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
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Pinch points
! During patient positioning, moving dierent 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 sucient 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
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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 suciently 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 diering
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
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3. SYMBOLS USED
Connection panel
Main hand control
MEM
MENU
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
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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
85
10
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
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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
9
14
10
8
15
16
3
4
5
1
6
7
2
17
13
11
12
18
The model shown is the CMAX®3-Drive with the HAND10C, HEAD04B and LEG20C
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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 patentedT-Drivewheel 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
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tooltiptooltip
Flex / reflex
Tilt
Trend / Rev trend
Up / Down
Sliding
BackBack
Tabletop dimensions (Example Leg25 C / HEAD04)
580
1100
90°
90°
30°
45°
25°
230
224
120°
2025
530310280
840
882
560
520
220°
25°
Movement possibilities (seat and half back section)
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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.
Y
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.
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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.
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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
23
cm
(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
23
cm
(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 haspriorityon 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]
MENU
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
10
23
cm
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)
RR
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
23
cm
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°
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
cm
58
cm
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°
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
23
cm
22
cm
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°
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
20
cm
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
therefore necessary to abide by the following instructions before deciding the action to be taken to reach the final position required.
As the leg and head sections are moved mechanically, they are not detected by the sensors: they must be very carefully checked during movements.
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