FERNO Users` Manual

Transcription

FERNO Users` Manual

FERNO
®
When It’s Critical
®
Users’ Manual
POWERFlexx®+ Powered Cot
February 2010 GLO
Pub. No. 234-3417-01
Read this Manual
and Retain for
Future Reference
POWERFlexx®+
Ferno Technical Support
Customer service and product support are important aspects of each
Ferno product. Please have the product serial number available
when calling, and include it in all written communications. For
technical support questions:
Telephone (Toll-free)
1.800.733.3766 ext. 1010
Telephone 1.937.382.1451 ext. 1010
Email
[email protected]
Serial Number _________________________
Ferno Customer Relations
Location: Crosstube Under Shock Frame.
For ordering assistance or general information:
Canada and the U.S.A.
Telephone Fax (Toll-free)
Fax
1.877.733.0911
1.937.382.1451
1.888.388.1349
1.937.382.1191
Internet
www.ferno.com
All Other Locations
For assistance or information, please contact your Ferno distributor.
If you do not have a Ferno distributor, please contact Ferno
Customer Relations:
Ferno-Washington, Inc.
70 Weil Way
Telephone Fax
Users’ manual
and training cd-roms
To request additional free users’
manuals or training CD-ROMs,
contact Ferno Customer Relations,
your Ferno distributor, or visit
www.ferno.com.
Wilmington, Ohio 45177-9371, U.S.A.
+1.937.382.1451
+1.937.382.6569
Internet
www.ferno.com
European Representative
Ferno (UK) Limited
Stubs Beck Lane, Cleckheaton
West Yorkshire BD19 4TZ, United Kingdom
Telephone
+44 (0) 1274 851999
Fax
+44 (0) 1274 851111
Internet
www.ferno.co.uk
Disclaimer
This manual contains general instructions for the use, operation
and care of this product. The instructions are not all-inclusive. Safe
and proper use of this product is solely at the discretion of the
user. Safety information is included as a service to the user. All
other safety measures taken by the user should be within and under
consideration of applicable regulations. It is recommended that
training on the proper use of this product be provided before using
this product in an actual situation.
Retain this manual for future reference. Include it with the product
in the event of transfer to new users. Additional free copies are
available upon request from Customer Relations.
Proprietary Notice
The information disclosed in this manual is the property of FernoWashington, Inc., Wilmington, Ohio, USA. Ferno-Washington, Inc.
reserves all patent rights, proprietary design rights, manufacturing
rights, reproduction use rights, and sales use rights thereto, and
to any article disclosed therein except to the extent those rights
are expressly granted to others or where not applicable to vendor
proprietary parts.
Limited Warranty Statement
The products sold by Ferno are covered by a limited warranty,
which is printed on all Ferno invoices. The complete terms and
conditions of the limited warranty, and the limitations of liability
and disclaimers, are also available upon request by calling Ferno at
1.800.733.3766 or 1.937.382.1451.
© Copyright Ferno-Washington, Inc. All Rights Reserved.
2
© Ferno-Washington, Inc. 234-3417-01 February 2010
POWERFlexx®+
Table of Contents
Section
Page
Ferno Customer Relations_______________________ 2
Ferno Technical Support________________________ 2
Table of Contents_ ______________________________ 3
1 - Safety Information____________________________ 4
1.1 Warning_________________________________ 4
1.2 Important________________________________ 4
1.3 Bloodborne Disease Notice__________________ 4
1.4 Cot and Fastener Compatibility_ _____________ 4
1.5 Symbol Glossary__________________________ 5
1.6 Safety and Instruction Labels________________ 5
2 - Operator Skills and Training___________________ 7
2.1 Skills___________________________________ 7
2.2 Training_________________________________ 7
2.3 Height and Strength Considerations___________ 7
3 - About the Cot________________________________ 8
3.1 Description______________________________ 8
3.2 General Specifications_ ____________________ 9
3.3 Cot Height_______________________________ 9
3.4 Components_ ___________________________ 10
3.4 Components (Continued)_ _________________ 11
4 - Setup and Installation________________________ 12
4.1 Ambulance Information_ __________________ 12
4.2 Restraints, Mattress, and Accessories_________ 12
4.3 Fastener Compatibility____________________ 12
4.4 Install the Safety Hook____________________ 13
4.5 Before Using the Cot_ ____________________ 15
5 - Cot Power System and Control Panel___________ 16
5.1 Power System: General Information__________ 16
5.2 POWERPac Overview_ ___________________ 17
5.3 Power Switch_ __________________________ 19
5.4 Touch-Pad Controls_ _____________________ 19
5.5 Sleep Mode_____________________________ 20
5.6 Battery Gauge___________________________ 20
5.7 Feedback (Power Cutoffs)_ ________________ 21
5.8 Feedback (POWERPac)___________________ 22
5.9 Manual Mode_ __________________________ 23
5.10Battery Charger__________________________ 24
5.11 Charging Systems________________________ 25
6 - Using the Features___________________________ 26
6.1 Mattress________________________________ 26
6.2 Backrest________________________________ 27
6.3 Drop Frame_____________________________ 27
6.4 Fastener Release Controls__________________ 28
6.5 Shock Frame____________________________ 28
6.6 Wheel Locks____________________________ 28
Section
Page
6.7 Sidearms: Swing-Down (Standard)_ _________ 29
6.8 Sidearms: Universal (Option)_______________ 29
6.9 Adjustable Foot-End Lift Bar_______________ 30
6.10Lead Handle_ ___________________________ 30
7 - Using the Cot_______________________________ 31
7.1 Before Placing the Cot in Service____________ 31
7.2 Guidelines for Use_ ______________________ 31
7.3 Changing Cot Height_ ____________________ 33
7.4 Transferring the Patient____________________ 35
7.5 Rolling the Cot__________________________ 36
7.6 Preparing to Load the Cot__________________ 37
7.7 Loading the Cot__________________________ 37
7.8 Unloading the Cot________________________ 38
7.9 One Operator with Empty Cot
Loading or Unloading_____________________ 39
7.10Loading or Unloading_______________________ In Manual Mode_ ____________________________ 39
7.11 Using Additional Help_ ___________________ 40
8 - Bariatric Transport__________________________ 41
8.1 Bariatric Transport Definition_______________ 41
8.2 Bariatric Transport Guidelines______________ 41
8.3 Bariatric Transport: Transferring the Patient_ __ 42
8.4 Bariatric Transport: Rolling the Cot__________ 42
8.5 Bariatric Transport: Loading the Cot_ ________ 43
8.6 Bariatric Transport: Unloading the Cot________ 43
9 - Maintenance________________________________ 44
9.1 Maintenance Schedule_ ___________________ 44
9.2 Disinfecting and Cleaning the Restraints______ 44
9.3 Disinfecting and Cleaning the Mattress_______ 44
9.4 Disinfecting and Cleaning the POWERPac____ 44
9.5 Disinfecting the Cot_ _____________________ 44
9.6 Cleaning the Cot_________________________ 45
9.7 Checking the Charging System______________ 45
9.8 Inspecting the Cot________________________ 45
9.9 Lubricating the Cot_______________________ 46
9.10Charging the POWERPac__________________ 47
9.11 Adjusting the Tension_ _____________________ Of the Manual Mode Cable_____________________ 48
10 - Accessories________________________________ 49
11 - Parts and Service___________________________ 50
11.1 U.S.A. and Canada_______________________ 50
11.2 Worldwide______________________________ 50
11.3 Parts List_______________________________ 50
11.4 Parts Diagrams__________________________ 51
Training Record_ ______________________________ 52
Maintenance Record____________________________ 52
3
POWERFlexx®+
Safety Information
1 - Safety Information
1.1 Warning
Warning notices indicate a potentially hazardous situation
which, if not avoided, could result in injury or death.
Warning
Untrained operators can cause injury or be injured. Permit
only trained personnel to operate the cot.
Improper use of the cot can cause injury. Use the cot only
for the purpose described in this manual.
Attaching improper items to the cot can cause injury. Use
only Ferno-approved items on the cot.
Failure to use the safety hook can cause injury. Install and
use the safety hook as described in this manual.
Improper charging can cause injury or damage. Charge
the POWERPac only with a Ferno-approved charger or
charging system. When charging a cot inside an ambulance,
a charging system must be used.
An uncapped Control Port may allow liquids to damage the
POWERPac. Cap the unused Control Port and replace the
cap immediately if it is missing. Do not use the POWERPac
unless the unused Control Port is capped.
Uncontrolled cot movement can cause injury or cot
damage. Support and control the cot at all times.
Cot movement in Manual Mode can be rapid. Support and
control the cot when using Manual Mode. Use additional
help if needed.
Improper operation can cause injury. Operate the cot only
as described in this manual.
An unattended patient can be injured. Stay with the
patient at all times.
An unrestrained patient can fall off the cot and be injured.
Use restraints to secure the patient on the cot.
Rolling the cot sideways or in the loading attitude can
cause the cot to tip and injure the patient or operators.
Roll the cot only in a level (Rolling) position and with the
head-end or foot-end first.
Helpers can cause injury or be injured. Maintain control
of the cot, operate the controls, and direct all helpers.
Improper bariatric transport can cause injury to the
patient, operators and helpers. Follow local protocols and
the instructions in this manual.
Heavy loads can cause injury. Use as many additional
operators and helpers as needed to safely transport the
patient.
Using a raised position for bariatric transport can cause
injury and cot failure. Keep the cot folded when exceeding
the Standard Load Limit.
4
Warning
Improperly unloading a cot during bariatric transport
can cause injury. Station one operator or helper in the
ambulance to release the cot from the safety hook or
safety stop.
Improper maintenance can cause injury. Maintain the cot
only as described in this manual.
Improper adjustment of the manual mode cable can lead
to injury. Adjust the tension of the manual mode cable
when needed.
The cot can rapidly descend and cause injury if manual mode
is activated while you are adjusting the manual-mode cable
tension. Place a chock on the lower frame and use caution
when adjusting cable tension.
Improper parts and service can cause injury. Use only Ferno
parts and Ferno-approved service on the cot.
Modifying the cot can cause injury and damage. Use the
cot only as designed by Ferno.
1.2Important
Important notices emphasize important usage or maintenance
information.
Important
1.3Bloodborne Disease Notice
To reduce the risk of exposure to bloodborne diseases
such as HIV-1 and hepatitis when using the cot, follow the
disinfecting and cleaning instructions in this manual.
1.4 Cot and Fastener Compatibility
Combining different manufacturers’ products into a “mixedcomponent” cot/cot fastener system can increase the user’s risk of
injury and damage. Ferno-Washington, Inc. strongly recommends
that only Ferno-manufactured cots be used in Ferno-manufactured
cot fasteners, and that only Ferno-manufactured cot fasteners be
used for securing Ferno-manufactured cots in ambulances.
Any combination of a Ferno cot or cot
fastener with a non-Ferno cot or cot
fastener is MISUSE of the Ferno product.
Responsibility for the outcome of known, intentional misuse
rests squarely on the misuser.
POWERFlexx®+
Safety Information
1.5Symbol Glossary
The symbols defined here are used on the cot and in this users’ manual. Ferno uses symbols recognized by the International
Standards Organization (ISO), American National Standards Institute (ANSI) and the emergency medical services industry.
WEEE Directive Note: The batteries contain lead and must be disposed of properly when their usable life is over. See the
POWERPac Users’ Manual for recycling information.
2
General Warning of
Potential Injury
OFF Symbol
Do Not
Lubricate
General Warning Risk of Electric Shock
ON Symbol
Lubricate
No Light or
Light Not ON
Read the
Users’ Manual
RAISE/UNLOAD
(Green Touch Pad)
Locked
700 lb
318 kg
Unlocked
Cot Operation Requires
Two Trained Operators
LOWER/LOAD
(Blue Touch Pad)
DC (Direct Current)
electricity
WEEE Directive:
Dispose of Batteries Properly
Standard Load Limit
Use Cot Normally
Product Meets European
Union Standards
1000 lb
454 kg
Do Not Pressure Wash
(POWERPac Only)
Bariatric Load Limit
Use Cot in Folded
Position Only
1.6Safety and Instruction Labels
Safety and instruction labels
place important information
from the users’ manual on
the cot.
Read and follow label
instructions.
Replace worn or damaged
labels immediately. See
Parts and Service, pages 50
and 51.
The labels at right are
affixed to the cot.
Label B - This label identifies
the Manual Mode control
handle. It is placed on the
release handle guard.
Label A - This label is affixed to the control panel. It provides
general safety, load limit, and power light feedback information.
Label C - This label shows
the meaning of each flashing
warning on the battery gauge. It
is placed next to the gauge.
5
POWERFlexx®+
Safety Information
The labels shown below are affixed to the POWERPac battery box module.
Control Port Labels: These labels identify
the female and male control ports and
provide warnings.
General Information Label: This label provides general information
and warnings about using and caring for the POWERPac.
Battery/Charging Display Label: This label identifies
the charging light, battery condition test light and battery
condition test button, and explains the meaning of the colors
and states of the LEDs.
6
Pressure Wash Warning: This label
reminds the user that the POWERPac
may not be pressure-washed. Remove the
POWERPac from the cot if you desire to
pressure-wash the cot.
24VDC Charging Port Label: This label identifies the
24VDC charging port and provides information about
proper charging.
POWERFlexx®+
Operator Skills and Training
2 - Operator Skills and Training
2.1Skills
2.2Training
Operators using the cot need:
Operator trainees need to:
●
a working knowledge of emergency patient-handling
procedures.
●
the ability to assist the patient.
●
read and understand this manual.
●
be trained on the use of the cot.
●
practice with the cot before using it with a patient.
●
record their training information. A sample training
record sheet is provided on page 52.
Warning
Untrained operators can cause injury or be injured.
Permit only trained personnel to operate the cot.
2.3Height and Strength Considerations
During loading and unloading, the Ferno® POWERFlexx®+
Powered Cot eliminates the need for an assistant operator
to raise or lower the undercarriage when the cot is in its
powered mode.
This allows both operators to stand at the foot-end corners
of the cot and share the task of holding the weight of the cot,
patient, and equipment during loading and unloading.
●
●
When loading the cot, the operators must lift and hold
the weight of the cot, patient, and equipment until the
cot legs have folded.
When unloading the cot, the operators must lift and
hold the weight until all four transport wheels are on
the ground.
Be aware of the following:
1. Supporting the load requires greater strength from
short operators than from tall operators, because short
operators must raise their arms higher in relation to
their shoulders, as shown in the illustration above.
2. When using Manual Mode, an assistant operator must
fold or unfold the cot legs. See Loading or Unloading
in Manual Mode, page 39.
Use additional help as needed for lifting and holding the
load (see Using Additional Help, page 40).
Once the wheels are on the ground during unloading, stop
pressing the RAISE/UNLOAD touch pad.
7
POWERFlexx®+
About the Cot
3 - About the Cot
3.1Description
The POWERFlexx®+ Powered Cot (called the cot in this
manual) is an emergency patient-handling device designed to
transport a patient in a ground-based ambulance. The cot is
for professional use by a minimum of two trained operators.
The electronically-controlled, power-lift system helps
reduce the risk of back injury to medical service personnel
by hydraulically raising and lowering the cot, reducing
lifting and bending for the operators. The lift mode can be
changed to manual when desired.
Cots in this series:
●
POWERFlexx + (Standard): Cot is for use with the
Ferno® Model 175 Cot Fastening System
●
POWERFlexx®+ST: Cot is for use with the Ferno®
Stat Trac® Cot Fastening System
●
POWERFlexx®+ICS®: Cot is factory-ready for use
with the Ferno® Integrated Charging System
●
POWERFlexx®+BCS: Cot is factory-ready for use
with the Ferno® Breakaway Charging System
®
Included with Purchase
●
●
●
●
●
●
●
●
●
Locking mattress
Set of 3 restraints
Battery charger
POWERPac modular battery box
Users’ manual
POWERPac Users’ Manual
Safety hook (not included ST version)
Low-profile mounting block (not included ST version)
Short turn-knob (not included ST version)
U.S.A. notice
The cot is for use with ambulances that meet the requirements
of the “Star of Life” certification via Federal Ambulance
Specification KKK-A-1822. For information, contact:
Federal Supply Services, Specifications Section
Suite 8100
470 E. L’Enfant Plaza, SW
Washington, DC 20407
8
Warning
Improper use of the cot can cause injury. Use the cot
only for the purpose described in this manual.
Cot features:
●
Modular hydraulic actuator
●
Modular POWERPac battery box
●
Manual Mode control for non-powered use
●
Large touch-pad controls for easy raising and lowering
●
Infinite bed-height adjustment from 13-41" (3301041 mm)
●
Ambulance loading at any height up to 33" (838 mm)
●
Anodized tubing for clean hands and clothing
●
Choice of colors
●
Extremely high-visibility, reflective safety stripes
●
Battery gauge with feedback (flashes to alert user to
low or depleted battery charge).
●
Power switch light offers feedback (Slow Flash and
Fast Flash indicate certain states of cot use or issues).
●
Multipurpose, 5-position drop frame
●
Adjustable height foot-end lift bar
●
Adjustable pneumatic backrest
●
Two-position shock frame
●
Lead handle
●
6" (152 mm) swivel transport wheels, two with wheel
locks
●
One-hand, swing-down sidearms (standard) or Ferno®
Universal Sidearms that fold down and swing down
(optional)
●
Locking mattress with plastic hooks (standard), mattress
with plastic hooks and transfer-board pocket (optional), or
mattress with hook-and-loop fastening strips (optional)
●
Set of patient restraints
●
Standard POWERFlexx®+ cots are compatible with
Ferno® ICS® or BCS with purchase of optional accessory
kits. See Accessories, page 49.
POWERFlexx®+
About the Cot
3.2General Specifications
General specifications are rounded to the nearest whole
number. Metric conversions are calculated before rounding
the Imperial measurements.
For more information, contact Ferno Customer Relations
(page 2) or your Ferno distributor. Ferno reserves the right
to change specifications without notice.
Bed Height Range1 Maximum Loading Height Length
Maximum
Minimum2 Patient Surface
Width
Overall
Patient Surface
Standard Load Limit Bariatric Load Limit3 POWERPac Charging Time4 Weight5
Standard cot
POWERFlexx®+ST
Strength to Weight Ratio (Standard)6 Strength to Weight Ratio (ST)6 24 VDC
1-2 hours
133 lb (60 kg)
142 lb (64 kg)
5.3
4.9
13-41 in. (330-1041 mm)
33 in. (838 mm)
Bed height is the distance from the ground to the top surface of the
seat panel, at the longitudinal center of the cot. Loading height is the
distance from the ground to the bottom of the loading wheel.
83 in. (2108 mm)
61 in. (1549 mm)
79 in. (2007 mm)
Minimum length is with the backrest raised, the drop frame
completely raised or completely folded, and with the foot-end lift
frame angled downward to minimize the overall length of the cot.
1
2
Bariatric load limit is with the cot folded. See pages 41-43.
3
24 in. (610 mm)
16 in. (406 mm)
700 lb (318 kg)
1000 lb (454 kg)
Typical charging time.
4
Weight includes POWERPac but not mattress or restraints.
5
Strength to Weight Ratio is the load limit of the cot divided by the
cot’s weight.
6
3.3 Cot Height
Loading height range
The cot can be loaded into ambulances with floor heights up
to 33 inches (838 mm).
The cot is described as being in the “loading attitude” when
the cot is raised to its highest level. The patient surface is
slightly angled when the cot is in the loading attitude. Use
the loading attitude only to load the cot into an ambulance
or to unload the cot from an ambulance.
Note: Loading height is measured from the ground to the
bottom of the loading wheels.
Max Loading Height 33" (838 mm)
12-30" (305-762 mm)
Rolling-height range
and patient-transfer range
Transfer the patient, or roll the cot, with the patient surface
12-30 inches (305-762 mm) above the ground. Do not roll
the cot at its highest level - rolling the cot while in a loading
attitude can increase the chance that the cot could become
unbalanced and tip.
Folded position
12" (305 mm)
Fold the cot to place it in the ambulance, to transfer a patient
from ground level onto the cot, or for bariatric transport (See
Bariatric Transport, pages 41-43).
9
POWERFlexx®+
About the Cot
3.4 Components
HEAD END
FOOT END
Backrest Control Handle
Backrest
Swing-Down
Sidearm (2)
Drop Frame
Shock Frame
Release Levers
Shock Frame
Drop Frame
Control Handle
Safety Bar
Safety Bar
Release
Handle (2)
Loading
Wheel (2)
Sidearm Release
Handle (2)
6" Swivel
Wheel (4)
ICS® Cot
Hydraulic
Module
Actuator (ICS® cot only)
Control Panel
(see page 11)
Wheel
Lock (2)
Fastener Post
for Model 175 Cot Fastener
(2 styles have been produced)
700 lb
318 kg
1000 lb
454 kg
Standard
load limit
Bariatric
load limit*
*Follow bariatric transport procedures (pages 41-43) when
working with loads that exceed the Standard Load Limit (more
than 700 pounds or 318 kg). Inspect the cot if the Standard Load
Limit has been exceeded (see Inspecting the Cot, page 45).
10
POWERFlexx®+
About the Cot
3.4 Components (Continued)
POWERFlexx®+ST
Fastener Release Handle
POWERFlexx®+ST only: Stat Trac Fastener Posts
Battery Gauge
Lead Handle
Power Switch
Top View
Top
View
LOWER/LOAD
Touch Pad
24 VDC Charging Port
(Connection for Battery Charger)
RAISE/UNLOAD
Touch Pad
Bottom
View
Manual Mode
Handle (Red)
Charging Indicator Light
and Battery Condition Test Area
End View
Retaining Lever
(Yellow)
Female Control
Cable Port
Actuator
Cable Port
Male Control
Cable Port
Control Panel
24 VDC POWERPac Module
11
POWERFlexx®+
Setup and Installation
4 - Setup and Installation
4.1Ambulance Information
The ambulance bumper extension should not exceed 14 inches.
The patient compartment should have a level floor large enough
for the folded cot, and a Ferno® cot fastener installed (not
included). See Cot and Fastener Compatibility, page 4.
Important
Loose items and debris on the patient compartment
floor can interfere with the operation of the cot with the
fastener. Keep the patient compartment floor clear.
4.2 Restraints, Mattress, and Accessories
Before placing the cot in service,
assign appropriate personnel to
install the mattress, restraints, and
any accessories shipped with the
cot. Keep restraint and accessory
users’ manuals with this manual for
future reference. For additional, free
manuals, contact Ferno Customer
Relations (page 2).
Guide
Strap (1)
Warning
Attaching improper items to
the cot can cause injury. Use
only Ferno-approved items
on the cot.
Torso Restraint (1)
Two-Piece
Restraints
Restraints (Set of 3)
Follow the instructions in the restraint users’
manuals (supplied separately).
4.3 Fastener Compatibility
Read the cot fastener users’ manual for instructions on using
the fastener (See Cot and Fastener Compatibility, page 4).
Antler-and-rail fastener
The POWERFlexx®+ and POWERFlexx®+ICS® cots are
compatible with all versions of the Ferno® Model 175 antler
and rail cot fasteners. The cot fastener must be configured
for use with the Ferno® Model 35 Series - see the fastener
installation manual for details.
Using the Model 175 cot fastener requires the installation
of a safety hook. Cot fasteners with removable antlers may
also need to be updated. The safety hook and parts to update
a fastener are included with the cot.
Important
Stat Tracs installed before June 1, 2000 required only
16 inches of clearance from the ambulance wall to the
center of the Stat Trac.
The 6-inch (152 mm) wheels on the POWERFlexx®+
series cots require the fastener to be positioned at
least 17 inches (432 mm) from the wall to allow room
for the wheels to swivel as the cot is removed.
If you installed a Stat Trac at the old minimum
distance, you must reposition your Stat Trac to at
least the new minimum distance.
Contact Ferno Customer Relations (page 2) for a revised
Stat Trac installation manual.
Stat trac fastener
The POWERFlexx®+ST cot is compatible with all versions
of the Ferno® Model 185 Stat Trac fastener. The center of
the fastener must be a minimum of 17" (432 mm) from
the ambulance wall. If the fastener was installed closer than
this minimum distance, it must be reinstalled further from
the wall to provide room for the cot wheels to swivel during
loading and unloading.
12
POWERFlexx®+
4.4Install the Safety Hook
Note: If your ambulance service uses only the Stat Trac
Fastening System, skip the rest of Section 4.
The safety hook (Figure 1) provided with the POWERFlexx®+
and POWERFlexx®+ICS® cots is a component of Ferno’s
Model 175 Cot Fastening System, and must be installed on
the ambulance floor.
The safety hook catches the cot safety bar (Figure 2) to
ensure that the cot remains secured inside the ambulance
while the operators raise or lower the undercarriage during
loading or unloading.
Installing the safety hook requires the skills of a mechanic
familiar with ambulance construction.
Warning
Failure to use the safety hook can cause injury.
Install and use the safety hook as described in this
manual.
Important
Before installing the safety hook, consult the
ambulance manufacturer about possible interference
with wiring and other elements under the ambulance
floor, and about the ambulance warranty.
Before installing the safety hook, consult the ambulance
manufacturer regarding:
●
the location of wiring, oxygen or fuel lines, and other
elements under the ambulance floor
●
the ambulance warranty.
Hook
Rear Edge
Hardware required (not supplied)
2
2
2
2
1/4"-20 flat-head machine screws*
flat washers
lock washers
1/4"-20 nuts
*The machine screws must be long enough to pass through
the safety hook, patient compartment floor, both washers,
and still have at least two full threads extending past the nut.
The hardware should be of at least SAE Grade 5 with UNC-2
threading (or equivalent).
Figure 1 - Safety Hook
Safety Bar
(on cot)
Safety Hook
(on ambulance floor)
Figure 2 - Engaging the Safety Hook
13
POWERFlexx®+
Inset from
Doorjamb
11" (279 mm)
11" (279 mm)
Inset from
Doorjamb
MAX
17.75" (451 mm)
Bumper or
Extended Bumper Step
Figure 3 - Safety Hook Placement
Proper safety hook placement
Position the safety hook as close to the rear of the ambulance
as possible, within the limits below:
●
The bumper or extended folding bumper must not
exceed 14 inches (356 mm).
●
Position the safety hook with the hook facing the front
of the ambulance.
●
Position the safety hook at least 11 inches (279 mm)
from both sides of the door frame (Figure 3) so the
cot’s safety bar will engage the hook when the cot is
loaded or unloaded.
●
Position the safety hook no more than
17.75 inches (451 mm) from the front edge of the hook
to the rear of the ambulance, including the bumper and
folding bumper step in the extended (open) position.
Ambulance Rear
Rear Edge
Ambulance Front
Flat-Head
Machine Screw
Flat Washer
Important
Lock Washer
If the safety hook is installed too far inside the ambulance,
you will not be able to properly fold or unfold the cot
undercarriage when it is secured by the hook. Measure
and install the safety hook as instructed in this manual.
Nut
Floor
Figure 4 - Installing the Safety Hook
Installing the safety hook
1. Mark the position of the safety hook on the floor.
2. Drill holes for the flat-head machine screws and attach
the safety hook to the floor (Figure 4).
3. To test the hook, load and unload the cot. Verify that
there is no interference with folding or unfolding
the legs.
14
POWERFlexx®+
4.5Before Using the Cot
●
If the antler portion of your Model 175 cot fastener
is permanently-mounted to the ambulance floor,
skip this inspection.
●
If you have a removable-style antler as shown in
Figure 5, inspect it. (A removable fastener is one in
which the fastener antler is attached to the floor by
large knobs that allow the antler to be detached from
the floor for cleaning. The removable knobs attach to
metal plates installed in the floor.)
Front of Ambulance
(Old-Style) Mounting
Block and Knob Do Not Replace
inspection for removable-mount cot
fasteners
1. If the removable antler has a low-profile mounting
block (the block has an angled shape as shown in
Figure 6) and the low-profile block is installed at the
antler-end nearest the rear of the ambulance as shown
in Figure 5, the mounting block does not need to be
updated and no further action is needed.
New, Low-Profile
Mounting Block and
Short Turn-Knob
Used Here
Figure 5 - Antler with Low-Profile Block
Old-Style
Block: Replace
2. If the end of the antler nearest the ambulance door
uses an old-style rectangular mounting block (Figure
6), the mounting block and knob must be replaced.
Contact Ferno Customer Relations and order parts kit
#082-2243 to obtain a low-profile mounting block and
short knob.
Low-Profile Block:
No Need to Replace
Figure 6- Mounting Blocks
15
POWERFlexx®+
Power System and Control Panel
5 - Cot Power System and Control Panel
Battery Gauge
Power Switch
Touch Pad
POWERPac
Touch Pad
Control Panel
Hydraulic
Actuator
Manual Mode
Control Handle
Figure 7 - Major Components
of the Hydraulic Power System
5.1 Power System: General Information
●
ACTUATOR: The cot is powered by an electrohydraulic actuator (Figure 7). The actuator is affixed to
the lower frame of the cot. This position provides a lower
center of gravity for the cot and makes the cot more
stable when in a high-rolling or loading height. Linear
bearings are used for smooth lifting and lowering.
●
POWERPAC: The POWERPac contains two sealed
lead-acid batteries to power the cot actuator for raising
and lowering the cot. The POWERPac also contains
the logic circuit that monitors the power, electrical
charge, and other aspects of the cot. It controls the
actuator, monitors the batteries, and receives input
from the cot control panel.
●
●
●
16
Automatic safety bleed-down system:
This feature allows the cot to slowly settle to its lowest
position if the cot is overloaded (patient plus equipment
exceeds the Standard Load Limit of 700 pounds or
318 kg) See Safety Bleed-Down System at right. If this
occurs, use Bariatric Transport procedures for moving
and transporting the patient. See Bariatric Transport,
pages 41-43.
TOUCH-PAD CONTROLS: Two touch-pads are
positioned at the cot foot end control panel for easy
access by the foot-end operator. The large size of the
touch-pads allows easy use of the controls by operators
of different hand sizes and grasping positions.
MANUAL MODE CONTROL HANDLE: This
control allows non-powered, manual operation of the
undercarriage. See Manual Mode, pages 23 and 24.
●
POWER SWITCH: The power switch, located on
the control panel, allows easy shutoff of the powered
system to conserve power and to prevent inadvertent
use of the cot. The power switch also flashes under
certain conditions to provide feedback to the user.
●
BATTERY GAUGE: The gauge provides a constant
readout of the amount of lifting power remaining in
the batteries. The gauge flashes to indicate warnings
of low charge or cutoffs.
Safety Bleed-Down System
An automatic, safety bleed-down system allows the
cot to slowly settle to its lowest position in the event
the cot is overloaded (patient plus equipment exceeds
the Standard Load Limit of 700 pounds or 318 kg).
When this occurs, follow the Bariatric Transport
guidelines (pages 41-43). These include:
●
Rolling the cot in the folded position.
●
Picking up the folded cot, using as much additional
help as necessary, to cross obstacles and when
loading the cot into the ambulance or unloading it
from the ambulance.
●
For dedicated bariatric units, consider a winch
loading system (not provided). See Accessories,
page 49, for a Ferno-recommended provider of a
winch- and ramp-loading system.
POWERFlexx®+
5.2 POWERPac Overview
The POWERPac (Figure 8) supplies the electrical power for the
cot’s 24 VDC electro-hydraulic system. Two rechargeable, sealed
lead-acid batteries are installed inside its durable plastic case.
A fully-charged POWERPac provides power for an average
of 50 powered cycles before the batteries require recharging.
Patient weight and extreme temperatures will affect the
number of cycles.
Typical charging time is 1-2 hours. Actual charging time
varies based on frequency of recharge, depth of discharge,
and the age of the batteries. Deeply discharged batteries may
require extended charging time.
For detailed information about the POWERPac, see
the POWERPac Users’ Manual shipped with this cot.
Additional, free users’ manuals are available from Ferno
Customer Relations (page 2).
Batteries: general information
The batteries in the POWERPac are lead-acid in type. Leadacid batteries have no “memory.”
● Charge the batteries as frequently as possible to keep
the cot ready for use when you cannot access the
charger for an extended period of time.
● You do not need to fully discharge the batteries before
recharging.
● Batteries cannot be overcharged when charged with
the Ferno-approved charger, even if the batteries are
already fully charged.
● The rate of speed for raising and lowering the cot is
faster when the batteries are fully charged.
●
●
●
●
●
Powerpac: general information
The modular design of the POWERPac makes it easy
to change a discharged POWERPac for one that is
fully charged.
The plastic case helps to protect the batteries and
electrical connections from mud, body fluids, rain,
cleaning solutions, etc.
The POWERPac must be charged with the Fernoapproved charger. A charger is shipped with each
POWERFlexx®+ series cot. Additional chargers may
be purchased (See Accessories, page 49).
If a charger is used inside an ambulance, it must
be connected to a Ferno charging system such as
the Integrated Charging System (ICS®) or Breakaway
Charging System (BCS). Any other use or connection
can cause injury or damage, and will void the warranty.
If you have more than one POWERPac, you can
exchange a discharged POWERPac for one that is
fully charged. See Connecting the POWERPac to the
Cot, page 18. Ferno recommends that you exchange
POWERPacs after each work shift.
Figure 8 - POWERPac
Warning
Improper charging can cause injury or damage. Charge
the POWERPac only with a Ferno-approved charger
or charging system. When charging a cot inside an
ambulance, a charging system must be used.
Recommendations:
All rechargeable batteries lose power over time, even
when they are not in use. If you do not have an ICS® or
BCS, Ferno recommends:
1 – Charge at least once every 5 days (minimum).
2 – If you have more than one POWERPac, remove and
charge the POWERPac you have been using after each
work shift, and connect a fully-charged POWERPac.
Important
Charge the batteries whenever possible.
POWERPac batteries have no "memory" and do not
need to be fully discharged before recharging. Batteries
can be placed on the charger at any time, even when
fully charged, without damaging them.
Important
Charge the POWERPac only with:
•
•
a Ferno-approved battery charger
a Ferno charging system (ICS® or BCS)
Connecting the POWERPac to a third-party charger
or system can cause damage. Connect the POWERPac
only to the charger supplied by Ferno, or to the Ferno
Integrated Charging System (ICS®) or Breakaway
Charging System (BCS).
17
POWERFlexx®+
Important
Turn the cot power switch OFF before connecting the
POWERPac. A Fast Flash cutoff may occur if the power
switch is left ON as the POWERPac is connected. See
Feedback, pages 21 and 22.
Connecting the POWERPac to the cot
1. Turn the cot power switch OFF before connecting
the POWERPac. A Fast Flash cutoff may occur if the
switch is ON when the POWERPac is connected. See
Feedback, pages 21 and 22.
2. Raise the backrest about halfway (Figure 9).
Figure 9- Installing the POWERPac
3. Position the POWERPac with the actuator and control
ports toward the foot end of the cot, then slide the
POWERPac into position under the cot seat panel
(Figure 9). Verify that the POWERPac is laying flat on
the two black “spines” of the cot.
4. Connect the actuator cable and control cable to the ports
on the POWERPac as follows (Figures 10 and 11):
●
●
●
Route the cables over the X-frame crosstube.
Route the cables under the lift axle.
Remove the Control Port cap and connect the Control
Cable to the proper port on the POWERPac (See the
POWERPac Users’ Manual). Save the cap that you
remove. It is needed during cleaning/maintenance.
Cables Under
the Lift Axle
Figure 10 Route the
Cables OVER
the X-Frame
Crosstube
and Under
the Lift Axle
Cables Over the
X-Frame Crosstube
5. Verify that the unused control port is capped. Do not
use the POWERPac unless the unused port is capped.
For replacement caps, see Accessories, page 49.
6. If you are using the ICS® or BCS, connect the cotside cable to the 24 VDC Charging Port on top of the
POWERPac (See the POWERPac Users’ Manual).
7. Turn the cot power switch ON. Press a touch-pad once
to wake up the cot if needed, then press it a second
time to raise or lower the cot and verify that the system
is functioning normally. If there is a problem, refer to
the POWERPac Users’ Manual.
Warning
An uncapped Control Port may allow liquids to
damage the POWERPac. Cap the unused Control
Port and replace the cap immediately if it is missing.
Do not use the POWERPac unless the unused Control
Port is capped.
Disconnecting the POWERPac
1. Unscrew and remove the two cables (Control Cable
and Actuator Cable) from the POWERPac.
2. If you have the ICS® or BCS, disconnect the cot-side
charging cable from the 24 VDC charging port on the
POWERPac by pressing the metal latch on the side of
the D-shaped connector and removing the connector.
3. Raise the backrest about halfway.
4. Lift and slide the POWERPac out from the cot.
18
Female Control Port
(For Use With Non-Updated
Cots Before SN #08-700240)
Actuator
Port
Male Control Port
Figure 11 - Control and Actuator Ports
POWERFlexx®+
5.3 Power Switch
●
Purpose: The power switch controls the cot’s
powered mode.
●
Use: Turn ON to use the cot in its powered mode.
Turn OFF to conserve power or to prevent accidental
activation of the hydraulic system.
○○
○○
○○
○○
A green light in the switch is lit when the rocker
switch is set to ON (Figure 12). After two minutes
of non-use, the light is turned off when the cot
enters Sleep Mode (See Sleep Mode, page 20).
Turning the switch from ON to OFF and back ON
will awaken the cot from Sleep Mode.
The light flashes slowly to indicate a power cutoff.
See Feedback, pages 21 and 22.
The light may flash quickly if the switch is ON when
the Control Cable is connected. Turn the switch OFF
and ON to reset. See Feedback, pages 21 and 22.
5.4Touch-Pad Controls
●
Purpose: The touch-pad controls operate the hydraulic
power system to raise and lower the cot (Figure 13).
●
Use: Any part of the blue- or green-colored area of the
touch pad may be used to operate the cot (Figure 14).
Position your hands to comfortably grasp the cot main
frame, with the touch-pads accessible to your thumbs.
○○
Figure 12 - Power Switch
Touch-Pad Control Symbols
BLUE (Left): Folds the Cot
Use the following memory aid to remember the
touch pad functions:
Left =Lower or Load
Right= Raise or Remove (Unload)
○○
The touch-pad controls may also be used to awaken
the cot from Sleep Mode. See Sleep Mode, page 20.
Press the touch-pad once to awaken and a second
time to raise or lower the cot, or press and hold the
touch-pad until the cot begins raising or lowering.
GREEN (Right): Extends the Undercarriage
Control
Surface
Figure 13 - Touch Pad Controls
Figure 14 - Any Part of the Colored Area
May Be Used to Activate the Control
19
POWERFlexx®+
5.5Sleep Mode
When the cot power switch is turned ON, the cot is ready for
use. However, after 2 minutes of inactivity the cot will enter
a “Sleep Mode” to conserve power. In Sleep Mode, the lights
in the power switch and the battery gauge are turned off (even
though the power switch itself is still in the “ON” position).
To awaken the cot, do one of the following:
● Press either touch-pad (Figure 15) once to awaken the
cot, then press again to raise or lower the cot.
●
Press and hold the touch-pad for one second. The lights
will turn on and as you continue to press the touch-pad,
the actuator will begin raising or lowering the cot.
●
Turn the power switch OFF and then ON.
Battery Gauge
Power Switch
Touch Pad
Touch Pad
Figure 15 - Control Panel
5.6Battery Gauge
The battery gauge (Figure 16) displays the approximate
amount of charge remaining in the batteries and is located
on the cot control panel.
The gauge display is a set of 10 LED lights. With a full
charge, the light to the far right (LED #10) is lit. As the
charge in the batteries is used, the gauge tracks from the
right to the left, with the far left (LED #1) indicating that no
charge remains.
Extreme temperature (cold or hot), extreme patient weight,
and the age of the batteries are factors that affect how quickly
the charge in the batteries is used.
Low charge warning
When the gauge reaches LED #2 (next to far left), it flashes
as a warning that the battery charge is low. Charge the
POWERPac or connect a fully-charged POWERPac as soon
as possible.
No Charge
(LED #1)
Power cutoff
If the Heavy Load Cutoff is reached (see Feedback, Power
Cutoffs, page 21), the power to the actuator will be cut off
twice to warn that the battery charge is exhausted.
If this cutoff occurs a third time, powered mode is disabled,
the gauge moves immediately to LED #1 flashing, and you
must use Manual Mode.
To reactivate the system, the POWERPac must be recharged
or a fully-charged POWERPac must be connected.
20
LED #10
Figure 16 - Current Battery Gauge
Battery Scan
The battery gauge scans the batteries to assess the level
of charge. During the 30-second scan, the LEDs on the
gauge cycle sequentially back and forth. This scan occurs
when the cot is awake (not in Sleep Mode) and:
● a POWERPac is connected to the cot.
●
the cot/POWERPac is disconnected from the charger
while the POWERPac is connected to the cot.
●
the cot/POWERPac is disconnected from a charging
system (ICS® or BCS). The connection between the
cot and a charging system is broken when:
○○ an ICS®-equipped cot is moved away from the cot
fastener, breaking the connection between the cot
module and fastener module.
○○ a BCS-equipped cot is moved to separate the
breakaway cables.
Power cutoff
When the gauge reaches “empty,” both LEDs #1 and #2 will
flash alternately and the power to the cot actuator will be
cut off. Use the cot in Manual Mode until the POWERPac
is recharged, or exchange the depleted POWERPac for one
that is fully charged.
LED #1
Full Charge
(LED #10)
When the scan is complete, the gauge lights the appropriate
LED to indicate the current charge in the batteries.
Important
The cot may be used during the 30-second Battery
Scan.
POWERFlexx®+
5.7 Feedback (Power Cutoffs)
Several situations may cause the power to the cot to be cut
off by the POWERPac. In each case, the logic circuit inside
the POWERPac cuts the power to help protect the system
(actuator, batteries, or circuit board) from damage.
When a cutoff occurs, look at the lights on the control
panel for an indication of what has occurred (Figure 17).
Power switch: slow flash (low voltage)
1. The battery gauge reached empty: When the battery
gauge LEDs #1-2 are flashing and the power switch
is flashing slowly, the charge in the batteries is empty.
The power is cut off and the power switch light flashes
continuously (up to 2 minutes before the cot enters
Sleep Mode).
– Solution: Recharge the POWERPac or connect a
fully-charged POWERPac.
2. Heavy Load Cutoff. The battery gauge LED is in
the “Recharge” area (below LED #5) and the charge
remaining in the batteries is not enough to lift the load.
The power is cut off and the power switch light flashes
for up to 30 seconds.
– Solution: Release the touch-pad. You may then
immediately press the touch-pad again to operate the cot;
however, human lift-assistance may be required. This
cutoff is a warning that the batteries are weak. This
warning cutoff will occur twice. If this cutoff occurs a
third time, powered mode is disabled, the battery gauge
immediately changes and flashes at LED #1 and you must
use Manual Mode until the POWERPac is recharged.
Power switch: single flash
1. Fully-raised position: The power is cut off when the
cot reaches its highest limit.
– Solution: Release the touch-pad. Power is restored.
2. System abuse. Pressing and holding a touch-pad for
more than 20 seconds with the actuator motor running
is abusive to the system.
– Solution: Release the touch-pad. Power is restored.
Power switch: fast flash
1. The Control Cable may have been connected with
the cot power switch ON.
– Solution: Turn the cot power switch OFF and then
ON to reset the system. If this does not correct the issue,
connect the charger for about 10 seconds, then remove
the charger and try again.
If the Power Switch Light is Flashing,
a Power Cutoff Has Occurred
If the power to the cot is interrupted (cut off ):
● SLOW FLASH: The battery charge is:
○○ LOW – a Heavy Load Cutoff occurred. Use
human lift-assistance to lift the cot.
○○ EMPTY – recharge the POWERPac or connect a
fully-charged POWERPac to reactivate the cot.
●
SINGLE FLASH: Stop pressing the touch-pad.
The power is restored.
●
FAST FLASH: Turn the power switch OFF and
then ON to reset. If this does not reset the system,
connect the battery charger for 10 seconds,
remove the charger and try again.
Note: The power to the cot is also cut off when the
batteries are being charged. To use the cot, disconnect
the charger or remove the cot from the ICS® or BCS.
Battery Gauge
Power Switch
Figure 17 - Control Panel Lights
Important
If the power is cut off while the cot is being used:
• Stop pressing the touch-pad.
• Use human assistance if needed.
• Press the correct touch-pad to continue using
powered mode if needed.
Important
Abusive use of the touch-pads can damage the system.
Do not continue pressing the touch-pad after the cot
reaches its raised or lowered limit.
Power switch: no light
1. Cot is in Sleep Mode.
– Solution: Press a touch-pad to wake up the system.
2. System is being charged: The power is cut off when
the batteries are charged by the charger, ICS® or BCS.
– Solution: To use the cot, disconnect the charger or
charging system.
Important
If the Heavy Load Cutoff is reached 3 times: The
battery gauge changes immediately to LED #1 and
the cot’s powered mode is disabled. You must use
Manual Mode to operate the cot until the POWERPac is
recharged or a fully-charged POWERPac is connected.
21
POWERFlexx®+
5.8 Feedback (POWERPac)
Charging port and Indicator Light
The D-shaped charging port on the top of the POWERPac
(Figure 18) is designed to be used only with a Ferno-approved
charger or charging system (ICS® or BCS).
Important
If the charger is properly connected to the POWERPac
and a (powered) electrical outlet, the Charging Indicator
Light on the POWERPac will be ON (or flashing). If the
indicator is not ON, inspect your connections.
When a charger or charging system is connected to the POWERPac,
the green Charging Indicator Light on the upper case is ON (Figure
19). This light flashes as the batteries are charged and is steady (ON)
when the batteries are fully charged.
During Charging: The POWERPac Charging Indicator Light
may continue to flash even when the battery charger indicates
that the batteries are fully charged. For the most complete
charge, continue charging until the POWERPac Charging
Indicator Light stops flashing and remains steady.
Figure 18 POWERPac 24 VDC
Charging Port
If the Charging Indicator Light is not ON or flashing when
a charger or charging system is connected, inspect the charger,
connections, and charger fuse. See the POWERPac Users’
Manual for additional information.
Charging Light
Battery Condition Test Button
And Battery Condition Light
The push-button and indicator light on the upper POWERPac
case (Figure 20) allow the user to test the general condition of the
batteries, battery connections, and fuse inside the POWERPac.
Figure 19 - Charging
Indicator Light
The test allows you to check for a problem inside the POWERPac
without requiring you to open the case. The test can be conducted
with the POWERPac connected to, or separate from, the cot.
During the battery condition test, the power to the cot actuator
is cut off. The power is restored in about 5 seconds. The battery
test button is disabled when the POWERPac is being charged.
To test the battery condition, press and release the gray button.
The Battery Condition Light next to the button will light for
approximately 5 seconds to indicate the batteries’ condition.
If the light is:
●
GREEN: the batteries are functioning properly and have
a good charge.
●
YELLOW: the batteries are functioning properly and
have a low-to-medium amount of charge.
●
RED or NO LIGHT: If the light is RED briefly when pressed,
and then has NO LIGHT, service may be required. Connect
the charger to the POWERPac and inspect as follows:
○○
○○
●
22
If the charger light flashes quickly: the fuse
inside the POWERPac may be blown. Inspect the
fuse (See the POWERPac Users’ Manual for a
complete fuse-inspection procedure). Check the
cot’s actuator and control cables for damage, cuts,
kinks, etc. before replacing the fuse.
If the charger light flashes slowly: a wire inside
the POWERPac may be disconnected. Inspect the
wires (See the POWERPac Users’ Manual for
complete inspection information).
If the POWERPac lights indicate that the POWERPac is
in good condition but you do not have power, inspect the
cables to the actuator for damage (kinked, frayed, etc.)
Important
The Battery Condition Test shows the general status of
the batteries:
GREEN: Good condition, Good charge
YELLOW: Good condition, Low-to-Medium Charge
RED/NO LIGHT: Service Required
The Battery Condition Light on the POWERPac shows if
the batteries are in good condition or if there is a battery
or battery wiring problem inside the POWERPac.
Battery Condition Light
Push-Button for
Battery Condition Test
Figure 20 - Battery Condition Test Button
and Battery Condition Light
POWERFlexx®+
5.9 Manual Mode
Control Handle
The Manual Mode control handle is located under the green
RAISE/UNLOAD touch pad (Figure 21).
Manual Mode allows non-powered operation of the cot. The
two trained operators should use additional help to lift heavy
loads (See Using Additional Help, page 40).
The Manual Mode control handle unlocks the undercarriage
which allows the cot to be raised or lowered without
hydraulic assistance.
Use Manual Mode when the batteries are empty or when the
system has low power and a cutoff has occurred.
Figure 21 - Manual Mode Control Handle
A yellow retaining lever keeps the Manual Mode control
handle from being activated accidentally. The retaining lever
must be lifted before the manual mode handle can be used.
The rate of descent in Manual Mode can be partially adjusted
by the distance you pull the control handle. See Safe Use of
Manual Mode on this page. The tension of the Manual Mode
cable can also be adjusted. See Adjusting the Tension of the
Manual Mode Cable, page 48. Check the tension of the
cable regularly. See the maintenance schedule on page 44.
Exercise extreme caution when using Manual Mode. The
operators (and helpers) must support the load BEFORE the
control handle is used.
Warning
Warning
Cot movement in Manual Mode can be rapid.
Support and control the cot when using Manual
Mode. Use additional help if needed.
Safe Use of Manual Mode
Support and control the cot when in Manual Mode.
Cot movement in manual mode can be rapid. The distance
you pull the control handle determines the speed at which
you can manually raise and lower the undercarriage.
Manipulating the control handle appropriately for the task at
hand will help you operate the cot more efficiently and safely.
●
Operators (and helpers) must lift and hold the weight
of the patient and cot before the handle is pulled.
●
Use light pressure and pull the control handle only a
short distance to guide the cot through a slow descent.
●
For rapid movement, pull the control handle fully.
●
The rate of descent will accelerate as the cot nears
the folded position. Relax your grasp on the control
handle as you near the folded position.
●
After using Manual Mode to raise the cot, the pistons
may allow the cot to settle slightly (See Manual Mode
Tips at right).
Manual Mode Tips:
●
Pull the handle only a short distance to allow the
cot to glide through a smooth descent.
●
When folding the cot, relax your grasp on the
handle as the cot nears the folded position.
●
may allow the cot to settle. To reduce settling and allow
the hydraulic fluid to equalize, do one of the following:
○○
To minimize settling: hold the control handle open
and continue to support the weight of the cot for
a few seconds. Then, release the control handle.
○○
To eliminate settling: briefly touch the green
RAISE/UNLOAD touch-pad (if power is available).
23
POWERFlexx®+
Using manual mode
Before Using Manual Mode: Both operators (and any additional
helpers) support the weight of the cot.
1. Control Operator: Lift the YELLOW retaining lever to
access the Manual Mode control handle (Figure 22). Verify
that the operators and helpers are holding the weight of
the cot before proceeding.
2. Control Operator: Pull the RED control handle (Figure 22).
The distance you pull the handle will control how quickly the cot
can be raised or lowered. When folding the cot, begin releasing
the handle as the cot nears the folded position.
3. All Operators/Helpers: Together, raise or lower the cot.
4. Control Operator: Release the control handle to allow the
undercarriage to lock.
2
1
1. Lift yellow retaining lever.
2. Gently pull red handle
Figure 22 - Using the Manual Mode Handle
If the cot is settling downward:
The pistons will allow the cot to settle slightly after Manual Mode
is used. However, this distance should be short (a few inches). See
“Manual Mode Tips,” page 23. If the cot continues to settle toward
the folded position, see the solutions at right:
5.10Battery Charger
●
●
●
●
A charger suitable for use with your local power supply is
supplied with the cot. The charger uses standard "household"
electricity (either 100-115 VAC, 60 Hz in North America
or 230 VAC, 50 Hz in Europe) to charge the POWERPac
(Figure 23). An additional charger may be purchased
separately (see Accessories, page 49).
Actual charging time may vary based on frequency of
recharge, depth of discharge, and age of batteries.
Typical charging time is 1-2 hours. If the batteries are deeply
discharged, extend the charging time. See Charging the
POWERPac, page 47.
A charger-mounting bracket is available (not supplied). See
Accessories, page 49 to order a mounting bracket.
Indicator lights
The charger has one or two indicator lights.
● Power Light (Red): If this light is ON, it indicates that
the charger is connected to AC power. If this light is not ON,
check the outlet for power. (Note: Some chargers may not
have this indicator light).
● Charging Light: This light uses yellow and green to
indicate the charging status as follows:
○○ Green (Flashing Slowly): The charger is connected to
AC power but is not charging the POWERPac. (Check
the cable connections or charger fuse).
○○ Yellow: The charger is charging the POWERPac.
○○ Green ON (Steady): The charger has finished charging
the POWERPac.
○○ Green (Flashing Quickly): The charger is maintaining
the charge in the POWERPac. The LED may switch
between steady GREEN and fast-flash GREEN. See
the POWERPac Users’ Manual for additional use and
inspection and information.
24
●
The load is more than the cot’s Standard Load Limit
(700 pounds or 318 kg). Use bariatric transport
procedures. See Bariatric Transport, pages 41-43.
●
The Manual Mode cable tension is too tight. See
Adjusting the Tension of the Manual Mode Cable,
page 48.
Charging notes
●
●
●
During charging: the POWERPac Charging Indicator Light
may continue to flash even when the charger indicates that
the batteries are fully charged. For the most complete charge,
continue charging until the light on the POWERPac stops
flashing and remains ON (steady).
If the POWERPac is not being charged, inspect the fuses: 1)
on the charger near the LED indicators [replacement: Type
T6, 3AH 250V] and 2) inside the POWERPac [replacement:
40-amp automotive-style blade fuse].
Follow all instructions on the charger and in the charger
users' manual supplied with the charger. For additional, free
manuals, contact Ferno Customer Relations (page 2).
Charging Light
(Yellow/Green)
Power Light
(Red) If Present
Power Cord
Fuse, Type
T6, 3AH, 250V
Charging Cord
North
American Plug
Plug
(See Below)
CEE 7/7
Europlug
Figure 23 - Soneil Battery Charger
POWERFlexx®+
5.11 Charging Systems
Important
To charge the POWERPac when the cot is inside an
ambulance, a Ferno-approved charging system must be
used. If the charger is connected directly to the cot while
the cot is inside an ambulance, the POWERPac, charger,
or connecting wires may be damaged when the cot is
removed from the ambulance.
Ferno offers two charging systems that allow the POWERPac
batteries to be properly charged while inside an ambulance:
●
Integrated Charging System (ICS®): The ICS® uses
a series of linked components and modules that are
installed in the ambulance and on the cot fastener and
cot (Figure 24). The ICS® modules provide charging
power each time the cot is locked in the cot fastener.
●
Breakaway Charging System (BCS): The BCS uses
a system of cables to link the cot to the charger while
the cot is in the ambulance (Figure 25). The cables
must be connected manually each time charging the
batteries is desired. When the cot is removed from the
ambulance, the cables “break away” from one another
without damaging the cot or charger.
●
Both systems: the ambulance generator or inverter
must be turned ON, or the ambulance must be
connected to shore power to supply AC power to the
charger.
Figure 24 - ICS® Fastener Module and Cot
Connecting the ICS® or BCS
The ICS and BCS cot-side charging cable connects to the
POWERPac 24 VDC Charging Port (Figure 26). Place the
POWERPac in the cot before connecting the charging cable.
®
Figure 25 - BCS “Breakaway” Cables
To connect the cot-side cable, orient the D-shaped connector
properly and insert it into the port marked “24 VDC Charging
Port” on the POWERPac until the connector snaps into place.
For complete connection and charging information, see the
charging system and POWERPac manuals.
To disconnect the cot-side cable, press the metal latch on the
side of the D-shaped connector and remove the connector.
Important
Improperly disconnecting the charging cable from the
24 VDC Charging Port can damage the port, connector,
or charging cable.
The charging cable connects to the 24 VDC Charging
Port with a metal latch. When disconnecting a charging
cable, press the metal latch to unlock the connector
before removing the connector from the port.
Figure 26 - Connecting a Charging Cable to the
POWERPac 24 VDC Charging Port
25
POWERFlexx®+
Using the Features
6 - Using the Features
6.1 Mattress
●
Mattress versions (3):
○○
Standard - mattress with 5 plastic hooks (Figure 27).
○○
Option - mattress with hook-and-loop fastening strips.
○○
Option - mattress with plastic hooks and a pocket
for use with an accessory transfer board (Figure 28).
The transfer board is an accessory and is not included
with the mattress. See Accessories, page 49.
●
Purpose: The mattress provides comfort for the patient.
●
Use:
○○
The bottom of the mattress has either five plastic
hooks, or hook-and-loop fastening strips. The
plastic hooks (Figure 27) or hook-and-loop strips
help hold the mattress in place when transferring
a patient onto or off from the cot.
○○
To attach: Raise the backrest and/or shock frame
as needed. Feed each hook through a hole in the
patient surface (Figure 27) OR press the hookand-loop surfaces together.
○○
To remove: Slide one hand under the mattress and
apply upward pressure, then remove each hook
from the patient surface with your other hand; OR
separate the hook-and-loop fastening strips.
Figure 27 - Mattress Hooks Through Bed Surface
Accessory Transfer Board
(Optional)
Figure 28 - Optional Mattress with Pocket
26
POWERFlexx®+
Using the Features
6.2Backrest
●
Purpose: Elevate the patient’s torso for patient comfort
or medical necessity.
●
Before Use:
○○
○○
●
Loosen or unbuckle the torso restraint.
Support the weight of the backrest and patient.
Use: Press the red control handle toward the backrest
to unlock it (Figure 29). Raise or lower the backrest to
the desired position. Release the control handle to lock.
○○
○○
The gas spring is under pressure to ease raising
and lowering. When a heavy patient is on the
cot, support the patient’s weight before adjusting
the backrest. When a light patient is on the cot,
control the upward movement of the backrest so
it does not move too quickly.
Figure 29 - Using the Backrest
The backrest can be adjusted between 0° and 61°.
Important
Do not use the backrest to lift the cot. Lift the cot
only by grasping the main frame, or main frame and
optional accessory handles.
6.3Drop Frame
●
Purpose: The drop frame adjusts to 5 positions (Figure
30). A safety bar or head-end loading post attached to
the drop frame secures the cot to the safety hook or
safety stop in the ambulance during the loading or
unloading process.
○○
●
+1
extended position: This locked position is
used by an operator for lifting to raise or lower
the cot manually. This position is also used for
loading the cot into an ambulance or unloading it
from the ambulance.
○○
position +1, -1: These locked positions help to
provide good ergonomic lifting angles for raising
or lowering the cot manually.
○○
position +2, -2: These positions shorten the
cot’s length for better maneuvering where space
is limited. The drop frame is not locked when
in the folded [-2] position. At the [+2] position,
the drop frame is locked and can be used to push
and steer the cot.
Use: Squeeze the release bar to unlock the drop frame,
then raise or lower the drop frame to the new position.
Let go of the release bar at the new position.
○○
+2
Raise the drop frame to the extended, [+1] or [+2]
position before folding the cot.
Extended
Position
-2
-1
Figure 30 - Drop Frame Positions
Important
Extend or raise the drop frame before folding the
cot. Folding the cot with the drop frame in a lowered
position can damage the drop frame if it strikes the cot
undercarriage, floor, or ground.
27
POWERFlexx®+
Using the Features
6.4 Fastener Release Controls
●
Location: Cot head end, on the drop frame.
●
Purpose: The controls, when used, disengage the cot
from the safety hook or safety stop.
●
Use: See Unloading the Cot, page 38.
○○
POWERFlexx®+: Release the cot from the safety
hook by turning the lever counter-clockwise
(Figure 31).
○○
POWERFlexx®+ST: Release the cot from the
safety stop by pulling the handle toward the
patient left side of the cot (Figure 31).
Figure 31 - Fastener
Release Controls
Right: POWERFlexx®+
Below: POWERFlexx®+ST
6.5Shock Frame
●
Purpose: Elevate the patient’s legs to treat shock or
for patient comfort.
●
Before changing positions: Unfasten or loosen the
leg restraint.
●
Use: To raise, stand at the foot end of the cot and use
both hands to raise the shock frame until it locks in the
raised position. To lower, lift the shock frame a little to
support the weight, then press the shock frame control
levers (Figure 32) and lower the shock frame.
○○
Control
Lever (2)
Fasten and adjust the leg restraint after completing
the position change.
Figure 32 - Lowering the Shock Frame
6.6 Wheel Locks
A wheel lock is mounted in two of the transport wheels, one
at each end of the cot, where it is accessible to the operator’s
right foot.
●
Purpose: Help keep the cot stationary during patient
transfer and certain medical procedures.
●
Use: Press the lock lever to engage (Figure 33); lift the
lock lever up with your toe to release.
○○
Wheel locks are not brakes.
○○
Remain with the cot and keep control of it at all
times. Do not leave the cot or patient unattended.
Figure 33 - Wheel Lock
28
POWERFlexx®+
Using the Features
6.7Sidearms: Swing-Down (Standard)
●
Purpose: Patient security and comfort.
●
Use:
Release Handle
○○
To lower: Squeeze the sidearm release handle
(Figure 34) and lower the sidearm.
○○
To use the intermediate position: Let go of the
release handle before the sidearm reaches the
90° point.
○○
To raise: Lift the sidearm until it locks. You do
not need to use the release handle.
Figure 34 - Lowering the Sidearm
○○
The intermediate position allows a patient’s arm
to be placed on the sidearm for treatment, starting
of intravenous (IV) fluids, etc.
Important
○○
Keep sidearms raised except during patient transfer.
Do not use the sidearms to lift the cot. Sidearms are not
designed for lifting. Lift the cot only by grasping the main
frame, or main frame and optional accessory handles.
Important
Sidearms are designed to support light objects. Do not
place objects weighing more than 10 pounds (4.5 kg)
on the sidearms.
6.8Sidearms: Universal (Option)
●
Purpose: Patient security and comfort. Universal
sidearms fold down along the main frame (Figure 35)
or swing down like a traditional sidearm.
●
Use:
○○
To fold: Press the release lever and fold the
sidearm flat along the cot main frame.
○○
To lower: Press the release lever, pull the sidearm
slightly toward the foot-end of the cot to free it
from the lock, then swing the sidearm down below
the cot main frame.
○○
To use the intermediate position: Press the release
lever and begin folding and lowering the sidearm,
then slide the sidearm toward the head-end of the
cot to lock it before lowering to the 90° point.
○○
The intermediate position allows a patient’s arm to
be placed on the sidearm for treatment, starting of
intravenous (IV) fluids, etc.
○○
Keep sidearms raised except during patient
transfer.
Release Lever
Figure 35 - Lowering or Folding the Universal Sidearm
Important
Do not use the sidearms to lift the cot. Sidearms are not
designed for lifting. Lift the cot only by grasping the main
frame, or main frame and optional accessory handles.
Important
Sidearms are designed to support light objects. Do not
place objects weighing more than 10 pounds (4.5 kg)
on the sidearms.
29
Using the Features
POWERFlexx®+
6.9Adjustable Foot-End Lift Bar
●
Purpose: The multi-position hinges lock in increments
of approximately 10° (Figure 36). This allows operators
of different heights to adjust the foot-end lift bar and
control panel to suit their height and use good lifting
techniques while grasping the main frame and using
the controls.
●
Use: Take the pressure off of the control panel and then
press the center of the two hinge buttons at the same
time to unlock the hinges (Figure 37). Then, rotate the
lift bar to a new locking position. Verify that the lift
bar is locked before lifting the cot.
Figure 36 - Adjusting the Foot-End Lift Bar
Note: Push the hinge buttons before you begin rotating the
control panel.
Important
Always press the center of the two hinge buttons
to unlock the foot-end lift bar. Pressing the edge of
the buttons can cause damage over time, leading to
difficult hinge operation.
Figure 37 - Foot-End Lift Bar Positions
6.10Lead Handle
●
Purpose: Use the lead handle to pull the cot when it
is in the rolling-height range (see Cot Height, page 9)
and the cot is on a level surface.
●
Use: Lift the lead handle from its storage position and
pull the cot (Figure 38). Press the lead handle into the
formed plastic control panel to store it.
○○
The Control Operator uses the lead handle only
when the cot is on a smooth, level surface. Do not
use the lead handle when the cot is on an incline or
any uneven surface. For an incline or rough terrain,
grasp the main frame of the cot with both hands.
Figure 38 - Using the Lead Handle
30
POWERFlexx®+
Using the Cot
7 - Using the Cot
7.1Before Placing the Cot in Service
●
●
Personnel who will work with the cot need to read the
following users’ manuals (Figure 39):
○○
this POWERFlexx®+ Users’ Manual;
○○
the POWERPac Users’ Manual;
○○
the charger users’ manual;
○○
the manual for the cot fastener that you will use
with the cot. For additional, free manuals, contact
Ferno Customer Relations, page 2.
See Setup and Installation, pages 12-15. Install
the safety hook. Update your Model 175 fastener if
needed. Attach the restraints, mattress, and accessories
(see the restraint and accessory users’ manuals).
●
Confirm that the cot operates properly. Follow the
instructions in Inspecting the Cot, page 45.
●
Use the cot’s Standard Load Limit (Figure 39) for all
normal cot functions (raising, lowering, and loading/
unloading). When working with loads in excess of the
Standard Load Limit (more than 700 pounds or 318
kg), follow bariatric transport procedures (pages 4143). Inspect the cot if the Standard Load Limit has
been exceeded (see Inspecting the Cot, page 45).
7.2Guidelines for Use
●
●
●
●
●
●
●
●
●
●
Medical advice is beyond the parameters of this
manual.
It is the users’ responsibility to ensure safe practices
for the patient and themselves.
Follow standard emergency patient-handling
procedures when operating the cot.
A minimum of two trained operators is required.
Operators work together and maintain control of
the cot at all times.
Operators communicate with one another and use
coordinated movements to operate the cot.
Lift only the weight you can safely handle. Use
additional help when working with heavy loads
(patient and equipment). For placement of helpers, see
Using Additional Help, page 40.
Stay with the patient at all times.
Always use patient restraints to secure the patient on
the cot.
Follow bariatric transport procedures (pages 41-43)
when working with loads in excess of the Standard
Load Limit. Inspect the cot if the Standard Load Limit
has been exceeded (see Inspecting the Cot, page 45).
Warning
Improper operation can cause injury. Operate the
cot only as described in this manual.
2
Read the
Users’ Manual
Two Trained
Operators (Minimum)
700 lb
318 kg
1000 lb
454 kg
Standard Load Limit
Bariatric
Load Limit
Figure 39 - Symbols Used
Warning
An unattended patient can be injured. Stay with the
patient at all times.
Warning
An unrestrained patient can fall off the cot and be
injured. Use restraints to secure the patient on the cot.
31
POWERFlexx®+
Using the Cot
●
●
●
●
●
●
●
32
Specific guidelines: powerflexx cot
Roll the cot only when the patient surface is level. Rolling
the cot in the loading attitude (tilted) can increase the chance
that the cot could become unbalanced and tip.
The unused Control Port must be capped. Do not use the
cot without a cap on the unused port. See the POWERPac
Users’ Manual for details.
If the power to the cot is cut off during use, inspect the
power switch and battery gauge. One or both of these
lights may be flashing to indicate what has occurred. See
Feedback (Power Cutoffs), page 21.
Using powered mode with a patient on the cot: both
operators assume their positions at opposite ends of the cot and
maintain a firm grasp on the main frame, prepared to control
the cot and its load at all times. The hydraulic system is not a
substitute for attentiveness and safe practices.
Using Manual Mode with a patient on the cot: For
lifting and lowering, both operators assume their positions
at opposite ends of the cot and maintain a firm grasp on the
main frame.
○○ Remember that the rate of descent will accelerate as the
cot nears the folded position. The operator using the
Manual Mode control handle must relax his grasp on
the control handle as the cot nears the folded position.
○○ After using Manual Mode to raise the cot, the pistons
may allow the cot to settle. To prevent this, support the
weight for a few seconds, or briefly touch the green
RAISE/UNLOAD touch pad if power remains.
Bariatric use: In the folded position only, the cot can carry
a maximum of 1000 pounds (454 kg). Special techniques
must be used when exceeding the Standard Load Limit.
See Bariatric Transport, pages 41-43.
Battery maintenance:
○○ Charge the batteries frequently to keep the cot ready
for use when you cannot access the charger for an
extended period of time.
○○ If you do NOT have a charging system: always
exchange a depleted POWERPac with one that is fullycharged, or exchange after each work shift and charge
the used POWERPac. Do not use the charger inside an
ambulance without a Ferno-approved charging system.
○○ If you have a charging system, verify that the batteries
are being charged when connected to the charging
system. Turn the ambulance inverter or generator ON
and verify that the cot batteries are receiving charging
power (the POWERPac Charging Indicator Light is
ON or flashing).
○○ Turn the power switch OFF when the cot is not in use,
and when the cot is secured in the ambulance. This
conserves power and prevents accidental operation of
the cot. Note: The charging systems automatically cut
off the power to the cot during charging.
○○ Turn the power switch ON before unloading the cot
from the ambulance.
Warning
Rolling the cot in the loading attitude can cause it to
tip. Roll the cot only when the main frame is level.
Important
In Manual Mode, the rate of descent will accelerate
as the cot nears the folded position. Relax your grasp
on the control handle as you near the folded position.
Always maintain a firm grasp on the cot and support
the weight when using Manual Mode.
Important
may allow the cot to settle. Support the weight for a
few seconds, or briefly touch the green RAISE/UNLOAD
touch pad, to eliminate settling.
Important
•
•
POWERFlexx®+
Using the Cot
7.3 Changing Cot Height
Changing the cot’s height with a patient on the cot requires
a minimum of two trained operators working together
and maintaining control of the cot at all times. Maintain a
firm grasp on the main frame at all times and control the cot.
When using the powered mode, be prepared to help raise or
lower the cot if needed.
Note: If the load on the cot (patient plus equipment) exceeds
the Standard Load Limit, the safety bleed-down system will
allow the cot to slowly settle to its folded position. If this
occurs, use Bariatric Transport techniques. See Bariatric
Transport, pages 41-43.
Warning
Important
Operators should maintain a firm grasp on the main
frame at all times and be prepared to control or help
raise or lower the cot if needed.
Before raising or lowering the cot:
Both Operators: Adjust the drop frame or foot-end lift
frame to suit your height. Examples are shown in Figure 40
on this page and Figure 41 on page 34.
Two-stage raising or lowering
If adjusting the cot height by a large amount, the operators
may wish to use two different lifting positions in order to
use proper ergonomic lifting techniques.
In this case, the operators should adjust the drop frame or
foot-end lift frame for the first part of the lift, then stop and
adjust the drop frame or foot-end lift frame before continuing
with raising or lowering the cot.
Note: Do not completely fold the cot with the drop frame in
a lowered position [Position -1 or -2]. Fold the cot using
two-stage lowering if needed.
Figure 40 - Adjust the Frames to
Use Appropriate Lifting Positions
Powered mode raising or lowering
1. Both Operators: Stand at opposite ends of the cot and
use an underhand grip to grasp the main frame (Figure
40, this page, or Figure 41, page 34).
Left = LOAD
Right = RAISE
2. Both Operators: As the Control Operator presses
the appropriate button to raise or lower the cot, both
operators move with the cot and maintain their grasp
on the main frame.
3. Control Operator: Press the touch pad to raise or
lower the cot. Stop pressing the touch pad when the
cot is at the desired height.
Note: If the power is cut off during raising or lowering,
the load may be too heavy for the charge remaining in the
batteries. Inspect the battery gauge to check the amount
of charge, and look at the power switch for flashing-light
feedback. See Feedback (Power Cutoffs), page 21.
33
Using the Cot
POWERFlexx®+
Manual mode raising or lowering
Use additional help as needed. See Using Additional Help,
page 40.
1. Both Operators: Stand at opposite ends of the cot and
use an underhand grip to grasp the cot main frame.
Adjust the frames so you can use a good, ergonomic
angle for lifting (Figure 40 on page 33, or Figure 41).
2. Both Operators: Lift the cot slightly to verify that
you are supporting the weight.
3. Control Operator: Pull the Manual Mode control
handle only long enough to make the position change.
If folding the cot: remember that the rate of descent
increases as the cot nears the folded position. The
operator using the Manual Mode control handle must
relax his or her grasp on the handle as the cot nears the
folded position.
4. Both Operators: Together, raise or lower the cot to
the desired height, then hold the cot at that position.
5. Control Operator: If stopping at a position other than
folded, continue holding the Manual Mode handle for
a few seconds to allow the pistons to adjust to the new
position. This will reduce the amount of settling that
may occur after the position change.
If powered mode is available, press the green RAISE/
UNLOAD touch pad briefly after raising the cot to
eliminate settling.
6. Release the Manual Mode control handle to lock the
cot at the desired height.
7. Both Operators: Slowly lower your hands to test that
the cot has stabilized at the new position. Relax your
grasp only when the cot no longer settles and you are
certain the cot has stabilized at the new position.
Properly repositioning the cot
after improperly folding it
If you attempt to fold the cot with the drop frame in a lowered
position [-1 or -2], the drop frame will jam against the lower
frame, or cause the cot to not sit level.
Figure 41 - Changing Cot Height
Important
In Manual Mode, the rate of descent will accelerate as
the cot nears the folded position. Relax your grasp on
the handle as you near the folded position. Always
maintain a firm grasp on the cot frame and support the
weight when using Manual Mode.
Important
Important
Do not fold the cot with the drop frame in a lowered
position. Stop at a comfortable position, extend the
drop frame, then continue to fold the cot.
If the drop frame is locked in the [-1] position and is jammed
against the ground or floor, do not release the drop frame
hinges; you could jar the patient and/or damage the hinge
mechanism.
To recover, raise the cot to a higher level, extend the drop
frame, and then lower or fold the cot.
34
POWERFlexx®+
Using the Cot
7.4Transferring the Patient
To transfer the patient onto the cot:
1. Unfasten the restraints and position the restraint straps
so they will not interfere with transferring the patient
onto the cot.
2. Lower or fold the sidearms.
3. Place the cot beside the patient. Raise or lower the cot
to the patient’s level.
4. Engage the wheel locks.
5. Transfer the patient onto the cot using approved EMS
procedures and following your local protocols.
6. Raise the sidearms. Adjust the backrest and shock
frame as needed.
7. Fasten and adjust the patient restraints (Figure 42).
8. Release the wheel locks.
Figure 42 - Securing the Patient
9. Before moving the cot or changing positions, verify
that sheets and other articles are positioned where they
will not interfere with cot operation.
10. Place the cot at a rolling height. If using Manual Mode,
lift only the weight you can safely handle. Use help as
needed (see Using Additional Help, page 40).
35
POWERFlexx®+
Using the Cot
7.5 Rolling the Cot
●
●
●
●
●
●
●
●
General guidelines
Rolling the cot with a patient on the cot requires a
minimum of two trained operators working together
and maintaining control of the cot at all times.
Rolling the cot in a loading attitude can increase the
chance for the cot to tip. Roll the cot only when the
main frame is level.
Roll the cot on smooth, unobstructed surfaces
whenever possible.
To cross a low obstacle such as a door sill, lift the cot
slightly to take the weight off the wheels so the wheels
roll smoothly over the obstacle.
Lift and carry the cot over a high obstacle such as a
curb. Do not apply downward force on one end of the
cot in order to raise the other end of the cot.
Do not roll the cot sideways. Rolling a cot sideways
can increase the chance for the cot to tip and injure the
patient and/or operators.
Use additional help as needed to safely control the
weight of the patient and cot (see Using Additional
Help, page 40).
When rolling over rough terrain, the operators (and
helpers) should grasp the cot with both hands.
Warning
Rolling the cot sideways or in the loading attitude
can cause the cot to tip and injure the patient or
operators. Roll the cot only in a level (Rolling)
position and with the head-end or foot-end first.
Assisting
Operator
Control Operator
Figure 43 - Rolling the Cot
Assisting
Operator
Control
Operator
Important
Roll the cot downhill foot-end first. If it is not medically
appropriate to do this, roll the cot head-end first, but
do the following:
To maintain cot balance while rolling the cot downhill
head-end first, the Assisting Operator must exert
upward force on the drop frame.
Rolling the cot
1. Securely fasten the restraints around the patient.
2. Both Operators: Place the cot at a rolling height, or use
the folded position if needed. See Cot Height, page 9.
3. Control Operator: Stand at the side of the cot and
grasp the main frame (Figure 43) or stand at the foot
end of the cot and grasp the main frame. Steer the
cot and pull it forward. If rolling on a smooth, level
surface, the Control Operator may pull the cot using
the lead handle (Figure 44).
4. Assisting Operator: Stand at the head end (Figure
43) or side of the cot (Figure 44) and grasp the main
frame. Assist rolling and steering the cot.
Note: If the load on the cot (patient plus equipment) exceeds the
Standard Load Limit, the safety bleed-down system will allow
the cot to slowly settle to the folded position. If this occurs, use
Bariatric Transport techniques. The Assisting Operator places
the drop frame in one of the high positions [+1] or [+2] (Figure
45). See Bariatric Transport, pages 41-43.
36
Figure 44 - Rolling the Cot
Assisting Operator
Control Operator
Figure 45 - Rolling a Folded Cot
POWERFlexx®+
Using the Cot
7.6 Preparing to Load the Cot
1. Raise the ambulance folding bumper, if present.
2. Raise the cot to its loading attitude (high angled position).
See Cot Height, page 9.
3. Place the drop frame in the extended position.
4. Roll the cot to the patient compartment door.
Note: Use additional help as needed when working with
heavy loads (patient and equipment. See Using Additional
Help, page 40).
Figure 46 - Cot Secure on Safety Hook
7.7Loading the Cot
Loading the cot with a patient on the cot requires a minimum of
two trained operators working together and maintaining
control of the cot at all times. Both operators may stand at
the foot-end corners of the cot during loading.
Stat Trac
Safety Stop
1. Roll the cot forward until both loading wheels are on
the patient compartment floor and either:
○○
the safety bar passes the safety hook for Model
175-compatible cots (Figure 46), OR
○○
the head-end loading post passes the safety stop
on the Stat Trac (Figure 47).
2. Both Operators: Lift and hold the foot end of the cot
level with the ambulance floor.
Figure 47 - Cot Secure in Stat Trac
3. Control Operator: Press and hold the blue LOWER/
LOAD touch pad to fold the cot (Figure 48).
Important
4. Both Operators: After the cot folds completely
(Figure 48), push the cot into the ambulance and
secure it in the cot fastener.
5. Turn the power switch OFF.
If the ambulance is parked on an uneven surface, the
operators (and any helpers) may need to lift the cot
higher than normal to make the cot level with the
ambulance floor.
6. If you have the ICS® or BCS, turn the ambulance
inverter or generator ON to supply power to the charger
and charging system. If you have the BCS, connect the
charging cables.
Charging system reminders:
●
If you have the ICS®, the modules should be aligned to
make contact for charging when the cot is locked into
the cot fastener.
●
If you have the BCS, connect the cables to charge the
batteries each time the cot is placed inside the ambulance.
●
Remember to turn ON the ambulance inverter or
generator (or connect the ambulance to shore power) to
charge the batteries.
●
You can verify that the cot is receiving charging power
by looking at the Charging Indicator Light on the
POWERPac. If it is not lit (or flashing), turn the power
to the outlet ON or check your connections.
Left = LOAD
Figure 48 - Loading the Cot
37
POWERFlexx®+
Using the Cot
7.8 Unloading the Cot
Unloading a cot with a patient on the cot requires a minimum
of two trained operators working together and maintaining
control of the cot at all times. Both operators may stand at
the foot-end corners of the cot while unloading it.
1. Turn the power switch ON.
2. Raise the ambulance folding bumper, if present.
3. Release the cot from the cot fastener.
4. Both Operators: Pull the cot out of the ambulance until
the safety hook (or safety stop) catches and holds the
cot. Keep the cot raised and level with the ambulance
floor (Figure 49). Use additional help as needed.
5. Control Operator: Press the green RAISE/UNLOAD
touch pad to extend the legs. Release the touch pad when
the wheels touch the ground and the cot is high enough to
be released from the safety hook (or safety stop).
Right = UNLOAD
6. Assisting Operator: Move to the head end of the cot.
Use the fastener release lever to release the cot from the
safety hook (Figure 50-A), OR use the fastener release
handle (Figure 50-B) to release the cot from the Stat
Trac safety stop.
7. Both Operators: Roll the cot completely out of the
ambulance. As the cot is rolled away from the cot
fastener, the Assisting Operator lets go of the fastener
release lever or handle.
8. Both Operators: Lower the cot to a rolling height (see
Cot Height, page 9).
Figure 49 - Unloading the Cot
ARelease
from
Safety
Hook
BRelease
for Stat
Trac
Figure 50 - Fastener Release Controls
38
POWERFlexx®+
Using the Cot
7.9 One Operator with Empty Cot
Loading or Unloading
If local protocols permit, an empty cot (a cot with no patient
on it) may be loaded into or unloaded from the ambulance
by one trained operator (Figure 51).
Follow the instructions for powered operation in Loading
the Cot, page 37, or Unloading the Cot, page 38.
Note: Powered Mode must be available for single-operator
loading. If the battery charge is empty, use a second operator
to lift or lower the undercarriage. See Loading or Unloading
In Manual Mode, below.
Figure 51 - One Operator with Empty Cot
7.10Loading or Unloading
In Manual Mode
Control
Operator
When the charge in the batteries is empty or nearly empty,
the Manual Mode system can be used to operate the cot. If
a patient is on the cot, use additional help as needed (see
Using Additional Help, page 40).
Follow the instructions for powered operation with the
following changes:
1. Control Operator (and Helpers): Lift and hold the
cot level.
2. Assisting Operator: Squat beside the cot and grasp
the lower frame (Figure 52).
3. Control Operator: Squeeze and hold the Manual
Mode control handle to unlock the undercarriage.
4. Assisting Operator: Raise or lower the cot
undercarriage.
5. Control Operator: Release the Manual Mode handle
to allow the undercarriage to lock.
6. Both Operators (and Helpers): If finishing with the
cot at a position other than folded, lift and hold the cot
for a few seconds after the undercarriage is locked to
eliminate settling. Alternatively, the Control Operator
can press the green RAISE/UNLOAD button briefly,
if powered mode is available.
Assisting
Operator
Figure 52 - Using Manual Mode for
Non-Powered Loading or Unloading
Important
39
POWERFlexx®+
Using the Cot
7.11 Using Additional Help
Operating the cot requires a minimum of two trained
operators. They may need additional help when working with
heavy loads (patient plus equipment), or when operating the
cot manually.
●
Operators stand at the head and foot ends of the cot,
maintain control of the cot, operate the controls, and
direct all helpers.
Helpers
Changing Levels
●
Side helpers may need to walk sideways under some
circumstances. Follow local protocols.
●
Ferno recommends that helpers work in pairs to help
maintain cot balance.
The chart below shows suggested placement for operators
and helpers.
Rolling
Loading/Unloading
Two
Operators
+
Two
Helpers
Two
Operators
+
Four
Helpers
Key: O = Operator H = Helper P = Patient
Warning
Helpers can cause injury or be injured. Maintain
control of the cot, operate the controls, and direct
all helpers.
700 lb
318 kg
Standard
load limit
Important
Trained operators position themselves at the head and
foot ends of the cot and operate the controls. Show
helpers where to stand and how to grasp the cot.
1000 lb
454 kg
Bariatric
load limit*
*Follow bariatric transport procedures (pages 41-43) when
working with loads that exceed the Standard Load Limit (more
than 700 pounds or 318 kg). Inspect the cot if the Standard Load
Limit has been exceeded (see Inspecting the Cot, page 45).
40
POWERFlexx®+
Bariatric Transport
8 - Bariatric Transport
8.1Bariatric Transport Definition
Bariatrics is the branch of medicine dealing with extreme
obesity. Ferno defines Bariatric Transport as using the cot
when the Standard Load Limit has been exceeded.
The Standard Load Limit of the cot is 700 pounds (318 kg).
This is the load limit for all normal cot functions including
raising and lowering, loading and unloading an ambulance,
and rolling. When special techniques are used, the cot can
be used with loads 700-1,000 pounds (318-454 kg). This is
the Bariatric Load Limit.
If the load (patient plus attached equipment) exceeds the
Standard Load Limit, the safety bleed-down system will
allow the cot to settle to the folded position.
●
●
Optional equipment (not required)
Additional patient restraints, restraint extenders, and/
or longer patient restraints are recommended.
The Ferno Large Body Surface (LBS) and LBS Jr.
accessories provide a wider bed surface and patient
restraint extenders to more easily transport an
extremely large patient.
®
Note: LBS and LBS Jr. require a center-mounted cot
fastener.
●
Manta™ Rescue Aid is a large vinyl sheet with multiple
handholds to aid in moving a large patient.
●
The POWERFlexx®+ has been certified compliant with
the ramp-and-winch loading system manufactured by
TranSafe Systems™. See Accessories, page 49.
Note: The POWERFlexx®+ST is not compatible with
the TranSafe System.
8.2Bariatric Transport Guidelines
When undertaking a bariatric transport:
● Follow your local protocols for bariatric transport.
●
Use as many additional operators and helpers as
needed to safely transport the patient. See Using
Additional Help, page 40 for recommended placement
of additional helpers.
●
Follow the instructions in this section.
●
Keep the cot in the folded position when the load
exceeds 700 pounds (318 kg).
●
Properly restrain the patient as instructed in this
manual, the restraint users’ manuals, and the LBS
or LBS Jr. users’ manual. Use additional restraints,
restraint extenders, and/or longer restraints approved
by Ferno. See Accessories, page 49.
Warning
Improper bariatric transport can cause injury to the
patient, operators and helpers. Follow local protocols
and the instructions in this manual.
Warning
Heavy loads can cause injury. Use as many additional
operators and helpers as needed to safely transport
the patient.
700 lb
318 kg
1000 lb
454 kg
Standard
load limit
Bariatric
load limit*
*Follow bariatric transport procedures when working with loads
that exceed the Standard Load Limit (more than 700 pounds
or 318 kg). Inspect the cot if the Standard Load Limit has been
exceeded (see Inspecting the Cot, page 45).
Important
Exceeding the Standard Load Limit can cause damage
to the cot. Immediately inspect the cot and restraints
for damage if the Standard Load Limit has been
exceeded.
41
Bariatric Transport
POWERFlexx®+
8.3Bariatric Transport:
Transferring the Patient
If the load (patient plus equipment) will exceed the Standard
Load Limit of 700 pounds (318 kg), follow the instructions in
Transferring the Patient, page 35 with the following changes:
●
If accessory items are used (restraint extenders,
additional restraints, longer restraints, LBS or LBS Jr.,
etc.) attach these items to the cot before transferring
the patient onto the cot.
●
Place the cot in the folded position before transferring
the patient onto the cot (Figure 53).
●
Secure the patient onto the folded cot (Figure 54).
Figure 53 - Transferring a Bariatric Patient
8.4Bariatric Transport: Rolling the Cot
Roll the cot in the folded position when the load exceeds the
Standard Load Limit (Figure 55).
If the patient’s size and medical condition permit:
● Raise the backrest, then raise the drop frame to the
[+1] or [+2] position (see Drop Frame, page 27).
●
Use the drop frame to help push and steer the cot.
Do not place the cot in a raised position. Rolling the cot in
a raised position when the Standard Load Limit is exceeded
can lead to:
●
Injury to the patient and/or operators and helpers.
●
Cot damage and/or failure.
Figure 54 - Securing a Bariatric Patient
The operators and helpers must lift and carry the cot over
obstacles. Follow your local protocols and use as much
additional help as needed.
Note: Accessory push-pull handles are available to provide
an ergonomic option for controlling the cot when it is in the
folded position. See Accessories, page 49.
Warning
Using a raised position for bariatric transport can
cause injury and cot failure. Keep the cot folded
when exceeding the Standard Load Limit.
Figure 55 - Rolling a Bariatric Patient
42
POWERFlexx®+
Bariatric Transport
8.5Bariatric Transport: Loading the Cot
To load the cot into an ambulance when the Standard Load
Limit is being exceeded, do not use the cot’s powered lift
system.
1. Roll the cot as close as possible to the ambulance
while keeping it in the folded position.
2. Use as many additional operators and helpers as
needed to safely pick up the cot and place it in the
ambulance.
Do not activate any controls. Leave the cot in the
folded position as you pick it up and place it in the
ambulance (Figure 56).
Note: If using the Stat Trac fastener, you must load
the cot loading posts into the Stat Trac. Place one
person in the ambulance to watch and verbally direct
the operators and helpers to guide the cot into the
cot fastener.
3. Secure the cot in the cot fastener.
Figure 56 - Bariatric Transport: Loading
8.6Bariatric Transport:
Unloading the Cot
When the Standard Load Limit is being exceeded, do not
use the cot’s powered lift system or other controls while
unloading the cot from the ambulance.
Warning
Improperly unloading a cot during bariatric transport
can cause injury. Station one operator or helper in
the ambulance to release the cot from the safety
hook or safety stop.
1. Station one operator or helper inside the ambulance
to release the cot from the safety hook (or Stat Trac
safety stop) when needed.
2. Outside Operators/Helpers: Release the cot from the
cot fastener.
3. Outside Operators/Helpers: Roll the cot slowly out
of the ambulance (Figure 57), allowing the operators
and helpers to grasp the main frame (or LBS frame).
4. Inside Operator: When the safety hook (or Stat Trac
safety stop) catches the cot, use the release lever or
release handle to release the cot.
5. Outside Operators/Helpers: Together, lift the cot out
of the ambulance and set it on the ground.
One Operator/Helper Remains in the
Ambulance to Release the Cot from
the Safety Hook or Safety Stop.
6. Outside Operators/Helpers: Roll the cot on the
ground as shown in Bariatric Transport: Rolling the
Cot, page 42.
Figure 57 - Bariatric Transport - Unloading
43
POWERFlexx®+
Maintenance
Keep maintenance records. A sample maintenance record
sheet is provided on page 52.
When using maintenance products, follow the manufacturers’
directions and read the manufacturers’ material safety data
sheets. You can purchase a recommended disinfectant from
Ferno (see Accessories, page 49).
9.2Disinfecting and Cleaning
the Restraints
Remove restraints from the cot. Disinfect and clean only as
directed in the restraint users’ manuals provided with the
restraints. Additional, free manuals are available from Ferno
Customer Relations (page 2).
the Mattress
1. Remove the mattress from the cot (also remove the
transfer board from the mattress, if you have the
mattress with pocket).
2. To disinfect: Apply disinfectant to the mattress,
following the manufacturer’s instructions for
application method and contact time.
3. To clean: Wash the mattress with warm, soapy water
and a soft cloth. Rinse the mattress with clear water.
Hang the mattress to dry, or dry it with a towel.
the POWERPac
The POWERPac must be cleaned by hand and may not be
pressure-washed. Verify that both Control Port caps are in
place before cleaning. See the POWERPac Users’ Manual
for complete information.
Minimum
Maintenance Intervals
Disinfecting (this page)
•
Each Month
The cot requires regular maintenance. Set up and follow a
maintenance schedule. The table at right represents minimum
intervals for maintenance.
Each Use
9.1 Maintenance Schedule
As Needed
9 - Maintenance
Cleaning (pages 44, 45)
•
Check Charging System
(page 45 or see ICS® or BCS manual)
•
•
Inspecting (page 45)
•
Charge POWERPac (page 47)
•
•
•
Check/Adjust Tension of
Manual Mode Cable (page 48)
•
•
Lubricating (page 46)
Warning
Improper maintenance can cause injury. Maintain
the cot only as described in this manual.
Important
Disinfectants and cleaners containing bleach,
phenolics, or iodines can cause damage. Use caution
when disinfecting and cleaning with products
containing these chemicals.
do not
pressure wash
the powerpac
9.5Disinfecting the Cot
Wipe all surfaces with disinfectant. Follow the disinfectant
manufacturer’s instructions for application method and
contact time. Ferno recommends you inspect the cot for
damage as you disinfect it.
44
POWERFlexx®+
Maintenance
9.6 Cleaning the Cot
9.8Inspecting the Cot
1. Remove the restraints, mattress and any accessories.
2. Remove the POWERPac from the cot and cover the
ends of the cot’s Actuator Cable and Control Cable to
prevent liquids from damaging the cables or connectors.
The POWERPac may not be pressure-washed.
3. Hand clean all surfaces of the cot with warm water and
a mild detergent.
4. Rinse with warm, clear water. Dry the cot with a towel
or allow it to air dry. Verify that the cables, connectors
and ports are dry before reconnecting the POWERPac.
Note: Clean the upper and lower slider tubes only with soap
and water. Rinse well to remove any soap residue.
Have your service’s equipment maintenance personnel
inspect the cot regularly. Follow the checklist below and
work the cot through all its functions as described in this
manual.
do not
pressure wash
the powerpac
If the inspection shows damage or excessive wear, remove
the cot from service until repair is made. See Parts and
Service, pages 50 and 51.
Inspection checklist
●
●
●
●
●
●
Important
Water under high pressure penetrates joints, flushes
away lubricant, and causes corrosion. Use caution when
cleaning moving parts such as joints and hinges.
Important
Using abrasive cleaning compounds or applicators
on the cot can cause damage. Use only non-abrasive
cleaning compounds and applicators on the cot.
9.7 Checking the Charging System
If a charging system is installed in your ambulance, conduct
the following checks:
●
Turn ON the ambulance inverter or generator (or
connect the ambulance to shore power).
●
If you have the ICS®: lock the cot into the cot fastener
and verify that it is being charged (the lights in the
control panel are off and the Charging Indicator Light
on the POWERPac is ON steady or flashing). If these
lights are not as indicated, check the alignment of the
modules for good contact. Inspect the charging system.
●
If you have the BCS: connect the cables and verify that
the batteries are being charged (the lights on the control
panel are off and the Charging Indicator Light on the
POWERPac is ON steady or flashing). If these lights
are not as indicated, inspect the charging system.
●
●
●
●
●
●
●
●
●
●
●
●
●
●
●
Are all components present?
Is the cot free of excessive wear?
Are all screws, nuts, bolts, rivets, and roll pins
securely in place?
Do all moving parts operate smoothly and
properly?
Do the power and touch-pad switches function
properly?
Does the hydraulic system operate properly through
the full range of motion?
Is there evidence of hydraulic fluid inside the
actuator case?
Are all power cords and connector cables free of
excessive wear, cuts, and fraying?
Does the Manual Mode control handle function
properly and is the cable free of excessive play?
Does the cot load and unload properly?
Does the safety hook engage the safety bar?
Does the cot roll smoothly?
Is the cot fastener post (for Model 175-compatible
cots) or fastener posts (for Stat Trac-compatible
cots) in good condition without excessive wear?
Do the wheels have some tread?
Do the wheel locks engage properly and stop wheel
rotation?
Are the restraints properly installed?
Is restraint webbing in good condition with no cuts
or frayed edges?
Are restraint buckles free of visible damage and do
they operate properly?
Is the ambulance properly prepared for the cot
with an approved Ferno cot fastener installed
(and safety hook for POWERFlexx®+ and
POWERFlexx®+ICS®)?
Do installed accessories operate properly without
interfering with cot operation?
(POWERFlexx®+ICS® only) Are the contacts on
the Cot Module and Fastener Module making a
good connection? (See Checking the Charging
System at left).
45
POWERFlexx®+
Maintenance
9.9Lubricating the Cot
Disinfect and clean the cot before applying lubricant. Use
the lubricants designated below. Do not lubricate points
marked with the “do not lubricate” symbol.
Do Not Lubricate
Important
Lubricating parts that should not be lubricated allows
dirt and foreign particles to collect on those parts,
resulting in damage. Lubricate only the numbered
reference points shown.
Lubricate
2
Sidearm Pin
4
1
Manual Mode
Handle and Cable
Drop Frame
Hinge
3
Ref.Location
1
2
3
4
Lift Axle Rod
(behind large washer)
Lubrication points (Use a small amount of lubricant)
# of PointsLubricate With
Drop Frame Hinge Teeth
Sidearm Lock Pins
Lift Axle Rod
Manual Mode Handle and Cable
Upper/Lower Slider Tubes**
Hydraulic Actuator Rods
Wheels (sealed bearings)
Leg pivot points
2
2
2
1
0
0
0
0
Directions:
●
Drop Frame Hinge Teeth: Apply lubricant to a cotton swab,
squeeze drop frame release handle, and apply to hinge “teeth”.
●
Sidearm Lock Pins: Apply lubricant to a cotton swab and
apply to sliding lock pin.
●
Lift Axle Rod: Apply 1-2 drops of lubricant under the large
fiber washer.
46
●
WRL-191-S or SAE 30-weight oil (1-2 drops)
Graphite lubricant
Do not lubricate
Do not lubricate
Do not lubricate
Do not lubricate
Manual Mode handle: Requires lubrication very rarely. If
needed, apply lubricant to end of cable near the handle, where
the wire shielding ends. Apply lubricant on each side of the
yellow retaining handle. Use a very small amount of lubricant.
** Do not lubricate upper or lower slider tubes. Clean with
soap and water only. Rinse well to remove any soap residue.
POWERFlexx®+
9.10 Charging the POWERPac
The batteries do not need to be fully discharged before
recharging. Recharge the batteries as often as possible, using
the charger provided with this cot by Ferno (Figure 58).
Replacement or extra chargers are available (See Accessories,
page 49). Actual charging time may vary based on frequency
of recharge, depth of discharge, and age of batteries.
If the POWERPac is providing significantly fewer cycles
than normal, it may be time to replace the batteries inside
the POWERPac (See the POWERPac Users’ Manual).
The POWERPac batteries may be charged while the module
is separate from the cot (Figure 59) or connected to the cot
(Figure 60). Do not connect the charger directly to a cot that
is in an ambulance. To charge the batteries while the cot is
inside an ambulance, see Charging Systems, page 25.
1. Connect the charger to a standard AC outlet. If the charger
has a power light, the red LED will be ON (steady). If
not, only the charging light will be ON (or flashing).
2. Connect the charger’s charging cable to the POWERPac
by orienting the D-shaped connector properly and
inserting it into the port marked “24 VDC Charging
Port” until the connector latches into place.
The charger’s charging light will be yellow to indicate
charging or green to indicate that the POWERPac is
charged. To interpret the indicators on the charger, see
Battery Charger, page 24.
3. Verify that the Charging Indicator Light on the
POWERPac case is ON or flashing. If this light is not
ON, check your connections. The Charging Indicator
Light flashes as the batteries are being charged.
4. Charge until the indicator lights on both the charger
and POWERPac show the batteries are fully charged
(typically 1-2 hours). For a full charge, continue
charging until the POWERPac light stops flashing and
remains ON (steady).
5. Disconnect the charger from the POWERPac before
using the cot or installing the POWERPac into the cot.
To disconnect the charging cable from the POWERPac,
press the metal latch on the side of the D-shaped
connector and remove the connector.
Important
•
•
Maintenance
Charging Light
(Yellow/Green)
Power Light
(Red) If Present
Fuse: Type
T6, 3 AH, 250V
Charging Cord
Power Cord
Figure 58 - Soneil Battery Charger
Figure 59 - Charging the POWERPac
Figure 60 - Cot (Not In An Ambulance)
Placed Next to Charger and Outlet
Important
Improperly disconnecting the charging cable from the
24 VDC Charging Port can damage the port, connector,
or charging cable.
The charging cable connects to the 24 VDC Charging
Port with a metal latch. When disconnecting a charging
cable, press the metal latch to unlock the connector
before removing the connector from the port.
47
POWERFlexx®+
Maintenance
9.11Adjusting the Tension
Of the Manual Mode Cable
1-3/16"
The manual mode cable may occasionally require adjustment
to retain proper function. If the manual mode activates too
quickly or too slowly, adjust the tension on the cable.
1-1/4"
Knowing when adjustment is needed
●
You should not be able to lower the cot without lifting
the yellow retaining lever. If you can, the cable is too
tight. Decrease tension on the cable.
●
The cot should not begin to descend until you have
pulled the red manual mode handle to within the range
of 1-3/16 inch to 1-1/4 inch (30-32 mm) (Figure
61). If the cot begins to descend earlier, decrease the
tension on the cable.
●
If the cot does not lower when the manual mode handle
is pulled, or lowers too slowly, the cable is too loose.
Increase tension on the cable.
Warning
Improper adjustment of the manual mode cable
can lead to injury. Adjust the tension of the manual
mode cable when needed.
The cot should not descend until
AFTER you have pulled the red
handle 1-3/16" to 1-1/4" (30-32 mm)
Figure 61 - Proper Handle Function
Warning
The cot can rapidly descend and cause injury if
manual mode is activated while you are adjusting
the manual-mode cable tension. Place a chock on
the lower frame and use caution when adjusting
cable tension.
Adjusting the cable tension
1. Place a chock on the lower frame (Figure 62) to keep
the cot from folding and reduce your chance of injury
while working.
2. Locate the two 7/16" adjustment nuts (Figure 63). Use
two 7/16" open-end wrenches to adjust the nuts. To
adjust the tension on the cable, loosen one nut and then
tighten the other nut against it.
●
To increase cable tension: Loosen the nut nearest the
manual mode handle, then tighten the head-end nut
against it.
●
To decrease cable tension: Loosen the nut nearest the
head-end of the cot, then tighten the handle-end nut
against it.
3. Remove the chock. Place weight (such as bags of sand)
on the cot and confirm that the manual mode functions
properly. Return the cot to service when the Manual
Mode cable is properly adjusted.
If the cable cannot be adjusted satisfactorily, replace the
manual cable (see Parts and Service, pages 50 and 51).
48
Chock example: 4" x 4" (102 x 102 mm)
block of wood wrapped in carpet
Figure 62 - Place a Chock On the Lower Frame
7/16"
Adjustment Nuts
Figure 63 - Manual Mode Adjustment Nuts
POWERFlexx®+
Accessories
10 - Accessories
Ferno offers a full line of accessories approved for use with the
cot. Always follow the instructions packed with accessories.
Keep the instructions with this manual. Be aware of any
special considerations (loading heights, door heights, etc.)
when using accessories. Contact Ferno Customer Relations
(page 2) or your Ferno distributor for product information.
Cot-mounted accessories
Description
Telescoping side handles (pair)
274 Pac Rac™ equipment tray
513-13 IV pole
514 Oxy-Clip
SofNet (drop frame storage)
Transfer board
POWERPac
Bariatric accessories
Description
Bariatric handle, angled (head end/foot end)
Bariatric handle, straight (head end/foot end)
LBS (Large Body Surface)
LBS Jr. for POWERFlexx®+ LBS mount blocks PWR (set/6)
LBS Jr. mount blocks for POWERFlexx (set/4)
LBS or LBS Jr. mount block PWR (1 ea.)
LBS IV pole
LBS folding mattress
LBS Jr. mattress
LBS Bariatric handle (angled)
LBS Bariatric handle (straight)
Part #
082-2140
081-8933
008-7172
008-5500
082-1996
010-7992
082-2220
Part #
082-2147
082-2148
081-9991
082-2184
082-1994
082-2186
082-1995
008-7173
031-4025
031-4050
082-2112
082-2146
Ferno-approved third-party
accessory ramp-and-winch system
The TranSafe Ambulance Cot Loading System™ has been
approved by Ferno for use with the POWERFlexx®+ cot.
Note: The POWERFlexx®+ST (Stat Trac-compatible) cot
is not compatible with this system.
TranSafe Systems
103 E. Ames Court
Plainview, NY, 11803 USA
Telephone (Toll Free)...........................1.800.425.9881
Telephone ............................................1.631.242.2428
Fax........................................................1.631.242.2441
Internet............................... www.transafesystems.com
TranSafe Systems is a trademark of MEDPRO.
Warning
Attaching improper items to the cot can cause injury.
Use only Ferno-approved items on the cot.
Restraints and mattresses
Description
430 Restraint (2 pc., 7' black)
430 Restraint (2 pc., 5' black)
417-1 Shoulder harness (black)
417-1 Guide strap only
POWERFlexx locking mattress w/plastic hooks
POWERFlexx locking mattress
with plastic hooks and with pocket
POWERFlexx mattress w/hook-and-loop strips
Description
Rescue Red
Day-glo Green
Safety Orange
Electric Blue
Black
Touch-up paint
Part #
031-3911
031-3892
031-3915
031-3945
031-3997
031-4029
031-4036
Part #
081-9972
081-9973
081-9974
081-9975
081-9977
Ferno-recommended disinfectant
Description
Part #
SaniZene® Hard Surface Disinfectant
4 ea., 1 gallon
078-9214
Charging system kits
Description
Battery charger (100-115 VAC, 60 Hz)
Battery charger (230 VAC, 50 Hz)
Bracket for Battery Charger
ICS Kits
Model 175 Module Kit
Cot Module Kit
Connector Cup Kit (Shallow)
Connector Cup Kit (Deep)
Floor Plate w/Connector Cup (Shallow)
Floor Plate w/Connector Cup (Deep)
ICS Complete Shallow Cup Kit*
ICS Complete Deep Cup Kit*
Part #
082-2014
082-2151
082-2211
082-2101
082-2102
082-2103
082-2105
082-2104
082-2106
0000600
0000605
* ICS Complete Kits Contain: Fastener Module, Cot Module and
Connector Cup Kit
BCS Kits
BCS (cables routed between cot and charger)
BCS (for a floor-mounted ICS cup)*
BCS (for a wall-mounted ICS cup)*
082-2200
082-2201
082-2204
* ICS connector cup is sold separately and is not included in BCS kit.
49
POWERFlexx®+
Parts and Service
11 - Parts and Service
11.1 U.S.A. and Canada
In the United States and Canada, to order parts or for professional
cot repair, contact EMSAR® - the only agent authorized by
Ferno to manage, service, and repair Ferno products.
Telephone
Fax
Internet
Warning
Improper parts and service can cause injury. Use
only Ferno parts and Ferno-approved service on
the cot.
1.800.73.EMSAR
1.937.383.1052
1.937.383.1051
www.EMSAR.com
Warning
Modifying the cot can cause injury and damage. Use
the cot only as designed by Ferno.
11.2 Worldwide
To order Ferno parts and for professional cot repair, contact
your Ferno distributor. Your distributor is the only agent
authorized by Ferno to manage, service, and repair Ferno
products.
11.3 Parts List
Ref. #Description
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
50
Backrest pivot mount w/screws
Backrest gas spring assy
Backrest release handle
Backrest frame with panel
Shock frame tube only w/hardware
Shock frame support w/levers, hrdwr
Manual mode cable only
Manual mode handle only
Shock frame support blocks
Actuator case latch kit (4 ea)
Actuator (case only)
Actuator (complete)
Caster assy. complete, w/brake & hrdwr.
6" Wheel w/bearings & hrdwr.
Wheel lock components
Caster assy. complete, no brake
Fastener post, split
Fastener post assy (obsolete side vers.)
Lower frame scuff strip (3 pc. w/rivets)
X-frame axle rod w/cover, hardware
3/8” Actuator top pivot mount (pair)
Part #
190-1466
190-1486
190-1357
190-1465
190-1455
190-1464
190-1487
190-1488
190-1456
190-1503
090-5856
082-2013
190-1482
190-1144
190-1145
190-1483
190-1240
190-1469
190-1480
190-1484
190-1481
Ref. #Description
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
Part #
Sidearm release handle kits:
Pair (Right and Left Sides)
082-2153
Patient Right Side
082-2154
Patient Left Side
082-2155
Drop frame hinge hardware
090-5794
5" Load wheel w/bushings, hrdwr
190-1243
Safety bar torsion springs (r/l)
090-5465
Safety bar release handle (pair)
090-5333
Drop frame handle kit (handle, grip, hrdwr)
190-1171
Drop frame handle screws only (pair)
190-1376
Operator panel assy (complete)
190-1462
Battery gauge (V3)
090-5887
ON/OFF power switch
190-1460
Lead handle w/hardware
190-1463
Raise/Lower touch pad kit
190-1459
Safety hook, POWERFlexx
190-1518
Battery charger
see page 49
POWERPac (complete)
see page 49
Label kit (set)
190-1458
POWERPac (V3) Charging Port kit
090-5873
POWERPac batteries (pair)
082-2012
POWERPac Control Port Caps (male/female) 082-2217
POWERFlexx®+
Parts and Service
11.4 Parts Diagrams
4
3
1
5
2
27 28
6
26
23 22
7
21
24 25
10 11 12
20
8
9
13 14 15
Not Shown:
37 39 40
16
Lower Frame Painted Parts
(see note on this page)
19
Lower frame Painted parts
17
18
35
34
Two versions of the lower frame have been produced.
Please call EMSAR or your Ferno distributor to order
lower frame replacement parts.
Please have the serial number of your cot available
when calling (see page 2 for serial number location).
29
38
30
31
32
36
33
33
51
POWERFlexx®+
Training Record
Date
Name
Training Method
Maintenance Record
Date
52
Maintenance Performed
By

FERNO Users` Manual

Transcription

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