ALL ELECTRIC EXAMINATION COUCH User Guide Paragon Care Group Pty Ltd ABN 44 136 627 971 11 Dalmore Drive Scoresby VIC 3179 Australia T 1300 369 559 F 03 8833 7890 info@paragoncare.com.au paragoncare.com.au
Contents Introduction 2 Clinical Applications 3 Installation 4 Operation 5 Cleaning 8 Maintenance 9 Troubleshooting 12 Warranty and Service 13 Dimensions & Data 14 Transportation & Storage 15
Warnings, Cautions and Notes This user guide is designed to enable the reader to competently and responsibly operate the Acero Electric Couch. This manual must be read in its entirety prior to operating the Acero Electric Couch. This manual must be kept in an easily assessable area for future reference. All warnings, cautions and notes must be strictly adhered to. Failure to comply with this guide may result in harm to either patient or caregiver. ParagonCare product specialists can provide training in addition to this handbook if required. Please contact 1300 369 559 to arrange an appointment. Warnings given in this manual identify possible hazards in procedures or conditions, which if not correctly followed, could result in death, injury or other serious adverse reactions. Cautions given in this manual identify possible hazards in procedures or conditions, which if not correctly followed, could result in equipment damage or failure. Notes given in this manual (indicated by ) are used to explain or amplify a procedure or condition. General Warnings WARNING Do not use accessories that have not been designed or approved for use with the couch. Electrical equipment can be hazardous if misused. Do not use electrically powered beds in the presence of flammable gases such as anaesthetic agents. Do not use electrically powered couch in operating theatres. 1
1. Introduction The Acero range of Examination / Treatment couches are for a wide range of examination and treatment procedures with multiple treatment positioning to aid the user and patient. The following features, dependent upon couch configuration are available within the range: Fully Electric Available as 2 section and 3 section Electric Height adjustment Electric Backrest and Footrest adjustment. Hand held control activation of height, backrest and footrest adjustment 100mm diameter Individual locking castors Vinyl upholstered platforms 125mm diameter castors with central operation for braking and steering Battery backup Safety sides Safety strap 2
2. Clinical Applications Areas of Use Community care; nursing home; care of the elderly; physio centers; Doctors surgeries. Indications The use of this examination / treatment couch is to assist in the patient positioning and treatment whilst reducing lifting and handling stresses for the treatment professional. Contra-indications The total safe working load of the examination / treatment couch is 200kg. 200kg 3
3. Installation Connect the electrical power cable to a suitable socket outlet. Ensure when operating the height adjustment and adjustable head and foot sections there is adequate clearance between the outer extremities of the couch and all other building fixtures and equipment. WARNING Make sure that handset and electrical power cables cannot become entangled with moving parts of the couch. Disconnect the electrical power cable from the mains supply before transporting the bed. If the power cord shows any sign of damage, replace immediately. Wrap the electrical cable around the cable retainer only when couch is to be moved. Cable retainer is located on side of base frame. Always hang handset on handset holder located on both sides of frame. Cable Retainer Handset Holder 4
4. Operation Safety Always apply the brakes when the couch is stationary. Before operating the couch, make sure the patient is positioned correctly to avoid entrapment or imbalance. Lower the couch to the minimum height when the patient is left unattended. When the couch is operated, make sure that the obstacles such as other equipment do not restrict movement. Before transporting the couch make sure that couch is at a suitable height for the attendants to move the couch without stooping or straining. Keep these instructions handy for reference. Height, Headrest & Footrest Adjustment When a handset push button is pressed, the appropriate couch function will operate until the button is released. WARNING Some functions may cause injury to the patient if unintentional movement occurs. WARNING If the Handset is dropped to the floor, caught between bed parts or sustains any damage or suspected damage in any way, immediately stop using the Handset and perform the full Handset Checks as detailed in Section 6 - Maintenance. Backrest Height Backrest Height Footrest 3 SECTION 2 SECTION 5
4. Operation (Continued) Safety It takes approximately 25 seconds to raise the couch from its lowest position to its highest, also incorporated into the actuator is a safety nut, in the event of the actuator ever failing, this feature will stop the couch from collapsing. Note: Unless couch is fitted with optional battery backup unit, it is not possible to operate in case of mains power failure. Brakes and Steering Individual locking castors Couch is fitted with four individual locking brake castors. To operate braking, push down on the brake activation lever on each castor. To disengage the brake, push down on the release lever situated above the brake activation lever. Central locking castors There are two coupled brake pedals at the foot end of the bed. When either pedal is pushed down from the horizontal free position, it operates all brake castors simultaneously and the bed is immobilised. With the pedals in the Horizontal Free position, all the brakes are released and the bed can be moved in any direction. With the pedals in the Up Steer position, a steering castor is engaged at one end of the bed to provide better control when pushing the bed in a straight line. 6
4. Operation (Continued) Safety Sides To lower the side: Hold the top rail towards the middle, (1) pull up and (2) swing outward whilst slowly lowering down(3) in a controlled manner. 4 1 2 3 To raise the side: Hold the top rail towards the middle, swing outwards and raise to a vertical position and make sure that both pivot posts drop back inside pivot mount slots (4). Safety Side Operation CAUTION Do NOT use the safety sides to lift or move the couch WARNING Other manufacturer s safety sides are incompatible with the Acero Electric Couch range. Ensure patient s limbs are free from entrapment during Safety Side operation 7
4. Cleaning WARNING Disconnect the bed from the mains power supply before cleaning. Gloves and protective clothing should always be worn when carrying out cleaning procedures. Note: These instructions also apply to accessories. Wipe all surfaces with a soft cloth moistened with hot water and mild detergent (or the hospital s recommended cleaning solution). Take extra care with areas that may harbour dirt or dust. Rinse with clean water and dry with paper towels. To remove potentially infectious material such as body fluids, or when the bed has been used by someone with a known infection, clean afterwards with NaDCC (e.g. Presept, Actichlor) at 10,000 ppm of available chlorine. Rinse and dry. A suitable vinyl cleaner may also be used for cleaning upholstered top. CAUTION Do not use abrasive compounds or pads. Do not use hypocarbonate or phenolic cleaning solutions. 8
4. Maintenance The following preventative maintenance procedures should be carried out at intervals of 12 months or as specified. All service or repair activities must only be performed by properly qualified and trained persons who are approved by ParagonCare. Disposal of product and components should be compliant with local regulations. The following Maintenance Check List should be used as a guide for the parts that are required to be regularly checked or serviced. Item Breaking Castors Base/top pivot bolts/ shafts Side rails Power cable Handset control Mouldings Vinyl top General Maintenance Request Check that the castors run and swivel freely. Remove any threads, fluff and dirt from the axle. Check tyres for wear and that the braking mechanism is functioning properly. Check for excessive wear and tightness of fittings. Replace if necessary. Refer Spare Parts List Check for tightness of fittings Check for damaged leads and plugs. Replace if necessary. Refer Spare Parts List Check for damaged leads and faulty buttons Replace if necessary. Refer Spare Parts List Check for damaged or missing parts and damage to padded vinyl top Replace if necessary. Refer Spare Parts List or ParagonCare Service Dept Inspect welded frame for any signs of damage or defects. WARNING Disconnect couch from the mains power supply before starting any maintenance activity. Couch will still operate on battery backup power if handset buttons are pressed. Avoid skin contact with lubricants. Individual locking castors Checks every six months should be conducted on the castors assemblies in order to check for looseness. To do this, apply the brakes and lift the couch off the floor. Castors should be securely fixed in to the castor tubes. If a problem is found, re-tighten the fixing bolts to the underneath of the castor assemblies. 9
6. Maintenance (Continued) Castors and Brakes (including central locking) Apply the brakes and push the couch forward. If any of the three or four braking castors rotate, the brake is not fully effective. Check the steering lock for efficient operation (central operation only) If either the brakes or the steering lock (central operation only) are not working as they should, contact an approved service agent. Batteries (battery back-up only) If a beeping sound is heard when operating the couch it means that the battery is at low charge. Re-connect the couch to a mains power supply for a minimum of 24 hours so that the batteries can recharge. Check the battery condition every six months using the following procedure: 1. Make sure that the couch has been connected to the mains power supply for an uninterrupted 24 hour period. 2. Disconnect the couch from the mains supply. 3. Apply a load of 80kg to platform. 4. Raise and lower the platform, from minimum to maximum height, three times. 5. If the couch does not operate satisfactory in step 4, perform steps 1 to 4 again. If the couch continues to operate unsatisfactory, it may indicate that the batteries need replacing. In this situation, consult an approved service agent. Handset Checks Between each patient, ParagonCare strongly advises that the Handset is visually inspected for obvious damage before each use if practicable and that Preventative Maintenance checks are conducted on the handset. When using a specific function staff should be aware of, and checking for, any of the symptoms listed in point 3 below. Preventative Maintenance Checks ParagonCare recommends that the full check and testing regime is conducted between each bed use or worst case during annual Preventative maintenance. This should take no more than one (1) minute to complete. 10
6. Maintenance (Continued) Front cover outer label Look for tears or identations over the buttons 1. Visual inspection of handset casing 1.1 Inspect the outer plastic casing for any obvious cracks or damage. 1.2 Inspect for damage to the front cover (outer label) particularly over the buttons where the label may be torn or indented. If any damage is identified while conducting checks 1.1 and 1.2, immediately quarantine the couch and report the damage to maintenance staff or replace the Handset. 2. Visual inspection of the cable and cable insulation: 2.1 Inspect the cable for any nicks or cuts in the insulation 2.2 Inspect for any evidence that the cable may have been squashed or flattened. Squashed or flattened cables may indicate a possible break in the internal conductors or insulation causing conductors to short together which could cause unwanted movement of the bed. Any handsets are found with obvious damage to the cable insulation, immediately report the damage to maintenance staff or replace the Handset. 3. Tactile inspection of the buttons: All buttons should be operated and response tested. Depress each button on the handset. Each button should have a positive audible click that is also felt. The function being pressed should also operate. If the button: Does not have a click feel Does not have an audible click sound Does not immediately operate the function Feels soft offering no resistance Feels different to the rest of the buttons travels further when depressed Immediately quarantine the couch and report the damage to maintenance staff or replace the Handset, otherwise contact a Paragoncare approved Technician. 11
7. Troubleshooting Symptom Possible Cause Action All actuators fail to work One actuator fails to work Bed stops operating Brakes or steering lock not effective Power disconnected or batteries discharged. (Battery backup models only) Handset disconnected Blown fuse Damaged handset cable Actuator plug disconnected Over temperature safety cut-off operated Wear or damage Ensure mains supply lead is connected. Check the handset plug is fully inserted in the control box. Contact PargonCare Service Department on 1300 369 559 Replace handset Check that actuator plug is fully inserted in control box. Allow bed to cool down. Adjust or replace castor. 12
8. Warranty & Service ParagonCare s standard terms and conditions apply to all sales. A copy is available on request. These contain full details of warranty terms and do not limit the statutory rights of the consumer. For service, maintenance and any questions regarding this, or any other ParagonCare product, please contact: Paragon Care Group Pty Ltd 11 Dalmore Drive Scoresby 3179 VIC Australia T_ 1300 369 559 F_ 03 8833 7890 info@paragoncare.com.au 13
9. Dimensions & Data Dimensions Overall Width Overall Width (with rails) Overall Length 3 section Overall Length 2 section Height to Platform Top Backrest Adjustment 2 section Backrest Adjustment 3 section Footrest Adjustment 3sec only Safe Working Load Product weight (approx) Without accessories 700mm 750mm 1940mm 1965mm 480mm 880mm -24 degrees to +84 degrees 0 degrees to 80 degrees -24 degrees to +84 degrees 200Kg 72kg Electrical Data (230V) Power in Duty rating Electrical Safety Standard 2A max. at 230V~, 50Hz. Intermittent 10%, Max. 2min. / 18 min. Complies with EN 60601-1/ UL60601-1 Electric shock protection Class 2 EMC Complies with BS EN 60601-1-2 2001 Liquid ingress protection IP54 Internally Powered Equipment (Emergency Battery backup only) Source Type 2 x 12V series connected Batteries Sealed, rechargeable lead/acid gel 1.2 amp hrs. 14
10. Transportation & Storage Handle with care. Do not drop. Avoid shock or violent impact. The equipment should be stored in a clean, dry and well ventilated area. The following limits apply during transport and for a storage period up to 15 weeks: Ambient Temperature: -25 Degrees to +70 Degrees Relative Humidity: 10% to 75% Air Pressure: 50Kpa to 106Kpa The following limits apply to operating conditions on longer periods of storage: Ambient Temperature: +10 Degrees to +40 Degrees Relative Humidity: 30% to 75% Air Pressure: 70Kpa to 106Kpa Storage Temperature Charging Interval 20 C or less Charge batteries for 24 hours every 9 months 20-30 C 30-40 C Charge batteries for 24 hours every 6 months Charge batteries for 24 hours every 3 months 15
Paragon Care Group Pty Ltd 11 Dalmore Drive Scoresby 3173 Victoria Australia T 1300 369 559 F 03 8833 7890 E info@paragoncare.com.au paragoncare.com.au