ARJO HUNTLEIGH Streamline 2211 User manual

Instruction for Use
792-681 Rev 7 • 04/2015

Design Policy and Copyright
® and ™ are trademarks belonging to the ArjoHuntleigh group of companies unless
otherwise stated.
© ArjoHuntleigh 201.
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 wholO\ 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
792-681-07
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........................................................................ 5
Elevation Controls..........................................................................5
Hydraulic Models (2211 & 2211L)..................................................5
Electric Models (2212 & 2212L).....................................................5
Wheel Locking................................................................................6
Casters (RWB - Retractable Wheel Base).....................................6
5. Product Care.................................................................. 7
Cleaning / Decontamination...........................................................7
To Clean.........................................................................................7
Chemical Disinfection.....................................................................7
Preventive maintenance.................................................................8
Troubleshooting ...........................................................................10
Product lifetime ............................................................................10
6. Accessories ................................................................. 11
Twin Painted Fold Down Side Supports (A1034 / A1034-70)......11
Head Support (AHC1)..................................................................12
Paper Roll Holder (A3294 - 60)....................................................12
Side Support Pads (A1039) .........................................................12
7. Technical Data............................................................. 13
8. Warranty and Service.................................................. 19

Intentionally left blank

ii 792-681-07
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.

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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.
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.

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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.
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:
•Changing Table 2, model 2211 (hydraulic),
• Changing Table 2, model 2212 (electric),
• Changing Table 2, model 2211L (hydraulic),
• Changing Table 2, model 2212L (electric).
Always keep this Instruction for Use publication available for reference.

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Product overview
1. Upholstery
2. Lifting arms
3. Rubber pedals
4. Hydraulic (or electric) actuator, depends on the model
5. Castors
6. Fold down Side Supports (optional)
1
5
4
6
3
2

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2. Clinical Applications
Intended use
Streamline Changing Table couch has been designed to position the patient for
general examination and treatment procedures. Couch is used for disable patients
mainly to change diapers after toilet, or after showered and dried on a shower
trolley, would use to finish off as a dry area for dressing, further cleaning etc. Likely
to be in locations that use a “Shower Trolley”, most used in schools / special
schools, for special needs, for disable children and care homes.
Contraindications
The safe working load (SWL) of the couch 225kg
The maximum recommended patient weigh 200kg
Accessories (including attached loads) 25kg
WARNING
To ensure the patient can use the couch safely, their age, size and condition should be
assessed by a clinically qualified person.

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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.
Caution
When not in use, switch couch off, by unplugging from the power socket / receptacle.
Caution
Do NOT insert hands or feet into the mechanism as this could result in serious injury!

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4. Operation
Elevation Controls
Hydraulic Models (2211 & 2211L)
Electric Models (2212 & 2212L)
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.
Push pedal
to rise
couch
Lift pedal to
lower couch
Lockout handset
Press to move the section up.
Press to move the section down.

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Wheel Locking
Casters (RWB - Retractable Wheel Base)
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.
Footswitch
Press to move the section up.
Press to move the section down.
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.
Foot bar switch (FBS)
Lift tube up to lower couch.
Press tube down to raise couch.
Castors locked Castors unlocked

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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.

8792-681-07
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 electricity supply, disconnect the electrical power cable from
socket outlet.
Actions to be done by caregiver Daily Weekly
Check operation of side rails 9
Check patient handset and cable 9
Visually check castors 9
Visually check power supply cord and mains plug 9
Examine the accessories (if applicable) 9
Visually check the upholstery 9

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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 Every six
months
Carry out a test of electrical couch positioning functions. 9
Check operation of the castors. 9
Examine the power supply cord and mains plug; if damaged, replace the complete
assembly; do not use a rewireable plug. 9
Examine all accessible flexible cables for damage and deterioration. 9
Check all accessible nuts, bolts and other fasteners are present and correctly
tightened. 9
Check hydraulic couches for smooth operation and signs of leakage. 9
Check any accessories fitted to the couch, paying particular attention to fasteners and
moving parts. 9
WARNING
All electrical checks should be performed by a suitably qualified and licensed electrician.

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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

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6. Accessories
Recommended accessories for the Streamline Changing Table 2 product range are
shown in the table below:
9-Standard accessory - Optional Accessory
Twin Painted Fold Down Side Supports (A1034 / A1034-70)
Accessory description Accessory
number
Changing table Weight of accessory
[kg]
890mm Twin Painted Fold Down Side Supports A1034 4.7
890mmTwin Painted FoldDownSideSupports - 70 cm
upholstery A1034 - 70 5.0
Detachable Head Cushion AHC1 0.6
Paper Roll Holder A3294 - 60 0.6
890mm Side Support Pads A1039 0.6
A. To raise the side support when in the down
position, lift and rotate towards you,
through 180°. Once upright, push the
safety side downwards into the moulded
block until located fully.
B. To lower the side support from the upright
position, lift out of the moulded block, and
rotate through 180° into the down position.
Caution
Ensure safety sides are fully engaged into moulded block prior to use.

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Head Support (AHC1)
Paper Roll Holder (A3294 - 60)
Side Support Pads (A1039)
Adjust Head Support to suit patient by:
A. Unfastening Velcro strap.
B. Position where required.
C. Fasten Velcro strap to secure.
Replace paper roll by:
A. Gently spring bracket out.
B. Insert paper roll rod between brackets.
C. Load paper roll and release brackets to
secure.
Locate the side support pad by:
A. Unfastening Velcro strap.
B. Position on the safety side.
C. Fasten Velcro strap to secure.
Caution
Ensure all accessories are fully tightened prior to use.

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7. Technical Data
General
Safe working load 225kg
Product weight (approx.) 83kg approx.
Audible noise 54dB
Operating conditions
Temperature 5°C to 40°C
Relative humidity 20% to 90% at 30°C, non-condensing
Atmospheric pressure 700hPa to 1060hPa
Upholstery material Mundial Vinyl: 88% PVC - 12% Cotton
Diabolo Vinyl: 84% PVC - 16% Cotton
Electrical data
Power input 230V ~ 2A 50/60Hz 120V ~ 4A 60Hz
Duty cycle 10% (2 min. on, 18 min. off) 10% (2 min. on, 18 min. off)
Electric shock protection Class II Type B Class II Type B
Liquid ingress protection IPX4 IPX4
EMC Complies with EN 60601-1-2
Safety standards USA//Canada
As to Electrical Shock, Fire and Mechanical Hazards only
ANSI/AAMI ES60601-1 (2005)
CAN/CSA-C22. No. 60601-1 (2008)
Other safety standards IEC 60601-1:2005
Environmental Protection
This product is marked with the crossed out wheelie bin symbol to indicate that it is
covered by EU Directive 2012/19/EU on Waste Electrical and Electronic
Equipment (WEEE). This symbol indicates that all electrical and electronic
products must be taken to a dedicated collection point at end of their working life.
Contact ArjoHuntleigh or your local authority for advice on proper disposal.
Incorrect disposal of this equipment and its component parts, particularly gas
springs, actuators and other electrical devices, may produce substances that are
hazardous to the environment. To minimise these hazards, contact ArjoHuntleigh
for information on correct disposal.

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Model Angles and dimensions
2211
2212
2211L
2212L
Transport and storage
Handle with care. Do not drop. Avoid shock or violent impact.
This equipment should be stored in a clean, dry and well-ventilated area which meets the following
conditions:
Temperature -10°C to +50°C
Relative humidity 20% to 90% non-condensing
Atmospheric pressure 700 to 1060hPa