Mizuho Osi Axis Jackson 6977 User manual

AXIS JACKSON SYSTEM ®

OWNER’S MANUAL

Model 6977

This manual is written in five

languages in the following order:

• (en) English

• (es) Spanish

• (fr) French

• (de) German

• (it) Italian

MIZUHO OSI

30031 AHERN AVENUE • UNION CITY, CA 94587

Bus: 510-429-1500 • Toll Free: 800-777-4674 Fax: • 510-429-8500

WWW.MIZUHOSI.COM ·

•

NEWHIPNEWS.COM · •NEWSPINENEWS.COM

MIZUHOSI 2009 1 NW0507 Rev G

Information in this document is subject to change without notice. Mizuho OSI assumes no responsibility for any errors that may appear in this document. This document is believed to be complete and accurate at the time of publication. In no event shall Mizuho OSI be liable for incidental, special, multiple, or consequential damages in connection with or arising from the use of this document.

NOTICE TO PURCHASER:

MIZUHOSI®, Axis Jackson®, Axis Jackson System®, GentleTouch®, Torso Trolley®, Advance Control Pad System™, and IVSP™ are trademarks of Mizuho OSI and the Mizuho Corporation.

The Axis Jackson System® Model 6977 is a Class II, Exempt Device within the guidance of 21 CFR Part 860 Medical Device Classification Procedures. The 6977 is Class I, in accordance with Rule I of the Medical Device Directive Guidance Document MDDEV 2.4/1, Guidelines for the Classification of Medical Devices.

The Axis Jackson System® Model 6977 is intended for use as a patient positioning surgical support system for thoracic and lumbar spine procedures. It provides for a wide range of intra-operative angular movement with the patient positioned prone, supine, or lateral. Patent pending.

All other trademarks in this document are the sole property of their respective owners.

Printed in the USA, 2009

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AXIS JACKSON SYSTEM

TABLE OF CONTENTS

Section Page

1.0 SAFETY INFORMATION ..................................................................................... 4

2.0 INTRODUCTION .................................................................................................. 8

3.0 SYSTEM COMPONENTS .................................................................................. 11

4.0 AXIS JACKSON SYSTEM SET-UP................................................................... 14

5.0 PRE-OPERATION FUNCTION CHECKS .......................................................... 34

6.0 OPERATING THE SYSTEM .............................................................................. 36

7.0 PRONE POSITIONING ...................................................................................... 41

8.0 SUPINE AND LATERAL POSITIONING ........................................................... 56

9.0 CLEANING, STORAGE, AND ROUTINE MAINTENANCE............................... 64

10.0 TROUBLESHOOTING GUIDE........................................................................... 68

11.0 REPAIR AND TECHNICAL SERVICE............................................................... 75

12.0 CONTACTING MIZUHOSI ................................................................................. 76

13.0 6977 ELECTRICAL INTERCONNECT DIAGRAM (PAGE 1 OF 2)................... 77

14.0 STANDARD COMPONENTS AND OPTIONAL ACCESSORIES...................... 79

15.0 AXIS JACKSON SYSTEM® OWNER’S MANUAL CHECKLIST ..................... 85

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1.0 SAFETY INFORMATION

CAUTION

WARNING

DANGER

CAUTION

Safety Conventions Used In This Document

Document Five user attention words may appear in the text of this Mizuho User Attention OSI Owner’s Manual. Each user attention word implies a Words particular level of observation or action as described below.

Note: Calls attention to useful information.

IMPORTANT: Indicates information that is necessary for proper product operation.

Indicates a potentially hazardous situation which if not avoided may result in minor or moderate injury. It may also be used to alert against unsafe practices.

Indicates a potentially hazardous situation which if not avoided could result in death or serious injury.

Indicates an imminently hazardous situation which if not avoided will result in death or serious injury. This signal word is to be limited to the most extreme situations.

Before Ensure that everyone involved with the use or maintenance Using This of this product has read the Owner’s Manual. Product

Avoid using this product in a manner not specified by Mizuho OSI.

IMPORTANT: The positioning techniques and applications outlined in this manual are

the manufacturer’s suggested techniques. The final disposition of each patient’s care as related to the use of this product rests with the attending physician.

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Safety and Health Symbols Used

The following Table (T-1) describes the symbols displayed on the Axis Jackson System and referenced within this Owner’s Manual.

Table T-1

Symbol

Indicates pinch point.

Indicates a protective grounding terminal

Indicates the presence of an electrical

Indicates the ON position of a power switch.

Indicates the OFF position of a power switch.

that must be connected to earth ground before any other electrical connections are made to the product.

shock hazard and to proceed with appropriate caution.

Description

Used On

Product

√

Used In

Manual

√

Indicates that you should consult the

manual for further information and to proceed with appropriate caution.

Indicates an external ground stud that is required for use when the AC power cable is not connected to a protective earth ground outlet in your operating room or facility. Indicates this equipment is an applied part, TYPE B in accordance with IEC 60601-1 and is generally suitable for applications involving external or internal contact with the patient, excluding the heart. The patient circuit is connected to protective earth and this equipment should be connected only to outlets with a protective earth ground. Indicates Waste Disposal information.

√

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Product Safety Certifications

CAUTION

WARNING

The Axis Jackson System has been independently tested and verified to comply with the applicable sections of the following:

IEC 60601-1 Medical Electrical Equipment, Part 1: General Requirements for Basic Safety and Essential Performance.

IEC 60601-1-2 Medical Electrical Equipment, Part 1-2: General Requirements for Safety – Collateral Standard: Electromagnetic Compatibility – Requirements and Tests.

IEC 60601-2-46 Medical Electrical Equipment – Part 2: Particular Requirements for Safety – Specification for Operating Tables.

UL60601-1 UL Standard for Safety for Medical Electrical Equipment, Part 1: General Requirements for Safety.

CAN/CSA C22.2 NO. 601.1-M90 Medical Electrical Equipment - Part 1: General Requirements for Requirements for Safety.

JIS0601-1 Medical Electrical Equipment, Part 1: General Requirements for Safety.

93/42/EEC Medical Device Directive.

IEC 60529 Degrees of Protection Provided by Enclosures (IP Code).

General Product Setup and Use Precautions

Servicing of the Axis Jackson System is to be performed only by Mizuho OSI Factory authorized personnel. Failure to comply with this requirement may result in damage to the product, and injury or death of personnel.

This equipment is an applied part, TYPE B, in accordance with IEC 60601-1 and is generally suitable for applications involving external or internal contact with the patient, excluding the heart. The patient circuit is connected to protective earth and this equipment should be connected only to outlets with a protective earth ground.

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An external ground stud is required for use when the AC

WARNING

power cable is not connected to a protective earth ground outlet in your operating room or facility. To protect the patient and hospital staff from any possible hazards, an external ground wire connection is required between the external ground stud and protective earth ground. Failure to comply with this requirement may result in damage to the product, and injury or death of personnel.

IMPORTANT: Medical electrical equipment needs special precautions regarding EMC

and needs to be installed and put into service according to the EMC information provided in this manual.

IMPORTANT: Portable and mobile RF communications equipment can affect medical

electrical equipment.

IMPORTANT: This equipment should not be stacked with other equipment. The

equipment should be observed to verify normal operation in the configuration in which it will be used.

IMPORTANT: The use of accessories, transducers and cables that are not specified

by Mizuho OSI, may result in increased electrical/electronic signal emissions and/or decreased electronic/electrical signal immunity which may affect the proper operation of the equipment.

Note: To be in compliance with the European WEEE Directive, all

electrical components, batteries and carbon composite components that must be disposed shall either be returned directly to Mizuho OSI or to a Mizuho OSI specified disposal facility for proper disposal. Please contact Mizuho OSI Customer Resources Department at 1800-777-4674 for further information regarding this requirement.

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2.0 INTRODUCTION

General Description

The Mizuho OSI Axis Jackson System®, Model 6977, in conjunction with the Mizuho OSI Advanced Control Modular Table Base, Model 5803 is a patient positioning surgical support system for thoracic and lumbar spine procedures that provides for a wide range of intra-operative angular movement.

The Axis Jackson System can be set-up for prone, supine and lateral patient positioning and is designed to articulate the patient intra-operatively in flexion and extension, replicating the natural movement of the spine.

The Axis Jackson Hinged Frame is designed to only be mounted on the Mizuho OSI 5803 Advanced Control Modular Table Base. The modular base Hand Pendant controls the Trendelenburg, Reverse Trendelenburg, and table top height adjustments. The Hand Pendant for the Axis Jackson controls the table top’s Hinge movement and Lateral Roll.

The Axis Jackson System incorporates an Advance Control Pad System (ACP) which supports a patient in the prone position. The pad system is electronically controlled and pneumatically actuated, providing massage action and periodic pressure point stimulation through the Bilateral Winged ACP Chest Pad and the Contoured Combination ACP Hip / Thigh Pads.

Specifications

Hinged Frame 80“ (203 cm) Total Length

Hinged Frame Head-End 33“ (84 cm) length

Hinged Frame Foot-End 47” (119 cm) length

Hinged Frame Head-End 19“ (48 cm) width

Hinged Frame Width

Hinged Frame Foot-End 19” (48 cm) width

Head-End 30“ (76 cm) length

Two Piece Supine Top Length

Foot-End 43“ (109 cm) length

Head-End 21” (53 cm) width

Supine Top Width

Foot-End 21” (53 cm) width

-20° (± 2°) Hinge Down

Table Articulations

+35° (± 2°) Hinge Up 12° (± 2°) Lateral Roll

Table Top Height Range

24” – 39” (61 cm - 99cm) measured at the HeadEnd of the table frame

Patient Weight Capacity 500 lb (227 kg) maximum

Power Requirements 6977: 100-230 VAC at 50/60 Hz, 9 Amps max.

Duty Cycle of Hinged Frame 10%, (6 minutes continuously per hour)

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Product Acceptance

Upon receipt of your Axis Jackson System, remove each component from its shipping crate or packaging. Visually inspect all surfaces for freight damage.

Note: Any freight damage must be reported to the freight carrier immediately upon delivery. It is the responsibility of the recipient to make freight damage claims.

Glossary of Terms

Foot Elevator, Down A downward motion of the Hinged Frame Foot-End. The

Hinge angle remains neutral.

Foot Elevator, Up An upward motion of the Hinged Frame Foot-End. The

Hinge angle remains neutral. The Foot-End of the frame does not raise above neutral.

Foot-End Table Top The section of the Hinged Frame where the Removable

Foot Board is attached.

Head-End Table Top The section of the Hinged Frame where the Torso

Trolley® mounts.

Height Down Both Columns of the modular base lower simultaneously

to lower the table top.

Height Up Both Columns of the modular base raise simultaneously

to raise the table top.

Hinge Down The Hinge of the frame moves downward. The Foot

elevator moves upward.

Hinge Up The Hinge of the frame moves upward. The Foot

Elevator moves downward.

Lateral Roll, Left A counter-clockwise motion of the table top about its

longitudinal axis, as viewed from the Head-End Column.

Lateral Roll, Right A clockwise motion of the table top about its longitudinal

axis, as viewed from the Head-End Column.

Left Side of Table Top The left side of the table top, as viewed when standing

at the Head-End Column facing the Foot-End Column.

Return to Home The Hinged Frame returns to level side to side and the

Hinge and Foot Elevator return to neutral positions.

Reverse Trendelenburg A position of the table top and the patient, with the Foot-

End lower than the Head-End. On the modular base, the Head-End Column raises and the Foot-End Column lowers simultaneously. If the table is in a fully raised position, only the Foot-End will lower to achieve the proper Reverse Trendelenburg angle.

Right Side of Table Top The right side of the table top, as viewed when standing

at the Head-End Column facing the Foot-End Column.

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Trendelenburg

A position of the table top and the patient, with the Head-End lower than the Foot-End. On the modular base, the Foot-End Column raises and the Head-End Column lowers simultaneously. If the table is in a fully lowered position, only the Foot-End will raise to achieve the desired Trendelenburg angle.

V Hinge Down Only the Hinge of the frame moves downward.

V Hinge Up Only the Hinge of the frame moves upward.

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3.0 SYSTEM COMPONENTS

Advanced Control Pad System™ (ACP)

Hinged Frame

Contoured

Bilateral Winged

Torso Trolley™

5-Way Adjustable

The main components of the Axis Jackson System are shown in Figures 1 and 2.

– automatically

stimulates patient pressure points on chest, hips and thighs

Chest Pad

- integrates patient movement with hinge translation

Arm Boards

Carbon Fiber Frame Construction

– supports spine biomechanics and improves surgeon access

Removable Foot Board

Hip/ Thigh Pads

Adjustable Leg Sling

Hinged Frame

6977 Axis Jackson Hinged Frame with 5803 Advanced Control Modular Base

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Figure 1: Axis Jackson System

Axis Jackson™ System Controller

Tempur

Med® 2

in, Table Pad

rone and Supine Table Tops

– mount on dual column 5803 Advanced Control Base

Hinge Angle Plus 35°

with Translation Slide

controls hinged frame

Carbon Fiber Removable Two Piece Imaging Top

Two Piece Supine Top

Figure 2: Axis Jackson System

6977 Axis Jackson Hinged Frame w/Two-Piece Supine Top and 5803 Advanced Control Modular Base

Head-End and Foot-End Column Sliders

The Axis Jackson System cannot be used without first installing both the Head-End and Foot-End Column Sliders. The Column Sliders (P/N 6977-640 & 6977-641) are key structural components of the system. The Column Sliders mount on the 5803 Advanced Control Base Head-End and Foot-End Columns.

Head-End Support Assembly

The Head-End Support Assembly (P/N 6977-601) attaches to the Head-End Column Slider and provides structural support for the Hinged Frame.

Foot-End Support Assembly

The Foot-End Support Assembly (P/N 6977-600) attaches to the Foot-End Column Slider and provides structural support for the Hinged Frame.

Hinged Frame

The Hinged Frame (P/N 6977-100) is the primary structural member of the Axis Jackson. It directly supports the patient weight while articulating about the Hinge point just above the patient’s hips. The frame is constructed of carbon fiber tube elements with aluminum Hinge and end fittings, and it includes a length-compensation element to handle the foreshortening of the frame when it is flexed. The Hinge drive motor is incorporated into the Hinged Frame.

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Axis Jackson Controller with Cable Set

The Controller (P/N 6977-4006, 120V or 6977-4005I, 230V) supplies power to the various components of the Axis Jackson System. The table top On/Off switch is located on the Controller. The Controller also includes the air pump and controls for the Advance Control Pad System (ACP).

Hand Pendant with Junction Box

The Axis Jackson Hand Pendant (P/N 6807-5) mounts in the Holster (P/N 6977-4162) with the 5803 Advanced Control Base Hand Pendant and should be hung on the HeadEnd Column of the base for easy access. It is used to manipulate the Hinge of the frame up and down as well as control Lateral Roll of the Hinged Frame.

Two-Piece Supine Imaging Top

The Two-Piece Supine Top (P/N 6977-955 and P/N 6977-956) is of carbon fiber construction and mounts above and below the Hinge of the frame to allow for articulation of the Hinge when the patient is positioned in the supine or lateral position.

A 2” (5 cm) MIZUHO OSI Tempur-Pedic® pad (P/N 6977-7000) is provided for use with the Two-Piece Supine Imaging Top. The TEMPUR® used in the manufacture of MIZUHO OSI pads has viscoelastic properties and is a temperature sensitive material, becoming softer where the patient’s body is making the most contact with the surface and remaining firm in areas where less body contact is being made. Pressure is distributed evenly over the entire surface area. The pad is radiolucent, MR safe and latex free. The benefits of using MIZUHO OSI Tempur-Pedic are improved pressure management, reduced shear forces and enhanced patient comfort.

The Supine Top Translation Sheet (P/N 6977-927) interfaces with the Supine Top and Tempur-med® Pad to allow support and movement.

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4.0 AXIS JACKSON SYSTEM SET-UP

IMPORTANT: It is recommended that two people work together when installing

or uninstalling the system components.

Note: If you have purchased a 6977 Axis Jackson System already mounted on a

5803 Advanced Control Base at the factory, the base has been prepared and the frame mounted. It remains important, however, that Section 4.0 Axis Jackson System Set-Up be read to form an understanding about how the applicable components are installed and function.

The Mizuho OSI Axis Jackson System is designed to only mount and be utilized on the 5803 Advanced Control Modular Table Base.

Note: For complete instructions on the 5803 Advanced Control Modular Table Base

operation and functions, please refer to the Owner’s Manual supplied with the Advanced Control Modular Table Base (P/N NW0498). A thorough understanding of the operation of the 5803 Advanced Control Base is required before continuing.

Preparing the 5803 Advanced Control Base for Mounting 6977 Axis Jackson System

Complete the following steps prior to mounting the Axis Jackson® Hinged Frame

1. Move and position the 5803 Advanced Control Base where it will be used.

2. Ensure the retractable I beam is fully extended and locked in place

Rotation Safety Lock Switch / Indicator Light

Tilt Drive Status Indicator Light

Traction Pulley

180° Rotation Lock Indicator Light

Crossbar

180° Rotation Lock Lever

Figure 3A: Indicator Lights on the Head-End Column of 5803 Advanced Control Base

3. Lock all 4 caster locks on the base

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4. Verify the Head-End and Foot-End crossbars are level, that the Rotation Safety Lock Switch is in the ON position, and the 180 degree Rotation Lock Lever is in the locked position. All three indicator lights on the Head-End Column must be lit (the 180° Rotation Lock Indicator light, the Tilt Drive Status light and the Rotation Safety Indicator light).

5. Using a hex wrench, remove the H-frame storage brackets which are mounted on the base of both the Head-End Column and the Foot-End Column of the 5803 Base. This is required to allow for installation of the Column Sliders (P/N 6977-640, 6977-

641). The H-frame storage brackets can be re-attached should you desire when not utilizing the Axis Jackson System

6. Where the brackets were removed, install the Table Base Joint Cover (P/N 6977-

853) and the H-Frame Hangar Bracket (P/N 6977-852) provided in the Axis Jackson Conversion Kit (P/N 6977-850). Also provided in the kit is the Cable Attachment Post (P/N 6977-209) and mounting hardware, install at the foot end of the 5803 base, location as shown in 3B below.

Figure 3B

Installing the Column Sliders

To attach the Column Sliders to the Head-End and Foot-End Columns of the 5803 base, complete the following steps:

1. Ensure the base has been prepared for mounting the Axis Jackson as instructed in the previous section.

2. Ensure all 3 indicator lights on the Head-End Column are illuminated. If not, refer to the 5803 Advance Control Base Owner’s Manual and complete the steps required.

3. Depress the Height Up button on the 5803 Base Hand Pendant and raise the Columns of the base to half-way in their height range

4. Unlatch the Head-End Column Slider and slide between the quiver and the Column. The Column Slider will rest on the foot of the modular base. Enclose the Column with the Slider, latch and tighten the knob.

5. Unlatch the Foot-End Column Slider and slide between the quiver and the Foot-End Column. The Column Slider will rest on the foot of the modular base. Enclose the Column with the Slider, latch and tighten the knob.

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6. When installed correctly, the labels on the Column Sliders will be legible as shown

WARNING

below.

Figure 4: Installing the Column Sliders

Installing the Head-End Support Assembly

To install the Head-End Support Assembly, complete the following steps:

1. Lift the Head-End Support Assembly’s catch mechanism up under the Head-End Column crossbar.

2. Align the catch with the dowel pins on the cross bar and install a T-pin (P/N 5840-

361) to secure it in place.

3. To attach the Head-End Support Assembly to the Head-End Column Slider, slide the latch mechanism to engage the pin on the back side of the assembly. An audible “click” confirms the latch mechanism is secured in place.

T-pin (handle end)

Figure 5: Installing the Head-End Support Assembly

T-pin (drop lock end)

Verify that the T-pin is inserted and passes completely through the Head-End Support Assembly and Crossbar. Verify the T-pin drop lock is in sight and pivots freely (see Figure 5 illustration). Failure to do so may result in the patient and table assembly being dropped and may result in serious injury to the patient and others.

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Failure to follow the prescribed procedures for securing the Head-End

WARNING

Support Assembly to the Crossbar, may result in the patient and table assembly being dropped and may result in serious injury to the patient and others.

Installing the Head Lock-Out Clamp

When mounting the Axis Jackson System, the Head-End Lock-out Clamp (P/N 6977-

830) is required to be installed. The clamp prevents the sliding movement of the Head-

End Column of the 5803 Base which is allowed when other modular tops are utilized.

1. Verify that the 4 caster locks on the 5803 Advanced Control Base are locked in position.

2. Standing at the Head-End of the base, pull the top of the Head-End Column toward you and away from the center of the base.

3. Align the pins on the top of the Clamp (P/N 6977-830) with the holes under the top of the Head-End Column. The label on the top of the clamp should be facing outward.

4. Pinch the clamp lever-arms and allow the jaws of the Clamp to grab the underside of the Head-End Column. When properly positioned, release the clamp lever arms and the clamp will seat itself. The red label should not be visible.

5. Confirm the Clamp is installed correctly:

a) Pull on the lanyard with moderate force (5-10 lbs/2.5 – 5 kg) – the Clamp should

remain in place.

b) Attempt to move the Head-End Column forward and backward - no motion

should be detected.

If the red label is visible, the Clamp did not remain in place, and/or motion in the Head-End Column is detected, remove the Clamp and re-install following steps 1-5.

Figure 6: Installing the Head-End Lock-out Clamp

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WARNING

Installing the Foot-End Support Assembly

IMPORTANT: The Foot-End Column Slider must be installed prior to installing the

Foot-End Support Assembly.

To install the Foot-End Support Assembly, two people working together should complete the following steps:

1. Lift the Foot-End Support Assembly and place it onto the table base.

2. Lift and align the catch with the dowel pins on the Foot-End Crossbar and install a T Pin (P/N 5840-361) to secure it in place.

3. To attach the Foot-End Support Assembly to the Foot-End Column Slider, slide the catch mechanism to engage the pin on the back side of the assembly. An audible “click” confirms the latch mechanism is secured in place.

T-pin (drop lock end)

T-pin (handle end)

Figure 7: Installing the Foot-End Support Assembly

Verify that the T-pin is inserted and passes completely through the Foot-End Support Assembly and Crossbar. Verify the T-pin drop lock is in sight and pivots freely (see Figure 7 illustration). Failure to do so may result in the patient and table assembly being dropped and may result in serious injury to the patient and others.

T-pin (drop lock end)

Failure to follow the prescribed procedures for securing the Foot-End Support Assembly to the Crossbar, may result in the patient and table assembly being dropped and may result in serious injury to the patient and others.

Axis Jackson

System Hinged Frame Installation Cart

Mounting the Hinged Frame on the 5803 Advanced Control Base for Use

The Installation Cart is not intended for patient transport.

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CAUTION

Caster Guard, Foot End

5803 Center Beam

WARNING

The Hinged Frame should not be utilized for patient positioning when in place on the Installation Cart.

Avoid using this product in a manner not specified by Mizuho OSI.

IMPORTANT: It is recommended that two people work together when using the

Installation Cart with the Hinged Frame.

Always keep body parts, hands, fingers, etc. clear of moving parts and pinch points when completing this procedure.

5803 Base Preparation:

Prior to mounting the Hinged Frame on the 5803 Advanced Control Base, complete the steps outlined previously in this manual to prepare the base. i.e. install the Column Sliders, Head-End Support and Foot-End Support Assemblies.

Lock the (4) caster locks of the Advanced Control Base.

Move columns of the base to maximum height up:

•

On the 5803 Hand Pendant depress and hold the Height Up button until the columns of the Base travel to full extent of travel.

Installation Cart Positioning:

Maneuver the Installation Cart (Cart) next to and parallel to the 5803 base (Base) by placing it into a position between the columns on the Rotation Lock (blue handle) side of the Head-End column.

•

Cart labels Head-End and Foot-End should align with the orientation of the columns.

•

Cart should remain parallel to the Base as it is rolled into position.

•

Roll the Cart into its final position: the Bumper on the Foot-End of the Cart must be in contact with the Foot-End of the Base and the two caster guards in contact the 5803’s center beam as shown. Note the Head-End bumper, not shown, does not contact the base.

Foot End Bumper

Lock the (2) caster locks of the Installation Cart.

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Clearance 1

Clearance 2

Foot-End Head

End

Prior to moving the Cart Slider into position between the columns of the Base ensure the Hinged Frame is centered (has clearance) between the Foot and Head-End Support Assemblies.

Foot End Frame Bracket

Clearance 1 can be easily adjusted by sliding the Hinged Frame toward the Foot-End. Note increasing clearance 1 causes the Foot-End Frame Bracket to become more vertical.

Move to the opposite side of the base, locate and lift the Release Handle of the Installation Cart and pull the Cart Slider towards you until it reaches its full extent of travel.

The Cart Slider should lock in place when the Release Handle returns to its neutral position.

IMPORTANT: THE HINGED FRAME FOOT-END IS ALWAYS “FIRST ON, LAST OFF”.

Hinged Frame Foot-End Installation Preparation:

Rotate the dovetail plate to a level position as shown.

Center the Hinged Frame to the dovetail plate as shown. (If necessary, slide the Hinged Frame laterally or toward the Head-End or Foot-End as needed to center the frame between the Head-End and Foot-End Support Assemblies. There is some lateral free play in the Cart Slider to assist in centering.

Pivot Block

Dovetail

Plate and

Frame

Centered

and Frame

NOT Aligned

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Frame

Clearance 3

CAUTION

Adjust frame until the Foot-End Bracket has sufficient clearance to mate with the dovetail plate as shown. (Typically, when the Foot-End Bracket just touches the FootEnd of the Hinged Frame at the angle shown.)

Foot-End Frame

Foot-End

Bracket

pocket for

dovetail plate

engagement

Foot-End

Bracket in

contact with

Foot-End

Always keep body parts, hands, fingers, etc. clear of moving parts and pinch points when completing this procedure.

Install the Hinged Frame onto the Foot-End Support Assembly:

Utilizing the 5803 Hand Pendant:

•

Use a second person to observe the Foot-End of the Hinged Frame, ensuring there is adequate clearance for the moving parts.

If there is an interference between parts, return the column to its full height up position. After motion has stopped adjust the Hinged Frame and dovetail plate as needed to obtain adequate clearance. It may be necessary to slide the frame toward the Head-End Column in order to angle the Foot-End Bracket away from the Foot-End Support Assembly.

•

Depress and hold the Reverse-Trendelenburg button, to lower the Foot-End Column until dovetail plate is aligned with pocket in the Foot-End Bracket.

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VISIBLE

• Adjust the dovetail plate using Reverse Trendelenburg and/or Height Up buttons until the top of the Foot-End Bracket is just below the shield cover.

Shield Cover

Clearance

Foot-

End

Bracket

Red

Frame Latch

(silver button)

Frame Latch

DISENGAGED

POSITION

NOTE-

Frame Latch

ENGAGED POSITION

NOTE- RED COLOR IS

COVERED BY LATCH

• Press the Foot-End Bracket against the dovetail plate until the Latch is FULLY DISENGAGED, as shown above.

• Depress Height Up so the dovetail plate of the Foot-End Support Assembly latches into the Foot-End Bracket of the Hinged Frame.

IMPORTANT: if the Foot-End of the Frame begins to lift off the Cart Slider

before the Frame Latch is FULLY ENGAGED, STOP MOTION.

Use the Reverse Trendelenburg and Height Up buttons to adjust the dovetail plate height, realign the frame to the pivot block and repeat the process indicated above.

• When the Latch is fully engaged the Foot-End of the Hinged Frame can be raised off the Cart Slider by depressing and holding the Height Up button

•

Depress the Height Up button to raise the Foot-End Column to its full extent of travel.

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Install the Hinged Frame onto the Head End Support Assembly:

Rotate the Head-End Bracket of the hinged frame toward the hinge.

Utilizing the 5803 Hand Pendant:

• Lower the Head-End dovetail plate by depressing and holding the Trendelenburg button until it is approximately 2.5 “(6cm) above the Head-End Bracket.

• Raise the Head-End Bracket to engage the dovetail plate and press the Head-End Bracket against the dovetail plate until the Latch is FULLY DISENGAGED, as shown below. (See above for description of fully disengaged Latch.) If the Latch is not fully disengaged, then use Trendelenburg or Height Up buttons to readjust the dovetail plate height until the Latch is fully disengaged. It may be necessary to slide the Head-End of the frame laterally toward the Foot-End in order to align the Head-End Bracket with the dovetail plate.

Head-

End

Bracket

Red

• When properly aligned depress Height Up button so the dovetail plate of the HeadEnd Support Assembly latches into the Head-End Bracket of the Hinged Frame. The Head-End of the Hinged Frame can now be raised off the Cart Slider by depressing the Height Up button.

IMPORTANT: If the Head-End of the frame begins to lift off the Cart Slider

before the Frame Latch is FULLY ENGAGED, STOP MOTION.

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Use the Trendelenburg and Height Up buttons to adjust the dovetail plate height, realign the frame to the pivot block and repeat the process indicated above.

• Depress and hold the Height Up button raising the Foot-End Column to its full extent of travel.

The Hinged Frame should now be fully supported by the Head-End and Foot-End Columns of the base and positioned at its maximum height with the Head-End and Foot-End Latches fully engaged.

Remove Installation Cart:

Prior to retracting the Cart Slider, be sure there is clearance between the Cart Slider and the hinged frame.

• Lift the Release Handle of the Installation Cart and push the Cart Slider over into its stored position.

• An audible click will be heard confirming the Cart Slider is locked in the stored position. Manually test the Cart Slider top to ensure it is securely locked into position at both ends of the cart.

• Unlock the (2) caster locks of the Installation Cart and move away from the base.

Continue the installation procedure by following the steps in “Connecting the Axis Jackson ® Controller and the Hinged Frame”

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CAUTION

WARNING

Removing the Hinged Frame from the 5803 Advanced Control Base for Storage

The Installation Cart is not intended for patient transport.

The Hinged Frame should not be utilized for patient positioning when in place on the Installation Cart.

Avoid using this product in a manner not specified by Mizuho OSI.

IMPORTANT: It is recommended that two people work together when using the

Installation Cart with the Hinged Frame

Always keep body parts, hands, fingers, etc. clear of moving parts and pinch points when completing this procedure.

Lock the (4) caster locks of the 5803 Advanced Control Base.

Ensure all components have been removed from the Hinged Frame and are stored on the Component Cart prior to removing the Hinged Frame.

Confirm the Hinged Frame is in the neutral “HOME” position by checking the 6977 Hand Pendant, the display should read +00 and the 3 LED’s should be lit. If necessary, utilize the Hand Pendant “Return to Home” button to return the Hinged Frame to the neutral “HOME” position and the display reads +00.

Raise frame: (to maximum height by utilizing the 5803 Hand Pendant)

• Depress and hold the Height Up button until the columns of the base travel to full extent of travel.

Remove Cables:

• Disconnect the Blue, White and Brown cables from the Hinged Frame, Controller, Head-End Support Assembly and Foot-End Support Assembly. Place in the storage area on the Installation Cart.

Installation Cart Positioning:

Maneuver the Installation Cart (Cart) next to and parallel to the 5803 base (Base) by placing it into a position between the columns on the Rotation Lock (blue handle) side of the Head-End column.

• Cart labels Head-End and Foot-End should align with the orientation of the columns.

• Cart should remain parallel to the Base as it is rolled into position.

• Roll the Cart into its final position: the Bumper on the Foot-End of the Cart must be

in contact with the Foot-End of the Base and the two caster guards in contact the 5803’s center beam as shown. Note the Head-End bumper, not shown, does not contact the base.

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Caster Guard, Foot End

5803 Center Beam

Foot End Bumper

Lock the (2) caster locks of the Installation Cart.

Remove the Hinged Frame from the Head-End Support Assembly:

Utilizing the 5803 Hand Pendant:

Depress and hold the Trendelenburg button, simultaneously a second person should depress the silver button on the Head-End Bracket of the frame. These actions will result in lowering the Head-End Column of the base and allowing the Head-End of the Hinged Frame to be released from the Head-End Support Assembly and rest on the Cart Slider.

Hold the Head-End Bracket of the Hinged Frame away from the dovetail support of the Head-End Support Assembly, simultaneously depress and hold the Height Up button raising the Head-End Column to its extent of travel.

Remove the Hinged Frame from the Foot-End Support Assembly:

Utilizing the 5803 Hand Pendant:

Depress and hold the Reverse Trendelenburg button, simultaneously a second person should depress the silver button on the Foot-End Bracket of the frame. These actions will result in lowering the Foot-End Column of the base and allowing the Foot-End of the Hinged Frame to be released and rest on the Cart Slider.

Hold the Foot-End Bracket of the Hinged Frame away from the dovetail plate support of the Foot-End Support Assembly, simultaneously depress and hold the Height Up button raising the Foot-End Column to its extent of travel.

The Hinged Frame should now be fully supported on the Cart Slider of the Installation Cart.

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+ 60 hidden pages