Stryker 1089 User manual

2017/05 A.1 1089-109-001 REV A www.stryker.com
Operations Manual
Eye Surgery Stretcher
1089

sample text

www.stryker.com 1089-109-001 REV A
Symbols
Operating instructions
General warning
Caution
No pushing
Do not store the oxygen bottle
Catalogue number
Serial number
For US Patents see www.stryker.com/patents
CE mark
EC REP
Manufacturer
Safe working load
Lubricate
Type B applied part

sample text

www.stryker.com 1089-109-001 REV A 1
Table of Contents
Warning/Caution/Note Definition ..................................................................................................................3
Summary of safety precautions....................................................................................................................4
Introduction..............................................................................................................................................6
Product description..............................................................................................................................6
Indications for use...............................................................................................................................6
Expected service life............................................................................................................................6
Contraindications ................................................................................................................................6
Specifications.....................................................................................................................................6
Product illustration...............................................................................................................................8
Contact information .............................................................................................................................9
Serial number location ....................................................................................................................... 10
Date of manufacture.......................................................................................................................... 10
Setup.................................................................................................................................................... 11
Operation .............................................................................................................................................. 12
Applying and releasing the brakes ........................................................................................................ 12
Raising or lowering the litter................................................................................................................. 12
Positioning the product in Trendelenburg................................................................................................ 13
Positioning the product in Reverse Trendelenburg.................................................................................... 14
Transporting a patient with the retractable fifth wheel ............................................................................... 14
Raising or lowering the siderails ........................................................................................................... 14
Raising or lowering the Fowler backrest ................................................................................................. 15
Raising or lowering the Fowler backrest or the gatch with the crank option.................................................... 16
Positioning the enhanced clearance headpiece ....................................................................................... 16
Storing objects in the base hood........................................................................................................... 16
Accessories ........................................................................................................................................... 18
Transferring a patient with the patient transfer board ................................................................................ 19
Hanging devices from the surgery accessory rail ..................................................................................... 20
Attaching the adjustable arm board....................................................................................................... 20
Installing and removing the pre-op-post-op head extension (crank Fowler backrest only) ................................. 20
Positioning the wrist rest ..................................................................................................................... 21
Installing the drape support and air delivery system .................................................................................. 21
Positioning or stowing the push handles (optional) ................................................................................... 22
Attaching the defibrillator tray .............................................................................................................. 23
Converting the defibrillator tray/foot extender to a defibrillator tray .............................................................. 23
Converting the defibrillator tray/foot extender to a foot extender ................................................................. 24
Attaching the footboard/chart holder ..................................................................................................... 25
Positioning the two-stage permanently attached IV pole option ................................................................... 25
Positioning the three-stage permanently attached IV pole option ................................................................. 26
Attaching and positioning the removable IV pole ...................................................................................... 27
Attaching the upright oxygen bottle holder .............................................................................................. 28
Extending or stowing the serving tray holder/footboard.............................................................................. 29
Attaching the siderail pads .................................................................................................................. 29
Locating the patient restraint strap tie-ins ............................................................................................... 29

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Table of Contents
Cleaning and disinfecting with wipes ........................................................................................................... 31
Cleaning................................................................................................................................................ 32
Cleaning the product.......................................................................................................................... 32
Cleaning the mattress ........................................................................................................................ 32
Remove iodine.................................................................................................................................. 33
Special instructions ........................................................................................................................... 33
Disinfecting............................................................................................................................................ 34
Disinfecting the product...................................................................................................................... 34
Disinfecting the mattress .................................................................................................................... 34
Preventive maintenance ........................................................................................................................... 36
Lubrication points.............................................................................................................................. 37

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Warning/Caution/Note Definition
The words WARNING,CAUTION, and NOTE carry special meanings and should be carefully reviewed.
WARNING
Alerts the reader about a situation which, if not avoided, could result in death or serious injury. It may also describe
potential serious adverse reactions and safety hazards.
CAUTION
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 product 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.
Note: Provides special information to make maintenance easier or important instructions clearer.

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Summary of safety precautions
Carefully read and strictly follow the warnings and cautions listed on this page. Service only by qualified personnel.
WARNING
• Always allow the product to reach room temperature before you set up the product or test functional operations.
Permanent product damage may occur.
• Always operate the product when all operators are clear of the mechanisms.
• Always apply the brakes when a patient is getting on the product or off the product or when the product is not
moving. Injury could result if the product moves while a patient is getting on the product or off the product.
• Always put the product in the lowest position with the siderails up and latched when you leave a patient unattended
on the product. Do not leave the product at a higher height.
• Always remove any devices that may be in the way before you raise or lower the litter.
• Do not sit on the end of the product. The product may tip.
• Always keep patient and operator extremities away from siderail spindles when you raise or lower the siderail.
• Always unplug the power cord from the wall outlet before you transport or clean the product if your product is
equipped with the electric lift or electric litter option.
• Always lock the siderails in the full up position with the sleep surface flat in the lowest position when you transport a
patient.
• Always put the product in the lowest position with the siderails up and latched when you leave a patient unattended
on the product. Do not leave the product at a higher height.
• Always lock the siderails in the full up position with the sleep surface horizontal in the lowest position when you
transport a patient.
• Always keep the patient’s limbs away from the siderail spindles when you lower the siderail.
• Do not allow the siderails to lower on their own.
• Always keep hands and fingers clear of the Fowler backrest release handles and the Fowler backrest frame when
you lower the Fowler backrest.
• Always use caution when you raise a pneumatic Fowler backrest while a patient is on the product. Use proper lifting
techniques and get assistance, if necessary.
• Always support the patient’s head when you position the headpiece or the Fowler backrest. Patient injury may occur.
• Do not reach between the side of the head extension and the articulating headpiece to pull the release handles.
Operator injury may occur.
• Always keep fingers away from jointed areas when you adjust the headpiece. Operator injury may occur.
• Always apply the brakes on both the product with the patient and the product the patient will be transferred to
before you transfer a patient from one patient support platform (bed, stretcher, gurney, operating table) to another
patient support platform.
• Always make sure that the patient support platforms are the same height before you transfer a patient.
• Always make sure that the transfer board is secure on both patient support platforms.
• Do not place items that weigh more than 30 lb (14 kg) on the defibrillator tray. Always strap down all devices that
you place on the defibrillator tray.
• Always use caution if the defibrillator tray/foot extender, footboard/chart holder, or upright oxygen bottle holder is
attached to avoid pinching your fingers when you position the foot end push handle option.
• Do not place items that weigh more than 30 lb (14 kg) on the defibrillator tray/foot extender. Always strap down all
devices that you place on the defibrillator tray.
• Do not use the IV pole as a push/pull device. Product damage may occur.
• Do not place objects that exceed 40 lb (18 kg) in the upright oxygen bottle holder.
• Do not place objects that exceed 30 lb (14 kg) on the serving tray.

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Summary of safety precautions
WARNING (CONTINUED)
• Always use caution when you attach the restraint straps to avoid potential injury to both patients and operators.
Physical restraints, even if properly secured, may result in serious harm to patients and operators, including
entanglement, entrapment, physical injury, or death.
• Only attach restraint straps or devices at the identified attachment points of the product. Failure to do so may result
in patient or operator injury. Do not attach restraints straps to the siderail.
• Always refer to the applicable state and federal restrictions and the appropriate facility protocols before you use
any restraint strap or device.
• Do not clean, service, or perform maintenance while the product is in use.
• Do not immerse the mattress in cleaning or disinfectant solutions. Excess moisture could cause product
malfunction that results in product damage or patient injury.
• Do not allow fluid to pool on the mattress. Fluids can cause corrosion of components and may cause the safety and
performance of this product to become unpredictable.
• Always inspect mattress covers for tears, punctures, excessive wear, and misaligned zippers every time you clean
the covers. Remove and replace a damaged mattress immediately to prevent cross-contamination.
• Do not steam clean, pressure wash, hose off, or ultrasonically clean mattresses. These methods of cleaning may
void this product’s warranty.
• Always disinfect the mattress between patients. Failure to do so could result in cross-contamination and infection.
CAUTION
• Improper usage of the product can cause injury to the patient or operator. Operate the product only as described in
this manual.
• Do not modify the product or any components of the product. Modifying the product can cause unpredictable
operation resulting in injury to patient or operator. Modifying the product also voids its warranty.
• Do not place objects that exceed 60 lb (27 kg) in the base hood.
• Do not sit, step, or stand on the base hood.
• Always raise the IV pole before you attach the defibrillator tray/foot extender to the product. If you do not raise the
IV pole, the foot extender will not operate.

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Introduction
This manual assists you with the operation or maintenance of your Stryker product. Read this manual before operating
or maintaining this product. Set methods and procedures to educate and train your staff on the safe operation or
maintenance of this product.
CAUTION
• Improper usage of the product can cause injury to the patient or operator. Operate the product only as described in
this manual.
• Do not modify the product or any components of the product. Modifying the product can cause unpredictable
operation resulting in injury to patient or operator. Modifying the product also voids its warranty.
Notes
• This manual is a permanent part of the product and should remain with the product even if the product is sold.
• Stryker continually seeks advancements in product design and quality. This manual contains the most current
product information available at the time of printing. There may be minor discrepancies between your product and
this manual. If you have any questions, contact Stryker Customer Service or Technical Support at 1-800-327-0770.
Product description
The Stryker Model 1089 Eye Surgery Stretcher is a general purpose patient transport and treatment stretcher.
Indications for use
The Stryker Medical Eye Surgery Stretcher is a non-powered, wheeled device which consists of a platform mounted on
a wheeled frame that is designed to support patients in a horizontal position. The device has siderails and has the option
available to support the temporary or permanent placement of I.V. poles. The Eye Surgery Stretcher provides the
caregiver a method of transporting patients within a healthcare facility and may also be used for minor procedures and
short-term stay (treatment and recovery).
Expected service life
The Stryker Model 1089 Eye Surgery Stretcher has a 10 year expected service life under normal use conditions and
with appropriate periodic maintenance.
Contraindications
None known.
Specifications
Safe working load indicates the sum of the patient, mattress and
accessory weight
500 lb 225 kg
Overall length 90 in. 228.6 cm
Overall width 31.5 in. 80 cm
Height
High 34 in. 86.4 cm

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Introduction
Specifications (Continued)
Low 22.25 in. 56.5 cm
Litter positioning
Backrest 0° to 90°
Knee gatch 0° to 30°
Trendelenburg/Reverse Trendelenburg ±18°
Patient surface 26 in. x 87 in. 66 cm x 221 cm
Siderails 13 in. x 55 in. 33 cm x 139.5 cm
Minimum under product clearance 6 in. nominal 15 cm
1.75 in. under the
hydraulic cylinders
and fifth wheel
4.5 cm
Stryker reserves the right to change specifications without notice.

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Introduction
Product illustration
BC
D
E
F
G
H
I
K
L
M
N
O
P
Q
J
A
B
C
E
L
R

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Introduction
Product illustration (Continued)
ABase hood storage area JIV pole
BBrake/steer pedal KOxygen bottle cutout
C Caster L Pump pedal
DDrape support and air delivery system M Siderail
EFoot end push handles N Siderail latch
FFowler backrest crank handle O Surgery accessory rail
G Gatch crank handle P Uni-lower pedal
H Head extension QUpright oxygen bottle holder
IHydraulic release pedal R Wrist rest
Contact information
Contact Stryker Customer Service or Technical Support at: 1-800-327-0770.
Stryker Medical
3800 E. Centre Avenue
Portage, MI 49002
USA
To view your operations or maintenance manual online, see https://techweb.stryker.com/.
Have the serial number (A) of your Stryker product available when calling Stryker Customer Service or Technical
Support. Include the serial number in all written communication.

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Introduction
Serial number location
A
Date of manufacture
The year of manufacture is the first 2 digits of the serial number.

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Setup
To unpack your product, see the unpacking instructions that are attached to the product inside of the shipping crate.
WARNING
• Always allow the product to reach room temperature before you set up the product or test functional operations.
Permanent product damage may occur.
• Always operate the product when all operators are clear of the mechanisms.
Make sure that the product is working before you put the product into service.
1. Press down on the brake pedal to apply the brakes. Make sure that all four casters are locked.
2. Raise and lower the litter.
3. Raise the product to the highest height. Put the product in the Trendelenburg position. Make sure that the head end
lowers to the lowest position.
4. Raise the product to the highest height. Put the product in the Reverse Trendelenburg position. Make sure that the
foot end lowers to the lowest position.
5. Apply the fifth wheel to make sure that the fifth wheel is guides and pivots the product.
6. Make sure that the siderails raise, lower, and lock in place.
7. Raise and lower the Fowler backrest (head end).
8. Rotate the headpiece in both directions to make sure that the headpiece adjusts to all positions.

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Operation
Applying and releasing the brakes
WARNING
Always apply the brakes when a patient is getting on the product or off the product or when the product is not moving.
Injury could result if the product moves while a patient is getting on the product or off the product.
To apply the brakes, push down on the brake (red) side of the brake/steer pedal. Push on the product to make sure that
the brakes work.
To release the brakes, push down on the steer (green) side of the brake/steer pedal.
Raising or lowering the litter
WARNING
• Always put the product in the lowest position with the siderails up and latched when you leave a patient unattended
on the product. Do not leave the product at a higher height.
• Always remove any devices that may be in the way before you raise or lower the litter.
• Do not sit on the end of the product. The product may tip.
• Always keep patient and operator extremities away from siderail spindles when you raise or lower the siderail.
To raise the litter, press down on the pump pedal (A) until you achieve the desired height (Figure 1 on page 13).
To lower the entire litter, press on the center of the uni-lower pedal (C).
To lower the head end of the litter, press down on the foot end release pedal (D) or press on the side of the uni-lower
pedal (C) closest to the head end of the product.
To lower the foot end of the litter, press down on the foot end release pedal (B) or press on the side of the uni-lower
pedal (C) closest to the foot end of the product.

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Operation
Raising or lowering the litter (Continued)
A
B
C
D
AC
A
ABD
E
Figure 1: Raising or lowering the litter
Positioning the product in Trendelenburg
WARNING
Always remove any devices that may be in the way before you raise or lower the litter.
CAUTION
Do not use the hydraulics on the base to raise the product with a patient lift under the product.
To position the product in the Trendelenburg position (head down), Raise the litter (Raising or lowering the litter on page
12).
Note: Raise the litter to the highest height for a greater Trendelenburg angle.
To lower the head end of the product, press down on the foot end release pedal (D) or press down on the side of the uni-
lower pedal (C) closest to the head end until the litter is flat (Figure 1 on page 13).
To lower the product from Trendelenburg position, press down on the foot end release pedals (B and D) at the same
time or press down on the center of the uni-lower pedal (C) until the litter is flat.

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Operation
Positioning the product in Reverse Trendelenburg
WARNING
Always remove any devices that may be in the way before you raise or lower the litter.
CAUTION
Do not use the hydraulics on the base to raise the product with a patient lift under the product.
To position the product in the Reverse Trendelenburg position (foot down), raise the litter to the highest height (Raising
or lowering the litter on page 12).
To lower the foot end of the product, press down on the foot end release pedal (B) or press down on the side of the uni-
lower pedal (C) to the foot end (Figure 1 on page 13).
To lower the product from Reverse Trendelenburg position, press down on the foot end release pedals (B and D) at the
same time or press down on the center of the uni-lower pedal (C) until the litter is flat.
Transporting a patient with the retractable fifth wheel
WARNING
• Always position the patient in the center of the product.
• Always remove any devices that may be in the way before you raise or lower the litter.
• Always unplug the power cord from the wall outlet before you transport or clean the product if your product is
equipped with the electric lift or electric litter option.
• Always lock the siderails in the full up position with the sleep surface flat in the lowest position when you transport a
patient.
CAUTION
Do not use the hydraulics on the base to raise the product with a patient lift under the product.
To transport a patient with the retractable fifth wheel:
1. Push down on the steer side of the brake/steer pedal to apply the fifth wheel.
2. Put the pedal in the neutral position to move the product laterally. Move the product to the desired location.
Note: Do not attempt to move the product laterally with the retractable fifth wheel applied.
3. Apply the brakes to lock the product in place.
Note: Always make sure that the brake is released before you move the product to avoid operator or patient injury.
Raising or lowering the siderails
WARNING
• Always put the product in the lowest position with the siderails up and latched when you leave a patient unattended
on the product. Do not leave the product at a higher height.
• Always lock the siderails in the full up position with the sleep surface horizontal in the lowest position when you
transport a patient.
• Always keep the patient’s limbs away from the siderail spindles when you lower the siderail.

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Operation
Raising or lowering the siderails (Continued)
WARNING (CONTINUED)
• Do not allow the siderails to lower on their own.
To raise the siderails, use two hands to grasp the siderail. Raise the siderail until the release latch clicks into place. Pull
on the siderail to make sure that the siderail is locked.
To lower the siderails, pull up on the release latch. Guide the siderail to the lowest position.
Note: Do not use siderails as restraint devices to keep the patient from exiting the product. The siderails keep the
patient from rolling off the product. The operator must determine the degree of restraint necessary to make sure that the
patient is safe.
Raising or lowering the Fowler backrest
WARNING
• Always keep hands and fingers clear of the Fowler backrest release handles and the Fowler backrest frame when
you lower the Fowler backrest.
• Always use caution when you raise a pneumatic Fowler backrest while a patient is on the product. Use proper lifting
techniques and get assistance, if necessary.
To raise the Fowler backrest, squeeze the Fowler backrest release handles (A). Pull the Fowler backrest up to the
desired position (Figure 2 on page 15 ).
To lower the Fowler backrest, squeeze the Fowler backrest release handles (A). Push the Fowler backrest down to the
desired position.
A
A
Figure 2: Fowler backrest

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Operation
Raising or lowering the Fowler backrest or the gatch with the crank option
To raise the Fowler backrest, turn the crank handle clockwise.
To lower the Fowler backrest, turn the crank handle counterclockwise.
To raise the gatch, turn the crank handle clockwise.
To lower the gatch, turn the crank handle counterclockwise.
Note: The Fowler backrest and gatch crank handles are stored under the litter. Pivot the crank out and push in to
secure the crank rod.
Positioning the enhanced clearance headpiece
WARNING
• Always support the patient’s head when you position the headpiece or the Fowler backrest. Patient injury may occur.
• Do not reach between the side of the head extension and the articulating headpiece to pull the release handles.
Operator injury may occur.
• Always keep fingers away from jointed areas when you adjust the headpiece. Operator injury may occur.
To adjust the articulating headpiece:
1. Squeeze right handle (A) under the head section to release the latch. Rotate the headpiece on axis “A” (head)
(Figure 3 on page 16).
A
B
Figure 3: Positioning the articulating headpiece
2. Squeeze left handle (B) under the head section to release the latch. Rotate the head section on axis “B” (neck).
Note: For ease of use, release only one latch at a time.
Storing objects in the base hood
CAUTION
• Do not place objects that exceed 60 lb (27 kg) in the base hood.
• Do not sit, step, or stand on the base hood.