Maquet Alphamaxx User manual
ALPHAMAXX
1133.02BX/FX
Operating instructions
Universal operating table
Englisch
GA113302GB11
1133.02BX
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Overview
Mains cable 16
18
Potential equalization
Socket for mains cable
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17
19
1 Head rest (e.g. 1130.64)
2 Fastening screws for head rest
3 Locking lever for upper back plate
4 Back plate, removable
1133.31X0 Back plate for general surgery
5 Connection point for removable back plates
6 Lower back plate
7 Bellows
8 Leg plates
9 Locking lever for leg plate abduction
10 Unlocking of leg plates
11 Seat plate
12 Infrared receiver and transmitter
13 Override system with status indicators for oper-
ating table
14 Sockets for cable-connected hand control and
foot switch
15 Socket for mains cable
16 Mains cable
17 Potential equalization
18 Cable-connected hand control (optional)
19 IR remote control (optional)
20 Interface for servicing
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Contents
I. Important safety instructions ....................................................................................................... 4
II. Important information .................................................................................................................. 6
1. Important notes on these operating instructions ....................................................................... 6
2. Using the operating table in accordance with the intended purpose .......................................... 6
3. Intended purpose ..................................................................................................................... 6
4. Fundamental safety aspects ....................................................................................................6
III. General description...................................................................................................................... 7
1. General features ....................................................................................................................... 7
2. Control of functions .................................................................................................................. 8
2.1. Cable-connected hand control – functions ......................................................................... 9
2.2. Override system = emergency operation ......................................................................... 10
2.3 IR remote control (optional) ............................................................................................. 12
2.3.1 IR system code ...................................................................................................... 13
2.3.2 IR charging station ................................................................................................. 14
2.4 IR wall control panel ........................................................................................................14
2.5 Control via foot switch ..................................................................................................... 14
2.6 Special functions............................................................................................................. 14
3. Table top ................................................................................................................................ 15
3.1 General features ............................................................................................................. 15
3.2 Table top components ..................................................................................................... 16
3.3 Attaching the back plate modules ................................................................................... 17
3.4 Removing the back plate modules................................................................................... 18
3.5 Leg plates ....................................................................................................................... 18
3.6 Table top padding ............................................................................................................ 19
3.7 Accessories.................................................................................................................... 19
4. Motor drive for the base .......................................................................................................... 20
IV. Use of the operating table ........................................................................................................... 21
1. General .................................................................................................................................. 21
2. Operation on battery power .................................................................................................... 21
3. Operation on mains power...................................................................................................... 22
4. HF surgery / Use of defibrillators ............................................................................................22
V. Patient positioning ..................................................................................................................... 23
1. General .................................................................................................................................. 23
2. Positioning a patient weighing up to 135 kg (300 lb.) .............................................................. 25
3. Positioning a patient weighing from 135 kg up to 225 kg (300 lb. up to 500 lb.) ...................... 28
4. Positioning a patient weighing from 225 kg up to 450 kg (500 lb. up to 1000 lb.) .................... 31
VI. Care and maintenance .............................................................................................................. 32
1. Cleaning ................................................................................................................................. 32
2. Disinfection ............................................................................................................................ 32
3. Maintenance .......................................................................................................................... 33
4. Malfunctions .......................................................................................................................... 33
5. Environmental protection ........................................................................................................ 34
VII. Technical data ............................................................................................................................ 35
1. Operating table adjustments .................................................................................................. 35
2. Electrical data ........................................................................................................................ 35
VIII.List of accessories ...................................................................................................................... 36
1. Accessories for the head rest interface .................................................................................. 38
2. Accessories for the back plate interface................................................................................. 40
3. Accessories for the legplate interface..................................................................................... 40
4. Accessories for attachment to the side rails........................................................................... 41
5. Special accessories ............................................................................................................... 41
6. Control modules ..................................................................................................................... 42
IX. Spare parts list ............................................................................................................................ 42
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I. Important safety instructions
I. Important safety instructions
Mount only the accessories listed in Chapter VIII.
Make sure that the operating table is set up horizontally and is stable!
Lock the operating table in position prior to use! Press the LOCK key!
Lock the operating table in position prior to transferring the patient! Press the LOCK key!
The patient may only be transferred from the side of the operating table.
It is not allowed to transfer the patient from the head or foot end onto the table.
Danger of tipping over!
Danger of injury! If the patient is not secured during transport, adjustments of the operating table or
positioning (especially in Trendelenburg positions), he/she may slip off the operating table. Always secure
and observe the patient.
1133.02BX
Danger of burns to the patient!
When using HF surgical equipment, defibrillators and defibrillation monitors, make sure to avoid that the
patient comes into contact with the metal parts of the operating table, the table tops or the accessories.
Also make sure to avoid that the patient is lying on moist underlays or sheets on the conductive pads.
Be absolutely sure to comply with the manufacturer’s operating instructions.
Danger of damage! Take care to avoid collisions between accessories and the operating table during
adjustment procedures.
Consult MAQUET prior to using accessories produced by other manufacturers if they affect the longitudinal
geometry of the table top.
There is no explosion protection while recharging the batteries or the operating table is on mains power.
When connecting and removing the mains cable, observe the correct order of the procedure! (see page 22)
The patient has to be positioned and observed so as to avoid hazards to respiration, the nervous system
and the circulatory system.
The operating table’s electrical conductivity has to be checked once a year by trained service personnel!
Unplug the operating table before opening!
Electrical devices (such as cellphones, radios, magnetic resonance tomographs) can interfere with the
functioning of the operating table when used near the operating table.
Please observe the Technical Description for the operating table.
It contains information on electromagnetic compatibility (EMC) for the operating table (both radiation and
resistance to interference).
Adhere to those specifications when using electrical equipment and respond properly in the event of
effects on the operating table.
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I. Important safety instructions
Danger of injury!
Before aligning the leg plates horizontally, check
the patient’s position carefully, particularly when
using knee crutches.
Danger of crushing!
Do not touch the side rails in the area of the joints
when adjusting the operating table top!
Danger of pinching!
Danger of collision!
Danger of pinching!
Do not reach under the table top or between the
table top components during adjustment
procedures.
Danger of crushing!
When locking the operating table (LOCK), the
operator’s feet may be crushed or shorn. When
setting the operating table, keep enough distance
from the table base.
Danger of damage!
Do not place any objects on the base of the
operating table!
Danger of damage!
Do not press or pull on the covers of the joints.
Danger of damage!
Make sure the cable of the hand control does not
get jammed when adjusting the operating table.
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II. Important information
1133.02BX
II. Important information
Your hospital has opted for the 1133.02 operating table. Thank you for the confidence you have demonstrated in
doing so.
1. Important notes on these operating instructions:
• Please read these operating instructions thoroughly and carefully. They were written to make you familiar with
the features of the operating table.
• Please observe these instructions at all times.
• Please keep these instructions close to the equipment for ease of reference.
• In these operating instructions we have used the following symbols:
This symbol indicates safety instructions in accordance with the prevailing international
standard for medical equipment.
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This symbol is placed before all instructions that ensure the trouble-free operation of the unit.
(X) An „X“ in the order number (e.g. 1133.53XX) stands in place of the different versions.
2. Using the operating table in accordance with the intended purpose
The operating tables distributed by MAQUET are to be used exclusively in the field of human medicine. The user
must have been instructed in the proper operation of the table before using it. This familiarization session is
confirmed in an acceptance log. The location selected for the table must satisfy the requirements set down in
applicable standards and guidelines. Mandatory for utilization is the proper assembly and maintenance of the unit.
3. Intended purpose
The 1133.02 operating table serves to support and position patients for surgical treatment
• immediately before, during and after the operative phase
• in rooms designated for medical use and which provide the following required features:
– equipment to protect against electric shocks
– additional potential equalization
– electrically conductive floor (corresponding to Group 1 or 2 as per VDE 0100 part 710);
• under medical supervision.
• Considering patient positioning a max. 450 kg (1000 lb.) patient weight is permissible.
Avoid excentric patient positions, i.e. the patient’s centre of gravity (near the navel) must be as close as possible to
the centre of the column.
Due to the design of the table top, the operating table is suitable for all surgical disciplines. The patient positioning
options are listed in these Operating instructions.
The operating table adjustments are made electrohydraulically using a cable-connected hand control, an IR remote control, an IR wall control panel or a foot switch.
Side rails serve to attach accessory components in accordance with the manufacturer’s specifications. The
radiotranslucent operating table top allows for intraoperative use of X-ray equipment.
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Make sure to comply with the generally applicable provisions relating to hygienics, and to cover the table top
of the operating table with sheets before positioning the patient.
4. Basic safety aspects
„CLASSIFIED BY UNDERWRITERS LABORATORIES INC: WITH RESPECT TO ELECTRIC SHOCK; FIRE
AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH UL 2601-1“
This operating table meets the requirements set forth in the IEC 601-1 international standard, which is equivalent
to EN 60601-1.
The operating table is classified as Class I equipment of the Medical Device Directive.
Whenever maintenance work is required, remember that the MAQUET service is the right address in terms of
quality and maintaining guarantee protection. You will certainly understand that MAQUET can be held responsible
for the safety technology features of the product only if assembly, enhancements, readjustment, modifications
and repairs are made exclusively by our service department or by an authorized agent and if the unit is used in full
compliance with the Operating Instructions.
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GA113302GB11
1133.02BX
III. General description
III. General description
1. General features
In principle, the ALPHAMAXX 1133.02 operating table
is suitable for the following surgical procedures:
〈 in the thorax and abdominal areas
〈 in the head area
〈 in gynaecology
〈 in urology
〈 in orthopaedics
If required, separate accessories can be attached to
the operating table.
Fig. 1: Permissible patient orientation
The table top is subdivided into 6 sections:
〈 Head rest (removable)
〈 Upper back plate (removable)
〈 Lower back plate
〈 Seat plate
〈 Split leg plates
The lower back, seat and leg plates are adjusted under
motor power.
The head rest and the upper back plate are adjusted
manually.
X-ray cassettes can be inserted underneath the back
plate.
The side rails are used to fix the accessories.
For patients weighing up to 135 kg (300 lb), place
the operating table only on its castors (UNLOCK)
up to the maximum table top height of 940 mm
(37 in)! The warning sign is not seen!
For patients weighing from 135 kg up to 225 kg
(300 - 500 lb), place the operating table only on
its castors (UNLOCK) when the table top is in its
lowest position!
GA113302GB11
NO
YES
Using the UNLOCK function for patient weights
exceeding 225 kg (500 lb) is not permissible!
2. Versions
Various versions of the 1133.02 operating table are available:
1133.02B1 Operating table incl. SFC pads and standard side rails
1133.02B3 Operating table incl. SFC pads, standard
side rails and motor drive for the base
1133.02F1 Operating table incl. SFC pads and US
side rails
1133.02F3 Operating table incl. SFC pads and US
side rails and motor drive for the base
The cable-connected hand control, the IR transmitter
and charging station for the IR transmitter as well as
the head rests, upper back plates and leg plates are to
be ordered separately. The order numbers are listed in
Chapters VIII and IX.
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III. General description
2. Control of functions
The electrohydraulic functions of the operating table can
be operated using the following control elements:
• Cable-connected hand control (see 2.1)
• Override system = emergency operation (see 2.2)
or optionally:
• IR remote control (see 2.3)
• Wall control panel (see 2.4)
• Foot switch 1009.79F0 (see 2.5)
The cable-connected hand control and the IR remote
control have almost the same function keys.
The override system is only used for emergency operation of the operating table.
The foot switch functions are: table height, Trendelenburg/reverse Trendelenburg position and another function (lateral tilt, longitudinal shift for the back plate or
leg plate adjustment).
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For safety reasons only the TRENDELENBURG/
REVERSE TRENDELENBURG functions can be
used when the UNLOCK function is activated.
1133.02BX
The sockets 14 for the cable-connected hand control
and the foot switch are located on the override control
panel.
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If the functions are controlled simultaneously by
more than one operating element, each movement
of the operating table is stopped immediately.
Danger of operating table tipping over!
Make sure to remove any potential hindrances
before adjusting the operating table!
Danger of damage during adjustments!
Do not place any objects on the base of the operating table!
Danger of pinching!
Do not reach under the table top or between the
table top components during adjustment procedures.
Danger of injury!
If the patient is not secured during transport,
adjustments of the operating table or positioning
(especially in Trendelenburg positions), he/she
may slip off the operating table. Always secure
and observe the patient.
Danger of damage!
When not in use, hang up the cable-connected
hand control at the side rail of the operating table.
Make sure the cable of the hand control does not
get jammed when adjusting the operating table.
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1133.02BX
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III. General description
2.1 Cable-connected hand control
The cable-connected hand control is connected to the
operating table at one of the two sockets 14 at the override control panel (for simultaneous connection of cable-connected hand control and foot switch). The electric motor-powered adjustments of the operating table
can be made immediately by pressing completely the
corresponding function keys.
a)
Lower
b)
Raise
c) Tilt to the
d) Tilt to the
e)
Trendelenburg position
f)
Reverse Trendelenburg position
g)
Flex
position
operates the
back plate
achieved to force the surgical field upward
Beach chair
raises the back plate, moves the entire table top
into Trendelenburg position and lowers the leg
plates. The patient is moved into a seated position.
The left leg plate can be controlled individually
only together with the appropriate function key
for the desired movement – downward (r+j) or
upward (r+k), under two-button control
Similar to the individual plate, by pressing the
two keys for downward movement (s+j) or for
upward movement (s+k) (two-button control)
Lock
Press the LOCK key for at least 1 second; the
table will be locked automatically.
Unlock
To unlock the operating table, press the UNLOCK
key for at least 1 second, then the castors will
be extended automatically and the table can
be displaced.
Displace the operating table
the head end).
foot end).
When displacing the operating table under motor
power, it must be guided with a hand.
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j) Slope (both) leg plates
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k) Slope (both) leg plates
l) Slope (lower) back plate
m) Slope (lower) back plate
p) Shift the table top toward the
q) Shift the table top toward the
r) Adjust the left leg plate individually
s) Adjust the right leg plate individually
t)
u)
v) Motor drive for the base
w) Displace the operating table
table top
table top
left
(view from head end)
right
(view from head end)
reverse Trendelenburg
functions until a flex position is
downward
upward
downward
upward
foot end
head end
for 1133.02B2 (optional)
backward
forward
and
lower
(toward
(toward the
GA113302GB11
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III. General description
z) 0-position
Resets the lateral tilt, Trendelenburg/reverse Trendelenburg, back plate and leg plate adjustments to
the horizontal position. If the function key z is
pressed, the operating table top will first reset the
adjustments in the following order – lateral tilt, Trendelenburg/reverse Trendelenburg, back plate. An
acoustic signal will indicate that these adjustments
have been reset. Release the function key z and
press once again to reset the back plates to the
horizontal position; if the leg plates have been adjusted individually, they will be positioned parallel
to one another.
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Manual adjustment functions such as those for the
upper back plate, head rest and leg plate abduction
will not be affected by the IR remote control (and as
a consequence neither by the automatic 0-position
function).
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sufficient to be able to adjust the operating table
even from a greater distance. If the operating table
does not respond to the command even though the
function key is completely depressed, either reaim
the hand control or move to a slightly different transmission position. In such cases the receiver at the
column is probably being blocked by a person’s
body.
1133.02BX
2.2. Override system = emergency operation
2.2.1 Override control panel
In case of a malfunction or a defective hand control, you
can control the operating table functions via the control
panel 13 on the upper column casing = emergency op-
eration.
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Always press the ON key together with the desired
13
function key.
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If the operating table batteries are discharged, the
override system only works if the operating table is
connected to the mains.
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When using the override control panel, the
anticollision feature is not activated. Avoid extreme
adjustments – the combination of maximum Trendelenburg/reverse Trendelenburg position and maximum lateral tilt.
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III. General description
The functions of the override control panel are shown in
the following:
A) LED status indicators of operating table
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The status indicators are only active when the cable-connected hand control or IR remote control is
switched on.
Description of the symbols from left to right:
z Mains connection: the green LED lights up when
the operating table is connected to the mains.
z Battery charge level: the red LED flashes when the
operating table batteries have to be recharged as
soon as possible.
z Lock operating table: the green LED lights up when
the operating table is locked, i.e.
z Extend operating table castors: the red LED lights
up when the operating table is on its castors and
can be displaced, e.g.
UNLOCK
LOCK
activated.
activated.
AC
EGILN
DFHK
B
MO
B) ON
switches the motor ON and must be
pressed in addition to each function key
C) TREND
Moves table top into Trendelenburg
position
D) REV.
Moves table top into reverse
Trendelenburg position
E) UP
Move table top up
F) DOWN
Move table top down
G) TILT
Lateral tilt to the left
GA113302GB11
H) TILT
Lateral tilt to the right
I) UP
Slope back plate upward
K) DOWN
Slope back plate downward
L) UP
Slope leg plate upward
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III. General description
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M) DOWN
Slope leg plate downward
N) LOCK
Operating table locked
O) UNLOCK
Operating table on castors, movable
2.3. IR remote control (optional)
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k
The operating table can be equipped with an IR remote
control, as desired.
The required charging station for the IR remote control
is not included with the order no. 1133.91A0.
The layout of the function keys for the operating table
adjustments is the same on the cable-connected hand
control and IR remote control apart from the following
exceptions:
There are no function keys for the motor drive for the
base. For safety reasons, you can only activate this
function via the cable-connected hand control.
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z
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When switching on the IR remote control, the LED
status indicators on the control panel on the operating table column are active (see chapter on “Override system”).
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When using the IR remote control or the cable-connected hand control, the electronics generally avoid
collisions with the floor or parts of the operating
table.
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III. General description
2.3.1 IR system code
An IR remote control is clearly assigned to each operating table through a code. The operating table has the
same system code as the associated IR remote control. You can see from the label at the operating table
column whether the IR reception has been activated for
this operating table. If the system code is crossed out,
then the IR reception has been locked for this operating
table. The operating table and the IR remote control are
activated / locked for IR reception by authorized personnel.
The operating table and the associated IR remote control are marked by adhesive labels bearing the set system code:
• The adhesive labels are affixed to the operating table column next to the IR receiver.
• The adhesive labels are affixed to the back of the IR
remote control.
The two dot-shaped adhesive labels bear a number from
0 to 9 or a letter from A to F:
• left: 0, 1, 2 ...A, B, ... F
• right: 0, 1, 2 ...A, B, ... F
03
Examples of preset IR system code markings:
15
3A
C2
DA
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The order of the identification letters/numbers is significant, i.e. the IR system code 4 B does not equal
B 4.
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Always leave the IR remote control in the immediate vicinity of the operating table to which it is assigned, since the operating table can only be moved
via this IR remote control.
Of course, the operating table can be adjusted via a
cable-connected hand control or the override system at any time, regardless of the IR remote control.
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The transmission power of the IR hand control is
sufficient to be able to adjust the operating table
even from a greater distance. If the operating table
does not respond to the command even though the
function key is completely depressed, either reaim
the hand control or move to a slightly different transmission position. In such cases the IR sensor at
the column is being blocked by a person’s body.
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III. General description
2.3.2 Charging station
Recharging the IR remote control:
• Connect the charging station to the mains.
The green LED in the charging station indicates whether
the required supply voltage is available or not.
• Place the IR remote control in the charging station
as follows:
– Keypad visible, in the position for normal use,
i.e. the 0-position key x is located at the bottom
right
– The base of the hand control is in contact with
the lower limit stop of the holder.
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The rechargeable battery of the IR remote control
has enough capacity to ensure several day’s use of
the operating table. Nevertheless, we recommend
that you insert the hand control into the holder of
the charging station so that the battery is recharged
overnight.
1133.02BX
2.4 Control via IR wall panel
The desired adjustment functions for the operating table can be controlled by means of the function keys (1)
at the wall control panel or the separate IR hand control
(2).
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The IR wall control panel can be mounted to the
wall at a later date. For further information, please
refer to the operating instructions GA115095GBxx.
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