Any important information concerning the prevention of damage to the cart or
personal injury when using it is highlighted in this manual as follows:
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IMPORTANT: Incorrectly performing the indicated procedures
may damage the cart. The above symbol always precedes the
respective message.
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1
INTRODUCTION
1.1_ GENERAL REMARKS
This Use and Maintenance Manual contains all the instructions and
information necessary for the safe operation and maintenance of the cart
manufactured by Karrel S.r.l.
This manual has been compiled as a definitive source of information for all
persons using the cart concerning:
- its features;
- its safe operation;
- maintenance.
The Use and Maintenance Manual is provided by the manufacturer to enable
the operator to use the cart in conditions of complete personal safety and
without risk of damaging the cart itself.
All the aforementioned information is contained:
- in the ‘Use and Maintenance Manual’ provided for use by the operator.
IMPORTANT: The technical data and images published herein are
the sole property of Karrel S.r.l.. Unauthorised copying or dissemination
of the contents of this manual to third parties, in full or in part, are
prohibited. All copyright infringement will be prosecuted.
This Use and Maintenance Manual’ (henceforth, ‘the Manual’) is intended
for all persons, whatever their role or function, using the cart.
All operators and maintenance personnel must therefore read this manual
thoroughly and ensure compliance with the instructions and safety
guidelines given herein.
Should any part of this manual be unclear, contact Karrel S.r.l. technical
support service. The Karrel technical staff will be happy to be of
assistance.
To contact the technical support centre:
CENTRO ASSISTENZA TECNICA KARREL S.r.l.
Via A. Vivaldi, 16/18
42043 Gattatico (RE) - Italy
Tel. +39/0522/477.211 - Fax +39/0522/477.225 - E-mail: karrel@karrel.it
This manual is an integral part of the cart and must be kept for future reference
until the cart itself is scrapped. We recommend making a copy of this manual for
use by the operator and keeping the original in a dry, safe place within access
of all personnel who may use the cart. Should this manual be lost, contact the
Karrel S.r.l. technical support service and request a new copy.
The cart must be used in a corrosive-free environment.
IMPORTANT: Karrel S.r.l. may not be held responsible in the event
of damage, injury or any other problems caused by failure to comply with
the indications contained in this manual. The same applies in the event of
any modifications or alterations made and/or accessories installed without
prior authorisation.
The instructions given in this manual supplement and do not substitute the
prescriptions of applicable safety and accident prevention legislation.
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1.2_ GENERAL SAFETY GUIDELINES
In addition to the guidelines described as follows, the person responsible
for the cart must also ensure compliance with all applicable legislation
regarding health and safety in the workplace.
Always comply with applicable safety legislation and the instructions given
in this manual.
The manufacturer may not be held responsible in the event of inappropriate
use of the equipment.
Transport and unloading must be carried out by specialised and authorized
personnel only.
IMPORTANT: Keep all unauthorised personnel away from the cart.
The use, maintenance and repair of the cart may only be carried out by
authorised personnel. The aforementioned personnel must be in a suitable
physical and mental condition for the job.
IMPORTANT: Whenever the cart is not in use, keep it out of reach of
unauthorised persons.
1.3_ GENERAL NOTES
For all maintenance and repair work, employ the services of specialised
personnel or contact the Karrel technical support service.
The manufacturer may not be held responsible for any damage or injury
occurring in the following instances:
• the cart has been used inappropriately or used by unqualified or
inadequately trained persons;
• the cart has been used in contravention with specific national
legislation;
• the instructions given in this manual have not been observed;
• the cart has been used in an environment that does not meet the
requisites specified by the manufacturer;
• any necessary extraordinary maintenance has not been carried out;
• any part of the cart has been modified without the express written
authorisation of the manufacturer;
• non-original replacement parts have been used in the maintenance of
the cart;
• the cart has been used in contravention with the instructions given in
this manual.
No special professional qualification is necessary in order to operate the
cart. However, all operators must read this use and maintenance manual
thoroughly.
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1.4_ OPERATOR INSTRUCTIONS
Check that the cart is working correctly by testing its functions. Promptly
notify your superior and the operator working on the next shift of any
malfunctions noted, especially if they concern safety.
Ensure that there are no foreign objects or tools which could damage the
cart before carrying out any operation.
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1.4.1_ MAINTENANCE PERSONNEL
INSTRUCTIONS
All maintenance or repairs must only be carried out by specialised,
authorised and adequately trained personnel or by the personnel of the
Karrel S.r.l. technical support service.
1.5_ INTENDED USE OF KARREL
Karrel carts are medical products. They are intended for use as devices
to support the treatment of patients in operating theatres, ambulances,
hospital wards and clinics. They may also be used as devices for the
storage and transportation of drugs, medication materials, consumables,
specialised medical equipment and medical files. Karrel carts may not be
used for any other purpose.
1.6_ RESALE OF THE CART
In the event of resale of the cart, Karrel S.r.l. must be notified of the address
of the new owner so that it may provide the new user with any amendments
or updates to this manual.
1.7_ DECOMMISSIONING AND
SCRAPPING THE CART
Should you no longer intend to use a Karrel cart, it must be decommissioned
as follows:
• remove the power supply and any batteries (if installed) and dispose of at an
authorised waste collection facility;
• remove all electrical components (if installed) and dispose of in accordance
with applicable legislation for the disposal of electrical material;
• break up the remaining structural elements and dispose of at an authorised
waste collection facility.
IDENTIFYING DETAILS OF THE CART
2
AND DECLARATION OF CONFORMITY
2.1_ IDENTIFYING DETAILS
This manual is applicable to all carts with drawers and/or doors.
Each Karrel cart has a unique IDENTIFICATION CODE (mentioned in the
quote, the order confirmation and, subsequently, in the waybill and invoice).
This code must be indicated in all requests for repairs under guarantee and
for replacement parts.
This code is also specified on the cart identification label:
CE
Made in ITALY
4204 3 Gattatico (RE) - ITALY
Via A. Vivaldi, 16/18
Tel. +39-0522-477.211 - Fax +39-0522-477.225
E-ma il: karrel@ karrel.it w ww.karrel .it
2.2_ DECLARATION OF CONFORMITY
The undersigned GIACINTO REMIGIO BALDIN, born in Albaredo d’Adige
(Verona - Italy) on 19/09/1954 and residing in Via San Francesco 20/11,
Sulbiate (Milano - Italy) (tax number BLDGNT54P19A137V), President and
Legal Representative of the company KARREL S.r.l., with registered office
and administrative headquarter in Via A. Vivaldi, 16/18 Gattatico (Reggio
Emilia - Italy) (tax number and VAT registration number 01931070351)
H e r e b y d ec l ar e s
Code:
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1. that Karrel carts are manufactured in compliance with UNI standards for
the specific type of product and, in particular, are compliant with Section
6 of Decree-Law 626/94 (implementing EEC directives to improve health
and safety at the workplace) and subsequent amendments;
2. that all metal parts used have a fire performance rating of class 0 (Section
1 of the Decree of the Home Office dated January 14th, 1985);
3.
that Karrel carts bear the CE marking in compliance with the “Medical Devices
Directive” 93/42/EEC (incorporated into Italian legislation by Decree-Law
46/97); furthermore, as the carts are rated as class 1, only the self-certification
by the manufacturer is required.
Sincerely,
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2.3_ USEFUL ADDRESSES AND INFORMATION
For any problems arising at any stage in the cart’s lifetime, please contact
Karrel S.r.l. at the following address:
KARREL S.r.l.
VIA A. VIVALDI, 16/18 - 42043 GATTATICO (RE) - ITALY
Tel. +39/0522/477.211 - Fax +39/0522/477.225 - E-mail: karrel@karrel.it
2.4_ REQUESTING TECHNICAL ASSISTANCE
Should you require one of our employees to inspect the cart or one of our
specialised technicians to perform maintenance or repairs on the cart,
requests must be submitted to the Karrel S.r.l. technical support centre,
which will be happy to be of assistance.
Requests for assistance must be confirmed in writing to Karrel S.r.l.,
specifying:
a) The identification CODE of the cart
b) The relative WAYBILL and/or INVOICE number
c) The details of the problem.
IMPORTANT: Karrel S.r.l. may not be held responsible in the event of
repairs, replacement or maintenance procedures other than those specified
herein carried out by non-employees of the Karrel technical support service
or by persons and/or dealers without the express authorisation of Karrel.
2.5_ REQUESTING REPLACEMENT PARTS
This manual contains a specific chapter specifying the correct procedure for
requesting replacement parts.
This chapter also includes a “Material request form” which must be
completed in full and sent to Karrel S.r.l.
IMPORTANT: Using non-original replacement parts is not permitted
as they may compromise the performance of the cart itself.
3
TRANSPORT AND ASSEMBLY
Karrel carts are designed and built so that only minimal disassembly is
necessary for shipping (whether it be by air, sea, or other). The component
parts themselves are all pre-assembled and thus require very simple
reassembly.
The component parts of the carts are packed in cardboard boxes or, where
possible, stowed within the cart itself. While the boxes used by Karrel S.r.l.
have been specially designed to protect the contents during transport and
against the weather, they must nonetheless be handled with care.
3.1_ AUTHORISED PERSONNEL
All unloading, handling and lifting of the cart and its component parts must
only be carried out by qualified and suitably trained personnel.
All operations must be performed using appropriate equipment (e.g. lift trucks,
forklift trucks, etc.) operated by qualified personnel.
3.2_ TAKING DELIVERY OF THE CART
Upon receipt of the cart, check, together with the person delivering it, that
the packaging is undamaged and has not been tampered with to steal any of
the parts. Check that the delivered material matches the specifications of the
order. If any of the boxes appear damaged, open the damaged box or boxes
in the presence of the person delivering the cart and check that the cart itself
has not been damaged. Note any damage found on the shipping documents
and notify Karrel immediately by fax (+39/0522/477225). Even if the boxes
do not appear to be damaged, inspect the cart visually for damage within 24
hours from delivery. In the case of visible damage due to shipping, promptly
notify the shipping company, the insurance agency and Karrel S.r.l.
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IMPORTANT: Karrel S.r.l. may not be held responsible for any damage
to the cart and/or personal injury due to unauthorised persons lifting and
transporting the cart or failure to comply with the indications contained in
this manual.
All personnel must comply with the applicable indications contained in
Decree-Law 626/94 and Presidential Decree 547.
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4
GENERAL OPERATING PRINCIPLES
4.1 _ GENERAL GUIDELINES FOR CORRECTLY
OPERATING THE CART
4.1.1 _ THE BRAKE
Move the cart into the desired position and press the outermost part of the
brake as shown in figure 1.
Press the (raised) inner part of the brake to release, as shown in figure 2.
Fig.1Fig.2
4.1.2 _ TIPPABLE DRAWERS
Open tippable drawers with both hands, as shown in figure 3, pulling gently
until the latch point and taking care not to damage the plastic.
Fig.3
4.1.3 _ PUSHING THE CART
Push the cart as shown in figures 4 and 5.
Fig.4Fig.5
NEVER
lift the cart as shown in figure 6.
Fig.6
NEVER pull the cart along by its accessories as shown in figure 7.
The internal drawer partitions are optional accessories and must therefore
be specified in the original order. If your cart is supplied with partitions,
install as follows.
STEP 1 - Lay the longer partitions along the bottom of the drawer. Hold
a shorter partition in the desired position and raise the longer partition
elements, snapping into the shorter element in stages as shown in figure 8.
Fig.8
STEP 2 - Fit the remaining short partition elements in the desired positions
as shown in figure 9.
Fig.9
4.1.5_ PLASTIC DRAWERS (plastic carts only)
The front panels on plastic carts are easily removable for replacement or
repositioning. To remove and refit, proceed as follows.
STEP 1 - Using both index fingers, press the rectangular buttons on the
lower edge of the drawer simultaneously and pull the front panel towards
yourself figures 10, 11 and 12.
STEP 2 - Ensure that the buttons are still pressed, reposition the front panel on
the drawer and press until the fastener snaps into place figure 13.
Fig.10
Fig.12Fig.13
Fig.11
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4.1.6 _ CLEANING THE CART
For daily cleaning, simply clean the components used regularly.
Clean the cart with a soft cloth (preferably in microfibre) and a commercially
available degreasing and/or disinfecting detergent (fig. 14). Do not use any
form of alcohol. Use specific, commercially available products for cleaning
stainless steel surfaces.
Fig.14
IMPORTANT: If you intend to use ETHER, ACIDS or other harsh and/
or corrosive substances, we recommend that you also order the STAINLESS STEEL TOP SURFACE (optional accessory available for all carts) (fig. 15)
to protect the plastic top of the unit, which would otherwise be permanently
stained by contact with these substances.
Fig.15
4.2_ OPENING DRAWERS ON THE CRASH
CART (EMERGYKAR carts only)
STEP 1 - Break the seals by hooking your thumbs into the seals themselves
and pulling firmly (as shown in figure 16).
STEP 2 - Lift the levers with your middle and/or ring finger, grip the defibrillator
paddle with the thumb and forefinger of each hand and pull towards yourself
(as shown in figure 17).
STEP 3 - Grip the cardiac CPR massage board firmly by the appropriate han-dle (figure 18).
STEP 4 - Lift the cardiac CPR massage bard slightly and remove it from the cart (figure 19).
Fig.16
Fig.17
Fig.19Fig.18
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MAINTENANCE
5.1_ SAFETY GUIDELINES FOR MAINTENANCE
IMPORTANT: Never use acids, corrosives or ether-based products to
clean the cart.
Clean with commercially available detergents and use appropriate personal
protection devices (goggles, gloves, etc.). Periodically check for damage to
the cart and replace any damaged components.
IMPORTANT:All repair jobs on the cart must only be carried out by
specialised and adequately trained personnel.
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GUARANTEE
6.1_ GUARANTEE VALIDITY
As standard, Karrel S.r.l carts are guaranteed to be free from defects in
materials and workmanship for a period of 24 months. The guarantee
is valid from the delivery date of the cart. Any components deemed, in
the sole and incontestable judgement of Karrel S.r.l., faulty as a result
of defects in materials or workmanship will be replaced free of charge
at the user’s premises by the nearest service centre.
IMPORTANT: Guarantee claims will only be considered if submitted in
writing to the Karrel S.r.l. technical support centre (Fax +39/0522/477 225)
and accompanied by a copy of the original waybill or invoice. Karrel S.r.l.
reserves the right to refuse guarantee claims if any of the aforementioned
documents are not included with the claim itself.
6.2 _ ITEMS NOT COVERED BY THE GUARANTEE
The guarantee does not cover the following:
• Faults or defects (scratches, dents or similar) caused by negligence,
tampering, incompetence or repairs carried out by persons without the
express authorisation of Karrel S.r.l..
• Damage caused by incorrect manoeuvring or operation by persons
unauthorised by Karrel S.r.l. or damage caused by weather or any other
unforeseeable factors.
• Maintenance in general.
• Normal wear and tear.
IMPORTANT: Karrel S.r.l. may not be held responsible for any damage
to property or personal injury caused directly or indirectly by inobservance
of the indications contained in this manual.
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REPLACEMENT PARTS
7.1_ GENERAL TERMS
Use only original replacement parts. The use of non-original replacement
parts will immediately void the guarantee.
Karrel S.r.l. may not be held liable for repairs to the cart resulting from the
use of non-original replacement parts.
Replacing a cart component at the right time means ensuring the optimum
performance of the cart itself while also preventing costly damage. We
therefore recommend that you adhere to the replacement schedule and do
not wait until a part is already worn before replacing it.
Karrel S.r.l. technical personnel will be happy to help resolve any problems
you may have concerning the use and maintenance of the cart.
7.2 _ PARTS SUBJECT TO WEAR
The following is a list of the components most likely to undergo wear in
normal conditions:
• Wheels
• Plastic top surface complete with push handles
• Plastic base
• Drawers
• Drawer front panels (on plastic carts)
• Cart runners (left and right)
• Drawer / door runners (left and right)
• Side tippable drawers (if applicable)
• Grey rubber scuff strips
• Barrel lock with double key
• Retractable shelf (if applicable)
To request a quote for a replacement part, fill in the following form
completely.