Winco TransMotion TMM3 Operation manual

Document #OM-TMM-2228-13 REV V
SSHORT BASE
FFOLDING FOOTREST
EEXPORT
BBATTERY
AAC POWER
TMM3 STRETCHER-CHAIR
OWNERS OPERATING & MAINTENANCE MANUAL
VIDEO FLUOROSCOPY
ONE PATIENT, ONE SURFACE®
IMPORTANT - DO NOT DISCARD THIS MANUAL.
KEEP THIS MANUAL FOR FUTURE REFERENCE AND
TRAINING.
OPTIONS

OWNERS OPERATING & MAINTENANCE MANUAL
TMM3 VIDEO FLUOROSCOPY STRETCHER-CHAIR
Page 2 of 28
Document #OM-TMM-2228-13
Revision: V
READ AND FAMILIARIZE YOURSELF WITH ALL INSTRUCTIONS BEFORE USING THIS PRODUCT.
Do NOT install, maintain, or operate this equipment without reading and following
this manual otherwise injury and/or damage may result.
IF YOU HAVE ANY QUESTIONS OR CONCERNS,
PLEASE CONTACT WINCO MFG., LLC.
Winco assumes no responsibility for damage or injury caused by improper assembly,
installation, use, or maintenance of these products.
No part of this manual may be duplicated in any form without the prior consent of
Winco Mfg., LLC. Unauthorized duplication and/or distribution of these materials may
result in civil prosecution to the maximum extent allowed by law.
SAVE THESE INSTRUCTIONS FOR FUTURE REFERENCE.
NOTE: Contents of this document are subject to change without notice.
Please refer to wincomfg.com to be sure you are utilizing the most current version.
SIGNAL WORDS / SYMBOLS
The following signal words and symbols are used throughout this manual to call out hazards which could
result in injury or property damage:
Indicates an imminently hazardous situation which, if not avoided, will result in
death or serious injury.
Indicates a potentially hazardous situation which, if not avoided, could result in
death or serious injury.
Indicates a potentially hazardous situation which, if not avoided, may result in
minor or moderate injury. It may also be used to alert against unsafe practices or
potential property damage hazards.
Provides important information, makes special instructions clearer, or provides
service personnel information to make maintenance easier.

OWNERS OPERATING & MAINTENANCE MANUAL
TMM3 VIDEO FLUOROSCOPY STRETCHER-CHAIR
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Document #OM-TMM-2228-13
Revision: V
TABLE OF CONTENTS
S W / S .................................................................................................................. 
I U S .................................................................................................................. 
T, S, H & D ..................................................................... 
P: B   ..................................................................................................... 
P / C R.......................................................................................................... 
S P........................................................................................................................... 
W ..................................................................................................................................................................... 
A W ............................................................................................................................................. 
C ...................................................................................................................................................................... 
EMI C.............................................................................................................................................................. 
N ......................................................................................................................................................................... 
P L / D............................................................................................................. 
O......................................................................................................................................................................... 
O I ................................................................................................................... 
Q R B S............................................................................................................................... 
C B O ...................................................................................................................................... 
S R O................................................................................................................................................. 
A S R A................................................................................................................................... 
P (C) ........................................................................................................................................... 
P I / E ....................................................................................................................................... 
P T ...................................................................................................................................................... 
P B O ............................................................................................................................................... 
S R ............................................................................................................................................................ 
O.................................................................................................................................................. 
“S” O: S B.......................................................................................................................................... 
“F” O: M F F .......................................................................................................... 
“E” O: E................................................................................................................................................... 
“B” O: B P ...................................................................................................................................... 
“A” O: AC P ( -   )............................................................ 
S S............................................................................................................................... 
C I ...................................................................................................................... 
P S C ....................................................................................................................................... 
R TMM P / P S F S-C ......................................................................... 
P M.............................................................................................................. 
B S I........................................................................................................... 
W I..................................................................................................................... 
L W..................................................................................................................................................... 
O E L W........................................................................................................... 
S  C I ............................................................................................... 

OWNERS OPERATING & MAINTENANCE MANUAL
TMM3 VIDEO FLUOROSCOPY STRETCHER-CHAIR
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Revision: V
INTENDED USE STATEMENT
TMM3 Stretcher-Chairs are intended for use in patient treatment, transport and/or recovery within a
hospital, clinic, same-day/ambulatory surgery center, or similar environment.
The pendant control is NOT INTENDED FOR PATIENT USE.
A surgeon and/or clinician must always rely on his or her own clinical knowledge when deciding whether
to use a TMM3 Stretcher-Chair when treating a patient.
TRANSPORTATION, STORAGE, HANDLING & DISPOSAL
• The product should be transported in factory packaging, inside an appropriate medium for the
destination, i.e., air/sea cargo containers.
• The product should be stored in an environment that will inhibit rust/mold formation.
• Winco Mfg., LLC recommends not leaving the product in the factory packing in excess of three (3)
months.
• The product should always be handled in a manner consistent with the user instructions and in a
manner to prevent contamination after each use.
• The product has many recyclable components and, to the extent practical, all eort should
be used to recycle responsibly. Otherwise the product components shall be disposed of in
accordance with local statues.
PREPARATION: BEFORE YOU BEGIN
Carefully examine your product for any damage. Be sure to inspect all components.
1. IF DAMAGE IS EVIDENT, CONTACT FREIGHT CARRIER OR WINCO IMMEDIATELY.
2. Remove all packaging material and any hardware that was secured for shipping.
3. Carefully remove all components and any included tools and/or parts from the carton.
4. You may need to cut packaging materials with a box cutter or scissors to access the product. Use
CAUTION to avoid personal injury or damage to the product.
5. Save all boxes and packaging material until AFTER you have assembled your product and have
verified that all components are functioning properly. These material are required if it becomes
necessary to return the product.
6. DO NOT install, maintain or operate this equipment without reading and following this manual
otherwise injury and/or damage may result. IF YOU HAVE QUESTIONS OR CONCERNS PLEASE
CONTACT WINCO MFG., LLC.
WINCO ASSUMES NO RESPONSIBILITY FOR DAMAGE OR INJURY CAUSED BY IMPROPER
ASSEMBLY, INSTALLATION, USE, OR MAINTENANCE OF THESE PRODUCTS.

OWNERS OPERATING & MAINTENANCE MANUAL
TMM3 VIDEO FLUOROSCOPY STRETCHER-CHAIR
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POWER / CABLE REQUIREMENTS
For options A, B & E, see the "Options" section of this manual for additional details regarding powering
this product.
Only use the power/charging cord that came with your TMM3 Video Fluoroscopy Stretcher-Chair.
SAFETY PRECAUTIONS
WARNINGS
CHAIR OPERATION BY QUALIFIED, TRAINED MEDICAL PERSONNEL ONLY
The chair is intended to be operated only by qualified, trained medical sta.
Operation of chair by unauthorized, untrained and/or lay people must be avoided.
USE CAUTION ON RAMPS
Control chair when traversing ramps. If a collision occurs, serious injury to patient,
bystanders, or medical personnel and damage to chair or medical facility could
occur.
LOCK CASTERS BEFORE PATIENT EGRESS AND INGRESS
Prior to patient egress and ingress, casters must be locked by pressing the red
end down on any of the brake pedals located on the base of the chair.
AVOID PINCH POINTS AND OTHER INJURIES
To prevent serious injury, ensure extremities of patient and bystanders are clear
of all mechanical systems when operating motors for lift and positioning functions.
To prevent pinch / crush injury, ensure extremities of patient and bystanders are
clear of locking mechanism when raising and lowering side rails.
To prevent patient strangulation, use approved hand pendant storage location
when not in use. See PENDANT section for additional information.
BATTERY CAN EXPLODE DUE TO OFFGASSING WHEN CHARGING
At end of charging process (or with overcharge conditions), battery can produce
mixture of explosive gases (including hydrogen and oxygen). Avoid exposing
battery to open flames, cigarettes, sparks, and incandescent materials.
Never charge battery in enclosed, unventilated spaces.
Do NOT store battery in sealed container. Store in fresh, well-ventilated area
protected from direct sunlight and heat sources.
Do NOT use water to extinguish battery fire. Use dry powder, foam CO2
extinguisher.
USE FACTORY APPROVED BATTERIES ONLY
Use of non-factory approved batteries will void all warranties and could result in
unsatisfactory performance and/or damage.

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TMM3 VIDEO FLUOROSCOPY STRETCHER-CHAIR
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USE CAUTION WHEN STORING OXYGEN CYLINDER UNDER CHAIR
To prevent severe gas leakage or rupture of compressed gas cylinder, when
placing cylinder under chair, ensure adequate clearance between cylinder and its
attached gas equipment (i.e. regulator, gauges, fittings, knobs) and all adjustable
chair sections and/or features (i.e. seat, back, leg, rails, actuators).
To prevent fire and/or explosive hazard, do not leave chair (and stowed oxygen
equipment) near heat source.
To prevent gas equipment damage during transport, ensure cylinder sets in
cradle properly and strap mechanisms are secured tightly. Chair is intended to
accommodate up to an E-size cylinder (4 ⁄” outer diameter x 25” length).
DO NOT PLACE EXCESSIVE WEIGHT ON ENDS
Position patient’s body weight uniformly over the patient surface. Use caution when
shifting patient’s body weight towards either end of the stretcher-chair. Excessive
weight on either end of the device could cause the stretcher-chair to become
unstable.
Do not sit or stand on the ends of the stretcher-chair. Instruct patients to not stand
on footrest during egress or ingress.
Due to the unique nature of each patient’s body shape, caregiver should exercise
sound judgment when positioning patient on the device.
ACCESSORY WARNINGS
• To prevent serious injury and property damage, review Operating Manuals for all medical
equipment and accessories that may be used with, or attached to, this chair.
• Using the supplied accessories in the incorrect manner may cause patient, bystander, or facility
harm.
• If chair is equipped with accessory belts, refer to the appropriate Field Installation and Usage
Instructions (provided with belts) for proper installation, use, and care.
• To prevent fire hazards, follow all precautions and operating procedures prescribed by suppliers
of oxygen administering equipment (i.e. oxygen gas regulators, tents, masks, cannulas, etc.)
• To prevent injury and property damage, total weight of items placed on “IV” pole must be less
than 25 pounds.
• If mounting accessories to back surgical rails, ensure accessory is properly installed and securely
engaged prior to transporting patient or chair and prior to use. Only equipment approved by
TransMotion by Winco is to be mounted on surgical rails. TransMotion by Winco is not responsible
for damage and assumes no liability caused by the use of unapproved equipment or accessories.
Approved medical equipment includes tools, instruments, or scopes that are compatible with a
0.365” thick by 1.125” wide surgical rail.
SAFETY PRECAUTIONS: CONTINUED

OWNERS OPERATING & MAINTENANCE MANUAL
TMM3 VIDEO FLUOROSCOPY STRETCHER-CHAIR
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CAUTIONS
DO NOT MODIFY CHAIR
Modifying chair can cause unpredictable operation resulting in injury to patient,
medical personnel, or bystander. Modifying chair will void warranty and may
cause unsafe operating conditions.
USE SAFE OPERATING PROCEDURES
Prior to operating chair, ensure patient clearance by moving any overhanging
equipment or moving chair from under a table to prevent patient injury.
TMM3 must be at least 20" from nearest wall or obstruction to allow for full range
of activation.
Leave chair in lowest position whenever possible. This practice will decrease
potential injury during an unsupervised patient egress from chair.
Prior to patient transport in chair, raise side rails and ensure latching mechanism is
in locked position. Medical personnel must determine degree of restraint needed
to ensure patient’s safety during transport.
To prevent personal injury to medical personnel and/or patient, ensure the back
extension is properly installed and securely engaged prior to transporting patient/
chair, and prior to use of IV system.
For “F” Option Only: Since footrest is foldable (not locked in position), ensure
protection of patient’s feet while moving chair in close quarters (i.e. elevators,
crowded hallways, procedure rooms).
INSPECT AND CLEAN CHAIR REGULARLY
Inspect cushions after each use. Discontinue use if upholstery is ripped, cut, or
torn, which could allow fluids to enter cushion. This practice will prevent infection
of patients and medical personnel and contamination of medical equipment.
Do NOT use machine / pressure / power wash procedures on chair. After each
use in a clinical setting, hand wash all patient-contact surfaces (i.e. cushions, rails)
and plastic base cover with warm water and mild detergent.
For “A” Option Only: For large fluid spills on chair, immediately unplug chair from
AC wall outlet.
PLUG CHAIR INTO PROPERLY GROUNDED WALL OUTLET MARKED
“HOSPITAL ONLY” OR “HOSPITAL GRADE”
For “A” Option Only: Chair is equipped with hospital-grade three-prong plug for
protection against electric shock and must be plugged into properly grounded
hospital-grade wall outlet.

OWNERS OPERATING & MAINTENANCE MANUAL
TMM3 VIDEO FLUOROSCOPY STRETCHER-CHAIR
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SAFETY PRECAUTIONS: CONTINUED
MAXIMUM WEIGHT OF BACK SURGICAL BAR
The maximum weight capacity of each back surgical bar is 50 pounds. To prevent
personal injury to patient, do not mount equipment weighing more than 50 pounds
to device. Weight of patient plus weight of equipment should not exceed 500
pound weight capacity of TransMotion by Winco stretcher-chair.
EMI CAUTIONS
EMI MAY AFFECT CHAIR FUNCTIONALITY
Chair may be susceptible to EMI (Electromagnetic Interference) caused by
electromagnetic energy emitted from various sources, such as, radio and television
stations, amateur radio (HAM) transmitters, citizen band (CB) radios, hand-held
“walkie-talkies”, security / police / fire transceivers and other communication
devices. EMI can cause chair to move by itself, or in an unintended fashion. It can
damage control system(s).
Intensity of interfering energy is measured in V/m (volts per meter). Chair can resist
EMI up to a certain intensity, called its “immunity level”. When the immunity level
is higher, the less likely EMI will interfere with chair operation. The chair has been
tested to 20 V/m immunity level, which is sucient to provide useful protection
from common sources of radiated electromagnetic energy.
In clinical environments devices can emit electromagnetic energy which becomes
more intense as one moves closer to energy source. To reduce chance of
unintended movement or operation of chair, observe the following:
• Be aware of nearby high-power transmitters (radio and TV stations), MRI
(magnetic resonance imaging) systems, and NMR (nuclear magnetic resonance)
imaging systems. Keep chair away from these areas.
• Do not operate hand-held transmitters near chair.
• Do not operate chair near others using hand-held transmitters.
• If unintended chair movement occurs, disconnect battery and move chair away
from location.

OWNERS OPERATING & MAINTENANCE MANUAL
TMM3 VIDEO FLUOROSCOPY STRETCHER-CHAIR
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NOTICES
MAXIMUM PATIENT WEIGHT IS 350 POUNDS 158 KG
Maximum patient weight capacity of chair is 350 pounds. If exceeded, damage to chair could
occur.
CHAIR IS INTENDED FOR INDOOR USE ONLY
To ensure proper operation and extend chair life, only use chair in specified environment.
USE CDC’S UNIVERSAL PRECAUTIONS
When maintaining chair after clinical use, service personnel must use UNIVERSAL
PRECAUTIONS as defined by CDC (Centers for Disease Control and Prevention).
MAINTAIN CHAIR REGULARLY
To ensure proper operation and extend chair life, inspect, maintain, and service chair on a
regular basis. Inspection, maintenance, and service details are located later in this manual.
REMOVE BATTERY DURING CHAIR STORAGE
For “B” Option Only: If chair is to be stored or not in use for four (4) days or more, remove
battery pack from chair. Refer to Battery Charger Installation and Usage Instructions (IM
TMA57-15), under the “Cautionary Usage Instructions” section, for more information.
For “A” Option Only: If chair is to be stored or not in use for four (4) days or more, leave chair
plugged into an AC wall outlet or unplug battery from control box. For more information, refer
to “A” Option section below.
USE ONLY FACTORY APPROVED BATTERIES
Use of unapproved batteries will void warranty.

OWNERS OPERATING & MAINTENANCE MANUAL
TMM3 VIDEO FLUOROSCOPY STRETCHER-CHAIR
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PRODUCT LABELS / DIAGRAMS
INSPECT LABELS PERIODICALLY
Every three (3) months, inspect all labels and ensure they are legible and not tattered, torn or
missing.
Refer to the label locations in figure below. If labels need replacing, contact TransMotion by Winco
Customer Service at 1-800-237-3377.
Item No. Part No. Label Name
1 TMM-2247-10 Video QR Code
2 TMM-204-10 Rotation Operation
3 N/A Serial Number
4 TMM-225-10 Seat Lock Knob
5 TMM-270-10 Max Weight Capacity
6 TMM-205-10 Aluminium Equivalency
7TMM-1218-10
TMM-1219-10
TMM3 Base Label
(Left / Right)
8 TMM-679-10 TMM3 End Label
9 TMM-202-10 Chair End Warning