safety and essential performance of X-ray equipment for radiography and radioscopy

Environmental conditions

Temperature

Operation

Storage and transportation 100 °F (38 °C)

50 °F (10 °C)

140 °F (60 °C) -4 °F (-20 °C)

75%

Relative humidity

95% 10%

30% 1060 hPa

Atmospheric pressure

700 hPa

1060 hPa 500 hPa

Specifications listed are approximate and may vary slightly from product to product or by power supply fluctuations.

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Introduction Specifications (Continued) Scale system option (non-electric litter/electric litter option) Environmental conditions

Operation

Storage and transportation 79 °F (26 °C)

Temperature

140 °F (60 °C)

61 °F (16 °C)

-4 °F (-20 °C) 75%

Relative humidity

95% 10%

30% 1060 hPa

Atmospheric pressure

1060 hPa

700 hPa

500 hPa

Product illustration - Prime base

B A E

F G B

D

B

C F

C

D Figure 2: Prime base

A

Base hood storage

E

Hydraulic release pedal

B

Brake/steer control pedal

F

Pump pedal

C

Bumpers, integrated

G

Uni-lower pedal

D

Casters with integrated wheel covers

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Introduction Product illustration - Prime litter K

G

P D

C H

D

B

F L M

I

O

N

A

J

F

E Figure 3: Prime litter

A

Cassette tray

I

Patient control lockout option

B

Drop seat Fowler backrest with Lift Assist®

J

Patient surface with Clearview Technology® (Prime X option)

C

BackSmart™ foot end operator controls option

K

BackSmart pop-up push handles option

D

Fowler backrest release handle

L

Pump rack

E

Gatch pump handle option

M

BackSmart scale system option

F

Gatch release handle option

N

BackSmart siderail, Glideaway

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