Stryker cub Operation Manual

see back of manual
Quick Reference Guide
CUB®
Pediatric Crib
REF
FL19F/H (190)
Operations Manual
2014/10 B.0 1900-009-001 REV B www.stryker.com

Symbols

Warning/Caution, consult accompanying documentation
Safe Working Load Symbol
Type BF device Battery-powered device with internal electrical source.
IPX4
REF
Protection from liquid splash
Direct Current
In accordance with European Directive 2002/96/EC on Waste Electrical and Electronic Equipment, this symbol indicates that the product must not be disposed of as unsorted municipal waste, but should be collected separately. Refer to your local distributor for return and/or collection systems available in your country.
Model
Manufacturer

Table of Contents

Symbols ............................................................................... 1-1
Warning / Caution / Note Definition ...........................................................1- 5
Introduction ............................................................................1- 6
Intended Use ........................................................................ 1-6
Brief Product Description and Intended Use Statement .........................................1-6
Specifications ....................................................................... 1-7
Environmental Conditions...............................................................1- 8
Product Illustration....................................................................1- 9
Contact Information ...................................................................1-10
Summary of safety precautions..............................................................1-1 1
Setup.................................................................................1-13
Rail Verification (OPTIONAL) ............................................................1-13
Access Door Verification (OPTIONAL) .....................................................1-13
Scale Verification (optional) .............................................................1-13
Base Control Verification ...............................................................1-14
Litter Movement Verification.............................................................1-14
Other Equipment:.....................................................................1-14
Operation..............................................................................1-15
Base Controls .......................................................................1-15
Applying or Releasing the Brakes.........................................................1-16
Operating the Directional Fifth Wheel (Optional) ..............................................1-16
Raising or Lowering the Litter (Optional) - FL19H Only .........................................1-17
Trendelenburg / Reverse Trendelenburg (Optional) - FL19H Only..................................1-17
Operating the Fowler / Foot Sections ......................................................1-18
Manual Fowler Positioning ..............................................................1-18
Pneumatic Fowler Positioning............................................................1-18
Foot Section Positioning................................................................1-18
Operating the Siderails.................................................................1-19
Operating Access Doors (Optional) .......................................................1-19
Operating the Scale (Optional).......................................................... 1-20
Battery Replacement ................................................................. 1-2 2
Accessories ........................................................................... 1-2 3
Standard Accessory Bracket Usage ...................................................... 1-2 3
Premium Accessory Bracket Usage (Optional) .............................................. 1-2 3
Oxygen Bottle Clamp Usage (Optional).................................................... 1-2 4
Operating the IV Caddy (Optional) ....................................................... 1-2 4
Operating The Two-Stage Fixed IV Pole (Optional) ........................................... 1-25
Operating the Three-Stage IV Pole (Optional) ............................................... 1-2 6
Chart Holder / Monitor Holder Usage (Optional) ............................................. 1-27
Retracting Protective Top Installation (FA64074-BIL) .......................................... 1-2 8
Retracting Protective Top Operations (FA64074-BIL).......................................... 1-29
Retracting Protective Top Cleaning....................................................... 1-29
English
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Table of Contents
English
Accessories (Continued)
Protective Top with Supports Installation (FA64183-BIL)........................................ 1-3 0
Protective Top With Supports Operations (FA64183-BIL) ....................................... 1-3 1
Protective Top with Supports Cleaning .................................................... 1-31
Cleaning.............................................................................. 1-32
Recommended Cleaning Method ........................................................ 1-3 2
Recommended Disinfectants ........................................................... 1-3 2
RINSE OFF CORROSIVE CLEANERS..................................................... 1-3 2
Special Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-33
REMOVAL OF IODINE STAINS .......................................................... 1-33
Preventive Maintenance ..................................................................1-3 4
Checklist .......................................................................... 1-3 4
Recycling passport ...................................................................... 1-3 5
Limited Warranty .................................................................... 1-3 6
Warranty exclusion and damage limitations................................................. 1-3 6
To obtain parts and service ............................................................ 1-3 6
Return Authorization.................................................................. 1-36
Damaged Merchandise ............................................................... 1-36
International Warranty Clause........................................................... 1-3 6
CUB Crib Quick Reference Guide ........................................................... 1-3 9
Base Controls ...................................................................... 1-41
Applying the Brakes.................................................................. 1-41
Raising / Lowering Litter (Optional) - FL19H Only ............................................ 1- 41
Trendelenburg / Reverse Trendelenburg (Optional)
- FL19H Only .......................................................................1- 41
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Warning / Caution / Note Definition

The words Warning, Caution and Note carry special meanings and should be carefully reviewed.
WARNING
Alerts the reader about a situation, which if not avoided, could result in death or serious injury. It may also describe potential serious adverse reactions and safety hazards.
CAUTION
Alerts the reader of a potentially hazardous situation, which if not avoided, may result in minor or moderate injury to the user or patient or damage to the equipment or other property. This includes special care necessary for the safe and effective use of the device and the care necessary to avoid damage to a device that may occur as a result of use or misuse.
Note
This provides special information to make maintenance easier or important instructions clearer.
English
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Introduction

English

INTENDED USE

This manual is designed to assist you with the operation of the Stryker Model FL19 CUB® Pediatric Stretcher. It is extremely important for the patient’s safety to read and understand all the information in this manual before operating the stretcher. The manual must be available at all times to hospital staff for reference.
This Operations Manual is an integral part of the stretcher and should be included if the unit is sold or transferred.

BRIEF PRODUCT DESCRIPTION AND INTENDED USE STATEMENT

INTENDED MEDICAL INDICATIONS: The Stryker Cub Pediatric Crib is a pediatric hospital bed/stretcher intended for
medical purposes that consists of a bed or crib designed for the use of a pediatric patient, with fixed end rails and movable and latchable siderails. The contour of the bed surface may be adjustable.
INTENDED PATIENT POPULATION: The safe working load indicates the sum of the patient, the mattress, and accessory weight. The safe working load for Cub is 100lb (45 kg). This crib is not intended for use for any patient measuring greater than 35 inches.
INTENDED PART OF THE BODY: The Stryker Cub Pediatric Crib is intended to support a patient while meeting safe working loads. The patient can come in contact with the crib, but should never be placed on the frame without a sleep surface. Cub is intended to be used with a 4 in. sleep surface, a thicker sleep surface or overlay that offers therapeutic value. The crib should be used with extra caution. Patient supervision is suggested.
INTENDED USER PROFILE: The Stryker Cub Pediatric Crib is for patient use in acute Care settings, including emergency departments, critical care, step down, progressive care, med/surg, sub-acute care, post anesthesia care unit (PACU) or other locations in a professional healthcare facility as prescribed by a healthcare professional. Cub is not intended to be used in a home healthcare environment. The typical operator for Cub would be trained healthcare professionals.
INTENDED CONDITION OF USE AND EXPECTED LIFE: The Stryker Cub Pediatric Crib is designed for a 10 year expected service life under normal use, conditions, and with appropriate periodic maintenance as described in the maintenance manual for each device. Stryker warrants to the original purchaser that the welds will be free from structural defects for the expected 10 year life of the product as long as the original purchaser owns the product.
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Introduction

SPECIFICATIONS

Model FL19H
190 Hydraulic Base
Safe Working Load 100 lb (45 kg) 100 lb (45 kg)
Overall Length & Width
• No Accessory Supports
• With Accessory Supports
65.5 in. x 37 in. (166 x 94 cm)
72.25 in. x 37.5 in. (184 x 95 cm)
65.5 in. x 37 in. (166 x 94 cm)
72.25 in. x 37.5 in. (184 x 95 cm) Weight Capacity 400 lb (181 kg) 400 lb (181 kg) Overall Weight (without options) 375 lb (170 kg) 310 lb (140,6 kg) Height Range (to litter top)
• High
• Low
40 in. (102 cm) 33 in. (84 cm)
33 in. (84 cm) 33 in. (84 cm)
Litter Positioning
• Manual Activated
• Pneumatic Assist
• Trend./Reverse Trend.
• Foot Section Angle
0° / 25° / 40° / 55°
-
50° +/- 9.5° 0° / 6° / 12°
0° / 25° / 40° / 55°
-
0° 0° / 6° / 12° with manual foot prop
0° / 6° / 12° Patient Surface 29.5 in. x 57 in. (75 x 145 cm) 29.5 in. x 57 in. (75 x 145 cm) Caster Diameter 6 in. (15 cm) 5 in. (13 cm) Brake System Four Wheel Ring Brake System Four Locking Casters
Capacity Patients weighing 4 lb (1.8 kg) to 100 lb (54.4 kg)
Perform scale measurement when unit is flat:
Scale (Optional)
Accuracy
Power System
Electrical Rating
± 0.5 lb (0.2 kg) at 50 lb (22 kg) or less ± 1.0 lb (0.4 kg) at ≥ 50 lb (22 kg)
Battery operated - 4 x “C” Type, Alkaline, 1.5VDC
6 VDC, 0.15 A
Model FL19F
190 Fixed Height Base
50°
English
Stryker provides special attention to product improvement and reserves the right to change specifications without notice.
Compliant with the following standards: CSA C22.2, No. 60601.1; UL2601-1; IEC/EN 60601-1.
Note: The Cub® is CE Mark only without the scale option.
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Introduction
English

ENVIRONMENTAL CONDITIONS

* Operating environment recommended to ensure scale precision.
Environmental Conditions Operation * Storage and Transportation
Ambient Temperature
Relative Humidity
(Non-Condensing)
Atmospheric Pressure
60 0F
(15.5 0C)
0%
700 hPa
85 0F
(29.1 0C)
95%
1060 hPa
122 0F (50 0C)
-22 0F
(-30 0C)
95%
0%
1060 hPa
500 hPa
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1-8 1900-009-001 REV B www.stryker.com
(
)
(
)
(OPTIONAL)
(OPTIONAL)

PRODUCT ILLUSTRATION

OPTIONAL ACCESS DOOR
ACCESS DOOR RELEASE KNOBS
(OPTIONAL)
OPTIONAL ACCESS DOOR
BRAKE / STEER PEDAL
OPTIONAL
(OPTIONAL)
Introduction
FOWLER
SIDE AND END RAILS
SCALE MODULE
English
OPTIONAL
SIDERAIL ACTIVATION
HANDLE
LITTER LIFT PEDAL
OPTIONAL
(
GROUND CHAIN
)
UNI-LOWER PEDAL
PNEUMATIC HEAD SECTION
ACTIVATION LEVER
OXYGEN BOTTLE RETAINING COLLAR
IV CADDY ARM (OPTIONAL
FOOT SECTION
)
FOOT SECTION SUPPORT
DRAINAGE BAG HOOK
HEAD PREMIUM ACCESSORY
(
BRACKETS
OPTIONAL
ARM
)
Figure 1 - Bed illustration
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Introduction
English

CONTACT INFORMATION

Contact Stryker Customer Service or Technical Support at 1-800-327-0770.
Stryker Medical 3800 E. Centre Avenue Portage, Michigan 49002 USA
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1-10 1900-009-001 REV B www.stryker.com

Summary of safety precautions

Before operating the Cub® Pediatric Stretcher, it is important to read and understand all information in this manual. Carefully read and strictly follow the safety precautions listed on this page. The safety precautions are repeated throughout the manual, where applicable.
WARNING
• Hospital staff should ensure a safe environment to the patient by verifying that the stretcher components (rails, access doors, accessories, etc.) are in good condition and properly secured before placing a patient on the stretcher.
• Always apply the brakes when a patient is removed from or placed on the stretcher. Always engage the brakes unless the stretcher is being moved. Push on the stretcher to ensure the brakes are securely locked. Injury could result if a stretcher moves while a patient is placed or removed from the stretcher.
• When brakes are applied on a fixed height stretcher, be sure all four casters are locked to ensure a complete immobilization of the stretcher.
• To reduce risk of injury, ensure the litter is horizontal and in the lowest position with the rails fully raised when moving the pediatric stretcher with a patient on it.
• The rails must always remain in the highest position and the litter in the lowest position unless the patient is being tended. Never leave a patient unattended when the rails are lowered.
• Make sure that proper policies are applied to ensure the patient’s safety when an IV pole and/or an oxygen bottle is used. The patient should not be able to reach nor manipulate them.
• To prevent possible fire hazard when using an oxygen tent on a stretcher equipped with the scale system (optional), do not activate the scale. Also ensure that the rails are outside the tent.
• To avoid injury to the patient and/or the user, ensure the rails are in their highest position before lowering the litter or placing it in one of the Trendelenburg positions, and that all equipment and people are removed from the area below and around the litter.
• To avoid falls and injury, verify the rails and access doors are properly locked into position before leaving a patient unattended or after having moved a rail or an access door.
• To avoid injury to the patient, ensure the patient’s extremities are clear of all moving parts before operating a rail. Always ensure the rail is securely locked after moving it.
• To avoid falls and injury, ensure that both access door open/close indicators (located on both lock release knobs) show green when the door is closed and locked into position.
• Avoid using an access door or a rail handle as push/pull devices or damage to the unit or injury to the patient and/ or user may occur.
• To avoid injury to the patient and/or user, do not attempt to move the stretcher directly sideways with the steer mode engaged. The fifth steer wheel cannot pivot.
• To avoid injury to the patient, verify the patient is safely positioned on the litter before lowering the siderail or operating the Fowler or foot section.
• To avoid injury to the patient when raising or lowering the manual Fowler or the foot section, verify the support arm is securely engaged in the arm stoppers before releasing the Fowler or foot section.
• When patient is able to climb out the stretcher or reaches the height of 35 in. (90 cm), the stretcher shall no longer be used.
• Do not place cords, straps or similar items that could become wound around the patient’s neck in or near the stretcher.
• Do not leave objects or toys in the stretcher.
• Do not use a water mattress with this stretcher.
• To avoid injury to the patient, any mattress used on this stretcher must be at least 57 1/2 in. (146.05 cm) long by
29 3/8 in. (74.6 cm) wide and not less than 3 in. (7.6 cm) or more than 6 in. (15.3 cm) thick.
• Failure to properly clean the mattress, or dispose of it if defective, may increase the risk of exposure to pathogenic substances and may bring about diseases to the patient and/or the user.
• Do not use the stretcher if any components are missing or broken. Contact your dealer or Stryker for replacement parts. Use only replacement parts provided by Stryker.
• Maximum static weight capacity = 400 lb (181.4 kg).
English
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Summary of safety precautions
English
CAUTION
• To avoid damage to the scale electronic components, do not lean on the accessory bracket housing the scale module.
• Do not use a two or three stage fixed IV pole at the foot end of a stretcher equipped with the scale.
• The scale weighing zone is made up of all the upper part of the stretcher, including the safety end/siderails, the
accessory brackets, the drainage bag hooks, the chart and monitor holders (optional) located under the mattress support. Ensure no external object is in contact with the stretcher during a weighing or when zeroing the scale.
• To maintain the scale accuracy, it is recommended to zero the scale at least once a week. Note that the patient must be removed from the stretcher before zeroing the scale.
• Use only 1.5 VDC alkaline batteries. The use of batteries other than the one recommended may damage the scale electronic components.
• Remove the batteries if the scale module or the stretcher is not used for long periods.
• Always store the IV Caddy when not in use to avoid damaging it when the stretcher is moved.
• The weight of the IV bags should not exceed 40 lb (18 kg).
• Do not install a two or three-stage fixed IV pole at the foot end of a stretcher equipped with the scale.
• Do not use the protective top as a push/pull device.
Note
• Throughout the manual, the words “right” and “left” refer to the right and left sides of a patient lying face up on the stretcher.
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Setup

It is important to check that all the stretcher components operate properly before it is put into service.
Some stretchers are equipped with one or both fixed endrails. Since stretchers are shipped with all four rails down, a special document describes the procedure to permanently install a fixed endrail. This document is part of the kit provided for the fixed endrail positioning and is to be found in a plastic envelop on the mattress as well as detailed in the Maintenance Manual.

RAIL VERIFICATION (OPTIONAL)

Refer to pa g e 1-19
1. Side/endrail handles operate properly, handle triggers and rotational movement operates smoothly.
2. Side/endrails raise and lower smoothly, and lock in the 9", 14" and upper positions when raised or lowered.
3. Side/endrails automatically stop at the 9" position when lowered without interruption (handle kept rotated to the left or right while lowering the rail) from upper positions. Rotating the handle to the left or right further lowers the rail from the 9" position to its lowest position under the mattress surface.
NOTE
On some stretchers, the 9" double safety lock may not be present.

ACCESS DOOR VERIFICATION (OPTIONAL)

Refer to pa g e 1-19
1. Release knobs operate properly.
2. Access doors open, close and lock properly.
3. Both release knob open/close indicators show green when the door is closed and locked, and yellow when the door is open. Verify that the access doors are properly closed and locked when both open/close indicators show green.
English

SCALE VERIFICATION (OPTIONAL)

Refer to page 1-20
1. Press and release the Weigh/On button. A weight will appear on the scale display four to ten seconds later. If the stretcher is unstable while the scale tries to weigh, the unstable stretcher icon (see icon and note page 1-21) will appear on the display. Repeat the current operation once the stretcher is stabilized. Next, press and keep pressed during at least two seconds the Zero button. A 0.0 lb/kg weight should appear on the display four to ten seconds later.
NOTE: The scale automatically shuts off after a 30 seconds of inactivity, except during the Change Equipment
procedure where there is a three minute delay. To reactivate the scale, press the Weigh/On button.
2. The weight reading can be displayed in pounds (lb) or kilograms (kg). Press the lb / kg button to switch from a weight reading unit to the other. The lb / kg button can be deactivated to prevent inadvertently changing scale units. To do so, press and hold the lb / kg and Memory buttons for at least two seconds. To reactivate the lb / kg button, repeat the operation.
3. Place a known weight on the mattress of the stretcher and press the Weigh/On button. A weight reading will be displayed four to ten seconds later. Ensure the unit is flat and the weight displayed is accurate to ± 0.5 lb (0.2 kg) at 50 lb (22 kg) or less and ± 1.0 lb (0.4 kg) at ≥ 50 lb (22 kg) of the actual weight.
4. The weight reading displayed can be stored. To do so, press the Weigh/On button. Press and hold the Memory button for two seconds, and release the button when "Memory" appears on the screen. The weight previously displayed by the scale should now be stored in memory.
5. The stored weight reading can be erased. To do so, press the Weigh/On button. Simultaneously press and hold the Memory and Zero buttons for at least two seconds. The value stored is erased when the keys are released and
0.0 lb/kg is displayed on the screen.
6. Equipment can be added or removed from the stretcher when the patient is in it. Leave the patient on the stretcher and press the Weigh/On button. A reading will appear on the display four to ten seconds later. Next, press the Change Equipment button; "Change Equipment" will appear on the screen four to ten seconds later. Add or remove the extra equipment to the stretcher and press the Change Equipment button. The weight of the initial load should now be displayed within ± 0.5 lb (0.2 kg) at 50 lb (22 kg) or less and within ± 1.0 lb (0.4 kg) at ≥ 50 lb (22 kg) when flat.
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Setup
English

BASE CONTROL VERIFICATION

Refer to pa g e 1-14
1. Optional steer pedal operates properly. Fifth steer wheel operational with steer pedal (green side of the pedal) engaged.
2. Optional brake pedal operates properly. All casters lock with brake pedal engaged (red side of the pedal).
3. Optional lift pedal operates properly. Litter raises and reaches maximum height (40" - 102 cm) when lift pedal is pumped.
4. Trendelenburg positions and litter descent are operational when uni-lower pedal (optional) is depressed using respectively the extremities and its centre.
5. All casters lock and swivel properly.
6. Fixed height stretcher (optional) four casters lock and unlock properly using the brake lever.
7. Litter Movement Verification (see section 2.6):
8. Optional assisted or manual Fowler operates properly.

LITTER MOVEMENT VERIFICATION

Refer to pa g e 1-14
1. Optional assisted or manual Fowler operates properly.
NOTE: To raise the assisted Fowler, a slight push under the top part of the Fowler is needed to start its rise; to lower it, push down on its top part while lifting the activation lever.
2. Foot section support arm operates properly.

OTHER EQUIPMENT:

1. Ground chain secured to base.
2. Accessory brackets secure.
3. Optional IV Caddy arm (see page 1-24) secure and working properly.
4. Optional two or three-stage IV pole (see page 1-25 and page 1-26) secured to accessory bracket and is easily stored on the adjacent accessory bracket.
5. Optional oxygen bottle clamp (see page 1-24) secured to hood.
6. Optional chart holder (see page 1-27) located under the mattress support secured to frame.
If any problems are found during bed setup, contact the Technical Service department at 1-800-327-0770.
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Operation

E
F
A
A
D B C
D
B
C
HEAD END
RIGHT
LEFT

BASE CONTROLS

Two types of base models are available: the Fixed Height and Variable Height (hydraulic).
English
Figure 2 - Base Controls
A
B
C
D
E
Pump to raise litter.
Depress the center of pedal (B) to lower both ends of the stretcher together.
Depress the side of pedal (B) closest to the stretcher head end to lower the head end.
Depress the side of pedal (B) closest to the stretcher foot end to lower the foot end.
Brake and Steer functions (left side) Steer.
F
www.stryker.com 1900-009-001 REV B 1-15
Steer and Brake functions (right side).
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Operation
English

APPLYING OR RELEASING THE BRAKES

WARNING
• Always apply the brakes when a patient is removed from or placed on the stretcher.
• Always engage the brakes unless the stretcher is being moved. Push on the stretcher to ensure the brakes are
securely locked.
• Serious injury could result if a stretcher moves while a patient is placed or removed from the stretcher.
• If brakes do not hold properly, refer to your stretcher maintenance manual for the brake adjustment procedure.
Two types of base are available: the Hydraulic Base and the Fixed Height Base.
Note
Each of the two types of stretcher base available corresponds a different brake system: a pedal operated four-wheel brake system for the optional hydraulic base and four separate locking casters for the fixed height base.
HYDRAULIC BASE
• To engage the brakes at the left side of the stretcher, push fully down on the left side of the pedal (E, page 1-15).
• To engage the brakes at the right side of the stretcher, push fully down on the right side of the pedal (F, page
1-15).
• To disengage the brakes at either side of the stretcher, move the pedal to neutral position.
FIXED HEIGHT BASE
A
WARNING
When brakes are applied, ensure all four casters are locked to ensure complete stabilization of the stretcher.
• To engage the caster brakes, press fully down on all four caster brake levers (A) (see Figure 3).
• To disengage the caster brake, push the opposite side of the brake lever with your foot or lift up with your toe under the brake lever (see Figure 3).
A A A
Figure 3 - Fixed Height Base

OPERATING THE DIRECTIONAL FIFTH WHEEL (OPTIONAL)

WARNING
• To reduce risk of injury, ensure the litter is horizontal and in the lowest position with the rails fully raised when moving the pediatric stretcher with a patient in it.
• To avoid injury to the patient and/or user, or damage to the stretcher, do not attempt to move the stretcher directly sideways with the steer mode engaged. The fifth steer wheel cannot pivot.
The purpose of the steer mode (fifth steer wheel) is to help guide the stretcher when transporting a patient along a straight line and also for pivoting at corners.
• To engage the steer mode at the left side of the stretcher, push fully down on the right side of the pedal (E, page
1-15).
• To engage the steer mode at the right side of the stretcher, push fully down on the left side of the pedal (F, page
1-15).
• To disengage the steer mode at either side of the stretcher, move pedal to neutral position. Positioning the pedal in neutral enables the stretcher to be moved in any directions, including sideways.
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Operation

RAISING OR LOWERING THE LITTER (OPTIONAL) - FL19H ONLY

WARNING
To avoid injury to the patient and/or the user, ensure the rails are in their highest position before lowering the litter or placing it in one of the Trendelenburg positions, and that all equipment and people are removed from the area below and around the litter.
Be sure to move any equipment that may be in the way before raising or lowering the litter.
• To raise the litter height, pump pedal (A, page 1-15) repeatedly until the desired height is achieved.
• To lower both ends of the litter together, depress the center of pedal (B, see page 1-15) until the desired height
is achieved. To lower only the head end of the litter, depress the side of pedal (B, page 1-15) closest to the head end. To lower only the foot end of the litter, depress the side of pedal (B, page 13) closest to the foot end.

TRENDELENBURG / REVERSE TRENDELENBURG (OPTIONAL) - FL19H ONLY

NOTE
The litter height must be raised first in order to achieve a Trendelenburg position.
WARNING
To avoid injury to the patient and/or the user, ensure the rails are in their highest position before lowering the litter or placing it in one of the Trendelenburg positions, and that all equipment and people are removed from the area below and around the litter.
English
• For Trendelenburg positioning (head down), depress the side of pedal (B, page 1-15) closest to the stretcher
head end.
• For Reverse Trendelenburg positioning (foot down), depress the side of pedal (B, page 1-15) closest to the
stretcher foot end.
NOTE
The higher the litter is before a Trendelenburg positioning, the greater the Trendelenburg angle will be. (Maximum Trendelenburg angles: +9.5° to -9.5°).
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Operation
English

OPERATING THE FOWLER / FOOT SECTIONS

NOTE
Two types of Fowler are available: manually operated and pneumatic assisted. The foot section is manually operated.
WARNING
• To avoid injury, verify the patient is safely positioned on the litter before lowering the siderail and operating the Fowler or foot section.
• To avoid injury when raising or lowering the manual Fowler or the foot section, verify the support arm is securely engaged in the arm supports before releasing the Fowler or foot section.

MANUAL FOWLER POSITIONING

• To raise the Fowler, manually lift it up. As the Fowler is raised, the support arm (A) will fall into position and engage the support brackets into one of the three available angular positions: 25°, 40° and 55° (see Figure 4).
• To adjust the Fowler angle, lift it up slightly with one hand and with the other, lift one of the support arm handles (A) to disengage it from the support brackets. Engage the support arm at the desired position. To flatten the Fowler, hold the handle while lowering the Fowler to flat and release the support (see Figure 4).

PNEUMATIC FOWLER POSITIONING

• To raise the Fowler, lift up the right or left activation lever (B) while lifting the Fowler to the desired postion (see Figure 5), and release the lever once the desired height is achieved.
• To lower the Fowler, push down on the Fowler while lifting up the right or left activation lever (B) (see Figure 5). Release the lever once the desired height is achieved.

FOOT SECTION POSITIONING

Fowler
A
Figure 4 - Fowler Positioning
Fowler
Foot Section
• To raise the foot section, lift it up manually. As the foot section is raised, the support arm will fall into position and
B
C
engage the support brackets into one of the two available angular positions: 6° and 12° (see Figure 5).
• To lower the foot section to the next position or to flat, lift it up
Pneumatic Fowler and Foot Positioning
Figure 5 -
with one hand and with the other lift one of the support harm handles (C) to disengage it from the support brackets (see Figure 5). Lower the foot section and release the support so that it engages in the support brackets of the next position or lower to flat, releasing the support only at the end.
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Operation

OPERATING THE SIDERAILS

WARNING
• To avoid injury, ensure the patient’s extremities are clear of all moving parts before operating a rail. Always ensure the rail is securely locked after moving it.
• The rails must always remain in the highest position and the litter in the lowest position unless a patient is being tended. Never leave a patient unattended when the rails are lowered.
• To avoid falls and injury, verify the rails and access doors are properly locked into position before leaving a patient unattended or after having moved a rail or an access door.
NOTE
To ensure the rails are safely locked into position, verify that the arrow pointers (B) are aligned.
• To raise a siderail/endrail, grasp the top bar or the handle (A) and pull the rail up to the desired height. No turning of the handle to any side is necessary. The rail will lock into one of the three available positions: 9 in., 14 in. and 26 in. A “click” will be heard as available locking positions are crossed (see Figure 6).
• To lower a siderail/endrail, grasp the handle (A). Activate the trigger, turn handle to the left or right and guide the rail down to the desired height. Return the handle back to vertical to lock the rail into desired position (see Figure 6).
A
English
NOTE
• For safety reasons, side/endrails automatically stop and lock at the 9 in. position, even if the handle is kept turned during the rail descent.
• On some stretchers, the double safety lock at 9 in. may not be present.

OPERATING ACCESS DOORS (OPTIONAL)

WARNING
To avoid falls and injury, ensure the access door open/close indicators (located on both release knobs) show green when the door is closed and locked into position.
• To open an access door, squeeze the two release knobs (A) located on each access door pivot bar and open the access door. The open/ close indicators (B) will show yellow (see Figure
7).
• To close an access door, return it back to the closed position and it will automatically lock. The open/close indicators (B) will show green. If one of them remains yellow, it means that the door is not completely closed; open and close the door again (see Figure 7).
B
B
Figure 6 - Siderails / Endrails
A
Figure 7 - Access Door
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Operation
D
C
E
A
B
F
English

OPERATING THE SCALE (OPTIONAL)

The scale system allows the reading of a patient’s weight in pounds (lb) or kilograms (kg) within ± 0.5 lb (0.2 kg) at 50 lb (22 kg) or less and within ± 1.0 lb (0.4 kg) at ≥ 50 lb (22 kg) when flat. The reading can be stored in memory. The system also allows to add or remove a device or accessory from the stretcher without removing the patient.
SCALE CONTROL PANEL
CAUTION
• To avoid damage to the scale electronic components, do not lean on the accessory bracket housing the scale module.
• Do not use a two or three stage fixed IV pole at the foot end of a stretcher equipped with the scale.
This table refers to Figure 8 above.
Activates the scale. A weighing is performed when this button is pressed and released. A weight will be displayed on the display four to ten seconds later. However, no weight is displayed if the Error -Ex.x or the movement
Weigh/On
A
Memory Stores the result of the weighing or recalls on display the weight stored.
B
Zero Zeroes the weight displayed on screen and the weight stored.
C
lb / kg Changes the unit of measurement (lb or kg).
D
Change Equipment To remove or add equipment from the stretcher without removing the patient.
E
Scale Display
F
error will have to be corrected or the stretcher stabilized before using the scale again (see the Error Code List in the Maintenance Manual).
NOTE
The scale does not work in continuous mode. It must be activated using the Weigh/ On key each time a reading of the patient’s weight is required.
The scale will auto shut off after an inactivity period of 30 seconds, except during the Change Equipment operation where three minutes are allowed. Press the Weigh/On button to reactivate the scale. If the patient weighs more than 100 lb (54 kg), the “Error - E05” message will appear on the display to indicate that the scale should not be used in these conditions, as its maximal weighing capacity is exceeded. Some other error messages may be displayed while operating the scale. Refer to the Error Code List in the Maintenance Manual to understand their signification and what action to take when they appear.
Figure 8 - Scale Control Panel
icon appears on display. The
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Operation
SCALE OPERATION
CAUTION
The scale weighing zone is made up of all the upper part of the stretcher, including the safety end/siderails, the accessory brackets, the drainage bag hooks, the chart and monitor holders (optional) located under the mattress support. Ensure no external object is in contact with the stretcher during a weighing or when zeroing the scale.
NOTE
The the patient’s weight because the stretcher is unstable. Simply stabilize the stretcher and repeat the current operation.
The Memory, Change Equipment and Zero keys may be used to stop the weight reading process when the operation currently used does not need a weight reading to be displayed.
icon may appear at any time when using the scale. It indicates that the scale is unable to take a reading of
A. PREPARING (ZEROING) THE SCALE FOR A NEW PATIENT
• Prepare the stretcher for the new patient (sheets, pillows, equipment, etc.).
• Press and release the Weigh/On button to activate the scale. A weight reading will appear on the display
four to ten seconds later during which a three-hyphen line will flash.
• Press and keep pressed the Zero button during at least two seconds. Release the key; the weight displayed and the weight stored will be zeroed four to ten seconds later.
• With the patient in the stretcher, press the Weigh/On button. The patient’s weight will be displayed four to ten seconds later.
English
CAUTION
To maintain the scale accuracy, it is recommended to zero the scale at least once a week. Note that the patient must be removed from the stretcher before zeroing the scale.
B. STORING IN MEMORY A WEIGHT READING
• Press the Weigh/On button to activate the scale. Wait for the reading to be displayed.
• Press and hold the Memory button for two seconds. Release the button when the “Memory” message
appears on the display. The weight previously displayed is now stored.
C. RECALLING ON DISPLAY THE WEIGHT STORED IN MEMORY
• Press the Weigh/On button to activate the scale. Do not wait for the weight to be displayed, proceed immediately with the next step.
• Press the Memory button. The value stored will be displayed along with “Memory”. To leave the Memory mode, press the Weigh/On button.
D. ZEROING THE WEIGHT DISPLAYED AND STORED IN MEMORY
• Press the Weigh/On key to activate the scale. Do not wait for the weight to be displayed, proceed immediately with the next step.
• Press and hold the Zero button for at least two seconds. Release the button; the weight displayed and the weight stored will be zeroed four to ten seconds later.
E. ZEROING THE MEMORY ONLY
• Press the Weigh/On button to activate the scale. Do not wait for the weight to be displayed, proceed immediately with the next step.
• Simultaneously press and hold the Memory and Zero buttons for at least two seconds and release. The screen will display 0.0 lb/kg.
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Operation
English
F. ADDING OR REMOVING EQUIPMENT WITH A PATIENT IN THE STRETCHER
• Press the Weigh/On button to activate the scale. You may proceed immediately with the next step, but if you want to compare the weight reading resulting from the Change Equipment procedure with the patient’s weight reading before the procedure, let the weigh process display a weight reading and note the weight.
• Press the Change Equipment button. The “Change Equipment” message will appear on the display four to ten seconds later. NOTE: the scale will automatically shut off if this step takes more than three minutes. The operation will then have to be started over.
• Add or remove the equipment on the stretcher. Then, press the Change Equipment button. The unchanged patient’s weight will reappear on the screen four to ten seconds later.
NOTE
To prevent erroneous weight readings, the “Adding or Removing Equipment with a Patient in the Stretcher” procedure must be completed each time an object is added or removed from the scale weighing zone.
G. CHANGING THE UNIT OF MEASUREMENT
• Press the Weigh/On button to activate the scale. A weight reading will appear on the display four to ten seconds later.
• Press the lb /kg button to change from pounds (lb) to kilograms (kg) or conversely.
• The lb /kg button can be deactivated to prevent inadvertent use of the button. To do so, press and hold
the lb /kg and Memory buttons for at least two seonds. Do the same to reactivate the lb /kg button.

BATTERY REPLACEMENT

The electronic system of the scale is powered by four alkaline C type batteries (1.5 VDC). To replace them, refer to Figure 9 and follow steps 1-4 below.
NOTE
The icon will appear on the display to notify that the batteries must be replaced.
1. Using a #2 Phillips screwdriver, remove the 2 screws (A) holding the cover (B) of the battery enclosure.
2. Remove the four batteries and replace them with four new alkaline C type batteries (1.5 VDC). Ensure the batteries are installed with the proper polarity.
3. Replace the cover.
4. Zero the scale (see procedure A, previous page) without a patient in the stretcher before returning it to service.
CAUTION
• Use only 1.5 VDC alkaline batteries. The use of batteries other than the one recommended may damage the scale electronic components.
• Remove the batteries if the scale module or the stretcher is not used for long periods.
B
A
Figure 9 - Battery Replacement
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Accessories

BRACKET

STANDARD ACCESSORY BRACKET USAGE

Standard accessory brackets are installed at the four corners of the stretcher to support an optional vertical oxygen bottle holder, optional removable IV poles and/or an optional retracting protective top. A convenient rubber bumper completes the bracket assembly (see Figure 10).
PROTECTIVE TOP MOUNTING
SOCKET
RUBBER BUMPER
Figure 10 - Standard Accessory Bracket
REMOVABLE IV POLE INSTALLED
(
NOT INCLUDED
STANDARD ACCESSORY
)
English

PREMIUM ACCESSORY BRACKET USAGE (OPTIONAL)

The pediatric stretcher may be equipped with optional premium accessory brackets to hold different pieces of equipment needed for patient care. Designed to be mounted at one or both ends of the stretcher, they come in set of two or four. See Figure 11 for the bracket socket functions.
CAUTION
The scale weighing zone is made up of all the upper part of the stretcher, including the safety end/siderails, the accessory brackets, the drainage bag hooks, the chart and monitor holders (optional) located under the mattress support. Ensure no external object is in contact with the stretcher during a weighing or when zeroing the scale.
PERMANENT IV POLE HANGER
STORAGE SOCKET
PERMANENT IV POLE
SOCKET
STRYKER
SOCKET
UPRIGHT O
HOLDER SOCKET
1/2
IV POLE
"
BOTTLE
2
PROTECTIVE TOP MOUNTING SOCKETS
REQUIRES SET OF FOUR ACCESSORY BRACKETS
(
OR
STRYKER ACCESSORY SOCKETS
)
UPRIGHT O
BOTTLE
2
HOLDER SOCKET
PERMANENT IV POLE HANGER
STORAGE SOCKET
PERMANENT IV POLE
SOCKET
STRYKER
1/2
SOCKET
"
IV POLE
Figure 11 - Premium Accessory Bracket
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Accessories
A
English

OXYGEN BOTTLE CLAMP USAGE (OPTIONAL)

An oxygen bottle clamp (A) may be installed on the base hood to secure an oxygen bottle installed in the cavity provided on the hood (see Figure 12). Slide the bottle into the cavity, bottom first.

OPERATING THE IV CADDY (OPTIONAL)

The IV Caddy enables an IV pole on casters to be transported when the stretcher is moved. Always ensure the IV Caddy is secured tightly on the IV pole before transporting to avoid damaging the IV pole or causing injury to the patient or user (see Figure 13).
1. Lift the IV Caddy from the storage clip.
2. Pivot the IV Caddy to the desired position.
3. Turn knob (A) counter clockwise to loosen the pole clamp (C).
4. Pivot the knob (A) away from the clamp (B). The clamp (C) may then be opened.
5. Place the IV pole into the clamp (B). Close the clamp (C) around the IV pole and pivot the knob (A) back into position.
6. Turn the knob clockwise to tighten it. The IV pole is now ready to move with the stretcher.
7. To remove the IV pole from the IV Caddy, turn knob (A) counter clockwise to loosen the pole clamp.
8. Pivot the knob away from the clamp (B), open the clamp and remove the IV pole from the IV Caddy.
9. Store the IV Caddy.
Figure 12 - Oxygen Bottle Clamp
CAUTION
Always store the IV Caddy when not in use to avoid damaging it when the stretcher is moved.
Figure 13 - IV Caddy
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Accessories

OPERATING THE TWO-STAGE FIXED IV POLE (OPTIONAL)

WARNING
Make sure that proper policies are applied to ensure the patient’s safety when an IV pole and/or an oxygen bottle are used. The patient should not be able to reach nor manipulate them.
To use the two-stage fixed IV pole refer to Figure 14 and follow steps 1-4 below:
1. Lift and pivot the pole from the storage position and push it down until it is locked into the receptacle.
2. To raise the height of the pole, pull up on the telescoping portion (A) until it locks into place at its fully raised position. There are no intermediary positions for this section.
3. Rotate the IV pole hangers (B) to desired position and hang the IV bag.
4. To store the IV pole, turn the latch (C) clockwise until section (A) lowers. Lift up on the pole to remove it from its receptacle, fold it and insert the hangers into the storage location provided on the adjacent accessory bracket.
English
Figure 14 - 2-Stage IV Pole
CAUTION
• The weight of the IV bags should not exceed 40 lb (18 kg).
• Do not install a two or three-stage fixed IV pole at the foot end of a stretcher equipped with the scale.
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