Users' Manual Model 35X Series PROFlexx®

Users’ Manual

Model 35X Series PROFlexx

August 2013 GLO

Pub. No. 234-3346-02

Read this Manual

and Retain for

Future Reference

Serial Number _________________________

Location: Crosstube Under Shock Frame.

USERS’ MANUAL

To request additional free users’ manuals,

contact Ferno Customer Relations, your

Ferno distributor, or visit www.ferno.com.

Disclaimer

This manual contains general instructions for the use, operation

and care of this product. The instructions are not all-inclusive. Safe

and proper use of this product is solely at the discretion of the

user. Safety information is included as a service to the user. All

other safety measures taken by the user should be within and under

consideration of applicable regulations. It is recommended that

training on the proper use of this product be provided before using

this product in an actual situation.

Retain this manual for future reference. Include it with the product

in the event of transfer to new users. Additional free copies are

available upon request from Customer Relations.

Proprietary Notice

The information disclosed in this manual is the property of Ferno-

Washington, Inc., Wilmington, Ohio, USA. Ferno-Washington, Inc.

reserves all patent rights, proprietary design rights, manufacturing

rights, reproduction use rights, and sales use rights thereto, and

to any article disclosed therein except to the extent those rights

are expressly granted to others or where not applicable to vendor

proprietary parts.

Limited Warranty Statement

The products sold by Ferno are covered by a limited warranty,

which is printed on all Ferno invoices. The complete terms and

conditions of the limited warranty, and the limitations of liability

and disclaimers, are also available upon request by calling Ferno at

1.800.733.3766 or 1.937.382.1451.

Ferno Technical Support

Customer service and product support are important aspects of each

Ferno product. Please have the product serial number available

when calling, and include it in all written communications. For

technical support questions:

Telephone (Toll-free) 1.800.733.3766 ext. 1010

Telephone 1.937.382.1451 ext. 1010

Email quality[email protected]

Ferno Customer Relations

For ordering assistance or general information:

CANADA AND THE U.S.A.

Telephone (Toll-free) 1.877.733.0911

Telephone 1.937.382.1451

Fax (Toll-free) 1.888.388.1349

Fax 1.937.382.1191

Internet www.ferno.com

ALL OTHER LOCATIONS

For assistance or information, please contact your Ferno

distributor. If you do not have a Ferno distributor, please contact

Ferno Customer Relations:

Ferno-Washington, Inc., 70 Weil Way

Wilmington, Ohio 45177-9371, U.S.A.

Telephone +1.937.382.1451

Fax +1.937.382.6569

Internet www.ferno.com

TABLE OF CONTENTS

Section Page Section Page

Ferno Customer Relations ______________________ 2

1 - Safety Information ___________________________ 4

1.1 Warning ________________________________ 4

1.2 Important _______________________________ 4

1.3 Bloodborne Disease Notice _________________ 4

1.4 Cot and Fastener Compatibility _____________ 4

1.5 Safety and Instruction Labels _______________ 5

1.6 Symbol Glossary _________________________ 5

2 - Operator Skills and Training __________________ 6

2.1 Skills __________________________________ 6

2.2 Training ________________________________ 6

2.3 Height and Strength Considerations __________ 6

3 - About the Cot _______________________________ 7

3.1 Description _____________________________ 7

3.2 GeneralSpecications ____________________ 8

3.3 Cot Positions ____________________________ 8

4 - Setup and Installation ________________________ 9

4.1 Ambulance Requirements __________________ 9

4.2 Restraints, Mattress and Accessories _________ 9

4.3 Fastener Compatibility ____________________ 9

4.4 Install the Safety Hook ___________________ 10

5 - Cot Features _______________________________ 12

5.1 Control Handles ________________________ 12

5.2 Fastener Release Controls _________________ 13

5.3 Drop Frame ____________________________ 13

5.4 Backrest _______________________________ 14

5.5 Shock Frame ___________________________ 14

5.6 Lead Handle ___________________________ 14

5.7 Sidearms: Swing-Down (Standard) _________ 15

5.8 Sidearms: Universal (Optional) ____________ 15

5.9 Telescoping Side Lift Handles _____________ 16

5.10 Wheel Locks ___________________________ 16

5.11 Mattress _______________________________ 16

6 - Using the Cot ______________________________ 17

6.1 Before Placing the Cot in Service ___________ 17

6.2 General Guidelines for Use ________________ 17

6.3 Fully Engaging the Locking Mechanism _____ 17

6.4 Changing Cot Positions___________________ 18

6.5 Transferring the Patient ___________________ 19

6.6 Rolling the Cot _________________________ 20

6.7 Preparing to Load the Cot _________________ 21

6.8 Loading the Cot _________________________ 22

6.9 Unloading the Cot _______________________ 23

6.10 One Operator, Empty Cot _________________ 24

6.11 Using Additional Help ___________________ 25

7 - Bariatric Transport _________________________ 26

7.1 BariatricTransportDenition ______________ 26

7.2 Bariatric Transport Guidelines _____________ 26

7.3 Bariatric Transport: Transferring the Patient __ 27

7.4 Bariatric Transport: Rolling the Cot _________ 27

7.5 Bariatric Transport: Loading the Cot ________ 28

7.6 Bariatric Transport: Unloading the Cot _______ 28

8 - Maintenance _______________________________ 29

8.1 Maintenance Schedule ___________________ 29

8.2 Disinfecting and Cleaning the Restraints _____ 29

8.3 Disinfecting and Cleaning the Mattress ______ 29

8.4 Disinfecting the Cot _____________________ 29

8.5 Cleaning the Cot ________________________ 30

8.6 Waxing the Cot _________________________ 30

8.7 Inspecting the Cot _______________________ 30

8.8 Lubricating the Cot ______________________ 31

8.9 Accessing the 9th Bed Position _____________ 31

9 - Parts and Service ___________________________ 32

9.1 U.S.A. and Canada ______________________ 32

9.2 Worldwide _____________________________ 32

9.3 Parts List ______________________________ 32

9.4 Parts Diagrams _________________________ 33

10 - Accessories _______________________________ 34

Training Record ______________________________ 35

Maintenance Record ___________________________ 35

1  SAFETY INFORMATION

1.1 Warning

Warning notices indicate a potentially hazardous situation

which, if not avoided, could result in injury or death.

WARNING

Untrained operators can cause injury or be injured. Permit

only trained personnel to operate the cot.

Improper use of the cot can cause injury. Use the cot only

for the purpose described in this manual.

Attaching improper items to the cot can cause injury. Use

only Ferno-approved items on the cot.

Failure to use the safety hook can cause injury. Install and

use the safety hook as described in this manual.

Improper operation can cause injury. Operate the cot only

as described in this manual.

An unattended patient can be injured. Stay with the

patient at all times.

An unrestrained patient can fall o the cot and be injured.

Use restraints to secure the patient on the cot.

False locking can cause injury. After changing positions,

lift the cot until all the wheels are o the ground. This

allows the lock to engage if it has not already done so.

Rolling the cot sideways or in a loading position can cause

it cot to tip and injure the patient or operators. Roll the

cot only in a level (rolling) position and with the head-end

or foot-end rst.

Helpers can cause injury or be injured. Maintain control

of the cot, operate the controls, and direct all helpers.

Improper bariatric transport can cause injury to the

patient, operators and helpers. Follow local protocols and

the instructions in this manual.

Heavy loads can cause injury. Use as many additional

operators and helpers as needed to safely transport the

patient.

Using a raised position for bariatric transport can cause

injury and cot failure. Keep the cot folded when exceeding

the Standard Load Limit.

Improperly unloading a cot during bariatric transport

can cause injury. Station one operator or helper in the

ambulance to release the cot from the safety hook or

safety stop.

Improper maintenance can cause injury. Maintain the cot

only as described in this manual.

Improper parts and service can cause injury. Use only

Ferno parts and Ferno-approved service on the cot.

Modifying the cot can cause injury and damage. Use the

cot only as designed by Ferno.

1.2 Important

Important notices emphasize important usage or maintenance

information.

Important

1.3 Bloodborne Disease Notice

To reduce the risk of exposure to bloodborne diseases

such as HIV-1 and hepatitis when using the cot, follow the

disinfecting and cleaning instructions in this manual.

1.4 Cot and Fastener Compatibility

Combining different manufacturers’ products into a “mixed-

component” cot/cot fastener system can increase the user’s

risk of injury and damage.

Ferno-Washington, Inc. strongly recommends that only

Ferno-manufactured cots be used in Ferno-manufactured cot

fasteners, and that only Ferno-manufactured cot fasteners be

used for securing Ferno-manufactured cots in ambulances.

ANY COMBINATION OF A FERNO COT OR COT

FASTENER WITH A NON-FERNO COT OR COT

FASTENER IS MISUSE OF THE FERNO PRODUCT.

Responsibility for the outcome of known, intentional misuse

rests squarely on the misuser.

Safety Information

1.5 Safety and Instruction Labels

Safety and instruction labels place important information from the users’

manual on the cot.

● Thegeneralinformationlabelshownatrightisafxedtothefoot-end

frame. It provides general safety, load limit, and use information.

● The hand-guard label shown below reminds the user not to remove the

hand guard.

Read and follow label instructions. Replace worn or damaged labels

immediately. New labels are available from EMSAR (page 32) or from

your distributor.

1.6 Symbol Glossary

Thesymbolsdenedbelowareusedonthecotandinthisusers’manual.FernousessymbolsrecognizedbytheInternational

Standards Organization (ISO), American National Standards Institute (ANSI) and the emergency medical services industry.

Safety Information

General Warning of

Potential Injury

Cot meets European

Union Standards

Unlocked Locked

Cot Operation Requires

Two Trained Operators

Do Not

Lubricate

Read the Users’

Manual

700 lb

318 kg

Standard Load Limit

Use Cot Normally

1100 lb

500 kg

Bariatric Load Limit

Use Cot in Folded

Position Only

2  OPERATOR SKILLS AND TRAINING

2.1 Skills

Operators using the cot need:

● a working knowledge of emergency patient-handling

procedures.

● the ability to assist the patient.

WARNING

Untrained operators can cause injury or be injured.

Permit only trained personnel to operate the cot.

2.2 Training

Operator trainees need to:

● read and understand this manual.

● be trained on the use of the cot.

● practice with the cot before using it with a patient.

● record their training information. A sample training

record sheet is provided on page 35.

2.3 Height and Strength Considerations

When unloading the cot, the foot-end operator must lift

and hold the weight of the cot, patient and equipment high

enough for the wheels to remain off the ground until the

undercarriage legs completely unfold and lock into place.

Supporting this weight requires greater strength from short

operators than from tall operators because short operators

must raise their arms higher in relation to their shoulders.

Be aware that if the ambulance is parked on an uneven

surface, the foot-end operator (and any helpers) may need

to lift the cot higher than normal to allow the legs to unfold

completely and lock.

Bariatric transport requires special operating procedures.

See Bariatric Transport, pages 26-28.

Note: Use additional help as needed to lift the weight of the cot,

patient and equipment (see Using Additional Help, page 25).

Operator Skills and Training

3  ABOUT THE COT

3.1 Description

The Ferno

PROFlexx

Model 35X Series Cot (called the

cot in this manual) is an emergency patient-handling device

designed to transport a patient in a ground-based ambulance.

The cot is for professional use by a minimum of two trained

operators. It is designed for roll-in loading to help reduce

the risk of back injury to medical service personnel.

The cot is designed for use with Ferno

cot fasteners (not

included).

COT OPTIONS

● PROFlexx

35X: Standard cot for use with Ferno

Model 175 (antler and rail) fastening system.

● PROFlexx

35X-ST: Cot is compatible with Ferno

Stat Trac

cot fastener system.

● Accessories: Your cot may have been shipped

with factory-installed accessories per your order;

accessories are also available separately.

INCLUDED WITH PURCHASE

● Mattress (1 of 4 styles. See “Customer Choice” Build

Options on this page).

● Set of 3 restraints

● Users’ manual

● Training CD-ROM

● Safety Hook (not required or included with 35X-ST)

U.S.A. NOTICE

The cot is for use with ambulances that meet the requirements

of the “Star of Life” certication via FederalAmbulance

SpecicationKKK-A-1822.Forinformation,contact:

FederalSupplyServices,SpecicationsSection

Suite 8100

470 E. L’Enfant Plaza, SW

Washington, DC 20407

WARNING

Improper use of the cot can cause injury. Use the cot

only for the purpose described in this manual.

About the Cot

STANDARD FEATURES

All cots are built with the following features:

● Clear Anodized handling surfaces (helps keep hands

and clothing clean)

● High-visibility control handles (red)

● 9 Height positions

○ 3loadingpositionsforvehicleoors28"-33"

● EZ-Pull control handles at cot foot end (control handle

may be activated before lifting weight of cot)

● Shock Frame (2-position)

● Drop Frame (5 positions with 4 locking positions)

● Backrest (pneumatic,innite-positioning0°-65°)

● 6" Swivel Transport Wheels (4; 2 w/wheel locks)

● Telescoping Lift Handles (2)

● Restraints (set of 3)

● Head-end Leg Protectors

● Lower-Frame Scuff Strips

● Folding Lead Handle

“CUSTOMER CHOICE” BUILD OPTIONS

One each of the following options is standard equipment on

your cot:

● Color (your choice of 5 colors)

● Cot-Fastener Compatibility

○ Ferno

Model 175 Antler-and-Rail

○ Ferno

Model 185 Stat Trac

● High-Reectivity Labels

○ Standardhigh-reectivitylabels

○ Personalizedhigh-reectivitylabels

● Sidearms

○ Ferno

Universal (swing- and fold-down) sidearms

○ Ferno

swing-down sidearms

● Mattress Options*

○ Mattress with locking hooks

○ Mattress with locking hooks and pocket

○ Mattress with locking hooks, pocket, transfer board

○ Mattress with hook-and-loop fastener

* Mattresses are also available as accessories

and as replacement parts.

3.2 General Specications

Height

Bed Position 9 40 in./102 cm

Loading Position 3 35 in./89 cm

Bed Position 8 39 in./98 cm

Loading Position 2 31 in./79 cm

Bed Position 7 37 in./93 cm

Loading Position 1 27 in./69 cm

Bed Position 6 34 in./87 cm

Bed Position 5 31 in./79 cm

Bed Position 4 28 in./71 cm

Bed Position 3 24 in./62 cm

Bed Position 2 20 in./51 cm

Bed Position 1 (folded) 14 in./35 cm

Length

Maximum 79 in./201 cm

Minimum 64 in./162 cm

Width (Overall) 24 in./61 cm

Weight

92 lb/42 kg

Weight (ST)

100 lb/45 kg

Strength to Weight Ratio

7.6 SWR

Strength to Weight Ratio (ST)

7.0 SWR

Load Limit 700 lb/317 kg

Bariatric Load Limit

1,100 lb/500 kg

Generalspecicationsareroundedtothenearestwholenumber.

Metric conversions are calculated before rounding the Imperial

measurements. For more information, contact Ferno Customer

Relations (page 2) or your Ferno distributor.

Fernoreservestherighttochangespecicationswithoutnotice.

Height measurements are as follows: Loading Position is the

distance from the ground to the bottom of the loading wheel. Bed

Position is the distance from the ground to the patient surface at the

telescoping handle.

Weight is without mattress, restraints and optional features.

Strength to Weight Ratio is the load limit of the cot divided by the

cot’s weight.

Bariatric transport requires special operating procedures. See

pages 26-28.

3.3 Cot Positions

About the Cot

STANDARD LOAD LIMIT

ALL COT POSITIONS

700 lb

318 kg

BARIATRIC LOAD LIMIT

FOLDED POSITION ONLY

Follow bariatric transport procedures (pages

26-28) when working with loads in excess of

the Standard Load Limit. Inspect the cot if the

Standard Load Limit has been exceeded (see

Inspecting the Cot, page 30).

1100 lb

500 kg

FOLDED POSITION

Use the folded position to transfer the patient, to roll the cot

during bariatric transport, or to store the cot.

LOADING POSITIONS 3

The loading position is for use only when loading the cot

into, or unloading the cot from, an ambulance. Use the

lowest loading position that allows the cot to roll into your

ambulance.

Loading Position

Bed Position

ROLLING/TRANSFER POSITIONS 5

Use a level position to roll the cot and for transferring the

patient to or from the cot and an adjacent surface.

Bed Position

Important

Not all users require the highest (9th) Bed/Loading

Position. By default, this Bed Position is locked out

by a metal plate that limits the cot to Positions 1-8. If

your ambulance has a very high loading height that

requires the 9th Bed Position, see Accessing the 9th

Bed Position, page 31.

4  SETUP AND INSTALLATION

4.1 Ambulance Requirements

The ambulance bumper extension should not exceed 14

inches (35.5 cm). The patient compartment should have a

level oor large enough for the folded cot, and a Ferno

cot fastener installed (not included). See Cot and Fastener

Compatibility, page 4.

Important

Loose items and debris on the patient compartment

oor can interfere with the operation of the cot with the

fastener. Keep the patient compartment oor clear.

Before placing the cot in service,

assign appropriate personnel to

install the mattress, restraints, and

any accessories shipped with the

cot. Keep restraint and accessory

users’ manuals with this manual for

future reference. For additional, free

manuals, contact Ferno Customer Relations (page 2).

For complete list of accessories, see Accessories, page 34.

WARNING

Attaching improper items to

the cot can cause injury. Use

only Ferno-approved items

on the cot.

4.3 Fastener Compatibility

Read the cot fastener users’ manual for instructions on using

the fastener (see Cot and Fastener Compatibility, page 4).

ANTLERANDRAIL FASTENERS

Model 35X series cots are compatible with all versions of

the Ferno

Model 175 antler and rail cot fasteners. The cot

fastenermustbeconguredforusewiththeFerno

Model

35 Series - see the fastener installation manual for details.

Using the Model 175 cot fastener requires the installation of

the safety hook (included).

Important

Stat Trac fasteners installed before June 1, 2000 required

only 16" (41 cm) of clearance from the ambulance wall

to the center of the Stat Trac.

The 6-inch wheels on PROFlexx® Series cots require the

fastener to be positioned at least 17" (43 cm) from the

wall to allow room for the wheels to swivel as the cot is

removed.

If you installed a Stat Trac at the old minimum, you must

reposition your Stat Trac to at least the new 17-inch

minimum. Contact Ferno Customer Relations (page 2)

for a revised Stat Trac installation manual.

Setup/Installation

4.2 Restraints, Mattress and Accessories

Figure 1 - Restraints (Set of 3)

Torso Restraint (1)

Guide Strap (1)

Two-Piece Restraint (2)

STAT TRAC FASTENERS

Model 35X-ST Series cots are compatible with all versions

of the Ferno

Model 185 Stat Trac

fastener. The center of

thefastener must bea minimum of 17"(43 cm) fromthe

ambulance wall. If the fastener was installed closer than this

minimum distance, it must be reinstalled further from the

wall to provide room for the cot wheels to swivel during

loading and unloading.

Important

A “sloped” (or low-prole) mounting block (shown

here) must be used when the antler portion of the cot

fastener is removable (installed with large turn-knobs

for easy removal).

If your removable fastener

does not already have this

mounting block, contact Ferno

Customer Relations, page 2.

This block is not used with fasteners permanently-mounted

to the oor with a large bolt.

WARNING

Failure to use the safety hook can cause injury.

Install and use the safety hook as described in this

manual.

Important

Before installing the safety hook, consult the ambulance

manufacturer about possible interference with wiring

and other elements under the ambulance oor, and

about the ambulance warranty.

Figure 3 - Engaging the Safety Hook

Setup/Installation

4.4 Install the Safety Hook

Note: If your ambulance service uses only the Stat Trac

Fastening System, skip the rest of Section 4.

The safety hook (Figure 2) provided with the cot is a

component of Ferno’s Model 175 Cot Fastening System,

and must be installed and used as described in this manual.

The safety hook catches the cot safety bar (Figure 3) to

ensure that the cot remains secured inside the ambulance

while the operators raise or lower the undercarriage during

loading or unloading.

Installing the safety hook requires the skills of a mechanic

familiar with ambulance construction.

Before installing the safety hook, consult the ambulance

manufacturer regarding:

● the location of wiring, oxygen or fuel lines, and other

elementsundertheambulanceoor.

● the ambulance warranty.

HARDWARE REQUIRED NOT SUPPLIED

2 1/4-20 Socket-head cap screws*

2 Flat washers

2 Lock washers

2 1/4-20 Nuts

*The socket-head cap screws must be long enough to pass

through the safety hook, patient compartment oor, both

washers, and still have at least two full threads extending

past the nut. The hardware should be of at least SAE Grade

5 with UNC-2 threading (or equivalent).

Figure 2 -Safety Hook

Front Edge

Hook

Figure 4 - Safety Hook Placement

Setup/Installation

INSTALLING THE SAFETY HOOK

1. Markthepositionofthesafetyhookontheoor.

2. Drill holes for the socket-head cap screws and attach

thesafetyhooktotheoor(Figure5).

3. To test the hook, load and unload the cot. Verify that

there is no interference with folding or unfolding

the legs.

PROPER SAFETY HOOK PLACEMENT

Position the safety hook aligned with the center of the

fastener and as close to the rear of the ambulance as possible,

within the limits below:

● The bumper or extended folding bumper must not

exceed 14 inches (356 mm).

● Position the safety hook with the hook facing the front

of the ambulance.

● Position the safety hook at least 11 inches (279 mm)

from both sides of the door frame (Figure 4) so the

cot’s safety bar will engage the hook when the cot is

loaded or unloaded.

● Position the safety hook no more than

19-3/4 inches (451 mm) from the front edge of the hook

to the rear of the ambulance, including the bumper and

folding bumper step in the extended (open) position.

Important

If the safety hook is installed too far inside the ambulance,

you will not be able to properly fold or unfold the cot

undercarriage when it is secured by the hook. Measure

and install the safety hook as instructed in this manual.

11"Min.

19-7/8" Max.

Door Frame

Extended

Bumper Step

Figure 5 - Installing the Safety Hook

Socket-Head

Cap Screw

Nut

Lock Washer

Flat Washer

Front Edge

Hook

Ambulance Rear Ambulance Front

5  COT FEATURES

5.1 Control Handles

● Purpose: An operator uses one of the undercarriage

control handles to unlock the locking mechanism that

allows the cot to be raised and lowered.

● Location: There are three control handles: an upper and a

lower handle at the cot foot end, and a side control handle

at the patient’s right side (Figures 6 and 7).

○ To lift the cot evenly, the two trained operators must

stand opposite one another. If using the upper or

lower foot-end control handle, position the assisting

operator at the cot head end. If using the side control

handle, position the assisting operator at the opposite

side of the cot.

● Use: Any one of the handles may be used to disengage

the undercarriage lock.

○ Use the control handle that is best for the lifting

situation. For example, the lower control handle

gives a short operator better leverage for lifting.

UNDERSTANDING HOW THE

FOOTEND CONTROL HANDLES FUNCTION

Two styles of foot-end control handles have been produced.

Practice with your cot before placing it in service so you will

understand how your cot operates. The two styles require

different procedures for using the cot.

● THE EZ-PULL STYLE control handle (serial numbers

09N-122459 and higher) requires less force to pull;

also, the control handle may be pulled rst, before the

operators raise or lower the cot.

● THE LIFT-FIRST STYLE controlhandle(unmodied

cots with serial numbers below 09N-122459) requires the

operators to lift the weight of the cot and patient off

the locking mechanism BEFORE pulling the control

handle. An update kit is available to change from the Lift-

First Style to the EZ-Pull Style handle.

Note: The side lifting handle is a Lift-First style handle.

Using the Features

Figure 7 - Side

Control Handle

Side

Control

Handle

Important

Two styles of foot-end control handle have been produced.

Understand how your cot functions and practice using the

cot without a patient before placing the cot in service.

Important

Cots with serial numbers below 09N-122459 may be

updated to the EZ-Pull style. Do not assume which

style of control handles a cot is equipped with. Practice

with the cot before using it in service.

Using the EZ-Pull Handle

1. Pullthecontrolhandlerst,beforeliftingthecot.This

allows you to grasp the cot with both hands and lift

evenly, without having to open your palm to operate

the handle after you assume the load.

2. In a motion coordinated with the head-end operator

and any helpers, assume the load by raising the cot

to take the weight off the locking mechanism.

3. Once the operators have assumed the load, the

mechanism will automatically disengage and the

cot can be raised or lowered to the desired height.

4. Release the handle when the cot is near the desired

height, then raise or lower the cot until the lock engages.

Before relaxing your grip on the cot main frame,

verify that the cot has locked at the new position.

Using the Lift-First Handle

1. In a movement coordinated with the head-end

operator and any helpers, lift the cot to take the

weight off the locking mechanism.

2. Open your left hand and pull the control handle to

unlock the cot’s locking mechanism.

3. Raise or lower the cot to the desired height.

4. Release the handle when the cot is near the desired

height, then raise or lower the cot until the lock engages.

Before relaxing your grip on the cot main frame,

verify that the cot has locked at the new position.

Figure 6 - Control Handle Versions

EZ-Pull Style

(Open Handle)

Lift-First Style

(Closed Handle)

Using the Features

5.2 Fastener Release Controls

● Purpose: The fastener release control lever (Model

35X) or fastener release control handle (Model 35X-

ST) allows the cot to be released from the cot fastener

during unloading the cot from an ambulance.

● Location: The lever or handle is located near the cot’s

loading wheels.

● Use: To release the cot from the cot fastener:

○ 35X: Release the cot from the safety hook by

turning the lever counter-clockwise (Figure 8).

○ 35X-ST: Release the cot from the safety stop by

squeezing the handle (Figure 9).

5.3 Drop Frame

● Purpose: The 5-position drop frame has many uses

(Figure 10).

○ +2 (locked): The +2 position shortens the cot for

use when space is limited. This position is also used

to push the cot when it is being used as a bariatric

sled (See Rolling the Cot as a Sled, page 21 and

Bariatric Transport, pages 26-28).

○ +1 (locked): The +1 position provides a good

ergonomic lifting angle for raising or lowering the

cot when the cot is at a low level.

○ extended (locked): the extended position is

used by an operator for raising or lowering the

cot. This position is also used for loading the

cot into an ambulance or unloading it from an

ambulance. A safety bar (Model 35X) or head-end

loading post (Model 35X-ST) attached to the drop

frame secures the cot to a safety hook or safety

stop inside the ambulance during the loading or

unloading process.

○ -1 (locked): The -1 position provides a good

ergonomic lifting angle for raising or lowering the

cot when the cot is at a high level.

○ -2 (unlocked): The -2 position is used to shorten

the cot when space is limited. The frame is

unlocked and is not usable for lifting when in this

position.

● Use: Squeeze the release bar (Figure 11) to unlock the

drop frame, then raise or lower the drop frame to the new

position. Let go of the release bar at the new position.

○ Raise the drop frame to the extended, +1 or +2

position before folding the cot.

Important

Extend or raise the drop frame before folding the

cot. Folding the cot with the drop frame in a lowered

position can damage the drop frame if it strikes the cot

undercarriage, oor, or ground.

Figure 11 - Drop Frame Release Bar

Figure 10 - Drop Frame Positions

-2

-1

Extended

Figure 8 - 35X Lever Figure 9 - 35X-ST Handle

5.4 Backrest

● Purpose: The backrest allows the operator to elevate the

patient’s torso for patient comfort or medical necessity.

● Before Use:

○ Loosen or unbuckle the torso restraint.

○ Support the weight of the backrest and patient.

● Use: Press the red control handle toward the backrest

frame to unlock the backrest (Figure 12), then raise or

lower the backrest to the desired position. Release the

control handle to lock the backrest at the new position.

○ The gas spring is under pressure to ease raising

and lowering. When a heavy patient is on the

cot, support the patient’s weight before adjusting

the backrest. When a light patient is on the cot,

control the upward movement of the backrest so

it does not move too quickly.

○ Thebackrestcanbeadjustedbetween0°and65°.

● After Use: Buckle and/or adjust the torso restraint.

Using the Features

Figure 12 - Using the Backrest

5.5 Shock Frame

● Purpose: The shock frame allows the operator to elevate

the patient’s legs to treat shock or for patient comfort.

● Use:

○ Before use, loosen or unbuckle the leg restraint.

○ To raise, stand at the foot end of the cot. Use both

hands to lift the shock frame until it locks in the

raised position.

○ To lower, stand at the foot end of the cot. Lift the

shock frame a little to support the weight, then

press the shock frame control levers (Figure 13)

and lower the shock frame.

○ After use, buckle and/or adjust the leg restraint.

Figure 13 - Lowering the Shock Frame

Control Lever (2)

5.6 Lead Handle

● Purpose: The lead handle allows the foot-end operator

to pull the cot when it is in a rolling position.

● Use: Unfold the lead handle for use (Figure 14); fold

it for storage.

○ Do not allow the lead handle to hang unfolded.

○ Use the lead handle only when the cot is on a

smooth, level surface. When the cot is on an

incline or rough terrain, grasp the main frame of

the cot with both hands.

Figure 14 - Using the Lead Handle

5.7 Sidearms: Swing-Down (Standard)

● Purpose: Sidearms provide patient security and

comfort.Keepthesidearmsraisedexceptduringpatient

transfer. The sidearms feature an intermediate stop that

allows a patient’s arm to be placed on the sidearm for

treatment,startingofintravenous(IV)uids,etc.

● Use:

○ To lower, squeeze the sidearm release handle

(Figure 15) and lower the sidearm. To stop at the

intermediate position, let go of the release handle

beforethesidearmreachesthe90°point.Tofully

lower the sidearm, continue holding the release

handleuntilthesidearmhaspassedthe90°point.

○ To raise, lift the sidearm until it locks. You do not

need to use the release handle.

5.8 Sidearms: Universal (Optional)

● Purpose: Sidearms provide patient security and

comfort. Keep the sidearms raised except during

patient transfer. The sidearms feature an intermediate

stop that allows a patient’s arm to be placed on the

sidearm for treatment, starting of intravenous (IV)

uids,etc.

○ The universal sidearms fold along the cot main

frame or swing down like a standard sidearm.

● Use:

○ To fold: Press the release lever (Figure 16) and fold

thesidearmatalongthecotmainframe.

○ To lower: Press the release lever, pull the sidearm

slightly toward the foot end of the cot to free it

from the lock, then swing the sidearm down below

the cot main frame.

○ To use the intermediate position: Press the release

lever and begin folding and lowering the sidearm,

then slide the sidearm toward the head end of the

cottolockitbeforeloweringtothe90°point.

○ To raise: Swing and/or lift the sidearm toward the

head end of the cot until it locks.

Using the Features

Figure 15 - Lowering the Sidearm

Important

Do not use the sidearms to lift the cot. Sidearms are

not designed for lifting. Lift the cot only by grasping

the main frame, or main frame and side lift handles.

Important

Sidearms are designed to support light objects. Do not

place objects weighing more than 10 pounds (4.5 kg)

on the sidearms.

Important

Do not use the sidearms to lift the cot. Sidearms are

not designed for lifting. Lift the cot only by grasping

the main frame, or main frame and side lift handles.

Important

Sidearms are designed to support light objects. Do not

place objects weighing more than 10 pounds (4.5 kg)

on the sidearms.

Figure 16 - Using the Universal Sidearm

Release Lever

5.11 Mattress

● Purpose: The mattress provides comfort for the patient.

● Mattress Options (4): Mattress with 5 plastic hooks;

mattress with hooks and transfer-board pocket; mattress

with hooks, transfer-board pocket, and transfer board;

mattress with hook-and-loop fastening strips.

● Use: The bottom of the mattress has either 5 plastic

hooks or hook-and-loop fastening strips. The hooks or

hook-and-loop strips help hold the mattress in place

when transferring a patient onto or off from the cot.

○ To Attach: Raise the backrest and/or shock frame

as needed and either feed each hook through a

hole in the bed surface (Figure 19) OR press the

hook-and-loop surfaces together.

○ To remove: Slide one hand under the mattress

and apply upward pressure, then remove each

hook from the bed surface with your other hand

OR separate the hook-and-loop fastening strips.

5.9 Telescoping Side Lift Handles

● Purpose: The telescoping side lift handles can be

used as extra lifting or grasping points by operators or

additional helpers.

● Location: The lift handles are located near the center

of the cot.

● Use: Pull to extend the lift handle, push to retract.

○ Retract the lift handles when using the side control

handle to raise or lower the cot.

○ Figure 17 shows one option for hand placement

for lifting the cot. Alternately, grasp the lift handle

with both hands.

○ Balance the cot by placing one operator or helper

on each side of the cot; lift together, using both

lift handles.

Figure 17 - Hand

Placement

for Using

the Lift Handles

5.10 Wheel Locks

● Purpose: The wheel locks help keep the cot stationary

during patient transfer and certain medical procedures.

When engaged, the wheel lock stops wheel rotation and

caster swiveling.

● Location: Wheel locks are located at opposite corners

of the cot where they are accessible to the operator’s

right foot.

● Use: Press the lock lever to engage; tap the top part of

the lock lever to disengage (Figure 18).

○ Wheel locks are not brakes. Stay with the cot and

maintain control of it at all times. Do not leave the

cot or patient unattended.

Figure 18 -

Wheel Lock

Figure 19 - Mattress Hooks Through Bed Surface

Using the Features

6  USING THE COT

6.1 Before Placing the Cot in Service

● Personnel who will work with the cot need to read this manual.

● Set up the cot, following the instructions in Setup and Installation,

pages 9-11.

● Conrmthatthecotoperatesproperly.SeeInspecting the Cot, page 30.

● The vehicle must have a Ferno cot-fastening system installed.

WARNING

Improper operation can cause

injury. Operate the cot only as

described in this manual.

WARNING

An unattended patient can be

injured. Stay with the patient

at all times.

6.2 General Guidelines for Use

● Medical advice is beyond the parameters of

this manual.

● It is the users’ responsibility to ensure safe

practices for the patient and themselves.

● A minimum of two trained operators is

required.

● Follow standard emergency patient-handling

procedures when operating the cot.

● Stay with the patient at all times.

● Always use patient restraints to secure the

patient on the cot.

● Operators work together and maintain

control of the cot at all times.

● Operators communicate with one another

and use coordinated movements to operate

the cot.

● Lift only the weight you can safely handle.

Use additional help when working with heavy loads (patient and equipment). For

placement of helpers, see Using Additional Help, page 25.

● KeepthecotfoldedwhentheloadexceedstheStandardLoadLimit(seeBariatric

Transport, pages 26-28). Inspect the cot if the Standard Load Limit has been

exceeded (see Inspecting the Cot, page 30).

WARNING

An unrestrained patient can

fall o the cot and be injured.

Use restraints to secure the

patient on the cot.

WARNING

False locking can cause injury.

After changing positions, lift

the cot until all the wheels

are o the ground. This allows

the lock to engage if it has not

already done so.

6.3 Fully Engaging the Locking Mechanism

False locking is a condition in which the locking mechanism does not fully engage when

a control handle is released. This can occur after changing cot positions if the locking pin

rests exactly on the tip of a ratchet bar tooth, and can allow the cot to lower to the next

locking position when moved.

To ensure the locking mechanism fully engages after changing positions, lift the cot

until all the wheels are off the ground. This allows the lock to fully engage if it has not

already done so.

Using the Cot

STANDARD LOAD LIMIT

ALL COT POSITIONS

700 lb

318 kg

BARIATRIC LOAD LIMIT

FOLDED POSITION ONLY

1100 lb

500 kg

Two Trained

Operators Required

Read the Users’

Manual

6.4 Changing Cot Positions

Changing cot positions with a patient on the cot requires a

minimum of two trained operators working together.

PREPARING TO RAISE OR LOWER THE COT

Operators do the following:

● Stand at opposite ends or sides of the cot (Figures 20-22).

● Select the lifting position that provides the best

leverage (Figures 20 or 21).

● Use an underhand grip to grasp the cot main frame.

● Control Operator only: Position your hand to use the

control handle.

● Choose the appropriate set of steps below.

Important

Operators should expect and be prepared to control

the normal downward movement of the cot that occurs

when a control handle is squeezed.

Using the Cot

Figure 20- Upper Lifting Positions

Figure 21 - Lower Lifting Positions

Figure 22 -

Changing

Positions from

the Side

Important

• With the EZ-Pull Handle, you may pull the control

handle rst, then lift the cot (See page 12).

• With the Lift-First Handle, you must lift the cot before

you pull the control handle (See page 12).

EZPULLSTYLE CONTROL HANDLE

1. Control Operator: Pull the control handle.

2. Both Operators: Lift the cot high enough for the

weight to be removed from the locking mechanism so

the locking mechanism will disengage.

3. Both Operators: Both operators raise or lower the cot.

4. Control Operator: Release the control handle when

the cot is near the desired height.

5. Both Operators: Together, lift the cot until all four

transport wheels are off the ground. This ensures the

undercarriage lock engages if it has not already done so.

6. Both Operators:Setthecotontotheoororground.

Do not release your grasp until your are sure the

undercarriage is locked at the new position.

LIFTFIRSTSTYLE CONTROL HANDLE

1. Both Operators: Lift the cot slightly to take the

weight off the locking mechanism.

2. Both Operators: As the control operator squeezes and

holds the control handle, both operators raise or lower

the cot. If the control handle is difcult to squeeze,

both operators lift the cot a little higher to free the

locking mechanism.

3. Control Operator: Release the control handle when

the cot is near the desired height.

4. Both Operators: Together, lift the cot until all four

transport wheels are off the ground. This ensures the

undercarriage lock engages if it has not already done so.

5. Both Operators:Setthecotontotheoororground.

Do not release your grasp until your are sure the

undercarriage is locked at the new position.

HOW TO RECOVER FROM

IMPROPERLY FOLDING THE COT

If you attempt to fold the cot with the drop frame locked in

the lower lifting (-1) position, the drop frame mechanism

will bind and cause the cot not to sit level.

If this occurs, do not release the drop frame hinges; you

could jar the patient and/or damage the hinge mechanism.

To recover, both operators raise the cot into a higher

position. Adjust the drop frame to the extended position

and then fold the cot.

Important

Do not fold the cot with the drop frame locked in

the lower lifting position. Place the drop frame in the

extended position or higher before folding the cot. Use

two-stage lowering if needed (see above).

Using the Cot

Raising or Lowering

the Cot in Two Stages

To maintain proper lifting techniques, the operators may

choose to adjust the cot height in two stages (Figure 23).

To do this:

1. Use one set of lifting positions to raise or lower the

cot partway.

2. Stop at a comfortable position and verify that the

undercarriage is locked.

3. Adjust your hands to new lifting positions:

○ Assisting Operator: Raise or lower the drop

frame to a different locked position.

○ Control Operator: Move your hands from

the main frame to the lower lift frame or

vice-versa.

4. Raise or lower the cot to the desired nishing

position.

Figure 23 - Two-Stage Position Changes

6.5 Transferring the Patient

To transfer a patient onto the cot:

1. Unfasten the restraints and arrange the straps so they will

not interfere with transferring the patient onto the cot.

2. Place the cot beside the patient and adjust it to the

patient’s level.

3. Engage the wheel locks, lower or fold the sidearms,

and retract the side lift handles.

4. Transfer the patient onto the cot using approved EMS

procedures and your local protocols.

5. Raise the sidearms. Adjust the backrest and shock

frame as needed.

6. Fasten and adjust the patient restraints (Figure 24).

7. Release the wheel locks.

8. Before moving the cot or changing its position, verify

that sheets and other articles are positioned where they

will not interfere with cot operation.

Figure 24 - Securing the Patient

Important

Sheets or other articles that are placed, or nd their way,

beneath the metal bed of the cot can become caught in

the ratchet mechanism and cause it to malfunction. Take

care to tuck sheets between the mattress and the metal

bed of the cot. Keep other articles above the mattress.

Using the Cot

6.6 Rolling the Cot

GENERAL GUIDELINES

● Rolling the cot with a patient on the cot requires a minimum of

two trained operators working together and maintaining

control of the cot at all times.

● Rolling the cot in a loading position can cause the cot to tip.

Always use a rolling position to roll the cot (see Cot Positions,

page 8).

● Roll the cot on smooth, unobstructed surfaces whenever

possible.

● To cross a low obstacle such as a door sill, lift the cot slightly

to take the weight off the wheels so the wheels roll smoothly

over the obstacle.

● Lift and carry the cot over a high obstacle such as a curb. Do

not apply downward force on one end of the cot in order to

raise the other end of the cot over the obstacle.

● Do not roll the cot sideways. Rolling a cot sideways can

increase the chance for the cot to tip and injure the patient

and/or operators.

● Use additional help as needed to safely control the weight of

the patient and cot (see Using Additional Help, page 25).

● When using additional help, trained operators stand at the

head and foot ends of the cot and work the controls. Helpers

can extend the side lifting handles or grasp the main frame,

and assist the trained operators.

● When rolling over rough terrain, the operators (and helpers)

should grasp the cot with both hands. Side operators or

helpers place both hands on the main frame or lifting handles,

or place one hand on each.

● Side helpers may need to walk sideways under some

circumstances. Follow local protocols.

● If the load (patient plus equipment) exceeds the cot’s Standard

Load Limit, use bariatric transport techniques. see Bariatric

Transport, pages 26-28.

WARNING

Rolling the cot sideways or in a loading position

can cause it cot to tip and injure the patient or

operators. Roll the cot only in a level (rolling)

position and with the head-end or foot-end rst.

Important

Roll the cot downhill foot-end rst. If it is not

medically appropriate to do this, roll the cot

head-end rst, but do the following:

To maintain cot balance while rolling the cot

downhill head-end rst, the Assisting Operator

must exert upward force on the drop frame.

ROLLING THE COT

1. Securely fasten the restraints around the patient.

2. Both Operators: Place the cot in a rolling position. See Cot

Positions, page 8.

3. Control Operator: Position yourself at the foot end of the

cot, grasp the main frame, and pull the cot forward. Or, if

rolling the cot on a smooth, at surface, unfold the lead

handle and pull the transporter (Figure 25).

4. Assisting Operator: Position yourself at either the head-end

of the cot (grasping the drop frame) or at the side of the cot

near the patient’s torso (grasping the main frame, Figure 25).

Attend the patient and assist in rolling and steering the cot.

Figure 25 - Rolling the Cot

Assisting

Operator

Control

Operator

ROLLING THE COT AS A SLED

The cot’s lead handle and drop frame allow the cot to be

rolled as a sled. This is the preferred way to roll the cot

when the load exceeds the cot’s Standard Load Limit. See

Bariatric Transport, pages 26-28. To roll the cot as a sled:

1. Fold the cot and raise the backrest.

2. Assisting Operator: Raise the drop frame to one of

the high locking positions (+1 or +2). Grasp the drop

frame with both hands and help steer and push the cot

(Figure 26).

3. Control Operator: Extend the lead handle and pull

the cot (Figure 26).

Note: Tall, bariatric push-pull handles that mount to the

cot frame are available. See Accessories, page 34 to order

accessories.

Using the Cot

6.7 Preparing to Load the Cot

1. Raise the ambulance folding bumper, if present.

2. Place the cot in a loading position (see Cot Positions,

page 8).

3. Place the drop frame in the extended position.

4. Roll the cot to the patient compartment door.

Note: Use additional help as needed when working with

heavy loads (patient and equipment). See Using Additional

Help, page 25.

Important

If the ambulance is parked on an uneven surface, the

operators (and any helpers) may need to lift the cot

higher than normal to allow the undercarriage to lock.

Figure 26 - Rolling the Cot as a Sled

Note Drop Frame

Raised for Steering

Lead Handle

in Use

Important

Loose items and debris on the patient compartment

oor can interfere with the operation of the cot with the

fastener. Keep the patient compartment oor clear.

6.8 Loading the Cot

Loading the cot with a patient on it into an ambulance requires

a minimum of two trained operators working together.

1. Roll the cot forward until both loading wheels are on

thepatientcompartmentoorandeither:

○ the safety bar passes the safety hook (Figure 27)

○ the head-end loading post passes the safety stop

on the Stat Trac (Figure 28)

Figure 29 - Lifting the Cot Level

Figure 30 - Folding

Using the Cot

2. Control Operator: Choose the control-handle

operation that is correct for your cot’s control-

handle style. To determine which control handle is on

your cot, see Control Handles, page 12.

○ EZ-Pull Handle: Pull the control handle, then lift

the foot end of the cot until it is level with the

ambulanceoor(Figure29).

○ Lift-First Handle: Lift the foot end of the cot

untilitislevelwiththeambulanceoor(Figure

29), then pull the control handle.

3. Control Operator: Tell the Assisting Operator to lift

the undercarriage.

4. Assisting Operator: Kneel by the side of the cot

(Figure 29) and grasp the undercarriage grip. When

the Control Operator communicates that he/she is

ready, lift the undercarriage all the way up and hold it

in the folded position (Figure 30).

5. Control Operator: Release the control handle to lock

the undercarriage in the folded position. Push the cot

into the ambulance.

6. Assisting Operator: Assist the Control Operator as

necessary. Release your grip on the undercarriage after

all of the cot’s wheels are inside the ambulance.

7. Either Operator: Secure the cot in the cot fastener.

Figure 27 - Safety Bar Past Safety Hook

Figure 28 - Loading Post Past Safety Stop

Important

• With the EZ-Pull Handle, you may pull the control

handle rst, then lift the cot (See page 12).

• With the Lift-First Handle, you must lift the cot before

you pull the control handle (See page 12).

6.9 Unloading the Cot

Unloading the cot with a patient on it from an ambulance requires

a minimum of two trained operators working together.

1. Raise the folding bumper, if present.

2. Release the cot from the cot fastener.

3. Control Operator: Grasp the cot main frame or lower lift

frame and squeeze the undercarriage control handle.

4. Control Operator:Keepingthefootendraisedandlevelwith

theambulanceoor,pullthecotslowlyfromtheambulance

(Figure 31) until the cot is stopped by either the safety hook

or the safety stop.

Assisting Operator: As the cot is pulled from the ambulance,

grasp the undercarriage hand grip on the lower frame (Figure

32) and lower the undercarriage to the ground.

Note: If the undercarriage is not unfolding, the Assisting

Operator should lift the undercarriage slightly to take the

weight off the locking mechanism.

5. Control Operator: Release the control handle.

6. Control Operator: Lift the cot until all four transport wheels

are off the ground to make sure the undercarriage has unfolded

completely and is locked. Set the cot on the ground.

7. Assisting Operator: Use the fastener release lever or handle

to disengage the cot from the safety hook or safety stop

(Figures 32 or 33).

8. Both Operators: Roll the cot completely out of the

ambulance. As the cot is rolled away from the safety hook

or safety stop, the Assisting Operator lets go of the fastener

release lever or handle.

9. Both Operators: Place the cot in a rolling position (see Cot

Positions, page 8).

Important

Verify that the undercarriage is locked before operating

the fastener release lever or release handle. An unlocked

undercarriage will allow the cot to fold.

Figure 31 - Unloading the Cot

Figure 32 - Disengaging the Release Lever

(Model 35X)

Using the Cot

Figure 33 - Disengaging the Release Handle

(Model 35X-ST)

6.10 One Operator, Empty Cot

CHANGING POSITIONS

If local protocols permit, and only when the cot is empty (no patient),

one trained operator can change the cot position. Tip the empty cot

onto its loading wheels (Figure 34), operate the control handle and

raise or lower the cot to the desired position. Then, let go of the control

handle and return the cot to its transport wheels.

ONE OPERATOR LOADING

An empty Model 35X (Model 175-compatible) cot may be loaded into

and unloaded from the ambulance by one trained operator.

Do not load or unload a Model 35X-ST (Stat Trac-compatible cot) with

one operator as this can damage the cot and/or the fastener. Always use

two operators to load and unload the 35X-ST cot.

1. Raise the ambulance folding bumper, if present.

2. Place the cot in a loading position and roll the cot into the

ambulance until both loading wheels are on the patient

compartmentoorandthesafetybarpassesthesafetyhook.

3. Choose one of the following steps (for control handle information,

see Control Handles, page 12).

○ EZ-Pull Handle: Squeeze and hold the control handle, lift

the cot until the wheels are off the ground, then lower the

foot end of the transporter to the ground (Figure 35).

○ Lift-First Handle: Lift the cot until the wheels are off the

ground, then squeeze and hold the control handle and lower

the foot end of the transporter to the ground (Figure 35).

4. Release the control handle to allow the undercarriage to lock.

5. Grasp the undercarriage frame with one hand and pull upward on

the undercarriage to make sure the cot has locked in the folded

position (Figure 36).

6. Lift the foot end of the cot until it is level with the patient compartment

oor(Figure37).Pushthecotintotheambulance.

7. Secure the cot in the cot fastener.

ONE OPERATOR UNLOADING

1. Raise the ambulance folding bumper and release the cot from

the cot fastener.

2. Begin pulling the cot from the ambulance but do not operate the

control handle. Continue pulling until the safety hook catches

the safety bar.

3. Lower the cot foot end to the ground.

4. Squeeze the undercarriage control handle and raise the foot end

until the cot wheels are off the ground and the undercarriage

unfolds completely and locks.

5. Release the control handle and set the cot on the ground.

6. Disengage the safety bar from the safety hook.

Important

Do not load or unload a Stat Trac-compatible

cot with one operator as this can damage the

cot or cot fastener.

Figure 35 - One Operator Loading

Figure 37 - Lifting the Cot Level

Using the Cot

Figure 34 - Changing Positions: One Operator

Figure 36 - Check Undercarriage Lock

Important

• With the EZ-Pull Handle, you may pull the control handle

rst, then lift the cot (See page 12).

• With the Lift-First Handle, you must lift the cot before you

pull the control handle (See page 12).

6.11 Using Additional Help

Operating the cot requires a minimum of two trained

operators. They may need additional help when working

with heavy loads (patient plus equipment).

● Operators stand at the head and foot ends of the cot,

maintain control of the cot, operate the controls, and

direct all helpers.

WARNING

Helpers can cause injury or be injured. Maintain

control of the cot, operate the controls, and direct

all helpers.

Using the Cot

● Side helpers may need to walk sideways under some

circumstances. Follow local protocols.

● Ferno recommends that helpers work in pairs to help

maintain cot balance.

The chart below shows suggested placement for operators

and helpers.

Important

Trained operators position themselves at the head and

foot ends of the cot and operate the controls. Show

helpers where to stand and how to grasp the cot.

STANDARD LOAD LIMIT

ALL COT POSITIONS

700 lb

318 kg

BARIATRIC LOAD LIMIT

FOLDED POSITION ONLY

Follow bariatric transport procedures (pages

26-28) when working with loads in excess of

the Standard Load Limit. Inspect the cot if the

Standard Load Limit has been exceeded (see

Inspecting the Cot, page 30).

1100 lb

500 kg

Helpers Changing Levels Rolling Loading/Unloading

Two

Operators

Two

Helpers

Two

Operators

Four

Helpers

Key: O = Operator H = Helper P = Patient

7  BARIATRIC TRANSPORT

WARNING

Improper bariatric transport can cause injury to

the patient, operators and helpers. Follow local

protocols and the instructions in this manual.

WARNING

Heavy loads can cause injury. Use as many additional

operators and helpers as needed to safely transport

the patient.

Bariatric Transport

7.1 Bariatric Transport Denition

Bariatrics is the branch of medicine dealing with extreme

obesity.FernodenesBariatricTransportasusingthecot

when the Standard Load Limit has been exceeded.

The Standard Load Limit of the cot is 700 pounds (318

kg). This is the load limit for all normal cot functions

including raising and lowering, loading and unloading an

ambulance, and rolling.

When special techniques are used, the cot can be used with

loads up to 1,100 pounds (500 kg). This is the Bariatric

Load Limit.

Remember that the “load” on the cot equals the patient’s

weight plus the weight of any attached accessories and

other equipment being carried on the cot.

OPTIONAL EQUIPMENT NOT REQUIRED

● Additional patient restraints, restraint extenders, and/

or longer patient restraints are recommended.

● The Ferno

Large Body Surface (LBS

™

) and LBS

Jr. bariatric board accessories provide a wider bed

surface for an extremely large patient. Patient restraint

extenders are included with purchase.

Note: The LBS

™

and LBS Jr. accessories require a center-

mounted cot fastener.

● Manta

™

Rescue Aid is a large vinyl sheet with multiple

handholds to aid in moving a large patient.

● Bariatric push-pull handles are available to help steer

the cot when it is being rolled in the folded position.

7.2 Bariatric Transport Guidelines

When undertaking a bariatric transport:

● Follow your local protocols for bariatric transport.

● Use as many additional operators and helpers as

needed to safely transport the patient. See Using

Additional Help, page 25 for recommended placement

of additional helpers.

● Follow the instructions in this section.

● Keep the cot in the folded position when the load

exceeds 700 pounds (318 kg).

● Properly restrain the patient as instructed in this

manual, the restraint users’ manuals, and the LBS

™

or LBS Jr. users’ manual. As needed, use additional

restraints, restraint extenders, and/or longer restraints.

Use only Ferno-approved restraints and accessories.

See Accessories, page 34.

Important

Exceeding the Standard Load Limit can cause damage

to the cot. Immediately inspect the cot and restraints

for damage if the Standard Load Limit has been

exceeded.

STANDARD LOAD LIMIT

ALL COT POSITIONS

700 lb

318 kg

BARIATRIC LOAD LIMIT

FOLDED POSITION ONLY

Follow bariatric transport procedures when

working with loads in excess of the Standard

Load Limit. Inspect the cot if the Standard

Load Limit has been exceeded (see Inspecting

the Cot, page 30).

1100 lb

500 kg

WARNING

Using a raised position for bariatric transport can

cause injury and cot failure. Keep the cot folded

when exceeding the Standard Load Limit.

Figure 38 - Transferring a Bariatric Patient

Figure 39 - Securing a Bariatric Patient

Figure 40 - Rolling the Cot with a Bariatric Patient

Bariatric Transport

7.3 Bariatric Transport:

Transferring the Patient

If the load (patient plus equipment) will exceed the Standard

Load Limit of 700 pounds (318 kg), follow the instructions in

Transferring the Patient, page 19 with the following changes:

● If accessory items are used (restraint extenders,

additional restraints, longer restraints, LBS

™

LBS Jr., etc.) attach these items to the cot before

transferring the patient onto the cot.

● Place the cot in the folded position before transferring

the patient onto the cot (Figure 38).

● Secure the patient onto the folded cot (Figure 39).

7.4 Bariatric Transport: Rolling the Cot

Roll the cot in the folded position when the load exceeds the

Standard Load Limit (Figure 40).

If the patient’s size and medical condition permit:

● Raise the backrest, then raise the drop frame.

● Use the drop frame to help push and steer the cot (See

Rolling the Cot as a Sled, page 21).

Do not place the cot in a raised position. Rolling the cot in

a raised position when the Standard Load Limit is exceeded

can lead to:

● Injury to the patient and/or operators and helpers.

● Cot damage and/or failure.

The operators and helpers must lift and carry the cot over

obstacles. Follow your local protocols and use as much

additional help as needed.

Note: (Optional) accessory push-pull handles provide an

improved ergonomic solution for controlling the cot when it

is in the folded position. To order, see Accessories, page 34.

WARNING

Improperly unloading a cot during bariatric

transport can cause injury. Station one operator or

helper in the ambulance to release the cot from the

safety hook or safety stop.

Figure 41 - Bariatric Loading

Bariatric Transport

7.5 Bariatric Transport: Loading the Cot

To load the cot into an ambulance when the Standard Load

Limit is being exceeded, do not use the cot control handles

or the safety hook or Stat Trac

safety stop.

1. Roll the cot as close as possible to the ambulance

while keeping it in the folded position.

2. Use as many additional operators and helpers as

needed to safely pick up the cot and place it in the

ambulance.

Do not activate any controls. Leave the cot in the

folded position as you pick it up and place it in the

ambulance (Figure 41).

Note: If using the Stat Trac

fastener, you must load

both of the cot loading posts into the Stat Trac

. Place

one person inside the ambulance to watch and verbally

direct the operators and helpers to guide the cot into

the cot fastener.

3. Secure the cot in the cot fastener.

7.6 Bariatric Transport:

Unloading the Cot

When the Standard Load Limit is being exceeded, do not

use the cot control handles or the safety hook or Stat Trac

safety stop while unloading the cot from the ambulance.

1. Station one operator or helper inside the ambulance

to release the cot from the safety hook (or Stat Trac

safety stop) when needed.

2. Outside Operators/Helpers: Release the cot from the

cot fastener.

3. Outside Operators/Helpers: Roll the cot slowly out

of the ambulance (Figure 42), allowing all operators

and helpers to grasp the cot main frame (or the LBS

™

or LBS Jr. frame).

4. Inside Operator: When the safety hook (or Stat Trac

safety stop) catches the cot, use the release lever or

handle to release the cot.

5. Outside Operators/Helpers: Together, lift the cot out

of the ambulance and set it on the ground.

6. Outside Operators/Helpers: Roll the cot on the

ground as shown in Bariatric Transport: Rolling the

Cot, page 27.

Figure 42 - Bariatric Unloading

One Operator/Helper Remains Inside

the Ambulance to Release the Cot

from the Safety Hook or Safety Stop

8  MAINTENANCE

8.1 Maintenance Schedule

The cot requires regular maintenance. Set up and follow a

maintenance schedule. The table at right represents minimum

intervals for maintenance.

Keep maintenance records.A sample maintenance record

sheet is provided on page 35.

When using maintenance products, follow the manufacturers’

directions and read the manufacturers’ material safety data

sheets. You can purchase a recommended disinfectant from

your Ferno distributor or Ferno Customer Relations (page 2).

8.2 Disinfecting and Cleaning

the Restraints

Remove the restraints from the cot. Disinfect and clean only

as directed in the restraint users’ manuals provided with the

restraints. Additional, free users’ manuals can be obtained

from Ferno Customer Relations (page 2).

8.4 Disinfecting the Cot

Wipe all surfaces with disinfectant. Follow the disinfectant

manufacturer’s instructions for application method and

contact time. Ferno recommends you inspect the cot for

damage as you disinfect it.

WARNING

Improper maintenance can cause injury. Maintain

the cot only as described in this manual.

Minimum

Maintenance Intervals

Each Use

As Needed

Each Month

Disinfecting (this page)

•

Cleaning (pages 29-30)

•

Waxing (page 30)

•

Inspecting (page 30)

• •

Lubricating (page 31)

•

Maintenance

8.3 Disinfecting and Cleaning

the Mattress

1. Remove the mattress from the cot (also remove the

transfer board from the mattress, if you have the

mattress with pocket).

2. To disinfect: Apply disinfectant to the mattress,

following the manufacturer’s instructions for application

method and contact time.

3. To clean: Wash the mattress with warm, soapy water

and a soft cloth. Rinse the mattress with clear water.

Hang the mattress to dry, or dry it with a towel.

Important

Disinfectants and cleaners containing bleach,

phenolics, or iodines can cause damage. Use caution

when disinfecting and cleaning with products

containing these chemicals.

8.5 Cleaning the Cot

1. Remove the restraints, mattress and any accessories.

2. Hand clean all surfaces of the cot with warm water and

a mild detergent.

3. Rinse with warm, clear water. Dry the cot with a towel

or allow it to air-dry.

8.6 Waxing the Cot

While it is not necessary to wax this cot, waxing the

aluminum main frame or the painted legs will not damage

them, and will help maintain the cot’s appearance.

Disinfect and clean the cot before applying wax. Use an

automotive wax as directed by the wax manufacturer.

8.7 Inspecting the Cot

Have your service’s equipment maintenance personnel

inspect the cot regularly. Follow the checklist at right and

operate the cot through all its functions as described in this

manual.

If inspection shows damage or excessive wear, remove the

cot from service until repair is made. See Parts and Service,

pages 32 and 33.

Important

Water under high pressure, or steam, can penetrate

joints, ush away lubricant, and cause corrosion. Use

caution when cleaning moving parts such as joints and

hinges, and reapply lubricant if needed (see page 31).

Important

Using abrasive cleaning compounds or applicators

on the cot can cause damage. Do not use abrasive

materials to clean the cot.

INSPECTION CHECKLIST

● Are all components present?

● Is the cot free of excessive wear?

● Are all screws, nuts, bolts, rivets, and roll pins

securely in place?

● Do all moving parts operate smoothly and properly?

● Does the cot lock properly into each position?

● Does the cot load and unload properly?

● 35X only: Does the safety hook properly engage the

safety bar during unloading?

● 35X-ST only: Does the Stat Trac safety stop properly

engage the head-end loading post during unloading?

● Does the cot roll smoothly?

● Do the wheels have some tread?

● Do the wheel locks engage properly and stop wheel

rotation?

● Are the restraints properly installed?

● Is restraint webbing in good condition with no cuts

or frayed edges?

● Are restraint buckles free of visible damage and do

they operate properly?

● Is the ambulance properly prepared for the cot with

an approved Ferno

cot fastener installed (and safety

hook for Model 35X cots)?

● Do installed accessories operate properly without

interfering with cot operation?

Maintenance

8.8 Lubricating the Cot

Disinfect and clean the cot before applying lubricant. Use the

lubricants designed below to lubricate the cot. Do not lubricate

points marked with the “Do Not Lubricate” symbol.

Important

Lubricating parts that should not be lubricated allows

dirt and foreign particles to collect on those parts,

resulting in damage. Lubricate only the numbered

reference points shown.

Maintenance

Do Not Lubricate Lubricate

8.9 Accessing the 9th Bed Position

By default, the cot’s 9th Bed Position is inaccessible. The 8th

Bed Position, with a loading height of around 31 inches (79

cm), is the most commonly-used loading height. However,

if your ambulance has a very high oor that requires a

higher loading height, the 9th position provides a loading

height of 35 inches (89 cm). To access the 9th position, do

the following:

1. Usea1/8"Allenwrenchanda3/8"socketoropen-end

wrench to remove the two screws from the lockout bar

(a large metal plate) that runs between the two ratchet

bars (Figure 44).

2. Turn the lockout bar around so that the long end of the

metal plate faces the head end of the cot (Figure 45).

3. Reattach the lockout bar.

Note: If your ambulance has an extremely low loading height

(for example, some van-based ambulances) an accessory kit

is available to make both Bed Positions 8 and 9 inaccessible

(this makes Position 7 the highest accessible position). If you

can load the cot into your ambulance using Position 7, order

and install this kit. See Accessories, page 34.

Figure 43 - 35X Series Lubrication Points

LUBRICATION POINTS

Use a small amount of lubricant. Lubricate identical

points on each side of the cot (Figure 43).

1. Drop frame hinge teeth WRL-191S, E-Z-1, white lithium grease

2. Sidearm lock pins SAE 30-weight oil (1-2 drops)

3. Ratchet bar mounts WRL-191S or E-Z-1 (1-2 drops)

LUBRICATIONFREE POINTS

Loading wheel bearings Do not lubricate

Backrest hinges Do not lubricate

Side lift handles Do not lubricate

Telescoping legs Do not lubricate

Transport wheels (sealed bearings) Do not lubricate

Control handle mechanisms Do not lubricate

Figure 45 - Lockout Bar Turned to Allow Use

of 9th Position (Viewed from Beneath Cot)

Lockout Bar

9th Position Notch

Figure 44 - Lockout Bar with 9th Position Inaccessible

(Viewed from Beneath Cot)

Lockout Bar

Reference: Side Control Handle

9th Position

Notch Inaccessible

9.3 Parts List

No. Part Description Qty

1 190-1357 Gas-assist release handle 1

2 190-1590 Backrest panel w/rivets 1

3 190-1251 Seat panel w/rivets 1

4 190-1246 Shock panel w/rivets 1

5 190-1258 Oxygen bottle mount bracket kit (not shown) 1

6 190-1365 Shock frame thumb release w/hardware 2

7 090-5326 Ratchet bar spring 2

8 190-1591 End panel w/rivets 1

9 190-1605 Lead handle w/E-Clips 1

190-1732 E-Clips (package) 6

10 190-1592 Lift-First foot-end rel. handle w/hardware 1

087-0002 EZ-Pull foot-end rel. handle w/hardware 1

11 190-1594 Lift-First rel. handle adjustment linkage 1

190-1775 EZ-Pull spring cylinder & connect. rod assy. 1

12 190-1610 Shock frame guide w/hardware 2

13 190-1607 Slide cover w/hardware 2

14 190-1598 Foot end clearance block w/hardware 2

15 190-1600 Wheel fork with lock (no wheel) 1

16 190-1602 Caster assembly with lock 1

17 190-1601 Wheel fork (no lock, no wheel) 1

18 190-1603 Caster assembly no lock 1

19 190-1144 6"Wheelw/bearingsandhardware 1

20 190-1589 Lower corner push-caps (set of 4) 1

Parts and Service

9  PARTS AND SERVICE

9.1 U.S.A. and Canada

In the United States and Canada, to order parts or for

professional cot repair, contact EMSAR

- the only agent

authorized by Ferno to manage, service, and repair Ferno

products.

Telephone (Toll-Free) 1.800.73.EMSAR

Telephone 1.937.383.1052

Fax +1.937.383.1051

Internet www.EMSAR.com

WARNING

Improper parts and service can cause injury. Use only

Ferno parts and Ferno-approved service on the cot.

9.2 Worldwide

To order Ferno parts, and for professional cot repair, contact

your Ferno distributor. Your distributor is the only agent

authorized by Ferno to manage, service, and repair Ferno

products.

WARNING

Modifying the cot can cause injury and damage. Use

the cot only as designed by Ferno.

No. Part Description Qty

21 190-1608 Lower frame scuff strip (set) 1

22 190-1240 Fastener post, split 1

23 190-1604 X-frame axle w/cover, hardware 1

24 190-1597 35X logos and clear labels (set) 1

25 190-1599 High-reectivitylabels(set) 1

26 190-1593 Side release handle w/hardware 1

27 090-5795 Replacement leg guard (1 only) 1

28 190-1595 Head-end clearance block w/hardware 2

29 (select below) Sidearm release handle:

082-2153 Pair 1

082-2154 Patient right side 1

082-2155 Patient left side 1

30 190-1771 35X Drop frame bumper w/hardware 2

31 190-1243 5"Loadwheelw/bushing,hardware 1

32 190-1343 Safety bar release handle w/hardware 1

33 190-1013 Backrest bumper 2

34 190-1588 Gas-assist cylinder w/hardware 1

35 090-5465 Safety bar torsion spring 2

36 190-1609 Non-telescoping leg scuff strip 2

37 090-5015 2.5"Safetyhook 1

n/s 190-1596 Tech label sheet 1

n/s 090-5866 O-ringkitfor6"wheels 4

n/s 190-1254 Ratchet bar limit cable 1

9.4 Parts Diagrams

Parts and Service

1112

23 2122 202425

Accessories

10  ACCESSORIES

Ferno offers a full line of accessories (cot fasteners, IV poles,

immobilizers, blankets, bariatric equipment, etc.) that are

approved for use with the cot.

Alwaysfollowtheinstructionspackedwithaccessories.Keep

the instructions with this manual. Be aware of any special

considerations (loading heights, door width, etc.) when using accessories. Contact Ferno Customer Relations (page 2) or

your Ferno distributor to order accessories or for additional information.

WARNING

Attaching improper items to the cot can cause

injury. Use only Ferno-approved items on the cot.

Description Part Number

SOFT GOODS

PROFlexx Sof-Net (Drop Frame Storage) 082-1996

Sidearm Cover (Storage Device, 2 ea.) 082-1953

Model 430 Restraint (2 pc., 7' Black) 031-3911

Model 430 Restraint (2 pc., 5' Black) 031-3892

Model 417-1 Torso Restraint w/Shoulder Harness 031-3915

Restraint Guide Strap (only) 031-3945

Mattress w/Locking Hooks 031-3920

Mattress w/Locking Hooks, Transfer Board Pocket 031-4028

Mattress with Hook-and-Loop Fastening Strips 031-4035

Mattress (Folding) for LBS

™

031-4025

Mattress (Folding) for LBS Jr. 031-4050

BARIATRIC ACCESSORIES

Bariatric Push-Pull Handle, Angled (1 ea.)

082-2147

Bariatric Push-Pull Handle, Straight (1 ea.)

082-2148

Bariatric Tow Package 082-2121

LBS

™

(Large Body Surface) Complete w/Mounts

082-2057

LBS Jr. Bariatric Board Complete w/Mounts

082-2184

LBS

™

Mounting Blocks (set/6) 082-1994

LBS Jr. Mounting Blocks (set/4) 082-2186

Model 132 Manta Rescue Aid (burgundy) 038-2969

1' Restraint Extender (1 ea.) 031-3942

2' Restraint Extender (1 ea.) 031-3659

3' Restraint Extender, Adjustable (1 ea.) 031-3670

RestraintExtenderKit(set/6,variouslengths) 0000442

Description Part Number

COTMOUNTED ACCESSORIES

Lower Storage Tray (Aluminum) 815-9607

Equipment Bracket “Extra Hand” CA5250

Model 274 Pac Rac

Equipment Tray 081-8933

Model 513-13 IV Pole, Cot-Mounted 008-7172

Model 513-10 IV Pole, Cot-Mounted 008-7156

Model 513-LBS IV Pole (for LBS

™

/LBS Jr.) 008-7173

LockoutKit(LocksOutPositions8-9) 082-2244

Eclipse

™

Flashlight Holder 082-2145

DialysisKickstand 082-2116

Swing-Out Lift Handle (pair) 082-1998

Oxygen Cylinder Holder (Mounts on Foot End) 081-9958

Oxy-Clip O2 Holder (Mounts on Cot Side Frame) 008-5500

Oxy-Clip2 O2 Holder (Mounts on Drop Frame) 082-1977

Head-End O2 Mount (Mounts on Backrest) 082-2111

X-O2 Mounting System (Mounts Btwn Cot Legs) CA5320

X-O2 Mounting System w/Flow Control Valve 0000443

TOUCHUP PAINT

Rescue Red 081-9972

DayGlo Green 081-9973

Safety Orange 081-9974

Electric Blue 081-9975

Black 081-9977

OTHER ACCESSORIES

Transfer Board 010-7992

SaniZene

Hard Surface Cleaner/Disinfectant

(4 ea., 1 gal.) 078-9214

Low-prolemountingblockandshortknobforusewith

Removable-Mount Model 175 Cot Fastener 082-2243

Bariatric Push-Pull Handles may be mounted at either the head end or foot end of the cot, or both. To mount a handle at both ends of the

cot, order two kits. Note: If desired, kits may be mixed (angled handle at one end and straight handle at opposite end).

Purchase of an LBS

™

or LBS Jr. includes a set of restraint extenders and a Model 132 Manta Rescue Aid.

TRAINING RECORD

Date Name Training Method

MAINTENANCE RECORD

Date Maintenance Performed By