Kartsana BRAVA TG-1000 User manual

C/ Narcís Monturiol, 34
08192 Sant Quirze del Vallès
BARCELONA
TEL. [phone]
[email protected]
www.kartsana.com
Brava Series
ELECTRIC STRETCHER BRAVA
Model TG-1000
INSTRUCTIONS MANUAL
Read these maintenance instructions
before using the product and keep them
for future references.

OPERATING AND HANDLING
BRAVA STRETCHER
Rev. 9
20.12.2022

OPERATING AND HANDLING
BRAVA STRETCHER
1
Rev. 9
20.12.2022
CONTENT
1. INTRODUCTION 3
1.1. FOREWORD 3
1.2. INTENDED USE OF PRODUCT 4
1.3. RESPONSIBILITY AND WARRANTY 4
1.4. SPECIFICATIONS 4
1.5. ATTENTION 5
1.6. SUMMARY OF SAFETY PRECAUTIONS 5
2. INSTRUCTIONS MANUAL 9
2.1. TECHNICAL SPECIFICATIONS BRAVA STRETCHER 9
2.2. VEHICLE'S CONFIGURATION 10
2.3. OPERATING AND HANDLING THE STRETCHER 12
2.3.1. INSTALLING THE BATTERY 12
2.3.2. STARTING AND CONTROLLING THE STRETCHER. 13
2.3.4. EXTENDABLE BACK REST FRAME. 17
2.3.5. ADJUSTABLE LEG REST 18
2.3.6. SAFETY RAIL 19
2.3.7. INTRAVENOUS DRIP STAND. 23
2.3.8. WAY OF FASTENING THE SAFETY BELTS TO THE PATIENT. 24
2.3.8.1. Head belts. 24
2.3.8.2. Abdomen belts 24
2.3.10. POSITION OF THE BELTS. 25
2.3.10.1. Lateral belts. 25
2.3.10.2. Head belts. 26
2.3.11.REAR WHEEL BRAKE LEVER. 27
2.3.12. LEVER TO UNLOCK REVOLVING FRONT WHEELS 27
2.3.13. ASSEMBLING THE BRAVA STRETCHER ONTO THE BRAVO RAIL 28
2.3.14. TRANSFERRING THE PATIENT TO THE STRETCHER. 31
3. FAULTS 32
4. PRODUCT CARE & DISPOSAL 33
4.1. SERVICING REQUESTS 33
4.2. ENVIRONMENTAL CONDITIONS 33
4.3. CLEANING 33
4.4. MAINTENANCE 34
4.4.1. PRECAUTIONARY MAINTENANCE 34
4.4.2. SERVICING MAINTENANCE 35
4.5. TRANSPORT AND STORAGE 35

OPERATING AND HANDLING
BRAVA STRETCHER
2
Rev. 9
20.12.2022
4.6. DISPOSAL 35
5. EXPLODED BRAVA STRETCHER 36
6. ACCESSORIES 40

OPERATING AND HANDLING
BRAVA STRETCHER
3
Rev. 9
20.12.2022
Maximum duty cycle.
60 sec –operating
máximum time.
100 sec –Idle time.
1. INTRODUCTION
1.1. Foreword
The BRAVA (TG-1000) stretcher has been solely designed to rescue and transport patients.
The product complies with the directive MDR (EU) 2017/745. It is an electric-hydraulic model
that allows the height to be adjusted according to different needs, with just two buttons. Manual
operation is possible when potential faults in the automated system occur.
The BRAVA stretcher model must be joined to the ambulance using the KARTSANA BRAVO
rail.
This stretcher has been tested according to the regulation UNE-EN 1789.
All information regarding treatment, disinfection and maintenance is indicated, taking into
consideration our current experience and know-how.
We reserve the right to change the specifications of the stretcher to improve the products.
BRAVA information sticker

OPERATING AND HANDLING
BRAVA STRETCHER
4
Rev. 9
20.12.2022
1.2. Intended use of product
The BRAVA (TG-1000) is a powered stretcher, which is intended to support and transport the
entire body of human patient. The battery-powered electro-hydraulic lift system is intended to
help reduce the effort required by the operator to raise and lower the stretcher. The device is
designed to support patients in horizontal position or sitting position and facilitate the
transportation of medical equipment in emergency transport vehicles.
This ambulance stretcher is rated to a maximum capacity of 300Kg, and the intended operators
of the device are trained professionals including emergency medical service and medical care
center personnel, as well as medical first responders.
Ambulance stretchers are intended for transportation purposes. They are not intended for
extended stay or to be used as hospital beds. They are also not intended to be used in devices
which modify air pressure, such as hyperbaric chambers.
1.3. Responsibility and warranty
The stretcher must be checked at the time of its delivery to the rescue organisation. All its
functions must be explained in detail. The assistance organisation must take charge of teaching
all its employees how to use it correctly.
The product has a 24-months warranty from the delivery date to the end user.
The warranty does not cover defects resulting from incorrect installation, misuse, or improper
use of the stretcher. All repairs must be made by a technical service authorised by Kartsana or
its respective representative.
The manufacturer will not be liable for any anomaly caused to the stretcher because of using
products other than those provided by Kartsana.
Changes or modifications to the unit not expressly approved by Kartsana could void the user’s
authority to operate the system.
1.4. Specifications
Maximum unassisted load
300Kg
Standards
UNE-EN-1865-2
EN-1789+A1
UNE-EN 60601-1 / UNE-EN 61000-6
UL-1642
Backrest Articulation/Shock Position
De 0º a 80º
Footrest Articulation/Shock Position
Double articulation
Wheels diameter
160mm
Total Length 1
1970mm

OPERATING AND HANDLING
BRAVA STRETCHER
5
Rev. 9
20.12.2022
Total Width
564mm
Maximum and minimum height 2
350mm-1185mm
Loading Height 3
Max. 1030mm
Recommended operatives required to load / unload an
occupied stretcher
1 operative, or 2 if the stretcher were occupied
by a larger sized patient.
Recommended/Compatible fixation system
Rail Bravo1 - Rail Bravo2
1Total length could be shortened to1607mm (with the extensible back frame to the minimum position and the
backrest folded to 80º - position used in maneuvers with little space, elevators, etc.)
2Heigt measured from ground level to main structure of the patient area.
3For weights higher than 250kg it recommended to use the stretcher by a low position in patient transport, rising
the stretcher until the necessary position just in the moment of introduce it into the ambulance.
Kartsana reserves the right to change specifications without notice.
1.5. Attention
Through this sign, information is furnished on important safety measures for the
correct use of the stretcher, to prevent accidents. The warnings alert the reader
about a situation which, if not avoided, could result in death or serious injury.The
cautions alert the reader of a potentially hazardous situation which, if not avoided,
may result in minor or moderate injury to the user or patient or damage to the
equipment or other property. This includes special care necessary for the safe and
effective use of the device and the care necessary to avoid damage to a device that
may occur because of use or misuse.
1.6. Summary of safety precautions
Carefully read and strictly follow the warnings and cautions listed on these pages. Service only
by qualified personnel.
WARNINGS:
- Improper usage of the stretcher can cause injury to the patient or operator. Operate the stretcher only as described in this
manual.
- Do not modify the stretcher or any components of the stretcher. Modifying the product can cause unpredictable operation
resulting in injury to the patient or operator. Modifying the product also voids its warranty.
- Any emergency vehicle to be used with this stretcher must have the compatible fixation system installed.
- Do not attempt to operate the stretcher when it is loaded into a stretcher fastener.
- Have the vehicle safety rail compatible installed by a certified mechanic. Improper rail installation can cause injury to the patient
or operator and/or damage to the stretcher. Verify that the stretcher legs lock into the load position before without contact with
the fender of the vehicle. Failure to properly lock the stretcher height into position can cause injury to the patient or operator
and/or damage to the stretcher
- To avoid risk of electric shock, never attempt to open the battery pack for any reason. If the battery pack case is cracked or
damaged, do not insert it into the charger. Return damaged battery packs to a service centre.

OPERATING AND HANDLING
BRAVA STRETCHER
6
Rev. 9
20.12.2022
- Do not remove the battery when the stretcher is activated.
- Avoid direct contact with a wet battery or battery enclosure. Contact may cause injury to the patient or operator
- Inspect batteries for damage before every use.
- Practice changing height positions and loading the stretcher until operation of the product is fully understood. Improper use can
cause injury.
-Do not allow untrained assistants to assist in the operation of the stretcher. Untrained technicians/assistants can cause injury to
the patient or themselves.
- Do not ride on the base of the stretcher. Damage to the product could occur, resulting in injury to the patient or operator.
- Transporting the stretcher sideways can cause the stretcher to tip, resulting in possible damage to the product and/or injury to
the patient or operator. Transporting the stretcher in a lowered position, head, or foot end first, minimizes the potential of a
stretcher tip.
- Grasping the stretcher improperly can cause injury. Keep hands, fingers, and feet away from moving parts. To avoid injury, use
extreme caution when placing your hands and feet near the base tubes while raising and lowering the stretcher.
- Always use all restraint straps to secure the patient on the stretcher. An unrestrained patient may fall from the stretcher and be
injured.
- Never leave a patient unattended on the stretcher or injury could result. Hold the stretcher securely while a patient is on the
product.
- Never apply the optional wheel lock(s) while a patient is on the stretcher. Tipping could occur if the stretcher is moved while the
wheel lock is applied, resulting in injury to the patient or operator and/or damage to the stretcher.
- Siderails are not intended to serve as a patient restraint device.
- Hydraulically raising or lowering the stretcher may temporarily affect electronic patient monitoring equipment. For best results,
patient monitoring should be conducted when the stretcher is idle.
- High obstacles such as curbing, steps or rough terrain can cause the stretcher to tip, possibly causing injury to the patient or
operator.
- The BRAVA TG-1000 stretcher is designed to be compatible with Bravo Rail and is operator responsibility that these products
work together.
- Transporting the stretcher in lower positions reduces the potential of a stretcher tip. If possible, obtain additional assistance or
take an alternate route.
- We recommended two operators required when the stretcher is occupied by a larger sized patient.
- Operators must be able to lift the total weight of the patient, stretcher, and any items on the stretcher.
- Never install or use a wheel lock on a stretcher with excessively worn wheels. Installing or using a wheel lock on a wheel with
less than a 160mm diameter could compromise the holding ability of the wheel lock, possibly resulting in injury to the patient or
operator and/or damage to the stretcher or other equipment.
- When cleaning, use any appropriate personal safety equipment (goggles, respirator, etc.) to avoid the risk of inhaling
contagion.
- Some cleaning products are corrosive in nature and may cause damage to the product if used improperly. If the products
described above are used to clean Kartsana equipment, measures must be taken to ensure the stretchers are wiped with clean
water and thoroughly dried following cleaning. Failure to properly rinse and dry the stretchers will leave a corrosive residue on
the surface of the stretchers, possibly causing premature corrosion of critical components.
- Failure to properly clean or dispose of contaminated mattress or other stretcher components will increase the risk of
bloodborne pathogens and may cause injury to the patient or operator.
- Escaping fluid under pressure can penetrate the skin causing serious injury. Avoid the hazard by relieving pressure before
disconnecting hydraulic or other lines. Tighten all connections before applying pressure. If an accident occurs, see a doctor
immediately. Any fluid injected into the skin must be surgically removed within a few hours or gangrene may result. Doctors
unfamiliar with this type of injury should reference a knowledgeable medical source.
- To avoid the risk of injury, do not use bare hands to check for hydraulic leaks.
- Take special precautions regarding electromagnetic compatibility (EMC) when using medical electrical equipment like Brava
TG-1000 stretcher. Portable and mobile RF communications equipment can affect the function of the stretcher.

OPERATING AND HANDLING
BRAVA STRETCHER
7
Rev. 9
20.12.2022
- The use of accessories, transducers, and cables other than those specified, except for transducers and cables sold by
Kartsana as replacement parts for internal components may result in increased emissions or decreased immunity of the TG-
1000 BRAVA stretcher.
CAUTIONS:
- Changes or modifications to the unit not expressly approved by Kartsana could void the user’s authority to operate the system.
- The stretcher can be set at any stretcher load height position. Establish the required stretcher load height before placing the
stretcher into service
- Set the stretcher load height to the proper stop height prior to operation.
- Installation of the safety hook should be done by a certified mechanic familiar with ambulance vehicle construction. Consult the
vehicle manufacturer before installing the safety hook and be sure that the installation of the safety hook does not damage or
interfere with the brake lines, oxygen lines, fuel lines, fuel tank or electrical wiring of the vehicle.
- Only use the battery and charger as specified in this Instruction Manual.
- The stretcher is not for use with an AC adapter.
- When charging a battery in an ambulance, locate the charger in an enclosed cabinet and out of patient reach during transport.
- Ensure that the battery is fully charged prior to placing into service. An uncharged or depleted battery may cause poor
stretcher performance.
- Before operating the stretcher, clear any obstacles that may interfere and cause injury to the operator or patient.
- When unloading the stretcher from the patient compartment, ensure that the caster wheels are safely set on the ground or
damage to the product may occur.
- Remove the battery if the stretcher is not going to be used for an extended period (more than 24 hours).
- Wheel lock(s) are only intended to help prevent the stretcher from rolling while unattended and to aid in patient transfer. A
wheel lock may not provide sufficient resistance on all surfaces or under loads.
- Ensure that the restraints are not entangled in the base frame when raising and lowering the stretcher.
- Do not store items under the stretcher mattress. Storing items under the mattress can interfere with the operation of the
stretcher.
- Do not steam clean or ultrasonically clean the unit.
- Maximum water temperature should not exceed 80°C.
- Allow stretcher to air dry.
- Towel dry all casters and interface points.
- Failure to comply with these instructions may invalidate any/all warranties.
- Always remove the battery before washing the stretcher.
- For additional maintenance information, see the preventative maintenance information.
- Improper maintenance can cause injury or damage to the product. Maintain the stretcher as described in this manual. Use only
Kartsana approved parts and maintenance procedures. Using unapproved parts and procedures could cause unpredictable
operation and/or injury and will void the product warranty
- Failure to use authorized parts, lubricants, etc. could cause damage to the stretcher and will void the warranty of the product.
- Hydraulic lines, hoses, and connections can fail or loosen due to physical damage, kinks, age, and environment exposure.
Check hoses and lines regularly to avoid damage to the stretcher. Check and tighten loose connections.
NOTES:
- Loose items or debris on the patient compartment floor can interfere with the operation of the safety hook and stretcher
fastener. Keep the patient compartment floor clear
- This manual should be considered a permanent part of the stretcher and should remain with the product even if the stretcher is
subsequently sold.

OPERATING AND HANDLING
BRAVA STRETCHER
8
Rev. 9
20.12.2022
- Kartsana continually seeks advancements in product design and quality. Therefore, while this manual contains the most current
product information available at the time of printing, there may be minor discrepancies between your stretcher and this manual
- Kartsana recommends that, prior to installation, the certified mechanic plan the placement of the safety hook in the rear of the
vehicle.
- Automatic charging will only occur with the batteries. Pack batteries supplied by Kartsana.
- Only use Kartsana-approved batteries with Bravo rail.
- Batteries slowly lose power when not on the charger.

OPERATING AND HANDLING
BRAVA STRETCHER
9
Rev. 9
20.12.2022
Stretcher weight 69 kg
Trolley dimensions: Elevation in mm
2. INSTRUCTION MANUAL
2.1. Technical specifications BRAVA stretcher
(*) Make sure that no damage is caused to the areas containing the stretcher mechanisms, to
prevent them from malfunctioning.

OPERATING AND HANDLING
BRAVA STRETCHER
10
Rev. 9
20.12.2022
FOLDED LEGS

OPERATING AND HANDLING
BRAVA STRETCHER
11
Rev. 9
20.12.2022
2.2. Vehicle's configuration
This installing instruction are recommended for the fixation of the assembly BRAVA - BRAVO
(stretcher + rail) of Kartsana. The correct installation of the fastening system (rail) is providential
for the appropriate use of the joint.
You have to screw the
fixed part of the rail to a
maximum distance of
50mm from the backdoor
of the ambulance (from
the stainless steel base of
the Bravo).
We must take into
account the distance /
type of fender that the
ambulance has, so if the
fender protrudes more
than 180mm we will have
to adapt it to allow proper
rise of the legs of the
stretcher.
Depending on the model
of ambulance and the
type of rear bumper fixing
measures may vary and /
or adapt.

OPERATING AND HANDLING
BRAVA STRETCHER
12
Rev. 9
20.12.2022
2.3. Operating and handling the stretcher
2.3.1. Installing the battery
The first step when working with BRAVA is to install the two 24 V batteries which power
the system. To do this, we open the rear black cover and place the batteries opposite
their housings at the back of the stretcher and push until it locks.
To remove each of the batteries, press the small
trigger located on the lower left-hand side and pull
carefully. Both batteries work independently of
each other. The system will run down the first
battery and then start to work with the second.
Each battery life under normal circumstances
(from 80 to 120 kg load) should be about 20
cycles. When one of the battery approaches
discharge the system will use the second battery.
Information note: The front part of the stretcher corresponds to the head part.
Batteries are delivered with a minimum charge. Prior to operating the bed, please, charge
the batteries with the charger supplied, until the LED turns green it. After that we can
work normally.
In order to be able to charge the batteries outside the ambulance, it is included
with the stretcher, its specifical charger.
Trigger to
remove battery

OPERATING AND HANDLING
BRAVA STRETCHER
13
Rev. 9
20.12.2022
2.3.2. Starting and controlling the stretcher.
To avoid potential injury to the patient and companions, do not place objects in the way of
the moveable parts of the stretcher. It is also recommended to avoid having objects that
stick out the ambulance.
The stretcher has a security system to avoid collapse in the case of system failure.
To start the system, we must press the yellow button on the control panel for 2 seconds.
The control panel leds will turn on. Afterwards, we will be able to manoeuvre just with the
orange button (to lower stretcher) and with the blue button (to raise stretcher). From then
on, if we press the yellow button again the amber emergency lights at the four ends of the
bed will turn on (see emergency lights photo). We should also see the two-battery level
LEDs lit up. The upper line of lights shows the voltage level of battery 1 whilst the lower
line shows that of battery 2.
If the level lights are in the green area, the charge level is high, this is the optimum level to
carry out the manoeuvres necessary. If they are at the orange level this shows that they
are half charged and if they show red, we are being warned that we must recharge the
batteries as they may soon stop working due to the low voltage level.
Control panel
1 of the 4
emergency
lights.
Stretcher
Down
Stretcher
Up
On/off lights
Battery charge
level
Led showing
“stretcher entirely
folded up”

OPERATING AND HANDLING
BRAVA STRETCHER
14
Rev. 9
20.12.2022
Once both batteries have been installed the system will be powered by battery 1, when
this runs down, the system will automatically switch to battery 2. Both will recharge when
the stretcher is on the rail and inside the ambulance.
The level screen also shows us any possible system errors. In the following table we will
show all the incidences that the display can show.
FAILATURE MESSAGE
CODE
LEDS
R
R
Y
Y
Y
G
G
G
G
Load tension error (ambulance entrance) VERY
LOW
2
ON
Load intensity error VERY HIGH
3
ON
ON
Error in battery charge due to lack of ambulance
tension or connection switch
4
ON
End of battery charge (by Vmax or time)
5
ON
ON
Charge error due to connector
6
ON
ON
Charge error due to low battery.
7
ON
ON
ON
Charge error due to exceeding the maximum PWM
duty cycle
8
ON
Upwards movement error due to excess time.
9
ON
ON
Downwards movement error due to excess time.
10
ON
ON
Engine failure due to exceeding maximum intensity.
11
ON
ON
ON
Engine failure due to low tension.
12
ON
ON

OPERATING AND HANDLING
BRAVA STRETCHER
15
Rev. 9
20.12.2022
TROUBLESHOOTING
COD
DESCRIPTION OF ERROR
POSSIBLE CAUSE OF
ERROR
SOLUTION
2
The battery Voltage is below
3V. The battery or batteries
are disconnected or
damaged.
Battery(ies) disconnected
Connect the batteries correctly in
the dock.
Check that the battery cables are
securely connected to the circuit
board.
Damaged battery(ies)
Replace with new battery(ies)
3
The battery Voltage is above
34V
An overload occurred while the
battery was recharging. (ONLY
use the charger supplied by
KARTSANA or the stretcher for
recharging the batteries.)
Leave the battery disconnected,
preferably in a cool place for 3 or
4 hours (or until it does not show
error 3 when connected to the
stretcher) for it to discharge.
Check that the batteries have not
suffered internal damage while
discharging caused by stretcher
raising and lowering movements.
It must perform at least 15 cycles
before discharging.
Damaged battery(ies)
Replace with new battery(ies)
4
The stretcher does not
receive voltage from the
ambulance.
The stretcher-rail plug does not
connect properly
Check that the two prongs of the
stretcher plug and the rail are
touching, and that no foreign
objects are between them.
The ambulance battery is
discharged or damaged.
Charge battery or replace with a
new one respectively.
Power cables incorrectly
connected to either the
ambulance, rail or stretcher.
Check cable connections.
Recommended checking order:
ambulance, rail and stretcher
One of the copper prongs on
the stretcher plug has not
come completely out of its
housing in the plastic part.
Check that the plug prongs gently
go in and out of their housing.
5
The Voltage of the two
batteries is below 18V.
Batteries discharged
Charge batteries
6
The stretcher is receiving
voltage through the plug, but
the copper prongs have not
been pressed in.
The stretcher is not fully
inserted in the rail.
Position it correctly on the inside
of the rail.
7
No batteries detected
Batteries disconnected
Fully insert them in the fastening
plate until you hear a click.
Battery(ies) damaged
Replace with new battery(ies)
Batteries very low
Charge using the external charger
8
Failure in recharging process
Contact technical support
Contact technical support
9
More than 22 seconds have
elapsed in the upward
movement
Discharged battery(ies)
Charge battery(ies)
Failure in hydraulic system
Contact technical support
The mechanism does not move
freely
Check mechanism in search of
some excessive friction or
interference between parts

OPERATING AND HANDLING
BRAVA STRETCHER
16
Rev. 9
20.12.2022
10
More than 22 seconds have
elapsed in the downward
movement
Discharged battery(ies)
Charge battery(ies)
Failure in hydraulic system
Check for possible oil leaks.
Contact technical support
The mechanism does not move
freely
Check mechanism in search of
some excessive friction or
interference between parts
11
Intensity greater than 48A
Stretcher overloaded
Do not load the stretcher with
more than 300 kg.
Discharged battery(ies)
Charge battery(ies)
The mechanism does not move
freely
Check mechanisms in search of
any excessive friction, blocking or
interference between parts.
12
Voltage lower than 15V
Stretcher overloaded
Do not load the stretcher with
more than 300 kg.
Discharged battery(ies)
Charge battery(ies)
The mechanism does not move
freely
Check mechanisms in search of
any excessive friction, blocking or
interference between parts.
After any fault or incident, we must restart the system pressing the three keys at the
same time for 1 seconds.
The system will automatically go on STAND-BY if more than 15 minutes pass without
any action being carried out. It will restart by pressing the yellow button for 2
seconds.
If we perform continuous stretcher raising and lowering movements for 2 min., we
should then stop for 10 sec. for the system to recover and we can continue operating
without problems.
Removing both batteries is advised if the stretcher will remain unused for long periods
of time.

OPERATING AND HANDLING
BRAVA STRETCHER
17
Rev. 9
20.12.2022
Front frame position EXTRA-LONG
2.3.3. Adjustable reclining head
Pull the red lever that is located below the head rest and move it to the required position.
Then release the lever so that the head is locked in the required position.
2.3.4. Extendable back rest frame.
Before carrying out this action the back rest must be put at its most upright position.
To extract or fold up the telescopic back rest frame, you must pull one of the two red
triggers located on each side of the stretcher. Stretching or pressing the back rest frame
at the same time.
It’s very important that when the BRAVA stretcher goes into the Bravo, the
position of the frontal frame is Normal. If we had Extra Long position, we could
cause damage to the stretcher or operator.
Red triggers
Front frame position NORMAL

OPERATING AND HANDLING
BRAVA STRETCHER
18
Rev. 9
20.12.2022
Head frame in
folded position.
The head frame has a mechanical stop in the normal position (1970mm long), another in
a folded position and another one in an extended position (intended for when the headrest
has a headrest extension kit accessory). When the head frame movement reaches each
of these three positions, we should notice the "click" of the red lever housed in its original
position.
2.3.5. Adjustable leg rest
Button for adjusting the leg inclination
The required inclination of the leg rest can be obtained by pressing button A and moving
the leg rest manually. Once the correct inclination has been reached, release button A to
automatically lock the leg rest.
The adhesive on the part of the
stretcher shown in the drawing on
the left indicates the red button
that must be pressed to adjust the
position of the legs.
A