Steris Cmax Surgical Table Operating instructions

Brand: Steris

Model: Cmax Surgical Table

Type: Operating instructions

customer manual

[ use & maintenance ] OM 201-01EN 2023-06 REVA CMAX3

CMAX®3 surgical table

CMAX®3-E surgical table

CMAX®3-Drive Motorized transfer table

CMAX®3-E Drive Motorized transfer table

CMAX®

Surgical table / Motorized transfer table - CMAX® surgical tables

[2]

CONTENTS

1. QUALITY REQUIREMENTS .......................................................................................................................................... 3

2. SAFETY INSTRUCTIONS............................................................................................................................................. 4

3. SYMBOLS USED ......................................................................................................................................................... 6

4. OVERVIEW ................................................................................................................................................................. 8

5. SETTING UP THE TABLE ............................................................................................................................................ 11

6. OPERATING THE 1CONTROL MAIN HAND CONTROL ................................................................................................. 15

7. MOTORISED TRANSFER (CMAX®3-DRIVE AND CMAX®3-E DRIVE) ........................................................................... 22

8. OVERRIDE SYSTEM ................................................................................................................................................... 25

9. CLEANING AND DISINFECTION .................................................................................................................................. 31

10. MAINTENANCE PROGRAMME ................................................................................................................................. 31

11. CMAX

SPARE PARTS LIST ..................................................................................................................................... 32

12. TROUBLESHOOTING ................................................................................................................................................. 32

13. DISPOSAL OF WASTE EQUIPMENT .......................................................................................................................... 32

14. ELECTROMAGNETIC ENVIRONMENT ....................................................................................................................... 33

15. IN-SERVICE FORM ................................................................................................................................................... 34

16. IN-SERVICE FORM ................................................................................................................................................... 35

Surgical table / Motorized transfer table - CMAX® surgical tables

[3]

Dear customers,

STERIS thanks you for choosing the CMAX® surgical tables, which is now available to meet all your needs.

Please read this manual carefully to ensure that our products can offer you optimum efﬁciency and safety in use.

1. QUALITY REQUIREMENTS

The STERIS quality system is certiﬁed

• ISO 13485*

for the design, manufacture, sales, installation and after-sales service of operating tables, platforms and transfer carts and there extensions and accessories.

This table is designed in compliance with international regulations for medical electrical equipment :

• IEC 60601-1 (EN 60601-1)* general requirements for basic safety and essential performance

• IEC 60601-2-46 (EN 60601-2-46)* safety rules applicable to operating tables

• IEC 60601-1-2 (EN 60601-1-2)* relating to electromagnetic compatibility.

Intended use

CMAX® surgical tables are medical device designed to support and position patients

during operations carried out in an operating theatre.

Indication for use

CMAX® surgical tables have no indication for use, which means that these medical

devices are not used to diagnose, prevent, monitor, treat, alleviate, compensate, replace,

modify or control any clinical condition of a patient.

Clinical beneﬁt

CMAX® surgical tables do not bring any direct positive impact on the health of the patient

which would be measurable or meaningful.

By allowing a patient to be positioned and supported in a safe and appropriate manner

during a surgical procedure, the CMAX® surgical tables will make it possible to facilitate

access to the different anatomical regions where the surgery will be carried out, and this

will have a positive impact on patient management during surgery.

Contraindication - Adverse side effects - Residual risk

There is no contraindication, undesirable side-effect or residual risks associated with

CMAX® surgical tables. All safety instructions related to the use of these medical devices

are listed in chapter 2.

Target patient group

CMAX® surgical tables are not directed to a particular patient population: these medical

devices are supposed to suit any type of patient, regardless of age, anatomy, gender,

etc. However, for the safety of the product, weight limits of patients are indicated in this

user manual.

Intended user

CMAX® surgical tables must be used only by qualiﬁed personnel who are authorized to

practice in the healthcare facility. These medical devices shall be operated in a controlled

environment by a professional familiar with appropriate techniques with such equipment.

Product developed for surgeons, anesthetists, nurses etc. which are working in operating

rooms, pre- anesthesia rooms, recovery rooms.

Essential performance

CMAX® surgical tables shall support a patient without unwanted movement in a single-

fault condition

Expected life cycle

The intended lifetime of CMAX® surgical tables is set at 10 years, provided that the

conditions of use, the cleaning and maintenance instructions listed in this user manual

are correctly followed.

Market release

CMAX® surgical tables (models CMAX®3 and CMAX®3-Drive) were placed on the market

for the ﬁrst time in 2018.

CMAX® surgical tables (models CMAX®3-E and CMAX®3-E Drive) were placed on the

market for the ﬁrst time in 2019.

Any use going beyond the aforementioned conditions is deemed to be non-compliant. Only the user is liable for any loss or damage arising from this.

CMAX® surgical tables are Class 1 medical devices and are registered with ANSM (French National Agency for the Safety of Drugs and Healthcare Products)

CMAX® surgical tables are available in four models:

• CMAX®3 surgical table

• CMAX®3-E surgical table

• CMAX®3-Drive surgical table with motorized transfer

• CMAX®3-E Drive surgical table with motorized transfer

In this manual, these four models will be regularly mentioned in order to provide the user with a better understanding of the similiarities and differences between these four models

of operating tables.

*in accordance with the most up to date version applicable

STERIS SAS

116 Avenue de MAGUDAS

33185 LE HAILLAN - FRANCE

Surgical table / Motorized transfer table - CMAX® surgical tables

[4]

Pinch points

! During patient positioning, moving dierent sections of the tabletop and using extensions

and accessories can cause pinch points to appear which can injure the patient or the

surgical team. Users must therefore be aware of the risks and pay particular attention to

the following zones :

Precaution during the movements

! Before any movement activation, be sure that there is no risk of contact or collision with

an object, on equipment or a person.

Floor lock

! Even if the table is not locked to the ﬂoor, certain tabletop movements are still possible.

Lock the table to the ﬂoor before positioning the patient and starting the surgical

procedure.

! Do not try to move the locked table.

! Once the table is locked to the ﬂoor, ensure that it is stable. Move it if necessary to ﬁnd

a ﬂatter ﬂoor surface.

Moving the table with a patient on it

! When moving the table with a patient on it, the following conditions are required:

− The tabletop must be centered over the column or above the long part of the base.

− The height of the tabletop shall be lowered under 900mm.

− The tabletop shall be ﬂat and leveled, or semi-seated : back raised to 30° and legs

dropped by 10°, or seated: back raised to 45°and legs dropped by 20°.

! Ensure that the battery is correctly charged before moving the table.

! Never try to unlock the table and move it with the patient, if the table is not in the

transport position. The table can tip.

! It is strongly recommended that you use barriers or another system to hold the patient

in place.

! Before going anywhere, ensure that there are no obstacles along the way you wish to

use. The table is not intented to cross threshold, to ascend or to descend step. Always

move the table very carefully.

! During motorised transfer with CMAX®3-Drive and CMAX®3-E Drive, adapt your speed

to the environment (i.e. corridor width, corner angles, doors, wall, etc.).Take care when

moving back.

! Do not keep objects on the base as they may fall during motorised manoeuvres and cause

jamming when lowering the column’s sliding covers.

! Consider a safe zone where you’ll not put anything on it.

Switching the table on

! Every time you turn the table on, check that the pre-selected patient orientation

corresponds to what you want to do. When you switch o the table, the patient

orientation pre-selection is memorised..

! If the main hand control and the optional pedal are used at the same time, the hand

control overrides the pedal.

Switching the table off

! The STOP buttons on the main hand control and on the override system allow you to

stop all table movement. They deactivate the optional pedal and other external control

mechanisms.

! Note that the batteries of the hand control do not charge anymore when the table is

switched o by the STOP function, even if the table is connected to the mains

! In hard-wired mode, the table stops automatically at the end of a preprogrammed cycle

(3’ by default).

Handling the surgical table

! Avoid handling the surgical table roughly during the operation or transfer. Do not exert

excessive lateral loads on it, do not pull or push the surgical table with the accessories

or with the rails.

! Avoid handling the remote control and the override system roughly. Do not press the

keypad with too much force or using unsuitable objects. Avoid shock on the control

means of the table.

! Avoid handling the cables roughly when connecting or disconnecting the remote control,

the foot pedal or the power cord set.

! Do not sit on one of the two ends of the table, especially when the tabletop is not

centered, as this can cause the table to tilt.

! When standing on the base of the surgical table, do not press roughly the covers and

the base.

! When power cord is connected to the surgical table, and therefore is lying on the ﬂoor,

pay attention to this power cord when moving around the surgical table and remove the

cable before moving the table.

Weight capacity

! Do not exceed a patient+accessory weight of 270 kg for the standard described

positions and respect the indications and warnings signalled.

! The use of certain extensions may decrease this patient+accessories weight. When

extensions are installed on the CMAX® surgical table, you should also consult the user

manuals of these extensions to know the possible weight restrictions related to the use

of these extensions.

! In positions where the tabletop will be signiﬁcantly slide away from the column, ensure

that there is sucient stability for the type of surgical procedure requirements.

! For all other uses, please contact our network for advice. If you are working intensively

on the patient’s chest, we recommend that you bring the tabletop back to a centred

position on the column.

Positioning the patient

! The positions described in this manual are given purely as examples. The accessories

required are not always shown. Under no circumstance should they replace the

instructions given by the surgical team in charge of the patient.

! Ensure the stability of the patient and the table when making combined position.

! Secure the patient properly (ex. using straps), especially when the table has a strongt tilt

inclination.

! Long surgical procedures can cause compression points on patients and have post

operative consequences. Monitor patient during surgical procedures and use gel

cushions for extented procedures.

2. SAFETY INSTRUCTIONS

Any serious incident that occurs in relation to this medical device should be reported to STERIS and the competent authority of the member state in

which the user and/or patient is established.

Warning: The modiﬁcation of the medical device without manufacturer authorisation is prohibited.

Safe zone

Surgical table / Motorized transfer table - CMAX® surgical tables

[5]

Autonomy

! Two 12V sealed geliﬁed-lead batteries are integrated into the base and mean that the

CMAX® surgical tables are autonomous.

Before using the table, check that the batteries are suciently charged.

Connections

! The sockets are equipped with locks: do not pull on the hand control or pedal cables to

disconnect them.

! The E-Serve connection is only to be used by STERIS service team and with material

approved by STERIS

! Never try to connect a device not supplied by STERIS to the surgical table.

! Always use the power cord provided by STERIS.

! The operator should never touch the patient when the operator is plugging or

unplugging the remote control or the the pedal, or when the operator is handling the

connectors of these devices.

Potential equalisation conductor

! Connect together potential equalisation conductors to overcome the problem of diering

potentials across networks.

! Originally intended for cardiac areas, it protects the patient from electric shock during

procedures where even small potentials may cause harm.

! When a potential equalisation conductor is connected, the table MUST NOT be used

with a deﬁbrillator

! When the use of the potential equalisation conductor allows to create an electromedical

system, then this system must meet the requirements of IEC 60601-1.

Antistatic link

! If antistatic connection is necessary, we recommend that you use only the pads that

have been specially developed for this product. Put the patient in direct contact with

them and use the table on an antistatic ﬂoor, or connect it to an equipotential cable

using the socket designed for this.

Electrical safety

Warning: To prevent any risk of electric shock, the

appliance should only be connected to an earthed

power supply system.

! The CMAX® surgical tables must always be positioned so that the power cord can be

disconnected easily when connected to the table.

! The power cord with its mains plug is thus the device used to isolate the CMAX®

surgical tables from supply mains.

! It is preferable to use the batteries instead of the mains if you have doubts about the

protective ground in the operating room.

! The use of high-frequency surgical equipment, cardiac deﬁbrillators, and cardiac

deﬁbrillator monitors in association with the CMAX® surgical tables creates a risk of

burns, explosion, or electrical shock. The user must be aware of this.

! In case of any damage to the power supply or mains cable or plug or IEC socket, do not

connect the equipment and immediatly contact STERIS technicians.

Accessories

! If accessories made by other manufacturers are used, it is the user’s responsibility

to check that they are compatible with CMAX® surgical tables and that they do not

endanger the patient and the surgical team

! Before connecting accessories to the surgical table, check the general state of them to

ensure that they are not degraded and that the connection system is not damaged.

! The end user shall especially ensure that the intented use and the conditions of use

(including the safe working load) of these accessories made by other manufacturers are

compatible with the claims of CMAX® surgical tables surgical tables.

! Ensure that the extensions and accessories are correctly clamped to the surgical table

before each surgical procedure.

Electromagnetic compatibility

! If the table is used close to other electrical equipment, ensure that these comply with the

regulations in force regarding electromagnetic compatibility.

! If high frequency equipment (such as a deﬁbrillator) is being used, make sure that the

manufacturer’s instructions are rigorously followed.

Emergency mode

! When the override system is used, the other control systems including the main hand

control are automatically switched o. The ALS sensors are disactivated, so when

you move the tabletop you will need to ensure that you look out for potential section

conﬂicts. The pre-selected patient orientation set as default is the normal orientation;

there is no reverse orientation. There is no immobilisation led: you should lock the table

to the ﬂoor before starting any movements.

Cleaning

! Hypochlorite solutions can damage metal parts. After disinfection, ensure it is rinsed o

thoroughly with water and dry the surface. Prolonged exposure to hypochlorite solutions

may degrade mattress material. Avoid hypochlorite solutions and other liquids coming

into contact with any internal parts of the table

! Ensure that the socket protection correctly protects the plugs so that ﬂuids do not get in.

After cleaning procedures, ensure no residual water remains near the plug.

! Before cleaning the table, ensure that it is switched o. Put on the socket protection.

! Do not immerse the hand control and do not spray cleaning products directly onto the

sockets.

Hand control storage

! We recommend hanging the hand control on a table rail when the hand control is not in

use, to prevent any accidental pressing of the buttons. Handle the hand control and the

associated cable with care.

Environmental conditions

Transport / storage : temperature 0°C-50°C, humidity 10-85% non-condensing, pressure

500-1060 hPa, Table on castors, battery fuses removed.

Use : temperature 10°C-40°C, humidity 10-75% non-condensing, pressure 800-1060hPa.

Local pressure on the ﬂoor: 19,5kg/cm2 (1912kPa) with a patient+accessories load of

270kg

Floor surface punching pressure : 1,7t/m2 (17kPa) with a patient+accessories load of 27

0kg

! Do not use the table in the presence of ﬂammable anesthetic gas, or in areas subject to

explosive risks.

! CMAX® surgical tables and associated extensions and accessories must not be used in the

vicinity of strong magnetic ﬁelds (MRI environment)

! CMAX® surgical tables and associated extensions and accessories are not intented to operate

in an oxygen rich environment

! CMAX® surgical tables and associated extensions and accessories are not intented for

outdoor use, and shall not be exposed to high humidity for extented periods.

X-Ray radiation

! CMAX® surgical tables shall not be considered patient supporting system for X-Ray

equipment for interventional procedures. CMAX® surgical tables are not an associated

equipment of X-Ray equipment in a radiological installation. The operating table

materials located in the X-Ray beam therefore do not have optimal radiolucent

performance and can operate parasite radiation that is potentially harmful to users.

Radiological protection devices should therefore be worn by users when using a X-Ray

equipment with CMAX® surgical tables.

Maintenance

! The safety, reliability and proper operation of the surgical table and associated

extensions and accessories can only be ascertained and granted by STERIS. Repair and

adjustments should only be assigned to STERIS technicians or approved technicians.

! Observe the maintenance schedule set out by STERIS and described in this document.

! Never try to adjust or repair the surgical table yourself.

! No interventions may be undertaken on CMAX® surgical table before all electrical power

is switched o and the supplies made safe.

! During maintenance and repair, only original parts must be used.

! No part of the surgical table shall be serviced or maintained while in use with the patient.

Surgical table / Motorized transfer table - CMAX® surgical tables

[6]

3. SYMBOLS USED

Connection panel

Main hand control

MEM

Optional pedal

Motorized legs (optional)

Main hand control

Selection

locked/unlocked

Trend / Rev trend

Raise / Lower

Left tilt / Right tilt

Level

(Return to horizontal)

Patient orientation on the table

Normal / Reverse

MEM Memory keys

Tabletop selection

(up-left/down-right)

MENU Table top

movement menu

table off button on the hand control

Slide head

Slide foot

Back/seat up

Back/seat down

Motorised wheel brake

Floor lock

Unlocking / transfer to wheels

Discharge of hand control

battery status

Discharge of table battery

status

Please wait – cycle in progress

(e.g. locking/unlocking)

Control interface active:

Main hand control / Bluetooth /

pedal / E-serve

Defect detected contact our

technical support team

TFT screen pictograms

Trend / Rev trend

Raise / Lower

Right tilt / Left tilt

Back up (seat down in reverse

orientation)

Back down (seat up in reverse

orientation)

Sliding towards the head

Sliding towards the feet

Selection

locked/unlocked

Table off button

Start the table in Bluetooth

Emergency mode

(in combination with the

desired movement)

Override control

Surgical table / Motorized transfer table - CMAX® surgical tables

[7]

Warning:

consult the user’s manual

Risk of tipping:

Do not sit

Equipotential plug

WEEE Directive:

the product must be recycled

Name and address

of manufacturer

Direct Current

Alternating Current

Protection from electric shock

class 1, type B

IPX4 Protection from water splashing

(for surgical table and its accesories)

IPX6 Protection against water

(optional pedal)

&

Table battery charge status

Date of manufacture

(YYYY-MM-DD)

REF Reference of the product

SN Serial number

MD Medical Device

Caution

Compliance with requirements of European legislation

1060

500

Atmosphere pressure limitation

Humidity limitation

65°C

0°C

Temperature limitation

Nstacking limit by number (1 for CMAX®)

Mains connections

Press and release only

pedal to start

This way up

Fragile, handle with care

Handle with care

UKCA Marked (UK Conformity Assessed)

Compliance with essential requirements of UK Medical Devices

Regulations 2002

REPUK

UK Authorized Representative

REP

REPCH

Swiss Authorized Representative

Importer

Base and column labels

Surgical table / Motorized transfer table - CMAX® surgical tables

[8]

4. OVERVIEW

1 - Mobile base

2 - Column

3 - Tabletop

4 - Removable head section

5 - Half back section

6 - Seat section

7 - Removable leg sections

8 - Power panel

9 - Power cord

10 - Battery fuse

11 - Connection panel

12- Main hand control

13 - Override control

14 - Equipotential plug

15 - Electrical characteristics label

16 - Identiﬁcation label

17 - Control handle for motorised transfer (for CMAX®3-Drive and

CMAX®3-E Drive)

18 - Extension rails

The model shown is the CMAX®3-Drive with the HAND10C, HEAD04B and LEG20C

Surgical table / Motorized transfer table - CMAX® surgical tables

[9]

Characteristics

The CMAX® surgical tables are a multi-sectional, autonomous, electro-hydraulic surgical

tables.The table will be presented in the rest of the manual equipped with a double

articulation head section and split leg sections for convenience. CMAX®surgical tables

can also be designed for motorised transfer (models CMAX®3-Drive and CMAX®3-E

Drive). Its new handle and powerful motorised patentedT-Drivewheel provide a unique

solution for patient transfer in optimal ergonomic and safe conditions.Because of the

patented longitudinal slide -Zip Slide™, CMAX® offers exceptional radiological access

without the need for additional extensions or for the patient to be reversed.

Its hydraulic ﬂoor irregularity compensation system ensures excellent stability.

The CMAX® surgical tables are suitable for most surgical procedures and have been

designed to support patients+accessories weighing up to 270 kg in positions such as

these described in this manual.

The ergonomic 1Control bi-mode (wired/Bluetooth) hand control can be used for

motorised articulation movements.

They may also be carried out by using the optional pedal.

An original integrated power system enables the table to run on batteries or the mains

depending on user preference.

The tabletop movements are motorised, with the exception of the headrest and manual

split leg sections.

CMAX®’s intelligent electronic E-Serve™ system allows users to operate the table

remotely, and also allows for diagnostic and maintenance via computer performed by

authorised and trained STERIS personnel (errors, history)

The integrated ALS™ linear and angular position sensors avoid collisions between the

motorised sections and the table or the ﬂoor.

Finally, an integrated backup system (emergency panel) covering as many breakdown

issues as possible, allows the user to continue the “in process” procedure then remove

the table from the room.

Electrical characteristics

Mains 100-240 VAC 50-60Hz

550VA max 1 phase

Protection Class 1 type B

Equipotential plug DIN42801, Cord not supplied

Mains cable provided 5m (main sector)

Internal fuses

(accessible to maintenance)

2XT6,3A 250V 5x20 PC1,5kA (Mains)(T=Slow acting Fuse ; PC=Breaking Capacity)

3xF15A 32V PC1000A (power output)(F = Fast acting fuse ; PC = Breaking Capacity)

1xF30A 125V 10,3x38 PC10kA (motorized wheel of CMAX®3-Drive and CMAX®3-E Drive)

(F = Fast acting fuse ; PC = Breaking Capacity)

Batteries 2x 12V 26Ah sealed lead

Batteries fuse 1xT30A 125V 6,4x31,8 PC10kA (T=Slow acting Fuse ; PC=Breaking Capacity)

(accessible to operator)

Autonomy Up to 20 procedures with transfers (CMAX®3-Drive and CMAX®3-E Drive models)

Up to 60 procedures without transfers

Maximum charge duration 12h

Charge /discharge indicator Base led / hand control screen

Intermittent running 3 min/h during surgical procedure

Resistance to liquids IPX4 (for surgical table and its accessories)

IPX6 (for optional pedal)

Antistatic path Using pads and antistatic feet

Applied parts Pads

Radiocommunication characteristics

Frequency bands used 2,40Ghz - 2,4835 Ghz

Maximal radiofrequency power

transmitted on used frequency bands 14,3dBm

Mechanical characteristics

Up/Down 1100mm/580mm (stroke 520mm)

Left tilt/Right tilt 25°/25°

Trend/Rev trend 45°/-30°

Back up / Back down 90°/90°

Slide head / foot 224mm / 230mm (stroke 454mm)

Flex / reﬂex -220 °/ 120°

Tabletop length (excluding extensions) 840mm (2025mm with hearest and split legs)

Tabletop width 520mm (560mm including rails)

Off-load table weight 275kg

Maximum weight of patient + accessories 270kg

Maximum capacity up/down 500kg horizontal tabletop, centred slide and load

Floor clearence / wheel diam 16mm/100mm

Main material used

Covers Stainless steel and ABS

Structures High performance coated steel and aluminium

Tabletops Phenolic laminate

Bellows PVC

Pads Polyurethane foam integral skin or welded seams

Surgical table / Motorized transfer table - CMAX® surgical tables

[10]

tooltiptooltip

Flex / reﬂex

Tilt

Trend / Rev trend

Up / Down

Sliding

BackBack

Tabletop dimensions (Example Leg25 C / HEAD04)

580

1100

90°

30°

45°

25°

230

224

120°

2025

530310280

840

882

560

520

220°

25°

Movement possibilities (seat and half back section)

Surgical table / Motorized transfer table - CMAX® surgical tables

[11]

5. SETTING UP THE TABLE

5.1 Attaching/removing mattresses

Warning! INFECTION HAZARD

Ensure mattresses are free from cuts, splits and abrasions. Replace worn mattresses for new ones as soon as possible to eliminate possible biological hazards.

To ﬁx the mattress to the section:

1. Ensure that the table top is clean and dry before installation.

2. Offer up the mattress to the section so that the Snaplinx™ pins are lined up with the attachment in the underside of the mattress.

3. Gently ease one mating attachment at a time onto and over the respective Snaplinx™ pin.

4. The mattress should lie flat on the section when this has been achieved without evidence that the Snaplinx™ pin is holding the mattress

off the section.

5. Check the fixation, trying to move the mattresses laterally.

5.2 Mounting / demounting extensions

The CMAX® surgical tables are equipped with Hi-lock™ locking system using side buttons. It is compact, easy to use and secure.

With

Hi-lock™, an extension is automatically locked in when it is inserted, and just by using the side buttons it is then removed.

Depending on the type of extension and the required safety level, it may be necessary to press the button twice in order to remove the extension. Do not force the extension if it does

not come out after pressing the button once.

For convenience, it is preferable to install and remove the extensions when the table is in a horizontal position.

Example – installing / removing a head section

Insert simultaneously the two pins of the head section into the two holes in the back or seat section of the table. The head section should attach easily; you will hear a click on each

side when the automatic locking happens. Check that it is locked correctly by trying to pull the head section out..

Clic!

To remove the head section, you only need to press the side button once because

of the push spring integrated into the Hi-lock™ system.

Pull the pins out completely while supporting the weight of the head section.

Please refer to the head section user manual.

Surgical table / Motorized transfer table - CMAX® surgical tables

[12]

Clic!

Example – installing / removing the split leg sections

For each leg section, insert the pins into the corresponding holes (left or right) in the back or seat section of the table. When the pin is 3/4 inserted, make

sure that the anti-rotation pin is aligned with the casing on the table upright. Do not force it: the leg section should attach easily. You will hear a click on

each side when it becomes locked automatically. Check that it is locked correctly by attempting to pull out the leg section.

The leg sections are equipped with a double security system: to remove them, the side button on the relevant leg section must ﬁrst be pressed in order to release the anti-rotation pin.

There are then two ways to remove the leg section completely. The user must be ready to support the weight of the leg section being removed:

-Press the side button on the relevant leg section a second time and completely extract the pin while supporting the weight;

-Rotate the leg section while continuing to extract the pin and support the weight.

Please refer to the leg section user manual.

5.3 Inserting and removing the battery fuse:

For reasons of safety during transport, the battery fuse is packed separately.

1. Insert the fuse into the fuse holders provided separately.

2. Insert all of this into the fuse holders.

3. Push and turn using a screwdriver in order to lock the fuse holders.

4. Check by switching on the table with the main hand control without using the mains. The three

coloured diodes (green, orange and red) should ﬂash for a few seconds.

If the table is not used for a long period of time (>1 month), remove the fuse in order to limit

battery discharge and maintain battery functionality

5.4 Connecting the table to the main electrical supply and control the battery charge level

&&

1. Check that the Mains voltage matches the indications on the table.

2. Lift the hatch of the rear panel, and connect the power cord to the IEC connector.

3. Connect the power cord to a Mains socket.

The power supply allows the user to choose whether to operate the table on battery or mains power.

It has three coloured LED used to monitor the battery status when connected to Mains

&

1. If the battery is charging, the coloured LED light up sequentially orange and green.

2. If the battery is charged, the coloured LED light up steadily orange, and green:

This can also be checked on the remote control.

If the 3 coloured LED (red, orange, green) ﬂash when the Mains is connected, this indicates a battery

charge error. In this case, please contact the STERIS technical department.

The charger built into the power supply automatically regulates battery charge, so that the table can

be left permanently connected to the Mains.

Surgical table / Motorized transfer table - CMAX® surgical tables

[13]

Using the table on the mains

&

Each time the table is connected to mains, the charger restarts at maximum charge: there is a delay of approximately 2 minutes before the bar graph display is correct.

Hand control on Corresponding charge level

(Green)

70<<100%

(Orange)

30<<70%

(Red)

<30%

Caution : The blinking of the red LED warns a problem, the battery must be recharged imperatively or the table will automatically shut down. If the problem persists, please contact

STERIS technical department.

5.5 Using the table on battery

&&

In standard version:

The battery status is displayed on the hand control and on the base

Hand control on On the base Procedures

(without transfer)

Procedures

(with transfer)

models CMAX

3-Drive and CMAX

3-E Drive only

Battery status

(Fixed green)

40 - 60 5 -20 sufﬁcient

(Fixed orange)

25 - 40 1 - 5

Mains

connection

recommended

(Fixed red)

1 - 25 0

Mains

connection

mandatory

(Flashing red)

0 0

To extend the working life of the battery, we recommend the following:

! Charge battery systematically each day (also in no use conditions)

! Charge battery systematically before the indicator on the screen of the remote control is red

! Avoid the deep discharge to prevent degradation of battery life time

! Carry out a preventive maintenance (a control of battery each year)

Surgical table / Motorized transfer table - CMAX® surgical tables

[14]

Connecting and activating of the main hand control

Connection:

1. Lift up the protection cover on the corresponding socket.

2. Align the red dot on the hand control cable connector towards the top, with those on the socket on the table side.

3. Plug the connector until it “clicks,” indicating that it is correctly connected.

The wired main hand control haspriorityon the optional pedal. To activate the hand control, press any button except the STOP

button.

It switches off automatically after 3 minutes if it has not been used.

Disconnection:

1. Switch off the hand control by pressing STOP.

2. The connector is equipped with a lock: unlock the connector by pulling the ring backwards. Never just pull on the cable.

3. Ensure that the protection cover is covering the sockets.

Connecting and activating the E-Serve™ port

Connection:

1. Lift up the protection cover on the corresponding socket.

2. Align the red dot on the speciﬁc E-Serve™ connector, with that on the socket on the table side.

3. Plug the connector until it “clicks,” indicating that it is correctly connected.

The speciﬁc E-Serve™ cable connects to the same port as the main hand control. Therefore, when the E-Serve™ cable is connected,

the main hand control can only be used in Bluetooth wireless mode.

Disconnection:

1. Switch off the table by pressing STOP button on the override system.

2. The connector is equipped with a lock: unlock the connector by pulling the ring backwards. Never just pull on the cable.

3. Ensure that the protection cover is covering the sockets.

Connecting and activating of the optional pedal

Connection:

1. Lift up the protection cover on the corresponding socket.

2. Align the red dot on the pedal cable connector with that on the socket on the table side.

3. Plug the connector until it “clicks,” indicating that it is correctly connected.

The pedal enables users to adjust the 3 main table movements: up/ down, trend/rev trend, and right/left tilt. To activate it, just press a

pedal and then release on any movement. It switches off automatically after 3 minutes if it has not been used.

Disconnection:

1. Switch off the pedal by using the STOP button on the hand control.

2. The connector is equipped with a lock: unlock the connector by pulling the ring backwards. Never just pull on the cable.

3. Ensure that the protection cover is covering the sockets.

Connecting an optional motorized leg extension

Fore more information about the motorized legs, refer to the user manual related to these extensions.

5.6 Connect the control devices

Surgical table / Motorized transfer table - CMAX® surgical tables

[15]

MEM

Cmax®3

Control v7.01

Table v7.01

Date: 2017/12/01

GMT: 14:57

The 1Control hand control includes:

1. A 5 m spiral cord with a connector at each end making it easy to replace.

2. An elastomer housing equipped with a hook so that it can be attached to the table’s side rails.

3. A back-lit keypad allowing the buttons to be easily used in the dark.

4. A 2.4 TFT colour screen for better communication with the user.

Switching on the table

Pressing any button (except the STOP button) turns the table on but does not start any movements. A welcome screen is then displayed for a few seconds. You can then press the

button for the required movement.

Switching o the table / emergency stop

When the STOP button is pressed, the table immediately stops.

The Auto-off function puts the table into standby mode after 3 minutes if it is no longer in use in order to avoid any unintentional movements and to conserve battery life.

• Battery status, ﬂoorlock and active interface status

• Report of table movements from the integrated motion

sensors

• Tabletop section selected

interactive Tabletop controls:

• 2 movement directions are available: up/left, down/

right

• Selection of tabletop section to move (Depending

on the type of table connected, only the possible

motorised movements are accessible)

Position memories:

• Pressing the button once allows the table to be put

in position in stages

• some positions are blocked and others must be

saved by the user

Motion and sound sensors:

• Tactile: in the case of an anti-collision alert, the

hand control vibrates (ALS)

• Audible: beep in the case of a movement

requiring special attention or at the end of a

movement

Column and base direct controls

(Back-lit zone)

• Patient orientation of the table

• Trend (head low) Rev trend (feet down)

• Table up / down

• Lateral left or right

• Lock/unlock table to ﬂoor

• Blue Led “unlocked”

• Stop table

Connecting the transfer handle

(models CMAX®3-Drive and CMAX®3-E Drive only) :

Transmission of motorized wheel descent and speed information to

the table

Connecting the spiral cable

When connected to the table, the hand control recharges itself

and operates in wired mode

Blue Led normal patient orientation

Blue Led reverse patient orientation

Hand control software

Software table

Date AAAA/MM/DD

Hour GMT HH:MM

We recommend hanging the hand control on a table rail when the hand control is not in use, to prevent any accidental pressing of the buttons

Handle the hand control and the associated cable with care

• Blue Led LEVEL

• LEVEL return to horizontal

6. OPERATING THE 1CONTROL MAIN HAND CONTROL

6.1 WIRED MODE

Back-lit TFT colour screen:

Surgical table / Motorized transfer table - CMAX® surgical tables

[16]

INFORMATION LAYOUT ON THE SCREEN

Representation of the table :

- patient orientation

- tabletop movements

- identiﬁcation of selected tabletop section

Interactive keys

Up Down

Left

Right

Sliding

Back / Seat

Motorised legs

Single plate (optional)

Motorised legs

Split legs (optional)

For communication purposes, 7 colours are used:

Black not selected, neutral state

Blue selection in progress

Transparent blue movement in progress

Green normal condition

Orange operator vigilance required

Red alarm or fault detected

Grey area conﬁgurable by the user

Degrees,

percentage,

centimetre

Units of movement in progress

Orientation of movement

Active command

Hand control

E-serve

Pedal

Bluetooth hand control

Operating anomalies

spanner + fault number

Extra information

Motorised wheel

Cycle in progress

Return to horizontal in

progress

Tabletop section selection

MENU Selection

Tabletop movements

The values on the TFT screen are given as an indication only.

Precision may vary according to the environment (altitude,

humidity, temperature, etc.)

Conduct a visual inspection of the patient’s position during movements

Status of hand control internal battery

Wireless battery charge

Charge in progress

Table status

Table power  Table on battery

Table on mains

Locking to the

ﬂoor

On pads

On castors

Vertical

Transverse

Lateral

Surgical table / Motorized transfer table - CMAX® surgical tables

[17]

USING THE HAND CONTROL

lock/unlock table to ﬂoor

The mobile base of the CMAX® surgical tables allows it to be moved around the operating theatre so that it can be relocated or so that the ﬂoor can be cleaned.

Locking / unlocking to the ﬂoor is controled automatically from the hand control.

For safety reasons and to ensure that the table is stable on its castors, the tabletop is brought back to the central position or into a stable position before to be

able to unlock the table from the ﬂoor

Once the lock/unlock button has been selected, the blue LED ﬂashes and the lock/unlock pictograms appear on the screen.

Conﬁrm by pressing one of the interactive buttons.

During locking/unlocking, which takes several seconds, all the buttons except the STOP button are inoperative.

To lock the table to the ﬂoor:

1. Press the lock button

2. The locking pictogram changes colour and the hourglass appears

3. The blue light in the button lights up when the table is latched to the ground, the padlock is closed

To unlock the table:

1. Press the unlock button

2. The unlocking pictogram changes colour and the hourglass appears

3. The blue light in the button lights up constantly when the table is on its castors, the padlock is open.

All movements, except for some tabletop slide, are authorised even when the table is on its castors.

Before starting any surgical procedure, check that the table is locked to the ﬂoor and stable. The hydraulic compensation system can compensate

for a ﬂoor up to 8mm out of level. If that is still not enough, move the table to ﬁnd better stability as necessary.

If the table is moved with a patient on it, ensure that there are no obstacles in the way and move the table very carefully.

Patient orientation on the table

Normal orientation

Reversed orientation

As the CMAX® surgical tables is a modular concept, the ﬁtting of the head and leg sections can be reversed in relation to the seat and

back sections. Then, the patient is in a reverse position on the table.. The button allows the hand control to be reconﬁgured to keep

the right movement depending the button pressed.

When the table is switched off, the previous position is memorised: every time the table is reconﬁgured, ensure that it corresponds to

the selected patient orientation.

RAZ return to horizontal

The return to horizontal button (0) enables the tabletop to be returned to a horizontal position and for the slide to be centred.

During the return to level table top movements, even if it is automatically realised, keep a watch on the patient.

To return the tabletop to horizontal:

1. The button blue light is off if the tabletop is not already horizontal.

2. Press the 0 button; the blue LED will ﬂash

3. The blue LED will be permanently on when the tabletop is horizontal

4. If you continue to hold the button, the system will quickly check that the table is locked/unlocked and will then return the slide to a centred position.

Reversed orientationNormal orientation

Surgical table / Motorized transfer table - CMAX® surgical tables

[18]

Trend/Rev trend

30°

Trend / Rev Trend movements are obtained by directly pressing the corresponding keys on the keypad.

During the movement, the screen displays pictograms of movement in progress and the angle with respect to the horizontal.

Table up / down

110

Up/down movements are obtained by directly pressing the corresponding keys on the keypad.

During the movement, the screen displays pictograms of movement in progress and the distance with respect to the ﬂoor.

Left / right tilt

10°

Left/right tilt movements are obtained by directly pressing the corresponding keys on the keypad.

During the movement, the screen displays pictograms of movement in progress and the angle with respect to the horizontal;

however the representation of the table on the screen does not move.

INTERACTIVE BUTTONS USING THE SCREEN:

Slide

When the hand control is turned on, slide is the default function and the interactive buttons can therefore be used to slide the

tabletop towards the patient’s head or feet depending on the patient orientation previously selected.

To slide the tabletop from one side to the other of the column, press the interactive button under the selected movement. The

amount of slide relative to the central position and its orientation are displayed on the screen in real time.

Up/Down of the back/seat half-section

90°

To change the section of the tabletop to be controlled, you should use the MENU keys to scroll through the different selections.

Once the intended movement appears on the screen, press the interactive button located below it.

The angle relative to the central position and its orientation are displayed on the screen in real time.

RR Motorized legs

Fore more information about the motorized legs, refer to the user manual related to these extensions.

Surgical table / Motorized transfer table - CMAX® surgical tables

[19]

MEM

MEM position memories:

Pre-recorded positions:

• MEM1 “Beach chair” Seated (depending on the patient orientation: normal orientation/reverse orientation)

• MEM2 “Flex / Reﬂex” (depending on the patient orientation: normal orientation/reverse orientation)

• MEM3 “Slow Drive” Drive slowly forwards/backwards then immobilisation (without handle). Available for motorized transfer

only(models CMAX®3-Drive and CMAX®3-E Drive only)

• MEM4 “Pivot” Engage castors for manual rotation of the table on its axis, then immobilisation. Available for motorized transfer

only (models CMAX®3-Drive and CMAX®3-E Drive only)

To go to a position shown on the screen, press the interactive button under the screen.

Note: it is possible to stop it at any time by simply releasing the button.

User positions:

MEM5 to MEM8: using the function

it is possible to record a position in order to return to it later using the function as before.

To record a position:

1- Position the table normally not using Memory mode

2- Go into Memory mode by pressing the button  MEM

3- Find an available User Memory by scrolling through them using the MENU buttons

4 – Record the position using the function by pressing the interactive button located beneath it: the position will then

appear in grey on the screen.

Note: to exit MEM mode, simply press the

MEM button or any other button on the hand control.

IMPORTANT:

The use of a pre-programmed cycle requires careful monitoring of the table movements during the movement of the various sections. For this reason, it is

recommended that you use this function during the initial set-up without a patient on the table to save time. 

The User memories may have been erased or changed by somebody else, so it is the user’s responsibility to ensure that the desired position is in fact that

shown on the screen before using the function.

If the table is not stationary when this function is selected, the control starts the cycle by stabilising the table.

Surgical table / Motorized transfer table - CMAX® surgical tables

[20]

Solution: Reduce the seat

angle (Trend or down),

possibly reduce the lateral

angle

15°

Collision back support – rear base

Solution: Slide the seat towards

the central position or raise the

back support

30°

Collision back support - sliding

Solution: Slide the seat towards

the central position or raise the

back support, possibly reduce the

lateral angle

Collision back support – ﬂoor

15°

Collision back support – column

30°

Solution: Slide the seat away

from the column or raise the

back support

Collision back support – bottom base

90°

Solution: Raise the table

then raise the back support,

possibly reduce the lateral

angle

Collision leg support - sliding

Solution: Slide the

seat towards the

central position or

raise the leg support

ALS™ (Auto Limit Sensors)

The sensors integrated into the CMAX® surgical tables mean that collisions between the motorized sections can be avoided. A movement is preventatively stopped either

because a calculation is made by the table’s electronics, or because the table detects that a motor is using too much power.

When a collision is detected during a movement, the hand control vibrates and the screen displays the collision at the same moment when the movement is stopped. It is