Ferno 26 Cot User manual

FERNO®
When It’s Critical®
Users’ Manual
Model 26 Series Cot
March 2010 GLO
Pub. No. 234-2041-04
Read this Manual
and Retain for
Future Reference
MODEL 26 COT MODEL 26S COT
MODEL 26AS COT

2© Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot
© Copyright Ferno-Washington, Inc. All Rights Reserved.
Serial Number _________________________
Location: Foot-End Crosstube
USERS’ MANUAL
To request additional free users’ manuals,
contact Ferno Customer Relations, your
Ferno distributor, or visit 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. 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 Ferno-
Washington, 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.
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 [phone]
Fax [phone]
Internet www.ferno.com
EUROPEAN REPRESENTATIVE
Ferno (UK) Limited
Stubs Beck Lane, Cleckheaton
West Yorkshire BD19 4TZ, United Kingdom
Telephone [phone]
Fax [phone]
Internet www.ferno.co.uk
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 [phone] ext. 1010
Email quality[email protected]

3
© Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot
TABLE OF CONTENTS
Section Page Section Page
Ferno Customer Relations______________________ 2
Ferno Technical Support _______________________ 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 Symbol Glossary_________________________ 4
1.6 Safety and Instruction Labels _______________ 5
2 - Operator Skills and Training __________________ 5
2.1 Skills __________________________________ 5
2.2 Training________________________________ 5
2.3 Height and Strength Considerations __________ 5
3 - About the Cot _______________________________ 6
3.1 Cot Description __________________________ 6
3.2 GeneralSpecicationsandComponents ______ 7
4 - Using the Features ___________________________ 9
4.1 Undercarriage Leg Lock (All Models) ________ 9
4.2 Leg Control Handles (All Models) ___________ 9
4.3 Swing-Down Sidearms (All Models) ________ 10
4.4 Auxiliary Lock (All Models) ______________ 10
4.5 Adjustable Backrest (All Models) __________ 11
4.6 Drop Frame (All Models) _________________ 11
4.7 Shock Frame (Models 26-S and 26-AS Only) _ 12
4.8 Wheel Locks (Optional) __________________ 12
5 - Using the Cot ______________________________ 13
5.1 Before Placing the Cot in Service___________ 13
5.2 General Guidelines for Use________________ 13
5.3 Patient Restraints _______________________ 13
5.4 Changing Cot Positions___________________ 14
5.5 Rolling the Cot _________________________ 15
5.6 Transferring a Patient to the Cot ____________ 15
5.7 Loading the Cot_________________________ 16
5.8 Unloading the Cot_______________________ 16
5.9 Using Additional Help ___________________ 17
6 - Maintenance _______________________________ 18
6.1 Maintenance Schedule ___________________ 18
6.2 Disinfecting and Cleaning the Restraints _____ 18
6.3 Disinfecting and Cleaning the Mattress ______ 18
6.4 Disinfecting the Cot _____________________ 18
6.5 Cleaning the Cot ________________________ 18
6.6 Waxing the Cot _________________________ 19
6.7 Inspecting the Cot _______________________ 19
6.8 Lubricating the Cot ______________________ 20
7 - Accessories and Related Products _____________ 22
8 - Parts and Service ___________________________ 22
8.1 U.S.A. and Canada ______________________ 22
8.2 Worldwide_____________________________ 22
8.3 Parts List ______________________________ 22
8.4 Parts Diagrams _________________________ 23
Training Record ______________________________ 24
Maintenance Record___________________________ 24

4© Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot
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.
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.
Helpers can cause injury. Maintain control of the cot,
operate the controls, and direct all helpers.
Helpers can be injured. Show helpers where to grasp the
cot to avoid pinch points.
Improper maintenance can cause injury. Maintain the cot
only as described in this manual.
Attaching improper items to the cot can cause injury. Use
only Ferno-approved items on the cot.
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.
Do Not
Lubricate
Lubricate
2
1.5 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.
General Warning of
Potential Injury
Unlocked Locked
Product Meets European
Union Standards
Cot Operation Requires
Two Trained Operators
Read the Users’
Manual
Load
Limit
181 kg
400 lb
Pinch Point

5
© Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot
2  OPERATOR SKILLS AND TRAINING
2.3 Height and Strength Considerations
Operator Skills and Training
1.6 Safety 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. New labels are available from EMSAR
(page 22) or from your distributor.
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 24.
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.
Note: Use additional help as needed to lift the weight of the cot,
patient and equipment (see Using Additional Help, page 17).
General Information Label
Location: foot end of cot
Auxiliary Lock Information Label
Location: auxiliary lock
Pinch Point Label
Location: cot main frame
Leg Lock Label
Location: Leg
Lock Control Bar

6© Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot
About the Cot
3  ABOUT THE COT
3.1 Cot Description
The Model 26 Series Cot 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 an approved Ferno®cot
fastener (not included). A mattress and set of patient
restraints (not included) are required. See Accessories and
Related Products, page 22, to order these items.
The cots in the Model 26 series are listed below, along with
their features. The term “cot” is used in this manual where
features are identical among all models. Where features are
notsharedbyallcots,thespecicmodelnumberisused.
WARNING
Improper use of the cot can cause injury. Use the cot
only for the purpose described in this manual.
Load Limit
Inspect the cot if the load limit has
been exceeded (See Inspecting the
Cot, page 19).
181 kg
400 lb
COMPATIBLE COT FASTENERS
The cot is designed for use with the Ferno® cot fasteners
listed here (not included).
All Models:● Ferno®Model 175 Antler-and-Rail Fastener
Model 26-AS:● Ferno®Models 170 and Model 175
Fasteners
COT FEATURES ALL MODELS
2 height positions●
Adjustable backrest●
Swing-down sidearms●
Lead handle●
5"swivelwheels(footend);5"xedwheels(headend)●
Undercarriage leg lock●
Drop frame●
Foot-end loading posts●
MODELSPECIFIC FEATURES
Wheel locks on foot-end swivel casters●
Model 26 With Wheel Locks○
Model 26-AS○
Model 26-S○
Trendelenburg position (“shock frame”)●
Model 26-AS○
Model 26-S○
Anodized main-frame tubing (will not leave black●
residue on hands)
Model 26-AS○
Model 26-S○

7
© Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot About the Cot
3.2 General Specications and Components
SPECIFICATIONS INFORMATION
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.
Height is measured as the distance from the ground to the
top of the T-casting at the center of the bed frame. Loading
height is the distance from the ground to the bottom of the
loading wheel.
Cot weights are without mattress, restraints and optional
features.
AMBULANCE REQUIREMENTS
The patient compartment should have a level oor
large enough for the folded cot, and a Ferno cot fastener
installed.
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
Control
Handles (2)
Undercarriage
Leg Lock
Lead Handle
Swing-Down
Sidearms (2)
Adjustable Backrest
Backrest
Control
Handle
Loading
Wheels (2)
Swivel Transport
Wheels (2)
Undercarriage
Model 26 Cot Specications
Height
Maximum 81 cm (32 in.)
Loading 60 cm (24 in.)
Minimum 22 cm (9 in.)
Folded Length 195 cm (77 in.)
Overall Width 58 cm (23 in.)
Weight 25 kg (56 lb)
Load Limit 181 kg (400 lb)
Drop Frame
Loading
Post (2)

8© Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot
About the Cot
26-S Cot Specications
Height
Maximum 81 cm (32 in.)
Loading 60 cm (24 in.)
Minimum 22 cm (9 in.)
Folded Length 195 cm (77 in.)
Overall Width 58 cm (23 in.)
Weight 25 kg (56 lb)
Load Limit 181 kg (400 lb)
Swivel Transport
Wheels (2)
Loading
Wheels (2)
Drop Frame
Backrest
Control Handle
Adjustable
Backrest
Swing-Down
Sidearms (2)
Lead Handle
Undercarriage
Leg Lock
Control Handles (2)
Undercarriage
Shock Frame
Loading
Post (2)
Control
Handle
Swing-Down
Sidearms (2)
Foot-End
Loading
Wheels (2)
Lead Handle
Swivel Transport
Wheels (2)
Adjustable
Backrest
Backrest
Control Handle
Loading
Wheels (2)
Undercarriage
Shock Frame
Undercarriage Leg Lock Drop Frame
26-AS Cot Specications
Height
Maximum 81 cm (32 in.)
Loading 60 cm (24 in.)
Minimum 22 cm (9 in.)
Folded Length 195 cm (77 in.)
Overall Width 57 cm (23 in.)
Weight 28 kg (61 lb)
Load Limit 181 kg (400 lb)

9
© Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot Using the Features
4.1 Undercarriage Leg Lock
(All Models)
The undercarriage leg lock secures the legs in the folded
position. This allows the operators (and helpers) to lift and
carry the cot like a stretcher. To engage the leg lock:
Place the cot in the folded position.1.
Pull the lock handle (Figure 1).2.
To disengage the leg lock, push the handle toward the head
end of the cot.
Do not engage the leg lock while the cot is loaded inNote:
an ambulance. Verify that the leg lock is disengaged before
unloading the cot from the ambulance.
Leg locks on cots with serial numbersNote:before
L-666059 operate in the opposite direction: Pushing the
handle engages the lock, and pulling the handle disengages
the lock. Test the leg lock and learn how it works.
4  USING THE FEATURES
Important
Leg locks on cots before Serial Number L-666059
operate in the opposite direction. Learn about your cot
and understand how the leg lock works.
Figure 1 - Using the Undercarriage Leg Lock
Leg Lock Control Handle
4.2 Leg Control Handles (All Models)
Two leg control handles are located at the foot end of the
cot. They operate the leg locking mechanisms that enable
the legs to be folded.
The handle on the foot-end operator’s right side unlocks
the head-end legs (Figure 2). The handle on the foot-end
operator’s left unlocks the foot-end legs.
When changing cot positions, both operators grasp the cot with
an underhand grip. The foot-end operator operates both leg
control handles at once. See Changing Cot Positions, page 14.
When loading the cot into an ambulance, the foot-end
operator operates one leg control handle at a time. See
Loading the Cot, page 16.
Figure 2 -
Using the
Control
Handles

10 © Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot
4.3 Swing-Down Sidearms (All Models)
The swing-down sidearms provide patient security and
comfort. Keep the sidearms raised except when transferring
a patient to and from the cot.
To lower a sidearm, pull the sidearm lock pin and swing
the sidearm down (Figure 3). To raise a sidearm, swing the
sidearm up until it locks.
Optional sidearm release levers allow you to lower a sidearm
with one hand (see Parts and Service, page 22).
4.4 Auxiliary Lock (All Models)
The auxiliary lock control handle is located near the foot end
of the cot on the patient’s left side. The engaged auxiliary
lock prevents the undercarriage from folding.
The auxiliary lock engages automatically when the cot is
changed from the folded to the raised position. Keep the
auxiliary lock engaged except when two operators fold the
cot, or when loading the cot into an ambulance.
To disengage the auxiliary lock, pull the handle toward the
foot end of the cot. As you pull the handle back, also pull
down slightly (Figure 4).
Using the Features
Figure 3 -
Using the
Swing-Down
Sidearms
Lock Pin
Important
Do not use the sidearms to lift the cot. Sidearms are
not designed for lifting. Lift the cot only by grasping
the cot main frame.
Figure 4 -
Unlocking the
Auxiliary Lock

11
© Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot Using the Features
4.5 Adjustable Backrest (All Models)
The backrest adjusts to any of 10 positions. To adjust:
Unfasten or loosen the harness restraint.1.
Support the backrest frame as you squeeze the backrest2.
control handle.
Raise or lower the backrest to near the desired position3.
(Figure 5).
Release the backrest control handle, then raise or4.
lower the backrest slightly until the backrest locks into
the new position.
Fasten and adjust the harness restraint.5.
Figure 5 - Adjusting the Backrest
4.6 Drop Frame (All Models)
Use the drop frame to shorten the cot when space is limited,
such as in elevators or hallways.
Place the cot in the raised position and unfasten or1.
loosen the harness restraint.
Raise the backrest.2.
Slide both lock sleeves toward the head end of the cot3.
to expose the drop frame hinges, then push the frame
down (Figure 6).
Fasten and adjust the harness restraint.4.
To return the drop frame to the extended position, lift the
frame until the lock sleeves snap over the hinges and the
frame locks into place.
Squeeze
to Unlock
Figure 6 - Using the Drop Frame

12 © Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot
Using the Features
4.7 Shock Frame
(Models 26-S and 26-AS Only)
To place the patient in Trendelenburg’s position, use the
shock frame to elevate the patient’s legs. Use both hands
and an underhand grip (palms up) to support the shock
frame while raising or lowering it. Always lift the shock
frame from the foot end of the cot, not from the side.
To raise the shock frame:
Unfasten or loosen the pelvis and thigh restraints.1.
Lift the shock frame (Figure 7) until it locks into the2.
raised position.
Fasten and/or adjust the pelvis and thigh restraints.3.
To lower the shock frame:
Grasp the corners of the shock frame near the support1.
bars (Figure 8). Disengage the support bars by lifting
the bars. Then, lower the shock frame.
Adjust or tighten the pelvis and thigh restraints as2.
needed.
Figure 8 -
Lowering the
Shock Frame
Support Bar
Support Bar
Figure 7 -
Raising the
Shock Frame
4.8 Wheel Locks
Wheel locks help prevent the cot from rolling. Use●
the wheel locks to help keep the cot stationary when
it is on an uneven surface, during patient transfer, and
during certain medical procedures.
Lock the wheel locks only when the cot is stationary.●
Do not use the wheel locks as brakes.
MODEL 26 WITH WHEELLOCK OPTION
The foot-end swivel casters are tted with a locking
mechanism attached at the side of the wheel (Figure 9).
To engage the lock, press the end of the lever down. To
disengage, use your toe to lift the lowered end of the lever to
the level position, or press down the raised end of the lever.
MODELS 26S AND 26AS
Thefoot-endswivelcastersarettedwithwheellockswith
a locking mechanism attached above the wheel (Figure 10).
To engage the lock, use your toe to press the lock lever down.
To disengage, use your toe to lift the lever.
Figure 9 - Engaging a
Wheel Lock
Figure 10 - Engaging a
Wheel Lock

13
© Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot Using the Cot
5  USING THE COT
5.3 Patient Restraints
Patient restraints are required for use with the cot but are not included. See Accessories
and Related Products, page 22 to order restraints for the cot.
Ferno recommends you use three restraints with the cot: one harness or shoulder/
chest-style restraint for the patient’s torso (such as the Ferno®Model 417-1), and
two belt-style restraints for use at the patient’s pelvis and thighs (such as the Ferno®
Model 430).
Keep the restraints fastened when they are not in use to prevent them from interfering
with cot operation. Install, use and maintain restraints as described in the restraint
users’ manuals provided with the restraints. Additional manuals are available from
your Ferno Distributor or Ferno Customer Relations (page 2).
5.1 Before Placing the Cot in Service
Personnel who will work with the cot need to read this manual.●
Install the mattress and restraints (not included). See● Patient Restraints, below.
Conrmthatthecotoperatesproperly.See● Inspecting the Cot, page 19.
The vehicle must have a Ferno cot fastener system installed.●
WARNING
Improper operation can cause
injury. Operate the cot only as
described in this manual.
WARNING
An unattended patient can be
injured. Stay with the patient
at all times.
WARNING
An unrestrained patient can
fall o the cot and be injured.
Use restraints to secure the
patient on the cot.
5.2 General Guidelines 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.
A minimum of two trained operators is required.●
Follow standard emergency patient-handling procedures when operating the cot.●
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 17.
Stay with the patient at all times.●
Always use patient restraints to secure the patient on the cot.●
2
Read the
Users’ Manual
Two Trained
Operators Required

14 © Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot
Using the Cot
5.4 Changing Cot Positions
Changing cot positions with a patient on the cot requires
a minimum of two trained operators working together. The
following instructions address both operators.
Raise the drop frame to the extended position before●
changing cot positions.
Operators stand at opposite ends of the cot and face●
each other. Grasp the cot main frame with both hands,
using an underhand grip (palms up).
Expect, and be prepared to control, the normal●
downward movement of the cot that occurs when
control handles are squeezed.
Lift only the weight you can safely handle. Use●
additional help as needed (See Using Additional Help,
page 17).
RAISING THE COT
Foot-End Operator:1. Verify that the undercarriage
leg lock is not engaged. See Undercarriage Leg Lock,
page 9.
Both Operators2. : Grasp the cot main frame with an
underhand grip. In a coordinated move, both operators
lift the cot (Figure 11) until the legs unfold and lock
into the raised position.
Both Operators:3. Hold the cot with the wheels slightly
off the ground and verify the legs have locked. Then,
set the cot on its wheels.
FOLDING THE COT
If the cot is empty (no patient) one trained operator may fold
the cot if local protocols allow. Disengage the auxiliary lock,
tip the cot onto its loading wheels and head-end transport
wheels, and squeeze the leg control handles to fold the cot.
If the cot must be folded when a patient is on the cot, the two
trained operators (and helpers) will need an assistant.
Foot-End Operator:1. Pull the auxiliary lock handle
toward the foot end of the cot to disengage the auxiliary
lock (See Auxiliary Lock, page 10).
Assistant:2. Place one foot against the loading-end
wheel to prevent the cot from moving forward.
Both Operators (and helpers):3. As the Foot-End
Operator squeezes the head-end leg control handle
(Figure 12), the operators (and helpers) roll the cot
slightly toward the head-end operator, allowing the
head-end legs to unlock as the Assistant’s foot holds
the wheel in place.
Both Operators (and helpers):4. Hold the weight of the
cot as the Assistant moves to the foot end of the cot;
repeat the process as the Operator squeezes the foot-
end leg control handle to unlock the foot-end leg lock.
Both Operators (and helpers):5. Fold the cot.
Important
Both operators support the weight of the cot●
before the foot-end operator squeezes a control
handle.
Operators should expect, and be prepared to●
control, the normal downward movement of the
cot that occurs when a control handle is squeezed.
When raising the cot to the raised position, always●
check to make sure both sets of legs are locked
before you release your grasp on the frame.
Figure 12 -
Squeezing
the Control
Handles
Figure 11 - Raising the Cot

15
© Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot
5.5 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.
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 over the
obstacle.
Use additional help as needed to safely control the●
weight of the patient and cot (see Using Additional
Help, page 17).
When rolling the cot over rough terrain, the operators●
(and helpers) should grasp the main frame with both
hands.
To roll the cot:
Securely fasten all restraints around the patient.1.
Place the cot in the raised position.2.
Foot-End Operator:3. Position yourself at the foot
end of the cot, grasp the main frame, and pull the cot
forward.Or,ifrollingthecotonasmooth,atsurface,
use the lead handle to pull the cot.
Assisting Operator: Position yourself at either the
head-end of the cot (grasping the drop frame) or at the
side of the cot near the patient’s torso (grasping the
main frame). Attend the patient and assist in rolling
and steering the cot.
5.6 Transferring a Patient to the Cot
To transfer a patient onto the cot:
Roll the cot to the patient.1.
Position the cot as close to the patient as possible. Fold2.
the cot if necessary.
Unfasten the restraints and arrange the straps so3.
they will not interfere with transferring the patient
onto the cot.
Lower the sidearms.4.
If the cot is equipped with wheel locks, lock them if5.
needed to help hold the cot steady.
Transfer the patient onto the cot using approved EMS6.
procedures and your local protocols.
Raise the sidearms until they lock.7.
As needed, adjust the backrest and shock frame (if8.
equipped).
Fasten and adjust the patient restraints.9.
Before moving the cot or changing its position, make10.
sure sheets and other articles will not interfere with
cot operation.
Change the cot to the raised position for rolling, or use11.
the undercarriage leg lock to lock the legs so the cot
can be carried.
If the cot is equipped with wheel locks, unlock the12.
wheel locks before rolling the cot.
Using the Cot

16 © Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot
Using the Cot
5.7 Loading the Cot
Loading the cot with a patient on it requires a minimum
of two trained operators working together. Use additional
help as needed when working with heavy loads (patient and
equipment). See Using Additional Help, page 17.
Head-End Operator:1. Raise the drop frame to the
extended position.
Both Operators:2. Roll the cot into the patient
compartment until the loading wheels rest on the
patient compartment oor and the head-end legs
contact the ambulance bumper (Figure 13).
Foot-End Operator:3. Release the auxiliary lock (see
Auxiliary Lock, page 10).
Foot-End Operator:4. Squeeze the right control handle
to unlock the head-end legs. Push the cot into the
ambulance (Figure 14).
Head-End Operator:5. Grasp the cot main frame and
assist the Foot-End Operator as the cot is pushed into
the patient compartment.
Foot-End Operator:6. When the foot-end legs contact
the ambulance bumper, squeeze the left control handle
to unlock the foot-end legs and push the cot completely
into the patient compartment.
Foot-End Operator:7. Release the control handles and
secure the cot in an approved Ferno cot fastener.
5.8 Unloading the Cot
Unloading the cot with a patient on it requires a minimum
of two trained operators working together. Use additional
help as needed when working with heavy loads (patient and
equipment). See Using Additional Help, page 17.
Both operators work together and do the following:
Either Operator:1. Release the cot from the cot fastener.
Foot-End Operator:2. Check that the undercarriage leg
lock is disengaged before removing the cot from the patient
compartment (see Undercarriage Leg Lock, page 9).
Cots with Serial Numbers belowNote:L-666059 have leg
locks that operate in the opposite direction. See page 9.
Foot-End Operator:3. Grasp the cot main frame and
begin slowly pulling the cot out of the ambulance.
Keep the loading wheels on the patient compartment
ooruntilbothsetsoflegsunfoldandlockintoplace.
Both Operators:4. Hold the foot end of the cot high
enough for both sets of legs to remain clear of the
ground as they swing down and lock into place. Use
additional help as needed to support the weight of the
cot (see Using Additional Help, page 17).
Both Operators:5. Verify that both sets of legs have
locked into place.
Both Operators:6. Roll the cot out of the patient
compartment and away from the ambulance.
Important
If the ambulance is parked on an uneven surface, the
operators (and any helpers) may need to lift the cot
higher than normal to allow the undercarriage to lock.
Important
When unloading, keep the loading wheels on the
patient compartment oor until both sets of legs
unfold and lock into place.
Important
Leg locks on cots through Serial Number L-666059
operate in the opposite direction. Learn about your cot
and understand how the leg lock works.
Figure 14 - Folding the Head-End Legs
Figure 13 - Preparing to Load the Cot
Head-End Legs
Against Bumper

17
© Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot
Helpers Changing Levels Rolling Loading/Unloading
Two
Operators
+
Two
Helpers
Two
Operators
+
Four
Helpers
Key: O = Operator H = Helper P = Patient
Using the Cot
5.9 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).
Operators stand at the head and foot ends of the cot,●
maintain control of the cot, operate the controls, and
direct all helpers.
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.
WARNING
Helpers can cause injury. Maintain control of the
cot, operate the controls, and direct all helpers.
WARNING
Helpers can be injured. Show helpers where to grasp
the cot to avoid pinch points.
Load Limit
Inspect the cot if the load limit has
been exceeded (See Inspecting the
Cot, page 19).
181 kg
400lb

18 © Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot
Maintenance
6  MAINTENANCE
6.1 Maintenance Schedule
The cot requires regular maintenance. Set up and follow a
maintenance schedule. The table at right represents minimum
intervals for maintenance.
Keep maintenance records. A sample maintenance record
sheet is provided on page 24.
When using maintenance products, follow the manufacturers’
directions and read the manufacturers’ material safety data
sheets. You can purchase a recommended disinfectant from
your Ferno distributor or Ferno Customer Relations (page 2).
6.2 Disinfecting and Cleaning
the Restraints
Remove the restraints from the cot. Disinfect and clean only
as directed in the restraint users’ manuals provided with the
restraints. Additional, free users’ manuals can be obtained
from Ferno Customer Relations (page 2).
6.4 Disinfecting 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.
6.3 Disinfecting and Cleaning
the Mattress
Remove the mattress from the cot.1.
To disinfect:2. Apply disinfectant to the mattress,
following the manufacturer’s instructions for
application method and contact time.
To clean:3. 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.
WARNING
Improper maintenance can cause injury. Maintain
the cot only as described in this manual.
Minimum
Maintenance Intervals
Each Use As Needed Each Month
Disinfecting (this page) •
Cleaning (this page) •
Waxing (page 19) •
Inspecting (page 19) • •
Lubricating (pages 20 and 21) •
Important
Disinfectants and cleaners containing bleach,
phenolics, or iodines can cause damage. Do not use
products containing these chemicals.
6.5 Cleaning the Cot
Remove the restraints, mattress and any accessories.1.
Hand clean all surfaces of the cot with warm water and2.
a mild detergent.
Rinse with warm, clear water. Dry the cot with a towel3.
or allow it to air-dry.
Important
Model 26-S and 26-AS cots contain anodized tubing.
Using abrasive cleaning compounds or applicators
will remove the anodization and will damage the cot’s
appearance. Do not use abrasive materials to clean
these cots.
Important
Water under high pressure, or steam, can penetrate
joints, ush away lubricant, and cause corrosion. Use
caution when cleaning moving parts such as joints and
hinges, and reapply lubricant if needed (see Lubricating
the Cot, pages 20 and 21).

19
© Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot
6.6 Waxing the Cot
Disinfect and clean the cot before waxing it. Apply a
coat of automotive wax to all metal surfaces of the cot.
Follow the wax manufacturer’s instructions.
Maintenance
6.7 Inspecting the Cot
Have your service’s equipment maintenance personnel
inspect the cot regularly. Follow the checklist at right and
operate the cot through all its functions as described in this
manual.
If inspection shows damage or excessive wear, remove the
cot from service until repair is made. See Parts and Service,
pages 22 and 23.
INSPECTION CHECKLIST
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 legs lock properly into the raised position?●
Does each set of legs fold properly?●
Does the cot load and unload properly?●
Does the auxiliary lock prevent the cot from folding?●
Does the undercarriage leg lock securely hold the●
legs in the folded position?
Does the cot roll smoothly?●
(Model 26 only) Do the wheels have some tread?●
(Model 26-S and 26-AS) Do the wheels show●
excessive wear?
(When equipped) 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?
Do installed accessories operate properly without●
interfering with cot operation?

20 © Ferno-Washington, Inc 234-2041-04 March 2010
Model 26 Series Cot
Maintenance
MODEL 26 SERIES COTS BEFORE SERIAL NUMBER L628253
To lubricate the T-castings, lay the cotNote:
on its side and allow the lubrication to run into
the casting. Turn the cot over and repeat for the
other side.
6.8 Lubricating the Cot
Disinfect and clean the cot before applying lubricant. Use the
lubricants designated below to lubricate the cot. Lubricate
only the reference points indicated.
FOOT END HEAD END
1
3 42 5 6 7 8
9
10
1211
13
14
16
15
18 17
19
LUBRICATION POINTS
1 Undercarriage leg lock bar White lithium grease
2 Triangle casting (2) WRL-191S, E-Z-1, or SAE 30-weight oil
3 Undercarriage leg lock slide bar White lithium grease
4 Center leg casting WRL-191S, E-Z-1, or SAE 30-weight oil
5 Backrest hinge pivot point (2) WRL-191S, E-Z-1, or SAE 30-weight oil
6 T-casting (2; see Note) WRL-191S, E-Z-1, or SAE 30-weight oil
7 Backrest pin (only) WRL-191S, E-Z-1, or SAE 30-weight oil
8 Backrest tube White lithium grease
9 Backrest upper head ratchet WRL-191S, E-Z-1, or SAE 30-weight oil
10 Backrest lower head ratchet WRL-191S, E-Z-1, or SAE 30-weight oil
11 Leg release linkage White lithium grease
12 Sidearm casting (4) WRL-191S, E-Z-1, or SAE 30-weight oil
13 Sidearm lock pin (2) WRL-191S, E-Z-1, or SAE 30-weight oil
14 Drop frame hinge (2) WRL-191S, E-Z-1, or SAE 30-weight oil
15 Inside hinge sleeve (2) WRL-191S, E-Z-1, or SAE 30-weight oil
16 Load & Trans. wheel bearings (6) WRL-191S, E-Z-1, or SAE 30-weight oil
17 Leg T-casting (2; see Note) WRL-191S, E-Z-1, or SAE 30-weight oil
18 Head, foot leg adjustment slots (4) White lithium grease
19 Head, foot leg pivot points (12) WRL-191S, E-Z-1, or SAE 30-weight oil
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.