Ferno 26-S User manual

User and
Maintenance Manual
26-S Self-loading Stretcher
Rel. 241115
English
Read this manual
carefully and keep it
for future reference.

2© Ferno Washington Italia 26-S - Rel. 241115 ENG
26-S Self-loading Stretcher
© Copyright Ferno Washington Italia s.r.l. All Rights Reserved.
USER AND MAINTENANCE MANUAL
To request additional free copies of the
instruction manual, please contact Ferno
Washington Italia's Customer Services.
Ferno Technical Support
Customer Service and Technical Support are important aspects of
every Ferno product. Before contacting us, note the serial number
of the product and specify it in all written communications. For all
queries concerning technical support, contact Ferno Washington
Italia s.r.l.:
Telephone (toll-free, Italy only) 800 501 711
Fax [phone]
Email [email protected]
Ferno Customer Service
For assistance and further information, contact Ferno Washington
Italia s.r.l.'s Customer Services:
MANUFACTURER
Ferno Washington Italia s.r.l., Via Benedetto Zallone 26
40066 - Pieve di Cento (BO) - ITALIA
Telephone (toll-free in Italy) 800 501 711
Phone [phone]
Fax [phone]
Website www.ferno.it
Limitation of Liability
This manual contains general instructions on the use and
maintenance of the product. The instructions do not cover all
possible applications and operations. The user is solely responsible
for proper and safe use of the product. The safety information is
provided as a service to the user and ensures only the minimum
required level of safety to prevent injury to operators and patients.
Any other safety measure implemented by the user must comply
with applicable regulations. Before using the product, it is strongly
recommended that staff be trained in its correct usage. Retain
this manual for future reference. In case of change of ownership,
ensure that the manual remains with the product. Additional free
copies can be obtained from Ferno Washington Italia's Customer
Services.
Intellectual Property Declaration
The information in this manual is the property of Ferno Washington
Italia s.r.l. of Via Benedetto Zallone 26, 40066 Pieve di Cento
(BO), Italy.
All patent rights, design rights, construction, reproduction, use and
sale relating to any item covered in this manual are the condential
and exclusive property of Ferno Washington Italia s.r.l., except for
rights expressly transferred to third parties or not attributable to
parties owned by the supplier. It is prohibited to reproduce this
manual, either in full or in part, without the prior consent of Ferno
Washington Italia s.r.l..
Limited Warranty
The products sold by Ferno are covered by a 24-month warranty
against manufacturing defects. For the full terms and conditions of
warranty and liability, see the Warranty chapter.
Compliance with safety regulations
The self-loading stretcher is designed and manufactured
by Ferno Washington Italia S.r.l. in complaince with the
safety requirements laid down by Directive 93/42/EEC
dated 14/06/93 (class I) regarding medical devices. All the
materials used are sized in order to operate properly within
the load limits given in the technical specications, and are
resistant to ame, produce no toxic or polluting substances,
and are protected to ensure a high resistance to wear and
corrosion. The design of the stretcher eliminated sharp edges
that may cause accidental injury to the personnel using it.
WARNING
Photos identied by "**" are for illustrative purposes
only. Please read the instructions carefully. The picture
does not represent the product described in this instruction
manual, but only correct usage and functionality.

3
© Ferno Washington Italia 26-S - Rel. 241115 ENG
26-S Self-loading Stretcher
Loading capacity
Respect the loading capacity of the 26-S stretcher. Refer to
General Technical Specications.
SAFETY INFORMATION
Read the user manual carefully. It is an integral part of the
product and must always be kept to hand. For your own
personal safety and that of your patients, please note the
following:
– Prior to each use, perform an inspection ensuring that
there are no signs of wear, damage, or malfunction. Refer to
the Inspection section.
– To prevent infection and / or bacterial contamination, refer
to the information in the Disinfection and Cleaning sections.
Warning
The danger symbols draw attention to potentially dangerous
situations that, if ignored, may result in accidents, damage
and/or injury.
WARNING
Untrained users may injure themselves, cause damage and/or
physical harm. Allow only trained and qualied to use the 26-S
stretcher.
The stretcher must be used by at least two trained and qualied
operators. The stretcher is for professional use.
Improper use of the stretcher can cause damage and / or injury. Use
the stretcher as described in this manual.
Unauthorised modication of the stretcher may cause serious
damage, injury and/or unforeseeable operational problems. Do not
modify or alter the stretcher in any way.
Any damage to the components of the stretcher or the entire system
can alter its performance and safety. Inspect the stretcher frequently,
and especially before and after each use. Place the stretcher out of
service if it shows signs of wear or damage.
An unassisted patient is at risk of injury. Never leave the patient
alone while bound to the stretcher. Always assist the patient
throughout all rescue operations.
A patient is not secured by the restraint system may fall and be
injured. Use the restraints to secure the patient to the stretcher.
Failure to use the restraints can cause the patient to fall and endanger
their safety. Always use the restraints to secure the patient.
Casual assistants may cause damage and/or physical harm, or
injure themselves. Do not allow casual helpers to perform stretcher
preparation operations. Trained operators should be alert and direct
operations involving the stretcher.
Improper maintenance may cause serious accidents, injuries and/
or damage. Perform maintenance as instructed in this user manual.
The use of improper or unauthorised devices may cause accidents,
damage and/or injury. Use only devices that have been approved
and authorised by Ferno Washington Italia.
Important
Boxes labelled "Important" contain important
information on use and/or maintenance of the device.
Important
Blood-borne diseases
To reduce the risk of exposure to infectious diseases that
may be transmitted by blood, such as HIV-1 or Hepatitis,
carefully follow the instructions on disinfection and cleaning
in this manual.
WARNING
Unauthorised repairs, and repairs carried out by people not
approved by Ferno Washington Italia, will render all warranties
null and void and may compromise the safety of the device.
Non-original spare parts and inadequate repairs may cause
damage and/or injury. Use only Ferno original parts and contact
only Ferno Washington Italia's Customer Support.
Compatibility with locking systems
The 26-S stretcher is compatible with the Ferno SLAM
locking system for ambulance transport. Ferno recommends
using only Ferno clamping systems with Ferno stretchers,
and to use Ferno locking systems only with Ferno stretchers.
It is recommended to use compatible Ferno locking systems
with the stretcher 26-S.
Any other conguration is not compatible with the
specications and instructions in this manual. Any
combination of a stretcher or a Ferno locking system with
a stretcher or a locking system not produced by Ferno is an
improper use of the Ferno product. Ferno Washington Italia
is not liable for damages caused to users or third parties
arising from improper use of the 26-S stretcher.

4© Ferno Washington Italia 26-S - Rel. 241115 ENG
26-S Self-loading Stretcher
Glossary of Symbols
The symbols used in this manual and / or on the stretcher's labels are dened below. The CE mark is present on the stretcher
and in this manual.
Read the user manual
carefully
Do not wash with high
pressure water
Danger: Risk of
injury
Crush point
Keep your hands clear
The stretcher requires at least
two qualied operators for
correct use
2
This product meets
European Union
Standards
Do not lubricate. Lubricate Unlocked Locked
Warning and safety labels
The information and safety labels contain important information that the user needs to know.
Read and follow label instructions. Replace worn or damaged labels immediately. To obtain replacement labels, contact Ferno
Washington Italia Customer Services. The labels shown below are attached to the stretcher.
During the unloading stage of the stretcher, the operator at
the foot end of the patient (and any helpers) must support the
weight of the stretcher, the patient and the equipment used,
in order to allow the legs of the stretcher to open completely
and lock themselves into position.
Lifting the stretcher may require more effort for operators
of smaller stature, as such operators must raise their arms
higher relative to their shoulders.
Notes on the height and strength of operators
If the ambulance is located on an uneven surface, the
operator / operators at the foot of the patient may need to lift
the stretcher higher than usual to ensure that the legs open
and lock correctly during the unloading stage.
Note: Request additional help to lift the weight of the
stretcher, the patient and the equipment used (See the
Additional Help section.)
Load capacity (in kilos and
pounds)
MAX
181 kg
400 lb
SWR
Never exceed the load capacity of the
26-S stretcher. Inspect the stretcher if the
carrying capacity has been exceeded (see
Inspection section).
SWR- Strength to Weight Ratio = 5.5
Safety factor = 1.5

5
© Ferno Washington Italia 26-S - Rel. 241115 ENG
26-S Self-loading Stretcher
OPERATOR TRAINING AND SKILLS
WARNING
Untrained users may injure themselves, cause
damage and/or physical harm. Allow only trained
and qualied sta to use the 26-S stretcher .
Important
Operators must be able to ensure the safety of both themselves
and their patients while using the stretcher. They must be able
to assess the number of people needed to move the patient
according to applicable regulations.
Skills
Operators who use the stretcher must:
● have specic experience in patient immobilization,
handling, and recovery procedures.
● possess the appropriate skills to assist the patient.
Training
Operators are required to:
● read and understand all information in this manual.
● attend a suitable training course on the use of the
stretcher.
● practice with the stretcher before using it in real
situations with patients.
● log the training sessions. Example of a form for
logging training sessions.
Related Products and Accessories
Codes are subject to change; conrm them during the purchase
Self-loading stretcher (PR-26)
LBS (Large Body Surface) (0819991)
LBS Mattress (Foldable) (06-031-4025C)
ITI (Incubator Transporter Interface) (ITI)
IV pole (513-10E)
Pac-Rac (0818933)
4-Point Restraints (0313915)
1-piece restraints (430-1-N)
2-Piece restraints (430-2-N)
Mattress (0374857)
SLAM Lock (SLAM-26)
ITI
Mattress and LBS
IV Pole Pack Rack
Material transporter
SLAM locking mechanism
KT BLACK-26 Mattress

6© Ferno Washington Italia 26-S - Rel. 241115 ENG
26-S Self-loading Stretcher
THE STRETCHER
Description
The 26-S stretcher (known simply as the "stretcher" in this
document) is a device for handling patients in emergency
situations and is designed for transporting the patient in an
ambulance. It allows you to carry a patient securely thanks
to the system of safety restraings (for the restraints, see the
Accessories chapter.)
The stretcher should be used only by trained and qualied
staff. The stretcher is for professional use by at least two
qualied operators. It was designed to reduce the risk of
back injuries to healthcare workers. Additional assistance
may be required to handle heavy patients and/or when
the situation demands it, and should always be provided
according to local health protocols.
The stretcher has been designed to be used exclusively with
Ferno ambulance locking systems (for available locking
systems, see Accessories.)
WARNING
Improper use of the stretcher can cause damage
and / or injury. Use the 26-S stretcher as described
in this manual.
STRETCHER COMPONENTS
● Head-end carrying handle
● Control handles on rear legs
● Loading wheels
● Backrest adjustment lever
● Adjustable back
● Front legs
● Rear legs
● Front wheels, diameter 100 mm)
● Collapsible side rails
● Control for mechanical release of rear legs
● Rear wheels, diameter 100 mm with integrated brake
system
● Shock-proof frame
● Mechanical rear leg release system
● Leg locking system
● Foot-end carrying handle
WARNING
Untrained users may injure themselves, cause
damage and/or physical harm. Allow only trained
and qualied sta to use the 26-S stretcher.
WARNING
The use of improper and/or unauthorised devices
can cause accidents, damage and/or injury. Use only
devices that have been approved and authorised by
Ferno Washington Italia.
CE Compliance
MEDICAL DEVICES DIRECTIVE
Ferno's products meet the requirements of European
Directive 93/42/EEC concerning medical
devices. The stretcher is a Class I device.
For more information: www.ferno.it

7
© Ferno Washington Italia 26-S - Rel. 241115 ENG
26-S Self-loading Stretcher
Components (Stretcher)
Head-end
carrying
handle
HEAD END
FOOT END Backrest
adjustment
handle
Adjustable backrest
Loading wheels
Front wheels
Rear wheels with
integrated brake
Collapsible side rails
Shockproof frame
Foot end
carrying handle
Leg locking system
Safety rod
Control levers
USER AND MAINTENANCE MANUAL
To request additional free copies of the
instruction manual, contact Ferno Washington
Italia Customer Service.
Load capacity (in kilos and
pounds)
MAX
181 kg
400 lb
SWR
Never exceed the load capacity of the
26-S stretcher. Inspect the stretcher if the
carrying capacity has been exceeded (see
Inspection section).
SWR- Strength to Weight Ratio = 5.5
Safety factor = 1.5

8© Ferno Washington Italia 26-S - Rel. 241115 ENG
26-S Self-loading Stretcher
General technical specications
Ferno reserves the right to change the specications without
notice. For more details, please contact Ferno's Customer
Service.
Specications
Loading capacity 400 lbs 181 kg
Weight** 73 lbs 33 kg
Patient Height
Maximum Setting 31 in 800 mm
Minimum Setting 17 in 450 mm
Length
Maximum 77.56 in 1920 mm
Minimum 77 in 1957 mm
Width
Total 21.65 in 550 mm
Wheels
Diameter 3 in 100 mm
Width 1.6 in 40 mm
Materials
Structure aluminium
Panels ABS
Wheel bearings sealed
Loading height*
Loading level 24/25 in 610/640 mm
Stretcher positions
**Transport position
**Completely closed
* The loading height is the distance between the ground and
the lower part of the oor-level wheels.
** The weight of the stretcher does not include mattress and
restraints.
The load limit includes the weight of the stretcher, the
patient, the equipment and, in some situations, and the
rescuer. Exceeding this limit may result in harm to the
patient and / or the stretcher.
The dimensions are rounded to integers. As a result of
product improvements, these specications are subject to
change without notice.
For all other questions, contact customer service (see the
"Customer Service" section).
Technical specications
The stretcher is equipped with:
• Leg-locking bar
• Leg-actuating levers
• Safety rod
• Collapsible side rails
• Adjustable backrest
• Foldable frame
• Anti-shock frame
- Wheel brakes
WARNING
Photos identied by "**" are for illustrative purposes
only. Please read the instructions carefully. The picture
does not represent the product described in this instruction
manual, but only correct usage and functionality.

9
© Ferno Washington Italia 26-S - Rel. 241115 ENG
26-S Self-loading Stretcher
Control levers
The two control levers are positioned at the foot end of
the stretcher. These operate the mechanism that closes and
opens the legs.
From the rescuer's perspective at the feet of the patient, the
right-hand lever controls the head-end legs of the stretcher,
while the one to the left controls those at the patient's feet.
These levers can be operated only after the safety rod on the
right side, and below the patient level, of the stretcher has
been unlocked.
To change the height of the stretcher, both operators must
hold the frame of the stretcher with palms facing up. The
operator at the foot end disengages the safety rod and
operates both levers at the same time, while pro-actively
warning the second operator (see g. 5).
When loading or unloading the stretcher from the ambulance,
the operators use one lever at a time, making sure to use the
stretcher as described in this instruction manual
Safety rod
The safety rod is placed under the patient, on the operator's
right side.
When locked, the safety rod prevents accidental closure of
the legs due to accidental movement of the levers.
The safety rod is locked automatically when the stretcher
changes from the "closed" to the "open" position. Keep
the safety rod locked in place during all phases that do not
specically require its release (e.g. any movement of the
stretcher).
To disengage the safety rod, pull the end towards you when
at the foot end of the stretcher.
Carrying handle
The stretcher is equipped with a carrying handle at the foot
end (Figure 4.) The operator at the foot end of the stretcher
uses the carrying handle to guide and move the stretcher.
The patient should be able to see where they are going
and the castor wheels should be rotated to face the same
direction.
Figure 4 - Carrying handle (foot end)
STRETCHER COMPONENTS

10 © Ferno Washington Italia 26-S - Rel. 241115 ENG
26-S Self-loading Stretcher
Folding front frame
Use the collapsible frame to reduce the length of the stretcher
when operating in conned spaces, such as in elevators or
narrow corridors.
1. Raise the backrest.
2. Support the front part of the frame and operate the locking
lever by pulling it toward the front of the stretcher.
3. Lower the folding portion of the frame gently, while
keeping it from falling freely. The chassis can be lowered to
two positions: an intermediate position, and a fully lowered
position. (Figure 7A)
7A
Wheels
The stretcher is equipped with four large, swivelling wheels,
(diameter 100 mm), two front and two rear, that are self-
directing to facilitate loading into the vehicle. (Figure 7B).
The two rear swivel wheels are each equipped with an
integrated brake system (see the System integrated brake
section.) The design protects the wheels from dirt and liquid
ingress.
Integrated brake system
The brake prevents accidental movement of the stretcher
(Figure 12), while transferring the patient, when the stretcher
is not on a at surface, or during certain medical procedures.
The brakes are tted the rear wheels of the stretcher and
easily identiable by the operator thanks to the red locking
lever.
Use the wheel brakes to keep stretcher from moving when
it is on an uneven surface, while transferring patients on
stretchers, or supports at the same height as the stretcher,
and during medical procedures on the patient.
Lock the stretcher when it is in a parking position (stopped);
do not use the wheel locks as brakes while moving the
stretcher.
To lock or unlock the rear wheels, proceed as follows:
● TO LOCK THE WHEELS: Press down with your
foot on the red levers on the rear wheels (Figure 13.)
● TO RELEASE THE WHEELS: Lift the red locking
levers off the rear wheels with your foot.
Figure 7B: Brake system
Integrated brake