Kartsana TGX-241 M User manual

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

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INDEX
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.- INSTRUCTION MANUAL 5
2.1.- TECHNICAL CHARACTERISTICS 6
2.2.- OPERATION AND HANDLING OF THE STRETCHER 7
2.2.1.- EXTENSIBLE HANDLES 7
2.2.2.- ADJUSTABLE RECLINING BACKREST 7
2.2.3.- ADJUSTABLE LEG REST 9
2.2.4.- SAFETY RAILS 9
2.2.5.- IV DRIP STAND 10
2.2.6.- HOW TO SECURE AND FASTEN THE SAFETY BELTS 11
2.2.7.- FASTENING THE MIDDLE SAFETY BELT 11
2.2.8.- REMOVAL AND RE-ATTACHMENT OF SAFETY BELTS TO THE STRETCHER 12
2.2.9.- LEG POSITION CONTROLS 14
2.2.10.- INTERMEDIATE STRETCHER POSITION,TRENDELENBURG &COUNTER-TRENDELENBURG 15
2.2.11.- BRAKE LEVER 17
2.2.12.- MOUNTING THE STRETCHER ON ITS RAIL FIXATION SYSTEM IN THE AMBULANCE 18
3.- CLEANING & DISINFECTION 19
4.- MAINTENANCE 19
5.- EXPLODED VIEWS 20

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1.- INTRODUCTION
1.1.- Foreword:
The TGX-241 stretchers are specially designed for the rescue and transportation of
patients.
The TGX-241 stretchers are and have 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.
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 manufacturer 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
TGX-241 M, L, XL
Maximum working load
250 Kg.
Standards
UNE-EN-1865-1
EN-1789+A1
Total length (non extended, extended)
1953 / 2254 mm
Total width
590 mm
Loading Height
585 mm (M)
642 mm (L)
686mm (XL)
Weight
44,6 Kg (M)
44,8 Kg (L)
45 Kg (XL)
Operators required to load an occupied stretcher
2
Operators required to load an unoccupied stretcher
1
Compatible fixation rail systems
R-419 / R-450-S Inox / R-800 & R-
900

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1.4.- Attention
This symbol indicates important safety measures for the correct use of the stretcher, in
order 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 to avoid damage
that may occur as a result of use or misuse.
1.5.- Summary of safety precautions
Please read the warnings and cautions listed don these pages carefully. Repair and
maintenance services must be carried out by qualified personnel only.
WARNINGS:
-Improper use 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 compatible fixation rail 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 curbs, steps or rough terrain can cause the stretcher to tip, possibly causing injury to the patient or
operator.
- The TGX-241 stretchers are compatible with the following KARTSANA fixation rail systems: R-419 / R-450-S Inox / R-800 & R-
900; it is the operator’s 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 a
diameter inferior to 200 mm could compromise the efectiveness 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 harmful or
infectious substances.
- 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

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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 a contaminated mattress or other stretcher components will increase the propagation 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 fixation rail system should be done by a certified mechanic familiar with ambulance vehicle construction.
Consult the vehicle manufacturer before installing the rail system and be sure that the installation does not damage or interfere
with the brake lines, oxygen lines, fuel lines, the 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 away 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 or 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
functioning 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 should plan the placement of the fixation system in the
rear of the vehicle.
2.- INSTRUCTION MANUAL
The stretcher is adapted for mounting on the Kartsana R-419, R-450-S, R-700 and R-800
rails, based on the UNE-EN 1789 standard.

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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 characteristics
Aproximate stretcher weight: 45 Kg.
Maximum load capacity: 250 Kg.
Maximum measurements shown below:
585 mm (M)
642 mm (L)
686mm (XL)
862 mm (M)
919 mm (L)
963mm (XL)

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2.2.- Operation and handling of 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 refers to the backrest area where the head and
torso of the patient would rest.
2.2.1.- Extensible handles
To extend the handles, press down on the small red button and pull them out as far
as they go.
To return the handles to their original position, press the button and slide them in
again.
2.2.2.- Adjustable reclining backrest
To adjust backrest inclination, lift the lever behind the patient’s head area and move
the backrest to the desired position, then release the lever to lock the position.
- Foldable front
Handle button
Backrest lever
Backrest

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As shown in the following image, the entire front of the stretcher can be folded to a
vertical position to allow the stretcher to manoeuvre in tight spots:
This is done by pressing the lever circled in red and lifting the handles to the folded
position.

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2.2.3.- Adjustable leg rest
Button for adjusting leg rest 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 rails
The safety rails have a red handle that lock them in place. To collapse the rail,
press the handle down as shown below. To return it to its upright safety position,
simply lift it back up and it will automatically lock back into place.
The adhesive to the right
indicates the position of the
button and its function
Leg rest
A
Safety rail
Locking handle

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2.2.5.- IV drip stand
The stretcher’s IV stand rests along the left side of the “back” of the stretcher.
By loosening handle Athe IV drip stand can be removed to reposition it on either
side of the stretcher; loosening handle B, the IV drip stand can be moved to its
upright position when needed, locking it in place by tightening handle B.
A
B

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The length of the IV drip stand can be adjusted by pressing a tiny metal button
along the inside of the shaft, and pulling up on the hook till the shaft extends as
far as it will go.
The maximum load the IV drip
stand can hold is 6 Kg.
2.2.6.- How to secure and fasten the safety belts
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.- Fastening the middle safety belt
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.
The maximum load is
indicated on a sticker
like this one:

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It is advisable to ensure that while the patient is secured by the safety belts at all
times while on the stretcher.
2.2.8.- Removal and re-attachment of safety belts to the stretcher
The safety belts are attached to the stretcher as so:
A
B
C
A: The straps of the chest-
belts are threaded through
the slot and tied around the
crosspiece using the
opening around it, as shown
above.
B: The middle belts are
tied to the side bar
using the available slot.
C: The leg belt is threaded
through the hole along the side
of the leg rest and tied around
the tube as shown.

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2.2.8.1.- Safety Belt Positions
2.2.8.1.1.- Middle and leg belts are positioned at the approximate distances
shown in the figure below:
2.2.8.1.2.- The chest belts are threaded through the slots in the backrest
and tied to the crosspiece as shown on the previous page.
Chest Belts

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2.2.9.- Leg position controls
2.2.9.1.- Back controls
Blue handle (right): Allows folding / unfolding of the stretcher’s front legs.
Orange handle (left): Allows folding / unfolding and intermediate positioning
of the stretcher’s back legs.
Note: To collapse legs into their folded position, release the handle just before
they reach their folded position. To set the legs in their intermediate positions,
release the handles as soon as the legs begin to fold; if the position the legs lock
into is not the desired one, repeat the process until the required position is
achieved. A “click” sound can be heard each time the legs lock into a position.
Listen for this sound to be sure they are correctly locked.
Blue handle
Orange handle

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2.2.9.2.- Lever for front leg intermediate positioning
The red lever under the left stretcher handle accesses the intermediate positions
of the front legs, starting from the unfolded (upright) position.
Note: To return the front legs to their original unfolded position, activate the red
lever and then raise the front end of the stretcher manually so that the leg falls
automatically into place. Just before the leg reaches upright position, release
the lever so that when the leg reaches that position, the click can be heard,
indicating the leg is securely locked in place.
2.2.10.- Intermediate stretcher position, Trendelenburg & Counter-
Trendelenburg
The stretcher has three intermediate positions at different heights from the ground.
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.
To avoid dangerous unpredictable movements of the stretcher, be sure to hold on to
the handles firmly with both hands.
Either end of the stretcher can be brought to intermediate height using the
aforementioned controls.
1st position: Intermediate positon
It is achieved by activating the intermediate position lever (red) located on the right-hand
side of the stretcher. This releases the front legs down to a mechanical stop.
Then, by pressing and immediately releasing the orange handle, the back legs will fall into
first intermediate position.
To return the stretcher to upright position, slightly lift the strecher and using one foot
gently help the front legs to rise.
Palanca de posición intermedia

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2nd position: 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.
3d position: counter-Trendelenburg position
It is positioned by activating the rear control (orange) once until it reaches the first
position..

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2.2.11.- Brake lever
Activate the red lever with your foot to lock the rear wheels. This blocks both the
longitudinal and the rotating movement of the wheel.
.
- How to lock / unlock swivel casters
The green bolt is used to lock or unlock wheel rotation, as shown in the following figure.
When in intermediate position, the green bolt must be in locked position at all
times, as the sticker indicates:

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2.2.12.- Mounting the stretcher on its rail fixation system in the ambulance
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 (the
smaller 10mm diameter wheels), into the the stretcher dock; if the platform has a
KARTSANA rail, place the front wheels just before the rail. Activate the blue
handle to fold the front legs and slide the stretcher into the stretcher dock up to the
rear legs. At this point, activate the Orange handle to allow the rear legs to fold.
After activating the orange handle, 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 dock, until it is locked in place at the front and rear.
The KARTSANA rail fixation system anchors the stretcher at the front by means of
two anchoring points at the front 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.
.
Punto de
anclaje 3
Punto de
anclaje 1
Punto de
anclaje 2
RAIL R-450 S INOX
RAIL R-419