Ferno PROFlexx 35X Series User manual

Users’ Manual
April 2017
Pub. No. 234-3346-04
Read this Manual and Retain
for Future Reference
PROFlexx® Model 35X Series

2© Ferno-Washington, Inc 234-3346-04 April 2017
USERS’ MANUALS
To request additional free users’ manuals,
contact Ferno Customer Relations, your Ferno
distributor, or www.ferno.com.
Disclaimer
This manual contains general instructions for the use, operation
and care of this product. The instructions are not all-inclusive.
Safe and proper use of this product is solely at the discretion of
the user. Safety information is included as a service to the user.
All other safety measures taken by the user should be within and
under consideration of applicable regulations and local protocol.
Training on the proper use of this product must be provided before
using this product in an actual situation.
Retain this manual for future reference. Include it with the product
in the event of transfer to new users. Additional free copies are
available upon request from Customer Relations.
Proprietary Notice
The information disclosed in this manual is the property of Ferno-
Washington, Inc., Wilmington, Ohio, USA. Ferno-Washington,
Inc. reserves all intellectual property rights, proprietary design
rights, manufacturing rights, reproduction use rights, and sales use
rights thereto, and to any article disclosed therein except to the
extent those rights are expressly granted to others or where not
applicable to vendor proprietary parts.
Limited Warranty Statement
The products sold by Ferno are covered by a limited warranty,
which is printed on all Ferno invoices. The complete terms and
conditions of the limited warranty, and the limitations of liability
and disclaimers, are also available upon request by calling Ferno at
1.800.733.3766 or 1.937.382.1451.
Ferno Customer Relations
For ordering assistance or general information:
CANADA AND THE U.S.A.
Telephone (Toll-free) 1.877.733.0911
Telephone [phone]
Fax (Toll-free) 1.888.388.1349
Fax [phone]
Internet www.ferno.com
ALL OTHER LOCATIONS
For assistance or information, please contact your Ferno
distributor. If you do not have a Ferno distributor, please contact
Ferno Customer Relations:
Ferno-Washington, Inc., 70 Weil Way
Wilmington, Ohio 45177-9371, U.S.A.
Telephone Country Code +1.937.382.1451
Fax Country Code +1.937.382.6569
Internet www.ferno.com
1.937.382.1451
44 (0) 1274 851999
UNIQUE DEVICE IDENTITY NOTICE
Ferno complies with the United States Food and Drug
Administration’s Unique Device Identication regulation to
identify medical devices. The UDI label contains information in
human- and machine-readable form. Device information is w at the
FDA’s Global Unique Device Identication Database (GUDID).
The public can search and download information at AccessGUDID
at www.fda.gov.
The label is located on the crosstube under the shock frame.
Ferno-Washington Inc. | Wilmington, Ohio 45177 USA | +1.937.382.1451
Product Name/Model
(01) Global Trade Item Number
(11) Date of Manufacture
(21) Serial Number
Date of Manufacture
SN Serial Number
Manufacturer GS1 Data Matrix

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© Ferno-Washington, Inc 234-3346-04 April 2017
TABLE OF CONTENTS
Section Page Section Page
Ferno Customer Relations______________________ 2
1 - Safety Information___________________________ 4
1.1 Warning________________________________ 4
1.2 Important_______________________________ 4
1.3 Bloodborne Disease Notice_________________ 4
1.4 Cot and Fastener Compatibility _____________ 4
1.5 Safety and Instruction Labels _______________ 5
1.6 Symbol Glossary_________________________ 5
2 - Operator Skills and Training __________________ 6
2.1 Skills __________________________________ 6
2.2 Training________________________________ 6
2.3 Height and Strength Considerations __________ 6
3 - About the Cot _______________________________ 7
3.1 Description _____________________________ 7
3.2 General Specications ____________________ 8
3.3 Cot Positions ____________________________ 8
4 - Setup and Installation ________________________ 9
4.1 Ambulance Requirements__________________ 9
4.2 Restraints, Mattress and Accessories _________ 9
4.3 Fastener Compatibility ____________________ 9
4.4 Install the Safety Hook ___________________ 10
5 - Cot Features _______________________________ 12
5.1 Control Handles ________________________ 12
5.2 Fastener Release Controls_________________ 13
5.3 Drop Frame ____________________________ 13
5.4 Backrest_______________________________ 14
5.5 Shock Frame ___________________________ 14
5.6 Lead Handle ___________________________ 14
5.7 Sidearms: Swing-Down (Standard) _________ 15
5.8 Sidearms: Universal (Optional) ____________ 15
5.9 Telescoping Side Lift Handles _____________ 16
5.10 Wheel Locks ___________________________ 16
5.11 Mattress_______________________________ 16
6 - Using the Cot ______________________________ 17
6.1 Before Placing the Cot in Service___________ 17
6.2 General Guidelines for Use________________ 17
6.3 Fully Engaging the Locking Mechanism _____ 17
6.4 Changing Cot Positions___________________ 18
6.5 Transferring the Patient___________________ 19
6.6 Rolling the Cot _________________________ 20
6.7 Preparing to Load the Cot_________________ 21
6.8 Loading the Cot_________________________ 22
6.9 Unloading the Cot_______________________ 23
6.10 One Operator, Empty Cot _________________ 24
6.11 Using Additional Help ___________________ 25
7 - Bariatric Transport _________________________ 26
7.1 Bariatric Transport Denition ______________ 26
7.2 Bariatric Transport Guidelines _____________ 26
7.3 Bariatric Transport: Transferring the Patient __ 27
7.4 Bariatric Transport: Rolling the Cot _________ 27
7.5 Bariatric Transport: Loading the Cot ________ 28
7.6 Bariatric Transport: Unloading the Cot_______ 28
8 - Maintenance _______________________________ 29
8.1 Maintenance Schedule ___________________ 29
8.2 Disinfecting and Cleaning the Restraints _____ 29
8.3 Disinfecting and Cleaning the Mattress ______ 29
8.4 Disinfecting the Cot _____________________ 29
8.5 Cleaning the Cot ________________________ 30
8.6 Waxing the Cot _________________________ 30
8.7 Inspecting the Cot _______________________ 30
8.8 Lubricating the Cot ______________________ 31
8.9 Accessing the 9th Bed Position_____________ 31
9 - Parts and Service ___________________________ 32
9.1 U.S.A. and Canada ______________________ 32
9.2 Worldwide_____________________________ 32
9.3 Parts List ______________________________ 32
9.4 Parts Diagrams _________________________ 33
10 - Accessories _______________________________ 34
Training Record ______________________________ 35
Maintenance Record___________________________ 35

4© Ferno-Washington, Inc 234-3346-04 April 2017
1  SAFETY INFORMATION
1.1 Warning
Warning notices indicate a potentially hazardous situation
which, if not avoided, could result in injury or death.
WARNING
Untrained operators can cause injury or be injured. Permit
only trained personnel to operate the cot.
Improper use of the cot can cause injury. Use the cot only
for the purpose described in this manual.
Attaching improper items to the cot can cause injury. Use
only Ferno-approved items on the cot.
Failure to use the safety hook can cause injury. Install and
use the safety hook as described in this manual.
Improper operation can cause injury. Operate the cot only
as described in this manual.
An unattended patient can be injured. Stay with the
patient at all times.
An unrestrained patient can fall o the cot and be injured.
Use restraints to secure the patient on the cot.
False locking can cause injury. After changing positions,
lift the cot until all the wheels are o the ground. This
allows the lock to engage if it has not already done so.
Rolling the cot sideways or in a loading position can cause
it cot to tip and injure the patient or operators. Roll the
cot only in a level (rolling) position and with the head-end
or foot-end rst.
Helpers can cause injury or be injured. Maintain control
of the cot, operate the controls, and direct all helpers.
Improper bariatric transport can cause injury to the
patient, operators and helpers. Follow local protocols and
the instructions in this manual.
Heavy loads can cause injury. Use as many additional
operators and helpers as needed to safely transport the
patient.
Using a raised position for bariatric transport can cause
injury and cot failure. Keep the cot folded when exceeding
the Standard Load Limit.
Improperly unloading a cot during bariatric transport
can cause injury. Station one operator or helper in the
ambulance to release the cot from the safety hook or
safety stop.
Improper maintenance can cause injury. Maintain the cot
only as described in this manual.
Improper parts and service can cause injury. Use only
Ferno parts and Ferno-approved service on the cot.
Modifying the cot can cause injury and damage. Use the
cot only as designed by Ferno.
1.2 Important
Important notices emphasize important usage or maintenance
information.
Important
1.3 Bloodborne Disease Notice
To reduce the risk of exposure to bloodborne diseases
such as HIV-1 and hepatitis when using the cot, follow the
disinfecting and cleaning instructions in this manual.
1.4 Cot and Fastener Compatibility
Combining different manufacturers’products into a “mixed-
component” cot/cot fastener system can increase the user’s
risk of injury and damage.
Ferno-Washington, Inc. strongly recommends that only
Ferno-manufactured cots be used in Ferno-manufactured cot
fasteners, and that only Ferno-manufactured cot fasteners be
used for securing Ferno-manufactured cots in ambulances.
ANY COMBINATION OF A FERNO COT OR COT
FASTENER WITH A NON-FERNO COT OR COT
FASTENER IS MISUSE OF THE FERNO PRODUCT.
Responsibility for the outcome of known, intentional misuse
rests squarely on the misuser.
Safety Information

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1.5 Safety and Instruction Labels
Safety and instruction labels place important information from the users’
manual on the cot.
● The general information label shown at right is afxed to the foot-end
frame. It provides general safety, load limit, and use information.
● The hand-guard label shown below reminds the user not to remove the
hand guard.
Read and follow label instructions. Replace worn or damaged labels
immediately. New labels are available from EMSAR (page 32) or from
your distributor.
1.6 Symbol Glossary
The symbols dened below are used on the cot and in this users’ manual. Ferno uses symbols recognized by the International
Standards Organization (ISO), American National Standards Institute (ANSI) and the emergency medical services industry.
Safety Information
General Warning of
Potential Injury
Cot meets European
Union Standards
Unlocked Locked
Cot Operation Requires
Two Trained Operators
2
Do Not
Lubricate
Lubricate
Read the Users’
Manual
700 lb
318 kg
Standard Load Limit
Use Cot Normally
1100 lb
500 kg
Bariatric Load Limit
Use Cot in Folded
Position Only

6© Ferno-Washington, Inc 234-3346-04 April 2017
2  OPERATOR SKILLS AND TRAINING
2.1 Skills
Operators using the cot need:
● a working knowledge of emergency patient-handling
procedures.
● the ability to assist the patient.
WARNING
Untrained operators can cause injury or be injured.
Permit only trained personnel to operate the cot.
2.2 Training
Operator trainees need to:
● read and understand this manual.
● be trained on the use of the cot.
● practice with the cot before using it with a patient.
● record their training information. A sample training
record sheet is provided on page 35.
2.3 Height and Strength Considerations
When unloading the cot, the foot-end operator must lift
and hold the weight of the cot, patient and equipment high
enough for the wheels to remain off the ground until the
undercarriage legs completely unfold and lock into place.
Supporting this weight requires greater strength from short
operators than from tall operators because short operators
must raise their arms higher in relation to their shoulders.
Be aware that if the ambulance is parked on an uneven
surface, the foot-end operator (and any helpers) may need
to lift the cot higher than normal to allow the legs to unfold
completely and lock.
Bariatric transport requires special operating procedures.
See Bariatric Transport, pages 26-28.
Note: Use additional help as needed to lift the weight of the cot,
patient and equipment (see Using Additional Help, page 25).
Operator Skills and Training

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3  ABOUT THE COT
3.1 Description
The Ferno®PROFlexx®Model 35X Series Cot (called the
cot in this manual) is an emergency patient-handling device
designed to transport a patient in a ground-based ambulance.
The cot is for professional use by a minimum of two trained
operators. It is designed for roll-in loading to help reduce
the risk of back injury to medical service personnel.
The cot is designed for use with Ferno®cot fasteners (not
included).
COT OPTIONS
● PROFlexx®35X: Standard cot for use with Ferno®
Model 175 (antler and rail) fastening system.
● PROFlexx® 35X-ST: Cot is compatible with Ferno®
Stat Trac®cot fastener system.
● Accessories: Your cot may have been shipped
with factory-installed accessories per your order;
accessories are also available separately.
INCLUDED WITH PURCHASE
● Mattress (1 of 4 styles. See “Customer Choice” Build
Options on this page).
● Set of 3 restraints
● Users’ manual
● Safety Hook (not required or included with 35X-ST)
U.S.A. NOTICE
The cot is for use with ambulances that meet the requirements
of the “Star of Life” certication via Federal Ambulance
Specication KKK-A-1822. For information, contact:
Federal Supply Services, Specications Section
Suite 8100
470 E. L’Enfant Plaza, SW
Washington, DC 20407
WARNING
Improper use of the cot can cause injury. Use the cot
only for the purpose described in this manual.
About the Cot
STANDARD FEATURES
All cots are built with the following features:
● Clear Anodized handling surfaces (helps keep hands
and clothing clean)
● High-visibility control handles (red)
● 9 Height positions
○3 loading positions for vehicle oors 28"-33"
● EZ-Pull control handles at cot foot end (control handle
may be activated before lifting weight of cot)
● Shock Frame (2-position)
● Drop Frame (5 positions with 4 locking positions)
● Backrest (pneumatic, innite-positioning 0°-65°)
● 6" Swivel Transport Wheels (4; 2 w/wheel locks)
● Telescoping Lift Handles (2)
● Restraints (set of 3)
● Head-end Leg Protectors
● Lower-Frame Scuff Strips
● Folding Lead Handle
“CUSTOMER CHOICE” BUILD OPTIONS
One each of the following options is standard equipment on
your cot:
● Color (your choice of 5 colors)
● Cot-Fastener Compatibility
○Ferno®Model 175 Antler-and-Rail
○Ferno®Model 185 Stat Trac®
● High-Reectivity Labels
○Standard high-reectivity labels
○Personalized high-reectivity labels
● Sidearms
○Ferno®Universal (swing- and fold-down) sidearms
○Ferno®swing-down sidearms
● Mattress Options*
○Mattress with locking hooks
○Mattress with locking hooks and pocket
○Mattress with locking hooks, pocket, transfer board
○Mattress with hook-and-loop fastener
* Mattresses are also available as accessories
and as replacement parts.

8© Ferno-Washington, Inc 234-3346-04 April 2017
3.2 General Specications
Height1
Bed Position 9 40 in./102 cm
Loading Position 3 35 in./89 cm
Bed Position 8 39 in./98 cm
Loading Position 2 31 in./79 cm
Bed Position 7 37 in./93 cm
Loading Position 1 27 in./69 cm
Bed Position 6 34 in./87 cm
Bed Position 5 31 in./79 cm
Bed Position 4 28 in./71 cm
Bed Position 3 24 in./62 cm
Bed Position 2 20 in./51 cm
Bed Position 1 (folded) 14 in./35 cm
Length
Maximum 79 in./201 cm
Minimum 64 in./162 cm
Width (Overall) 24 in./61 cm
Weight292 lb/42 kg
Weight (ST)2100 lb/45 kg
Strength to Weight Ratio37.6 SWR
Strength to Weight Ratio (ST)37.0 SWR
Load Limit 700 lb/317 kg
Bariatric Load Limit41,100 lb/500 kg
General specications are rounded to the nearest whole number.
Metric conversions are calculated before rounding the Imperial
measurements. For more information, contact Ferno Customer
Relations (page 2) or your Ferno distributor.
Ferno reserves the right to change specications without notice.
1Height measurements are as follows: Loading Position is the
distance from the ground to the bottom of the loading wheel. Bed
Position is the distance from the ground to the patient surface at the
telescoping handle.
2Weight is without mattress, restraints and optional features.
3Strength to Weight Ratio is the load limit of the cot divided by the
cot’s weight.
4Bariatric transport requires special operating procedures. See
pages 26-28.
3.3 Cot Positions
About the Cot
STANDARD LOAD LIMIT
ALL COT POSITIONS
700 lb
318 kg
BARIATRIC LOAD LIMIT
FOLDED POSITION ONLY
Follow bariatric transport procedures (pages
26-28) when working with loads in excess of
the Standard Load Limit. Inspect the cot if the
Standard Load Limit has been exceeded (see
Inspecting the Cot, page 30).
1100 lb
500 kg
FOLDED POSITION
Use the folded position to transfer the patient, to roll the cot
during bariatric transport, or to store the cot.
LOADING POSITIONS 3
The loading position is for use only when loading the cot
into, or unloading the cot from, an ambulance. Use the
lowest loading position that allows the cot to roll into your
ambulance.
Loading Position
Bed Position
ROLLING/TRANSFER POSITIONS 5
Use a level position to roll the cot and for transferring the
patient to or from the cot and an adjacent surface.
Bed Position
Important
Not all users require the highest (9th) Bed/Loading
Position. By default, this Bed Position is locked out
by a metal plate that limits the cot to Positions 1-8. If
your ambulance has a very high loading height that
requires the 9th Bed Position, see Accessing the 9th
Bed Position, page 31.

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© Ferno-Washington, Inc 234-3346-04 April 2017
4  SETUP AND INSTALLATION
4.1 Ambulance Requirements
The ambulance bumper extension should not exceed 14
inches (35.5 cm). The patient compartment should have a
level oor large enough for the folded cot, and a Ferno®
cot fastener installed (not included). See Cot and Fastener
Compatibility, page 4.
Important
Loose items and debris on the patient compartment
oor can interfere with the operation of the cot with the
fastener. Keep the patient compartment oor clear.
Before placing the cot in service,
assign appropriate personnel to
install the mattress, restraints, and
any accessories shipped with the
cot. Keep restraint and accessory
users’ manuals with this manual for
future reference. For additional, free
manuals, contact Ferno Customer Relations (page 2).
For complete list of accessories, see Accessories, page 34.
WARNING
Attaching improper items to
the cot can cause injury. Use
only Ferno-approved items
on the cot.
4.3 Fastener Compatibility
Read the cot fastener users’ manual for instructions on using
the fastener (see Cot and Fastener Compatibility, page 4).
ANTLERANDRAIL FASTENERS
Model 35X series cots are compatible with all versions of
the Ferno®Model 175 antler and rail cot fasteners. The cot
fastener must be congured for use with the Ferno®Model
35 Series - see the fastener installation manual for details.
Using the Model 175 cot fastener requires the installation of
the safety hook (included).
Important
Stat Trac fasteners installed before June 1, 2000 required
only 16" (41 cm) of clearance from the ambulance wall
to the center of the Stat Trac.
The 6-inch wheels on PROFlexx® Series cots require the
fastener to be positioned at least 17" (43 cm) from the
wall to allow room for the wheels to swivel as the cot is
removed.
If you installed a Stat Trac at the old minimum, you must
reposition your Stat Trac to at least the new 17-inch
minimum. Contact Ferno Customer Relations (page 2)
for a revised Stat Trac installation manual.
Setup/Installation
4.2 Restraints, Mattress and Accessories
Figure 1 - Restraints (Set of 3)
Torso Restraint (1)
Guide Strap (1)
Two-Piece Restraint (2)
STAT TRAC FASTENERS
Model 35X-ST Series cots are compatible with all versions
of the Ferno®Model 185 Stat Trac®fastener. The center of
the fastener must be a minimum of 17" (43 cm) from the
ambulance wall. If the fastener was installed closer than this
minimum distance, it must be reinstalled further from the
wall to provide room for the cot wheels to swivel during
loading and unloading.
Important
A “sloped” (or low-prole) mounting block (shown
here) must be used when the antler portion of the cot
fastener is removable (installed with large turn-knobs
for easy removal).
If your removable fastener
does not already have this
mounting block, contact Ferno
Customer Relations, page 2.
This block is not used with fasteners permanently-mounted
to the oor with a large bolt.

10 © Ferno-Washington, Inc 234-3346-04 April 2017
WARNING
Failure to use the safety hook can cause injury.
Install and use the safety hook as described in this
manual.
Important
Beforeinstallingthe safetyhook, consultthe ambulance
manufacturer about possible interference with wiring
and other elements under the ambulance oor, and
about the ambulance warranty.
Figure 3 - Engaging the Safety Hook
Setup/Installation
4.4 Install the Safety Hook
Note: If your ambulance service uses only the Stat Trac®
Fastening System, skip the rest of Section 4.
The safety hook (Figure 2) provided with the cot is a
component of Ferno’s Model 175 Cot Fastening System,
and must be installed and used as described in this manual.
The safety hook catches the cot safety bar (Figure 3) to
ensure that the cot remains secured inside the ambulance
while the operators raise or lower the undercarriage during
loading or unloading.
Installing the safety hook requires the skills of a mechanic
familiar with ambulance construction.
Before installing the safety hook, consult the ambulance
manufacturer regarding:
● the location of wiring, oxygen or fuel lines, and other
elements under the ambulance oor.
● the ambulance warranty.
HARDWARE REQUIRED NOT SUPPLIED
2 1/4-20 Socket-head cap screws*
2 Flat washers
2 Lock washers
2 1/4-20 Nuts
*The socket-head cap screws must be long enough to pass
through the safety hook, patient compartment oor, both
washers, and still have at least two full threads extending
past the nut. The hardware should be of at least SAE Grade
5 with UNC-2 threading (or equivalent).
Figure 2 -Safety Hook
Front Edge
Hook