Stryker Epic+ Operation Manuals

Model 2030/2031
OPERATIONS MANUAL
For Parts or Technical Assistance 1–800–327–0770
Critical Care Bed
Table of Contents
Introduction
Warning / Caution / Note Definition 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UL Classification 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Safety Tips And Guidelines 4, 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Set–Up Procedures 6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Bed Operation Guide
Base Pedal Operation 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CPR Emergency Release Usage 8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CPR Board Usage 8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foley Bag Hooks Usage 8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foot Prop Usage 8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Siderail Operation Guide
Positioning Siderails 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Siderail Control Panel Lights 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Siderail Function Guide 10 – 12. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foot Board Operation Guide
Foot Board Control Panel Guide 13–16. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Weigh System Control Panel Guide 17. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Weigh System Usage
Preparing the Bed for Patient Stay 18. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Adding or Removing Items During a Patient’s Stay 19. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Displaying Trendelenburg or Fowler Angle 20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Converting the Patient’s Weight 20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Viewing the Patient’s Weight in Gain/Loss Mode 21. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Changing the Numerical Value of Displayed Weight 22. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Optional Pendant Operation 23. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Optional Epic+ Head End Control Panel Operation 24. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Battery Charging and Operation (Epic+ Option) 25. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating I.V. Poles 26. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Preventative Maintenance
Nurse Call Battery 27. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Main Bed Power Circuit Breaker 27. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Battery Charger Circuit Breaker 27. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cleaning 28. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Preventative Maintenance Checklist 29. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Limited Warranty
Obtaining Parts and Service 30. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Supplemental Warranty Coverage 30. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Return Authorization 31. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Freight Damage Claims 31. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Introduction
INTRODUCTION
This manual is designed to assist you with the operation of the Model 2030 and Stryker Criti­cal Care Beds. Read it thoroughly before using the equipment.
SPECIFICATIONS
Maximum Weight Capacity 500 pounds or 227 kilograms Weigh System Capacity (optional equipment) patients weighing up to 500 pounds or
patients weighing up to 227 kilograms Weigh System Accuracy (optional equipment) 1% of total patient weight Overall Bed Length/Width L–91” /W–42.5” or L–231 cm /W–108 cm Minimum/Maximum Bed Height (Standard)
Minimum/Maximum Bed Height (Enhanced)
Knee Gatch Angle 0 to 35 Back Angle 0 to 90 Trendelenburg/Reverse Trendelenburg –14 to +14 Electrical Requirements 115 VAC, 60 Hz, 7.0 Amps Battery Voltage (Optional) 24 V, 31 Ah Noise Level > 65 Decibels
18.25 to 32.5 – 46.5 cm. to 82.5 cm. (6 casters)
20.25 to 34.5 – 51.5 cm. to 88 cm. (8 casters)
19.9 to 34.5 – 50.5 cm. to 88 cm. (6 casters)
21.9 to 36.5 – 56 cm. to 93 cm. (8 casters)
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
Warning, Refer to Service/Maintenance Manual
~
Alternating Current
Type B Equipment: equipment providing a particular degree of protection against elec­tric shock, particularly regarding allowable leakage current and reliability of the protec­tive earth connection.
Class 1 Equipment: equipment in which protection against electric shock does not rely on BASIC INSULA TION only, but which includes an additional safety precaution in that means are provided for the connection of the EQUIPMENT to the protective earth con­ductor in the fixed wiring of the installation in such a way that ACCESSIBLE METAL PARTS cannot become live in the event of a failure of the BASIC INSULATION.
IPX4: Protection from liquid splash
Dangerous Voltage Symbol
Protective Earth Terminal
Potential Equalization Symbol
Medical Equipment Classified by Underwriters Laboratories Inc. with Respect to Elec­tric Shock, Fire, Mechanical and Other Specified Hazards Only in Accordance with UL 2601–1 and CAN/CSA C22.2 No. 601.1
3
Introduction
SAFETY TIPS AND GUIDELINES
Before operating the and Critical Care Beds, it is important to read and understand all in­formation in this manual. Carefully read and strictly follow the safety guidelines listed on this page and on page 5. To ensure safe operation of the bed, methods and procedures must be established for educating and training hospital staff on the intrinsic risks associated with the usage of electric beds.
WARNING
Serious injury can result if caution is not used when operating the bed. Operate bed only when all persons
are clear of the electrical and mechanical systems.
Leave the bed in the lowest position when the patient is unattended. Leaving the bed in a raised position
could increase the chance of patient falls and injury.
Scale function may be affected by siderail/caster interference. With the litter fully lowered or lowered in
Reverse Trendelenburg, the siderails tucked under the litter in the storage position and the casters turned, there is the potential for interference between the siderail and the caster. Raise the siderails when lowering the litter to the full down position to prevent the interference from causing the beds scale system to weigh inaccurately.
Leave the siderails fully up and locked when the patient is unattended. After raising the siderails, pull
firmly on th e s i d e r a i l t o e n sure it is securely locked into the up position. Siderails are not intended to serve as a patient restraint device to keep patients from exiting the bed. Siderails are designed to keep a patient from inadvertently rolling off the bed. It is the responsibility of the attending medical personnel to deter­mine the degree of restraint necessary to ensure a patient will remain in bed. Failure to utilize the siderails properly could result in patient injury.
Always apply the caster brakes when a patient is on the bed and push on the bed to ensure the brakes
are locked. Injury could result if the bed moves while a patient is getting in or out of bed.
Ensure the brakes are completely released prior to attempting to move the bed. Attempting to move the
bed with the brakes actuated could result in injury to the user and/or patient.
Assistance is required to lower the Back if the angle of the Back is greater than 80 when the CPR emer-
gency release is activated. Attempting to lower the Back in this position without assistance may result in injury to the operator.
The Bed Exit System is intended only to aid in the detection of a patient exiting the bed. It is NOT intended
to replace patient monitoring protocol. The bed exit system signals when a patient is about to exit. Adding or subtracting objects from the bed after arming the bed exit system may cause a reduction in the sensitiv­ity of the bed exit system.
If the bed is equipped with the Epic+ option, there is a power save mode. The power save mode is acti-
vated after one hour on battery power with no motion release switch activation. Functions including Bed Exit, scale and motion will cease to operate when the unit enters the power save mode. Injury to the patient could occur if proper patient monitoring protocol is not observed.
Due to the weight the battery back–up option adds to the bed (approximately 50 pounds), additional force
is required to move a bed equipped with the EPIC+ Option. Caution should be used when transporting this bed. Additional assistance should be used when necessary. Failure to use caution while transporting this bed may result in injury to the user.
Hand wash all surfaces of the bed 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. Inspect the mattress cover after each use. Discontinue use if any cracks or rips are found in the cover which may allow fluids to enter the mattress. Exposure to fluids may cause injury to patient and/or user.
4
Introduction
SAFETY TIPS AND GUIDELINES (CONTINUED)
WARNING
If large fluid spills occur in the area of the circuit boards or motors, immediately unplug the bed power
cord from the wall socket. Remove the patient from the bed and clean up the fluid. Have maintenance completely check the bed. Fluids can short out controls and may cause the bed to operate erratically or make some functions completely inoperable. Component failure caused by fluids could even cause the bed to operate unpredictably and could cause injury to the patient. DO NOT put the bed back into service until it is completely dry and has been thoroughly tested for safe operation.
Preventative maintenance should be performed at a minimum of biannually to ensure all features are
functioning as designed. Close attention should be given to safety features including, but not limited to: Safety side latching mechanisms Caster braking systems Leakage current 100 microamps max. No controls or cabling entangled in bed mechanisms Frayed electrical cords and components All controls return to off or neutral position when released
Always unplug bed during service or cleaning. When working under the bed, always place blocks under
the litter frame to prevent injury in case the Bed Down switch is accidently activated.
The battery tray assembly weighs 50 pounds. T ake care when removing the two hex head screws secur-
ing it to the base frame or personal injury could result.
Battery posts, terminals and related accessories contain lead and lead compounds, chemicals known
to the State of California to cause cancer and birth defects or other reproductive harm. Wash hands after
handling.
The Critical Care Bed is not intended for pediatric use or for patients under 50 pounds. Explosion Hazard do not use bed in the presence of flammable anesthetics.
5
Set–Up Procedures
SET–UP PROCEDURES
It is important that the Critical Care Bed is working properly before it is put into service. The following list will help ensure that each part of the bed is checked.
Plug the bed into a properly grounded, hospital grade wall receptacle.
WARNING
The Critical Care Bed is equipped with a hospital grade plug for protection against shock hazard. It must be plugged directly into a properly grounded three–prong receptacle. Grounding reliability can be achieved only when a hospital grade receptacle is used.
Depress the pedal at either side of the bed fully to set the four wheel brakes and ensure all four casters
lock. Depress the pedal again to release the brakes.
Toggle the steer pedal to put the bed in the steer mode and ensure the locking caster engages. Ensure the siderails raise and lower smoothly and lock in the up and intermediate positions. Run through each function on the foot board control panel and ensure that each is working properly (see
function lockout system usage, page 14 and weigh system control panel guide, page 17).
Ensure all functions are working properly on the siderail controls. Raise the Back up to approximately 60. Squeeze the CPR release handle and ensure the Back and
Knee will drop with minimal effort.
If the bed is equipped with the Epic+ battery backup option, unplug the power cord from the wall socket.
Push the battery power switch located on the lower left corner of the head end to the ON position. Again, verify each function on the foot board and siderails is operating properly . The 12 volt batteries that provide back–up power to the unit functions with the Epic+ option will charge whenever the power cord is plugged into the wall socket. The batteries require approximately 10 hours of charging time before the bed is put into service.
6
Operation Guide
BRAKE PEDAL OPERATION
WARNING
Always apply the caster brakes when a patient is getting on or off the bed. Push on the bed to ensure the brakes are securely locked. Always engage the brakes unless the bed is being moved. Injury could result if the bed moves while a patient is getting on or off the bed. Ensure the brakes are completely released prior to attempting to move the bed. Attempting to move the bed with the brakes actuated could result in injury to the user and/or patient.
To activate the brakes, push down once on the pedal identified by the label at right (located at the midpoint of the bed on both sides). To disengage, push down once.
NOTE
There are LED lights on the outside of the head end siderails that will blink when the brakes are not engaged only if the bed is plugged into a wall socket (see page 10). The brakes will still operate properly when the bed is not plugged in. If the bed is equipped with the Epic+ option, there is also a Release Brakes LED on the Head End Control Panel that will illuminate when the brakes are engaged while the battery power switch is on (see page 24).
STEER PEDAL OPERATION
The purpose of the steer caster is to help guide the bed along a straight line and to help with pivoting at corners when the bed is moved.
To activate the steer caster, move the pedal located at the head end of the bed to your left as shown on the label.
NOTE
For proper ”tracking” of the steer caster, push the bed approximately 10 feet to allow the wheels to face the direction of travel before engaging the steer pedal. If this is not done, proper tracking will not occur and the bed will be difficult to steer.
7
Operation Guide
CPR EMERGENCY RELEASE USAGE
If the Back and/or Knee is raised and quick access to the patient is needed, squeeze one of the two red emer­gency release handles, located under the litter top at the head section on either side of the bed, and the Back and Knee will lower to a flat position. The handle can be released at any time to stop the Back from lowering.
WARNING
Assistance is required to lower the Back if the angle of the Back is greater than 80 when the CPR emergency release is activated. Attempting to lower the Back in this position without assistance may result in injury to the operator.
CPR BOARD USAGE
The CPR board is stored on the bed’s head board. To remove it, pull it away from the head board and lift it out of the storage position. The head board can also be removed and used as an emergency CPR board.
FOLEY BAG HOOKS USAGE
The standard Foley bag hooks are found at two locations on both sides of the bed, under the frame rail below the seat section and at the extreme foot end of the bed. The patient weight reading on the bed scale system will not be affected when the Foley bag hooks are used.
FOOT PROP USAGE
To prop the foot end of the Knee up, lift the litter frame at the end of the Knee, allowing the prop arm (A) to engage at the desired height. To release the foot prop, lift up on the frame, swing the prop arm toward the head end of the bed and lower the foot end.
WARNING
The intent of the foot prop is to elevate a patient’s feet. To avoid injury while cleaning or servicing under the foot section, secure the foot section with string or bungee cords or hold it up out of the way.
A
FOOT END
CAUTION
Do not raise the Back while the foot prop is being used to ele­vate the patients feet. Damage to the siderails could occur.
8
Siderail Operation Guide
POSITIONING SIDERAILS
NOTE
The head end siderails can be locked at two heights (intermediate & full). The foot end siderails lock in the full up position only.
The siderails can be tucked away under the bed when not in use. To remove the rail from the tucked
position, grasp the handle on the siderail panel and pull outward.
To engage the head end siderail, grasp the rail and swing it upward toward the head end of the bed until
it rests in the intermediate position. To continue to full height, push in the blue release handle (A) and rotate the siderail until full height is reached.
To engage the foot end siderail, the same procedure is required as for the head end siderail, however,
the siderail swings to the foot end of the bed.
WARNING
Leave the siderails fully up and locked when the patient is unattended. After raising the siderails, pull firmly on the siderail to ensure it is securely locked into the up position. Siderails are not intended to serve as a patient restraint device to keep patients from exiting the bed. Siderails are designed to keep a patient from inadvertently rolling off the bed. It is the responsibility of the attending medical personnel to determine the degree of restraint necessary to ensure a patient will remain in bed. Failure to utilize the siderails properly could result in patient injury. Scale function may be affected by siderail/caster interference. With the litter fully lowered or lowered in Re­verse T rendelenburg, the siderails tucked under the litter in the storage position and the casters turned, there is the potential for interference between the siderail and the caster. Raise the siderails when lowering the litter to the full down position to prevent the interference from causing the beds scale system to weigh inaccu­rately.
CAUTION
The siderails are not intended to be used as a push device. Damage to the siderails could occur.
NOTE
For the Back to raise to 90, both head end siderails must be in the intermediate or down position.
SIDERAIL CONTROL PANEL LIGHTS
The head end siderails are equipped with lights to illuminate the siderail control buttons and the nurse
call switch. The lights are activated at the foot board control panel.
There are three settings for the intensity of the siderail control lights: low, medium and high. When all
the siderail lights are off, push the siderail control light button on the foot board once to turn on both the control lights and the nurse call indicator light. Push the button again to change the siderail control lights from low to medium setting, and again to change to the high setting. (The intensity of the nurse call indica­tor light does not change.)
When all the siderail lights are on, pushing the button once will turn off only the siderail control lights and
pushing it again will turn off the nurse call indicator light (see control panel guide page 13).
WARNING
The intent of the nurse call indicator light on the siderails is to ensure the patient understands where the button is for contacting the nurse station. Turning this light off will compromise this ability, especially in a darkened room.
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