Mobile Medical Station ( W i t h A C P o w e r O n b o a rd ) Technical Manual 76-9M29-00 Rev 04/19/06 I nStatement t ro dofuUsec t i o n Rubbermaid Medical Solutions is dedicated to providing innovative quality products. Our goal is to increase the capacity to care by improving productivity, ergonomics and compliance, while enhancing your facility image. Contact Us Customer Service: Rubbermaid Medical Solutions 3124 Valley Avenue Winchester, VA 22601 Phone: 1-888-859-8294 Fax: 1-888-859-8297 customer.service@rubbermaidmedical.com www.rubbermaidmedical.com The carts are designed for safe use in general patient areas. These carts have no potential electromagnetic or other interference risks when operated according to guidelines covered in this instruction manual. Tested to comply with: • EN 60601-1:2001 (2nd Edition)– Medical Electrical Equipment, Part 1: General Requirements for Safety – Collateral Standard: Electromagnetic Compatibility – Requirements and Tests • FCC PART 15, Subpart B, Class A – Unintentional Radiators • CISPR 11:2004 / EN 55011:1998 +A1:1999 & A2:2002, Class A – Industrial, Scientific and Medical Equipment This product is classified as a Class 1/ Internally powered device with no applied parts. Ta b l e of Co nten ts Summary of Warnings . . . . . . . . . . . . . . . . . 1 Features and Spec Overview . . . . . . . . . . 2 Initial Start-Up . . . . . . . . . . . . . . . . . . . . . . . . 3 Unpacking . . . . . . . . . . . . . . . . . . . . . . . . 3 Powering Up and Assembly . . . . . . . . 4 Test Cart Functions . . . . . . . . . . . . . . . . 6 Power System . . . . . . . . . . . . . . . . . . . . . . . . . 7 Features and Specifications . . . . . . . . 7 Charging Parameters . . . . . . . . . . . . . . 9 Information Control Panel (ICP) . . . 11 ICP Function Settings . . . . . . . . . . . . . 13 Care, Handling and Storage . . . . . . . 16 Disconnecting and Replacing Battery . . . . . . . . . . . . . . . . 19 Integration of Components . . . . . . . . . . . 20 Keyboard and Mouse . . . . . . . . . . . . . 20 Scanner Holder Installation . . . . . . . 21 LCD Monitor/ All-In-One PC Installation . . . . . . . . . 22 Integrating PC/Thin Client . . . . . . . . 24 Control Board . . . . . . . . . . . . . . . . . . . . . . . . 25 Keyless Entry . . . . . . . . . . . . . . . . . . . . . 25 Programming Cart Features . . . . . . 26 General Operation . . . . . . . . . . . . . . . . . . . 27 Height Adjustment . . . . . . . . . . . . . . . 27 Emergency Stop . . . . . . . . . . . . . . . . . 27 Work Surfaces . . . . . . . . . . . . . . . . . . . . 28 Components . . . . . . . . . . . . . . . . . . . . . 29 Medication Cups . . . . . . . . . . . . . . . . . 31 Maintenance and Cleaning . . . . . . . . . . . 32 Replacement Parts . . . . . . . . . . . . . . . . . . . 34 Warranty/Registration . . . . . . . . . . . . . . . . 35 Summary of Wa r n i n g s The power system is designed for power cart mounted equipment only. Do not connect equipment that is not mounted on the cart into the power system outlets. Do not connect cart mounted equipment directly into a power source that is not mounted to the cart. The supplied spiral cord is rated for medical use. Connecting the cord to an outlet that is not medical grade (indicated with green dot) will not ensure grounding protection. Spiral cord, power system and cart are for INDOOR use only. DO NOT OPERATE OUTDOORS. Inspect spiral cord before each use. DO NOT USE CORD IF DAMAGED. DO NOT plug more than the specified number of watts into spiral cart cord. DO NOT run spiral cord through doorways or across walls or floors. Fully insert spiral cord plug into outlet. DO NOT unplug by pulling on cord. DO NOT use excessive force to make connections. Keep spiral cord away from water. DO NOT PLUG CORD INTO OUTLET IF WET. DO NOT OPERATE POWER SYSTEM IF WET. Keep children away from spiral cord. DO NOT ALLOW CORD TO OVERHEAT. DO NOT drive, drag or place objects over spiral cord. Do not stand or walk on spiral cord. Lock keyboard tray when moving over uneven surfaces or thresholds. Breaking the seal on the battery to add water will damage the battery and could cause injury.EQUIPMENT not suitable for use in the presence of a FLAMMABLE ANESTHETIC MIXTURE WITH AIR or WITH OXYGEN OR NITROUS OXIDE. DO NOT remove, bend or modify any metal prongs or pins of spiral cart cord. 1 OMobile v eMedication r v i e wStation Feature Overview 1. Monitor Stand: VESA®; Monitor Interface 75 mm & 100 mm; 360 degrees swivel; cables routed through monitor post 2. Waste Receptacle: Removable, easy to clean with 0.60 gal (2.25 liters) capacity for disposal of non-regulated waste such as packaging; bags available 3. Medic ation Cups: A spring loaded sleeve holding up to 25 cups; 25 cc plastic cups and paper soufflé cups can be used 4. Top Work Sur face: Large work surface with clear plastic cover for visible access to code/reference sheets; recessed for spill containment; includes pen/instrument slot 5. Bi-direc tion Work Sur face: Secondary work surface slides out to left/right 6. Sc anner Holder: Securely holds multiple scanner styles and enables presentation scanning 7. Keyboard Light: Illuminates keyboard and medication drawers 8. Keyboard Tray with Mouse Pads: Fits standard full-size keyboards; left/right mouse pads; mouse storage behind keyboard; height adjustable from 29” to 44” above ground 9. Spiral Cord/Cord Clip: (Not Shown)10’ spiral cord stored at work surface level 10. Small Accessor y Bin: External storage for small items such as PDAs, hand sanitizer bottles 11. Keypad with LCD Display: Display indicates Cart ID, drawer lock status and battery life; backlit when keys are pressed; controls keyless entry, keyboard light, and height adjustment 12. Control B oards & S of tware: (Not Shown) Control boards underneath keypad and behind medication drawers control electronic functions of cart; USB interface connects software 13. Elec tronic Keyless Entr y System: PIN Code Access (4-digit, 0-9 digits, programmable) with audit tracking; automatically locks with programmable timer (1-99 minutes); supports 128 access codes; warning when drawers are left open and cart is locked; codes/audit tracking can be managed centrally over wireless networks 14. Medic ation Drawers: 2/5/8 drawers configurations available; removable and interchangeable with other carts and transfer cart system; accepts 4” x 1” labels; dividers included 15. Medic ation Drawer S ecurit y Plates: Security plates in between drawers deter unauthorized access to adjacent drawers; can be added/removed to change drawer configuration 16. Lock ing Accessor y Bin (Optional): Provides secure storage for regulated medical/surgical supplies such as syringes and solutions; opens when main PIN code is entered for medication drawers; dividers included 17. CPU Storage: (Not Shown) Small form factor PC/Thin Clients securely stores behind keyboard tray; larger form factor storage in metal housing at rear of cart 18. Height Adjustment: 15” electronic height adjustment for use seated or standing 19. Large Accessor y Bin: (Not Shown) Provides storage for larger items such as IV bags, charts, reference books, general supplies, clipboards, vital sign accessories; easily removable for infection control 20. Casters: High-grade dual wheel 5” medical grade; 1-locking 21. AC Power System: Sealed lead acid/a glass matte technology; UL 60601-1 certified; 34/55 amp batteries available; 10 amp/hour 3 stage charger; over/under voltage controls; automatic transfer switch dual output system; 3 plug outlet strip; battery indicator on front of work surface 22. Power System Controls/Information Control Panel: (Not Shown) Includes a power switch, breaker switch and LCD display of power system information such as battery life, voltage, and number of charge cycles left 23. Emergenc y Stop: (Not Shown) The cart is equipped with an emergency stop button located on the monitor arm or beside the medication cup to disable the powered lift mechanism 24. Drawer S ensors: (Not Shown) Optical sensors detect if a medication drawer is left open once the keyless entry system has been locked 1 6 3 10 8 5 15 16 14 21 20 6 3 1 2 4 7 18 11 13 5 Note: monitor, keyboard, mouse and scanner are not included. 2 InUnpacking itial Start-Up Please ensure your safety and product quality by completing the following: 3 1 Inspect the packaging to make sure there is no damage. Contact customer service at 888-859-8294 to report damage. 2 Cut bands and remove. 3 Remove top cover. 4 Remove the large sleeve by pulling it 1 2 over the top. 5 Remove foam top and set aside. 6 Cut or tear the front of the bottom tray so that it folds forward. 7 Remove the large honeycomb pads around the base of the unit. 8 Carefully roll the unit forward off of the foam sheet and gently lower the cart until the caster is in contact with the floor. DO NOT DROP. WARNING: Battery must be charged for at least 5 hours (see page 9). Items Included • • • • WARNING! Do not attempt to lift product by yourself. Use proper lifting techniques—use legs instead of back. • Cart Bag 1: Monitor arm and hardware Bag 2 (in drawer): Scanner holder kit Bag 3: • Medical cup dispenser • Strain relief for scanner holder • Three Torx security bits (T15, T25) • Manual override key Drawer dividers (in drawers) Note: If package is left in cold temperatures for an extended period, condensation may appear on the base of the cart when brought indoors. Condensation will evaporate once the cart is brought indoors. 3 InPowering itialUpSandtaAssembly rt-Up 4 1 Remove power system cover by Remove clear Information Control Panel (ICP) cover by pushing clip and lifting up. removing the two outer Torx security screws with the T15 Torx security bit provided. (See picture.) 5 Turn ICP battery and AC switches on. 2 Connect battery cable to battery. 6 Replace clear ICP cover. 3 Turn on inverter switch. Red light 7 Raise unit. indicates inverter is on. 4 8 9 10 Replace power system cover and reinstall screws. 12 The spiral cord can be unplugged once the unit is fully charged. When the spiral cord is not plugged in, it should be hung on the clip. The battery does not contain a memory, and therefore can be charged regardless of the current state of charge. It is recommended that the battery be charged whenever the unit is not in use as this will ensure that the unit is ready to use and will help extend battery life. Install two additional screws (included in bag taped to power system cover) in the power system cover near the column. Plug in power cable to base of unit and snap on strain relief. WARNING: The supplied spiral cord is rated for medical use. Connecting the cord to an outlet that is not medical grade (indicated with green dot) will not ensure grounding protection. WARNING: Spiral cord, power system and cart are for INDOOR use only. DO NOT OPERATE OUTDOORS. WARNING: Inspect spiral cord before each use. DO NOT USE CORD IF DAMAGED. 11 WARNING: DO NOT remove, bend, or modify any metal prongs or pins of spiral cart cord. Plug power cable into medical grade wall outlet indicated by a green dot on the face. WARNING: Spiral cord, power system and cart are for INDOOR use only. DO NOT OPERATE OUTDOORS. WARNING: Inspect spiral cord before each use. DO NOT USE CORD IF DAMAGED. WARNING: Battery must be charged for at least 5 hours prior to use. (See page 9.) 5 InTestitCart iaFunctions l Start-Up 3 2 1 1 Operate lift by pressing buttons on control panel to test height adjustment. 2 Check light by depressing button. Light should toggle ON/OFF with each press. 3 Check keyless entry by entering 8034, then opening front drawers and locking side bin (optional). 4 Calibrate drawer sensors. The cart is equipped with optical sensors that detect if a medication drawer is left open once the keyless entry system has been locked. When the cart is first powered up, the message,“DRAWER AJAR” should appear on the top LCD Panel. To calibrate the drawer sensors, each drawer must be "rattled" in and out within its free play while locked for about 3 seconds. When all drawers have been calibrated, the drawer ajar message will go out. Additional Assembly Requirements • • • Monitor arm (pg. 22) Scanner holder (pg. 21) Medication cup dispenser (pg. 31) Integration Requirements • • • • Keyboard and Mouse (pg. 20) Monitor (pg. 22) PC (pg. 24) Scanner (pg. 21) Materials Needed • • • Short Phillips screwdriver Wire ties or cord clips for cable management Quick Change Driver (with 1/4”drive socket) 6 PFeatures owe System andrSpecifications The base of the cart is integrated with a power system that includes a battery, charger, Automatic Transfer Switch (ATS), True Sine Wave Inverter (TSW), Information Control Panel (ICP), and isolation transformer. Battery • Battery Status on Keypad:The LCD display on the keypad is integrated with the ICP to provide a graphics indication of the battery charge level represented by six bars. • Environmental: The medical cart should be operated within an optimal temperature range of 32°F to 90°F (0°C to 32°C). • The cart and integrated power system are fully certified to EN 60601-1 2nd Edition. A copy can be found at our website: www.rubbermaidmedical.com. TSW Inverter ICP C h a rg e r • Automatic Transfer Switch (ATS): The ATS enables full charging of the battery even when the cart and peripheral equipment are drawing power from the wall. • True Sine Wave Inver ter ( TSW ): Power factor corrected devices, like flat panel monitors, are ensured satisfactory operation by the TSW. • Information Control Panel (ICP): The LCD display located on the front panel of the power system displays information including amount of energy left, time left, number of cycles left, and battery voltage. The cart comes with a one (1)-year warranty on all power supply components. Warranty is automatically void when a fully charged battery is left in an unused state for more than three (3) consecutive months. Warranty is automatically void when a fully discharged battery is left in an unused state for more than three (3) consecutive days. 7 PFeatures owe S y s t e(continued) m andrSpecifications Battery The power module is designed to support 34, 55 and 80 AH battery configurations. Individual battery hold downs for the three battery types will be supplied based on the configuration requested. The battery type is a deep cycle AGM sealed lead acid battery. The battery is fused with a replaceable 30A ATO fuse. The battery harness is welded directly to the battery terminals and sealed with epoxy. charger is designed to charge the battery to a maximum of 14.2 volts; once triggered, the switch is latched off and must physically be turned on to begin charging again. This is a precautionary measure to prompt investigations in the event of overvoltage. The charger is fused with a replaceable 15A ATO fuse. Power Strip The power strip provides a 3 outlet, 115 Vac 60Hz 250w output located in rear compartment of the cart. Charger The power system module includes a 10 amp charger that is designed to match the onboard battery. The algorithms have been configured to meet the specifications of the battery. The upper voltage limits have also been altered to maximize battery cycles. The charger includes an indicator LED that changes color dependent on charge operation. Orange indicates the first “boost” stage in the charge sequence. Yellow indicates the second “timer” stage in the charge sequence. Green indicates the third “standby” stage in the charge sequence during which the battery is fully charged. The AC input voltage to the charger is monitored by the ICP. During battery charging, the ICP monitors the battery voltage for potential overcharging. The The power system is designed for power cart mounted equipment only. DO NOT connect equipment that is not mounted on the cart into the power system outlets. DO NOT connect cart mounted equipment directly into a power source that is not mounted to the cart. 8 PCharging o w eParameters r System It will be necessary to re-synchronize the ICP and battery only if the battery is disconnected or if the battery has not received a full charge for an extended period (typically 1 month). Initial Charge and ICP Synchronization All batteries shipped out are tested to be at least 80% charged. It is recommended that when a new battery is installed, the unit be plugged in to allow the batteries to come up to 100% charge. Initial charge should last at least 5 hours. Charging in the battery will allow for maximum run time and is also necessary to synchronize the ICP with the battery. When the battery is first connected to the unit, the ICP will read 0% but will also display the words “Charge Battery Full” at the bottom of the screen. When this text appears, the ICP is not synchronized with the battery, and the ICP readings will be inaccurate (with the exception of voltage and current). Once the battery has been fully charged, the “Charge Battery Full” display will change to “Battery Full”. At this point, the ICP and the battery are synchronized and all readings will accurately reflect the condition of the battery. NOTE: It is possible to manually synchronize the ICP and battery by holding the < and > keys on the ICP. Avoid doing so, as this can cause the ICP to inaccurately report the state of the battery. Ongoing Charge Avoid losing power to your equipment. Battery damage may result if battery remains in a discharged state even for short periods of time. Warranty is automatically void when a fully charged battery is left in an unused state for more than three (3) consecutive months. Warranty is automatically void when fully discharged battery is left in an unused state for more than three (3) consecutive days. • Review battery charge messages and battery state of charge sections with users. • Charge batter y whenever p ossible by plugging the power cord into a medical grade wall outlet. Doing so will maximize the life of the battery. 9 PCharging o w eParameters r S y(continued) stem • To verify that battery is charging, the voltage level and state of charge on the ICP will show increasing values until the battery is fully charged. (See page 11 for instructions.) • Fully charge batter y at least once each month. Battery, charger and battery monitor are synchronized only when battery is fully charged. On a monthly chart, record the dates of full charge. Jan Feb Mar Apr May recharge the battery on a regular basis. The battery does not contain a memory, and therefore can be charged regardless of the current state of charge. It is recommended that the battery be charged whenever the unit is not in use as this will ensure that the unit is ready to use and will help extend battery life. If the unit is not going to be used for an extended period of time, the unit should be fully charged and stored with the charger still Jun Jul Aug Sep Oct Nov Dec 200__ 200__ 200__ 200__ NOTE: Use the inverter switch to conserve the battery when the power system will not be used for an extended period of time. NOTE: Plugging in the power cord for short periods of time does not affect the battery’s ability to take a full charge and prolongs battery life, but it does not ensure synchronization unless a full (100%) state is reached. plugged into wall power or with the battery fully charged and disconnected. Leaving a battery in an uncharged state may severely damage the battery’s ability to take a charge and will void the warranty. No other maintenance is required of the battery. This is a sealed battery and does not require water. Breaking the seal on the battery to add water will damage the battery and could cause injury. Maintenance In order to properly maintain the battery and ensure its extended life, 10 PInformation owerControl SyPanel st(ICP) em The power system monitors the amount of energy put into the battery while charging and the amount of energy taken out while discharging. Since data is continuously added as the battery ages, the ICP provides accurate information at all times, regardless of the age or condition of the battery, as long as synchronization occurs on a regular basis. The five “primary” power system readings that can be viewed in the ICP display window are: current (A), consumed amp hours (Ah), time-to-go (h), battery voltage (V), and state of charge (%). Data is viewable in the information control panel display window by pressing the arrow keys. Battery Charge Messages • • • The ICP alerts you to the state of the battery charge by displaying one of three flashing messages: Charge B atter y means the battery needs to be charged. Batter y Full means the battery is fully charged and synchronization has occurred. Charge B atter y Full means the battery needs to be fully charged. M E S S A G E ----- ----- ----49.8% 100.0% 49.8% CHARGE BATTERY BATTERY FULL CHARGE BATTERY FULL M E A N I N G Full Battery Icon Empty Battery Icon Battery State-ofC h a rg e B a r Display Window "DOWN" A r ro w K e y "UP" A r ro w K e y Setup Key (for accessing function settings) Battery state-of-charge has dropped below the adjusted “discharge floor.” Battery is fully charged. Requires synchronization (for example, after a number of charge/ discharge cycles, after a reset or right after power-up). REQUIRED ACTION Recharge battery as soon as possible. No action required: monitor and battery are synchronized. Charge battery until completely (100%) Full! Battery State-of-Charge Bar - Current Consumed Amp Hours Time-to-Go The state-of-charge is also shown in the form of a five-segmented bar appearing at the top of the display. Each segment represents one fifth Battery Voltage State of Charge 11 PInformation o w e rControl S yPanel s t(ICP) em (continued) (20%) of the battery’s full 100% charge. For example, when the battery is at 80%, four of the segments will be displayed. • OFF: If you know that your power system will not be operated for one week or more, ensure that the battery is fully charged, and that the inverter is switched “off.” Low Voltage Alarm NOTE: The low voltage alarm is NOT related to ICP functions 5 & 6 shown on the keypad. If the voltage falls to a low enough level, an audible alarm will sound from the inverter, warning that there are about 15 minutes of run time remaining. At the end of this time, the attached electronic equipment will shut down and the battery must be recharged. Once the power cord is plugged in, the attached equipment can operate. Inverter Switch Mode Light On • Light Off ON: The power system inverter is shipped in the “on” position. During normal operation, the inverter switch should always be in the “on” position. 12 PICPoFunction w e rSettings System The ICP is preset for your 12V battery system. You do not need to set any functions. • Locked ICP Func tion S ettings, Func tion 20 (F20): The ICP functions come locked. If changes need to be made to the function settings, contact customer service. • ICP D isplay B ack light Func tion S etting, Func tion 17 (F17): The ICP display backlight option is turned off to conserve battery power. The backlight can be turned to “on” or “auto.” If this change needs to be made, contact customer service 888-859-8294. • Refer to the table on the next two pages for an overview of all ICP Functions (including function descriptions, ranges and default settings). For more information, please contact customer service. CAUTION: DO NOT change functions 6, 7 and 8 from their current default settings! Changing these settings will cause the power system to stop operating. Contact customer service if you have any questions about this or any other ICP function. History Data H01 : The automatically calculated charge-efficiency factor (CEF) H02 : The average discharge–this value will be recalculated after each synchronization H03 : The deepest discharge in amp hours H04 : Number of charge/discharge cycles H05 : The number of “equalizations” (i.e. the number of times the battery is fully charged meeting the charged-parameters condition) H06 : The number of full discharges (reaching a state-of-charge of 0.0%) H07 : The number of under-voltage alarms H08 : The number of over-voltage alarms H09 : reserved H10 : reserved The ICP is able to store special events as history data in the memory. The next events are stored as history data. The information stated above can be recalled in the ”history readout.” Pressing all three keys of the ICP for five seconds will activate this readout. After these five seconds, a flashing “H01” will appear on the display. With the < and > selection keys, the value of H01 can be displayed. By pressing the SETUP (next) key, the next history event (in this case ”H02”) can be selected. To return to normal operating mode, all three ICP keys must be pressed for five seconds again. 13 PICPoFunction w e rSettings S y(continued) stem F01: Battery capacity in Amp hours, (Ah): This must be the capacity at a 20h discharge rate and 20 °C. Default: matched to your cart’s amp hour capacity Range: 20 – 2000Ah Step size : 1Ah F02: Voltage charged parameter: The battery voltage must be above this voltage level to consider the battery as fully charged. Make sure the voltage charged parameter is always slightly below the voltage at which the charger finishes charging the battery (usually 0.1V or 0.2V below the ‘float’ stage voltage of the charger). Default: 13.2V Range: 8.0 – 33.0V Step size: 0.1V F03: Current charged parameter: When the charge current value is below this percentage of the battery capacity (see F01), the battery can be considered fully charged. Make sure the current charged parameter is always greater than the minimum current at which the charger maintains the battery, or stops charging. Default: set to match your charger size (2% for 10 and 20 amp charger and 4% for the 40 amp charger) Range: 0.5 – 10.0% Step size: 0.5% F04: Charged parameter time: This is the time the charged parameters (as described in F02 and F03) must be met, in order to synchronize. Default: 4 minutes Range: 1 – 4 minutes Step size: 1 minute F05: Low-battery alarm ON (discharge floor): When the state-of-charge percentage has fallen below, it will activate the CHARGE BATTER BATTERY indication, which will flash on the display to indicate that the battery must be charged. The time-to-go calculation is also linked to this value. It is recommended to keep this value 1015%. Default: 15.0% Range: 0.0 – 99.0% Step size: 1.0% F06: Low-battery alarm OFF: This is not an available option. F07: Under-voltage alarm: Ten seconds after the battery voltage falls below this value, the message Lo will appear on the display and the alarm relay will be activated. Default: 10.5V Range: OFF / 8.0 – 33.0V Step size : 0.1V F08: Over-voltage alarm: Five seconds after the battery voltage rises above this value, the message Hi shall appear on the display and the alarm relay will be activated. Default: 16.0V Range: OFF / 10.0 – 35.0V Step size: 0.1V F09: Charge efficiency factor (CEF): It is recommended to keep this value at AU (automatic calculation). The value A90 resets the automatic calculation to 90%. A manual setting is represented by Uxx where xx is the charge efficiency. Default: AU Range: U50 – U99 / AU / A90 Step size: 1% 14 PICPoFunction w e rSettings S y(continued) stem F10: Peukert exponent (discharge efficiency): When unknown, it is recommended to keep this value at1.25. A value of 1.00 disables the Peukert compensation. Default: any combination of 48 amp hour battery is 1.14 and any combination of 100 amp hour battery is 1.17 Range: 1.00 – 1.50 Step size: 0.01 F11: Battery temperature: This is not an available option. F12: Temperature coefficient: This is not an available option. F13: Time-to-go averaging period: Specifies the time window in minutes that the moving averaging filter works with. Selecting the right time depends on your installation. A value of 0 disables the filter and gives you instantaneous (real-time) readout; however, the displayed values may fluctuate heavily. Selecting the highest time (12 minutes) ensures that long-term load fluctuations are included in the time-to-go calculations. Default: 3 minutes Range 0 / 3 / 6 / 9 / 12 minutes F14: Not applicable. Keep at zero. Default: 0.0A Range 0.0 – 2.0A Step size: 0.1A F15: Reserved. Default: --- F16: Not an option F17: Display (backlight) mode: Specifies duration of backlight activation in seconds after pressing a key on the ICP. Furthermore, settings can be made to leave the backlight always ON or always OFF. In the setting AU, the backlight will be activated automatically when the charge/discharge current exceeds 1A or when a key is pressed. Default: ON Range: OFF / 10 – 60 / ON / AU Step size10 seconds F18: Reserved. Default: ---- F19: Firmware version: Displays the firmware version of the ICP. No alterations can be made. Default: 1.00 F20: Setup lock: When this Function is ON, all functions (except this one) are locked and can’t be altered unless changed back to OFF. Default: ON Range: OFF / ON 15 PCare, ow e r and S yStorage stem Handling WARNING Do not connect battery output leads together. Serious personal injury may result and will permanently damage battery. Do not remove or lift battery by its output leads. Move or lift the battery by picking it up by its case. PROPOSITION 65 WARNING Battery posts, terminals and related accessories contain lead components, chemicals known to the State of California to cause cancer and reproductive harm. Wash hands after handling. Disconnect Power Cord and Battery Before Service 1 3 2 ACID BATTERY HAZARD RATING INDEX Red: Flammability = 1 Slight: Slightly combustible – requires strong heating to ignite Blue: Health = 3 Serious: Toxic – avoid inhalation or skin contact Yellow: Reactivity: 2 Moderate: Unstable – may react with water LEAD BATTERY MUST BE RECYCLED For replacement battery contact Rubbermaid 1-888-859-8294 White: Specific = ACID The specific meaning of the Hazard Rating for your battery is provided below. For general hazard rating meanings, refer to the next page. TRANSPORT/STORAGE Care should be taken to transport and store this system within a temperature range of 32˚ F to 90˚ F (0˚C to 32˚ C). CART DISPOSAL Dispose of this cart according to local guidelines and regulations for waste. Contact Rubbermaid Customer Service for more information. 1-888-859-8294 16 PCare, ow e r and S yStorage s t e(continued) m Handling H A Z A R D R ATING 1 3 2 ACID PRODUCT: BAT T E RY, ELECTRIC STORAGE, ABSORBED ELECTROLYTE, VA LVE REGULATED, SEALED LEAD ACID CAUTION L i k e a l l b a t t e r i e s , c o r ro s i v e f l u i d s a n d t o x i c m a t e r i a l s a re c o n t a i n e d w i t h i n a n d s h o u l d b e h a n d l e d w i t h c a re . K e e p a w a y f ro m c h i l d re n . D o n o t p u n c t u re , d i s a s s e m b l e o r i n c i n e r a t e . U s e i n a w e l l v e n t i l a t e d a re a a w a y f ro m a n y s o u r c e s o f i g n i t i o n . U s e p r o p e r c h a rg i n g v o l t a g e s a s s p e c i f i e d b e l o w. Do not allow the positive and negative terminals to c o n t a c t e a c h o t h e r ; a s h o r t c i rc u i t w i l l c a u s e h i g h c u r re n t f l o w, creat i ng h ig h h ea t an d t h e p o s s i b i l i t y o f a f i r e. NOTICE D o n o t re m o v e t h e v e n t v a l v e s ( c a p s ) o n t h i s b a t t e r y. The addition of water is not re q u i red or permitted. Removing vent valves (caps) a ff e c t s b a t t e r y l i f e a n d s u b s e q u e n t l y v o i d s t h e w a r r a n t y. No leakage of battery fluid occurs during normal operation and/ or transportation. FIRST AID I n c a s e o f a n a c c i d e n t o r s e v e re a b u s e w h e re b y t h e b a t t e r y c r a c k s o p e n a n d e l e c t ro l y t e c o m e s i n t o c o n t a c t w i t h s k i n o r clothing, follow these instructions: EXT ER NAL CO N TA C T Immediately flush skin or eyes with water for a minimum of 15 minutes. CLOTHING CONTA C T R e m o v e c l o t h i n g a n d w a s h i m m e d i a t e l y. INTERNAL D r i n k l a rg e q u a n t i t i e s o f t a p w a t e r f o l l o w e d with milk, milk of magnesia, beaten eggs or vegetable oil. In case of exter nal or inter n a l contact, call a physician immediately and get medical attention. INSTA L L ATION/OPERATING INSTRUCTIONS Extended battery life will be obtained by c a re f u l l y f o l l o w i n g t h e i n s t r u c t i o n s b e l o w : 1 . W h e n n o t i n s e r v i c e , b o o s t c h a rg e t h e battery every 90 days. 2 . D o n o t a l l o w t h e b a t t e r y t o re m a i n i n a d i s c h a rg e d s t a t e e v e n f o r s h o r t p e r i o d s o f t i m e . P e r m a n e n t b a t t e r y d a m a g e m a y re s u l t . 3 . B e s u re a l l e l e c t r i c a l e q u i p m e n t i s t u r n e d o ff b e f o re c o n n e c t i n g o r d i s c o n n e c t i n g t h e b a t t e r y. 4. When installing the battery, use a torq u e w re n c h t o t i g h t e n t e r m i n a l c o n n e c t i o n s . ( R e c o m m e n d e d t o rq u e f o r 3 / 1 6 i n . – 2 0 i n . lbs, 1⁄4 in – 35 in. lbs, 5/16 in – 40 in. lbs.) C h e c k c o n n e c t i o n s p e r i o d i c a l l y. 5. Use insulated tools when installing, s e r v i c i n g o r re m o v i n g t h e b a t t e r y. FOR CYCLIC APPLICATIONS 1 . C h a rg e t h e b a t t e r y w i t h a c o n s t a n t p o t e n t i a l ( c o n s t a n t v o l t a g e ) c h a rg e r s e t a t 2.37 volts/cell @ 77 F. (7.1 V. for a 6 volt – 14.2 V. for a 12 volt – 28.4 V. for a 24 volt battery). 2 . D o n o t o v e r c h a rg e . N e v e r u s e a c o n s t a n t c u r re n t c h a rg e r. Never use a charg e r t h a t a l l o w s t h e b a t t e r y v o l t a g e o n c h a rg e t o exceed 2.4 volts per cell (7.2 V. for a 6 volt – 14.4 V. for a 12 volt – 28.8 V. for a 24 volt battery). FOR FLOAT/STANDBY APPLICATIONS 1 . C h a rg e t h e b a t t e r y w i t h a c o n s t a n t p o t e n t i a l ( c o n s t a n t v o l t a g e ) c h a rg e r s e t a t 2.20 to 2.23 volts/cell @ 77 F. (6.6 to 6.7 V. for a 6 volt – 13.2 to 13.4 V. for a 12 volt – 26.4 to 26.8 V. for a 24 volt battery). T E M P E R ATURE COMPENSATION F o r o p t i m u m l i f e , b a t t e r y c h a rg i n g v o l t a g e should be adjusted with battery operation t e m p e r a t u r e. 17 PCare, ow e r and S yStorage s t e(continued) m Handling Color Symbol Signal Word Level of Hazard Indicates a situation that does not present any hazard but is very important in maintaining a well functioning cart. Yellow IMPORTANT Yellow CAUTION Indicates a potentially hazardous situation which, if not avoided, may result in minor or moderate injury. Yellow ELECTRICAL Indicates an impending electrical hazard which, if not avoided, may result in personal injury, fire and/or death. Color Blue Red Type Health Flammability Number Level Description 4 Extreme Highly Toxic: May be fatal on short term exposure. Special protective equipment required. 3 Serious Toxic: Avoid inhalation or skin contact. 2 Moderate 1 0 Slight Minimal 4 Extreme Extremely flammable gas or liquid: Flash Point below 73°F. 3 Serious Flammable: Flash Point 73° to 100° F. 2 Moderate 1 Yellow Reactivity White Protective Equipment ight 0 4 Minimal Extreme 3 Serious 2 1 0 N/A Moderately Toxic: May be harmful if inhaled or absorbed. Slightly Toxic: May cause slight irritation. All chemicals have some degree of toxicity. Combustible: Requires moderate heating to ignite. Flash Point 100° to 200° F. Slightly combustible: Requires strong heating to ignite. Will not burn under normal circumstances. Explosive at room temperature. May explode if shocked, heated under confinement or mixed with water. Moderate Unstable, may react with water. May react if heated or mixed with water. Slight Minimal Normally stable, does not react with water. Varies Varies 18 PDisconnecting o w e r and S yReplacing stem Battery Disconnect 1 Unplug power cord from wall outlet. 2 Using height adjustment, raise unit to BATTERY DISPOSAL: Please contact customer service instructions on proper disposal of the consumed battery. Batteries should be recycled. its full height. 3 Remove access window on ICP. 4 Turn off AC and battery switches. 5 Remove both power system covers by removing the eight Torx T15 security screws with a Torx security bit (provided). 6 Remove battery hold-down by removing two Phillips head screws. 7 Disconnect battery cable. Replace 1 Remove battery and cable. 2 Install new battery and reverse steps. See pg. 9 for initial charge instructions. RISK OF ELECTRIC SHOCK Disconnect power before entry. Only authorized personnel may service this equipment. Read and understand user’s guide before opening unit or replacing battery. 1 19 9 I nKeyboard t e gand r aMouse tion of Components 1 Remove four Torx security screws and back panel cover with T25 Torx security drive and set aside. 3 Place mouse on outer edge of platform. Run cable through same hole on keyboard platform to establish maximum mouse cord 2 Move keyboard tray to unlock position. extension length. Pull keyboard tray out. 4 Using a wire-tie, secure the mouse and keyboard cords behind the keyboard Run keyboard wire through hole on platform to the back and pull keyboard. 20 I nScanner t e gHolder r a tInstallation ion of Components 1 Determine appropriate scanner clip by placing scanner neck into clip. 5 Close retainer clip and pull into position so that the neck of the retainer clip is in the hole in the bottom of the 2 For assembly of scanner holder, follow instructions in plastic bag that contains the scanner holder parts. compartment. 3 Place scanner cord through hole at rear bottom surface. Determine maximum scanner extension distance from cart. 6 Alternative routing: Scanner cable can also be routed through hole in monitor arm. 4 Find retainer clip and place around cable just above the hole inside the compartment at the rear of the cart. 7 Once device that scanner is attached to is installed, further cord management may be desired using wire ties. 21 I nLCDt eMonitor/All-In-One g r a t i o nPC o f Components Installation 1 Determine all cables that will be required to attach to monitor/all-in-one PC. 2 Remove base plate on the monitor using a Phillips screwdriver. 3 For LCD Monitor: Start with the largest connector. Feed the non-monitor end through the side hole in the monitor post (see picture). Pull it through the bottom. Insert the serial port cable through the bottom of the monitor post and out the side hole. Note: To run cables through the post, you may attach a “fish cable” such as a string to the connector you are feeding through and drop it through until you can pull the connector through. 4 Attach the monitor to the VESA mount using the screws in the monitor kit accessory bag. If you have a 100mm VESA hole pattern, you will need to attach the adapter plan. (Follow the instructions in the adapter plate.) 5 Once the monitor is attached, pull the cables until the slack is removed. For All-In-One PC: Start with the largest connector. Feed the non-monitor end through the side hole in the monitor post. Pull it through the bottom. Next, insert the serial port cable, scanner holder, mouse and keyboard cords through the bottom of the monitor post and out the side hole. 6 While holding the monitor arm and assembly, feed all connectors and cable slack through the opening on the monitor mounting bracket. 22 I nLCDt eMonitor/All-In-One g r a t i o nPC o f C o(continued) mponents Installation 7 Place the monitor base plate over the holes on the monitor mounting bracket using a T15 Torx security bit. 8 Position the monitor hole cover over the opening and snap it in place. 23 I nIntegrating t e g rPC/Thin a t i oClient n of Components 5 Use wire ties for cable management as 1 Gather all cords. 2 Plug into PC. 3 Plug power cords into outlet strip. desired. 6 The Cart includes a control board that operates several of the Cart’s operations and also records data generated from the keyless entry system. An interface to this control board allows an external PC with a USB port to configure, control, and obtain status from/to the Cart. A USB 2.0 A/B style cable is connected on one end to the control board. The other end should be inserted into your PC’s USB port. 4 Place PC into cavity. 24 CKeyless o nEntry t ro l B o a rd Keyless entry models include a numeric keypad on the top of the user interface containing the digits 0-9 for user entry into the drawers. Each time a number is pressed, a corresponding number will appear on the LCD display verifying that a number has been pressed. Upon entry of a correct 4 digit numeric code, the unit will unlock the units’ drawers and the message “DRAWERS UNLOCKED” will appear on the LCD display. If an invalid code is entered, the message “ERROR INVALID CODE” will appear. The optional side locking bin will also be unlocked at the same time that the unit unlocks the front drawers. The unit will automatically relock the drawers according to a preset time ranging from 1-99 minutes. This auto lock-down time can be set using the control board software provided with the cart. The default auto lock down time is 2 minutes. A LOCK button is provided on the keypad so that the user can lock the drawers before the automatic relock occurs. A CANCEL button is provided to allow the user to clear the numeric entry if he or she enters or starts to enter an incorrect code. Keyless entry models can be programmed with up to 128 codes. Drawers are designed so that they can be removed from the unit. The unit will still lockdown the remaining drawers when drawers are removed. Drawers can be reinserted into a locked unit without unlocking the unit. Once fully inserted, the already locked and newly inserted drawers will all be locked. Security plates between the drawers deter unauthorized access to drawers in the cart when one or more drawers has been removed. The keyless entry unit will only work when the unit and the battery are charged to an operating level. Op en D rawer S ensors The cart is equipped with optical sensors that detect if a medication drawer is left open once the keyless entry system has been locked. Troublesho oting Drawers ajar message will not go away: • Drawers may need to be recalibrated. To calibrate the drawer sensors, each drawer must be "rattled" in and out within its free play while locked for about 3 seconds. When all drawers have been calibrated, the drawer ajar message will go out. Drawers will not unlock: • • • Are you using the correct floor or hospital code? Press cancel to clear any partially entered code, then try the correct four digit code again. Is the battery charged to an operating state? The unit may need to be recharged. 25 CProgramming o n t roCart lB o a rd Features Hard Lock Setting the Codes Main Cart The keyless entry system is provided with a redundant hard lock. This hard lock will override the keyless entry system and allow manual use of the cart. It will allow unlocking of drawers if the unit is used until low voltage shutdown. It can also be used to lock the drawers and disable the keyless entry system. In other words, with the hard lock in the locked position, it will override the keyless entry system, and the system will not unlock the drawers. The hard lock is located on the rear panel of mobile medication (see illustration). There is also a hard lock that uses the same key on the optional side locking bin. There are no disable features on the side locking bin lock. The hard lock is a rotary latch and has three positions. The key is included in bag 3 (see page 3). See USB Interface Software to Set Codes. Main Cart Position 1 is the unlocked position. This position unlocks the drawers. The key cannot be removed in position 1. Position 2 is the normal operating position. This position enables the keyless entry system. The key may also be removed in position 2. Position 3 is the locked position. Here the drawers are fully locked and the keyless entry system will not function. The key may be removed in position 3. 26 GHeight e nAdjustment eral Operation To accommodate persons of varying heights, as well as for seating and standing positions, the cart at the keyboard height can be adjusted from 29.25” to 43.75”. Set cart height via the powered lift mechanism contained within the column of the cart. A cart that has a monitor and PC can accommodate an additional 50 lbs. of weight. To maintain an ideal operating speed, the charge level should be at least 11 volts as indicated on the ICP. Raising or Lowering Cart To raise or lower the upper portion of the cart, press and hold down the arrows on the user interface until it reaches your desired height. The lift mechanism will automatically stop when it reaches its minimum or maximum height. Do not sit, lean or place any heavy objects on the top work surface. Lift Overload Protection The height adjustment mechanism is equipped with overload protection. If during the operation of the height adjustment, the lift is overloaded or becomes blocked by an obstruction, the lift will stop and the LCD screen will display “Lift Overloaded.” Remove the load or clear the obstruction to continue operation. The lift will automatically reset after 3 seconds. Emergency Stop Instructions The cart is equipped with an emergency stop switch (e-stop) to disable the powered lift mechanism. Depressing the e-stop will disable the power to the lift. All other cart functions remain operational. Pull up on the e-stop to enable the powered lift mechanism to operate again. 27 GWork e nSurfaces eral Operation A large work surface has been incorporated into the cart. A clear cover is attached to protect reference materials. This cover can be removed and cleaner by using a Phillips screwdriver (not provided). Completely remove two plastic screws in top corners to remove. To move the Bi-Directional Work Surface Grasp the handle on the desired side of the cart and pull firmly to release the bi-directional work surface from the centered position.The bi-directional work surface will hold firmly in place when fully extended. The bi-directional work surface facilitates a wide range of tasks. With the bi-directional work surface in the right or left position, large work surfaces are revealed. At the center, full right, and full left position, the bi-directional work surface will hold firmly in place. This will allow the user full access to all functions of the cart without the bi-directional work surface moving. LCD Level Contrast The contrast level on the LCD screen can be adjusted for improved visibility. The contrast can be increased by pressing the PROGRAM and UP buttons on the keypad at the same time repeatedly until the screen reaches a satisfactory contrast level. To decrease the contrast, press the PROGRAM and DOWN button at the same time. 28 GComponents eneral Operation Keyboard Tray Mouse Storage The keyboard tray has a locking feature to prevent the tray from sliding out when the cart is moving over uneven surfaces or thresholds. To lock the keyboard, push tray in and slide locking handle to the locked position. A mouse storage area is located behind the keyboard tray. Keyboard Light Mouse Pads Left and right mousepads are provided and are located underneath the keyboard. They can be extended when the keyboard is in any position. A keyboard light is provided for use when the cart is in dimly lit areas. To operate, press the light bulb icon on the keypad. The light can be manually turned off by pressing the button again. It will automatically turn off after a predetermined time that can be set using the control board software. 29 GComponents e n e r a(continued) l Operation Wheels Document Cover The Cart is equipped with 4”x 5” dual wheel medical grade casters. When replacing or cleaning document cover, use a Phillips screwdriver to remove the two plastic screws in the top corners. Open Side Bin To clean, remove by lifting up slightly and pulling off. Accessory Bin This additional bin can be added to hold PDAs, pagers, hand sanitizer, etc. To install, remove blank panel with Phillips screwdriver and use the same two screws to install the bin. Drawer Label Covers Drawer label covers are provided to house patient and doctor labels. Labels can be up to 4.25”x 1” tall. Inserting labels larger than acceptable height may cause the covers to break when drawers are inserted into the unit. 30 GMedication e n e rCups al Operation Select correct size sleeves for your medication cups. Two different size sleeves have been included in bag 3 (see page 3). Drop springs and spring covers down into housing. Position sleeves over housing openings. Push down and snap into place. 31 Maintenance and Cleaning MAINTENANCE: Customer Equipment Unless directed by the installation instructions, DO NOT service or make any adjustments to or replace any of these parts. Only Rubbermaid or an approved technician/dealer should service, make adjustments, or replacements to the cart components if necessary. DO NOT use the cart if any pieces are missing or if there is any damage to the cart; in these cases, immediately contact customer service for more information. Mount equipment securely to the cart and make sure it is balanced. Unless instructed to by the installation instructions, do not use a riser or tower to reposition the cart. Equipment damage or personal injury may occur by moving the cart too high or too low on the riser. For more information, contact customer care. Cables You will find a variety of solutions included with your cart to keep the cables organized. Always keep the cables neatly organized, and be sure to route excess cables away from moving components with wire ties or cable clips. NOTE: Failure to follow these guidelines could void the product warranty; for more information, refer to the warranty section in your reference guide (page 35). Casters To ensure that the cart travels smoothly, check the casters periodically to make sure they are free of debris and clean. Keep the cart away from uneven, dirty or damaged surfaces. For more information, refer to the General Operation section (page 29). 32 Maintenance and Cleaning CLEANING CAUTION: Because of the close proximity of electrical power and equipment, flammable cleaners should never be used on the cart! • NOTE: When cleaning the cart, wipe all cleaners off of surface with a damp cloth and thoroughly dry the cart. Never cover the cart or its components in liquid or allow liquids to flow into the cart. • Never use steel wool or any other abrasive material as these could damage the surface finish. • Before using any cleaner on the cart, first test on a small area to ensure that the cart surface is not harmed. These guidelines cannot guarantee to control infection. The hospital’s infection control administrator/ epidemiologist should be consulted for cleaning procedures and processes. Cleaning Recommendations: Clean the paint and plastic cart components with any diluted, nonabrasive solutions. Some suggested cleaners are quaternary ammonia compounds, ammonia enzyme cleaner, bleach and alcohol solutions. Remove pen and permanent dry erase marker stains with a soft cloth and 91% isopropyl alcohol. Remove iodine stains with a soft cloth and any common cleaner. 33 Replacement Parts Description External Spiral Cord Item 9M29-A QScanner Holder 9M08-AB Accessory Bin 9M09-AC Drawer Label Cover (Large Drawer) 9M09-AD Sharps Container Bracket 9M09-AE Replacement Key- Keyless Entry 9M09-AF Divider for Large Bin 9M11-AC Small Drawer (New Design) 9M29-AA Small Drawer Label Cover (New Design) 9M29-AC Drawer Security Plate 9M29-AD Medication Cup Dispenser Kit 9M29-AE Clear Top Cover 9M29-AF Waste Receptacle 9M29-AG Mouse Tray 9M29-AH Power Cord Clip 9M29-AI Small Side Bin 9M29-AJ Clear Cover for Power System Controls 9M29-AK Non-Locking Medical Grade Caster 9M29-AL Locking Medical Grade Caster 9M29-AM Computer Access Cover 9M29-AN Hardware Kit 9M29-AP External Spiral Cord 9M29-AQ Electronic Locking Side Bin 9M29-AR Divider for Side Bin 9M29-AS Envelope Drawer Insert 9M29-AT Small Drawer Divider 9M29-BB 34 Wa r r a n t y / R e g i s t r a t i o n Limited Warranty Rubbermaid Medical Solutions is pleased to offer a three year warranty on our products for durable components and a one year warranty on the keyless entry systems and electronic components excluding the rechargeable battery. Some states do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation or exclusion may not apply to you. This warranty gives you specific legal rights and you may also have other rights which vary from state to state or country to country. From the date of purchase, if a Rubbermaid Medical Solutions’ product proves defective in materials and workmanship during normal use by the purchaser of this product in the relevant time frame listed above, Rubbermaid Medical Solutions will arrange for replacement or repair. To receive repair or replacement, either return the defective part to the outlet where purchased or call customer service at 1-888-859-8294 to arrange for the product return. Rubbermaid Medical Solutions reserves the right to request proof of purchase in conjunction with any such return. This warranty does not cover product abuse, modification, failure to adhere to the accompanying instructions, improper operation or misuse and excludes shipping and handling charges. This warranty does not extend to non-durable components. Rubbermaid Medical Solutions SHALL NOT BE LIABLE FOR ANY CONSEQUENTIAL OR INCIDENTAL DAMAGES WHATSOEVER. 35