Maquet Orthostar User manual

1425.01A/BORTHOSTAR II
Operating instructions
Mobile operating and extension table
for: traumatology orthopaedics spinal surgery
Englisch
GA142501GB03
1425.01A/B ORTHOSTAR II
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1425.01A/B ORTHOSTAR II
Pictorial guide
1 Head rest 2 Shoulder segment, left 3 Shoulder segment, right 4 Back plate 5 Seat plate 6 Side rail elongation 7 Triangular buttock support, left 8 Triangular buttock support, right 9 Leg plate, left 10 Leg plate, right 11 Countertraction post for neck of femur 12 Quick-release catch 13 Clamping lever 14 Supporting arm 15 Rocking lever 16 Pin for potential equalization (beneath the table top) 17 Rear base cover 18 Pedal 19 Supply cord on cable reel in the base 20 Pedal 21 Front base cover 22 Eccentric clamping lever 23 Traction bar 24 Handle screw 25 Telescopic bars 26 Quick-release catch for leg plates 27 Cable-connected hand control or IR hand control with charging station 28 Rotation and traction stirrup clamp 29 Rotation-tilt clamp 30 Screw tension device 31 Bar elongation
32 Foot plate support
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1425.01A/B ORTHOSTAR II
Contents:
Pictorial guide
I. Safety
II. Summary of safety precautions
III. General description
1. General description
2. Displacing / locking the operating table
3. Control of electrically controlled, hydraulically powered motions
IV. Use of the operating table
1. Potential equalization
2. Mains operation
3. Battery-powered operation
4. Explosion protection
V. Table top components
1. Removing the back plate
2. Mounting sockets at the supporting frame
3. Leg plates
4. Triangular buttock supports
5. Traction bars
6. Padding
VI. Accessories
VII. Special accessory units
VIII. Removing the back plate
IX. Hazard of accident and injury
Accessories for Morbus Bechterew operations
Page
2 - 3
5
6
7 - 10 7 7 8
11 11 11 11 11
12 12 12 12 13 13 13
14 - 19
20
21
22
23
X. Care and maintenance
XI. Patient positioning using accessories
XII. List of accessories
XIII. Technical data
XIV. Spare part supply see spare parts list 9 491 320
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24 - 25
26 - 34
35 - 36
37
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1425.01A/B ORTHOSTAR II
I. Safety
Important notes on these operating instructions:
Please read these operating instructions completely and carefully before using the unit. They were provided to familiarize you with the features and correct use of the ORTHOSTAR II. Be sure to always follow the instructions contained herein. Store these instructions in a location near the equipment so that they will be available for ready reference. We have used the following symbols to identify important notes in these instructions:
This symbol identifies information which is critical to safety as described in the international standard
applicable to the field of medicine.
è An arrow is placed in front of all information which is important to trouble-free operation of the system.
Intended use of an operating table
The operating tables sold by the MAQUET company are solely intended for medical treatment of humans. The operator must be instructed in the correct use of the equipment. The equipment should be located in an area that adheres to the current valid standards and guidelines. An absolute prerequisite for the use of the equipment is its correct assembly and maintenance.
è For use the operating-room table has to be covered with clothes according to the established hygienic standards.
Fundamental safety aspects
l Any other use of the operating table, e.g. as a lifting platform, for material transport, as a rest rest platform, etc. is considered not in accordance with the intended purpose.
Intended use
The operating table is intended for
l Positioning the patient during the operation incl. the preparatory and postoperative phases l For transport of the patient inside the surgical department, e.g. from the patient transfer unit to the operating room
and vice versa.
This mobile operating table satisfies the requirements of the standard which is applicable internationally, IEC 601-1 (EN60601-1), corresponding to DIN VDE Standard 0750, Part 1. The operating table may be used only in rooms where the installation technology satisfies the requirements of DIN 0107 or an equivalent national standard. The ORTHOSTAR II operating table may be operated only by persons who have been instructed in the correct use of the equipment. This familiarization by MAQUET was confirmed in an acceptance log.
CLASSIFIED BY UNDERWRITERS LABORATORIES INC: WITH RESPECT TO ELECTRIC SHOCK; FIRE AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH UL 2601-1
Whenever maintenance work is required, remember that the MAQUET Service Department is always the right address in terms of quality and maintaining guarantee protection. You will certainly understand that MAQUET can assume responsibility for the safe operation of your operating table only if maintenance, repairs, modifications, etc. are carried out either by our service department or by a firm expressly authorized to do this work and only if the unit has been utilized in full compliance with the operating instructions.
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1425.01A/B ORTHOSTAR II
II. Summary of safety precautions
Pinch points are created during certain table top adjustments. Do not reach under the back plate or attached accessory components and the joints.
The operator has to ensure that the location of the operating table is horizontal and safe.
The nursing staff must ensure that the patients are positioned and monitored so as to prevent compromising respiration, nerve pathways or circulation.
Displacement of the operating table with patients weighing up to 135 kg (300 lb.) is allowed only up to a table top height of 0.9 m (35.4 inches). Note: The warning plate at the column must not be visible (Fig. A, page 7).
If the table top components contact an obstacle during an adjustment procedure, the table may tip. Remove possible obstacles before lowering the operating table or individual table top components.
Lock the operating table when transferring the patient.
The operating table must not be operated from the mains in the presence of flammable anaesthetics.
Electrically conductive properties must be monitored by trained service personnel. Trained service personnel must perform subsequent routine testing at least once a year.
When installing operating table accessories, check for correct attachment and tighten securely. Do not use worn or damaged accessories. Check installation before using any accessory.
Unexpected table movement with a patient who is not secured could cause patient injury. The patient must be secured to the operating table in accordance with the specific requirements, using the appropriate accessories such as body strap, lateral supports, etc.
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1425.01A/B ORTHOSTAR II
Bild A
III. General description
1. General description
The ORTHOSTAR II 1425.01 is a mobile operating table for traumatology, orthopaedics, spinal surgery and shoulder operations. The table top is divided into 8 sections (9 sections including head rest to choice) and provided with electrically controlled and hydraulically powered adjustment functions for height, lateral tilt, Trendelenburg / reverse Trendelenburg, and at the back section. Guide rails beneath the seat plate allow for X-ray film cassette insertion from the sides. The side rails are provided for fitting accessories. The operating table is powered by batteries or mains operated. The batteries are recharged with a built-in battery charger. The charge level of the batteries is indicated by a luminous diode. Using an 0-position key, the Trendelenburg and lateral tilt adjustments may be reset and the table top returned to the horizontal position. A pedal is used to lock and release the
operating table for travel.
According to IEC 601-1, the table is built for safe
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handling of patients weighing up to 135 kg. If heavier loading is to be expected, consult the manufacturer. The operating table shall be equipped only with MAQUET accessories (observe the operating instructions!). Accessories made by other manufacturers shall not be used without express approval by MAQUET and must be particularly carefully examined to ensure that they do not represent a hazard to the patient, the personnel, or the operating table.
When a patient is lying on the operating table, the pedals for unlocking the base may be actuated only when the warning plates are no longer visible (Fig. A).
è Note:
All surgical procedures are permissible on the locked operating table up to a patient weight of 135 kg (300 lb.).
2. Displacing / locking the operating table
è Always lock the operating table in position using
the pedals (18) and (20) before setting up the patient position and during the operation.
For longitudinal displacement of the operating table, l push the two pedals (18) and (20) upward
Displacement of the operating table with patients weighing up to 135 kg (300 lb.) is allowed only up to a table top height of 0.9 m (35.4 inches). Note: The warning plate at the column must not be visible (Fig. A).
For transverse displacement,
l push pedal (20) downward and l pedal (18) upwar
For locking the operating table l push pedal (20) upward and pedal (18) downward.
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1425.01A/B ORTHOSTAR II
3. Control of electrically controlled, hydraulically powered motions
Depending on the customers requirements, the operating table motions may be controlled by the following three elements:
l Cable-connected hand control l IR hand control l Foot switch (only for the table top up/down and
Trendelenburg/reverse Trendelenburg functions.
3.1 Cable-connected hand control
Once it has been removed from its packaging, the plug for the cable-connected hand control is connected at one of the two sockets (33) at the column head. The operating table can then be adjusted on battery power.
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The column is equipped with two sockets for simultaneous connection of the cable-connected
hand control and the foot switch.
3.2 Functions
Press the appropriate function key to invoke the desired adjustment function.
a Automatic 0-position feature b Back plate downward c Back plate upward d Trendelenburg position e Reverse Trendelenburg position f Lateral tilt to left g Lateral tilt to right h Table top downward j Table top upward n Capacity indicator
3.3 Foot switch control
The foot switch (separate ref. no. 1009.79-B) is also connected to one of the two sockets at the column head. Now the electrically controlled, hydraulically driven functions up/down and Trendelenburg/reverse Trendelenburg can be operated by either the foot switch, the cable-connected hand control or the IR hand control.
èNote:
If functions are initiated simultaneously via foot switch and hand control, each function of the system will be stopped instantly and will be resumed only when one of the control elements has been released.
3.3a Infrared remote control
If desired, the table may be equipped with an IR remote control. The arrangement of the function keys for the adjustments of the operating table is the same as on the cable-connected hand control. If the operating table is equipped with an infrared remote control, it differs from the version with the cable-connected hand control in the following characteristics:
l Cordless hand control l Additional charging station with supply cable for IR
hand control l Capacity indicator for battery capacity of the operating table at the column head l Additional acoustic signals of the operating table and the IR hand control in particular use situations.
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è Note
The transmission power of the IR hand control is sufficient to be able to adjust the operating table even from a greater distance and with the operating table draped. 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 sensor at the column is being blocked by a person.
3.4 IR system code
Each operating table and its IR hand control are identified with the same codes. The encoding is undertaken by authorized personnel. The operating table and its hand control are marked with blue labels. The label is located
l at the lower end of the hand control l at the base of the operating table near the supply
cable. The IR system code is identified by a numeral from 0 to 9 or a letter from A to F.
Examples of possible IR system codes:
4B C2 DA
è Note
The order of the numerals and letters is significant here; IR system code 4 B is not equivalent with B 4, for instance.
The operating table can, of course, be used at any time by connecting a cable-connected hand control; here the IR system code is of no significance.
3.5 Charging station The charging station of the IR hand control is used for recharging the battery in the hand control. The charging station can be mounted on the wall near a power socket; however, it does not necessarily have to be mounted at all.
To recharge the battery in the IR hand control, connect the charging station to the mains via supply cable. The green indicator lights up. Insert the hand control in the charging station as follows:
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l Hold the hand control so that the keypad is
visible, in the position for normal use
l the 0-position key is at the top
l the lower, narrow end of the hand control is in
contact with the lower edge of the holder.
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1425.01A/B ORTHOSTAR II
The battery in the IR hand control has sufficient capacity to control adjustments of the operating table for several days. We nonetheless recommend that the hand control be stored in the charging station in the evening so that the battery will be recharged overnight.
3.6 Battery charge level
The capacity of the batteries in the operating table and the IR hand control is indicated by optical and acoustic signals.
a) IR hand control
l A continuous tone will be sounded when one of the
function keys is pressed (the adjustment motion is being executed). The capacity of the battery in the hand control has dropped to approx. 10 %. Insert the hand control in the charging station once the adjustment motion has been completed.
b) Operating table
The battery charge level is indicated optically by the luminous diode n. When using a cable-connected hand control, the luminous diode is integrated in the hand control.
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When using an operating table with an IR hand control, the luminous diode is located at the column head.
Charging capacity
green continuous light at n: Charging condition 100  30 % = good Red continuous light at n: Charging condition 30  10 % = still sufficient Red intermittent light at n: Charging condition less than 10 % = very low; The batteries should urgently be recharged on completion of the surgical intervention.
èNote
In addition to the luminous diode blinking red, this
charging condition is also indicated by an intermittent acoustic signal for operating tables with IR hand control.
Green intermittent light at n: The operating table has been connected to the mains supply. The batteries are being recharged; adjustments can be made. The operating table has been connected to the mains supply. The batteries are being recharged; adjustments can be made. No signal at n: The maximum discharge limit has been reached. The electronics have shut down the unit to avoid deep discharge which would damage the batteries. The batteries must be charged.
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Charging the batteries:
To recharge the batteries, connect the operating table via the supply cable to the mains supply. The full charging capacity is attained after a charging time of approx. 15 hours. Overcharging is avoided by an electronic power control. We recommend recharging the batteries overnight or during the weekends.
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1425.01A/B ORTHOSTAR II
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IV. Use of the operating table
1. Potential equalization
Connect the potential equalization pin (16) with cable to
a potential equalization point in the operating room (as per VDE Electrical Standard 0107 or the corresponding national codes).
2. Mains operation
Use the cable (19) to connect the operating table to
the mains supply. To do so, pull the supply cable out of the opening in the base (cable length approx. 4.5 m).
The separation of the OR-table from the mains is made by the power plug.
èNote
Damaged mains cables must be replaced! When pressing the lever (34) upward, the supply cable is automatically wound on the cable reel inside.
3. Battery-powered operation
Unplug the operating table. At full charge, the batteries will power the operating table for several weeks, depending on the frequency with which the adjustments are made.
èNote
Operating the table under battery power is always to be given preference to operation from the mains supply.
4. Explosion protection
When running on the integral batteries only with no connection to the mains supply, the operating table satisfies the requirements of Class M for the anaesthetic test. It may be used in areas subject to explosion hazard, Zone M. When the operating table is connected to the mains supply, it is not suitable for use in areas subject to explosion hazard (AP-M).
Please refer to your national safety regulations.
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Attention
To prevent oil leakage after the bleed screw has been installed, do not tilt the operating table through more than 25°.
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1425.01A/B ORTHOSTAR II
V. Table top components
1. Back plate (4)
The Orthostar II is equipped with a back plate (4) which can be raised from the horizontal position under motor power, using the hand control modules (see Section 3, from page 8).
For shoulder operations, the shoulder segment (2) or (3) may be removed by pulling off. To attach the shoulder sections (2/3), insert them in the square tube of the back plate and apply gentle pressure to snap them in position. They will engage automatically. The entire back plate may be removed from the operating table in order to attach other accessory units for operations on the spinal column.
2. Mounting sockets at the supporting frame
The following mounting sockets are located at the supporting frame (35) in the foot side area of the seat plate: l The square sockets (36) pointing towards the foot end are used to attach the leg plates (9/10). l The square sockets at the sides (37) are used to attach the triangular buttock supports (7/8) and various accessories. l The vertical round sockets (38) are used to attach the countertraction posts (see Chapter Basic accessories)
3. Leg plates
To attach the leg plates (9/10), pull on the quick­release catch (26) and insert the leg plate in the square socket (36) up to the stop with the quick­release catch (26) still being pulled on. The leg plates will automatically be fixed in position as soon as the catch (26) is released. To pull out the leg plate, first pull on the quick-release catch (26) and remove the leg plate with the catch (26) still being pulled on.
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