Eschmann T30series User Manual

Easy setting for t
ibia nailing in horizontal or angled traction position. Use Eschmann
Converting T30 to
o
rthopaedic table or just adding orthopaed
ic traction using auto
Easy patient setting and full
T30a/m
with orthopaedic attachment
self guiding docking trolley preventing risk of injury to operating room staff.
Offers option of single or double click-on traction beams with offset choice, and leg support for trouble free patient setting and ultimate patient comfort. Patient weight load of 200 kg on traction mode without support pole.
Optional accessory trolley
flexibility of X-ray imaging for DHS procedures
T30 leg support or DP leg holder.
Large wheels option with single locking
with built
This literature should be read in
T30a/m 5/6 section Operation
table convertible to orthopaedic and trauma table
New generation, new concept, completely versatile, all purpose operation table
5 or 6 sections general and specialised operation table
Fully X-ray translucent table top,
-in X-ray cassette tunnel
through the table top Detachable and interchangeable
sections Convertible to fully functional
orthopaedic and trauma table
Special designed shoulder surgery attachment for Eschmann “T” range
conjunction with EschmannT20 catalogue publicity No. PS-217c
pedal (T30m) Small wheels with double pedal (T30a)
Eschmann Equipment, Peter Road, Lancing, West Sussex BN158TJ, England Tel: +44 1903 753322 Fax: +44 1903 875789 www.eschmann.co.uk Asia Pacific: Eschmann Holdings Pte Ltd., 300 Beach Road, #32-07 The Concourse, Singapore 199555 Tel: +65 62983344 Fax: +65 62928918 Email: Eschmann_spore@pacific.net.sg Details given in this leaflet are correct at the time of going to press. The Company however, reserves the right to improve or modify the equipment shown. The Eschmann name and
logo are trademarks Eschmann Holdings Ltd. Eschmann Equipment is a trading name of Eschmann Holdings Limited.
Optional accessories
Full X-ray imaging at lowest height for spinal surgery
T30a/m with orthopaedic attachment
New generation, new concept, completely versatile, all purpose operation table
5 or 6 sections general and specialised operation table
Fully X-ray translucent table top, with built-in X-ray cassette tunnel through the table top
Detachable and interchangeable sections
Convertible to fully functional orthopaedic and trauma table
Detachable, and click-on traction beams, centre positioning with double joint knuckles.
Two options of double pedal locking mechanism, with standard wheels(T30a)
Tibia nailing downward traction position
Large wheels option with single locking pedal (T30m)
This literature should be read in conjunction with EschmannT20 catalogue publicity No. PS-217c
Tibia Nailing in horizontal traction position. Use Eschmann T30 leg support or DP leg holder
Easy click-on docking cart with auto­lock mechanism
T30
Perennial
Post
Carbon Fibre
with
, Range Configuration and Specification
T30a and T30m
5 or 6 (with divided leg section) sections table top. Features and specification as T20a/m, but without transverse top
T30m, (single pedal and large wheels)
Interchangeable sections
5 Section T30a, (double pedals & small wheels)
Orthopaedic Attachment for T30a and T30m
Sacral Support Docking Cart (optional) Traction beam & T. assembly Orthopaedic boot
Docking Cart
T30a/m-Ortho
An Orthopaedic and Trauma Operating Table complete
detachable double traction beams assembly, leg supports, swivel joint knuckles, pair of adjustable booties, carbon fibre perennial post, convertible to 5 or 6 sections fully X-ray translucent top general and specialised operation table
Perennial Post Carbon Fibre
Gynae & Urology with perennial extension
Sacral assembly
Gynae & Urology
Traction Beam & Traction Assembly
Optional accessories and attachments for Orthopaedic Surgery
Accessory Trolley Hip Fixation Accessories Hand Surgery Table Shoulder Chair
Optional accessories for General & Specialised Surgery
Width Extender
Eschmann Equipment, Peter Road, Lancing, West Sussex BN158TJ, England Tel: +44 1903 753322 Fax: +44 1903 875789 www.eschmann.co.uk Asia Pacific: Eschmann Holdings Pte Ltd., 300 Beach Road, #32-07 The Concourse, Singapore 199555 Tel: +65 62983344 Fax: +65 62928918 Email: Eschmann_spore@pacific.net.sg Details given in this leaflet are correct at the time of going to press. The Company however, reserves the right to improve or modify the equipment shown. The Eschmann name and
logo are trademarks Eschmann Holdings Ltd. Eschmann Equipment is a trading name of Eschmann Holdings Limited.
Hand Traction
Tibia Nailing Set
Accessory Trolley Foot Support Light weight Leg S Divided Leg S Ophthalmic Head S DP Leg Holder
T30
OPERATING TABLES
Series
Instructions for use
113364
T-IM122b
Read these Instructions before use
Keep these ‘Instructions for use’ in a safe convenient place for future reference.
Eschmann After Sales Service Department
The Eschmann After Sales Service Department is staffed and equipped to provide advice and assistance during normal office hours. To avoid delays when making enquiries, please quote the Model and Serial Number of your Operating Table which is shown on the Serial Number Plate located on the table base (or the trunk section for the T30-m). Please ensure you include all alpha and numeric digits of the Serial Number.
For further information visit www.eschmann.co.uk
All correspondence relating to the after sales service of Eschmann Equipment to be addressed to :
UK Customers
Eschmann Equipment, Peter Road, Lancing, West Sussex BN15 8TJ, England. Tel: +44 (0) 1903 765040. Fax: +44 (0) 1903 875711.
Overseas Customers
Contact your local distributor. In case of doubt contact Eschmann Equipment.
Patents and Trade marks
The ESCHMANN name and logo; “T30-a” and “T30-m” are trade marks of Eschmann Holdings Limited. “Eschmann Equipment” is a trading name of Eschmann Holdings Limited.
Patents : Worldwide Patents Pending.
Copyright © 2007 Eschmann Holdings Limited
All rights reserved. This booklet is protected by copyright. No part of it may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise without written permission from Eschmann Holdings Limited. The information in this publication was correct at the time of going to print. The Company, however, reserves the right to modify or improve the equipment referred to.
The CE marking affixed to the product certifies that it complies with the European Medical Devices Directive 93/42/EEC as amended and related legislation.
T-IM122b March 2007
Instructions for use
T30
OPERATING TABLES
Series
The T30 Series Operating Tables
The T30 powered operating table is a modular system suitable for a full range of general, specialist and Orthopaedic surgical procedures. A range of 4, 5 or 6 section tops are available along with a superior range of additional accessories to make this a truly versatile general and specialist powered operating table. With the simple removal of the general surgical lower trunk section, via a docking cart, and the addition of a range of orthopaedic accessories, the T30 can easily be converted for a full range of orthopaedic procedures.
TheT30 operating table has an X-ray translucent tabletop with a built-in X-ray cassette tunnel. The slimline column is offset relative to top and base for ease of C-arm access. The T30 Table features a corded handset controlling Trendelenburg, reverse Trendelenburg, lateral tilt, flexion/extension (including 90° chair position) and height. The handset also provides a battery level indication. The batteries in the table base are mains rechargeable with a standby battery in case of emergency. Covers to the top and base are purple and made of a special scratch resistant, hard-wearing and easy to clean seamless acrylic capped ABS. The mattress is moulded, latex free and antistatic. A choice of table bases offers a range of ergonomically designed foot pedals to suit all operating theatre environments. The T30-a pedals are located at the head and leg end of the table base to provide braked, wheel (move in a straight line) and 360° mobility. The T30-a is capable of supporting a maximum patient weight of 300kg or 135kg when moved around the theatre. The T30-m single foot pedal is located at the head end of the table and has three positions to enable the table to be static (braked), rotated 360° or moved in a straight line. The T30-m is capable of supporting a maximum patient weight of 300kg or 200kg when moved around the theatre.
T30-m in a typical orthopaedic configuration
T30-m in a typical general surgical configuration
T-IM122b P3/77
CONTENTS
1.0 PRELIMINARY INFORMATION ..............6
1.1 General ....................................................... 6
1.2 About this manual.......................................... 6
1.3 Table description ........................................... 7
2.0 TABLE PARTS AND SYMBOLS ............. 8
2.1 Part identification ........................................... 8
2.2 Symbols and graphics ................................... 8
2.2.1 Symbols general ...................................... 8
2.2.2 Handset button symbols ........................... 9
2.2.3 Handset graphics ..................................... 9
2.2.4 Standby control panel button symbols ...... 9
3.0 INSTALLATION ...................................12
3.1 General ..................................................... 12
3.2 Lifting the operating table ............................ 13
3.3 Technical ..................................................... 13
4.0 SAFETY NOTES & CAUTIONS ............ 15
4.1 Warnings ..................................................... 15
4.2 Do’s and Don’ts ........................................... 16
4.3 Daily ‘Before use’ test.................................. 16
4.4 Accessories................................................. 17
4.5 Manual handling .......................................... 17
5.0 OPERATING THE TABLE ................... 18
5.1 Moving/Operating the table base ................. 18
5.1.1 T30-a Table base ................................... 18
5.1.1.1 ‘Wheel’ orientation (from ‘braked’) 18
5.1.1.2 ‘Castor’ orientation (from ‘wheel’) . 18
5.1.1.3 ‘Castor’ orientation (from ‘braked’) 19
5.1.1.4 ‘Braked’ orientation ...................... 19
5.1.2 T30-m Table base .................................. 20
5.1.2.1 Foot pedal operation .................... 20
5.1.2.2 ‘Braked’ ........................................ 20
5.1.2.3 ‘Castor’ mode ............................... 20
5.1.2.4 ‘Wheel’ mode ............................... 20
5.1.3 Moving the table with a patient ............... 22
5.2 Using the removable sections. .................... 23
5.2.1 Realigning a section’s pins ..................... 23
5.2.2 Attaching a head, leg or infill section ...... 23
5.2.3 Removing a head, leg or infill section ..... 24
5.2.4 Head and leg section adjustment ........... 24
5.2.5 Changing the short trunk section ............ 24
5.2.5.1 Table prep’n, changing short trunk 25
5.2.5.2 G. Surgical to Ortho short trunk .... 25
5.2.5.3 Ortho to G. Surgical short trunk.... 26
5.2.5.4 Changing Ortho trunk manually .... 26
5.2.6 Docking cart preparation ........................ 26
5.2.7 Attaching/removing hip sections ............. 27
5.2.8 Attaching/removing pre-operative legs ... 27
5.2.9 Changing sections during a procedure ... 27
5.2.10Attaching/Removing mattresses ............. 27
5.2.10.1 Sections with mushroom pins ....... 27
5.2.10.2 Hip & pre-operative leg sections .. 28
5.3 Powered and electrical functions. ................ 28
5.3.1 Batteries and mains................................ 28
5.3.1.1 Battery charging introduction........ 28
5.3.1.2 Battery charging ........................... 29
5.3.1.3 Battery changing .......................... 29
5.3.1.4 Standby batteries ......................... 29
5.3.2 Powered motions ................................... 30
5.3.2.1 General ........................................ 30
5.3.2.2 Tabletop motions .......................... 30
5.3.3 Using the handset .................................. 31
5.3.3.1 General ........................................ 31
5.3.3.2 Handset button functions.............. 31
5.3.4 Using the standby control panel ............. 33
5.3.5 Fuse replacement .................................. 34
6.0 PATIENT POSITIONING .....................35
6.1 General ..................................................... 35
6.2 Treatment of the obese patient .................... 35
6.3 Radiographic procedures ............................ 35
6.4 Table positions and safe loading ................. 35
6.5 Table top configurations .............................. 45
7.0 ACCESSORIES ................................... 46
8.0 AFTER USE, CLEANING & CARE ...... 48
8.1 After use procedures ................................... 48
8.2 Cleaning ..................................................... 48
8.2.1 Operating table and accessories ............ 48
8.2.2 Mattresses and pads .............................. 48
8.3 Disinfection .................................................. 49
8.3.1 Disinfection procedure............................ 49
8.3.2 Table, accessories mattresses and pads 49
8.4 Care ..................................................... 49
8.5 Storing the operating table (long term) ........ 50
8.6 Maintenance ................................................ 50
8.6.1 General .................................................. 50
8.6.2 Fault diagnosis ....................................... 50
8.6.3 Environmental considerations ................ 50
8.6.4 Technical Lifetime .................................. 50
TABLE 1 - FAULT DIAGNOSIS............................. 52
9.0 TECHNICAL DATA .............................. 54
9.1 Weights ..................................................... 54
9.2 Dimensions ................................................. 54
9.3 Movements.................................................. 54
9.4 Table loading ............................................... 54
9.5 Electrical ..................................................... 54
9.6 Classification and symbology ...................... 56
9.7 Use with other equipment ............................ 56
9.8 Standards compliance ................................. 56
9.9 Environmental conditions ............................ 56
9.10 Alarms ..................................................... 56
9.11 Electromagnetic compatibility (EMC) ........... 57
P4/77 T-IM122b
T30
Series
OPERATING TABLES
FIGURES AND APPENDICES
Fig. 2.1 Part identification of the T30 Table tops. ...............................................................................10
Fig. 2.2 Part identification of the T30 Table base and column. ...........................................................11
Fig. 3.1 Lifting the T30 Table ..............................................................................................................13
Fig. 5.1 Lowering a T30-a Table’s pedal ............................................................................................19
Fig. 5.2 Raising a T30-a Table’s pedal ...............................................................................................19
Fig. 5.3 T30-a Table’s foot pedal, quick reference guide....................................................................19
Fig. 5.4 Operating the T30-m Table base...........................................................................................21
Fig. 5.5 Alternative table position for moving table with a patient .......................................................22
Fig. 5.6 Section pin alignment ............................................................................................................23
Fig. 5.7 Aligning section pre-attachment ............................................................................................24
Fig. 5.8 Removing a table section ......................................................................................................24
Fig. 5.9 Adjusting a head or leg section..............................................................................................25
Fig. 5.10 Trunk, infill and hip sections ..................................................................................................25
Fig. 5.11 Aligning the docking cart to attach the orthopaedic short trunk. ............................................25
Fig. 5.12 Red indicators on stubs .........................................................................................................26
Fig. 5.13 Parts of the hip section ..........................................................................................................26
Fig. 5.14 Attaching a hip section ...........................................................................................................26
Fig. 5.15 Attaching a pre-operative ......................................................................................................27
Fig. 5.16 Mattress screw location, hip and pre-operative leg ............................................................... 28
Fig. 5.17 Handset and charging indicators ...........................................................................................29
Fig. 5.18 Controller sockets and release buttons .................................................................................31
Fig. 5.19 Handset button functions and serial labels ............................................................................32
Fig. 5.20 Standby control panel ............................................................................................................33
Fig. 6.1 Approximate patient weight distributions ...............................................................................35
Fig. 6.2 Patient positioning for radiographic procedures .................................................................... 36
Fig. 6.3 Maximum patient weight v table position graphs (general surgical configurations) ...............37
Fig. 6.4 Maximum patient weight v table position graphs (orthopaedic configuration) ....................... 38
Fig. 6.5 Patient in various ‘Supine’ positions ......................................................................................39
Fig. 6.6 Patient in various ‘Prone’ positions ........................................................................................40
Fig. 6.7 Patient in various ‘Lawn chair’ & ‘Trendelenburg’ positions...................................................41
Fig. 6.8 Patient in various ‘Chair’ positions ......................................................................................... 42
Fig. 6.9 Patient in various ‘Proctology’ positions ................................................................................43
Fig. 6.10 Patient in ‘Lithotomy’, ‘Prone Laminectomy’ and ‘Lateral Nephrectomy’ ...............................44
Fig. 9.1 Major dimensions and movements .......................................................................................55
APPENDIX 1 - Training log ......................................................................................................................60
APPENDIX 2 - Decontamination certificate..............................................................................................61
APPENDIX 3 - Battery management........................................................................................................ 62
APPENDIX 4 - Manual handling safety notes and advice ........................................................................ 63
APPENDIX 5 - The traction accessories ..................................................................................................65
APPENDIX 6 - The Tibial Nailing Accessory............................................................................................68
APPENDIX 7 - The Lateral Femoral Nailing Accessory ...........................................................................70
APPENDIX 8 - The orthopaedic accessory trolley ...................................................................................72
APPENDIX 9 - Orthopaedic accessory and spares list ............................................................................74
APPENDIX 10 - Orthopaedic positioning and imaging procedures.......................................................... 75
T-IM122b P5/77
1.0 PRELIMINARY INFORMATION
WARNING
Read this preliminary information carefully and note ALL of the warnings, cautions and safety notes contained within these ‘Instructions for use’ before using this Operating Table. Keep these ‘Instructions for use’ close-to-hand at all times for reference.
1.1 General
1.1.1 The T30 Tables are classified as battery powered, mobile, general purpose and orthopaedic operating tables. Their intended function is to support and position a patient, in conjunction with their associated accessories, during general surgical and orthopaedic operations and procedures in an operating theatre. Their intended application is for use by medically qualified personnel, trained in the use of the T30 Tables, during surgical operations and procedures in accordance with these instructions.
1.1.2 These ‘Instructions for Use’ should be referred to for details of the following T30 Tables, see the table’s Serial Number Plate for the actual table Serial Number and REF No.:
T30-a Catalogue (REF) number prefixed TOR2
Serial Numbers (SN) prefixed TAOA* or above.
T30-m Catalogue (REF) number prefixed TOR2
Serial Numbers (SN) prefixed TMOA* or above.
* The last letter of the SN prefix is the design modification state, this may increase during the build life of the tables.
NOTE: Some models have ‘Denyer’, ‘USA’, or ‘Euro (Kifa)’ accessory sidebars. Standard UK Eschmann accessories that locate onto these may not fit, please check with Eschmann Equipment before purchasing accessories.
1.1.3 T30 Tables and accessories must only be used as detailed within these ‘Instructions for use’. Failure to do so could result in injury to patients or users, or damage to the operating table and accessories. Always ensure that all warnings and cautions detailed within these ‘Instructions for use’, are strictly complied with. Appendix 1 is provided for Hospitals that wish to keep a log of those people trained in the safe use of this table. Eschmann Equipment offers full training in the safe use of these tables, please contact our After Sales Service Department, Tel. +44 (0) 1903 765040 for details.
1.1.4 ‘Instructions for use’ and ‘Service manuals’ (see section 3.3.9) as applicable should be readily accessible for reference prior to and when operating, cleaning and servicing the operating table. All manuals are available from Eschmann Equipment, see inside front cover for address.
1.1.5 Ensure the table has been correctly installed before starting to use it, see section 3.0.
1.1.6 Ensure that these operating tables and accessories are regularly serviced and checked for safety at least every six months. All servicing and maintenance procedures should be carried out by engineers who have been trained by Eschmann. Training, a Service, or a Service Contract can be arranged through our After Sales Service Department [Tel. +44 (0) 1903 765040]. Do not remove the table covers at any time (danger of accessible mains voltage), this should only be carried out during maintenance procedures.
1.2 About this manual
1.2.1 Within the text of these ‘Instructions for use’ the following terminology is used:
i)
Normal patient orientation.
head section in a supine position, with the table in its normal configuration.
ii)
Normal table configuration.
trunk section fitted, infill section fitted to long trunk, head section fitted to infill section, leg section fitted to general surgical short trunk (see Fig. 2.1).
iii)
Orthopaedic configuration.
section fitted with hip and pre-operative (split) leg sections attached (see Fig. 2.1).
iv)
Left and right
the side of the table when viewed from the head end with the table in its normal configuration.
v)
Auto-level
the automatic sequence of movements to return the table to a preprogrammed position by pressing and holding a single handset button. This does not affect the head or leg sections, or any other manual or powered accessory, fitted to the table.
vi)
LEDs.
This abbreviation is used when referring to the various indicator lights on the table or handset which are light emitting diodes (LEDs).
vii) The term T30 Table is used to cover both the T30-a
and the T30-m version of these operating tables.
1.2.2 These ‘Instructions for use’ have been split into specific sections for ease of finding information (see the main headings in ‘Contents’). Where applicable and within each section, adequate cross references to other sections are made to eliminate the need to duplicate information. Orthopaedic procedures and table set up are covered in
Appendix 5 onwards
1.2.3 Section 5 (Operation) details how to use the T30 Tables and operate their controls correctly. It is strongly recommended that the user has read and is familiar with sections 1, 2 and 4 before passing onto section 5 and starting to use this operating table.
1.2.4 Within this manual the sections in bold type headed ‘WARNING’ give guidance on possible actions that could lead to injury of the patient, or theatre staff, and potential damage to the operating table. Sections headed ‘CAUTION’ give guidance on possible actions that could lead to damage of this operating table which could then lead to injury of the patient, or theatre staff.
. The terms ‘left’ and ‘right’ refer to
. The term ‘auto-level’ is used to describe
.
Patient’s head on the
General surgical short
Orthopaedic short trunk
P6/77 T-IM122b
T30
OPERATING TABLES
Series
1.3 Table description
1.3.1 T30 Tables have been designed to provide facilities for General Surgery* and Orthopaedic Surgery** with traction, they allow for intra-operative radiography using a C-arm image intensifier.
* including Minimal Access procedures, Urology and
Gynaecology, Thoracic, Ophthalmic and ENT, Neurosurgery, Plastic and Maxillo-Facial surgery.
** including dynamic hip screw (DHS) in the supine
position, femoral nailing in the supine position, femoral nailing in the lateral position, femoral reconstructive nailing in the supine position, retrograde femoral nailing, tibial nailing, humeral nailing and shoulder arthroscopy.
1.3.2 T30 Tables are stable, rigid in use and the robust construction provides protection from patient trolley or C-arm knocks whilst still providing easy access for servicing. Careful design has minimised traps for potential contamination and stops fluid entering the table during normal use, cleaning and disinfection procedures.
1.3.3 Tabletop movements (i.e. Trendelenburg, height, tilt and break) are electrically powered and incorporate ‘soft start and stop’ motions for patient comfort and safety. The pedestal base is foot operated and the standard head and leg sections are hand operated (see sections 5.1 and 5.2 respectively). All orthopaedic accessories are manually adjusted and operated.
1.3.4 T30 Tables are easy to operate, theatre staff can quickly learn how to use them correctly and safely. Tabletop control is provided by a corded handset, or an optional footswitch (for Trendelenburg and height control only). Handset control overrides footswitch control at all times.
1.3.5 Power for all powered table movements is provided by internal rechargeable batteries. There are two battery sets, main batteries and standby batteries. These are recharged by an internal battery charger which requires connection to mains voltage using the mains cord supplied. Note: If the main table batteries fail or become critically low (i.e. warning indicators were ignored and batteries have not been recharged) the table cannot be powered directly from the mains. However by depressing and holding the standby battery switch, powered table movements can again be achieved (using power from standby batteries).
1.3.6 In emergencies (e.g. handset failure or a critically low battery) a standby control panel on the column can be used to control the table (however this MUST be limited to emergency use ONLY, certain safety features are over­ridden when this panel is used, see section 5.3.4). It may be required to press the standby battery switch if the main battery charge level is too low.
1.3.7 The base on the T30-a Table is fitted with enclosed multidirectional castors and has two foot pedals. The T30-m Table is provided with four large castors that can be adjusted by a single foot pedal. The castors on all models can provide either castor, wheel or braked orientations (see section 5.1).
1.3.8 Visual indicators have been restricted to essential functions and information only (e.g. table switched ‘on’ see section 5.3.2.2, battery level indication and battery charging state see section 5.3.1). Audible signals are only used to signal that the table has been switched ‘on’ for a long time without operation and that it should be switched ‘off’, see section 8.1 (this inactivity ‘beep’ can be configured ‘off’ during a service if required), a ‘beep’ is also provided when switching ‘on’.
1.3.9 Tabletops have a lightweight X-ray translucent surface (designed to reduce shadows on images) and an X-ray cassette tunnel with the facility for an X-ray cassette (430mm x 340mm) to be placed at any point beneath the full length of the patient’s body, see section 6.3. The standard sidebars allow placement of clamps and most standard accessories. Simple buttons or catches release the head, leg, hip, pre-operative leg, infill and short trunk sections.
1.3.10 The tabletop can be adjusted into the following patient positions (Note: Orthopaedic positions are detailed in Appendix 5 onwards):
Supine with C-arm access to patient from nipple
region to feet
Supine with C-arm access to patient from groin to
head
Supine Extension with C-arm access to break area
(Cholecystectomy-type procedure)
Supine Flexion (‘Lawn chair’ position) Lateral Lateral Extension with C-arm access to break
(Nephrectomy position)
Supine Lithotomy with C-arm access to whole of
the Urinary tract
Supine Lithotomy with or without Trendelenburg Prone with or without extension at waist or hips (with
C-arm access)
90° Chair position with patient’s knees at the same
level as the heart, offset to the head end.
1.3.11 For additional information see section 6.0 for patient positioning notes, section 6.2 for obese patients,
6.3 for radiographic procedures and 6.4 for illustrations and details of safe loading. Tabletop configurations are shown pictorily in section 6.5.
T-IM122b P7/77
2.0 TABLE PARTS AND SYMBOLS
REF This symbol indicates the catalogue number is
as indicated adjacent to the symbol.
2.1 Part identification
2.1.1 Fig. 2.1 shows the T30-a and T30-m Table tops in their normal configuration and identifies the major parts of the tabletop.
2.1.2 Fig. 2.2 identifies the various parts of the T30-a and the T30-m Table base and column.
2.1.3 Orthopaedic accessories and components are detailed in Appendix 5 onwards.
2.2 Symbols and graphics
To enable an easy reference to all the symbols and graphics used on the T30 Tables (and within these ‘Instructions for use’) the following grouped sections show all the symbols and graphics used.
2.2.1 Symbols general
The following symbols are shown on various parts of the table, handset or Serial Number Plate.
IPX 4 This symbol (splash proof) denotes that the equipment (the table) meets the requirements of IEC529 for protection from splashing water.
IPX 6 This symbol (protection against heavy seas) denotes that the equipment (the handset) meets the requirements of IEC529 in that water from heavy seas or water projected from powerful jets shall not enter in harmful quantities.
This symbol indicates that the equipment is for
use on alternating current.
This symbol indicates that fuses adjacent to the symbol have a rating and type as detailed.
This symbol warns the user to read the accom­panying documents, these ‘Instructions for use’.
This symbol indicates that the manufacturer is as indicated adjacent to the symbol.
This symbol indicates that the date of manu­facture is as indicated adjacent to the symbol.
This symbol indicates the connection point for a footswitch.
This symbol indicates the connection point for the corded handset.
This symbol indicates that the table section to which it is applied (e.g. head section, under the mattress) should not be used as a seat.
This symbol indicates the ‘Safe working load’ of the section to which it is applied can safely support an evenly distributed load to the value indicated, in this example 25kg.
This symbol indicates the ‘Minimum breaking load’ of the section to which it is applied. An evenly distributed load (in this example 100kg or greater) may break the section.
This symbol on the table base indicates the maximum weight that can be placed on the table when static and braked, or being moved around the theatre (see section 6.4 for more information).
This symbol is used to identify the standby
battery switch.
113150-01
This graphic (T30-m Table only) adjacent to the mains socket, identifies the relationship between the colour of the mains ‘on’ LED and the battery charge state, see section 5.3.1.
Symbols and near the main table ‘on/off’ switch, indicate ‘OFF’ and ‘ON’ respectively.
With the mains cord attached the equipment has ‘Class II’ protection against electric shock.
The patient leakage current, with mains voltage on the applied parts, meets the requirement for type BF medical electrical equipment and are defibrillator proof.
This symbol is used to indicate the table’s duty cycle which is the ratio of the operating time to the sum of the operating time and the ensuing interval.
SN This symbol indicates the unit serial number is
as indicated adjacent to the symbol.
This symbol indicates that this product was placed on the market after 13th August 2005. At the end of its working life it should be deposited at an appropriate facility to enable recycling. For information on how to recycle this product responsibly contact Eschmann.
Pushing prohibited. This symbol, on the trolley, indicates that it should not be pushed from the side on which the symbol is attached.
This graphic (T30-a Table only) adjacent to the mains socket, identifies the relationship between the colour of the mains ‘on’ LED and the battery charge state for the main and standby batteries, see section 5.3.1.
P8/77 T-IM122b
T30
OPERATING TABLES
Series
2.2.2 Handset button symbols
The following symbols are shown on the handset buttons to indicate their function. Use of the handset is fully detailed in section 5.3.3 of this manual.
Trendelenburg - Press to adjust tabletop in the Trendelenburg (head down) direction.
Reverse Trendelenburg - Press to adjust tabletop in the Reverse Trendelenburg (head up) direction.
Height down - Press to move tabletop down.
Height up - Press to move tabletop up.
Tilt - Press to tilt tabletop down on the left (when viewed from the long trunk end)
Tilt - Press to tilt tabletop down on the right (when viewed from the long trunk end)
2.2.3 Handset graphics
This graphic is shown on the corded handset to indicate the battery charge level for both the main and standby batteries, see section 5.3.1.
2.2.4 Standby control panel button symbols
The following symbols are shown on the standby control panel buttons, indicating the function they select. The arrows (upper or lower) indicate the direction the selected function will move, if the corresponding direction button (i.e. upper or lower) is pressed, see section 5.3.4.
Button selects Trendelenburg function.
Button selects Break function.
Button selects Height function.
Break down - Press to move the break down (i.e. short trunk moves down w.r.t. long trunk)
Break up - Press to move the break up (i.e. short trunk moves up w.r.t. long trunk)
Flexion - Press to move tabletop into Flexion.
Extension - Press to move table into Extension.
Return to Level - Press to return tabletop to a preset level position.
Button selects Tilt function.
Non functional Button (selects Traverse function on other tables in the ‘T’ series).
Direction button - Press button to obtain movement indicated by upper arrow of function button.
Direction button - Press button to obtain movement indicated by lower arrow of function button.
T-IM122b P9/77
TYPICAL GENERAL SURGICAL
TABLETOP ARRANGEMENT
Note: The infill section can be removed, or be positioned between the leg and short trunk section. The leg section shown can be replaced by a divided (split) leg section.
3
1
5
2
11
16
17
8
9
9
1
9
2
10
4
6
12
6
9
18
19
7
TYPICAL ORTHOPAEDIC
13
12
7
14
15
9
TABLETOP ARRANGEMENT
17
1 Head section 2 Long trunk section 3 General surgical short trunk section 4 Orthopaedic short trunk section 5 Infill section 6 Hip sections 7 Pre-operative leg sections 8 Leg section 9 Section release buttons 10 Leg section gas spring 11 Head section end block (use to stow UK/EURO handset) 12 Accessory sidebar (can also be used to stow handset*) 13 End block, also on head section (use to stow UK/EURO handset) 14 Head section release bar 15 Head section gas spring 16 Leg section release bar 17 Traction beam 18 Fixed knuckle 19 Intermediate knuckle
* Clip on handset must match sidebar type, see accessory section 4.8
Fig. 2.1 Part identification of the T30 Table tops.
P10/77 T-IM122b
T30
OPERATING TABLES
Series
10
5
3
1
4
2
6
87
9
13
Detail A Detail B Detail C
3
12
11
B
A
C
12
10
1
15
9
1 Standby battery switch 2 T30-a Table's battery fuses 3 Connection socket for Eschmann handset (ONLY) 4 Table ‘On’ LED (green). Bright or Dim see section 5.3.1)
5 Table ‘On/Off’ switch ( 6 Connection socket for Eschmann footswitch (ONLY) 7 T30-a Table, mains ‘on’ and Main Battery charging state LED. Red, Amber or Green. 8 T30-a Table, mains ‘on’ and Standby Battery charging state LED. Red, Amber or Green. 9 Connection socket for mains (ONLY use Eschmann mains cord supplied) 10 T30-a Table, castor foot pedal 11 T30-a Table, wheel foot pedal 12 Standby control panel 13 T30-a Table, mains fuses 14 T30-m Table, mains ‘on’ and Battery charging state LED. Red, Amber or Green. 15 T30-m Table, foot pedal 16 T30-m Table, mains fuses
= Off, = On)
14
16
Fig. 2.2 Part identification of the T30 Table base and column.
T-IM122b P11/77
3.0 INSTALLATION
3.1 General
3.1.1 In the U.K. the table is delivered un-crated with the head and leg section fitted. The mattress set is boxed individually and placed on the trunk sections. The handset, mains cord and literature are supplied loose. Any accessories ordered with the table will be packed individually.
3.1.2 For overseas markets the table is usually packed in a container with the head and leg section fitted, together with a boxed mattress set a mains cord and the literature. The handset is packed within the container in an antistatic bag. Other accessories are usually packed separately, but some may be included in the main case and should be unpacked and stored separately during table installation.
3.1.2 (Export only) Carefully remove the T30 Table (having first removed any accessories and packing restraints from within the container) from the packing case as follows:-
i Remove the walls of the case leaving the table on
the base still in the braked position as packed. Remove any chocks from the pallet base to enable later table movement (iv below).
ii Position the ramp provided (in the packing case)
adjacent to the base of the case.
iii Follow the instruction provided in section 5.1 of this
manual and place the table base into the ‘Wheel’ orientation or mode.
iv With at least two people to support the table’s weight,
push it (do not pull it) off of the pallet base and down the ramp.
v Note that the table should not be wheeled over rough
ground, always use a trolley until a smooth floor area has been reached.
vi Should it be necessary to lift the operating table refer
to section 3.2 where suitable lifting points and methods are detailed.
3.1.3 Unpack the mattress set and fit a mattress to each tabletop section as detailed in section 5.2.10.
3.1.4 Any packaging materials should be recycled or disposed of in accordance with current legislation.
supplied fitted to the cord is not suitable it should be replaced with a suitable plug wired as below. If the plug is a fused type, a 10A fuse must be fitted. The mains supply cord must always be wired as follows:
Brown internal cord to LIVE Blue internal cord to NEUTRAL Green internal cord to Earth (Note: The T30-a and T30-m Tables are Class II,
Type BF, there is no EARTH connection through to the table)
3.1.7 T30 Tables are powered by internal rechargeable batteries which are connected and charged before delivery. An internal mains powered battery charger is incorporated in the table’s base. The table batteries should be recharged (see section 5.3.1) and the table operated through the cycle of movements detailed below to check and ensure correct function, before the tables are first used.
Full Trendelenburg / reverse Trendelenburg Maximum to minimum height Maximum tilt, left and right Maximum to minimum break
CAUTION
To complete and maintain the antistatic pathway the table must be used on an electrically conductive or antistatic floor and with mattresses supplied by Eschmann Equipment.
3.1.8 The table has an antistatic pathway from the tabletop, through an internal resistor, to the castors. To complete the antistatic pathway, the table must be used on an electrically conductive, or on an antistatic floor (also see the warning in section 6.1).
3.1.9 As with all medical electrical equipment care should be taken with regard to electromagnetic compatibility (EMC) during installation. These instructions are written in line with the latest international standards (EN 60601-1-2:2001) and are designed to minimise the risk of electromagnetic compatibility issues. T30 Tables should be installed and put into service in accordance with the EMC information provided in the Technical Data section of these ‘Instructions for Use’ (Section 9.11).
CAUTION
If the mains plug is changed it is most important that a fuse of the correct type, size and rating is used (see Technical Data, section 9.5.4).
3.1.6 T30 Tables require a mains electrical supply corresponding to the voltage shown on the Serial Number Plate located on the table base. Only use the Eschmann mains supply cord provided with the table. If the plug
3.1.10 The table should be cleaned and disinfected prior to its first use as detailed in section 8.2 and 8.3 and then commissioned in accordance with any local procedures applicable to new equipment, this should include staff training. Eschmann supply a range of wall charts with the table, additional training aids and on-site training can be arranged, contact Eschmann [Tel. +44 (0) 1903 765040] for more information.
P12/77 T-IM122b
T30
OPERATING TABLES
Series
3.2 Lifting the operating table
WARNING
The table is heavy and at least four strong people are required to lift it. Ensure that adequate precautions are taken (e.g. wear protective shoes, use the correct straps).
3.2.1 The T30 Table should only be lifted as a last resort. Ideally it should be placed on a trolley directly from the delivery vehicle, or moved on the base of the delivery packing case (overseas only) and then rolled down the ramp provided.
3.2.2 If required the T30 Table should only be lifted by placing suitable webbing straps underneath the table base in the positions indicated in Fig. 3.1 (having placed the T30-a Table into its ‘castor’ orientation to increase ground clearance) and observing the notes that follow.
3.2.3 Extreme care should be taken to pad the straps where they pass the base covers and the tabletop sections to avoid damage. Take special care not to cause damage to the lower edge of the base covers.
3.2.4 Before lifting remove all tabletop sections, accessories and mattresses, to minimise the weight to
242.7kg* (T30-a Table) or 190.7kg* (T30-m Table). Place the tabletop into a level plane in both directions (i.e. tilt and Trendelenburg) as shown in Fig. 3.1. Lower the short trunk and tabletop to their maximum limits. *Nominal weight for table with a General Surgical short trunk, add 14.7kg if an Orthopaedic short trunk is fitted.
3.2.5 The table should only be lifted the minimum amount required and not carried. Lift the table sufficiently high to allow a fully decked pallet to be slid underneath.
3.2.6 When lowering the table after the lift take care not trap feet under the table’s base. The table should be placed into its ‘braked’ orientation whilst on the pallet.
3.2.7 Transport the table on the pallet using a forklift truck or similar equipment ensuring the table is strapped securely to the pallet.
3.2.8 Inspect the table for any signs of damage and check all functions prior to placing the table into service.
3.3 Technical
3.3.1 The following sections are provided for the user to note prior to using a T30 Table.
3.3.2 The T30 Table meets the requirements of inter­national standards (see section 9.8) and conform dimensionally to meet most requirements, for the full table technical specification details refer to the Technical Data, section 9.0.
3.3.3 The T30 Table should only be used on an anti­static floor and is classified as type ‘BF’ (i.e. the table has isolation from earth equivalent to that of type ‘BF’ equipment when the mains cord is attached).
3.3.4 The antistatic properties of the table depend upon the use of the recommended mattresses (i.e. Eschmann antistatic mattresses ONLY) also see section 3.1.8.
Use webbing straps of minimum width 100mm and a minimum breaking load of 1000kg. Position adequate padding in the areas indicated (on both sides) to avoid damaging the table covers.
T30-a Position straps inside, but as
close as possible to the castors.
T30-m Position straps inside
castors as indicated.
Fig. 3.1 Lifting the T30 Table
T-IM122b P13/77
3.3.5 Only Eschmann accessories listed in this manual should be used on the table and in accordance with the ‘User Handbook’ supplied with the accessory. Accessories available from Eschmann are listed in section 7.0 and Appendix 9 (for Orthopaedic accessories). Other accessories, especially those that could compromise table stability, must not be used. Use of other equipment with T30 Tables should only be considered after evaluating the safety of the patient and personnel. For accessories that fit onto the sidebar ensure that they are compatible with the sidebar fitted to the table. These tables can be supplied with standard UK, Euro USA or Denyer style sidebars, see section 1.1.2
3.3.6 Provision of a diagnostic port within the table enables access for reprogramming the table’s software, down-loading of fault information and service functions. Use of this port MUST be limited to trained service personnel only, and should only be used in accordance with the correct Eschmann manuals (see 3.3.9 below).
3.3.7 The table has four fuses (two on the T30-m) that the user has access to in the event of failure. The position of these are shown in Fig. 2.2 and are replaced as detailed in section 5.3.5.
3.3.8 Eschmann can provide customers with manuals (see 3.3.9 below), for use by them in maintaining their own equipment. These manuals contain schematic diagrams, component part lists, descriptions and calibration instructions which will assist the customer’s Eschmann trained personnel to service the equipment or replace parts (which should only be obtained from Eschmann).
3.3.9 The following manuals are applicable to the T30 Tables and their accessories (the part number is in brackets following the manual reference) they are available to order, see inside front cover for contact details:-
T-SM54 (113389) - Service manual T-IPL41 (113390) - Illustrated parts list T-IM94 (111012) - Application software manual T-IM56 (698907) - General accessory leaflet Note: Some accessories are provided with their own ‘User/Service Handbooks’.
3.3.10 Appendix 1 provides a log that can be used to record those people trained in the safe use of this operating table. It is suggested that this is used to ensure that ALL personnel using this table, are aware of all the warnings and cautions contained within these ‘Instructions for use’.
3.3.11 The T30 Tables and their accessories, as listed in these ‘Instructions for use’, do not contain ‘Latex’.
P14/77 T-IM122b
4.0 SAFETY NOTES & CAUTIONS
4.1 Warnings
Ensure you are familiar with all the warnings and cautions provided within these ‘Instructions for use’ before using the table.
T30
OPERATING TABLES
Series
WARNINGS
T30 Tables have been designed to minimise the possibility of accidental electrosurgery burns. Contact with any metal surfaces (e.g. table sidebar, or other equipment etc.) can cause burns during electrosurgery and must be avoided.
T30 Tables are not rated as AP or APG and should not therefore be used in the presence of explosive gases.
T30 Tables have been designed for patients weighing up to 300kg (47 stone) with their centre of gravity (normally the umbilicus) positioned close to the column on the trunk sections. However patient positioning and additional loads from accessories can compromise table stability and strength. Refer to the graphs in section 6.4 for safe loading.
To comply with BS EN 60601-1:1990 some accessories have been designed for a maximum evenly distributed load, see the ‘User Handbook’ supplied with each accessory.
With the table in (or during transition into) the ‘castor’ or ‘wheel’ orientation, the centre of gravity of the patient (normally the umbilicus) should lie no more than 200mm away from the centre of the column. Whenever this is not practical the table should be adequately supported (e.g. by at least two able people).
The head and leg sections are designed to support and position the corresponding part of the patient’s weight only. Damage leading to failure of the section may be caused if excessive weight is applied. Take care when handling these sections to avoid strain and ensure no body parts or objects are trapped when replacing or adjusting them.
Only use Eschmann accessories and sections that are compatible with this table. When parts are replaced during maintenance procedures, ensure that ONLY parts supplied by, or from, Eschmann Equipment are used. Alternatives, although similar, may affect the safety of the table. Eschmann cannot be held responsible for service, modification or adjustments to the equipment, when performed by other than Eschmann accredited personnel.
Illustrations and descriptions of patient positioning are for guidance only. It is the responsibility of the operating surgeon to make sure the patient is positioned correctly for each procedure. (See section 6.0).
During any table positioning procedure care should be taken to ensure the patient’s safety. In particular during Trendelenburg and tilt movements the patient should be supported to ensure they remain secure on the tabletop. The patient’s weight should be supported whenever the sections are adjusted or removed from the table during repositioning.
During ANY movement of the table or tabletop, ensure that no part of either patient or hospital staff, or object (e.g. drapes, infusion tubing, diathermy connections, ECG cords etc.) can become trapped between any moving and/or stationary equipment, or in a pinch point, causing injury or damage to equipment. Particular table movements that should be operated with care are reducing the height and Trendelenburg, which can cause trapping situations. Always ensure adequate slack is available in drapes and tubing for the movement required (e.g. maximum Trendelenburg).
When pushing the table with a patient (maximum weight 135kg for T30-a or 200kg for T30-m , see section 5.1) always ensure that the patient’s limbs are secure on the tabletop to prevent crushing or trapping them against another object, always use cot sides (available as an accessory).
Always keep the patient under observation (e.g. check respiratory and circulatory system and for the possibility of pressure sores etc.) and correctly positioned whilst on the table.
Ensure that electrical equipment connected to the communication port (available during maintenance procedures only) complies with appropriate electrical safety standards. Note that standards compliance of this product may be affected if noncompliant equipment is attached to the communication port.
Do not use any table or accessory if there are visible signs of damage or wear and tear that could compromise safety.
T-IM122b P15/77
CAUTIONS
Do not place either heavy accessories, or, long accessories that could impose high torques, to the sidebars, as this may lead to damage of the rails.
Do not exceed the duty cycle for any table motor drive as detailed in the technical data section 9.5.5.
Care should be taken moving the table over soft floors (e.g. carpet or ‘cushion’ flooring) as these will increase resistance to movement compared to normal hospital ‘hard’ flooring.
4.2 Do’s and Don’ts
Attention to the following points will prolong the life and efficiency of the T30 Table and will help to avoid the risk of accidents, or damage. Other safety notes and warnings are also given within the text of this manual and these should be noted during use of the table.
DO:
Keep these ‘Instructions for use’ close-to-hand. Read these ‘Instructions for use’ carefully before
adjusting, moving or using the table.
Use the table on an antistatic floor to prevent
inadvertent static buildup.
Use only the correct Eschmann mattresses and
accessories that are compatible with the T30 Table as detailed in these instructions.
Check that handset cables and standby controls are
not damaged before use.
Check that the table and its accessories are not worn
or damaged, or are in any way not suitable for the intended purpose, before use.
Check that all the sections (e.g. head and leg) and
accessories are secure, and put the table base in the ‘braked’ position before use.
Ensure that all cables are not stretched leading to
disconnection or damage during movement or readjustment of the operating table or patient.
Remove table accessories and their clamps (in
particular rotary clamps) from sidebars, when they are not being used.
Read and follow the instructions for cleaning, and for
the care of the table and mattresses.
Switch ‘off’ and disconnect from the mains electrical
supply prior to cleaning and/or disinfecting the table and when it is not being recharged.
Place the table batteries on charge at the end of every
day or shift (see section 5.3.1)
Ensure that the table and accessories are serviced at
regular intervals (every six months is the recommended frequency) only by Eschmann trained personnel.
Arrange service contracts through Eschmann Equipment [Tel. +44 (0) 1903 765040]
Ensure that only the Eschmann mains cord supplied
with the table is used to connect the table to the mains supply.
Ensure that only Eschmann supplied parts are used
during part replacement.
DO NOT:
Do not lift the table by its tabletop. Do not move the table with a patient without cot sides
in place on either side of the tabletop.
Do not push the table over rough surfaces, use a
trolley.
Do not drop the table (or individual sections). Do not put heavy weights on the table sections,
observe the maximum advised loading.
Do not put sharp objects on, or against, mattresses,
pads, or the radiographic tabletop.
Do not place any objects on the base covers Do not drop heavy objects onto the radiographic
tabletop or base covers.
Do not spill oil, ether, or other fluids onto the mattresses
or the pads.
Do not pull the table by any of the tabletop sections,
or accessories, always push it.
Do not service this equipment unless you have been
trained by Eschmann.
Do not attempt to fit an infill section to another infill
section or a T20 series table.
4.3 Daily ‘Before use’ test
It is recommended that the following ‘Daily test’ is carried out before using the table:
i Check batteries and charge if required. ii Check table responds to the all
handset commands.
iii Check table responds to all Standby
control panel commands.
P16/77 T-IM122b
4.4 Accessories
The accessories available from Eschmann for the T30 Tables are listed in section 7.0 and Appendix 9. Use of other equipment with T30 Tables should only be considered after evaluating the safety of the patient and personnel. Inadvertent use of incorrect accessories could damage the table and lead to injury. Always ensure that the information in the ‘Instruction’ or ‘User Handbook’ supplied with the accessory are complied with and follow all the safety notes contained within them during use. For accessories that fit onto the sidebars ensure that they are compatible with the sidebars fitted to these tables. These tables can be supplied with standard UK, USA or Denyer style sidebars.
4.5 Manual handling
WARNING
Ensure care is taken when moving adjusting or lifting any part of the table or patient. Note the guidelines provided.
T30
OPERATING TABLES
Series
4.5.1 During adjustment or changing the configuration of the T30 Tables, there are occasions when the user should be aware of the safe practises to be employed during manual handling or adjustment of parts of the table. Appendix 4 provides manual handling advice and the weights of the heaviest sections and accessories commonly used. When lifting, carrying or fitting heavy components it is recommended that care is taken and two or more people are employed when required.
4.5.2 These ‘Instructions for use’ advise supporting the weight of the patient during adjustment of any section, this requires the intervention of several personnel, some supporting the patient’s limbs and others adjusting the table sections.
4.5.3 When moving the table note that extra effort is required to start the table moving, take care not to strain limbs or back. The table should not be moved when heavily loaded. Note the warnings and cautions provided. It is good practice to use two or more people when moving a table.
4.5.4 When changing the orthopaedic short trunk section the special ‘cart’ is recommended and should always be used, this is fully detailed in section 5.2.5.
4.5.5 To ensure all the orthopaedic accessories are stored correctly and are easily accessible for use, the orthopaedic trolley should be used. This is fully detailed and illustrated in Appendix 8.
T-IM122b P17/77
5.0 OPERATING THE TABLE
This section has been split into sections as follows:
5.1 Moving/Operating the table base.
5.2 Using the removable sections.
5.3 Using the table’s powered/electrical functions.
Note: Orthopaedic procedures are covered in Appendix 5 onwards.
5.1 Moving/Operating the table base
WARNING
Always push the table (do not pull it) at a suitable height ensuring that it is stable at all times (maximum stability will be at minimum height).
Do not move the table around the theatre with a patient weighing more than 135kg (T30-a Table) or 200kg (T30-m Table). Take care not to collide with personnel or equipment.
Ensure that the patient is adequately supported and restrained (especially limbs) using cot sides as appropriate.
Ensure all connections via cord or tube, to the patient or table, have either been disconnected, or are only attached to equipment that will move with the table to avoid inadvertent disconnection.
T30-a Table only When changing from ‘castor’ or ‘wheel’ orientation, to ‘braked’, ensure no objects (e.g. cords, tubing etc.) can become trapped beneath the table base and floor.
If the table is difficult to move, check for objects under castors and that castors are maintained and kept clean and free from foreign objects.
orientations does not require battery power, they are manual operations achieved by using one or both of the foot pedals on the table base.
The table should always be left in the ‘braked’ orientation with both pedals in their raised positions. Do not leave the table with the wheel pedal up and the castor pedal down. When familiar with this section the label on the table base serves as a quick reference guide to pedal operation.
5.1.1.1 ‘Wheel’ orientation (from ‘braked’)
T30-a wheel pedal operation is easily achieved if the pedal is pressed down with the right foot whilst steadying yourself with hands on the tabletop. Stand on the side of the table on which the footpad is located. Use a steady ‘press’ rather than a ‘rapid depression’ of the pedal.
To place the table into the ‘Wheel’ orientation from the ‘braked’ orientation, press the wheel pedal (shown in Fig. 5.1) down steadily until you hear an audible ‘click’ (action indicated in Fig. 5.1). This ‘click’ indicates that the pedal has locked in the down position. Do not continue to press the pedal after the ‘click’ as this will release the internal catch and the pedal will not lock down. If this does happen the pedal must be allowed to rise fully (this resets the internal catch) before pressing it down again.
When placed into the ‘Wheel’ orientation the table base is supported on two wheels at the short trunk end and two castors at the long trunk end. To move the table in ‘wheel’ orientation always push it (do not pull it) from the long trunk end, moving the end nearest to you, left or right, to steer the table in the required direction. The table is in ‘wheel’ orientation when the wheel pedal is in the lowered position and castor pedal is in the raised position.
5.1.1.2 ‘Castor’ orientation (from ‘wheel’)
T30-a Table's castor pedal operation is easily achieved if the pedal is pressed with the left foot whilst steadying yourself with hands on the tabletop. Stand on the side of the table on which the footpad is located. Use a steady ‘press’ rather than a ‘rapid depression’ of the pedal.
The T30-a Table has two foot pedals, see section 5.1.1, the T30-m Table has a single foot pedal, see section 5.1.2.
5.1.1 T30-a Table base
The T30-a Table can be moved easily on built-in castors and wheels. Normally the table rests on brake pads at the long trunk end and wheels at the short trunk end, these provide a secure and static location on the operating theatre floor. Lower the table to a suitable height to achieve a stable position before moving the table.
To move the T30-a Table it can be placed onto its wheels and castors in two ways, providing both a ‘castor’ orientation and a ‘wheel’ orientation. The latter enables easy movement of the table in a straight line (down a corridor for example). Moving the table into either of these
To place the table into the ‘castor’ orientation from the ‘wheel’ orientation, press the castor pedal (shown in Fig. 5.2) down steadily until you hear an audible ‘click’ (action indicated in Fig. 5.2). This ‘click’ indicates that the pedal has locked in the down position. Do not continue to press the pedal after the ‘click’ as this will release the internal catch and the pedal will not lock down. If this does happen the pedal must be allowed to rise fully (this resets the internal catch) before pressing it down again.
When placed into the ‘castor’ orientation the table base is supported on four castors, two at each end of the table. This orientation enables the table to be moved in any direction including sideways and swivelling within its own length. To move the table always push it in the required direction, never pull it. The table is in ‘castor’ orientation when both pedals are in their lowered positions.
P18/77 T-IM122b
T30
OPERATING TABLES
Series
5.1.1.3 ‘Castor’ orientation (from ‘braked’)
To place the table into ‘castor’ orientation from the ‘braked’ orientation follow 5.1.1.1 to place the table into ‘wheel’ orientation and then follow 5.1.1.2 to complete the move into the ‘castor’ orientation.
Note: It is not critical that sections 5.1.1.1 and 5.1.1.2 are carried out in this sequence the reverse is equally suitable and correct.
The table is in ‘castor’ orientation when both pedals are in their lowered positions.
5.1.1.4 ‘Braked’ orientation
To place the table into the ‘braked’ orientation move both the pedals into their raised position as follows.
Stand on the side of the table on which the footpad is located and use the foot advised in 5.1.1.1 or 5.1.1.2 as appropriate. Steady yourself with your hands on the tabletop. Press the pedal ‘firmly down’ (action indicated in Fig. 5.2), this disengages the internal locking catch. Release pressure on the pedal and allow it to rise. The table will gently lower into its ‘braked’ orientation, the motion is softened by an internal damper.
The table is in ‘braked’ orientation when both pedals are in their raised positions.
Fig. 5.1 Lowering a T30-a Table’s pedal
(T30-a Table’s wheel foot pedal illustrated)
= =
Fig. 5.2 Raising a T30-a Table’s pedal
(T30-a Table’s castor foot pedal illustrated)
BRAKED
TABLE WILL NOT MOVE
WHEEL
PUSH IN A STRAIGHT LINE
=
Fig. 5.3 T30-a Table’s foot pedal, quick reference guide
T-IM122b P19/77
PUSH IN ANY DIRECTION
CASTOR
5.1.2 T30-m Table base
The T30-m Table base has been provided with four large castors. The table rests on these castors at all times providing either a secure and static location on the operating theatre floor (‘braked’), or two modes for easy movement (‘castor’ and ‘wheel’ modes).
Adjust the table to a suitable height to achieve a stable position before moving the table. The T30-m Table should always be left ‘braked’ with the foot pedal in its lowest position. When familiar with this section the label on the table base serves as a quick reference guide to pedal operation.
Place the table into ‘castor’ mode or ‘wheel’ mode to move it. The latter enables easy movement of the table in a straight line (down a corridor for example). The ‘castor’ mode provides full free wheeling mobility with 360° rotation and sideways movement.
Adjusting the table into either mode does not require battery power, they are manual operations achieved using the single foot pedal on the table base (see Fig. 5.4).
5.1.2.1 Foot pedal operation
Foot pedal operation is easily achieved when the pedal is operated with either foot whilst steadying yourself with your hands on the tabletop. Stand on either side of the table or the pedal end, which ever is the most suitable and easy.
Do not operate the pedal from the end of the table when a long table section (e.g. a leg section) has been fitted to the long trunk end, this may require unnecessary stretching by the operator to reach the pedal. Operate the pedal from the side of the table.
Use a steady motion rather than a ‘rapid’ movement of the foot pedal, this provides easy identification of the ‘snap’ into any of its three positions.
5.1.2.2 ‘Braked’
To place the table into the ‘braked’ orientation press the foot pedal (see Fig. 5.4) down to its lowest position. Operate the pedal as detailed in section 5.1.2.1. and press the foot pedal down until it snaps into its lowest position.
The pedal can be moved from its highest ‘wheel’ position through its central ‘castor’ position and into the ‘braked’ position in one easy movement.
The table is ‘braked’ when the foot pedal is in its lowest position.
The pedal is moved up from its lowest ‘braked’ position by lifting the pedal up with the top of the foot, or down from its raised ‘wheel’ position by pressing the pedal down with the ball of the foot, until the pedal snaps into the central ‘castor’ position.
The table is in ‘castor’ mode when the foot pedal is in its central position.
Note: When the table has been moved to the required location always leave the table ‘braked’.
5.1.2.4 ‘Wheel’ mode
WARNING
Do not push the table in the ‘wheel’ mode until you are sure the castors have moved into their correct orientation for the ‘wheel’ mode, as detailed in the second stage below and Fig. 5.4. If the table is pushed with the castors locked out of position this will cause undue wear leading to failure of the short trunk end castors.
Placing the table into the ‘wheel’ mode is a four stage procedure which will ensure that the short trunk end castors are locked in position correctly.
First, if the table is ‘braked’ move the foot pedal into its ‘castor’ position as detailed in section 5.1.2.3.
Second, push the table forwards from the long trunk end until both the short trunk end castors have swivelled into the position ‘B’ shown in Fig. 5.4. They do not need to be exactly in line, but they should not be as shown in ‘A’ Fig. 5.4 (i.e. leading their mounts).
Third, lift the pedal up with the top of the foot, as detailed in section 5.1.2.1, until the pedal snaps into its highest ‘wheel’ position.
Fourth and finally, continue to push the table in a straight line, the short trunk end castors will lock automatically in line with the table base. This enables the table to be moved easily down a corridor, steer from the long trunk end.
The table is in ‘wheel’ mode when the foot pedal is in its highest position and the short trunk end castors have locked in-line with the table base.
Note: When the table has been moved to the required location adjust the table into ‘castor’ mode to enable full mobility and positioning and then leave the table ‘braked’ (press the pedal fully down).
5.1.2.3 ‘Castor’ mode
To place the table into the ‘castor’ mode, move the foot pedal (see Fig. 5.4) into its central position. Operate the pedal as detailed in section 5.1.2.1 and move the foot pedal until it snaps into its central position.
P20/77 T-IM122b
T30
OPERATING TABLES
Illustration of the table’s base ‘quick reference guide’ label. Note the booklet symbol that indicates reference to these instructions should be observed.
113136-01
Detail of the required short trunk end castor postion, which should be obtained, before lifting the foot pedal into its top position, placing the table base into 'wheel' mode.
Note:
In position A the castor leads its mount, in position B the castor trails its mount.
Series
A
See A above
See B above
B
WHEEL
Select 'castor' mode' (pedal in the central position). Push the table until the short trunk end castors are correctly aligned, as indicated. Lift the pedal up fully into the 'wheel' position (to stop the short trunk end castors swivelling). This will enable the table to be 'wheeled' in a straight line. Push and steer the table from the pedal (head) end (see WARNING in section
5.1.2.4).
CASTOR
Lift pedal up, or press pedal down, into the central position to enable the table to be 'castored'. All four castors will swivel allowing full table mobility.
BRAKE
Press pedal down fully with the castors in any position to brake all four castors.
Fig. 5.4 Operating the T30-m Table base
T-IM122b P21/77
5.1.3 Moving the table with a patient
The normal table position when moving it with a patient is level in both directions (i.e. tilt and Trendelenburg) and with the patient in the supine or lateral recovery position. Fig. 5.5 shows an alternative position that can be used, the notes in Fig. 5.5 also apply when moving the table with the patient in the supine or lateral recovery position.
Notes:
Always use cot sides. Lower table to a suitable height. Ensure patient limbs are secure. Check patient weight and position complies with Fig. 6.3. Always push table from the head end (do not pull). T20-m table illustrated but position also applies to T30-a and T30-m tables with or without an infill section fitted to the long or short trunk.
Fig. 5.5 Alternative table position for moving table with a patient
P22/77 T-IM122b
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