Ferno Integrated Patient Transport & Loading System... User manual

Users’ Manual
Pub. No. 234-3622-06 / March 2019
Integrated Patient Transport & Loading System™
Read this manual and retain
for future reference.

2© Ferno-Washington, Inc. / 234-3622-06 / March 2019
Disclaimer
This manual contains general instructions for the use, operation
and care of this product. The instructions are not all-inclusive.
Safe and proper use of this product is solely at the discretion of
the user. Safety information is included as a service to the user.
All other safety measures taken by the user should be within
and under consideration of applicable regulations and local
protocol. Training on the proper use of this product must be
provided before using this product in an actual situation.
Retain this manual for future reference. Include it with the
product in the event of transfer to new users. Additional free
copies are available upon request from Customer Relations.
Proprietary Notice
The information disclosed in this manual is the property of Ferno-
Washington, Inc., Wilmington, Ohio, USA. Ferno-Washington,
Inc. reserves all intellectual property rights, proprietary design
rights, manufacturing rights, reproduction use rights, and sales
use rights thereto, and to any article disclosed therein except to
the extent those rights are expressly granted to others or where
not applicable to vendor proprietary parts.
Limited Warranty Statement
The products sold by Ferno are covered by a limited warranty,
which is printed on all Ferno invoices. The complete terms and
conditions of the limited warranty, and the limitations of liability
and disclaimers, are also available upon request by calling Ferno
at 1.800.733.3766 or 1.937.382.1451.
Ferno Customer Relations
For ordering assistance or general information:
CANADA AND THE U.S.A.
Telephone (Toll-free) 1.877.733.0911
Telephone [phone]
Fax (Toll-free) 1.888.388.1349
Fax [phone]
Internet www.ferno.com
ALL OTHER LOCATIONS
For assistance or information, please contact your Ferno distributor.
If you do not have a Ferno distributor, please contact Ferno Customer
Relations:
Ferno-Washington, Inc., 70 Weil Way
Wilmington, Ohio 45177-9371, U.S.A.
Telephone Country Code +1.937.382.1451
Fax Country Code +1.937.382.6569
Internet www.ferno.com
FOR IN∫X SUPPORT
Contact us at [email protected]
1.937.382.1451
Battery Recycling
In the U.S.A. and Canada, contact
Call2Recycle toll-free for a nearby
location to responsibly dispose of a Ferno
rechargeable battery.
Outside the U.S.A. and Canada, contact the
government of your country for recycling
information.
See “Recycling Notice”on page 55.
iN∫X 36 VDC
Lithium-iron
phosphate
(LiFePO4)
UNIQUE DEVICE IDENTITY NOTICE
Ferno complies with the United States Food and Drug
Administration’s Unique Device Identication regulation to
identify medical devices. The UDI label contains information
in human- and machine-readable form. Device information
is online at the FDA’s Global Unique Device Identication
Database (GUDID). The public can search and download
information at AccessGUDID at www.fda.gov.
The label is located on the patient-left main frame, under
battery cover.
Ferno-Washington Inc. | Wilmington, Ohio 45177 USA | +1.937.382.1451
Product Name/Model
(01) Global Trade Item Number
(11) Date of Manufacture
(21) Serial Number
Date of Manufacture
SN Serial Number
Manufacturer GS1 Data Matrix
Enhanced Manual
When this symbol appears in the manual or on
theiN∫X,scanthe QRcode(usinga smart-phone)
or click (in the electronic manual) for online
information and video content (requires
internet access). www.fernoems.com/inx
Read this manual and retain for future reference.
A training DVD is also provided. To request
additional manuals or DVDs, contact Ferno.
Ferno Washington Italia S.r.l.
via B. Zallone, n. 26, 40066
Pieve di Cento, Bologna, Italy
+39.051.6860028 234-3468-01

3
© Ferno-Washington, Inc. / 234-3622-06 / March 2019
TABLE OF CONTENTS
Ferno Customer Relations __________________________ 2
1 - Safety Information _______________________________ 4
1.1 Warning____________________________________ 4
1.2 Notice _____________________________________ 5
1.3 Tip ________________________________________ 5
1.4 Bloodborne Disease Notice ____________________ 5
1.5 Fastening System Compatibility ________________ 5
1.6 Symbol Glossary _____________________________ 5
1.7 Safety and Instruction Labels ___________________ 6
1.8 Compliance: USA Standard SAE J3027____________ 6
1.9 Compliance: Worldwide _______________________ 7
2 - Operator Focus __________________________________ 8
2.1 Operator Training ____________________________ 8
2.2 Operator Height and Strength __________________ 8
2.3 Daily Operator Duties _________________________ 9
2.4 No-Lift Loading/Unloading ____________________ 9
2.5 Controlling the Load__________________________ 9
2.6 Using Additional Help________________________ 10
2.7 Terms_____________________________________ 11
3 - iN∫X Overview __________________________________ 12
3.1 Description ________________________________ 12
3.2 General Specications _______________________ 13
4 - Features and Controls____________________________ 16
4.1 Display Overview ___________________________ 16
4.2 Power Switch_______________________________ 17
4.3 Light Buttons_______________________________ 17
4.4 Display Zones ______________________________ 18
4.5 iN∫X Zone _________________________________ 18
4.6 Timer Zone ________________________________ 18
4.7 Status Zone ________________________________ 19
4.8 Audible Alarm ______________________________ 19
4.9 Battery Zone _______________________________ 19
4.10 Battery____________________________________ 20
4.11 Battery Charger_____________________________ 21
4.12 Integrated Charging System (ICS®) _____________ 21
4.13 Extend and Retract Buttons ___________________ 22
4.14 Sleep Mode ________________________________ 22
4.15 Mode-Select Button _________________________ 23
4.16 Telescoping Handles_________________________ 23
4.17 Position Indicator Lights______________________ 23
4.18 Shock Frame _______________________________ 24
4.19 Backrest___________________________________ 25
4.20 Telescoping Frame __________________________ 26
4.21 Safety-Bar Release Levers_____________________ 26
4.22 Sidearms __________________________________ 27
4.23 Mattress___________________________________ 28
4.24 Non-Powered Operation
(Actuator-Release Handles) ___________________ 29
4.25 Oxygen Cylinder Holder ______________________ 30
4.26 Patient Restraint System______________________ 31
4.27 Accessory Rail ______________________________ 31
4.28 Wheel Locks _______________________________ 31
5 - Using the iN∫X __________________________________ 32
5.1 Before Placing the iN∫X in Service ______________ 32
5.2 General Guidelines for Use____________________ 32
5.3 Status Indicators and Audible Alarm ____________ 32
5.4 Powered Extending/Retracting ________________ 33
5.5 Transferring the Patient ______________________ 34
5.6 Transferring the Patient: Chair Position __________ 35
5.7 Rolling the iN∫X_____________________________ 36
5.8 One Operator, Empty iN∫X ____________________ 37
5.9 Loading the iN∫X____________________________ 38
5.10 Unloading the iN∫X __________________________ 40
5.11 Direct Power Modes _________________________ 42
5.12 Direct Power: Both Legs ______________________ 43
5.13 Direct Power: Loading-End Legs _______________ 43
5.14 Direct Power: Control-End Legs ________________ 43
5.15 Non-Powered Operation:
Extending and Retracting_____________________ 44
5.16 Non-Powered Operation: Loading______________ 46
5.17 Non-Powered Operation: Unloading ____________ 47
6 - Maintenance ___________________________________ 48
6.1 Maintenance Schedule_______________________ 48
6.2 Service Life ________________________________ 48
6.3 Inspecting the iN∫X __________________________ 48
6.4 Disinfecting Patient Restraints _________________ 49
6.5 Cleaning Patient Restraints ___________________ 49
6.6 Disinfecting/Cleaning the Mattress _____________ 49
6.7 Disinfecting the iN∫X_________________________ 49
6.8 Cleaning the iN∫X ___________________________ 50
6.9 Pressure-Washing the iN∫X____________________ 50
6.10 Lubricating the iN∫X _________________________ 51
6.11 Patient Restraints ___________________________ 52
6.12 Storing the iN∫X ____________________________ 54
6.13 Charging the Battery ________________________ 54
6.14 Storing the Battery __________________________ 54
6.15 Recycling Notice ____________________________ 55
6.16 Adjusting the Backrest Control Handle Tension ___ 56
6.17 Adjusting the Position Indicator Lights __________ 56
6.18 Adjusting Tension Of
The Actuator Release Handles _________________ 57
6.19 Adjusting the Oxygen Cylinder Holder
& Cleaning the Straps ________________________ 58
7 - Initial Setup ____________________________________ 60
7.1 Ambulance Information ______________________ 60
7.2 Accessories ________________________________ 60
7.3 Charge and Install the Battery _________________ 60
7.4 Set the Loading Height_______________________ 61
8 - Technical Data __________________________________ 62
8.1 Charger Specications _______________________ 62
8.2 iN∫X Battery Specications ____________________ 62
9 - Troubleshooting ________________________________ 63
9.1 Status Indicators ____________________________ 63
10 - Parts and Service_______________________________ 64
10.1 U.S.A. and Canada___________________________ 64
10.2 Worldwide_________________________________ 64
11 - Accessories____________________________________ 65
11.1 Accessories ________________________________ 65
Training Record____________________________________ 66
Maintenance Record _______________________________ 67
Section Page Section Page

4© Ferno-Washington, Inc. / 234-3622-06 / March 2019
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 iN∫X.
Helpers can cause injury. Maintain control of the iN∫X,
operate the controls, and direct all helpers.
Improper use of the iN∫X can cause injury. Use the iN∫X
only for the purpose described in this manual.
Improper operation can cause injury. Operate the iN∫X
only as described in this manual.
An unattended patient can be injured. Stay with the
patient at all times.
An unrestrained patient can be injured. Use properly-
installed patient restraints to secure the patient on the iN∫X.
Rolling the iN∫X above the factory-set maximum
transport height can cause it to tip. Only roll the iN∫X at
or below the factory-set maximum transport height.
Uncontrolled movement can cause injury or damage.
Support and control the iN∫X at all times.
Sheets or other objects can interfere with, or become
entangled in, the height-adjustment locking mechanism.
This can cause injury and/or malfunction, including
unexpected retracting of the iN∫X. Do not tuck sheets
or place other objects where they can interfere with, or
become entangled in, the locking mechanism.
Rolling the iN∫X sideways can cause it to tip. Roll the iN∫X
only toward the control end or loading end.
Failure to engage the safety hook during loading or
unloading can cause injury. Operators must visually
ensure each safety bar engages the safety hook and the
iN∫X is secure inside the ambulance before extending or
retracting the legs.
A severe angle can injure the patient and/or operators.
Control the iN∫X when using a direct power mode.
WARNING
Uncontrolled movement can cause injury or damage.
Support the load before using an actuator-release handle.
A severe angle can injure the patient and/or operators.
Control the iN∫X when operating without power.
Improper maintenance can cause injury. Maintain the
iN∫X only as described in this manual.
Improper adjustment of the actuator-release handle
cables can lead to injury. Adjust the tension of the cables
when needed.
The iN∫X can rapidly descend and cause injury if the
actuator-release handles are activated while you are
adjusting the cable tension. Use caution when adjusting
cable tension.
Attaching improper items to the iN∫X can cause injury.
Use only Ferno-approved items on the iN∫X.
Charging an improper battery can cause injury and
damage. Do not charge non-rechargeable batteries. The
Ferno 24/36VDC battery charger is compatible only with
the iN∫X battery or Ferno POWERPac and ICS systems.
Charge lead-acid batteries only in a well-ventilated area
(Only Ferno POWERFlexx® POWERPac batteries are lead-
acid type).
The appliance (battery charger) is not intended for use
by people (including children) with reduced physical,
sensory or mental capabilities, or lack of experience and
knowledge, unless they have been given supervision or
instruction concerning use of the appliance by a person
responsible for their safety.
Children should be supervised to ensure that they do not
play with the appliance (battery charger).
If the supply cord is damaged, it must be replaced by
a special cord or assembly available from Ferno or an
authorized Ferno distributor or service center.
Modifying the iN∫X can cause injury and damage. Use the
iN∫X only as designed by Ferno.

5
© Ferno-Washington, Inc. / 234-3622-06 / March 2019
1.3 Tip
Tips provide recommendations for easier use of the product.
1.4 Bloodborne Disease Notice
To reduce the risk of exposure to blood or other potentially
infectious materials when using the iN∫X, follow the
disinfecting and cleaning instructions in this manual.
Safety Information
1.5 Fastening System Compatibility
Combining dierent manufacturers’ products such as a
Ferno cot with a non-Ferno fastening system can increase
the user’s risk of injury and damage.
Ferno-Washington, Inc. products are designed for use only
with Ferno-manufactured fastening systems. Use of a Ferno
product with a non-Ferno fastening system is misuse of
the Ferno product. The user assumes responsibility for the
outcome of known, intentional misuse.
1.6 Symbol Glossary
The symbols dened below are used on the iN∫X and/or 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.
Scene Lights
DC (Direct Current)
electricity
Laser Class 2M
Warning: Do Not Stare
Into Light
OFF ON
Locked/Unlocked
Manufacturer
General Warning of
Potential Injury
Extend Legs Retract Legs
Status Indicator: Low or
Medium Priority
Do Not Open
No User Service
In This Area
Operation Requires
Two Trained
Operators
Chair Position
WEEE Directive:
Dispose of Battery
Properly
Read the
Users’Manual
Emergency Lights
Lubricate/Do Not Lubricate
European Community
Authorized
Representative
Pinch Point
Keep Fingers Clear
Status Indicator:
High Priority
QR Code
(To Access Online Material,
Scan with Smartphone
or Click this Link in the
Electronic Manual)
Load Capacity
Recycling
Information (USA)
Product Meets European
Union Standards
1.2 Notice
Notices emphasize important, but not hazard-related
information. Failure to follow Notices could result in product
or property damage.
NOTICE

6© Ferno-Washington, Inc. / 234-3622-06 / March 2019
Safety Information
SAE J3027 Compatibility
TocomplywiththeSAEJ3027Recommended
Practice, all three elements are required.
● Compliant ambulance cot
● Compliant restraint system
● Compliant fastening system (cot/litter
retention system)
1.7 Safety and Instruction Labels
Safety and instruction labels place important information from the users’ manual on the iN∫X. Read and follow label instructions.
Replace worn or damaged labels immediately.
Safety Reminders
Location: Control and Loading Ends
Safety Reminders
Location: Control and Loading Ends
Do Not Open/Laser Notice
Location: Controller Housing
Ferno Battery Only
Location: Battery Cradle
Sidearm Unlock Labels (2 ea.)
Location: Sidearm
Non-Powered Operation
Location: Actuator-Release Handles (2)
Do Not Open
Location: Display Bottom
Laser Emitter Warning (2)
Location: Laser Apertures
Non-Powered Operation
Handle Lock/Unlock (2)
Location: Handle Mounts
Pinch Point
Location: Actuator Sliding Surface
1.8 Compliance: USA Standard
SAE J3027
The iN∫X® with iN∫LINE® is compatible with the Society of
Automotive Engineers SAE J3027 Recommended Practice
(2014) when used with additional Ferno equipment (not
supplied, available separately).
To comply with the SAE J3027 Recommended Practice (USA),
all three compliant elements must be present:
1. Ambulance cot
2. Transport restraint system (patient restraints)
3. Fastening system (cot/litter retention system)
FERNO COMPLIANT ELEMENTS
● iN∫X® Integrated Patient Transport & Loading System™
● iN∫LINE® Fastening System (Short, Medium, or Long)
● Model 417-3 iN∫X® Restraint System

7
© Ferno-Washington, Inc. / 234-3622-06 / March 2019
Safety Information
1.9 Compliance: Worldwide
SPECIFICATIONS AND STANDARDS
TheiN∫X®meets orexceedsthefollowingglobalspecications
and standards. Be aware: standards and specications are
updated periodically. Current guidelines are available from
these organizations.
● AMD: Ambulance Manufacturer’s Division (AMD) of the
National Truck Equipment Association Standard 004
(Oct. 2014), Litter Retention System Static Test.
● KKK-A-1822 (F): Federal Ambulance Specication
KKK-A-1822 revision F (2007), Change Notice 11 (2018)
as applicable.
● NFPA: National Fire Protection Association standard
NFPA® 1917 (2016 edition).
● SAE: Society of Automotive Engineers SAE J3027
Recommended Practice (2014). See below.
● CAAS: Commission on Accreditation of Ambulance
Services Global Vehicle Standard (GVS) v1.0
● IP56: Ingress Protection rating. Tested in compliance
with dust and water inltration standards.
● IEC 60601-1-2 (electrical and electromagnetic medical
equipment standards)
● IEC 2007/47
● MDD: Ferno products meet the requirements of the
European Medical Device Directive 93/42/EEC as
established by the European Union.
CANADA
● CSA: Electronic components meet Canadian
Standards Association requirements.
● Ontario: Ontario Land Ambulance Standard,Version 5.0,
September 28, 2012; Section 20.1 Main Cot Retention
● BCAS: BCAS Ambulance Performance Test Criteria E2
Stretcher Retention
● Alberta: Alberta Health and Wellness Ambulance
Vehicle Standard Code January 2010; Section 17.5 Cot
Retention System Test
● AMD: Ambulance Manufacturer’s Division (AMD) of the
National Truck Equipment Association Standard 004
(August 2007 edition), Litter Retention System Static Test.
(Some areas of Canada follow the U.S. AMD specication.)
AUSTRALIA/NEW ZEALAND
● AS/NZS 4535:1999: Meets the requirements of the
Ambulance Restraint Systems test.
EUROPEAN STANDARDS
● EN 1789:2007+A2:2014: Vehicle, fastening system,
and crash-test standards.
Specications/Standards
Contact Information
For information about AMD standards:
Ambulance Manufacturer’s Division
National Truck Equipment Association
37400 Hills Tech Drive
Farmington Hills, MI, 48331-3414
Internet: www.ntea.com
For information about CAAS standards:
CAAS
1926 Waukegan Road, Suite 300
Glenview, IL, 60025-1770
Internet: www.caas.org
For information about Federal Ambulance
Specication KKK-A-1822 revision F (2007):
Oce of Motor Vehicle Management,
General Services Administration,
2200 Crystal Drive, Suite 1006
Arlington, VA, 22202
Internet: www.gsa.gov/automotive
For information about NFPA® standards:
National Fire Protection Association
1 Batterymarch Park
Quincy, MA, 02169-7471
Internet: www.nfpa.org
For information about SAE standards:
Warrendale, PA, USA - Headquarters
400 Commonwealth Drive
Warrendale, PA 15096
p: +1.724.776.4841
f: +1.724.776.0790
Internet: www.sae.org
For information in Alberta, Canada:
Internet: http://www.albertahealthservices.ca/
For information in British Columbia, Canada:
Internet: http://www.bcehs.ca/

© Ferno-Washington, Inc. / 234-3622-06 / March 2019
8
2  OPERATOR FOCUS
WARNING
Untrained operators can cause injury or be injured.
Permit only trained personnel to operate the iN∫X.
2.1 Operator Training
Operators using the iN∫X:
● Must read and understand this manual.
● Must have training on proper use of the iN∫X.
● Must have training on emergency-medical service and
emergency patient-handling procedures.
● Must have the physical ability to assist the patient.
● Must practice with the iN∫X before use with a patient.
● Must keep training records. For a sample training record
sheet, see“Training Record”on page 66.
Ferno cares about operator and patient safety. For operator
training videos, visit our iN∫X Quick Start training website.
The Ferno Injury Free program from Ferno provides training
on nutrition, exercise, management of stress and fatigue,
ergonomics, and injury prevention, all from an emergency-
medical services perspective.
See the Tips at right to scan a QR code with a smartphone or
tablet, click a link in an electronic version of this manual, or
type the web address into a browser.
2.2 Operator Height and Strength
The iN∫X is designed to minimize the need for lifting.
Whenever possible, use the powered hydraulic system to:
● Extend and retract the legs.
● Load the iN∫X into and unload it from an ambulance.
● Transition between surfaces of varying levels.
● Place the iN∫X at good height to establish a proper,
ergonomic grasping position for the operators.
An excessive load (exceeding the 700 lb/318 kg load capacity)
or non-powered operation may require the operators to lift
a portion of the load. Use additional help as needed. See
“Using Additional Help” on page 10.
iN∫X Quick Start Training
To supplement this users' manual, visit the
iN∫X Quick Start video training support page
online:
http://www.fernoems.com/inx/training
Or, scan this QR Code with a smartphone:
EMT: Injury Free Training
For training on nutrition, exercise,
ergonomics, injury prevention, and more,
visit online:
http://www.fernoems.com/injuryfree
Or, scan this QR Code with a smartphone:
NOTICE
If the ambulance is parked on an uneven surface, the
operators (and any helpers) may need to extend the legs
higher than the user-set loading height to allow the iN∫X
to roll into the ambulance.

© Ferno-Washington, Inc. / 234-3622-06 / March 2019 9
Operator Focus
2.5 Controlling the Load
When rolling the iN∫X, both operators (and any helpers)
must keep both hands on the main frame (or guide bar),
support and balance the load, and maintain control of the
iN∫X at all times. Use care on rough or uneven terrain.
Roll the iN∫X only at, or below, the maximum transport
height. This height is programmed into the iN∫X. See“Rolling
the iN∫X” on page 36. Use additional help if needed; see
“Using Additional Help” on page 10.
1
2
No-Lift Loading/Unloading
Do not lift the iN∫X o the ground when
using power during the loading or unloading
process.
Support and balance the iN∫X while rolling
it. Use additional help as needed. See“Using
Additional Help” on page 10.
2.3 Daily Operator Duties
It is good practice for operators to check equipment at the
start of each work shift. To check the iN∫X prior to use, follow
the procedures described in this manual:
● Unload the iN∫X from the ambulance.
● Retract the iN∫X to the oor or ground.
● Extend the iN∫X to the recommended rolling height.
● Visually inspect the iN∫X for readiness. See “Inspecting
the IN∫X”on page 48.
● Rotate the iN∫X in a circle to verify it rolls easily.
● Load the iN∫X into ambulance and secure it in the
iN∫LINE.
● Verify the iN∫X is being charged by the ICS. See
“Integrated Charging System (ICS)”on page 21.
2.4 No-Lift Loading/Unloading
The unique design of the iN∫LINE fastening system holds the
iN∫X level with the patient oor as the operators load it into
the ambulance (Figure 1), or unload it from the ambulance
(Figure 2). During loading and unloading:
● As both operators work together to guide the iN∫X into
the iN∫LINE, the Control-end Operator conrms each
iN∫X safety bar engages the iN∫LINE safety hook.
● Do not lift the iN∫X. Allow the legs to support the load.
● Verify the legs have clearance before extending or
retracting. Look for obstructions such as the ambulance
bumper.
● For complete loading and unloading procedures, see
“Loading the iN∫X” on page 38 and “Unloading the
iN∫X” on page 40. Use additional help if needed; see
“Using Additional Help” on page 10.

10 © Ferno-Washington, Inc. / 234-3622-06 / March 2019
2.6 Using Additional Help
Operating the iN∫X requires a minimum of two trained
operators. They may need additional help when working
with heavy loads (patient plus equipment). The chart below
shows suggested placement for operators and helpers.
When using additional help:
● Operators stand at the loading and control ends of the
iN∫X, maintain control of the iN∫X, 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 iN∫X balance.
● For heavy loads (patient weight exceeding 95th
percentile male and heavier), Ferno recommends a
minimum of two trained operators and two helpers.
Use special techniques to raise, lower, load, or unload the
iN∫X without power. See the following sections:
● “Non-Powered Operation: Extending and Retracting”on
page 44.
● “Non-Powered Operation: Loading” on page 46.
● “Non-Powered Operation: Unloading”on page 47.
WARNING
Helpers can cause injury. Maintain control of the iN∫X,
operate the controls, and direct all helpers.
Operator Focus
Load Capacity*
* Operators (and helpers) must provide lift assistance when the load
exceeds the load capacity. Inspect the iN∫X if the load capacity has
been exceeded (see“Inspecting the IN∫X” on page 48).
Directing Helpers
Trained operators position themselves at the
loading and control ends of the iN∫X and
operate the controls. Show helpers where to
stand and how to grasp the iN∫X.
For Heavy Patients (95th Percentile Male and Heavier), Ferno Recommends:
Raising and Lowering Rolling Loading and Unloading
Two Operators,
Two Helpers
Two Operators,
Four Helpers
Key: O = Operator H = Helper
O
OO
O
Two Operators
Raising and Lowering Rolling Loading and Unloading
(Option: Select a Side)

11
© Ferno-Washington, Inc. / 234-3622-06 / March 2019
Operator Focus
2.7 Terms
● ACTUATOR: The actuator is a hydraulic system that extends
and retracts the iN∫X legs. One actuator is attached to each
set of legs.
● AUTO-EQUALIZE: During normal operation, if the legs are
not equally extended, pressing or will extend or retract
one set of legs until both sets of legs are equally extended.
Then, both sets of legs extend or retract simultaneously.
● AUTOMATIC STOPS: The iN∫X stops automatically at
the maximum safe transport height (factory-set) and at
the loading height (user-set). To continue extending or
retracting, press or again.
● CONTROL END: The control end of the iN∫X is where the
display, telescoping handles and shock frame are located.
This area is also known as the foot end.
● DISPLAY: The display provides operators with the status
of many iN∫X systems, including the legs, patient surface,
battery charge, and alternate operating modes. See
“Display Zones”on page 18.
● DRIVE LIGHTS: Drive lights are white lights on the actuators
that illuminate the ground around the wheels and increase
iN∫X visibility in low light. See“Light Buttons”on page 17.
● EXTENDING (LEGS): In this manual, the term "extending"
is used to describe raising the patient surface away from
the transport wheels. Extend the legs to increase the
height of the patient surface, or when unloading the iN∫X
from the ambulance.
● GUIDE BAR: The curved guide bar is used by the control-
end operator to guide and maintain control of the iN∫X.
The display is axed between the guide bar and the
patient surface. A set of /buttons is attached to the
right-hand side.
● iN∫LINE: The iN∫LINE fastening system is a Ferno device
designed to secure the iN∫X in a ground-based ambulance.
● INTEGRATED CHARGING SYSTEM ICS®): The ICS allows
the iN∫X to be charged each time it is secured in the
iN∫LINE. (Power to the ICS from the ambulance inverter
or shore power must be ON). The ICS helps keep the iN∫X
battery fully charged.
● INTERACTIVE CONTENT: For training videos and proper
use of the iN∫X, scan a QR code in this manual, click a link in
an electronic version of this manual or visit our website at
http://www.fernoems.com/inx/training.
● LIFT-ASSIST: Under extreme weight conditions (loads), the
operators may need to provide lift-assistance. Use additional
help if needed. See“Using Additional Help”on page 10.
● LOAD: The load is the overall weight of the patient plus
equipment placed on (or attached to) the iN∫X.
● LOADING END: The loading end of the iN∫X is where the
backrest, telescoping frame and one of two safety bars are
located. This area is also known as the head end.
● LOADING HEIGHT: Users can set the iN∫X to stop at the
proper normal loading height for an ambulance. See “Set
the Loading Height” on page 61. Extend the iN∫X to the
loading height only to load it into an ambulance or unload
it from an ambulance.
● OPERATORS: The trained operators are referred to as the
Control-end Operator and Loading-end Operator in this
manual.The trained operators maintain control of the iN∫X,
operate the controls, and direct helpers.
● RETRACTING (LEGS): In this manual, the term "retracting"
is used to describe lowering the patient surface toward
the transport wheels. Retract the legs to reduce the height
of the patient surface, or when loading the iN∫X into an
ambulance.
● SURROUND LIGHTS: Surround lights are red and white
lights on each side of the iN∫X that provide steady light to
illuminate the iN∫X, or ash in an attention-grabbing alert
pattern to increase safety. See“Light Buttons”on page 17.
● TELESCOPING HANDLES: Telescoping handles extend or
retract to provide the control-end operator with additional
ergonomic positions to grasp and guide the iN∫X. A set
of /buttons is attached to the right-hand telescoping
handle. See“Telescoping Handles”on page 23.
● TRANSPORT HEIGHT: An alarm beeps when the patient
surface is higher than the recommended maximum
transport height. Keep the iN∫X at or below this height
when rolling it.
● SHEETS: Sheets or other articles that are placed, or
nd their way, beneath the patient surface can become
caught in the power system. Do not tuck sheets or place
other objects where they can interfere with, or become
entangled in, the locking mechanism.

12 © Ferno-Washington, Inc. / 234-3622-06 / March 2019
3  iN∫X OVERVIEW
3.1 Description
The Ferno® iN∫X® Integrated Patient Transport & Loading System™
is an emergency patient-handling device designed to transport
a patient over various terrain, to be loaded into and unloaded
from an ambulance, and for transport inside a ground-based
ambulance.
In this manual, the term “iN∫X” is used to represent the iN∫X®
Integrated Patient Transport & Loading System™.
The iN∫X is for professional use by a minimum of two trained
operators. The iN∫X is designed to help reduce the risk of
back injury to medical service personnel by eliminating
or minimizing the amount of lifting required to extend or
retract the legs.
During powered operation, the iN∫X does not require lifting
when loading into an ambulance or unloading from an
ambulance.
The iN∫X may be operated manually when desired.
COMPATIBLE FASTENING SYSTEMS
● Ferno® iN∫LINE® series fastening system
INCLUDED
● Ferno® battery charger and adapter cable
● iN∫X battery
● Mattress with heat-sealed vinyl exterior and polyurethane
foam pad interior
● Set of patient restraints
● Users’manual and training DVD
● ICS® charging contacts standard
WARNING
Improper use of the iN∫X can cause injury. Use the iN∫X
only for the purpose described in this manual.
FEATURES
● 700 lb/318 kg lifting capacity (load capacity)
● Independent-leg, powered transport loading system
● Legs auto-equalize before extending or retracting
● Safety Lighting System
● Variable height adjustment allows level loading into an
ambulance with a oor of up to 35" (889 mm)
● User-set loading height (maximum 35"/892 mm)
● Meets IP 56 (Ingress Protection rating) dust, water
● 36-Volt DC power system with dual actuators
● Multifunction display
● Position-indicator lights
● Simple / operation
● Multi-position sidearms
● Telescoping handles (control end)
● Coated handling surfaces keep hands/clothes clean
● Four 6-inch, tri-spoke swivel transport wheels
● 2 Wheel locks
● Pneumatic backrest
● Three-position telescoping loading-end frame
● Two-position shock frame
● Direct power and non-powered backup systems

13
© Ferno-Washington, Inc. / 234-3622-06 / March 2019
General specications are rounded. Metric conversions are calculated before
rounding. Ferno reserves the right to change specications without notice.
1Height: Distance from the ground to the patient surface.
2Loading Height: Distance from the ground to the bottom of the loading wheels.
3Weight includes battery weight but is without mattress, patient restraints and
optional features.
4Integrated Charging System Maintains the battery charge when the iN∫X is secured
in the iN∫LINE. See “Integrated Charging System (ICS)” on page 21.
Note: The locking patient mattress is sealed.
3.2 General Specications
iN∫X Construction
Frame Aluminum
Legs Carbon-Fiber Composite
Bed Surface Aluminum
Wheels Stainless steel, sealed bearings;
Nonconductive wheels
Position Indicator Lights Class 2M Laser
Power System
Operating Temp. -40°F to 131°F (-40°C to 55°C)
Battery Output 36 Volts DC
Charging Time (1 transport,
charge maintained by ICS®)
As little as 15 minutes4
Charging Time (depleted) Up to 1 hour, 45 minutes
Charger Input 100 – 240 Volts AC
Charger Output Up to 39.6 Volts DC, 2 Amps
(for iN∫X LiFePO4 battery)
Load Capacity
Imperial/Metric 700 lbs/318 kg
Stone (UK) 50 st
Weight
Equipped for Ferno®
iN∫LINE® Series Fastening System3 203 lbs/92 kg
iN∫X Overview
Dimensions Imperial Metric
A) Wheels 6" x 1.7" 152 mm x 43 mm
B) Length (Adjustable) 63" – 81" 1594-2045 mm
C) Width (Overall) 24" 597 mm
D) Width (Patient Surface) 16" 406 mm
E) Height1 (Adjustable) 14" – 49" 356-1245 mm
F) Maximum Transport height (Factory-Preset, measurement is to patient surface) 34" 864 mm
G) Loading Height2 (Adjustable, measurement is to bottom of loading wheel) 35" Maximum 889 mm Maximum
H) Backrest Adjustment 0°–76°
I) Shock Frame Adjustment 0°–16°
E
F
G
H
I
A
C
B
D
Soft Goods
Mattress 72.5"x16.5"x3"/1842x419x73 mm

14 © Ferno-Washington, Inc. / 234-3622-06 / March 2019
iN∫X Overview
Control-End View
EXTEND AND RETRACT
BUTTONS (2 Sets)
p.22
SURROUND LIGHT
(Each Side)
p.17p.20 BATTERY
MATTRESS
p.14
DISPLAY
p.16 p.23 POSITION
INDICATOR LIGHT
(Each Side)
TELESCOPING
HANDLE (2)
p.23
DRIVE LIGHTS
(Each Actuator)
p.17
WHEEL LOCK (2)
p.31

15
© Ferno-Washington, Inc. / 234-3622-06 / March 2019
Loading-End View
iN∫X Overview
PATIENT RESTRAINTS
(Not Shown)
p.52
NON-POWERED OPERATION
(Not Shown)
p.44
BACKREST
p.25
SHOCK FRAME
p.24
SIDEARM
(Each Side)
p.27
SAFETY-BAR RELEASE
p.26
TELESCOPING
FRAME
p.26

16 © Ferno-Washington, Inc. / 234-3622-06 / March 2019
4.1 Display Overview
4  FEATURES AND CONTROLS
Display UV Protection
The display screen inner surface is coated
with a layer to protect it against ultraviolet
(UV) light and pressure damage. This
clear surface is normally invisible but may
sometimes be seen as lines of clear "dots"
when viewed at an angle. This is normal.
p.18 DISPLAY ZONES
p.35 CHAIR POSITION
MODE-SELECT
BUTTON
p.23 p.17 POWER SWITCH
LIGHT BUTTONS (2)
p.17

17
© Ferno-Washington, Inc. / 234-3622-06 / March 2019
4.2 Power Switch
The power switch (Figure 3) is located on the right side of
the display. Keep the switch in the ON ( ) position for all iN∫X
operations.
If the iN∫X will not be used for more than 30 minutes, turn the
power switch OFF ( ) to conserve battery power.
After 10 minutes of non-use, the iN∫X will enter Sleep Mode
to conserve power. See “Sleep Mode”on page 22.
The iN∫LINE features a built-in Ferno® ICS® Integrated Charging
System. With ICS, the iN∫X power switch can be left ON. The
ICS disables the iN∫X powered mode and charges the battery.
See“Integrated Charging System (ICS)”on page 21.
OFF
ON
Features and Controls
3
4.3 Light Buttons
The iN∫X safety lighting system (Figure 4) provides light for the
terrain around the iN∫X and increases operator and patient
safety by increasing visibility of the iN∫X.
● Surround Lights are white and red lights that span the
length of each side of the iN∫X to increase visibility of
the iN∫X. These lights can ash or provide steady light.
● Drive Lights are axed to each actuator and provide
steady light to illuminate the terrain around the iN∫X.
Note:Surround Lights and Drive Lights are ON or OFF at the
same time. Lights also turn OFF when the iN∫X enters Sleep Mode.
See “Sleep Mode” on page 22.
The iN∫X safety lighting system is controlled by two buttons.
An LED in the upper-right corner of the button indicates the
active lights.
SCENE LIGHTS
Press ON. The Drive Lights and Surround Lights
illuminate with steady white light.
Press OFF: All lights OFF.
EMERGENCY LIGHTS
PressON.The DriveLightsilluminatewithsteady
white light. The Surround Lights illuminate and
ash in a sequence of red-red-white.
Press OFF: All lights OFF.
Using Lights
● Drive Lights illuminate the ground around
the iN∫X to assist the operators.
● Surround Lights increase the visibility of the
iN∫X and the area around it.
4
Surround Light
(Each Side)
Drive Lights
(Each Actuator)
NOTICE
Turn the power OFF when the iN∫X will not be in use. For
extended storage, see“Storing the iN∫X”on page 54.

© Ferno-Washington, Inc. / 234-3622-06 / March 2019
18
Features and Controls
4.6 Timer Zone
A countdown timer is visible in the lower-left corner of the
display only when an alternate operating mode is selected
(Figure 6). Use the mode-select button to select an alternate
operating mode. See “Mode-Select Button” on page 23 and
“Direct Power Modes”on page 42.
If the countdown timer is allowed to expire, the iN∫X returns
to its default operational mode and normal display screen.
N01
15
5
4.4 Display Zones
The display is ON when the power switch is ON, and OFF
when the power switch is OFF or when the iN∫X enters Sleep
Mode.
To turn the display ON, use the power switch (see “Power
Switch” on page 17). To awaken from Sleep Mode, press .
See “Sleep Mode”on page 22.
The display is divided into four zones (Figure 5):
● iN∫X ZONE: This zone displays the iN∫X with areas color-
coded to indicate the current status of each area.
● TIMER ZONE: This zone is illuminated when the iN∫X is in
an alternate operating mode. It displays a countdown
timer. See “Direct Power Modes”on page 42.
● STATUS ZONE: This zone illuminates with indicators
to provide function and safety information. Based on
the condition, a warning triangle, other symbol, and/or
alphanumeric code may be displayed. See“Status Zone”
on page 19 and “Status Indicators”on page 63.
● BATTERY ZONE: This zone indicates the charge of the
battery. See“Battery Zone” on page 19.
Note:For alternate-mode screens, see “Direct Power Modes” on
page 42 and “Set the Loading Height” on page 61.
4.5 iN∫X Zone
The main display area shows the iN∫X (Figure 5). The color of
the legs and patient surface indicates the current status of
these areas. Refer to the iN∫X Zone Indicators table at right.
The iN∫X zone is illuminated whenever the power is ON.
iN∫X Zone Indicators
LEG
Green The legs may be extended and/or retracted.
White The legs will not extend or retract.
Blue The iN∫X is in a direct power mode. The blue
legs will move when a button is pressed.
PATIENT SURFACE
White The iN∫X is at a safe transport height.
Yellow/Red TheiN∫X isabovethemaximumrecommended
transport height. Lower the iN∫X before rolling.
WHEELS
Green/White The iN∫X may be rolled, if the patient surface
is at a suitable transport height.
Red Do not roll the iN∫X.
15
N04
6
iN∫X Zone
Timer Zone Status Zone Battery Zone
Countdown Timer
Press Green to Go
To activate the iN∫X after turning the power
switch ON, or to wake the iN∫X from Sleep
Mode, press . Note: Only the button will
activate/wake up the iN∫X.

© Ferno-Washington, Inc. / 234-3622-06 / March 2019 19
4.8 Audible Alarm
The iN∫X will sound a series of beeps when a status indicator
is displayed. The number of beeps is dependent on the
severity of the situation. The alarm continues to sound until
the status returns to normal.
● High-priority: 2+3 beeps, pause, repeat
● Medium-priority: 2 beeps/15 seconds
● Low-priority: 1 beep/minute
4.7 Status Zone
The status zone alerts the user to important or unsafe
conditions, or faults. A warning triangle indicates safety
notices. The warning triangle is yellow for medium-level
notices, and red for high-priority notices (Figure 7).
The status zone is illuminated only when a status indicator
is being displayed. See “Status Indicators” on page 63 for a
chart of status indicators.
Features and Controls
4.9 Battery Zone
The battery zone indicates the charge remaining in the
battery. The color of the indicator shows the approximate
charge (Figure 8).
Yellow with Lightning Bolt: Connected to ICS, charging
Green with Lightning Bolt: Connected to ICS, full charge
Green: Full charge
Yellow: Moderate charge
Red: Low charge (one-third of the indicator is steady red)
Flashing (nal warning): The battery is depleted. The
indicator ashes between an empty battery outline and
a lled red battery. Swap for a charged battery as soon as
possible, or connect to the ICS.
See “Attaching the Battery” on page 20 or “Integrated
Charging System (ICS)”on page 21.
The battery zone is illuminated whenever the power is ON or
the iN∫X is connected to the powered ICS in the iN∫LINE.
15
N01
8
Full
Full
in ICS
Charging
in ICS
Moderate Low Depleted (Flashing)
Yellow: Low or Medium Priority
N04
N04
Red: High Priority
H01
7
NOTICE
The iN∫X beeps when a status indicator is displayed. The
severity of the status determines the number of beeps.

© Ferno-Washington, Inc. / 234-3622-06 / March 2019
20
4.10 Battery
The iN∫X is powered by a rechargeable, 36 Volt DC lithium
iron phosphate battery (LiFePO4). The battery is installed
under the patient surface, behind the display (Figure 9).
BATTERY OVERVIEW
● Charge the battery only with the Ferno-provided
charger or by securing the iN∫X to the ICS integrated
into the iN∫LINE. See “Battery Charger” on page 21
and “Integrated Charging System (ICS)”on page 21.
● The battery has no “battery memory.” You do not need
to fully discharge before recharging.
● Patient weight and extreme temperatures aect the
amount of use available from each battery charge.
● Minimum charging time is 15 minutes, after one transport
and maintaining the charge using the ICS.
● Maximum charging time is 1 hour, 45 minutes using the
battery charger (not with ICS) with a depleted battery.
● Actual charging time varies based on frequency of
recharge, depth of discharge, and battery age. If a battery
becomes deeply discharged, extend the charging time.
REMOVING THE BATTERY
1. Turn the power switch OFF.
2. Raise the shock frame.
3. Place your thumbs under the front corners of the
battery cover and lift to remove.
4. Grasp the battery-cable plug and disconnect the cable
from the battery port (Figure 10). Do not pull on the
cable to disconnect the plug.
5. Use the battery carry handle to lift the battery up and
away from the cradle.
ATTACHING THE BATTERY
1. Verify the power switch is OFF.
2. Raise the shock frame.
3. Place your thumbs under the front corners of the
battery cover and lift to remove.
4. Angle and slide the battery into the cradle. Press down
to lock the battery in place in the cradle.
5. Connect the battery cable plug to the battery port.
6. Insert the front tabs of the battery cover into the slots
and then press down the area near the display to snap
the cover into place.
7. Lower the shock frame.
9
Features and Controls
Battery Tips
You do not need to fully discharge the
battery before recharging. Place the battery
on the charger at any time to maintain a full
charge.
Turn the iN∫X power OFF if it will not be used
for more than 30 minutes.
If the iN∫X or battery will be placed in storage,
charge the battery rst. Store only a fully-
charged battery. See“Storing the Battery” on
page 54.
10
Battery Carry Handle
Port
Battery Cover
Plug
Battery Cable
Port
Battery Carry Handle
Battery Recycling
In the U.S.A. and Canada, contact
Call2Recycle toll-free for a nearby
location to responsibly dispose of a Ferno
rechargeable battery.
Outside the U.S.A. and Canada, contact the
government of your country for recycling
information.
See “Recycling Notice”on page 55.