GREINER MULTILINE NEXT DC User manual

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Instruction manual - MULTILINE NEXT DC
© 2019 GREINER GmbH
GREINER_multiline_next_dc_manual_EN_4225502_rev_2.docx
MULTILINE NEXT DC
Item No.: 4225502
Last updated: 15.07.2019 / Rev.: 2
Copyright: © 2019 GREINER GmbH
All copyrights to this instruction manual remain with GREINER GmbH. Reprinting - even in extracts - is not permit-
ted. The transfer of this manual to third parties requires the written permission of GREINER GmbH. Any use or
modification outside the narrow limits of copyright law is not permitted without the consent of GREINER GmbH.
This applies in particular to duplication, translation, microfilming and storage as well as processing in electronic
systems.

Table of contents
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Table of contents
1Introduction 5
1.1 Validity 5
1.2 Manufacturer 5
1.3 Note on pictorial representations 5
1.4 Warranty and liability 5
1.5 Service manual 5
1.6 Type plate 6
2Safety 7
2.1 Signal words 7
2.2 Device safety 7
2.2.1 Safety inspection 8
2.3 Personal safety 8
2.4 Intended use 9
2.4.1 Reasonably foreseeable misuse 9
3Commissioning 10
3.1 Safety instructions for commissioning 10
3.2 Installation requirements 10
3.3 Scope of delivery 11
3.4 Packaging 12
3.5 Preparation 12
3.5.1 Removing the packaging 13
3.5.2 Preparation for assembly 14
3.5.3 Releasing the transport lock 15
3.5.4 Attaching the leg section drive 16
3.5.5 Electrical commissioning 17
3.5.6 Attaching the footrest 18
3.5.7 Attaching the seat upholstery 20
3.5.8 Pushing the couch off the transport pallet 23
3.5.9 Disposal of the packaging material 23
3.6 Requirements on the place of operation 24
3.7 Check before commissioning and reassignment 24
4Operation 25
4.1 Safety instructions for operation 25
4.2 Structure 26
4.3 Hand control 27
4.3.1 Unlocking and locking the hand control 28
4.3.2 Basic position 29
4.3.3 Relax position 30
4.3.4 Bed position (flat position) 31
4.3.5 Shock position 32
4.4 Duty cycle 33
4.5 Battery mode 33
4.6 Foot switch 34
4.7 Equipotential bonding pin 34
4.8 LED reading lamp 35
4.9 Armrests 36
4.10 Footrest 38

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4.11 Driving 39
4.12 Braking 40
4.12.1 Castors with central locking 40
4.12.2 Castors with central locking and directional control 41
4.12.3 Single-braked castors 43
4.13 Sitting down and standing up of the patients 44
4.14 Patient transportation 44
4.15 Infusion rod holder and infusion rod 45
5Accessories 46
5.1 Premium material 46
5.2 Neck roll 46
5.3 Relax pillow 47
5.4 Neck roll / Relax pillow in premium material 47
5.5 Arm supports in premium material 47
5.6 LED reading lamp 48
5.7 Legrest upholstery protection cover 48
5.8 Footrest protection cover 49
5.9 Battery 49
5.10 Push handle with paper roll holder 50
5.11 Padded arm supports 50
5.12 Infusion rod holder 51
5.13 Infusion rod 51
5.14 Standard rails 52
5.15 Seat with pressure relief 52
5.16 Foot switch 53
5.17 Mains cable 53
6Cleaning and disinfection 54
6.1 Cleaning 55
6.2 Disinfection 55
7Troubleshooting 56
7.1 Initialisation of actuators 57
7.2 Control unit RESET 58
7.3 Troubleshooting table 59
8Decommissioning 61
8.1 Service life 61
8.2 Storage and transportation 61
8.2.1 Battery 61
8.3 Check before recommissioning 62
8.4 Disposal 63
9Appendix 64
9.1 Explanation of symbols 64
9.2 Ordering spare parts 64
9.3 Return delivery / repair order 64
9.4 Technical data 65
9.5 Proof of instruction 66
9.6 Glossary 68
9.7 Notes 69

1 Introduction
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1Introduction
With this instruction manual (hereinafter also referred to as the "manual") we would like to provide the user and
operator with useful information for safe and proper operation of the MULTILINE NEXT DC couch (hereinafter
also referred to as the "couch").
This manual also describes functions or features that may not be included in your couch.
This manual contains information on the safe use of the couch according to its intended use (see 2.4 Intended
use).
Observance of the instructions helps to
avoid risks.
reduce downtime.
reduce ongoing operating costs.
increase the reliability and service life of the couch.
We reserve the right to make technical changes without notice within the scope of further development of the
couch described in this manual.
The original of this manual was written in German. All other languages are translations of this manual.
1.1 Validity
This manual applies only to the couch and accessories supplied by GREINER GmbH (also abbreviated to
GREINER).
1.2 Manufacturer
GREINER GmbH
Wettestraße 1
74385 Pleidelsheim / Germany
Phone: [phone]
Fax: [phone]
[email protected]
www.greiner-gmbh.de
1.3 Note on pictorial representations
The photos / illustrations are general illustrations and may differ from the actual conditions or from the compo-
nents actually used.
1.4 Warranty and liability
Our General Terms and Conditions (GTC) apply in the currently valid version at www.greiner-gmbh.de.
In the event of a complaint (damage, defects or other reasons for complaint), your authorised specialist distribu-
tor is the appropriate contact person. Please provide the data of the type plate (and possibly a photo) (see
1.6 Type plate).
The more accurate and better the data, the better and more targeted the remedy can be provided.
NOTE
This couch is not approved for the North American market, especially the United States of Amer-
ica. The distribution and use of the couch in these markets, also through third parties, is prohib-
ited by the manufacturer.
1.5 Service manual
A service manual can be provided on request. This supports the service technicians of the authorised specialist
distributors or other qualified personnel commissioned by the operator in the maintenance or repair of the couch.

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1.6 Type plate
The type plate of the couch is located (depending on the version) either at the rear of the plastic cover of the
lower part or on the outside of the bearing (not shown).
It contains the following information (see also 9.4 Technical data, if necessary).
Symbol
Meaning
Symbol
Meaning
Manufacturer
Product name
Cushion
Cushion colour or type
Serial number
CE marking
Warning
Follow the instructions
Date of manufacture
Customer
Customer number or name
Safe working load
V in:
Input voltage/frequency
Alternating current
I in max.
Input current
U out:
Output voltage
IPX4
IP rating
Op:
Duty cycle
Indoor application
Protection class I
Thermal fuse element
Applied Part: Type B
No domestic waste
Isolating transformer
1. Type plate (example)
Fig. 1 Type plate - plastic cover
Further type plates can be found on all electrical components.
Type plates are documents that may not be altered or removed.
Damaged or lost type plates must be replaced true to the original.
1

2 Safety
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2Safety
The main objective of the safety instructions is to prevent injury to persons.
In addition, observation of the safety instructions helps to avoid material damage.
As the operator you have purchased a MULTILINE NEXT DC couch from GREINER GmbH. As a result, you are
also responsible for its proper and intended operation.
2.1 Signal words
In order to point out dangers, prohibitions and important information, the following signal words and symbols are
used in this manual. These must be read and strictly observed.
DANGER
This signal word indicates an imminent danger resulting in serious injuries, and in some cases
death.
WARNING
This signal word indicates a potential imminent danger, which can result in serious injuries,
and in some cases death.
CAUTION
This signal word indicates a potential imminent danger, which can result in light to serious
injuries.
NOTE
This signal word indicates a potential imminent danger, which can result in damage to prop-
erty and the environment.
TIP
Indicates tips for use or other particularly important information when handling the couch.
2.2 Device safety
Greiner couches were built in accordance with the applicable national and international standards and regulations
according to the current state of the art and tested by an independent body.
This couch meets the requirements for safety and functionality. It bears the CE mark, which documents compli-
ance with the basic requirements for medical devices.
The couch described in this instruction was designed and manufactured in compliance with the EC Directive 93/42
EEC (MDD - Medical Device Directive) and meets its requirements. According to the Medical Devices Act (MPG), it
is an active medical device of risk class I.
The validity of the declaration of conformity expires if changes are made to the couch by the customer or third
parties, e.g. modifications of any kind, use of external accessories, changes to the software, removal of warning
and information signs (no claim to completeness).
Due to the chosen robust, interference-proof design of the electrical adjustment devices, the couch is largely tol-
erant to EMC interference from other electrical equipment operated in the vicinity.
Despite comprehensive EMC testing, it is possible that other devices may be disturbed by the couch.
In such cases, either switch off the couch completely by disconnecting the mains plug or disconnect it from the
mains, or, if necessary, keep a larger distance from the disturbed device and change the orientation to each
other. If possible, do not use the same outlet.
This applies in particular to the simultaneous use of highly sensitive measuring instruments. Their measurement
results may be influenced under certain circumstances.
The couch can be equipped with accessories on delivery (see 5 Accessories).
If necessary, observe the instruction manuals for the accessories. For further information, please contact your
authorised specialist distributor.
All prohibition, warning and message symbols or instructions on the couch must be observed. The symbols and
notes must always be legible and complete. Damaged or lost symbols or notes must be replaced true to the origi-
nal.
The couch is mainly made of steel tubes or steel profiles. The surfaces are either powder-coated or coated with
zinc or chrome.
All surfaces are harmless against skin contact.

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2.2.1 Safety inspection
Legal foundations
Operators of electrically driven couches for medical use are, in accordance with
EC Medical Device Directive 93/42 EEC (MDD)
and the resulting national laws/regulations (e.g. in Germany)
German Medical Device Operator Ordinance (MPBetreibV) § 4 (repair)
DGUV Information 203-071 (periodic inspections of mobile electrical work equipment).
DGUV Regulation 3 Accident Prevention Regulation (electrical systems and equipment).
obliged to maintain the safe condition of medical devices throughout the entire period of use. This also includes
regular professional maintenance and regular safety checks.
In other countries, outside Germany or the EU, the applicable national regulations must be observed.
GREINER GmbH generally recommends an annual maintenance according to the maintenance table as well as a
safety inspection with simultaneous electrical inspection according to IEC 62353 (see service manual).
2.3 Personal safety
To avoid errors and to ensure trouble-free operation of the couch, the safety instructions in this instruction man-
ual must have been read and understood completely and must always be made available to the user at all times
(in printed or electronic form).
Basic instruction for the user can be given by GREINER GmbH or its authorised specialist distributor at the re-
quest of the operator.
Participation in such a training will be certified in a special form with name, date and signature (see 9.5 Proof of
instruction).
Patients must be instructed in the use of the couch before activating the hand control.
For the definition or delineation of the groups of persons in this Instruction manual see under 9.6 Glossary.
In other countries, outside Germany or the EU, the applicable national regulations and laws must be observed. In
Germany, the provisions of the Medical Devices Act (MPG), the Medical Devices Operator Ordinance (MPBetreibV)
and the relevant statutory regulations must be observed.
Notes to the operator
This couch meets all requirements of the EC directive 93/42 EEC for medical devices. It is classified,
designed and manufactured as an active class I medical device in accordance with the Medical De-
vices Act (MPG).
Observe your obligations as operator according to the Medical Device Operator Ordinance
(MPBetreibV) to ensure a permanently safe operation of this medical device without endangering
patients, users and third parties.
Notes to the user
In accordance with MPBetreibV, the user must ensure that the couch is functional and in proper
condition before using it in medical areas and must observe the Instruction manual.
The same applies to any accessories that have been attached to the couch.
Notes to the patients
With each new assignment, the patient must be instructed in the important functions of the couch.
Instruction is usually given by the user.

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2.4 Intended use
The MULTILINE NEXT DC couch from GREINER GmbH is a medical couch for use by patients in health facilities
such as hospitals, clinics, medical practices and dialysis centres. It is intended exclusively for use inside buildings
and under normal environmental conditions.
The MULTILINE NEXT DC couch was specially developed for use in dialysis treatment, e.g. in a dialysis centre.
The safe working load of the couch is 220 kg.
The couch is used mainly as a place for sitting or lying while receiving a dialysis treatment.
The couch allows the convenient and comfortable positioning of the patient during dialysis therapy.
The user is supported in his or her work with regard to ergonomics and quality.
As a treatment couch for sitting and lying treatments or examinations.
The couch can be used for patient transport under certain conditions within buildings.
The intended users are trained and instructed medical personnel of the relevant department
(e.g.: nurses, carers, doctors, assistants, etc.).
Installation and commissioning by technical personnel of the operator or authorised specialist dis-
tributors, if necessary.
2.4.1 Reasonably foreseeable misuse
Reasonably foreseeable misuse can lead to hazards.
Some examples of "reasonably foreseeable misuse" are given below.
(no claim to completeness)
Use in the vicinity of high-frequency surgical units, MRI units or defibrillators.
Use in an environment where flammable or explosive gases or vapours (e.g. anaesthetics) are to
be expected.
Use as a work chair.
Use in the operating theatre.
Use as operating chair or operating table.
Use as a spare hospital bed or spare bed.
Overloading of the couch above the specified safe working load.
Operation of the couch by patients without prior instruction.
Improper operation of electrical functions and uncontrolled positioning.
Outdoor use.
Use in wet areas, e.g. bathing establishments.
Use as a climbing aid (ladder).
Use as a children's toy, e.g. gymnastics or sports equipment.
Use as a vehicle or for the transport of goods.
Try to move the couch although the castors are in the braked position.
Pull on cables to move the couch.
Disconnect electrical connectors by pulling on the cable.
Cleaning in washing facility.
Cleaning with a spray lance of a high-pressure cleaner or water jet.

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3Commissioning
The chapter commissioning describes the preparation of the couch for use including a final check of the functional
safety (see 3.7 Check before commissioning and reassignment).
TIP
The use of specially trained and instructed service personnel during commissioning is neither nec-
essary nor intended.
3.1 Safety instructions for commissioning
Before commissioning the couch, the user must be instructed in the handling of the couch using the instruction
manual, having previously read it in detail. In addition, the potential dangers that may occur despite proper oper-
ation of the couch must be pointed out in detail.
Operator's obligation - instruction
The operator must observe the respective valid national specifications and legal regulations.
The operator must ensure that the users are instructed before using the couch.
The instruction can be given either by an authorised person of an authorised specialist distributor
or directly by the manufacturer.
TIP
If the delegated person of the operator, e.g. the person responsible for medical devices, has been
instructed by an authorised person of an authorised specialist distributor or by the manufacturer,
we would like to point out that we authorise the person responsible for medical devices of the op-
erator within the scope of the purpose for the instruction of the couch on the basis of training, ex-
perience and knowledge.
The operator must ensure that the instruction manual has been read and understood completely by
the users. The operator must disclose the place where the instruction manual is stored and make it
accessible at all times.
The operator must ensure that representative personnel also receive adequate instruction in the
operation of the couch.
The operator must ensure that the couch is operated exclusively by trained users.
The operator must inform the users that the patients may only operate the couch after their in-
struction, if necessary only under supervision.
TIP
Electrical testing before commissioning.
A further electrical inspection of the couch before the first commissioning is not necessary, as the
couch has been tested for electrical safety in accordance with EN 60601 (test report in instruction
manual) and has left our factory in perfect condition.
In other countries, outside Germany or the EU, the applicable national regulations and laws must
be observed. Additional commissioning specifications of the operator must always be observed. In
individual cases, a new electrical inspection must be carried out and documented in accordance
with IEC 62353 (see service manual).
DANGER
Danger of suffocation from packaging material.
Packaging material is not a toy and must be kept away from babies and small children.
In particular, do not pull the plastic bags or sacks over your head or crawl into them.
3.2 Installation requirements
The couch is only approved for use in buildings and under normal ambient conditions, or for use in dry rooms
(see 9.4 Technical data).
The following environmental conditions must be observed on site.
Operating temperature [C]:
+ 5
+ 40
Air humidity [rH] (non-condensing):
20 % - 90 %
Air pressure [hPa]:
700 - 1060
Operation at estimated altitude [m]:
≤2000

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3.3 Scope of delivery
Configuration options
There are basically 3 different versions of the MULTILINE NEXT DC couches. They differ in the number of electri-
cal adjustment options.
In addition, the type of brake system installed for the castors determines the principle variant.
The MULTILINE NEXT DC couch therefore has 8 configuration options.
The couch can be equipped with accessories (see 5 Accessories).
MULTI-
LINE NEXT DC
Actuators
Castors
Back adjustment
Seat inclination
Leg section
Height adjustment
Footrest
Single-braked
Central locking
Central locking directional control
4223000
4223100
4224000
4224100
4224200
4225000
4225100
4225200

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3.4 Packaging
The MULTILINE NEXT DC couch is packed and shipped as shown below.
TIP
Carry out a visual check of the outer packaging immediately after delivery and before unpacking.
Make a written record of any major obvious damage directly on the carrier's delivery note [A] [B].
Later complaints are facilitated by the immediate creation of meaningful photos, if possible in the
presence of the delivery driver.
Fig. 2 Shipment packaging
3.5 Preparation
The preparation section describes and shows how to unpack the couch and make it ready for operation using the
example of a fully equipped MULTILINE NEXT DC with 5 adjustment drives and central locking of the castors
(4225100) [A] [B].
NOTE
The procedure and sequence of the simple work steps must be strictly observed, otherwise per-
sonal injury may occur.
The couch or parts of the couch will be severely damaged in any case if the following activities are
not carried out correctly.
Fig. 3 Shipping position
Fig. 4 Operating position
A
B
A
B

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3.5.1 Removing the packaging
Personnel requirements
1 User
Required tools and aids
Scissors
Way of proceeding
Fig. 5 Removing the tensioning straps
1. Use scissors to cut through the tensioning straps (1) and then remove them [A] [B].
Fig. 6 Removing the packaging material
2. Remove the cardboard lid (2), the outer packaging (3) and the protective film (4) upwards [B] [C] [D].
NOTE
Do not cut the packaging with a knife or long blade.
The upholstery material or other parts of the couch could be damaged.
1
2
3
4
A
B
C
D

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3.5.2 Preparation for assembly
Personnel requirements
1 User
Required tools and aids
Scissors
Way of proceeding
Fig. 7 Removing the seat upholstery, the manual and accessories
1. Remove the seat upholstery (1) and the manual (2) [A] [B].
2. Manual with electrical test (3) (test report) [C].
3. Remove the infusion rod (4) if necessary [D]
Fig. 8 Removing the cable ties / removing the wing screws
4. Cut through the cable tie (5) for securing the leg section drive (6) during transportation [F].
5. Cut through the cable tie (7) on the wing screws (8) for fastening the seat upholstery. Remove the
wing screws [F]. Do not lose the wing screws, as both are needed later again [G].
1
2
B
3
C
4
D
5
6
7
8
F
G
A
E

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3.5.3 Releasing the transport lock
Personnel requirements
1 User
Required tools and aids
None
Way of proceeding
Fig. 9 Pulling out the axle of the transport lock
1. Remove the circlip (1) on the axle (2) of the transport lock [B] [C]. Do not lose the circlip and the
axle, as both are needed later again.
2. Release the axle when pulling it out. To do this, move the leg section (3) slightly and hold it firmly
[A].
CAUTION
Risk of trapping and crushing.
Use your hand to guide the leg section when lowering. Hold the leg section while lowering and do
not let it fall freely.
Fig. 10 Folding down the cross bar
3. Fold down the cross bar (4) vertically [D].
4
A
D
1
B
3
2
C

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3.5.4 Attaching the leg section drive
Personnel requirements
1 User
Required tools and aids
None
Way of proceeding
Fig. 11 Pulling out the axle on the leg section drive
1. Remove the circlip (1) on the axle (2) of the leg section drive (3) [A] [B] [C].
Fig. 12 Attaching the leg section drive
2. Join leg section (4) and leg section drive [D].
3. Insert the axle and reinstall the circlip.
The circlips on the axles must re-engage correctly [E].
CAUTION
Risk of trapping and crushing.
The axle may slip out and the leg section may then drop unexpectedly.
4
A
1
B
2
3
C
D
E

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3.5.5 Electrical commissioning
Personnel requirements
1 User
Required tools and aids
None
Operating statuses
When the couch is connected to the mains and the hand control is disabled, the yellow operation
control LED (1) lights up.
When the couch is connected to the mains and the hand control is enabled with the magnetic key,
the green operation control LED (2) lights up to indicate that the couch is ready for operation.
Way of proceeding
Fig. 13 Electrical commissioning
1. Insert the mains plug into a socket (without Fig.).
Unlocking the hand control
2. To unlock the hand control (3), swipe the magnetic key (4) over the key symbol (5) (see 4.3.1 Un-
locking and locking the hand control) [A] [B].
3
1
5
4
A
2
B

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3.5.6 Attaching the footrest
Personnel requirements
1 User
Required tools and aids
None
Prearrangement
TIP
Bring the couch into the highest sitting position and the backrest into a flat position. Swivel the
seat all the way up and the leg section all the way down (see 4.3 Hand control).
Way of proceeding
Fig. 14 Couch position for attaching the footrest
1. Bring the couch into the shown position [A].
Fig. 15 Aligning the cross bar and the rocker lever
2. Position the cross bar (1) and the rocker lever (2) so that both can be connected to the axle [C].
Move the footrest (3) manually until the correct position is reached [B].
NOTE
Ensure that the cables cannot be squeezed or jammed.
3. Insert the axle (4) and reinstall the circlip (5).
The circlips on the axles must re-engage correctly [D].
CAUTION
Risk of trapping and crushing.
The axle may slip out and the footrest may then drop unexpectedly.
3
A
B
1
2
C
4
5
D

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Fig. 16 Checking the position after assembly
4. Check the correct assembly of the cross bar (1) and the rocker lever (2).
After assembly, both components must be arranged as shown [E].
Fig. 17 Checking the laying of the cables
5. Checking the laying of the cables.
The cables must not be trapped or crushed [F].
1
2
E
F

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3.5.7 Attaching the seat upholstery
Personnel requirements
1 User
Required tools and aids
None
Prearrangement
TIP
Bring the couch into the highest sitting position and the backrest into a flat position. Swivel the
seat all the way up and the leg section all the way down (see 4.3 Hand control).
Swivel the armrests upwards and bring them into the widest position (see 4.9 Armrests).
Way of proceeding
Fig. 18 Couch position for attaching the seat upholstery
1. Bring the couch into the shown position [A].
Fig. 19 Align the seat upholstery centrically and fasten it
2. Place seat (1) on backrest upholstery (2) and align centrically with the backrest upholstery [B].
3. Align the Velcro connection (3) between the seat and backrest upholstery and attach [B].
3
2
1
A
B