Dornoch UL-QD2800 User manual

Ultra Cart Technical Manual 2/8/2013
GD-99021 Rev. E
Transposal Ultra Cart
Technical Manual
Model No.: UL-QD2800 Model No.: UL-DU500
w/IV Pole (optional)

Ultra Cart Technical Manual 2/8/2013
GD-99021 Rev. E

Ultra Cart Technical Manual 2/8/2013
GD-99021 Rev. E
Contents
Introduction------------------------------------------------------------------------------------------- 1
Important Information ------------------------------------------------------------------------------------------------- 2
Intended Use ------------------------------------------------------------------------------------------------------------ 2
Equipment Description ------------------------------------------------------------------------------------------------- 2
User/Patient Safety ----------------------------------------------------------------------------------------------------- 3
Technical Description -------------------------------------------------------------------------------- 4
Specifications ------------------------------------------------------------------------------------------------------------ 4
Operation---------------------------------------------------------------------------------------------- 6
Safety Features --------------------------------------------------------------------------------------------------------- 7
Environmental Protection---------------------------------------------------------------------------------------------- 7
Waste Disposal Accessories ------------------------------------------------------------------------------------------- 7
Reusable Suction Reservoir Use and Processing------------------------------------------------------------------- 8
Instructions for Use---------------------------------------------------------------------------------- 9
Models DU2800 & QD2800 -------------------------------------------------------------------------------------------- 9
Fluid Collection ------------------------------------------------------------------------------------------------------------------------------------- 9
Models DU500 & QD500 --------------------------------------------------------------------------------------------- 10
Fluid Collection ------------------------------------------------------------------------------------------------------------------------------------10
Preparing for the Next Procedure --------------------------------------------------------------------------------------------------------------11
Control Knob Regulated Models ------------------------------------------------------------------------------------ 11
Fluid Collection ------------------------------------------------------------------------------------------------------------------------------------11
All Models -------------------------------------------------------------------------------------------------------------- 12
Transporting the Cart ----------------------------------------------------------------------------------------------------------------------------12
High Flow Mode (Optional Feature)------------------------------------------------------------------------------------------------------------12
General Usage Information ----------------------------------------------------------------------------------------- 13
Single Use Lids/Manifolds and Disposable Suction Tubing ---------------------------------------------------------------------------------13
Early Warning and Overflow Protection System --------------------------------------------------------------------------------------------- 14
Alternate Vacuum Source------------------------------------------------------------------------------------------------------------------------14
Rapid Full Vacuum and Specimen Collection -------------------------------------------------------------------------------------------------14
TP-DL2800 Application Information and Precautions ---------------------------------------------------------------------------------------15
Unit Information and Error Messages----------------------------------------------------------------------------------------------------------15
Periodic Maintenance----------------------------------------------------------------------------------------------------------------------------- 15
Troubleshooting Guide --------------------------------------------------------------------------------------------------------------------------- 16
DMS Technical Service - Information ----------------------------------------------------------------------------------------------------------16
Symbols & Labels ---------------------------------------------------------------------------------------------------------------------------------17
Consumables and Accessories ------------------------------------------------------------------------------------------------------------------18
Installation ------------------------------------------------------------------------------------------ 19
Protective Packaging & Unpacking --------------------------------------------------------------------------------- 19
Site Preparation ------------------------------------------------------------------------------------------------------- 19
De-install/Disconnect Instructions --------------------------------------------------------------------------------- 19
Equipment Storage --------------------------------------------------------------------------------------------------- 20
Maintenance ---------------------------------------------------------------------------------------- 21
Qualifications for Service Personnel ------------------------------------------------------------------------------- 21
Service Warnings ----------------------------------------------------------------------------------------------------- 21

Ultra Cart Technical Manual 2/8/2013
GD-99021 Rev. E
Additional Information ----------------------------------------------------------------------------------------------- 21
Routine Maintenance ------------------------------------------------------------------------------------------------- 22
Replacement Items --------------------------------------------------------------------------------------------------- 22
Fluid Paths and Wiring Diagrams----------------------------------------------------------------------------------- 23
Preventative Maintenance ------------------------------------------------------------------------------------------- 28
Company Information ----------------------------------------------------------------------------- 29
Limited Warranty----------------------------------------------------------------------------------- 30
List of Tables
Table 1 –Equipment Specifications ......................................................................................................4
Table 2 –Preventative Maintenance Schedule.....................................................................................28
List of Figures
Figure 1 –Ultra Duo Cart Dimensions and Features (Dim. = inch (cm))..................................................5
Figure 2 –Ultra Quad Cart Dimensions and Features (Dim. = inch (cm))................................................5
Figure 3 –TP-DL2800 Single Use Lid....................................................................................................6
Figure 4 –UL-CL500 Single Use Manifold..............................................................................................6
Figure 5 –Ultra Fluid Cart Connected to the Ultra Evac Unit ..................................................................6
Figure 6 –Power Cord and Switch .......................................................................................................9
Figure 7 –Vacuum Adapter and Lid .....................................................................................................9
Figure 8 –DU2800 Display ..................................................................................................................9
Figure 9 –QD2800 Display ..................................................................................................................9
Figure 10 –CL500 Manifold Assembly ................................................................................................10
Figure 11 –Vacuum Adapter, Manifold and Cover ...............................................................................10
Figure 12 –DU500 Display ................................................................................................................10
Figure 13 –QD500 Display ................................................................................................................10
Figure 14 –Used Manifold Removal ...................................................................................................11
Figure 15 –Patient Tubing and Lid.....................................................................................................11
Figure 16 –Vacuum Pressure ............................................................................................................11
Figure 17 –High Flow Mode Indicator ................................................................................................12
Figure 18 –Port Cap Under Lid ..........................................................................................................15
Figure 19 –DO NOT Insert Objects....................................................................................................15
Figure 20 –Environmental Conditions ................................................................................................20
Figure 21 –Ultra Fluid Cart Vacuum Flow Diagram..............................................................................23
Figure 22 –Ultra Fluid Cart Fluid Flow Diagram ..................................................................................24
Figure 23 –Ultra Duo Cart Electrical Wiring Diagram...........................................................................25
Figure 24 - Ultra Quad Cart Electrical Wiring Diagram .........................................................................26
Figure 25 –Ultra Fluid Cart Mother Board Schematic...........................................................................27

Ultra Cart Technical Manual 1 2/8/2013
GD-99021 Rev. E
Introduction
The Transposal Ultra Fluid Cart (cart) is designed to collect surgical fluids from one patient at a time in a
reusable suction device that can then be emptied, cleaned, and rinsed. The cart is also designed to enhance or
replace main wall vacuum supplies in operating room suites. Two fluid collection capacity options are
available. The Ultra Quad (4 reservoirs) collects up to 52-liters of fluid while the Ultra Duo (2 reservoirs)
collects up to 33-liters. Once fluids are collected, the cart is connected to an Ultra Evacuation Unit (evac) to
process the reservoirs.
Two manuals are provided with this equipment and are shipped with the equipment during the initial
installation. Copies of these manuals are available to any Dornoch Medical Systems, Inc. (DMS) customer
upon request.
The two different manuals are as follows:
Instructions for Use Manual –This manual is designed to instruct users in the correct operation of
the cart as well as safety considerations associated with the unit.
Technical Service Manual –This manual includes operation instructions, installation & disconnection
instructions, technical specifications, and preventative maintenance requirements for the unit.
This is the Technical Service Manual, and it is broken into eight sections including:
Introduction
Technical Description
Operation
Instructions for Use
Installation
Maintenance
Company Information
Limited Warranty
As a supplement to these two manuals, instructional video(s) are available to assist maintenance personnel in
their understanding of the equipment‟s operation and the maintenance procedures needed. If required, DMS
service personnel can be contacted 24-hours a day at 1-888-466-6633.

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Important Information
Please read this manual and follow all instructions. The words WARNING, CAUTION and NOTE have
special meanings and should be reviewed.
WARNING: Disregarding WARNING information may compromise the safety of the
patient and/or health care staff and may result in injury or death.
CAUTION: Disregarding CAUTION instructions may compromise product reliability
and may result in damage.
NOTE: NOTE information supplements and/or clarifies procedural information.
A triangle with an exclamation point alerts the health care professional to read and understand the
accompanying instructions, especially the operating, maintenance and safety information.
Intended Use
The intended use of the cart is to collect surgical fluids in a reusable suction device that can then be emptied,
cleaned, and rinsed while providing suction independent of the facility‟s wall source.
Equipment Description
Carts collect up to 52-liters of surgical fluids without the need to tandem multiple suction canisters. In
addition, the cart‟s on-board suction assist pump improves or replaces facility wall vacuum when inadequate
suction is otherwise present. The cart significantly reduces employee exposure to potentially infectious body
fluids, while eliminating up to 70% of Operating Room red bag waste.
The cart contains either two 16.5 Liter reservoirs or four 13 Liter reservoirs which are processed using an
evac. The multiple reservoir design allows separate suction level measurement. However, the carts contain a
single vacuum pump. A suction level decrease in any reservoir, due to an open port or line, may cause the
other reservoir to decrease. Once the system is installed, operators use the carts to collect fluid during
surgical cases and then move them to the evac where they are processed. Once the evac cycle is started, the
reservoirs are automatically emptied, cleaned, and rinsed. The carts are then wiped down and, with the
addition of a new single use lid or manifold, are ready for another surgical procedure.
Carts come in two model options with the main difference being the single use disposable. The two models
are the Ultra Fluid Cart (UL-DU2800 –Duo with Canister Lid and UL-QD2800 –Quad with Canister Lid)
and the UltrafleX Fluid Cart (UL-DU500 –Duo with Cart Manifold and UL-QD500 –Quad with Cart
Manifold). The 2800 configuration is designed for single patient use in each reservoir, as well as high fluid
generating procedures. The standard configuration Ultra Fluid Carts use the Transposal Single Use Lid #TP-
DL2800 to provide the suction to the surgical field. The other configuration option is the UltrafleX Fluid
Cart designed for the busy Operating Room demanding multi-patient fluid collection and high vacuum flow.
The special UltrafleX Fluid Cart Single Use Manifold #UL-CL500 supports these needs with a convenient,
easy-to-use remove and seal design.

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User/Patient Safety
WARNINGS:
DO NOT apply High Flow suction or allow extended
exposure of suction to the tissue associated with
procedures that require either no suction, low vacuum or
low flow suction, for example, passive chest drainage.
ALWAYS consider the type of tissue associated with the
surgical procedure BEFORE using this system. Failure to
comply may result in severe injury or death.
Before using this system, read and understand the information in
this manual. Suction equipment should only be used by people
that have had adequate training on the use of this type of
equipment. Pay special attention to WARNING information.
Become familiar with the system components prior to use.
The health care professional performing any procedure is
responsible for determining the appropriateness of this
equipment and the specific technique used for each patient.
Dornoch Medical Systems, Inc., as a manufacturer, does not
recommend surgical procedure or technique.
DO NOT use this system outside the scope of the defined
indications for use.
DO NOT use this system for applications that require a
constant vacuum level.
The reservoir scale and fluid volume display are not diagnostic
tools. DO NOT use the scale or volume display to accurately
calculate the amount of fluid loss from the patient.
Upon initial receipt and before each use, operate the equipment
and inspect each component for damage. DO NOT use any
component if damage is apparent.
ALWAYS close all unused ports and remove all unused tubing
to maintain optimal suction levels. The suction levels of each
canister are interdependent and linked to a common vacuum
source. Failure to comply may result in the unexpected reduction
of suction and patient injury.
The suction level of this product relative to its vacuum limit
setting may fluctuate significantly but will not exceed its limit.
DO NOT use this system if vacuum fluctuation may cause
patient injury. ALWAYS consider the type of surgical procedure
before using this system.
ALWAYS follow current local regulations governing procedure-
specific suction levels to remove fluid waste safely from a
surgical site.
Reservoirs are for surgical and bodily fluid collection only; do
not place any items into the reservoir for disposal. Caustic or
other harmful chemicals may harm the equipment and will void
the warranty.
Handling biohazard waste is potentially dangerous. ALWAYS
follow current local regulations governing biohazard waste to
safely handle and dispose of surgical fluid waste.
Manifolds and suction tubing may contain surgical waste after
use. ALWAYS handle these disposable accessories as
“potentially infectious materials” after use. ALWAYS wear
gloves and protective eye wear when removing and disposing of
these disposable accessories.
The Blood-borne Pathogens Standards, provided by the
Occupational Safety and Health Association (OSHA), requires
that all workers, having exposure to “potentially infectious
materials”, should wear the correct personal protection
equipment.
To avoid the risk of electrical shock, this equipment must be
connected to electrical outlet with a protective earth ground.
Verify all access doors are securely in place before operating this
unit.
ALWAYS follow reservoir overfill alarms to prevent overfill.
Use only Dornoch Medical Systems, Inc. approved accessories.
Do not connect items to this system that are not designed for or
specified for use with this system.
ALWAYS have more than one person unpack and lift the
equipment off the shipping pallet.
Perform recommended maintenance as indicated in these
instructions. Only trained and experienced health care
professionals should maintain this equipment.
No user serviceable parts inside the unit. Contact Dornoch
Medical Systems, Inc. customer service if an issue arises. Only
authorized service personnel should open any of the access
covers on this equipment. User operation does not require
access to these areas.
The unit is for use within the hospital and/or surgery center.
The unit is moveable but is not intended to be transportable or
used in the outside environment. To be used within the
healthcare facility ONLY.
DO NOT use the system with patients that are being treated
with radioisotopes or hazardous chemotherapy agents.
ALWAYS use the handle to move the cart. DO NOT push or
pull the cart by grasping any other part of the outer surface.
NEVER hang any heavy object from the cart handles.
No incline planes of operation.
ALWAYS follow reservoir overfill alarms to prevent overfill.
DO NOT use the system if leakage of surgical fluid waste
occurs. Disconnect power immediately and call Dornoch
Medical Systems, Inc. Customer Service.
DO NOT allow fluid of any kind to spill directly onto the
exterior surface of the electrically-powered cart.
DO NOT use the cart until it has been tested properly and the
Evac Unit has been installed and tested properly.
This unit uses both bleach and enzyme in its operation. When
replacing bottles, always wear the appropriate Personal
Protective Equipment. Use only Dornoch Medical Systems, Inc.
approved Bleach and Enzyme to avoid damage to the system
components.
This equipment is not suitable for use in the presence of
flammable anesthetic mixtures with air, oxygen or nitrous oxide.
Is not intended for use with AP or APG equipment.
Hot Water Temperatures higher than 118 0F can cause damage
to the unit.
There are no known significant risks of reciprocal interference
posed by the presence of this equipment or its operation in
either the operating room suites or other areas when used during
specific investigations and/or treatments.
There are no known potential electromagnetic or other
interferences between this unit and other devices located and/or
operated within the area of the operating room suites.

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Technical Description
Specifications
Table 1 –Equipment Specifications
Item
Ultra Quad (#UL-QD2800/#UL-QD500)
Ultra Duo (#UL-DU2800/#UL-DU500)
Certifications
ETL Listing - Class 1 Medical Device. Complies with
the following:
IEC 60601-1. General requirements for safety of
medical equipment devices.
IEC 60601-1-1. Collateral Standards for Medical
Equipment
IEC 60601-1-2. EMC & RFI compliance testing
standard.
IEC 60529 –Degrees of protection provided by
enclosures.
ETL Listing - Class 1 Medical Device. Complies with
the following:
IEC 60601-1. General requirements for safety of
medical equipment devices.
IEC 60601-1-1. Collateral Standards for Medical
Equipment
IEC 60601-1-2. EMC & RFI compliance testing
standard.
IEC 60529 –Degrees of protection provided by
enclosures.
FDA 510K Certification: K081047
FDA 510K Certification: K081047
ISO 10079-1. Medical Suction Equipment –
electrically powered suction equipment. (FDA
standard for hospital suction systems.)
ISO 10079-1. Medical Suction Equipment –
electrically powered suction equipment. (FDA
standard for hospital suction systems.)
CAN/CSA Standard C22.2 No. 601.1
CAN/CSA Standard C22.2 No. 601.1
FDA Product Code
JCX (carts) FNY (lids)
JCX (carts) FNY (lids)
FDA Manufacturer #
1954182
1954182
Patents
Patent Pending
Patent Pending
Installation
Mobile
Mobile
Size (inch (cm))
33(84)W x 23(58)D x 55(140)H
24(61)W x 24(61)D x 55(140)H
Weight (lbs (kg))
225(102) empty; 340(154) full
195(88) empty; 268(122) full
Utilities
Power
115-120VAC, 60Hz, 4.5 amp
115-120VAC, 60Hz, 4.5 amp
Additional Cooling
None
None
Flammable Rating
Not suitable for use in the presence of flammable
anesthetic mixture with air or with oxygen or with
nitrous oxide.
Not suitable for use in the presence of flammable
anesthetic mixture with air or with oxygen or with
nitrous oxide.
Operation
Method
Connected to the facilities main vacuum system or as a
standalone device.
Connected to the facilities main vacuum system or as a
standalone device.
Mode
Continuous
Continuous
Performance
High Vacuum/High Flow, maximum vacuum level
obtainable is 0-700mmHg. (Measured with all ports
closed) If connected to hospitable suction, obtainable
vacuum can be higher than 700mmHg.
High Vacuum/High Flow, maximum vacuum level
obtainable is 0-700mmHg. (Measured with all ports
closed) If connected to hospitable suction, obtainable
vacuum can be higher than 700mmHg.
Fluid Capacity
52,000mL
33,000mL
IV Pole
6,000mL maximum fluid capacity
6,000mL maximum fluid capacity
Cleaning
Dornoch enzyme solution and Clorox bleach are used to
clean the collection cylinders of the Ultra Fluid Cart.
Dornoch enzyme solution and Clorox bleach are used to
clean the collection cylinders of the Ultra Fluid Cart.

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Figure 1 –Ultra Duo Cart Dimensions and Features (Dim. = inch (cm))
Figure 2 –Ultra Quad Cart Dimensions and Features (Dim. = inch (cm))
Touch
Control
Panel
Fluid
Reservoirs
Optional
IV Pole
Single Use
Lids
Evac
Coupler
Receiver
Wall
Vacuum
Outlet
Power
Cord
Receptacle
55
(140)
24 (61)
24 (61)
Touch
Control
Panel
Fluid
Reservoirs
Optional
IV Pole
Single Use
Lids
Evac
Coupler
Receiver
Wall
Vacuum
Outlet
Power Cord
Receptacle
55
(140)
33 (84)
23 (58)

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Operation
The Transposal Ultra Infectious Fluid Management System consists of carts for fluid collection and the evac
for fluid disposal. Carts collect up to 52 liters of surgical fluids without the need to tandem multiple suction
canisters. In addition, each Ultra unit‟s on-board vacuum pump replaces or improves facility wall vacuum
performance when inadequate suction is otherwise present.
Once connected to a 120 VAC electrical outlet, cart reservoirs collect fluids from one to three separate sites.
Ultra Duo Fluid Carts have two 16.5 liter reservoirs and Ultra Quad Fluid Carts have four 13.0 liter
reservoirs. Reservoirs can be used with wall vacuum and/or the on-
board vacuum pump.
A single use lid (Figure 3) or manifold (Figure 4) is used to make suction
tube connections from the field to the cart. The Ultra Duo uses two
single use lids or manifolds and the Ultra Quad uses four lids or
manifolds. New lids are pressed on to the top of cart reservoirs or new
manifolds are inserted into the housings. On carts with the single use lid,
only one sealed, cleaned reservoir is used per patient. Carts are removed
from the OR suite for processing after all reservoirs have been used, or at
the end of the day. On carts with the single use cart manifold, the
manifold is changed between patients to allow for multi-patient fluid
collection. The carts are removed for processing at the end of every day.
Cart processing is accomplished with an
evac (Figure 5) located in an OR utility
closet or decontamination room. Evacs
empty, clean, and rinse reservoirs for
reuse. The evac‟s water, drain, and
sensor lines are easily connected to the
cart using a drip-less all-in-one coupler
connection. Carts are powered by the
evac coupler connection during
reservoir processing.
Figure 3 –TP-DL2800 Single Use Lid
Figure 4 –UL-CL500 Single
Use Manifold
Figure 5 –Ultra Fluid Cart Connected to
the Ultra Evac Unit

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Safety Features
The carts have numerous built in safety features including:
Closed System Design. The carts are designed to confine and contain fluids during collection and
disposal of surgical fluid waste.
Interactive Controls. The carts‟ high-tech control system guides users through unit operation while
monitoring key functions.
Bleach Cycle Monitoring. Continuous automatic monitoring of the bleach cycle is accomplished
with electronic sensors within the evac.
Vacuum Protection. Hydrophobic filters on each green single use lid or manifold prevent main line
vacuum contamination. In addition, DMS‟s unique vacuum adapter only connects to lid or manifold
protected vacuum ports.
Air Exhaust Protection. Air exhausted through the on-board suction pump is filtered using a
replaceable HEPA rated filter.
Early Warning and Overflow Protection System. Will alert the user when the reservoir is
1000mL from full capacity, and will do the following to avoid an overfill situation.
1. Reservoir will no longer be used and the vacuum will automatically shut off.
2. Reservoir is then automatically vented to prevent backflow.
3. Once the reservoir is shut off due to the Early Warning System, it must be processed with the
evac in order for it to be reset for further fluid collection use.
4. The hydrophobic filter in the bottom on the single use lid or single use cart manifold is a
secondary means (mechanical) of safety to prevent liquid from getting into the vacuum line.
Note: If fluids or solids are drawn into the vacuum pump during operation, immediately
discontinue use and remove the equipment from service. Contact DMS service personnel at 1-888-
466-6633 to report this issue; don’t continue to use the equipment.
Environmental Protection
Infectious Waste: None
Waste Disposal Accessories
There are no current accessories required for disposal from this unit.

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Reusable Suction Reservoir Use and Processing
 Reservoir Use.
Cart reservoirs, consisting of a reusable fluid collector and single use lid, shall be used in place of traditional
disposable suction canisters/liners in surgery. Cart reservoirs are considered non-critical and non-sterile
medical devices and should be handled accordingly. The fluid collection ranges for each reservoir is 0 to
13,000mL for an Ultra Quad and 0 to 16,500mL for an Ultra Duo. The accuracy of the digital readouts on
the Ultra Duo and Ultra Quad is +/- 150mL. The graduations on the exterior of the reservoirs are
approximations only. Record fluid volume as needed from the digital readouts on the touch screen display.
CAUTION: Reservoirs are not meant to be used in tandem as this could damage the equipment. Fluid must
not be pumped directly into the reservoirs as this could cause the single use lid to become dislodged or
damage the equipment.
CAUTION: DO NOT use solidifier in the cart reservoirs. It will make the cart inoperable until it can be
serviced to clean out the reservoir and may cause damage to the equipment.
 Reservoir Processing.
WARNING: Follow the current local regulations governing biohazard waste to safely handle and
dispose of surgical fluid waste.
Carts should be processed when all of the collection reservoirs have been used or at the end of the day.
Designated OR, SPD, or housekeeping personnel shall empty and clean used carts with the evac. Processing
shall be accomplished in accordance with manufacturer‟s directions. After processing, wipe down the cart
with a hospital approved disinfectant wipe (Sani-Cloth Bleach Germicidal Wipe (DMS# UL-BW100), Clorox:
Germicidal Wipes or equivalent) and place clean lids onto the cart. Non-approved wipes may cause surface
damage to the equipment.
 Bleach Verification. Daily visual verification of the cart/evac systems Bleach cycle shall be completed
using a Verification Log Kit (#TP-VL100). Continuous automatic monitoring of the Bleach cycle is
accomplished with electronic sensors within the evac. If an error is detected, the message shall be reported to
an immediate supervisor.
 Single Use Items Storage. A supply of new single use reservoir lids or manifolds shall be kept in a
designated clean storage area, and near any point of use.
 Preparing Reservoirs for Use. A new single use lid (TP-DL2800) or manifold (UL-CL500) shall be
placed onto the reservoir in a designated clean area. The user must verify the white hydrophobic filter is in
place on the lid or manifold. If it is the first case of the day or the cart has just been processed, verify the
reservoirs are clean prior to installing a new single use lid.
 Cart Transportation. Used carts shall be sealed and transported to the evac for processing. Before
processing the cart, verify all of the ports on the single use lids or manifolds are capped.
 Cart HEPA Filter. HEPA Filter must be replaced by approved DMS Filter. When replacing HEPA
Filter, it should be treated as potentially hazardous material and disposed of accordingly.

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Instructions for Use
Models DU2800 & QD2800
Fluid Collection
Step 1 –Verify fluid reservoirs are empty and clean. Ensure the unit
is equipped with new single use lids. (Figure 7)
NOTE: The volume of the pre-fill fluid in the reservoir is accounted
for in the displayed volume on the cart‟s touch screen.
Step 2 –To prevent inadvertent movement of the cart, lock the
caster. Plug power cord into a wall outlet and verify that it is also
plugged into the cart. Turn the power switch to the ON position.
(Figure 6)
Step 3 –Attach cart vacuum line adapter to the “Vacuum Supply”
port on the single use lid. (Figure 7)
NOTE: If cart vacuum is manually regulated, proceed to the
“Manually Regulated Models” section.
Step 4 (Duo Cart) –Turn reservoir vacuum ON or OFF by pressing
the desired reservoir icon on the cart‟s touch screen. (Figure 8)
Step 4 (Quad Cart) –Turn reservoir vacuum ON or OFF by
pressing the desired reservoir icon under the “Light” buttons on the
cart‟s touch screen. (Figure 9)
Step 5 –Verify suction at the port on the green lid.
Step 6 –Load any required IV fluid onto the optional IV pole. Do
not load more than 6000mL of IV fluid on the provided IV pole.
Step 7 –Attach patient tubing to port(s) on the green lid.
Warnings: DO NOT apply High Flow suction or allow
extended exposure of suction to the tissue associated with
procedures that require either no suction, low vacuum or
low flow suction. Failure to comply may result in severe
injury or death.
Step 8 –Regulate suction using the arrows on the vacuum scales next
to the appropriate reservoir image. (Figure 8 and Figure 9)
High Flow Mode (Optional Feature)
If increased suction is required during the procedure, adjust the
regulated vacuum to full and then press the UP arrow one additional
time to activate high flow mode. (Figure 17) To deactivate high flow
mode press the down arrow to return to regulated suction.
Figure 6 –Power Cord and Switch
Figure 7 –Vacuum Adapter and Lid
Figure 8 –DU2800 Display
Figure 9 –QD2800 Display

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Models DU500 & QD500
Fluid Collection
Step 1 –Verify fluid reservoirs are empty and clean. Ensure the
unit is equipped with new disposable manifolds. (Figure 10)
NOTE: The volume of the prefill fluid in the reservoir is accounted
for in the displayed volume on the cart‟s touch screen.
Step 2 –To prevent inadvertent movement of the cart, lock the
caster. Plug power cord into a wall outlet and verify that it is also
plugged into the cart. Turn the power switch to the ON position.
Step 3 –Attach cart vacuum line adapter to the “Vacuum Only”
port on the single-use manifold. (Figure 11)
Step 4 (Duo Cart) –Turn reservoir vacuum ON or OFF by
pressing the desired reservoir icon on the cart‟s touch screen.
(Figure 12)
Step 4 (Quad Cart) –Turn reservoir vacuum ON or OFF by
pressing the desired reservoir icon under the “Light” buttons on the
cart‟s touch screen. (Figure 13)
Step 5 –Verify suction at a manifold port.
Step 6 –Load any required IV fluid onto the optional IV pole. Do
not load more than 6000mL of IV fluid on the provided IV pole.
Step 7 –Attach patient tubing to manifold port(s).
Warnings: DO NOT apply High Flow suction or allow
extended exposure of suction to the tissue associated
with procedures that require either no suction, low
vacuum or low flow suction. Failure to comply may
result in severe injury or death.
Step 8 –Regulate suction by pressing the up or down arrow on the
vacuum scale next to the appropriate reservoir image. (Figure 12
and Figure 13)
High Flow Mode (Optional Feature)
If increased suction is required during the procedure, adjust the
regulated vacuum to full and then press the UP arrow one
additional time to activate high flow mode. (Figure 17) To
deactivate high flow mode press the down arrow to return to
regulated suction.
Figure 10 –CL500 Manifold Assembly
Figure 11 –Vacuum Adapter, Manifold
and Cover
Figure 12 –DU500 Display
Figure 13 –QD500 Display

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Preparing for the Next Procedure
To use the same reservoir for the next patient, use the following
steps. Otherwise, use an empty reservoir or transport the cart to the
evac for processing.
Warning: Follow the current local regulations governing
biohazard waste to safely handle and dispose of surgical
fluid waste.
Step 1 –Cap all of the patient ports but leave the “Vacuum Only”
port uncapped. Remove the manifold from the housing and tip it
forward so the ports face slightly down. Take the cap off of the back
of the housing and place it on the bottom of the manifold. (Figure 14)
Step 2 –Cap the “Vacuum Only” port and dispose of the manifold
per facility red bag waste policy.
Step 3 –Reset the reservoir fluid volume to zero by pressing the
digital value below the reservoir icon and following the instructions.
(Number of resets limited to four total resets between cart cleanings.)
Step 4 –Insert a new manifold and proceed to Step 3 in the “Fluid
Collection” section on the previous page.
Figure 14 –Used Manifold Removal
Control Knob Regulated Models
Fluid Collection
Note: Follow the first 3 steps in the “Models Using Single Use TP-
DL2800 Lids” section to get the cart set up for fluid collection. Then
proceed as follows:
Step 4 –Turn reservoir vacuum ON or OFF by pressing the desired
reservoir icon on the cart‟s touch screen.
Step 5 –Verify suction at a port. Attach patient tubing to port(s) on
the green lid. (Figure 15)
Warning: DO NOT apply High Flow suction or allow
extended exposure of suction to the tissue associated with
procedures that require either no suction, low vacuum or
low flow suction. Failure to comply may result in severe
injury or death.
Step 6 –Regulate suction by turning the “Increase Suction” knob
clockwise to decrease counterclockwise to increase. (Figure 16)
Warning: Manual regulation of the pressure with the
adjustment knob affects all in use reservoirs. Failure to
comply may result in the unexpected reduction of
suction and patient injury.
Figure 15 –Patient Tubing and Lid
Figure 16 –Vacuum Pressure
Control Knob

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All Models
Transporting the Cart
After the surgical procedure is complete, the cart needs to be transported to the evac to be emptied,
cleaned and rinsed.
Warnings: Always remove the disposable accessories and lower the IV pole prior to relocating the
cart. Always use the handle to retain control of the cart during relocation.
Step 1 –Turn off the suction in the cart by pressing all activated reservoirs on the carts touch screen.
Step 2 –Remove patient tubing and cart vacuum lines from the green single use lid(s) and seal all ports with
the attached caps.
Step 3 –Detach wall vacuum line and power cord from the wall and wind onto the cart‟s storage bracket.
Unlock the caster to allow the cart to be transported and move it to the evac for processing.
Step 4 –Once the cart is processed and used single use lids are discarded, wipe down the cart with a hospital
approved bleach wipe (Sani-Cloth Bleach Germicidal Wipe (DMS# UL-BW100), Clorox: Germicidal Wipes
or equivalent) and place clean single use lids onto the cart.
CAUTION: Non-approved wipes may cause surface damage to the equipment.
NOTE: Liquid will remain in the reservoir after processing is complete. This liquid contains a small amount
of enzyme for starting the breakdown of fluid waste collected during the next case.
High Flow Mode (Optional Feature)
High Flow Mode is an optional feature available on some carts. It
allows a boost in suction to a customer selected reservoir when more
suction is needed. Suction boost is still limited to number of lines
hooked to the reservoir and if another reservoir is in use. If
increased suction is required during the procedure, adjust the
regulated vacuum to full and then press the UP arrow one additional
time to activate high flow mode. (Figure 17) To deactivate high flow
mode press the down arrow to return to regulated suction.
Figure 17 –High Flow Mode Indicator

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General Usage Information
Single Use Lids/Manifolds and Disposable Suction Tubing
Single Use Lid: (TP-DL2800)
The single use lid has three suction ports. Any one of these ports (and up to three) can be used to collect
fluids. The suction ports are labeled:
1. “Patient” this port is used for routine collection of fluids.
2. “Tandem” this port is used for routine collection of fluids.
CAUTION: The use of this port to tandem reservoirs together is not allowed on carts as this
can cause damage to the equipment.
3. “Ortho” this port is used for routine collection of fluids or used when larger suctioned
particulate may occlude the Patient or Tandem ports.
Single Use Cart Manifold: (UL-CL500)
The single use manifold has three suction ports. Any one of these ports (and up to three) can be used to
collect fluids. The suction ports are not labeled and are all the size of a standard “Ortho” port.
Single Use Lids and Manifolds:
WARNING: Both the TP-DL2800 lid and the UL-CL500 manifold are designed to be used for a
single patient. Failure to change the item after each patient may result in the following:
1. Loss of available suction. Contaminated and/or wet filters will affect vacuum flow.
2. Cross contamination. Improper usage of single use items poses a health risk to patients and health
care providers.
Disposable Suction Tubing: (Provided by the Hospital)
Any surgical suction tubing of variable diameters (sterile or unsterile) can be used to attach to single use
lids/manifolds. Most suction tubing has flexible boots on the ends to accommodate different diameter
suction ports or surgical devices.
CAUTION: Do not connect items that are not designed for suction systems as a safety hazard may result.

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Early Warning and Overflow Protection System
The cart will alert the user when the reservoir is a 1000mL from full capacity, and will do the following to
avoid an overfill situation.
-Reservoir will no longer be active and the vacuum will automatically shut off.
-Reservoir will automatically vent to prevent backflow.
-The hydrophobic filter in the bottom on the single use lid or single use cart manifold is a secondary
means (mechanical) of safety to prevent liquid from getting into the vacuum line.
Optional overflow alarm sequence will do the following:
-Cart will alert the user when the reservoir is 2500mL from full capacity.
-Cart will alert the user when the reservoir is 1000mL from full capacity.
-Cart will shut vacuum off and alarm when full; user must acknowledge alarm.
Alternate Vacuum Source
Equipment Malfunction or Power Loss Situation
An alternate source of vacuum should be readily available in the event the cart can no longer provide suction
to the reservoir. The cart can still be used with an external vacuum source hooked directly to the “Vacuum
Port” of the single use lid. Vacuum regulation and volume readout will not be available with the cart setup in
this configuration.
Rapid Full Vacuum and Specimen Collection
Application that Requires Full Suction in Ten Seconds or Less:
On the back of the unit there is a place for a canister ring holder. Place a canister ring (TP-RH100) into the
holder and then either an 1800cc (TP-RC1800 (reusable)/TP-DCL1800 (disposable w/lid)) or 2800cc (TP-
RC2800 (reusable)/TP-DCL2800 (disposable w/lid)) canister into the ring. Hook the black vacuum adapter
from one of the reservoirs to the vacuum port on the canister lid and turn on the vacuum for that reservoir.

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TP-DL2800 Application Information and Precautions
-To place a TP-DL2800 lid onto a reservoir, press it onto the lid
ring with two hands working around the outside edge toward the
back of the cart. Another option is to cap all of the ports and use
suction to pull the lid onto the lid ring.
-When positioning the TP-DL2800 single use lid onto the cart,
check that port caps are not caught under the lid. (Figure 18) Cap
all ports prior to transporting the cart.
-CAUTION: Do NOT insert objects into the reservoir. (Figure
19) Reservoir contents are to be collected with suction only.
Depositing gloves, trash, or other miscellaneous items will CLOG
the reservoir making it unable to drain and rendering it inoperable.
Figure 18 –Port Cap Under Lid
Figure 19 –DO NOT Insert Objects
Unit Information and Error Messages
The cart provides the operator feedback for common operating errors via the display panel. The most
common messages are described below. Please call DMS at 1-888-466-6633 for assistance with any error
message.
Warning or Error
Action Required
Tandem Error: This message indicates fluid has
been detected entering a reservoir that does not have
vacuum applied.
Verify fluid lines are only hooked to reservoirs that
are turned on. Do not tandem reservoirs or pump
directly into reservoirs. Call service if necessary.
Temperature Errors: This message provides notice
that the temperature monitoring system in the unit
has detected an elevated temperature.
Finish the current surgical procedure and then
remove the cart from use. Contact service once
the cart is available for repair.
Processing Required: This message notifies the user
that the cart has not been processed for 16 hours
since it was used to collect fluid.
Finish the current surgical procedure and then
process the cart with the evac.
Periodic Maintenance
Interval Activity
Prior to each use
and after each
cleaning
Inspect the collection reservoirs for cracks and the two casters for failed lock and steer
levers. Ensure there are no cuts in the power cord and no bent pins in the power cord
receptacle. DO NOT use if the equipment if damage is present.
As required
Check the level of the enzyme and bleach in the bottles. Replace the bottles as required.

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Troubleshooting Guide
Problem: Unit Will Not Operate
Possible Solutions:
1. Check that the machine is plugged into an operational outlet.
2. Check that the switch on the rear of the unit is turned on and that the power cord is all the way into the
receptacle.
3. Call maintenance to replace the internal fuses.
Problem: Display is Powered, Cannot Get Vacuum Pump to Turn On
Possible Solutions:
1. Go to the setup screen and verify wall suction only button is not green.
2. Try to run the unit with wall vacuum.
3. Call DMS at 1-888-466-6633.
Problem: Volume Not Displayed on Screen
Possible Solutions:
1. Level Sensor not calibrated or defective.
2. Call DMS at 1-888-466-6633.
Problem: No Suction or Inadequate Suction
Possible Solution:
1. Verify that new single use lids have been installed. The single use lids and manifolds are each equipped
with a hydrophobic filter that will close when it becomes wet. If the unit was processed and the lids have not
been replaced this will block suction at the patient ports.
2. If using the cart not attached to wall suction, verify that the suction pump has been turned “ON”.
DMS Technical Service - Information
DMS Technical Service is available 24 hours a day, 7 days a week. Technicians are available in the office from
Monday –Friday from 8AM until 5PM central standard time. DMS uses a paging system for any calls
received at other times during the day and will get back with you as soon as possible. Please call 1-888-466-
6633 and have the information below available for the technician. If possible, call with the equipment
available for troubleshooting.
Equipment Type (Ultra Duo, Ultra Quad, Evac or Safety Station)
Equipment Serial Number
Description of the problem
Location of the equipment
Contact information for a service technician coming to the account