BIODEX 058-846 Surgical C-Arm Table Instructions

June 11, 2024
BIODEX

BIODEX 058-846 Surgical C-Arm Table

The Surgical C-Arm TableTM is medical equipment designed to facilitate safe and effective surgical procedures. The table comes in four models, namely 058-846, 058-847, 058-846-10, and 058-847-10, and is manufactured by Biodex Medical Systems, Inc. The table is certified and classified by various regulatory bodies and meets the required standards for safe usage.

Product Certifications and Classifications

The Surgical C-Arm Table has received the following certifications and falls under the following classifications:

  • IEC60601-1:2005 (Third Edition) + CORR1:2006+Corr 2:2007 + A1:2012 (or IEC 60601-1:2012 reprint)
  • ANSI/AAMI ES60601-1:2005+A1:2012+C1:2009+A2:2010
  • CAN/CSA C22.2 No: 60601-1:14
  • CE Class I Non-measuring
  • FDA Class II Equipment
  • IEC 60601-2-46 Edition 3.0 Type B Applied Part
  • Electromagnetic Compatibility: This equipment complies with the Medical Equipment IEC 60601-2:2014 EMC Standard.

Maintenance and Cleaning

Proper maintenance and cleaning of the Surgical C-Arm TableTM are essential for safe usage. The user manual provides detailed instructions on how to maintain and clean the equipment. Disposal of the equipment should also follow the guidelines provided in the manual.

Before Proceeding

Before using the Surgical C-Arm TableTM, it is important to read and understand the warnings, cautions, and instructions provided in the manual. Only qualified and trained personnel should operate or service the equipment. The manual also provides information on training and operating conditions.

Important Safety Information

It is important to follow the instructions provided in the manual to ensure safe usage of the Surgical C-Arm TableTM. Failure to read and follow the manual may result in user error or injury. The product should be used only as specified in the operation manual.

Contact Information

For additional information and resources, users can contact a local distributor or Biodex directly at supportservices@biodex.com. The Biodex website also provides additional information on the product.

Product Usage Instructions

To use the Surgical C-Arm TableTM, follow the instructions provided in the user manual. Only qualified and trained personnel should operate or service the equipment. The manual provides information on assembly and operating instructions, which should be followed carefully. Before using the equipment, read the entire operation manual carefully and understand all warning and caution labels as explained in the Before Proceeding section of the manual. The product should be used only as specified in the operation manual.

Surgical C-Arm Table™
This instructions for use document covers safe operation of the Surgical C-Arm Tables 058-846, 058-847, 058-846-10, and 058-847-10.
Additional information and resources are available upon request or directly from the Biodex website, www.biodex.com/tables846.
If the desired information is not found, contact a local distributor or Biodex directly at supportservices@biodex.com.
Thank you,
Biodex Medical Systems, Inc.

Contact information

Manufactured by:
Biodex Medical Systems, Inc.

Definition of Symbols

The following symbols and their associated definitions are used and implied throughout this manual.

Product Certifications and Classifications

The Surgical C-Arm Table has received the following certifications, and falls within the following classifications:

  1. IEC60601-1:2005 (Third Edition) + CORR1:2006+Corr 2:2007 + A1:2012 (or IEC 60601-1:2012 reprint)
  2. ANSI/AAMI ES60601-1:2005+A1:2012+C1:2009+A2:2010
  3. CAN/CSA C22.2 No: 60601-1:14
  4. CE Class I Non-measuring
  5. FDA Class II Equipment
  6. IEC 60601-2-46 Edition 3.0
  7. Type B Applied Part
  8. Electromagnetic Compatibility: This equipment complies with the Medical Equipment IEC 60601-2:2014 EMC Standard.

Authorized European Community Representative:

  • Emergo Europe Prinsessegracht 20 2514 AP, The Hague The Netherlands

Before Proceeding

NOTE : The warnings, cautions and instructions provided in this manual must be read, followed and kept available for consultation at all times. Observing the information, instructions and procedures presented throughout this manual is essential for using this product both properly and safely.

SPECIFIC CAUTIONS

  • Allow only qualified, trained personnel to operate or service this product.
  • If the equipment is used in a manner other than specified in this operation manual, the protection provided by the equipment may be impaired and results could be compromised.
  • Never leave patient unattended on device.

WARNING : Unauthorized modifications to this product are not permitted and will void the manufacturer’s warranty. Unauthorized modification of the product may result in a hazard to the user and/or patient. Do not modify this equipment without authorization from the manufacturer.
WARNING : If this equipment is modified, appropriate inspection and testing must be conducted to ensure continued safe use of equipment.

Training

This operation manual includes assembly and operating instructions. Operating/assembly questions can be directed to the service department during business hours.

Operating Conditions

  • Temperature: 10° C to 30° C (50° F to 86° F).
  • Humidity Range: 30% to 70% (non-condensing).
  • Atmospheric Pressure: 70kpa (10psi) to 106kpa (15psi).

Transport and Storage Conditions

  • Temperature: -20° C to 70° C (-4° F to 158° F).
  • Humidity Range: 10% to 100%.
  • Atmospheric Pressure: Sea Level 101kpa (14.7psi) to 10,000 feet, 69 kpa (10.1 psi).

Important Safety Information

  • CAUTION: Federal Law restricts this device to sale by or on the order of a physician, sonographer or other licensed professional.
  • Follow the unpacking and assembly instructions document.
  • Before using this equipment, read the entire operation manual carefully. Failure to read the manual may result in user error or injury. Be sure to save all provided documents for future reference.
  • Make certain to understand all warning and caution labels as explained in the Before Proceeding section of this manual.
  • This product should be used only as specified in the operation manual.
  • CAUTION: Biodex devices are designed for use in a client environment.
  • For product specifications, refer to the Table of Contents.
  • This medical electrical equipment requires special precautions regarding EMC and must be assembled and placed into service according to EMC information provided in this manual.
  • CAUTION: Operation for 058-846 and 058-840-10: 115 VAC.
  • CAUTION: Operation for 058-847 and 058-845-10: 230 VAC.
  • WARNING: Only use approved power supplies.
  • CAUTION: To avoid risk of electric shock, this equipment must only be connected to supply mains with protective earth.
  • CAUTION: The plug is considered the method of disconnecting the product from main power. Do not place the product in a position where the plug is not easily accessible.
  • CAUTION: This product is intended to remain in one location during operation. It is provided with wheels for relocation which should be used when moving.

Introduction

Intended Use
The Surgical C-Arm Table 846 is designed for image-guided procedures where stability, access, and precise, quiet, vibration-free positioning are essential. A cantilevered low attenuation carbon fiber tabletop, with choice of contoured or rectangular design, accommodates portable or ceiling-suspended C-Arms. The contoured top provides ample workspace for anesthesiologists, yet the narrowness required for cervical procedures. The rectangular top offers additional space to allow for superior image quality for long-leg runoff studies. Select the top that best suits the requirements to achieve optimum image resolution.

Indications for Use
The extra-large radiolucent area, free-float X-Y tabletop and motorized control of height make the Surgical C-Arm Table – 846 ideal for cardiovascular procedures. The radiolucent area is free of cross members, allowing full fluoroscopic visualization and unobstructed C-Arm positioning. Functional design provides complete access with reduced radiation exposure to clinicians. Patient comfort and stability are assured by two-inch thick table padding and three adjustable straps with hook and loop fastening. The contoured tabletop features a face cutout for prone positioning.

Contraindications
The Surgical C-Arm Table 846 should not be used for bariatric patients who weigh more than 500 lb.

Control Made Easy
The portable hand-held controller ensures quick and safe tabletop positioning and the freedom to adjust height from any point around the table.
AC battery power is standard.

Free-Float Feature
A mushroom top release for the free-float feature is located at the end of a hand grip.

NOTE : The 846 tabletop is manufactured of carbon fiber. This material, as used in this product is certified to meet all the requirements of radiation performance standards of 21 CFR Subchapter J.

OVERVIEW

  1. Hand-Held Controller
  2. Mushroom Top Control for Free-Float Motion
  3. Locking Brakes and Swivel Casters

Operating Instructions

  • CAUTION : Refer to instruction manual before operating or servicing system.
  • CAUTION : Hospital grade plug to be plugged into a hospital grade receptacle only to achieve grounding reliability.
  • CAUTION : Before transferring a patient onto or off the table, ensure all four caster brakes are locked. Secure the restraining straps immediately after positioning the patient on the table.
  • CAUTION : The restraining straps are not intended to restrain an uncontrolled patient.

The Locking Brakes and Swivel Casters
The locking brakes and swivel casters allow this table to glide effortlessly on hard surfaces and across firm rugs. The foot end casters are locked from either side of the table while the head end casters are locked together using the Caster Brake Locking Bar.

  1. To lock the foot end brakes and swivel casters, step down on the foot end caster brake locking lever on either side of the table.
  2. To release the lock on the brakes and swivel casters at the foot end of the table, use a toe to lift up on the foot end caster brake locking lever on either side of the table.
  3. To lock the brakes and swivel casters for the head end of the table, use a toe to press down on the center of the head end caster brake locking bar.
  4. To release the head end brake and swivel casters, use a toe to lift up on either end of the head end caster brake locking bar.

NOTE : The head end caster brake locking bar, when pressed down in the lock position, raises the head end casters slightly off the ground. The amount that casters are raised can be adjusted by simply using a 5/8″ open-end wrench to adjust up or down the support foot located under the head end caster brake locking bar.

Using the Hand-Held Controller
The hand-held controller may be used to adjust table height. When not in use, the Hand-Held Controller can be hooked onto the metal loop on the restraining strap, or on the accessory rail.

CAUTION : Before moving the tabletop, be sure that all I.V. lines, attachments and restraining straps, and such, are out of the way. Ensure that the patient is fully secured to the tabletop by the restraining straps.

To adjust the table position, press and hold the appropriate switch on the Hand-Held Controller. The tabletop will move in the direction indicated by the switch. Release the switch when the tabletop achieves the desired position.

Positioning the X-Y Free-Float Tabletop

  • The X-Y free-float tabletop is positioned using the mushroom top tabletop handgrips. The mushroom top is pressed down to allow the table to move in both the X and Y planes.
  • To move the tabletop, depress the mushroom top on the handgrip and, using both handgrips, slide the tabletop to the desired position. Release the mushroom top to lock the tabletop in place.
  • The tabletop handgrips may be positioned at any point along the accessory rail. To position the grips, loosen the handgrip locking knob, slide the grip to the desired position along the accessory rail, then tighten the locking knob to secure the grip.

Catheter Tray Extension

The removable extension can be used to provide additional table length for accommodation of catheters within the patient’s sterile field. This makes the procedure easier, safer and reduces the risk of breaking the sterility of the catheters. To attach the Catheter Tray Extension, simply hook the Extension guides over the accessory rails at the foot end of the table and lower the extension into position.

I.V. Pole (Optional)

The adjustable height I.V. pole should be installed onto the O.R. accessory rail. Loosen the I.V. pole locking knob at the base of the slide block and slide the block and pole onto the accessory rail until it is in the desired position. Tighten the locking knob to secure the pole.
To adjust the height of the I.V. pole, loosen the height adjustment locking knob and raise or lower the top section of the pole to the appropriate height. Tighten the locking knob to secure.

Maintenance and Cleaning

The Biodex Surgical C-Arm Table is virtually maintenance free. By following the instructions below at suggested time intervals, or as often as necessary, the table will remain in “like new” condition.

  1. As required, cleanse all exterior surfaces and tabletop pads with a mild detergent solution, such as Parker Laboratories Protex Disinfectant or any one-step disinfectant that does not contain bleach.
  2. Keep wheel assemblies free of foreign materials and dirt accumulation.
  3. Periodically inspect all welds.
  4. Periodically check bolts on table, tighten if necessary.
  5. Periodically inspect all strap holders. Any holder that feels loose should be removed and reattached after adding a spot of Loctite® Threadlocker (Blue #242) to the bolt threads. This should ensure that the bolt will not loosen

NOTE : When cleaning the pads, do not pull them off the c-arm table forcefully. The industrial strength Velcro will hold the pads in place, causing them to rip. Instead, reach underneath the pads and gently pull the Velcro apart.
CAUTION : Disconnect power from source before removing panel or covers. Reliable grounding achieved only by connecting this unit to an equivalent marked hospital only or hospital grade receptacle.

Disposal
An appropriate waste disposal company is to be contacted (i.e., the local collection point for waste separation). Properly dispose of the device at the end of its service life:

  • The device packaging is disposed of through resource recycling.
  • The metal parts of the machine go to scrap metal disposal.
  • Plastic parts are disposed of as hazardous waste.

The disposal of equipment must be in accordance with the respective national regulations.
Wear parts are considered hazardous waste! After being replaced, wear parts must be disposed of according to country-specific waste laws.

Specifications

Dimensions:

  • Overall: 97″ l x 26″ w (246 x 66 cm) with OR accessory rails

  • Tabletop: 97″ l x 24″ w (246 x 61 cm) – choice of classic contoured or rectangular design

  • Catheter Tray Extension (removable): 18″ l x 24″ w (45.7 x 61 cm) non-radiolucent Radiolucent Area: 75″ l x 24″ w (191 x 61 cm)

  • Tabletop Material: Carbon fiber with integral head section

  • Mattress: Seamless, 2″ thick (5 cm)

  • Attenuation: 1.2 mm Aluminum equivalence

  • Motions:

    • Height Adjustable: Adjustable from 32″ to 42″ (81 to 106 cm)
    • Tabletop X Motion (head-to-toe float): 35″ (89 cm)
    • Tabletop Y Motion (side-to-side float): 10″ (25.4 cm)
  • Controls:

    • Hand Control: height
    • Mushroom Top: releases X-Y Tabletop motions
    • Fuses on Control Box:
    • F1 250V, AC, 16A, Fast blow / 6,3x32mm
    • F2 250V, AC, 16A, Fast blow / 6,3x32mm
    • F3 250V, AC, 2A, Fast blow / 6,3x32mm
    • Wheels:
    • Head End – 3″ (7.62 cm) swivel casters, integral locking system on base
    • Foot End – 5″ (12.7 cm) swivel casters with central locking
  • Accessory Rails: Standard OR accessory rails
    49.5″ x 1.12″ x .375″ (124 x 2.86 x .95 cm) mounted near foot end of table

  • Patient Restraints: Three body straps

  • Finish: Stainless Steel

  • Patient Capacity: 500 lb (227 kg); weight tested to IEC 60601-2-46.

  • Lift Capacity: May vary between 460 lb – 500 lb (209 – 227 kg) based on line voltage

  • Power: 115 VAC or 230 VAC and Battery. Battery automatically charges when table is plugged in. An additional battery can be charged with optional wall-mounted charger.

  • Standard Accessory :

    • Catheter Tray Extension (removable)
  • Warranty: Two years

  • Certifications: IEC60601-1:2005 (Third Edition) + CORR1:2006+Corr 2:2007 + A1:2012 (or IEC 60601- 1:2012 reprint)

    • ANSI/AAMI ES60601-1:2005+A1:2012+C1:2009+A2:2010
    • CAN/CSA C22.2 No: 60601-1:14
    • CE Class I Non-measuring
    • FDA Class II Equipment
    • IEC 60601-2-46 Edition 3.0

Optional

  • 056-850 IV Pole, Rail Mounted
  • 056-865 Arm Board, Carbon Fiber, one arm
  • 056-866 Arm Board, Carbon Fiber, two arms
  • 058-051 Catheter Tray Extension (removable)
  • 058-864 Arm Board, Surgical, Carbon Fiber
  • 058-849 Clamp, Accessory, C-Arm Table
  • 058-856 Radiation Shield, Head/Cervical
  • 058-857 Radiation Shield, Thoracic/ABZ

References

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