Spencer STX 519 User manual

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User’s Manual
STX 519 / STX 540 / STX 542
Lifting bridles systems
This appliance conforms with the Directive 93/42/CEE “Medical Devices”
Guarantee of Quality system for the production and the final control of the products certified by the notifying body TÜV
SÜD Product Service GmbH
INDEX
General information page 2
Warning page 3
Description of product page 4
Operating instructions page 6
Maintenance and cleaning page 7
Accessories and spare parts page 8
First edition: 07/02/02
Rev. 9 18/12/17
Spencer Italia s.r.l.
STX 519
STX 540
STX 542

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Thank you for choosing a Spencer product
1. GENERAL INFORMATION
1.1 Aim and contents
The aim of this manual is to supply all the information necessary so that the client, will not only attain adequate use of the
appliance, he will also be capable of using the instrument in the most autonomous and secure way possible. This includes
information regarding technical aspects, functioning, maintenance, spare parts and safety.
1.2 Conservation of the instruction manual
The instruction and maintenance manual must be kept together with the product, for the whole life of the device, inside the
specially provided container and above all, away from any substances or liquids which could compromise perfect legibility.
1.3 Symbols used
Symbol Meaning
General or specific warning
See instructions for use
Lot number
Product code
The product is compliant with the specifications of the Directive 93/42/CEE
1.4 Servicing requests
For any information regarding the use, maintenance and installation, please contact the Spencer Customer Care Service on
tel. 0039 0521 541111, fax 0039 0521 541222, e-mail ser[email protected] or write to Spencer Italia S.r.l. –Via Provinciale, 12 -
43038 Sala Baganza (Parma) - ITALY. In order to facilitate the assistance service, please always indicate or communicate the
serial number (SN) or lot number (LOT) shown on the label applied on the box or on the device.
1.5 Demolition
When the devices are no more suitable for being used, if they haven’t been contaminated by any particular agents, they can
be disposed of as normal solid waste, otherwise follow the current regulations about demolition.
1.6 Labelling
Each device has got an identifying label, positioned on the device itself and/or on the box. This label includes information
about the manufacturer, the product, CE mark, lot number (LOT). It must never be removed or covered.
2. WARNINGS
2.1 General warnings
The product must be used by trained personnel only, having attended specific training for this device and not for similar
products.
Training routines must be registered on a special register in which the names of those trained, of the trainers, date and
place are indicated. This register which will certify the eligibility of the operators to use the Spencer device has to be kept
for a period of 10 years after the disposal of the device itself. This register will be made available to the Competent
Authorities and/or manufacturer if requested.
Spencer Italia S.r.l. is always at your disposal to plan trainings on products.
Before carrying out any kind of operation on the appliance (training, installation, use), the operator must carefully read
the enclosed instructions, paying particular attention to the correct safety precautions and to the procedures to be
followed for installation and for correct use.
If the instructions belong to another device and not the device received, inform the manufacturer immediately and avoid
use of the device.
In the case of any doubts as to the correct interpretation of the instructions, please contact Spencer Italia S.r.l. for any
necessary clarifications.
Do not allow untrained persons to help during the use of the device, because they could cause damage to the patient or
to themselves.
Regularly check the appliance, carry out the prescribed maintenance and respect the average life span, as indicated by
the manufacturer in this user’s manual.
Before each use of device the perfect operating state of the device must be checked as specified in the Instruction
manual. If any damage or abnormalities which could in any way influence the correct functioning and the safety of the

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device, of the patient and or of the user are detected, the device must be immediately removed from service and the
manufacturer must be contacted.
If any failure or incorrect functioning of the device is detected, it must be immediately substituted with a similar item so
that the rescue procedures are guaranteed without any interruption.
Use of the device in anyway other than described in this manual is forbidden.
Do not alter or modify in any way the appliance; any such interference could cause malfunctions and injury to the patient
and/or rescuer.
The appliance must not in any way be tampered with (modification, adjustment, addition, replacement). In such cases all
responsibility will be denied for any malfunctions or injuries caused by the appliance itself; moreover CE certification and
product warranty will be considered void.
Those who modify or have modified, prepare or have prepared medical appliances in such a way that they no longer
serve the purpose for which they were intended, or no longer supply the intended service, must satisfy the valid
conditions for the introduction onto the market.
Handle with care.
Ensure that all the necessary precautions are taken in order to avoid the hazards that can arise as the result of contact
with blood or body fluids.
Register and store with these instructions: lot number, place and date of purchase, first date of use, date of checks, name
of users, any comments.
When the device is being used, the assistance of qualified staff must be guaranteed.
Do not store the device underneath any heavy objects which could cause structural damage.
Store in a cool, dry, dark place and do not expose to direct sun.
Store and transport device in its original packaging.
The device not be exposed to or come into contact with any source of combustion or inflammable agents.
Position and adjust the device taking care not to cause any obstruction to rescuers and or any other rescue equipment.
Attention: laboratory testing, post production tests, instruction manuals cannot always consider every possible scenario
for use. This means that in some cases the performance of the product could be notable different from results to date
obtained. Instructions are continually being updated and are under tight surveillance of fully qualified staffs with
adequate technical formation.
With reference to the D. Lgs. 24th February 1997, n. 46 emended by D. Lgs. 25/01/2010, n. 37 –Acknowledgement of
Directive 93/42/CEE and 2007/47/CE, we remind both public and private operators that they are obliged to report any
accident that involves any medical device to the Ministry of Health and to the Manufacture as specified and within time
given by the European regulations.
In addition, both public and private operators are obliged to inform the manufacturer of any measures that should be
adopted to make the steps necessary to guarantee the safety and the health of the patients and the users o any medical
device.
As a Distributor or End Users of products manufactured and/or marketed by Spencer Italia S.r.l., you are strictly required
to have a basic knowledge of any legal requirements applying to the devices contained in this supply that are in power in
the goods final destination Country (including laws and norms regarding technical specifications and / or safety
requirements) and therefore you are also strictly required to have the necessary knowledge to guarantee all aspects
regarding the total conformity of the products to the regulations in the relevant territory.
Promptly notify Spencer Italia S.r.l. regarding any revisions to be made by manufacturer in order to guarantee the
conformity of the product to the territory’s legal specifications (including those resulting from rules and/or norms of
other nature).
Act, with all due care and diligence, and contribute to ensure conformity to general safety requirements of all devices
marketed in the territory, by providing final users with all necessary information for carrying out maintenance on their
devices, as specified in the relevant User Manual.
Actively contribute to product safety checks on products sold, by communicating any relevant risk analysis information
both to the manufacturer and to any competent authorities so that the necessary action can be promptly taken.
You are aware that in the event of any failure to conform to the above mentioned requirements you will be deemed fully
responsible for all damages that might occur. Therefore we expressly disclaim any responsibility and/or liability for your
non-compliance with the present “Regulatory provisions”.
2.2 Specific warnings
Establish a maintenance program and periodic testing, identifying an reference employee. The person to whom the
ordinary maintenance of the device is entrusted must ensure the basic requirements foreseen by the manufacturer in the
user’s manual.
Training routines must be registered on a special register in which the names of those trained, of the trainers, date and
place are indicated. This register which will certify the eligibility of the operators to use the Spencer device has to be kept
for a period of 10 years after the disposal of the device itself. This register will be made available to the Competent
Authorities and/or manufacturer if requested.

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Use only accessories/spare parts that are original or approved by Spencer Italia S.r.l., in order to carry out any operation
without causing any alteration or modification to the device, otherwise we assume no responsibility for the proper
functioning or damage resulting from device to the patient or the operator and warranty and will be considered void
according to the compliance to the Medical Device Directive 93/42/CEE.
Always respect the maximum static safety load indicated in this User Manual. The maximum static safety load is a
mechanic force applied slowly and not fast, considered as a limit for the safety functioning of the device. This parameter
does not consider dynamic forces to add to the static load, such as bumps, vibrations, and possible metereological and
climatic conditions during the use of the device.
Use the device only with basket stretchers made by Spencer Italia S.r.l.
Never leave the patient unassisted on the device, because he may be injured.
The device and all its components, after washing, should be allowed to dry completely before storing, away from sunlight
and direct heating sources.
Do not wash with a washing machine.
Do not tumble dry.
Avoid contact with sharp objects.
Do not use solvants or stain removers.
Do not use the device if it is pierced, torn, frayed or excessively worn.
Avoid pulling the device on rough surfaces.
The device/lifting device used must be approved by the actual norm. The user is responsible to evaluate the application
and the risks connected with the use of the device.
Always check the integrity of all the parts of the straps and buckles before every use.
Immediately replace straps and buckles if they are worn out or damaged.
Fix the straps and buckles into the dedicated points as indicated in this User’s Manual.
Position and adjust the device taking care not to cause any obstruction to rescuers and or any other rescue equipment.
Keep and provide on request adequate product origin tracking documentation for a period of ten years valid from the
date of acquisition by the end user.
2.3 Contraindications and side effects
The use of this device, if used as described in this manual, does not present any contraindications or collateral effects.
1. ZIONE DEL PR
3. DESCRIPTION OF PRODUCT
3.1 Intended use
The Spencer STX 519/540/542 systems are reliable lifting bridles for the Spencer range of basket stretchers. The fixed and
adjustable lifting bridles and tow belts make lifting (only for STX519 and STX540) the basket stretchers safe.
3.2 Main components
1. Nylon webbing
2. Metal anchor hooks
3. Metal sliding buckles
3.3 Models
These basic models could be modified, with reference to codes and/or descriptions without any previous notification.
ST04519C STX 519 Adjustable lifting bridles system
ST04522B STX 540 Fixed lifting bridles system
ST04523B STX 542 Pulling bridles system
Fig. A
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1
3

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3.4 Technical data
Lifting bridles system
STX 519
STX 540
STX 542
Webbing length (mm)
maximum 1680
minimum 1250
1600 and 1550
1660
Webbing width (mm)
50 / 20
30
30
Weight (kg)
1,8
0,8
0,6
Material
nylon, aluminium, steel
nylon, aluminium, steel
nylon, aluminium, steel
Type of fixation
carabineer
noose
carabineer
Number of fixing straps
4
4
2
Compatibility
all basket stretchers
made by Spencer
all basket stretchers made by
Spencer
all basket stretchers made by
Spencer
Maximum static safety load
450 kg (1000 lbs)
450 kg (1000 lbs)
450 kg (1000 lbs)
3.5 Reference standards
Reference
Title of document
MDD 93/42/CEE
European Directive about Medical Devices
MDD 2007/47/CEE
Modifications to 90/385/CEE Directive about active implants, Directive
93/42/CEE about medical devices and Directive 98/8/CE about the
introduction of biocides onto the market
Legislative Decree 24/02/1997, n. 46
Application of the 93/42/CEE Directive about Medical Devices
Legislative Decree 25/01/2010, n. 35
Modifications and additions to the 20/02/97 Decree n. 46
UNI EN ISO 14971
Application of risks managing to medical devices
UNI CEI EN ISO 15223-1
Graphic symbols used for medical devices labelling
UNI CEI EN 1041
Information supplied by the medical devices manufacturer
CEI EN 62366
Medical Devices - Application of the utilisation characteristics of
engineering to medical devices
MEDDEV 2.4/1a-b
Guideline for the classification of medical devices
NB-MED 2.5.1 /Rec 5
Technical Documentation
MEDDEV 2.7.1
Clinical Data
MEDDEV 2.12/1
Medical Devices vigilance system
UNI EN 14155
Clinical evaluation of the medical devices for human beings - Part 2:
Clinical evaluation plans
3.6 Environmental conditions
Functioning temperature: from -20 to +60 °C
Storage temperature: from -20 to +60 °C
Relative humidity: from 5 to 85%
4. OPERATING INSTRUCTIONS
4.1 Transport and storage
Before transporting the appliance, make sure that it is correctly packaged ensuring also that there are no risks of damages
during the transport itself.
Keep the original packaging for use in case of any further transport and for storage. Damage to the appliance caused during
transport and handling is not covered by the guarantee. Repairs or replacement of the damaged parts are the responsibility
of the client. The device must be stored in a dry, cool area away from direct sunlight. It must not be placed in contact with
any substances or chemical agents which could cause damage and reduce safety characteristics.
4.2 Preparation
On receipt of the product:
Remove the packaging and display the material so that all components are visible.
Check that all the components/pieces on the accompanying list are present.
The appliance must be checked before every use so as to reveal any working abnormalities and/or damage caused by
transport and/or storage. In particular, check:
General functionality of the device
Cleanliness of the device (remember that the failure of cleaning may cause the risk of cross infections)
Absence of cuts, holes, tears on the structure, including the straps.
Do the straps fold in the correct way?
Correct grasp of the straps
Status of wear of the components (straps, buckles)
Proper working of buckles

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Absence of oxidation on buckles
That the movement of any adjustment system slides properly and its fixation is safe
If the above conditions are met, the device may be considered ready for use, otherwise you must immediately remove the
device from service and contact the manufacturer.
4.3 Functioning
4.3.1 Use of the STX 519 system
1. Fix the four carabineers in the correct position of the basket stretcher. Before proceeding to lift, check that the
carabineers are all correctly hooked on.
2. Adjust the length of the webbing so that the stretcher when lifted remains in a horizontal position.
3. Use the ring at the top of the system to lift the stretcher.
4. Make sure the at the webbings and carabineer do not interfere with the patients of any other devices being used.
4.3.2 Use of the STX 540 system
1. Fix the four straps with noose to the correct position of the basket stretcher. Before proceeding to lift, check that the
noose are all correctly fitted.
2. The straps are in pairs with different lengths which helps compensate the balance in the horizontal position when lifted.
If the basket does not appear to be well balanced, the weight inside the basket must be re distributed.
3. When the carabineer is in use, join the two extremities not attached to the stretcher and use them to lift the stretcher.
4. Make sure the at the webbings and noose do not interfere with the patients of any other devices being used.
4.3.3 Use of the STX 542 system
1. Fix the two carabineers into their correct position on the sides of the head area. Before starting to tow, check that the
carabineer are both correctly attached.
2. Use the two webbing loops to be found at the extremity of the system to tow the stretcher.
3. Make sure the the webbings and carabineer do not interfere with the patients of any other devices being used.
4.4 Troubleshooting
PROBLEM
CAUSE
REMEDY
Hooks are not correctly fixed
Mechanism is broken
Immediately remove the device from
service and contact the service centre
5. MAINTENANCE AND CLEANING
5.1 Cleaning
Failure to carry out the correct cleaning routine could increase the risk of cross infection.
The operator must always wear adequate personal protection such as gloves and mask etc. during all checking and
cleaning procedures.
The metal parts exposed to external agents undergo surface treatment and/or painting in order to obtain better resistance.
Wash exposed parts with warm water and mild soap, never use solvents or stain removers. In case of any disinfecting
procedures do not use solvents wih corrosive action on the materials constituting the device.
Rinse thoroughly with warm water making sure that you have removed all traces of detergent, which may deteriorate or
compromise the integrity and durability of the device. Allow to dry thoroughly before storing.
Drying after washing or after use in wet environments must be natural and not forced, do not use flames or other sources of
direct heat.
5.2 Maintenance
5.2.1 Precautionary maintenance
The person who carries out the precautionary maintenance of the appliance (user in person, manufacturer/supplier or a third
party) has to guarantee the following basic requirements:
Technical knowledge of the appliance and of the periodic maintenance procedures as described in these instructions.
Specific qualifications and training in the maintenance operations of the appliance in question.
The use of components/replacement parts/accessories that are either original or approved by the supplier, in such a way
that each operation causes no alteration or modification to the appliance.
Possession of the checklist of operations carried out on the appliance.
Guarantee complete adherence to the instructions of the Directive 93/42/CEE which includes also the obligation towards
the manufacturer to maintain post sales records and traceability of the appliance if requested.
During all checking, maintenance and cleaning procedures, the operator must wear adequate personal protection such as
gloves, mask, glasses etc.

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Checks to be carried out before and after each use, and at least every 3 months, are as follows:
General functionality of the device
Cleanliness of the device (remember that failure of the cleaning operation may cause the risk of cross infections)
Absence of cuts, holes, tears on the structure, including the straps.
Do the straps fold in the correct way?
Correct grasp of the straps
Status of wear of the components (straps, buckles)
Proper working of buckles
Absence of oxidation on buckles
That the movement of any adjustment system slides properly and its fixation is safe
Visual inspection of the seams between the straps and carabiners (check that there are no pulled or damaged wires)
Verify opening and closing of each carabiner
Only on STX 519 test the functionality of the adjustment system
Check the presence and legibility of the label containing warning, data, life span and loading capacity.
Is necessary to formalize the above mentioned controls at least every six months, recording them on the appropriate form
of ANNEX B
The inspection frequency is determined by factors such as legal requirements, the type of use, frequency of use,
environmental conditions during use and storage. Please note that you must do the cleaning as described in paragraph 5.1
and verify functionality before and after each use. Spencer Italia S.r.l. declines any responsibility for the improper functioning
or damages caused to the patient or user by the use of devices not subject to routine maintenance, warranty and will void
the compliance to the Medical Device Directive 93/42/CEE.
5.2.2 Periodic maintenance
In addition to cleaning and maintenance described in paragraphs “Cleaning” and “Maintenance”, it is necessary to submit the
device to the following tests every year:
Visual inspection of the seams between the straps and carabiners (check that there are no pulled or damaged wires)
Verify opening and closing of each carabiner
Only on STX 519 test the functionality of the adjustment system
Check the presence and legibility of the label containing warning, data, life span and loading capacity.
Depending on the intensity of use, the device must undergo revision procedures to certify its suitability for use, during
the permitted life span of the product according to par. 5.2.4. Such revisions shall be formalized and documented in a
report with certain date which shall be sent to the manufacturer. The report form to be filled can be find in Annex C of
this user manual. A copy of the report must be sent to the manufacturer through PEC or registered post (with return
receipt).
5.2.3 Special servicing
Only the manufacturer or centres with written authorisation are authorised to complete any special servicing operations.
For any operations that are not carried out directly by the manufacturer but by an authorised centre, we have to underline
that a report regarding all operations carried out must be requested. This will permit both Spencer Italia S.r.l. and the end
user to keep a log book regarding the operations carried out on the device.
5.2.4 Life span
The device, if used as indicated in the instruction manual, has an average life span (ALS) from the purchase date depending
on the intensity of use:
Intense (daily use) –ALS 1 year without servicing
Normal (once a week) –ALS 3 years with annual servicing
Occasional (once a month) –ALS 5 years with annual servicing
At the end of this period, the device must be disposed according to the procedures described in paragraph 1.5 and this
event must be notified to the manufacturer.
The validity of the average life span is bound by the successful outcome of controls provided in this manual.
In any case, the maximum life span in every condition of use is 5 years starting from the purchase date subject to
compliance with the above conditions.
Spencer Italia S.r.l. will accept no responsibility for the incorrect functioning and/or damage caused by the use of any device
which has not been repaired by the manufacturer or by one of the manufacturer's authorised service centres. Warranty will
be considered void in compliance with the Medical Device Directive 93/42/EEC.

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6. ACCESSORIES AND SPARE PARTS
6.1 Accessories
There aren’t any accessories for these items.
6.1 Spare parts
There aren’t any spare parts for these items.

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ATTACHMENT A –TRAINING REGISTER
The product must be used by trained personnel only, having attended specific training for this device and not for similar
products.
Keep this document at least 10 years from the end of life of the device.
Operator’s name
Training date
Training method (user’s
manual, during service,
former class, etc)
Trainer
Basic training
Advanced training

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ATTACHMENT B –MAINTENANCE REGISTER
Keep this document at least 10 years from the end of life of the device.
Perform the required maintenance and to respect the life span of the device, as indicated by the manufacturer in the
user’s manual.
Code and description of the device
Purchase date
Lot (LOT)
Bought by
SERVICE DATE
KIND OF SERVICE
(maintenance/
check/
extension of life span)
OPERATIONS MADE ON THE
DEVICE
RESULT
PERSON IN CHARGE
OF SERVICE
(operator/authorized
centre/
manufacturer)
Warning
The information contained in this document could be modified without any warning and is not to be intended as a commitment on behalf of
Spencer Italia S.r.l. Spencer products are exported to many countries and the same identical regulations are not always valid. For this reason there
could be differences between the description here described and the product actually delivered. Spencer continually strives to reach the perfection
of all items sold. We therefore hope you will understand if we reserve the right, at any time, to modify the shape, equipment, lay-out or technical
aspects that are herein described.
© Copyright Spencer Italia S.r.l.
All rights reserved. No part of this document can be photocopied, reproduced or translated into another language without the written approval of
Spencer Italia S.r.l.

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INSERT YOUR LETTERHEAD
ANNEX C
BRIDLES PERIODIC REVISION FORM
The periodic revision of Spencer bridles, is a formalized procedure to certify the suitability for use
of such devices if they have not exceeded the life span established in 1, 3 or 5 years from the sale
date and depending on the intensity of use.
The tests include the application of a load placed on a Spencer Shell or Twin Shell basket stretcher
equal to the maximum capacity of the device under test.
The load shall be applied simulating the weight distribution of the human anatomy according to
the following table:
450 KG
9% HEAD AND NECK
39% CHEST AND ARMS
26% PELVIS
16% THIGHS
10% LEGS
The simulation shall be carried out lifting the load slowly, avoiding sudden application of the load.
Maintain the maximum load condition for 30 minutes.
It is therefore necessary to fill in the form on the following page, filling it with the required
pictures in the appropriate fields, then send it to:
Certified mail:
Or
Registered post (with return receipt):
Spencer Italia s.r.l.
Via Provinciale 12
43038 –Sala Baganza
Parma –Italy

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INSERT YOUR LETTERHEAD
BRIDLES SUITABILITY REPORT
Bridles model
LOT
Purchase date
Equipment used for
testing (pictures)
Basket strether pictures
Bridles picture
Picture of wights used for tests
PICTURES AFTER MAXIMUM LOAD TEST
CARABINERS
FILL WITH PICTURES PROVING THE INTEGRITY OF CARABINERS
BELTS
FILL WITH PICTURES PROVING THE INTEGRITY OF BELTS
SEAMS
FILL WITH PICTURES PROVING THE INTEGRITY OF SEAMS

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INSERT YOUR LETTERHEAD
Results
Yes
NO
Carabiners are intact and work properly
Carabiners are true to their original form
The carabiner locking sleeves turn smoothly and latch the
gates securely
All metal parts are true to their original form and are free of
cracks, deep scratches and gouges
All belts and seams are in optimal condition and with no cuts
or frayed edges
Following the tests and visual inspection documented above, the test’s
responsible declares that, having not exceeded its life time, the device is:
This certificate has a validity of 1 year.
Place
Date
Test’s responsible
Signature
NOT SUITABLE FOR USE
SUITABLE FOR USE
This manual suits for next models
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