stryker 1004 ASC Stretcher User Manual

stryker 1004 ASC Stretcher

INTRODUCTION

This manual is designed to assist you with the operation of the Model ASC Stretcher. Read it thoroughly before using the equipment or beginning any maintenance on it.

SPECIFICATIONS

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. Before operating this stretcher, it is important to read and understand all information in this manual. Carefully read and strictly follow the warnings and cautions listed on this page.

WARNING

• Always apply the caster brakes when a patient is getting on or off the stretcher. Push on the stretcher to ensure the brakes are securely locked. Always engage the brakes unless the stretcher is being moved. The injury could result if the stretcher moves while a patient is getting on or off the stretcher. If brakes do not hold properly, refer to your stretcher maintenance manual for a brake adjustment procedure.
• When lowering the siderail to the collapsed position, keep the extremities of patients and staff away from the siderail spindles or injury could occur.
• Keep fingers/hands clear of the area around the Fowler release handle and Fowler frame when lowering. The injury could result if care is not taken when lowering the Fowler.
• If the stretcher is equipped with the optional foot end IV pole, the IV pole must be in the raised position when the foot extension/defibrillator tray is installed. If the IV pole is not raised, the foot extension will not function properly and injury could occur.

CAUTION

• To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height.
• To avoid injury or damage to the equipment, do not allow the siderail to lower on its own.
• To avoid damage, the weight of the I.V. bags should not exceed 40 pounds.
• To avoid damage while transporting the stretcher, verify the I.V. pole is at a low enough height to allow it to safely pass through door openings and under light fixtures.
• To avoid damage, do not put items weighing more than 30 pounds on the serving tray.

Stretcher Operation

OPERATING BASE CONTROLS − SIDE CONTROL

• Pump pedal (A) to raise the litter.
• Depress in the center of the pedal (B) to lower both ends of the stretcher together.
• Depress the side of the pedal (B) closest to the foot end of the stretcher to lower the foot end.
• Depress the side of the pedal (B) closest to the head end of the stretcher to lower the head end.
• Pedal (C) − Brake and Steer functions (foot end)
• Pedal (D) − Brake and Steer functions (head end)

RAISING AND LOWERING LITTER HEIGHT − SIDE CONTROL

CAUTION

• To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height.
• To raise the litter height, pump pedal (A) repeatedly until the desired height is achieved (see illustration on page 4).
• To lower both ends of the litter together, depress the center of the pedal (B). To lower only the head end of the litter, depress the side of pedal (B) closest to the head end. To lower only the foot end of the litter, depress the side of pedal (B) closest to the foot end (see illustration on page 4).

TRENDELENBURG/REVERSE TRENDELENBURG − SIDE CONTROL

NOTE
Litter height must be raised first in order to achieve a trend. or reverse the trend. position.

CAUTION

• To avoid damage, remove any equipment that may be in the way before lowering the stretcher.
• For Trendelenburg positioning (head down), depress the side of the pedal (B) closest to the head end of the stretcher (see illustration, page 4).
• For Reverse Trendelenburg positioning (foot down), depress the side of the pedal (B) closest to the foot end.

NOTE
The higher the litter is before pedal (B) is activated, the greater the trend. or reverse trend. the angle will be. (Maximum trend. angle is +16. Maximum reverse trend. angle is −16 ).

APPLYING THE BRAKE SYSTEM

NOTE
For user convenience, a brake/steer control pedal is located on both ends of the stretcher.

WARNING

• Always apply the caster brakes when a patient is getting on or off the stretcher. Push on the stretcher to ensure the brakes are securely locked.
• Always engage the brakes unless the stretcher is being moved. The injury could result if the stretcher moves while a patient is getting on or off the stretcher.
• If brakes do not hold properly, refer to your stretcher maintenance manual for a brake adjustment procedure.
• To engage the brakes on the head end, push fully down on the left side of the pedal (A).
• To engage the brakes on the foot end, push fully down on the right side of the pedal (B).

NOTE
Your stretcher may be equipped with optional side control brake and steer functions in addition to the standard head and foot end controls. The side control brakes operate the same as the head and foot end versions.

OPERATING THE FIFTH WHEEL

• The purpose of the Fifth Wheel is to help guide the stretcher along a straight line during transport and to help pivot the stretcher around corners.
• To engage the fifth wheel, push the proper side of the brake/steer pedal to the full down position.

OPERATING THE GIVEAWAY SIDE RAILS

NOTE
Raising and lowering the side rails safely is a two−handed operation. Use one hand to hold and position the siderail and the other hand to operate the siderail latch.

WARNING
When lowering the siderail to the collapsed position, keep the extremities of patients and staff away from the siderail spindles or injury could occur.

• To raise the side rails: Pull up on the siderail (A) and raise it to the full up position until the latch (B) engages.
• To lower the side rails: Pull up on the latch (B) and guide the siderail to the full down position.

NOTE

• The latches (B) are colored yellow for easy identification.
• The foot end of the siderail top rail can be used as a push/pull handle.

CAUTION
To avoid injury or damage to the equipment, do not allow the siderail to lower on its own.

NOTE
There is a dual siderail latch option available with latches on both ends of the stretcher.

OPERATING THE PNEUMATIC FOWLER

• Squeeze either or both of the yellow Fowler handles (A) for pneumatic assist in lifting the Fowler to the desired height. Remove hand(s) from the handle when the desired height is achieved.
• The optional drop seat/lift assist Fowler uses the weight of the patient for additional assistance with lifting the
• Fowler. It also helps keep the patient from sliding toward the foot end of the stretcher when the Fowler is raised.

WARNING
Keep hands/fingers clear of the area around the Fowler release handles and the Fowler frame when lowering. The injury could result if care is not taken when lowering the Fowler.

OPERATING THE OPTIONAL 2−STAGE PERMANENTLY ATTACHED IV POLE

NOTE
The 2−stage permanently attached IV pole is an option and may have been installed at either the head, foot or both ends of the stretcher. The choice was made at the time the stretcher was purchased.
To use the 2−stage permanently attached IV pole:

1. Lift and pivot the pole from the storage position and push down until it is locked into the receptacle.
2. To raise the height of the pole, pull up on the telescoping portion (A) until it locks into place at its fully raised position.
3. Rotate the IV hangers (B) to desired position and hang the IV bags.
4. To lower the IV pole, turn the latch (C) until section (A) lowers.

CAUTION

• To avoid damage, the weight of the IV bags should not exceed 40 pounds.
• To avoid damage while transporting the stretcher, verify the IV pole is at a low enough height to allow it to safely pass through door openings and under light fixtures.

OPERATING THE OPTIONAL 3−STAGE PERMANENTLY ATTACHED IV POLE

NOTE
The 3−stage permanently attached IV pole is an option and may have been installed at either the head, foot or both ends of the stretcher. The choice was made at the time the stretcher was purchased.
To use the 3−stage permanently attached IV pole

1. Lift and pivot the pole from the storage position and push down until it is locked into the receptacle.
2. To raise the height of the pole, pull up on the telescoping portion (A) until it locks into place at its fully raised position.
3. For a higher IV pole, pull up on section (B). Release section (B) at any desired height and it will lock into place.
4. Rotate the IV hangers (C) to the desired position and hang the IV bags.
5. To lower the IV pole, push up on the red portion of grip (D) while holding onto section (B) until it lowers. Turn latch (E) until section (A) lowers.

CAUTION

• To avoid damage, the weight of the IV bags should not exceed 40 pounds.
• To avoid damage while transporting the stretcher, verify the IV pole is at a low enough height to allow it to safely pass through door openings and under light fixtures.

USING THE OPTIONAL FOOT EXTENSION/DEFIBRILLATOR TRAY

1. To use as a defibrillator tray, pull out the top knob (A) and pivot the tray (B) over the foot extension (C) until the tray extends flat over the foot end of the stretcher.
2. To use as a foot extension, pull out knob (A) and pivot the defibrillator tray back until it locks against the foot extension (C). While holding onto the assembly, pull out the bottom knob (D) and lower the foot extension down until it is flat.

CAUTION
If the stretcher is equipped with the optional foot-end IV poles, the IV pole must be in the raised position when the foot extension/defibrillator tray is installed. If the IV pole is not raised, the foot extension will not function properly and injury could occur.
If the stretcher is equipped with optional foot-end push handles, use caution while the foot extension/defibrillator tray is installed to avoid pinching your fingers. To avoid damage do not put items weighing more than 30 pounds on the defibrillator tray.

USING THE OPTIONAL SERVING TRAY

• Pull out on either end of the serving tray to extend it to the proper width to fit on top of the stretcher side rails.
• To store the serving tray in the optional serving tray holder/footboard, push in both ends of the serving tray and slide it into the holder.

CAUTION
To avoid damage, do not put items weighing more than 30 pounds on the serving tray.

Preventative Maintenance

CHECKLIST

• All fasteners secure
• Siderails move and latch properly
• Engage the brake pedal and push on the stretcher to ensure all casters lock securely
• The steer function working properly
• All casters secure and swivel properly
• Body restraints working properly
• IV pole intact and operating properly
• Fowler operating and latching properly
• Trendelenburg/Reverse Trendelenburg operating properly
• No rips or cracks in the mattress cover
• Ground chain intact
• No leaks at hydraulic connections
• Hydraulic jacks holding properly
• Hydraulic drop rate set properly
• Hydraulic oil level sufficient
• Lubricate where required
• Accessories and mounting hardware are in good condition and working properly
• Serial No. __ __ __

• ---

• Completed By:____ Date:

NOTE
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.

Cleaning

Model 1004 stretchers are designed to be power−washable. The unit may show some signs of oxidation or discoloration from continuous washing. However, no degradation of the stretcher’s performance characteristics or functionality will occur due to power washing as long as the proper procedures are followed.

• Follow the cleaning solution manufacturer’s dilution recommendations exactly.
• Remove the mattress prior to washing the unit; do not wash the mattress with the stretcher.
• Position the Fowler at 45, place the unit in full reverse Trendelenburg (foot end down), raise the side rails, and place the I.V. poles and push handles in the up position.
• Stryker Medical recommends the standard hospital surgical cart washer for power washing Model 1004 stretchers.
• Do not replace the mattress on the stretcher until the unit is completely dry.
• Before returning the unit to service, verify all labels are intact, verify the brake/steer pedal locks properly in both positions and check all components for proper lubrication.

DO NOT STEAM CLEAN THE UNIT. Use a maximum water temperature of 180F/82C. Maximum air dry temperature (cart washers) is 240F/115C. Water pressure − 1500 psi/103.5 bar. If a handheld wand is being used to wash the unit, the pressure nozzle must be kept a minimum of 24 inches/.61m from the unit. Stretchers must have maintenance performed after a minimum of every fifth washing. Refer to the maintenance manual for specific lubrication instructions. Failure to comply with these instructions may invalidate any/all warranties. In general, when used in those concentrations recommended by the manufacturer, either phenolic-type or quaternary-type disinfectants can be used. Iodophor-type disinfectants are not recommended for use because staining may result. The following products have been tested and have been found not to have a harmful effect WHEN USED IN ACCORDANCE WITH MANUFACTURERS RECOMMENDED DILUTION.*

TRADE NAME

|

DISINFECTANT TYPE

|

MANUFACTURER

| *MANUFACTURER’S RECOMMENDED DILUTION
---|---|---|---
A33| Quaternary| Airwick (Professional Products Division)| 2 ounces/gallon
A33 (dry)| Quaternary| Airwick (Professional Products Division)| 1/2 ounce/gallon
Beaucoup| Phenolic| Huntington Laboratories| 1 ounce/gallon
Blue Chip| Quaternary| S.C. Johnson| 2 ounces/gallon
Elimstaph| Quaternary| Walter G. Legge| 1 ounce/gallon
Franklin Phenomysan F2500| Phenolic| Purex Corporation| 1 1/4 ounce/gallon
Franklin Sentinel| Quaternary| Purex Corporation| 2 ounces/gallon
Galahad| Phenolic| Puritan Churchill Chemical Company| 1 ounce/gallon
Hi−Tor| Quaternary| Huntington Laboratories| 1/2 ounce/gallon
LPH| Phenolic| Vestal Laboratories| 1/2 ounce/gallon
Matar| Phenolic| Huntington Laboratories| 1/2 ounce/gallon
Omega| Quaternary| Airwick (Professional Products Division)| 1/2 ounce/gallon
Quanto| Quaternary| Huntington Laboratories| 1 ounce/gallon
Sanikleen| Quaternary| West Chemical Products| 2 ounces/ gallon
Sanimaster II| Quaternary| Service Master| 1 ounce/gallon
Vesphene| Phenolic| Vestal Laboratories| 1 1/4 ounce/ gallon

Quaternary Germicidal Disinfectants, used as directed, and/or Chlorine Bleach products, typically 5.25% Sodium Hypochlorite in dilutions ranging between 1 part bleach to 100 parts water, and 2 parts bleach to 100 parts water are not considered mild detergents. These products are corrosive in nature and may cause damage to your stretcher if used improperly. If these types of products are used to clean Stryker patient handling equipment, measures must be taken to insure the stretchers are rinsed with clean water and thoroughly dried following cleaning. Failure to properly rinse and dry the stretchers will leave a corrosive residue on the surface of the stretcher, possibly causing premature corrosion of critical components.
NOTE
Failure to follow the above directions when using these types of cleaners may void this product’s warranty.

REMOVAL OF IODINE COMPOUNDS

This solution may be used to remove iodine stains from mattress covers and foam footrest pad surfaces.

1. Use a solution of 1−2 tablespoons 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 the solution to soak or stand on the surface.
2. Rinse surfaces that have been exposed to the solution in clear water before returning the bed to service.

Warranty

Limited Warranty

Stryker Medical Division, a division of Stryker Corporation, warrants to the original purchaser that its products should be free from defects in material and workmanship for a period of one (1) year after the date of delivery. Stryker’s obligation under this warranty is expressly limited to supplying replacement parts and labor for or replacing, at its option, any product which is, at the sole discretion of Stryker, found to be defective. Stryker warrants to the original purchaser that the frame and welds on its beds will be free from structural defects for as long as the original purchaser owns the bed. If requested by Stryker, products or parts for which a warranty claim is made shall be returned prepaid to Stryker’s factory. Any improper use or any alteration or repair by others in such manner as in Stryker’s 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. Stryker Medical stretchers are designed for a 10-year expected life under normal use conditions and appropriate periodic maintenance as described in the maintenance manual for each device. This statement constitutes Stryker’s entire warranty with respect to the aforesaid equipment.

STRYKERMAKES 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 THE SALES OR USE OF ANY SUCH EQUIPMENT.

To Obtain Parts and Service
Stryker products are supported by a nationwide network of dedicated Stryker Field Service Representatives. These representatives are factory trained, available locally, and carry a substantial spare parts inventory to minimize repair time. Simply call your local representative, or call Stryker Customer Service at (800) 327−0770.

Service Contract Coverage
Stryker has developed a comprehensive program of service contract options designed to keep your equipment operating at peak performance at the same time it eliminates unexpected costs. We recommend that these programs be activated before the expiration of the new product warranty to eliminate the potential of additional equipment upgrade charges.

A SERVICE CONTRACT HELPS TO

• Ensure equipment reliability
• Stabilize maintenance budgets
• Diminish downtime
• Establish documentation for JCAHO
• Increase product life
• Enhance trade−in value
• Address risk management and safety

Stryker offers the following service contract programs

• Replacement parts and labor for products under the PM contract will be discounted.
• Does not include any disposable items, I.V. poles (except for Stryker HD permanent poles), mattresses, or damage resulting from abuse.
• Stryker Medical also offers personalized service contracts.
• Pricing is determined by the age, location, model, and condition of the product.
• For more information on our service contracts,
• please call your local representative or call (800) 327−0770 (option #2).

Return Authorization

• Merchandise cannot be returned without approval from the Stryker Customer Service Department. An authorization number will be provided which must be printed on the returned merchandise. Stryker reserves the right to charge shipping and restocking fees on returned items.
• SPECIAL, MODIFIED, OR DISCONTINUED ITEMS ARE 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. The 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 the 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.

European Representative

• Stryker EMEA RA/QA Director
• Stryker France
• ZAC Satolas Green Pusignan
• Av. De Satolas Green
• 69881 MEYZIEU Cedex
• France

3800 E. Centre Ave., Portage, MI 49002 (800) 327−0770 www.stryker.com.

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