Kartsana Superbrava Series User manual

C/ Narcís Monturiol, 34
08192 Sant Quirze del Vallès
BARCELONA
93 715 86 72
[email protected]
www.kartsana.com
Superbrava Series
SUPERBRAVA ELECTRIC STRETCHER
Model: TG-2022
Read these maintenance instructions
before using the product and keep them
for future references.
INSTRUCTIONS MANUAL

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
1

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
2
CONTENTS
1. INTRODUCTION.............................................................................................................4
1.1. Foreword .....................................................................................................................4
1.2. Intended use of product ...............................................................................................5
1.3. Responsibility and warranty ..........................................................................................5
1.4. Specifications ..............................................................................................................6
1.5. Attention.....................................................................................................................6
1.6. Summary of safety precautions.....................................................................................7
2. INSTRUCTIONS MANUAL ............................................................................................10
2.1. Technical specifications SUPERBRAVA (TG-2022) stretcher .......................................10
2.2. Operating and handling the stretcher..........................................................................11
2.2.1. Installing the battery ................................................................................................11
2.2.2. Starting and controlling the stretcher .......................................................................12
2.2.3. Adjustable reclining headrest...................................................................................13
2.2.4. Extendable back rest frame. ....................................................................................14
2.2.5. Adjustable leg rest...................................................................................................15
2.2.6. Guardrails...............................................................................................................16
2.2.7. IV Poles. .................................................................................................................17
2.2.8. How to secure belts position....................................................................................17
2.2.9. Rear wheel brake lever............................................................................................18
2.2.10. Lever to unlock revolving front wheels....................................................................20
2.2.11. Assembling the BRAVA Stretcher onto the Bravo Rail.............................................20
2.2.12. Transfer of the patient to the stretcher ...................................................................21
2.2.13. Transfer of the patient to the stretcher ...................................................................24
3. USE OF EMERGENCY LEVER.......................................................................................25
4. PRODUCT CARE & DISPOSAL .....................................................................................26
4.1. Service requests ........................................................................................................26
4.2. Environmental conditions............................................................................................26
4.3. Cleaning ....................................................................................................................26
4.4. Maintenance..............................................................................................................27
4.4.1. Preventive maintenance ..........................................................................................27
4.4.2. Service Maintenance...............................................................................................28
4.5. Transport and storage................................................................................................28
4.6. Disposal.....................................................................................................................28
5. MAINTENANCE ............................................................................................................29
6. EXPLODED SUPERBRAVA STRETCHER.......................................................................30

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
3
7. ACCESORIES...............................................................................................................37
8. ERRORS:......................................................................................................................38
8.1. ERROR CODES .........................................................................................................38
8.2. TROUBLESHOOTING................................................................................................38
8.3. ENGINE PROTECTIONS ............................................................................................40
8.4. AMBULANCE ENTRY.................................................................................................40
8.5. BATTERY CHARGE ...................................................................................................40

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
4
1. INTRODUCTION
1.1. Foreword
The SUPERBRAVA (TG-2022) 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 SUPERBRAVA stretcher model must be joined to the ambulance using the KARTSANA
SUPERBRAVO (R-2022) 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.
Read the instructions
manual before using.
Maximum load 320 Kg.
Medical Product class I
Warnings and safety
instructions
- Do not throw away. Send to recycling center.
-Packing should be manage as a reusable refuse.
-Metals should be treated as old metal.
- Plastic product should be treated as recycling material.
- Waste management must be as regulation of the country.
- Ask municipal administration about recycling and refuse.

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
5
1.2. Intended use of product
The SUPERBRAVA TG-2022 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 320Kg 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. (See Warranty
Conditions and Warranty Certificate enclosed with the product).
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.

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
6
1.4. Specifications
Maximum unassisted load
320Kg
Standards
UNE-EN-1865-2
UNE-EN-1865-3
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
150 mm
Total Length 1
2090 mm
Total Width
590 mm
Maximum and minimum height 2
347 mm-1240 mm
Loading Height 3
Máx. 1090 mm
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 SUPERBRAVO (R-2022 model)
1Total length could be shortened 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 bariatric patients it is recommended to use the stretcher by a low position in patient transport.
Kartsana reserves the right to change specifications without notice.
1.5. Attention
Throughout this manual, you will find 3 types of ISO 20417 signs. For warning, we have ISO
7010-W001. Prohibition is indicated by ISO 7010-P001 and obligation by ISO 7010-M001.
With these signs we inform about important safety measures for the correct use of the stretcher
and to avoid possible accidents.
Warnings alert the reader to situations which, if not avoided, could lead to death or serious
injury. On the other hand, the prohibitions indicate actions that must not be carried out under
any circumstances and the obligations, those measures and/or actions that must be carried out
to use the product properly and maintain safe functionality.

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
7
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 center.
- 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 SUPERBRAVA TG-2022 stretcher is designed to be compatible with SUPERBRAVO 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.

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
8
- 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
SUPERBRAVA TG-2022 stretcher. Portable and mobile RF communications equipment can affect the function of the stretcher.
- The use of accessories, transducers, and cables other than those specified, apart from transducers and cables sold by
Kartsana as replacement parts for internal components may result in increased emissions or decreased immunity of the
SUPERBRAVA TG-2022 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 of time (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.

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
9
- 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.
- 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 SUPERBRAVO rail.
- Batteries slowly lose power when not on the charger.

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
10
2. INSTRUCTIONS MANUAL
2.1. Technical specifications SUPERBRAVA (TG-2022) stretcher
Make sure that no damage is caused to the areas containing the stretcher mechanisms, to
prevent them from malfunctioning.
.
MEASURE
SUPERBRAVA (mm)
W
WIDTH
590
A
HEADREST
545
L
LENGTH
2095
G
LEG ANGLE
20º
HC
HEIGHT LOAD
1090
FR
REAR CHASSIS WIDTH
510
FF
FRONT CHASSIS WIDTH
408
B
DISTANCE BETWEEN AXLES
1057
Stretcher weight: 78 kg

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
11
2.2. Operating and handling the stretcher
2.2.1. Installing the battery
The first step to work with the SUPERBRAVA is to place the 28V battery that powers the
system. To do this we will place the battery in the connector incorporated in the stretcher.
To remove the battery, simultaneously press the red buttons and pull to unclip the battery
from its connector.
The autonomy of the battery in no-load mode (without charge) should be about 130 cycles.
If the battery becomes excessively discharged, it must be charged using the
external battery charger. Do not attempt to charge the excessively discharged
battery with the charging point of the Rail SUPERBRAVO (R-2022).
The front part of the stretcher corresponds to the head part of the stretcher.
The battery is delivered with a minimum charge. Before operating the stretcher, the
battery must be charged with the supplied charger until all the charge indicator LEDs are
lit. After that you CAN work normally.
Red triggers to
remove the battery

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
12
2.2.2. Starting and controlling the stretcher
To avoid possible injury to the patient and attendants in the event of an accident, do not
place objects in the path of the moving parts of the stretcher. It is also advisable to avoid
protruding elements inside the ambulance.
The system starts up once the battery is connected to the stretcher and the power switch
is turned on. The number of lit LEDs on the control unit will indicate the state of charge of
the battery.
If an error occurs during the self-checking process, this will be indicated by the error
LEDs (see error table in chapter 8).
•Functions of the buttons on the control panel
The buttons on the keypad function as
follows:
Yellow button: by pressing it, the LEDs on
the stretcher light up.
Red button Right: The stretcher unfolds to
the end of the stroke. It will fully deploy with a
single press until the end of the stroke if the
stretcher is positioned on the rail. This cycle
can be interrupted by touching any button.
Red button Left: The stretcher is folded to
the end of the stroke. When the end of travel
is reached, the Stretcher Fold position LED
lights up. It will fold completely with a single
push to the end of the stroke if the stretcher
is positioned on the rail. This cycle can be
interrupted by touching any button.
Red Right + yellow button: the stretcher folds out to its maximum height, ignoring the end
of travel.
The stretcher goes into low power Stand-By mode if no button is pressed for 60
minutes. Simply press any button to switch the stretcher on again.

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
13
Functions of the auxiliary control panel:
The buttons on the auxiliary control keypad function
as follows:
Red button Right: The stretcher unfolds to the end
of travel. It will fully deploy with a single press to the
end of travel if the stretcher is positioned on the rail.
This cycle can be interrupted by touching any
button.
Red button Left: The stretcher folds down to the
end of the stroke. When the end of the stroke is
reached, the Stretcher Fold position LED lights up.
It will fold completely with a single push to the end
of the stroke if the stretcher is positioned on the rail.
This cycle can be interrupted by touching any
button.
2.2.3. Adjustable reclining headrest
The movement of the headrest is controlled by the
auxiliary control controls on the right and left side
of the stretcher. The system allows the head to be
positioned at the desired inclination.
Top button: Headrest UP button. Raises the head
to the end of the stroke.
Lower button: DOWN button. Lowering of the
head to the end of the stroke.
In case of malfunction, the system can be
manually released, and the stretcher head can be
left in the rest position (0º).

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
14
2.2.4. 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.
The head frame has a mechanical stop in the intermediate position (2090 mm long), one
in the folded position (1723 mm) and one in the extended position (2210 mm). When the
travel of the head frame reaches each of these three positions, the red lever "clicks" back
into its original position.
It is important that when the stretcher is inserted into the Superbravo rail, the position of
the front frame is intermediate. If it is in the extended or folded position it could cause
damage to the stretcher and/or the operator.
Red
Triggers

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
15
2.2.5. 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.
Button for adjusting the foot inclination
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.
BUTTON A
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 B

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
16
2.2.6. Guardrails
The safety rails can be adjusted from a fully horizontal position to a 90-degree position.
The system allows the guardrail to be fixed in the 5 intermediate positions. The upward
movement from the horizontal position to the 90° position is carried out manually. Once
the desired position is reached, the position of the railing is automatically fixed.
To unlock the system, the red handles must be pressed, releasing the system, and the
handrails can be moved manually towards the outside of the stretcher.
GUARDRAILS
HANDLE

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
17
2.2.7. IV Poles
The stretcher is equipped with two I.V. holders
on both sides of the SUPERBRAVA stretcher.
The IV pole is raised to its vertical position so
that it can be fixed perpendicularly to the
stretcher.
The length of the IV pole can be lengthened or
shortened by unscrewing the fixings on the
telescopic rod. Lift the hook to the desired
position and screw the attachment back on.
The maximum permissible load of the whey pole is 6 kg.
2.2.8. How to secure safety belts to the patient
2.2.8.1. Head belts
The head belts are mounted crosswise,
always joining the upper and lower parts
with the same colour.

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
18
2.2.8.2. Belly and foot belts
Place female buckle A and male bucke B in the position shown in the figure below
and insert the latter into the groove of the former. Once the assembly in anchored,
centre and tighten the assembly by adjusting the belt tension by means of end C.
It is recommended that the patient is always restrained with safety belt
during the time he/she is on the stretcher.
2.2.9. Belts position
The belts are positionated at the approximate measurements shown in the figure below:
A
B
C

OPERATING AND HANDLING OF
SUPERBRAVA STRETCHER
Rev.2
10.03.23
19
2.2.9.2. Head belts
The head straps must be threaded through the holes int the head and secured to
the cross member by means of a knot as shown in the following figures:
The codes for our belts are: