Kartsana TGM-241 Series User manual

C/ Narcís Monturiol, 34
08192 Sant Quirze del Vallès
BARCELONA
TEL. [phone]
[email protected]
www.kartsana.com
INSTRUCTION MANUAL
COMPACT STRETCHER SERIE TGM-241
Models TGM-241-S, TGM-241-M, TGM-241-L, TGM-241-XL
Please read the instruction manual before
usage and keep them for future reference.

OPERATION AND HANDLING OF THE
TGM-241 SERIES
1
Rev.3
20-12-17
CONTENTS
1.- INTRODUCTION 3
1.1.-FOREWORD 3
1.2.-RESPONSIBILITY AND WARRANTY 3
1.3.-SPECIFICATIONS 3
1.4.-ATTENTION 4
1.5.-SUMMARY OF SAFETY PRECAUTIONS 4
2.- INSTRUCTIONS MANUAL 6
2.1.-TECHNICAL SPECIFICATIONS 6
2.1.1.- TECHNICAL SPECIFICATIONS TGM-241-S /M/L/XL 6
2.2.-OPERATING AND HANDLING THE STRETCHER 7
2.2.1.- REMOVABLE CUFFS 7
2.2.2.- ADJUSTABLE RECLINING HEAD 7
2.2.3- ADJUSTABLE LEG REST 8
2.2.4.- SAFETY RAIL 8
2.2.5.- INTRAVENOUS DRIP STAND 9
2.2.6.- METHOD FOR FASTENING THE SAFETY BELTS ON THE PATIENT’S HEAD AND FEET 10
2.2.7.- METHOD FOR FASTENING THE SAFETY BELT ON THE PATIENT’S10
2.2.8.- DISMANTLING-ASSEMBLING THE STRETCHER SAFETY BELTS 11
2.2.9.- CONTROL FOR OPERATING THE STRETCHER LEGS 13
2.2.10.- INTERMEDIATE POSITIONS OF THE STRETCHER 14
2.2.11.- BRAKE LEVER 17
2.2.12.- LOCK/UNLOCK WHEELS 17
2.2.13.- MOUNTING THE STRETCHER ON THE AMBULANCE STRETCHER HOLDER 18
3.-DESINFECTION 19
4.-MAINTENANCE 19
5.- EXPLODED VIEWS 20
5.1.-TGM-241-S 20
5.2.-TGM-241-M 24
5.3.-TGM-241-L 28
5.4.-TGM-241-XL 32

OPERATION AND HANDLING OF THE
TGM-241 SERIES
2
Rev.3
20-12-17

OPERATION AND HANDLING OF THE
TGM-241 SERIES
3
Rev.3
20-12-17
1.- INTRODUCTION
1.1.- Foreword
TGM-241 series is specially designed for the rescue and transportations of patients.
TGM-241 series 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.
Certain technical modifications to the stretcher have been placed under reserve for the
purpose of making improvements to the product.
We reserve the right to change the specifications of the stretcher to improve the
products.
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.
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.
1.3.- Specifications
MODELS
TGM-241-S
TGM-241-M
TGM-241-L
TGM-241-XL
Maximum load
250 Kg*
250 Kg*
250 Kg*
250Kg*
Standards
UNE-EN-1865-1
EN-1789+A1
UNE-EN-1865-1
EN-1789+A1
UNE-EN-1865-1
EN-1789+A1
UNE-EN-1865-1
EN-1789+A1
Total length (non-
extended / extended)
1951/ 2250 mm
1951/ 2250 mm
1951/ 2250 mm
1951/ 2250 mm
Total Width
570 mm
570 mm
570 mm
570 mm
Loading Height
521 mm
574 mm
629 mm
681 mm
Weight
37 Kg
37 Kg
37,5 Kg
37,5 Kg
Minimum operators
required for an occupied /
unoccupied stretcher
2 / 1
2 / 1
2 / 1
2 / 1
Compatible fixation
systems
R-419 / R-450 -S /
R-800 and R-900
R-419 / R-450 -S /
R-800 and R-900
R-419 / R-450 -S /
R-800 and R-900
R-419 / R-450 -S /
R-800 and R-900
*Stretcher not valid for bariatric or pediatric transport.

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1.4.- Attention
Through this sign, information is furnished on important safety measures for the correct
use of the stretcher, in order to prevent accidents. The warnings alerts the reader
about a situation which, if not avoided, could result in death or serious injury.The
cautions alerts 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 as a result of use or misuse.
1.5.- 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.
- 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
- 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.
- 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.
- Side rails are not intended to serve as a patient restraint device.
- High obstacles such as curbing, steps or rough terrain can cause the stretcher to tip, possibly causing injury to the patient or
operator.
- TGM-241 series is designed to be compatible with Kartsana models R-419 / R-450 -S / R-800 and R-900, and is operator
responsibility that these products work together.
- Two operators must be present when the stretcher is occupied.
- 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 200mm 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.

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- 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.
CAUTIONS:
- Changes or modifications to the unit not expressly approved by Kartsana could void the user’s authority to operate the system.
- 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.
- 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.
- 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.
- 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.
.
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.

OPERATION AND HANDLING OF THE
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6
Rev.3
20-12-17
2.- INSTRUCTIONS MANUAL
TGM-241 series is adapted for mounting on Kartsana rails R-419, R-450-S inox, R-800
and R-900
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.
2.1.- Technical specifications
2.1.1.- Technical specifications TGM-241-S / M / L / XL
Measurements (in mm):
MODEL
*
**
TGM-241-S
536
800
TGM-241-M
585
850
TGM-241-L
635
900
TGM-241-XL
681
952

OPERATION AND HANDLING OF THE
TGM-241 SERIES
7
Rev.3
20-12-17
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.
Clarification: 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
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.
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.
Top button
Head lever
Head

OPERATION AND HANDLING OF THE
TGM-241 SERIES
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2.2.3- 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.
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.
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.
Leg rest
A
Red bar
Safety rail

OPERATION AND HANDLING OF THE
TGM-241 SERIES
9
Rev.3
20-12-17
2.2.5.- Intravenous drip stand
The stretcher comes with a drip holder located on the left hand side.
With the “A” knob we can loosen and tighten the assembly where and when it is
convenient. Unscrewing the knob “B” we remove the IV drip stand to the vertical
position perpendicular to the stretcher, then we twist the knob again.
The length of said drip pole may be lengthened or shortened pressing a small
positioner located on the inner side, raising the hook until the upper position is
reached.
The maximum load allowed
for the drip pole is 6 Kg.
The maximum weight is indicated on
the drip rod by an adhesive like the
one shown above.
A
B

OPERATION AND HANDLING OF THE
TGM-241 SERIES
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Rev.3
20-12-17
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.
2.2.7.- Method for fastening the safety belt on the patient’s
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.

OPERATION AND HANDLING OF THE
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2.2.8.- Dismantling-assembling the stretcher safety belts
Anchoring with a knot
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.
The lateral belts must be fixed on the lateral profiles of the stretcher with a knot also.

OPERATION AND HANDLING OF THE
TGM-241 SERIES
12
Rev.3
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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 rest part and secured on
the crosspiece of the panel with a knot.
Belts

OPERATION AND HANDLING OF THE
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2.2.9.- Control for operating the stretcher legs
2.2.9.1.-Rear controls
· Blue (right): Folds/unfolds the front leg of the stretcher.
· Orange (left): Folds/unfolds or activates the intermediate position of the rear leg of
the stretcher.
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
Blue lever
Palanca naranja
Orange lever

OPERATION AND HANDLING OF THE
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2.2.9.2.- Lever 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.
2.2.10.- Intermediate positions of the stretcher
The stretcher has three kind of 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.
Intermediate position lever

OPERATION AND HANDLING OF THE
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1st Intermediate 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.
The position 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.
To return to the unfolded leg position, lift the stretcher slightly and raise ithe front
legs using your foot.

OPERATION AND HANDLING OF THE
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2nd Tredelenburg position
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.
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.
3rd Contratrendelenburg position
It is positioned by activating the rear control (orange) once until it reaches the first
position.
.

OPERATION AND HANDLING OF THE
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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.
2.2.12.- Lock/Unlock wheels
- Rear wheels
The green bolt is used to block or unblock the rotation of the wheels, as shown in
the following figure.

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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.
Once the above process has been executed in full, the stretcher can be inserted
completely into the stretcher holder, until it is locked in place at the front and rear.
The Kartsana rails anchors the stretcher at the front by means of two anchoring
points and one anchoring point at the rear (see the figures below). These anchoring
points prevent the stretcher from overturning in the event of an accident. In the
event of not using the Kartsana rails, it is advisable that the front part of the
stretcher cart be anchored at the end of the bar marked 12 in the exploded diagram
of the cart that is included in this manual
3rd Anchoring
point
1st Anchoring
point
2nd Anchoring
point