Anetic Aid QA4 User manual

QA4 Surgery Trolley System –
Powered Function, Version 2
Operating Instructions
Catalogue No. 21300
Anetic Aid Ltd.
Queensway
Guiseley
West Yorkshire, LS20 9JE
United Kingdom
T+44 (0) 1943 878647
F+44 (0) 1943 870455
www.aneticaid.com

QA4 Surgery Trolley System – Powered Function, Version 2 Operating Instructions
Contents Page
1. Introduction 1
1.1. Warnings and Cautions 1
1.2. Scope of Use 1
1.3. Equipment Classification 1
2. Product Specifications 2
3. Product Functions 3
3.1. Powered Trolley Functions 4
3.1.1. Using the Handset 4
3.1.2. Height Adjustment 4
3.1.3. Using the Backrest 4
3.1.4. Patient Platform Traverse (‘C’ Arm Access) 5
3.1.5. Using the Trendelenberg Function 6
3.2. Manual Trolley Functions 6
3.2.1. Using the Brakes 6
3.2.2. Using the Steering Pedal 6
3.2.3. Using Lateral Tilt 6
3.2.4. Using the Head Section 6
3.2.5. Using the Leg Section 7
3.2.5.1. Removing the Leg Section 7
3.2.5.2. Replacing the Leg Section 7
3.2.5.3. Articulating Leg Section (optional) 7
3.2.6. Using the Cotsides 8
3.2.6.1. Rotating the Cotsides 8
3.2.6.2. Removing the Cotsides 8
3.2.6.3. Replacing the Cotsides 8
3.2.6.4. Attaching the Full Length Cotside 9
3.2.6.5. Rotating the Full Length Cotside 9
3.2.7. Using the Emergency Backrest Release Function 9
3.2.7.1. Releasing the Emergency Backrest Handle 10
3.2.7.2. Reengaging the Emergency Backrest Handle 10
3.2.8. Using the Transfusion Pole 10
4. Battery Charging and Battery Maintenance 11
4.1. Power Lead 11
4.2. Charging 11
4.3. Low Battery Alarm 11
4.4. Manufacturers Recommendation 11
4.5. Battery Deep Discharge 11
5. Patient Weight Limits 12
6. K8 Pressure Care Mattress 12
7. Cleaning and Disinfecting the Trolley 12
8. Product Warranty 12
9. Product Maintenance 13
10. Label Identification 13

QA4 Surgery Trolley System – Powered Function, Version 2 Operating Instructions
Document No. 992010 Issue 8, 05.03.13 Page 1
1. Introduction
These instructions are intended to assist
you with the operation of the QA4 day
surgery trolley. It is important that these
instructions are read thoroughly before
using the equipment.
It is also important to check the trolley
before use; ensure that all trolley
functions operate to their full range of
movement and that all detachable
components disengage, re-engage and
lock correctly. We recommend that the
trolley is visually inspected for any loose
or damaged parts, foreign bodies caught
in the castors, and hydraulic fluid
leakage.
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. Scope of Use
This product is intended for use within a
day surgery environment for the
induction, transport, treatment and
recovery of patients.
Due to its extra functionality and higher
weight capacity this trolley is heavier
than a conventional patient transfer
trolley and therefore less suitable for this
function. In addition the trolley has very
low ground clearance that may cause
problems when traversing uneven
ground.
CAUTION: The trolley may be damaged
by pushing it across rough or uneven
ground.
1.3. Equipment Classification
The trolley has been classified as a ‘Class
1' device.

QA4 Surgery Trolley System – Powered Function, Version 2 Operating Instructions
Document No. 992010 Issue 8, 05.03.13 Page 2
2. Product Specifications
Key to Fig. 1
A.
Height, MIN
680 mm
Height, MAX
1080 mm
B.
Mattress Length
2040 mm
C.
Trolley Length, MAX
2100 mm
D.
Mattress Width
600 mm
Trolley Width;
E.
Side Rail Width
655 mm
F.
Cotside Width
770 mm
G.
Brake Width (Brakes Off)
835 mm
H.
Base Length
1190 mm
Mattress Depth
75 mm
Trendelenberg Tilt;
Trendelenberg
20°
Reverse Trendelenberg
12°
Lateral Tilt
±12°
Backrest Articulation
0 - 65°
Head Section Articulation
+25/-30°
C Arm Traverse;
Head End Traverse
230mm
Foot End Traverse
230mm
Castor Diameter
150mm
Trolley Weight
160 kg
Fig. 1
Weight Limits;
Trolley
250 kg
Head Section
25 kg
Leg Section
50 kg
Fixed Leg Section (Standard)
Weight
6 kg
Articulation
N/A
Articulating Leg Section (Optional)
Weight
8 kg
Electrical Specification;
Electrical: 230VAC, 50Hz, 1.3A
Electromagnetic Compatibility:
product conforms to EN 60601-1-
2:1997
Battery voltage: 24V, 4.5Ah

QA4 Surgery Trolley System – Powered Function, Version 2 Operating Instructions
Document No. 992010 Issue 8, 05.03.13 Page 3
3. Product Functions
Key to Fig. 2
1.
Handset
2.
Brake Pedals
3.
Steering Pedal
4.
Lateral Tilt Handle
5.
Head Section Tilt Actuation Lever
6.
Removable Leg Section
7.
Cotsides
8.
Pushing Handles
9.
Oxygen Cylinder Mounting Trough
10.
‘V’ Mounting for Suction Canister
11.
Mains Input/Charging Socket
12.
Handset Socket
13.
Transfusion Pole
Fig. 2

QA4 Surgery Trolley System – Powered Function, Version 2 Operating Instructions
Document No. 992010 Issue 8, 05.03.13 Page 4
3.1. Powered Trolley Functions
The following four trolley functions are
electromechanical in operation and are
powered from an on-board battery
supply. These functions are operated
and controlled through the handset
(no.1, fig.2); the layout of the handset is
shown below.
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 4,
‘Battery Charging & Maintenance’ for a
full explanation on how to care for the
battery.
Fig 3.
Key to Fig. 3
1.
Battery Status LED
2.
Variable Height Functions
3.
Backrest Articulation Functions
4.
Patient Platform Traverse Functions
5.
Trendelenberg & Reverse
Trendelenberg Tilt Functions
3.1.1. Using the Handset
The handset is externally removable and
plugs into the handset socket on the
base of the trolley at the head end
(no.12, fig.2). Note; the manufacturer
recommends that a spare handset is
purchased and stored in an accessible
location in the event that the handset
becomes damaged.
CAUTION: Because the handset is in
constant use it is particularly vulnerable
to wear and tear or damage. Before use
it is important to inspect the handset to
ensure there is no damage to the cable
or the buttons.
WARNING: In the event of handset
damage the handset should be replaced
immediately or the trolley removed from
service.
WARNING: Handset damage may lead to
malfunction during equipment use. If a
handset button becomes damaged it is
possible for one of the powered functions
to operate spontaneously. In this unlikely
event the following actions should be
taken;
1. Depress and hold the opposing
function button, i.e. if the backrest
is raising press backrest down.
2. Unplug the handset from the
trolley.
3. Fit a new handset.
4. If another handset is not available
transfer the patient to another
trolley.
3.1.2. Height Adjustment
The height of the patient platform can be
adjusted by using the up and down
buttons on the handset. When either
button is depressed the green indicator
light on the handset will illuminate to
indicate that the trolley is powered.
CAUTION: Ensure that there are no
obstructions in the way before raising or
lowering the patient platform.
CAUTION: Ensure that there is no
equipment stored in the base of the
trolley before lowering the patient
platform.

QA4 Surgery Trolley System – Powered Function, Version 2 Operating Instructions
Document No. 992010 Issue 8, 05.03.13 Page 5
3.1.3. Using the Backrest
The backrest can be raised and lowered
by using the up and down buttons on the
handset.
CAUTION: Ensure that there are no
obstructions in the way before raising or
lowering the backrest.
3.1.4. Patient Platform Traverse (‘C’
Arm Access)
The patient platform is designed to
traverse longitudinally, either towards the
head end or the leg end, to provide; full
‘C’ arm access, a gynae position, and
improved access at the head end. The
patient platform is traversed by using the
left and right buttons on the handset.
The mattress and patient platform are
made from x-ray translucent materials.
The areas of ‘C’ arm access are
illustrated in fig. 4, with the trolley
traversed in both directions.
The trolley should be returned to the
‘neutral’ position once the procedure
has been completed.
Observe that when the patient platform
is traversed in either direction the mid
section static frame arm is revealed.
In the neutral position the traversing
section of the patient platform aligns with
the static arm.
NOTE: The patient platform should be
returned to the neutral position once the
procedure has been completed, see
above.
CAUTION: Ensure that there are no
obstructions in the way before traversing
the patient platform.
CAUTION: With the leg section folded
down caution must be exercised
traversing the patient platform towards
the head end.
CAUTION: When the head section is in the
folded away position caution must be
exercised when traversing the patient
platform. There is a possibility that the
head section could clash with other parts
of the trolley which may result in
permanent damage being caused to the
trolley.
Fig. 4

QA4 Surgery Trolley System – Powered Function, Version 2 Operating Instructions
Document No. 992010 Issue 8, 05.03.13 Page 6
3.1.5. Using the Trendelenberg
Function
The patient platform can be
longitudinally tilted to provide a
trendelenberg (head down) or reverse
trendelenberg (leg down) position by
using one of the two down buttons on
the handset.
The head down trendelenberg button is
in-filled in red to indicate that this button
is used for emergency positioning.
CAUTION: Ensure that there are no
obstructions in the way before tilting the
patient platform.
CAUTION: 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).
3.2. Manual Trolley Functions
The following functions are manually
operated and are not powered from the
on-board battery supply or mains.
3.2.1. Using the Brakes
All four castors are braked simultaneously
by depressing either of the brake pedals
(no.2, fig.2) at any point along the length
of the pedal. The brakes are disengaged
by lifting either pedal.
3.2.2. Using the Steering Pedal
The trolley can be manoeuvred more
easily by engaging the steering
mechanism. The mechanism is engaged
by pressing the steering pedal (no.3,
fig.2) and disengaged by lifting the
pedal.
CAUTION: Applying the steering pedal
with excessive force, i.e. by standing on
the pedal, will cause permanent
damage to the mechanism.
CAUTION: The steering pedal is designed
to disengage automatically when the
trolley is pushed leg first over an
obstruction. Attempting to prevent this
will cause damage to the mechanism.
The 5th wheel should be allowed to
disengage and then can be reengaged
after the obstruction.
CAUTION: The steering wheel must be
disengaged manually when the trolley is
pushed head first over an obstruction, i.e.
a lift threshold, or damage may occur.
3.2.3. Using Lateral Tilt
Lateral tilt is achieved by rotating the
lateral tilt handle (no.4, fig.2) either
clockwise or anti-clockwise.
To use the lateral tilt handle; extend the
handle by pulling it away from the trolley,
and unfold the crank handle until it locks
into position. Return the handle to its
stored position when not in use.
CAUTION: The lateral tilt handle must be
stored away to ensure that the handle
does not get damaged.
Fig. 5
3.2.4. Using the Head Section
The head section is articulated by simply
pulling up on the head section tilt
actuation lever.
The head section is also designed to be
removed for specific theatre procedures;
i.e. gynae and urology, to give greater
anaesthetist access to the patient.
Removing the head section prior to
administering anaesthetic reduces the
length of the backrest and the need to
reposition the patient in theatre.
Removing the head section also gives
Rotate

QA4 Surgery Trolley System – Powered Function, Version 2 Operating Instructions
Document No. 992010 Issue 8, 05.03.13 Page 7
greater access to the patient from the
head end for theatre staff.
Fig. 6
Fig. 7
The head section is removed by lifting the
release handle, then lowering and
removing the head section from the
support bracket.
WARNING: When the head section is
fitted on to the trolley ensure that the
head section is fully engaged and
securely locked in position.
3.2.5. Using the Leg Section
The trolley is fitted as standard with a
non-articulating lightweight leg section
(no.6, fig.2), if the trolley is fitted with an
articulating leg section refer to section
3.2.5.3.
3.2.5.1. Removing the Leg Section
Fig. 8
Depress both buttons as shown (one
button is located on each side of the
trolley) and remove the leg section.
WARNING: 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.
3.2.5.2. Replacing the Leg Section
Fig. 9
Engage the locating spigots of the leg
section as shown and push home firmly
until the leg section is fully engaged.
WARNING: Ensure that the leg section is
fully engaged and securely locked in
position.
Pull
Push
Push
Push
Lift
Lower
Remove

QA4 Surgery Trolley System – Powered Function, Version 2 Operating Instructions
Document No. 992010 Issue 8, 05.03.13 Page 8
3.2.5.3. Articulating Leg Section
NOTE: The articulating leg section is an
optional accessory for this trolley.
To articulate the leg section pull up on
the leg frame lever and push down on
the board. To remove the leg section
refer to section 3.2.5.1.
CAUTION: With the leg section articulated
down caution must be exercised when
tilting the trolley leg down, i.e. a reverse
trendelenberg position.
NOTE: With the articulating leg section the
leg section should be articulated down to
the maximum angle before being
removed. This shortens the distance
between the end of the leg section and
the mounting sockets. This does two
things; one, it provides better access to
the release buttons, and two, it reduces
the distance that the user has to reach to
support the weight of the articulating leg
section.
NOTE: When replacing the articulating
leg section pull the actuation handle to
operate the gas struts and allow the
location spigots to achieve a horizontal
position.
3.2.6. Using the Cotsides
The trolley is fitted with four cotsides
(no.7, fig.2) that can be individually
removed from the trolley or rotated
through 180 degrees.
Each cotside is mounted into a fixed
socket that is labelled with a position
number, (1) – (4), this corresponds with
the numbered label on the cotside and
ensures that each cotside is correctly
positioned.
See the following sections for more
information on rotating, removing and
replacing the cotsides.
3.2.6.1. Rotating the Cotsides
Depress the button as indicated, see
fig.10, and rotate the cotside, the cotside
will automatically relock in the next
position.
3.2.6.2. Removing the Cotsides
Ensure the cotside is in the ‘up’ position,
depress the button as indicated, see fig.
11, and remove the cotside.
Fig. 10
Fig.11
3.2.6.3. Replacing the Cotsides
Align the stem of the cotside to the
socket and let the cotside drop into
position, the cotside will automatically
lock in position when replaced.
CAUTION: Ensure that the cotsides are
located into their respective numbered
sockets to prevent the cotsides clashing.
Rotate
Lift
Push
Push