Stryker Epic II 2030 Operation Manual

Medical
Epic II Critical Care Bed Model 2030
For parts or technical assistance call 800 327 0770 (option 2)
Introduction
Specifications 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Warning / Caution / Note Definition 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Safety Tips And Guidelines 4, 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SetUp Procedures 6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Symbols 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Bed Operation Guide
Base Pedal Operation 8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CPR Emergency Release Usage 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CPR Board Usage 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foley Bag Hooks Usage 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Siderail Operation Guide
Positioning Siderails 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Siderail Control Panel Lights 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Siderail Function Guide 11−13. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foot Board Control Panel Guide 1421. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Scale System Usage
Preparing the Bed for Patient Stay/Zeroing the Bed 22. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Adding or Removing Items During a Patient’s Stay 23. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Displaying Trendelenburg or Fowler Angle 24. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Converting the Patient’s Weight 24. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Displaying the Weight Log 25. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Viewing the Patient’s Weight in Gain/Loss Mode 26. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Changing the Numerical Value of Displayed Weight 27. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Optional Pendant Operation 28. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Optional Epic II+ Head End Control Panel Operation 29. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Battery Charging and Operation (Epic II+ Option) 30. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating IV Poles 31. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Preventative Maintenance
Nurse Call Battery 32. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Circuit Breakers 32
Preventative Maintenance Checklist 33. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cleaning 34. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Limited Warranty
Obtaining Parts and Service 35. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Supplemental Warranty Coverage 35. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Return Authorization 36. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Freight Damage Claims 36. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Introduction
INTRODUCTION
This manual is designed to assist you with the operation of the Stryker Model 2030 Epic II and Epic II + Critical Care Beds. Read it thoroughly before using the equipment.
SPECIFICATIONS
Safe Working Load 500 pounds (227 kilograms)
Scale System Capacity (optional equipment) Loads weighing up to 500 pounds (227 kilograms)
Scale System Accuracy (optional equipment) $1 pound of total patient weight at any bed position
(patients weighing 100 pounds or less) $1% of total patient weight at any bed position (patients weighing greater than 100 pounds)
Overall Bed Length/Width L91” /W42.5” or L231 cm /W108 cm
Minimum/Maximum Bed Height (Standard) Minimum/Maximum Bed Height (Enhanced)
Fluoro Access 17.5” (Epic II), 16” (Epic II+)
Knee Gatch Angle 0 to 30
Back Angle 0 to 90
Trendelenburg/Reverse Trendelenburg −12 to +12 $2
Electrical Requirements 115 VAC, 60 Hz, 7.0 Amps
Battery Voltage (optional equipment) 24 V, 31 Ah
Noise Level > 65 Decibels
Outlet Option 125 VAC, 5A, 60 Hz
If the bed is equipped with the enhanced height option, the scale accuracy is as described above for litter angles from 0 to $ 5 Trend.
Stryker reserves the right to change specifications without notice.
18” to 32.5” $0.5 / 46 cm. to 82.5 cm.
19.5” to 34.5” $0.5 / 49.5 cm. to 88 cm. (Add 2 inches if the bed has 8” casters.)
230 VAC, 50/60 Hz, 4.0 Amps 100 VAC, 50/60 Hz, 9.0 Amps (Japan Option)
2
Introduction
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.
SAFETY TIPS AND GUIDELINES
Before operating the Epic II and Epic II+ 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 pages 4 and 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
The Epic II Critical Care Bed is equipped with a hospital grade plug for protection against shock hazard.
It must be plugged directly into a properly grounded threeprong receptacle. Grounding reliability can be achieved only when a hospital grade receptacle is used.
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.
Always apply the caster brakes when a patient is getting on or off the bed. Always keep the caster brakes
applied when a patient is on the bed (except during transport). Serious injury could result if the bed moves while a patient is getting in or out of bed. After the brake pedal is applied, push on the bed to ensure the brakes are locked. When moving the bed, toggle the steer pedal to put the bed in the steer mode. This locks the swivel motion of the right foot end caster and makes the bed easier to move.
When raising the siderails, listen for the ”click” that indicates the siderail has locked in the up position.
Pull firmly on the siderail to ensure it is locked into position. Siderails are not intended to be a patient restraint device. It is the responsibility of attending medical personnel to determine the degree of restraint and the siderail positioning necessary to ensure a patient will remain safely in bed.
3
Safety Tips and Guidelines
SAFETY TIPS AND GUIDELINES (CONTINUED)
WARNING
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 II+ option, there is a power save mode. The power save mode is
activated 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 II+ 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.
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. Take 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 Epic II 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.
To avoid entanglement, possibly resulting in frayed power cords and risk of electrical shock, wrap the bed
power cord around the roller bumpers at the head end of the bed during transport.
Service only by qualified personnel. Refer to the maintenance manual. Verify the power cord is un-
plugged and the battery power switch (Epic II+ option) is turned to the off position before servicing.
To avoid possible injury and to assure proper operation when using a powered mattress replacement system such as XPRT:
Confirm proper scale system operation following mattress installation. For best results, secure the thera-
py mattress power cord to prevent damage to the cord or interference with the bed frame and the scale system.
Do not zero bed scales or weigh patient with Percussion, Vibration, Rotation or TurnAssist active. Pa-
tient motion and position resulting from the dynamic therapy mattress may adversely affect scale system performance.
Do no initialize (“arm”) bed exit with Percussion, Vibration, Rotation or TurnAssist active. The patient
motion and position resulting from the dynamic therapy mattress may adversely affect bed exit system performance.
4
Safety Tips and Guidelines
SAFETY TIPS AND GUIDELINES (CONTINUED)
CAUTION
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 bed’s scale system to weigh inaccurately.
The lockout buttons on the foot board lock the Fowler, Gatch and Bed Up/Down functions and prevent
motion of the bed. It is the responsibility of attending medical personnel to determine whether these func­tions should be locked and to use the buttons accordingly.
Because individual beds may have different options, foot boards should not be moved from one bed to
another. Mixing foot boards could result in unpredictable bed operation.
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 annually to ensure all features are func-
tioning as designed. Close attention should be given to safety features including, but not limited to: Safety side latching mechanisms Caster braking systems Leakage current 300 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
The siderails are not intended to be used as a pushing device. Damage to the siderails could occur.
The use of a mattress overlay may reduce the effectiveness of the siderail.
When attaching equipment to the bed, ensure it will not impede normal bed operation or patient injury
could occur. For example: hooks on hanging equipment must not actuate control buttons, equipment must not hide the nurse call button, etc.
The weight of the IV bags should not exceed 40 pounds.
The following Caution statements apply to the optional outlet:
Maximum total load 5A receptacle rating: 125VAC, 5A, 60Hz.
The total system chassis risk current should not exceed 300uA
Grounding continuity should be checked periodically.
Do not use for lifesustaining equipment.
Use only hospitalgrade equipment with electrical outlet.
Unplug freestanding equipment before transporting the bed.
5
SetUp Procedures
SETUP PROCEDURES
It is important that the Epic II 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 Epic II Critical Care Bed is equipped with a hospital grade plug for protection against shock hazard. It must be plugged directly into a properly grounded threeprong 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 15 and scale system control panel guide, page 20).
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 II+ 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 backup power to the unit functions with the Epic II+ 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.
If the bed is equipped with the Nurse Call option, verify it is functioning properly prior to patient use.
6
Symbols
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 INSULATION 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.
Mode of Operation: Continuous
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 26011 and CAN/CSA C22.2 No. 601.1
Safe Working Load Symbol
7
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 one of the pedals located at the midpoint of the bed on both sides (identified by the label at right). The pedal will remain in the lowered position, indicating the brakes are en­gaged. To disengage the brakes, push down once and the pedal will return to the upper position.
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 11). The brakes will still operate properly when the bed is not plugged in.
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.
WARNING
To avoid entanglement, possibly resulting in frayed power cords and risk of electrical shock, wrap the bed power cord around the roller bumpers at the head end of the bed during transport.
8
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.
9
Siderail Operation Guide
POSITIONING SIDERAILS
NOTE
The siderails can be locked at two heights (intermediate & full up).
The siderails can be tucked away under the bed when not in use. To remove the rail from the tucked
position, grasp the top of the rail and pull outward.
To engage the head end siderail, grasp the rail and swing it upward to full height. When the siderail is
being raised, it does not lock in the intermediate position. To lower the siderail, push in the red release handle and rotate the siderail until it locks in the intermediate position. To lower the siderail fully, push in the red release handle again and rotate the siderail until it is completely lowered.
NOTE
To activate the siderail bypass mechanism, the rail must be fully lowered. If the rail is not completely lowered, the siderail will lock in the intermediate position when it is raised.
To engage the foot end siderail, the same procedure is required as for the head end siderail, however,
the siderail swings toward the foot end of the bed.
WARNING
When raising the siderails, listen for the ”click” that indicates the siderail has locked in the up position. Pull firmly on the siderail to ensure it is locked into position. Siderails are not intended to be a patient restraint device. It is the responsibility of attending medical personnel to determine the degree of restraint and the siderail positioning necessary to ensure a patient will remain safely in bed.
CAUTION
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 bed’s scale system to weigh inaccurately.
The siderails are not intended to be used as a pushing device. Damage to the siderails could occur. The use of a mattress overlay may reduce the effectiveness of the siderail.
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 14).
CAUTION
The nurse call indicator light on the siderails helps 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.
10
Siderail Operation Guide
OUTSIDE SIDERAIL FUNCTION GUIDE
1. Press to raise back section.
2. Press to raise knee section.
3. Press to lower back section.
4. Press to lower knee section.
5. Press to activate nurse call. This function is optional equipment.
6. Press to lower the head end of the bed (Trendelenburg).
7. Press to lower the foot end of the bed (Reverse Trendelenburg).
8. Press to raise the litter. If your bed is equipped with the enhanced height option, continue to hold the button an additional 5 seconds after the first stop. The litter will raise an additional 2 inches.
9. Press to lower the litter.
10. Press to activate emergency CPR positioning.
11. Press to activate Cardiac Chair positioning.
CAUTION
When attaching equipment to the bed, ensure it will not impede normal bed operation or patient injury could occur. For example: hooks on hanging equipment must not actuate control buttons, equipment must not hide the nurse call button, etc.
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