Ferno CCT Six - M User manual

Rev 4, 3/11/21
Stock code 2003-0098
IMPORTANT NOTE
To comply with EN 1789, the patient body harness and leg straps MUST
be used at all times to hold the patient on the trolley and the trolley MUST
be secured in the vehicle with the 2-part locking device.
CCT Six - M
User Manual

FERNO/MAN/1121/177-R04/UK Page 1
1. Intended Use of CCT Six-M
The CCT Six-M is intended for use by fully qualified, trained and competent carers,
attendants, paramedics or other such medical staff as an aid to provide safe and secure
transportation of patients.
The CCT Six-M is a fixed height trolley and its intended use is for the transportation of
critically ill patients. The CCT Six-M also provides the facility and storage for ancillary
equipment on a fixed base tray and drawers.
The CCT Six-M is provided with an added facility that allows the top lying area to be
widened to suit the larger patient.
WARNING – Although the CCT Six-M is designed to fit into a vehicle that has a
Ferno CEN two-part locking device provided for securing the Ferno Falcon Six or
Pegasus Six Trolleys it should be noted that the CCT Six-M’s fixed height is higher
than that of the Falcon transport height. Furthermore, the stability of the trolley
within the locking device could be affected by the addition of care equipment, this
equipment should be equally spaced about the trolley, whenever possible.
Combining different manufacturers’ products into a “mixed-component” trolley/fastener
system can increase the user’s risk of injury and damage if not checked first for
compatibility.
However, Ferno trolleys are designed to be compatible with either the Ferno range of Two-
part locking devices or competitors equivalent locking devices, giving you full compatibility
and interchangeability across your fleet.
Contact Details
Ferno (UK) Ltd.
Ferno House, Stubs Beck Lane,
Cleckheaton, West Yorkshire, BD19 4TZ
United Kingdom
[phone]
Ferno S.R.L.
Via B. Zallone n.26,
40066 Pieve di Cento, Bologna
Italy
[phone]
 

FERNO/MAN/1121/177-R04/UK Page 2
2. Technical Data
Product Name CCT Six-M
Overall Length 1918 mm
Overall Width Minimum 605 mm
Maximum 1025 mm
with cotsides extended
Height (excluding mattress) 800 mm
Weight (Incl IV Pole and equipment brackets
& mounting tube, excluding mattress) 79 kg (dependant on configuration)
Max weight capacity:
Patient platform total max SWL including 250 kg
PacRac (10kg) + equipment (max 25kg), if fitted
In addition 80kg of medical equipment can be mounted equally spaced on the trolley base.
If foot-end Fixed platform fitted, then 40kg on trolley base and 40kg on foot-end platform.
Total Gross Mass not to exceed 430 Kg (Patient + Equipment + Trolley)
Construction Materials Powder Coated Steel (with antibacterial properties)
Aluminium Tubing
Aluminium Castings
Plastic Injection Mouldings

FERNO/MAN/1121/177-R04/UK Page 3
3. Checking the trolley
The following checks are recommended before the start of each shift's use of the Ferno
Trolley.
1. Does the trolley have a properly installed mattress and patient restraining system?
Check the mattress for damage; if any damage is found, it must be replaced. (Please
refer to page 11 for fitting instructions)
2. Do the trolley sides raise and lower properly?
3. Check that the wheels and brakes operate satisfactorily.
4. Check the cotsides lock in a fully retracted, intermediate and extended position and
that they slide with a smooth action.
5. Does the headrest extension operate correctly and lock in position?
6. Study this manual before use. Practice without a patient until totally competent in using
the trolley.
7. Any additional equipment should be checked in accordance with the manufacturer’s
instructions.
Once these checks have been completed, then the trolley is ready to be used in regular
service.

FERNO/MAN/1121/177-R04/UK Page 4
Important Notes
There is no mandatory standard for a Critical Care Trolley, but Ferno
(UK) Ltd have taken the initiative to test a similar unit in accordance
with BS EN 1789, which is considered as ‘best practice’ for safety
within ambulance transport.
We can confirm that provided the unit is locked into the Ferno two-
part locking device, the trolley retention will meet the requirements of
this standard.
Always ensure that two operators are with the trolley at all times.
It is advised when rolling the trolley along hospital corridors or similar smooth
surfaces, roll the trolley by firmly grasping the main frame, for added control.
Trapping hazards cannot be eliminated due to the operation of this product. EXTRA
CARE to be taken whilst raising and lowering the back rest, operating leg rest
features and any features with hinge assemblies.
To make full use of the CCT Six-M Trolley with cotsides extended, a Two-part 255
mm gauge track lock system, mounted towards the centre of the vehicle should be
used.
REFER TO PAGES 8 & 9 IF USING PRODUCT WITH 2-PART TRACK-MOUNTED
FLOOR LOCK
This product must be regularly serviced and maintained in line with the
manufacturer’s recommendation to ensure satisfactory operation. A preventative
maintenance scheme should be contracted at time of purchase. Regular cleaning
helps reduce the risk of transmitting disease and enables the equipment to function
at its optimum.
PLEASE NOTE
Cot Sides are not intended to be used to either manoeuvre or lift the trolley,
damage may result from this practice.

FERNO/MAN/1121/177-R04/UK Page 5
4. Operating Procedure
WARNING
Always ensure that two trained personnel are with the trolley at all times
Ensure that the following procedures are complied with:
1. Advise the patient before making adjustments.
2. Stay with the patient and control the trolley at all times.
3. Keep the patient restrained and the side rails up when using the trolley.
4. Use help when needed to ensure patient and operator safety.
Transferring a Patient onto the Trolley
1. Lower the cot side rails. (Note that cotsides must be in the retracted position).
2. Place the trolley beside the patient and open the restraints.
3. Ensure that both brakes are applied.
4. Transfer the patient onto the trolley using recognised manual handling procedures.
5. Close the restraints around the patient (see page 10).
6. Raise the cot side rails.
7. Make adjustments as necessary.
Wheeling the Trolley
1. Transporting a patient should be done with the side rails raised and the harness and
restraining straps fastened (see page 10).
2. The trolley is best rolled by two attendants, one pulling and the other assisting with
guidance and steering as necessary.
3. If low obstacles (such as door sills) are encountered, roll up to them squarely and lift
the leading wheels over the obstacle. Repeat for the trailing wheels.
4. High obstacles should be recognised as potentially hazardous to smooth rolling and
trolley balance and may require physical assistance or an alternative route.
5. Ensure that the harness and restraints are fastened around the patient (see page 10).
6. The cot sides are provided for patient comfort and must not be used for lifting or
manoeuvring the stretcher.

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4. Operating Procedure
Loading the trolley into a vehicle fitted with ramps
1. Make sure that the patient is secure at all times whilst on the trolley.
2. The trolley is loaded with the patient's head towards the front of the ambulance.
3. Position the trolley at the base of the ramp, head end first.
4. With the operator at the head end pulling and the operator at the foot end pushing
simultaneously, the trolley can now be advanced into the vehicle.
Manual Foot End Lock
1. Ensure that the pedal on the foot end lock is depressed and guide the trolley into the
head end floor lock. The foot end will automatically lock when the trolley is in the
correct position.
2. Ferno UK Ltd set the locking function of each trolley before leaving the factory, this
function is set to a nominal setting to accommodate all two-part locking devices. To
alleviate any build-up of tolerance/discrepancies during manufacture/ installation and
different manufacturers locking devices, each Ferno trolley has in-built adjustment to
both the head-end (horizontal) and foot-end (vertical) locking spindles. Should
adjustment to either of these locking spindles be required, it is important to check
compatibility in several vehicles to ensure a secure locking function.
This process must only be carried out by an approved ServiceCare trained technician.
Unloading the trolley from a vehicle fitted with ramps
1. Make sure that the patient is disconnected from any vehicle mounted apparatus or
instrumentation.
2. Operation by a minimum of two operators at all times.
3. Disengage the trolley from the two-part locking device by depressing the foot pedal and
roll the trolley to the rear of the ambulance compartment.
4. Using two operators guide the trolley down the ramp and out of the vehicle.

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4. Operating Procedure
Loading the trolley into a vehicle fitted with a tail lift
1. Make sure that the patient is secure at all times whilst on the trolley.
2. The trolley is loaded with the patient's head towards the front of the ambulance.
3. Guide the trolley onto the tail lift and into the vehicle making sure the cotsides clear all
lift components.
4. Operate the tail lift as per manufacturer’s instructions.
Manual Foot End Lock
5. Ensure that the pedal on the foot end lock is depressed and guide the trolley into the
head end floor lock. The foot end will automatically lock when the trolley is in the
correct position.
Unloading the trolley from a vehicle fitted with a tail lift
1. Make sure that the patient is disconnected from any vehicle mounted apparatus or
instrumentation.
2. Operation by a minimum of two operators at all times.
3. Disengage the trolley from the two part-locking devices by depressing the foot pedal
and roll the trolley to the rear of the ambulance compartment.
4. Guide the trolley on to the tail lift, head end first making sure the cotsides clear all lift
components.
IMPORTANT NOTE
Ensure the stretcher is secu
r
e at all times when on board the tail lift

FERNO/MAN/1121/177-R04/UK Page 8
2-part Track-Mounted Floor Lock (255-mm Gauge NMI System)
TROLLEY 255
GAUGE
TRACKING
FOOT
END
HEAD
END
FRONT OF
VEHICLE
VEHICLE OFFSIDE WALL
HEAD END
FLOOR LOCK
SLOTS FOR ADJUSTMENT
OF LOCKING DEVICES
PERMANENT
POSITIONAL
GUIDE PLATE
FOOT END
FLOOR LOCK
PERMANENT POSITIONAL
GUIDE PLATE
1. Removal of Head End and Foot End Lock Assemblies
On each locking assembly, undo the conical locking devices then retract the plunger
and pull up release handle and blade of both locking devices.
Remove lock assemblies.
The small positional guide plates at the head end and foot end must remain fitted to the
floor of the vehicle.
2. Installation of Head End Lock Assembly
As shown in diagram A(left), ensure handle and blade
of locking devices are in the fully open (up) position.
Adjacent to the positional guide plate fitted to the
vehicle floor between the tracking at the head end,
locate the pegs on the underside of the lock assembly
in the tracking.
As shown in diagrams B& C, push blade of each
locking mechanism down by hand until it stops.
Push handle of each locking mechanism fully down
(diagram D) until the integral plunger locks into place
(diagram E).
Re-tighten the conical locking devices, test for security
& safety.
3. Installation of Foot End Lock Assembly
Install foot end lock assembly in exactly the same
way as above adjacent to the positional guide plate at
the foot end.

FERNO/MAN/1121/177-R04/UK Page 9
2-Part Track-Mounted Floor Lock (255-mm Gauge Unwin System)
255
GAUGE
TRACKING
FOOT
END
HEAD
END
FRONT OF
VEHICLE
HEAD END
FLOOR LOCK
POSITION OF RH LOCKING
DEVICES ADJUSTABLE
PERMANENT
POSITIONAL
GUIDE PLATE
PERMANENT POSITIONAL
GUIDE PLATE FOOT END FLOOR LOCK
VEHICLE OFFSIDE WALL
TROLLEY
1 Removal of Head End and Foot End Lock Assemblies
On each Unwin locking device, rotate the plunger
crossbar and turret anticlockwise a quarter of a turn.
Lift the plunger crossbar from its U-slot in the turret and
rotate it slightly to rest it on top of the turret.
Remove the assembly from the tracking by sliding the
assembly along the track half a hole pitch (12-13 mm)
and lifting clear.
2 Installation of Head End Lock Assembly
On each Unwin locking device, rotate the plunger crossbar until it snaps into the U-
slot on the turret (diagram Abelow). Do not rotate the turret clockwise at this stage.
Close to the positional guide plate fitted to the vehicle floor between the tracking at
the head end, engage the pegs on the underside of the lock assembly in the
tracking (diagram B).
Slide the assembly towards its required position until both plungers locate in the
track.
For each of the two Unwin devices, use the plunger crossbar to rotate the turret
clockwise a quarter of a turn (diagram C). The assembly will be locked rigidly to the
tracking.
Test for security and safety.
TRACKING
DEVICE LOCKED
C
PEGS
A
B
3 Installation of Foot End Lock Assembly
Install foot end lock assembly in exactly the same way as above adjacent to the positional
guide plate at the foot end.
DEVICE UNLOCKED

FERNO/MAN/1121/177-R04/UK Page 10
4. Operating Procedure
Using the Restraints
1. The patient should be secured using the harness and both single strap restraints.
2. Dispose of and replace any restraints that are worn, damaged or have been involved in
any accident – they may have hidden damage.
3. Unbuckle all restraints and lay the straps out of the way before transferring the patient.
4. Transfer the patient onto the trolley using recognised techniques.
5. Buckle the harness by inserting all three tangs into the buckle until they lock in place or
pass the tang through the shoulder straps and secure in the buckle. Adjust the straps to
ensure patient comfort.
6. Fasten the one-piece restraint across the patient’s chest and under the arms (if fitted).
7. Fasten the two leg restraints and adjust to ensure patient comfort.
8. To release the harness, twist the buckle lever or depress the buckle release.
Illustration purposes only.
NOTE
To remove the four-point harness, unclip all six brackets from mounting pegs.

FERNO/MAN/1121/177-R04/UK Page 11
4. Operating Procedure
Fitting the Mattress to the Trolley
Ensure the trolley is flat before fitting the mattress. Fit mattress to the Foot End of the trolley first,
as follows:
1. Insert the two pegs through the keyhole slots in the Leg Rest Panel, and slide mattress towards
the foot end (see Fig 2 and Fig 3). Please note that should a peg not fit a slot the peg will need
checking for any damage.
Head
End
Foot
End
Head Rest Panel Leg Rest Panel
Mattress
Trolley
Cotside Pads
End View
Cotside Panel
Cotside Panel
Fig 3
Insert
Slide
Fig 2
Fig.1

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4. Operating Procedure
Fitting the Mattress to the Trolley (cont..)
2. Raise the mid-section of the mattress slightly (see Fig 4).
Insert the two pegs through the keyhole slots in the Head Rest Panel and slide the mattress
towards the head end until flat (see enlarged detail in Fig 4).
3. Insert plastic plugs into round end of keyhole slots to secure mattress in position. (As shown in
fig 4).
4. The cotside pads can be fitted in 2 orientations as shown in Fig.1, to suit the position chosen of
the extended cot sides. The cotside pads can if required be removed altogether and the cot
sides pushed inwards for a narrow configuration.
To remove the mattress the trolley should be flat. Remove four plastic plugs from
keyhole slots and disengage the four pegs from the keyhole slots, starting with the two at
the head end.
Fig 4
Note: The pegs in the Head Rest Panel should not reach
the end of the slot when the Head Rest is down. The gap
left allows movement when the Head Rest is raised.
Insert
Slide
Lift

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5. Trolley Features
Restraints
Each trolley is equipped with a 4-point harness and two restraint straps, all of which
should be used at all times. The harness is secured to the trolley locating posts with
hooks, and each strap has loops so that they can be easily attached to the trolley frame.
Cot Sides
Cot sides should always be used when the patient has been placed on the trolley. These
can be lowered by pulling out the lock pin. All cot sides lock automatically when raised to
the vertical position.
Cotsides
The cot sides can be extended to increase the width of the trolley top. To extend the
cotside pull the release handle positioned in the centre below the cotside assembly.
Extend the cotside to one of the three locked positions as required. Fit the cotside pads in
either orientation as shown in Figure 1, page 11.
Extending the cotsides must only be done once the patient is centrally on the trolley
top. DO NOT use the extended cotsides to support the full weight of the patient.
Backrest
The backrest may be locked in any inclined position. Support the backrest frame with one
hand (to avoid sudden movement). Squeeze the control lever with the other hand. Raise
the backrest to the desired angle and release the lever to lock it in position. Support the
backrest while making adjustments. The backrest also incorporates superior support for
CPR. DO NOT use the backrest to manoeuvre the stretcher under any circumstances.
Headrest
The CCT Six-M is provided with a detachable headrest that affords support particularly in
the patient seated position. The black push button, located at the top of the backrest,
allows the fitting and removal of the headrest, which can be rotated through half a turn to
provide either a cup shape head support or flat support to incorporate a pillow. A vehicle
CEN tested stowage bracket, for the headrest, is also available.
Storage
A small storage cupboard may be provided for documents upon request.
PLEASE NOTE
Cot sides are not intended to be used to either manoeuvre or lift the trolley,
damage may result from this practice.

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5. Trolley Features
Wheels
All wheels have a braking system ensuring that the castor wheel will not turn when the
brake lever is applied. The brake should be engaged whenever a patient is being
transferred onto or off the trolley.
Leg Rest Features
The following features must be executed with the operator positioned at the foot end of the
trolley.
Trendelenburg Position
The legrest may be locked in the Trendelenburg position. Support the legrest with one
hand (to avoid sudden movement). Squeeze the control lever under the legrest panel with
the other hand. Raise the legrest to the desired angle and release the lever to lock it in
position. Support the legrest while making adjustments.
NOTE:
Potential pinch point - care should be taken during operation

FERNO/MAN/1121/177-R04/UK Page 15
6. Servicing, Cleaning and Maintenance
Servicing and Maintenance Schedule
It is recommended to set up and follow a routine maintenance schedule at regular
intervals, which should be carried out at least once a year.
The table below represents recommended minimum intervals for such maintenance as
well as recommended intervals for cleaning, disinfecting and general inspection.
Ensure to keep service records. A sample maintenance record sheet is provided at the
end of this manual, which can be used to log each maintenance service.
When documented service can be shown to have been followed and an audit trail
implemented, your organisation will be demonstrating a commitment to patient safety and
safety procedures.
This Service Schedule has been created to provide protection for the patient and users of
this equipment.
Failure to take the correct measures may have serious consequences.
Minimum
Maintenance
Intervals
Each Use
A
s Needed
Each Month
Y
ea
r
ly
Disinfecting •
Cleaning •
Inspecting • • •
Lubricating •
Maintenance
Service •

FERNO/MAN/1121/177-R04/UK Page 16
Cleaning, Disinfecting & Maintenance
Regular cleaning helps reduce the risk of transmitting disease and enables equipment to
function at its optimum.
Ensure that all equipment is removed from the trolley and that the Power distribution
socket is disconnected from mains supply.
Trolley should be hand-wiped using a suitable cleaning solution. For particularly grimy
cases, especially if the trolley has been in storage for a long period, it may be necessary to
first clean the trolley with a water-soluble solvent-soaked cloth.
Once cleaned, dry the trolley with a soft towel, paying particular attention to swivel and
sliding joints. If a compressed air hose is available, you may find that compressed air jets
are more effective in drying the hard-to-reach places.
Ensure no liquid enters the power distribution sockets.
Cleaning webbing restraint straps
1. Immerse the restraint webbing straps in a solution of mild soap and water. Do not
immerse any metal buckles or metal fixation clips in the solution, these should be wiped
clean only.
2. Repeatedly dip the webbing in clear water to rinse. Do not immerse any metal buckles
or fixation clips
3. Hang the restraints to air-dry. Attach only clean, dry restraints back onto to the
equipment
Disinfecting webbing restraint straps
1. Immerse or spray the restraint webbing straps following the selected disinfectant
manufacturer’s instructions for application method and contact time. Do not immerse any
metal buckles or metal fixation clips into disinfectant liquid
2. Spray the metal buckles and fixation clips with disinfectant cleaner spray, following the
disinfectant manufacturer’s instructions for application method and contact time
3. Hang the restraints to air-dry if needed. Attach only dried restraints to the equipment
Cleaning Biosafe restraint straps
1. Wipe-clean the restraints, buckles and fixing clips with mild soap and water
2. Hang the restraints to air-dry. Attach only clean, dry restraints back onto to the
equipment
Disinfecting Biosafe restraint straps
1. Spray the restraint webbing metal buckles and fixation clips with disinfectant cleaner
spray, following the disinfectant manufacturer’s instructions for application method and
contact time
2. Hang the restraints to air-dry if needed. Attach only dried restraints to the equipment

FERNO/MAN/1121/177-R04/UK Page 17
Safe Decontamination of Equipment
It is also suggested to disinfect your Trolley at regular intervals to maximise infection
control. Where body fluids or blood are suspected of being present, wash down the unit
after use, using a germicidal detergent adequate for inactivating HIV and
the HBV virus.
Adequate protective clothing must be worn, to protect yourself and others from hazards
present in a typical workshop environment.
• Safety Glasses/Goggles or Full-Face Protector
• Dust/Vapour Protector Mask
• Rubber/Leather Gloves
• Clinical Waste Disposal Container
It is recommended that disinfectant that is not chlorine, phenolic or iodine-based is used to
disinfect equipment as these chemicals can cause surface damage with regular use and
contact, especially on certain materials and metal finishes such as anodizing, zinc plating
etc.
If these type of disinfectants are to be used, then to minimise the level of damage they will
cause it is recommended that they are used with the least possible contact time, diluted as
specified by the manufacturer’s guidelines, and that the equipment is then thoroughly
washed down with water after disinfecting in order to remove any chemical residue and
prevent any ongoing surface damage from occurring.
Any attachable accessories should be cleaned/disinfected whilst detached from the trolley.
For example, trolley push poles should be removed from the corner sockets before both
the trolley and poles are cleaned and disinfected, and everything then thoroughly washed
down with water.
Following these guidelines will ensure effective disinfecting whilst minimising any long-
term damage and keeping equipment in good operable condition.
Trolley maintenance lubrication
Your Ferno CCT trolley will work efficiently and safely only when it is well lubricated. You
MUST lubricate all moving and sliding parts after every inspection or preventative
maintenance programme, or if there is inadequate lubrication for the moving parts to
operate easily and quietly.
In general terms, almost all sliding and moving parts may be lubricated with a light duty
grease. A penetrating fluid lubrication is used on some sliding parts of the trolley.
However, when a penetrating fluid lubricant is used, all excess MUST be wiped away, to
prevent any build-up of dust or grime, which can clog up working parts and impede
movement.

Ferno Trolley General Inspection Checklist
Check that the trolley has a properly installed mattress and complete set of
patient restraints (upper body and legs)
Are all other components and accessories present?
Is the trolley generally free of excessive wear?
Are all screws, nuts, bolts and rivets securely in place?
Do all moving parts operate smoothly and properly?
Do the wheel castors and brake operate properly, rotate fully and have
adequate tread?
Does the trolley move smoothly?
Are the restraints, mattress and harness in good condition with no cuts or
frayed edges? If not, then they must be replaced
Are restraint buckles free of visible damage and do they operate properly?
Check that the trolley cotsides raise, lower and lock in position
Check operation of the backrest and leg-raise platforms
Check the operation of the push/pull handles and any accessories
Check that the ambulance has a properly installed, approved locking device
and that the trolley locks in securely