Stryker Performance-PRO XT Operation Manual

PPeerrffoorrmmaannccee--PPRROO™™ XXTT
OOppeerraattiioonnss MMaannuuaall
6086
6086-209-001 Rev F.2
2018/05
EN
SSyymmbboollss


Operating instructions/Consult instructions for use
CE mark
EC REP
General warning
Caution
Warning; crushing of hands
No pushing
Catalogue number
Lot (batch) code
Serial number
For US Patents see www.stryker.com/patents
Manufacturer
Date of manufacture
Mass of equipment with safe working load
Safe working load
6086-209-001 Rev F.2 EN
TTaabbllee ooff CCoonntteennttss
Warning/Caution/Note Definition..............................................................................................................................3
Summary of safety precautions ................................................................................................................................4
Introduction ...............................................................................................................................................................7
Product description .................................................................................................................................................7
Indications for use...................................................................................................................................................7
Expected service life ...............................................................................................................................................8
Contraindications ....................................................................................................................................................8
Specifications .........................................................................................................................................................8
Standards with required options ...............................................................................................................................9
Product illustration ................................................................................................................................................ 10
Contact information ...............................................................................................................................................10
Serial number location...........................................................................................................................................11
Date of manufacture.............................................................................................................................................. 11
Setup....................................................................................................................................................................... 12
Installation...............................................................................................................................................................13
Installing the cot fastener ....................................................................................................................................... 13
Selecting the vehicle safety hook ...........................................................................................................................13
Vehicle configuration .............................................................................................................................................14
Positioning of the vehicle safety hook, front to back .................................................................................................15
Positioning of the vehicle safety hook, side to side...................................................................................................16
Installing the vehicle safety hook ............................................................................................................................17
Operation ................................................................................................................................................................ 19
Setting cot load height ........................................................................................................................................... 19
Operating guidelines ............................................................................................................................................. 19
Proper lifting techniques ........................................................................................................................................ 20
Transferring the patient to the cot ...........................................................................................................................20
Rolling the cot with a patient ..................................................................................................................................21
Raising or lowering the cot with two operators ......................................................................................................... 21
Raising or lowering the cot with one operator .......................................................................................................... 22
Loading or unloading a cot with the Power-LOAD option ..........................................................................................22
Loading a cot into a vehicle with an antler style cot fastener ..................................................................................... 23
Unloading a cot from a vehicle with an antler style cot fastener ................................................................................. 24
Positioning operators and helpers with the right hand release option .........................................................................25
Positioning operators and helpers with the left hand release option ...........................................................................25
Raising or lowering the backrest.............................................................................................................................25
Raising or lowering the siderails .............................................................................................................................26
Raising or lowering the siderails (XPS option) .........................................................................................................26
Extending the retractable head section ................................................................................................................... 26
Retracting the retractable head section...................................................................................................................27
Raising or lowering the footrest ..............................................................................................................................27
Raising or lowering the optional knee gatch ............................................................................................................27
Applying or releasing a wheel lock ..........................................................................................................................28
Applying or releasing the optional kickstand for dialysis scale...................................................................................28
Securing the patient with the G-rated restraint straps ............................................................................................... 29
Installing the shoulder, thigh, or ankle restraints.................................................................................................. 30
Installing the waist restraints..............................................................................................................................31
Adjusting restraint straps...................................................................................................................................31
Adding a restraint strap extension .......................................................................................................................... 32
Securing a patient with the X-restraint/RRUUGGGGEEDD™-X (6500-001-430/6506-001-430) restraint straps ......................... 32
Installing the X-restraint/RRUUGGGGEEDD-X shoulder restraints ....................................................................................33
Installing the X-restraint/RRUUGGGGEEDD-X waist restraints..........................................................................................34
Installing the X-restraint/RRUUGGGGEEDD-X thigh restraints ..........................................................................................34
Installing the X-restraint/RRUUGGGGEEDD-X ankle restraints .........................................................................................34
Installing the X-restraint/RRUUGGGGEEDD-X ankle restraints .........................................................................................35
Securing the patient with the Pedi-Mate® infant restraint system ..............................................................................35
6086-209-001 Rev F.2 1 EN
Installing the defibrillator platform ........................................................................................................................... 36
Hanging equipment from the equipment hook ......................................................................................................... 38
Installing the head extension with pillow .................................................................................................................. 38
Positioning the two-stage IV pole ...........................................................................................................................38
Positioning the optional three-stage IV pole.............................................................................................................39
Attaching an oxygen bottle to the oxygen bottle holder.............................................................................................40
Attaching an oxygen bottle to the retractable head section oxygen bottle holder......................................................... 41
Installing the optional base storage net ...................................................................................................................41
Installing the backrest storage pouch......................................................................................................................42
Installing the optional head end storage flat............................................................................................................. 42
Transferring larger patients....................................................................................................................................43
Attaching the mattress...........................................................................................................................................43
Accessories ............................................................................................................................................................ 44
Cleaning and disinfecting with wipes...................................................................................................................... 45
Cleaning..................................................................................................................................................................46
Suggested cleaners ..............................................................................................................................................46
Preventive maintenance.........................................................................................................................................47
Regular inspection and adjustments .......................................................................................................................47
Every month or two hours .................................................................................................................................47
Every three months or six hours.........................................................................................................................47
Every six months or 12 hours ............................................................................................................................ 48
Every 12 months or 24 hours ............................................................................................................................. 49
Foot end fastener part replacement schedule .....................................................................................................49
EN 2 6086-209-001 Rev F.2
WWaarrnniinngg//CCaauuttiioonn//NNoottee DDeeffiinniittiioonn
The words WWAARRNNIINNGG, CCAAUUTTIIOONN, and NNOOTTEE carry special meanings and should be carefully reviewed.
WWAARRNNIINNGG -- 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.
CCAAUUTTIIOONN -- 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 product 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.
NNoottee -- Provides special information to make maintenance easier or important instructions clearer.
6086-209-001 Rev F.2 3 EN
SSuummmmaarryy ooff ssaaffeettyy pprreeccaauuttiioonnss
Always read and strictly follow the warnings and cautions listed on this page. Service only by qualified personnel.
WWAARRNNIINNGG
• Install the cot fastener by qualified personnel only. Improper installation could result in injury to the patient or operator.
• Always make sure that all cots meet the installation specifications for the Stryker cot fastener system.
• Failure to install the vehicle safety hook may cause injury to the patient or operator.
• Always have a certified mechanic, familiar with ambulance vehicle construction, install the safety hook.
• Always make sure that the cot safety bar connects with the vehicle safety hook before you remove the cot from the vehicle patient compartment.
• Do not allow untrained assistants to assist in the operation of the product.
• Always follow proper hand placement on hand grips. Keep all hands clear of the red safety bar pivots when you load or unload the cot or change cot height position.
• Do not ride on the base of the cot.
• Do not transport the cot sideways to avoid the risk of tipping. Always transport the cot in a lowered position, head end or foot end first to minimize the risk of tipping.
• Always keep hands, fingers, and feet away from moving parts. Use caution when placing your hands and feet near the base tubes while you raise or lower the cot.
• Always use all restraint straps to secure the patient on the product. An unrestrained patient may fall from the product and be injured.
• Do not leave a patient unattended. Hold the product while a patient is on the product.
• Do not apply a wheel lock when a patient is on the product or when you move the product to avoid the risk of tipping.
• Do not use siderails as a patient restraint device.
• Always transport the cot at a lower height to reduce the risk of a cot tip. If possible, obtain additional assistance or take an alternate route.
• Always avoid high obstacles, such as curbing, steps, or rough terrain to avoid the risk of the product tipping over.
• Always keep hands away from the foot end release handle when you raise or lower the cot with the side release handle.
• Always remove your foot from the base tube when you are lowering the cot to the lowest position.
• Always use PPoowweerr--LLOOAADD with the 6085/6086 PPeerrffoorrmmaannccee--PPRROO XT, 6500/6506 PPoowweerr--PPRROO XT, and 6510/6516 PPoowweerr--PPRROO IT cots with the PPoowweerr--LLOOAADD option only. In certain situations, you can use PPoowweerr--LLOOAADD as a standard antler for most X-frame cots, but a rail clamp assembly is required for all cots without the PPoowweerr--LLOOAADD option.
• Always make sure that you use a PPoowweerr--LLOOAADD date of manufacture cot with the Stryker Model 6390 PPoowweerr--LLOOAADD system to avoid the risk of injury.
• Always support the load of the patient, cot, and accessories after the weight is off of the ground.
• Two operators must be present when a cot is occupied.
• Always make sure that the safety bar connects with the vehicle safety hook before you remove the cot from the vehicle patient compartment to avoid the risk of injury.
• Do not pull or lift on the cot safety bar when you unload the cot.
• Always lock the undercarriage before you remove the loading wheels from the vehicle patient compartment floor. An unlocked undercarriage will not support the cot and injury to the patient or operator could result.
• Always lock the head section into place before you operate the cot.
• Do not load the cot into a vehicle with the head section retracted when using a cot fastener. The cot may tip or not connect with the cot fastener.
• Do not install or apply a wheel lock on a product with worn wheels that are less than 6 in. diameter.
• Do not leave a patient or occupant unattended. Hold the product while a patient or occupant is on the product.
• Always use two people when using the kickstand.
• Always center the patient weight on the cot before you use the kickstand.
• Always apply the kickstand with your foot only.
• Always lower the cot height before you apply the kickstand for increased stability.
• Do not apply the kickstand during transport. Keep the kickstand in the retracted position.
• Do not use the kickstand as a brake.
EN 4 6086-209-001 Rev F.2
• Do not apply the kickstand on a sloped surface.
• Always use all restraint straps to secure the patient on the cot. An unrestrained patient may fall from the cot.
• Do not attach restraint straps to the base tubes or cross tubes.
• Always locate the buckle away from obstructions or accessories on the cot to avoid the risk of accidental release of PPeeddii--MMaattee® infant restraint system and injury to the infant.
• Do not pinch your fingers between the fowler bracket and the oxygen bottle if your cot is equipped with the optional retractable head section oxygen bottle holder.
• Do not allow the head end storage flat (if equipped) to interfere with the operation of the retractable head section, safety bar, or vehicle safety hook.
• Always use any appropriate personal protective equipment while power washing to avoid inhaling contagion. Power washing equipment may aerate contamination.
• Always wipe the product with clean water and dry after cleaning. Some cleaning products are corrosive in nature and may cause damage to the product. Failure to properly rinse and dry the product leaves a corrosive residue on the surface of the product and may cause premature corrosion of critical components.
CCAAUUTTIIOONN
• Improper usage of the product can cause injury to the patient or operator. Operate the product only as described in this manual.
• Do not modify the product or any components of the product. Modifying the product can cause unpredictable operation resulting in injury to patient or operator. Modifying the product also voids its warranty.
• Always set the cot load height to the proper stop height before operation.
• Always have a certified mechanic, familiar with ambulance vehicle construction, install the vehicle safety hook. Consult the vehicle manufacturer before you install the vehicle safety hook. Make sure that the installation of the vehicle safety hook does not damage or interfere with the brake lines, oxygen lines, fuel lines, fuel tank, or electrical wiring of the vehicle.
• Always set the cot load height before you place the cot into service.
• Always clear any obstacles that may interfere and cause injury to the operator or patient before operating the product.
• Do not allow the cot undercarriage to drop unassisted (commonly known as a hot drop) when you remove the cot from the vehicle. Repeated hot dropping causes premature wear or damage to the cot.
• Do not sit or stand on the siderails (XPS option).
• Do not use the siderails (XPS option) as a patient transfer device or surface (for example, to slide a patient from the cot to another surface).
• Do not position patients with full weight on the siderails (XPS option).
• Do not use the siderails (XPS option) as a push/pull device or to steer the product.
• Do not entangle the restraint straps in the base frame when you raise or lower the cot.
• Always secure the defibrillator platform to the product when you use the defibrillator platform.
• Always use and adjust the straps that are provided with the defibrillator platform to secure the defibrillator.
• Always change the installation location or adjust the straps for your specific defibrillator size or shape.
• Do not load the defibrillator platform above the safe working load of 30 lb (13.6 kg).
• Do not load the equipment hook above the safe working load of 35 lb (15.8 kg).
• Always remove all accessories or equipment from the equipment hook when in the vehicle.
• Do not load the IV pole above the safe working load of 25 lb (11.3 kg).
• Do not load the oxygen bottle holder above the safe working load of 15 lb (6.8 kg).
• Do not use two oxygen bottle holders at the same time.
• Do not use two head end oxygen bottle holders at the same time.
• Do not load the base storage net above the safe working load of 20 lb (9 kg).
• Always be careful when you retract the base to avoid damaging items that are stored in the base storage net.
• Do not load the backrest storage pouch above the safe working load of 20 lb (9 kg).
• Do not allow the storage pouch to interfere with the operation of the retractable head section.
• Do not load the head end storage flat above the safe working load of 40 lb (18 kg).
• Do not store items under the mattress. Items under the mattress may interfere with product operation.
• Do not steam clean or ultrasonically clean the product.
• Do not exceed 180 °F (82 °C) as the maximum water temperature.
6086-209-001 Rev F.2 5 EN
• Do not exceed 1500 psi (130.5 bar) as the maximum water pressure. If you are using a hand held wand to wash the product, keep the pressure nozzle at a minimum of 24 in. (61 cm) from the product.
• Always allow to air dry.
• Always remove the battery before you wash the cot.
• Do not clean, service, or perform maintenance while the product is in use.
• Always use authorized parts to avoid the risk of product damage.
EN 6 6086-209-001 Rev F.2
IInnttrroodduuccttiioonn
This manual assists you with the operation or maintenance of your Stryker product. Read this manual before operating or maintaining this product. Set methods and procedures to educate and train your staff on the safe operation or maintenance of this product.
CCAAUUTTIIOONN
• Improper usage of the product can cause injury to the patient or operator. Operate the product only as described in this manual.
• Do not modify the product or any components of the product. Modifying the product can cause unpredictable operation resulting in injury to patient or operator. Modifying the product also voids its warranty.
NNoottee
• This manual is a permanent part of the product and should remain with the product even if the product is sold.
• Stryker continually seeks advancements in product design and quality. This manual contains the most current product information available at the time of printing. There may be minor discrepancies between your product and this manual. If you have any questions, contact Stryker Customer Service or Technical Support at 1-800-327-0770.
PPrroodduucctt ddeessccrriippttiioonn
The Stryker Model 6086 PPeerrffoorrmmaannccee--PPRROO™ XT is a manual ambulance cot that consists of a platform mounted on a wheeled X-frame designed to support and transport a maximum weight of 700 lb (318 kg) in pre-hospital and hospital environments.
The device is collapsible for use in emergency vehicles and has an adjustable load height feature to allow the device to be set to different ambulance deck heights for proper body mechanics during loading and unloading. Duplicate foot end controls on the upper and lower lift bars accommodate different operator positions or sizes and the side release handle allows a single operator to raise and lower an unoccupied cot. The device is equipped with a retractable head section for 360-degree mobility in any height position, siderails, patient restraint straps, an adjustable pneumatic backrest, and various optional accessories that assist with transport of the patient. Maximum patient comfort is attainable with the three different litter positions of shock, flat leg, and optional knee gatch positioning.
IInnddiiccaattiioonnss ffoorr uussee
The Stryker PPeerrffoorrmmaannccee--PPRROO XT is a non-powered wheeled stretcher, which is intended to support and transport the entire body of a traumatized, ambulatory, or non-ambulatory human patient (includes infants and adults).
The device is designed to support patients in a supine (horizontal) or sitting position and facilitate the transportation of associated medical equipment (such as oxygen bottles, monitors, or pumps) in emergency or transport vehicles. This ambulance cot is intended for use in pre-hospital and hospital environments, in emergency and non-emergency applications. It is rated to a maximum capacity of 700 lb (318 kg) (sum of the patient, mattress and accessory weight) and the intended operators of the device are trained professionals including emergency medical service and medical care center personnel, as well as medical first responders. Ambulance cots are intended for transportation purposes.
PPeerrffoorrmmaannccee--PPRROO XT is not intended for extended stay or use as a hospital bed or in devices that modify air pressure, such as hyperbaric chambers.
6086-209-001 Rev F.2 7 EN
EExxppeecctteedd sseerrvviiccee lliiffee
PPeerrffoorrmmaannccee--PPRROO XT cot has a seven year expected service life under normal use conditions and with appropriate periodic maintenance.
CCoonnttrraaiinnddiiccaattiioonnss
None known.
SSppeecciiffiiccaattiioonnss
Safe working load
700 lb 318 kg
NNoottee -- Safe working load indicates the sum of the patient, mattress and accessory weight.
Backrest articulation/shock position 0° to 73°/+15°
Overall length/minimum length 80 in./64 in. 203 cm/163 cm
1
Height
Position 1 13.8 in. 35,1 cm
Position 2 22 in. 55,9 cm
Position 3 25.8 in. 66,5 cm
Position 4 28.1 in. 71,4 cm
Position 5 31.9 in. 81 cm
Position 6 34.6 in. 87,9 cm
Position 7 (low) 37.3 in. 94,7 cm
Position 8 (mid) 40 in. 101,6 cm
Position 9 (high) 42.2 in. 107,2 cm
Weight
2
89 lb 40,37 kg
Caster diameter/width 6 in./2 in. 15 cm/5 cm
Minimum operators required for loading/unloading an occupied cot
Minimum operators required for loading/unloading an unoccupied cot
Recommended fastener systems Model 6370 or 6377 Floor mount type, Model 6371 Wall
Recommended loading height
3
Single wheel lock/double wheel lock Optional
Standards
1
Height measured from bottom of mattress at seat section to ground level.
2
Cot is weighed with without mattress and restraints.
4
EN 8 6086-209-001 Rev F.2
2
1
mount type, Model 6390 PPoowweerr--LLOOAADD
Up to 34 in. Up to 86,4 cm
BS EN 1789, KKK-A-1822-F
3
Set the load wheel height between 27.25 in. (69,2 cm) and 34 in. (86,4 cm).
Stryker reserves the right to change specifications without notice.
The PPeerrffoorrmmaannccee--PPRROO XT is designed to conform to the Federal Specification for the Star-of-Life Ambulance (KKK-A-
1822).
The PPeerrffoorrmmaannccee--PPRROO XT is designed to be compatible with competitive cot fastener systems.
The yellow and black color scheme is a proprietary trademark of Stryker Corporation.
SSttaannddaarrddss wwiitthh rreeqquuiirreedd ooppttiioonnss
To be compliant with the standards, you must install the following required options on your cot.
NNoottee -- Compatible cot is loaded into PPoowweerr--LLOOAADD in powered mode for crash testing.
OOppttiioonn sseelleeccttiioonn
SSttaannddaarrdd
SAE J3027 crash-test standards with the use of a crash-rated fastener
BS EN 1789:2007+A2:2014 crash-test standards with the use of a crash-rated fastener
RReessttrraaiinntt ppaacckkaaggee MMaattttrreessss OOppttiioonn
X-restraint package (6500­001-430) or RUGGED-X restraint package (6506­001-430)
Knee gatch bolster mattress (6500-002-150/6506-002-
150) or XPS mattress (6500-003-130/6506-003-
130) (depending on cot siderail)
G-rated restraint package (6500-002-030), X-restraint package (6500-001-430), or RUGGED-X restraint package (6506-001-430)
Knee gatch bolster mattress (6500-002-150/6506-002-
150) or XPS mattress (6500-003-130/6506-003-
130) (depending on cot siderail)
6086-209-001 Rev F.2 9 EN
PPrroodduucctt iilllluussttrraattiioonn
A
B
C
D
F
H
K
L
M
G
I
J
N
E
FFiigguurree 11 –– PPrroodduucctt iilllluussttrraattiioonn
A Foot end release handle H Head section release B Footrest I C Siderail J D Siderail release K Side release handle E F Backrest M G Retractable head section N
Backrest adjustment handle
L
Safety bar Loading wheel
Wheel lock (optional) Cot retaining post Transport wheel
CCoonnttaacctt iinnffoorrmmaattiioonn
Contact Stryker Customer Service or Technical Support at: 1-800-327-0770.
Stryker Medical 3800 E. Centre Avenue
Portage, MI 49002 USA
To view your operations or maintenance manual online, see https://techweb.stryker.com/.
Have the serial number (A) of your Stryker product available when calling Stryker Customer Service or Technical Support. Include the serial number in all written communication.
EN 10 6086-209-001 Rev F.2
SSeerriiaall nnuummbbeerr llooccaattiioonn
A
FFiigguurree 22 –– SSeerriiaall nnuummbbeerr llooccaattiioonn
DDaattee ooff mmaannuuffaaccttuurree
The year of manufacture is the first 2 digits of the serial number.
6086-209-001 Rev F.2 11 EN
SSeettuupp
During setup, unpack the cartons and check all items for proper operation. Make sure that the product operates before you place it into service.
Remove all shipping and packaging materials from the product before use.
The vehicle patient compartment where the product will be used must have a:
Smooth rear edge for product loading
Level floor large enough for the folded product
Stryker cot fastener system
Space to properly install the safety hook
NNoottee -- Loose items or debris on the patient compartment floor can interfere with the operation of the safety hook and product fastener. Keep the patient compartment floor clear.
When necessary, modify the vehicle to fit the cot. Do not modify the cot.
EN 12 6086-209-001 Rev F.2
IInnssttaallllaattiioonn
IInnssttaalllliinngg tthhee ccoott ffaasstteenneerr
The Stryker cot fastener systems are compatible only with cots that conform to the installation specifications.
WWAARRNNIINNGG
• Install the cot fastener by qualified personnel only. Improper installation could result in injury to the patient or operator.
• Always make sure that all cots meet the installation specifications for the Stryker cot fastener system.
NNoottee -- You may need to adjust the rail clamp assembly to compensate for any variation in the cot retaining post position depending on the cot manufacturer and model number.
These instructions are intended for cots with antler style cot fastener systems. For crash-rated cot fasteners, see the appropriate Operations Manual for installation instructions.
SSeelleeccttiinngg tthhee vveehhiiccllee ssaaffeettyy hhooookk
The vehicle safety hook is a device that ships with the cot. The cot safety bar and vehicle safety hook keep the cot from being accidentally removed from the vehicle and provide increased operator assurance and confidence when loading and unloading.
NNoottee -- These instructions are intended for cots with antler style cot fastener systems. For crash-rated cot fasteners, see the appropriate Operations Manual for installation instructions. Crash-rated cot fasteners are shipped and installed with their own vehicle safety hook, thus no additional hook is needed.
The vehicle safety hook was designed for compatibility and proper operation when loading and unloading the cot from a vehicle that is compliant with Federal Regulation KKK-A-1822. Stryker offers three different types of vehicle safety hooks that are ordered and shipped with your cot. These vehicle safety hook types meet the needs of various emergency vehicle configurations, specifically the length and location of the floor structure support that is located in the rear of the vehicle.
To select which vehicle safety hook is appropriate for your vehicle configuration:
Consider the location of the floor structure support where there is adequate room to mount the vehicle safety hook.
Mount the vehicle safety hook into the back of the vehicle. Provide bumper clearance to allow the operators to load and unload the cot from the vehicle.
Note the differences in vehicle design. Each vehicle safety hook provides a different mounting location option to maintain the appropriate distance between the face of the vehicle safety hook and the edge of the door sill.
Due to the differences in vehicle dimensions and the floor structure support locations, each vehicle safety hook allows for a different mounting location. Select the correct position for your vehicle safety hook installation.
Positioning of the vehicle safety hook, front to back
Positioning of the vehicle safety hook, side to side
NNoottee -- When you replace an existing vehicle safety hook with a new style, adjust the mounting location to maintain the proper position of the vehicle safety hook face.
6086-209-001 Rev F.2 13 EN
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