Performance-PRO XT Ref 6086 Operations and Maintenance Manual Rev B March 2013

Symbols Refer to instruction manual/booklet

Operating instructions

CE Mark

Manufacturer

Safe working load

General warning

Caution

Warning; crushing of hands

No pushing

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Table of Contents Symbols ... 3 Warning/Caution/Note Definition... 9 Introduction... 10 Product Description ... 10 Intended Use of Product... 10 Specifications... 11 Contact Information ... 12 Serial Number Location... 12 Product Illustration ... 13 Summary of Safety Precautions... 14 Setup Procedures... 18 Cot Fastener Installation ... 19 Vehicle Safety Hook Selection... 21 Vehicle Safety Hook Installation... 22 Vehicle Configuration ... 22 Required Hardware for Installation of the Safety Hook (Not Supplied)... 22 Front to Back Positioning of the Safety Hook... 23 Side to Side Positioning of the Safety Hook... 24 Installing the Safety Hook... 24 Adjusting Cot Load Height... 25 Cot Positions... 26 Operation Guide ... 27 Operating Guidelines ... 27 Proper Lifting Techniques... 27 Transferring the Patient to the Cot... 28 Rolling the Cot... 28 Adjusting the Height of the Cot with Two Operators... 29 Adjusting the Height of an Empty Cot with One Operator... 30 Loading or Unloading the Cot ... 31 Loading or Unloading the Cot with the Power-LOAD Option ... 31 Loading the Cot into a Vehicle with Two Operators... 32 Loading an Empty Cot into a Vehicle with One Operator ... 33 Unloading the Cot from a Vehicle with Two Operators ... 34 Unloading an Empty Cot from a Vehicle with One Operator ... 35 Using Additional Assistance ... 36 Operating the Backrest... 37 Raising and Lowering the Siderails (Standard)... 37 Raising and Lowering the Siderails (XPS Option)... 38 Operating the Retractable Head Section... 39 Adjusting the Footrest... 40 Adjusting the Optional Knee Gatch ... 41 Operating the Optional Wheel Locks... 42 Using the Optional Kickstand for Dialysis Scale... 43 Using Restraint Straps ... 44 www.stryker.com

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Table of Contents Using the Restraint Extender... 47 Attaching the Pedi-Mate® Infant Restraint System ... 48 Using the Defibrillator Platform ... 50 Using the Equipment Hook ... 52 Using the Head Extension with Pillow ... 52 Operating the Optional Two-Stage I.V. Pole... 53 Operating the Optional Three-Stage I.V. Pole ... 54 Attaching an Oxygen Bottle to an Oxygen Bottle Holder... 55 Using the Retractable Head Section Oxygen Bottle Holder... 56 Installing the Base Storage Net... 57 Installing the Backrest Storage Pouch... 58 Installing the Head End Storage Flat... 59 Using the Transfer Flat... 59 Attaching the Mattress ... 60 Cleaning... 61 Washing Procedure... 61 Washing Limitations ... 61 Removal of Iodine Compounds ... 62 Preventive Maintenance... 63 Checklist ... 63 Regular Inspection and Adjustments ... 64 Maintenance Record... 66 Training Record... 67 Quick Reference Replacement Parts List... 68 Service Information... 69 Backrest Adjustment... 69 Wheel Locking Force Adjustment ... 70 Cot Retaining Post Adjustment ... 71 Cot Retaining Post Replacement... 72 Cot Retaining Post Screw Replacement... 72 Headsection Replacement... 73 Backrest Gas Cylinder Replacement... 73 Inner, Inner Tube Replacement ... 74 Outer, Inner Tube Replacement... 75 Outer, Outer Tube Replacement ... 76 Inner, Outer Tube Replacement... 77 Siderail Assembly Replacement (Standard)... 78 Siderail Assembly Replacement (XPS Option)... 79 Ratchet Assembly Replacement (XPS Option)... 80 Release Handle Assembly Replacement (XPS Option)... 81 Spring Handle Assembly Replacement (XPS Option)... 81 Cot Assembly ... 82 Base Assembly... 86 No Wheel Lock Option... 90 6

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Table of Contents Single Wheel Lock Option... 91 Dual Wheel Lock Option ... 92 Caster Horn Assembly... 93 Adjustable Caster Lock Assembly ... 94 No Steer-Lock Option ... 95 Wheel Assembly - 6060-002-010... 96 Cot Retaining Post, Right - 6085-033-000 ... 97 Optional Dual Cot Retaining Post - 6085-034-000 ... 98 Optional Kickstand Assembly - 6085-102-000... 99 Kickstand Sub-Assembly - 6085-002-016... 100 Inner Leg Assembly - 6085-001-017... 101 Outer Lift Tube Assembly, Litter Pivot, Right... 102 Outer Lift Tube Assembly, Litter Pivot, Left... 103 Litter Base Assembly... 104 Lock Bar Assembly - 6085-001-013... 105 Standard Siderail... 106 Siderail Assembly - 6082-026-010... 107 Outer Rail Subassembly, Right... 108 Outer Rail Subassembly, Left... 109 Slide Housing Assembly, Left... 110 Slide Housing Assembly, Right... 111 Optional Siderail (XPS Option)... 112 XPS Main Assembly, Right - 6500-003-034 ... 113 XPS Main Assembly, Left - 6500-003-044 ... 114 Foot End Assembly, Left ... 115 Optional Foot End Assembly, Right... 117 Retractable Head Section ... 119 Head Section Assembly - 6500-002-023 ... 120 Telescoping Tube Assembly - 6500-002-024 ... 122 Head Section Lock Assembly - 6500-001-026 ... 123 Left Hand Release Handle... 124 Optional Right Hand Release Handle... 126 Fowler Assembly... 128 Non-Power-LOAD Compatible Option... 129 Headsection - 6500-002-020... 131 Optional In-Fastener Shut-Off Assembly - 6500-001-027 ... 133 No Headsection Oxygen Bottle Holder Option - 6506-036-000... 134 Power-LOAD Compatible Option - 6086-055-000... 135 Foot End Fastener Assembly (Power-LOAD Compatible Option) ... 137 Trend - 6085-031-000... 139 Optional Gatch - 6085-032-000... 140 Optional Gatch Assembly... 141 Optional Gatch Support Assembly... 144 EMS Restraint Package - 6500-002-030 ... 145 www.stryker.com

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Table of Contents Restraint Extender, 3’ - 6082-160-050 ... 146 Defibrillator Platform - 6506-170-000... 147 Defibrillator Platform Common Components... 148 Equipment Hook - 6500-147-000 ... 149 Head Extension - 6100-044-000 ... 150 Head Extension Assembly - 6100-044-012... 151 I.V. Pole Assembly, Two-Stage, Right - 6500-310-000... 152 I.V. Pole Assembly, Three-Stage, Right - 6500-315-000... 152 I.V. Pole Assembly, Two-Stage, Right - 6500-101-041 ... 153 I.V. Pole Assembly, Three-Stage, Right - 6500-101-043... 154 I.V. Pole Assembly, Two-Stage, Left - 6500-311-000... 155 I.V. Pole Assembly, Three-Stage, Left - 6500-316-000 ... 155 I.V. Pole Assembly, Two-Stage, Left - 6500-101-042 ... 156 I.V. Pole Assembly, Three-Stage, Left - 6500-101-044... 157 Two-Stage I.V. Pole Assembly, Dual - 6500-312-000... 158 Three Stage I.V. Pole Assembly, Dual - 6500-317-000... 158 Oxygen Bottle Holder, Foot End - 6500-240-000 ... 159 Oxygen Bottle Holder Assembly - 6500-101-040... 160 Oxygen Bottle Holder, Fowler - 6500-241-000 ... 161 Removable Oxygen Bottle Holder - 6080-140-000 ... 162 Retractable Head Section Oxygen Bottle Holder - 6085-046-000 ... 163 Base Storage Net - 6500-160-000... 164 Backrest Pouch - 6500-130-000... 165 Head End Storage Flat - 6500-128-000 ... 166 Transfer Flat - 6005-001-001... 167 Standard Mattress - 6506-034-000 ... 168 Mattress, Gatch Bolster, XPS Option - 6500-003-130... 169 Safety Hook, Short - 6060-036-017/Safety Hook, Long - 6060-036-018/Safety Hook, J - 6092-036-018... 170 Warranty... 171 Stryker EMS Return Policy ... 172 Return Authorization... 172 Damaged Merchandise... 172 International Warranty Clause... 172 Patent Information... 172

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Warning/Caution/Note Definition The words WARNING, CAUTION and NOTE carry special meanings and should be carefully reviewed.

WARNING Alerts the reader about a situation which, if not avoided, could result in death or serious injury. It may also describe potential serious adverse reactions and safety hazards.

CAUTION Alerts the reader of a potentially hazardous situation which, if not avoided, may result in minor or moderate injury to the user or patient or damage to the equipment or other property. This includes special care necessary for the safe and effective use of the device and the care necessary to avoid damage to a device that may occur as a result of use or misuse.

NOTE Provides special information to make maintenance easier or important instructions clearer.

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Introduction This manual is designed to assist you with the operation and maintenance of the Stryker Performance-PRO™ XT cot. Read this manual thoroughly before using the equipment or beginning maintenance on it. To ensure safe operation of this equipment, it is recommended that methods and procedures be established for educating and training staff on the safe operation of this cot.

PRODUCT DESCRIPTION The Stryker Model 6086 Performance-PRO™ XT is a manual ambulance cot that consists of a platform mounted on a wheeled X-frame designed to support and transport a maximum weight of 700 lb (318 kg) in pre-hospital and hospital environments. The device is collapsible for use in emergency vehicles and has an adjustable load height feature to allow the device to be set to different ambulance deck heights for proper body mechanics during loading and unloading. Duplicate foot-end controls on the upper and lower lift bars accommodate different operator positions or sizes and the side release handle allows a single operator to raise and lower an unoccupied cot. The device is equipped with the following: a retractable head section for 360-degree mobility in any height position, side rails, patient securement straps, an adjustable pneumatic backrest and various optional accessories that assist with transport of the patient. Maximum patient comfort is attainable with the three different litter positions of shock, flat leg and optional knee gatch positioning.

INTENDED USE OF PRODUCT The Stryker Model 6086 Performance-PRO™ XT is a non-powered wheeled stretcher, which is intended to support and transport the entire body of a traumatized, ambulatory or non-ambulatory human patient (includes infants and adults). The device is designed to support patients in a supine (horizontal) or sitting position and facilitate the transportation of associated medical equipment (i.e. oxygen bottles, monitors, and/or pumps) in emergency/transport vehicles. This ambulance cot is intended to be used in pre-hospital and hospital environments, in emergency and non-emergency applications. It is rated to a maximum capacity of 700 lb (318 kg) (sum of the patient, mattress and accessory weight) and the intended operators of the device are trained professionals including: emergency medical service and medical care center personnel, as well as medical first responders. The expected service life of the product is 7 years. Ambulance cots are intended for transportation purposes. They are not intended for extended stay or to be used as hospital beds. They are also not intended to be used in devices which modify air pressure, such as hyperbaric chambers.

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Introduction SPECIFICATIONS Safe Working Load Note: Safe Working Load indicates the sum of the patient mattress and accessory weight. Backrest Articulation/Shock Position Overall Length/Minimum Length/Width Height1

Position 1 Position 2 Position 3 Position 4 Position 5 Position 6 Position 7 (LOW) Position 8 (MID) Position 9 (HIGH)

Weight2 Caster Diameter/Width Minimum Operators Required for an Occupied Cot Minimum Operators Required for an Unoccupied Cot Recommended Fastener Systems Maximum Loading Height3 Single Wheel Lock / Double Wheel Lock Standards4

700 lb

318 kg

0° to 73° / +15° 80" / 64" / 23"

203,2 cm / 162,6 cm / 58,4 cm

13.8” 35,1 cm 22” 55,9 cm 25.8” 65,5 cm 28.1” 71,4 cm 31.9” 81 cm 34.6” 87,9 cm 37.3” 94,7 cm 40” 101,6 cm 42.2” 107,2 cm 89 lb 40,37 kg 6" / 2" 15,2 cm / 5,1 cm 2 1 Model 6370 or 6377 Floor Mount Type Model 6371 Wall Mount Type Up to 34" Up to 86,4 cm Optional BS EN 1789 KKK-A-1822

Height is measured from the bottom of the mattress at seat section to ground level. Cot is weighed without mattress and restraints. 3 Load wheel height can be set between 27.25” (69,2 cm) and 34” (86,4 cm). 4 To meet BS EN 1789 crash-test standards with the use of a crash-rated fastener, such as Power-LOAD (Model 6390), you must install the EMS restraint package (6500-002-030) and knee gatch bolster mattress (6500-002-150). 1 2

Stryker reserves the right to change specifications without notice. The Performance-PRO™ XT is designed to conform to the Federal Specification for the Star-of-Life Ambulance (KKK-A-1822). The Performance-PRO™ XT is designed to be compatible with competitive cot fastener systems. Patents pending. The yellow and black color scheme is a proprietary trademark of Stryker Corporation.

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Introduction CONTACT INFORMATION Contact Stryker Customer Service or Technical Support at: (800) 327-0770. Stryker Medical 3800 E. Centre Avenue Portage, MI 49002 USA Please have the serial number (A) of your Stryker product available (as shown in Figure 1) when calling Stryker Customer Service or Technical Support. Include the serial number in all written communication.

SERIAL NUMBER LOCATION

2 1

3 A

Head End

Figure 1

SERIAL NUMBER KEY See Figure 1 and the following key for additional serial number information:

1

2 digit month

2

2 digit year

3

5 digit sequence that starts with 39000 each month

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Introduction PRODUCT ILLUSTRATION

Head End

Backrest

Backrest Adjustment Handle

Siderail Siderail Release

Retractable Head Section Head Section Release

Foot Rest

Side Release Handle Safety Bar

Foot End Release Handle

Loading Wheels

Wheel Lock (Optional)

Cot Retaining Post

Foot End Transport Wheels Knee Gatch (Optional)

J Safety Hook Stryker part number 6092-036-018

Long Safety Hook Stryker part number 6060-036-018

Short Safety Hook Stryker part number 6060-036-017

Figure 2 Return To Table of Contents www.stryker.com

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Summary of Safety Precautions Carefully read and strictly follow the warnings and cautions listed on this page. Service only by qualified personnel.

WARNING • • • •

• • •

• • •

• • • • • •

• • • • • •

Ensure proper hand placement on hand grips. Hands should be clear of red safety bar pivots while loading and unloading the cot or whenever changing height position of the cot with two or more operators. Improper usage of the cot can cause injury to the patient or operator. Operate the cot only as described in this manual. Do not modify the cot or any components of the cot. Modifying the product can cause unpredictable operation resulting in injury to the patient or operator. Modifying the product also voids its warranty (see page 171). It is the responsibility of the cot operator to ensure that the cot being used in the Stryker Cot Fastener system meets the installation specifications listed on page 20. Injury may result if a non-compatible cot is used in the Stryker Cot Fastener system. Have the vehicle safety hook installed by a certified mechanic. Improper safety hook installation can cause injury to the patient or operator and/or damage to the cot. Failure to install the safety hook can cause injury to the patient or operator. Install and use the safety hook as described on page 21. The face of the safety hook that engages the safety bar should be located at least 3-3/4” from the leading edge of the door sill. After installation, verify that the cot legs lock into the load position without contacting the vehicle bumper. To avoid injury, verify that the safety bar has engaged the safety hook before removing the cot from the patient compartment. Verify that the safety hook always engages the cot safety bar regardless of how the cot is unloaded from the vehicle or injury to the patient or operator and/or damage to the cot may occur. The cot must have at least 5/8” of clearance between the vehicle bumper and the cot to disengage the safety bar when unloading the cot from the vehicle. Verify that the cot legs lock into the load position before disengaging the safety bar from the safety hook. Failure to properly lock the cot height into position can cause injury to the patient or operator and/or damage to the cot. Before placing the cot into service, confirm that the cot load height is set correctly for your vehicle. Practice changing height positions and loading the cot until operation of the product is fully understood. Improper use can cause injury. Do not allow untrained assistants to assist in the operation of the cot. Untrained technicians/assistants can cause injury to the patient or themselves. Do not ride on the base of the cot. Damage to the product could occur, resulting in injury to the patient or operator. Transporting the cot sideways can cause the cot to tip, resulting in possible damage to the product and/or injury to the patient or operator. Transporting the cot in a lowered position, head or foot end first, minimizes the potential of a cot tip. Grasping the cot improperly can cause injury. Keep hands, fingers and feet away from moving parts. To avoid injury, use extreme caution when placing your hands and feet near the base tubes while raising and lowering the cot. Always use all restraint straps to secure the patient on the cot. An unrestrained patient may fall from the cot and be injured. Never leave a patient unattended on the cot or injury could result. Hold the cot securely while a patient is on the product. Never apply the optional wheel locks while a patient is on the cot. Tipping could occur if the cot is moved while the wheel lock is applied, resulting in injury to the patient or operator and/or damage to the cot. Siderails are not intended to serve as a patient restraint device. See page 44 for proper restraint strap usage. Failure to use the restraint straps properly could result in patient injury. High obstacles such as curbing, steps or rough terrain can cause the cot to tip, possibly causing injury to the patient or operator. If the cot is equipped with the optional kickstand, make sure that the kickstand remains in the retracted position and does not engage during transport.

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Summary of Safety Precautions WARNING (CONTINUED) • • • •

•

• • •

• • • • •

• •

•

• • • • • • • • • • •

Transporting the cot in lower positions reduces the potential of a cot tip. If possible, obtain additional assistance or take an alternate route. When operating the side release handle, keep hands away from the foot end release handle to avoid injury. If lowering the cot to the lowest position (position 1), remove your foot from the base tube or injury could result. Power-LOAD is designed to be compatible with the 6085/6086 Performance-PRO XT, 6500/6506 Power-PRO XT, and 6510/6516 Power-PRO IT cots with the Power-LOAD option only. In certain situations, you can use PowerLOAD as a standard antler for most X-frame cots, but a rail clamp assembly is required for all cots without the Power-LOAD option. It is the responsibility of the cot operator to ensure that the cot being used in the Stryker Model 6390 Power-LOAD system is a Power-LOAD compatible cot. Injury may result if a non-compatible cot is used in the Stryker Model 6390 Power-LOAD system. Two operators must be present when the cot is occupied. Operators must be able to lift the total weight of the patient, cot and any items on the cot. The higher an operator must lift the cot, the more difficult it becomes to hold the weight. An operator may need help loading the cot if he/she is too short or if the patient is too heavy to lift safely. The operator must be able to lift the cot high enough for the cot legs to unfold completely and lock when the cot is unloaded. A shorter operator needs to raise their arms higher to enable the undercarriage to unfold. There must be a safety hook properly installed in the vehicle so that the bumper does not interfere with the front legs of the base frame. The one person loading and unloading procedures are for use only with an empty cot. Do not use the procedures when loading/unloading a patient. Injury to the patient or operator could result. Do not pull or lift on the safety bar when unloading the cot. Damage to the safety bar could result and injury to the patient or operator could occur. To avoid injury, always verify that the head section is locked into place prior to operating the cot. Be sure that the undercarriage has engaged and is locked before removing the loading wheels from the patient compartment floor of the vehicle. An unlocked undercarriage will not support the cot and injury to the patient or operator could result. Siderails are not intended to serve as a patient restraint device. See page 44 for proper restraint strap usage. Failure to utilize the siderails properly could result in patient injury. Do not attempt to load the cot into the patient compartment with the head section retracted. Loading the cot with the head section retracted may cause the product to tip or not engage properly in the cot fastener, possibly causing injury to the patient or operator and/or damage to the product. Never install or use wheel locks on a cot with excessively worn wheels. Installing or using wheel locks on wheels with less than a 6” diameter could compromise the holding ability of the wheel lock, resulting in injury to the patient or operator and/or damage to the cot or other equipment. Do not attach restraints to the base tubes, cross tubes, or fowler skin. Improper restraint attachment could result in damage to the cot further resulting in injury to the patient or operator. Stryker recommends a two person operation when using the kickstand. Make sure that the patient weight is centered on the cot before using the kickstand. Engage the kickstand with your foot only. Lower cot height prior to engaging kickstand for increased stability. Make sure that the kickstand remains in the retracted position and does not engage during transport. Do not use the kickstand as a brake. Do not engage kickstand on a sloped surface. If the cot is equipped with the optional retractable head section oxygen bottle holder, use caution while the oxygen bottle holder is installed to avoid pinching your fingers between the fowler bracket and the oxygen bottle. To avoid accidental release of the Pedi-Mate® and possible injury to the infant, ensure that the buckle is located away from obstructions on the cot or accessories. When the optional head end storage flat is being used, ensure that it does not interfere with the operation of the retractable head section, safety bar and safety hook. Injury to the patient or operator could result.

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Summary of Safety Precautions WARNING (CONTINUED) • •

•

When cleaning, use any appropriate personal safety equipment (goggles, respirator, etc.) to avoid the risk of inhaling contagion. Use of power washing equipment can aerate contamination collected during the use of the cot. SOME CLEANING PRODUCTS ARE CORROSIVE IN NATURE AND MAY CAUSE DAMAGE TO THE PRODUCT IF USED IMPROPERLY. If the products described above are used to clean Stryker patient care equipment, measures must be taken to ensure that the cots are wiped with clean water and thoroughly dried following cleaning. Failure to properly rinse and dry the cots leaves a corrosive residue on the surface of the cots, possibly causing premature corrosion of critical components. Failure to properly clean or dispose of contaminated mattress or cot components increases the risk of exposure to bloodborne pathogens and may cause injury to the patient or the operator.

CAUTION • •

• • • • • • • • • • • • • • • • • • • • • • • • •

Set the cot load height to the proper stop height prior to operation. Installation of the safety hook should be done by a certified mechanic familiar with ambulance vehicle construction. Consult the vehicle manufacturer before installing the safety hook and be sure that the installation of the safety hook does not damage or interfere with the brake lines, oxygen lines, fuel lines, fuel tank or electrical wiring of the vehicle. Before operating the cot, clear any obstacles that may interfere and cause injury to the operator or patient. Do not allow the cot undercarriage to drop unassisted (commonly known as a “hot drop”) when removing the cot from the vehicle. Repeated hot dropping causes premature wear or damage to the cot. Wheel locks are only intended to help prevent the cot from rolling while unattended. Wheel locks may not provide sufficient resistance on all surfaces or under loads. Do not use the XPS option with a standard mattress. Use the wider gatch bolster mattress (6500-003-130) with the XPS option. Do not sit or stand on the siderails (XPS option). Do not use the siderails (XPS option) as a patient transfer device or surface (for example, to slide a patient from the cot to another surface). Do not position patients with full weight on the siderails (XPS option). Do not use the siderails (XPS option) as a push/pull device or to steer the unit.Ensure that the restraints are not entangled in the base frame when raising and lowering the cot. The weight of the equipment in the base storage net (if equipped) must not exceed 20 lb (9 kg). Be careful when retracting the base to avoid damaging items stored in the base storage net. To avoid the risk of cot tipping, do not install the defibrillator platform on a Model 6086 Performance-PRO™ XT cot with the Power-LOAD option. To avoid damage to the equipment hook, the weight of the accessories or equipment must not exceed 35 lb (15.8 kg). To avoid damage to the I.V. pole, the weight of the I.V. bags or equipment must not exceed 25 lb (11.3 kg). To avoid damage to the oxygen bottle holder (if equipped), the weight of the equipment must not exceed 15 lb (6.8 kg). Do not use two head end oxygen bottle holders at the same time. Do not store items under the cot mattress. Storing items under the mattress can interfere with the operation of the cot. The weight of the equipment in the pocketed backrest storage pouch (if equipped) must not exceed 20 lb (9 kg). The weight of the equipment in the head end storage flat (if equipped) must not exceed 40 lb (18 kg). DO NOT STEAM CLEAN OR ULTRASONICALLY CLEAN THE UNIT. Maximum water temperature should not exceed 180°F/82°C. Maximum water pressure should not exceed 1500 psi/130.5 bar. If a hand held wand is being used to wash the unit, the pressure nozzle must be kept a minimum of 24 inches (61 cm) from the unit. Allow cot to air dry. Towel dry all casters and interface points. Failure to comply with these instructions may invalidate any/all warranties. The cot retaining post is shipped preconfigured for an X-frame cot. If the cot fastener has been configured for an H-frame cot, you must adjust the cot retaining post to accommodate the cot fastener.

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Summary of Safety Precautions

Figure 3

WARNING Ensure proper hand placement on hand grips. Hands should be clear of red safety bar pivots while loading and unloading the cot or whenever changing height position of the cot with two or more operators.

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Setup Procedures Ensure that all shipping and packaging materials have been removed from the products prior to use. Unpack the cartons and check all items for proper operation. It is important that the cot is working properly before it is put into service. See Figure 2 on page 13 to identify all of the cot components. Before placing the cot into service, check these components: • Check for loose fasteners. Replace if loose. Reference all assembly drawings. • All welds are intact (not cracked or broken) • No bent or broken tubing or sheet metal • No debris in wheels • All wheels are secure, and rolling and swivelling properly • Both siderails move and latch properly • Backrest operates properly • Optional accessories are intact and operate properly • Height positioning latch function operates properly • Cot secure in each height position (see page 26) • Undercarriage folds properly • Retractable head section operates properly • Safety bar operates properly • Foot rest operates properly • No rips or cracks in the mattress cover • Body restraints are intact and operate properly • Wheel locks operate properly (optional equipment) • Vehicle safety hook engages the safety bar so that the cot loads and unloads properly from the vehicle (see page 21) • Approved cot fastener (Stryker Model 6370/6377/6378/6379 or 6371 Cot Fastener − Not included) installed in the vehicle (see page 19) • Adjust cot load height (see page 25) The patient compartment of the vehicle in which the cot will be used must have a: • Smooth rear edge for cot loading. • Level floor large enough for the folded cot. • Stryker Model 6370/6377/6378/6379 or 6371 Cot Fastener System or Stryker Model 6390 Power-LOAD (not included) • 34” (86,4 cm) maximum loading height. • Space to properly install the safety hook. Note: Loose items or debris on the patient compartment floor can interfere with the operation of the safety hook and cot fastener. Keep the patient compartment floor clear. When necessary, modify the vehicle to fit the cot. Do not modify the cot.

WARNING • •

Improper usage of the cot can cause injury to the patient or operator. Operate the cot only as described in this manual. Do not modify the cot or any components of the cot. Modifying the product can cause unpredictable operation resulting in injury to the patient or operator. Modifying the product also voids its warranty (see page 171).

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Cot Fastener Installation Note: The Cot Fastener Installation instructions on page 19 through page 24 are intended for cots that you will NOT use with Power-LOAD. For Model 6086 cots with the Power-LOAD option, see the Power-LOAD Operations/ Maintenance Manual for installation instructions. The Stryker Cot Fastener Systems are designed to be compatible only with cots which conform to the installation specifications listed on page 20.

WARNING It is the responsibility of the cot operator to ensure that the cot being used in the Stryker Cot Fastener Systems meets the installation specifications listed on page 20. Injury may result if a non-compatible cot is used in the Stryker Fastener System. Note: Adjustment of the rail clamp assembly may be required in order to compensate for any variation in the cot retaining post position depending on the cot manufacturer and model number. For more information about the Stryker Cot Fastener Systems, see the Cot Fastener Operations/Maintenance Manual.

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Cot Fastener Installation Note: These installation instructions are intended for cots that you will NOT use with Power-LOAD. For Model 6086 cots with the Power-LOAD option, see the Power-LOAD Operations/Maintenance Manual (6390-009-001) for installation instructions. RAIL SUPPORT BRACKET FLOOR PLATE

WALL OF VEHICLE

ANTLER FLOOR PLATES

14 5/8” (REF.) (37,1 cm)

OR DESIRED POSITION FROM WALL

12 5/8”

COT HEAD END

(32 cm)

24” (REF.) (61 cm)

REAR OF AMBULANCE (REF.)

COT CENTER LINE

COT PERIMETER 2 5/8”

37 5/8”

14 15/16”

6 1/8”

(6,6 cm)

(95,6 cm)

(37,9 cm)

(15,6 cm)

80” (REF.)

(203 cm)

Figure 4 ANTLER FLOOR PLATES

WALL OF VEHICLE

14 5/8” (37,1 cm)

COT HEAD END

COT CENTER LINE

REAR OF AMBULANCE (REF.)

24” (REF.)

(61 cm)

1 1/8”

(2,9 cm)

COT PERIMETER 14 15/16” (37,9 cm)

80” (REF.)

6 1/8”

(15,6 cm)

(203 cm)

3 5/8” (9,2 cm)

37 3/8”

(94,9 cm)

WALL MOUNTING BRACKET 6 1/2” (16,5 cm) 4 5/16” (10,9 cm)

FLOOR OF VEHICLE

Figure 5 Return To Table of Contents 20

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Vehicle Safety Hook Selection Note: The Vehicle Safety Hook Selection and Installation instructions on page 21 through page 24 are intended for cots that you will NOT use with Power-LOAD. For Model 6086 cots with the Power-LOAD option, see the Power-LOAD Operations/Maintenance Manual for installation instructions. Power-LOAD ships and is installed with its own safety hook, thus no additional hook is needed. The vehicle safety hook is a device that ships with the cot. The cot safety bar and vehicle safety hook are designed to keep the cot from being accidentally removed from the vehicle and to provide increased operator assurance and confidence when loading and unloading. The safety hook was designed for compatibility and proper operation when loading and unloading the cot from a vehicle that is compliant with Federal Regulation KKK-A-1822. Stryker offers three different types of safety hooks that are ordered and shipped with your cot. These safety hook types are designed to meet the needs of various emergency vehicle configurations, specifically the length and location of the floor structure support that is located in the rear of the vehicle.

Long Safety Hook 6060-036-018

Consider the following information when selecting which safety hook is appropriate for your vehicle configuration:

Short Safety Hook 6060-036-017

•

J-Style Safety Hook 6092-036-018

•

•

Determine the location of the floor structure support where there is adequate room to mount the safety hook. Ensure that the safety hook can be securely mounted into the back of the vehicle while providing adequate bumper clearance to allow the cot to be loaded and unloaded from the vehicle. Note the differences in vehicle design. Each safety hook provides a different mounting location option to maintain the appropriate distance between the face of the safety hook and the edge of the door sill.

Figure 6

Due to the differences in vehicle dimensions and the floor structure support locations, each safety hook requires a different mounting location. See “Vehicle Safety Hook Installation” to determine the correct positioning for safety hook installation. Note: When replacing an existing safety hook with a new style, adjust the mounting location to maintain the proper position of the safety hook face.

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Vehicle Safety Hook Installation Note: These installation instructions are intended for cots that you will NOT use with Power-LOAD. For Model 6086 cots with the Power-LOAD option, see the Power-LOAD Operations/Maintenance Manual for installation instructions.

VEHICLE CONFIGURATION According to federal regulations (reference KKK-A-1822), the bumper height of the vehicle shall be installed equidistant ± 5 cm (2 inches) from the vehicle floor to the ground level, which is defined as the vehicle deck height. The bumper step shall have a minimum depth of 13 cm (5 inches) and a maximum depth of 25 cm (10 inches). If the bumper depth is greater than 18 cm (7 inches), then the bumper must be able to fold. Installation of the safety hook into any vehicle compliant with this federal specification provides adequate clearance for the cot base to lower to its fully extended position. The cot is compatible with all vehicle deck heights (see specifications for maximum load height) as long as the vehicle meets the federal specifications that are outlined in KKK-A-1822.

Safety Hook

Sill Edge Sill

DH 2

Figure 7

2

Figure 8

CAUTION • •

Set the cot load height to the proper stop height prior to operation. Installation of the safety hook should be done by a certified mechanic familiar with ambulance vehicle construction. Consult the vehicle manufacturer before installing the safety hook and be sure that the installation of the safety hook does not damage or interfere with the brake lines, oxygen lines, fuel lines, fuel tank or electrical wiring of the vehicle.

REQUIRED HARDWARE FOR INSTALLATION OF THE SAFETY HOOK (NOT SUPPLIED) (2) Grade 5, Minimum 1/4”-20 Socket Head Cap Screws* for the short or long safety hook (2) Grade 5, Minimum 1/4”-20 Flat Socket Head Cap Screws* for the J hook (2) Flat Washers (2) Lock Washers (2) 1/4”-20 Nuts * The length of the socket head cap screws depends on the thickness of the vehicle floor. Use screws that are long enough to go completely through the patient compartment floor, washer and nut by at least two full threads.

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6086-109-001 REV B

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