Ferno CCT Six-P User manual

Rev 10, 02/11/21
Stock code 2003-0076
CCT Six - P
User Manual
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.

FERNO/MAN/1121/162-R10/UK Page 1
1. Intended Use of CCT Six-P
The CCT Six-P 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-P is a fixed height trolley and its intended use is for the transportation of
critically ill patients. The CCT Six-P also provides the facility and storage for ancillary
equipment on a fixed base tray and drawers.
WARNING – Although the CCT Six-P is designed to fit into a vehicle that has a
Ferno CEN two-part locking device provided for securing the Ferno Falcon Six
Trolley it should be noted that the CCT Six-P’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/1121/162-R10/UK Page 2
2. Technical Data
Product Name CCT Six-P
Overall Length 1925 mm
Overall Width 535 mm
Height 765 mm
(Excluding Mattress)
Weight
(Excluding Mattress & Restraints) 67 kg (dependant on configuration)
Max weight capacity:
Patient platform total max SWL including 181 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
Aluminium Tubing
Aluminium Castings
Plastic Injection Mouldings

FERNO/MAN/1121/162-R10/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.
2. Do the trolley sides raise and lower properly?
3. Check that the wheels and brakes operate satisfactorily.
4. Study this manual before use. Practice without a patient until totally competent in
using the trolley.
5. Any additional equipment should be checked in accordance with the
manufacturers’ instructions.
Once these checks have been completed, then the trolley is ready to be used in
regular service.

FERNO/MAN/1121/162-R10/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 the 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.
REFER TO PAGES 7 & 8 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/1121/162-R10/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.
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 9).
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 9).
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
9).
6. The cot sides are provided for patient safety and must not be used for lifting or
manoeuvring the stretcher.

FERNO/MAN/1121/162-R10/UK Page 6
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
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 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 (manual lock) 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.

FERNO/MAN/1121/162-R10/UK Page 7
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 on to the tail lift, head end first.
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 device by depressing the foot
pedal (manual lock) and roll the trolley to the rear of the ambulance compartment.
4. Guide the trolley onto the tail lift and out of the vehicle.
IMPORTANT NOTE
Ensure the stretcher is secure at all times when on board the tail lift

FERNO/MAN/1121/162-R10/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/1121/162-R10/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/1121/162-R10/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 four brackets from mounting pegs.

FERNO/MAN/1121/162-R10/UK Page 11
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.
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. When using the stretcher as a seat in a PTS
vehicle ensure the headrest is in its lowest position.
Headrest
The CCT Six-P 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 shelving system may be provided for the stowage of equipment or patient personal
effects, together with tray space alongside.
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.
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/1121/162-R10/UK Page 12
5. Trolley Features
Leg Rest Features
The following features must be executed with the operator positioned at the
foot end of the trolley.
Trendelenburg Position
To raise the leg rest to the Trendelenburg position, grip and support the leg rest
frame at the foot end. Lift the leg rest until the support bar locks into position.
Maintain a grip on the frame and gradually reduce support of the leg rest until you are
confident that the support bar has locked.
To lower the leg rest from the Trendelenburg position, hold the leg rest frame at both
sides at the foot end. Slide hands forward until fingers contact the support bar on
the underside of the leg rest frame. At this point, simultaneously lift and move the
support bar forward, thus releasing same from its locked position and slowly lower
the leg rest frame to its resting position.
Knee Contour (Fowler) Position
To raise the knee contour position, hold both lifting straps (yellow) and lift up.
Gradually release the lifting straps, ensuring that the support bar has locked in
position. This procedure may be performed more easily with the cot sides lowered.
To lower the knee contour position, hold both release straps (red), lift up and pull
straps in the direction of the foot end and slowly lower the frame to its resting
position.
NOTE:
Potential pinch point - care should be taken during operation
NOTE:
Potential pinch point - care should be taken during operation

FERNO/MAN/1121/162-R10/UK Page 13
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
As Needed
Each Month
Yearly
Disinfecting
•
Cleaning
•
Inspecting
•
•
•
Lubricating
•
Maintenance
Service
•

FERNO/MAN/1121/162-R10/UK Page 14
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/1121/162-R10/UK Page 15
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

Ferno Trolley Service Log
Trolley Model
Serial Number
Date placed into operation
Date of
Service
No. of
lifts
Remedial work carried out / Comments
Name

FERNO/MAN/0719/162-R07/UK Page 22