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operon® b 710

1. BERCHTOLD J OPERON B 710 User manual BERCHTOLD Contents 1 Introduction 2 3 4 3 6 1 1 General product description 1 2 Proper use Product liability information 1 3 Notes on this user manual Incoming goods inspection Removing the operating table from the shipping pallet Initial start up Important information for safe use summary Product versions 6 1 Product version for North A merica only for information purpose 6 2 Other version specific optional features Overview of the operating table Functions and operational controls 8 1 Connection for control unit 8 2 Overview of control unit 8 3 Column control panel override 8 4 Control of the motorised operating table functions Explanation of symbols 8 4 1 Basic functions of the operating table 8 4 2 Drive unit function optional feature 8 4 3 Function keys for operating table adjustments 8 4 4 Additional functions 8 4 5 Zero position functions 8 5 LED displays on control unit and column control panel 8 5 1 LED displays for battery capacity power supply 8 5 2 Other LED displays 8 6 Mains operation Recharging the operating table batteries 8 7 O R table control 8 8 Fuses for mains transformer 8 9 Safety functions 8 0 1 Anticollision function for powered adjustments 8 9 2 Fault indicator 8 9 3 Manual operation of castors 8 10 Optional features 8 10 1 Foot switch 8 10 2 Drive unit 8 10 3 Wireless remote control 8 11 Comp
2. always the movement characteristic is set which is indicated by the respective LED of the function keys 5 6 e Theonce selected free movement or track stabilised mode of the operating table is maintained until the opposite movement is consciously selected via function keys 5 or 6 i e even after switching off the operating table via function key 1 and switching it on again the manoeuvre characteristic last selected is set up again 7 Symbol for NORMAL patient orientation By pressing this function key the patient s recumbent orientation is defined so that the patient s head is located above the longer end of the operating table foot normal orientation The green LED next to the function key illuminates the LED of function key 8 goes out 8 Symbol for REVERSE patient orientation By pressing this function key the patient s recumbent orientation is defined so that the patient s head is located above the shorter end of the operating table foot reverse orientation The green LED next to the function key illuminates the LED of function key 7 goes out gt Note e The function keys 7 and 8 ensure that the symbols of function keys 11 to 20 are corresponding to the desired movement direction of the operating table top after selecting the orientation direction of the patient e The once selected NORMAL or REVERSE orientation is maintained until the respective Opposite orientation is consciously selected via func
3. see also following chap 8 5 2 18 User manual OPERON B 710 et BERCHTOLD J 8 5 2 Other LED displays Next to the function key 1 there is ared LED f that flashes when an error in the electronic control was recorded For further information also see chapter 8 9 2 Fault indicator Both LEDs next to function keys 7 and 8 for patient orientation simultaneously work as function display When one of the function keys for the adjustment of the operating table top is pressed down the green LED switches from a continuous to a flashing signal When the function key is released the continuous signal appears again At the foot of the operating table next to the mains connection socket there is a further green LED n which always illuminates when the operating table is connected to the mains power supply For further information see following chapter 8 6 Mains operation The operating table is disconnected from the mains by removing the mains cable from the mains socket The O PERON B 710 has an integrated charging unit In order to recharge the integrated batteries of the operating table by mains supply the operating table is to be connected to the mains via a mains cable The mains connection socket 7 is located on the left hand side in the foot of the operating table below the foot panelling The primary voltage of the operating table is stated on the type plate 10 The secondary voltage of the operati
4. Green LED a Symbol for battery capacity high sufficient This LED displays a green continuous light when the operating table batteries are fully charged or the overall battery capacity is still more than 90 LED a switches to a green flashing signal when the battery capacity has dropped below 90 but there is still a residual charging capacity of approximately 30 or more With a further decreased battery capacity this LED goes out completely and the red LED c illuminates instead see below Yellow LED b Symbol for Mains operation Charging of operating table batteries This LED displays a continuous yellow light when the operating table is connected to the mains supply via the mains cable Red LED c Symbol for battery capacity low insufficient This LED displays a continuous red light when the capacity of the operating table battery has dropped below approx 30 of the residual charging capacity The green LED a has gone out The LED c switches to a red flashing signal when the battery charging capacity has dropped below approx 10 The batteries must be recharged at the end of the operation Please see the chapter 8 6 Recharging the operating table batteries for this purpose _ O a m ZA Note If the control units are switched off function key 1 the status the OR table being connected to the mains will be indicated by the green LED n only which is contained in the table s foot construction
5. also avoid exposing the cushions to contact with oils or greases when lubricating After cleaning allow the pads cushions to dry completely at room temperature separately before replacing them on the operating table Any operating table pads that have been damaged by cuts or tears in the surface should be replaced immediately as in this case it is possible for liquids to penetrate the inside of the pad 48 User manual OPERON B 710 BERCHTOLD 10 2 Monthly checks e Check all powered adjustments of the operating table by adjusting each movement to the maximum degree and returning it to the 0 position e Check whether one or maybe both fault indicator LEDs f are flashing take the relevant actions if necessary See chapter 8 10 ZA Important information The flashing of one of the LEDs f always signals a defect of the operating table which must be analysed and eliminated as soon as possible by a service engineer Do not continue to use the operating table after ending the current operation i e for further operations as long as you are not entirely sure of the extent of the existing defect e Remove all modules of the operating table top and check whether proper attaching can be carried out safely if correctly used In case the safe attachment of a module apparently can no longer be ensured beyond all doubt due to possible bending or wearing of the constructional elements of the interface stop using the module which is ou
6. are assigned to the correct adjustment direction for normal orientation In routine operation normal orientation is suitable for the vast majority of all patient positioning 34 User manual OPERON B 710 BERCHTOLD Reverse orientation The patient s head upper body is located on the side of the operating table which is above the shorter end of the operating table foot By pressing function key 8 on one of the control units the powered adjustments for Trendelenburg lateral tilt back and leg plate as well as for Flex and Beach Chair are assigned to the correct adjustment direction for reverse orientation In routine operation reverse orientation is especially suitable for all interventions in which the operating team needs more better access to the patient s head area or even if they would like to sit around the head of the patient like e g when performing maxillo facial or neurosurgery Patient positioning in reverse orientation Immobilise the operating table and remove all modules from the operating table top Then mount the back plate module followed by the head plate on the side of the central section which is located above the shorter end of the operating table foot First install the shorter and then the longer leg plate module on the opposite side of the central section Set reverse orientation on the control unit function key 8 relevant LED illuminates and position the patient
7. be aborted 8 10 2 Power drive unit With this equipment option the O PERON B 710 can be very easily moved and manoeuvred This occurs thanks to a powered track castor invisible from the outside that is built in the foot of the operating table and that is also operated via the integrated batteries The control of the power drive unit then occurs via an additional function key pair 40 41 which is only available on the relevant control unit 13 The definition of the drive direction of the function keys 40 for FORWARDS and 41 for BACKWARD S refers to the normal orientation of the patient on the operating table top and then to a user standing at the head end side of the OR table By pressing function key 40 the operating table moves forwards away from the user by pressing function key 41 it moves backwards towards the user User manual OPERON B 710 BERCHTOLD If the power drive unit of the operating table is actuated via the function keys 40 41 the operating table starts moving after approx 1 sec first at a slower driving pace approx half step speed If the function key is then pressed down for longer than approx 10 sec the speed is increased to approx step speed As soon as the function key is released the operating table is brought to a stop by braking the powered castor A Important information The power drive unit may only be activated with a patient lying on it if th
8. head plate as required by manually swivelling the cushion support plate on the operating table top side and tighten the grip screw 11 again This head plate function ensures correct support of the patient s head when the patient is to be positioned lying on his side User manual OPERON B 710 BERCHTOLD 8 14 Optional features for the operating table top The OPERON B 710 can be equipped with further optional modules which can be used sensibly for specific applications 8 14 1TUR module OZ 160 50 04 75 This 400 mm long module with perineal cut out constitutes a supplement to the operating table top should the operating table be used for urological interventions e g TUR By using the TUR module more accessible length can be achieved with the image amplifier and a drainage funnel OZ 150 26 00 can be inserted into the existing guiding rails For use of the TUR module see chapter 9 6 Urology 8 14 2 Divided pair of leg plates OZ 160 51 04 75 The divided pair of leg plates can be used instead of the standard module if e g the patient legs must be straddled laterally for a surgical intervention As any other module these leg plates can principally be attached to any module interface According to the intended application purpose the divided leg plates are sensibly mounted directly to ms the central section of the operating table top which results in a 1 powered adjustment up down for the
9. in case the operating 160 52 04 short Operations in the head table has to be back plate module area oral maxilo facial displaced surgery neurosurgery ophthalmology Reverse orientation Elongation with two 400 mm long modules plus head plate for reverse orientation not acceptable under any circumstances User manual OPERON B 710 45 46 Leg plate strongly elongated by using the back plate module at the foot end side Foot end use of the accessory OZ 160 90 04 TUR module Possibly short back plate module OZ 160 52 04 on head end side Head end use of accessory OZ 160 50 04 TUR module at foot end side if Z necessary short back plate module OZ 160 52 04 At head end use of accessory OZ 160 50 04 TUR module and short back plate module OZ 160 52 04 Reverse orientation User manual OPERON B 710 BERCHTOLD le Possible app ication for Existing restrictions areas for use of image amplifier in normal orientation for complete trunk area also of taller patients In reverse orientation up to the aorta Only for preparation for lithotomy position rectal and gynaecological Operations Urology Urology with elongated areas for use of image amplifier max patient weight 135 Cardio vascular surgery kg with extremely elongated n normal orientation Patient not shifted further towards the foot end side than with his buttocks on the shor
10. in upper position ON the operating table is Switched on 8 7 n Switch off the operating table electronic control Put toggle switch 8 in lower position O FF gt Note e When the operating table is delivered from the factory it is switched off at the toggle switch 8 e When the toggle switch is in the OFF position the operating table cannot be switched on via the function key 2 However the recharging of the operating table batteries is possible e If the operating table is not going to be operated for a prolonged period of time e g for several days or weeks the batteries should be fully charged first and then the operating table switched off at this switch User manual OPERON B 710 21 22 BERCHTOLD 8 8 Fuses for mains charging transformer The primary fuses for the mains transformer are located in screw on holders directly below the mains connection socket 7 To exchange the primary fuses first disconnect the operating table from the mains O pen the screw on holder s of the fuse s by using a flat bladed screwdriver and remove the fuses from the holder In the case of necessary exchange only use fuses according to the voltage indicated below Product version OT 160 10 04 220 230 240 V AC T L6A H 250V OT 160 10 14 100 120 127 V AC OT 160 10 75 100 120 127 V AC 8 9 Safety functions The OPERON B 710 is equipped with different safety characteristics that increase the safety
11. is stopped immediately as soon as the respective function key is released gt Note e For safety reasons the B 710 can be adjusted in height up down function only if the operating table is mobilised The lateral tilt Trendelenburg back and leg plates functions can only be adjusted when the table is immobilised If one of these functions is actuated when the operating table is still in moveable status red LED next to function key 4 illuminated the operating table is automatically immobilised in the first place The above mentioned functions can only be controlled after the operating table has been completely immobilised green LED next to function key 3 illuminated continuously e When using different control possibilities the operating table always reacts to the control unit that was first actuated e If two functions are sactivated simultaniosly by the hand control and the foot switch the movement will be aborted 12 User manual OPERON B 710 BERCHTOLD 8 4 1 Basic functions of the operating table 1 Symbol for OR table control O FF Pressing this function key switches off all control units any motorised movement of the operating table is stopped immediately 2 Symbol for OR table control ON Pressing this function key switches on the control units The electronic control first carries out a self test all available LE Ds flash briefly Then the green LED next to this function key is lit
12. leg plates or to the Pi E short seat plate module with the perineal cut out 22 20 21 i The divided leg plates can be manually adjusted for up down inclination and straddled laterally For manual inclination of the leg plate pull the lever 20 and adjust as required Locking occurs automatically by releasing the lever 20 For straddling the leg plate laterally either open only eccentric lever 21 or both eccentric levers 21 and 22 By opening only eccentric lever 21 the leg plates swivel around one pivot point underneath the small filler pad in direction towards the following top module If both eccentric levers are opened the long leg plate pad performs a more lateral swivel adjustment to the outside as a result which could prove as more appropriate than pivoting only dependent from the intended usage purpose After finishing the necessary adjustments close the or both eccentric lever s again For practical use of the divided leg plates see chapter 9 8 1 MIS and 9 8 2 gastric banding User manual OPERON B 710 31 32 BERCHTOLD 8 14 3 Short back plate module OZ 160 52 04 75 The short back plate module can be used for the purpose of varying the length of the back plate of the operating table top As an addition to the standard back plate module it e g increases the accessible length areas for the image amplifier Used instead of the standard back plate module it may provide more convenient pa
13. surgical purposes only two main configurations of the operating table top may be relevant attaching the leg plates directly at the central section or at the short seat plate leg plate module see following chapter 9 8 1 MIS Should endoscopic interventions in the abdominal area of the patient be necessary for which the surgeon would like to stand between the straddled legs of the patient select the most appropriate following Preparation e Remove the leg plate module of the standard configuration from the operating table top e Attach the divided leg plates at the foot end side directly to the central section e For shorter patients below approx 170 cm body height shorten the back plate of the operating table if necessary by e g using the short back plate segment OZ 160 52 04 instead of the long back plate module from the standard equipment User manual OPERON B 710 BERCHTOLD Positioning the patient e Position the patient in normal orientation in such a way that his hip joints are placed approx at the level of the foot end side of the central section e Open both eccentric levers of the leg plate straddle the leg plates one after the other by swivelling them outwards laterally and close both eccentric levers again gt Note As a result if the leg plates are straddled by this swivelling movement on the one hand the surgeon has sufficient access to the patient on the other hand the thus po
14. table among other things can not be prevented by the anticollision function User manual OPERON B 710 Semo Operating mode of the anticollision function The operating table automatically prevents all combined adjustments of motorised movements in downwards direction which may possibly be resulting in a self collision through the larger adjustment areas which are available as individual functions of the operating table i e with the following combined adjustments the anticollision function works as follows a Adjusting the operating table top in Trendelenburg Reverse Trendelenburg to a large degree automatically limits a combined adjustment in lateral tilt left right potential risk of collision of the top frame with the top element of the column casing b Adjusting the operating table top in lateral tilt left right to a large degree automatically limits a combined adjustment in Trendelenburg Reverse Trendelenburg potential risk of collision of top frame with the top element of the column panelling c Adjusting the operating table top in Trendelenburg Reverse Trendelenburg to a large degree automatically limits a combined adjustment of back plate or leg plate downwards potential risk of collision of operating table top modules with the foot panelling d Adjusting the operating table top to the functions back plate or leg plate downwards to a large degree automatically limits a combined adjustment in Trendel
15. the foot end side to form a leg plate extension e If necessary at the head end depending on the body length of the patient attach the head plate directly to the central section or again to the shorter back plate module e Position the patient supine with his buttocks lying right above to the end of the perineal cut out and start anaesthesia induction gt Note The operating table prepared in this way is also suitable for further types of surgery where large radiable lengths resulting in approx 1120 mm at the foot end side are required for the patient s lower body sections as for example in vascular surgery at the lower extremities or orthopaedic surgery e g for a hip endoprosthesis User manual OPERON B 710 D T BERCHTOLD e Patient positioning e Attach leg holders with radial setting clamps onto the slide rails of the short seat section e position patient s legs in the leg holders e remove both long leg plate modules from the table top At the end of the operation give up the patient positioning in the reverse order Recommended accessories OZ 100 11 00 anaesthetic screen OZ 120 18 00 arm support OZ 120 18 20 pad OZ 120 18 30 restraining straps OZ 100 25 00 leg holders pair OZ 100 25 20 restraining straps OZ 100 10 40 radial setting clamp 2 pcs OZ 100 17 00 clamp OZ 100 17 10 wristlet strap O ptional OZ 150 17 50 arm protection support instead of OZ 100 17 00 OZ 100 17 10
16. the required adjustment frequency and the weight loading for the operating table e Fully discharged batteries less than 10 residual charging capacity need a charging time of approx 16 to 20 hours e We recommend to recharge the batteries early instead of waiting for the red red flashing signal of the LED c to appear Regular recharging of the batteries e g after the daily operation schedule overnight or over the weekend not only guarantees adequate battery capacity for conducting operations but also helps to extend the service life of the batteries e The batteries can also be charged when the operating table is switched off by pressing function key 1or even was completely switched off via the switch 8 On the side of the operating table foot in the area next to the mains connection socket there is a control LED n which always illuminates when the operating table is connected to the mains power supply via the mains cable Batteries are problem waste At the end of the batteries life cycle they must never be included with ZA normal domestic waste but always disposed of in accordance with the prevailing national disposal regulations 8 7 Switch for the OR table electronic control The switch 8 for the electronic control of the operating table is also located in the foot directly next to the mains connection socket This toggle switch 8 can also be used to switch off all functions of the operating table Main switch 8
17. 160 52 04 optional feature In this case the short back plate module can be used instead of the long back plate module or also used together with it e If necessary or required replace the standard head plate with a special head support accessory and position the patient e adjust back plate upwards function key 16 e seta slight Trendelenburg position function key 13 e adjust leg plate by inclining downwards function key 17 e alternatively adjust the semi sitting position by activating function key 20 Recommanded accessories OZ 100 11 00 anaesthetic screen OZ 120 18 00 arm support OZ 120 18 20 pad OZ 120 18 30 restraining straps OZ 150 26 50 body restraining strap OZ 100 17 00 clamp OZ 100 17 10 wrist strap OZ 160 25 00 adapter for head support accessories Optional OZ 100 11 20 extension rods for OZ 100 11 00 OZ 100 20 00 Infusion stand OZ 150 17 50 arm protection support instead of OZ 100 17 00 OZ 100 17 10 OZ 160 52 04 short back plate module OZ 100 13 30 head ring used on standard head plate OZ 100 13 50 horse shoe shaped head rest OZ 100 13 00 head plate with hand crank adjustment for height and inclination User manual OPERON B 710 97 BERCHTOLD 9 4 1 Shoulder operations with equipment option shoulder operating module OZ 160 53 04 e Immobilise the operating table reverse orientation should be used for this first remove all top modules from the operating table e Install t
18. LED mains charging mode Red LED battery low Red LED fault indicator 11 BERCHTOLD 8 3 Column control panel The additional column control panel is fixed permanently on the left hand side of the top section of the column casing The functions of the operating table can be controlled via the column control panel 15 in the same way as via the control unit 13 The symbols of the individual SL D DR function keys as well as the LEDs with their respective g indicator functions are reproduced identically on the column control nus nusena p na nmana amp gt Note The column control panel has an emergency adjustment function which is more than just a second control option It has its own second electronic control for the operating table functions which means that the column control panel 15 is a second redundant control parallel to but also independent from the electronic control of the regular control unit 13 In case of a fault in one of the two central electronic controls the operating table can be further operated via the respective other control control unit column control panel see also chapter 8 9 2 Fault indicator 8 4 Control of powered operating table functions Explanation of symbols To actuate a function press the respective function key and keep it pressed down until the operating table has reached the desired position Each powered movement of the operating table
19. NTENANCE 10 1 Cleaning and disinfecting Daily care ZA Important information The operating table is not suitable for machine automated cleaning or disinfection procedures Do not apply cleaning or disinfection methods whereby high pressures water steam etc high temperatures or excessive amounts of liquid are used like e g cleaning in automatic bed washing machines or with the help of spray lances etc Metal surfaces To clean metal surfaces simply wipe the operating table with a cloth Use a weak alkaline cleaning fluid suds Avoid excessive quantities of fluid and prevent the cleaning fluid from running into the inner parts of the operating table or in the control units Clean the control units by simply wiping with a damp cloth Any standard hospital surface disinfectant which does not contain any chlorine or chlorine based compounds is suitable for disinfecting metal surfaces Always comply with the disinfectant manufacturer s instructions for use Operating table pads To clean the operating table pads also wipe them with warm suds When disinfecting pads avoid using disinfectants and disinfecting procedures in which the pads are exposed to excessive quantities of alcohol or in which alcohol containing agents remain on the pads for prolonged periods of time longer than approx 20 min Alcohol can impair the operating table pads characteristics against statical loading as required by regulations For this reason
20. OZ 100 15 00 shoulder support pair OZ 100 10 10 clamp 2 pcs gt Note for operating table version OT 160 10 75 for North A merica With this operating table version only the back plate module used on the foot end as prolongation needs to be removed again for the lithotomy position The regular leg plate module may remain on the operating table top and it is folded down in the short seat plate leg plate module with the help of the joint via both levers 30 9 6 Urology with equipment option TUR module OZ 160 50 04 9 6 1 TU R module in normal orientation e Immobilise operating table and first remove the long leg plate module e Then also remove the short seat plate module at the foot end and replace it with the urology module OZ 160 50 04 e Reinstall the long leg plate module at the foot end and position the patient as for the lithotomy position above ZA Attention If the operating table top is prolonged at the foot end as described above please note that only the legs of the patient may be positioned at the foot end side of the TUR module with the perineal cut out There is a risk of tipping if the patient s centre of gravity approx at navel level is shifted further towards the foot end i e beyond the TUR module User manual OPERON B 710 29 40 BERCHTOLD 9 6 2 TUR module in reverse orientation If for urological procedures larger accessible areas for the image ae d amplifier are nee
21. Technical description 49 50 11 1 Technical data 49 11 2 Electrical data 49 11 3 Ambient conditions 49 11 4 Symbols used on the type plate 50 11 5 Symbols used on the OR table base 50 User manual OPERON B 710 1 INTRO DUCTIO N 11 General product description The OPERON B 710 operating table is a mobile operating table with an electro hydraulic drive for executing adjustments to the table top via mains or integrated batteries These batteries can be recharged via the mains power supply Control of the electro hydraulically motorised functions is carried out via a control unit connected to the operating table by a spiral cable with a plug in connection alternatively via the contro panel in the column The operating table top itself is divided into 5 parts whereby only the central section is permanently fixed to the foot column construction All other table top modules can be removed and the operating table or table top adjusted to meet the different requirements of the various surgical disciplines by means of diverse configurations Both the cushions and the cushion support plates of the table top are radiotranslucent so that the OPERON B 710 guarantees perioperative use of the X ray image amplifier over large longitudinal areas of the table top In addition guide rails are located beneath the entire length of the table top these can be used for the insertion of conventional X ray cartridges with the aid of an optional X ray
22. ZA Attention Important Information Should the operating table be used in reverse orientation and the back plate of the operating table top need to be extended with the help of the short back module OZ 160 52 04 equipment option the operating table must not be moved if the patient weight exceeds 225 kg gt Note If the operating table with the patient lying on it does not need to be moved a patient weight up to 350 kg may also be possible in reverse orientation if the back plate length is to be additionally prolonged with the short back plate module User manual OPERON B 710 35 36 BERCHTOLD 9 3 Patient positions for general surgery e For patient positioning in flat or flexed body position for interventions in the thorax or upper abdominal area prepare the operating table in normal orientation e If necessary adapt the back plate length of the operating table top by using the short back plate module 0Z 160 52 04 equipment option In this case the short back plate module can be used instead of the long back plate module or also used together with it e Fora flexed patient positioning set the entire table top into Reverse Trendelenbug function key 6 and incline the back plate downwards function key 7 Alternatively actuate function key 19 until the desired level of tension on the surgical field has been reached ZA Attention e Unexpected adjustments of the operating table with unsecured pa
23. ached module Not correctly attached module User manual OPERON B 710 20 30 BERCHTOLD I Removal j x Grip the module with both hands and pull both locking Hi levers 0 left and right with your finger Then lift the module slightly on the side towards the user and by simultaneously pulling in horizontal position pull it out of the receptacles of the following module without exercising excessive force or tilting the module laterally by doing so N Attention Always remove only one module at a time from the operating table top Never attempt to remove two or even more modules at a time D ue to the accumulating weight and unfavourable lever effect the handling would no longer be possible there would be a risk of overstressing the user or causing damage to the operating table components 8 133 Head plate adjustment In order to incline the head plate upwards or downwards pull the lever 12 with your finger adjust to the required inclination and release the lever again gt Note If the head plate is loaded with the patient head resting on it normally a balanced characteristic of the head plate adjustment will be given If the head plate is unloaded it can be adjusted upwards unintended by operating the adjustment lever N Attention Never push down the head plate forcefully without operating the adjustment lever risk of damage In order to erect the head plate loosen the grip screw 11 erect the
24. and swivel down the leg plate module manually While doing this hold the module in your hand firmly because the swivelling movement cannot be stopped otherwise gt Note Folding down the mounted leg plate module via releasing the levers 30 can be carried out more easily if slightly lifting the end of the module on the foot end with your own body before pulling the levers To fold up the module simply swivel it upwards with your hand locking in horizontal position then occurs automatically ZA Attention The situation Module folded down manually is not registered by the anticollision function see chapter 8 9 Hence when using the powered adjustments of the operating table please be careful to avoid a potential collision of the folded module with the foot or the column of the operating table by taking any necessary precautions This especially applies for the movement directions height down function key 9 Reverse Trendelenburg function key 14 and leg plate downwards function key 17 User manual OPERON B 710 33 BERCHTOLD 9 USING THE OPERATING TABLE POSITIONING THE PATIENT 9 1 General information On principle the O PERON B 710 can be used for patients up to a maximum body weight of 350 kg ZA Attention Important information e Specific patient orientations which are basically possible due to the modularity of the operating table top necessarily restrict the maximum possible body weight
25. apter now being in a position inclined upwards to ensure the opportunity for a strong inclination of the shoulder module in direction upwards for the later intervention in sitting patient positioning Now adjust the interface adapter into horizontal position by activating function key 15 Then insert the shoulder plate into the central square of the interface and lock it safely with the grip screw Below the shoulder segment there is a locking button 25 which must be pulled in order enable the removal of the respective shoulder segment Now the shoulder segment can be swivelled downwards and removed from the central part of the shoulder operating module In order to re install the shoulder segment after the intervention hang it to the central part and then swivel it upwards locking will occur automatically User manual OPERON B 710 J a BERCHTOLD J 8 15 Product version for N orth America OT 160 10 75 Due to specific requirements of North American users the operating table for the USA and Canada differs from the other product versions The most striking difference is the special design of the short seat plate leg plate module 4 With this product version this module 4 includes an additional joint which can be operated manually thus providing the opportunity to fold down the long leg plate module 5 without the necessity to detach it completely instead In order to fold down the module on the foot end pull both levers 30
26. ate module e Manually incline the divided leg plates slightly downwards and straddle them out laterally e If necessary additionally incline the back rest of the operating table top slightly upwards function key 16 e Atthe end of the operation cancel the positioning via adjusting the 0 position function key 21 and reposition the leg plates manually User manual OPERON B 710 43 BERCHTOLD 9 9 Unacceptable table top configurations N Attention Only the configurations and patient positioning shown above in the present chapter 9 9 2 to 9 8 2 may be selected N ever use the operating table as shown in the example of an unacceptable length configuration in the following illustration or even worse elongated like shown prepared for Reverse orientation gt gt e oD Never select patient positions in which the patient s centre of gravity approximately navel level is excessively distant from the column of the operating table Never elongate the operating table top excessively by attaching all modules on only one side of the central section or with the help of additional modules e g from another O PERON B 710 operating table Max 3 table top modules including head plate may be used above the longer end of the table foot see illustration and descriptions in Chap 9 3 9 7 1 Max 3 table top modules including head plate may be used above the shorter end of the table foot see illustration and d
27. ating accessories such as for example body restraint side supports etc In the case of remainig liquid in the mains socket e g after cleaning the table the liquid must be removed completely before connecting the table to mains The mains cable has to be connected to the table base first bevor connecting it to the mains socket gt gt gt gt User manual OPERON B 710 gt gt gt gt gt D gt gt gt B7 BP B gt gt BERCHTOLD Attention O bserve the patient or the operating table constantly when activating one of the motorised adjustments When fitting operating accessories check that they are correctly fastened and tighten securely Do not use worn or damaged accessories Before moving the operating table always make sure that no one has their feet in the area of the operating table foot Never move the operating table while the mains cable is still connected to the operating table Safety hazard due to tipping operating table In certain situations movement of the operating table is not permitted or only under compliance with special safety measures in order to prevent the possibility of the operating table tipping over Special care must be taken to comply with the additional information marked with the warning symbol in chapter 9 Use of the operating table Objects on the floor such as e g cables hoses etc can block the castors and thus lead to tipping of th
28. cassette inserter if required 12 Intended use Product liability information The operating table is intended exclusively for human medical purposes i e for the treatment of ill or injured people by means of surgical and or medical interventions An essential prerequisite for using the operating table is proper assembly and maintenance of the unit as well as observance of this User Manual Introduction for use is confirmed by a handover certificate BERCHTOLD will only consider itself responsible for the safety characteristics reliability and capability if e the user has been fully instructed in correct use of the operating table e assembly new settings modifications or repairs are only carried out by BERCHTOLD or by an institution expressly authorised by BERCHTOLD e the operating table is used under ambient conditions described in chapter 11 3 in medical rooms whose electrical installation complies with the regulations of VDE 0100 710 and IEC 60364 7 10 e the operating table is used in full compliance with these user manual 1 3 Notes on these instructions for use Inform yourself with the help of this User Manual on the correct use of the B 710 operating table before using it for the first time Keep these instructions near the place of use of the operating table and ensure that the user has access to them at all times We have preceded important information in these manual with the following symbols A This symbol de
29. ded patient positioning also could be set up in ED m reverse orientation by observing certain conditions If the TUR module is directly attached to the head end of the central section this can already result in more than 720 mm of radiable length If additionally the short back plate module OZ 160 52 04 is installed between central section and TUR module this can result in more than 920 mm of free radiable length for the image amplifier ZA Attention Important Information Should the operating table be used in patient reverse orientation for urology as described above prolonged with the short back plate module a maximum patient weight of 135 kg must not be exceeded under any circumstances N Attention Is the operating table is used as described above please note that only the patient legs may be positioned at the foot end side of the TUR module with the perineal cut out There is a risk of tipping if the patient centre of gravity approx at navel level is shifted further towards the foot end i e beyond the TUR module Patient positioning e Immobilise operating table prepare reverse orientation by installing the TUR module on the side of the central section located above the longer end of the operating table foot If necessary mount the head plate on the opposite side of the central section e For anaesthesia induction with supine patient positioning additionally attach the back plate module used as leg plate at th
30. diable length in the upper body area still need to be increased this is basically possible with the O PERO N B 710 by observing certain conditions For this purpose the short back plate module OZ 160 52 04 should be additionally attached With this module an additional radiable length of 200 mm may be obtained as a result so that overall more than 1260 mm free radiable length can be obtained N Attention Should the operating table be extended with the short back plate module patient in normal orientation a maximum patient weight of 225 kg must not be exceeded under any circumstances Preparation e Immobilise operating table e Remove the head plate from the table top and extend the table top with the short back plate module at the head end side e Reattach head plate and position patient e If it can be ensured that the patient does not weigh more than 135 kg the long leg plate module can be also used instead of the short back plate module to elongate the back rest of the operating extremely e Which may result in more than 1470 mm of free radiable length for the image amplifier N Attention If for this the operating table is used for the patient position in normal orientation this may only be carried out with patients up to a maximum weight of 135 kg User manual OPERON B 710 41 42 BERCHTOLD 9 7 2 Patient positioning with elongated operating table top in reverse orientation If par
31. e operating table Therefore always keep the movement path of the operating table free of objects of any kind Before positioning a patient on the operating table top and adjusting the patient position the operating table must be securely locked control via function key 3 Only patient positions described in these instructions may be used Take particular care to comply with the guidelines in chapter 9 Use of the operating table as well as the additional information marked with the warning symbol Please use the overview tables of chapter 9 10 Overview of operating table top module configurations as a guide with respect to the acceptable configurations of the operating table top and their module arrangements When using high frequency surgical units defribillators defribillator monitors please pay attention to the instructions of the manufacture The O R table has to be used on adconductive floor when a antistatic derivation ist requested The antistatic feature of the O R table is dependent on the use of the matresses which are specified by the manufacture Batteries are problem waste At the end of the batteries life cycle they must never be included with normal domestic waste but always disposed of in accordance with the prevailing national disposal regulations User manual OPERON B 710 7 BERCHTOLD 6 PRODUCT VERSIONS AND OPTIONAL FEATURES The OPERON B 710 operating table is available in the followi
32. e operating table the operating table has excellent manoeuvre characteristics and at the same time a track stabilising effect for a longer straight drive If the track stabilisation for manual operation has not been switched off the conditions for curve driving e g at an angle of 90 around a corridor corner may be less favourable as a result 8 10 3 Wireless remote control All necessary information and data for use of the O PERO N B 710 with the option wireless remote control are described in details in a separate instruction manual which is supplied with those operating tables that are equipped with this option User manual OPERON B 710 97 28 BERCHTOLD 8 11 Components of the operating table top The table top is divided into 5 sections e Head plate can be manually inclined and erected e Upper back plate module 400 mm long Central section e Seat plate Leg plate module 250 mm long with perineal cut out e Leg plate module 400 mm long Only the central section is permanently fixed to the foot column construction All other operating table top modules can be removed and set up in various configurations of the operating table or the operating table top thus providing optimised conditions for the different requirements of the various surgical disciplines ZANA Important note You may only set patient positions or select configurations of the individual table top modules which are described in this Inst
33. e foot end side of the TUR module e Position patient max body weight of 135kg on the operating table in such a way that he lies with his buttocks directly over the perineal cut out e Fasten leg holders to the lateral side rails of the TUR module position the patient legs inside and remove the back plate module again used as leg plate for the intervention At the end of the intervention cancel patient positioning in the reverse order Recommanded accessories OZ 100 11 00 anaesthatic screen OZ 120 18 00 arm support OZ 120 18 20 pad OZ 120 18 30 restraining straps OZ 100 25 00 leg holders pair OZ 100 25 20 restraining straps OZ 100 10 40 radial setting clamp 2 pcs OZ 100 17 00 clamp OZ 100 17 10 wristlet strap OZ 150 26 00 drainage funnel OZ 160 50 04 TUR module Optional OZ 150 17 50 arm protection support instead of OZ 100 17 00 OZ 100 17 10 OZ 100 15 00 shoulder support pair OZ 100 10 10 clamp 2 pcs OZ 160 52 04 short back plate module OZ 750 38 75 foot switch User manual OPERON B 710 BERCHTOLD 0 7 Vascular surgery Patient positioning with elongated table top 9 7 1 Patient positioning in normal orientation With the operating table in standard configuration the O PERO N B 710 already offers a free radiable length of more than 1060 mm at the head end side Which is more than enough for the vast majority of vascular surgical interventions like e g aorta stents Should the free ra
34. e operating table top was aligned into 0 position horizontal position beforehand The power drive unit may only activated with a patient lying on it if he was safely fastened onto the operating table top according to the necessary requirements e g body strap Be especially careful that prior to activating the drive unit no other person has her feet in the area of the castors foot of the operating table and can not be touched by the operating table due to its own movement or even can be knocked over Be careful that prior to activating the power drive unit the mains cable for charging must be disconnected from the socket in the foot of the operating table Please keep the movement path of the operating table clear of any objects such as e g cables lying on the floor hoses etc these may possibly result in the operating table tipping over or cause damage Always stay in close proximity of the operating table while using the power drive unit until it was brought to complete stop again and control the operating table with your free hand e g by gripping laterally at the head plate gt Notes e The power drive unit can only be activated if the operating table was first mobilised by pressing function key 4 e While using the power drive unit the track stabilisation for manual movement of the operating table should be switched off by pressing function key 5 As a result of the central position of the driving castor in the foot of th
35. echnical performance parameters of the OPERON B 710 can be changed and or set up within defined technical limits with the help of this service software Such as for instance the duration of the switch on interval prior to the operating table automatically switching off to save on battery capacity or also the adjustment speed of the individual powered functions We can basically fulfil any customer request regarding individual settings that deviate from the factory configuration due to specific user requirements The BERCHTOLD Service can advise you on which parameters would be basically configurable and which effects are to be taken into account if applicable User manual OPERON B 710 49 11 TECHNICAL DESCRIPTION o0 111 Technical data Dimensions Weights Overall length with head plate Overall length without head plate Width of the operating table top Overall width above sliding rails Overall length operating table foot Max foot width Unladen weight of operating table Max permissible patient weight Adjustment ranges Height upper edge pad support plates Height including pads Incline head foot down Tilt to the left right Back plate up down Leg plate up down incline head plate up down 11 2 Electrical data Mains power supply Max current consumption Internal power supply Protection system Protection type Protection class Mode of operation Mains fuses 113 Ambient conditions For tran
36. ee Chap 8 6 8 7 FIRST OPERATING OF THE OR TABLE The operator may only operate the OR table when the manufacturer or supplier e has subjected the operating table to a performance check at the place of use e and the persons responsible for operation have been instructed in the correct handling of the operating table with the aid of the instructions for use IMPORTANT INFORMATION ON SAFE HANDLING SUMMARY Incorrect operation or failure to comply with precautionary measures can cause serious incidents and result in injuries to patient or staff or damage to property Therefore please make sure that you are fully informed about the correct method of functioning and handling of the OPERON B 710 by reading this User Manual N Attention When adjusting the operating table please do not reach into the field of movement of the operating table or the table top When adjusting the back or leg plate never reach beneath the table top frame or the area of the powered joints on either side of the central section When adjusting the operating table always keep the area beneath the table top clear of objects of any kind such as e g the legs of a person seated at the operating table or instrument tables especially when lowering the table Unforeseen adjustments to the operating table with unsecured patients can result in injury to the patient The patient must be secured as dictated by the relevant requirements with suitable oper
37. enburg Reverse Trendelenburg potential risk of collision of the operating table top modules with the foot panelling ZA Important information e The anticollision function is configured for the lowest height position of the operating table top and for the standard configuration of the table top modules i e the anticollision function is as effective in the higher position as in the lower position of the operating table top even if no collision could still occur with the foot cover e g due to extreme combined adjustments in leg plate downwards and Reverse Trendelenburg e If the operating table top is used in any other than in the standard configuration like e g with extended back the anticollision function can not register it I e in the lowest position of the operating table top extreme combined adjustments to positions back downwards and Trendelenburg may result in a collision with the foot cover or even with the floor e In the same way any foreign objects located below the operating table top can not be registerd objects above the operating table e g like any hanging installations from the ceiling can not be registered also i e if the operating table top is adjusted into Trendelenburg collisions may occur with any objects located at the foot end side e Never use the foot construction of the operating table as a storage place for objects of any kind like e g operating table accessories e Do not trust the anticol
38. ent upwards When this function key is pressed the entire table top moves upwards 11 Symbol for Lateral tilt to the left When this function key is pressed the entire table top tilts to the left The definition to the left refers to the direction in which the patient is lying i e the table top is tilted to the left viewed from the head end side 12 Symbol for Lateral tilt to the right When this function key is pressed the entire table top tilts to the right The definition to the right refers to the direction in which the patient is lying i e the table top is tilted to the right viewed from the head end side 13 Symbol for Table top into Trendelenburg position When this function key is pressed the entire table top inclines with the head end down Trendelenburg User manual OPERON B 710 15 16 REV z E EB BERCHTOLD 14 Symbol for Table top into Reverse Trendelenburg position When this function key is pressed the entire table top inclines with the foot end down 15 Symbol for Back plate inclined downwards When this function key is pressed the entire back plate of the table top inclines downwards 16 Symbol for Back plate inclined upwards When this function key is pressed the entire back plate of the table top inclines upwards 17 Symbol for Leg plate inclined downwards When this function key is pressed the entire leg plate of the table top inc
39. ention For safety reasons operating table weight the actual process of lifting the operating table from the shipping pallet have to be carried out by at least two staff members The operating table is delivered upright on a shipping pallet The wooden cover of the packaging can be used as descending ramp for the O R table Not all the modules of the operating table top are mounted they are enclosed and secured separately together with any other operating accessories supplied In order to avoid damage the operating table have to be removed from the pallet as follows e Remove the wooden cover and remove the packaging upward from the palette e Remove transportation locks and separately packed components e Remove all operating table top modules see chapter 8 12 e Loosen the wood strip from the palette which is secured on the left side of the table by opening the screw e Attach the wooden cover of the packaging sideways to the palette to be used as descending ramp e Prepare the operating table for operation by setting the toggle switch 8 which is positioned at the head side of the table base into the upper position see chapter 8 7 e Switch on the operating table by activating the function key 2 O N on the column control panel and make it ready to start by activating the function keys 4 and 5 on the column control panel see also chapter 8 4 1 e Hold the OR table by the slidebar of the middle section and drive it carefully
40. escriptions in Chap 9 5 Please use the overview tables of the following chapter 9 10 as a guide with respect to acceptable configurations of the operating table top and their module arrangements User manual OPERON B 710 BERCHTOLD 9 10 Overview of operating table top modules configurations Nr Short description 1 Standard config Sketch Possible application for Existing restrictions In flat or flexed position none General surgery abdominal and thorax interventions also with endoscopic technique In semi sitting poistion O perations in the throat and head area e g goitre breast surgery 2 Standard config n semi sitting sitting none Position Interventions in the head area oral maxilo facial surgery neurosurgery ophthalomology In flat position General surgery abdominal and thorax interventions with endoscopic technique 3 Back rest elongated In flat position Maximum patient with accessory O Z 1 Cardio vascular surgery weight 225 kg 160 52 04 short with extended areas for use back plate module of image amplifier general surgery abdominal and thorax interventions with endoscopic technique Normal orientation In flexed position General surgery abdominal and thorax operations In semi sitting position O perations in the throat and head area 4 Back rest elongated In semi sitting sitting Max patient weight 225 with accessory O Z position kg
41. he adapter for the shoulder operating module at the central section of the Operating table top above the shorter end of the operating table foot reverse orientation install both leg plate modules on the opposite site e Now install the shoulder operating module on the already mounted adapter and set to horizontal position via function key 15 e Position patient arrange in sitting position as described above but position the back section with a considerable upward slope The easiest way to do this is via the Beach Chair comfort function of function key 20 Recommanded accessories OZ 160 53 04 back plate for shoulder operations OZ 100 11 00 anaesthetic screen OZ 120 18 00 arm support OZ 120 18 20 pad OZ 120 18 30 restraining straps OZ 150 26 50 body restraint strap 9 5 Lithotomy position patient s legs in raised position The modular operating table top is particularly well suited for a patient lying in lithotomy position patient legs in raised position e g for gynaecological or rectal interventions if the relevant procedures described below are followed For anaesthesia access to the patient head is maintained and for final positioning the patient does not need to be shifted into the longitudinal direction of the operating table top Preparation e Immobilise operating table and prepare the table top as shown in the illustration opposite e Remove the upper back plate module at the head end side and attach it at
42. ibited Alteration in technology and designed reserved e mail Info BERCHTOLD de User manual OPERON B 710 BERCHTOLD Tel 49 0 74 61 181 0 Fax 49 0 74 61 181 200 Technical service Tel 49 0 74 61 181 217 Fax 49 0 74 61 181 311 03
43. lines downwards 18 Symbol for Leg plate inclined upwards When this function key is pressed down the entire leg plate of the table top inclines upwards 8 4 4 Additional functions 19 Symbol for bend operating table top FLEX When this function key is pressed down the operating table top functions Reverse Trendelenburg and back plate downwards are controlled automatically in alternating sequences and a bent or roof top position of the operating table top is obtained for a flexed patient positioning 20 Symbol for operating table top in semi sitting position BEACH CHAIR When this function key is pressed down the operating table top functions Reverse Trendelenburg back plate upwards and leg plate downwards are automatically controlled in alternating sequences which results in an operating table top position fora semi sitting patient positioning gt Note e For technical reasons a simultaneous movement of several powered functions is not possible Hence by pressing function key 19 or 20 the operating table top position is adjusted by alternatively controlling the necessary individual functions several times one after the other e Forthe same reason these additional functions have to only be used starting from the horizontal position of the operating table top 0 position If the additional functions 19 or 20 are controlled from an already adjusted opera
44. lision function blindly but always observe the operating table when controlling a powered function for any potential situations that may put patients or objects at risk User manual OPERON B 710 73 24 BERCHTOLD 8 9 2 Fault indicator LED f In order to further increase the safe use of the OPERON B 710 the LED f is located on the control unit or the column control panel next to or above the function key 1 which has a fault indicator function LED f indicates all possible errors if applicable which can be registered via the two central electronic controls i e purely mechanical function elements like e g the individual modules of the operating table top or e g the rolling and Swivelling characteristics of the castors in the operating table foot can not be registered and be displayed via the LED f As soon as diher one of the LEDs on the control unit or the column control panel displays a red flashing light this points out to a possible defect in one of the respective own electronic control or the control element itself That is e g one of the function keys of the control unit 13 could be faulty then LED f of the control unit flashes LED f of the column control panel remains unlit or e g a cable to the control device may be defective If both LED s f show a red flashing light it may be a general defect This double signal may e g point out to one of the sensors for the horizontal position of the opera
45. minates It is effectual to press the button briefly to release the castors of the O R tables The status of the mobilisation will be alsways be adjusted according to the illumination of the LED beside button 5 or 6 o Symbol for O perating table can be moved freely By pressing this key all 4 castors of the operating table are made ready to rotate freely green LED illuminates LED next to function key 6 goes out when the operating table is mobilised via the function key 4 which allows for the operating table to also be moved transversely to the longitudinal axis of the operating table top User manual OPERON B 710 13 14 BERCHTOLD le 6 Symbol for Operating table can be moved in track stabilised mode By pressing this function key one of the castors of the operating table is set in such a way that it is locked in the longitudinal axis position of the operating table top green LED illuminates LED next to function key 5 goes out the remaining three castors can still rotate freely which results in a track stabilised directional movement of the operating table over a longer straight distance when the operating table is mobilised via the function key 4 Note e The required movement manoeuvring characteristic of the operating table can be selected at any time via this function pair i e regardless whether the operating table is mobilised or immobilised If the operating table is mobilised via function key 4
46. movement of several powered functions is not possible Hence when horizontally aligning the operating table top the lateral tilt is adjusted back to level first if necessary followed by the remaining adjusted functions in automatic alternating sequences In addition to the complete 0 position function provided by function key 21 the OPERON B 710 also has an individual 0 position function for tilt Trendelenburg back plate and leg plate This is helpful if the entire position does not need to be changed perioperatively e g in the case of breast operations if only the back section of the table top needs to be adjusted repeatedly and realigned horizontally If eg the operating table was in Trendelenburg position via function key 13 by pressing function key 14 the top only moves into Reverse Trendelenburg until a horizontal position was reached If further Reverse Trendelenburg adjustment is necessary briefly release the function key press it again and the function will allow further adjustment For all other operating table top functions the movement described above applies in the same Way User manual OPERON B 710 17 BERCHTOLD 8 5 LED displays on control unit and column control panel 8 5 1 LED displays for battery capacity power supply There are LED displays on the control unit and the column control panel that give information on the charging status of the batteries integrated into the foot of the operating table
47. nction key pair on the control unit 13 or if necessary on the wireless control unit see description in chapter 8 10 2 Those product versions that are equipped with a wireless remote control have a remote control unit with a function key arrangement that is identical to that of the wired remote control Control of the powered functions of the operating table via the remote control unit is basically similar to control via the wired control unit see chapter 8 4 page 11 et seq However further information is necessary for the use of the operating table with the remote control e g information on modalities when using several operating tables with wireless remote control in one operating area same floor Therefore all necessary information and data for the use of the O PERO N B 710 with the wireless remote control option are described in more details in a separate user manual which is supplied with those operating tables that are equipped with this option 9 User manual OPERON B 710 BERCHTOLD 7 OVERVIEW OF THE OPERATING TABLE KDEL am E f ES DDS ma Head plate Back plate module 400 mm long Central section Seat plate leg plate module 200 mm long with perineal cut out Leg plate module 400 mm long Locking lever module lock Mains connection socket Switch for electronic control Connection for potential equalisation cable Type plate on the right hand side on column casing Grip
48. ng table internal voltage is 24 V DC Note e TheOPERON B 710 is suitable for mains battery charging operation in the operating room with the patient on the table However please take care to comply with the relevant national regulations e Battery operation is preferable to operation by mains supply for routine use of the operating table ZA Damaged mains cables may not be used and have to be raplaced immediately User manual OPERON B 710 19 20 BERCHTOLD le If the proper condition of the arrangement or assembly of the ground wire can not be guaranteed the O R table also has to be operated the O R table also has to be operated by using the internal power supply User manual OPERON B 710 BERCHTOLD Recharging the operating table battery Immobilise the operating table by pressing function key 3 Connect the operating table to the mains with the mains cable by first connecting the mains cable to the connection socket 7 of the operating table and then to a mains connection socket Switch the operating table on function key 2 on a control unit if necessary use switch 8 first and check whether the yellow LED b is lit up If the green LED a continuously illuminates when the operating table is switched on it means the batteries of the operating table are fully charged gt Note e Fully charged batteries provide an operating table adjustment capacity for up to approx 100 operations dependent on
49. ng versions Product number Main characteristics Side rails in EU format power supply 220 230 240 V AC 10 Side rails in EU format power supply 100 120 127 V AC OT 160 10 75 Side rails in US format power supply 100 120 127 V AC OT 160 11 04 like model OT 160 10 04 but with power driving unit OT 160 11 14 like model OT 160 10 14 but with power driving unit like model OT 160 10 75 but with power driving unit 6 1 Product version for N orth America for information purposes only Beside differences in the mains power supply and side rail equipment the standard fittings of the operating table top of the product version for North America operating table OT 160 10 75 depart from the remaining versions in the following points e The short seat plate leg plate module offers an additional possibility of folding the long leg plate module downwards manually without having to detach it from the operating table top e The long leg plate module has an additional perineal cut out that points into the head end direction For further information see chapter 8 15 6 2 Other version specific optional features Each available product version can be supplied with the following optional features as special fittings ex works e Power drive unit e Wireless remote control The product versions with a powered drive unit include an integrated driving castor in the foot of the operating table which can be controlled via an additional fu
50. notes safety relevant information Failure to observe the relevant instruction could result in damage or even injuries to the patient and or the user This symbol precedes information which provides the user with special help facilitates the use of the operating table or helps to prevent faults gt Note The symbols used on the operating table s type plate are described in chapter 11 4 User manual OPERON B 710 BERCHTOLD INSPECTION OF INCOMING GOODS Please check the operating table and accessories for any transport damage or defects immediately after receipt For this purpose carry out the inspections listed in chapter 3 below after removing the operating table from the shipping pallet Claims for damages will be considered only if the vendor or forwarder is informed at once A damage report must then be prepared immediately The damage report must be submitted to the nearest BERCHTOLD representative or to BERCHTOLD directly so that the claims for damages can be reported to the insurance company When returning a unit to BERCHTOLD oraBERCHTOLD service branch the original packaging should be used where possible The following information must be included owner s name and address identification and serial number see type plate description of the defect REMOVING THE OPERATING TABLE FROM THE SHIPPING PALLET gt Note Never use sharp tools to open the packaging as this could damage the contents N Att
51. o each other When correctly attached two catches on the left and right in the respective module interface secure the module in its position To mount or remove a module the least possible amount of force should be applied and lateral tilting of the module avoided Mounting Grip the module with both hands in such a way that the module can be fitted into the receptacles of the following module with a slight inclination higher in the direction of the user lower in the direction of the operating table with both pegs B Then push the module to be mounted fully into the receptacles and simultaneously swivel it down horizontally until the module completely locks into place and is thus held into a secure position The module will be correctly locked if the frame parts of the individual modules stand next to each other without space left between them With the module mounted correctly in secured position a small green dot laterally at the module frame indicates the correct mounting status N Attention Please be especially careful that the modules are fully locked into place Modules that are not secured by correctly locked catches can detach themselves from the operating table top or from the next module see the following illustrations below Make sure that the module is correctly secured by trying to pull the module horizontally out of the receptacles after fitting and additionally observe the green indicator Correctly att
52. of the patient and user in routine operation of the operating table Further safety functions are described hereafter beside the following characteristics already mentioned in the function descriptions Override through the control panel 15 at the colums switch off function via switch 8 and the various LED displays 8 9 1 Anti collision function for powered adjustments The O PERON B 710 is equipped to a certain extent with an anticollision function in its powered adjustments i e before damage can occur like e g between the leg plate adjusted in downward position and the foot panelling the relevant movement is automatically stopped while function key activated even though the maximum adjustment technically possible has not been reached yet Note In routine operation whereby very extreme adjustment levels of the operating table top are only very seldom used the anticollision function will accordingly be activated very seldom or not at all For technical reasons the anticollision function can only influence the technical system operating table ZA itself The operating table or its anticollision function can not register foreign objects automatically i e any objects or also persons which may happen to be situated in the field of movement of the operating table Consequently a powered adjustment which would lead to a collision with an object possibly located ZA below the operating table top e g instrument
53. of the patient to less than 350 kg The relevant restrictions marked by a warning symbol must be observed very carefully e The operating table must be immobilised before placing a patient on the table top and in order to patient positioning e Please observe very carefully the specific instructions on the displacement of the operating table with the patient in reverse orientation given in chapter 9 2 e Please also observe all instructions on safe use of the operating table given in the summary in chapter 5 pages 6 and 7 of this User Manual e All acceptable configurations of the operating table top and any restrictions to be observed if applicable are Summarised in an overview table in chapter 9 10 9 2 Normal Reverse orientation In addition to the possibility of varying the table top by varying the configurations of the modules the OPERON B 710 also provides the possibility to freely select the patient s recumbent orientation In this case the definition for normal and reverse orientation refers to the direction in which the patient is lying in relation to the foot of the operating table N ormal orientation The patient s head upper body is located on the side of the operating table top which is above the longer end of the operating table foot By pressing function key 7 on one of the control units the powered adjustments for Trendelenburg lateral tilt back and leg plate as well as for Flex and Beach Chair
54. onents of the operating table top 8 12 Mounting Removing components 8 13 Head plate adjustments User manual OPERON B 710 Page 4 4 4 4 10 32 10 11 12 12 17 13 14 15 15 16 16 17 18 19 18 19 19 20 20 21 21 24 21 22 23 24 24 20 26 20 20 26 26 27 28 29 29 BERCHTOLD 8 14 Optional features for the operating table top 30 31 8 14 1 TUR module 30 8 14 2 Divided leg plate pair 30 8 14 3 Short back plate module 31 8 14 4 Shoulder operating module 31 8 15 Product version for North A merica 32 0 Use of the operating table Positioning the patient 33 46 9 1 G eneral information 33 9 2 Normal Reverse orientation 33 34 9 3 Patient positions for general surgery 30 0 4 semi sitting patient positions 36 37 9 4 1 Shoulder operations 37 9 5 Lithotomy position 37 38 9 6 Urology 38 39 9 6 1 TUR module in normal orientation 38 9 6 2 TUR module in reverse orientation 39 9 7 Vascular surgery 40 41 9 7 1 Patient positions in normal orientation 40 9 7 2 Patient positions in reverse orientation 41 9 8 Fitting the operating table top with divided leg plate pair 41 42 98 1 MIS 41 42 9 8 2 Gastric banding 42 9 9 Unacceptable table top configurations 43 9 10 Overview of operating table top module configurations 44 46 10 Care and maintenance 47 48 10 1 Cleaning and disinfaction Daily care 47 10 2 Monthly checks 48 10 3 Annual maintenance 48 10 4 Service software 48 11
55. res BERCHTOLD Among other things the O PERON B 710 can be equipped with three important optional features 8 10 1 Foot switch Note With the optional foot switch O Z 751 02 25 the functions height up down Trendelenburg Reverse Trendelenburg and lateral tilt left right of the operating table can be adjusted The foot switch can be connected to the connection socket on the left hand side on the column contro panel side below the top frame of the central section via the spiral cable There there are two connection sockets for simultaneous connection of the control unit and the optional foot switch The spiral cable of the foot switch is to be connected at the connection socket 14F on the foot end side then as soon as i the operating table was switched on via function key 2 on the control unit or the column contro panel it can be set in height lateral tilt and Trendelenburg functios also via the foot Switch e When using different control possibilities the operating table always reacts to the control unit that was first actuated e If functions are activated simultaneously e g on the foot switch and control unit the operating table performs the function activated via the first control unit in this case activated via the foot switch the control signal of the control unit is not executed If two functions are sactivated simultaniosly by the hand control and the foot switch the movement will
56. ruction Manual Take particular care to comply with the guidelines in chapter 9 Use of the operating table as well as with the additional information provided in this chapter which is marked with the warning symbol gt Note e The constructive universal design of the interface between the individual modules basically allows complete freedom for configuring the table top modules and the combination of the individual modules This flexibility in the design of the operating table top is a valuable feature of the O PERO N B 710 which really ensures universal possibilities in routine use However regarding the practical use of the operating table this may also mean selecting some module configurations which are not useful or producing potentially hazardous configurations if the instructions contained in this manual are not complied with e g if the acceptable number of modules was exceeded by adding components of other operating tables Please avoid such situations by complying with the safety instructions provided e Atthe end of chapter 9 you will find under 9 10 Configurations of the operating table top modules an overview which may guide you as to which module arrangements are acceptable and are most useful in practice User manual OPERON B 710 BERCHTOLD I 8 12 Mounting Removing the table top components The individual modules of the table top as well as the head plate are assembled by simply fitting them int
57. screw to erect the head plate Locking lever incline head plate Control unit Connector socket control unit and foor switch Column control panel o HI 9P STI B6 N e e e KRA RR RR O TS O N 9 User manual OPERON B 710 0 8 10 FUNCTIONS AND OPERATION AL CONTROLS pm j oe ey BERCHTOLD For the following functions the OPERON B 710 is equipped with powered adjustments via the control unit 13 e Height of table top up down e Lateral tilt of table top left right Incline table top with head foot down Trendelenburg reverse Trend e Incline back plate up down e Incline leg plate up down e Operating table ready to move immobilise e 0 position return to level function for alignment of all powered adjustments into a horizontal position In addition the OPERON B 710 makes it possible to programme the selected orientation direction of the patient on the operating table top to influence the manoeuvre characteristics of the operating table see chap 8 4 1 as well as both additional comfort functions FLEX and BEACH CHAIR see chap 8 4 4 The head plate is adjusted manually see chap 8 13 8 1 Connection for control unit Note The control unit 13 is connected via the spiral cable to the connection socket on the left hand side on the side with the column control panel below the operating table top frame of the central section There there are two connection
58. sideways down the descending ramp e Immobilise the operating table again by activating function key 3 on the column control panel User manual OPERON B 710 5 BERCHTOLD The following checks should then be performed e Complete the operating table top by mounting all operating table top modules see chapter 8 12 e Make the operating table ready to start again first select the move freely status see chapter 8 4 1 by activating function key 5 and check whether all castors roll easily and can be swivelled at full 360 e Then select the move with track stabilised status by activating function key 6 and by slightly manoeuvring the operating table check whether the track castor locks into place then immobilise the operating table again e Switch off the operating table at the column control panel again function key 1 and connect the control unit 15 to the operating table the plug in connection for the control unit is located on the left hand side below the top frame of the central section see also chapter 8 1 Then test all powered functions by adjusting every single function into their respective end positions and back into horizontal position again e Check the voltage supply parameter by means of the type plate for correspondence with the present mains supply before connecting the OR table to the mains Connect the mains charging cable and check that the charging function for the batteries is operating faultlessly s
59. sitioned thighs of the patient are sufficiently supported 9 8 2 Gastric Banding Due to its generally robust design especially because of the high acceptable patient weight of up to 350 kg the OPERO N B 710 per se already offers good prerequisites for gastric banding In connection with the divided pair of leg plates the operating table top of the OPERON B 710 offers particularly favourable conditions for this special purpose of patient positioning for stomach reductions with endoscopic surgical techniques like e g gastric banding Preparation e Remove the long leg plate module of the standard configuration from the operating table top e Attach the divided leg plates to the short seat plate leg plate module e For shorter patients below approx 170 cm body height shorten the back plate of the operating table top if necessary by e g using the short back plate segment OZ 160 52 04 instead of the long back plate module of the standard configuration Positioning the patient Position the patient supine in such a way that his buttocks are placed on the short seat plate leg plate module e Then set up the patient positioning with the relevant individual adjustments of the operating table top functions Alternately activate the leg plate up function function key 18 and Reverse Trendelenburg function key 14 in order to achieve a vertical position in which the patient is supported by the upwards inclined short seat pl
60. sockets for simultaneous connection of the control unit and the optional foot switch The spiral cable of the control unit 13 is to be connected to the connection socket 14B on the head end side In the control unit there are additional light diodes thereafter abbreviated as LED which possess specific indicator functions as well as display the charging capacity of the operating table batteries or mains connection for recharging the batteries The connection socket 14F on the foot end is designed for simultaneous connection of the optional foot switch see chapter 8 10 1 User manual OPERON B 710 8 2 Overview of control unit 1 2 3 4 5 6 T 8 9 10 11 12 13 14 15 46 17 13 19 20 21 User manual OPERON B 710 OT re O SS B R 10 11 12 13 14 15 16 17 18 19 20 Zi BERCHTOLD Function keys OR table control O FF OR table control ON Immobilise OR table Mobilise OR table Move OR table freely track stabilisation O FF Move OR table in stabilised mode NORMAL patient orientation REVERSE patient orientation Hight adjustment down Hight adjustment up Lateral tilt to the left Lateral tilt to the right Trendelenburg Reverse Trendelenburg Incline back plate down Incline back plate up Incline leg plate down Incline leg plate up Comfort function FLEX Comfort function BEACH CHAIR 0 position function LED displays Green LED battery high Yellow
61. sport and storage temperature Relative air humidity Air pressure For operation temperature Relative air humidity Air pressure BERCHTOLD I 2060 mm 1820 mm 530 mm 580 mm 1090 mm 660 mm Ca 280 kg 350 kg only in Standardkonfiguration 710 1130mm 770 1190 mm 39 357 20 20 70 70 70 70 45 45 can also be raised 130 mm 1100 120 127 220 230 240 V AC 50 60 Hz 1 5 A bei 220 230 240 V 3 0 A bei 100 120 127V 24V DC IP 24 B I Intermittent 10 min EIN 10 mn AUS OT 160 10 04 T 1 6A H 250 V OT 160 10 14 OT 160 10 75 T 3 15A H 250 V 40 C bis 70 C 30 bis 100 900 hPa bis 1060 hPa 10 C bis 40 C 30 bis 75 700 hPa bis 1060 hPa User manual OPERON B 710 BERCHTOLD 114 Description of symbols on the type plate ZA Symbol for Attention Follow user manual e T Symbol for Protection type classification Type B C Symbol for O perating table compliant with guideline 93 42 EC for medical equipment 115 Description of symbols on the OR table foot lt y Symbol for Connection pin for potential equalisation User manual OPERON B 710 5 52 User manual OPERON B 710 BERCHTOLD i BERCHTOLD GmbH amp Co KG Ludwigstaler Stra e 25 Postfach 4052 D 78505 Tuttlingen 57047 M S A 08 2004 BERCHTOLD GmbH amp Co KG Internet www BE RCHTO LD de Reproduction including excerpts proh
62. t seat plate leg plate module Foot end elogation only for placing legs in flat position Patient not shifted further towards the foot end side than with his buttocks on TUR module Foot end elongation only for placing legs in flat position Max patient weight 225 kg Foot end elongation only for placing legs in flat position Max patient weight 135 kg end side reverse orientation than with his buttocks on TUR module BERCHTOLD le Nr Short description Use of accessory O Z 160 53 04 shoulder operating module Shoulder operations In flat or flexed position None in case the back plate is not to be 11 Use of accessory OZ LE E G eneral surgery abdominal Hw e piles an pe operations on additionally elongated section with endoscopic technique in semi sitting position lin case the back plate is interventions in the throat elongated see under and head area e g goitre Pack rest strongly elongated Abdominal operations with None in case the back endoscopic technique e g plate is not to be Normal or reverse orientation 12 Use of accessory OZ 160 53 04 Divided pair of leg plates at gastric banding additionally elongated the shorter seat plate AN induction in supine module position in case the back plate is elongated see under back rest elongated Normal or reverse orientation User manual OPERON B 710 47 BERCHTOLD 10 CARE AND MAI
63. t 13 has a permanent electric contact LED f of control unit 13 flashes after switching on and self test When controlling function keys on the column control panel 15 its LED still remains unlit The operating table can be further operated faultlessly via the column control panel 13 however disconnect the control unit from the operating table by pulling the spiral cable from the connection socket e Thesensor for the angular position of the back plate or one of the connection cables to this sensor is defective as soon as the function keys for back up or back down have been controlled on both control units both LE D s f send out a red flashing signal Then the back plate cannot be aligned horizontally via the included individual 0 position function and the additional functions FLEX BEACH CHAIR and complete 0 position 19 20 21are no longer available In such cases the back plate has to be aligned by eye via the respective function keys 15 16 However the remaining individual functions and safe use of the operating table until repairs are carried out remain fully functional 8 9 3 Manual operation of the castors Should the functions that are actuated via the control units for mobilising immobilising the operating table be impaired due to a defect the driving characteristics of the operating table can also be influenced manually A metric hexagonal socket driver key with 11 is necessary for this In the foot co
64. t of order immediately and have it checked and if necessary repaired bya BERCHTOLD service engineer e Check whether the castors move easily and that all castors can be swivelled at an angle of 360 in move freely mode Also check whether in the track stabilised mode the castor locks into a parallel position to the longitudinal axis of the operating table top e Check the mains connection cable and the cable of the control unit for damage If necessary the damaged mains cable must be replaced immediately e Incase the operating table is equipped with the optional drive unit feature check whether the operating table movement is safely be brought to a stop again automatically 10 3 Annual maintenance The operating table must be checked at annual intervals by BERCHTOLD or by an agent expressly authorised by BERCHTOLD and any necessary maintenance work carried out in accordance with the Service Manual In the event of a malfunction please contact BERCHTOLD Service or the competent BERCHTOLD representative Please always provide the product identification and serial number as indicated on the type plate of the operating table and in addition a most detailed description of the fault 10 4 Service software programme only for information purposes A special software programme for laptop computers is available to the authorised service agents which provides valuable support for all incurring diagnosis and maintenance and repair works Also the t
65. ticularly long radiable lengths need to be generated for the patient s lower body areas the elongated operating table top configuration can also be used in reverse orientation Preparation e Immobilise operating table and remove all top modules from the operating table top e Mount both 400 mm long modules back plate module and leg plate module to the side of the central section which is located above the longer side of the operating table foot e Mount the head plate directly on the central section on the opposite side e Position the patient in reverse orientation if necessary due to the patient body length attach the short leg module as an extension for the feet gt Note This patient position is also suitable for vascular surgical interventions up to the patient abdominal area as described in chapter 9 7 1 in normal orientation with both long modules this may result in a free radiable length of over 1120 mm However due to the more favourable position of the centre of gravity with the patient s heavy body areas positioned more closely above the column of the operating table this reverse orientation is better if the operating table top is to be used in this elongated configuration 9 8 Operating table top equipped with the divided par of leg plates equipment option OZ 160 51 04 The divided pair of leg plates OZ 160 51 04 can principally be attached to any module interface However in routine use for specific
66. tient positioning characteristics for shorter patients and access conditions for the surgeon e g neurosurgery in seated patient positionino For use of the short back plate module see chapters 9 6 2 and 9 7 8 14 4 Shoulder operating module OZ 160 53 04 75 The shoulder operating module provides especially favourable conditions for all interventions at the patient s shoulder On the left and right side the shoulder operating module includes a removable segment which ensures unrestricted access for the surgeon to the patient s shoulder at the intervention side as well as full access for the image amplifier in ap direction The helmet shaped head device can be adjusted in longitudinal direction and can also be swivelled to the left right for approx 25 in order to give the surgeon better access conditions to the shoulder Ps a 2 f J x f aa The shoulder operating module itself consists of two main components an interface adapter and the actual shoulder plate for the patient s upper body m a oa E i r Mounting of the shoulder operating module Prepare the operating table for reverse orientation i e first remove all modules of the standard equipment and only mount the two leg plate modules to the side of the central section located above the longer end of the operating table foot On the opposite side of the central section first install only the interface adapter The ad
67. tients can result in injuries to the patient The patient must be secured as dictated by the relevant requirements with suitable operating accessories such as for example body restraint side supports etc e Please observe the patient or the operating table constantly while controlling one of the motorised adjustment A When fitting operating accessories check that they are correctly fastened and tighten securely Do not use worn or damaged accessories Recommended accessories OZ 100 11 00 anaesthetic screen OZ 120 18 00 arm support OZ 120 18 20 pad OZ 120 18 30 restraining straps pair OZ 150 26 50 body strap OZ 100 17 00 clamp OZ 100 17 10 wrist strap OZ 100 16 00 side support OZ 100 10 10 clamp OZ 100 16 50 side support OZ 100 10 10 clamp O ptional OZ 100 11 20 extension rods for OZ 100 11 00 OZ 100 20 00 infusion stand OZ 150 17 50 arm protection support instead of OZ 100 17 00 OZ 100 17 10 OZ 160 52 04 short back plate module User manual OPERON B 710 BERCHTOLD 9 4 Semi sitting patient positioning Beach Chair This patient positioning is used for almost all interventions in the patient s head area such as for example oral maxillo facial surgery ophthalmology or neurosurgery e Immobilise the operating table and if necessary required prepare reverse orientation e If necessary adapt the back plate length of the operating table by using the short back plate module O Z
68. ting table top being defective or e g a cable to one of the hydraulic control valves being defective Note Please note that the double signal on the control unit and the column control panel can only be sent if both of the two independent electronic controls of these control units could also register the error I e in case of a general defect like e g in a top sensor the LED f flashes immediately on the control unit which was used to switch on the operating table the LED on the other control unit still remains unlit The LEDs f then only flash simultaneously on both control units if a function was at least controlled once on the second control unit ZA Important note e When the LED fis flashing this always signals a defect the operating table which must be analysed and eliminated by a service engineer as soon as possible e Do not continue to use the operating table i e for further operations but only to finish the angoing operation e Try to analyse the extent of the existing defect after the patient is transferred from the OR table User manual OPERON B 710 BERCHTOLD gt Note The operating table can still be used within the limits imposed by the given defect only the affected function for which the defective element is necessary for error free functioning would not be able to function or would function only within certain limits Examples e Due to adefect a single function key of the control uni
69. ting table top position this can possibly result in an uncoordinated end position i e not matching the Flex or Beach Chair position User manual OPERON B 710 BERCHTOLD 8 4 5 Zero position function s retum to level gt lt LEVEL 21 Symbol for O position function When this function key is pressed the operating table is automatically aligned into the horizontal position in its tilt Trendelenburg back plate and leg plate functions 0 position Note The 0 position functions facilitate control of the OPERON B 710 towards the end of an operation if for example a flexed patient positioning needs to be given up to enable wound closure For complete alignment of the operating table top into a horizontal position only function key 21 needs to be pressed The permanently illuminated LED next to function keys 7 and 8 patient orientation which at the same time is also a function display see chapter 8 5 2 Other LED displays informs you about the status of the complete 0 position When function key 21 is pressed down the LED next to the function key 7 8 displays a green flashing signal if the adjusted functions of the operating table are not all aligned into horizontal position yet When all functions are aligned into horizontal position the green LED illuminates permanently again as a sign that all adjustment processes have been completed For technical reasons a simultaneous
70. tion keys 7 or 8 i e after switching off the operating table via function key 1 and switching it on again the orientation last selected is set up again User manual OPERON B 710 BERCHTOLD 8 4 2 Power drive unit optional feature 40 Symbol for D rive direction FORWARDS If the operating table is equipped with the optional power drive unit by pressing this function key the operating table is actuated in such a way that viewed from the head end it starts to move forwards into direction away from the user In this case the definition forwards refers to the normal patient orientation 41 Symbol for Drive direction BACKWARD S If the operating table is equipped with the optional power drive unit by pressing this function key the operating table is actuated in such a way that viewed from the head end it starts to move backwards into direction towards the user In this case the definition backwards refers to the normal patient orientation gt Note Unlike all other function key pairs this function key pair is not contained on the column control panel 15 but only on the control unit 13 Please note additional information in chapter 8 10 2 8 4 3 Function keys for operating table adjustments a EB EI E O RIGHT 9 Symbol for Height adjustment downwards When this function key is pressed the entire table top moves downwards 10 Symbol for Height adjustm
71. up and signals readiness for operation The operating table can now be adjusted using its powered functions gt Note The operating table is provided with an automatic cutoff in order to save battery charge level i e if no function key is pressed on either of the control units for longer than approx 30 min when the operating table is switched on the operating table will switch off green LED for function key 2 goes out 3 Symbol for O perating table immobilised By briefly pressing this function key the castors of the operating table are immobilised clearly audible sound for operative use in this case the respective LED sends out a green flashing signal As soon as the operating table is completely immobilised the green LED illuminates permanently Note This function key need not be pressed until the green LED illuminates constantly with this function briefly pressing is enough for the castors of the operating table to be immobilised Alternatively the operating table can also be immobilised by briefly pressing any of function keys 11 to 20 4 Symbol for O perating table mobilised By briefly pressing this function key the castors of the operating table are released to move manoeuvre clearly audible sound As soon as the operating table is mobilised the red LED flashes green LED of function key 3 goes out Note This button does not need to be pressed continously until the green LED illu
72. ver there are drill holes located on the left side respectively at the top end of the castor through which the control rods for the castors can be accessed Two castors front rear at a time can be controlled via a control rod The castor pair on the head end with respect to normal orientation i e at the longer end of the operating table foot can only be set into immobilised or free rotation mode positions The castor pair on the foot end has three control positions totally immobilised free rotation mode and mobilised in track stabilised mode In order to set both castor pairs manually into their respective positions plug the hexagonal socket driver through the opening onto the end of the hexagonal rod located below and set the various control positions by turning to the left or to the right The individual control positions can be distinguished by noticeably locking into place Should a manual access to the castors ever prove necessary in practice normally the mobilised status of the operating table will be necessary in order to move the defective operating table out of the OR In order to adjust the operating table into free mobilisation mode the socket driver is to be tumed counter clockwise with the castor pair on the head end side with the castor pair on the foot end side the position to be adjusted is the middle one of the three contro positions User manual OPERON B 710 5 26 8 10 Optional featu

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