Stryker 1509, 1009 Operation Manual

1009 Emergency Care Stretcher 1509 PACU Stretcher
Operations Manual
For Parts or Technical Assistance 800−327−0770
Table of Contents
Introduction 2, 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Raising And Lowering Litter Height 6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Trendelenburg/Reverse Trendelenburg Positioning 6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Applying The Brake System 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating Fifth Wheel/Big Wheel Options 8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Using Siderails 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating the Fowler 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating the Optional Permanently Attached I.V. Poles 11, 12. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating the Optional Tethered I.V. Pole 13. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating the Optional Foot Extension / Defibrillator Tray Assembly 13. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Preventative Maintenance Checklist 14. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cleaning 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Warranty
Obtaining Parts and Service 16. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Supplemental Warranty Coverage 16. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Return Authorization 17. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Freight Damage Claims 17. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Introduction
INTRODUCTION
This manual is designed to assist you with the operation of the Model 1009 Emergency Care Stretcher and the Model 1509 PACU Stretcher. Read it thoroughly before using the equipment or beginning any mainte­nance on it.
SPECIFICATIONS
1009 1509 Maximum Weight Capacity 500 pounds 500 pounds Overall Bed Length \ Width 84” \ 31.5” 84” \ 34.5” Minimum \ Maximum Bed Height 21.5” \ 36” 21.5” \ 36” Fowler Angle 0 to 90 0 to 90 Knee Gatch Angle 0 to 30 0 to 30 Trendelenburg \ Reverse Trendelenburg +18 to −18 +18 to −18
Stryker reserves the right to change specifications without notice.
WARNING / CAUTION / NOTE DEFINITION
The words WARNING, CAUTION and NOTE carry special meanings and should be carefully reviewed.
WARNING
The personal safety of the patient or user may be involved. Disregarding this information could result in injury to the patient or user.
CAUTION
These instructions point out special procedures or precautions that must be followed to avoid damaging the equipment.
NOTE
This provides special information to make maintenance easier or important instructions clearer.
2
Introduction
Before operating this stretcher, it is important to read and understand all information in this manual. Carefully read and strictly follow the warnings listed on this page.
WARNING
To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height. Always apply the caster brakes when a patient is getting on or off the stretcher. Push on the stretcher to en-
sure the brakes are securely locked. Always engage the brakes unless the stretcher is being moved. Injury could result if the stretcher moves while a patient is getting on or off the stretcher . I f brakes do not hold proper­ly, refer to your stretcher maintenance manual for a brake adjustment procedure.
Be sure the siderail latching mechanism is working properly at all times. If it is not, refer to your stretcher maintenance manual for Siderail Latch Adjustment”.
When lowering the siderail to the collapsed position, keep extremities of patients and staff away from the side­rail spindles or injury could occur.
To avoid injury or damage to the equipment, do not allow the siderail to lower on its own. Keep fingers/hands clear of area around Fowler release handle and Fowler frame when lowering. Injury could
result if care is not taken when lowering the Fowler. If pneumatic system appears to be difficult to operate, refer to the stretcher maintenance manual for “Pneu-
matic Fowler Adjustment To avoid damage, the weight of the I.V. bags should not exceed 40 pounds. To avoid damage while transporting the stretcher, verify the I.V. pole is at a low enough height to allow it to
safely pass through door openings and under light fixtures.
3
Stretcher Operation
OPERATING BASE CONTROLS − SIDE CONTROL
C
B
A
AB
HEAD ENDFOOT END
D
Pump pedal (A) to raise the litter .
Depress in the center of pedal (B) to lower both ends of the stretcher together .
Depress the side of pedal (B) closest to the foot end of the stretcher to lower the foot end.
Depress the side of pedal (B) closest to the head end of the stretcher to lower the head end.
Pedal (C) Brake and Steer functions (foot end)
Pedal (D) Brake and Steer functions (head end)
4
Stretcher Operation
OPERATING BASE CONTROLS − 3−SIDED CONTROLS
E F
FOOT END
B
D
A
C
C
A
HEAD END
A
Pump pedal (A) at the foot end or sides of the stretcher to raise the litter
Depress pedal (B) or the side of pedal (C) closest to the head end of the stretcher to lower the head end of the stretcher .
Depress pedal (D) or the side of pedal (C) closest to the foot end of the stretcher to lower the foot end of the stretcher .
Depress in the center of pedal (C) or depress pedals (B) and (D) together to lower both ends of the stretcher together .
Pedal (E) Brake and Steer functions (foot end).
Pedal (F) Brake and Steer functions (head end)
5
Stretcher Operation
RAISING AND LOWERING LITTER HEIGHT SIDE CONTROL
CAUTION
To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height. To raise the litter height, pump pedal (A) repeatedly until the desired height is achieved (see illustration on
page 4). To lower both ends of the litter together, depress the center of pedal (B). To lower only the head end of the
litter, depress the side of pedal (B) closest to the head end. To lower only the foot end of the litter, depress the side of pedal (B) closest to the foot end (see illustration on page 4). The base may be equipped with optional variable descent controls. With variable descent controls, the farther you press down on the pedal, the faster the litter will lower.
RAISING AND LOWERING LITTER HEIGHT − 3−SIDED CONTROLS
To raise the litter height, pump pedal (A) repeatedly until the desired height is achieved (see illustration on page 5).
To lower both ends of the litter simultaneously, depress pedal (B) and (D) together using the same foot or depress in the center of pedal (C). To lower only the head end of the litter, depress pedal (B) or the side of pedal (C) closest to the head end of the stretcher. To lower only the foot end of the stretcher , depress pedal (D) or the side of pedal (C) closest to the foot end of the stretcher. The base may be equipped with optional variable descent controls. With variable descent controls, the farther you press down on the pedal, the faster the litter will lower.
TRENDELENBURG/REVERSE TRENDELENBURG SIDE CONTROL
NOTE
Litter height must be raised first in order to achieve a trend. or reverse trend. position.
CAUTION
To avoid damage, remove any equipment that may be in the way before lowering the stretcher. For Trendelenburg positioning (head down), depress the side of pedal (B) closest to the head end of the
stretcher (see illustration, page 4). For Reverse Trendelenburg positioning (foot down), depress the side of pedal (B) closest to the foot end.
NOTE
The higher the litter is before pedal (B) is activated, the greater the trend. or reverse trend. angle will be. (Maximum trend. angle is +18. Maximum reverse trend. angle is −18).
TRENDELENBURG/REVERSE TRENDELENBURG − 3−SIDED CONTROLS
CAUTION
To avoid damage, remove any equipment that may be in the way before lowering the stretcher. For Trendelenburg positioning (head down), depress pedal (B) or the side of pedal (C) closest to the head
end of the stretcher (see illustration, page 5). For Reverse Trendelenburg positioning (foot down), depress pedal (D) or the side of pedal (C) closest to
the foot end of the stretcher.
6
Stretcher Operation
APPLYING THE BRAKE SYSTEM
B
Brake/Steer
Pedal
(Optional)
A
FOOT END HEAD END
NOTE
For user convenience, a brake/steer control pedal is located on both ends of the stretcher.
WARNING
Always apply the caster brakes when a patient is getting on or off the stretcher. Push on the stretcher to en­sure the brakes are securely locked. Always engage the brakes unless the stretcher is being moved. Injury could result if the stretcher moves while a patient is getting on or off the stretcher . I f brakes do not hold proper­ly, refer to your stretcher maintenance manual for a brake adjustment procedure.
To engage the brakes on the head end, push fully down on the left side of pedal (A). To engage the brakes on the foot end, push fully down on the right side of pedal (B).
NOTE
Y our stretcher may be equipped with optional side control brake and steer functions in addition to the standard head and foot end controls. The side control brakes operate the same as the head and foot end versions.
Brake/Steer
Pedal
(Optional)
7
Stretcher Operation
OPERATING THE FIFTH WHEEL OPTION
The purpose of the fifth wheel option is to help guide the stretcher when transporting a patient along a straight line and also for pivoting at corners.
To engage the fifth wheel, push the proper side of the brake/steer pedal to the full down position.
OPERATING THE BIG WHEEL OPTION
When the brake/steer pedal is in the neutral or brake position, the Big Wheel is elevated approximately 3/4 and the stretcher rests on the four casters.
NOTE
The two Big Wheels do not pivot. The stretcher cannot be moved directly sideways with the Big Wheel acti­vated. With the pedal in the neutral position, the stretcher can be moved in any direction including sideways.
When the brake/steer pedal is in the steer position, the foot end casters are elevated approximately 1/4 and the stretcher rests on the two head end casters and the two Big Wheels. This provides increased mobility and ease of steering the stretcher.
8
Stretcher Operation
USING SIDERAILS
A
B
CAUTION
Be sure the siderail latching mechanism (B) is working properly at all times. If it is not, refer to your stretcher maintenance manual for Siderail Latch Adjustment”.
To engage siderails: Pull up siderail (A) and raise to full up position so that latch (B) engages. To disengage siderails: Pull up on latch (B) and guide siderail to the full down position.
WARNING
When lowering the siderail to the collapsed position, keep extremities of patients and staff away from the side­rail spindles or injury could occur.
To avoid injury or damage to the equipment, do not allow the siderail to lower on its own.
9
Stretcher Operation
OPERATING THE FOWLER
NOTE
There are two types of fowler options: 1) crank operated, 2) pneumatic operated. An optional crank Knee Gatch is also available.
Crank Fowler/Crank Knee Gatch:
Turn crank handle (A) clockwise to raise Fowler, coun­terclockwise to lower.
Turn crank handle (B) clockwise to raise Knee Gatch, counterclockwise to lower.
A
B
Pneumatic Fowler (Outside Mounted Cylinders):
Squeeze handle (A) for pneumatic assist in lifting the
A
B
Fowler to the desired height. Remove hand(s) from handle when desired height is achieved.
CAUTION
If the pneumatic system appears to be difficult to oper­ate, refer to the Stretcher Maintenance Manual for Pneumatic Fowler Adjustment.
WARNING
Keep fingers/hands clear of area around Fowler release handle and Fowler frame when lowering. Injury could re­sult if care is not taken when lowering the Fowler.
10
Stretcher Operation
OPERATING THE OPTIONAL 2STAGE PERMANENTLY ATTACHED I.V. POLE
B
A
A
C
DET AIL OF I.V. POLE LATCH
C
NOTE
The 2stage permanently attached I.V. pole is an option and may have been installed at either the head, foot or both ends of the stretcher. The choice was made at the time the stretcher was purchased.
To use the 2stage permanently attached I.V. pole:
1. Lift and pivot the pole from the storage position and push down until it is locked into the receptacle.
2. T o raise the height of the pole, pull up on the telescoping portion (A) until it locks into place at its fully raised position.
3. Rotate the I.V. hangers (B) to desired position and hang the I.V. bags.
4. To lower the I.V. pole, turn the latch (C) clockwise until section (A) lowers.
CAUTION
To avoid damage, he weight of the I.V. bags should not exceed 40 pounds. To avoid damage while transporting the stretcher, verify the I.V. pole is at a low enough height to allow it to
safely pass through door openings and under light fixtures.
11
Stretcher Operation
OPERATING THE OPTIONAL 3STAGE PERMANENTLY ATTACHED I.V. POLE
A
E
C
B
C
D
A
E
DET AIL OF I.V. POLE LATCH
DET AIL OF I.V . POLE GRIP
NOTE
The 3stage permanently attached I.V. pole is an option and may have been installed at either the head, foot or both ends of the stretcher. The choice was made at the time the stretcher was purchased.
To use the 3stage permanently attached I.V. pole:
B
D
1. Lift and pivot the pole from the storage position and push down until it is locked into the receptacle.
2. T o raise the height of the pole, pull up on the telescoping portion (A) until it locks into place at its fully raised position.
3. For a higher I.V. pole, pull up on section (B). Release section (B) at any desired height and it will lock into place.
4. Rotate the I.V. hangers (C) to the desired position and hang the I.V. bags.
5. To lower the I.V. pole, push up on the red portion of grip (D) while holding onto section (B) until it lowers. Turn latch (E) clockwise until section (A) lowers.
CAUTION
To avoid damage, he weight of the I.V. bags should not exceed 40 pounds. To avoid damage while transporting the stretcher, verify the I.V. pole is at a low enough height to allow it to
safely pass through door openings and under light fixtures.
12
Stretcher Operation
OPERATING THE OPTIONAL TETHERED I.V. POLE
1. Remove the I.V. pole from the storage trough under the
litter and insert into the receptacle on the corner of the litter frame.
2. To raise the height of the pole, turn knob (A) count-
erclockwise and pull up on the telescoping portion (B) of the pole to raise it to the desired height.
3. Turn knob (A) clockwise to lock the telescoping portion
in place.
B
A
OPERATING THE OPTIONAL FOOT EXTENSION/DEFIBRILLATOR TRAY
1. To use as a defibrillator tray, pull out the top knob (A) and pivot the tray (B) over the foot extension (C) until the tray extends flat over the foot end of the stretcher.
B
2. To use as a foot extension, pull out knob (A) and pivot the defibrillator tray back until it locks against the foot extension (C). While holding onto the as­sembly, pull out the bottom knob (D) and lower the foot extension down until it is flat.
WARNING
If the stretcher is equipped with the optional foot end I.V . pole, the I.V. pole must be in the raised position when the foot extension/defibrillator tray is installed. If the I.V. pole is not raised, the foot extension will not function properly and injury could occur.
If the stretcher is equipped with the optional foot end push handles, use caution while the foot extension/defi­brillator tray is installed to avoid pinching your fingers.
13
A
D
FOOT END
C
Preventative Maintenance
CHECKLIST
All fasteners secure Siderails move and latch properly All casters lock with brake pedal engaged Steer function working properly All casters secure and swivel properly Body restraints working properly I.V. pole intact and operating properly Oxygen bottle holder intact and operating properly Fowler operates and latches properly Knee Gatch operates properly Trendelenburg/Reverse Trendelenburg operating properly No rips or cracks in mattress cover Ground chain intact No leaks at hydraulic connections Hydraulic jacks holding properly Hydraulic drop rate set properly Hydraulic oil level sufficient Lubricate where required
Serial No.______________ ______________ ______________ ______________ ______________
Completed By:_________________________________ Date:_____________
NOTE
Preventative maintenance should be performed at a minimum of annually. A preventative maintenance pro­gram should be established for all Stryker Medical equipment. Preventative maintenance may need to be performed more frequently based on the usage level of the product.
14
Cleaning
Hand wash all surfaces of the stretcher with warm water and mild detergent. Dry thoroughly. DO NOT STEAM CLEAN, PRESSURE WASH, HOSE OFF OR ULTRASONICALLY CLEAN. Using these methods of cleaning is not recommended and may void this products warranty. Clean Velcro AFTER EACH USE. Saturate Velcro with disinfectant and allow disinfectant to evaporate. (Ap­propriate disinfectant for nylon Velcro should be determined by the hospital.)
In general, when used in those concentrations recommended by the manufacturer, either phenolic type or quaternary type disinfectants can be used. Iodophor type disinfectants are not recommended for use be­cause staining may result. The following products have been tested and have been found not to have a harm­ful effect WHEN USED IN ACCORDANCE WITH MANUFACTURERS RECOMMENDED DILUTION.*
*MANUFACTURERS
TRADE NAME DISINFECTANT
TYPE A33 Quaternary Airwick (Professional Products Division) 2 ounces/gallon A33 (dry) Quaternary Airwick (Professional Products Division) 1/2 ounce/gallon Beaucoup Phenolic Huntington Laboratories 1 ounce/gallon Blue Chip Quaternary S.C. Johnson 2 ounces/gallon Elimstaph Quaternary Walter G. Legge 1 ounce/gallon Franklin Phenomysan F2500 Phenolic Purex Corporation 1 1/4 ounce/gallon Franklin Sentinel Quaternary Purex Corporation 2 ounces/gallon Galahad Phenolic Puritan Churchill Chemical Company 1 ounce/gallon HiTor Quaternary Huntington Laboratories 1/2 ounce/gallon LPH Phenolic Vestal Laboratories 1/2 ounce/gallon Matar Phenolic Huntington Laboratories 1/2 ounce/gallon Omega Quaternary Airwick (Professional Products Division) 1/2 ounce/gallon Quanto Quaternary Huntington Laboratories 1 ounce/gallon Sanikleen Quaternary West Chemical Products 2 ounces/ gallon Sanimaster II Quaternary Service Master 1 ounce/gallon Vesphene Phenolic Vestal Laboratories 1 1/4 ounce/ gallon
MANUFACTURER
RECOMMENDED
DILUTION
Quaternary Germicidal Disinfectants, used as directed, and/or Chlorine Bleach products, typically 5.25% So ­dium Hypochlorite in dilutions ranging between 1 part bleach to 100 parts water, and 2 parts bleach
to 100 parts water are not considered mild detergents. These products are corrosive in nature and may cause damage to your stretcher if used improperly. If these types of products are used to clean
Stryker patient handling equipment, measures must be taken to insure the stretchers are rinsed with clean water and thoroughly dried following cleaning. Failure to properly rinse and dry the stretchers will leave a cor­rosive residue on the surface of the stretcher, possibly causing premature corrosion of critical components.
NOTE
Failure to follow the above directions when using these types of cleaners may void this products warranty.
REMOVAL OF IODINE COMPOUNDS
This solution may be used to remove iodine stains from mattress cover surfaces.
1. Use a solution of 1−2 tablespoons Sodium Thiosulfate in a pint of warm water to clean the stained area. Clean as soon as possible after staining occurs. If stains are not immediately removed, allow solution to soak or stand on the surface.
2. Rinse surfaces which have been exposed to the solution in clear water before returning bed to service.
15
Warranty
Limited Warranty:
Stryker Medical Division, a division of Stryker Corporation, warrants to the original purchaser that its products should be free from defects in material and workmanship for a period of one (1) year after date of delivery. Strykers obligation under this warranty is expressly limited to supplying replacement parts and labor for, or replacing, at its option, any product which is, in the sole discretion of Stryker, found to be defective. Stryker warrants to the original purchaser that the frame and welds on its beds will be free from structural defects for as long as the original purchaser owns the bed. If requested by Stryker, products or parts for which a warranty claim is made shall be returned prepaid to Strykers factory. Any improper use or any alteration or repair by others in such manner as in Strykers judgement affects the product materially and adversely shall void this warranty. Any repair of Stryker products using parts not provided or authorized by Stryker shall void this warranty. No employee or representative of Stryker is authorized to change this warranty in any way.
Stryker Medical stretchers are designed for a 10 year expected life under normal use conditions and appropri­ate periodic maintenance as described in the maintenance manual for each device.
This statement constitutes Strykers entire warranty with respect to the aforesaid equipment. STRYKER MAKES NO OTHER WARRANTY OR REPRESENTATION, EITHER EXPRESSED OR IMPLIED, EXCEPT AS SET FORTH HEREIN. THERE IS NO WARRANTY OF MERCHANTABILITY AND THERE ARE NO WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE. IN NO EVENT SHALL STRYKER BE LIABLE HEREUNDER FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES ARISING FROM OR IN ANY MANNER RELATED TO SALES OR USE OF ANY SUCH EQUIPMENT.
To Obtain Parts and Service:
Stryker products are supported by a nationwide network of dedicated Stryker Field Service Representatives. These representatives are factory trained, available locally, and carry a substantial spare parts inventory to minimize repair time. Simply call your local representative, or call Stryker Customer Service at (800) 3270770.
Service Contract Coverage:
Stryker has developed a comprehensive program of service contract options designed to keep your equip­ment operating at peak performance at the same time it eliminates unexpected costs. We recommend that these programs be activated before the expiration of the new product warranty to eliminate the potential of additional equipment upgrade charges.
A SERVICE CONTRACT HELPS TO:
Ensure equipment reliability Stabilize maintenance budgets Diminish downtime Establish documentation for JCAHO Increase product life Enhance tradein value Address risk management and safety
16
Warranty
Stryker offers the following service contract programs:
SPECIFICATIONS GOLD SILVER PM* ONLY
Annually scheduled preventative maintenance X X All parts,** labor, and travel X X Unlimited emergency service calls X X Priority one contact; two hour phone response X X X Most repairs will be completed within 3 business days X X JCAHO documentation X X X Onsite log book w/ preventative maintenance & emergency service records X Factorytrained Stryker Service Technicians X X X Stryker authorized parts X X X End of year summary X Stryker will perform all service during regular business hours (95) X X X
* Replacement parts and labor for products under PM contract will be discounted.
** Does not include any disposable items, I.V. poles (except for Stryker HD permanent poles), mattresses, or damage re-
sulting from abuse.
Stryker Medical also offers personalized service contracts.
Pricing is determined by age, location, model and condition of product.
For more information on our service contracts,
please call your local representative or call (800) 327−0770 (option #2).
Return Authorization:
Merchandise cannot be returned without approval from the Stryker Customer Service Department. An autho­rization number will be provided which must be printed on the returned merchandise. Stryker reserves the right to charge shipping and restocking fees on returned items.
SPECIAL, MODIFIED, OR DISCONTINUED ITEMS NOT SUBJECT TO RETURN.
Damaged Merchandise:
ICC Regulations require that claims for damaged merchandise must be made with the carrier within fifteen (15) days of receipt of merchandise. DO NOT ACCEPT DAMAGED SHIPMENTS UNLESS SUCH DAMAGE IS NOTED ON THE DELIVERY RECEIPT AT THE TIME OF RECEIPT. Upon prompt notification, Stryker will file a freight claim with the appropriate carrier for damages incurred. Claim will be limited in amount to the actual replacement cost. In the event that this information is not received by Stryker within the fifteen (15) day period following the delivery of the merchandise, or the damage was not noted on the delivery receipt at the time of receipt, the customer will be responsible for payment of the original invoice in full.
Claims for any short shipment must be made within thirty (30) days of invoice.
International Warranty Clause:
This warranty reflects U.S. domestic policy. Warranty outside the U.S. may vary by country. Please contact your local Stryker Medical representative for additional information.
17
European Representative
Stryker EMEA RA/QA Director Stryker France ZAC Satolas Green Pusignan Av. De Satolas Green 69881 MEYZIEU Cedex France
6300 S. Sprinkle Road, Kalamazoo, MI 49001−9799
(800) 327−0770
www.strykermedical.com
DH 1/04 1009−009−001 REV B
Loading...