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Mizuho Osi Allegro 6800 Operating Table - User Manual
Mizuho Osi Allegro 6800 Operating Table - User Manual
MIZUHO OSI
30031 AHERN AVENUE • UNION CITY, CA 94587
Bus: 510-429-1500 • Toll Free: 800-777-4674 Fax: • 510-429-8500
Carefully observe and comply with all warnings, cautions and instructions placed on the
equipment or described in this manual.
In this manual, the WARNING symbol is intended to alert the user to the presence
of important operation, maintenance, or safety instructions.
This symbol indicates the external stud that is at the same potential as the
equipment chassis. If the AC power cable is not connected to an outlet with a
protective earth ground, this external stud should be connected to a protective
earth ground.
WARNING:
Proper preoperative and intraoperative procedures must be followed to prevent
venous stasis and pooling, pressure sore development, neuropathy, improper
electro-surgical tissue grounding, hypotension and hypothermia.
NOTE: The application techniques outlined in these instructions are the manufacturer’s
suggested techniques. The final disposition of each patient’s care as related to the use
of this equipment rests with the attending physician.
The Allegro™ 6800 Mobile Imaging Table is designed to safely hold a patient in the
proper position undergoing radiographic or surgical procedures.
The table has a 2” (5 cm) MIZUHO OSI® Tempur-Pedic® pad. The TEMPUR® used in
the manufacture of MIZUHO OSI® pads has viscoelastic properties and is a temperature
sensitive material, becoming softer where the patient’s body is making the most contact
with the surface and remaining firm in areas where less body contact is being made.
Pressure is distributed evenly over the entire surface area. The pad is radiolucent, MR
safe and latex free. The benefits of using MIZUHO OSI® Tempur-Pedic® are improved
pressure management, reduced shear forces and enhanced patient comfort.
The table has four primary electrically powered functions; up/down, left/right lateral roll
(tilt), trendelenburg/reverse trendelenburg and X-Y translation. These motions are
performed by electromechanical actuators and electric stepper motors.
The table is controlled by means of a low voltage hand pendant which has the functions
clearly labeled. In addition to the hand pendant, a joystick controls the X-Y translations
of the table top. Positive floor locks are employed to stabilize the table in the operating
location.
Cantilever
end
Pedestal
end
NOTE: The following terms are used throughout this owners manual. A thorough
understanding of these terms is necessary to properly operate this table.
Our glossary of terms and technical procedures assume the patient is oriented with their
head at the front of table and their feet at the rear of table as described below. The hand
control functions are oriented for this position only.
PEDESTAL END, or rear of table, indicates the power cord end of the table, where the
control panel is located.
CANTILEVER END, or front of table indicates the opposite end of the rear of the table
or, the column pedestal.
PEDESTAL, refers to the main column structure that supports the tabletop.
Left side, of the table refers to the left side of the table as you stand by the pedestal end
and look down the table. This also corresponds to the hand pendent button labeled
LEFT LATERAL ROLL.
Right side, of the table refers to the right side of the table as you stand by the pedestal
end and look down the table. This also corresponds to the hand pendant button labeled
RIGHT LATERAL ROLL.
Raise the table, refers to raising the height of the table. This also corresponds to the
hand pendant button labeled HEIGHT UP.
Lower the table, refers to lowering the height of the table down toward the floor. This
also corresponds to the hand pendant button labeled HEIGHT DOWN.
Reverse trendelenburg, refers to moving the cantilever end of the table up. The
corresponding hand pendant button is labeled REV. TREN.
Trendelenburg, refers to moving the cantilever end of the table down. The
corresponding hand pendant button is labeled TREN.
Return to level, or level the table, refers to returning the tabletop to a state level
regardless of height. The corresponding hand pendant button is labeled return to level.
Holding the RETURN TO LEVEL button longer than approximately three seconds will
lower the tabletop to its lowest position.
Top home, refers to returning the table top to its home position after longitudinal or
lateral travel. The corresponding hand pendant button is labeled TOP HOME. The
tabletop in the home position is centered over the pedestal pads in its side to side travel
and to its extent of travel toward the pedestal end in its longitudinal travel
Unlock the floor locks, raise the floor locks, turn off the floor locks, refers to allowing the
table to freely roll on its wheels once the floor lock feet next to the wheels, raise off the
MIZUHOSI 2009 7 NW0510 Rev. D
floor. The floor locks, when down, prevent the table from moving on its wheels. The
corresponding hand pendant buttons labeled FLOOR LOCK.
Control panel, is a panel of buttons and lights located on the pedestal end of the table.
Floor locks and tabletop home can be controlled by depressing the corresponding
button labeled UP TO UNLOCK, DOWN TO LOCK or TABLE TOP HOME.
Hospital grade outlet, refers to a 120VAC outlet properly wired with earth ground.
Generally this is: neutral to common = 120VAC; neutral to ground = 120VAC; common
to ground less than zero point five (0.5)VAC, and will be marked with a green dot.
The major components of the Allegro™ 6800 and control panel are shown in figure 2.
The patient’s head can be located at either end of the table, depending on the
procedure. Therefore, the table is described as having a pedestal end and a cantilever
end. The on/off switch, floor lock buttons and the power cord socket are located at the
pedestal end of the table.
Floor lock
indicator lights
Hand pendant
can be hung here
The model number and serial number are printed on the identification label on the
pedestal end of the base.
Power cord Model No./
Component
socket
circuit breakers Serial No. label
Hand pendant
can be hung here
On/off
switch
Plug the power cord into a properly grounded receptacle. Refer to the label at the
pedestal end of the base for input voltage requirements (see figure 4). Turn on the
power switch and observe the green light in the switch indicating that power is applied
to the table. This rocker switch is a combination on/off power switch, circuit breaker and
pilot light.
WARNING:
Ensure that the battery has been properly charged as outlined in section 7.0.
Turn on the power switch. The battery status LED on the hand pendant should be
green, indicating a charged battery. The expected working life of a fully charged
battery is approximately 5 hours at 10% duty cycle. While in storage, it is
desirable that the table be plugged in and the power switch turned on so that the
batteries remain charged. If this is not possible, the batteries must be charged
for at least three hours a week. This can be accomplished when using the table
under line power.
This symbol indicates the external stud that is at the same potential as the
equipment chassis. If the AC power cable is not connected to an outlet with a
protective earth ground, this external stud should be connected to a protective
earth ground.
To operate the floor locks via the hand pendant, press and hold the FLOOR LOCK
button until the floor lock is completely deployed. The green indicator light marked
LOCKED WHEN LIT on the control panel and the FLOOR LOCK ON LED located on
the hand pendant will be illuminated when it is locked. To stow the floor locks via the
hand pendant, press and hold the FLOOR UNLOCK button until the floor lock is
completely retracted. The amber indicator light marked STOWED WHEN LIT on the
control panel and the FLOOR LOCK, STOWED LED located on the hand pendant will
be illuminated when they are stowed.
The floor locks can also be operated by the floor lock buttons on the sheet metal
housing of the pedestal as follows. Press the button labeled DOWN TO LOCK, and
hold it until the floor lock is completely deployed. The green indicator light marked
LOCKED WHEN LIT on the control panel (see figure 3) and the FLOOR LOCK ON LED
located on the hand pendant (see figure 6) will be illuminated when it is locked. To
release the floor lock, press the button labeled UP TO UNLOCK and hold it until the
floor lock is completely retracted. The amber indicator light marked STOWED WHEN
LIT on the control panel and the FLOOR LOCK STOWED LED on the hand pendant will
be illuminated when it is stowed.
If floor lock systems fails during table use, press and hold the FLOOR LOCK
OVERRIDE button while simultaneously operating the desired hand pendant function.
When button is released, no functions will be operable and this button must be pressed
again if subsequent table movement is required.
NOTE: This OVERRIDE button only powers the height, trendelenburg and lateral roll
functions via the hand pendant and is intended for emergency situations only.
• Verify power cord is plugged into a live power outlet supplying proper voltage and
the power switch is ON and illuminated
• Verify all four floor locks are completely engaged and control panel, green
LOCKED WHEN LIT light illuminates and the FLOOR LOCK ON LED on the
hand pendant is illuminated. The table should not move on its wheels when the
floor locks are engaged.
a. Use floor lock crank handle (see Replacement / Spare Parts List) stowed on sheet
metal housing behind control panel for each floor lock.
b. Remove floor lock access hole-plug and insert crank handle to engage floor lock
shaft.
• For floor lock nearest grounding stud/power cord, turn crank handle clockwise to
raise floor lock.
• For all other floor locks, turn crank handle counter-clockwise to raise floor lock.
WARNING:
A hand pendant can be plugged in at the pedestal end (back) or the cantilever end
(front) of the base, or both locations with two hand pendants. If a hand pendant is
removed or added while the table is operational, the table must be shut down for 30
seconds. When turned on, the floor locks must be reengaged. It is best only to plug or
unplug hand pendants when power is turned off.
The table is controlled by means of a low voltage hand pendant which has the functions
clearly labeled (see figure 6). The hand pendant should be plugged into the receptacle
labeled “hand pendant” on either the back or the front of pedestal. The hand pendant is
intended to be hung on the side rail independently, placed either with the swivel mount
or without. The swivel mount allows the hand pendant to be mounted horizontally on
the table. The hand pendant clip slides in the top of the swivel mount and the swivel
mount slides on the side rail or auxiliary clamp.
To adjust the height of the table press and hold the appropriate HEIGHT UP or HEIGHT
DOWN button until the desired height is achieved.
Lateral roll:
To adjust the lateral roll press and hold the appropriate LATERAL ROLL button. Note
that when lateral roll is within +/- 2° of level the green level indicator will illuminate.
To adjust the trendelenburg position of the table, press and hold the appropriate TREN
or REV.TREN button. Note that when trendelenburg tilt is within +/- 2° of level the
green level indicator will illuminate.
The hand pendant is equipped with TOP FORWARD, TOP AFT, TOP LEFT and TOP
RIGHT translation button. When one of the translation buttons is depressed the table
top will translate in the given direction at constant speed.
NOTE: The table can also be translated at variable speeds using the joystick (see
section 4.4).
WARNING:
Battery status: The hand pendant is equipped with a two color battery status
LED. If the indicator is green, the battery is charged and the table is ready for
use. If the indicator is red, the battery must be charged for a minimum of 3 hours
(see section 7.0 for complete Battery Charging instructions).
NOTE: The table can be used on line power if the battery is not fully charged.
BATTERY STATUS
Green = OK
Red = CHARGE
The hand pendant is equipped with a TOP HOME button and a RETURN TO LEVEL
button. The TOP HOME button is used to return the table top to it’s X-Y home position.
The RETURN TO LEVEL button returns all functions to a preset level position. The top
home and the return to level buttons must be depressed and held continuously until the
function is complete.
Return to level:
Press and hold the RETURN TO LEVEL button, this will 1) level lateral roll, 2) level the
trendelenburg and 3) bring the table to its lowest height position. A delay of 3 seconds
is programmed after the trendelenburg function before the table returns to its lowest
height position. The button must be depressed and held continuously for the function to
complete.
Top home:
The X-Y home position of the table top can be achieved by pressing the TABLE TOP
HOME button located on the control panel of the pedestal or the TOP HOME button on
the hand pendant. This position is defined as the table top being centered in its side to
side travel and to its extent of travel toward the pedestal end in its longitudinal travel.
The lateral and longitudinal translation movement of the table is controlled by a joystick
control mounted on the side rail or auxiliary clamp on either side of the table top. The
Allegro™ 6800 has 2 speed ranges of operation for longitudinal travel. Lateral travel is
always performed at the normal speed setting. An illuminated green light on the top of
the joystick control indicates which speed is engaged. A speed button on the top of the
joystick control can be pressed once to switch between speeds. It should be noted that
the joystick provides Interactive Proportional Speed Control™ (IPSC). This means that
the Allegro™ 6800 travel speed will increase from stop to full speed within the selected
range in proportion to how far the joystick is pushed.
Activation
button
Normal/high speed
indicator lights
Joystick
Speed selection
button
Locking
lever
To use the joystick control slide it onto the side rail or auxiliary clamp and plug it into the
receptacle labeled joystick on either end of the pedestal of the Allegro™ 6800. The
locking lever of the joystick control must always be rotated toward the pedestal end of
the table to lock it to the side rail or auxiliary clamp. Correct orientation of this lever
insures that the direction of travel of the Allegro™ 6800 will be consistent with the
direction of the joystick movement.
WARNING:
Failure to engage the joystick locking lever in the proper direction will result in
travel in the direction opposite of the joystick motion.
To translate the Allegro™ 6800, press and hold down the JOYSTICK ACTIVATION
button and then push the joystick in the intended direction of travel. Release the
joystick when the desired position is achieved. The table will move at a speed that is
proportional to the position of the joystick from the starting center position. Pushing the
joystick further from center moves the table faster in that direction. Releasing the
joystick activation button stops the table in any position.
NOTE: Although the Allegro™ 6800 is designed to travel laterally and longitudinally at
any tilt or trendelenburg angle, it is recommended not to translate the table at high
speed under full load (i.e. 450 lb. patient) when it is at extreme tilt or trendelenburg
angles.
NOTE: If the joystick is moved off center before the joystick activation button is pressed
the table will start moving at that speed proportional to the position of the joystick. This
can result in sudden jerky or rapid movement of the table top. Therefore, do not move
the joystick off of center before pressing the joystick activation button.
Upon receipt of your Allegro™ 6800 Mobile Imaging Table, remove the table from the
shipping crate following the unpacking instructions. Visually inspect all surfaces for
freight damage. Check each caster for proper rolling operation.
NOTE: Any freight damage must be reported to the freight carrier immediately upon
delivery. It is the responsibility of the recipient to make freight damage claims.
• Verify receipt of the completeness and test report provided with each Allegro™
6800.
• Read the model/serial number identification label found at the pedestal end of the
base (see figure 4) to confirm the serial number and the input power requirements.
• Place the Allegro™ 6800 in an area with at least 4 feet of clearance on all sides.
• Inspect and test the table as described in Function Check section 6.0.
• Thoroughly clean the table as described in the Cleaning section of this manual. Pay
special attention to the cleanliness of the controls, as excessive soil can affect
function.
• Inspect the power cord for cuts in the insulation or damage to the connector.
• Check the operation and security of the floor lock with and without a patient load in
place.
Before use, inspect the device for possible damage, excessive wear or non-functioning
parts. Carefully inspect all critical, inaccessible areas, joints, electrical cords and all
movable parts for possible damage or non-function.
Damaged or defective products should not be used or processed. Contact your local
Mizuho OSI sales representative for repair or replacement.
Perform all steps in this procedure. If you have any questions please feel free to contact
Mizuho OSI Customer Resource Group at 800-777-4674, 7AM to 5PM PST. For a
complete definition of reference terms used in this procedure, please refer to the
Glossary of Terms (Section 2) this owners manual.
NOTE: A hand pendant can be plugged in at the pedestal end (back) or the cantilever
end (front) of the base, or both locations with two hand pendants. If a hand pendant is
removed or added while the table is operational, the table must be shut down for 30
seconds. When turned back on, the floor locks must be reengaged.
2. Plug in and tighten the connector for the joystick into the receptacle labeled
JOYSTICK at either end of the pedestal.
3. Attach and correctly orient the locking lever on the joystick. This lever must always
lock in place toward the pedestal end of the table. Correct orientation of this lever
ensures the direction of travel of the Allegro™ 6800 will be consistent with the
direction of the joystick movement.
4. If the table is to be used under battery power, ensure that the battery has been
properly charged and that the battery status LED on the hand pendant is green
when the on/off power switch is on.
5. If the table is to be used under line power, plug in power cord into an appropriate
hospital grade outlet and turn on the main ON/OFF power switch. Note that the
switch illuminates indicating that AC power is on.
6. Lockout mode: The Allegro™ 6800 is only operational if the LOCKED WHEN LIT
green indicator located on the control panel is illuminated and the FLOOR LOCK ON
LED is illuminated on the hand pendant. Verify that the hand pendant functions do
not operate except to activate floor locks.
9. Joystick control:
9.1. Move the joystick without pressing the activation button. No movement should
occur.
9.2. Verify Interactive Proportional Speed Control™ (IPSC), variable speed
operation. Press and hold activation button and move joystick. The tabletop
moves in the direction of handle. Small handle movements away from center
result in slow speeds while larger movements result in faster tabletop speeds.
9.3. Press the speed select button, illuminating the high speed indicator light and
deactivating the normal indicator light. Tabletop can move at twice the normal
speed in the long direction.
9.4. Relocate joystick control to other side of table and repeat steps 9.1-9.3 (see
step 3 for more information).
11. Verify the full function of the table system by moving and connecting hand pendant
and joystick to alternate ports. Power should be shut down when changing ports on
joystick or hand pendant (see section 6.1 Note).
7.1 Description
The electrical system provides control of all the table functions and is comprised of a
power cord, an on/off circuit breaker switch, wire harnesses, a power supply, a
controller circuit, a hand pendant, a joystick control, floor lock jackscrews, various
electromechanical actuators, two stepper motors and two batteries. The electric motor
driven leadscrew-type actuators manipulating the height, lateral roll and trendelenburg
functions are controlled by the hand pendant. The floor lock buttons raise and lower the
table floor lock feet to the floor. The translation motion of the table top is controlled by
the joystick control and the hand pendant and driven by the stepper motors. Drawing
number 6800-1003 is the Electrical Wiring Diagram for the Allegro™ 6800 Imaging
Table. The input power requirement for this table is 120 VAC 60Hz, 5 Amp or 230 VAC
50Hz 2.5 Amps as indicated on the serial number label. Drawing number 6800-1004 is
the Electrical Wiring Diagram for the 230 volt model 6800 Imaging Table.
An illuminated on/off circuit breaker main switch is located on the back of the pedestal
end of the base of the table (see figure 4). When illuminated, it indicates that the table
is plugged into a live electrical outlet and the power is on, (when the table is turned on
using battery power, this switch will not illuminate). This switch also serves as a circuit
breaker. In the event of an overload condition this switch will trip off. To reset, push to
the off position and then the on position.
NOTE: Determine the source of the overload prior to resetting this switch.
The electrical system includes three individual component circuit breakers that provide
protection for the major components of the system. These circuit breakers are located
in the base at the pedestal end of the table (see figure 4). If a short circuit occurs, the
affected circuit breaker will trip as evidenced by a button protruding from the circuit
breaker access hole. To reset, press the button in and release.
NOTE: Determine the source of the overload prior to resetting this button.
The table is equipped with a standard IEC power cord with the appropriate hospital
grade connector. The power cord is connected to the table at the IEC power entry
socket located on the base of the pedestal near the on/off switch.
The Allegro™ 6800 Mobile Imaging Table floor lock secures the table by powering 4
jackscrews to lower four legs onto the floor and unloading the swivel casters. It is
operated by depressing the DOWN TO LOCK button located on the control panel or the
FLOOR LOCK button on the hand pendant. The lock button is pressed and held until
the floor lock is completely engaged as evidenced by the illumination of the floor lock
NOTE: The table controller requires that the floor lock system be completely engaged
before any other function can be operated. If the hand pendant or the joystick will not
operate the table, verify that the floor locks are completely deployed, such that the table
does not move.
To unlock the floor lock, press and hold the UP TO UNLOCK button until the amber
STOWED WHEN LIT indicator on the control panel and the FLOOR LOCK STOWED
LED located on the hand pendant are illuminated indicating that the legs are completely
retracted.
WARNING:
Press and hold DOWN TO LOCK button until green LOCK WHEN LIT light is
illuminated on the control panel, and that the FLOOR LOCK ON LED on the hand
pendant is illuminated. Table is locked if it cannot move on its wheels. Ensure
each floor lock is fully engaged before use.
The Allegro™ 6800 Table is designed to use two 12 volt batteries in series to provide 24
volts. When battery status LED on the hand pendant is red, batteries need to be
charged. To charge the batteries, simply plug the power cord into an appropriate
hospital grade outlet and turn the power switch on.
While in storage, it is desirable that the table be plugged in and the power switch turned
on so that the batteries remained charged. If this is not possible, the batteries must be
charged for at least three hours a week. This can be accomplished when using the
table under line power.
To ensure proper battery function, it is recommended that the batteries be charged for
at least 3 hours within the previous 48 hours prior to use. The battery status LED on the
hand pendant must be illuminated green when the table is on. The batteries should be
replaced every 5 years or when they fail to hold a charge.
The system power supply converts AC power, 120-volt, 60Hz or 230-volt, 50Hz into
24VDC (nominal) operational power. There are four 24VDC output ports, each with a
circuit breaker for thermal and short-circuit protection. Two are unregulated at 10-Amps
with voltage between 36VDC and 22VDC depending on load and one at 15-Amps with
voltage between 36VDC and 22VDC depending on load. The fourth DC output port is
regulated at 24VDC +/- .25 ,and has no circuit protection within the power supply tray.
When powered from an AC source, the batteries in series are constantly being charged
at a variable rate depending on the charged state. Battery charge status is monitored by
The 6800 Allegro™ Table uses two 12-volt batteries in series to provide 24-volts. When
the battery status LED on the hand pendant is red, the batteries require charging. To
charge, plug power cord into an appropriate hospital grade AC outlet and turn the power
switch to on.
WARNING:
While in storage, the batteries should remain charged for a minimum of three (3)
hours a week. Using the table while on AC power will also charge the batteries.
1. Turn power switch off, wait 30 seconds for discharge, unplug power cord from wall
outlet.
2. Remove pedestal-end base cover by removing the six screws using 1/8 in hex key.
WARNING:
Disconnect batteries only with power cord unplugged and power switch off.
This symbol indicates the external stud that is at the same potential as the
equipment chassis. If the AC power cable is not connected to an outlet with a
protective earth ground, this external stud should be connected to a protective
earth ground.
NOTE: If this does not happen, immediately turn power switch off; verify proper battery
connections, verify hand pendant is fully connected to table receptacle. Repeat test
again. If problem continues, contact Mizuho OSI Customer Resource Group at 800-777-
4674 for further assistance.
NOTE: Never pour any liquid directly onto the table. Never subject the Allegro™ 6800
Mobile Imaging Table to any cart or equipment washer.
1. Table exterior
• Exterior surface should be regularly wiped clean with a mild detergent solution and
wiped dry with a soft lint-free cloth.
NOTE: Do not wipe the support rails for the translating table top. These should remain
with a light coat of oil at all times.
• Care should be taken to avoid exposing the table to excessive moisture. Flooding,
fogging or steam cleaning is not recommended.
• Blood or other fluids, etc., if allowed to remain on the table for a long period of time,
will require special cleaning to remove. A 5% acetic acid solution or white vinegar
and water solution is especially good for this purpose.
• Staining and discoloration of plated or stainless steel surfaces can be corrected by
cleaning with a good commercial cleaning compound, such as Stainless Steel Magic
or Acme White Finish, and then buffing the surface by hand.
• To disinfect exterior surface use a quaternary ammonium or similar type disinfectant
compound according to manufacturer's directions for use. Wipe dry with a soft lint-
free cloth.
NOTE: Failure to thoroughly dry surface after cleaning and disinfecting may result in
rust.
2. Casters
• Casters should be cleaned and disinfected in the same manner as table exterior.
Access to the casters is achieved by removing the sheet metal enclosures at each
end of the table base.
NOTE: Before removing any sheet metal covers the table must be turned off and
unplugged. Dangerous high voltage may be present in the circuitry under the covers.
This task should be performed by trained technicians only.
3. Table Pad
• The pad is intended to be cleaned in place. It does not need to be rotated or flipped.
• Clean with standard hospital disinfectants labeled for use on table pads. Always
dilute and rinse per manufacturer’s label instructions. Wipe dry with a lint free cloth.
Do not soak or autoclave pads. The continued use of bleach or highly concentrated
chemicals will void the warranty on the cover.
• When cleaning the bottom of the pad or the table top, simply lift one end of the pad,
and fold it over onto the other end. Clean the pad or the table top then return the
pad to flat on the table top.
4. Table tops
• Disinfect surfaces of table tops according to standard hospital procedure.
8.2 Lubrication
1. Table exterior
No lubrication is necessary.
2. Table interior
The translation and height adjustment sliding mechanisms of the 6800 Imaging Table
require periodic lubrication. There are ten sliders in all and each should be lubricated
with Thomson Linear Lube grease (or equivalent) once a year. Four sliders are on the
lateral translation rails, four are on the longitudinal translation rails and two are on the
main table column. Apply the grease through the zerk fittings located on each slide
bearing housing. Do not over lubricate.
All other components are lubricated for life at the factory and no other lubrication on the
table is necessary.
When not in use the table should be stored in a clean dry environment with temperature
between 32 °F & 120 °F (0 °C & 49 °C).
In the advent of a table malfunction, the first item to investigate is the input power. Be
certain that the power cord is plugged into a live electrical outlet and the power switch is
on. This is evidenced by an illuminated on/off switch.
If none of the functions are operating, the floor lock may not be completely deployed.
Press the FLOOR LOCK button until the green LOCKED WHEN LIT indicator is
illuminated.
WARNING:
If the floor lock is deployed as evidenced by visual inspection, all four floor lock
feet should be in contact with the floor. Table should not move whether or not
the green indicator is illuminated, and the up/down, lateral roll or trendelenburg
functions do not operate. The floor lock override button can be used to
temporarily bypass the interlock on the floor lock system. This button is located
on the underside of the sheet metal housing at the FLOOR LOCK buttons (see
figure 10). Press and hold this button while simultaneously operating the desired
function on the hand pendant. Once released, no functions will be operable and
this button must be pressed again if subsequent table movement is required.
This override button only powers the height, trendelenburg and lateral roll
functions on the hand pendant and is intended for emergency situations only. If
it becomes necessary to use this feature, call Mizuho OSI Customer Resource
Group immediately to arrange for table service.
1. Measure voltage at wall outlet to verify proper AC input is available (120V or 230V).
2. Inspect power supply cord for physical damage, continuity, and adequate resistance.
3. Inspect power switch/circuit breaker:
a. Plastic boot is in good condition.
b. Switch locks in the on and off positions.
c. Green light illuminates when switched on.
4. Verify proper voltage at output ports:
a. Refer to specifications (described above) and interconnect diagram.
5. Verify switchover from AC (mains) to battery operation:
a. With charged battery (24 volts or higher with power switch off) turn power switch
on.
b. Operate up/down function and pull power cord connector from table power-entry-
socket while motor is running.
c. The table should keep moving with only a minor slow-down of motor speed.
6. Repair option for damaged or non-functioning power supply is replacing entire power
supply tray assembly with new unit (see Replacement/Spare Parts List). Field repair
is not recommended.
• Verify power cord is plugged into an appropriate AC receptacle and into the power
cord socket (located at the back end of pedestal).
• Verify power switch (located on back end of pedestal) is on. If illuminated, table is
connected to live AC power. If no illumination, table may still operate on internal
battery power (hand pendant control buttons and lights will be illuminated).
• Verify circuit breaker (part of power switch located on table-base panel) is not
tripped off (indicating table power overload condition. Find overload source prior to
resetting). To reset, switch power switch/circuit breaker off, then on.
• Verify component circuit breakers (located on table-base panel) are not tripped off
(indicating component power overload condition. Find overload source prior to
resetting). Observe the three component circuit breaker buttons are not protruding
from circuit breaker access holes.
• Verify floor locks are deployed (all four locking feet make firm contact with the floor).
Observe LOCKED WHEN LIT green light on control panel or FLOOR LOCK ON LED
on hand pendant illuminates.
• Using the control panel, press and hold the DOWN TO LOCK control button. Verify
the LOCKED WHEN LIT green indicator on the control panel or FLOOR LOCK ON
LED on the hand pendant illuminates.
• Verify the floor locks are deployed (all four locking feet make firm contact with the
floor). Using the control panel, press and hold the DOWN TO LOCK button on the
control panel. Try pressing the UP TO UNLOCK button and then repeat press and
hold the DOWN TO LOCK button.
• Using the hand pendant, press and hold the FLOOR LOCK button. Verify the
LOCKED WHEN LIT green indicator on the control panel or the FLOOR LOCK ON
LED on the hand pendant illuminates.
• Verify the floor locks are deployed (all four locking feet make firm contact with the
floor). Using the hand pendant, press and hold the FLOOR LOCK button. Try
pressing the FLOOR UNLOCK button and repeat press and hold the FLOOR LOCK
button.
• Verify power cord is plugged into a properly grounded AC receptacle.
• If on battery power, verify proper charge; observe battery status LED illuminates
green.
• Verify the table power switch is on.
• Activate floor lock override; press and hold the FLOOR LOCK OVERRIDE control
button (located under control panel). While holding the FLOOR LOCK OVERRIDE
control button, press and hold any hand pendant control button for height up, height
down, trendelenburg, reverse trendelenburg, left lateral roll or right lateral roll. Verify
function.
• Press and hold the hand pendant HEIGHT UP or HEIGHT DOWN control button.
Observe tabletop movement.
• Verify the hand pendant is properly plugged into a hand pendant receptacle.
Observe hand pendant buttons illuminate green.
NOTE: The table power switch must be turned off before disconnecting or
connecting the hand pendant. Once reconnected, turn power on and deploy floor
locks (all four locking feet make firm contact with the floor).
• With the power switch off, plug the hand pendant into the other hand pendant
receptacle. Turn power switch on. Observe hand pendant buttons illuminate green.
• Verify the power cord is plugged into a properly grounded AC receptacle.
• If on battery power, verify proper charge. Observe battery status LED illuminates
green.
• Verify power switch is on.
• Verify floor locks are deployed (all four locking feet make firm contact with the floor).
Observe LOCKED WHEN LIT illuminates green on the control panel or FLOOR
LOCK ON, LED illuminates on the hand pendant.
• Verify if other hand pendant buttons are functional. If not, replace the hand pendant.
• Press and the hold hand pendant TREN or REV.TREN button. Observe tabletop
movement.
• Verify the hand pendant is properly plugged into a hand pendant receptacle.
Observe hand pendant buttons illuminate green.
NOTE: The table power switch must be turned off before disconnecting or
connecting the hand pendant. Once reconnected, turn power on and deploy floor
locks (all four locking feet make firm contact with the floor).
• With the power switch off, plug the hand pendant into the other hand pendant
receptacle. Turn power switch on. Observe hand pendant buttons illuminate green.
• Verify power cord is plugged into a properly grounded AC receptacle.
• If on battery power, verify proper charge; observe battery status LED illuminates
green on the hand pendant.
• Verify power switch is on.
• Verify floor locks are deployed (all four locking feet make firm contact with the floor);
observe LOCKED WHEN LIT indicator illuminates green on the control panel and
the FLOOR LOCK ON LED illuminates on the hand pendant.
• Verify if other hand pendant buttons are functional. If not, replace hand pendant.
• Call Mizuho OSI Customer Resource Group for service or parts (possible hand
pendant and/or 10 Amp motor-control PCB).
• Press and hold hand pendant LEFT LATERAL ROLL or RIGHT LATERAL ROLL
control button. Observe tabletop movement.
• Verify hand pendant is properly plugged into a hand pendant receptacle; observe
hand pendant control buttons illuminate green.
NOTE: The table power switch must be turned off before disconnecting or
connecting the hand pendant. Once reconnected, turn power on and deploy floor
locks (all four locking feet make firm contact with the floor).
• With the power switch off, plug the hand pendant into the other hand pendant
receptacle. Turn power switch on. Observe hand pendant buttons illuminate green.
• Verify the power cord is plugged into a properly grounded AC receptacle.
• If on battery power, verify proper charge. Observe battery status LED illuminates
green on the hand pendant.
• Verify power switch is on.
• Verify floor locks are deployed (all four locking feet make firm contact with the floor);
observe LOCKED WHEN LIT indicator illuminates green on the control panel and
the FLOOR LOCK ON, LED illuminates on the hand pendant.
• Verify if other hand pendant buttons are functional. If not, replace the hand pendant.
• Press and hold hand pendant TOP FORWARD or TOP AFT control button. Observe
tabletop movement.
• Verify the hand pendant is properly plugged into a hand pendant receptacle.
Observe hand pendant buttons illuminate green.
NOTE: The table power switch must be turned off before disconnecting or
connecting the hand pendant. Once reconnected, turn power on and deploy floor
locks (all four locking feet make firm contact with the floor).
• With the power switch off, plug the hand pendant into the other hand pendant
receptacle. Turn power switch on. Observe hand pendant buttons illuminate green.
• Verify the power cord is plugged into a properly grounded AC receptacle.
• If on battery power, verify proper charge; observe battery status LED illuminates
green on the hand pendant.
• Verify power switch is on.
• Verify floor locks are deployed (all four locking feet make firm contact with the floor);
observe locked when lit light illuminates green.
• Verify if other hand pendant buttons are functional. If not, replace hand pendant.
• Call Mizuho OSI Customer Resource Group for service or parts (possible hand
pendant and/or 10 Amp motor-control PCB).
• Press and hold hand pendant TOP LEFT or TOP RIGHT control button. Observe
tabletop movement.
• Verify hand pendant is properly plugged into a hand pendant receptacle; hand
pendant buttons illuminate green.
NOTE: The table power switch must be turned off before disconnecting or
connecting the hand pendant. Once reconnected, turn power on and deploy floor
locks (all four locking feet make firm contact with the floor).
• With the power switch off, plug the hand pendant into the other hand pendant
receptacle. Turn power switch on. Observe hand pendant buttons illuminate green.
• Verify the power cord is plugged into a properly grounded AC receptacle.
• If on battery power, verify proper charge; observe battery status LED illuminates
green on the hand pendant.
• Verify power switch is on.
• Verify floor locks are deployed (all four locking feet make firm contact with the floor);
observe locked when lit light illuminates green.
• Verify if other hand pendant control buttons are functional. If not, replace the hand
pendant.
• Call Mizuho OSI Customer Service Resource Group for service or parts (possible
hand pendant and/or 10 Amp motor-control PCB).
• Press and hold hand pendant TOP HOME button. Observe tabletop movement.
• Call Mizuho OSI Customer Resource Group for service or parts (possible hand
pendant and/or 10 Amp motor-control PCB).
• Press and hold TABLE TOP HOME button. Observe tabletop movement.
• Call Mizuho OSI Customer Resource Group for service or parts (possible hand
pendant and/or 10 Amp motor-control PCB).
• Press and hold hand pendant RETURN TO LEVEL button. Observe tabletop
movement.
• Disorient tabletop by raising height approximately two inches, lateral roll tabletop
and activating trendelenburg approximately five degrees.
• Press and hold hand pendant RETURN TO LEVEL button. Observe roll and
trendelenburg functions level first, and after a three-second delay, tabletop moves
down to its lowest height position and is level.
• Call Mizuho OSI Customer Resource Group for service or parts (possible hand
pendant and/or 10 Amp motor-control PCB).
• Table battery system requires charging. Charge batteries minimum three (3) hours;
plug power cord into appropriate AC outlet.
NOTE: Power switch must be switched on.
• Press and hold ACTIVATION button; red button (black on older tables) must be
activated for joystick operation. Verify function.
• Verify joystick cable-connector is properly plugged into either joystick receptacle.
Observe normal high speed indicator lights illuminate green when corresponding
button pushed.
• Verify Joystick locking lever is completely locked toward pedestal-end to move
tabletop in same direction.
• Verify joystick locking lever is locked in proper direction, toward pedestal end.
Joystick:
Coupling
Floor lock and set-screw Floor lock Crank handle
(lowered) (raised)
Support block
Figure 11: Foot end base: Cover removed, raised with support block and crank handle
Replacement procedure:
1. Turn power switch on. The switch illuminates indicating power is to the table.
2. Lock table to floor; press and hold DOWN TO LOCK button until green LOCKED
WHEN LIT light is on.
3. Turn power switch off. Wait 30 seconds for discharge then unplug power cord from
wall outlet.
4. Remove base-access cover from end of table needing replacement.
CAUTION: Electrical shock hazard exists with access covers removed; use
caution when working in exposed areas.
a. Pry off two white plastic access plugs for the floor lock jackscrew using a small
screwdriver.
b. Remove four screws attaching the cover using a 1/8 inch hex key.
c. Remove access cover.
5. Disconnect red wire from battery A positive terminal.
6. Raise end of table using floor lock crank handle (supplied with table).
7. Place 2-1/2 inch high support block under jackscrew floor lock motor mount.
8. Carefully lower table onto support block using floor lock crank handle.
9. Raise floor lock off the floor to its maximum height, using floor lock crank handle.
MIZUHOSI 2009 33 NW0510 Rev. D
10. Loosen floor lock actuator coupling setscrew using 1/8-inch hex key. Slide coupling
towards actuator.
11. Remove actuator by removing the two socket-head cap screws using 3/16-inch hex
key.
12. Replace floor lock actuator assembly (see Replacement/Spare Parts List section) or
pad as described below.
13. Reassemble in reverse order.
14. Verify proper function using pre-op function check.
The power supply tray contains the system power supply PCB, transformer, DC
batteries, power switch/circuit breaker, component circuit breakers and power cord
receptacle.
Battery-A Battery-B
1. Turn power switch off. Wait 30 seconds for discharge, then unplug power cord from
wall outlet.
2. Remove pedestal end base cover by removing the six screws using 1/8 in hex key.
CAUTION: Electrical shock hazard exists with access covers removed; use
caution when working in exposed areas.
The table functions are controlled by input voltage signals from the hand pendant or
control panel to the 10-Amp motor control and stepper controller PCBs located in the
cantilever-end of the base assembly. Voltage from the power supply also is fed to these
controller boards. Interconnect diagrams are given in section 11 for reference.
Figure 15: 10-Amp motor control PCB and stepper controller tray assemblies
Replacement procedure:
1. Turn the power switch off. Wait 30 seconds for discharge, then unplug power cord
from wall outlet.
2. Remove pedestal end base cover by removing the six screws using 1/8 in hex key.
CAUTION: Electrical shock hazard exists with access covers removed; use
caution when working in exposed areas.
CAUTION: Electrical shock hazard exists with access covers removed; use
caution when working in exposed areas.
a. J1 - To stepper controller
b. P1 - To interrupt - to stepper controller/component Interface.
c. P2 - To pc - no connection.
d. P3 - Keypad - extension cable to hand pendant.
e. P4 - Output - no connection.
f. P5 - Power in - power cable to DC power supply.
g. P6 - White marked cable to trendelenburg actuators.
h. P7 - To tilt sensor assembly.
i. P8 - Blue marked cable to trendelenburg actuators.
j. P10 - Orange marked cable to tilt actuator.
k. P11 - To tilt sensor assembly.
l. P12 - Yellow marked cable to vertical actuator.
m. P13 - No connection.
n. P15 - No connection.
o. P17 - No connection.
p. P18 - Input - no connection.
6. Remove the two #10 socket head screws attaching the 10 Amp motor controller
PCB mounting bracket, located under the PCB.
7. Lift the mid section base cover and remove the two #10 socket head screws
attaching the 10-Amp motor controller PCB mounting bracket.
8. Carefully lift out the two #10 socket-head screws attaching the 10 Amp motor
controller PCB assembly.
9. Reassemble in reverse order.
Stepper control
interface PCB
Y-Axis
stepper PCB
X
Y
X-Axis
stepper PCB
Replacement procedure:
1. Turn the power switch off. Wait 30 seconds for discharge, then unplug power cord
from wall outlet.
2. Remove pedestal end base cover by removing the six screws using 1/8 in hex key.
WARNING:
Electrical shock hazard exists with access covers removed; use caution when
working in exposed areas.
WARNING:
Electrical shock hazard exists with access covers removed; use caution when
working in exposed areas.
NOTE: Y stepper PCB is above and cables marked white, X stepper below marked
black.
a. J2 - Power
b. J3 - Motor
7. Remove the ground wires from the ground stud.
8. Remove the two tray mounting screws closest to the table pedestal using 5/16 in hex
key.
9. Loosen the two, horizontal, tray mounting screws using 5/16 in hex key.
10. Carefully lift out the controller tray.
11. Reassemble in reverse order.
With pedestal end base cover removed and using the joystick to control the stepper
motors and using a stopwatch to time the total travel time, take the following actions:
1. Position each motor at one end of its travel using the joystick.
2. Switch the joystick to high speed and verify high speed green light is
illuminated. Without activating the button on the top of the joystick, move the joystick
in the extreme opposite direction.
3. Press the button and the start time on the stopwatch.
a. X-Axis motor (large motor), travel time = 4.7 (four point seven) seconds +/- 1.3
(one point three) seconds.
NOTE: If the motor does not meet this requirement, adjust R86 on stepper controller
PCB and re-test.
b. Y-Axis motor, travel time = 4.7 (four point seven) seconds +/- 1.3 (one point
three) seconds.
NOTE: If the motor does not meet this requirement adjust R87 on stepper controller
PCB and re-test.
4. Using the hand pendant, joystick and control panel, run all functions through the
entire range five times.
Adjust floor lock potentiometers to read .65V (point six five) +/- .02V (point zero two)
1. Using a voltmeter connect ground probe to TP-2 (analog ground).
2. Connect positive probe to TP-3 and observe voltage.
3. Adjust trim pot R11 until voltage reads .65V (point six five) +/- .02V (point zero two).
4. Repeat steps for TP-4 and R19, TP-5 and R27, TP6 and R35.
Using hand pendant and control panel, operate floor lock and unlock buttons through
their full range and verify that
1. All four floor lock motors move while the button is pressed and all motors stop when
the button is released.
2. The floor lock LOCKED WHEN LIT light illuminates green when all four motor feet
are extended and all motors stop.
3. The floor lock STOWED WHEN LIT light illuminates amber when all four motor feet
are retracted and motors stop.
4. After the light, amber or green, illuminates all motors stop even when the button is
held.
NOTE: If the floor lock motors appear to be out of sync (excessive travel distance
between the group), this may indicate problems with the motor, gearbox or the
stepper controller PCB.
The tilt sensor controls the trendelenburg and tilt table levels. This sensor assembly is
protected by the X-Y stage and tilt covers. Removal of the covers requires movement
of the table system before, during and after the disassembly process. It is
recommended that the power be turned off and the table unplugged, during the removal
of the covers. After removal, and/or assembly of the tilt level sensor, a calibration
sequence, extreme caution must be taken to ensure safety to the operator and to the
table. Following are the steps required for access, removal, replacement and/or
calibration:
WARNING:
The following procedure requires removing components with the table on, use
extreme caution.
WARNING:
The following procedure requires removing components with the table on, use
extreme caution.
NOTE: On some older tables, front X-Y stage cover must be removed to access one 4-
40 mounting screw. Do not replace this screw during reassembly.
WARNING:
To prevent damage to the sensors use care removing or replacing this cover.
Replacement procedure:
1. Cut any cable ties holding the existing tilt sensor wire harness to the tilt sensor
bracket.
2. Gently pull the two sets of wires from the tilt sensor.
NOTE: The color coding: White-marked connector goes to white-marked tilt adjust
socket. Black-marked connector goes into black-marked trend adjust socket.
3. Remove the tilt sensor by removing two, 1/4-20x1/2 in. cap-head screws using 3/16
hex key.
NOTE: Use a bubble level resting on the tabletop as a level gauge. The level sensor
adjustment screws are accessed from the top of the unit. A two degree maximum dead-
band exists for each axis. For return to level to function, the tabletop must be outside of
this dead-band.
NOTE: Clockwise will stop the tabletop more to the right, counter-clockwise will stop the
tabletop more to the left. The tabletop will overshoot each stopping point, requiring
"splitting the difference" to adjust for proper balance.
WARNING:
Use care replacing this cover to prevent damage to the sensors.
MIZUHOSI 2009
24V P6 6800-250
ACTUATOR 24V PLUS
6800-274 OR 6800-275
REVERSE- BLU/BRN
MADE PER 6800-320 SUPPLY SUPPLY
TRENDELENBURG 24V P8
24V PCB
ACTUATOR 15A 6800-200
VERTICAL MADE PER 6800-320 + JUMPER
24V P12
ACTUATOR 24V P5 24VDC P16 P12 PINS
10 AMP MOTOR CONTROL PCB - 1&2
6800-240
TILT BLK SHRINK WRAP P10 6800-204
P1 P7
SENSOR
ASSY WHT SHRINK WRAP 10A 5A
P2 P11
6800-247 SW
MADE PER CAPACITOR P13
BLACK SHRINK WRAP 24VDC
6800-185 10,000UF E12 110V
TILT P10
TILT 24V 50V DC 10A THRU 60Hz
BLK/RED ACTUATOR
ACTUATOR 24V E15 AC
PCB / CABLE P1 P3 J1 (PART OF
6800-80 WHITE SHRINK WRAP 24VDC P14
6800-171 6800-196)
6800-199 6800-248 2 PLCS 9600-750
RIGHT BLU/BLK P15
LIMIT SWITCH 6800-171
NV0564 GND 24VDC
NV0579
LEFT 5V, 12V , 100mA 6800-196 6800-195
LIMIT SWITCH 6800-171
NV0579 6800-193
6800-198
X STEPPER MOTOR
Y-AXIS LIMIT SWITCH ARRAY
6800-203 J2 6800-205
STEPPER J3 P8 P2 P3
MOTOR P6
6800-51 Y-AXIS STEPPER CONTROLLER Y STEPPER MOTOR
STEPPER DRIVE LIMIT SWITCH ARRAY
44
INTERFACE BOARD
PCB 6800-201 6800-206
GND J1 J1 6800-190
P4
X-AXIS 6800-202 J2
11.1 Electrical Interconnect Diagram, 120 VAC
PCB P5 +24V
GND
FLOOR
24V 24V 24V 24V LOCK
MOTORS
STEPPER-CONTROLLER/DRIVER TRAY ASSEMBLY GND
6800-251 P1
6800-197
NV0564 NV0337
"UP TO UNLOCK" WHT/BLK GRY/BLK " DOWN TO LOCK"
SWITCH SWITCH
9600-450 6800-192
"STOWED WHEN LIT" YEL/BLK GRN/BLK "LOCKED WHEN LIT" CONNECT TO JOYSTICK
AMBER LED GREEN LED AUXILIARY PANEL EITHER PANEL 6800-150
FRONT
"TABLETOP HOME" BRN/BLK 9 PIN D SUB 9 PIN D SUB
SWITCH
FOR JOYSTICK FOR JOYSTICK HAND PENDANT CONTROL
6800-238
FLOOR LOCK INPUT FOR INPUT FOR
CONTROL PANEL HAND CONTROL HAND CONTROL
CONNECT TO
REAR EITHER PANEL
9650-431A
NW0510 Rev. D
11.2 Electrical Interconnect Diagram, 230 VAC
J1
J2
2
4
24 3X
2X 20 10 7X
23 2X
2X 21
4X 22
2X 3 9
4X 11
26
5
18
12
14
20
3X 25 21 17 2X
(REF)
22
15 23
13
16
1
10 4X
19
Y-Ring assembly
68
18 6
71
X-Ring assembly
100
90
88 106 4X
2 20 2X
86
77
2X 115 Power supply
43 (REF)
123 4X
2X 88 Batteries
4X 63
4X 100
10 Amp controller
(REF) 63
Base assembly
128
2X 53
63 6X
54 5X
107 3" X 4.5"
64 6X
2X 69
55 2X
4X 61 63 2X 102 4X 111
122
59 2X
125
22 40
107 3" X 13"
66 2X
50
64 4X
2X 64
24
6X 57
2X 64 3X 63 127 3X
112 4X
49
25 23 64 2X
2X 66
44 107 REF
107 REF
64 4X
39
128
63 6X
54 5X
107 3" X 4.5"
55 2X
63 2X 111
122
59 2X
125
40
107 3" X 13"
66 2X
127 3X
3X 63
2X 46
56
70
48
37
63
4X 113
123 55
63
64
54
45
3X 117
76
57
47
101
99
15
2x 67
14
97
78
85
27
30 60
17
28
87
74
13
16 79
38
64 3X
3X 56
57 2X
3
52
3X 84 63
117
64
2X 81
54
63
56 3X
34
26
42
63 2X 77 2X
75 2X
62 2X
41 10
51 11
12
11
80 3X
5
8X 96
63 117
3
64
4X 109
116
91 16X
4X 63
4
105 2X
82 2X
2X 65
116
64 3X 54
33
7
55
4X 104
103 4X
4X 83
110
92
110
110
92
93
3X 94
93
4X 95
95 2X 93
93 95 4X
93
4X 95
93
32
93 65 6X
31 2X
2X 117
72
5X 73 71 6X
108 4X
For detailed repair information or to order replacement parts, call the Mizuho OSI
Customer Resource Group:
1-800-777-4674
A Customer Resource Group line is available from 7AM-5PM PST, Monday through
Friday. Please leave a message after business hours.
Please state slowly your name, phone number, your facility name and city, and the
affected equipment model number.
1. If unable to identify part, please call, fax or e-mail to Customer Resource Group.
2. If part is known please telephone, fax or e-mail part number and description to
Customer Resource Group for Repair Authorization (RA) number.
3. Clean (disinfect) parts prior to shipping; complete certificate of disinfected parts
document #40204-17.
4. Ship part with RA number clearly marked on outside of package.
5. Part will be evaluated and customer will be contacted with the cost of repair.
6. After customer approval of repair cost, part will be repaired and return shipped to
customer.
Emergo Europe
Molenstraat 15
2513 BH The Hague
The Netherlands
Tel: (31) (0) 345-8570
Fax: (31) (0) 346-7299
Universal foot board (includes two side rail adaptors) (Part# 6900-51)
The universal foot board mounts on the side rail or auxiliary clamps and is designed to
provide support in maintaining the patient’s desired position in the table when the table
is placed in reverse trendelenburg.