Operations Manual: Eye Surgery Stretcher
Operations Manual: Eye Surgery Stretcher
Model 1079
Operations Manual
SYMBOLS
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.
This manual is designed to assist you with the operation of Stryker Model 1079 Eye Surgery Stretcher. 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 stretcher.
PRODUCT DESCRIPTION
The Stryker Model 1079 Eye Surgery Stretcher is a general purpose patient transport and treatment stretcher.
SPECIFICATIONS
Carefully read and strictly follow the warnings and cautions listed on this page.
Service only by qualified personnel. See the maintenance manual for additional information.
WARNING
• Patients should be discouraged from sitting directly on the ends of the stretcher. Excessive weight could cause
the litter surface to tip up, possibly causing patient injury.
• Leave the stretcher litter in the lowest position when the patient is left unattended. Leaving the litter in a raised
position could increase the chance of patient falls and injury.
• Always apply the caster brakes when a patient is getting on or off the stretcher. Push on the stretcher to ensure
that the brakes are securely locked. Always engage the brakes unless the stretcher is being moved. Injury could
result if the stretcher moves while a patient is getting on or off the stretcher.
• Make sure that the brakes are completely released before attempting to move the unit. Attempting to move the unit
with the brakes actuated could result in injury to the user and/or patient.
• After raising the siderails, pull firmly on the siderail to ensure it is securely locked into the up position. Siderails are
not intended to serve as a patient restraint device to keep patients from exiting the unit. Siderails are designed to
keep a patient from inadvertently rolling off the unit. It is the responsibility of the attending medical personnel to
determine the degree of restraint necessary to ensure a patient will remain in place. Failure to utilize the siderails
properly could result in patient injury.
• When lowering the siderail to the collapsed position, keep extremities of patients and staff away from the siderail
spindles or injury could occur.
• When using the transfer board to transfer a patient from one patient support platform (for example, bed, stretcher,
gurney, operating table) to another, always lock the brakes on both patient support platforms. Make sure that the
transfer board is placed securely on the surface of the patient support platforms. The patient support platforms
and surfaces must be at the same height before the patient is transferred.
• Operation of the pneumatic fowler is a manual procedure. Use caution when raising the fowler while a patient is
on the stretcher. Use proper lifting techniques and get additional assistance, if necessary. Failure to use proper
lifting techniques could cause injury to the operator.
• Keep hands/fingers clear of the area around the fowler release handle and the fowler frame when lowering the
fowler. Injury could result if care is not taken when lowering the fowler.
• The weight of the patient’s head is resting on the head piece and must be supported by the operator when the
latches are released and the head piece is being positioned. Failure to adequately support the head piece while
positioning the head could result in patient injury.
• Do not reach between the side of the head extension and the articulating head piece to pull the release handle.
Finger injury could result.
• To avoid possible pinch points when adjusting the head piece, keep your fingers away from the jointed areas.
• If the stretcher is equipped with the optional foot end push handles, use caution while the foot extension/defibrillator
tray is installed to avoid pinching your fingers.
CAUTION
• Do not modify this stretcher. Modifying the unit can cause unpredictable operation resulting in injury to the patient
or operator. Modifying the unit will also void its warranty.
• 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.
• When the transfer board is being used to transfer a patient, the support post must be in the stored (down) position.
Damage to the support post will occur if it is pushed up against a stretcher, table, etc.
• The maximum PSI level for the drape support/oxygen tubing is 20 PSI (1.38 Bars/140 KPA).
• To avoid damage, the weight of the I.V. bags should not exceed 40 pounds.
• To avoid damage while transporting the stretcher, verify that the I.V. pole is at a low enough height to allow it to
safely pass through door openings and under light fixtures.
• If the stretcher is equipped with the optional foot end I.V. pole, the I.V. pole must be in the raised position when the
foot extension/defibrillator tray is installed. If the I.V. pole is not raised, the foot extension will not function properly
and injury could occur.
• To avoid damage, do not put items weighing more than 30 pounds on the defibrillator tray.
• To avoid damage, do not put items weighing more than 30 pounds on the serving tray.
• Do not raise the unit (hydraulics on base) with a patient lift under the stretcher.
• Do not use the hood for stepping.
NOTE
• Clean hood storage area regularly.
• The bottom of the brake pads should be cleaned regularly to prevent wax or floor remnant buildup.
Make sure that the unit is working properly before it is put into service. The following list will ensure that each part of
the unit is checked.
• Depress the pedal at either end of the stretcher fully to set the four wheel brakes and verify all four casters are
locked
• Ensure the siderails raise and lower smoothly and lock securely in the full up position (see page 14)
To operate the base controls, see Figure 1 to locate which pedals are used for what operation. Pedal (A) raises the
litter. Pedal (B) lowers the stretcher ends. Pedal (C) operates the brake and steer function for the foot end.
C B A
B A
Figure 1: Stretcher Base Controls - Side Control
E C A
B
D
A
C A
Figure 2: Stretcher Base Controls - 3-Sided Control
A Pump pedal (A) at the foot end or sides of the stretcher to raise the litter
Depress pedal (B) or the side of pedal (C) closest to the head
end of the stretcher to lower the head end of the stretcher.
Depress pedal (D) or the side of pedal (C) closest to the foot
B D end of the stretcher to lower the foot end of the stretcher.
Depress in the center of pedal (C) or depress pedals (B) and (D)
together to lower both ends of the stretcher together.
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 Figure 1 on page 9).
To lower both ends of the litter together, depress the center of pedal (B) (see Figure 1 on page 9).
To lower only the head end of the litter, depress the side of pedal (B) closest to the head end (see Figure 1 on page 9).
To lower only the foot end of the litter, depress the side of pedal (B) closest to the foot end (see Figure 1 on page 9).
Note: The base may be equipped with optional variable descent controls. With variable descent controls, the farther
you press down on the pedal, the faster the litter will lower.
WARNING
• Patients should be discouraged from sitting directly on the ends of the stretcher. Excessive weight could cause
the litter surface to tip up, possibly causing patient injury.
• Leave the stretcher litter in the lowest position when the patient is left unattended. Leaving the litter in a raised
position could increase the chance of patient falls and injury.
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 Figure 2 on page 10).
To lower both ends of the litter together, depress pedal (B) and (D) together using the same foot or depress in the
center of pedal (C) (see Figure 2 on page 10).
To lower only the head end of the litter, depress pedal (B) or the side of pedal (C) closest to the head end (see Figure
2 on page 10).
To lower only the foot end of the litter, depress pedal (D) or the side of pedal (C) closest to the foot end (see Figure
2 on page 10).
Note: The base may be equipped with optional variable descent controls. With variable descent controls, the farther
you press down on the pedal, the faster the litter will lower.
Note: Litter height must be raised first in order to achieve a Trendelenburg or reverse Trendelenburg position.
CAUTION
To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height.
For Trendelenburg positioning (head down), depress the side of pedal (B) closest to the head end (see Figure 1 on
page 9).
For Reverse Trendelenburg positioning (foot down), depress the side of pedal (B) closest to the foot end (see Figure
1 on page 9.
Note: The higher the litter is before pedal (B) is activated, the greater the Trendelenburg or reverse Trendelenburg
angle will be. (Maximum Trendelenburg angle is +18°. Maximum reverse Trendelenburg angle is -18°.)
CAUTION
To avoid damage, remove any equipment that may be in the way before raising or lowering the litter height.
For Trendelenburg positioning (head down), depress pedal (B) or the side of pedal (C) closest to the head end (see
Figure 2 on page 10).
For Reverse Trendelenburg positioning (foot down), depress the side of pedal (B) depress pedal (D) or the side of
pedal (C) closest to the foot end (see Figure 2 on page 10).
Note: The higher the litter is before pedal (B) is activated, the greater the Trendelenburg or reverse Trendelenburg
angle will be. (Maximum Trendelenburg angle is +18°. Maximum reverse Trendelenburg angle is -18°.)
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 that
the brakes are securely locked. Always engage the brakes unless the stretcher is being moved. Injury could result if the
stretcher moves while a patient is getting on or off the stretcher.
To engage the brakes on the head end, push fully down on the left side of pedal (A) as shown in Figure 3.
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.
WARNING
Make sure that the brakes are completely released before attempting to move the unit. Attempting to move the unit with
the brakes actuated could result in injury to the user and/or patient.
The fifth wheel guides the stretcher along a straight line during transport and pivots the stretcher around corners.
To operate the fifth wheel, push the side of any brake/steer pedal marked STEER to the full down position.
Note: Raising and lowering the siderails safely is a two-handed operation. Use one hand to hold and position the
siderail and the other hand to operate the siderail latch.
To raise the siderails, pull up on the siderail (A) and raise it to the full up position until the latch (B) engages as shown
in Figure 4.
WARNING
After raising the siderails, pull firmly on the siderail to ensure it is securely locked into the up position. Siderails are not
intended to serve as a patient restraint device to keep patients from exiting the unit. Siderails are designed to keep a
patient from inadvertently rolling off the unit. It is the responsibility of the attending medical personnel to determine the
degree of restraint necessary to ensure a patient will remain in place. Failure to utilize the siderails properly could result
in patient injury.
Figure 4: Siderails
To lower the siderails, pull up on the latch (B) and guide the siderail to the full down position as shown in Figure 4.
The latches (B) are colored yellow for easy identification.
WARNING
When lowering the siderail to the collapsed position, keep extremities of patients and staff away from the siderail spindles
or injury could occur.
CAUTION
To avoid injury or damage to the equipment, do not allow the siderail to lower on its own.
Make sure that the siderail latching mechanism is working properly at all times. If it is not, see the stretcher maintenance
manual for ”Siderail Latch Adjustment”.
WARNING
When using the transfer board to transfer a patient from one patient support platform (for example, bed, stretcher, gurney,
operating table) to another, always lock the brakes on both patient support platforms. Make sure that the transfer board
is placed securely on the surface of the patient support platforms. The patient support platforms and surfaces must be
at the same height before the patient is transferred.
CAUTION
When the transfer board is being used to transfer a patient, the
support post (D) must be in the stored (down) position. Damage
to the support post will occur if it is pushed up against a stretcher,
MATING
BED
table, etc.
C
MATING
BED
D
Figure 6: Transfer Board as an Armboard
Figure 5: Transfer Board
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The fowler and gatch crank handles are stored under the litter and held out of the way with magnets. Pivot the crank
out and push in to engage it.
A
B
Figure 7: Fowler and Gatch Crank Handles
Note: The stretcher may have a stationary foot end instead of a gatch.
To lift the fowler, squeeze the red fowler handles (A & B) for pneumatic assist until the fowler has reached the desired
height as shown in Figure 8. Remove your hand(s) from the handle when the desired height is achieved.
To lower the fowler, squeeze the red fowler handles (A & B) and push down until the fowler has reached the desired
height. Remove your hands from the handle when the desired height is achieved.
A B
WARNING
• Operation of the pneumatic fowler is a manual procedure. Use caution when raising the fowler while a patient is
on the stretcher. Use proper lifting techniques and get additional assistance, if necessary. Failure to use proper
lifting techniques could cause injury to the operator.
• Keep hands/fingers clear of the area around the fowler release handle and the fowler frame when lowering the
fowler. Injury could result if care is not taken when lowering the fowler.
If the pneumatic fowler is difficult to operate, see the stretcher maintenance manual for ”Pneumatic Fowler Adjustment”.
To operate the articulating head piece, grasp either handle under the head section and squeeze.
• Handle (A) releases one latch and rotates the head piece on axis ”A”.
• Handle (B) releases the other latch and rotates the head section on axis ”B”.
Note: For ease of operation, it is recommended to release only one latch at a time.
WARNING
• The weight of the patient’s head is resting on the head piece and must be supported by the operator when the
latches are released and the head piece is being positioned. Failure to adequately support the head piece while
positioning the head could result in patient injury.
• Do not reach between the side of the head extension and the articulating head piece to pull the release handle.
Finger injury could result.
• To avoid possible pinch points when adjusting the head piece, keep your fingers away from the jointed areas.
The optional inflatable head support cushion has two internal air
bladders to cushion and provide more stability for the patient’s head.
B
A
The optional drape support/oxygen tubing provides an integrated drape support and patient air delivery system. The
oxygen tubing is located inside of the flexible support tube.
Place the mounting tab (A) into the I.V. receptacle at the head end of the stretcher and insert the oxygen delivery line
into the oxygen tube receptacle (B).
CAUTION
The maximum PSI level for the drape support/oxygen tubing is 20 PSI (1.38 Bars/140 KPA).
B
Figure 13: Oxygen Tubing
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Note: The two-stage permanently attached I.V. 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 that the stretcher was purchased.
B A
A
C
C
CAUTION
• To avoid damage, the weight of the I.V. bags should not exceed 40 pounds.
• To avoid damage while transporting the stretcher, verify that the I.V. pole is at a low enough height to allow it to safely
pass through door openings and under light fixtures.
Note: The three-stage permanently attached I.V. 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 that the stretcher was purchased.
A
E C
C
B
D
A B
E
Figure 17: I.V. Pole Latch Detail
Figure 16: I.V. Pole Figure 18: I.V. Pole Grip Detail
CAUTION
• To avoid damage, the weight of the I.V. bags should not exceed 40 pounds.
• To avoid damage while transporting the stretcher, verify that the I.V. pole is at a low enough height to allow it to safely
pass through door openings and under light fixtures.
WARNING
If the stretcher is equipped with the optional foot end
push handles, use caution while the foot extension/ Figure 19: Optional Foot Extension/
defibrillator tray is installed to avoid pinching your fingers. Defibrillator Tray - Foot End
To use 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 siderails as shown in Figure 20.
To store the serving tray in the optional serving tray holder/foot board, push in both ends of the serving tray and
slide it into holder as shown in Figure 21.
CAUTION
To avoid damage, do not put items weighing more than 30 pounds on the serving tray.
STRETCHER CLEANING
These instructions are intended to provide recommended cleaning methods for the Stryker Model 1079 Eye Surgery
Stretcher.
• emove the mattress prior to washing the unit; do not wash the mattress with the stretcher.
R
• Wipe the unit with cleaning solution and water per manufacturer’s recommended dilution.
• Dry thoroughly. Do not replace the mattress on the stretcher until the unit is completely dry.
• Before returning the unit to service, verify that all labels are intact and that the brake/steer pedal locks properly in
both positions and check all components for proper lubrication.
DO NOT STEAM CLEAN, PRESSURE WASH, HOSE OFF OR ULTRASONICALLY CLEAN THE STRETCHER.
Using these methods of cleaning are not recommended and may void this product’s warranty.
RECOMMENDED CLEANERS
Avoid over saturation and ensure the product does not stay wet longer than the chemical manufacturer’s guidelines
for proper disinfecting.
CAUTION
Some cleaning products are corrosive in nature and may cause damage to the product if used improperly. If the products
suggested above are used to clean Stryker patient handling equipment, measures must be taken to ensure the stretcher
is wiped with a damp cloth soaked in clean water and thoroughly dried following cleaning. Failure to properly rinse and
dry the stretcher will leave a corrosive residue on the surface of the stretcher, possibly causing premature corrosion of
critical components. Failure to follow the above directions when using these types of cleaners may void this product’s
warranty.
Stretchers must have maintenance performed after a minimum of every fifth washing. See the maintenance manual
for specific lubrication instructions.
Do not use abrasive cleaners to clean the display enclosure for the optional scale system. Do not allow cleaning
solutions or other fluids to pool on the display unit. Wipe dry all surfaces after spills or cleaning.
MATTRESS CLEANING
These instructions are intended to provide recommended cleaning methods for stretcher mattresses.
• Hand-wash all surfaces of the mattress with warm water and mild detergent cleaner.
• Dry thoroughly.
• Apply disinfectant solution either by spray, solution or pre-impregnated wipes (do not soak mattress).
• Clean per hospital protocol for mattresses.
• Wipe up excess disinfectant.
• Rinse with clean water.
• Allow surface to dry.
RECOMMENDED DISINFECTANTS
When used in concentrations recommended by the manufacturer, diluted bleach, diluted phenolic, or diluted quaternary
germicidal disinfectants are recommended. Chlorine Bleach, typically 5.25% Sodium Hypochlorite, should be used at
a dilution ratio of 1 part bleach to 10 parts water.
These products are NOT considered mild detergents. They are corrosive in nature and may cause damage to your
stretcher mattress if used improperly. Mattresses must be rinsed with clean water and dried thoroughly after using
corrosives such as quaternary, phenolic, or chlorine bleach. Failure to properly rinse and dry the mattress leaves a
corrosive residue on the surface, likely causing premature corrosion.
Iodophor type disinfectants are not recommended for use because staining may result.
The following table lists the recommended cleaner types for each mattress cover material (see definitions below):
Vinyl Mattress Cover Polyurethane Mattress Cover
Recommended Phenolics Quaternary, Quat/Isopropyl
Acceptable Quaternary, Chlorine Bleach (1:10) Chlorine Bleach (1:10)
Not Recommended Quat/Isopropyl Phenolics
Quaternary Cleaners: identified by ingredients containing the phrase “…yl ammonium chloride”
Quat/Isopropyl Cleaners: identified by a quaternary ingredient above plus isopropyl alcohol
Phenolic Cleaners: identified by ingredients containing the suffix “-phenol”
Chlorine Bleach: known generically as “Sodium Hypochlorite”
SPECIAL INSTRUCTIONS
Velcro To clean and disinfect, saturate with disinfectant, rinse with water, and allow it to evaporate.
Soils or Stains Use neutral soaps and warm water. Do not use harsh cleansers, solvents or abrasive cleaners.
Hard-To-Clean Spots Use standard household/vinyl cleansers and a soft bristle brush on troublesome spots or
stains. Pre-soak heavy, dried-on soil.
Laundering Laundering is NOT RECOMMENDED. Laundering may substantially decrease the useful
life of the mattress.
DO NOT STEAM CLEAN, PRESSURE WASH, HOSE OFF OR ULTRASONICALLY CLEAN MATTRESSES.
Using these methods of cleaning are not recommended and may void this product’s warranty.
1. Make a solution of 1−2 Tablespoons Sodium Thiosulfate in a pint of warm water and use it to wipe the stained
area. Clean the stain as soon as possible after it occurs. If stains are not immediately removed, allow solution to
soak or stand on the surface before wiping.
2. Rinse surfaces which have been exposed to the solution with clear water before returning mattress to service.
Note: Failure to follow the above directions when using these types of cleaners may void this product’s warranty.
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.
LUBRICATION POINTS
With the fowler at 0 degrees, apply Syntech grease (3000-200-719) through the slot and hole in the crank screw
assembly (as shown below). Wipe off excess grease.
LIMITED WARRANTY
Stryker Medical Division, a division of Stryker Corporation, warrants to the original purchaser of the Stryker Model 1079
Eye Surgery Stretcher to be free from defects in material and workmanship for a period of one (1) year after 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, in the sole discretion of Stryker, found to be defective. If requested by
Stryker, products or parts for which a warranty claim is made shall be returned prepaid to the 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 Stretcher products are designed for a 10 year expected service life under normal use, conditions,
and with appropriate periodic maintenance as described in the maintenance manual for each device. Stryker warrants
to the original purchaser that the welds on its Stretcher products will be free from structural defects for the expected
10 year life of the Stretcher product as long as the original purchaser owns the product.
This statement constitutes Stryker’s 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 here under for incidental or consequential damages arising from or in any manner related to sales or use of
any such equipment.
Warranty does not include any disposable items, I.V. poles (except for Stryker HD permanent poles), mattresses, batteries,
or damage resulting from abuse.
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 USA at 1-800-327-0770.
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.
* Replacement parts and labor for products under PM contract will be discounted.
** Does not include any disposable items, I.V. poles (except for Stryker HD permanent poles), mattresses, batteries, or damage resulting from abuse.
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 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.
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.
UNITED
CANADASTATES
Stryker Medical
Canada
3800 E. CentreDrive
45 Innovation Ave.,
Portage,
Hamilton,Michigan USA
Ontario Canada
49002
L9H 7L8
EC REP
European Representative
Stryker France
ZAC Satolas Green Pusignan
Av. De Satolas Green
69881 MEYZIEU Cedex
France
2007/XX
2010/03 XXXX-XXX-XXX REVCX
1079-009-001 REV www.stryker.com