Steris Cmax User manual

iii
764333-267
TABLE OF CONTENTS
Section Title Part Number
Operator Manual ......................................................................................................... P150830-685
Maintenance Instructions ........................................................................................... P764333-268
Illustrated Parts Breakdown ....................................................................................... P764333-269
Reference Drawings
Schematic, Cmax Tables Hydraulic System ............................................................. W755718-023
Schematic, Cmax Electrical System .............................................................................150832-407
Schematic, Cmax Floor Lock System ...........................................................................150832-406
Schematic, Power Supply/Battery Charger (120 V; 542200902) .....................................5-536-4 D
Schematic, Power Supply/Battery Charger (220 V; 542201902) ..................................... 5-671-4 B

Live Document, Historical Table
Live
Document
Page
Number
Figure Number/ Name Manual Development Historical Record
(Front
Cover) Front Cover P: Stamp "12/09/2010 LIVE DOCUMENT" C: Document Manufacturing
changes/manual errors and clarifications A: Stamped to show Live Document Date
iii Table of Contents
P: Part numbers 542201-902 and 542200-902 are NLA
C: Manufacturing changed the part
A: The 542200-902 will be replaced by
· P764334-146 KIT, REPLACEMENT CONTROL & FILTER
The 542201-902 will be replaced by P764334-145, KIT, FILTER HARNESS and one
of the following, the customer will select by voltage:
· 413724-598 POWER SUPPLY/CHARGER, 100V
· 413724-599 POWER SUPPLY/CHARGER, 220V
· 413724-635 POWER SUPPLY/CHARGER, 230-240V

i
Introduction Operator Manual 150830-685
A WORD FROM STERIS CORPORATION
©2009, STERIS Corporation. All rights reserved. Printed in U.S.A.
IMPORTANT: Read this entire manual before attempting to
install or operate your Cmax™ Surgical Table. Ensure all
appropriate personnel understand the contents of this manual.
This Operating Manual contains important information on proper use
and maintenance of the Cmax Surgical Table.
All personnel
involved in the use and maintenance of this equipment must
carefully review and comply with the warnings, cautions, and
instructions contained in this manual.
These instructions are
important to protect the health and safety of personnel operating the
table and should be retained in a conveniently accessible area for
quick reference.
Complete instructions for uncrating have been furnished. If missing,
contact STERIS for a replacement copy, giving the serial, equipment
and model numbers of the unit.
STERIS carries a complete line of accessories for use with this table.
STERIS representatives will gladly review these with you.
Advisory
A listing of the SAFETY PRECAUTIONS to be observed when operating
and servicing this Cmax Surgical Table is found in
SECTION 1 of this
manual. Do not operate or service the equipment until you have
become familiar with this information.
Any alteration of the surgical table not authorized or performed by
STERIS will void the warranty, could adversely affect operator safety
and could violate national, state and local regulations.
Indications for Use
The Cmax Surgical Table is designed for most surgical procedures
with unrestricted radiological access without patient reversing.
Service Information
A thorough preventive maintenance program is essential for safe and
proper unit operation. This manual contains maintenance schedules
and procedures which should be followed for satisfactory equipment
performance. Comprehensive instructions for monthly, quarterly and
semi-annual preventive maintenance can be found in the Maintenance
Manual (available from STERIS).
Only STERIS-trained personnel should attempt to perform
maintenance on the Cmax Surgical Table to avoid personal injury,
improper equipment performance, invalidation of the equipment
warranty or other costly damage.

ii
150830-685 Operator Manual Introduction
Customers are encouraged to contact STERIS concerning our comprehensive
preventive maintenance agreement. Under the terms of this agreement,
preventive maintenance, adjustments and replacement of worn parts are
provided on a scheduled basis to help ensure optimal equipment performance
and help avoid untimely or costly interruptions. STERIS maintains a global staff
of well equipped, factory-trained technicians to provide these services, as well
as expert repair services. Please contact STERIS for details.
NOTE: A patient grounding post/potential equalization terminal (male
connector, DIN 42801) is provided. The female connector for patient
grounding is not furnished by STERIS.

iii
Introduction Operator Manual 150830-685
Manufactured by:
STERIS Corporation
2720 Gunter Park East
Montgomery, AL 36109 • USA
TEL: [phone]
FAX: [phone]
www.steris.com
Class 1 Equipment
Type B Equipment
Splash-Proof Equipment (enclosed equipment protected against splashing
water, IPX4)
Equipment not suitable for use in the presence of a flammable
anesthetic mixture with air or oxygen or nitrous oxide.
Suitable for intermittent operation 3 min/hr.
EC Authorized Representative
STERIS Limited
STERIS House
Jays Close
Viables
Basingstoke
Hampshire
RG22 4AX
UNITED KINGDOM
The base language of this document is
ENGLISH. Any translations must be
made from the base language document.
Manufactured by:
STERIS Surgical Technologies SAS
645, rue des Châtaigniers
BAT 405-B2-F
45774 Saran Cedex
FRANCE
+ 33 2 38 74 54 00

v
Table of Contents Operator Manual P150830-685
TABLE OF CONTENTS
Section
Number Description Page
1 Safety Precautions ........................................................................................................................ 1-1
2 Important User Information .......................................................................................................... 2-1
2.1 Pinch Point Warnings ............................................................................................................................ 2-1
2.2 Patient Positioning and Weight Limitation ............................................................................................. 2-3
2.3 Patient Safety Straps ............................................................................................................................. 2-4
2.4 General Description ............................................................................................................................... 2-4
2.5 Technical Specifications ....................................................................................................................... 2-5
2.5.1 Overall Size (W x L x H) .............................................................................................................. 2-5
2.5.2 Range of Motion ........................................................................................................................... 2-5
2.5.3 EMC .............................................................................................................................................. 2-5
2.5.4 Weight........................................................................................................................................... 2-8
2.5.5 Power Requirements .................................................................................................................... 2-8
2.5.6 Environmental Conditions ............................................................................................................. 2-8
2.5.7 Image Amplification Coverage...................................................................................................... 2-8
3 Installation Instructions ................................................................................................................ 3-1
4 Operating Instructions .................................................................................................................. 4-1
4.1 Operating Table ..................................................................................................................................... 4-1
4.2 Hand Control.......................................................................................................................................... 4-3
4.2.1 Hand Control Function Buttons Description ................................................................................. 4-3
4.2.2 Hand Control LCD Display Description ........................................................................................ 4-6
4.3 Reverse Patient Orientation................................................................................................................... 4-9
4.4 Optional Foot Control Operation............................................................................................................ 4-9
4.5 Auxiliary Control System........................................................................................................................ 4-9
4.5.1 Auxiliary System Operation........................................................................................................ 4-10
4.5.2 Auxiliary Hand Control Description ............................................................................................ 4-11
4.5.3 Return Auxiliary Control System ................................................................................................ 4-12
4.6 Leg Section Removal........................................................................................................................... 4-12
4.7 Table Pads........................................................................................................................................... 4-13
4.8 X-Ray Top Installation ......................................................................................................................... 4-14
4.9 Accessories/Side Rails ........................................................................................................................ 4-15
5 Routine Maintenance..................................................................................................................... 5-1
5.1 Read Before Performing Routine Maintenance ..................................................................................... 5-1

vi
P150830-685 Operator Manual Table of Contents
Section
Number Description Page
TABLE OF CONTENTS (CONT’D)
5.2 Cleaning Table....................................................................................................................................... 5-2
5.2.1 General ........................................................................................................................................ 5-2
5.2.2 After Each Usage ......................................................................................................................... 5-3
5.2.3 End-of-Day Cleaning Procedure .................................................................................................. 5-4
5.2.4 Weekly Cleaning Procedure......................................................................................................... 5-4
5.3 Bi-Weekly Maintenance ......................................................................................................................... 5-4
5.4 Monthly Maintenance............................................................................................................................. 5-4
5.5 Battery Charging Procedure .................................................................................................................. 5-5
5.6 Preventive Maintenance Schedule ........................................................................................................ 5-7
5.7 Replacement Parts ................................................................................................................................ 5-8
5.8 ALS Check............................................................................................................................................. 5-9
5.9 LEVEL Check ...................................................................................................................................... 5-10
5.10 Auxiliary Control Check ....................................................................................................................... 5-10
6 Troubleshooting ............................................................................................................................ 6-1
7 Disposal Hazards........................................................................................................................... 7-1

vii
Table of Contents Operator Manual P150830-685
LIST OF FIGURES
Description Page
Figure 2-1. Pinch Points.........................................................................................................................................2-1
Figure 2-2. Pinch Points.........................................................................................................................................2-2
Figure 2-3. Cmax Surgical Table Components (Typical) .......................................................................................2-6
Figure 2-4. Cmax Surgical Table Range of Motion (Typical) .................................................................................2-7
Figure 2-5. Cmax Tabletop Dimensions (Typical)..................................................................................................2-8
Figure 2-6. Cmax Surgical Table Image Amplification Coverage ..........................................................................2-9
Figure 3-1. Install/Remove Battery Fuse ...............................................................................................................3-2
Figure 3-2. Connect Cmax Surgical Table to Facility Power..................................................................................3-3
Figure 3-3. Connect Hand Control to Cmax Surgical Table...................................................................................3-4
Figure 3-4. Connect Panel .....................................................................................................................................3-5
Figure 3-5. Connect Optional Foot Control to Cmax Surgical Table......................................................................3-5
Figure 3-6. Install Head Section.............................................................................................................................3-6
Figure 3-7. Hand Control LCD Display ..................................................................................................................3-6
Figure 3-8. Attaching Leg Section..........................................................................................................................3-7
Figure 4-1. Cmax Surgical Table ...........................................................................................................................4-1
Figure 4-2. Head Section Operation (Typical) .......................................................................................................4-2
Figure 4-3. Cmax Surgical Table Hand Control .....................................................................................................4-4
Figure 4-4. Hand Control LCD Display ..................................................................................................................4-8
Figure 4-5. Auxiliary Control System ................................................................................................................... 4-10
Figure 4-6. Auxiliary Hand Control....................................................................................................................... 4-12
Figure 4-7. Leg Section Removal ........................................................................................................................4-13
Figure 4-8. Tabletop Pads ...................................................................................................................................4-14
Figure 4-9. X-Ray Top Installation ....................................................................................................................... 4-15
Figure 5-1. INTELLIPOWER Panel LED Display ...................................................................................................5-6

ix
Table of Contents Operator Manual P150830-685
LIST OF TABLES
Table Title Page
Table 1-1. Definition of Symbols on Surgical Table.......................................................................................... 1-5
Table 4-1. Cmax Surgical Table Specific Accessories ................................................................................... 4-16
Table 5-1 Recommended Cleaning Products.................................................................................................. 5-2
Table 5-2 Preventive Maintenance Schedule for Cmax Surgical Table .......................................................... 5-7
Table 5-3. Replacement Parts.......................................................................................................................... 5-9
Table 6-1 Troubleshooting Chart..................................................................................................................... 6-2
Table 6-2. Troubleshooting Chart (LCD Message)........................................................................................... 6-3

1-1
Safety Precautions Operating Manual 150830-685
1
The following Safety Precautions must be observed when operating or servicing this Cmax™Surgical Table.
WARNING indicates the potential for personal injury and CAUTION indicates the potential for damage to equip-
ment. For emphasis, certain Safety Precautions are repeated throughout the manual. It is important to review
ALL Safety Precautions before operating or servicing the unit.
WARNING – PINCHING HAZARD:
WARNING – TIPPING HAZARD:
WARNING – EXPLOSION HAZARD:
WARNING – TRIPPING HAZARD:
Pinch points are created during tabletop articulation. Carefully review illustrations in Figure 2-1 and
Figure 2-2 before operating the table.
To avoid serious injury, keep limbs, fingers and other body areas clear of all pinch points when
positioning the table.
When manually positioning table sections, stay clear of potential pinching hazards.
Do not place patient on the table unless floor locks are engaged.
Do not disengage floor locks when patient is on table.
Do not use this table for patients exceeding the maximum patient weight (patient in normal orientation)
of 1100 lb (499 kg) without patient posturing or tabletop slide (except raise/lower), 1000 lb (454 kg) with
patient posturing (except tabletop slide), or 600 lb (272 kg) with full patient posturing (including
tabletop slide).
Center tabletop over column before applying chest compressions.
Center tabletop over column before transferring patient on or off of table.
Table must not be used in the presence of flammable anesthetics.
Route the power cord to the receptacle in a position so that it will not be tripped over by personnel in the
area.
SAFETY PRECAUTIONS 1

1-2
150830-685 Operating Manual Safety Precautions
WARNING – PERSONAL INJURY HAZARD:
WARNING – INSTABILITY HAZARD:
WARNING – PINCHING AND TIPPING HAZARD:
Failure to keep the patient properly secured with the patient safety straps at all times could result in
death or serious injury to the patient and the operating room staff.
The floor locks must be engaged at all times when a patient is on the table. Failure to engage the floor
locks before placing a patient on the table or disengaging the floor locks while a patient is on the table
could result in the table rolling unexpectedly during the procedure.
Keep hands and feet clear of the unloading platform and the table base when unloading the table.
Serious personal injury could result.
Section 4.1, Steps 1-6 in "Operating Table" must be executed before patient transfer to the table.
Execution of Steps 1-6 with the patient on the table could result in injury to both the patient and the
operating room staff.
Healthcare professionals must ensure patients are positioned and monitored so as to prevent
compromising respiration, nerve pathways or circulation.
When installing any table accessory, check for correct attachment and tighten securely (if appropriate).
Do not use a worn or damaged accessory. Check installation before using any accessory.
Unanticipated table movement could cause patient injury. Patient must be secured to the table in
accordance with recommended positioning practices.
When cleaning/disinfecting table, do not use phenolics which may cause patient skin burns if
inadequately rinsed off, or alcohol, which does not have sufficient cleaning/disinfecting properties.
The table leg section is designed to support the patient legs. Do not put body weight on the leg
section.
If the integrity of the external protective ground installation or arrangement is in doubt, operate the table
from its internal power source.
If an antistatic path is necessary, STERIS recommends antistatic pads (specifically developed for this
table) in direct contact with the patient. Table must also be positioned on antistatic floor or connected to
equalization device (equipotential connector).
Do not remove table leg section if patient is not properly positioned. Patient's torso and buttocks must
be firmly held in place by table back and seat sections and legs supported by leg supports.
Possible patient or user injury, as well as table or accessory failure, may result from using STERIS table
accessories for other than their stated purpose – or from using, on STERIS tables, accessories
manufactured and sold by other companies.
Patient injury may result if the operator of this table is not completely familiar with the controls for patient
positioning and table operation.

1-3
Safety Precautions Operating Manual 150830-685
WARNING – PERSONAL INJURY AND/OR EQUIPMENT DAMAGE HAZARD:
WARNING – INFECTION HAZARD:
WARNING – DISPOSAL HAZARD:
Repairs and adjustments to this equipment must be made only by STERIS or STERIS-trained service
personnel. Maintenance performed by unqualified personnel or installation of unauthorized parts could
cause personal injury, result in improper equipment performance, invalidate the warranty, or result in
costly damage. Contact STERIS regarding service options.
Regularly scheduled preventive maintenance is required for safe and reliable operation of this
equipment. Contact STERIS to schedule preventive maintenance.
Table is factory set to operate at a certain voltage. Use of any other power supply could result in serious
personal injury or table damage.
Use of this table in the presence of flammable anesthetics could result in serious personal injury or table
damage.
Placing a patient whose weight exceeds maximum patient weight limit (patient in normal orientation) of
1100 lb (499 kg) without patient posturing or tabletop slide (except raise/lower), 1000 lb (454 kg) with
patient posturing (except tabletop slide), or 600 lb (272 kg) with full patient posturing (including
tabletop slide) could result in injury to the patient and the operating room staff, and serious equipment
damage.
Failure to perform periodic inspections of the table could result in serious personal injury or equipment
damage.
The Auto Limit Sensors (ALS) System suggested alternative tabletop movement does not take in
account the type of surgery that may be in process or the environment (e.g., other equipment close by)
and might not be compatible with the surgical procedure. To avoid an action that could result in death or
serious injury to the patient and the operating room staff, and/or serious equipment damage, completely
evaluate the feasibility of the suggestion.
ALS System is not active during auxiliary control. Ensure proper tabletop movements to prevent patient/
staff injury and/or equipment damage.
During auxiliary control, tabletop functions are available even if table floor locks are NOT engaged.
LOCK table before moving tabletop or transferring patient.
Use of accessories, transducers or cables with this table, other than those specified, may result in
increased emissions or decreased immunity of the table.
To protect against aerosols being reflected from potentially contaminated surfaces, wear rubber or
plastic gloves, masks and eye protection, and follow OSHA blood-borne pathogens standards when
cleaning.
When cleaning/disinfecting table, do not use alcohol which does not have sufficient cleaning/
disinfection properties.
This product contains materials which may require disposal through appropriately licensed and
permitted hazardous waste management firms.

1-4
150830-685 Operating Manual Safety Precautions
CAUTION – POSSIBLE EQUIPMENT DAMAGE:
REMEMBER – POSSIBLE TIME DELAY:
Failure to keep all personnel and equipment clear of the table before actuating any inertia-driven or
power-driven movement could result in table damage.
When moving the table to or from point of use, roll it carefully at moderate speed and only over smooth
floors. Maximum floor clearance is 1/4" (6.4 mm). Avoid door and elevator jambs, and obstructions
greater than 1/4" (6.4 mm). If necessary, lift table over obstructions, onto trucks, etc. Lift table evenly
and only by the table base. DO NOT transport articles (including accessories) on top of the table, and
DO NOT use a forklift to move the uncrated table.
Hang the hand control from side rail of the table when not in use to avoid possible damage to the
control.
When cleaning/disinfecting table, thoroughly read the cleaning fluid directions for use and follow all
directions and cautions as shown.
Do not spray cleaning fluid into electric receptacles and avoid spraying directly on emergency backup
buttons or into clearance space. Spray or drippage may settle onto electric circuits inside table causing
corrosion and loss of function.
Cleaning procedures requiring articulation of the table should be performed only by persons familiar
with table operation.
Route the hand control cord clear of any pinch points where cord could be damaged.
Use of incorrect hydraulic oil may severely damage the table and/or cause malfunction. Contact STERIS
for proper hydraulic oil.
After performing cleaning procedures, ensure pads, tabletop and x-ray tops are completely dry before
reinstalling. Moisture trapped between pads and x-ray tops may contribute to equipment damage, such
as x-ray top warpage.
Appropriate components of this surgical table have been tested and found in compliance with IEC
60601-1-2:2001, Medical Electrical Equipment - Part 1; General Requirements for Safety;
Electromagnetic Compatibility (EMC). There is, however, a potential for electromagnetic or other
interference between this equipment and other devices. Should user experience interference, relocate
this device or minimize the use of the affected equipment while this device is in operation.
Insufficient clearance space will make repairs more difficult and time-consuming. Refer to the
equipment drawing for minimum clearance for service/maintenance access requirements.

1-5
Safety Precautions Operating Manual 150830-685
1.1 Symbols on Table The following is a key to symbols on the Cmax Surgical Table.
Table 1-1. Definition of Symbols on Surgical Table
Symbol Definition
Type B Equipment
Protective Earth Ground
Equipotentiality
Electric Shock Hazard
Control Power ON
Control Power OFF
Powered By AC
Attention, Consult Manual for Further Instructions
AAmperage Rating of the Unit
VVoltage Rating of Unit
~Alternating Current
Hz Frequency Rating of Unit
WPower Rating
0
- OR -- OR -
- OR -- OR -
- OR -

1-6
150830-685 Operating Manual Safety Precautions
SN
IPX4
Serial Number of the Unit
Splash-Proof Equipment
INTELLIPOWER®Dual Power System Power Panel
(Battery Charge/Discharge Status)
Powered By Battery
Table 1-1. Definition of Symbols on Surgical Table (Cont’d)
Symbol Definition
CHARGE BATTERY
INTELLI POWER

2-1
Important User Information Operator Manual 150830-685
2.1 Pinch Point
Warnings
When inertia-driven or power-driven table parts close (especially
during extreme tabletop articulation), pinch-point hazards exist (see
Figure 2-1). All personnel involved in tabletop positioning should
examine and be aware of these points before operating the Cmax™
Surgical Table.
Pinch points shown (circled) in Figure 2-1:
1. Between Head Section and Base Cover.
2. Between Leg Section and Floor.
3. Between Leg Section and Column Cover.
4. Between Leg Section and Base Cover.
Figure 2-1. Pinch Points
Pinch points shown (circled) in Figure 2-2:
1. Between Kidney™ Elevator Mechanism and Seat Section.
2. Between Leg Section and Seat Section.
3. Side Rail Lock.
4. Between Back Section and Seat Section.
5. Between Head Section and Back Section.
WARNING – PINCHING
HAZARD:
• Pinch points are created
during tabletop articulation.
Carefully review
illustrations in Figure 2-1
and Figure 2-2 before
operating the table.
• To avoid serious injury,
keep limbs, fingers and
other body areas clear of all
pinch points when
positioning the table.
CAUTION – POSSIBLE
EQUIPMENT DAMAGE:
Failure to keep all personnel
and equipment clear of the
table before actuating any
inertia-driven or power-driven
movement could result in
table damage.
C-MAX 36
C-MAX 29
C-MAX 30
C-MAX 31
FIG. 3.2 PINCH POINTS
12
3
4
WARNING – PINCHING
HAZARD:
• Pinch points are created
during tabletop articulation.
Carefully review illustra-
tions in Figure 2-1 and 2-2
before operating the table.
• To avoid serious injury,
keep limbs, fingers and
other body areas clear of all
pinch points when
positioning the table.
IMPORTANT USER INFORMATION 2

2-2
150830-685 Operator Manual Important User Information
Figure 2-2. Pinch Points
WARNING
AVERTISSEMENT
CHARGEBATTERY
INTELLIP
OWER
WARNING
AVERTISSEMENT
W0109-2000-SW
FDLKM-C.MAX
Ensurecapscover
socketswhenn
otinu
se.
SERVE
C-MAX 07
FIG. 3.1 PINCH POINTS
1
2
3
4
5

2-3
Important User Information Operator Manual 150830-685
2.2 Patient Positioning
and Weight Limitation
NOTE: Accessories may have a specified weight limitation that is less
than that of the table. Do not exceed the lowest weight limit, table or
accessory.
The Cmax General Surgical Table is designed to safely support (with
patient in normal orientation): 1100 lb (499 kg) without patient
posturing or tabletop slide (except raise/lower); 1000 lb (454 kg) full
patient posturing (except tabletop slide); 600 lb (272 kg) full patient
posturing (including tabletop slide). Do not exceed the maximum
patient weight.
NOTE: When positioning the patient on the table, note the following:
1) Always check patient stability when patient is positioned.
2) Do not place patient on the table unless floor locks are
engaged.
3) Use extreme care when transferring patients to or from table.
4) Ensure all accessories are properly installed and secured.
5) Check for and eliminate harmful patient pressure points once
patient is positioned.
6) Have a qualified medical professional monitor patient during
surgery for all possible patient positioning hazards.
7) Do not place patient weight on the Leg Section. Leg Section is
designed to support leg weight, not body weight.
All patients must be restrained for proper safety regardless of the
length or type of procedure.
NOTE: STERIS recommends only using STERIS manufactured or
distributed accessories with this table. If an accessory from another
manufacturer is used, it is the user’s responsibility to ensure the
accessory is compatible with the table and not dangerous to the patient
and/or surgical staff.
WARNING – TIPPING
HAZARD:
• Do not place patient on the
table unless floor locks are
engaged.
• Do not use this table for
patients exceeding the
maximum patient weight
(patient in normal
orientation) of 1100 lb
(499 kg) without patient
posturing or tabletop slide
(except raise/lower), 1000 lb
(454 kg) with patient
posturing (except tabletop
slide), or 600 lb (272 kg)
with full patient posturing
(including tabletop slide).
WARNING – PERSONAL
INJURY HAZARD:
• The floor locks must be
engaged at all times when a
patient is on the table.
Failure to engage the floor
locks before placing a
patient on the table or
disengaging the floor locks
while a patient is on the
table could result in the
table rolling unexpectedly
during the procedure.
• Healthcare professionals
must ensure patients are
positioned and monitored
so as to prevent compro-
mising respiration, nerve
pathways or circulation.