Stryker MX-PRO R3 Operation & Maintenance Manual
MX-PRO® R3
6082
Operations/Maintenance Manual
2013/02 A.0 6082-209-001 REV A www.stryker.com
Table of Contents
Introduction .............................................................................6
Specifications ........................................................................6
Warning / Caution / Note Definition.........................................................7
Product Illustration ........................................................................8
Symbols and Definitions ....................................................................9
Warranty ..............................................................................10
Stryker EMS Return Policy ..............................................................11
Return Authorization...................................................................11
Damaged Merchandise ................................................................11
International Warranty Clause............................................................11
Patent Information ....................................................................11
Summary of Safety Precautions .............................................................12
Setup Procedures........................................................................14
Vehicle Safety Hook Selection ..............................................................15
Vehicle Safety Hook Installation .............................................................16
Vehicle Configuration..................................................................16
Required Hardware for Installation of the Safety Hook (Not Supplied) ..............................16
Front to Back Positioning of the Safety Hook ................................................17
Side to Side Positioning of the Safety Hook .................................................18
Installing the Safety Hook...............................................................18
Cot Positions ...........................................................................19
Cot Operations..........................................................................20
Using Patient Restraint Straps ...........................................................20
Pedi-Mate® Infant Restraint System Attachment Instructions (Optional Equipment) ....................22
Operating Guidelines ..................................................................24
Transferring the Patient to the Cot ........................................................24
Rolling the Cot ......................................................................24
Raising/Lowering the Cot ..............................................................24
Loading the Cot into a Vehicle with Two Operators ............................................25
Loading an Empty Cot into a Vehicle with One Operator ........................................26
Unloading The Cot From a Vehicle with Two Operators .........................................27
Unloading an Empty Cot From a Vehicle with One Operator .....................................27
Using Additional Assistance .............................................................28
Operating the Optional Wheel Lock(s) .....................................................29
Adjusting the Wheel Locking Force........................................................30
Changing the Cot Height with Two Operators ................................................31
Changing The Height of an Empty Cot With One Operator ......................................32
Adjusting the Leg Rest.................................................................33
Operating the Backrest ................................................................34
Operating the Siderails.................................................................34
Operating the Breakaway Head Section ....................................................35
Operating the Two-Stage I.V. Pole (Optional Equipment) ........................................36
Operating the Three-Stage I.V. Pole (Optional Equipment).......................................37
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Table of Contents
Cleaning...............................................................................38
Washing Limitations ...................................................................38
Removal of Iodine Compounds ...........................................................39
Preventative Maintenance ..................................................................40
Checklist ...........................................................................40
Base Lubrication .....................................................................41
Pneumatic Backrest Adjustment ..........................................................42
Maintenance Record......................................................................43
Training Record .........................................................................44
Cot Assembly ...........................................................................45
Base Assembly..........................................................................51
Wheel Assembly - 6060-002-010 ............................................................55
Base Pivot Outer Lift Tube Assembly - 6082-201-067..............................................56
Base Pivot Inner Lift Tube Assembly - 6082-001-069 ..............................................57
Lock Bar Assembly - 6082-005-056 ..........................................................58
Adjustable Caster Lock Assembly - 6082-200-010 ................................................59
Optional Single Wheel Lock Assembly - 6082-501-010.............................................60
Optional Dual Wheel Lock Assembly - 6082-502-010..............................................60
No Wheel Lock Option ....................................................................61
Dual Diagonal Wheel Lock Option............................................................61
Four Wheel Lock Option...................................................................61
Caster Horn Assembly ....................................................................62
Litter/Base Adapter Assembly, Right - 6082-205-050 ..............................................63
Litter/Base Adapter Assembly, Left - 6082-205-053 ...............................................64
Litter Assembly..........................................................................65
Siderail Assembly - 6082-026-010............................................................72
Optional Lift Tube Assembly, Left Side Release - 6082-140-059 ......................................73
Optional Lift Tube Assembly, Right Side Release - 6082-140-060 .....................................75
Release Handle Assembly, Left - 6082-040-061 .................................................77
Release Handle Assembly, Right - 6082-040-062 ................................................78
Breakaway Head Assembly .................................................................79
Optional Two-Stage I.V. Pole Assembly, Right - 6080-210-010
Optional Three-Stage I.V. Pole Assembly, Right - 6080-215-010 ......................................84
Optional Two-Stage I.V. Pole Assembly, Right - 6080-210-020 .......................................85
Optional Three-Stage I.V. Pole Assembly, Right - 6080-215-020 ......................................86
Optional Two-Stage I.V. Pole Assembly, Left - 6080-211-010
Optional Three-Stage I.V. Pole Assembly, Left - 6080-216-010 .......................................87
Optional Two-Stage I.V. Pole Assembly, Left - 6080-211-020 ........................................88
Optional Three-Stage I.V. Pole Assembly, Left - 6080-216-020.......................................89
Optional Two-Stage I.V. Pole Assembly - 6070-210-070 ............................................90
Optional Three-Stage I.V. Pole Assembly - 6070-215-070...........................................91
Optional Three-Stage I.V. Pole Assembly - 6070-115-030 ...........................................92
Patient Right Assembly, No I.V. Pole Option - 6080-212-010 .........................................93
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Table of Contents
Patient Left Assembly, No I.V. Pole Option - 6080-213-010..........................................94
Optional Oxygen Bottle Holder, Removable - 6080-140-000 .........................................95
Optional Oxygen Bottle Holder, Foot End - 6070-140-000 ..........................................96
Optional Oxygen Bottle Holder Tray Assembly, Foot End - 6060-140-020 ...............................97
Optional Oxygen Bottle Holder, Head End - 6082-140-000 .........................................98
Optional Oxygen Bottle Holder Tray Assembly, Head End - 6082-140-040 ..............................99
Optional Pull Handle Assembly - 6080-155-000 .................................................100
Optional Base Lift Bar Assembly - 6080-157-010 ................................................10 1
Optional Base Storage Tray Assembly - 6082-150-015............................................102
Optional X-Frame Guard Assembly (Pair) - 6080-145-000 .........................................103
Optional Pedi-Mate Restraint Assembly - 6080-300-010 ..........................................104
Optional Retaining Post, Right - 6082-200-000 .................................................105
Optional Retaining Post, Dual - 6082-190-000 ..................................................106
Optional Storage Tray, Head End - 6082-128-000 ...............................................107
Optional Tray Assembly, Head End - 6082-128-020 ..............................................10 8
Optional Head Extension Kit Assembly - 6100-044-000 ...........................................109
Optional Head Extension Assembly - 6100-044-012 ..............................................1 10
Base Storage Net - 6080-150-010 ...........................................................111
Optional Backrest Pouch Assembly - 6500-130-000..............................................1 12
Optional Defibrillator Platform Assembly - 6082-170-000 .......................................... 1 13
Optional Equipment Hook - 6500-147-000 .....................................................114
Transfer Flat - 6005-001-001 ..............................................................1 15
Standard Restraint Strap Package - 6082-260-010 ..............................................116
Chest Restraint - 6060-260-046 ............................................................116
Optional Restraint Extender, 3’ - 6082-160-050 .................................................117
Optional Head End Storage Pouch - 6082-128-010/6082-128-012....................................118
Optional Accessory Strap Assembly - 6082-160-052 .............................................1 18
Bolster Mattress - 6090-041-010 ............................................................119
Flat Mattress - 6090-042-010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
Safety Hook, Short - 6060-036-017/Safety Hook, Long - 6060-036-018/Safety Hook, J - 6092-036-018 .......121
Quick Reference Replacement Part List ......................................................122
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Introduction
This manual is designed to assist you with the operation and maintenance of the MX-PRO® R3 Ambulance Cot. Read
it thoroughly before using the equipment or beginning any maintenance on it.
SPECIFICATIONS
Maximum Cot Load Capacity 650 pounds 294,8 kg
Overall Length/Minimum Length/Width 80.5" / 62" / 23" 204,5 cm /
157,5 cm / 58,4 cm
1
Height
See page 19 for positions. Position 2 21.0” 53,3 cm
2
Weight
Caster Diameter/Width 6" / 2" 15,2 cm / 5,1 cm
Backrest Articulation/Shock Position 2° to 73° / +14°
Minimum Operators Required for Loading/
Unloading an Occupied Cot
Recommended Fastener Systems Model 6370/6377/6378 Floor Mount Type
Recommended Floor Height
3
Roll-In Style Yes
Single Wheel Lock / Double Wheel Lock Optional
Position 1 13. 5" 34,3 cm
Position 3 25.5” 64,8 cm
Position 4 29.0” 73,7 cm
Position 5 32.0” 81,3 cm
Position 6 35.0” 88,9 cm
Position 7 37.5 ” 95,3 cm
81 pounds 37,7 kg
2
Model 6371 Wall Mount Type
Up to 32" 81,3 cm
1
Height measured from bottom of mattress at seat section to ground level.
2
Cot is weighed without mattress and restraints.
3
Cot may be loaded from any height and a height limiting kit (p/n 6060-202) is available to limit the load height of the cot.
Stryker reserves the right to change specifications without notice.
The MX-PRO is designed to conform to the Federal Specification the Star-of-Life Ambulance KKK-A-1822-F.
The yellow and black color scheme is a proprietary trademark of Stryker Corporation.
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Introduction
WARNING / CAUTION / NOTE DEFINITION
The words WARNING, CAUTION and NOTE carry special meanings and should be carefully reviewed.
WARNING
Alerts the reader about a situation which, if not avoided, could result in death or serious injury. It may also describe
potential serious adverse reactions and safety hazards.
CAUTION
Alerts the reader of a potentially hazardous situation which, if not avoided, may result in minor or moderate injury to the
user or patient or damage to the equipment or other property. This includes special care necessary for the safe and
effective use of the device and the care necessary to avoid damage to a device that may occur as a result of use or
misuse.
NOTE
Provides special information to make maintenance easier or important instructions clearer.
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Product Illustration
Height Adjustment
Release Handle
(1 of 3)
Foot Rest
Backrest (Head Section)
Siderail Release Handles
Breakaway
Head Section
Release Bar
Backrest Adjustment
Release Handle
HEAD END
Breakaway
Head Section
Safety Bar
Release
Lever
Loading Wheels
(1 of 2)
Lifting Bar
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Foot Rest
Release
Handle
Transport Wheels
J Safety Hook
Stryker part number
6092−036−018
Wheel Lock
(Optional)
Figure 2 − 6082 MX−PRO R3 Cot
Long Safety Hook
Stryker part number
6060−036−018
Transport Wheels
Short Safety Hook
Stryker part number
6060−036−017
Symbols and Definitions
Warning, consult accompanying documentation
Safe Working Load Symbol
Manufacturer
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Warranty
Stryker EMS, a division of the Stryker Corporation, offers two distinct warranty options in the United States:
One (1) year parts and labor. Under this option, Stryker EMS warrants to the original purchaser that its products
should be free from manufacturing non-conformances that affect product performance and customer satisfaction for
a period of one (1) year after date of delivery. Stryker’s obligation under this warranty is expressly limited to supplying
replacement parts and labor for, or replacing, at its option, any product that is, in the sole discretion of Stryker, found
to be defective.
Two (2) year parts. Under this option, Stryker EMS warrants to the original purchaser that non-expendable components
of its products should be free from manufacturing non-conformances that affect product performance and
customer satisfaction for a period of two (2) years after date of delivery. Stryker’s obligation under this warranty
as expressly limited to supplying replacement parts for, or replacing, at its option, any product which is, in the sole
discretion of Stryker, found to be defective. Expendable components, i.e. mattresses, restraints, I.V. poles, storage
nets, storage pouches, oxygen straps, and other soft goods, have a one (1) year limited warranty with this option.
Under either warranty option, Stryker EMS products are designed for a 5 year expected service life under normal use,
conditions, and with appropriate periodic maintenance as described in the maintenance manual for each device. Stryker
warrants to the original purchaser that the welds on its EMS products will be free from structural defects for the expected
5 year life of the EMS product as long as the original purchaser owns the product. Original purchasers will also obtain a
three (3) year limited parts warranty for the X-frame components of the MX-PRO R3 stretcher provided they also purchase
X-frame guards at the time of the original purchase and the guards are installed on the MX-PRO before it is put into service.
If Stryker requests, products or parts for which an original purchaser makes a warranty claim, the purchaser shall
return the product or part prepaid freight to Stryker’s factory.
Any improper use or alteration or repair by unauthorized service providers in such a manner as in Stryker’s judgment
affects the product materially and adversely, shall void this warranty. Any repair of Stryker products using parts not
provided or authorized by Stryker shall void this warranty. No employee or representative of Stryker is authorized to
change this warranty in any way.
This statement constitutes Stryker EMS’s entire warranty with respect to the aforesaid equipment. STRYKER MAKES NO
OTHER WARRAN TY OR REPRESENTATION EITHER EX PRESSED OR IMPLIED, EXCEPT AS SET FORTH H EREIN. THERE
IS NO WARRANTY OF MERCHANTABILITY AND THERE ARE NO WARRANTIES OF FITNESS FOR ANY PARTICULAR
PURPOSE. IN NO EVENT SHALL STRYKER BE LIABLE HEREUNDER FOR INCIDENTAL OR CONSEQUENTIAL
DAMAGES ARISING FROM OR IN ANY MANNER RELATED TO SALES OR USE OF ANY SUCH EQUIPMENT.
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Warranty
STRYKER EMS RETURN POLICY
Cots, Stair Chairs, Evacuation Chairs, Cot Fasteners and Aftermarket Accessories may be returned up to 180 days of
receipt if they meet the following guidelines:
Prior to 30 Days
• 30daymoneybackguaranteeineffect
• StrykerEMSisresponsibleforallcharges
• Returnswillnotbeapprovedonmodifieditems
Prior to 90 Days
• Productmustbeunused, undamaged and in the original packaging
• Customerisresponsiblefora10%restockingfee
Prior to 180 Days
• Productmustbeunused, undamaged and in the original packaging
• Customerisresponsiblefora25%restockingfee
RETURN AUTHORIZATION
Merchandise cannot be returned without approval from the Stryker Customer Service Department. An authorization
number will be provided which must be printed on the returned merchandise. Stryker reserves the right to charge
shipping and restocking fees on returned items.
SPECIAL, MODIFIED, OR DISCONTINUED ITEMS NOT SUBJECT TO RETURN.
DAMAGED MERCHANDISE
ICC Regulations require that claims for damaged merchandise must be made with the carrier within fifteen (15)
days of receipt of merchandise. DO NOT ACCEPT DAMAGED SHIPMENTS UNLESS SUCH DAMAGE IS NOTED
ON THE DELIVERY RECEIPT AT THE TIME OF RECEIPT. Upon prompt notification, Stryker will file a freight claim
with the appropriate carrier for damages incurred. Claim will be limited in amount to the actual replacement cost. In
the event that this information is not received by Stryker within the fifteen (15) day period following the delivery of
the merchandise, or the damage was not noted on the delivery receipt at the time of receipt, the customer will be
responsible for payment of the original invoice in full.
Claims for any short shipment must be made within thirty (30) days of invoice.
INTERNATIONAL WARRANTY CLAUSE
This warranty reflects U.S. domestic policy. Warranty outside the U.S. may vary by country. Please contact your local
Stryker Medical representative for additional information.
PATENT INFORMATION
The Stryker MX-PRO R3 cot is covered by one or more of the following patents:
United States 5,537,700 5,575,026 6, 908,133 7,100 , 224
Other patents pending
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Summary of Safety Precautions
The following is a list of safety precautions that must be observed when operating or servicing this unit. The precautions
are repeated throughout the manual, where applicable. Carefully read this list before using or servicing the unit.
WARNING
• Improper usage of the cot can cause injury to the patient or operator. Operate the cot only as described in this
manual.
• Install the safety hook at least 1/8 inch from the edge of the rear ambulance door. After installation, verify the cot
legs lock into the load position without contacting the ambulance bumper.
• Have the vehicle safety hook installed by a certified mechanic. Improper safety hook installation can result in
injury to the patient or operator or damage to the unit.
• Failure to install the vehicle safety hook can result in injury to the patient or operator. Install and use the safety
hook as described in this manual.
• To avoid injury, verify the safety bar has engaged the safety hook before removing the cot from the patient
compartment.
• Always use all restraint straps to secure the patient on the cot. An unrestrained patient may fall from the cot and
be injured.
• To avoid accidental release of the Pedi−Mate™, and possible injury to the infant, ensure the buckle is located away
from obstructions on the cot or head end storage pouch.
• Siderails are not intended to serve as a patient restraint device. See page 20 for proper restraint strap usage.
Failure to utilize the siderails properly could result in patient injury.
• Never leave a patient unattended on the cot or injury could result. Hold the cot securely while a patient is on the
cot.
• Never apply the optional wheel lock(s) while a patient is on the cot. Tipping could occur if the cot is moved while
wheel locks are applied, resulting in injury to the patient or operator and/or damage to the cot.
• Wheel locks are only intended to help prevent the cot from rolling while unattended. Wheel locks may not provide
sufficient resistance on all surfaces or under loads.
• Never install or use wheel locks on a cot with excessively worn wheels. Installing or using wheel locks on wheels
with less than a 6” diameter could compromise the holding ability of the wheel lock, resulting in injury to the patient
or operator and/or damage to the cot or other equipment.
• Be sure the undercarriage has engaged and locked before removing the loading wheels from the patient
compartment floor of the vehicle. An unlocked undercarriage will not support the cot and injury to the patient and/
or operator could result.
• Grasping the cot improperly can cause injury. Grasp only the lifting bars to lift the cot. Keep hands, fingers and
feet away from moving parts. To avoid injury, use extreme caution when placing your feet near the base tubes
while raising and lowering the cot.
• Do not pull or lift on the safety bar when unloading the cot. Damage to the safety bar could result and injury to
the patient or operator could occur.
• The one person loading and unloading procedures are for use only with an empty cot. Do not use the procedures
when unloading a patient. Injury to the patient or operator could result.
• The cot must have at least 5/8” of clearance between the ambulance bumper and the cot to disengage the safety
bar when unloading the cot from the ambulance. Verify the cot legs lock into the load position before disengaging
the safety bar from the safety hook. Failure to properly lock the cot into position can cause injury to the patient or
operator and/or damage to the cot.
• Do not allow untrained helpers to assist in the operation of the cot. Untrained technicians/helpers can cause injury
to the patient or themselves.
• When the optional head end storage pouch is being used, ensure it does not interfere with the operation of the
safety bar and safety hook. Injury to the patient or operator could occur.
• Use any appropriate personal safety equipment (goggles, respirator, etc.) to avoid the risk of inhaling contagion.
Use of power washing equipment can aerate contamination collected during the use of the cot.
• Do not ride on the base of the cot. Damage to the cot could occur, resulting in injury to the patient or operator.
• Failure to properly clean or dispose of contaminated mattress or cot components will increase the risk of exposure
to bloodborne pathogens and may cause injury to the patient or the operator.
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Summary of Safety Precautions
WARNING (CONTINUED)
• Do not modify the cot. Modifying the cot can cause unpredictable operation resulting in injury to the patient or
operator. Modifying the cot will also void its warranty.
• Operating the cot with the breakaway head section lowered may cause injury to the patient or operator or damage
to the cot. Use only positions 5−7 (see page 19) when using this configuration.
• High obstacles such as curbing, steps or rough terrain can cause the cot to tip, possibly causing injury to the patient
or operator. Transporting the cot in lower positions reduces the potential of a cot tip. If possible, obtain assistance
or take an alternate route.
CAUTION
• Height limit kit is recommended for ambulance deck heights less than 30 inches (76 cm) − Stryker part number
6060−202−000.
• Damage to the cot can occur if the cot is lowered in the shortened position. Use only positions 5−7 (see page
19) when the cot is shortened.
• Do not allow the cot undercarriage to drop unassisted (commonly known as a “hot drop”) when removing the cot
from the vehicle. Repeated hot dropping will cause premature wear or damage to the cot.
• Do not store items under the cot mattress. Storing items under the mattress can interfere with the operation of
the cot.
• The weight of the I.V. bags or equipment must not exceed 40 pounds.
• Improper maintenance can cause injury or damage to the unit. Maintain the cot as described in this manual. Use
only Stryker approved parts and maintenance procedures. Using unapproved parts and procedures could cause
unpredictable operation and/or injury and will void the product warranty.
• The weight of the monitoring equipment must not exceed 75 pounds (34 kg) with the defibrillator platform (if
equipped). Monitoring equipment should not be stored on the cot or on the defibrillator platform when in the
ambulance vehicle.
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Setup Procedures
Unpack the cartons and check all items for proper operation. It is important that the cot is working properly before it
is put into service. Have a qualified service person use the following list and the operation instructions to check the
cot before it is put into service.
Note: Ensure that all shipping and packaging materials have been removed from the product(s) prior to use.
• All fasteners secure (reference all assembly drawings)
• All welds intact, not cracked or broken
• No bent or broken tubing or sheet metal
• No debris in wheels
• All wheels secure, rolling and swivelling properly
• Siderails move and latch properly
• Backrest operating properly
• Optional accessories intact and operating properly
• Height positioning latch functioning properly
• Cot secure in each height position
• Undercarriage folds properly
• Breakaway head section operating properly
• Safety bar operating properly
• Foot rest operating properly
• No rips or cracks in mattress cover
• Body restraints intact and working properly
• Wheel lock(s) operating properly (optional equipment)
• Does the vehicle safety hook engage the safety bar so that the cot loads and unloads easily from the vehicle?
• Is there an approved crash−stable fastener (Stryker part number 6370/6377/6378 or 6371 − not included) installed
in the vehicle?
The patient compartment of the vehicle in which the Cot will be used must have:
• A smooth rear edge for cot loading.
• A level floor large enough for the folded cot.
• Stryker 6370/6377/6378/6379 or 6371 crash stable cot fastener (not included).
• 32” (81 cm.) maximum loading height.
• Space to install the safety hook.
When necessary, modify the vehicle to fit the cot. Do not modify the cot.
WARNING
Do not modify the cot. Modifying the cot can cause unpredictable operation resulting in injury to the patient or operator.
Modifying the cot will also void its warranty (see page 10).
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Vehicle Safety Hook Selection
The vehicle safety hook is a device that ships with the cot. The cot safety bar and vehicle safety hook are designed
to keep the cot from being accidentally removed from the vehicle and to provide increased operator assurance and
confidence when loading and unloading. The safety hook was designed for compatibility and proper operation when
loading and unloading the cot from a vehicle that is compliant with Federal Regulation KKK-A-1822.
Stryker offers three different types of safety hooks that are ordered and shipped with your ambulance cot. These
safety hook types are designed to meet the needs of various emergency vehicle configurations, specifically the length
and location of the floor structure support that is located in the rear of the vehicle.
Consider the following information when selecting
which safety hook is appropriate for your vehicle
configuration:
• Determine the location of the floor structure
support where there is adequate room to mount
the safety hook.
• Ensure that the safety hook can be securely
mounted into the back of the vehicle while
providing adequate bumper clearance to allow the
cot to be loaded and unloaded from the vehicle.
• Note the differences in vehicle design. Each safety
hook provides a different mounting location option
to maintain the appropriate distance between the
face of the safety hook and the edge of the door
sill.
Long Safety Hook
6060-036-018
Short Safety Hook
6060-036-017
J-Style Safety Hook
6092-036-018
Due to the differences in vehicle dimensions and the
floor structure support locations, each safety hook
requires a different mounting location. See “Vehicle
Safety Hook Installation” to determine the correct
positioning for safety hook installation.
Safety Hook Types
Note: When replacing an existing safety hook with a new style, adjust the mounting location to maintain the proper
position of the safety hook face.
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Vehicle Safety Hook Installation
VEHICLE CONFIGURATION
According to federal regulations (reference KKK-A-1822), the bumper height of the vehicle shall be installed equidistant
± 5 cm (2 inches) from the vehicle floor to the ground level, which is defined as the vehicle deck height. The bumper
step shall have a minimum depth of 13 cm (5 inches) and a maximum depth of 25 cm (10 inches). If the bumper depth
is greater than 18 cm (7 inches), then the bumper must be able to fold. Installation of the safety hook into any vehicle
compliant with this federal specification provides adequate clearance for the cot base to lower to its fully extended
position. The cot is compatible with all vehicle deck heights (see specifications for maximum load height) as long as
the vehicle meets the federal specifications that are outlined in KKK-A-1822.
Sill Edge
Sill
DH
2
2
Vehicle Deck Height
Safety Hook
Vehicle Deck Height
CAUTION
• Set the cot load height to the proper stop height prior to operation.
• Installation of the safety hook should be done by a certified mechanic familiar with ambulance vehicle construction.
Consult the vehicle manufacturer before installing the safety hook and be sure that the installation of the safety hook
does not damage or interfere with the brake lines, oxygen lines, fuel lines, fuel tank or electrical wiring of the vehicle.
REQUIRED HARDWARE FOR INSTALLATION OF THE SAFETY HOOK (NOT SUPPLIED)
(2) Grade 5, 1/4”-20 Socket Head Cap Screws*
(2) Grade 5, 1/4”-20 Flat Socket Head Cap Screws*
(2) Flat Washers
(2) Lock Washers
(2) 1/4”-20 Nuts
* The length of the socket head cap screws depends on the thickness of the vehicle floor. Use screws that are long
enough to go completely through the patient compartment floor, washer and nut by at least two full threads.
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Vehicle Safety Hook Installation
WARNING
• Have the vehicle safety hook installed by a certified mechanic. Improper safety hook installation can cause injury
to the patient or operator and/or damage to the cot.
• Failure to install the safety hook can cause injury to the patient or operator.
• The face of the safety hook that engages the safety bar should be located at least 3-3/4” from the leading edge
of the door sill. After installation, verify that the cot legs lock into the load position without contacting the vehicle
bumper.
• To avoid injury, verify that the safety bar has engaged the safety hook before removing the cot from the patient
compartment.
Note: Stryker recommends that, prior to installation, the certified mechanic plan the placement of the safety hook in
the rear of the vehicle.
Before installing the safety hook into your vehicle, check the front to back and side to side positioning when unloading
and loading the cot to ensure that the safety hook will be installed properly. The cot safety bar must engage the safety
hook every time, regardless of cot position.
FRONT TO BACK POSITIONING OF THE SAFETY HOOK
1. Select the appropriate safety hook for your vehicle configuration.
2. Position the safety hook at least 3-3/4” from the leading edge of the door sill.
3. Ensure that the safety hook can be securely mounted into the back of the vehicle while providing adequate bumper
clearance to allow the cot to be loaded and unloaded from the vehicle.
4. See “Side to Side Positioning of the Safety Hook” to confirm the side to side placement.
Long Safety Hook
6060-036-018
Short Safety Hook
6060-036-017
J-Style Safety Hook
6092-036-018
Safety Hook Placement
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Vehicle Safety Hook Installation
SIDE TO SIDE POSITIONING OF THE SAFETY HOOK
1. Remove the cot from the fastener and unload it from the vehicle.
2. While the cot is being removed, note the position of the load wheels and the safety bar.
3. Mark the center of the cot safety bar on the vehicle floor.
4. Verify that the position marked in Step 3 is where the safety bar engages the safety hook every time when
unloading the cot in a variety of positions (all the way to the left and all the way to the right), regardless of cot
position.
• If the cot safety bar does not engage the safety hook in any of these positions (left, center, or right), modify
the vehicle, not the cot or safety hook.
• If the cot safety bar engages the safety hook every time, install the safety hook.
INSTALLING THE SAFETY HOOK
1. Determine the correct safety hook front to back and side to side positioning, so the cot safety bar engages the
safety hook every time.
2. Drill the holes for the socket head cap screws.
3. Fasten the safety hook to the patient compartment floor and verify that the safety hook always engages the cot
safety bar regardless of how the cot is unloaded from the vehicle.
WARNING
Verify that the safety hook always engages the cot safety bar regardless of how the cot is unloaded from the vehicle or
injury to the patient or operator and/or damage to the cot may occur.
Top View of Vehicle
Bumper
Squad Bench
Safety Hook
Floor Edge
Safety Bar Engaging Safety Hook
Safety Bar
Safety Hook
Door Frame
Safety Hook Placement
(For Reference Only)
WARNING
The cot must have at least 5/8” of clearance between the vehicle bumper and the cot to disengage the safety bar when
unloading the cot from the vehicle. Verify that the cot legs lock into the load position before disengaging the safety bar
from the safety hook. Failure to properly lock the cot into position can cause injury to the patient or operator and/or
damage to the cot.
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Cot Positions
Position 1 - Use for patient transfer.
Position 2 - Use for patient transfer/cot rolling.
Position 6 - Use for patient transfer/cot rolling.
Position 3 - Use for patient transfer/cot rolling.
Position 4 - Use for patient transfer/cot rolling.
Position 5 - Use for patient transfer/cot rolling.
Position 7 - Use for patient transfer/cot rolling.
WARNING - Operating the cot with the breakaway
head section lowered may cause injury to the
patient or operator or damage to the cot. Use only
positions 5-7 when using this configuration.
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Cot Operations
USING PATIENT RESTRAINT STRAPS
WARNING
Always use all restraint straps to secure the patient on the cot. An
unrestrained patient may fall from the cot and be injured.
Figure 6 - Safety Restraints
Always secure the patient on the cot with all the restraint straps. Buckle
the restraints across the patient’s chest/shoulders, waist and legs as
shown in Figure 6. Keep the restraint straps buckled when the cot is not
being used with a patient to avoid damage to the buckles and straps.
When attaching the restraint straps to the cot, keep in mind the
attachment points should provide strong anchorage and proper restraint
position while not interfering with equipment and accessories. Wrap
the strap around the cot frame and back through the loop on the end
of the strap as shown in Figures 7 and 8. The arrows indicate alternate
attachment areas.
Figure 7 - Back Rest Restraints
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Figure 8 - Foot Section Restraints
Cot Operations
USING PATIENT RESTRAINT STRAPS (CONTINUED)
When the cot is put into service, the restraints are
opened and placed to either side of the cot until
the patient is positioned on the cot mattress. The
restraint is lengthened, buckled around the patient
and shortened until the required tightness is achieved.
To Open the Safety Restraint:
• Press the red button (A) on the front of the buckle
”receiver”. This releases the buckle tang” (B)
which can then be pulled out of the receiver as
shown in Figure 9.
To Close the Safety Restraint:
• Push the tang into the receiver until a ”click” is
heard. When fastening the chest restraint, be
sure the tang passes through both links (C) on
the shoulder strap as shown in Figure 9.
To Lengthen the Safety Restraint:
• Grasp the buckle tang, turn it at an angle to the
webbing, then pull it out as shown in Figure 10. A
hemmed tab at the end of the webbing prevents
the tang from coming off the strap.
To Shorten the Safety Restraint:
• Grasp the hemmed tab and pull the webbing back
through the tang until the required tightness is
achieved as shown in Figure 11.
Note:
• Whenever a restraint is buckled on a patient, the
attendant should check to be sure the tang is
fully engaged and that the extra webbing is not
tangled in the cot or hanging loose.
• Inspection of the restraints should be done at
least once a month (more frequently if used
heavily). Inspection should include checking for
a bent or broken receiver or tang, torn or frayed
webbing, etc. Any restraint showing wear or not
operating properly must be replaced immediately.
C
C
A
B
Figure 9 - Buckling the Safety Restraints
Figure 10 - Lengthening the Safety Restraint
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Figure 11 -
Shortening the Safety
Restraint
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Cot Operations
PEDI-MATE® INFANT RESTRAINT SYSTEM ATTACHMENT INSTRUCTIONS (OPTIONAL EQUIPMENT)
Refer to the Pedi-Mate® users manual for the manufacturer’s recommendations for the use, operation and care of the
Pedi-Mate® Infant Restraint System.
Securing the Pedi-Mate® to the cot:
1. Remove any restraints already attached to the cot.
2. Raise the cot backrest to the full upright position.
3. Position the Pedi-Mate® pad flat on the backrest with the black backrest straps out (see Figure 12).
Figure 12 - Positioning the Pedi-Mate®
4. Wrap the straps around the backrest and insert the ends of the straps through the brackets. Securely fasten the
buckle (see Figure 13).
Figure 13 - Fastening the Pedi-Mate® Buckle
WARNING
To avoid accidental release of the Pedi-Mate®, and possible injury to the infant, ensure the buckle is located away from
obstructions on the cot or head end storage pouch.
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Cot Operations
PEDI-MATE® INFANT RESTRAINT SYSTEM ATTACHMENT INSTRUCTIONS (CONTINUED)
5. Pull firmly on the end of the adjustable backrest strap and tighten it securely.
6. Insert the mainframe straps between the cot frame and the mattress. To ensure the release button is toward
the foot end of the cot, insert the buckle behind the litter crossbrace and bring it up in front of the crossbrace.
Secure the buckle around the crossbrace, leaving a little slack in the strap for final adjustment (see Figure 14).
Figure 14 - Securing the Safety Restraints on a Cot
WARNING
To avoid accidental release of the Pedi-Mate®, and possible injury to the infant, ensure the buckle is located away from
obstructions on the cot.
7. Verify all the straps are snug and fastened securely (see Figure 15).
Figure 15- Pedi-Mate® Strapped to a Cot
Note:
• These are general instructions for installation of the Pedi-Mate®. Safe and proper use of the Pedi-Mate® is solely
at the discretion of the user. Stryker recommends all users be trained on the proper use of the Pedi-Mate® before
using it in an actual situation.
• Retain these instructions for future reference. Include them with the product in the event of transfer to new users.
• Pedi-Mate® is a trademark of Ferno-Washington Inc.
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Cot Operations
OPERATING GUIDELINES
• Use the cot only as described in this manual.
• Read all labels and instructions on the cot before using the cot.
• Use a minimum of two operators to manipulate the cot while a patient is on the cot.
• Do not adjust, roll or load the cot without advising the patient. Stay with the patient and control the cot at all times.
• Never apply the optional wheel lock while a patient is on the cot.
• Always use the restraint straps and keep the siderails up when a patient is on the cot.
• Use properly trained helpers when necessary to control the cot and patient.
TRANSFERRING THE PATIENT TO THE COT
1 Roll the cot to the patient.
2 Place the cot beside the patient and raise/lower the cot to the patient’s level.
3 Lower the siderails and open the restraint straps.
4 Transfer the patient to the cot using accepted EMS procedures.
5 Use all the restraints to secure the patient to the cot (see page 20 for restraint strap usage instructions).
6 Raise the siderails and adjust the backrest and leg rest as necessary.
WARNING
• Always use all restraint straps to secure the patient on the cot. An unrestrained patient may fall from the cot and
be injured.
• Never apply the optional wheel lock while a patient is on the cot. Tipping could occur if the cot is moved while the
wheel lock is applied, resulting in injury to the patient or operator and/or damage to the cot.
ROLLING THE COT
1. Make sure all the restraint straps are securely buckled around the patient (see page 20 for restraint strap usage
instructions).
2. Place the cot in positions 2−7 for rolling (see page 19 for cot positions).
3. When rolling the cot, position an operator at the foot end and one at the head end at all times.
Note:
• Loose items or debris on the patient compartment floor can interfere with the operation of the safety hook and cot
fastener. Keep the patient compartment floor clear.
• The cot can be loaded with the siderails down only if the restraint belts are properly buckled around the patient.
WARNING
Operating the cot with the breakaway head section lowered may cause injury to the patient or operator or damage to the
cot. Use only positions 5−7 (see page 19) when using this configuration.
RAISING/LOWERING THE COT
1. Both users must lift weight up off the base.
2. The user at the foot end must pull the release handle.
3. Both users must lower the cot to the ground or raise the cot up.
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Cot Operations
LOADING THE COT INTO A VEHICLE WITH TWO OPERATORS
When loading the cot into a vehicle, an operator should
remember the following important issues:
• Two operators must be present when the cot is occupied.
• There must be a safety hook properly installed in the
vehicle so that the bumper does not interfere with the front
legs of the base frame. (See for safety hook installation
instructions.)
• Operators must be able to lift the total weight of the
patient, cot and any items on the cot.
• The higher an operator must lift the cot, the more difficult
it becomes to hold the weight. An operator may need help
loading the cot if he/she is too short or if the patient is too
heavy to lift safely. The operator must be able to lift the
cot high enough for the cot’s legs to unfold completely and
lock when the cot is unloaded. A shorter operator will have
to raise his/her arms higher to enable the undercarriage
to unfold.
Figure 16 - Safety Bar Engaging Safety Hook
WARNING
Failure to use the safety hook can result in injury. Install and use
the hook as described in this manual.
1. Place the cot in a loading position (any position where
the loading wheels meet the vehicle floor height). Roll the
cot to the open door of the patient compartment. Lift the
vehicle bumper to the raised position (if possible).
2. Push the cot forward until the loading wheels are on the
patient compartment floor and the safety bar passes the
safety hook as shown in Figure 16.
3. For maximum clearance to lift the base, pull the cot back
until the safety bar engages the safety hook. Operator two
should verify that the bar engages the safety hook.
4. Operator 1 − Grasp the cot frame at the foot end. Lift
the foot end of the cot until the weight is off the latching
mechanism. Squeeze and hold the release handle
(location A or B).
5. Operator 2 − Stabilize the cot by placing your hand on
the outer rail (location C). Grasp the base frame where
indicated (location D). After the foot end operator has
lifted the cot and squeezed the release handle, raise the
undercarriage until it stops in the uppermost position and
hold it there (Figure 17).
6. Both Operators − Push the cot into the patient compartment
(Figure 18), engaging the cot fastener (not included).
Figure 17 - 2 Operators - One Lifting the Base
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Figure 18 - 2 Operators - Base Full Up
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Cot Operations
LOADING AN EMPTY COT INTO A VEHICLE WITH ONE OPERATOR
WARNING
This procedure is for use only with an empty cot. Do not use
this procedure when loading a patient. Injury to the patient and/
or operator could result.
1. Place the cot in a loading position (any position in which
the load wheels meet the vehicle floor height – see page
19).
2. Roll the cot to the open door of the patient compartment.
3. Lift the vehicle bumper to the raised position (if possible).
4. Push the cot forward until the loading wheels are on the
compartment floor and the safety bar passes the safety
hook.
5. Pull the cot back until the safety bar engages the safety
hook.
6. Grasp the cot frame at the foot end and squeeze and hold
the release handle (A or B) (Figure 19).
7. Lower the foot end of the cot to the ground, making sure
the cot locks in position 1 (Figure 20).
8. Lift the foot end of the cot until it is level with the
compartment floor.
9. Grasp the base of the cot with one hand and pull up the
base of the cot towards the litter, reducing the space
between the base and the litter (Figure 21).
10. Push the cot into the patient compartment, guiding it into
the cot fastener.
Figure 19 - Squeeze the Release Handle
Figure 20 - Lower the Foot End of the Cot
Figure 21 - Pull Up the Base of the Cot
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Cot Operations
UNLOADING THE COT FROM A VEHICLE WITH TWO OPERATORS
WARNING
Failure to use the safety hook can cause injury to the patient or operator. Install and use the safety hook as described
in this manual. To avoid injury, verify the safety bar has engaged the safety hook before removing the cot from the patient
compartment.
1. Disengage the cot from the cot fastener. (For more detailed instructions, reference the Cot Fastener Operations
Manual − Model 6370).
2. Operator 1 − Grasp the cot frame. Pull the cot out of the patient compartment until the safety bar engages the
safety hook.
3. Operator 2 − Grasp the base frame where indicated, lift slightly, and lower the base frame to its fully extended
position while operator 1 squeezes and holds the release handle.
4. Operator 1 − Let go of the release handle and be sure the undercarriage locks into place.
5. Operator 2 − Disengage the safety bar from the safety hook by pushing the safety bar release lever forward.
6. Remove the cot loading wheels from the vehicle. Place the cot in a rolling position (cot positions 2−7 − see page
19).
CAUTION
Do not allow the cot undercarriage to drop unassisted (commonly known as a “hot drop”) when removing the cot from
the vehicle. Repeated hot dropping will cause premature wear or damage to the cot.
WARNING
Be sure the undercarriage has engaged before removing the loading wheels from the patient compartment floor of the
vehicle. An unlocked undercarriage will not support the cot and injury to the patient or operator could result.
UNLOADING AN EMPTY COT FROM A VEHICLE WITH ONE OPERATOR
WARNING
This procedure is for use only with an empty cot. Do not use this procedure when unloading a patient. Injury to the
patient and/or operator could result.
1. Lift the vehicle bumper to the raised position (if possible).
2. Grasp the cot frame at the foot end; pull the cot from the vehicle until the safety bar engages the safety hook.
3. Lower the foot end of the cot to the ground (see Figure 20 on page 26).
4. Squeeze and hold the release handle (A or B − see Figure 21 on page 26) and raise the foot end of the cot
back to a level position with the compartment floor.
5. Disengage the safety bar from the safety hook by pushing the safety bar release lever forward and roll the cot out
of the vehicle.
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Cot Operations
USING ADDITIONAL ASSISTANCE
IF EQUIPPED WITH THE RIGHT HAND RELEASE OPTION
Changing Levels Rolling Loading/Unloading
Helper
Helper
Helper Helper
Helper
Two
Operators
Two
Helpers
Two
Operators
Four
Helpers
Helper
Operator
Helper
Operator
Helper
Helper
Operator
Helper
Operator
Helper
Operator
Helper
Operator
IF EQUIPPED WITH THE LEFT HAND RELEASE OPTION
Operator
Operator
Helper
Operator
Helper
Helper
Operator
Helper
Operator
Helper
Helper
Operator
Changing Levels Rolling Loading/Unloading
Operator
Two
Operators
Two
Helpers
Helper
Operator
Two
Operators
Four
Helpers
Helper
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Helper
Helper
Operator
Helper
Operator
Helper
Operator
Operator
Helper
Helper
Helper
Helper Helper
Helper
Operator
Operator
Operator
Helper
Operator
Helper
Helper
Helper
Operator
Helper
Helper
Operator
Cot Operations
OPERATING THE OPTIONAL WHEEL LOCK(S)
A
Figure 22 - Wheel Lock
1. To activate the optional wheel lock(s), press down fully on the pedal (A) until it stops.
2. To release the optional wheel lock(s), depress the upper face of the pedal with your foot or lift up with your toe
under the pedal. The upper portion of the pedal will rest against the caster frame when the wheel lock is released.
WARNING
• Never apply the optional wheel lock(s) while a patient is on the cot. Tipping could occur if the cot is moved while
a wheel lock is applied, resulting in injury to the patient or operator and/or damage to the cot.
• Wheel lock(s) are only intended to help prevent the cot from rolling while unattended. A wheel lock may not
provide sufficient resistance on all surfaces or under loads.
• Never leave a patient unattended on the cot or injury could result. Hold the cot securely while a patient is on the
cot.
• Never install or use a wheel lock on a cot with excessively worn wheels. Installing or using a wheel lock on a wheel
with less than a 6” diameter could compromise the holding ability of the wheel lock, possibly resulting in injury to
the patient or operator and/or damage to the cot or other equipment.
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Cot Operations
ADJUSTING THE WHEEL LOCKING FORCE
MINIMUM MAXIMUM
Figure 26 - Wheel Locking Force Adjustment
1. To adjust the wheel locking force, remove the socket screw from the center of the lock pedal. The wheel lock is
initially assembled with the pedal set at the minimum locking force. The marker on the pedal (item A) is aligned
with the marker on the octagonal sleeve (item B).
2. Remove the sleeve (B). Rotate the sleeve counterclockwise to increase the pedal locking force and clockwise to
decrease the locking force. Insert the sleeve into the pedal. Reinstall the socket screw.
3. Test the pedal locking force and verify the pedal holds properly before returning the cot to service.
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