S02 Attachment 16_940537-Submittal-05_45 Pages.pdf

4279-U Crosspoint Drive, Ladson SC 29456 | Phone 888.474.9359 hillrom.com

LIGHTS BOOMS TABLES

PARTNERSHIPS

WEST PALM BEACH VA MEDICAL CENTER

IR LAB PROJECT

WEST PALM BEACH, FL

07-18-2025

VIDEO INTEGRATION

Submittal Package Revision 5: 07/18/2025 : Page 1 of 45

Project: _________________________________________________________________________________

Hillrom Customer #: __________________________ Customer PO#: ______________________________

Hillrom Sales Order #: _________________________ Signed Document Due Date:____________________

Signed Documents to Delivery Lead Time: 16 WEEKS Delivery Date: _______________________________

Project Schedule:

To meet the Customer’s delivery expectations as indicated below, Hillrom requires this form to be completed prior to release for production. Hillrom makes every reasonable effort to meet customers’ delivery dates as stated in our Terms and Conditions. With standard lead times of 16 weeks, Hillrom needs this form signed by the Customer no later than the due date as indicated above. Any changes after the Customer’s signed date below may affect delivery dates, incur additional charges, restocking fees and/or require a new authorization form.

Approval:

Customer agrees that they have received the submittal package from Hillrom and approved the drawings and requests contained therein to be released for production. This approval includes but is not limited to (please check):

Ceiling Height Confirmation Equipment Management System Service Selections

Med Gas Latch Valve Type, Receptable Type, Wiring Type, Brake Gas Selection Accessories

Surgical Lights and Flat Panels Head Clearance Handle Types Flat Panel Types

Helion Configuration Checklist

Cables:

Hillrom will provide required cable and complete cable pulls as listed in submittal package, any additional cable pull will be provided by Customer. If union installation is required, please refer to Terms and Conditions.

Delivery:

Customer agrees to accept delivery of the complete order as indicated in the delivery date above. Customer should make Hillrom aware of any changes as soon as possible. If changes occur within 4 weeks of the delivery date, Customer agrees to accept delivery of the complete order and store product until installation.

Installation:

Services must be scheduled with Hillrom at least 2 weeks prior to installation. Installation services can not be scheduled until the Customer has properly prepared the site per Hillrom rough-in requirements and has confirmed the site readiness requirements as outlined in Hillrom Pre-Installation Guide(s).

Authorized Seller’s Signature Authorized Customer’s Signature

Authorized Seller’s Name/Title Authorized Customer’s Name/Title

Date Date

Submittal Package Revision 5: 07/18/2025 : Page 2 of 45

SERVICE SELECTIONS PAGE Department (Optional)__________________

4279-U Crosspoint Drive, Ladson SC 29456 Toll Free: (888) 474-9359 wwww.hillrom.com

Brake Type: Electric Brakes (Standard) Nitrogen Gas Instrument Air Gas

Gas Latch Valve Type: Manufactured by Tri-Tech (Beacon Medaes available upon request. Additional Charges Apply)

Select Latch Style:

Special Requirements: _________________________________________________

Wire Type Selection:

Normal, TEW-105 (black, white, green color wires)

Isolated, XHHW (brown, orange, green color wires)

Duplex Outlet Type/s: Manufactured by Leviton (Hubbell available upon Request. Additional Charges apply)

Red, Standard Hospital Grade, 20A

Ivory, Standard Hospital Grade, 20A

Other (ie. Tamperproof, GFCI, Illuminated available at additional charge)

Special Requirements: _________________________________________________

Duplex Circuit Label Type: Video Monitor Type:

Standard 3M Adhesive (by Trumpf Medical) Make: _________________________

Engraved Metal Face Plate (by electrician) Size: _________________________

Light/Flat Panel Handle Selection Type: Weight: _________________________

Sterilizable Handle *Must be included on quote*

Disposable adapter, Devon Green Slip on

Disposable adapter, Devon Green Screw on

Disposable adapter, DeRoyal Blue Slip on

CONFIRMED BY: ________________________________________________ Date: __________

Submittal Package Revision 5: 07/18/2025 : Page 3 of 45

AUX8

Iso Center

P

ATYATY

VB9

VB10

Level of floor ± 18" (6mm) within this area.

Unistrut height shall be set at 9'-6 12" above high point within this area.

Additional area to be leveled if foot end transfer is required

AD7

Safety Zone

Motorized Movement Area

Safety Zone

CC

Table Safety Zone

Ceiling Inlet

A

B C

Ceiling Inlet

Safety Zone

Safety Zone

6' -4

8'

-2 1 2"

C 1350

MD 26+

C 15

C

L 21

C 1800

L 21

C 1950

6' -1

1" 8'-103

4" 7'-81 2" 1'-8" 10'-8"

WEST PALM BEACH VA MC

IR LAB PROJECT

11-25-2024 05 JTH

940537-1

ROOM:

DWG. NO.:

DATE:

EQUIPMENT:

RELEASED FOR PRODUCTION

(SIGNATURE CONFIRMS ACKNOWLEDGEMT OF ALL DRAWING NOTES)

SIGNATURE:

DATE: INSTALLATION DATE: REV.:

4279-U Crosspoint Drive, Ladson SC 29456

Phone: 1-888-474-9359 www.hillrom.com

S/O NO.:

NOT TO SCALEThis drawing contains proprietary information and is property of Hillrom, Inc. It must not be reproduced in whole or in part without written permission from Hillrom, Inc., and is subject to return upon request.

IR LAB

A: 2130MML0 & V600H - ANESTHESIA BOOM, 32" FLAT

PANEL BRACKET

B: 2300MHLPH & HP190H - PHILIPS MONITOR BOOM,

HELUX PRO, RAD. SHIELD

C: 2130MHLPH & HP190H - PHILIPS MONITOR BOOM,

HELUX PRO, RAD. SHIELD

D: 1865MHL3 - EQUIPMENT BOOM

A C

D

B

Submittal Package Revision 5: 07/18/2025 : Page 4 of 45

AutoCAD SHX Text 32"

AutoCAD SHX Text R910

AutoCAD SHX Text R910

3D-view CSU

Customer ref. no:

Quotation no:

Room:

940537

240927-35109-TUSM291HE

IR LAB

Project:

Customer:

TM order no:

Amount:

IR LAB PROJECT

WEST PALM BEACH VA MC, WEST PALM BEACH

Released for production:

Date:

Signature:

Changes after release may cause delay in shipment or price corrections

A: 2130MML0 & V600H

-Field of application: Other -Internat.Standard: US

Order drawing no:

Print: 12.11.24

Submittal Package Revision 5: 07/18/2025 : Page 5 of 45

View CSU

Brake Type Legend:

1) electro pneumatic brake

2) mechanical friction brake, adjustable

3) pneumatic brake; 4) electro magnetic brake

CSU-flange Tandem OPL System flange tandem OPL additional information

Customer ref. no:

Quotation no:

Room:

940537

240927-35109-TUSM291HE

IR LAB

Project:

Customer:

TM order no:

Amount:

IR LAB PROJECT

WEST PALM BEACH VA MC, WEST PALM BEACH

Released for production:

Date:

Signature:

Changes after release may cause delay in shipment or price corrections

A: 2130MML0 & V600H

-Field of application: Other -Internat.Standard: US

Order drawing no:

Submittal Package Revision 5: 07/18/2025 : Page 6 of 45

-Field of application: surgery -Internat.Standard: US

Order drawing no:

940537

240927-35109-TUSM291HE

IR LAB

IR LAB PROJECT

WEST PALM BEACH VA MC, WEST PALM BEACH

A: 2130MML0 & V600H

12.11.24

Customer ref. no:

Quotation no:

Room:

Project Customer:

TM order no:

Amount:

Released for production:

Date:

In shipment or price corrections

Signature:

Changes after release may cause delay

Print:

REF QTY P/N DESCRIPTION REF QTY CONDUIT DESCRIPTION (TYPE, CONDUIT DIAMETER)

E1 2 L1 SINGLE GANG, TBD

E2 2 L2 SINGLE GANG, TBD

E3 2 L3 SINGLE GANG, TBD

REF QTY P/N DESCRIPTION

REF CIRCUIT CONDUIT/

WIRE-NUT

# OF

RECEPTACLES

RECEPTACLE DESCRIPTION

(TYPE, COLOR, AMP) TYPE

C1 CIRCUIT 1 H1 / W1 2 DUPLEX, 20A, RED TBD

C2 CIRCUIT 2 H1 / W1 2 DUPLEX, 20A, RED TBD

C3 CIRCUIT 3 H1 / W1 2 DUPLEX, 20A, RED TBD

C4 CIRCUIT 4 H2 / W2 2 DUPLEX, 20A, RED TBD

C5 CIRCUIT 5 H2 / W2 2 DUPLEX, 20A, RED TBD

C6 CIRCUIT 6 H2 / W2 2 DUPLEX, 20A, RED TBD

C7 CIRCUIT 7 - - BOOM ACCESSORIES CIRCUIT -

REF QTY DESCRIPTION

VAC 3 VACUUM MEDICAL GAS OUTLET

O2 2 OXYGEN MEDICAL GAS OUTLET

MA 2 MEDICAL AIR GAS OUTLET

WAGD 1 WASTE ANESTHESIA GAS DISPOSAL OUTLET

N2O 1 NITROUS OXIDE MEDICAL GAS OUTLET

CO2 1 CARBON DIOXIDE MEDICAL GAS OUTLET

BRAKE GAS

EB 1 ELECTRIC BRAKES

ACCESSORY ITEMSA A ACCESSORY ITEMS E LOW VOLTAGE PREPARATIONS

C HIGH VOLTAGE CIRCUITS

GAS MEDICAL GAS SERVICES

LATCH VALVE TYPE: TO BE DETERMINED (CO2, N2, AND IA ARE DISS ONLY)

WIRING FOR ALL CIRCUITS: TO BE DETERMINED

FRONT

Media Package Length: Standard (1 meter)

WIRE-NUTW

BACK

BOTTOM

C5 C6C4 E2 E3W2C1 C2

WAGD

E1

CO2

W1

VAC

VAC

O2

MA

MA

O2

N2O

C3

VAC

Submittal Package Revision 5: 07/18/2025 : Page 7 of 45

Lights / flat panel / VPA

Load range / add. components VidiaPort

Pos. 1 VidiaPort Springarm 26 - Load Range Springarm *: 13-26 kg VidiaPort Monitor Holder single 420° (own weight: (5,5kg) Handle Kit: below

* Regard adapter + monitor weight!

Handles

Pos. 1 Amount of sterilizable central handle sets, ProductNr.:4025708 (3 handles per set):1

Product numbers

Registration type VidiaPort: acc.to MDR ProductNr: 4028110 - VidiaPort Ceiling Single ProductNr: 4028051 - Pre-Install Set VidiaPort

Customer ref. no:

Quotation no:

Room:

940537

240927-35109-TUSM291HE

IR LAB

Project:

Customer:

TM order no:

Amount:

IR LAB PROJECT

WEST PALM BEACH VA MC, WEST PALM BEACH

Released for production:

Date:

Signature:

Changes after release may cause delay in shipment or price corrections

A: 2130MML0 & V600H

-Field of application: Other -Internat.Standard: US

Order drawing no:

Print: 12.11.24

Submittal Package Revision 5: 07/18/2025 : Page 8 of 45 hellmaj2 Text Box

HANDLE TYPE - TO BE DETERMINED

Quotation no:

Room:

940537

240927-35109-TUSM291HE

IR LAB

Project:

Customer:

TM order no:

Amount:

IR LAB PROJECT

WEST PALM BEACH VA MC, WEST PALM BEACH

Released for production:

Date:

Signature:

Changes after release may cause delay in shipment or price corrections

B: 2300MHLPH & HP190H

-Field of application: Surgery -Internat.Standard: US

Order drawing no:

Submittal Package Revision 5: 07/18/2025 : Page 9 of 45

1) electro pneumatic brake

2) mechanical friction brake, adjustable

3) pneumatic brake; 4) electro magnetic brake

CSU-flange Tandem OPL System flange tandem OPL additional information

Customer ref. no:

Quotation no:

Room:

940537

240927-35109-TUSM291HE

IR LAB

Project:

Customer:

TM order no:

Amount:

IR LAB PROJECT

WEST PALM BEACH VA MC, WEST PALM BEACH

Released for production:

Date:

Signature:

Changes after release may cause delay in shipment or price corrections

B: 2300MHLPH & HP190H

-Field of application: Surgery -Internat.Standard: US

Order drawing no:

Submittal Package Revision 5: 07/18/2025 : Page 10 of 45

Wall control panel / Operating unit

Operating unit Helux Pro: WCP surface, with display / Third party integration Helux Pro: none

- Cable length wall control panel: 15m

- Empty conduit by customer with inner diameter 35mm

Handles

Pos. 1 Amount of sterilizable central handle sets, ProductNr.:4025708 (3 handles per set):1

Load range / add. components VidiaPort

Pos. 2 Springarm Mavig - Load Range Springarm *: 12-18kg Portegra2 Radiation Prot.

ProductNr: 1982311 - Mavig X-ray shield 78x90

* Regard adapter + monitor weight!

Electrical installation

Control board plate (Power Pack Supply Voltage: 100 - 240 V AC / 22 - 32 V DC) Required space (LxWxH): 300x215x110mm with 1 power supply line, 2 times 300x215x110mm with 2 power supply lines

Pos. 1 HeluxProK / Power supply line: 230V (1 power supply line) Max. power consumption: 160 VA at 24V / 100-240V

Product numbers

Registration type Helux Pro: acc.to MDR ProductNr: 4108210 - Helux Pro Ceiling Duo ProductNr: 4108051 - Pre-Install Set Helux Pro ProductNr: 4108041 - Electric PAP-Set Helux Pro

Filterboard

Pos. 1 Filterboard (included in delivery)

Customer ref. no:

Quotation no:

Room:

940537

240927-35109-TUSM291HE

IR LAB

Project:

Customer:

TM order no:

Amount:

IR LAB PROJECT

WEST PALM BEACH VA MC, WEST PALM BEACH

Released for production:

Date:

Signature:

Changes after release may cause delay in shipment or price corrections

B: 2300MHLPH & HP190H

-Field of application: Surgery -Internat.Standard: US

Order drawing no:

Print: 12.11.24

Submittal Package Revision 5: 07/18/2025 : Page 11 of 45 hellmaj2

Quotation no:

Room:

940537

240927-35109-TUSM291HE

IR LAB

Project:

Customer:

TM order no:

Amount:

IR LAB PROJECT

WEST PALM BEACH VA MC, WEST PALM BEACH

Released for production:

Date:

Signature:

Changes after release may cause delay in shipment or price corrections

C: 2130MHLPH & HP190H

-Field of application: Surgery -Internat.Standard: US

Order drawing no:

Submittal Package Revision 5: 07/18/2025 : Page 12 of 45

1) electro pneumatic brake

2) mechanical friction brake, adjustable

3) pneumatic brake; 4) electro magnetic brake

CSU-flange Tandem OPL System flange tandem OPL additional information

Customer ref. no:

Quotation no:

Room:

940537

240927-35109-TUSM291HE

IR LAB

Project:

Customer:

TM order no:

Amount:

IR LAB PROJECT

WEST PALM BEACH VA MC, WEST PALM BEACH

Released for production:

Date:

Signature:

Changes after release may cause delay in shipment or price corrections

C: 2130MHLPH & HP190H

-Field of application: Surgery -Internat.Standard: US

Order drawing no:

Submittal Package Revision 5: 07/18/2025 : Page 13 of 45

Wall control panel / Operating unit

Operating unit Helux Pro: WCP surface, with display / Third party integration Helux Pro: none

- Cable length wall control panel: 15m

- Empty conduit by customer with inner diameter 35mm

Handles

Pos. 1 Amount of sterilizable central handle sets, ProductNr.:4025708 (3 handles per set):1

Load range / add. components VidiaPort

Pos. 2 Springarm Mavig - Load Range Springarm *: 12-18kg Portegra2 Radiation Prot.

ProductNr: 1982311 - Mavig X-ray shield 78x90

* Regard adapter + monitor weight!

Electrical installation

Control board plate (Power Pack Supply Voltage: 100 - 240 V AC / 22 - 32 V DC) Required space (LxWxH): 300x215x110mm with 1 power supply line, 2 times 300x215x110mm with 2 power supply lines

Pos. 1 HeluxProK / Power supply line: 230V (1 power supply line) Max. power consumption: 160 VA at 24V / 100-240V

Product numbers

Registration type Helux Pro: acc.to MDR ProductNr: 4108210 - Helux Pro Ceiling Duo ProductNr: 4108051 - Pre-Install Set Helux Pro ProductNr: 4108041 - Electric PAP-Set Helux Pro

Filterboard

Pos. 1 Filterboard (included in delivery)

Customer ref. no:

Quotation no:

Room:

940537

240927-35109-TUSM291HE

IR LAB

Project:

Customer:

TM order no:

Amount:

IR LAB PROJECT

WEST PALM BEACH VA MC, WEST PALM BEACH

Released for production:

Date:

Signature:

Changes after release may cause delay in shipment or price corrections

C: 2130MHLPH & HP190H

-Field of application: Surgery -Internat.Standard: US

Order drawing no:

Print: 12.11.24

Submittal Package Revision 5: 07/18/2025 : Page 14 of 45 hellmaj2

Quotation no:

Room:

940537

240927-35109-TUSM291HE

IR LAB

Project:

Customer:

TM order no:

Amount:

IR LAB PROJECT

WEST PALM BEACH VA MC, WEST PALM BEACH

Released for production:

Date:

Signature:

Changes after release may cause delay in shipment or price corrections

D: 1865MHL3

-Field of application: Other -Internat.Standard: US

Order drawing no:

Submittal Package Revision 5: 07/18/2025 : Page 15 of 45

1) electro pneumatic brake

2) mechanical friction brake, adjustable

3) pneumatic brake; 4) electro magnetic brake

CSU-flange Tandem OPL System flange tandem OPL additional information

Customer ref. no:

Quotation no:

Room:

940537

240927-35109-TUSM291HE

IR LAB

Project:

Customer:

TM order no:

Amount:

IR LAB PROJECT

WEST PALM BEACH VA MC, WEST PALM BEACH

Released for production:

Date:

Signature:

Changes after release may cause delay in shipment or price corrections

D: 1865MHL3

-Field of application: Other -Internat.Standard: US

Order drawing no:

Submittal Package Revision 5: 07/18/2025 : Page 16 of 45

-Field of application: surgery -Internat.Standard: US

Order drawing no:

940537

240927-35109-TUSM291HE

IR LAB

IR LAB PROJECT

WEST PALM BEACH VA MC, WEST PALM BEACH

D: 1865MHL3

18.7.25

Customer ref. no:

Quotation no:

Room:

Project Customer:

TM order no:

Amount:

Released for production:

Date:

In shipment or price corrections

Signature:

Changes after release may cause delay

Print:

C5

C6

VAC

VAC

W2

N2P

W1

A3

E2

A2

VAC

E1

C1

C2

C3

C4 A1

A4 E3

REF QTY CONDUIT DESCRIPTION (TYPE, CONDUIT DIAMETER)

E1 2 L1 SINGLE GANG, TBD

E2 2 L2 SINGLE GANG, TBD

E3 2 L3 SINGLE GANG, TBD, 21.5MM OD CONDUIT

REF QTY P/N DESCRIPTION

REF CIRCUIT CONDUIT/

WIRE-NUT

# OF

RECEPTACLES

RECEPTACLE DESCRIPTION

(TYPE, COLOR, AMP) TYPE

C1 CIRCUIT 1 H1 / W1 2 DUPLEX, 20A, RED TBD

C2 CIRCUIT 2 H1 / W1 2 DUPLEX, 20A, RED TBD

C3 CIRCUIT 3 H1 / W1 2 DUPLEX, 20A, RED TBD

C4 CIRCUIT 4 H2 / W2 2 DUPLEX, 20A, RED TBD

C5 CIRCUIT 5 H2 / W2 2 DUPLEX, 20A, RED TBD

C6 CIRCUIT 6 H2 / W2 2 DUPLEX, 20A, RED TBD

C7 CIRCUIT 7 - - BOOM ACCESSORIES CIRCUIT -

REF QTY DESCRIPTION

VAC 3 VACUUM MEDICAL GAS OUTLET

N2P 1 NITROGEN CONTROL PANEL (1675402)

BRAKE GAS

EB 1 ELECTRIC BRAKES

ACCESSORY ITEMSA A ACCESSORY ITEMS E LOW VOLTAGE PREPARATIONS

C HIGH VOLTAGE CIRCUITS

GAS MEDICAL GAS SERVICES

LATCH VALVE TYPE: TO BE DETERMINED (CO2, N2, AND IA ARE DISS ONLY)

WIRING FOR ALL CIRCUITS: TO BE DETERMINED

SIDE B SIDE CSIDE A

Media Package Length: Standard (1 meter)

WIRE-NUTW

SIDE D

REF QTY P/N DESCRIPTION

A1 3 1636317 430mm SHELF

A2 3 2082226 Vac Slide, MPC MOUNTED

A3 1 1636396 ADDITIONAL CONTROL HANDLES

A4 1 1636391 430mm DRAWER, STORAGE

Submittal Package Revision 5: 07/18/2025 : Page 17 of 45

PRE-INSTALLATION GUIDE

FOR CEILING MOUNTED HELUX PRO SURGICAL LIGHTS

(NEW CONSTRUCTION & RENOVATION)

Submittal Package Revision 5: 07/18/2025 : Page 18 of 45

Table of Contents

1.0 INTRODUCTION

1.1 PRE-INSTALLATION RESPONSIBILITIES

1.2 PROJECT COMPONENTS AND PRE-INSTALLATION PROCESS

1.3 SAFETY AND ENVIRONMENTAL CONSIDERATIONS

1.4 PALLET DIMENSION / CLEAR PATH REQUIREMENTS

2.0 HELUX PRO SURGICAL LIGHT AND FLAT PANEL SYSTEMS

2.1 MOUNTING SYSTEM CRITERIA (NEW CONSTRUCTION & RENOVATIONS)

2.1.1 Design Loads for Surgical Lights and Flat Panel Systems

2.1.2 Structural Deflection Criteria (Lights and Flat Panels)

2.1.3 Design Elevations for Rough-In

2.1.4 Baxter Surgical Light / Flat Panel Mounting Plate

2.2 ELECTRICAL REQUIREMENTS

2.2.1 Required Conduits for Transformers in Enclosures

2.2.2 Installation of Transformer Enclosures

2.2.3 Pre-Install Materials Isometric

2.2.4 Site Preparation for Helux Pro Light Wall Controls

2.2.5 Site Preparation for In- Llight Camera (if required)

A.0 APPENDIX

A.1 ROUGH-IN DRAWINGS AVAILABLE UPON REQUEST

A.2 CONTACT INFORMATION

Submittal Package Revision 5: 07/18/2025 : Page 19 of 45

1.0 Introduction

This document is a guide to explain the steps required to properly prepare a project site for installation of a Baxter Surgical ceiling suspended system. Covered within this guide are pre-installation requirements for surgical lights, flat panel systems, cameras and interface converters.

1.1 Pre-installation Responsibilities

Work required above the finished ceiling must be performed by the owner or owner designated contractor. All fixed attachments between Baxter Surgical mounting systems and building super-structures must be approved by the project engineer of record.

Baxter Surgical Technical Service will complete the installation following the conclusion of all required pre-installation activities as detailed within this guide.

1.2 Project Components and Pre-Installation Process

Component Specification Provided By:

Materials Provided By:

Installation Performed By:

Timeline / Project Phase

Structural Mounting Plates

Attachment, Substructure, and lateral bracing by

Structural Engineer of Record

Baxter Surgical

Lateral Bracing & Substructure (if

Req’d.) by Others

Contractor While ceilings are open

Transformer Enclosures

Contractor While ceilings are

Mains Power, Video, Data, and

Communication Cables w/ Required J-boxes &

Conduits

Owner or Electrical Contractor in accordance to Baxter Surgical rough-in material

Owner or Contractor Contractor While ceilings are open

Integration Cabling for Video and Endoscopy

Integration Company

Integration Company

Integration Company or

Baxter Surgical assist per contract

Terms and Conditions

Cables required at Baxter surgical 6 weeks prior to shipment or to field during install per contract Terms and Conditions

Light or Flat Panel Suspension

Based on overall construction schedule

Final Equipment Certifications –

Electrical

Local Codes, NEC, and NFPA Site Inspection

Electrical Contractor and / or local code inspector

Following equipment installation

Figure #1) Project Responsibility Matrix

Submittal Package Revision 5: 07/18/2025 : Page 20 of 45

1.3 Safety and Environmental Considerations

• Many components are heavy. Use extreme caution while unpacking shipping containers and installing equipment.

• All personnel working around energized circuits should be qualified and follow proper safety procedures.

• All Baxter Surgical supplied equipment must be stored in a clean dry environment prior to installation.

• Empty packaging material and debris must be disposed of by the owner in accordance with the governing regulations of local municipalities.

1.4 Pallet Dimension / Clear Path Requirements

Figure #2) Surgical Light and Flat Panel Suspension

• A clear path is required with acceptable turn radii.

• Elevator must be large enough to accommodate pallet size.

• Flooring protection, if required, will be provided by others.

Submittal Package Revision 5: 07/18/2025 : Page 21 of 45

2.0 HELUX PRO Surgical Light and Flat Panel Systems

Figure #3) Surgical Lights and Flat Panel Suspension

2.1 Mounting System Criteria (New Construction & Renovations)

For Baxter Surgical HELUX PRO surgical light and flat panel suspensions a substructure must be fabricated on-site by others to support the light and flat panel suspension system. Baxter Surgical will supply a system mounting plate for attachment to the substructure. The attachment method at this location must be approved by the structural engineer of record.

2.1.1 Design Loads for Surgical Lights and Flat Panel Systems

Fmax. 2,148 N (485 lbs) Mbmax. 3,104 Nm (2290 ft-lb)

Figure #4) Design Loads (Surgical Light and Flat Panel Systems)

The design loads as stated are representative of a maximum triple arm load configuration. Baxter Surgical recommends that all surgical light and flat panel structures are designed to this maximum condition to maintain flexibility for future project upgrades.

Quad arm systems will require additional loads.

2.1.2 Structural Deflection Criteria (Lights and Flat Panels)

• Maximum horizontal deflection of substructure at the attachment point of the Baxter Surgical mounting plate must not exceed 0.1” when subject to horizontal load of 100lbs.

• Maximum angular deflection of substructure at the attachment point of the Baxter Surgical mounting plate must not exceed 1/3° from level when subject to the design loads as specified by Baxter Surgical.

Submittal Package Revision 5: 07/18/2025 : Page 22 of 45

2.1.3 Design Elevations for Rough-In

The Baxter Surgical HELUX PRO surgical light and flat panel suspension system rough-in requirements are shown below in will have a flat ceiling cover Figure #5

Figure #5) Elevations for Light / Flat Panel with Flat Ceiling Cover

A flat ceiling cover will be used in all new construction and renovation projects, which will require the top of the Baxter Surgical light mounting plate to be 5” above the finished ceiling, and the support substructure, designed by others, to be 9” above the finished ceiling. The required cutout in the finished ceiling is 14.5” x 14.5” square +/- 1/2”.

Mounting Plate Installed Mounting Plate Installed without Ceiling Cover

Baxter Surgical Install with Ceiling Cover

Figure #6) Elevations for Light / Flat Panel with Flat Ceiling Cover

Submittal Package Revision 5: 07/18/2025 : Page 23 of 45

2.1.4 Baxter Surgical Light / Flat Panel Mounting Plate

Baxter Surgical will supply a light mounting plate to be installed by the contractor during the pre-installation phase of the project. The standard light mounting plate (P/N:

2078498) is used for all new construction projects. See Figure #7 Below.

Figure #7) Light Mounting Plates – Standard Light Mounting Plate

Baxter Surgical recommends using Qty. 4, 3/4” ASTM-A307 hardware to attach the Baxter Surgical light mounting plate to the sub-structure thru the Ø 20.5mm corner holes. This hardware specification needs to be approved by the structural engineer of record. The mounting holes in the plate are in a 10.24” square pattern, as shown in Figure #7.

Mounting plate will arrive with threaded rods and hardware attached. This is to be used at the time of Baxter Surgical installation. Please do not remove the hardware from the plate, if removal is required, please re-install the hardware prior to the light installation.

Submittal Package Revision 5: 07/18/2025 : Page 24 of 45

2.2 ELECTRICAL REQUIREMENTS

2.2.1 Required Conduits for Transformers in Enclosures

Figure #8) Required Conduit Runs for Transformers in Enclosures

Notes: Please note Figure #8 is a visual representation of required conduits. Project specific conduit runs are available upon request.

1) Total conduit runs from transformer enclosures to light mounts must not exceed 3’.

2) All fabricated structures, 120 VAC circuits, conduits, junction boxes, and whips, are provided and installed by others. Transformer enclosure(s) are provided by Baxter Surgical.

3) The shown conduit runs in Figure #8 do not incorporate any power requirements for flat panels, monitors or televisions. All fabricated structures, 120 VAC circuits, conduits, junction boxes and whips associated with flat panels, monitors and televisions shall be specified by the engineer of record and installed by others.

Submittal Package Revision 5: 07/18/2025 : Page 25 of 45

2.2.2 Installation of Transformer Enclosures

For new construction projects, surgical light power transformers will be in above ceiling enclosures. A separate transformer enclosure is required for each lamp head.

Transformer enclosures will be provided by Baxter Surgical. Transformer enclosures must be in an accessible location. An access panel is required in the finished ceiling for the transformer enclosure(s). Figure #9 shows the overall dimensions of the transformer enclosure.

Figure #9) Surgical Light Transformer Enclosures

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2.2.3 Pre-Install Materials Isometric

Figure #10) Surgical Light Conduits, Mounting Plates, Enclosure and Access Panel

Notes:

1) Hardware for enclosure mounting is provided by others.

2) Transformer enclosure(s) must be mounted within 3’ of the center of the light mount and 2’ of the ceiling accessible through a 24”x24” access panel, see figure 10 above.

3) Enclosure must be mounted so the door opens horizontally.

4) Refer to Section 2.2.1 for required conduit runs.

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2.2.4 Site Preparation for HELUX PRO Light Wall Controls

Site preparation and necessary trim work will be the onsite contractors’ responsibility. Wall control boxes will be surface mounted using anchors. Figure #11 shows the wall control rough-in and rigid conduit requirements. Additional details on conduit runs can be found in Figure #8.

Figure #11) Flush Wall Control Back Box Rough-in and Dimensions

1) Center of single gang junction box must be mounted 2.5” from right, see Figure

#11 above.

2) 1” Conduit and single gang junction box is provided and installed by others.

3) Light control touch pad and low voltage wiring is provided and installed by

Baxter Surgical during equipment installation.

4) Wall Control Dimensions (L x W x H) - 263 x 188 x 64 mm (10.3” x 7.4” x 2.5”)

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2.2.5 Site Preparation for In-Light Camera

• Cabling from video refreshing unit, to the video system is by others.

o NOTE: Video refreshing unit is located inside transformer enclosure, above ceiling.

2.2.6 Site Preparation for Integrated Light Control (if required)

• 1” conduit from wall control to integration rack and cable is provided by others

• Connection inside wall control is RS-232

A.0 Appendix

A.1 Rough-in Drawings Available Upon Request

If needed, more information and drawings are available for the HELUX PRO Surgical Lights. Please contact Baxter Surgical Project Engineering with specific requests.

A.2 Contact Information

Baxter Service Hotline can be reached at (800) 445-3720.

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EMS #110106 Pre-installation Guide File: 111110 Revision: D

PRE-INSTALLATION GUIDE

FOR CEILING MOUNTED EQUIPMENT

MANAGEMENT SYSTEM WITH 12” INTERSTITIAL

SPAN (CATALOG # 110106-FC)

Submittal Package Revision 5: 07/18/2025 : Page 30 of 45

Charleston, South Carolina

File: 111110, Rev: D Page 2 of 14

Table of Contents

1.0 INTRODUCTION

1.1 PRE-INSTALLATION RESPONSIBILITIES

1.2 PROJECT COMPONENTS AND PRE-INSTALLATION PROCESS

1.3 SAFETY AND ENVIRONMENTAL CONSIDERATIONS

1.4 PALLET DIMENSION / CLEAR PATH REQUIREMENTS

2.0 EQUIPMENT MANAGEMENT SYSTEM (EMS) MOUNTING SYSTEMS

2.1 12” (EMS) MOUNTING SYSTEMS

2.1.1 Design Loads for Equipment Management Systems (EMS)

2.1.2 Structural Deflection Criteria (EMS)

2.1.3 Attachment Methods for Hillrom Surgical EMS Mounting Systems

2.1.4 Interstitial Span

2.1.5 EMS Mounting System Components

2.1.6 Installation of Mounting System Components

2.1.7 Installation of Interface Plate for Med. Gas and Electrical Connections

2.1.8 EMS Electro-Pneumatic Braking System (gas braking system)

2.1.9 EMS Electro-Magnetic Braking System (electric braking system)

2.1.10 Rough Opening for Flat Ceiling Covers

A.0 APPENDIX

A.1 STANDARD ROUGH-IN DRAWINGS

A.2 CONTACT INFORMATION

A.3 TRI-TECH MEDICAL, INC.’S ‘MEDICAL GAS RISER INSTALLATION INSTRUCTIONS’

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1.0 Introduction

This document is a guide to the steps that must be performed in order to properly prepare a project site for installation of a Hillrom Surgical ceiling suspended system. Covered within this guide are pre-installation requirements for Equipment Management Systems (EMS).

1.1 Pre-installation Responsibilities

Work required above the finished ceiling must be performed by the owner or owner designated contractor. All fixed attachments between Hillrom Surgical mounting systems and building super-structures must be approved by the project engineer of record. Hillrom Surgical Technical Service or owner provided labor will complete the installation following the conclusion of all required pre-installation activities as detailed within this guide.

1.2 Project Components and Pre-Installation Process

Component Specification Provided By

Materials Provided By

Installation Performed By

Timeline / Project Phase

Mounting Plates

Attachment, Substructure, and lateral bracing by

Structural Engineer of Record per Hillrom

Surgical specifications

Hillrom Surgical

Lateral Bracing & Substructure (if

Req’d) by Others

Contractor While ceilings are

Transformer Enclosures

Hillrom Surgical Hillrom Surgical Contractor

Mains Power, Video, Data, and Communication Cables w/ Required J-boxes &

Conduits

Owner or Electrical Contractor in accordance to Hillrom Surgical rough-in material

Owner or Contractor Contractor While ceilings are open

Integration Cabling for Video and Endoscopy

Integration Company

Integration Company

Integration Company or

Hillrom Surgical assist per contract Terms and Conditions

Cables required at Hillrom Surgical 6-weeks prior to shipment or to field during install per contract Terms and

Conditions

Medical Gas Risers Hillrom Surgical Hillrom Surgical Contractor

Final Equipment

Certifications – Med.

Gas and Electrical

Local Codes, NEC, and NFPA

Site Inspection Contractor and / or local code inspector

Following equipment installation

Figure #1) Project Responsibility Matrix

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1.3 Safety and Environmental Considerations

• Many components are heavy. Use extreme caution while unpacking shipping containers and installing equipment.

• All personnel working around energized circuits should be qualified and following proper safety procedures.

• All Hillrom Surgical supplied equipment must be stored in clean, dry environments prior to installation.

• Empty packaging material and debris must be disposed of by the owner in accordance with the governing regulations of local municipalities.

1.4 Pallet Dimension / Clear Path Requirements

Figure #2) Packaged Boom

• A clear path is required with acceptable turn radii.

• Elevator must be large enough to accommodate pallet size.

• Flooring protection, if required, must be provided by others.

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2.0 Equipment Management System (EMS) Mounting Systems

2.1 12” (EMS) Mounting Systems

Hillrom Surgical EMS mounting systems are OWNER / CONTRACTOR INSTALLED.

Attachment of these systems must be designed and approved by structural engineer of record.

Hillrom Surgical will not be responsible for testing or verification of mounting systems installation.

Figure #3) Hillrom EMS Mounting System - 110106

Hillrom Surgical offers pre-engineered mounting solutions for Equipment Management Systems (EMS). Hillrom Surgical EMS mounting systems are designed to a 4X factory of safety under the design loads as specified in Section 2.1.1.

2.1.1 Design Loads for Equipment Management Systems (EMS)

Fmax. 9,200 N (2067 lbf)

Mbmax. 12,500 Nm ( 9,220 ft-lbs)

Figure #4) Design Loads (EMS)

The design loads shown above represent the maximum loading scenario for any Hillrom Surgical ceiling mounted Equipment Management System (EMS). Hillrom Surgical recommends designing all mounts involving booms to this maximum condition in order to maintain flexibility for future product upgrades. Model specific design loads are also available from Hillrom Surgical Project Engineering upon request.

2.1.2 Structural Deflection Criteria (EMS)

• Maximum horizontal deflection of substructure at the attachment point of the Hillrom Surgical mounting plate must not exceed 0.1” when subject to horizontal load of 100lbs.

• Maximum angular deflection of substructure at the attachment point of the Hillrom Surgical mounting plate must not exceed 1/3° from level when subject to the design loads as specified by Hillrom Surgical.

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2.1.3 Attachment Methods for Hillrom Surgical EMS Mounting Systems

Figure #5) Hillrom Surgical EMS Mounting System – Attachment Methods

The Hillrom Surgical 110106 EMS mounting system may be attached to the building superstructure in the following manners:

• Welded to superstructure or fabricated substructure.

• Bolted to superstructure or fabricated substructure.

• Anchored to structural concrete slab or structural composite deck.

1) The Structural Engineer of Record for the project is ultimately responsible for specifying and approving all attachment methods. This includes the specification of weldments, attachment hardware, concrete anchors, and any required lateral bracing. All hardware and / or anchors are provided by others.

2) A custom mounting plate may be required for direct anchorage into composite decks.

2.1.4 Interstitial Span

Interstitial span is defined by Hillrom Surgical as the distance between the room side of the finished ceiling and the top attachment point of the Hillrom Surgical provided mounting plate. The 110106 - FC System requires a distance of 12” +/- ¼”.

Figure #6) 12” Interstitial Span

RED IRON WITH 12” SYSTEM BOLTED WITH GASES AND ELECTRICAL PLUMBED TO MOUNT

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2.1.5 EMS Mounting System Components

The following components are used to create Hillrom Surgical EMS mounting systems. Hillrom Surgical Project Management will provide the contractor with a project specific drawing prior to any mounting system installation.

Figure #7) EMS Mounting System (110106)

1. EMS Mounting Plate (110037) Used for attachment of the mounting system to the buildings structural deck or owner furnished sub-structure. (Figure 7, Page 8)

2. Threaded Rod Assembly (111030) The threaded rod assembly will be installed at the tapped locations on the mounting plate and tightened to 89 ft-lbs.

3. Interface Plate (110344) Used to attach medical gas risers and contractor provided electrical junction boxes. (Figure 8, Page 8)

4. M16 Hex Nut Hillrom Surgical will provide. Used for attachment of interface plate to threaded rod assembly.

5. Medical Gas Riser (part number to be determined per gas type) Used for connection between main supply line and Hillrom

Surgical EMS hose at line pressure. (Figure 8, Page 8)

6. Pneumatic Brake Gas Riser (not needed for electric brake) For non-electric brake systems, one gas riser (Nitrogen or

Instrument Air) is dedicated for the braking system. This line needs to be regulated between 55 – 70 psi. See section

2.1.6 for more details. (Figure 8, Page 8)

7. Junction Box (By Others) Interface Plate is designed to mount Raco 265

(4 -11/16” x 4 – 11/16” x 2 -1/8”) junction boxes as a basis of design. Junction boxes by different manufacturers that are equal to the Raco 265 are acceptable.

8. Small Transformer Enclosure (110773) Not pictured in Figure #4 - Required for electric portion of pneumatic braking system and internal boom low voltage components. See Section 2.1.6 for details(Figure 9, Page 9)

9. Large Transformer Enclosure (110106) Not pictured in Figure #4 – Required for electromagnetic transformer to power electric brakes. See Section 2.1.7 for details. (Figure 10, Page 10)

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2.1.6 Installation of Mounting System Components

The Hillrom Surgical EMS mounting system is supplied by Hillrom Surgical but installed by others. Installation of the EMS mounting plate at the top of the system should be performed while the ceilings are open to ease installation. The complete mounting system will need to be installed prior to the completion of the medical gas and electrical supply lines.

The standard EMS mounting plate (110037) weighs approximately 100lbs. Therefore, two installers and a manual lift are required for a safe and proper installation.

The mounting location of the EMS mounting plate should be provided by the project architect, and the attachment method given by the structural engineer of record.

Figure #8) Exploded View Assembly Drawing for Catalog (110106)

The alignment of the EMS mounting plate should be parallel to the nearest wall or square to the floor plan of the room. If there is a ceiling grid present, the EMS mounting plate should be installed parallel to the grid in a 24.5” x 24.5” opening with no grid passing through the opening.

Notes:

1) The standard EMS mounting plate (110037) has (8) M22 tapped holes for attachment of the threaded rod assemblies. Eight threaded rod assemblies are required for every installation, and these must be installed with a torque of 89 ft-lbs. The threaded rod assemblies will be provided by Hillrom Surgical.

2) Do not use any thread locking agent on Hillrom Surgical mounting systems.

3) Please contact Hillrom Surgical Project Management for additional clarification.

1. EMS Mounting Plate

2. Threaded Rod Assembly

3. Interface Pate

4. M16 Hex Nut

5. Medical Gas Riser

6. Pneumatic Brake Gas

Riser (if applicable)

7. Junction Box (By Others)

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2.1.7 Installation of Interface Plate for Med. Gas and Electrical Connections

The Interface Plate (110344) is designed to house the medical gas risers for connection between the main gas supply lines and the flexible hoses from the Hillrom Surgical equipment management system. The Interface Plate and medical gas risers are provided by Hillrom Surgical but installed by others. The Interface Plate also provides a mounting location for contractor supplied electrical junction boxes for terminating circuits. The Interface Plate is shipped flat, and the tabs that house the medical gas risers can be bent down to a vertical position.

Figure #9) Installing the Interface Plate and Med. Gas Risers

Gas risers are brazed into supply lines by others via a 1/2” OD copper connection. The gas riser is approximately 7” long. Gas risers have male DISS connections with internal check valves for connection to flexible hosing from the equipment management system, with the exception of Waste Anesthesia Gas Disposal and Medical Vacuum which do not have internal check valves.

DISS ends are required to point towards center of mount. Please find a copy Tri-Tech Medical, Inc.’s ‘Medical Gas Riser Installation Instructions’ attached for review. Please review this attachment prior to installation of the medical gas risers commencing as there are specific instructions and warnings that pertain to the medical gas risers. All gas risers should be installed per NFPA 99C or applicable local code. The 24 hour standing pressure test should be completed before equipment installation.

ELECTRICAL REQUIREMENTS / RESPONSIBILITIES FOR FINAL INSTALLATION:

During final installation of the equipment management systems, the flexible conduit containing the circuit wires from the support head will be left above ceiling, unattached to the junction box that was previously installed by the electrical contractor on the interface plate. The electrical contractor shall be responsible for attaching the flexible conduit to the junction box and making all necessary terminations. In addition, Hillrom Surgical will provide an 8 gauge chassis ground wire, which is required to be grounded to the bonded building, per local electrical code. The electrical contractor shall be responsible for final installation of the ground wire, in accordance with local code.

The Interface Plate is designed to mount Raco 265 (4-11/16” x 4-11/16” x 2-1/8”) junction boxes or similar.

Junction boxes are provided by others.

Medical gas risers are provided by Hillrom Surgical. A separate gas riser is provided for each gas outlet on the EMS.

Medical gas risers are installed by others, and the arrangement of the tubes can be field specified. The DISS connections must face the interior of the mount as shown in Picture #12. Medical gas inlet tubes must be installed horizontally.

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Figure #7) EMS Mounting Plate (110037) The Standard EMS Mounting Plate weighs approximately 100lbs.

Figure #8) EMS Mounting System Components

Gas Risers Interface Plate

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2.1.8 EMS Electro-Pneumatic Braking System (gas braking system)

Hillrom Surgical Equipment Management Systems can utilize an electro-pneumatic braking system to control arm positioning. This system has medical gas and electronic rough-in requirements:

Medical Gas Requirement:

A separate gas supply line must be added to each mount for the pneumatic portion of the braking system.

Hillrom Surgical will supply a gas riser (Nitrogen or Instrument Air) for each mount according to the type of gas that is selected for the pneumatic braking system. The pneumatic brake inlet tubes will be installed by others.

Notes:

1) Pneumatic braking systems can run on either Nitrogen or Instrument air.

2) Line pressure must be regulated by others to be between 55 – 70 psig. Regulator must be installed in an accessible location with visible gauge showing pressure. Pressure reducing valves shall be set to 55-70psi before installation of equipment.

3) Hillrom Surgical pneumatic braking systems use 0.004 ft^3 of gas per actuation.

4) The braking system is actuated approximately 3-4 times during positioning.

Electrical Requirement:

A small transformer enclosure must be mounted for each mount for the electronic portion of the braking system. Hillrom Surgical will supply the transformer enclosure to be installed by others.

Notes:

1) The small enclosure needs to be located in an accessible location within 3’ of the center of the equipment mount and 2’ of the ceiling. The enclosure shall be mounted so that the cover is positioned vertically. Mounting enclosures with the cover facing down is unacceptable. An access panel will be required in all gypsum wall board ceilings.

2) A contractor supplied whip is needed to connect the transformer enclosure to the corresponding mount.

3) The electrical contractor is responsible for providing 1 each 120 VAC Branch Circuit to the small transformer enclosure for power. The small transformer has a 2 amp max draw.

Figure #9). Small Transformer Enclosure (#110773)

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2.1.9 EMS Electro-Magnetic Braking System (electric braking system)

Hillrom Surgical Equipment Management Systems can also utilize an electro-magnetic braking system to control arm positioning. This system has electronic rough-in requirements:

Electrical Requirement:

A large transformer enclosure must be mounted for each mount, per arm system. Hillrom Surgical will supply the large transformer enclosure to be installed by others.

Notes:

1) The large enclosure needs to be located in an accessible location within 3’ of the center of the equipment mount and 2’ of the ceiling. Enclosures will be mounted so the door opens horizontally.

Mounting enclosures with the door facing down is unacceptable. An access panel will be required in all gypsum wall board ceilings.

2) A contractor supplied whip is needed to connect the transformer enclosure to the corresponding mount.

3) The electrical contractor is responsible for providing 1 each 120 VAC Branch Circuit to the large transformer enclosure for power. The large transformer has a 3 amp max draw.

Figure #10). Large Transformer Enclosure (#110116)

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2.1.10 Rough Opening for Flat Ceiling Covers

Figure #13) Side View of Catalog # 110106 Installed for Flat Ceiling Covers

The required opening in the finished ceiling when flat ceiling covers are being utilized is 24.5” x 24.5” +/- 1/8”, centered over the mounting system. Hillrom Surgical recommends that all framing members used to construct the rough opening in gypsum wallboard ceilings have a web width of 1 – 5/8” or less. If larger framing members are used, it will limit access to the medical gas inlet tube rough in locations on the interface plate. The ceiling cover (not shown for clarity) is installed by Hillrom during final installation, and is 25.2” x 25.2”. It is essential that the rough opening is accurate. The top attachment point of the Hillrom Surgical provided mounting plate must be installed 12” +/- ¼” above the room side of the finished ceiling.

A.0 Appendix

A.1 Standard Rough-in Drawings

A copy of the standard rough-in drawing for the equipment mounting system required for an 12” interstitial span (Catalog # 110106-FC) is included as an attachment for review and reference.

Project specific drawings for the equipment mounting systems will be provided for review and approval once the interstitial space is confirmed and provided to the Project Engineer at Hillrom Surgical.

In addition, a copy of Tri-Tech Medical, Inc.’s ‘Medical Gas Riser Installation Instructions’ is attached for review and reference. Please make sure that the attachment is reviewed by all parties prior to installation of the medical gas risers (medical gas inlet tubes) taking place.

A.2 Contact Information

Hillrom Surgical Project Engineering can be reached for further clarification at (888) 474- 9460 Toll Free, or (843) 534-0606.

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A.3 Tri-Tech Medical, Inc.’s ‘Medical Gas Riser Installation Instructions’

Submittal Package Revision 5: 07/18/2025 : Page 43 of 45

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