Anetic Aid QA4 User manual

Contents Page
Document No. 992010. Issue 15 –12.01.21
Introduction
1. Introduction . . . . . . . . 1
1.1. Warnings and Cautions . . . . . . 1
1.2. Intended Use and Contraindications . . . . . 1
1.3. Equipment Classification . . . . . . 1
1.4. Serial Number Label . . . . . . . 1
1.5. Putting Trolley into Service . . . . . . 1
1.6. Abridged Summary of Warnings and Cautions . . . 2
Product Specifications
2. Product Specifications . . . . . . . 4
Product Functions
3. Product Functions . . . . . . . . 6
4. Introduction to Powered Functions . . . . . 7
5. Using the Handset . . . . . . . . 7
6. Using the Height Adjustment . . . . . . 8
7. Using the Backrest . . . . . . . . 8
8. Selecting the Lateral Tilt or Patient Platform Traverse Function . . 8
9. Using the Lateral Tilt . . . . . . . 8
10. Using the Patient Platform Traverse (‘C’ Arm Access) . . . 8
11. Using the Trendelenburg Function . . . . . . 9
12. Introduction to Manual Functions . . . . . . 10
13. Using the Brakes . . . . . . . . 10
14. Using the Steering Pedal, activates 5th wheel . . . . 10
15. Using the Head Section . . . . . . . 10
16. Using the Leg Section . . . . . . . 10
17. Using the Single Piece Siderail . . . . . . 12
18. Using the Emergency Backrest Release Function . . . . 13
19. Using the Transfusion Pole . . . . . . . 13
General Product Information
20. Battery Charging and Maintenance . . . . . 15
21. Patient Weight Limits . . . . . . . 16
22. K8 Pressure Care Mattress . . . . . . . 16
23. Cleaning and Disinfecting the Trolley . . . . . 17
24. Product Warranty . . . . . . . . 17
25. Product Maintenance . . . . . . . 18
26. Label Identification . . . . . . . 18
Product Accessories
27. Product Accessories . . . . . . . 22
28. Using the Articulating Leg Section (catalogue no. 21355) . . . 23
29. Using the Dual-articulating Head Positioner (catalogue no. 22325) . 23
30. Using the Urology, Retrograde Pyelography, Gynaecology Extension . 24

Introduction
Document No. 992010. Issue 15 –12.01.21
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1. Introduction
These instructions are intended to assist you with the operation of the QA4™ Powered
Mobile Surgery System. It is important that these instructions are read thoroughly
before using the equipment.
It is also important to check the trolley before use to ensure there is no loss or change in
performance; ensure that all trolley functions operate to their full range of movement
and that all components disengage, re-engage and lock correctly. We recommend that
the trolley is visually inspected for any loose or damaged parts, and foreign bodies
caught in the castors.
NOTE:
If the trolley is damaged or faulty it must be taken out of use with
immediate effect and the fault reported to Anetic Aid, your authorised
dealer or maintenance department. The trolley must not be used until the
damage or fault has been repaired.
1.1. Warnings and Cautions
Various warnings and cautions are made throughout these operating instructions.
A WARNING is given when the personal safety of the patient or user may be
affected and when disregarding this information could result in injury.
A CAUTION is given when special instructions must be followed.
Disregarding this information could result in permanent damage being
caused to the trolley.
1.2. Intended Use and Contraindications
This product is intended for use within a clinical environment for the induction,
transport, treatment and recovery of patients.
CONTRAINDICATIONS:
The trolley is not compatible with hospital bed/trolley washers.
The trolley must not be used near magnetic resonance imaging (MRI) machines, or
any machines generating a large magnetic field.
Do not use the trolley for transporting patients in a moving vehicle.
The trolley has very low ground clearance beneath the central column that may cause
problems when traversing uneven ground and inclines.
The trolley should not be used outside; it may be damaged by pushing it across rough
or uneven ground.
1.3. Equipment Classification
The equipment referenced in this document is CE marked and has been classified as a
Class 1 Medical Device under the scope of both the Medical Devices Directive 93/42/EEC
and the Medical Device Regulation 2017/745.
1.4. Serial Number Label
The serial number label is located on the cover moulding beneath the patient platform.
1.5. Putting the Trolley into Service
Care should be taken when removing the packaging, avoid the use of sharp implements
wherever possible.
It is important that the trolley is working properly, fully charged, cleaned and
disinfected before it is put into service. Use this manual to check all the functions and
refer to Section 20, ‘Battery Charging and Maintenance’, and Section 23, ‘Cleaning and
Disinfecting the Trolley’.

Introduction
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The trolley should only be used, for its intended use, by suitably trained personnel who
have familiarised themselves with the functions of the trolley. Our representatives are
available for on-site consultation or training and our head office team will be pleased to
answer any queries you may have.
1.6. Abridged Summary of Warnings and Cautions
In common with all medical devices of this nature there are inherent risks that the user
should be made aware of, including potential pinch points from moving parts. Whilst
every effort has been taken to eliminate these risks, care should be taken when using
the trolley. It is important that the user familiarise themselves with all of the warnings
and cautions contained within this document.
CAUTIONS:
The battery must be properly maintained in accordance with these
instructions. Failure to do so will result in significant loss of charge capacity
or failure of the battery. Refer to Section 20, ‘Battery Charging and
Maintenance’ for a full explanation on how to care for the battery.
Ensure that there are no obstructions in the way before raising or lowering
the backrest.
Ensure that there are no obstructions in the way before traversing the
patient platform.
With the articulating leg section articulated downwards, the patient
platform cannot be traversed towards the head end passed the neutral
position.
Ensure that there are no obstructions in the way before tilting the patient
platform.
Ensure that there is no equipment stored in the base moulding of the
trolley before tilting the patient platform. NOTE: This ONLY applies when
the trolley is at its lowest height.
Applying the steering pedal with excessive force, i.e. by standing on it, may
cause permanent damage to the mechanism.
The siderail should be returned to the mid-section of the trolley during
patient recovery.
Failure to charge the battery once the low battery alarm has sounded could
result in a permanent loss of maximum charge capacity.
Only batteries supplied and approved by Anetic Aid should be used.
The battery unit should not be opened.
Use the battery only for its intended purpose.
Never use a battery that is damaged.
The battery must be recycled, properly disposed of or returned to Anetic
Aid. The battery must not be discarded with Household waste.
Ensure that the mattress is correctly orientated on the patient platform with
the touch fastener of the mattress aligning with the touch fastener on the
patient platform.
Ensure that the mattress is centrally positioned across the width of the
patient platform otherwise it may prevent the side rail from locking when
raised.
Do not steam clean, jet wash, soak or immerse this device.
Do not use concentrated bleaching disinfectant solutions, organic solvent or
abrasive powders in the cleaning or disinfection of this product.
Dilute all disinfectants in accordance with the manufacturer’s guidelines.
Disinfectant products are corrosive in nature; failure to properly wash and
dry the product surface could leave a corrosive residue which may cause
damage to the product. Ensure the mattress is thoroughly dried before
refitting.
In line with the MHRA document, Managing Medical Devices, maintenance
work should only be conducted by suitably trained personnel following
manufacturer’s guidelines.

Introduction
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WARNINGS:
Ensure there is nothing to impede the raising or lowering of the patient
platform as this could result in damage to the equipment and/or injury to
the patient.
When leaving patients unattended the trolley should be fully lowered to
minimise any risk of injury should the patient fall off the trolley.
Always apply the brakes when leaving a patient unattended, a patient is
getting on or off the trolley, or transferring patients from the trolley to
another platform.
When the head section is fitted on to the trolley, ensure that the head
section is fully engaged and securely locked in position.
Ensure that the leg section is fully engaged and securely locked in position.
Ensure that any persons responsible for removing the leg section adopt
good posture and stance, in accordance with the relevant ‘Moving and
Handling’ policies, to prevent injury to the user.
Failure to secure the siderail to the side bar using the locking clamp could
result in injury to the patient.
Caution is required when releasing the emergency backrest handle. Once
the handle is released, the backrest will drop with limited resistance.
Therefore, ensure no persons are stood behind or under the backrest when
the handle is released.
Ensure that the handle is properly re-engaged. Failure to do so will result in
the backrest not functioning correctly and possibly disengaging
unexpectedly.
Only use the lead supplied with the trolley for charging purposes. Do not
use the lead for any other purposes.
Visually inspect the lead for damage on a daily basis. Do not use the lead if
damaged in any way.
Exceeding any of the maximum specified weight limits could result in failure
of the trolley and injury to the patient and staff.
Incompatible mattresses can create hazards; only replace the mattress with
a new mattress supplied by Anetic Aid, or your authorised dealer, to ensure
compatibility in accordance with BS EN 60601-2-52:2010.

Product Specifications
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2. Product Specifications
Key to Fig. 1:
Trolley Dimensions and Weight:
A
Minimum trolley height
605mm (24.0”)
Maximum trolley height
1005mm (39.5”)
NOTE: Height is measured from the floor to the patient platform and does not include
the mattress.
B
Trolley length
2100mm (82.7”)
C
Trolley width to the outside of the side bar
655mm (25.8”)
D
Trolley width to the outside of the siderails
770mm (30.3”)
E
Brake width with brakes off
800mm (31.5”)
F
Base length
1190mm (47.0”)
G
Base length including 5th wheel
1330mm (52.0”)
Castor Diameter
150mm (6.0”)
Trolley Weight
160kg (330lb)
Mattress Dimensions:
H
Mattress length
2040mm (80.0”)
I
Mattress width
600mm (23.6”)
Mattress depth
75mm (3.0”)
NOTE: Refer to Section 22, ‘K8 Pressure Care Mattress’, for full specification details.
Trendelenburg and Lateral Tilt Range of Movement:
Trendelenburg
20°
Reverse Trendelenburg
12°
Lateral Tilt
±12°
Backrest and Head Section Range of Movement:
Backrest Articulation
0 - 65°
Head Section Articulation
+25/-30°
NOTE: The backrest actuator is designed to lift a maximum of 45% of the 250kg (550lb)
patient weight limit; this equates to 112.5kg (248lbs). If the weight on the backrest exceeds
this figure, then the backrest actuator may stall, and the backrest will not raise. This can be
caused by exceeding the patient weight limit, or having the patient positioned too far up the
backrest towards the head end.

Product Specifications
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C-Arm Traverse Range of Movement:
Head End Traverse
230mm (9.0”)
Foot End Traverse
230mm (9.0”)
Patient Weight Limits:
Trolley
250kg (550lb)
Head Section
25kg (55lb)
Leg Section
50kg (110lb)
Safe Working Load (SWL)
300kg (660lb)
NOTE: The trolley can be used in all positions with the maximum patient weight specified.
Standard Lightweight Leg Section:
Weight
6kg (13lb)
Articulation range
N/A
Articulating Leg Section (optional):
Weight
11kg (24lb)
Articulation range
0 –45°
Electrical Specification:
Mains charging input (dependant on control box option)
230VAC, 50Hz, 1.3A
100VAC ± 10%, 50/60Hz, 2.5A
Battery specification
2 x lead acid cells, 24V, 4.5Ah
Standard mains lead
(This is the standard lead supplied, unless otherwise
specified at the time of ordering)
3m IEC C13 Socket to UK Plug,
Fused 5A
Full charge time from flat
8 hrs
NOTE: The charging figures quoted are dependent upon the age and condition of the
battery, and are guidelines only.
Electrical Classification:
The electrical classification for this product is; Class II Type B, fitted with a Functional Earth.
NOTE: The trolley is fitted with a functional earth connecting the mains inlet socket to the
base frame. Electrical Safety Enclosure Leakage tests will be inaccurate due to the functional
earth. The functional earth should be detached before performing Enclosure Leakage tests.
CAUTION: Ensure that the functional earth is reattached after testing.
EMC Compatibility:
Electromagnetic Compatibility: product conforms to IEC 60601-1-2:2014
Environmental Conditions:
Temperature:
Operation
10°C to 50°C
Storage & Transport
-20°C to 50°C
Relative Humidity:
Operation
30% to 75%
Storage & Transport
10% to 75%
Atmospheric Pressure:
Operation
70kPa to 106kPa
Storage & Transport
50kPa to 106kPa
Environmental Regulatory Information; WEEE, waste batteries, etc.
For the latest information about Anetic Aid’s environmental policy, WEEE policy, and the safe
disposal of this product, please refer to our website.
NOTE: All dimensions quoted are subject to the following tolerances; angles ±5°, lengths and
widths ±25mm (±1”), depths ±10mm (±0.4”). Anetic Aid reserves the right to change
specifications without notice.

Product Functions
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3. Product Functions
Key to Fig. 2
1.
Handset
2.
Brake Pedals
3.
Steering Pedal
4.
Lateral Tilt / Patient Platform Traverse Switch
5.
Head Section Tilt Actuation Lever
6.
Leg Section Articulating with 105mm Sidebar (optional)
7.
Single Piece Siderail
8.
Pushing Handles
9.
Oxygen Cylinder Mounting Recess
10.
‘V’ Mounting for Suction Canister
11.
Mains Input/Charging Socket
12.
Handset Socket
13.
Transfusion Pole

Product Functions
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4. Introduction to Powered Functions
This section of the document gives a description of product functions that are
electromechanical powered, either from the trolleys internal battery supply, or when
the trolley is connected to the mains power supply (using the power lead supplied).
These functions are operated and controlled from the handset (item 1, fig. 2).
CAUTION: The battery must be properly maintained in accordance with these
instructions. Failure to do so will result in significant loss of charge capacity or
failure of the battery. Refer to Section 20, ‘Battery Charging and Maintenance’
for a full explanation on how to care for the battery.
5. Using the Handset
The handset connects into the handset socket on the base of the trolley at the head end
(item 12, fig. 2). The handset button functions are detailed below.
NOTE:
The manufacturer recommends that a spare handset is purchased and stored
in an accessible location, in the event that the handset becomes damaged.
Key to Fig. 3
1.
Battery Status LED
2.
Variable Height Function
3.
Backrest Articulation Function
4.
Lateral Tilt and Patient Platform Traverse Function (shared button operation)
5.
Trendelenburg & Reverse Trendelenburg Tilt Function