Ferno 50-E User Manual

Users’ Manual

Model 50-E

Easy Load Stretcher

December 2004 INT

Pub. No. 234-3257-01

Ferno Model 50-E

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 FernoWashington, 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.

Ferno Australia

11 Johnstone Road

Brendale, Queensland 4500

Internet .................................. www.ferno.com.au

E-mail ..................................... info.ferno.com.au

Phone .......................................... (07) 3205.5055

Fax .............................................. (07) 3881.1125

Ferno Model 50-E

TABLE OF CONTENTS

PageSection PageSection

1 - Safety Information................................................. 5, 6

1.1 Warning ................................................................ 5

1.2 Important .............................................................. 5

1.3 Bloodborne Disease Notice ................................. 5

1.4 Stretcher-Fastener Compatibility ......................... 5

1.5 Safety and Instruction Labels .............................. 6

2 - Operator Skills and T raining.................................... 7

2.1 Skills .................................................................... 7

2.2 Training ................................................................ 7

2.3 Clearance, Height & Strength Considerations..... 7

3 - About the Stretcher............................................... 8-10

3.1 Description ........................................................... 8

3.2 Vehicle Considerations ........................................ 8

3.3 General Specifications ......................................... 8

3.4 Component Specifications ................................... 9

3.5 Combined Stretcher Specifications...................... 9

3.6 Stretcher Positions ............................................. 10

4 - Model 50-E Undercarriage ................................11-14

4.1 Components ........................................................ 11

4.2 Touch Bars .......................................................... 11

4.3 Quick Fix Lock .................................................. 12

4.4 Position Control Handles ................................... 13

4.5 Foot-End Caster Wheel Locks ........................... 13

4.6 Head-End Caster Swivel Locks ......................... 14

5 - Model 155-E Stretcher Top................................ 15-18

5.1 Components ....................................................... 15

5.2 Stretcher Top Positions ...................................... 15

5.3 Changing Stretcher-Top Positions ..................... 16

5.4 Gas-Assist Backrest ........................................... 16

5.5 Side Rails ........................................................... 17

5.6 Carrying Handles - Recumbent Position ........... 17

5.7 Carrying Handles - Chair Position..................... 18

6 - Stretcher Setup.................................................... 19-23

6.1 Preparing the Stretcher for Use ......................... 19

6.2 Guidelines for Using Restraints ......................... 19

6.3 Attaching One-Piece Restraints ......................... 20

6.4 Attaching Harness Components ................... 20, 21

6.5 Adjusting Restraint Length ................................ 22

6.6 Securing the Patient ..................................... 22, 23

6.7 Unfastening the Harness .................................... 23

6.8 Removing the Restraints .................................... 23

7 - Using the Stretcher ............................................. 24-33

7.1 Before Placing the Stretcher in Service ............. 24

7.2 General Guidelines for Use ............................... 24

7.3 Attaching Stretcher Top to Undercarriage......... 25

7.4 Removing Stretcher Top from Undercarriage ... 26

7.5 Raising/Lowering the Stretcher

With Two Operators ........................................... 27

7.6 Raising/Lowering the Stretcher

With One Operator............................................. 28

7.7 Transferring the Patient ..................................... 29

7.8 Rolling the Stretcher .......................................... 30

7.9 Increasing the Loading Height ........................... 30

7.10 Loading the Stretcher Into an Ambulance ......... 31

7.11 Unloading the Stretcher from an Ambulance .... 32

7.12 Using Additional Help ....................................... 33

8 - Maintenance ........................................................34-36

8.1 Maintenance Schedule ....................................... 34

8.2 Disinfecting and Cleaning the Restraints .......... 34

8.3 Disinfecting and Cleaning the Mattress ............. 34

8.4 Disinfecting and Cleaning the Stretcher ............ 35

8.5 Waxing the Stretcher .......................................... 35

8.6 Tracker™............................................................. 35

8.7 Inspecting the Stretcher ..................................... 35

8.8 Lubricating the Stretcher ................................... 36

9 - Accessories and Related Products .......................... 37

10 - Repair Parts and Service ...................................... 38

10.1 Parts and Service - Australia .............................. 38

10.2 Parts and Service - Worldwide .......................... 38

11 - Limited Warranty .................................................. 39

12 - Ferno Customer Relations .................................... 39

T raining Record............................................................. 40

Maintenance Record ..................................................... 41

ILLUSTRATIONS

Ferno Model 50-E

Safety and Instruction Labels ............................................ 6

Height and Strength Considerations.................................. 7

Stretcher Positions ........................................................... 10

Model 50-E Stretcher Components .................................. 11

Figure 1 - Touch Bars ....................................................... 11

Figure 2 - Undercarriage Head-End Hooks .................... 12

Figure 3 - Lock Bar (Bottom of Stretcher Top) .............. 12

Figure 4 - Engaging the Quick Fix Lock ......................... 12

Figure 5 - Head-End Control Handle (Red) .................... 13

Figure 6 - Foot-End Control Handles ............................. 13

Figure 7 - Engaging a Wheel Lock ................................. 13

Figure 8 - Caster Lock Release Lever ............................. 14

Figure 9 - Locking the Swivel Caster .............................. 14

Model 155-E Stretcher Top Components....................... 15

Stretcher Top Positions.................................................... 15

Figure 10 - Changing Stretcher Top Positions ................ 16

Figure 11 - Backrest Release Handle .............................. 16

Figure 12 - Using the Gas-Assist Backrest ..................... 16

Figure 13 - Using the Stretcher Top Side Rail ................ 17

Figure 14 - Telescoping Head-End Handles ................... 17

Figure 15 - Folding Foot-End Handles ........................... 17

Figure 16 - Chair Carrying Points ................................... 18

Figure 17 - Restraints Prepared for Use.......................... 19

Figure 18 - Patient Secured ............................................. 19

Figure 19 - Attaching a One-Piece Restraint

Through the Backrest .................................... 20

Figure 20 - Threading a One-Piece Restraint

Through the Seat Panel ................................. 20

Figure 21 - Positioning the Pelvis Strap.......................... 20

Figure 22 - Attaching the Pelvis Strap Bracket ............... 20

Figure 23 - Attaching a Brackrest Strap Bracket

to a Mounting Post ........................................ 21

Figure 24 - Fitting the Retaining Plug ............................. 21

Figure 25 - Adjusting Restraint Length........................... 22

Figure 26 - Fitting the Harness ........................................ 22

Figure 27 - Adjusting the Shoulder Straps ...................... 22

Figure 28 - Patient Secured ............................................. 23

Figure 29 - Removing the Harness .................................. 23

Figure 30 - Attaching the Stretcher Top .......................... 25

Figure 31 - Stretcher Top Rollers

and Undercarriage Hooks ............................. 25

Figure 32 - Engaging the Quick Fix Lock ....................... 25

Figure 33 - Disengaging the Quick Fix Lock .................. 26

Figure 34 - Removing the Stretcher Top ......................... 26

Figure 35 - Raising the Stretcher..................................... 27

Figure 36 - Lowering the Stretcher ................................. 27

Figure 37 - Lowering by One Level ................................ 28

Figure 38 - Raising by One Level ................................... 28

Figure 39 - Placing Stretcher Top Near Patient .............. 29

Figure 40 - Placing Stretcher Near Patient ..................... 29

Figure 41 - Rolling the Stretcher ..................................... 30

Figure 42 - Increasing the Loading Height ..................... 30

Figure 43 - Preparing to Load the Stretcher.................... 31

Figure 44 - Head-End Legs Folded; Foot-End

Touch Bar in Contact with Bumper .............. 31

Figure 45 - Check That Foot-End Legs Lock ................. 32

Figure 46 - Check That Head-End Legs Lock ................ 32

Using Additional Help ..................................................... 33

Maintenance Table .......................................................... 34

Figure 47 - Tracker

Lubrication Diagrams ...................................................... 36

Serial Number Locations ................................................. 39

™

........................................................ 35

Ferno Model 50-E

1 - SAFETY INFORMATION

1.1 Warning

Warning notices indicate a potentially hazardous situation which, if not avoided, could result in injury. The following warnings appear in this manual.

WARNING

Untrained operators can cause injury or be injured. Permit only trained personnel to operate the stretcher.

Improper use of the stretcher can cause injury. Use the stretcher only for the purpose described in this manual.

Modifying the stretcher can cause unpredictable operation and injury. Do not alter or modify the stretcher to fit the ambulance.

Releasing the swivel locks increases the possibility for the stretcher to tip. Maintain control of the stretcher at all times.

Worn or damaged restraints can fail and cause injury. Inspect restraints regularly. Dispose of restraints that are worn, damaged, or have been involved in a vehicular accident.

Improper operation can cause injury. Operate the stretcher only as described in this manual.

An unattended patient can be injured. Stay with the patient at all times.

An unrestrained patient can fall off the stretcher and be injured. Use restraints to secure the patient on the stretcher.

An improperly attached stretcher top can separate from the undercarriage and cause injury. Attach the stretcher top only with the head end facing the undercarriage loading end.

An unlocked undercarriage can cause injury. Verify that each set of legs locks when unloading the stretcher.

Helpers can cause injury. Maintain control of the stretcher, operate the controls, and direct all helpers.

Helpers can be injured. Show helpers where to grasp the stretcher to avoid pinch points.

Improper maintenance can cause injury. Maintain the stretcher only as described in this manual.

Attaching improper items to the stretcher can cause injury. Use only Ferno-approved items on the stretcher.

Safety Information

WARNING

Improper parts and service can cause injury. Use only Ferno parts and Ferno-approved service on the stretcher.

Modifying the stretcher can cause injury and damage. Use the stretcher only as designed by Ferno.

1.2 Important

Important notices emphasize important usage or maintenance information.

Important

The stretcher top Safe Working Load (S.W.L.) is less than the S.W.L. for the system of stretcher top and undercarriage. Do not exceed the S.W.L. limits shown in this manual.

1.3 Bloodborne Disease Notice

To reduce the risk of exposure to bloodborne diseases such as HIV-1 and hepatitis when using the stretcher, follow the disinfecting and cleaning instructions in this manual.

1.4 Stretcher-Fastener Compatibility

For the purpose of the following notice, the 50-E and all Ferno stretchers are included under the generic term, cot:

Combining different manufacturer’s products into a “mixed-component” cot/cot fastener system can increase the users’ 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

Ferno Model 50-E

1.5 Safety and Instruction Labels

Safety and instruction labels place important information from the users’ manual on the stretcher. Read and follow label instructions. Replace worn or damaged labels immediately. New labels are available from your Ferno distributor (page 39). The following labels are affixed to the stretcher.

MODEL 50-E UNDERCARRIAGE LABELS

Pinch Point Label (2)

Head-End Control Label (1)

MODEL 155-E STRETCHER TOP LABELS

Identification Label - Head End (2)

Foot-End Control Label (1)

Identification Label - Foot End (2)

Quick Fix Lock Label (2)

Shock Position Release

Lever Label (2)

Backrest Control

Label (1)

Safe Working Load Information Label (1)

Ferno Model 50-E

2 - OPERATOR SKILLS AND TRAINING

2.1 Skills

Operators using the stretcher need:

a working knowledge of emergency patienthandling procedures.

the ability to assist the patient.

a complete understanding of the procedures described in this manual.

2.2 Training

Operator Skills and Training

WARNING

Untrained operators can cause injury or be injured. Permit only trained personnel to operate the stretcher.

Trainees need to:

follow a training program designed by their training officer.

read this manual. For additional free users’ manuals, contact your Ferno distributor (page 39).

practice with the stretcher before using it in regular service.

be tested on their understanding of the stretcher.

record their training information. A form is provided on page 40.

2.3 Clearance, Height, and Strength Considerations

Clearance

The Model 50-E is designed so that under normal conditions, the operator lifts only until the rear set of legs unfolds and locks.

However, if the ambulance is parked in a low area or on an incline, the operator (and any helpers) may need to lift the stretcher foot end off the ground to provide clearance for the foot-end legs to unfold completely and lock (see illustration above). When the legs have locked, set the stretcher on the ground.

After the head-end legs have unfolded, test that they have locked by pushing them gently against the ambulance

bumper. The legs should not fold. If they do, again lift the stretcher off the ground to allow clearance for the head-end legs to unfold completely and lock.

Be aware that supporting the weight of the stretcher, patient and equipment requires greater strength from a short operator than from a tall operator because a short operator must raise his or her arms higher in relation to the shoulders.

Note: Use additional help as needed when lifting the weight of the stretcher, patient, and equipment (see Using Additional Help, page 33).

About the Stretcher

Ferno Model 50-E

3 - ABOUT THE STRETCHER

3.1 Description

The Model 50-E Series Easy Load Stretcher is an emergency patient-handling device. Its components are a Model 155-E removable stretcher top and a Model 50-E undercarriage. In this manual, the system of stretcher top plus undercarriage will be referred to as the “stretcher.”

The stretcher is for use by trained operators. Ferno strongly recommends using two operators, even though the stretcher can be operated by one trained operator. The stretcher is designed for roll-in loading to help reduce the risk of back injury to medical service personnel.

STRETCHER TOP FEATURES

• Side rails

• Carrying handles

• 4 Positions (recumbent, 2 shock, and chair)

• Infinitely-adjustable gas-assist backrest

• Quick Fix lock

3.2 Vehicle Considerations

The ambulance patient compartment must have:

• A smooth, level floor large enough for the stretcher.

• An approved, installed Ferno stretcher fastener configured for use with the Model 50-E.

• Floor height at the specified dimension (see the

Loading Height on page 9).

If needed, modify the ambulance to fit the stretcher by adding ramps, a folding rear step, etc. Do not alter the stretcher or the stretcher operating procedures.

WARNING

Modifying the stretcher can cause unpredictable operation and injury. Do not alter or modify the stretcher to fit the ambulance.

UNDERCARRIAGE FEATURES

• 5 Level positions with multi-level positioning (can be locked into a different level at each end)

• Automatic head-end-leg safety lock touch bar

• Automatic foot-end-leg release touch bar

• 150 mm casters with swivel locks (head end)

• 125 mm casters with wheel locks (foot end)

• Loading wheels and intermediate loading wheels

WARNING

Improper use of the stretcher can cause injury. Use the stretcher only for the purpose described in this manual.

3.3 General Specifications

General specifications are rounded to the nearest whole number.

• Stretcher-top heights are measured from the ground with the stretcher top removed from the undercarriage.

• Stretcher heights are measured from the ground to the top of the stretcher top main frame.

• Weights do not include the mattress, restraints, equipment brackets, or accessories.

• Loading height is measured from the ground to the bottom of the front loading wheels.

Ferno reserves the right to change specifications without notice.

Ferno Model 50-E About the Stretcher

3.4 Component Specifications

155-E STRETCHER TOP (RECUMBENT POSITION)

Length (handles extended) .......................... 2360 mm

Length (handles retracted) .......................... 1960 mm

Width ............................................................. 560 mm

Height (top of side rail) ................................. 330 mm

Height (top of mattress) ................................ 230 mm

155-E STRETCHER TOP (SEATED POSITION)

Height (seat) .................................................. 580 mm

Height (back) ............................................... 1470 mm

Depth (at seat) ............................................... 710 mm

Weight ................................................................ 17 kg

Safe Working Load (S.W.L.) ........................... 159 kg

50-E UNDERCARRIAGE

Length .......................................................... 1980 mm

Width ............................................................. 560 mm

Weight ................................................................ 32 kg

159 kg S.W.L.

LOAD LIMIT

Important

The stretcher top Safe Working Load (S.W.L.) is less than the S.W.L. for the system of stretcher top and undercarriage. Do not exceed the S.W.L. limits shown in this manual.

STRETCHER TOP

SAFE WORKING LOAD

3.5 Combined Stretcher Specifications (Stretcher Top & Undercarriage)

Length .......................................................... 1980 mm

Width ............................................................. 560 mm

Loading height ............................................... 710 mm

Height

Position A ................................................ 855 mm

Position B ................................................ 762 mm

Position C ................................................ 645 mm

Position D ................................................ 427 mm

Folded ...................................................... 175 mm

Combined Weight .............................................. 49 kg

Safe Working Load (S.W.L.) ........................... 250 kg

SYSTEM

250 kg

SAFE WORKING LOAD

S.W.L.

(System = Undercarriage

LOAD LIMIT

plus Stretcher Top)

About the Stretcher

3.6 Stretcher Positions

Ferno Model 50-E

175 mm

855 mm

710 mm

Loading Height

762 mm

FOLDED

POSITION A:

ROLLING/LOADING

POSITION B:

TRANSFER

645 mm

POSITION C:

TRANSFER

POSITION D:

427 mm

TRANSFER

Ferno Model 50-E 50-E Undercarriage

4 - MODEL 50-E UNDERCARRIAGE

4.1 Components

FOOT END

Foot-End Leg

Override Handle

Loading or Foot-End

Lowering Handle

Tracker

Head-End Quick Fix

Lock Hook (4)

HEAD END

Head-End

Lowering Handle

Swivel Lock

Release Lever

Wheel (2)

Head-End Touch Bar

Intermediate

Loading Wheel (4)

5" Swivel Wheel

with Wheel Lock (2)

4.2 Touch Bars

The undercarriage has two touch-bar mechanisms (Figure 1) that automatically function as the stretcher is being loaded into an ambulance.

When the operator activates the foot-end control handle (page 13) to load the stretcher into the ambulance, the following events occur:

• The head-end touch bar is activated when it contacts the ambulance floor. It releases a secondary lock and allows the head-end legs to fold.

• The foot-end touch bar is activated when it contacts the ambulance bumper. It unlocks the foot-end legs.

For complete loading instructions, see page 31.

Foot-End

Touch Bar

Intermediate

Loading Wheel (2)

6" Swivel Wheel (2)

Head-End

Touch Bar

Foot-End

Touch Bar

Figure 1 - Touch Bars

Ferno Model 50-E50-E Undercarriage

4.3 Quick Fix Lock

The Quick Fix lock is a system of hooks that secures the stretcher top to the undercarriage. It is composed of:

• Undercarriage: 4 stationary hooks at the head end (Figure 2)

• Stretcher top: 2 stationary foot-end hooks and a lock bar with 2 hooks (Figure 3)

The six stationary hooks help hold the stretcher top on the undercarriage. The lock bar secures the two components together. Leave the lock bar disengaged when the stretcher top is not on the undercarriage.

USING THE LOCK BAR

The lock bar is located under the stretcher top and has two hooks that grasp the undercarriage main frame. It is engaged by moving it across the undercarriage from the patient left to the patient right.

OPERATOR ST ANDING ON PATIENT LEFT

Hooks

Figure 2 - Undercarriage Head-End Hooks

Foot-End Hook (2)

Lock Bar

To engage the lock bar (Figure 4):

1. Lift the lock lever (the hooks will drop down).

2. Push the lock bar hook across the stretcher.

3. Release the lock lever.

To disengage the lock bar:

1. Lift the lock lever.

2. Pull the lock bar hook toward yourself.

3. Release the lock lever (the hooks will swing up).

OPERATOR STANDING ON PATIENT RIGHT

To engage the lock bar:

1. Lift the lock lever (the hooks will drop down).

2. Pull the lock bar tab toward yourself.

3. Release the lock lever.

To disengage the lock bar:

Figure 3 - Lock Bar (Bottom of Stretcher Top)

Lock Lever

1. Lift the lock lever.

2. Push the lock bar tab toward the stretcher center.

3. Release the lock lever (the hooks will swing up).

Hook

Figure 4 - Engaging the Quick Fix Lock

Ferno Model 50-E 50-E Undercarriage

4.4 Position Control Handles

There are three control handles for lowering the stretcher or loading it into an ambulance. Do not use the control handles when raising the stretcher.

• To lower the stretcher head end, use the headend red control handle (Figure 5).

• To load the stretcher into an ambulance, use the foot-end red control handle.

Note: The foot-end red contr ol handle must be activated throughout the process of loading the stretcher into an ambulance. F or complete instructions, see Loading the

Stretcher Into an Ambulance, page 31.

• To lower the stretcher foot end, use both the yellow/black override handle and the foot-end control handle (Figure 6). The override handle bypasses the rear touch bar mechanism. Pull it and then pull the red control handle to lower the

foot end. See Raising/Lowering the Stretcher W ith T wo Operators, page 27 for complete instructions.

Figure 5 - Head-End Control Handle (Red)

4.5 Foot-End Caster Wheel Locks

The foot end casters are fitted with wheel locks designed to help keep the stretcher from rolling during patient transfer and certain medical procedures.

Stay with the stretcher and maintain control of it at all times. Do not use the wheel locks as a substitute for operator control.

To engage a wheel lock, press the lock lever down with your toe (Figure 7). To disengage, slide your toe under the lever and lift it up.

Override Handle

(Yellow/Black)

Figure 6 - Foot-End Control Handles

Figure 7 - Engaging a Wheel Lock

Lower/Load

Handle (Red)

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Ferno 50-E User Manual

Specifications and Main Features

Frequently Asked Questions

User Manual