Stryker MX-PRO R3 6082 Operation And Maintenance Manual
MX-PRO® R3
Model 6082
Operations/Maintenance Manual
For parts or technical assistance:
USA: 1-800-327-0770
2010/06 6082-109-005 REV A www.stryker.com
6082
Model 6082 MX--PROt Ambulance Cot
Modèle 6082 MX--PROt Civière d’ambulance RUGGED
Modell 6082 RuggedRPROt Ambulanztrage
Modello 6082 MX--PROt Barella per ambulanza RUGGED
Modelo 6082 RUGGEDRMX--PROt C amilla para ambulanc ia
R
Modell 6082 MX--PROt RUGGED
Patientvagn
OPERATIONS MANUAL
R
R
MANUEL D’UTILISATION ET D’ENTRETIEN
BEDIENUNGS-- UND WARTUNGSANLEITUNG
MANUALE OPERATIVO/DI MANUTENZIONE
MANUAL DE USO
ANVÄNDAR--/UNDERHÅLLSMANUAL
For replacement parts or service, contact your Stryker representative.
Pour les pièces de rechange vous pouvez vous adresser à votre fournisseur de Stryker.
Für Ersatzteile können Sie sich an Ihren Stryker--Lieferanten wenden.
Per i pezzi di ricambio potete rivolgerVi al V ostrofornitore di prodotti Stryker.
Para solicitar repuestos o servicio técnico, póngase en contacto con su representante
de Stryker.
Reservdelar och teknisk rådgivning får du av din närmaste STRYKER--distributör.
Table of Contents
Introduction
Specifications 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Warning / Caution / Note Definition 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Warranty
Obtaining Parts and Service 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Supplemental Warranty Coverage 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Return Authorization 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Freight Damage Claims 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Summary of Safety Precautions 6, 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Set-Up Procedures 8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Component Identification 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Vehicle Safety Hook Selection 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cot Positions 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Using Restraint Straps 16, 17. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Optional Pedi-Matet Instructions 18, 19. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Transferring the Patient to the Cot 20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Rolling the Cot 21. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Loading the Cot into a Vehicle 21. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Loading an Empty Cot into a Vehicle 22. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unloading the Cot from a Vehicle 23. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Using Additional Assistance 24. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating Optional Wheel Lock 25. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Adjusting the Wheel Locking Force 26. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Changing Cot Height with Two Operators 27. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Changing the Height of an Empty Cot 28. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Adjusting Leg Rest 29. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating Backrest 30. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating Siderails 31. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating Breakaway Head Section 31. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating I.V. Poles 32, 33. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Preventative Maintenance
Cleaning 34. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Preventative Maintenance Schedule & Checklist 36. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Base Lubrication 37. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pneumatic Fowler Adjustment 38. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Maintenance Record 39. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Training Record 40. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Introduction
INTRODUCTION
This manualisdesigned to assist you with the operation andmaintenanceofthe6082 MX--PRO Ambulance Cot. Read it thoroughly before using the equipment or beginning any maintenance on it.
SPECIFICATIONS
Overall Length/Minimum Length/Width 80.5”/61.75”/23”
Height! -- Position 1
Position 2
Position 3
Position 4
Position 5
Position 6
Position 7
Backrest Articulation/Shock Position 2_ to 73° /+14_
Weight@ 81 pounds
Maximum Weight Capacity 650 pounds
Caster Diameter/Width 6”/2”
Minimum Operators Required for Loading/Unloading
an Occupied Cot
Recommended Fastener Systems Model 6370/6374/6377/6378 Floor Mount Type
Recommended Floor Height# Up to 32”
Roll--In Style Yes
Single Wheel Lock / Double Wheel Lock Optional
13.5”
21.0”
25.5”
29.0”
32.0”
35.0”
37.5
2
Model 6371/6375 Wall Mount Type
! Height measured from bottom of mattress at seat section to ground level.
@ Cot is weighed without mattress and restraints.
# Cot may be loaded from any height and a height limiting kit (p/n 6060--202--000) 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 FederalSpecification for the Star--of--Life Ambulance KKK--A--1822.
Figure 1 -- Lowest Height Position
The yellow and black color scheme is a proprietary trademark of Stryker Corporation.
1-- 2
Introduction
WARNING / CAUTION / NOTE DEFINITION
The words WARNING, CAUTION and NOTE carry special meanings and should be carefully reviewed.
WARNING
Thepersonalsafety of thepatient orusermaybeinvolved. Disregarding this informationcouldresult ininjury
to the patient or user.
CAUTION
These instructions point out special proceduresor precautions that must be followed to avoid damaging the
equipment.
NOTE
This provides special information to make maintenance easier or important instructions clearer.
1-- 3
Warranty
StrykerEMS,a division of the StrykerCorporation,offerstwodistinct warrantyoptions
in the United States:
One(1)yearpartsand labor. Under this option, StrykerEMS warrantsto theoriginal
purchaserthatits products should be free frommanufacturingnon--conformancesthat
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) yearparts.Under this option, Stryker EMS warrants to the originalpurchas-
er 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 thiswarranty
is 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, IV poles, storage nets, storage pouches, O2
straps, and other soft goods, have a one (1) year limited warranty with this option.
Under either warranty option, Stryker Medical EMS products are designed for a
ted service life under normal use, conditions, and with appropriate periodic
expec
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
structuraldefectsfor the expected
c
haser owns theproduct. Originalpurchasers will also obtain a three (3) year limit-
pur
ed parts warranty for the X frame components of the MX--PRO R3 stretcher provided
they also purchaseX--frame guardsat the time of the originalpurchaseand 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 purchasershall return the productor part prepaid freight to Stryker’sfactory.
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 respectto the aforesaid
equipment.STRYKERMAKES NOOTHERWARRANTYORREPRESENTATIONEITHER EXPRESSED OR IMPLIED, EXCEPT AS SET FORTH HERIN. THERE IS NO
WARRANTY OF MERCHANTABILITY AND THERE ARE NO WARRANTIES OF FITNESS FOR ANY PARTICULARPURPOSE. IN NO EVENT SHALL STRYKERBE LIABLE HEREUNDER FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES ARISING FROM OR IN ANY MANNER RELATED TO SALES OR USE OF ANY SUCH
EQUIPMENT.
ear life of the EMS product as long as the original
5 y
5 y
ear
1-- 4
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
S 30 day money back guarantee in effect
S Stryker EMS is responsible for all charges
S Returns will not be approved on modified items
Prior to 90
S Product must be unused, undamaged and in the original packaging
S Customer is responsible for a 10% restocking fee
Prior to 180
S Product must be unused, undamaged and in the original packaging
S Customer is responsible for a 25% restocking fee
Return Authorization:
Merchandisecannot be returnedwithoutapprovalfrom the StrykerCustomerService
Department. An authorization number will be provided whichmust be printed on the
returned merchandise. Stryker reservesthe right to charge shipping and restocking
fees on returned items.
SPECIAL, MODIFIED, OR DISCONTINUED ITEMS NOT SUBJECT TO RETURN.
Days
Days
Days
Damaged Merchandise:
ICCRegulationsrequirethat claimsfor damaged merchandisemustbemade withthe
carrier within fifteen (15) days of receipt of merchandise. DO NOT ACCEPT DAMAGED SHIPMENTS UNLESS SUCH DAMAGE IS NOTEDON THE DELIVERY RECEIPT ATTHETIME OFRECEIPT. Upon promptnotification, Strykerwill file a freight
claimwiththeappropriatecarrierfordamagesincurred. Claimwillbelimitedinamount
to the actual replacement cost. In the event that this information is not received by
Strykerwithinthe fifteen (15)day period following the deliveryof the merchandise, or
the damage was not noted on the delivery receiptat the timeof 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. PleasecontactyourlocalStrykerMedicalrepresentativeforadditionalinformation.
Patent Information
Ruggedr Products are covered by one or more of the following patents:
United States 5,575,026 6,276,010 6,648,343 6,908,133 6,796,757
5,537,700 6,125,485 6,735,794 7,100,224 D527,103
Other Patents Pending
1-- 5
Summary of Safety Precautions
The following is a list of safety precautions that must be observed when operatingor servicingthis unit. The
precautions are repeated throughout the manual, where applicable. Carefully read this list before using or
servicing the unit.
WARNING
S Improper usage of the
only as described in this manual.
S Always use all restraint straps to securethepatienton the cot. An unrestrainedpatient may fall from the
cot and be injured.
S Siderails are not intended toserve as apatient restraint device. Refer to pages 1--12and 1--13for proper
restraint strap usage. Failure to utilize the siderails properly could result in patient injury.
S Never leave a patient unattended on the cot or injury could result. Hold thecot securely while a patient
is on the cot.
S Never apply the optional wheel lock(s)while a patient is on the cot. Tipping could occur if thecot is moved
while wheel locks are applied, resulting in injury to the patient or operator and/or damage to the cot.
S Wheel locks are only intendedto help prevent the cot from rollingwhile unattended. Wheel locks may not
provide sufficient resistance on all surfaces or under loads.
S 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 couldcompromise the holding ability of the wheel lock, resulting
in injury to the patient or operator and/or damage to the cot or other equipment.
S Be sure the undercarriage has engaged and locked beforeremovingtheloading wheels from the patient
compartment floor of the vehicle. An unlocked undercarriagewill not support the cotand injury to the patient and/or operator could result.
S Do not allow untrained helpers to assist in the operation of the cot. Untrained technicians/helpers can
cause injury to the patient or themselves.
S Grasping the
Keep hands, fingers and feetaway frommovingparts. T oavoid injury,use extreme caution when placing
your feet near the base tubes while raising and lowering the cot.
S Have the vehicle safety hook installed by a certified mechanic. Improper safety hook installation can
cause injury to the patient or operator or damage to the unit.
S Failure tousethevehicle safety hook cancauseinjurytothe patient or operator. Install and usethesafety
hook as described in this manual.
S When the optional head end storage pouch is being used, ensure it does not interfere withthe operation
of the safety bar and safety hook. Injury to the patient or operator could occur.
S Donot pull orliftonthesafety barwhenunloading thecot. Damage tothesafetybar couldresultandinjury
to the patient or operator could occur.
S Do not modify the
in injury to the patient or operator. Modifying the cot will also void its warranty (see page 1--4).
S Improper maintenance can cause injuryordamageto theunit. Maintainthecotasdescribedin thismanu-
al. Use only Stryker approved parts and maintenanceprocedures. Using unapproved parts and procedures could cause unpredictable operation and/or injury and will void the product warranty.
S Do not ride on the base of the
to the patient or operator.
S Failure to properly clean or dispose of contaminatedmattress or cot components will increase therisk of
exposure to bloodborne pathogens and may cause injury to the patient or the operator.
S To avoidaccidentalrelease of the Pedi--Matet, and possible injuryto the infant, ensure the buckle is lo-
cated away from obstructions on the cot or head end storage pouch.
S 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.
Cot improperly can cause injury. Grasp only the lifting bars to lift thecot.
Cot cancause injury to the patient or operator. Operate the cot
Cot. Modifying the cot can cause unpredictable operation resulting
cot. Damage to the cot could occur, resulting in injury
1-- 6
Summary of Safety Precautions
CAUTION
S Damage tothe cot can occur if the cot is lowered in the shortened position. Use only positions 5--7 (see
page 1--11) when the cot is shortened.
S Lifting the cot by the safety bar can cause damage to the cot. Lift the cot only by the lifting bars.
S 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.
S Height limit kit is recommended for ambulance deck heights less than 30 inches (76cm) — Strykerpart
number 6060--202--000.
S The weight of the monitoringequipment must not exceed 75 pounds (34 kg) with the defibrillatorplatform
(if equipped). Monitoring equipment should not be stored on the cot or on the defibrillator platform when
in the ambulance vehicle.
1-- 7
Set--Up Procedures
Ensure that all shipping and packaging materials have been removed from the product(s) prior to use.
Unpack the cartons and check all items for proper operation. It is important that the
working properly before it is put into service. Have a qualified serviceperson use the following list and the
operation instructions to check the cot before it is put into service.
S All fasteners secure (reference all assembly drawings)
S All welds intact, not cracked or broken
S No bent or broken tubing or sheet metal
S No debris in wheels
S All wheels secure, rolling and swivelling properly
S Siderails move and latch properly
S Backrest operating properly
S Optional accessories intact and operating properly
S Height positioning latch functioning properly
S Cot secure in each height position
S Undercarriage folds properly
Cot is
S Breakaway head section operating properly
S Safety bar operating properly
S Foot rest operating properly
S No rips or cracks in mattress cover
S Body restraints intact and working properly
S Wheel lock(s) operating properly (optional equipment)
S Does the vehicle safetyhook engage the safety bar so thatthecotloads and unloads easily from the ve-
hicle?
S Is there an approved crash--stable fastener (Stryker part number 6370/6374/6377/6378or 6371/6375 --
not included) installed in the vehicle?
The patient compartment of the vehicle in which the
S A smooth rear edge for cot loading.
S A level floor large enough for the folded cot.
S Stryker 6370/6374/6377/6378 or 6371/6375 crash stable cot fastener (not included).
S 32” (81 cm.) maximum loading height.
S Space to install the safety hook.
When necessary, modify the vehicle to fit the cot. Do not modify the cot.
Cot will be used must have:
WARNING
Donot modifythe Cot. Modifyingthe cot can cause unpredictable operationresulting in injury to the patient or operator. Modifying the cot will also void its warranty (see page 1--4).
1-- 8
Component Identification
t
Figure 2 -- MX--PRO R3 Cot
HeightAdjustment
Release Handle
(1 of 3)
Foot Rest
SiderailRelease Handles
Backrest (Head Section)
Breakaway
Head Section
Release Bar
BackrestAdjustmen
Release Handle
HEAD END
Breakaway
Head Section
Safety Bar
Release
Lever
LiftingBar
J Safety Hook
Strykerpart number
6092--036--018
Loading Wheels
(1 of 2)
Foot Rest
Release
Handle
TransportWheels
Wheel Lock
(Optional)
TransportWheels
LONG SAFETY HOOKSHORT SAFETY HOOK
(Forinstallationinstructions,see page1 -- 10.)
1-- 9
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.
1--10
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.
1--11
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.
Safety Hook Placement
Long Safety Hook
6060-036-018
Short Safety Hook
6060-036-017
J-Style Safety Hook
6092-036-018
1--12
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
Safety Bar Engaging Safety Hook
Floor Edge
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.
1--13
Note
1-14
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.
1-15
Using Restraint Straps
Cot Operation
Figure 6 - Safety Restraints
Figure 7 - Back Rest Restraints Figure 8 - Foot Section Restraints
WARNING
Always use all restraint straps to secure the patient on the cot. An unrestrained patient may fall from the cot
and be injured.
Always secure the patient on the cot with all the restraint straps. Buckle the restraints across the patient's
chest/shoulders, waist and legs (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 an‐
chorage 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.
1-16
Cot Operation
Using Restraint Straps (Continued)
C
C
A
Figure 9 - Buckling the Safety Restraint
Figure 11 - Shortening the Safety Restraint
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 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 (Figure 9).
To close the 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 (Figure 9).
To lengthen the restraint, grasp the buckle tang, turn it at an angle to the webbing, then pull it out (Figure 10).
A hemmed tab at the end of the webbing prevents the tang from coming off the strap.
To shorten the restraint, grasp the hemmed tab and pull the webbing back through the tang until the required
tightness is achieved (Figure 11).
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 show‐
ing wear or not operating properly must be replaced immediately.
B
Figure 10 - Lenghtening the Safety Restraint
1-17
Pedi-Mate t Infant Restraint System Attachment Instructions
Refer to the Pedi-Matet users manual for the manufacturer's recommendations for the use, operation and
care of the Pedi-Matet Infant Restraint System.
Securing the Pedi-Matet 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-Matet pad flat on the backrest with the black backrest straps out (see Figure 12).
Figure 12 - Positioning the Pedi-Matet
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-Matet Buckle
WARNING
To avoid accidental release of the Pedi-Matet, and possible injury to the infant, ensure the buckle is located
away from obstructions on the cot or head end storage pouch.
1-18
Pedi-Mate t Infant Restraint System Attachment Instructions
5. Pull firmly on the end of the adjustable backrest strap and tighten it securely.
6. Thread the mainframe straps down between the cot frame and the mattress. To be sure the release but‐
ton is toward the foot end of the cot, insert the buckle behind the crossbrace and bring the it up in front
of the crossbrace. Secure the buckle around the litter crossbrace leaving a little slack in the strap for final
adjustment (see Figure 14).
Figure 14 - Securing the Safety Restraints on a RuggedtCot
WARNING
To avoid accidental release of the Pedi-Matet, 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-Matet Strapped to a Ruggedt Cot
These are general instructions for installation of the Pedi-Matet. Safe and proper use of the Pedi-Matet is solely at
the discretion of the user. Stryker recommends all users be trained on the proper use of the Pedi-Matet 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 t is a trademark of Ferno-Washington Inc.
1-19
Cot Operation
Operating Guidelines
S Use the Cot only as described in this manual.
S Read all labels and instructions on the cot before using the cot.
S Use a minimum of two operators to manipulate the cot while a patient is on the cot.
S Do not adjust, roll or load the cot without advising the patient. Stay with the patient and control the cot
at all times.
S Never apply the optional wheel lock while a patient is on the cot.
S Always use the restraint straps and keep the siderails up when a patient is on the cot.
S 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 1-16 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 1-16 & 1-17 for re‐
straint strap usage instructions).
2. Place the cot in positions 2-7 for rolling (see page 1-15 for cot positions).
3. When rolling the cot, position an operator at the foot end and one at the head end at all times.
NOTES
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 shown on the Cot Positions page when using this configuration.
1-20
Cot Operation
Loading the Cot into a
Vehicle with Two Operators
When loading the cot into a vehicle, an operator
should remember the following important issues:
S Two operators must be present when the cot is
occupied.
S There must be a safety hook properly installed
in the vehicle so that the bumper does not inter‐
fere with the front legs of the base frame. (See
page NO TAG, safety hook installation instruc‐
tions.)
S Operators must be able to lift the total weight of
the patient, cot and any items on the cot.
S The higher an operator must lift the cot, the more
difficult it becomes to hold the weight. An opera‐
tor 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 op‐
erator will have to raise his/her arms higher to
enable the undercarriage to unfold.
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 pa‐
tient 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 (Figure 16).
3. For maximum clearance to lift the base, pull the
cot back until the safety bar engages the safety
hook.
WARNING
Failure to use the safety hook can result in injury.
Install and use the hook as described in this manual.
Figure 16 - Safety Bar Engaging Safety Hook
Figure 17 - 2 Operators - One Lifting the Base
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 under‐
carriage 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 fas‐
tener (not included).
Figure 18 - 2 Operators - Base Full Up
1-21
Cot Operation
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. Inju‐
ry 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 1-15 ).
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, reduc‐
ing 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
1-22
Cot Operation
Unloading the Cot from a Vehicle with Two
Operators
1. Disengage the cot from the cot fastener. (For
more detailed instructions, reference the cot
fastener installation/operation manual - Stryk‐
er part number 6370-90-10).
2. Operator 1 - Grasp the cot frame. Pull the cot
out of the patient compartment until the safety
bar engages the safety hook.
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.
3. Operator 2 - Grasp the base frame where indi‐
cated, 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.
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. In‐
jury 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).
4. Squeeze and hold the release handle (A or B see Figure 21) 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.
WARNING
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.
6. Remove the cot loading wheels from the ve‐
hicle. Place the cot in a rolling position (posi‐
tions 2-7 - see page 1-15 ).
CAUTION
Do not allow the cot undercarriage to drop unassist‐
ed (commonly known as a “hot drop”) when remov‐
ing 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 re‐
moving the loading wheels from the patient
compartment floor of the vehicle. An unlocked un‐
dercarriage will not support the cot and injury to the
patient or operator could result.
1-23
USING ADDITIONAL ASSISTANCE
Cot Operation
Tw o
Operators
Tw o
Helpers
Tw o
Operators
Four
Helpers
Changing Levels
Helper
Operator Operator
Helper
Helper
Operator
Helper
Helper
Operator
Helper
Operator
Helper
Operator
Rolling
Helper
OperatorHelper
Helper Helper
OperatorHelper
Loading/Unloading
Helper
Operator
Helper
Helper
Operator
Helper
Helper
Operator
Helper
Operator
1-24
Cot Operation
OPERATING THE OPTIONAL WHEEL LOCK(S)
A
Figure 22 - Ruggedr Wheel Lock
1. To activate the optional wheel lock(s), press fully down 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, resulting in injury
to the patient or operator and/or damage to the cot or other equipment.
1-25
Cot Operation
ADJUSTING THE WHEEL LOCKING FORCE
MINIMUM MAXIMUM
1. To adjust the wheel locking force, remove the hex 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 hex socket screw.
3. Test the pedal locking force and verify it holds properly before returning the cot to service.
Figure 23 - Wheel Locking Force Adjustment
1-26
Cot Operation
CHANGING COT HEIGHT WITH TWO OPERATORS
C
FOOT END
B
A
Figure 24 - Release Handle Locations
NOTE
Changing the height while a patient is on the cot requires a minimum of two operators, positioned at both ends
or on each side of the cot. Each operator must grasp the cot frame securely.
To lower the cot from the ends, the operator at the foot end of the cot positions his/her hands so the release
handle (A or B) can be squeezed while a secure grip is maintained on the lifting bars. Both operators must
lift the cot until the weight is off the latching mechanism (approximately 1/4”). The operator at the foot end
squeezes and holds the release handle and both operators then raise or lower the cot together. The handle
is released when the desired position is reached. Both operators should maintain a secure grip on the litter
frame until the latching mechanism is securely locked into position.
To lower the cot from the sides, the operator on the patient's right positions his/her hands so he/she can
reach the release handle at the midpoint of the litter (C). Both operators must lift the cot until the weight is
off the latching mechanism (approximately 1/4”). The operator at the patient's right squeezes and holds the
release handle. Both operators then raise or lower the cot together. The handle is released when the desired
position is reached. Both operators should maintain a secure grip on the litter frame until the latching mecha‐
nism is securely locked into position.
WARNING
Grasping the Cot improperly can cause injury. Grasp only the litter frame or the lifting bar
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.
1-27
Cot Operation
Changing the Height of an Empty Cot with One Operator
To raise/lower the cot from the foot end:
1. Standing at the foot end of the cot, grasp the
lower foot end lift tube.
2. Tip the cot up onto the load wheels (Figure 25).
3. Squeeze and hold the release handle and raise
or lower the foot end to the desired position.
4. Lower the cot back onto the four base wheels
(Figure 26).
To raise/lower the cot from the side:
1. Place one foot on the outer base tube.
2. Grasp the side release handle with one hand.
Place your other hand on the outer support rail
to help stabilize the cot (Figure 27).
3. Squeeze the side release handle and raise or
lower the cot to the desired position.
WARNING
If lowering the cot to the lowest position (position 1),
remove your foot from the base tube or injury could
result (Figure 28).
Figure 25 - Cot Tipped on Load Wheels
Figure 26 - Cot Lowered to Ground
Figure 27 - Holding Outer Support Rail
Figure 28 - Lowering Cot from Side
1-28
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