Stryker Medical 6506 Power-PRO XT User Manual 6506 009 001A FCC
Stryker Medical Power-PRO XT 6506 009 001A FCC
Contents
- 1. Users Manual
- 2. Users Manual 1
- 3. Users Manual 2
Users Manual
Power-PRO⢠XT Model 6506 Operations/Maintenance Manual For parts or technical assistance: USA: 1-800-327-0770 2011/11 A.0 6506-009-001 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Setup Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Setting Cot Load Height and âJogâ Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Product Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Cot Fastener Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Installing the In-Fastener Shut-Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Vehicle Safety Hook Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Vehicle Safety Hook Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Vehicle Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Required Hardware for Installation of the Safety Hook (Not Supplied) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Front to Back Positioning of the Safety Hook . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Side to Side Positioning of the Safety Hook . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Installing the Safety Hook. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Operation Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Operating Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Proper Lifting Techniques. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Transferring the Patient to the Cot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Rolling the Cot. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Adjusting The Height of the Cot with Two Operators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Loading the Cot into a Vehicle with Two Operators - Powered Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Loading the Cot into a Vehicle with Two Operators at the Foot End - Powered Method. . . . . . . . . . . . . . . . . . 34 High Speed Retract/Extend . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Loading an Empty Cot into a Vehicle with One Operator - Powered Method. . . . . . . . . . . . . . . . . . . . . . . . . . 35 Unloading the Cot from a Vehicle with Two Operators - Powered Method . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Unloading an Empty Cot from a Vehicle with One Operator - Powered Method . . . . . . . . . . . . . . . . . . . . . . . 37 Using the Manual Override. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Loading the Cot into a Vehicle with Two Operators - Manual Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Unloading the Cot from a Vehicle with Two Operators - Manual Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Unloading an Empty Cot from a Vehicle with One Operator - Manual Method . . . . . . . . . . . . . . . . . . . . . . . . 41 Using Additional Assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Removing and Replacing a SMRT Pak . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Using the Battery Power Indicator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Using the Hour Meter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 www.stryker.com 6506-009-001 REV A Table of Contents Using Restraint Straps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Using the Optional Restraint Belt Extension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Operating the Siderails. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Operating the Backrest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Operating the Retractable Head Section. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Adjusting the Footrest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 Raising and Lowering the Optional Gatch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 Operating the Optional Wheel Lock(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 Operating the Optional 2-Stage I.V. Pole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 Operating the Optional 3-Stage I.V. Pole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 Optional Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Using the Equipment Hook . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 Using the Retractable Head Section Oxygen Bottle Holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 Using the Kickstand for Dialysis Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 Attaching the Pedi-MateÂŽ Infant Restraint System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Using the Transfer Flat. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62 Installing the Backrest Storage Pouch. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62 Installing the Head End Storage Flat. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 Installing the Base Storage Net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 Washing Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 Washing Limitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 Removal of Iodine Compounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66 Preventative Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 Lubrication. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 Regular Inspection and Adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 Maintenance Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 Training Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 Troubleshooting Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Electronics and Hydraulics Locator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Hydraulic Manifold Components Locator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 Electrical System Block Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Troubleshooting Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 Main Cable Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 Electronics Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 Electronics Assembly Wiring Schematics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Quick Reference Replacement Parts List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 Service Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85 Manual Release Cable Adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85 Filling the Reservoir . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85 Wheel Locking Force Adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86 Cot Retaining Post Adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86 6506-009-001 REV A www.stryker.com Table of Contents EMC Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91 Stryker EMS Return Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 Return Authorization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 Damaged Merchandise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 International Warranty Clause. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 Patent Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 www.stryker.com 6506-009-001 REV A Symbols and Definitions SYMBOLS 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. Internally Powered Equipment: Equipment able to operate from an internal (removable) electric power source. IPX6 Mode of Operation: 16.7% (1 Min. 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 60601â1, and CAN/CSA C22.2 No. 601.1. 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. Return To Table of Contents 6506-009-001 REV A www.stryker.com 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 This provides special information to make maintenance easier or important instructions clearer. Return To Table of Contents www.stryker.com 6506-009-001 REV A Introduction This manual is designed to assist you with the operation and maintenance of the Power-PRO⢠XT 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 6506 Power-PRO⢠XT 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 shortens the cot for 360-degree mobility in any height position. INTENDED USE OF PRODUCT The Model 6506 Power-PRO⢠XT is a battery powered hydraulic lift wheeled stretcher that consists of a platform mounted on a wheeled frame that is designed to support patients in a horizontal position for transport or administration of medical care. The device has side rails, supports for fluid infusion equipment, and patient restraint straps. The frame is collapsible for use in an ambulance. Return To Table of Contents 6506-009-001 REV A www.stryker.com Introduction SPECIFICATIONS Safe Working Load Note: Safe Working Load indicates the 700 pounds sum of the patient, mattress and accessory weight. Maximum Unassisted Lift Capacity Backrest Articulation/Shock Position Overall Length/Minimum Length/Width Height1 Weight2 Caster Diameter/Width Minimum Operators Required for Loading/ Unloading an Occupied Cot Minimum Operators Required for Loading/ Unloading an Unoccupied Cot Recommended Fastener Systems Recommended Loading Height3 Roll-In Style Single Wheel Lock / Double Wheel Lock Hydraulic Oil Power System4 - Battery - Charger Standards (Cots and Chargers) 318 kg 500 pounds 225 kg 0° to 73° / +15° 81" / 63" / 23" 206 cm / 160 cm / 58 cm Adjustable from 14" to 41.5" Adjustable from 36 cm to 105 cm 125 pounds 57 kg 6" / 2" 15 cm / 5 cm Model 6370 or 6377 Floor Mount Type Model 6371 Wall Mount Type Up to 36" Up to 91 cm Yes Optional Stryker Part Number 6500-001-293 24V DC NiCd - SMRT⢠Power System 120V/240Vac or 12V DC - SMRT⢠Power System IEC 60601-1 CAN/CSA-C22.2 No. 601.1-M90 UL 60601-1 IEC 60601-1-2:2001 KKK-A-1822 Height measured from bottom of mattress at seat section to ground level. Cot is weighed with 1 battery and without mattress and restraints. Cot may be set to any ambulance deck height ranging from 26" to 36" (66 cm to 91 cm). Cot is compatible with the SMRT⢠Power System. Stryker reserves the right to change specifications without notice. The Power-PRO⢠XT is designed to conform to the Federal Specification for the Star-of-Life Ambulance (KKK-A-1822). The Power-PRO⢠XT is designed to be compatible with competitive cot fastener systems. Patents pending. The yellow and black color scheme is a proprietary trademark of Stryker Corporation. CAUTION Ǩɣ Changes or modifications to the unit not expressly approved by Stryker could void the userâs authority to operate the unit. Ǩɣ This equipment has been tested and found to comply with the limits for a Class A digital device, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a commercial environment. This equipment generates, uses, and can radiate radio frequency energy and, if not installed and used in accordance with the instruction manual, may cause harmful interference to radio communications. Operation of this equipment in a residential area is likely to cause harmful interference in which case the user will be required to correct the interference at their expense. Return To Table of Contents www.stryker.com 6506-009-001 REV A Introduction SPECIFICATIONS (CONTINUED) Environmental Conditions Operation 130 0F (54 0C) Temperature -30 0F (-34 0C) 100% Relative Humidity 0% Atmospheric Pressure Return To Table of Contents 10 6506-009-001 REV A www.stryker.com Introduction CONTACT INFORMATION Contact Stryker Customer Service or Technical Support at: (800) 327-0770 or (269) 324-6500. Stryker Medical 3800 E. Centre Avenue Portage, MI 49002 USA Please have the serial number (A) of your Stryker product available (as shown in Figure 1) when calling Stryker Customer Service or Technical Support. Include the serial number in all written communication. SERIAL NUMBER LOCATION Head End Figure 1: Cot Serial Number & Location Return To Table of Contents www.stryker.com 6506-009-001 REV A 11 Introduction PRODUCT ILLUSTRATION Backrest Footrest Release Handle Backrest Adjustment Handle HEAD END Battery Release Height Adjustment Switches Siderail Release Retractable Head Section Head Section Release Battery Manual Back-Up Release Handle Lifting Bar Foot Rest Load Wheels Height Sensor Housing Hydraulic Unit Wheel Lock (Optional) Transport Wheels Cot Retaining Post Transport Wheels J Safety Hook Stryker part number 6092-036-018 Long Safety Hook Stryker part number 6060-036-018 Short Safety Hook Stryker part number 6060-036-017 Figure 2: Cot Components Return To Table of Contents 12 6506-009-001 REV A www.stryker.com Summary of Safety Precautions Carefully read and strictly follow the warnings and cautions listed on these pages. Service only by qualified personnel. WARNING Ǩɣ Improper usage of the cot can cause injury to the patient or operator. Operate the cot only as described in this manual. Ǩɣ 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 91). Ǩɣ Any emergency vehicle to be used with this cot must have the in-fastener shut-off system installed (see page 25). Ǩɣ 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 24. Injury may result if a non-compatible cot is used in the Stryker Fastener System. Ǩɣ The in-fastener shut-off must be positioned properly before placing the cot into service. Failure to install the infastener shut-off may cause injury to the patient or operator and/or damage to the vehicle. Ǩɣ Do not attempt to operate the cot when it is loaded into a cot fastener. Ǩɣ The in-fastener shut-off is only a means for disabling the electronic functionality. Damage to the product and/or injury to the patient and/or operator may occur if used for any other purpose. Ǩɣ Have the vehicle safety hook installed by a certified mechanic. Improper safety hook installation can cause injury to the patient or operator and/or damage to the cot. Ǩɣ Failure to install the safety hook can cause injury to the patient or operator. Install and use the safety hook as described on page 27. Ǩɣ The face of the safety hook that engages the safety bar should be located at least 3-3/4â from the leading edge of the door sill. After installation, verify that the cot legs lock into the load position without contacting the vehicle bumper. Ǩɣ To avoid injury, verify that the safety bar has engaged the safety hook before removing the cot from the patient compartment. Ǩɣ Verify that the safety hook always engages the cot safety bar regardless of how the cot is unloaded from the vehicle or injury to the patient or operator and/or damage to the cot may occur. Ǩɣ The cot must have at least 5/8â of clearance between the vehicle bumper and the cot to disengage the safety bar when unloading the cot from the vehicle. Verify that the cot legs lock into the load position before disengaging the safety bar from the safety hook. Failure to properly lock the cot into position can cause injury to the patient or operator and/or damage to the cot. Ǩɣ Entanglement in powered cot mechanisms can cause serious injury. Operate the cot only when all persons are clear of the mechanisms. Ǩɣ Practice changing height positions and loading the cot until operation of the product is fully understood. Improper use can cause injury. Ǩɣ Do not allow untrained assistants to assist in the operation of the cot. Untrained technicians/assistants can cause injury to the patient or themselves. Ǩɣ Ensure proper hand placement on hand grips. Hands should be clear of red safety bar pivots while loading and unloading the cot or whenever changing height position of the cot with two or more operators. Ǩɣ Do not ride on the base of the cot. Damage to the product could occur, resulting in injury to the patient or operator. Ǩɣ 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. Ǩɣ 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. Ǩɣ Always use all restraint straps to secure the patient on the cot. An unrestrained patient may fall from the cot and be injured. Ǩɣ Never leave a patient unattended on the cot or injury could result. Hold the cot securely while a patient is on the product. Ǩɣ Never apply the optional 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. Ǩɣ Siderails are not intended to serve as a patient restraint device. See page 46 for proper restraint strap usage. Failure to utilize the siderails properly could result in patient injury. Return To Table of Contents www.stryker.com 6506-009-001 REV A 13 Summary of Safety Precautions WARNING (CONTINUED) Ǩɣ 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. Ǩɣ High obstacles such as curbing, steps or rough terrain can cause the cot to tip, possibly causing injury to the patient or operator. Ǩɣ If the cot is equipped with the optional kickstand, make sure that the kickstand remains in the retracted position and does not engage during transport. Ǩɣ Transporting the cot in lower positions reduces the potential of a cot tip. If possible, obtain additional assistance or take an alternate route. Ǩɣ Two operators must be present when the cot is occupied. Ǩɣ Operators must be able to lift the total weight of the patient, cot and any items on the cot. Ǩɣ The higher an operator must lift the cot, the more difficult it becomes to hold the weight. An operator may need help loading the cot if he/she is too short or if the patient is too heavy to lift safely. The operator must be able to lift the cot high enough for the cot legs to unfold completely and lock when the cot is unloaded. A shorter operator needs to raise their arms higher to enable the undercarriage to unfold. Ǩɣ There must be a safety hook properly installed in the vehicle so that the bumper does not interfere with the front legs of the base frame. Ǩɣ When using a standard cot fastener, do not load the cot into the vehicle with the head section retracted. Loading the cot with the head section retracted may cause the product to tip or not engage properly in the cot fastener, possibly causing injury to the patient or operator and/or damage to the cot. Ǩɣ 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 (â) button is pressed. Ǩɣ 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. Ǩɣ The one person loading and unloading procedures are for use only with an empty cot. Do not use the procedures when loading/unloading a patient. Injury to the patient or operator could result. Ǩɣ Do not pull or lift on the safety bar when unloading the cot. Damage to the safety bar could result and injury to the patient or operator could occur. Ǩɣ Do not press the extend (+) button until the safety bar has engaged the safety hook. Ǩɣ 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. Ǩɣ Do not remove the battery when the cot is activated. Ǩɣ Avoid direct contact with a wet battery or battery enclosure. Contact may cause injury to the patient or operator. Ǩɣ 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. Ǩɣ Siderails are not intended to serve as a patient restraint device. See page 46 for proper restraint strap usage. Failure to utilize the siderails properly could result in patient injury. Ǩɣ To avoid injury, always verify that the head section is locked into place prior to operating the cot. Ǩɣ 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 6â 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. Ǩɣ If the cot is equipped with the optional retractable head section oxygen bottle holder, use caution while the oxygen bottle holder is installed to avoid pinching your fingers between the fowler bracket and the oxygen bottle. Ǩɣ Stryker recommends that a two person operation is used when using the kickstand. Ǩɣ Make sure that the patient weight is centered on the cot before using the kickstand. Ǩɣ Engage the kickstand with your foot only. Ǩɣ Lower cot height prior to engaging kickstand for increased stability. Ǩɣ Make sure that the kickstand remains in the retracted position and does not engage during transport. Ǩɣ Do not use the kickstand as a brake. Ǩɣ Do not engage kickstand on a sloped surface. Ǩɣ To avoid accidental release of the Pedi-MateÂŽ, and possible injury to the infant, ensure that the restraint buckle is located away from obstructions on the cot or accessories. Return To Table of Contents 14 6506-009-001 REV A www.stryker.com Summary of Safety Precautions WARNING (CONTINUED) Ǩɣ When the optional head end storage flat is being used, ensure that it does not interfere with the operation of the retractable head section, safety bar and safety hook. Injury to the patient or operator could result. Use any appropriate personal safety equipment (goggles, respirator, etc.) to avoid the risk of inhaling contagion. Use of power washing equipment can aerate contamination collected during the use of the cot. Ǩɣ 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. Ǩɣ 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. Ǩɣ 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. Ǩɣ To avoid the risk of injury, do not use bare hands to check for hydraulic leaks. CAUTION Ǩɣ Changes or modifications to the unit not expressly approved by Stryker could void the userâs authority to operate the unit. Ǩɣ This equipment has been tested and found to comply with the limits for a Class A digital device, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a commercial environment. This equipment generates, uses, and can radiate radio frequency energy and, if not installed and used in accordance with the instruction manual, may cause harmful interference to radio communications. Operation of this equipment in a residential area is likely to cause harmful interference in which case the user will be required to correct the interference at their expense. Ǩɣ The cot can be set at any cot load height position. Establish the required cot load height before placing the cot into service. Ǩɣ When charging a battery in an ambulance, locate the charger in an enclosed cabinet and out of patient reach during transport. Ǩɣ Set the cot load height to the proper stop height prior to operation. Ǩɣ Installation of the safety hook should be done by a certified mechanic familiar with ambulance vehicle construction. Consult the vehicle manufacturer before installing the safety hook and be sure that the installation of the safety hook does not damage or interfere with the brake lines, oxygen lines, fuel lines, fuel tank or electrical wiring of the vehicle. Ǩɣ Before operating the cot, clear any obstacles that may interfere and cause injury to the operator or patient. Ǩɣ Do not âjogâ the cot past the established cot load height of the product when the safety bar engages the vehicle safety hook or damage may occur to the product. Ǩɣ When unloading the cot from the patient compartment, ensure that the caster wheels are safely set on the ground or damage to the product may occur. Ǩɣ Do not âjogâ the cot past the load height while the safety bar is engaged. Ǩɣ Remove the battery if the cot is not going to be used for an extended period of time (more than 24 hours). Ǩɣ Only use the battery and charger as specified. Ǩɣ The cot is not for use with an AC adapter. Ǩɣ Ensure that the battery is fully charged prior to placing into service. An uncharged or depleted battery may cause poor cot performance. Ǩɣ Ensure that the restraints are not entangled in the base frame when raising and lowering the cot. Ǩɣ 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. Ǩɣ To avoid damage to the I.V. pole, the weight of the I.V. bags or equipment must not exceed 40 pounds (18 kg). Return To Table of Contents www.stryker.com 6506-009-001 REV A 15 Summary of Safety Precautions CAUTION (CONTINUED) Ǩɣ To avoid damage to the equipment hook, the weight of the accessories or equipment must not exceed 35 pounds (15.9 kg). Ǩɣ To avoid damage to the retractable head section oxygen bottle holder (if equipped), the weight of the equipment must not exceed 40 pounds (18 kg). Ǩɣ Do not use two head end oxygen bottle holders at the same time. Ǩɣ Do not store items under the cot mattress. Storing items under the mattress can interfere with the operation of the cot. Ǩɣ The weight of the equipment in the pocketed backrest storage pouch (if equipped) must not exceed 20 pounds (9 kg). Ǩɣ The weight of the equipment in the base storage net (if equipped) must not exceed 20 pounds (9 kg). Ǩɣ Be careful when retracting the base to avoid damaging items stored in the base storage net. Ǩɣ The weight of the equipment in the head end storage flat (if equipped) must not exceed 40 pounds (18 kg). Ǩɣ DO NOT STEAM CLEAN OR ULTRASONICALLY CLEAN THE UNIT. Ǩɣ Maximum water temperature should not exceed 180°F/82°C. Ǩɣ Maximum air dry temperature (cart washers) should not exceed 240°F/115°C. Ǩɣ Maximum water pressure should not exceed 1500 psi/130.5 bar. If a hand held wand is being used to wash the unit, the pressure nozzle must be kept a minimum of 24 inches (61 cm) from the unit. Ǩɣ Towel dry all casters and interface points. Ǩɣ Failure to comply with these instructions may invalidate any/all warranties. Ǩɣ Always remove the battery before washing the cot. Ǩɣ 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: Ǩɣ Hydraulic power mechanism Ǩɣ All electrical controls return to off or neutral position when released. For additional maintenance information, see the preventative maintenance information. Ǩɣ 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 91). Ǩɣ Failure to use authorized parts, lubricants, etc. could cause damage to the cot and will void the warranty of the product. Ǩɣ 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. Ǩɣ Do not tip the cot onto its load wheels and actuate the product as this will allow air to enter the hydraulic system. Ǩɣ 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 91). Ǩɣ The cot retaining post comes preconfigured for an X-frame cot, if the fastener has been configured for an H-frame style cot, the cot retaining post must be adjusted to accommodate the fastener. Return To Table of Contents 16 6506-009-001 REV A www.stryker.com Summary of Safety Precautions NOTE Ǩɣ Loose items or debris on the patient compartment floor can interfere with the operation of the safety hook and cot fastener. Keep the patient compartment floor clear. Ǩɣ This manual should be considered a permanent part of the cot and should remain with the product even if the cot is subsequently sold. Ǩɣ 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 (800) 327-0770 or (269) 324-6500. Ǩɣ Adjustment of the rail clamp assembly may be required in order to compensate for any variation in the cot retaining post position depending on the cot manufacturer and model number. Ǩɣ When replacing an existing safety hook with a new style, adjust the mounting location to maintain the proper position of the safety hook face. Ǩɣ Stryker recommends that, prior to installation, the certified mechanic plan the placement of the safety hook in the rear of the vehicle. Ǩɣ If the extend (+) button on the control switch remains activated after reaching the set load height, the motor will remain halted until the operator releases the button. Once the button is released, press the extend (+) button again to âjogâ the cot height up further. Ǩɣ 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. Ǩɣ Activation of the manual back-up release handle may cause the cot to lower slowly if less than 40 pounds (18 kg) are on the cot. Ǩɣ Hydraulic fluid will become more viscous when the cot is used for extended periods in cold temperatures. When using the manual back-up release function to extend the base during unloading in cold weather conditions, hold the release handle for approximately one second after the cot wheels touch the ground to minimize sagging of the litter as the cot is removed from the ambulance. Ǩɣ When operating the manual back-up release handle, avoid rapid lifting or lowering of the base or movement may appear sluggish; lift with a slow constant motion. Ǩɣ Batteries slowly lose power when not on the charger. Ǩɣ Inspect the straps and clips for wear between use and replace the strap if it is no longer holding the oxygen bottle. Ǩɣ The kickstand assembly is configured for an X-frame cot retention system only. Ǩɣ The kickstand (p/n 6085-002-000) is not compatible with the optional base storage net (p/n 6500-160-000). Ǩɣ These are general instructions for installation of the Pedi-MateÂŽ. Safe and proper use of the Pedi-MateÂŽ is solely at the discretion of the user. Stryker recommends that all users be trained on the proper use of the Pedi-MateÂŽ 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. Ǩɣ Failure to follow the cleaning directions when using the specified types of cleaners may void this productâs warranty (see page 91). Ǩɣ If the arrow on the bottom bracket of the retaining post points toward the head end of the cot, the retaining post is set for an X-frame style cot. If the arrow points toward the foot end of the cot the post is set for an H-frame style cot. Return To Table of Contents www.stryker.com 6506-009-001 REV A 17 Summary of Safety Precautions PINCH POINTS WARNING: Pinch Points Figure 3: Potential Pinch Points WARNING Ensure proper hand placement on hand grips. Hands should be clear of red safety bar pivots while loading and unloading the cot or whenever changing height position of the cot with two or more operators. Return To Table of Contents 18 6506-009-001 REV A www.stryker.com 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 technician use the Product Inspection checklist on page 21 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: Ǩɣ 2LNNSGÉŁQD@QÉŁDCFDÉŁENQÉŁBNSÉŁKN@CHMF Ǩɣ +DUDKÉŁEKNNQÉŁK@QFDÉŁDMNTFGÉŁENQÉŁSGDÉŁENKCDCÉŁBNS Ǩɣ Stryker Model 6370/6377/6378/6379 or 6371 Cot Fastener System (not included). Ǩɣ In-fastener shut-off module installed and positioned properly (see page 25). Ǩɣ 2O@BDÉŁSNÉŁOQNODQKXÉŁHMRS@KKÉŁSGDÉŁR@EDSXÉŁGNNJ Note: Loose items or debris on the patient compartment floor can interfere with the operation of the safety hook and cot fastener. Keep the patient compartment floor clear. When necessary, modify the vehicle to fit the cot. Do not modify the cot. WARNING Ǩɣ Improper usage of the cot can cause injury to the patient or operator. Operate the cot only as described in this manual. Ǩɣ 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 91). Ǩɣ Any emergency vehicle to be used with this cot must have the in-fastener shut-off system installed (see page 25). Note: Ǩɣ This manual should be considered a permanent part of the cot and should remain with the product even if the cot is subsequently sold. Ǩɣ 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 (800) 327-0770 or (269) 324-6500. Return To Table of Contents www.stryker.com 6506-009-001 REV A 19 Setup Procedures SETTING COT LOAD HEIGHT AND âJOGâ FUNCTION The cot control mechanism uses height sensors to set the load height stop for the cot. These height sensors match the load wheel height for a specific ambulance deck height. The cot load height can be set from 26" to 36" (66 cm to 91,4 cm), measured from the ground to the bottom of the load wheel. Determine the cot load height before placing the cot into service. You can modify the cot load height at any time, but you must determine and set the cot load height before the cot is placed into service. To set the cot load height: 1. Locate the sensor housing on the patient right side of the cot as shown in Figure 4.1. 2. Using a T27 Torx wrench, remove the sensor housing cover by loosening the two (2) screws (one on each end) as shown in Figure 4.2. 3. Adjust the left height sensor only as shown in Figure 4.3. a. Move the sensor to the left to increase the set load height or move the sensor to the right to decrease the set load height. b. Press the retract (-) button to lower the cot to its lowest position, then press the extend (+) button to raise the cot to its highest position. c. Measure the cot height from the bottom of the load wheels to the floor. Note: Add an additional 1/2" (1,3 cm) to your deck height measurement to allow for variations with patient height and other equipment added to the cot. d. Repeat steps 3a and 3b until the desired cot load height is reached. 4. After the proper load wheel height is set, ensure that all of the height sensor cables are secure and lying flat inside of the housing between the sensors as shown in Figure 4.4. 5. Using a T27 Torx wrench, replace the sensor housing cover by reinstalling the two screws that were removed in step 2. 6. Following completion of the sensor height adjustment, verify that the cot properly engages the safety hook. Figure 4.1: Sensor Housing Figure 4.2: Loosening Screws CAUTION The cot can be set at any cot load height position. Establish the required cot load height before placing the cot into service. Figure 4.3: Adjusting Height Figure 4.4: Securing Cables Return To Table of Contents 20 6506-009-001 REV A www.stryker.com 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 Battery Routine Unpack batteries and charger Charge battery according to SMRT Power System instructions (6500-009-101) The power indicator LED, located at the foot end control enclosure 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 Battery Charge spare battery (if necessary) according to SMRT Pak instructions Install battery into foot end enclosure - power indicator LED operates Hydraulics Electronic Controls Manual Back-up Release Ensure that the battery remains firmly secured Release and remove battery from foot end enclosure Reinstall battery into foot end enclosure Inspect motor mount - all fasteners secure Check cylinder attachments at both ends - all fasteners secure Inspect main cable - all connections secure Inspect hoses and cylinder seal for leaks Check power indicator LED - charged Extend cot to raised position Verify âjogâ function operates smoothly Lower to retracted position - cot secures in a mid-height position (motor does not operate) Determine and set ambulance vehicle load height Check high speed retract Extend cot to full height - no drift Verify the manual back-up release handle functions properly - adjust accordingly With the cot empty, check the raise/lower function With the cot loaded with a minimum of 99 pounds (45 kg), check the raise/ lower function With the cot loaded with a minimum of 99 pounds (45 kg), check the load/ unload function Page 44 44 44 44 73 73 73 73 44 32 32 32 20 34 32 38 38 38 38 Return To Table of Contents www.stryker.com 6506-009-001 REV A 21 Product Inspection Item Litter Head Section Base Wheels and Tires Cot Fastener Accessories Routine All fasteners secure (reference all assembly drawings) All welds intact - not cracked or broken No bent, broken, or damaged components Inspect hand grips - no defects or tears Verify siderails operate and latch properly Verify backrest cylinder operates properly through range of motion Verify the foot rest operates properly Install body restraints. Restraints intact and operating properly. No rips or tears in mattress cover All fasteners secure (reference all assembly drawings) No bent or broken tubing or sheet metal Verify the head section extends and retracts properly Inspect grip on lift bar - no defects or tears Load wheels are secure and roll freely Verify the safety bar operates properly All fasteners secure (reference all assembly drawings) All welds intact - not cracked or broken No bent, broken, or damaged components No debris in wheels All wheels secure, rolling and swiveling properly Operate wheel locks (if equipped) - wheel secure when engaged, rolls freely when disengaged Inspect the cot retaining post - fasteners secure Install in-fastener shut-off module. Determine and set in-fastener shut-off position. Verify the cot and cot fastener fit and function properly. Install vehicle safety hook Verify the safety bar engages the vehicle safety hook properly Verify I.V. pole (if equipped) operates properly Verify foot end oxygen bottle holder (if equipped) operates properly Verify removable oxygen bottle holder (if equipped) operates properly Verify Pedi-MateÂŽ restraint package (if equipped) is installed properly Verify equipment hook (if equipped) is installed properly Verify head extension with pillow (if equipped) is installed properly Verify pocketed backrest storage pouch (if equipped) is installed properly Verify head end storage flat (if equipped) is installed properly Verify pillow (if equipped) included Verify 36" restraint extender (if equipped) is included Verify the transfer flat (if equipped) is included Page 49 49 51 46 50 53 86 25 27 27 54 60 57 62 63 48 62 Return To Table of Contents 22 6506-009-001 REV A www.stryker.com Cot Fastener Installation The Stryker Cot Fastener Systems are designed to be compatible only with cots which conform to the installation specifications listed on page 24. 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 24. Injury may result if a non-compatible cot is used in the Stryker Fastener System. Note: Adjustment of the rail clamp assembly may be required in order to compensate for any variation in the cot retaining post position depending on the cot manufacturer and model number. For more information about the Stryker Cot Fastener Systems, see the Cot Fastener Operations/Maintenance Manual (6370-009-001). Return To Table of Contents www.stryker.com 6506-009-001 REV A 23 Cot Fastener Installation Rail Support Bracket Floor Plate 14-5/8â (Ref.) (37,1 cm) Or desired position from wall Antler Floor Plates Wall of Vehicle 12-5/8â (32 cm) Cot Head End 24.000 (Ref.) (61 cm) Cot Centerline Rear of Ambulance (Ref.) Cot Perimeter 2-5/8â (6,6 cm) 37-5/8â (95,6 cm) 6-1/8â (15,6 cm) 14-15/16â (37,9 cm) 80.000 (Ref.) (203 cm) Figure 5: Installation Specifications - Floor Mount Fastener Antler Floor Plates Wall of Vehicle 14-5/8â (37,1 cm) Cot Head End Cot Centerline 24.000 (Ref.) (61 cm) 1-1/8â (2,9 cm) Rear of Ambulance (Ref.) Cot Perimeter 14-15/16â (37,9 cm) 2-5/8â (6,6 cm) 6-1/8â (15,6 cm) 80.000 (Ref.) (203 cm) 3-5/8ââ (9,2 cm) 37-3/8â (94,9 cm) Wall Mounting Bracket 6-1/2â (16,5 cm) Floor of Vehicle 4-5/16â (10,9 cm) Figure 6: Installation Specifications - Wall Mount Fastener Return To Table of Contents 24 6506-009-001 REV A www.stryker.com Cot Fastener Installation INSTALLING THE IN-FASTENER SHUT-OFF WARNING The in-fastener shut-off must be positioned properly before placing the cot into service. Failure to install the in-fastener shut-off may cause injury to the patient or operator and/or damage to the vehicle. Note: Align the âdiamondâ (A) on the sensor housing cover with the pop rivet head (B) on the in-ambulance shut-off. The cot and fastener system have an integrated in-fastener shut-off function that disables the cot motor when the cot is secured into the cot fastener. Securely tighten the bolts on the fastener before installing the shut-off bracket. Install the shut-off bracket onto the rail clamp assembly before putting the cot into service. 1. 2. 3. 4. 3. 4. 5. 6. 7. 8. Place the cot into a loading position (any position where the load wheels of the head section meet the vehicle floor height). Lift the vehicle bumper to the raised position (if equipped). Roll the cot to the open door of the patient compartment. Push the cot forward until the load wheels are on the compartment floor and the safety bar passes the safety hook. For maximum clearance to lift the base, pull the cot back until the safety bar engages the safety hook. Raise the base and push the cot into the patient compartment following the appropriate loading instructions. Engage the extended head section of the cot into the cot fastener antler and secure the cot post into the fastener rail clamp. Adjust the shut-off bracket along the rail clamp until the âdiamondâ on the sensor housing is lined up with the pop rivet head as shown in Figure 7. Using a T27 Torx wrench, securely fasten the bolts to attach the shut-off bracket to the rail clamp assembly. Press the retract (â) button to ensure that the motor does not turn on while the cot is in the fastener. The battery indictor will still illuminate. If the motor turns on, readjust the shut-off bracket. Figure 7: Cot Engaging Cot Fastener Figure 8: In-Fastener Shut-Off Module WARNING Ǩɣ Do not attempt to operate the cot when it is loaded into a cot fastener. Ǩɣ The in-fastener shut-off is only a means for disabling the electronic functionality. Damage to the product and/ or injury to the patient and/or operator may occur if used for any other purpose. Ǩɣ Any emergency vehicle to be used with this cot must have the in-fastener shut-off system installed. Return To Table of Contents www.stryker.com 6506-009-001 REV A 25 Vehicle Safety Hook Selection The vehicle safety hook is a device that ships with the cot. The cot safety bar and vehicle safety hook are designed to keep the cot from being accidentally removed from the vehicle and to provide increased operator assurance and confidence when loading and unloading. The 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 safety hooks that are ordered and shipped with your cot. These safety hook types are designed to 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. Consider the following information when selecting which safety hook is appropriate for your vehicle configuration: Ǩɣ Determine the location of the floor structure support where there is adequate room to mount the safety hook. Ǩɣ Ensure that the safety hook can be securely mounted into the back of the vehicle while providing adequate bumper clearance to allow the cot to be loaded and unloaded from the vehicle. Ǩɣ Note the differences in vehicle design. Each safety hook provides a different mounting location option to maintain the appropriate distance between the face of the safety hook and the edge of the door sill. Due to the differences in vehicle dimensions and the floor structure support locations, each safety hook requires a different mounting location. See âVehicle Safety Hook Installationâ to determine the correct positioning for safety hook installation. Long Safety Hook 6060-036-018 Short Safety Hook 6060-036-017 J-Style Safety Hook 6092-036-018 Figure 9: Safety Hook Types Note: When replacing an existing safety hook with a new style, adjust the mounting location to maintain the proper position of the safety hook face. Return To Table of Contents 26 6506-009-001 REV A www.stryker.com Vehicle Safety Hook Installation VEHICLE CONFIGURATION According to federal regulations (reference KKK-A-1822), the bumper height of the vehicle shall be installed equidistant Âą 5 cm (2 inches) from the vehicle floor to the ground level, which is defined as the vehicle deck height. The bumper step shall have a minimum depth of 13 cm (5 inches) and a maximum depth of 25 cm (10 inches). If the bumper depth is greater than 18 cm (7 inches), then the bumper must be able to fold. Installation of the safety hook into any vehicle compliant with this federal specification provides adequate clearance for the cot base to lower to its fully extended position. The cot is compatible with all vehicle deck heights (see specifications for maximum load height) as long as the vehicle meets the federal specifications that are outlined in KKK-A-1822. Safety Hook Sill Edge Sill DH Figure 10.2: Vehicle Deck Height Figure 10.1: Vehicle Deck Height CAUTION Ǩɣ Set the cot load height to the proper stop height prior to operation. Ǩɣ Installation of the safety hook should be done by a certified mechanic familiar with ambulance vehicle construction. Consult the vehicle manufacturer before installing the safety hook and be sure that the installation of the safety hook does not damage or interfere with the brake lines, oxygen lines, fuel lines, fuel tank or electrical wiring of the vehicle. REQUIRED HARDWARE FOR INSTALLATION OF THE SAFETY HOOK (NOT SUPPLIED) (2) Grade 5, 1/4â-20 Socket Head Cap Screws* (2) Grade 5, 1/4â-20 Flat Socket Head Cap Screws* (2) Flat Washers (2) Lock Washers (2) 1/4â-20 Nuts * The length of the socket head cap screws depends on the thickness of the vehicle floor. Use screws that are long enough to go completely through the patient compartment floor, washer and nut by at least two full threads. Return To Table of Contents www.stryker.com 6506-009-001 REV A 27 Vehicle Safety Hook Installation WARNING Ǩɣ Have the vehicle safety hook installed by a certified mechanic. Improper safety hook installation can cause injury to the patient or operator and/or damage to the cot. Ǩɣ Failure to install the safety hook can cause injury to the patient or operator. Ǩɣ The face of the safety hook that engages the safety bar should be located at least 3-3/4â from the leading edge of the door sill. After installation, verify that the cot legs lock into the load position without contacting the vehicle bumper. Ǩɣ To avoid injury, verify that the safety bar has engaged the safety hook before removing the cot from the patient compartment. Note: Stryker recommends that, prior to installation, the certified mechanic plan the placement of the safety hook in the rear of the vehicle. Before installing the safety hook into your vehicle, check the front to back and side to side positioning when unloading and loading the cot to ensure that the safety hook will be installed properly. The cot safety bar must engage the safety hook every time, regardless of cot position. FRONT TO BACK POSITIONING OF THE SAFETY HOOK 1. 2. 3. 4. Select the appropriate safety hook for your vehicle configuration. Position the safety hook at least 3-3/4â from the leading edge of the door sill. Ensure that the safety hook can be securely mounted into the back of the vehicle while providing adequate bumper clearance to allow the cot to be loaded and unloaded from the vehicle. See âSide to Side Positioning of the Safety Hookâ to confirm the side to side placement. Long Safety Hook 6060-036-018 Short Safety Hook 6060-036-017 J-Style Safety Hook 6092-036-018 Figure 11: Safety Hook Placement Return To Table of Contents 28 6506-009-001 REV A www.stryker.com Vehicle Safety Hook Installation SIDE TO SIDE POSITIONING OF THE SAFETY HOOK 1. 2. 3. 4. Remove the cot from the fastener and unload it from the vehicle. While the cot is being removed, note the position of the load wheels and the safety bar. Mark the center of the cot safety bar on the vehicle floor. Verify that the position marked in Step 3 is where the safety bar engages the safety hook every time when unloading the cot in a variety of positions (all the way to the left and all the way to the right), regardless of cot position. Ǩɣ If the cot safety bar does not engage the safety hook in any of these positions (left, center, or right), modify the vehicle, not the cot or safety hook. Ǩɣ If the cot safety bar engages the safety hook every time, install the safety hook. INSTALLING THE SAFETY HOOK 1. 2. 3. Determine the correct safety hook front to back and side to side positioning, so the cot safety bar engages the safety hook every time. Drill the holes for the socket head cap screws. Fasten the safety hook to the patient compartment floor and verify that the safety hook always engages the cot safety bar regardless of how the cot is unloaded from the vehicle. WARNING Squad Bench Verify that the safety hook always engages the cot safety bar regardless of how the cot is unloaded from the vehicle or injury to the patient or operator and/or damage to the cot may occur. Top View of Vehicle Safety Hook Door Frame Bumper Safety Hook Figure 12: Safety Hook Placement (For Reference Only) Safety Bar Floor Edge Figure 13: Safety Bar Engaging Safety Hook WARNING The cot must have at least 5/8â of clearance between the vehicle bumper and the cot to disengage the safety bar when unloading the cot from the vehicle. Verify that the cot legs lock into the load position before disengaging the safety bar from the safety hook. Failure to properly lock the cot into position can cause injury to the patient or operator and/or damage to the cot. Return To Table of Contents www.stryker.com 6506-009-001 REV A 29 Operation Guide OPERATING GUIDELINES Ǩɣ 4RDÉŁSGDÉŁBNSÉŁNMKXÉŁ@RÉŁCDRBQHADCÉŁHMÉŁSGHRÉŁL@MT@K Ǩɣ 1D@CÉŁ@KKÉŁK@ADKRÉŁ@MCÉŁHMRSQTBSHNMRÉŁNMÉŁSGDÉŁBNSÉŁADENQDÉŁTRHMFÉŁSGDÉŁBNS Ǩɣ 4RDÉŁ@ÉŁLHMHLTLÉŁNEÉŁSVNÉŁÉŁSQ@HMDCÉŁNODQ@SNQRÉŁSNÉŁNODQ@SDÉŁSGDÉŁBNSÉŁVGHKDÉŁ@ÉŁO@SHDMSÉŁHRÉŁNMÉŁSGDÉŁBNS ÉŁÉŁ(EÉŁ@CCHSHNM@KÉŁ@RRHRS@MBDÉŁ is needed, see âUsing Additional Assistanceâ on page 42. Ǩɣ #NÉŁMNSÉŁ@CITRS ÉŁQNKKÉŁNQÉŁKN@CÉŁSGDÉŁBNSÉŁHMSNÉŁ@ÉŁUDGHBKDÉŁVHSGNTSÉŁ@CUHRHMFÉŁSGDÉŁO@SHDMS ÉŁÉŁ2S@XÉŁVHSGÉŁSGDÉŁO@SHDMSÉŁ@MCÉŁBNMSQNKÉŁSGDÉŁ cot at all times. Ǩɣ 3GDÉŁBNSÉŁB@MÉŁADÉŁSQ@MRONQSDCÉŁHMÉŁ@MXÉŁONRHSHNM ÉŁÉŁ2SQXJDQÉŁQDBNLLDMCRÉŁSG@SÉŁSGDÉŁNODQ@SNQRÉŁSQ@MRONQSÉŁSGDÉŁO@SHDMSÉŁHMÉŁSGDÉŁ lowest comfortable position to maneuver the cot. Ǩɣ .MKXÉŁTRDÉŁSGDÉŁVGDDKÉŁKNBJRÉŁCTQHMFÉŁO@SHDMSÉŁSQ@MREDQÉŁNQÉŁVHSGNTSÉŁ@ÉŁO@SHDMSÉŁNMÉŁSGDÉŁBNS Ǩɣ KV@XRÉŁTRDÉŁSGDÉŁQDRSQ@HMSÉŁRSQ@OR Ǩɣ 4RDÉŁOQNODQKXÉŁSQ@HMDCÉŁGDKODQR ÉŁVGDMÉŁMDBDRR@QX ÉŁSNÉŁBNMSQNKÉŁSGDÉŁBNS WARNING Ǩɣ Improper usage of the cot can cause injury to the patient or operator. Operate the cot only as described in this manual. Ǩɣ Entanglement in powered cot mechanisms can cause serious injury. Operate the cot only when all persons are clear of the mechanisms. Ǩɣ Practice changing height positions and loading the cot until operation of the product is fully understood. Improper use can cause injury. Ǩɣ Do not allow untrained assistants to assist in the operation of the cot. Untrained technicians/assistants can cause injury to the patient or themselves. Ǩɣ Ensure proper hand placement on hand grips. Hands should be clear of red safety bar pivots while loading and unloading the cot or whenever changing height position of the cot with two or more operators. Ǩɣ Do not ride on the base of the cot. Damage to the product could occur, resulting in injury to the patient or operator. Ǩɣ 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. Ǩɣ 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. Ǩɣ Any emergency vehicle to be used with this cot must have the in-fastener shut-off system installed (see page 25). 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: Ǩɣ Ǩɣ Ǩɣ Ǩɣ Ǩɣ 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. Return To Table of Contents 30 6506-009-001 REV A www.stryker.com 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. Transfer the patient to the cot using accepted EMS procedures. 5. Use all the restraint straps to secure the patient to the cot (see page 46). 6. Raise the siderails and adjust the backrest and foot rest as necessary. WARNING Ǩɣ Always use all restraint straps to secure the patient on the cot. An unrestrained patient may fall from the cot and be injured. Ǩɣ Never leave a patient unattended on the cot or injury could result. Hold the cot securely while a patient is on the product. Ǩɣ Never apply the optional 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. Ǩɣ Siderails are not intended to serve as a patient restraint device. See page 46 for proper restraint strap usage. Failure to utilize the siderails properly could result in patient injury. Ǩɣ 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 When rolling the cot: Ǩɣ Make sure that all of the restraint straps are securely buckled around the patient (see page 46). Ǩɣ Place the cot in any position for rolling. Ǩɣ 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. Ǩɣ Approach door sills and/or other low obstacles squarely and lift each set of wheels over the obstacle separately. WARNING Ǩɣ High obstacles such as curbing, steps or rough terrain can cause the cot to tip, possibly causing injury to the patient or operator. Ǩɣ If the cot is equipped with the optional kickstand, make sure that the kickstand remains in the retracted position and does not engage during transport. Ǩɣ Transporting the cot in lower positions reduces the potential of a cot tip. If possible, obtain additional assistance or take an alternate route. Return To Table of Contents www.stryker.com 6506-009-001 REV A 31 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) â Grasp the cot frame at the foot end and press either the extend (+) button on the control switch to raise the litter or the retract (â) button on the control switch to lower the litter to the desired position. 2. Operator 2 (Head End) â Maintain a firm grip on the outer rail until the cot is securely in the desired position. WARNING Ǩɣ 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. Ǩɣ Ensure proper hand placement on hand grips. Hands should be clear of red safety bar pivots while loading and unloading the cot or whenever changing height position of the cot with two or more operators. Note: If the extend (+) button on the control switch remains activated after reaching the set load height, the motor will remain halted until the operator releases the button. Once the button is released, press the extend (+) button again to âjogâ the cot height up further. CAUTION Do not âjogâ the cot past the established cot load height of the product when the safety bar engages the vehicle safety hook or damage may occur to the product. Return To Table of Contents 32 6506-009-001 REV A www.stryker.com Operation Guide LOADING THE COT INTO A VEHICLE WITH TWO OPERATORS - POWERED METHOD Loading an occupied cot into a vehicle requires a minimum of two (2) trained operators. WARNING Ǩɣ Two operators must be present when the cot is occupied. Ǩɣ Operators must be able to lift the total weight of the patient, cot and any items on the cot. Ǩɣ The higher an operator must lift the cot, the more difficult it becomes to hold the weight. An operator may need help loading the cot if he/she is too short or if the patient is too heavy to lift safely. The operator must be able to lift the cot high enough for the cot legs to unfold completely and lock when the cot is unloaded. A shorter operator needs to raise their arms higher to enable the undercarriage to unfold. Ǩɣ Ensure proper hand placement on hand grips. Hands should be clear of red safety bar pivots while loading and unloading the cot or whenever changing height position of the cot with two or more operators. Ǩɣ There must be a safety hook properly installed in the vehicle so that the bumper does not interfere with the front legs of the base frame. Ǩɣ Failure to install the safety hook can cause injury to the patient or operator. Install and use the safety hook as described on page 27. To load the cot into a vehicle with two operators: 1. Place the cot in a loading position (any position where the load wheels meet the vehicle floor height). 2. Lift the vehicle bumper to the raised position (if equipped). 3. Roll the cot to the open door of the patient compartment. 4. Push the cot forward until the load wheels are on the compartment floor and the safety bar passes the safety hook as shown in Figure 14. 5. For maximum clearance to lift the base, pull the cot back until the safety bar engages the safety hook. 6. Operator 2 â Verify that the bar engages the safety hook. 7. Operator 1 â Grasp the cot frame at the foot end and press the retract (â) button until the undercarriage of the cot retracts fully as shown in Figure 15. 8. Operator 2 â Securely grasp the cot outer rail to stabilize the cot during retraction. 9. Both Operators â Push the cot into the patient compartment as shown in Figure 16, engaging the cot fastener (not included). Figure 14: Safety Bar Engaging Safety Hook Figure 15: 2 Operators - One Pressing the Retract Button Figure 16: 2 Operators Loading the Cot WARNING When using a standard cot fastener, do not load the cot into the vehicle with the head section retracted. Loading the cot with the head section retracted may cause the product to tip or not engage properly in the cot fastener, possibly causing injury to the patient or operator and/or damage to the cot. Return To Table of Contents www.stryker.com 6506-009-001 REV A 33 Operation Guide LOADING THE COT INTO A VEHICLE WITH TWO OPERATORS AT THE FOOT END - POWERED METHOD WARNING Ensure proper hand placement on hand grips. Hands should be clear of red safety bar pivots while loading and unloading the cot or whenever changing height position of the cot with two or more operators. 1. 2. 3. 4. 5. 6. 7. 8. 9. Place the cot in a loading position (any position where the load wheels meet the vehicle floor height). Lift the vehicle bumper to the raised position (if equipped). Roll the cot to the open door of the patient compartment. Push the cot forward until the load wheels are on the compartment floor and the safety bar passes the safety hook. For maximum clearance to lift the base, pull the cot back until the safety bar engages the safety hook. Operator 1 â Grasp the cot frame at the foot end. Operator 2 â Verify that the bar engages the safety hook and return to the foot end. Both Operators â Lift the cot together, while Operator 1 presses the retract (â) button until the undercarriage of the cot retracts fully. Both Operators â Push the cot into the patient compartment, until the cot engages the cot fastener (not included). HIGH SPEED RETRACT/EXTEND The cot is equipped with a high-speed retract mode to expedite loading/unloading the cot into and out of a vehicle. Ǩɣ 3GDÉŁTMCDQB@QQH@FDÉŁrapidly retracts toward the highest position once the weight of the cot and patient is off of the wheels. Press the retract (â) button to actuate the control switch. Ǩɣ 3GDÉŁTMCDQB@QQH@FDÉŁrapidly extends toward the lowest position once the weight of the cot and patient is off of the wheels. Press the extend (+) button to actuate the control switch. WARNING Ǩɣ 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 (â) button is pressed. Ǩɣ 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. Return To Table of Contents 34 6506-009-001 REV A www.stryker.com Operation Guide LOADING AN EMPTY COT INTO A VEHICLE WITH ONE OPERATOR - POWERED METHOD Loading an unoccupied cot into the emergency vehicle can be accomplished by a single operator. WARNING Ǩɣ The one person loading and unloading procedures are for use only with an empty cot. Do not use the procedures when loading/unloading a patient. Injury to the patient or operator could result. Ǩɣ Ensure proper hand placement on hand grips. Hands should be clear of red safety bar pivots while loading and unloading the cot or whenever changing height position of the cot with two or more operators. To load an empty cot into a vehicle with one operator: 1. Place the cot into a loading position (any position where the load wheels of the head section meet the vehicle floor height). 2. Lift the vehicle bumper to the raised position (if equipped). 3. Roll the cot to the open door of the patient compartment. 4. Push the cot forward until the load wheels are on the patient compartment floor (Figure 17) and the safety bar passes the safety hook. 5. For maximum clearance to lift the base, pull the cot back until the safety bar engages the safety hook. 6. Grasp the cot frame at the foot end and press the retract (â) button, until the undercarriage of the cot retracts into its highest position as shown in Figure 18). 7. Push the cot into the patient compartment until the cot engages the cot fastener (not included) as shown in Figure 19. Figure 17: Load Wheels on the Vehicle Floor Figure 18: Press the Retract Button WARNING When using a standard cot fastener, do not load the cot into the vehicle with the head section retracted. Loading the cot with the head section retracted may cause the product to tip or not engage properly in the cot fastener, possibly causing injury to the patient or operator and/or damage to the cot. Figure 19: Push the Cot into the Vehicle Return To Table of Contents www.stryker.com 6506-009-001 REV A 35 Operation Guide UNLOADING THE COT FROM A VEHICLE WITH TWO OPERATORS - POWERED METHOD Unloading the cot from the vehicle while a patient is on the cot requires a minimum of two (2) trained operators, positioned at each end of the cot. Each operator must grasp the cot frame securely. WARNING Ǩɣ To avoid injury, verify that the safety bar has engaged the safety hook before removing the cot from the patient compartment. Ǩɣ Do not pull or lift on the safety bar when unloading the cot. Damage to the safety bar could result and injury to the patient or operator could occur. Ǩɣ Ensure proper hand placement on hand grips. Hands should be clear of red safety bar pivots while loading and unloading the cot or whenever changing height position of the cot with two or more operators. Ǩɣ Do not press the extend (+) button until the safety bar has engaged the safety hook. To unload the cot from a vehicle with two operators: 1. Lift the vehicle bumper to the raised position (if equipped). 2. Disengage the cot from the cot fastener. (For more information about the cot fastener, see page 24). 3. Operator 1 â Grasp the cot frame at the foot end. Pull the cot out of the patient compartment until the safety bar engages the safety hook as shown in Figure 20. 4. Operator 2 - Verify that the bar engages the safety hook. 5. Operator 2 â Stabilize the cot during the unloading operation by securely grasping the outer rail. 6. Operator 1 â Depress the extend (+) button to lower the undercarriage to its fully extended position as shown in Figure 21. 7. Operator 2 â Pull the safety bar release lever forward to disengage the safety bar from the safety hook in the patient compartment as shown in Figure 22. 8. Remove the load wheels from the patient compartment of the vehicle. Figure 20: 2 Operators Unloading the Cot Figure 21: 2 Operators - One Pressing the Extend Button CAUTION Ǩɣ When unloading the cot from the patient compartment, ensure that the caster wheels are safely set on the ground or damage to the product may occur. Ǩɣ Do not âjogâ the cot past the load height while the safety bar is engaged. Figure 22: Disengaging the Safety Bar Return To Table of Contents 36 6506-009-001 REV A www.stryker.com Operation Guide UNLOADING AN EMPTY COT FROM A VEHICLE WITH ONE OPERATOR - POWERED METHOD Unloading an unoccupied cot from a vehicle can be accomplished by a single operator. WARNING Ǩɣ The one person loading and unloading procedures are for use only with an empty cot. Do not use the procedures when loading or unloading a patient. Injury to the patient or operator could result. Ǩɣ Do not pull or lift on the safety bar when unloading the cot. Damage to the safety bar could result and injury to the patient or operator could occur. Ǩɣ Ensure proper hand placement on hand grips. Hands should be clear of red safety bar pivots while loading and unloading the cot or whenever changing height position of the cot with two or more operators. To unload an empty cot from a vehicle with one operator: 1. Lift the vehicle bumper to the raised position (if equipped). 2. Disengage the cot from the cot fastener. (For more information about the cot fastener, see page 24). 3. Grasp the cot frame at the foot end. 4. Pull the cot from the vehicle until the safety bar engages the safety hook as shown in Figure 23. 5. Depress the extend (+) button to lower the undercarriage to its fully extended position as shown in Figure 24. 6. Disengage the safety bar from the safety hook by pulling the safety bar release lever forward and roll the cot out of the vehicle as shown in Figure 25. 7. Remove the load wheels from the patient compartment of the vehicle. Figure 23: Pull the Cot out of the Vehicle Figure 24: Press the Extend Button CAUTION Ǩɣ When unloading the cot from the patient compartment, ensure that the caster wheels are safely set on the ground or damage to the product may occur. Ǩɣ Do not âjogâ the cot past the load height while the safety bar is engaged. Figure 25: Roll the Cot out of the Vehicle Return To Table of Contents www.stryker.com 6506-009-001 REV A 37 Operation Guide USING THE MANUAL OVERRIDE In the event of loss of electrical function, the cot is equipped with a manual override to allow manual operation of the product until electrical functionality is restored. You can use the red manual back-up release handle to raise or lower the cot. The red manual back-up release handle (A) is located along the patient left side of the lower lift bar at the foot end of the cot as shown in Figure 26. Figure 26: Manual Back-Up Release Handle To raise or lower the cot with the manual back-up release handle: 1. Both Operators â Lift the cot during the raise/lower operation to support the weight of the cot at each end. 2. Operator 1 (Foot End) â Pull the manual back-up release handle toward the lift bar. While the manual back-up release handle is pulled, raise or lower the cot to the desired position and then release the handle to lock the cot into position. Note: Ǩɣ 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. Ǩɣ Activation of the manual back-up release handle may cause the cot to lower slowly if less than 40 pounds (18 kg) are on the cot. Ǩɣ Hydraulic fluid will become more viscous when the cot is used for extended periods in cold temperatures. When using the manual back-up release function to extend the base during unloading in cold weather conditions, hold the release handle for approximately one second after the cot wheels touch the ground to minimize sagging of the litter as the cot is removed from the ambulance. Return To Table of Contents 38 6506-009-001 REV A www.stryker.com Operation Guide LOADING THE COT INTO A VEHICLE WITH TWO OPERATORS - MANUAL METHOD Loading an occupied cot into a vehicle requires a minimum of two (2) trained operators. WARNING Ǩɣ Two operators must be present when the cot is occupied. Ǩɣ Operators must be able to lift the total weight of the patient, cot and any items on the cot. Ǩɣ The higher an operator must lift the cot, the more difficult it becomes to hold the weight. An operator may need help loading the cot if he/she is too short or if the patient is too heavy to lift safely. The operator must be able to lift the cot high enough for the cot legs to unfold completely and lock when the cot is unloaded. A shorter operator needs to raise their arms higher to enable the undercarriage to unfold. Ǩɣ Ensure proper hand placement on hand grips. Hands should be clear of red safety bar pivots while loading and unloading the cot or whenever changing height position of the cot with two or more operators. Ǩɣ There must be a safety hook properly installed in the vehicle so that the bumper does not interfere with the front legs of the base frame. Ǩɣ Failure to install the safety hook can cause injury to the patient or operator. Install and use the safety hook as described on page 27. Figure 27: Manual Back-up Release Handle To load the cot into a vehicle with two operators using the manual back-up release handle: 1. Place the cot in a loading position (any position where the load wheels meet the vehicle floor height). Figure 28: 2 Operators - One Lifting Base 2. Lift the vehicle bumper to the raised position (if equipped). 3. Roll the cot to the open door of the patient compartment. 4. Push the cot forward until the load wheels are on the patient compartment floor and the safety bar passes the safety hook. 5. For maximum clearance to lift the base, pull the cot back until the safety bar engages the safety hook. 6. Operator 2 â Verify that the bar engages the safety hook. 7. Operator 1 â Grasp the cot frame at the foot end. Lift the foot end of the cot until the weight is off of the cot base. Squeeze and hold the release handle as shown in Figure 27. 8. Operator 2 â Stabilize the cot by placing your hand on the outer rail. Grasp the base frame. After the foot end operator has lifted the cot and squeezed the release handle, raise the undercarriage until it stops in the highest Figure 29: Push the Cot Into the Vehicle position and hold it there as shown in Figure 28. 9. Both Operators â Push the cot into the patient compartment, engaging the cot fastener (not included) as shown in Figure 29. Note: When operating the manual back-up release handle, avoid rapid lifting or lowering of the base or movement may appear sluggish; lift with a slow constant motion. Return To Table of Contents www.stryker.com 6506-009-001 REV A 39 Operation Guide UNLOADING THE COT FROM A VEHICLE WITH TWO OPERATORS - MANUAL METHOD Unloading the cot from the vehicle while a patient is on the cot requires a minimum of two (2) trained operators, positioned at each end of the cot as shown in Figure 30. Each operator must grasp the cot frame securely. WARNING Ǩɣ To avoid injury, verify that the safety bar has engaged the safety hook before removing the cot from the patient compartment. Ǩɣ Do not pull or lift on the safety bar when unloading the cot. Damage to the safety bar could result and injury to the patient or operator could occur. Ǩɣ Ensure proper hand placement on hand grips. Hands should be clear of red safety bar pivots while loading and unloading the cot or whenever changing height position of the cot with two or more operators. To unload the cot from a vehicle with two operators: 1. Lift the vehicle bumper to the raised position (if equipped). 2. Disengage the cot from the cot fastener. (For more information about the cot fastener, see page 24). 3. Operator 1 â Grasp the cot frame at the foot end. Pull the manual back-up release handle to lower the undercarriage to its fully extended position (Figure 31). Pull the cot out of the patient compartment until the safety bar engages the safety hook. 4. Operator 2 - Verify that the bar engages the safety hook. 5. Operator 2 â Stabilize the cot during the unloading operation by securely grasping the outer rail. 6. Operator 2 â Pull the safety bar release lever forward to disengage the safety bar from the safety hook in the patient compartment (Figure 32). 7. Remove the load wheels from the patient compartment of the vehicle. Figure 30: 2 Operators Unloading the Cot Figure 31: 2 Operators - One Pulling the Manual Back-up Release Handle CAUTION When unloading the cot from the patient compartment, ensure that the caster wheels are safely set on the ground or damage to the product may occur. Figure 32: Disengaging the Safety Bar Return To Table of Contents 40 6506-009-001 REV A www.stryker.com Operation Guide UNLOADING AN EMPTY COT FROM A VEHICLE WITH ONE OPERATOR - MANUAL METHOD Unloading an unoccupied cot from a vehicle can be accomplished by a single operator. WARNING Ǩɣ The one person loading and unloading procedures are for use only with an empty cot. Do not use the procedures when loading or unloading a patient. Injury to the patient or operator could result. Ǩɣ Do not pull or lift on the safety bar when unloading the cot. Damage to the safety bar could result and injury to the patient or operator could occur. Ǩɣ Ensure proper hand placement on hand grips. Hands should be clear of red safety bar pivots while loading and unloading the cot or whenever changing height position of the cot with two or more operators. To unload an empty cot from a vehicle with one operator: 1. Lift the vehicle bumper to the raised position (if equipped). 2. Disengage the cot from the cot fastener. (For more information about the cot fastener, see page 24). 3. Grasp the cot frame at the foot end. 4. Pull the cot from the vehicle until the safety bar engages the safety hook as shown in Figure 33. 5. Pull the manual back-up release handle to lower the undercarriage to its fully extended position as shown in Figure 34. 6. Disengage the safety bar from the safety hook by pulling the safety bar release lever forward and roll the cot out of the vehicle as shown in Figure 34. 7. Remove the load wheels from the patient compartment of the vehicle. Figure 33: Pull the Cot out of the Vehicle Figure 34: Pull the Manual Back-up Release Handle and Roll the Cot out of the Vehicle CAUTION When unloading the cot from the patient compartment, ensure that the caster wheels are safely set on the ground or damage to the product may occur. Return To Table of Contents www.stryker.com 6506-009-001 REV A 41 Operation Guide USING ADDITIONAL ASSISTANCE Changing Levels Rolling Loading/Unloading Helper Operator Helper Two Operators Two Helpers Helper Helper Operator Operator Operator Helper Operator Helper Helper Operator Helper Operator Helper Helper Helper Helper Helper Helper Two Operators Four Helpers Operator Helper Helper Operator Operator Helper Helper Operator Operator WARNING Ensure proper hand placement on hand grips. Hands should be clear of red safety bar pivots while loading and unloading the cot or whenever changing height position of the cot with two or more operators. Return To Table of Contents 42 6506-009-001 REV A www.stryker.com Operation Guide REMOVING AND REPLACING A SMRT PAK The cot is supplied with two removable 24V SMRT Paks as the power source. See the SMRT Power System Operations/Maintenance manual (6500-009-101) for additional SMRT Pak and SMRT Charger information. WARNING Ǩɣ 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. Ǩɣ Do not remove the battery when the cot is activated. Ǩɣ Avoid direct contact with a wet battery or battery enclosure. Contact may cause injury to the patient or operator. To remove the SMRT Pak: 1. Press the RED one hand release button (C) or press the battery release button (A) to release the SMRT Pak (B) from the cot as shown in Figure 35. 2. Slide the released SMRT Pak out of the enclosure. To reinstall or replace the SMRT Pak: Figure 35: SMRT Pak Removal and Replacement 1. 2. Align the tabs in the battery enclosure. Push the SMRT Pak into the enclosure until the latch clicks into place. Ǩɣ The cot power indicator LED is solid GREEN if the SMRT Pak is fully charged and ready. Ǩɣ The cot power indicator LED flashes RED if the SMRT Pak needs to be recharged or replaced. Note: Batteries slowly lose power when not on the charger. CAUTION Remove the battery if the cot is not going to be used for an extended period of time (more than 24 hours). Return To Table of Contents www.stryker.com 6506-009-001 REV A 43 Operation Guide USING THE BATTERY POWER INDICATOR To check the battery power level, depress lightly on the retract (â) switch (A) to activate the power indicator LED (B) as shown in Figures 36 and 37. The power indicator LED is located at the foot end control enclosure as shown in Figure 37, represented by a battery icon. Ǩɣ The indicator LED is solid green when the battery is fully charged or has adequately charged battery power. Ǩɣ 3GDÉŁHMCHB@SNQÉŁ+$#ÉŁEK@RGDRÉŁQDCÉŁVGDMÉŁSGDÉŁA@SSDQXÉŁMDDCRÉŁSNÉŁADÉŁQDBG@QFDCÉŁNQÉŁQDOK@BDC Figure 37: Power Indicator LED Figure 36: Retract Switches WARNING Ǩɣ 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. Ǩɣ Do not remove the battery when the cot is activated. Ǩɣ Avoid direct contact with a wet battery or battery enclosure. Contact may cause injury to the patient or operator. CAUTION Ǩɣ Only use the battery and charger as specified. Ǩɣ The cot is not for use with an AC adapter. Ǩɣ When charging a battery in an ambulance, locate the charger in an enclosed cabinet and out of patient reach during transport. Ǩɣ Ensure that the battery is fully charged prior to placing into service. An uncharged or depleted battery may cause poor cot performance. See the SMRT Power System Operations/Maintenance manual (6500-009-101) for additional SMRT Pak and SMRT Charger information. Return To Table of Contents 44 6506-009-001 REV A www.stryker.com Operation Guide USING THE HOUR METER The hour meter, located on the foot end control enclosure as shown in Figure 38, indicates the amount of time (HHH.H hours) that the hydraulics have been activated. You can use the hour meter to determine the frequency for preventative maintenance procedures as listed on page 67. Figure 38: Hour Meter Return To Table of Contents www.stryker.com 6506-009-001 REV A 45 Operation Guide USING RESTRAINT STRAPS WARNING Always use all restraint straps to secure the patient on the cot. An unrestrained patient may fall from the cot and be injured. Always secure the patient on the cot with all of the restraint straps. Buckle the restraints across the patientâs chest/shoulders, waist and legs as shown in Figure 39.1. Keep the restraint straps buckled when the cot is not being used with a patient to avoid damage to the buckles and straps. WARNING 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. Figure 39.1: Safety Restraints Figure 39.2: Head Section Restraints Figure 39.3: Foot Section Restraints Wrap the strap around the cot frame and back through the loop on the end of the strap as shown in Figures 40.2 and 40.3. The arrows indicate alternate attachment areas. When attaching the restraint straps to the cot, the attachment points should provide both strong anchorage and proper restraint position while not interfering with equipment and accessories. Return To Table of Contents 46 6506-009-001 REV A www.stryker.com Operation Guide USING RESTRAINT STRAPS (CONTINUED) CAUTION Ensure that the restraints are not entangled in the base frame when raising and lowering the cot. When the cot is put into service, open the restraints and place them at either side of the cot until the patient is positioned on the cot mattress. Lengthen the restraints, buckle them around the patient and shorten them until the required tightness is achieved. Ǩɣ To open the restraint, press the red button (A) on the front of the buckle âreceiverâ. This releases the buckle latch plate (B) which can then be pulled out of the receiver (Figure 41.1). Ǩɣ 3o close the restraint, push the latch plate into the receiver until a âclickâ is heard. When fastening the chest restraint ensure that the latch plate passes through both links (C) on the shoulder strap (Figure 40.1). Ǩɣ To lengthen the restraint, grasp the buckle latch plate, turn it at an angle to the webbing, then pull it out (Figure 40.2). A hemmed tab at the end of the webbing prevents the latch plate from coming off of the strap. Ǩɣ To shorten the restraint, grasp the hemmed tab and pull the webbing back through the latch plate until the required tightness is achieved (Figure 40.3). Figure 40.1: Buckling the Safety Restraints Figure 40.2: Lengthening the Safety Restraint Figure 40.3: Shortening the Safety Restraint Whenever a restraint is buckled on a patient, verify that the latch plate is fully engaged and any extra webbing is not tangled in the cot or hanging loose. Inspect the restraints at least once a month (more frequently if used heavily). Inspection should include checking for a bent or broken receiver or latch plate, torn or frayed webbing, etc. Any restraint showing wear or not operating properly must be replaced immediately. Return To Table of Contents www.stryker.com 6506-009-001 REV A 47 Operation Guide USING THE OPTIONAL RESTRAINT BELT EXTENSION Use the restraint belt extension, as shown in Figure 41, for extra length when buckling the lap belt around large patients. Figure 41: Attaching the Restraint Belt Extension Return To Table of Contents 48 6506-009-001 REV A www.stryker.com Operation Guide OPERATING THE SIDERAILS To raise the siderails, as shown in Figure 42, lift up on the siderail until the latch clicks and the siderail locks into place. When a patient is on the cot, always keep the siderails in the raised position unless the patient is being transferred. To lower the siderails, squeeze handle (B) to release the siderail latch. Guide the siderail down toward the foot end until flat. WARNING Siderails are not intended to serve as a patient restraint device. See page 46 for proper restraint strap usage. Failure to utilize the siderails properly could result in patient injury. Head End Figure 42: Backrest Elevated and Siderails Raised OPERATING THE BACKREST To raise the backrest, as shown in Figure 42, squeeze handle (A) for pneumatic assist in lifting the backrest to the desired height. To lower the backrest, squeeze handle (A) and push down on the backrest frame until the backrest has reached the desired height. Return To Table of Contents www.stryker.com 6506-009-001 REV A 49 Operation Guide OPERATING THE RETRACTABLE HEAD SECTION The head section telescopes from a first position suitable for loading the cot into an emergency vehicle to a second position retracted within the litter frame. When retracted, the cot can roll in any direction on the caster wheels even in the lowest position, allowing for improved mobility and maneuverability. To extend the head section: 1. Grasp the outer rail with one hand for support and pull the lever (A), rotating the lever toward the head end of the cot to release the head section from the locked position. 2. While holding the handle (A) in the released position, pull the head section away from the litter frame, lengthening the head section until it engages in the fully extended position. 3. Release lever (A) to lock the head section in the extended position. Figure 43.1: Head Section Extended To retract the head section: 1. Grasp the outer rail with one hand for support and release the lever (A), rotate the lever toward the head end of the cot to release the head section from the locked position. 2. While holding the handle (A) in the released position, push the head section toward the litter frame, retracting the head section until it engages in the retracted position. 3. Release lever (A) to lock the head section in the retracted position. WARNING Ǩɣ To avoid injury, always verify that the head section is locked into place prior to operating the cot. Ǩɣ When using a standard cot fastener, do not attempt to load the cot into the patient compartment with the head section retracted. Loading the cot with the head section retracted may cause the product to tip or not engage properly in the cot fastener, possibly causing injury to the patient or operator and/or damage to the product. Figure 43.2: Head Section Retracted Figure 43.3: Head Section Release Handles Return To Table of Contents 50 6506-009-001 REV A www.stryker.com Operation Guide ADJUSTING THE FOOTREST The footrest is adjustable to elevate the patientâs legs (see Figure 44). To raise the footrest, lift the footrest frame (A) as high as possible. The support bracket engages automatically when released. To lower the footrest, lift the footrest frame (A) and while holding the frame, lift up on the release handle (B) until the bracket disengages. Lower the footrest until flat. Foot End Figure 44: Footrest Elevated Return To Table of Contents www.stryker.com 6506-009-001 REV A 51 Operation Guide RAISING AND LOWERING THE OPTIONAL GATCH To raise the gatch, lift either of the red lifting loops (A) until the gatch is in its fully raised position, then slowly lower the gatch to allow the support bracket to engage into the locking mechanism. Make sure that the lock is fully engaged before releasing the lifting loop. To lower the gatch, lift either of the red lifting loops (A) to relieve pressure on the locking mechanism and while holding the loop, lift up on the red release handle (B) until the bracket disengages. Lower the gatch to the flat position. Foot End Figure 45: Gatch Return To Table of Contents 52 6506-009-001 REV A www.stryker.com Operation Guide OPERATING THE OPTIONAL WHEEL LOCK(S) To activate the optional wheel lock(s), press fully down on the pedal (A) as shown in Figure 46 until it stops and is resting firmly against the surface of the wheel. To release the optional wheel lock(s), depress the upper face of the pedal with your foot or lift up with your toe under the pedal. The upper portion of the pedal will rest against the caster frame when the wheel lock is released. Figure 46: Wheel Lock WARNING Ǩɣ Never apply the optional wheel lock(s) while a patient is on the cot. Tipping could occur if the cot is moved while a wheel lock is applied, resulting in injury to the patient or operator and/or damage to the cot. Ǩɣ Never leave a patient unattended on the cot or injury could result. Hold the cot securely while a patient is on the cot. Ǩɣ 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 6â 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. CAUTION 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. Return To Table of Contents www.stryker.com 6506-009-001 REV A 53 Operation Guide OPERATING THE OPTIONAL 2-STAGE I.V. POLE To use the 2-stage I.V. pole (see Figure 47.2): 1. Lift and pivot the pole from the storage position and push down until it is locked into the receptacle (A). 2. To raise the height of the pole, turn the lock actuator (B) counterclockwise and pull up on the telescoping portion (C) of the pole to raise it to the desired height. 3. Turn the lock actuator (B) clockwise to lock the telescoping portion in place. 4. Hang the I.V. bags on the I.V. hook (D). 5. Turn the lock actuator (B) counterclockwise and slide section (C) into the bottom tube. 6. Turn the lock actuator (B) clockwise to tighten. 7. Lift up and pivot the pole down into the storage position (see Figure 47.1). CAUTION To avoid damage to the I.V. pole, the weight of the I.V. bags or equipment must not exceed 40 pounds (18 kg). DD BB Figure 47.1: 2-Stage I.V. Pole Storage Position Figure 47.2: 2-Stage I.V. Pole Return To Table of Contents 54 6506-009-001 REV A www.stryker.com Operation Guide OPERATING THE OPTIONAL 3-STAGE I.V. POLE To use the 3-stage I.V. pole (see Figure 48.2): 1. Lift and pivot the pole from the storage position and push down until it is locked into the receptacle (A). 2. To raise the height of the pole, turn the lock actuator (B) counterclockwise and pull up on the bottom telescoping portion (C) of the pole to raise it to the desired height. 3. Turn the lock actuator (B) clockwise to lock the bottom telescoping portion in place. 4. For a higher I.V. pole, pull up on section (D) until the spring clip (E) engages. 5. Hang I.V. bags on the I.V. hook (F). 6. To lower the I.V. pole, push in on the spring clip (E) and slide section (D) down into section (C). Turn the lock actuator (B) counterclockwise and slide section (C) into the bottom tube. 7. Turn the lock actuator (B) clockwise to tighten. 8. Lift up and pivot the pole down into the storage position (see Figure 48.1). EE CAUTION To avoid damage to the I.V. pole, the weight of the I.V. bags or equipment must not exceed 40 pounds (18 kg). Figure 48.1: 3-Stage I.V. Pole Storage Position Figure 48.2: 3-Stage I.V. Pole Return To Table of Contents www.stryker.com 6506-009-001 REV A 55 Optional Accessories The accessories listed below can be purchased and installed on the Power-PRO XT cot. Accessory Part Number Operation Guide Page Number Equipment Hook 6500-147-000 57 Oxygen Bottle Holder, Removable 6080-140-000 58 Kickstand 6085-002-000 59 Pedi-MateÂŽ Restraint Package 6091-300-010 60 Transfer Flat 6005-001-001 62 Pocketed Back Rest Pouch 6500-130-000 62 Head End Storage Flat 6500-128-000 63 Return To Table of Contents 56 6506-009-001 REV A www.stryker.com Optional Accessories USING THE EQUIPMENT HOOK Use the equipment hook (A) (see Figure 49) to hang additional accessories or equipment, such as defibrillators or monitors. Figure 49: Equipment Hook CAUTION To avoid damage to the equipment hook, the weight of the accessories or equipment must not exceed 35 pounds (15.9 kg). Return To Table of Contents www.stryker.com 6506-009-001 REV A 57 Optional Accessories USING THE RETRACTABLE HEAD SECTION OXYGEN BOTTLE HOLDER To attach an oxygen bottle to the retractable head section oxygen bottle holder: 1. Center the oxygen bottle on the cradled surface of item (A) as shown in Figure 50. 2. Tighten both straps (B) around the oxygen bottle. 3. Secure the slack on the straps to the VelcroÂŽ on the straps. Figure 50: Retractable Head Section Oxygen Bottle Holder Note: Inspect the straps and clips for wear between use and replace the strap if it is no longer holding the oxygen bottle. WARNING If the cot is equipped with the optional retractable head section oxygen bottle holder, use caution while the oxygen bottle holder is installed to avoid pinching your fingers between the fowler bracket and the oxygen bottle. CAUTION Ǩɣ To avoid damage to the retractable head section oxygen bottle holder (if equipped), the weight of the equipment must not exceed 40 pounds (18 kg). Ǩɣ Do not use two head end oxygen bottle holders at the same time. Return To Table of Contents 58 6506-009-001 REV A www.stryker.com Optional Accessories USING THE KICKSTAND FOR DIALYSIS SCALE The kickstand is intended for weighing patients on a scale. Note: Ǩɣ The kickstand assembly is configured for an X-frame cot retention system only. Ǩɣ The kickstand (p/n 6085-002-000) is not compatible with the optional base storage net (p/n 6500-160-000). WARNING Ǩɣ Ǩɣ Ǩɣ Ǩɣ Ǩɣ Ǩɣ Ǩɣ Stryker recommends that a two person operation is used when using the kickstand. Make sure that the patient weight is centered on the cot before using the kickstand. Engage the kickstand with your foot only. Lower cot height prior to engaging kickstand for increased stability. Make sure that the kickstand remains in the retracted position and does not engage during transport. Do not use the kickstand as a brake. Do not engage kickstand on a sloped surface. To use the kickstand: 1. Operator 1 engages the kickstand with their foot as shown in Figure 51.1. 2. Operator 2 lifts the foot end of the cot at a height sufficient to actuate the kickstand. 3. Both operators must make sure that the kickstand is in the forward locked position as shown in Figure 51.2. Figure 51.1 Figure 51.2 To release the kickstand: 1. Operator 1 lifts the foot end of the cot until both wheels are off of the floor. 2. Operator 2 rolls the cot slightly forward to make sure that the kickstand retracts on its own as shown in Figure 51.3. Figure 51.3 Return To Table of Contents www.stryker.com 6506-009-001 REV A 59 Optional Accessories ATTACHING THE PEDI-MATEÂŽ INFANT RESTRAINT SYSTEM See the Pedi-MateÂŽ users manual for the manufacturerâs recommendations for the use, operation and care of the Pedi-MateÂŽ Infant Restraint System. To secure the Pedi-MateÂŽ to the cot: 1. Remove any restraints that are already attached to the cot. 2. Raise the cot backrest to the full upright position. 3. Position the Pedi-MateÂŽ pad flat on the backrest with the black backrest straps out (see Figure 52.1). Figure 52.1: Positioning the Pedi-MateÂŽ 4. Wrap the straps around the backrest and insert the ends of the straps through the brackets. Securely fasten the buckle (see Figure 52.2). Figure 52.2: Fastening the Pedi-MateÂŽ Buckle WARNING To avoid accidental release of the Pedi-MateÂŽ, and possible injury to the infant, ensure that the buckle is located away from obstructions on the cot or accessories. Return To Table of Contents 60 6506-009-001 REV A www.stryker.com Optional Accessories ATTACHING THE PEDI-MATEÂŽ INFANT RESTRAINT SYSTEM (CONTINUED) 5. 6. Pull firmly on the end of the adjustable backrest strap and tighten it securely. Insert the mainframe straps between the cot frame and the mattress. To ensure that the release button is located toward the foot end of the cot, insert the buckle behind the litter cross brace and bring it up in front of the cross brace. Secure the buckle around the cross brace, leaving a little slack in the strap for final adjustment (see Figure 52.3). Figure 52.3: Securing the Safety Restraints on a Cot WARNING To avoid accidental release of the Pedi-MateÂŽ, and possible injury to the infant, ensure that the buckle is located away from obstructions on the cot or accessories. 7. Verify that all of the straps are snug and fastened securely (see Figure 52.4). Figure 52.4: Pedi-MateÂŽ Strapped to a Cot Note: These are general instructions for installation of the Pedi-MateÂŽ. Safe and proper use of the Pedi-MateÂŽ is solely at the discretion of the user. Stryker recommends that all users be trained on the proper use of the Pedi-MateÂŽ 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. Pedi-MateÂŽ is a registered trademark of Ferno-Washington, Inc. Return To Table of Contents www.stryker.com 6506-009-001 REV A 61 Optional Accessories USING THE TRANSFER FLAT When transferring larger patients, use of the Transfer Flat is recommended. INSTALLING THE BACKREST STORAGE POUCH Install the optional backrest storage pouch using the VelcroÂŽ straps as shown in Figure 53. Insert each strap through a hole in the backrest skin and mount the pouch flat against the backrest. Figure 53: Backrest Storage Pouch CAUTION Ǩɣ Do not store items under the cot mattress. Storing items under the mattress can interfere with the operation of the cot. Ǩɣ The weight of the equipment in the pocketed backrest storage pouch (if equipped) must not exceed 20 pounds (9 kg). Return To Table of Contents 62 6506-009-001 REV A www.stryker.com Optional Accessories INSTALLING THE HEAD END STORAGE FLAT To install the optional head end storage flat (see Figure 54): 1. 2. Install the VelcroÂŽ straps (A) near the pneumatic cylinder and around the cross bar of the retractable head section. Buckle the restraint straps (B) around the outer rails of the retractable head section. Cross Bar V-Tube Figure 54: Head End Storage Flat WARNING When the optional head end storage flat is being used, ensure that it does not interfere with the operation of the retractable head section, safety bar and safety hook. Injury to the patient or operator could result. CAUTION Ǩɣ Do not store items under the cot mattress. Storing items under the mattress can interfere with the operation of the cot. Ǩɣ The weight of the equipment in the head end storage flat (if equipped) must not exceed 40 pounds (18 kg). Return To Table of Contents www.stryker.com 6506-009-001 REV A 63 Optional Accessories INSTALLING THE BASE STORAGE NET To install the base storage net, wrap the Velcro straps around the base tubes. CAUTION Ǩɣ The weight of the equipment in the base storage net (if equipped) must not exceed 20 pounds (9 kg). Ǩɣ Be careful when retracting the base to avoid damaging items stored in the base storage net. Note: The kickstand (p/n 6085-002-000) is not compatible with the optional base storage net (p/n 6500-160-000). Return To Table of Contents 64 6506-009-001 REV A www.stryker.com Cleaning The Power-PRO⢠XT cot is designed to be power washable. The unit may show some signs of oxidation or discoloration from continuous washing, however, no degradation of the cotâs performance characteristics or functionality will occur due to power washing as long as the proper procedures are followed. Thoroughly clean the cot once a month. Clean VelcroÂŽ AFTER EACH USE. Saturate VelcroÂŽ with disinfectant and allow disinfectant to evaporate. (Appropriate disinfectant for nylon VelcroÂŽ should be determined by the service.) WASHING PROCEDURE Ǩɣ Always remove the battery! Never wash the cot with the battery installed. Ǩɣ %NKKNVÉŁSGDÉŁBKD@MHMFÉŁRNKTSHNMÉŁL@MTE@BSTQDQÇ RÉŁCHKTSHNMÉŁQDBNLLDMC@SHNMRÉŁDW@BSKX Ǩɣ 3Ge preferred method Stryker Medical recommends for power washing the cot is with the standard hospital surgical cart washer or hand held wand unit. WASHING LIMITATIONS WARNING Use any appropriate personal safety equipment (goggles, respirator, etc.) to avoid the risk of inhaling contagion. Use of power washing equipment can aerate contamination collected during the use of the cot. CAUTION Ǩɣ Ǩɣ Ǩɣ Ǩɣ DO NOT STEAM CLEAN OR ULTRASONICALLY CLEAN THE UNIT. Maximum water temperature should not exceed 180°F/82°C. Maximum air dry temperature (cart washers) should not exceed 240°F/115°C. Maximum water pressure should not exceed 1500 psi/130.5 bar. If a hand held wand is being used to wash the unit, the pressure nozzle must be kept a minimum of 24 inches (61 cm) from the unit. Ǩɣ Towel dry all casters and interface points. Ǩɣ Failure to comply with these instructions may invalidate any/all warranties. Ǩɣ Always remove the battery before washing the cot. Return To Table of Contents www.stryker.com 6506-009-001 REV A 65 Cleaning In general, when used in those concentrations recommended by the manufacturer, either phenolic type or quaternary (excluding VirexÂŽ TB) type disinfectants can be used. Iodophor type disinfectants are not recommended for use because staining may result. Suggested cleaners for the cot surfaces: Ǩɣ Quaternary Cleaners (active ingredient - ammonium chloride) Ǩɣ Phenolic Cleaners (active ingredient - o-phenylphenol) Ǩɣ Chlorinated Bleach Solution (5.25% - less than 1 part bleach to 100 parts water) Avoid over saturation and ensure that the product does not stay wet longer than the chemical manufacturerâs guidelines for proper disinfecting. WARNING 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. Note: Failure to follow the above directions when using these types of cleaners may void this productâs warranty (see page 91). REMOVAL OF IODINE COMPOUNDS Use a solution of 1/2 Tablespoon Sodium Thiosulfate in a pint of warm water to clean the stained area. Clean as soon as possible after staining occurs. If stains are not immediately removed, allow solution to soak or stand on the surface. Rinse surfaces which have been exposed to the solution in clear water before returning unit to service. WARNING Failure to properly clean or dispose of contaminated mattress or cot components will increase the risk of exposure to bloodborne pathogens and may cause injury to the patient or the operator. Return To Table of Contents 66 6506-009-001 REV A www.stryker.com Preventative Maintenance Preventative maintenance should be performed at a minimum of annually. A preventative maintenance program should be established for all Stryker Medical equipment. Preventative maintenance may need to be performed more frequently based on the usage level of the product. The cot requires regular maintenance. Establish and follow a maintenance schedule and keep records of maintenance activity (see page 71 for a form). CAUTION 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: Ǩɣ Hydraulic power mechanism Ǩɣ All electrical controls return to off or neutral position when released For additional maintenance information, see the preventative maintenance information on page 71. WARNING Ǩɣ 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 will also void its warranty (see page 91). Ǩɣ 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. Ǩɣ To avoid the risk of injury, do not use bare hands to check for hydraulic leaks. When using maintenance products, follow the directions of the manufacturer and reference all material safety data sheets. CAUTION Ǩɣ 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 91). Ǩɣ Failure to use authorized parts, lubricants, etc. could cause damage to the cot and will void the warranty of the product. Ǩɣ 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. Ǩɣ Do not tip the cot onto its load wheels and actuate the product as this will allow air to enter the hydraulic system. LUBRICATION The cot has been designed to operate without the need for lubrication. CAUTION 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 91). You can apply Tri-FlowÂŽ lubrication to the optional kickstand during periodic maintenance (see page 68). Return To Table of Contents www.stryker.com 6506-009-001 REV A 67 68 6506-009-001 REV A Cables/Wires Switches Electronic Controls Hydraulics Cylinder Verify there are no damaged connectors, replace if necessary Check routing(s) and connection(s), verify there are no hanging wires Verify there is no damage or pinching of wiring harness, cables or lines Verify there is no damage or wear to either switch Verify both switches operate correctly - Replace if necessary Verify âjogâ function is operating Verify high speed retract is working Extend cot to raised position, measure and check load height Verify the hydraulic velocity fuse - Place a weight of approximately 50 pounds on the cot, raise the cot, lift the cot with two operators, pull the manual back-up release handle, rapidly set the cot down, verify that the cot does not drop Inspect the reservoir and verify that there are no leaks Inspect hoses and fittings for damage or wear; replace as necessary Verify that there are no hydraulic fluid leaks Inspect motor mount and verify that all fasteners are secure Extend cylinder rod completely and wipe down rod with soft cloth and household cleaner Inspect for and verify that there are no hydraulic fluid (red) leaks; inspect the fittings and tighten as necessary Verify the cylinder is adjusted so the lock nut is tight and the cot stops moving when it hits the dead stops All fasteners are secure (reference all assembly drawings) 12 Months or 24 hours 6 Months or 12 hours Verify the safety bar engages the vehicle safety hook properly 3 Months or 6 hours Verify the in-fastener shut-off is configured properly Settings 1 Month or 2 hours Every (whichever comes first) Verify the cot and fastener fit and function properly Routine Item Maintenance Intervals The following schedule is intended as a general guide to maintenance. Bear in mind that such factors as weather, terrain, geographical location, and individual usage will alter the required maintenance schedule. If you are unsure as to how to perform these checks please contact your Stryker service technician. If you are in doubt as to what intervals to follow in maintaining your product, consult your Stryker service technician. Use the hour meter (see page 45) to determine the frequency for preventative maintenance procedures. REGULAR INSPECTION AND ADJUSTMENTS Preventative Maintenance Return To Table of Contents www.stryker.com www.stryker.com 6506-009-001 REV A Inspect the cot frame/base Base Wheels Inspect patient restraints for proper function and no excessive wear Restraints Check and adjust optional wheel locks as necessary Verify all wheels secure, rolling and swiveling properly Verify tires in good condition Verify wheels are free of debris Verify no excessive damage to X-frame guards, replace if necessary Verify all fasteners secure Verify no bent, broken, or damaged components Verify all welds intact, not cracked or broken Verify no cracks or tears on cot mattress Verify the footrest operates properly Adjust pneumatic cylinder for full range of motion, if required Verify the backrest cylinder operates properly Verify the siderails operate and latch properly 6 Months or 12 hours Verify no damage or tears on cot grips Verify warning labels present, legible (reference assembly drawings) Verify all fasteners secure (reference all assembly drawings) Verify no bent, broken or damaged components Verify all welds intact, not cracked or broken Inspect the cot frame/litter With 100 pounds or more on the cot, verify the cot does not lower when the manual backup release handle is pulled 3 Months or 6 hours 1 Month or 2 hours Every (whichever comes first) Verify the base extends/retracts smoothly when the manual back-up release handle is engaged Mattress Litter Verify that the manual back-up release handle functions properly Manual Back-up Release Handle Verify the manual back-up release handle returns to the stowed position Routine Item 12 Months or 24 hours Preventative Maintenance Return To Table of Contents 69 70 Verify all fasteners secure Head Section Accessories Verify smooth operation of X-frame X-Frame Lubricate the kickstand spring and internal spring housing (optional) using TriFlowÂŽ lubrication Verify the restraint extender (optional) operates properly Verify that the kickstand (optional) bolts are tightened properly Verify the head extension & pillow (optional) operates properly Verify the kickstand (optional) retracts fully to the transport position Verify the I.V. pole (optional) operates properly Inspect the straps and clips on the retractable head section oxygen bottle holder (optional) for wear Verify the safety bar operates properly 6 Months or 12 hours Verify load wheels are secure and roll properly 3 Months or 6 hours Every (whichever comes first) 1 Month or 2 hours Verify the grip bar has no excessive damage or tears Verify the head section extends and locks properly Verify no bent, broken, or damaged components Routine Item 12 Months or 24 hours Preventative Maintenance Return To Table of Contents 6506-009-001 REV A www.stryker.com Maintenance Record Date Maintenance Operation Performed By Hours Return To Table of Contents www.stryker.com 6506-009-001 REV A 71 Training Record Training Date Trainee Name Basic Training Refresher Update Training Method Ownerâs Manual, In-Service, Formal Class, Etc. Return To Table of Contents 72 6506-009-001 REV A www.stryker.com Troubleshooting Guide ELECTRONICS AND HYDRAULICS LOCATOR Note: Some components have been removed for clarity. Manual Release Cable Main Cable See Detail B Hydraulic Manifold Assembly See Detail A Electronics Housing (Control Board Inside) Cap-Side Hydraulic Hose Rod-Side Hydraulic Hose Sensor Housing (Hall Effects Sensor Inside) Switches Manual Back-up Release Handle Power Indicator LED Hydraulic Cylinder LCD Screen Return To Table of Contents www.stryker.com 6506-009-001 REV A 73 Troubleshooting Guide HYDRAULIC MANIFOLD COMPONENTS LOCATOR A-Valve Pressure Switch B-Valve DETAIL A Motor Reservoir Rod-Side (Non-Locking) Manual Valve Cap-Side (Locking) Manual Valve DETAIL B Item Connection Connection Item Orange A-Valve Blue Red Wiring Schematics Main Cable 8-Pin Connector B-Valve White Green Pressure Switch Brown Black Wireless Expansion Port Yellow Return To Table of Contents 74 6506-009-001 REV A www.stryker.com Troubleshooting Guide ELECTRICAL SYSTEM BLOCK DIAGRAM Lift and Extend (Unload) Functions Press Extend (+) Button Open A-Valve Yes Stop until button is pressed Jog Up Top Hall Effects Sensor Detected? No Ramp in motor (Up) Run motor at max speed Yes Ramp out motor and stop Top Hall Effects Sensor Detected? No Return To Table of Contents www.stryker.com 6506-009-001 REV A 75 Troubleshooting Guide Electrical System Block Diagram Lower and Retract (Load) Functions Press (â) Button Pressure Switch Open? Yes Open B-Valve Pressure Switch Open? No Yes No Open B-Valve and Ramp in Motor Hold B-Valve open until button released or pressure switch closes Run motor at max speed No Bottom Hall Effects Sensor Detected? Yes Ramp out motor and stop, Close B-Valve Return To Table of Contents 76 6506-009-001 REV A www.stryker.com Troubleshooting Guide TROUBLESHOOTING GUIDE Check for proper operation after each step. When the problem is fixed, return the cot to service. If assistance is needed at any time during troubleshooting, please contact a service technician at (800) 327-0770 or (269) 324-6500. PROBLEM Litter drifts (without patient weight). 1. Base drifts (without patient weight). 2. 3. 4. 1. Litter does not lower in the powered mode. 2. 3. 4. 1. SOLUTION Flush the hydraulic system by squeezing the manual release handle while simultaneously pressing the (+) power button for approximately 15 seconds. Repeat if necessary. Check manual release cable adjustment. Change âlockingâ manual valve. Change âBâ valve. Flush the hydraulic system by squeezing the manual release handle while simultaneously pressing the (+) power button for approximately 15 seconds. Repeat if necessary. Check manual release cable adjustment. Change ânon-lockingâ manual valve. Change âAâ valve. Check power indicator LED. A. If blinking constant RED, change battery. B. If blinking a patterned RED short, short, long flash: i. Check for broken or disconnected wires. ii. Check for 24 VDC at connector (C) on the main cable by the motor while pressing the retract (-) button. If voltage is present, replace (in order) the hall effects sensor, solenoid, and or âBâ valve. If voltage is not present, go to step iii. iii. Check for 24 VDC on electronics assembly pins 1 blue and 5 orange on (F) while pressing the retract (-) button. If voltage is not present, replace the electronics assembly. If voltage is present, replace the wire harness. C. If the GREEN light turns on, but does not lower, try the other switch. If the other switch works, replace the bad switch. PAGE(S) 80, 81 Return To Table of Contents www.stryker.com 6506-009-001 REV A 77 Troubleshooting Guide TROUBLESHOOTING GUIDE (CONTINUED) PROBLEM Litter does not extend in the powered mode. 1. 2. SOLUTION Check power indicator LED. A. If blinking constant RED, change battery. B. If blinking a patterned RED short, short, long flash: i. Check for broken or disconnected wires. ii. Check for 24 VDC at connector (B) on the main cable by the motor while pressing the extend (+) button. If voltage is present, replace (in order) the hall effects sensor, solenoid, and or âAâ valve. If voltage is not present, go to step iii. iii. Check for 24 VDC on electronics assembly pins 2 white and 6 red on (F) while pressing the extend (+) button. If voltage is not present, replace the electronics assembly. If voltage is present, replace the wire harness. C. If the GREEN light turns on, but does not lower, try the other switch. If the other switch works, replace the bad switch. Check motor. A. If the motor runs, but does not raise the cot: i. Check the manual release cable for too much tension. ii. Lightly tap the manual locking valve. iii. Replace the manual locking valve. B. If the motor is stalled, replace the âAâ valve. C. If the light is GREEN, but the motor does not run i. Check for 24 VDC at connector (E) on the main cable. If voltage is present, replace the hall effects sensor. If the hall effects sensor is replaced, and the motor still does not run, replace the hydraulic sub assembly. If voltage is not present, go to step ii. ii. Check for 24 VDC on electronics assembly connection (H) (-) lead on black (+) lead on green while pressing the extend (+) button. If voltage is not present, replace the electronics assembly. If voltage is present, replace the main cable. PAGE(S) 80, 81 Return To Table of Contents 78 6506-009-001 REV A www.stryker.com Troubleshooting Guide TROUBLESHOOTING GUIDE (CONTINUED) PROBLEM Base does not retract in the powered mode. 1. Base does not extend in the manual mode. 1. 2. Base does not retract in the manual 1. mode. 2. Litter does not retract in the manual 1. mode (with patient weight). 2. 3. Litter does not extend in the manual 1. mode. 2. High Speed retract does not engage. 1. 2. 3. SOLUTION Check power indicator LED. A. If blinking constant RED, change battery. B. If blinking a patterned RED short, short, long flash: i. Check for broken or disconnected wires. ii. Check for 24 VDC at connector (B) on the main cable by the motor while pressing the extend (+) button. If voltage is present, replace (in order) the hall effects sensor, solenoid, and or âAâ valve. If voltage is not present, go to step iii. iii. Check for 24 VDC on electronics assembly pins 2 white and 6 red on (F) while pressing the (+a) button. If voltage is not present, replace the electronics assembly. If voltage is present, replace the wire harness. Check manual cable adjustment. Change ânon-lockingâ manual valve. Check manual release cable adjustment. Change âlockingâ manual valve. Make sure that the weight is off of the casters before lowering the cot. Check manual cable adjustment. Replace âlockingâ manual valve. Check manual cable adjustment. Change ânon-lockingâ manual valve. Check that weight is off of the casters. Change pressure switch. Change hall effect cable. PAGE(S) 80, 81 Return To Table of Contents www.stryker.com 6506-009-001 REV A 79 Troubleshooting Guide MAIN CABLE ASSEMBLY ELECTRONICS ASSEMBLY Return To Table of Contents 80 6506-009-001 REV A www.stryker.com Troubleshooting Guide ELECTRONICS ASSEMBLY WIRING SCHEMATICS Return To Table of Contents www.stryker.com 6506-009-001 REV A 81 Quick Reference Replacement Parts List The parts and accessories listed on these pages are all currently available for purchase. Some of the parts identified on the assembly drawing parts in this manual may not be individually available for purchase. Please call Stryker Customer Service USA: 1-800-327-0770 (Option 2) for availability and pricing. Part Name Part Number Backrest Pouch Option 6500-130-000 Base Storage Flat 6500-160-000 Cable, Hall Effect Sensor 6500-001-160 Cylinder 6500-001-213 Defibrillator Tray Option 6500-170-000 Electronics Assembly 6500-001-014 Equipment Hook Option 6500-147-000 Equipment Hook 6500-700-003 Gas Cylinder, Fowler 1010-031-077 Head Extension Kit 6100-700-012 Head Extension Pillow Only Option 6100-045-000 Head Section Assembly 6085-001-037 Hydraulic Oil 6500-001-293 In-Fastener Shut-Off Assembly 6500-001-027 I.V. Pole, 2-Stage, Right 6500-210-000 I.V. Pole, 2-Stage, Left 6500-211-000 I.V. Pole, 2-Stage, Dual 6500-212-000 I.V. Pole, 3-Stage, Right 6500-215-000 I.V. Pole, 3-Stage, Left 6500-216-000 I.V. Pole, 3-Stage, Dual 6500-217-000 Kit, Base Tube Protector 6500-700-015 Kit, Battery Pack, SMRT Pak 6500-700-046 Kit, SMRT Power System 12 VDC (Car Charger), includes charger, 2 paks, and power cord 6500-700-040 Kit, SMRT Power System 120 Vac (Wall Charger), includes charger, 2 paks, and power cord 6500-700-041 Kit, Brake Adjuster 6080-700-018 Kit, Brake - Single Wheel, Foot End Right 6080-201-000 Kit, Brake - Dual Wheel, Foot End Left and Right 6082-202-000 Kit, Base Tube Protector 6500-700-015 Kit, Equipment Hook 6500-700-003 Return To Table of Contents 82 6506-009-001 REV A www.stryker.com Quick Reference Replacement Parts List Part Name Part Number Kit, Lift Capable Safety Bar 6082-700-031 Kit, Oxygen Bottle Holder, Foot End 6500-700-017 Kit, Oxygen Bottle Holder, Fowler 6500-700-011 Kit, Oxygen Bottle Holder, Retractable Head Section 6085-700-003 Label, Base, âLift Hereâ 6080-090-008 Label, I.V. Pole Caution 6070-090-005 Label, Damage Warning 6080-090-009 Manual, Installation/Operation, Cot Fastener 6370-090-010 Mattress, Bolster 6090-041-010 Mattress, Flat 6090-042-010 Mounting Bracket, SMRT Charger 6500-201-100 Oxygen Bottle Holder, Foot End 6500-140-000 Oxygen Bottle Holder, Head End 6500-141-000 Oxygen Bottle Holder, Removable 6080-140-000 Oxygen Bottle Holder, Retractable Head Section 6085-046-000 Restraint Belt Extension 6082-160-050 Restraint, Chest 6060-260-046 Restraint, Lap Belt (2 Used per Unit) 6060-160-044 Restraint Package, Domestic 6082-260-010 Restraint, Shoulder Harness 6060-260-045 Restraint Strap Plastic Cap (Short) 6082-160-051 Restraint Strap Plastic Cap (Tall) 6082-160-055 Safety Hook, Long 6060-036-017 Safety Hook, Short 6092-036-018 Siderail Assembly 6060-026-010 Storage Flat Option 6500-128-000 Switch, Control 6500-101-016 Touch-Up Paint (Yellow) 6060-199-010 Touch-Up Paint (Black) 7000-001-322 Valve, âAâ 6500-001-286 Valve, âBâ 6500-001-287 Valve, Locking 6500-001-288 Return To Table of Contents www.stryker.com 6506-009-001 REV A 83 Quick Reference Replacement Parts List Part Name Part Number Valve, Non-Locking 6500-001-289 VelcroÂŽ 4.6â Adhesive Loop Pile, Litter 6060-032-046 VelcroÂŽ 10â 6082-001-082 Wheel Lock 6082-200-010 Return To Table of Contents 84 6506-009-001 REV A www.stryker.com Service Information MANUAL RELEASE CABLE ADJUSTMENT Tools Required: Ǩɣ 8mm Combination Wrench Ǩɣ 10mm Wrench Procedure: 1. 2. 3. 4. 5. Support the litter so no weight is on the base. Ensure that the cable is intact. Using a 10mm wrench, loosen the cable lock nut. Using a 8mm hex wrench, adjust the tension on the manual release cable. Tighten cable lock nut. FILLING THE RESERVOIR Use only Mobil MerconÂŽ V Synthetic Blend Oil (6500-001-293) Note: Any time you work with the hydraulics you may lose some oil. Tools Required: Ǩɣ 3/16â Allen Wrench Procedure: 1. 2. 3. 4. 5. Raise the cot to the full up position. Ensure that the fill port is horizontal and lined up with the hole in the motor mount. Remove the port plug using a 3/16" Allen wrench. Fill the reservoir up to the bottom of the fill port. Replace the plug and run the cot up and down a few times. Return To Table of Contents www.stryker.com 6506-009-001 REV A 85 Service Information WHEEL LOCKING FORCE ADJUSTMENT Tools Required: Ǩɣ 5/32â Allen Wrench Ǩɣ 7/16â Combination Wrench or Socket Procedure: 1. 2. 3. 4. Using the 5/32â Allen wrench and 7/16â combination wrench or socket, remove the socket screw from the center of the lock pedal. The wheel lock is initially assembled with the pedal set at the minimum locking force. The marker on the pedal (A) is aligned with the marker on the octagonal sleeve (B). Remove the sleeve (B). Rotate the sleeve counterclockwise to increase the pedal locking force and clockwise to decrease the locking force. Insert the sleeve into the pedal. Using the 5/32â Allen wrench and 7/16â combination wrench or socket, reinstall the socket screw. Test the pedal locking force and verify that the pedal holds properly before returning the cot to service. MINIMUM MAXIMUM Figure 55: Wheel Locking Force Adjustment COT RETAINING POST ADJUSTMENT Tools Required: Ǩɣ 3/16â Allen Wrench CAUTION Retaining Post The cot retaining post comes preconfigured for an X-frame cot, if the fastener has been configured for an H-frame style cot, the cot retaining post must be adjusted to accommodate the fastener. Procedure: 1. 2. 3. Using a 3/16â Allen wrench, remove the bolts that hold the two retaining post brackets to the base frame. Turn the bottom bracket 180Ë. Using a 3/16â Allen wrench, reinstall the bolts that were removed in step 1. Arrow Bottom Bracket Bottom View Figure 56: Cot Retaining Post Note: If the arrow on the bottom bracket of the retaining post points toward the head end of the cot, the retaining post is set for an X-frame style cot. If the arrow points toward the foot end of the cot the post is set for an H-frame style cot. Return To Table of Contents 86 6506-009-001 REV A www.stryker.com EMC Information POWER-PRO⢠XT Guidance and Manufacturerâs declaration - Electromagnetic Immunity The model 6506 Power-PRO⢠XT cot is suitable for use in the electromagnetic environment specified below. The customer or the user of the model 6506 Power-PRO⢠XT cot should assure that it is used in such an environment. Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment Guidance Electrostatic +6 kV contact +6 kV contact Floors should be wood, concrete, or Discharge (ESD) ceramic tile. If floors are covered with IEC 61000-4-2 +8 kV air +8 kV air synthetic material, the relative humidity should be at least 30%. Applies to: ǨɣCot, Ǩɣ SMRT Charger (6500-201-010) Electrostatic fast +2 kV for power +2 kV for power Main power quality should be that of a Transient/burst supply lines supply lines typical commercial or hospital environment. IEC 61000-4-4 Applies to: +1 kV for input/ +1 kV for input/ Ǩɣ SMRT Charger (6500-201-010) output lines output lines Surge +8 kV differential +8 kV differential Main power quality is that of a typical IEC 61000-4-5 mode mode commercial and/or hospital environment. Applies to: +2 kV common mode +2 kV common Ǩɣ SMRT Charger (6500-201-010) mode Voltage dips, voltage <5% UT <5% UT Main power quality should be that of a typical variations and short (>95% dip in UT ) (>95% dip in UT ) commercial and/or hospital environment. If interruptions on power for 0,5 cycle for 0,5 cycle the user of the charger requires continued supply input lines 40% UT 40% UT operation during power main interruptions, IEC 61000-4-11 (60% dip in UT) (60% dip in UT) it is recommended that the device be for 5 cycles for 5 cycles powered from an uninterrupted power 70% UT 70% UT supply or a battery. (30% dip in UT) (30% dip in UT) for 25 cycles for 25 cycles <5% UT <5% UT (>95% dip in UT ) (>95% dip in UT ) for 5 seconds for 5 seconds Power frequency 3 A/m 3 A/m Power frequency magnetic fields should be (50/60 Hz) magnetic field at levels characteristic of a typical location IEC 61000-4-8 in a typical commercial and/or hospital environment. Applies to: ǨɣCot, Ǩɣ SMRT Charger (6500-201-010). Note: UT is the alternating current mains voltage prior to application of the test level. Return To Table of Contents www.stryker.com 6506-009-001 REV A 87 EMC Information POWER-PRO⢠XT (CONTINUED) Recommended separation distances between portable and mobile RF communications equipment and the Power-PRO⢠XT. The model 6506 Power-PRO⢠XT cot is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the model 6506 Power-PRO⢠XT cot can help prevent electromagnetic interferences by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the model 6506 Power-PRO⢠XT cot as recommended below, according to the maximum output power of the communications equipment. Rated maximum output Separation distance according to frequency of transmitter power of transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz 0,01 0,1 d=1.17âP 0,12 0,38 d=1.17âP 0,12 0,38 d=2.33âP 0,23 0,73 1,2 1,2 2,3 10 3,8 3,8 7,3 100 12 12 23 For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Return To Table of Contents 88 6506-009-001 REV A www.stryker.com EMC Information POWER-PRO⢠XT (CONTINUED) The model 6506 Power-PRO⢠XT cot is suited for use in the electromagnetic environment specified below. The customer or the user of the model 6506 Power-PRO⢠XT cot should assure that it is used in such an environment. Compliance Immunity Test IEC 60601 Test Level Electromagnetic Environment - Guidance Level Conducted RF IEC 61000-4-6 3 Vrms 150 kMz to 80 MHz 3 Vrms Portable and mobile RF communications equipment should be used no closer to any part of the model 6506 Power-PRO⢠XT cot, including cables, than the recommended separation distance calculated from the equation appropriate for the frequency of the transmitter. Recommended separation distance d=1.2âP Applies to: Ǩɣ SMRT Charger (6500-201-010) Radiated RF IEC 61000-4-3 3 V/m 80 MHz to 2,5 GHz 3 V/m d=1.2âP 80 MHz to 800 MHz d=2.3âP 800 MHz to 2.5 GHz where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in metres (m). Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey, should be less than the compliance level in each frequency range. b Interference may occur in the vicinity of equipment marked with the following symbol: Note 1: At 80 MHz and 800 MHz, the higher frequency range applies. Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the model 6506 Power-PRO⢠XT cot is used exceeds the applicable RF compliance level above, the model 6506 Power-PRO⢠XT cot should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the model 6506 Power-PRO⢠XT cot. Over the frequency range 150 kHz to 80 MHz, field strengths are less than 3 V/m. Return To Table of Contents www.stryker.com 6506-009-001 REV A 89 EMC Information POWER-PRO⢠XT (CONTINUED) Guidance and Manufacturerâs declaration - Electromagnetic Emissions The model 6506 Power-PRO⢠XT cot is intended for use in an electromagnetic environment specified below. The customer or the user of the model 6506 Power-PRO⢠XT cot should assure that it is used in such an environment. Emissions Test RF Emissions CISPR 11 Compliance Electromagnetic Environment Group 1 The model 6506 Power-PRO⢠XT cot uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. Cot: Class A RF Emissions CISPR 11 SMRT Charger (6500-201-010): Class A The model 6506 Power-PRO⢠XT cot is suitable for use in all establishments other than domestic and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes. The SMRT Charger is suitable for use in all establishments other than domestic establishments other than domestic and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes. Cot: N/A Harmonic Emissions IEC 61000-3-2 Voltage Fluctuations Flicker Emissions IEC 61000-3-3 SMRT Charger (6500-201-010): Class A Cot: N/A SMRT Charger (6500-201-010): Complies Return To Table of Contents 90 6506-009-001 REV A www.stryker.com Warranty Stryker EMS, a division of the Stryker Corporation, offers one warranty option in the United States: Two (2) year parts and labor. Stryker EMS warrants to the original purchaser that its products should be free from manufacturing non-conformances that affect product performance and customer satisfaction for a period of two (2) years after date of delivery. Strykerâs obligation under this warranty is expressly limited to supplying replacement parts and labor for, or replacing, at its option, any product that is, in the sole discretion of Stryker, found to be defective. Expendable components, i.e. mattresses, restraints, I.V. poles, storage nets, storage pouches, oxygen straps, and other soft goods, have a one (1) year limited warranty. The Stryker Power-PRO XT is designed for a 7 year expected service life under normal use conditions, and with appropriate periodic maintenance as described in the maintenance manual. Stryker warrants to the original purchaser that the welds on the Power-PRO XT will be free from structural defects for the expected 7 year life of the product as long as the original purchaser owns the product. Original purchasers will also obtain a three (3) year limited parts warranty for the X-frame components of the Power-PRO cot and a three (3) year limited power train warranty covering the motor pump assembly and hydraulic cylinder assembly. Strykerâs obligation under this three (3) year limited warranty is expressly limited to supplying replacement parts and labor for, or replacing, at its option, any part that is, in the sole discretion of Stryker, found to be defective. SMRT Power Warranties. Stryker EMS warrants the SMRT Charger for the same duration as the Stryker product for which it is furnished. All SMRT Paks are warranted to be free from manufacturing non-conformances that affect product performance and customer satisfaction for a period of one (1) year. Upon Strykerâs request, purchaser shall return to Strykerâs factory any product or part (freight prepaid by Stryker) for which an original purchaser makes a warranty claim. Any improper use or alteration or repair by unauthorized service providers in such a manner as in Strykerâs judgment affects the product materially and adversely, shall void this warranty. Any repair of Stryker products using parts not provided or authorized by Stryker shall void this warranty. No employee or representative of Stryker is authorized to change this warranty in any way. This statement constitutes Stryker EMSâs entire warranty with respect to the aforesaid equipment. STRYKER MAKES NO OTHER WARRANTY OR REPRESENTATION EITHER EXPRESSED OR IMPLIED, EXCEPT AS SET FORTH HEREIN. THERE IS NO WARRANTY OF MERCHANTABILITY AND THERE ARE NO WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE. IN NO EVENT SHALL STRYKER BE LIABLE HEREUNDER FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES ARISING FROM OR IN ANY MANNER RELATED TO SALES OR USE OF ANY SUCH EQUIPMENT. Return To Table of Contents www.stryker.com 6506-009-001 REV A 91 Warranty STRYKER EMS RETURN POLICY Cots, Stair Chairs, Evacuation Chairs, Cot Fasteners and Aftermarket Accessories may be returned up to 180 days of receipt if they meet the following guidelines: Prior to 30 Days Ǩɣ ÉŁC@XÉŁLNMDXÉŁA@BJÉŁFT@Q@MSDDÉŁHMÉŁDEEDBS Ǩɣ 2SQXJDQÉŁ$,2ÉŁHRÉŁQDRONMRHAKDÉŁENQÉŁ@KKÉŁBG@QFDR Ǩɣ 1DSTQMRÉŁVHKKÉŁMNSÉŁADÉŁ@OOQNUDCÉŁNMÉŁLNCHEHDCÉŁHSDLR Prior to 90 Days Ǩɣ /QNCTBSÉŁLTRSÉŁADÉŁunused, undamaged and in the original packaging Ǩɣ "TRSNLDQÉŁHRÉŁQDRONMRHAKDÉŁENQÉŁ@ÉŁÉŁQDRSNBJHMFÉŁEDD Prior to 180 Days Ǩɣ /QNCTBSÉŁLTRSÉŁADÉŁunused, undamaged and in the original packaging Ǩɣ "TRSNLDQÉŁHRÉŁQDRONMRHAKDÉŁENQÉŁ@ÉŁÉŁQDRSNBJHMFÉŁEDD RETURN AUTHORIZATION Stryker customer service department must approve any merchandise return and will provide an authorization number to be printed on any returned merchandise. Stryker reserves the right to charge shipping and restocking fees on returned items. SPECIAL, MODIFIED, OR DISCONTINUED ITEMS NOT SUBJECT TO RETURN. DAMAGED MERCHANDISE ICC Regulations require that claims for damaged merchandise must be made with the carrier within fifteen (15) days of receipt of merchandise. DO NOT ACCEPT DAMAGED SHIPMENTS UNLESS SUCH DAMAGE IS NOTED ON THE DELIVERY RECEIPT AT THE TIME OF RECEIPT. Upon prompt notification, Stryker will file a freight claim with the appropriate carrier for damages incurred. Claim will be limited in amount to the actual replacement cost. In the event that this information is not received by Stryker within the fifteen (15) day period following the delivery of the merchandise, or the damage was not noted on the delivery receipt at the time of receipt, the customer will be responsible for payment of the original invoice in full. Claims for any short shipment must be made within thirty (30) days of invoice. INTERNATIONAL WARRANTY CLAUSE This warranty reflects U.S. domestic policy. Warranty outside the U.S. may vary by country. Please contact your local Stryker Medical representative for additional information. PATENT INFORMATION The Stryker Power-PRO XT cot is covered by one or more of the following patents: United States 5,537,700 5,575,026 6,908,133 7,398,571 Other patents pending 7,540,047 The Stryker SMRT Power System is covered by one or more of the following patents: United States 5,977,746 6,018,227 Other patents pending Return To Table of Contents 92 6506-009-001 REV A www.stryker.com United States Stryker Medical 3800 E. Centre Ave., Portage, Michigan USA 49002 EC REP European Representative Stryker France ZAC Satolas Green Pusignan Av. De Satolas Green 69881 MEYZIEU Cedex France 2011/11 6506-009-001 REV A www.stryker.com
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