ARJO HUNTLEIGH Akron Streamline Europe Continental User manual

Akron Streamline Europe
Continental
...with people in mind
792-692-07 • 10/2017
Instructions for Use

Design Policy and Copyright
® and ™ are trademarks belonging to the ArjoHuntleigh group of companies
unless otherwise stated.
© ArjoHuntleigh 2012.
As our policy is one of continuous improvement, we reserve the right to modify
designs without prior notice. The content of this publication may not be copied
either wholly or in part without the consent of ArjoHuntleigh.
WARNING
To avoid injury, always read this Instructions for Use and accompanied
documents before using the product.
Mandatory to read the Instructions for Use

Contents
i
Warnings, Cautions and Notes ...................................................... ii
General Warnings .......................................................................... ii
1. Introduction ................................................................... 1
Product overview............................................................................ 2
2. Clinical Applications..................................................... 3
Intended use .................................................................................. 3
Contraindications ........................................................................... 3
3. Installation ..................................................................... 4
Adjustable Foot .............................................................................. 4
Electric models............................................................................... 4
4. Operation ....................................................................... 6
Elevation Controls .......................................................................... 6
Electric Models............................................................................... 6
Wheel Locking................................................................................ 7
Casters (RWB - Retractable Wheel Base) ..................................... 7
Breathing Hole and Plug ................................................................ 8
Head and Foot Sections................................................................. 8
A and B Type Head Section Operating Lever ................................ 8
C Type Head Section Operating Lever .......................................... 8
Foot Section Operating Lever ........................................................ 9
C Type Head Section Arm Rests ................................................... 9
5. Product Care................................................................ 10
Cleaning / Decontamination ......................................................... 10
To Clean....................................................................................... 10
Chemical Disinfection................................................................... 10
Preventive maintenance............................................................... 11
Troubleshooting ........................................................................... 13
Product lifetime ............................................................................ 13
6. Accessories ................................................................. 14
Detachable Head Support (AHC1)............................................... 15
Europa Paper Roll Holder (A8612) .............................................. 15
7. Technical Data............................................................. 16
8. List of Standards and Certificates............................. 22
9. Warranty and Service.................................................. 22

ii
Warnings, Cautions and Notes
General Warnings
WARNING Indicates possible hazards in procedures or conditions
which, if not correctly followed, could result in death, injury
or other serious adverse reactions.
Caution Indicates possible hazards in procedures or conditions which, if not correctly followed, could result in equipment
damage or failure.
Explains or amplifies a procedure or condition.
Indicates an optional item or feature.
WARNING
Keep these instructions in a safe place; you may need to refer to them later on.
Read and understand these instructions before operating the couch.
Caregivers must be trained in the proper use of this product, its functions and
controls, and any accessories.
These instructions are mandatory for the safe and effective use of this
product, including the safety of patients and caregivers.
Unauthorised modifications or repairs to this product may affect its safety and
will invalidate any warranty. ArjoHuntleigh accepts no liability for any incident,
accident or reduction in performance that may occur as a result of such
repairs or modifications.
Do not use electrically powered couches in the presence of uncontained
flammable liquids or gases.
The couch is intended for indoor use only.

iii
WARNING
Do not use accessories that have not been designed or approved for use with
couch.
Always apply the brakes when the couch is stationary.
When the couch is operated, make sure that obstacles such as furniture do not
restrict its movement.
Before operating the couch, make sure the patient is positioned correctly to
avoid entrapment or imbalance.
Take care not to squeeze or trap trailing cables from the handset and other
equipment between moving parts of the couch. Be aware that cables, hoses,
etc., may present a strangulation hazard.
Take care not to allow clothing to become snagged on moving parts of the
couch.
Do not place the couch on an incline greater than 10° as this may, in extreme
circumstances, cause the couch to overbalance.
This equipment should not be used adjacent to other electrical equipment. If
such use is necessary, normal operation of the equipment should be verified
by observation.
Medical Electrical Equipment maybe affected by portable and/or mobile RF
communications equipment (e.g. mobile telephones).
These products are not intended for Patient Transportation.
Maximum Load 225kg (495lbs) must be distributed evenly.
Do not concentrate weight on either side of the couch.
Plug acts as a disconnecting device.
Do not allow children to play with the couch at any time.
This product contains small parts that may present a choking hazard to
children if inhaled or swallowed.
Adequately supervise children in the proximity of the couch.
The patient should not be left on the couch unattended at any time.
Do not use the couch in area of high humidity (e.g. the shower).
To avoid the risk of electric shock, this product must only be connected to an
electricity supply with a protective earth.
Do not smoke or use naked flames near this equipment and do not expose it to
extremes of temperature.
Do not use electrically powered couches in the presence of flammable gases
such as anaesthetic agents e.g. in operating theatres.

iv
Caution
Electromagnetic Compatibility (EMC). This product complies with the
requirements of applicable EMC standards. The use of accessories not
specified by the manufacturer may result in increased emissions by, or
decreased immunity of, the equipment, affecting its performance.
Do not exceed the specified duty cycle as stated on the Product Identification
Label.

1
1. Introduction
The STREAMLINE ™product range of treatment & examination
couches, have been designed to cover a wide range of disciplines,
from simple examination to heavier manipulative and manual
therapy techniques.
The STREAMLINE couches in this range provide ergonomic
solutions to a variety of manual handling issues, benefiting both the
patient and clinician. These products can be further enhanced with
a wide range of additional accessories also available.
However, these products are not designed to be used as a bed and
are not suitable for sleeping on.
You must read and fully understand this manual before using the
system.
This manual is your introduction to the following STREAMLINE
couches:
• Streamline Europa Continental model 2132B without
drainage,
• Streamline Europa Continental model 2132C without
drainage,
• Streamline Europa Continental model 2162C split leg
with drainage.
The Couch should only be used for the purpose specified in its IFU.
Any other use is prohibited.
Always keep this Instruction for Use publication available for
reference.

2
Product overview
1. Upholstery with breathing hole
2. Gas strut lever
3. Castors
4. Lifting arms
5. Rubber pedals
6. Electric actuator
7. Paper roll holder
1
7
4
3
5
2
6

3
2. Clinical Applications
Intended use
The Akron Streamline Europa Continental has been designed
especially for wide range of medical examination procedures,
manual therapy and minor operations. This couch is used to position
patients for face down spine treatment for physiotherapy treatment.
Contraindications
The safe working load (SWL) of the couch....................... 225kg
The maximum recommended patient weigh..................... 210kg
Accessories (including attached loads) .............................. 15kg
WARNING
To ensure the patient can use the couch safely, their age, size and
condition should be assessed by a clinically qualified person.

4
3. Installation
Adjustable Foot
A. Lock castors first.
B. Adjust foot.
C. Lock foot by tightening half nut.
Electric
models Connect the mains plug to a suitable socket outlet. Make sure the
mains plug is easily accessible so it can be disconnected quickly in
an emergency.
WARNING
Lock all castors before adjusting.
WARNING
Ensure mains supply cable is not stretched when connected.
If the power cord or mains plug is damaged, the complete assembly
must be replaced by authorised service personnel. Do not remove the
fitted plug, or use a rewireable plug or adapter.
Do not allow the power supply cord to trail on the floor where it may
cause a trip hazard.
Ensure, during couch use, no obstacles are in its path.
Make sure the power supply cord does not become entangled with
moving parts of the couch.
Damaged cables can cause an electrocution risk when handled.
Disconnect the power supply cord from the electricity supply before
moving the couch.
Ensure hand / foot switch leads are not trapped by moving parts of the
couch.

5
Caution
Do NOT insert hands or feet into the mechanism as this could result in
serious injury!

6
4. Operation
Elevation Controls
Electric Models
The lockable handset has the facility to selectively disable couch
functions to prevent use by the patient.
Between each pair of push buttons is a small rotary lockout switch.
To disable a function: fit the plastic key into the two holes in the
lockout switch (A) and turn the switch clockwise to the Locked
position (B).
To enable a function: fit the plastic key into the two holes in the
lockout switch and turn the switch anti-clockwise to the Unlocked
position (C).
WARNING
Safely position patient before elevating couch.
Position all electrical cables away from the moving parts.
Position hand/foot switch where accidental operation is not possible.
Lockout handset
Press to move the section up.
Press to move the section down.
Caution
To enable/disable a function the plastic key must be used. Only use the
plastic key supplied. Using other tools may damage the switch.

7
Wheel Locking
Casters (RWB - Retractable Wheel Base)
Footswitch
Press to move the section up.
Press to move the section down.
Foot bar switch (FBS)
Lift tube up to lower couch.
Press tube down to raise couch.
WARNING
Lock all couch wheels/castors prior to patient transfer or treatment.
These couches are not designed for the transportation of patients.
Disconnect and coil electrical cord away from moving parts prior to
repositioning couch.
Castors locked Castors unlocked

8
Breathing Hole and Plug
Head and Foot Sections
A and B Type Head Section Operating Lever
C Type Head Section Operating Lever
Remove plug for patient prone position.
Press out from underneath.
Caution
Support upholstery section while manually altering the angle.
Apply pressure to ensure the upholstery is locked. If movement is
detected, seek advice.
A. Press lever UP to alter section angle.
B. Support section when altering angle.
C. Release lever to lock section in position.
A. Press lever UP to alter section angle.
B. Support section when altering angle.
C. Release lever to lock section in position.

9
Foot Section Operating Lever
C Type Head Section Arm Rests
A. Press lever UP to alter section angle.
B. Support section when altering angle.
C. Release lever to lock section in position.
A. Tilt Armrest towards head section.
B. Move armrest into position.
C. Release lever to lock section in position.

10
5. Product Care
Cleaning / Decontamination
Frequency of routine couch cleaning will depend on exact
application, local policy and contamination status.
To Clean
Clean all exposed surfaces and remove any organic debris by
wiping with a cloth moistened with a simple (neutral) detergent and
water.
Chemical Disinfection
ArjoHuntleigh recommend a chlorine-releasing agent, such as
sodium hypochlorite, at a strength of 1,000ppm available chlorine
(this may vary from 250ppm to 10,000ppm depending on local
policy and contamination status).
Use low strength solution for upholstery.
Wipe all cleaned surfaces with the solution, then wipe with a cloth
moistened with water and dry thoroughly. Alcohol based
disinfectants (strength 70%) may be used as an alternative.
Ensure the product is dry before storage.
If an alternative disinfectant is selected from the wide variety
available we recommend that suitability for use is confirmed with
the chemical supplier prior to use.
WARNING
Do not use Alkalis or other organic solvents for routine cleaning.
Replace torn or damaged vinyl immediately.
Always cover vinyl with fresh paper or sheet between patients.
If contamination is known or suspected always decontaminate couch
before use.
Do not saturate hinge pin location and it is essential to ensure that they
are dry before re-use.
Disconnect any mains supply.
Do not allow the mains plug or power supply cord to get wet.
Caution
Do not use Phenol-based solutions or abrasive compounds or pads
during the decontamination process as these will damage the surface
coating. Avoid immersing electrical parts in water during the cleaning
process.

11
Preventive maintenance
This product is subject to wear and tear during use. To ensure that
it continues to perform within its original specification, preventive
maintenance procedures should be carried out at the intervals
shown.
If the result of any of these tests is unsatisfactory, contact
ArjoHuntleigh or an approved service agent.
WARNING
This list indicates the minimum recommended level of preventive
maintenance. More frequent inspections should be carried out when the
product is subjected to heavy use or aggressive environments, or where
required by local regulations.
Failure to carry out these checks, or continuing to use the product if a
fault is found, may compromise the safety of both the patient and
caregiver. Preventive maintenance can help to prevent accidents.
To isolate the couch from the electrical supply, disconnect the electrical
power cable from socket outlet.
Product cannot be maintained and serviced while in use with the
patient.
Actions to be done by caregiver Daily Weekly
Check patient handset and cable 
Visually check castors 
Visually check power supply cord and mains plug 
Examine the accessories (if applicable) 
Visually check the upholstery 
Check gas strut controls and moveable sections for their
full range of movement for locking. 

12
WARNING
The procedures below must be carried out by suitably trained and
qualified personnel. Failure to do so may result in injury or an unsafe
product.
Actions to be done by qualified personnel Once a
year
Carry out a full test of all electrical couch positioning functions (height,
drainage) 
Check operation of the manual backrest/footrest 
Check operation of the castors 
Examine the power supply cord and mains plug; if damaged, replace
the complete assembly; do not use a rewireable plug 
Examine all accessible flexible cables for damage and deterioration 
Check all accessible nuts, bolts and other fasteners are present and
correctly tightened 
Check any accessories fitted to the couch, paying particular attention
to fasteners and moving parts 
WARNING
All electrical checks should be performed by a suitably qualified and
licensed electrician.

13
Troubleshooting
If the equipment fails to operate correctly, the table below suggests
some simple checks and corrective actions. If these steps fail to
resolve the problem, contact ArjoHuntleigh or an approved service
agent.
Product lifetime
The lifetime of this equipment is typically ten (10) years from
manufacture date. “Lifetime” is defined as the period during which
the product will maintain the specified performance and safety,
provided it has been maintained and operated in conditions of
normal use in accordance with the requirements in these
instructions.
Symptom Possible Cause Action
None of the actuators
work
Mains cable disconnected
Check the mains cable is
plugged in and the
electricity supply is okay
Fuse blown Check fuse in mains plug
(where fitted)
Control handset
disconnected
Check handset is plugged
into the control box
Functions disabled
Enable the functions on
handset using the plastic
key
One actuator does not
work
Actuator cable
disconnected
Check actuator cable is
plugged into both the
actuator and control box
Function disabled
Enable a function on
handset using the plastic
key
Castor does not rotate or
swivel Brake applied Release brake

14
6. Accessories
Recommended accessories for the AKRON Streamline Eurpoa
Continental range are shown in the table below:
- Optional Accessory
Accessory description Accessory
number
EC
Weight of accessory (kg) Streamline Europa Continental model 2132B without drainage Streamline Europa Continental model 2132C without drainage Streamline Europa Continental model 2162C split leg with drainage
Detachable Head Support AHC1 0.6
Europa Paper Roll Holder A8612 0.5