Birthing Bed

Model LD304

Operations Manual

For Parts or Technical Assistance:

USA: 1-800-327-0770 (option 2)
Canada: 1-888-233-6888

2007/01 4701-109-001 REV C www.stryker.com

 Table of Contents

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Product Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Product Illustration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Warning / Caution / Note Definition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Summary of Safety Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Safety Tips and Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Unpacking Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Operation Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Operating Siderails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Using the Siderail Control Panel Lights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Locking Out the Siderail Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Outside Siderail Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Inside Siderail Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Communication Pendent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Motion Pendant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Motion Pendant With Nurse Call . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Using the Brake/Steer Pedals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Using the Manual Motor Hand Crank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Activating Instant CPR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Removing the Head Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Night Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Nurse Call Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Using the Labor Grips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Using the Optional Labor Bar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Optional Lumbar Pillow and Perineal Wedge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Adjustable Seat Depth (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Removing the Foot Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Operating the Glideaway Foot Rests/Optional Calf Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Birthing Bed Positioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Delivery Table Positioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Trendelenburg Positioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Pelvic Tilt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Operating the 3-Stage Permanently Attached I.V. Pole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

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 Table of Contents

To Obtain Parts and Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Service Contract Coverage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Service Contract Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Return Authorization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Damaged Merchandise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
International Warranty Clause . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

 4701-109-001 REV C www.stryker.com

 Introduction

Intended Use

This manual is designed to assist you with the operation of Stryker Model LD304 Birthing Bed. Carefully read this
manual thoroughly before using the equipment or beginning maintenance on it. To ensure safe operation of this
equipment, it is recommended that methods and procedures be established for educating and training staff on the safe
operation of this bed.

Product Description

This product is an electrically operated maternity bed designed for general patient care use. Major functions include:
raising and lowering of the litter, raising and lowering of the head and foot end portions and Tendelenburg-like
functionality.
Siderail Control
Product Illustration (Clinical Staff Side)
Siderail Control
(Patient Side)
Headboard
Litter
Mattress
I.V. Pole
Foot Rest
(1 of 2)
Labor Grip
Calf Rest (1 of 2)
(1 of 2)

Foot Section
Locking Bar
& Release
Handle

Foot End
Mattress Fluid
Basin)
Casters
Brake/Steer Pedal
(1 of 2)

WARNING
Potential pinch points

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 Introduction

Specifications

Safe Working Load

Note: Safe Working Load indicates 500 pounds 227 kilograms
the sum of the patient, mattress,
and accessory weight.
Standard Configuration 475 pounds 215 kilograms
Weight of Product
All Options/Accessories 525 pounds 238 kilograms
Siderails Up 93” x 41” 236 cm x 104 cm
Bed Length / Width
Siderails Down 93” x 37” 236 cm x 94 cm
Bed Height Low 17.5” 44 cm
(to top of seat)
(with 6” casters) High 35.5” 90 cm
Head 49.5” x 33” x 5” 126 cm x 84 cm x 13 cm
Mattress Size Foot 30” x 30” x 3” 76 cm x 76 cm x 8 cm
Patient Sleep Surface 81” 206 cm
Foot Section Up 0” 0 cm
Travel Height Down 7” 17.8 cm
Break-Away Point from Wall 60” 152 cm
Critical Angles Maximum Elevation: Head 70°, Trendelenburg 8°
Caster Size 6” Standard; 8” Optional
Electrical Standard 4 motor function: Head-Bed-Foot-Trendelenburg
120 VAC, 60 Hz, 10 Amp
Optional: 230 VAC ~, 50/60 Hz, 10 Amp
Current leakage less than 300 microamperes (per UL 60601-1).
Hospital grade plug and 3-wires heavy duty cord.
Compatible with non-flammable anesthetic agents and oxygen by
nasal catheter or mask type.
Rated Duty Cycle 5% / hr. (Continuous Operation with Short-Time Loading)
Environmental Conditions Operation Storage and Transportation

Temperature

Relative Humidity

Atmospheric Pressure

Stryker reserves the right to change specifications without notice.

Specifications listed are approximate and may vary slightly from unit to unit or by power supply fluctuations.

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 4701-109-001 REV C www.stryker.com
 Introduction

Warning / Caution / Note Definition

The words WARNING, CAUTION, and NOTE carry special meanings and should be carefully reviewed.

Warning
Alerts the reader about a situation, which if not avoided, could result in death or serious injury. It may also describe
potential serous adverse reactions and safety hazards.

Caution
Alerts the reader of a potentially hazardous situation, which if not avoided, may result in minor or moderate injury to
the user or patient or damage to the equipment or other property. This includes special care necessary for the safe
and effective use of the device and the care necessary to avoid damage to a device that may occur as a result of use
or misuse.

Note
This provides special information to make maintenance easier or important instructions clearer.

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 Symbols

Warning, Refer to Service/Maintenance Manual

~ Alternating Current

Type B Equipment: Equipment providing a particular degree of protection against electric shock,
particularly regarding allowable leakage current and reliability of the protective earth connection.

Class 1 Equipment: Equipment in which protection against electric shock does not rely on basic insulation
only, but which includes an additional safety precaution in that means are provided for the connection of
the equipment to the protective earth conductor in the fixed wiring of the installation in such a way that
accessible metal parts cannot become live in the event of a failure of the basic insulation.

IPX4 Protection from liquid splash

Dangerous Voltage Symbol

Protective Earth Terminal

Potential Equalization Symbol

Medical Equipment Classified by Underwriters Laboratories Inc. with Respect to Electric Shock, Fire,
Mechanical and Other Specified Hazards Only in Accordance with UL 60601−1, First Edition (2003) and
CAN/CSA C22.2 No. 601.1−M90 with updates 1 and 2.

Safe Working Load Symbol

Caution: Electrostatic Sensitive

Warning: Non-Protectively Earthed, Potential for Risk of Electric Shock

In accordance with European Directive 2002/96/EC on Waste Electrical and Electronic Equipment
(WEEE), this symbol indicates that the product must not be disposed of as unsorted municipal waste,
but should be collected separately. Refer to your local distributor for return and/or collection systems
available in your country.

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 4701-109-001 REV C www.stryker.com
 Summary of Safety Precautions

Safety Tips and Guidelines

Before operating the Stryker LD304 Birthing Bed, it is important to read and understand all information in this manual.
Carefully read and strictly follow the safety guidelines listed on this page.
It is important that all users have been trained and educated on the inherent hazards associated with the usage of
electric beds.

To ensure its proper use and the safety of patients and staff, the LD304 Birthing Bed has been marked with the
following caution and warning labels:

DANGER Explosion Hazard - Do Not use in the presence of flammable anesthetics

CAUTION This unit is equipped with a hospital grade attachment plug. Grounding reliability can be achieved
only when equipment is connected to equivalent receptacle.
CAUTION Electrical shock hazard. Do not remove cover panels. Refer all servicing to qualified personnel.
CAUTION Disconnect the power cord while using the manual hand crank.

Warnings
• Powered bed mechanisms can cause serious injury. Operate bed only when all persons are clear of the
mechanisms.
• To help reduce the number and severity of falls by patients, always leave the bed in the lowest position when the
patient is unattended.
• When raising the siderails, listen for the “click” that indicates the siderail has locked in the up position. Pull firmly
on the siderail to ensure it is locked into position. Siderails are not intended to be a patient restraint device. It is
the responsibility of attending medical personnel to determine the degree of restraint and the siderail positioning
necessary to ensure a patient will remain safely in bed. The intermediate position should be used only to assist the
patient during ingress and egress from the bed.
• Always apply the caster brakes when a patient is getting on or off the bed. Always keep the caster brakes applied
when a patient is on the bed (except during transport). Serious injury could result if the bed moves while a patient
is getting in or out of bed. After the brake pedal is applied, push on the bed to ensure the brakes are locked. When
moving the bed, put the pedal in the steer position. This locks the swivel motion of the right foot end caster and
makes the bed easier to move.
• The instant CPR release is for emergency use only. Before activating the instant CPR, verify all persons and
equipment are away from the area below and around the Fowler (back rest) section of the bed or serious personal
injury or damage to the equipment could occur.
• Prior to placing weight on the foot section, verify the locking bar has been lowered and locked. The foot section
locking bar is not designed for use as a grasping bar or other patient assist device.
• When large spills occur in the area of the circuit boards, 110 volt cables and motors, immediately unplug the bed
power cord from the wall socket. Remove the patient from the bed and clean up the fluid. Have maintenance
completely check the bed. Fluids can have an affect on operational capabilities of any electrical product. Do Not
put the bed back into service until it is completely dry and has been thoroughly tested for safe operation.
• To avoid entanglement, possibly resulting in frayed power cords and risk of electrical shock, wrap the bed power
cord around the roller bumpers at the head end of the bed during transport.
• There is a possible fire hazard when using oxygen administering equipment of other than the nasal, mask, or
1/2‑bed-length tent type. Oxygen tent should not extend below the mattress support platform. Siderails must be
kept outside of the oxygen tent.

Cautions
• Do not steam clean or hose off the bed. Do not immerse any part of the bed. The internal electric parts may
be damaged by exposure to water. Hand wash all surfaces of the bed with warm water and mild detergent. Dry
thoroughly. Inspect the mattress cover after each use. Discontinue use if any cracks or rips are found in the cover
which may allow fluids to enter the mattress. Exposure to fluids may cause injury to patient and/or user.

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 Summary of Safety Precautions

CAUTIONS (CONTINUED)

• Preventative maintenance should be performed at a minimum of annually to ensure all bed features are functioning
as designed. Close attention should be given to safety features including, but not limited to:
• Safety side latching mechanisms
• Caster braking system
• Frayed electrical cords and components
• Leakage current 300 microamperes max.
• Protective earth ground impedance 100 milliohms max.
• No controls or cabling entangled in bed mechanisms
• All electrical controls return to off or neutral position when released
• For additional maintenance information, refer to your maintenance manual.
• Always unplug bed during service or cleaning. When working under the bed with the bed in the high position,
always place blocks under the litter frame and set the brakes to prevent injury in case the Bed Down switch is
accidently pressed.
• Hand wash all surfaces of the bed with warm water and mild detergent. Dry thoroughly. Do Not Steam Clean,
Pressure Wash, Hose Off or Ultrasonically Clean. Using these methods of cleaning is not recommended and
may void this product’s warranty.
Inspect the mattress cover after each use. Discontinue use if any cracks or rips are found in the cover which may
allow fluids to enter the mattress. Exposure to fluids may cause injury to patient and/or user.
• To avoid injury, unplug the bed power cord from the wall socket before using the manual hand crank.
• The LD304 Birthing Bed is equipped with a hospital grade plug for protection against electric shock hazard. It must
be plugged directly into a properly grounded three-prong receptacle. Grounding reliability can be achieved only
when a hospital grade receptacle is used.
• To avoid damage, the weight of the I.V. bags should not exceed 40 pounds.
• To avoid damage while transporting the bed, verify the I.V. pole is at a low enough height to allow it to pass safely
through door openings.
• I.V. poles should not be used as a bed push/pull device.
• The cleanliness and integrity of both ground chains must be maintained to minimize static build-up and
discharge.

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 Setup Procedures

Unpacking Instructions

Refer to unpacking instructions attached to the bed inside the crate.

It is important that the LD304 Birthing Bed is working properly before it is put into service. The following list will help
ensure each part of the bed is tested.

Plug the bed power cord into a properly grounded, hospital grade wall receptacle. During transport, the bed power cord
should be wrapped around the roller bumpers at the head end of the bed.

CAUTION
The LD304 Birthing Bed is equipped with a hospital grade plug for protection against electric shock hazard. It must
be plugged directly into a properly grounded three-prong receptacle. Grounding reliability can be achieved only when
a hospital grade receptacle is used.

1. Ensure the siderails raise and lower smoothly and lock in the up position.
2. Ensure the brakes hold when the brake pedal is engaged.
3. Test each function on the (optional) hand pendant and verify each function is working properly.

Beds equipped with nurse communication siderail control option only:

1. Plug the interface cable into the 37 pin connector in the litter frame at the head end of the bed, and into the
“Patient Station”, “Head Wall”, “Docker Station”, or equivalent (whichever applies).
2. Run through each function on the siderail control panels and verify each function is working properly.

Note
To prevent a low battery condition when the bed is not plugged in, position the cord out switch at the head end of the
bed to the off position. The switch is identified by the label shown below. If the switch is not positioned as shown below
and the bed power cord and pendant cord are unplugged, the life of the back-up battery will be significantly reduced.

If the Power LED (located on the outside of both siderails) is flashing, the 9V Nurse Call battery needs to be replaced.
The battery is located at the head end of the bed. No tools are required to replace the battery. Unplug the bed power
cord from the Power Source and replace the battery. After replacing the battery, verify the Power LED is no longer
flashing and operates normally when the different light settings are selected. Properly dispose of the old battery in
accordance with local regulations.

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 Operation Guide

Operating Siderails

To engage the head end siderail, pull upward to attain full height. When the siderail is being raised, it does not lock in
the intermediate position. To lower the siderail, push in the release handle and rotate the siderail until it locks in the
intermediate position. To lower the siderail, push in the release handle again and rotate the siderail until it is completely
lowered.

WARNING
When raising the siderails, listen for the “click” that indicates the siderail has locked in the raised position. Pull firmly
on the siderail to ensure it is locked into position. Siderails are not intended to be a patient restraint device. It is the
responsibility of attending medical personnel to determine the degree of restraint and the siderail positioning necessary
to ensure a patient will remain safely in the bed. The intermediate position should be used only to assist the patient
during ingress and egress from the bed.

Note
To activate the siderail bypass mechanism, the siderail must be fully lowered. If the siderail is not completely lowered,
the siderail will lock in the intermediate position when it is raised.

Using the Siderail Control Panel Lights

The bed is equipped with lights to illuminate the head end siderail control panels and the red nurse
call switches. Five settings are available for the control panel lights. Press the backlight button once to
turn on the lights at low intensity, again to change to medium intensity, a third time to change to high
intensity, a fourth to leave just the nurse call light on, and a fifth time to turn all siderail lights off.

Locking Out the Siderail Controls

The lock out feature disables the siderail bed motion controls. Lock out buttons are located on the
outside of both siderails. Lock out the bed motion controls by depressing the button once. The bed
motion lockout LED will light. Reactivate the controls by pressing the button again.

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 Operation Guide

Outside Siderail Controls

3 5 7
9 10

14

4 6 8 11 12 13

1. Press to raise the fowler (back section).

2. Press to lower the fowler (back section).
3. Press to raise the litter.
4. Press to lower the litter.
5. Press to raise the foot section.
6. Press to lower the foot section.

Note
When the bed is at a low height and the “Foot Down” button is pressed, the litter may raise automatically to provide
adequate clearance. The “Bed Up” LED on the siderail will flash to indicate activation.

7. Press to increase the seat depth (optional function).

8. Press to decrease the seat depth (optional function).

Note
If the Fowler (back section) angle is below 35°, pressing the button to decrease the seat depth will cause the Fowler
to raise to 35° before the seat depth decreases. Once the Fowler (back section) is elevated to 35° or greater, the
“Skoocher Active” LED will light and the seat depth can be changed.

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 Operation Guide

OUTSIDE SIDERAIL CONTROLS (CONTINUED)

9. Push to lower the head end of the bed (Trendelenburg position). This function is also used for pelvic tilt.

Note
When the bed is at a low height and the Trendelenburg button is pressed, the litter may raise automatically to provide
adequate clearance. The “Bed Up” LED on the siderail will flash to indicate activation.

10. Push to raise the head end of the bed and/or return the bed to level.
11. Push repeatedly to toggle the siderail lights to different settings:

A. Low
B. Medium
C. High
D. Nurse Call Only
E. Off

12. Press to activate Nurse Call.

13. Push to lock out all bed motion. Push again to unlock. The LED will light when bed motion is locked.
14. Lights when the bed is plugged into the power source. Blinks if the Nurse Call battery needs to be replaced.

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 Operation Guide

Inside Siderail Controls

1 3 5 6a 11 6b 9

2 4 7 8 12 7 8 10

1. Press to raise the foot section.

2. Press to lower the foot section.
3. Press to raise the fowler (back section).
4. Press to lower the fowler (back section).
5. Press to activate the Nurse Call (optional function).
6. a) Press to turn on and off the TV or radio and to select a channel (TV/Radio - optional function).
b) Press to turn the TV on and off (Smart TV - optional function).
7. Press to increase the volume of the TV or radio (optional function).
8. Press to decrease the volume of the TV or radio (optional function).
9. Press to change (increase) the TV channel number (optional function).
10. Press to change (decrease) the TV channel number (optional function).
11. Press to turn on the room light. Press again to turn off the room light (optional function).
12. Press to turn on the reading light. Press again to turn off the reading light (optional function).

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 Operation Guide

INSIDE SIDERAIL CONTROLS (CONTINUED)

1 2

3 4

1. Press to turn on the reading light. Press again to turn off the reading light (optional function).
2. Press to turn on the room light. Press again to turn off the room light (optional function).
3. Push for more support to the patient’s seat section (optional function).
4. Push for less support to the patient’s seat section (optional function).
5. Push for less support to the patient’s lower back (optional function).
6. Push for more support to the patient’s lower back (optional function).

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 Operation Guide

Communication Pendent

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 Operation Guide

Motion Pendant

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 Operation Guide

Motion Pendant With Nurse Call

Press to activate Nurse Call

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 Operation Guide

Using the Brake/Steer Pedals

The brake/steer pedals are located at the center of the base frame on both sides of the bed.

• To engage the brakes, fully depress the head end side of the pedal. To disengage the brakes, depress the foot
end side of the pedal until the pedal is in the neutral (Level) position.
• To engage the steer function, fully depress the foot end pedal until the steer wheel engages. To disengage the
steer function, depress the head end side of the pedal until neutral position.

Note
The steer function locks the foot end, right side caster to make the bed easier to maneuver forward and backward. Put
the pedal in the neutral position when maneuvering the bed from side to side.

Using the Manual Motor Hand Crank

CAUTION
To avoid injury, unplug the bed power cord from the wall socket before using the manual hand crank.

A manual override is available for the bed lift and trend motors to allow the caregiver to position the bed when the
power cord is not plugged into the wall socket. Insert the crank into either of the sockets at the head end of the bed
and rotate the crank until the desired bed position is reached.

Activating Instant CPR

The CPR release lever is located at the head section on both sides of the bed. To activate the CPR release, grasp the
lever and squeeze tightly. The fowler (back section) will lower to the lowest position instantly.

WARNING
The instant CPR release is for emergency use only. Before activating the instant CPR, verify all persons and equipment
are away from the area below and around the fowler (back section) section of the bed or serious personal injury or
damage to the equipment could occur.

Removing the Head Board

To remove the head board, lift it straight up and off the bed. To replace the head board, align the plastic inserts on the
bottom of the head board with the slots at the head end of the bed and lower the head board until it completely seats
in the slots.

Night Light

The bed is equipped with a night light to illuminate the floor area around the bed. The night light will automatically
activate when the light in the room becomes dim enough.

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 Operation Guide

Nurse Call Battery

To prevent a low battery condition when the bed is not plugged in, position the cord out switch at the head end of the
bed to the off position. The switch is identified by the label shown below. If the switch is not positioned as shown below
and the bed power cord and pendant cord are unplugged, the life of the backup battery will be significantly reduced.

If the Power LED (located on the outside of both siderails) is flashing, the 9 V Nurse Call battery needs to be replaced.
The battery is located at the head end of the bed. No tools are required to replace the battery. Unplug the bed power
cord from the wall socket and replace the battery. After replacing the battery, verify the Power LED is no longer flashing
and operates normally when the different light settings are selected. Properly dispose of the old battery in accordance
with local regulations.

Using the Labor Grips

To position the labor grips, grasp the handle and pull the grip out and up above the mattress until the mechanism locks
into position. To lower the grips, pull the lever to release the grip and, as it begins to rotate, release the lever and lower
the grip to the stored position.

Using the Optional Labor Bar

To use the labor bar, insert it into the sockets located on each side of the litter at the pivot point for the foot pans. The
labor bar can be used by the patient to aid with various birthing positions such as squatting or kneeling. The optional
Stryker labor bar is rated to support 250 pounds.

Optional Lumbar Pillow and Perineal Wedge

Use the one-touch lumbar and seat buttons on the siderail to adjust the amount of support given to the patient’s lumbar
and seat areas if the bed is equipped with this option.

Note
Be sure the locating pins on the underside of the mattress are inserted in the holes in the metal seat support.

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 Operation Guide

Adjustable Seat Depth (Optional)

To accommodate patients of different sizes, the depth of the seat can be adjusted up to 4 inches (from 12.5 to
8.5 inches).

• The fowler (back section) must be raised to a minimum of 35° before the seat depth can be changed. Once the
fowler (back section) is elevated to 35°, the “SKOOCHER ACTIVE” LED on the outside of the siderail will light
and the seat depth can be changed. When the fowler (back section) is lowered (either electrically or using the
emergency CPR release), the bed will automatically adjust the seat depth to 12.5”.

• To reduce seat depth, depress the button on the siderail to move the fowler (back section) toward the

foot end of the bed. Release the button when the desired seat depth is attained.

• To increase seat depth, press the button to move the fowler (back section) toward the head end of the

bed.

Removing the Foot Section

• Before removing the foot section, put the foot rests into position above the foot mattress and place the patient’s
feet in the contoured foot rests. To remove the foot section, squeeze the red release handle at the foot end of the
bed and raise the locking bar to the full up position until it latches in place. The foot section will now slide straight
off the bed.

Note
If the foot section mattress is placed with the perineal edge toward the floor, it will stand independently.

• To reinstall the foot section of the bed, set the foot mattress back on the bed and slide it straight toward the
main mattress. The locking bar can only be lowered when the foot section is in the “locking zone”, approximately
2" from the main mattress. Squeeze the red release handle and lower the locking bar into the locked position. As
the locking bar is lowered, the gap between the mattresses will narrow to ease installation. The LD304 foot section
is designed to lift and support a 300 pound load.

Operating the Glideaway Foot Rests/Optional Calf Supports

• Rotate the foot rest into position by pulling it out and up over the foot end mattress until it clicks into place.
Ensure the foot rest is securely locked in the upright position by grasping and attempting to move it.
• After they are in position, the foot rests are adjustable six ways:

1. Abduct/Adduct (pivoting)
Pivoting in and out allows the clinician to position the patient’s feet and legs at the desired width. To use the
Abduct/Adduct feature, squeeze the gray release handles located at the foot end of the bed. Pivot the foot
rest into the desired position and release the handle to lock the foot rest in that position.

Note
For emergency situations, the foot rests will pivot to 90°. Hold on to the release handle and pivot the foot rest out.
Beyond 36° the foot rest will not lock into position.

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 Operation Guide

OPERATING THE GLIDEAWAY FOOT RESTS/ATTACHABLE CALF SUPPORTS (CONTINUED)

2. In/Out
The in/out motion allows the clinician to adjust the foot rests to comfortably accommodate patients of different
heights. Squeeze either of the two purple triggers at the opening on the foot upright and slide the foot rest to
the desired position. Release the trigger to lock the foot rest in position.
3. Up/Down
The foot end high/low adjustment allows the foot end of the bed to be positioned up to 7” below the top of the
seat mattress to accommodate different sized patients when the foot rests calf supports or labor bar are being
used. The foot end high/low adjustment is on the outside siderail controls (refer to Outside Siderail Controls
section).

• To switch between the foot rest and calf support positions, press the purple button at the bottom of the gray
footrest and rotate the foot rest to the desired position.
• To store the footrests, press the purple button at the bottom of the gray foot support and position the foot support
as shown in the following diagram. The footrest cannot be stowed unless it’s in this position. To ensure the most
effective storage, the calf supports should be positioned inside the storage notch.

Foot Rest Store Position

WARNING
Prior to placing weight on the foot section, verify the locking bar has been lowered and locked. The foot section locking
bar is not designed for use as a grasping bar or other patient assist device.

Birthing Bed Positioning

• Position the patient’s feet in the foot rests.

• Raise or lower the foot rests to a position comfortable for the patient.
• Remove the foot section and tuck the drape into the fluid basin.
• Raise the bed to a comfortable height by pressing the “Bed-Up” control on the siderail and position the patient’s
perineum out and over the edge of the seat section.

Delivery Table Positioning

• Slide the patient down to the perineal edge.

• Lower the foot section to its lowest position.
• Position the attached calf supports and place the patient’s legs in the supports.

Trendelenburg Positioning

Lower the fowler (back section) by pressing the control on the siderail or by squeezing the CPR lever. Press the
Trendelenburg button on the siderail or the control pendant to lower the head end of the bed to the desired angle.

Pelvic Tilt

Use the Trendelenburg button on the siderail or the control pendant to provide additional pelvic tilt and comfort for the
patient when the Fowler (back section) is raised.

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 Operation Guide

Operating the 3-Stage Permanently Attached I.V. Pole

C
C

E
B

E A

DETAIL OF I.V. POLE LATCH

DETAIL OF I.V. POLE GRIP

Note
The 3-stage, permanently attached I.V. pole can only be installed at the head end of the bed.

To use the 3-stage permanently attached I.V. pole:

1. Lift and pivot the pole from the storage position and push Down until it is locked into the receptacle.
2. To raise the height of the pole, pull Up on the telescoping portion (A) until it locks into place at its fully raised
position.
3. For a higher I.V. pole, pull up on section (B). Release section (B) at any desired height and it will lock into place.
4. Rotate the I.V. hangers (C) to the desired position and hang the I.V. bags.
5. To lower the I.V. pole, push up on the red portion of grip (D) while holding on to section (B) until it lowers. Turn
latch (E) clockwise until section (A) lowers.

CAUTION
• To avoid damage, the weight of the I.V. bags should not exceed 40 pounds.
• To avoid damage while transporting the bed, verify the I.V. pole is at a low enough height to allow it to pass safely
through door openings.

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 Preventative Maintenance

______ All fasteners secure.

______ All welds intact, not cracked or broken.
______ No bent or broken tubing or sheet metal.
______ No debris in casters.
______ All casters secure and swivel properly.
______ Engage brake pedal and push on the bed to ensure all casters lock securely.
______ Steer caster latches properly.
______ Siderails move and latch properly.
______ Fowler operates properly.
______ Fowler (back rest) Slide operates properly.
______ Bed Up/Down operates properly.
______ Foot section operates properly.
______ Foot uprights operate properly.
______ Trendelenburg operates properly.
______ I.V. pole intact and operating properly.
______ No rips or cracks in mattress cover.
______ Lubricate where required.
______ Replace Nurse Call 9V battery (annually.
______ Power cord not frayed.
______ No cables worn or pinched.
______ All electrical connections tight.
______ All grounds secure to the frame.
______ Ground impedance not more than 100 milliohms.
______ Current leakage not more than 300 microamps.
______ Ensure ground chains are clean, intact, and have at least two links touching the floor.

Bed Serial Number:

Completed by: _______________________________________ Date: _________________

Note
It is strongly recommended that preventative maintenance should be performed annually at a minimum. A preventative
maintenance program should be established for all Stryker Medical equipment. Preventative maintenance may need to
be performed more frequently based on the usage level of the product.

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 Cleaning

Hand wash all surfaces of the bed with warm water and mild detergent. Dry Thoroughly. Do not steam clean or hose
off the LD304 Birthing Bed. Do not immerse any part of the bed. Some of the internal parts of the bed are electric and
may be damaged by exposure to water.

Suggested cleaners for bed surfaces:

• Quaternary Cleaners (active ingredient - ammonium chloride)

• Phenolic Cleaners (active ingredient - o - phenylphenol)
• Chlorinated Bleach Solution (5.25% - less than 1 part bleach to 100 parts water)

Avoid over-saturation and ensure the product does not stay wet longer than the chemical manufacturer’s guidelines
for proper disinfecting.

CAUTION
Some Cleaning Products are Corrosive in Nature and May Cause Damage to the Product if Used Improperly. If the
products described above are used to clean Stryker patient care equipment, measures must be taken to insure the
beds are wiped with clean water and thoroughly dried following cleaning. Failure to properly rinse and dry the beds
will leave a corrosive residue on the surface of the bed, possibly causing premature corrosion of critical components.
Failure to follow the above directions when using these types of cleaners may void this product’s warranty.

For mattress cleaning and disinfecting, use warm water and a neutral detergent. A sodium hypochlorite solution can
also be used for cleaning. If using a chlorinated bleach solution (5.25%) dilute to less than 2 parts bleach to 100 parts
water.

Warning
Mattresses must be completely dried after cleaning. Failure to thoroughly rinse and dry mattress surfaces after
cleaning may cause damage to the mattress and may void this product’s warranty.

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 Warranty

Limited Warranty

Stryker Medical Division, a division of Stryker Corporation, warrants to the original purchaser the LD304 Birthing Bed
to be free from defects in material and workmanship for a period of One (1) years after date of delivery. Stryker’s
obligation under this warranty is expressly limited to supplying replacement parts and labor for, or replacing, at its
option, any product which is, in the sole discretion of Stryker, found to be defective. If requested by Stryker, products
or parts for which a warranty claim is made shall be returned prepaid to the factory. Any improper use or any alteration
or repair by others in such manner as in Stryker’s judgment affects the product materially and adversely shall void this
warranty. Any repair of Stryker products using parts not provided or authorized by Stryker shall void this warranty. No
employee or representative of Stryker is authorized to change this warranty in any way.

Stryker Medical Bed products are designed for a 15 year expected service life under normal use, conditions, and with
appropriate periodic maintenance as described in the maintenance manual for each device. Stryker warrants to the
original purchaser that the welds on its Bed products will be free from structural defects for the expected 15 year life
of the Bed product as long as the original purchaser owns the product.

This statement constitutes Stryker’s entire warranty with respect to the aforesaid equipment. Stryker makes no
other warranty or representation, either expressed or implied, except as set forth herein. There is no warranty
of merchantability and there are no warranties of fitness for any particular purpose. In no event shall Stryker be
liable here under for incidental or consequential damages arising from or in any manner related to sales or use of
any such equipment.

To Obtain Parts and Service

Stryker products are supported by a nationwide network of dedicated Stryker Field Service Representatives. These
representatives are factory trained, available locally, and carry a substantial spare parts inventory to minimize
repair time. Simply call your local representative, or call Stryker Customer Service USA at 1-800-327−0770,
Canada 1-888-233-6888.

Service Contract Coverage

Stryker has developed a comprehensive program of service contract options designed to keep your equipment
operating at peak performance at the same time it eliminates unexpected costs. We recommend that these programs
be activated before the expiration of the new product warranty to eliminate the potential of additional equipment
upgrade charges.

A Service Contract helps to:

• Ensure equipment reliability.

• Stabilize maintenance budgets.
• Diminish downtime.
• Establish documentation for JCAHO.
• Increase product life.
• Enhance trade-in value.
• Address risk management and safety.

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 Warranty

Service Contract Programs

Stryker offers the following service contract programs:

Service Agreement Options * Gold Silver Parts Labor PM

Annually scheduled preventative maintenance X X
All parts X X X
All labor and travel X X X
Unlimited emergency service calls X X X
Priority one contact: two hour phone response X X X X
Most repairs completed within 3 days X X X
JCAHO documentation X X X X
On-site record of PM & emergency service X X
Factory-trained Stryker service technician X X X X
Stryker authorized parts used X X X X X
Service during regular business hours (8−5) X X X X X

* Does not include maintenance due to abuse or for any disposable items. Stryker reserves the right to change options without notice.

Stryker Medical also offers personalized service contracts.

Pricing is determined by age, location, model and condition of product.

For more information on our service contracts,

please call your local representative.

Return Authorization

Merchandise cannot be returned without approval from the Stryker Customer Service Department. An authorization
number will be provided which must be printed on the returned merchandise. Stryker reserves the right to charge
shipping and restocking fees on returned items. Special, modified, or discontinued, items not subject to return.

Damaged Merchandise

ICC Regulations require that claims for damaged merchandise must be made with the carrier within fifteen (15) days of
receipt of merchandise. Do not accept damaged shipments unless such damage is noted on the delivery receipt at
the time of receipt. Upon prompt notification, Stryker will file a freight claim with the appropriate carrier for damages
incurred. Claim will be limited in amount to the actual replacement cost. In the event that this information is not
received by Stryker within the fifteen (15) day period following the delivery of the merchandise, or the damage was not
noted on the delivery receipt at the time of receipt, the customer will be responsible for payment of the original invoice
in full. Claims for any short shipment must be made within thirty (30) days of invoice.

International Warranty Clause

This warranty reflects U.S. domestic policy. Warranty outside the U.S. may vary by country. Please contact your local
Stryker Medical representative for additional information.

28 4701-109-001 REV C www.stryker.com

United States
Stryker Medical
3800 E. Centre Ave.,
Portage, Michigan USA
49002

Canada
Stryker Canada
45 Innovation Drive
Hamilton, Ontario Canada
L9H 7L8

EC REP

European Representative
Stryker France
ZAC Satolas Green Pusignan
Av. De Satolas Green
69881 MEYZIEU Cedex
France

2006/XX
2007/01 XXXX-XXX-XXX REVCX
4701-109-001 REV www.stryker.com