Stryker Power-PRO TL Operation And Maintenance Manual
Power-PRO™ TL
Model 6550
Operations/Maintenance Manual
For parts or technical assistance:
USA: 1-800-327-0770
UK: +44 (0) 1635 262431
2010/06 6550-309-001 REV A www.stryker.com
Table of Contents
Symbols and Definitions ....................................................................6
Symbols ............................................................................6
Warning/Caution/Note Definition ...........................................................7
Introduction .............................................................................8
Product Description ....................................................................8
Intended Use of Product.................................................................8
Specifications ........................................................................9
Contact Information ...................................................................11
Serial Number Location ................................................................11
Product Illustration....................................................................12
Summary of Safety Precautions .............................................................13
Pinch Points ........................................................................17
Setup Procedures........................................................................18
Product Inspection .......................................................................19
Cot Fastener Installation ...................................................................21
Engaging the Cot into the Fastener........................................................23
Removing the Cot from the Fastener ......................................................24
Operation Guide.........................................................................25
Operating Guidelines ..................................................................25
Proper Lifting Techniques...............................................................25
Transferring the Patient to the Cot ........................................................26
Rolling the Cot.......................................................................26
Adjusting The Height of the Cot with Two Operators ...........................................27
Tail Lift Loading and Unloading ..........................................................28
Ramp Loading and Unloading............................................................29
Loading and Unloading the Cot Using the Optional Oxygen Bottle Holder ...........................30
High Speed Retract/Extend .............................................................31
Using the Manual Override..............................................................32
Using Additional Assistance .............................................................33
Removing and Replacing the Battery ......................................................34
Removing and Replacing a SMRT Pak . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Removing and Replacing a DeWALT® Battery ................................................35
Using the Battery Power Indicator.........................................................36
Using the Hour Meter ..................................................................37
Using Restraint Straps .................................................................38
Using the Optional Restraint Belt Extension .................................................40
Operating the Backrest ................................................................41
Operating the Siderails.................................................................41
Operating the Retractable Head and Foot Sections ............................................42
Adjusting the Footrest .................................................................43
Operating the Wheel Lock(s) ............................................................44
Operating the Caster Steer Lock .........................................................45
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Table of Contents
Installing the Push Bars ................................................................46
Removing the Push Bars ...............................................................46
Attaching the Push Bar Storage Pouch .....................................................46
Operating the Optional 2-Stage I.V. Pole....................................................47
Operating the Optional 3-Stage I.V. Pole ...................................................48
Optional Accessories .....................................................................49
Using the Equipment Hook ..............................................................50
Attaching the Pedi-Mate® Infant Restraint System ............................................51
Installing the Backrest Storage Pouch......................................................53
Using the Oxygen Bottle Holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Cleaning...............................................................................55
Washing Procedure ...................................................................55
Washing Limitations ...................................................................55
Removal of Iodine Compounds...........................................................56
Preventative Maintenance ..................................................................57
Lubrication..........................................................................57
Regular Inspection and Adjustments .......................................................58
Maintenance Record......................................................................60
Training Record .........................................................................61
Troubleshooting Guide ....................................................................62
Electronics and Hydraulics Locator........................................................62
Hydraulic Manifold Components Locator....................................................63
Electrical System Block Diagram .........................................................64
Troubleshooting Guide .................................................................66
Main Cable Assembly .................................................................69
Electronics Assembly..................................................................69
Electronics Assembly Wiring Schematics ...................................................70
Quick Reference Replacement Parts List ......................................................71
Service Information.......................................................................73
Accessing the Hydraulic Sub-Assembly (6550-001-030) ........................................73
Manual Release Cable Adjustment ........................................................74
Filling the Reservoir ...................................................................74
Wheel Locking Force Adjustment .........................................................75
Cot Assembly...........................................................................76
Base Assembly..........................................................................85
Inner Lift Tube Assembly, Litter Pivot, Right - 6550-001-034.........................................91
Inner Lift Tube Assembly, Litter Pivot, Left - 6550-001-035..........................................92
Caster, Steer Lock, Wheel Lock Assembly......................................................93
Hitch Assembly, Head End .................................................................94
Outer Rail, Right .........................................................................97
Outer Rail, Left..........................................................................98
Mounted Hydraulics Assembly...............................................................99
Hydraulics Sub-Assembly .................................................................101
Hitch Assembly, Foot End .................................................................103
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Table of Contents
Telescoping Foot End - 6550-001-015........................................................107
Telescoping Head Section - 6550-001-020 ....................................................109
Fowler Assembly .......................................................................111
Gatch Assembly ........................................................................112
Gatch Telescoping Assembly - 6550-001-017 ..................................................115
No I.V. Pole Assembly Option ..............................................................116
2-Stage I.V. Pole, Right - 6550-210-000.......................................................1 17
2-Stage I.V. Pole Assembly, Right - 6500-001-041 ...............................................118
2-Stage I.V. Pole, Left - 6550-211-000 ........................................................119
2-Stage I.V. Pole Assembly, Left - 6500-001-042 ................................................12 0
2-Stage I.V. Pole, Dual - 6550-212-000 ....................................................... 121
3-Stage I.V. Pole, Right - 6550-215-000.......................................................122
3-Stage I.V. Pole Assembly, Right - 6500-001-043 ...............................................12 3
3-Stage I.V. Pole, Left - 6550-216-000........................................................12 4
3-Stage I.V. Pole Assembly, Left - 6500-001-044 ................................................12 5
3-Stage I.V. Pole, Dual - 6550-217-000 .......................................................12 6
Optional Push Bar - 6550-040-000 ..........................................................12 7
Optional Corner Handle Assembly...........................................................12 8
Label, SMRT Power .....................................................................12 9
Label, DeWALT® .......................................................................13 0
Optional Accessories ....................................................................131
Equipment Hook - 6500-147-000 ............................................................13 2
Oxygen Bottle Holder - 6550-002-020........................................................13 3
Removable Oxygen Bottle Holder - 6080-140-000 ...............................................13 4
Defibrillator Platform - 6100-170-000 .........................................................13 5
Backrest Pouch - 6500-130-000 ............................................................136
Recycling Passport......................................................................137
EMC Information........................................................................144
Warranty .............................................................................148
Stryker EMS Return Policy .............................................................149
Return Authorization..................................................................149
Damaged Merchandise ...............................................................149
International Warranty Clause...........................................................149
Patent Information ...................................................................149
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SYMBOLS
Symbols and Definitions
Warning, consult accompanying documentation
Safe Working Load Symbol
Dangerous Voltage Symbol
Pinch Point
Extend
Retract
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.
IPX6
Internally Powered Equipment: Equipment able to operate from an internal (removable) electric power
source.
Mode of Operation: 10% (33 Sec. On / 5 Min. Off)
Protection from powerful jets of water
Medical Equipment Classified by Underwriters Laboratories Inc. With Respect to Electric Shock, Fire,
and Mechanical Hazards Only in Accordance with UL 60601−1, First Edition (2003) and CAN/CSA
C22.2 No. 601.1-M90 with updates 1 and 2.
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.
BS EN 1789:2000 Certified
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Symbols and Definitions
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
Provides special information to make maintenance easier or important instructions clearer.
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Introduction
This manual is designed to assist you with the operation and maintenance of the Power-PRO™ TL cot. Carefully read
this manual thoroughly before using the equipment or beginning maintenance on it. To ensure safe operation of this
equipment, it is recommended that methods and procedures be established for educating and training staff on the safe
operation of this cot.
PRODUCT DESCRIPTION
The Model 6550 Power-PRO™ TL powered cot reduces manual lifting. The battery-powered hydraulic system raises
and lowers the patient with the touch of a button and the retractable head section and foot section shorten the cot for
360-degree mobility in any height position.
INTENDED USE OF PRODUCT
The Stryker Model 6550 Power-PRO™ TL ambulance cot is a wheeled device which consists of a platform mounted
on a wheeled frame that is designed to support patients in a horizontal position. The device has siderails and has
the option available to support the temporary or permanent placement of I.V. poles. An ambulance cot provides the
operator a method of transporting patients from a location, typically outside of a healthcare facility, to another location
via an ambulance. The cots are intended for transportation purposes and are not intended to be used as hospital
stretchers or beds.
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Introduction
SPECIFICATIONS
Safe Working Load
Note: Safe Working Load indicates the
sum of the patient, mattress and accessory
weight.
Maximum Unassisted Lift Capacity 50 stones 318 kg 700 lb
Backrest Articulation/Shock Position 0° to 75° / +15°
Overall Length 206 cm 81 in
Standard Length/Minimum Length/Width 194.3 cm / 139.7 cm / 58 cm 76.5 in / 55 in / 23 in
1
Height
2
Weight
Caster Diameter/Width 15 cm / 5 cm 6 in / 2 in
Minimum Operators Required for Loading/
Unloading an Occupied Cot
Minimum Operators Required for Loading/
Unloading an Unoccupied Cot
Recommended Fastener Systems Model 6385, 6386, 6387, 6388, or 6389
Double Wheel Lock / Four Wheel Lock Double Wheel Lock Standard/Four Wheel Lock Optional
Hydraulic Oil Stryker Part Number 6500-001-293
Power System
3
- Battery 24V DC NiCd - SMRT™ Power System
- Charger 120V/240Vac or 12V DC - SMRT™ Power System
Standards (Cots and Chargers) IEC 60601-1 CAN/CSA-C22.2 No. 601.1-M90
50 stones 318 kg 700 lb
Adjustable from 36 cm to 106 cm Adjustable from
14 in to 41.5 in
10.35 stones 66 kg 145 lb
2
1
24V DC NiCd - DeWALT® Battery System
120V/240Vac or 12V DC - DeWALT® Battery System
UL 60601-1 IEC 60601-1-2:2001
BS EN 1789
1
Height measured from bottom of mattress at seat section to ground level.
2
Cot is weighed with 1 battery and without mattress and restraints.
3
Cot is compatible with the SMRT™ Power System and DeWALT® Battery System.
Stryker reserves the right to change specifications without notice.
The Power-PRO™ TL is designed to be compatible with competitive cot fastener systems.
DeWA LT® is a registered trademark of Black & Decker Inc.
Patents pending.
The yellow and black color scheme is a proprietary trademark of Stryker Corporation.
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SPECIFICATIONS (CONTINUED)
Environmental Conditions Operation
Temperature
Relative Humidity
Atmospheric Pressure
Introduction
(-34 C)
0
-30 F
0
0%
130 F
(54 C)
100%
0
0
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Introduction
CONTACT INFORMATION
Contact Stryker Customer Service or Technical Support at: +44 (0) 1635 262431.
Stryker UK Limited
Hambridge Rd.
Newbury, Berkshire
RG14 5EG, England
Please have the serial number (see Figure 1) of your Stryker product available when calling Stryker Customer Service
or Technical Support. Include the serial number in all written communication.
SERIAL NUMBER LOCATION
Serial Number
HEAD END
Figure 1: Cot Serial Number & Location
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PRODUCT ILLUSTRATION
Introduction
Backrest
Backrest
Adjustment Handle
Push Bars
(Optional)
Retractable
Section
Height
Adjustment
Switch
Foot
Battery
Gatch/Leg
Rest
Siderail
Release
Hydraulic Unit
Retractable
Head
Section
Lifting Bar
Steer Lock
Head
Section
Release
Wheel Lock
Casters
Figure 2: Cot Components
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Summary of Safety Precautions
Carefully read and strictly follow the warnings and cautions listed on these pages. Service only by qualified personnel.
WARNING
• Improper usage of the cot can cause injury to the patient or operator. Operate the cot only as described in this
manual.
• Do not modify the cot or any components of the cot. Modifying the product can cause unpredictable operation
resulting in injury to the patient or operator. Modifying the product also voids its warranty (see page 148).
• It is the responsibility of the cot operator to ensure that the cot being used in the Stryker Cot Fastener Systems
meets the installation specifications listed on page 22. Injury may result if a non-compatible cot is used in the
Stryker Fastener System.
• Do not attempt to operate the cot when it is loaded into a cot fastener.
• Entanglement in powered cot mechanisms can cause serious injury. Operate the cot only when all persons are
clear of the mechanisms.
• Practice changing height positions and loading the cot until operation of the product is fully understood. Improper
use can cause injury.
• Do not allow untrained assistants to assist in the operation of the cot. Untrained technicians/assistants can cause
injury to the patient or themselves.
• Ensure proper hand placement on hand grips.
• Do not ride on the base of the cot. Damage to the product could occur, resulting in injury to the patient or operator.
• Transporting the cot sideways can cause the cot to tip, resulting in possible damage to the product and/or injury to the
patient or operator. Transporting the cot in a lowered position, head or foot end first, minimizes the potential of a cot tip.
• Grasping the cot improperly can cause injury. Keep hands, fingers and feet away from moving parts. To avoid
injury, use extreme caution when placing your hands and feet near the base tubes while raising and lowering the
cot.
• Always use all restraint straps to secure the patient on the cot. An unrestrained patient may fall from the cot and
be injured.
• Never leave a patient unattended on the cot or injury could result. Hold the cot securely while a patient is on the
product.
• Never apply the wheel lock(s) while a patient is on the cot. Tipping could occur if the cot is moved while the wheel
lock is applied, resulting in injury to the patient or operator and/or damage to the cot.
• Siderails are not intended to serve as a patient restraint device. See page 38 for proper restraint strap usage.
Failure to utilize the siderails properly could result in patient injury.
• A minimum of two operators are required to transport a patient on the cot.
• In addition to the head and foot end, larger patients may require additional operators.
• Hydraulically raising or lowering the cot may temporarily affect electronic patient monitoring equipment. For best
results, patient monitoring should be conducted when the cot is idle.
• High obstacles, such as curbing, steps or rough terrain, can cause the cot to tip, possibly causing injury to the
patient or operator.
• Transporting the cot in lower positions reduces the potential of a cot tip. If possible, obtain additional assistance
or take an alternate route.
• A lift gate stop which is not properly functioning can result in injury to the patient or operator; ensure that the cot is
unable to roll back off of the lift before using the lift with a cot and patient. Verify the lift gate stop is maintained
and functioning properly and ensure that the cot is secure at all times when on the tail lift.
• Whenever the weight of the cot and patient is off of the wheels, the cot will automatically enter the high speed
retract mode if the retract (–) button is pressed.
• Once the weight is off of the ground, the operator(s) must support the load of the patient, cot and any accessories.
Failure to support the load properly may cause injury to the patient or operator.
• To avoid risk of electric shock, never attempt to open the battery pack for any reason. If the battery pack case
is cracked or damaged, do not insert it into the charger. Return damaged battery packs to a service center for
recycling.
• Do not remove the battery when the cot is activated.
• Avoid direct contact with a wet battery or battery enclosure. Contact may cause injury to the patient or operator.
• Always use all restraint straps to secure the patient on the cot. An unrestrained patient may fall from the cot and
be injured.
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Summary of Safety Precautions
WARNING (CONTINUED)
• Do not attach restraints to the base or cross tubes, improper restraint attachment could result in damage to the
cot further resulting in injury to the patient or operator.
• Never install or use a wheel lock on a cot with excessively worn wheels. Installing or using a wheel lock on a wheel
with less than a 6 in diameter could compromise the holding ability of the wheel lock, possibly resulting in injury
to the patient or operator and/or damage to the cot or other equipment.
• Ensure that the push bar is properly locked into its mount to prevent the bar from coming out during use and
possibly injuring the operator and/or patient.
• Do not lift the cot with the push bars. Lifting the cot by the push bars may result in failure of the push bar lock
mechanism and may injure the operator and/or patient.
• When not in use, store the push bars in the base storage pouch that is provided with the push bar option.
• To avoid accidental release of the Pedi-Mate®, and possible injury to the infant, ensure that the restraint buckle is
located away from obstructions on the cot or accessories.
• Use of power washing equipment can aerate contamination collected during the use of the cot. Use any appropriate
personal safety equipment (goggles, respirator, etc.) to avoid the risk of inhaling contagion.
• SOME CLEANING PRODUCTS ARE CORROSIVE IN NATURE AND MAY CAUSE DAMAGE TO THE PRODUCT
IF USED IMPROPERLY. If the products described above are used to clean Stryker EMS equipment, measures
must be taken to insure the cots are wiped with clean water and thoroughly dried following cleaning. Failure to
properly rinse and dry the cots will leave a corrosive residue on the surface of the cots, possibly causing premature
corrosion of critical components.
• Failure to properly clean or dispose of contaminated mattress or other cot components will increase the risk of
bloodborne pathogens and may cause injury to the patient or operator.
• Escaping fluid under pressure can penetrate the skin causing serious injury. Avoid the hazard by relieving pressure
before disconnecting hydraulic or other lines. Tighten all connections before applying pressure. If an accident
occurs, see a doctor immediately. Any fluid injected into the skin must be surgically removed within a few hours or
gangrene may result. Doctors unfamiliar with this type of injury should reference a knowledgeable medical source.
• To avoid the risk of injury, do not use bare hands to check for hydraulic leaks.
• Medical electrical equipment requires special precautions regarding EMC and needs to be installed and put into
service according to the EMC information provided on page 144 to prevent equipment malfunction. Portable and
mobile RF communication equipment can affect Medical Electrical Equipment.
• Explosion Hazard - Do not use cot in presence of flammable anesthetics.
CAUTION
• When charging a battery in an ambulance, locate the charger in an enclosed cabinet and out of patient reach
during transport.
• The unit must be in its lowest position to properly engage the cot fastener (not included). To ensure that the cot
is in the lowest position, press the retract (-) button until the cot stops moving down. This should be done before
attempting to engage the cot into the cot fastener (not included).
• To reduce the risk of damage to the cot or cot fastener, do not attempt to activate the cot height activation while
it is engaged in the cot fastener (not included).
• Before operating the cot, clear any obstacles that may interfere and cause injury to the operator or patient.
• Remove the battery if the cot is not going to be used for an extended period of time (more than 24 hours).
• Only use the battery and charger as specified.
• The cot is not for use with an AC adapter.
• Ensure that the battery is fully charged prior to placing into service. An uncharged or depleted battery may cause
poor cot performance.
• Ensure that the restraints are not entangled in the base frame when raising and lowering the cot.
• Never operate the cot with the head section or foot section in an unlocked position.
• Wheel lock(s) are only intended to help prevent the cot from rolling while unattended and to aid in patient transfer.
A wheel lock may not provide sufficient resistance on all surfaces or under loads.
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Summary of Safety Precautions
CAUTION (CONTINUED)
• Engaging the steer lock and attempting to push the cot sideways may affect the cot stability.
• To avoid damage to the I.V. pole, the weight of the I.V. bags or equipment must not exceed 2.8 stones (18 kg) (40
lb).
• To avoid damage to the equipment hook, the weight of the accessories or equipment must not exceed 2.5 stones
(16 kg) (35 lb).
• To avoid damage to the equipment hook, remove all accessories or equipment from the hook while transporting
the stretcher in the ambulance.
• Do not store items under the cot mattress. Storing items under the mattress can interfere with the operation of
the cot.
• The weight of the equipment in the pocketed backrest storage pouch (if equipped) must not exceed 1.4 stones
(9 kg) (20 lb).
• Ensure that the storage pouch does not interfere with the operation of the retractable head section.
• To avoid damage to the oxygen bottle holder (if equipped), the weight of the equipment must not exceed 2.9 stones
(18 kg) (40 lb).
• Only use oxygen bottles which lie within the width of the cot and are large enough to be firmly held by the straps.
• DO NOT STEAM CLEAN OR ULTRASONICALLY CLEAN THE UNIT.
• Maximum water temperature should not exceed 82°C/180°F.
• Maximum air dry temperature (cart washers) is 115°C/240°F.
• Maximum water pressure should not exceed 130.5 bar/1500 psi. If a hand held wand is being used to wash the
unit, the pressure nozzle must be kept a minimum of 61 cm (24 inches) from the unit.
• Towel dry all casters and interface points.
• Failure to comply with these instructions may invalidate any/all warranties.
• Always remove the battery before washing the cot.
• A preventative maintenance program should be established for all Stryker EMS equipment. Preventative
maintenance may need to be performed more frequently based on the usage level of the product. Close attention
should be given to safety features including, but not limited to:
• Hydraulic power mechanism
• All electrical controls return to off or neutral position when released
For additional maintenance information, see the preventative maintenance information.
• Improper maintenance can cause injury or damage to the product. Maintain the cot as described in this manual.
Use only Stryker approved parts and maintenance procedures. Using unapproved parts and procedures could
cause unpredictable operation and/or injury and will void the product warranty (see page 148).
• Failure to use authorized parts, lubricants, etc. could cause damage to the cot and will void the warranty of the
product.
• Hydraulic lines, hoses, and connections can fail or loosen due to physical damage, kinks, age, and exposure.
Check hoses and lines regularly to avoid damage to the cot. Check and tighten loose connections.
• Do not tip the cot and actuate the product as this will allow air to enter the hydraulic system.
• Do not lubricate the bearings in the X-frame as it will degrade the performance of the cot and may void its warranty
(see page 148).
• The weight of the monitoring equipment must not exceed 5.4 stones (34 kg) (75 lb) on the defibrillator platform
(if equipped). Monitoring equipment should not be stored on the cot or on the defibrillator platform when in the
ambulance vehicle.
• To avoid malfunction, do not use the unit adjacent to or stacked with other equipment. If adjacent or stacked use
is necessary, observe the unit to verify normal operation in the configuration in which it will be used.
• Possible fire hazard when used with oxygen administering equipment of other than the nasal, mask or 1/2 bed
length tent type. Oxygen tent should not extend below mattress support level. An oxygen rich environment is an
environment where the oxygen concentration levels are greater than 25% for ambient pressures up to 110 kPa or the
partial pressure of oxygen is greater than 27.5 kPa at ambient pressures exceeding 110 kPa.
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Summary of Safety Precautions
NOTE
• Loose items or debris on the patient compartment floor can interfere with the operation of the cot fastener. Keep
the patient compartment floor clear.
• This manual should be considered a permanent part of the cot and should remain with the product even if the cot
is subsequently sold.
• Stryker continually seeks advancements in product design and quality. Therefore, while this manual contains the
most current product information available at the time of printing, there may be minor discrepancies between your
cot and this manual. If you have any questions, please contact Stryker Customer Service or Technical Support
at +44 (0) 1635 262431.
• The operators must lift the cot weight slightly off of the wheels to use the manual extend or retract while a patient
is on the cot.
• Activation of the manual back-up release handle may cause the cot to drop slowly if less than 7 stones (45 kg)
(100 lb) are on the cot.
• Batteries slowly lose charge when not on the charger.
• Lowering the backrest without a patient may require slightly more pressure.
• When engaging the cot into the fastener, it is advised to disengage the caster steer lock feature to allow the head
end casters to swivel freely and allow the head end of the cot to more easily align with the fastener.
• These are general instructions for installation of the Pedi-Mate®. Safe and proper use of the Pedi-Mate® is solely
at the discretion of the user. Stryker recommends that all users be trained on the proper use of the Pedi-Mate®
before using it in an actual situation. Retain these instructions for future reference. Include them with the product
in the event of transfer to new users.
• Failure to follow the cleaning directions when using the specified types of cleaners may void this product’s
warranty (see page 148).
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PINCH POINTS
Summary of Safety Precautions
WARNING: Pinch
Point
WARNING: Pinch
Point
WARNING: Pinch
Point between
litter interface
and base when
lowering litter.
Figure 3: Potential Pinch Points
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Setup Procedures
Ensure that all shipping and packaging materials have been removed from the product(s) prior to use.
Unpack the cartons and check all items for proper operation. It is important that the cot is working properly before
it is put into service. Have a qualified service person use the Product Inspection checklist on page 19 and the
operation instructions to check the cot before it is put into service. See Figure 2 on page 12 to identify all of the
cot components.
The patient compartment of the vehicle in which the cot will be used must have a:
• Levelfloorlargeenoughforthefoldedcot.
• Stryker Model 6385, 6386, 6387, 6388, or 6389 Cot Fastener System (not included).
Note: Loose items or debris on the patient compartment floor can interfere with the operation of the cot fastener.
Keep the patient compartment floor clear.
When necessary, modify the vehicle to fit the cot. Do not modify the cot.
WARNING
• Improper usage of the cot can cause injury to the patient or operator. Operate the cot only as described in this
manual.
• Do not modify the cot or any components of the cot. Modifying the product can cause unpredictable operation
resulting in injury to the patient or operator. Modifying the product also voids its warranty (see page 148).
Note:
• This manual should be considered a permanent part of the cot and should remain with the product even if the cot
is subsequently sold.
• Stryker continually seeks advancements in product design and quality. Therefore, while this manual contains the
most current product information available at the time of printing, there may be minor discrepancies between your
cot and this manual. If you have any questions, please contact Stryker Customer Service or Technical Support
at +44 (0) 1635 262431.
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Product Inspection
The condition of the cot is the responsibility of the owner. It is important that the cot is working properly before the
product is put into service. Have a qualified service technician use the following list and the operation instructions to
check the cot before the product is put into service.
The battery must be charged prior to checking the features and condition of the cot.
Item Routine
Battery Unpack batteries and charger
Charge battery according to SMRT Power System instructions (6500-009-101) or DeWALT®
Battery System instructions
The power indicator LED, located on the height adjustment switch of the cot, is solid green when the battery is fully
charged or has adequately charged battery power.
CAUTION
When charging a battery in an ambulance, locate the charger in an enclosed cabinet and out of patient reach during
transport.
After the battery is fully charged, inspect the cot for the following points:
Item Routine Page
Battery Charge spare battery (if necessary) according to SMRT Pak or DeWA LT®
battery instructions
Install battery into foot end enclosure - power indicator LED operates 34
Ensure that the battery remains firmly secured 34
Release and remove battery from foot end enclosure 34
Reinstall battery into foot end enclosure 34
Hydraulics Inspect motor mount - all fasteners secure 62
Check cylinder attachments at both ends - all fasteners secure 62
Inspect main cable - all connections secure 62
Inspect hoses and cylinder seal for leaks 62
Electronic
Controls
Manual Back-up
Release
Litter All fasteners secure (reference all assembly drawings)
Check power indicator LED - charged 36
Extend cot to raised position 31
Check high speed retract 31
Extend cot to full height - no drift 31
Verify the manual back-up release handle functions properly - adjust
accordingly
With the cot empty, check the raise/lower function 32
With the cot loaded with a minimum of 7 stones (45 kg) (100 lb), check the
raise/lower function
All welds intact - not cracked or broken
No bent, broken, or damaged components
Verify siderails operate and latch properly 41
Verify backrest cylinder operates properly through range of motion 41
Verify the footrest operates properly 43
Install body restraints. Restraints intact and operating properly. 38
No rips or tears in mattress cover
34
32
32
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www.stryker.com 6550- 30 9- 001 REV A 19
Product Inspection
Item Routine Page
Head/Foot Section All fasteners secure (reference all assembly drawings)
No bent or broken tubing or sheet metal
Verify the head/foot section extends and retracts properly 42
Base All fasteners secure (reference all assembly drawings)
All welds intact - not cracked or broken
No bent, broken, or damaged components
Wheels and Tires No debris in wheels
All wheels secure, rolling and swiveling properly
Operate wheel locks (if equipped) - wheel secure when engaged,
rolls freely when disengaged
Accessories Verify I.V. pole (if equipped) operates properly 47
Verify removable oxygen bottle holder (if equipped) operates properly
Verify equipment hook (if equipped) is installed properly 50
Verify Pedi-Mate® restraint package (if equipped) is installed properly 51
Verify pocketed backrest storage pouch (if equipped) is installed properly 53
Verify oxygen bottle holder (if equipped) operates properly 54
Verify 36 in restraint extender (if equipped) is included 40
44
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Cot Fastener Installation
The Power-PRO TL Cot Fastener System, Model 6385, 6386, 6387, 6388, and 6389, are designed to be compatible
only with cots which conform to the installation specifications listed on page 22.
The Power-PRO TL Cot Fastener System, Model 6385, 6386, 6387, 6388, and 6389, are not designed for any other
purpose than to restrict cot movement as it is being transported in the patient compartment of an ambulance under
normal conditions. Usage of this product in any other way becomes the complete responsibility of the owner/user.
Caution must be used at all times during placement of the cot into the ambulance.
WARNING
It is the responsibility of the cot operator to ensure that the cot being used in the Stryker Cot Fastener Systems meets the
installation specifications listed on page 22. Injury may result if a non-compatible cot is used in the Stryker Fastener
System.
For more information about the Power-PRO TL Cot Fastener System, Model 63585, 6386, 6387, 6388, and 6389, see
the Cot Fastener Operations/Maintenance Manual (6385-009-001).
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www.stryker.com 6550- 30 9- 001 REV A 21
Cot Fastener Installation
1925 MM (REF)
320 MM
150 MM
1015 MM 194 MM
610 MM (REF)
HEAD END
FRONT
OF
VEHICLE
FOOT END
120 MM
140 MM
RECOMMEND 370 MM FROM CENTERLINE OF COT TO VEHICLE SIDEWALL TO ALLOW FOR ROTATION OF THE WHEELS
CENTERLINE OF COT MUST BE PARALLEL TO VEHICLE WALL
90 MM
Note: Floor plates spaced evenly around centerline of cot.
Cot Length
Cot Width
Figure 4: Installation Specifications
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Operation Guide
ENGAGING THE COT INTO THE FASTENER
To engage the cot into the fastener:
1. Before attempting to engage the cot into the fastener, ensure that the pedal is fully depressed and the cot is completely
lowered as shown in Figure 5.
2. Guide the cot into both the head end and foot end of the fastener until the locking mechanism is engaged as shown in
Figure 6.
Figure 5: Pedal Fully Depressed Figure 6: Cot in Fastener - (Foot End)
3. Make sure that the cot is securely fastened at both the head end and foot end before releasing your grip on the
cot as shown in Figure 7.
CAUTION
•The unit must be in its lowest position to properly engage
the cot fastener (not included). To ensure that the cot is
in the lowest position, press the retract (-) button until
the cot stops moving down. This should be done before
attempting to engage the cot into the cot fastener (not
included).
•To reduce the risk of damage to the cot or cot fastener,
do not attempt to activate the cot height activation while it
is engaged in the cot fastener (not included).
Figure 7: Cot in Fastener (Head End)
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www.stryker.com 6550- 30 9- 001 REV A 23
Operation Guide
REMOVING THE COT FROM THE FASTENER
To remove the cot from the fastener:
1. Press down firmly on the foot pedal until the locking mechanism disengages as shown in Figure 8.
2. Roll the cot out of the patient compartment as shown in Figure 9.
Figure 8: Press Foot End Figure 9: Remove Cot
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24 6550- 309- 001 REV A www.stryker.com
Operation Guide
OPERATING GUIDELINES
• Usethecotonlyasdescribedinthismanual.
• Readalllabelsandinstructionsonthecotbeforeusingthecot.
• Useaminimumoftwo(2)trainedoperatorstooperatethecotwhileapatientisonthecot.Ifadditionalassistance
is needed, see “Using Additional Assistance” on page 33.
• Donotadjust,rollorloadthecotintoavehiclewithoutadvisingthepatient.Staywiththepatientandcontrolthe
cot at all times.
• Thecotcanbetransportedinanyposition.Strykerrecommendsthattheoperatorstransportthepatientinthe
lowest comfortable position to maneuver the cot.
• Onlyusethewheellock(s)duringpatienttransferorwithoutapatientonthecot.
• Alwaysusetherestraintstraps.
• Useproperlytrainedhelperswhennecessarytocontrolthecotandpatient.
WARNING
• Improper usage of the cot can cause injury to the patient or operator. Operate the cot only as described in this
manual.
• Entanglement in powered cot mechanisms can cause serious injury. Operate the cot only when all persons are
clear of the mechanisms.
• Practice changing height positions and loading the cot until operation of the product is fully understood. Improper
use can cause injury.
• Do not allow untrained assistants to assist in the operation of the cot. Untrained technicians/assistants can cause
injury to the patient or themselves.
• Ensure proper hand placement on hand grips.
• Do not ride on the base of the cot. Damage to the product could occur, resulting in injury to the patient or operator.
• Transporting the cot sideways can cause the cot to tip, resulting in possible damage to the product and/or injury to the
patient or operator. Transporting the cot in a lowered position, head or foot end first, minimizes the potential of a cot tip.
• Grasping the cot improperly can cause injury. Keep hands, fingers and feet away from moving parts. To avoid injury,
use extreme caution when placing your hands and feet near the base tubes while raising and lowering the cot.
CAUTION
Before operating the cot, clear any obstacles that may interfere and cause injury to the operator or patient.
PROPER LIFTING TECHNIQUES
When lifting the cot and patient, there are five basic guidelines to help you avoid injury:
• Keep your hands close to your body.
• Keep your back straight.
• Coordinate your movements with your partner and lift with your legs.
• Avoid twisting.
• Always operate the cot as described in this manual.
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www.stryker.com 6550- 30 9- 001 REV A 25
Operation Guide
TRANSFERRING THE PATIENT TO THE COT
To transfer the patient to the cot:
1. Roll the cot to the patient.
2. Place the cot beside the patient and raise or lower the cot to the level of the patient.
3. Lower the siderails and open the restraint straps.
4. Engage the wheel locks to prevent the cot from moving during patient transfer.
5. Transfer the patient to the cot using accepted EMS procedures.
6. Use all the restraint straps to secure the patient to the cot (see page 38).
7. Raise the siderails and adjust the backrest and leg rest as necessary.
8. Disengage the wheel locks for transport.
WARNING
• Always use all restraint straps to secure the patient on the cot. An unrestrained patient may fall from the cot and
be injured.
• Never leave a patient unattended on the cot or injury could result. Hold the cot securely while a patient is on the
product.
• Never apply the wheel lock(s) while a patient is on the cot. Tipping could occur if the cot is moved while the wheel
lock is applied, resulting in injury to the patient or operator and/or damage to the cot.
• Siderails are not intended to serve as a patient restraint device. See page 38 for proper restraint strap usage.
Failure to utilize the siderails properly could result in patient injury.
• Hydraulically raising or lowering the cot may temporarily affect electronic patient monitoring equipment. For best
results, patient monitoring should be conducted when the cot is idle.
ROLLING THE COT
WARNING
• A minimum of two operators are required to transport a patient on the cot.
• In addition to the head and foot end, larger patients may require additional operators.
The Power-PRO TL cot can transport a patient in any height position, however, lower heights may improve balance
and stability, so Stryker recommends keeping the cot in the lowest position that is comfortable for the cot operators.
When rolling the cot:
• Make sure that all of the restraint straps are securely buckled around the patient (see page 38).
• Place the cot in any position for rolling.
• Position an operator at the foot end and one at the head end of the cot at all times when rolling the cot with a
patient on it.
• Approach door sills and/or other low obstacles squarely and lift each set of wheels over the obstacle separately.
WARNING
• High obstacles, such as curbing, steps or rough terrain, can cause the cot to tip, possibly causing injury to the
patient or operator.
• Transporting the cot in lower positions reduces the potential of a cot tip. If possible, obtain additional assistance or
take an alternate route.
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26 655 0- 30 9-0 01 REV A w ww.stryker.com
Operation Guide
ADJUSTING THE HEIGHT OF THE COT WITH TWO OPERATORS
Changing the height of the cot while a patient is on the cot requires a minimum of two (2) trained operators who are
positioned at each end of the cot.
To raise or lower the cot:
1. Operator 1 (Foot End) − Grasp the cot frame at the foot end and press either the extend (+) button on the control
switch to raise the litter or the (–) button on the control switch to lower the litter to the desired position.
2. Operator 2 (Head End) − Maintain a firm grip on the outer rail until the cot is securely in the desired position.
WARNING
Grasping the cot improperly can cause injury. Keep hands, fingers and feet away from moving parts. To avoid injury, use
extreme caution when placing your hands and feet near the base tubes while raising and lowering the cot.
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www.stryker.com 6550- 30 9- 001 REV A 27
Operation Guide
TAIL LIFT LOADING AND UNLOADING
Loading an occupied cot into a vehicle requires a
minimum of two (2) trained operators.
WARNING
• A lift gate stop which is not properly functioning can
result in injury to the patient or operator; ensure
that the cot is unable to roll back off of the lift
before using the lift with a cot and patient. Verify
the lift gate stop is maintained and functioning
properly and ensure that the cot is secure at all
times when on the tail lift.
• Ensure proper hand placement on hand grips.
To load the cot:
1. Ensure that the patient is secured at all times while
on the cot.
2. Move the cot to its lowest position for greater
stability by pressing the retract (-) button.
3. Push the cot forward onto the tail lift, head end
first as shown in Figure 10. Ensure that the wheels
are in the proper location on the tail lift to allow the
safety stop to properly rotate in place and prevent
the cot from rolling backwards as shown in Figure
11.
4. Before raising the tail lift, verify that there is
adequate distance between the cot and rear of
the ambulance, and that there is nothing hanging
down from the cot.
5. As one operator raises the tail lift, the second
operator should maintain a firm grip on the cot
frame to provide greater stability.
6. Both operators should carefully guide the cot into
the patient compartment and into the cot fastener
(not included).
Figure 10: Load Cot
Figure 11: Push Cot into Patient Compartment
CAUTION
• The unit must be in its lowest position to properly engage the cot fastener (not included). To ensure that the cot
is in the lowest position, press the retract (-) button until the cot stops moving down. This should be done before
attempting to engage the cot into the cot fastener (not included).
• To reduce the risk of damage to the cot or cot fastener, do not attempt to activate the cot height activation while it
is engaged in the cot fastener (not included).
To unload the cot:
1. Ensure that the safety gate stop is in position to prevent the cot from rolling off of the lift.
2. Raise the tail lift to the ambulance floor level and disengage the cot from the cot fastener system.
3. Both operators should firmly grasp the cot frame and roll the cot into the tail lift. Make sure that the cot is fully
removed from the patient compartment and the cot wheels are in the proper position to allow the lift to lower freely.
4. Lower the tail lift to the ground and ensure that it is fully lowered and stopped before disengaging the tail lift safety
gate and allowing the cot to be rolled off of the tail lift.
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28 655 0-309-0 01 REV A w ww.stryker.com
Operation Guide
RAMP LOADING AND UNLOADING
Loading an occupied cot into a vehicle requires a
minimum of two (2) trained operators.
WARNING
Ensure proper hand placement on hand grips.
To load the cot:
1. Ensure that the patient is secured at all times
while on the cot.
2. Before pushing up the ramp, lower the cot to its
lowest position by pressing the retract (-) button
for maximum stability. Also verify that there is
nothing hanging down from the cot, such as
blankets or straps.
3. Using the optional push bars, both operators
should push/pull the cot up the ramp, head end
first. The operators should carefully guide the cot
up the center of the ramp as shown in Figure 13).
4. Both operators should then push the cot into the
patient compartment, until the cot engages the
cot fastener (not included).
Figure 12: Lower Cot
Figure 13: Push Cot in Patient Compartment
CAUTION
• The unit must be in its lowest position to properly engage the cot fastener (not included). To ensure that the cot
is in the lowest position, press the retract (-) button until the cot stops moving down. This should be done before
attempting to engage the cot into the cot fastener (not included).
• To reduce the risk of damage to the cot or cot fastener, do not attempt to activate the cot height activation while it
is engaged in the cot fastener (not included).
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www.stryker.com 6550- 30 9- 001 REV A 29
Cot Operation
LOADING AND UNLOADING THE COT USING THE OPTIONAL OXYGEN BOTTLE HOLDER
To load and unload the cot with the optional oxygen bottle holder, attach the winch cable to the winch attachment rod
(A) as shown in Figure 14.
A
Figure 14: Winch Attachment Rod
The length of the loading ramp should be at least 8.5 feet. Verify the ramp can support the weight of the cot, patient
and equipment.
Note:
• With the cot in the lowest position, the optional oxygen bottle holder can be used to load patients weighing up to
50 stones (318 kg) (700 lb).
• Proper inspection and maintenance of the optioanl oxygen bottle holder accessory should be followed as identified
in the Preventative Maintenance Checklist (see page 57).
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