Kartsana Fuego TGR-244 User manual

Pol. Ind. Can Carner C/. Urgell 1
08211 Castellar del Valles
Barcelona (Spain)
TEL. FAX : + 34 937144924
[email protected]
www.kartsana.com
INSTRUCTION MANUAL
COMPACT STRETCHER
Please read the instruction
manual before usage and keep
them for future reference.
UNE-EN 1865-1789 models TG-243 y TG-244

OPERATION AND HANDLIN
G
O
F
TH
E
FUEGO STRETCHER
1



OPERATION AND HANDLIN
G
O
F
TH
E
FUEGO STRETCHER
2


CONTENTS
1. Introduction Pages
1.1. Foreword. ............................................................................................................................................................... 2
1.2. Responsibility and warranty ........................................................................................................................ 2
1.3 Care ................................................................................................................................................................... 2
2. Instructions Manual
2.1. Technical characteristics ............................................................................................................................ 3
2.2. Operating and handling the stretcher
2.2.1. Removable cuffs ........................................................................................................................ 4
2.2.2. Adjustable reclining head .............................................................................................................. 4
- Foldable head zone ....................................................................................................................... 5
2.2.3. Adjustable leg rest ......................................................................................................................... 6
- Button for adjusting the leg inclination ........................................................................................ 6
- Button for adjusting the foot inclination......................................................................................... 6
2.2.4. Safety rail ....................................................................................................................................... 7
2.2.5. Intravenous drip stand ................................................................................................................... 7
2.2.6. Method for fastening the safety belts on the patient’s head and feet ........................................... 8
2.2.7. Method for fastening the safety belt on the patient’s .................................................................... 8
2.2.8. Dismantling-assembling the stretcher safety belts ........................................................................ 9
- Anchoring with a the ring............................................................................................................. 9
- Anchoring with a plate ............................................................................................................... 10
2.2.8.1. Position of the belts ........................................................................................................ 11
2.2.8.1.1. Lateral belts ................................................................................................... 11
2.2.8.1.2. Head belts ...................................................................................................... 11
2.2.9. Control for operating the stretcher legs ........................................................................................ 12
2.2.9.1. Rear controls
- Red (knob). .................................................................................................................. 12
- Blue (right) ................................................................................................................... 12
- Orange (left) ................................................................................................................. 12
2.2.9.2. Lateral front leg control .................................................................................................. 11
2.2.10. Intermediate positions of the stretcher and Trendelenburg and Contratrendelenburg positions 13
2.2.11. Brake lever ..................................................................................................................................... 16
2.2.12. Front wheels .................................................................................................................................. 17
2.2.13. Mounting the stretcher on the ambulance stretcher holder ........................................................ 17
3. Disinfection .......................................................................................................................................................... 19
4. Maintenance ................................................................................................................................................ 19
5. Exploded view ............................................................................................................................................ 20

OPERATION AND HANDLIN
G
O
F
TH
E
FUEGO STRETCHER
3


1. INTRODUCTION
1.1. Foreword
The TGR-244 stretcher is specially designed for the rescue and transportation of patients.
The TGR-244 stretcher is and has been tested in accordance with the UNE-EN 1865 and
UNE-EN 1789 standards.
All the information regarding treatment, disinfection and maintenance is indicated, taking
into consideration our current experience and know-how. The drawings are not on a 1:1
scale.
Certain technical modifications to the stretcher have been placed under reserve for the
purpose of making improvements to the product.
1.2. Responsibility and warranty
The stretcher must be checked at the time of its delivery to the assistance organisation. All
its functions must be explained in great detail. The assistance organisation must take
charge of teaching all its employees how to use it correctly.
The product has a warranty of 24 months from the date of delivery to the end user (see
Warranty Terms and Conditions and the Warranty Certificate which are supplied together
with the product).
The Warranty will not cover the fault if that fault is due to incorrect installation,
mistreatment or improper use of the stretcher. All repairs must be made by a technical
service authorised by Kartsana or its respective representative.
The manufacture will not be responsible for any anomaly caused to the stretcher due to
using any products other than original Kartsana products.
Other warranty clauses: see the Warranty Terms and Conditions that are supplied with the
product.
1.3. Attention
Through this sign, information is furnished on important safety measures for
the correct use of the stretcher, in order to prevent accidents.

OPERATION AND HANDLIN
G
O
F
TH
E
FUEGO STRETCHER
4


2. INSTRUCTIONS MANUAL
The stretcher is adapted for mounting on the Kartsana R-415, R-450 S rail, based on the
UNE-EN 1789 standard.
To reduce the risk of injuries to the patient and accompanying persons in the
event of an accident, it is advisable to avoid sharp edges and projecting parts inside the
ambulance, paying special attention to the areas nearest to the stretcher.
Make sure that no damage is caused to the areas containing the stretcher mechanisms, to
prevent them from malfunctioning.
The stretcher is designed for loading onto a stretcher holder with a maximum height of no
more than 630 mm.
2.1. Technical characteristics
Approximate weight of the stretcher: 39 kg.
Maximum load permitted: 190 kg.
Approximate measurements of the stretcher (in mm.) based on the drawing below.

OPERATION AND HANDLIN
G
O
F
TH
E
FUEGO STRETCHER
5


2.2. Operating and handling the stretcher
To prevent injuries to limbs and other body parts, make sure they are not within
the range of the moving parts of the stretcher.
Note: The front part of the stretcher corresponds to the head part.
2.2.1. Removable cuffs
Press the button at the top of the cuff, and then pull it to lengthen the cuff, as far as it
will go.
To return the cuff to its original position, press the top button again and push it as far as
it will go in the original position.
The top adhesive on the part
of the stretcher shown in the
drawing on the left indicates
how to manipulate the cuff in
order to extend it.
2.2.2. Adjustable reclining head
Apply the lever below the head and move it to the required position. Then release the
lever so that the head is locked in the required position.
To
p
button

OPERATION AND HANDLIN
G
O
F
TH
E
FUEGO STRETCHER
6


H
ea
d
H
ead leve
r

OPERATION AND HANDLIN
G
O
F
TH
E
FUEGO STRETCHER
7


-Foldable head zone
As shown in the figure, the stretcher can be folded in the head zone for manoeuvring it
in areas that are difficult to access.
Press the device shown below and raise the cuffs of the stretcher until it is folded.

OPERATION AND HANDLING O
F
THE
FUEGO STRETCHER

2.2.3. Adjustable leg rest
Button for adjusting the leg inclination
(Only for models TG-243, TG-248 and TG-244, TG-249)
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.
Button for adjusting the foot inclination
(Only for models TG-244 and TG-249)
Press button B to change the feet inclination to the required position without
changing the inclination of the legs, moving it only in the direction shown in the
figure below until the required inclination is obtained.
The adhesive placed on the part
of the stretcher shown in the
drawing on the left shows the red
button that must be pressed to
adjust the position of the feet.
7
L
e
g
res
t
A
F
ee
t
B

OPERATION AND HANDLIN
G
O
F
TH
E
FUEGO STRETCHER

2.2.4. Safety rail
The safety rail has a red bar that locks the rail into place. To lower the rail, just press
the bar as shown in the figure below. To lock it in the safety position again, move it to
that position manually, and it will automatically lock into place.
Bar
2.2.5. Intravenous drip stand
The stretcher is provided with one carries whey’s placed in the lateral left profile.
With the trigger "A" placed in the low part, we fix the whole group it carries whey on
the lateral profile where it is convenient.
Loosen the handle "B" silver we raise the profile of whey in vertical position,
perpendicular to the stretcher, then we tighten the handle.
8
Rail
n
B
A

OPERATION AND HANDLING O
F
THE
FUEGO STRETCHER
9


The length of the mentioned stick of whey can get longer or shorter by pressing a
small device placed in the interior face of the group, to raise the hook up to the top
position.The maximum load permitted for the drip rod is 6 kg.
The maximum weight is
indicated on the drip
rod by an adhesive like
the one shown above.
2.2.6. Method for fastening the safety belts on the patient’s head and feet
Place the clasps (C) in the position shown in the figure above. Pass the male part of the
buckle (D) between the openings (C) until it is inserted into the female part B. Once the
assembly is anchored in place, centre and tauten the assembly, adjusting the tension of
the belt at ends A and/or E. NOTE: The foot belt is not fitted with the C openings.

OPERATION AND HANDLIN
G
O
F
TH
E
FUEGO STRETCHER
10


2.2.7. Method for fastening the safety belt on the patient’s stomach
It is advisable for this belt to be attached to the stretcher to ensure the
complete safety of the patients and guarantee compliance with the UNE-EN 1865
standard test that is performed.
Put the female part of the buckle A and male part B in the position shown in the figure
below and insert the latter into the slot in the former. Once the assembly is firmly
secured, centre and tauten it, adjusting the tension of the belt at end C.
It is advisable to ensure that while the patient is on the stretcher, he/she
is secured at all times by the safety belts.
2.2.8. Dismantling-assembling of the stretcher belts
There are two different types of anchoring for the stretcher belts:
 Anchoring with a ring
To dismantle the belts, pass the belt through the slot in the buckle as shown in the
following figure. To assembly it, just follow the same process but in reverse order.
Buckle slot
Belt buckle

OPERATION AND HANDLING O
F
THE
FUEGO STRETCHER
11


 Anchoring with a plate
Loosen the screws as shown in the following figure. To assemble them just follow
the same process but in reverse order.
To assemble them just follow the process in reverse order, fastening the ‘A’ screws
to the ‘B’ nuts inside the guides of the aluminium plates. The lateral belts indicated
in paragraph 2.2.8.1.1 are located on the section marked 86 on the exploded view
of the stretcher shown on page 21 in the way indicated in the left-hand figure at the
bottom. The head belts indicated in paragraph 2.2.8.1.2 are located in panel
marked with the number 9 in the exploded view of the stretcher included in this
manual.

OPERATION AND HANDLIN
G
O
F
TH
E
FUEGO STRETCHER
12


Belts
2.2.8.1. Position of the belts
2.2.8.1.1. Lateral belts
The belts are positioned at the approximate distances shown in the figure below.
2.2.8.1.2. Head belts
The belts must be passed through the holes in the head part and secured on the
crosspiece of the panel through the rings (09-027) as shown in the following
figure.
Belts
Rin
g
s

OPERATION AND HANDLIN
G
O
F
TH
E
FUEGO STRETCHER
13


2.2.9. Control for operating the stretcher legs
2.2.9.1. Rear controls
 Red (knob): locks/unlocks the front and rear legs when they are in the
folded position.
 Blue (right): Folds/unfolds the front leg of the cart.
 Orange (left): Folds/unfolds or activates the intermediate positions of the
rear leg of the stretcher.
Oran
g
e leve
r
B
lue leve
r

OPERATION AND HANDLIN
G
O
F
TH
E
FUEGO STRETCHER
14


Note: If the cart is to be folded, release the control just before the leg reaches
the fully folded position. To activate the intermediate positions, release the
control when the leg starts to move. If the intermediate position is not correct,
apply the control again until the leg is locked in the correct position. Every time
the leg is activated, check it is locked by the click that guarantees this.
2.2.9.2. Lateral front leg control
It activates the intermediate positions of the front leg of the stretcher (the starting
point is the unfolded position).
Note: To return the leg to its original unfolded position, activate the front control
and then raise that part of the stretcher manually so that the leg returns
automatically. Just before the leg reaches the original unfolded position, release
the control so that when the leg reaches that position, the click can be heard,
indicating the leg is locked and thereby ensuring it is fixed in the original unfolded
position.
Intermediate position lever
2.2.10. Intermediate positions of the stretcher and Trendelenburg and
Contratrendelenburg positions
The stretcher has three intermediate positions at different heights from the ground,
depending on each need.
To ensure the safe treatment of the patient, the intermediate position should
always be activated by two people. In addition, the safety belts must be
placed on the patient and the rails raised before activating the intermediate
positions.

OPERATION AND HANDLIN
G
O
F
TH
E
FUEGO STRETCHER
15


1st intermediate position
It is achieved by activating the intermediate position lever (red) located on the
right-hand side of the stretcher. This releases the front legs up to a mechanical
stop.
Then apply the rear control (orange) once until it reaches the first position.
Hold the stretcher firmly with both hands to prevent it from making
dangerous movements.
Then the stretcher can also be inclined on one part (front or rear) by
activating the controls as described above.
To perform this manoeuvre, activate the brakes on the front wheels and
place them in the position shown on the adhesive, before activating the
red lever at the side.
To return to the unfolded leg position, lift the stretcher slightly and raise ithe front
legs using your foot.

OPERATION AND HANDLIN
G
O
F
TH
E
FUEGO STRETCHER
1
6


2nd Trendelenburg position
It is achieved by activating the intermediate position lever (red) located on the
right-hand side of the stretcher. This releases the front legs up to a mechanical
stop.
To perform this manoeuvre, apply the brakes on the front wheels and
place them in the position shown in the adhesive, before activating the
red lever at the side.
3rd Countertrendelenburg position
It is positioned by activating the rear control (orange) once until it reaches the first position.

OPERATION AND HANDLIN
G
O
F
TH
E
FUEGO STRETCHER
1
7


2.2.11. Brake lever
Activate the red lever with your foot to enable the brake to lock the rear wheels. That
special brake blocks both the longitudinal and the rotating movement of the stretcher.
- Locking/unlocking the wheel rotation
The green bolt is used to block or unblock the rotation of the wheels, as shown in
the following figure.

OPERATION AND HANDLIN
G
O
F
TH
E
FUEGO STRETCHER
18


2.2.12. Front wheels
The front wheels, which are the ones resting on the
stretcher holder, can be adjusted to three different
positions, depending on the height of the guide.
Remove the screws securing the front wheels support and mount them again in the
holes indicated below.
2.2.13. Mounting the stretcher on the ambulance stretcher holder
Kartsana recommends using the Kartsana rails to secure the stretcher to the
ambulance, since these have been specially designed for that purpose.
Guide the stretcher to the ambulance platform and mount its front wheels (wheels with
a diameter of 100 mm), on the stretcher holder, and if the platform has a Kartsana rail,
place the front wheels outside the rails. Then activate the front wheels control to fold
the front leg (blue control) and insert the stretcher into the stretcher holder up to the
rear wheels. At this point, activate the rear wheel control (orange) to fold it.
After activating the orange control, part of the weight of the rear end of the
stretcher must be supported, and so it will be necessary to hold it firmly with
both hands.
P
osition 3
P
osition 2
P
osition 1