Steris Himax Surgical Table Operating instructions

Brand: Steris

Model: Himax Surgical Table

Type: Operating instructions

OM201-01EN 2020-03 REVA Himax

Himax

Surgical table

customer manual

[ use & maintenance ]

Dear users,

STERIS would like to thank you for choosing the Himax surgical tables. It has been designed to meet all your needs.

Please read this operation manual carefully so that your surgical table can provide you with optimal efﬁciency and safety when you use it.

1. QUALITY REQUIREMENT

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 exten-

sions 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

Intented use: Himax surgical tables are medical devices intended to support and position the patients during surgical procedures.

The Himax must be used only by qualiﬁed personnel who are authorized to practise in the surgical facility.

Essential performance of Himax surgical table: supporting a patient without unwanted movement in a single-fault condition.

Any utilisation going beyond the aforementioned conditions is deemed to be not for intented purposes. Only the user is liable for any loss

or damage arising from this.

The Himax surgical tables are Class 1 medical devices and are registered with ANSM (French National Agency for the Safety of Drugs and

Healthcare Products)

Placing on the market

The Himax surgical tables was placed on the market in 2008.

*in accordance with the most up to date version applicable

INDEX

1. QUALITY REQUIREMENT ......................................................................................................... 2

2. SAFETY INSTRUCTIONS .......................................................................................................... 3

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

4. OVERVIEW ............................................................................................................................. 7

5. SETTING UP THE TABLE ........................................................................................................ 10

6. OPERATING THE MAIN HAND CONTROL ................................................................................ 14

7. OVERIDE SYSTEM ................................................................................................................ 16

8. EXAMPLES OF PATIENT POSITIONING ................................................................................... 17

9. CLEANING AND DISINFECTION .............................................................................................. 20

10. MAINTENANCE PROGRAM .................................................................................................... 20

11. LIST OF HIMAX SPARE PARTS ............................................................................................... 21

12. TROUBLESHOOTING ............................................................................................................. 21

13. DISPOSAL OF WASTE EQUIPMENT ........................................................................................ 21

14. ELECTROMAGNETIC ENVIRONMENT ..................................................................................... 22

15. IN-SERVICE FORM ................................................................................................................ 23

16. IN-SERVICE FORM ................................................................................................................ 25

STERIS SAS

116 Avenue de MAGUDAS

33185 LE HAILLAN - FRANCE

STERIS SAS

116 Avenue de MAGUDAS

33185 LE HAILLAN - FRANCE

Surgical table - Himax

[2]

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.

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, tabletop movements are still possible. Lock

the table to the ﬂoor before positioning the patient and starting the surgical procedure.

IMPORTANT :

The imbalance caused by the presence of a patient means that

although the table may be stable when it is locked to the ﬂoor it

may become unstable when being moved on castors. Because this

risk of toppling exists, do not unlock the table when the patient is

in an inverted position on the table, or ensure that the patient is

moved towards the long part of the base beforehand.

! 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, it is strongly recommended that you use side

barriers or another system to hold the patient in place.

! Before moving the table, the height of the tabletop shall be lowered at the medium

height.

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

use. When you set o, move the table very carefully.

! 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.

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

the table very carefully.

! 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 table is locked on the ﬂoor.

! 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 table stops automatically at the end of a pre-programmed cycle (3’ by default). The

“STOP” button on the main hand control also deactivates the optional pedal.

Surgical table - Himax

[3]

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.

!Do not stand on the base of the surgical table because it can damage the covers.

! 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.

LOAD LIMITS

! 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 Himax 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 instruc-

tions 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 ope-

rative consequences. Monitor patient during surgical procedures and use gel cushions

for extented procedures.

AUTONOMY

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

the Himax table is 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.

! 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 Himax surgical table 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 Himax 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 Himax surgical table 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 Himax 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 Himax surgical tables.

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 control panel is being used, the other control systems including the

main hand control are automatically switched o.

! Think of locking the table to the ﬂoor before starting any movements with a patient.

CLEANING

! Do not use chlorine-based products or other products containing chlorine derivatives;

these can cause excessive corrosion.

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

! Before cleaning the table, ensure that it is switched o and disconnect the hand control.

Put on the socket protection.

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

sockets.

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

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.

Surgical table - Himax

[4]

ENVIRONMENTAL CONDITIONS

• Transport / storage: temperature 0°C-60°C, humidity 10-85% Pressure non-

condensed 500-1060 hPa, battery fuses removed.

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

1060hPa

• Punching pressure for the ﬂoor coating: 13kg/cm2 (130Pa) with 270 kg

patient+accessories

• Local pressure on the ﬂoor: 1.4t/m2 (14kPa) with 270 kg patient+accessories

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

explosive risks.

! Himax must not be used in the vicinity of strong magnetic ﬁelds (MRI environment)

! Himax surgical table is not intented to operate in an oxygen rich environment

! Himax surgical table is not intented for outdoor use, and shall not be exposed to high

humidity for extented periods.

X-RAY RADIATION

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

equipment for interventional procedures. Himax 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 Himax surgical

tables.

MAINTENANCE

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

[5]

warning :

consult the operation

manual

Physiological reﬂex

Protection against electri-

cal shock

type B, class 1

Physiological ﬂex

IPX4

Protection against water

projection

(for surgical table and its

accesories)

Back up

(leg up in reverse

orientation)

IPX6 Protection against water

projection

(optional pedal)

Back down

(leg down in

reverse orientation)

Equipotential plug Table up

WEEE directive : this pro-

duct must be recycled Table down

Notice provisoire Cmax S - 10 - 14/04/06

Table d’Opérations Cmax S

3.3 Symboles

Attention : consulter les

documents accompagnants

Etat de charge / décharge des

batteries

Type B : Protection contre les

chocs électriques

Mode d’alimentation secteur

IPX4

Protection contre les projections

d’eau

Mode d’alimentation batteries

&&

L’attention du lecteur est attirée

sur des points particuliers

Port série pour E-SERVE :

Réservé à la connexion par

STERIS

Prise équipotentielle

Connecteur 1 : connexion de la

télécommande

Interdiction

Connecteur 2 : connecteur pour

la pédale en option

I / O

Mise sous tension secteur

Optional pedal connection Return-to-level

Notice provisoire Cmax S - 10 - 14/04/06

Table d’Opérations Cmax S

3.3 Symboles

Attention : consulter les

documents accompagnants

Etat de charge / décharge des

batteries

Type B : Protection contre les

chocs électriques

Mode d’alimentation secteur

IPX4

Protection contre les projections

d’eau

Mode d’alimentation batteries

&&

L’attention du lecteur est attirée

sur des points particuliers

Port série pour E-SERVE :

Réservé à la connexion par

STERIS

Prise équipotentielle

Connecteur 1 : connexion de la

télécommande

Interdiction

Connecteur 2 : connecteur pour

la pédale en option

I / O

Mise sous tension secteur

Main hand control

connection Trend

Battery charge status Rev trend

Mains connections Left tilt

Override on / Activate

pump Right tilt

Battery discharge status Floor lock

Patient orientation on the

table

reverse / normal

Floor lock / Unlock

validation

STOP Unlock / on castors

Name and address of

manufacturer

Date of manufacture

(YYYY/MM/DD)

Direct Current Alternating Current

REF Reference of the product SN Serial number

This way up

65°C

0°C

Temperature limit

Fragile, handle with care

1060

500

Atmosphere pres-

sure limitation

3. SYMBOLS USED

Handle with care

Humidity limitation

Compliance with requi-

rements of European

legislation

Caution

Press and release only

pedal to start

(see optional pedal in

section 5)

Stacking limit by

number (1 for

Himax)

MD Medical Device

Surgical table - Himax

[6]

4. OVERVIEW

1 - Mobile base

2 - Column

3 - Tabletop

4 - Leg section (normal orientation)

5 - Seat section

6 - Back section (normal orientation)

7 - Head section

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

Surgical table - Himax

[7]

CHARACTERISTICS

The Himax surgical table is a multi-sectional, autonomous, electro-hydraulic, mobile table. For greater convenience, the table will be presented in the rest of the

manual equipped with a head section and 2 extensions in normal patient orientation.

The Himax table is suitable for most surgical procedures and has been designed to support patients + accessories weighing up to 270kg in positions such as

these described in this manual.

An ergonomic and light weight hand control with a cable, or optional foot pedal can be used for motorised articulation movement.

An original integrated power system allows the table to run on batteries or the mains depending on user preference.

The table basic movements (up/down, tilt, trend, back, ﬂoor locking) are motorised, the head section and leg are mechanical.

Finally, an integrated override panel, allows to continue the “in process” procedure, then remove the table from the room.

Electrical charactristics

Mains 100-240 VAC 50-60Hz

350-360VA 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 personnel) 2XT6,3A 250V 5x20 PC1,5kA (mains) (T=Slow acting Fuse ; PC=Breaking Capacity)

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

Batteries 2x 12V 17Ah sealed lead

Batteries fuse 1xF16A 250V 5x20 PC750A (F=Fast acting Fuse ; PC=Breaking Capacity)

Autonomy 80-100 procedures

Maximum charge duration 12h

Charge /discharge indicator Base led / hand control led

Intermittent running 3 min/h during surgical prodedure

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

IPX6 (for optional pedal)

Antistatic path Using pads and antistatic feet

Applied parts Pads

Mechanical characteristics

Up / Down 1140mm/720mm (stroke 420mm)

Left tilt / Right tilt 20°/20°

Trend / Rev trend 30°/-30° (normal & reverse orientation)

Back up / Back down 90°/-90° (normal & reverse orientation)

Tabletop length (excluding extensions) 841,5mm (2030mm with 1 Head, 1 back extension and 1 Leg)

Tabletop width 520mm (560mm including rails)

Off-load table weight 200kg

Maximum weight of patient + accessories 270kg

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

Base overall dimensions 1015 x 560mm

Floor clearence / wheel diam 16mm / 100mm

Main material used

Covers Stainless steel and ABS

Structures High performance coated steel and aluminium

Tabletop Phenolic laminate

Bellows PVC

Pads PU foam integral skin or welded seam

Surgical table - Himax

[8]

Tabletop dimensions in mm (with Head05B / BACK02C + LEG25C)

Surgical table - Himax

[9]

Table : 2320

310,5266,5 882

522

560

531

520

330

484

Tabletop : 841,5

Movement possibilities

Up / Down Trend / Rev trend

Tilt

Back

20°

-30°

30°

720

1140

90°

-90°

5. SETTING UP THE TABLE

INSTALLING / REMOVING AN EXTENSION

Installing

Insert simultaneously the two pins of the extension into the corresponding holes of the table seat. The extension should attach easily : you will hear a click on each

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

Removing

Press the side buttons (left and right) once and pull the extension till the ﬁrst safety stop. Press the side buttons (left and right) a second time and remove the

section completely while supporting its weight.

Don't force pulling the extension if you can't get it out after a ﬁrst press on side buttons, and be always ready to support the weight of the extension.

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

INSTALLING / REMOVING THE SPLIT LEG SECTIONS

Installing

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.

Removing

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.

Clic!

Surgical table - Himax

[10]

Fuse

Inserting and removing the battery fuse:

For safety reasons, the fuse protecting the batteries are packaged separately

during shipment.

1. Insert the fuse into the separately provided fuse holder.

2. Insert all of this into the fuse case.

3. Push and turn by 1/4 turn using a screwdriver in order to lock the fuse holder.

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

mains.

If the table is not used for a long period of time (>1 month) remove the fuses in

order to limit battery discharge and maintain battery functionality.

Connecting the table to the mains:

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 diodes used to monitor the battery status when connected to mains

Notice provisoire Cmax S - 10 - 14/04/06

Table d’Opérations Cmax S

3.3 Symboles

Attention : consulter les

documents accompagnants

Etat de charge / décharge des

batteries

Type B : Protection contre les

chocs électriques

Mode d’alimentation secteur

IPX4

Protection contre les projections

d’eau

Mode d’alimentation batteries

&&

L’attention du lecteur est attirée

sur des points particuliers

Port série pour E-SERVE :

Réservé à la connexion par

STERIS

Prise équipotentielle

Connecteur 1 : connexion de la

télécommande

Interdiction

Connecteur 2 : connecteur pour

la pédale en option

I / O

Mise sous tension secteur

1. If the batteries are charging, the coloured diodes light up sequentially orange and green.

2. If the batteries are charged, the coloured diodes light up steadily orange, and green:

When the table is operating on batteries only:

1. The green indicator of the three coloured diodes indicates that the battery charge is sufﬁcient.

2. The orange indicator of the three coloured diodes invites the operator to connect the table to the mains

power supply to charge the batteries.

3. The red indicator of the three coloured diodes orders the operator to connect the table to the mains

power supply.

Battery status

Green sufﬁcient

Orange mains connection

recommended

Red mains connection

mandatory

Charge the batteries regularly to their maximum charge to extend their working life. We recommend doing this daily, from the end of the working day until the next day.

If the 3 coloured diodes 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.

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

- Charge batteries systematically each day (also in no use conditions)

- Charge batteries systematically when 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 batteries each year)

Surgical table - Himax

[11]

Using the table on the mains

The bargraph on the hand control ﬂashes constantly.

Using the table on batteries

The battery status is displayed on the hand control and the base is switched off.

Hand control bargraph Charge Possible operations

<20% (low) 0 - 30

50% (medium) 30 - 60

100% (high) 100

Hand control bargraph Discharge Possible operations

0% (low) 60 - 100

50% (medium) 30 - 60

need charge

80% (high) 0 - 30

requires charge

100%(Deep) 0

Work only on mains

Surgical table - Himax

[12]

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 you hear a “click” indicating

that it is correctly connected.

The override hand control has priority on the optional pedal. To activate the hand control,

press any button except the STOP button.

It is automatically switched off 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 OF THE FOOT PEDAL

Connection:

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

2. Align the red dot on the pedal cable connector towards the top, with those on the socket on the

table side.

3. Plug the connector until you hear a “clic” indicating that it is correctly connected.

The pedal enables users to adjust the 3 main table movements: up/down, trendelenburg/reverse

trendelenburg and right/left tilt.

To activate it you just have to press a pedal and then release on any movement. It is automatically

switched off 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.

Clic!

Surgical table - Himax

[13]

6. OPERATING THE MAIN HAND CONTROL

Switch on the table

Simply pressing any button (except the STOP button) turns the table on but does not start any movements. Then

you need to press the button for the required movement.

Switch off the table

When the STOP button is pressed, the table immediately stops working. The Auto-off function stops the table after 3 minutes

if it is no longer in use, in order to avoid any unintentional movements and to preserve batteries' life time.

The mobile base of the Himax table 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.

As soon as lock or unlock has been chosen, the corresponding LED ﬂashes because the system is awaiting conﬁrmation.

At this point, if any button apart from the OK button is pressed, the lock / unlock function is cancelled. You have to press the OK

button to conﬁrm so to avoid any misuse.

During locking / unlocking (which takes a few seconds) all of the buttons, except the STOP button, are disabled.

All movements are authorized 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 ﬂoor locking pads can compensate

by up to 4mm if the ﬂoor is not quite horizontal: if necessary, move the table to ﬁnd a more stable location.

Locking / unlocking to ﬂoor

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

2. Press the lock button; the green LED will ﬂash.

3. Press the OK button to conﬁrm; locking starts.

To lock the table to the ﬂoor:

1. The green LED will be permanently lit up when the table is locked on the ﬂoor.

2. Press the unlock button; the yellow LED will ﬂash.

3. Press the OK button to conﬁrm; unlocking starts.

1 2

Surgical table - Himax

[14]

To unlock the table:

The yellow LED will be permanently lit up when the table is on castors.

The return-to-level button enables the tabletop to be returned to a horizontal position.

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

1. To return the tabletop to level: (the level LED is switched off if the tabletop is not horizontal)

2. Press the 0 button; the green LED will ﬂash during the tabletop movements.

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

Tabletop movements / LED indicators

STOP

Return to level

Tilt right

Rev trend

Height down

Return to level LED

Height up

Trend

Tilt left

Unlocked Led (on castors)

Floor lock / unlock validation

Battery discharge status

Floor lock LED

Table unlock (on castors)

Table lock

Back up

(Leg up in reverse orientation)

Back down

(Leg down in reverse orientation)

Normal patient orientation

Reverse patient orientation

Flex Reﬂex

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7. OVERIDE SYSTEM

If the table does not work correctly with the batteries or the mains, an override hand control is located in the base.

A ﬁrst press on button switches on the override system and switches off the handcontrol.

The green override led is then lit on.

Then, for safety raisons, it is necessary to press at the same time the button and the chosen movement button to obtain the tabletop movement.

Right tilt

Rev trend

Height

down

Height up

Trend

Left tilt

Table lock

table unlock

override switch on

override LED

Back down

Back up

Nota: Last patient orientation is recorded in the table, and all movements are done according to this patient orientation.

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8. EXAMPLES OF PATIENT POSITIONING

The Himax table is suitable for most surgical procedures and can support a maximum patient+accessories weight of 270kg in the positions that are given as

examples and described in this manual.

These patient positionings are given as exemples and in any case cannot replace the instructions given by the professionals who are in charge of the patient. The

required accessories have not always been shown.

Some Himax extensions also offer weight restrictions that should be known from the user manuals of these extensions.

Options offered by single Himax table, in normal patient orientation

on the left: double articulation head section; single articulation head section; back extension; neuro head section adapter; shoulder back extension.

On the right: back extension; Legmatic™ friction leg section; cranked leg section; gas spring split leg section; leg board; transfer board; pediatric extension;

vascular extension

Options offered by single Himax table, in reverse patient orientation

on the left: double articulation head section; single articulation head section; back extension; neuro head section adapter; shoulder back extension.

On the right: back extension; Legmatic™ friction leg section; cranked leg section; gas spring split leg section; leg board; transfer board; pediatric extension;

vascular extension

Surgical table - Himax

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Surgical table - Himax

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GENERAL SURGERY

OPHTALMOLOGY

NEUROSURGERY

ARM AND HAND SURGERY

NEUROSURGERY

KNEE ARTHOSCOPY

HEAD AND NECK SURGERY

SHOULDER SURGERY

ATTENTION :

there is a risk of the tabletoppling when being unlocked. If, however, it is essential for the table to be unlocked, ensure that the patient is moved

towards the long part of the base beforehand.

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GYNAECOLOGICAL SURGERY SPINAL SURGERY

BARIATRIC SURGERY

UROLOGY - NEPHRECTOMY PEDIATRICS

MINIMALLY INVASIVE SURGERY

9. CLEANING AND DISINFECTION

General information

Before every cleaning session, we recommend to turn off the table and dis-

connect it from the charger. Disconnect the hand control and make sure that

the socket covers are ﬁtted correctly.

Do not submerge the hand control.

Before you start, ensure that the active components of the products used are

compatible with the table materials.

You must follow the dilution and temperature instructions recommended by the

detergent-disinfectant manufacturer.

Wear the recommended personal protective equipment (gloves, goggles)

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

Cleaning between 2 procedures

Cleaning the hand control.

- Wipe it with a paper tissu (or non-woven equivalent) impregnated with a

detergent-disinfectant solution.

- Leave to dry.

Cleaning the table’s visible surfaces.

- Spray a detergent-disinfectant solution on all the visible surfaces including

the pads.

- Clean with a paper tissu. Spray the detergent-disinfectant on all the visible

surfaces.

- Leave to dry.

Full cleaning at the end of the day

The pads can be easily removed thanks to their Velcro bands.

- Remove the pads.

- Spray a detergent-disinfectant directly onto the pads.

- Clean with a paper tissue. Spray the detergent-disinfectant on all the visible

surfaces.

- Leave to dry.

- If necessary brush the Velcro bands, the pads and the tabletop with a non-

metallic brush (e.g. with a clothes brush).

Cleaning the table

- Raise the table to its maximum height in order to get optimal access to the

column.

- Put the tabletop in a horizontal position.

- Clean with a paper tissu. Spray the detergent-disinfectant on all the visible

surfaces.

- Leave to dry.

If there is a risk of streaming, spray the detergent-disinfectant directly onto the

paper tissu.

Cleaning the castors

- Lock the table so that the castors are no longer touching the ﬂoor.

- Spray the detergent-disinfectant on all visible surfaces.

- Leave to dry.

Recommended products / products to avoid

a) Recommended active ingredients

You should preferably use products designed for above-ﬂoor surfaces.

STERIS recommends the use of cleaning and disinfectant chemicals whose

compounds are based on isopropyl alcohol (<45%) or based on a quaternary

ammonium.

The use of cleaning chemicals not recommended by STERIS is forbidden

because the compatibility and the effectiveness of the chemicals have not

been demonstrated.

If users are unsure of which products to use they should consult the hygienists

in their hospital or their supervisory authority.

b) Products to avoid

Do not use products that are meant for cleaning ﬂoors. In particular, avoid

any oxidising products made with chlorine derivatives such as bleach, or with

oxygenated derivatives such as paracetic acid. If you are unsure about whether

the active ingredients are compatible, contact the STERIS technical depart-

ment.

Do not use steam cleaning.

Recommended daily maintenance:

- check the battery charge level;

- check that the extensions are correctly ﬁxed;

- check that the table is locked and stable;

- check that each movement works correctly using the main hand control.-

- Check the correct fastening of the pads on Velcro strips

Daily maintenance must be performed by qualiﬁed personnel, approved by the body in charge of maintenance operations in the surgical facility.

Preventative maintenance must be carried out at least once a year by a STERIS service person, or by another trained service person.

10. MAINTENANCE PROGRAM

1 - Safety points

- fastening of the hydraulic cylinders;

- movement of the articulations and the protective covers;

- tightening of the side accessory rails;

- operation of the extension locking systems;

2- Checks, maintenance, adjustments

- state of the ﬂoor lock pads;

- state of the castors;

- status of the batteries;

- operation of the charger / power supply;

- oil level check;

- state of the column;

- state of the cords and connections;

- state of the hydraulic cylinders;

- state of the cables, connectors and cables way

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Steris Himax Surgical Table Operating instructions

Brand: Steris

Model: Himax Surgical Table

Type: Operating instructions

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Steris Himax Surgical Table Operating instructions

Steris Himax Surgical Table Operating instructions

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