FHSurgical C-MAX Operator's Manual

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INT

RGE

BATT

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109

FDL

-20

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-C.M

Operating table

Operator Manual

C-MAX/NU/11/02

Edition 01F

Ref. 022710201

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Summary of Contents for FHSurgical C-MAX

Page 1 BATT -C.M Operating table Operator Manual C-MAX/NU/11/02 Edition 01F Ref. 022710201...
Page 2: Table Of Contents
Operating table TABLE OF CONTENTS 1 - Quality Standard ......................4 2 - Guarantee ........................5 3 - Safety instructions ......................6 3.1 Summary of warnings ..................... 6 3.2 Pinch points ........................8 3.3 Symbols ........................11 4 - General description ......................11 4.1.1 Classification ........................
Page 3 Operating table 8 - Override system ....................... 49 8.1 Operating instruction ......................49 8.2 Replacing override hand control ..................51 9 - Cleaning and disinfecting ....................52 9.1 General instructions ......................52 9.2 Cleaning and disinfecting ....................52 9.3 Recommended and unsuitable products ................. 53 10 - Maintenance ........................
Page 4: Quality Standard
Operating table Dear customer, Thank you for choosing the C-MAX operating table, newly proposed by FHSurgical to fully meet your needs. Please read the instructions carefully to ensure optimum efficiency and safety when using the C-MAX operating table. Philippe DAURY, President.
Page 5: Guarantee
Title to replaced parts reverts to FHSurgical and they must be returned to it within one month of replacement; otherwise FHSurgical reserves the right to bill the value of the replaced part.
Page 6: Safety Instructions
Internal Electrical Power Source (page 13). ! ! ! ! ! Table must be equipped with 2 flame retardant lead sealed batteries 12V, available through the FHSurgical network (page 13). Do not remove leg plate while patient is not correctly positioned .
Page 7 Operating table ! ! ! ! ! In case of table displacement, with patient on it, table top must be in a flat position, centered in relation to table column. Prior to this, the user will have to remove any obstacles that might stand in the way and move table with care (page 28).
Page 8: Pinch Points
Operating table 3.2 Pinch points : ! ! ! ! ! During table top operation, several possible pinch points are generated and could result in medical staff or patient injuries. Cutting or crushing injury may occur if any part of a patient or staff member is caught in a pinch point. People involved must be aware of these risks and review drawings of FIG 3.1 and 3.2.
Page 9 Operating table FIG. 3.2 PINCH POINTS Operator manual Réf. 022710201...
Page 10 Operating table 3.3 Symbols : Label : Warning : consult the accompanying Height up (page 29) documents Label : IPX 4 Height down (page 29) Protected against water splashes Label : Trendelenburg (page 29) Type B appliance : Protection against electric shocks Manual : ! ! ! ! !
Page 11: Symbols
Operating table 3.3 Symbols : SUB-D socket for E-SERVE: for connecting exclusively FHSurgical computer or modem (diagnostics) (page 25) Socket 1 : for plugging in hand control (page 25) Socket 2 : for plugging in optional foot control (page 25) Hand control : Table works on batteries.
Page 12 Operating table FIG. 4.1.2 - DESCRIPTION N IN I PO N IN C-MAX 26 CHARGE BATTERY INTELLI POWER 1 - Mobile base 9 - Power panel 17 - Identification label 2 - Column 10 - Power Cord 18 - Primary fuses...
Page 13: Description
C-MAX is suitable for most surgical procedures and is designed to support patient weighing up to 600 lb (270 kg) using standard positions specified chapter The unique concept of its power supply (INTELLI POWER pending patent) allows the table to be either battery powered or electric powered.
Page 14 Operating table FIG. 4.2 - MOUVEMENT RANGE 9" 227mm 9" sockets when not in use. Ensure caps cover 227mm SERVE 26" 45" sockets when not in use. Ensure caps cover SERVE 1136mm 675mm sockets when not in use. Ensure caps cover SERVE 90°...
Page 15: Specifications
Operating table 4.2 - Specifications : - Up / Down 45’’ - 1136 mm / 26’’ - 675 mm - Lateral tilt left / right 20°/20° - Trendelenburg / reverse Trendelenburg 30°/30° - Back section Up / Down 90°/40° - Leg section Up / Down 0°/105°...
Page 16 Operating table FIG. 5.1 - INSTALLING HEADREST FIG. 5.2 - HEADREST ADJUSTMENT C-MAX 02a Handle 60° 90° Ensure caps cover sockets when not in use. SERVE Réf. 022710201 Operator manual...
Page 17: Installation Instructions
Operating table 5 - Installation instructions : 5.1 - Installing headrest (FIG. 5.1) : Attach the headrest at the end of the back frame as follows : 1. Fully loosen the two locking device thumbscrews located at the end of the back frame. 2.
Page 18 Operating table FIG. 5.3 - REMOVING LEG SECTION Handle Hand control LCD display 03" 20° angle value 00" TREND TILT 00° 00° LEG OUT sockets when not in use. Ensure caps cover SERVE FIG. 5.4- INSTALLING LEG SECTION CLICK « »...
Page 19: Removing And Installing Leg Section
Operating table 5.3 - Removing and installing leg section : The C-MAX leg section is designed to be removable (Hi-lock,pending patent) in order to provide free access to the surgeon while using additional leg supports (refer to patient positionning, chap. 7) Do not remove leg section while patient not correctly positioned.
Page 20 FIG. 5.7.1 - HAND CONTROL LCD DISPLAY SENSORS 03" 20° 04° 00" TREND TILT 00° 00° SLIDE HEAD ! FIG. 5.7.2 - LED DISPLAY C-MAX 26c CHARGE BATTERY INTELLI POWER Label 1 Label 2 ORANGE GREEN CHARGE BATTERY Réf. 022710201 Operator manual...
Page 21: Connecting And Disconnecting Mains Power Cord
To disconnect the power cord, proceed in reverse order INTELLI POWER (patent pending) The unique concept of C-MAX power supply allows the table to be either battery powered or electric powered. 5.6 ELECTRIC POWER MODE The table is permanently connected to the mains.
Page 22 Operating table FIG. 5.8 - CONNECTING AND DISCONNECTING HAND CONTROL Ensure caps cover sockets when not in use. SERVE FIG. 5.8.1 - CONNECTING FIG. 5.8.2 - DISCONNECTING FIG. 5.9 - CONNECTION PANEL Socket 2 Sub. D socket Socket 1 Réf. 022710201 Operator manual...
Page 23: Connecting And Disconnecting Hand Control
Operating table b) Recharging batteries : If table is used in the battery power mode (power cord disconnected), recharge batteries regularly by connecting table to the mains and pushing mains switch on. Maximum charging time = 12 hours. When batteries are fully charged, 100 to 150 procedures (approx. 3 weeks ) are possible without recharging. Batteries are automatically recharging when table is connected to the mains and mains switch is on.
Page 24 Operating table FIG. 5.10 - CONNECTING AND DISCONNECTING OPTIONAL FOOT CONTROL Ensure caps cover sockets when not in use. SERVE FIG. 5.8.1 - CONNECTING FIG. 5.8.2 - DISCONNECTING FIG. 5.9 - CONNECTION PANEL Socket 2 Sub. D socket Socket 1 Réf.
Page 25: Connecting And Disconnecting Optional Foot Control
5.10 - Connecting to SUB-D socket for E-SERVE (FIG. 5.9) : - C-MAX smart electronic design allows diagnostic and servicing to be performed from a distance by FHSurgical‘s service specialists (E-SERVE compatible) Sub-D socket located at the connection panel is for authorized technical service, computer interface only.
Page 26: Operating Instructions
Operating table 6 - Operating Instructions : The hand control unit includes : 1. a 3-meter long spiral cable with a plug to be connected to the table (refer to chapter 5.8). The junction with the box is made by a connector to facilitate cable replacement; 2.
Page 27 Operating table FIG. 6.1 - LCD DISPLAY DESCRIPTION SENSORS 03" 20° 04° 00" TREND TILT 00° 00° SLIDE HEAD ! LCD Message LCD Status Indicators Height stroke level value (from 0 to 18 inches/46cm) Trendelenburg or Reverse Trendelenburg angle value Upward pointing arrow : Trend angle value (from 0 to 30°) Downward pointing arrow : Reverse Trend value (from 0 to 30°) Lateral tilt angle value...
Page 28: Hand Control Operations
By pressing OFF, table switches off and all functions are stopped immediately. 3. LOCK / FLOOR LOCK / UNLOCK - C-Max operating table is equipped with a mobile base which enables table to be moved in operating theatre in order to allow floor cleaning or table relocation.
Page 29 Operating table ! ! ! ! ! Since table is locked, ensure table is stable according floor flatness. Relocate table if required. To unlock the table, proceed as follows 1. Press FLOOR LOCK LCD message (1) : «Press » appears at the LCD message window. 2.
Page 30 Operating table 9. TILT LEFT By pressing TILT LEFT, tabletop tilt towards Patient’s left side. Display LATERAL TILT value (5) moves accordingly. 10. TILT RIGHT By pressing TILT RIGHT, tabletop tilt towards Patient’s right side. Display LATERAL TILT value (5) moves accordingly. 11.
Page 31 Operating table 19. LEVEL By pressing LEVEL, tabletop is gradually returned to horizontal position by aligning tabletop sections in the following order : 1. Kidney and Lateral tilt 2. Trend and Back 3. Leg Corresponding movement value varies accordingly on display. ! ! ! ! ! When REVERSE ORIENTATION is activated, level function does not include back section for compliance with anesthesia procedures.
Page 32: Als Description
Operating table 6.2 - ALS description : C-MAX smart electronic design using built-in sensors, provide safety information to the users. These sensors prevent sectional conflict and detect accidental table collisions with external obstructions (AUTO LIMIT SENSORS : pending patent). To prevent sectional conflict, or collision with table or floor, ALS system immediately stops movement in process.
Page 33 Operating table FIG. 6.3 - ALS RECOMMENDATIONS OPERATION POTENTIAL COLLISION RECOMMENDATION Normal orientation Height down Leg section/base TREND Leg section/floor LEG UP Headrest/ floor REV TREND Leg section/slide LEG UP Slide head Leg section/base TABLE UP Leg section/floor LEG UP Leg section/column TREND Slide foot...
Page 34: Optional Foot Control Operations
Operating table 6.3 - Optional foot control operations : Refer to chapter 5.9 to connect the foot control to the table. 1. Lock table : tabletop movements are not allowed when table is unlocked. 2. Ensure table is correctly configured in relation to patient orientation function. 6.4 Tabletop pads FUSION conductive tabletop pads have to be ordered separately.
Page 35: Optional Xray Top
Operating table 6.5 - Optional Xray top : This accessory is available for the use of X-ray cassette film. Xray double top set is comprised of four components (FIG. 6.4) Installing Xray top : 1- Remove X-ray top sections from their box. 2- Remove pads from the tabletop.
Page 36 Operating table Réf. 022710201 Operator manual...
Page 37: Patient Positioning
Operating table 7 - Patient positioning : C-MAX is suitable for most surgical procedures and designed to support patient weighing up to 600 lbs (270kg), in standard positions defined hereafter. The C-MAX top slide provides full body imaging (FIG. 7.1) and avoids patient reorientation (except for shoulder arthroscopy with shoulder chair accessory).
Page 38: Surgical Procedure : Ophtalmology
Operating table 7.2 Surgical procedure : Ophtalmology Ensure caps cover sockets when not in use. SERVE Patient is positioned in supine. Tabletop is centered in relation to table column and an extremely low height position can be obtained. For surgeon convenience, an optional narrow headrest can be installed (refer to narrow headrest user’s instructions).
Page 39: Surgical Procedure : Cranial Surgery
Operating table 7.4 Surgical procedure : Cranial surgery a) Prone or supine position sockets when not in use. Ensure caps cover SERVE Patient is positioned in supine or in prone position. Tabletop is centered in relation to table column. Optional surgical headrests can be installed, according to the surgeon’s needs (refer to Neurosurgical headrest user’s instructions).
Page 40: B) Lateral Position
Operating table 7.4 Surgical procedures : Cranial surgery b) Lateral position sockets when not in use. Ensure caps cover SERVE Patient is positioned in lateral position. Tabletop is centered in relation to table column. Optional neurosurgical headrests can be installed according to surgeon needs (refer to Neurosurgical headrest user’s instructions).
Page 41: Sitting Position
Patient is positioned in sitting position. Table top is slid 4 inches (about 100 mm) towards head end and moved 10° in Trendelenburg. Back section is approx.75° up and leg section approx. 20° down. In this case C-MAX offers large clearance from the base. Optional neurosurgical head rests can be installed according to the surgeon’s needs (refer to Neurosurgical headrest user’s instructions).
Page 42: Surgical Procedure : Plastic And Breast Surgery
Back section is approx. 75° up and leg section approx. 20° down. In this case, C-MAX offers a large clearance from the base. R e co m m e n d e d e q u i p m e n t...
Page 43: Surgical Procedure : Spinal Surgery
Operating table 7.7 Surgical procedure : Spinal surgery a) Prone position Ensure caps cover sockets when not in use. SERVE Patient is positioned in the prone position. Tabletop is centered in relation to table column. Recommended equipment 686900117 Restraint strap (x2) 686900122 Easy clamps (x4) 686900128...
Page 44: Surgical Procedure : Kidney And Thoracic Surgery
Operating table 7.8 Surgical procedure : Kidney & Thoracic surgery sockets when not in use. Ensure caps cover SERVE Patient is positioned in lateral position. Tabletop is slid towards head end with flex, between back and seat section. Kidney elevator can be used to increase flex. Recommended equipment 686900114 Standard armboard (x1)
Page 45: Surgcial Procedure : Urology, Proctology, And Gynecology
Operating table 7.9 Surgical procedure : Urology, Proctology, and gynecology Ensure caps cover sockets when not in use. SERVE Headrest is removed. Tabletop slid towards patient foot end. Patient is positioned in supine position with patient’s legs placed in leg holders (refer to leg holders user’s instructions).
Page 46: Surgical Procedure : Shoulder Arthroscopy
Operating table 7.10 Surgical procedure : Shoulder arthroscopy Shoulder chair accessory is positioned on the table prior to patient installation (refer to shoulder chair’s user’s instructions). Patient is positioned in reverse orientation. Recommended equipment 686900108 Shoulder chair with lateral support 686900117 Restraint strap (x1) 686900122...
Page 47: Surgical Procedure : Vascular And Angioplasty
Operating table 7.11 Surgical procedure : Vascular & Angioplasty sockets when not in use. Ensure caps cover SERVE Headrest removed. Tabletop is slid towards foot end. Patient is positioned in supine position. Footrest used as extension (refer to foot rest user’s instructions) can be installed for tall patient. Recommended equipment 686900114 Standard armboard (x2)
Page 48 Operating table FIG. 8.1 : FOOT PUMP Ensure caps cover sockets when not in use. SERVE W0109-2000-SW WARNING WARNING FDLKM-C.MAX AVERTISSEMENT AVERTISSEMENT CHARGE BATTERY INTELLI POWER FIG. 8.2 : OVERRIDE HAND CONTROL Réf. 022710201 Operator manual...
Page 49: Override System
8 - Override system : Description : C-MAX surgical table is equipped with an override systems to be used in case of major electronic failure. This override system is located at the table base level, right side, and is comprised of :...
Page 50 Operating table By pressing HEIGHT DOWN and pumping simultaneously, tabletop moves down. 5. TREND By pressing TREND. and pumping simultaneously, tabletop moves into Trendelenburg position. 6. REV. TREND. By pressing REV.TREND. and pumping simultaneously, tabletop moves into reverse Trendelenburg position 7.
Page 51: Replacing Override Hand Control
Operating table 15. KIDNEY UP By pressing KIDNEY UP and pumping sumultaneously, kidney elevator moves up. 16. KIDNEY DOWN By pressing KIDNEY DOWN, kidney elevator moves down. ! ! ! ! ! When override hand control is in use, primary hand control is automatically shut off, after 1 second. ! ! ! ! ! In override mode, no sensor is available (A.L.S.
Page 52: Cleaning And Disinfecting
Use a ready-to-use detergent - disinfectant solution diluted as may be required. Be sure to observe dilution and temperature instructions recommended by manufacturer. Check that the active constituents of the products used are compatible with the materials implemented in manufacture of the FHSurgical products. a) Cleaning between two surgical operations Cleaning the control unit - Disconnect the control unit.
Page 53: Recommended And Unsuitable Products
The user should contact the hygiene manager at his center or his administrative supervisor. The products and procedures recommended by this organization must be observed. In the event of a doubt concerning the compatibility of the active constituents used, contact the FHSurgical product support department. b) Unsuitable products Do not use any oxidizing products with chloric derivative base such as bleach, or oxygenic derivatives such as peracetic acid.
Page 54: Maintenance
- after the warranty period, by an FHSurgical technician, approved distributor or the hospital’s engineering department, certificated by FHSurgical. Any alteration of this equipment, not autorized or not performed by FHSurgical, and which could affect its operation, renders the guarantee null and void.
Page 55: Maintenance Tasks For Operator
Operating table 10.2 Maintenance tasks for operator : End-of-day · Perform all steps of the cleaning procedure (refer to cleaning and disinfection, chap. 9). · Check the table status on the main hand control. · Recharge batteries (refer to recharging batteries, chap. 5.5) and check the battery charge. Weekly ·...
Page 56: Environmental Protection
Operating table c) Level check : 1) Articulate table to level position 2) Check level with air level. In case of malfunction, refer to technical manual for adjustment. d) Override hand control check : 1) Using main hand control, lower the table completely. 2) Flip pedal down.
Page 57: Operator Troubleshooting
Table ready No action Key symbols and message Press "OFF" and start again the hand control to see if on LCD Default detected default disappears. Fixed "key" symbol Service required. Call FHSurgical service department. Read LCD message. Operator manual Réf. 022710201...
Page 58: Service Procedure
Operating table 10.6 Service procedures : a) Main hand control cord replacement : 1) Switch table off. 2) Disconnect the main hand control cord connector from the table connection panel (refer to chap. 5.8). 3) Disconnect the cord from the hand control, by unplugging connector. 4) Plug new cord to the hand control and listen to the “click”.
Page 59: Inspection Sheet
Operating table 10.8 Inspection sheet FHSurgical project # ......................Serial # : ......................Delivery date : ....................Part number : ....................Installation date : ....................Operating theater ref : ....................Put into service date : ....................Operating room ref : ....................
Page 60 Our network is at your disposal if you have any queries. FHSurgical 645, rue des Châtaigniers, BAT 405 - B2, F 45770 SARAN Tél. : +33 2 38 74 54 00 / Fax : +33 2 38 74 5401 www.fhsurgical.com / contact@fhsurgical.com...