Ferno Megasus User manual

Megasus Trolley
User Manual
To comply with BS EN 1789: 2007, the four-point harness MUST be used as a
patient restraint and the Megasus MUST be secured with the two-part locking
device.
Language:
English
Language:
English

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FERNO/MAN/03/10/202UK MEGASUS
1. Intended Use of the Megasus
The Megasus trolley 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 Megasus trolley’s intended use is for the transportation of patients, either
physically impaired, ill or with other types of injuries from ground or hospital bed level
(see page 2, safe working loads) to and from an ambulance.
The Megasus Trolley can also be used to transport a bariatric patient of up to 400Kg,
when in the lowest position. This is accommodated by extended cot sides and
detachable pads for patient security and comfort
The Megasus has an additional feature that allows the trolley to be shortened by
folding down the section of frame at the head end, with the patient in the sitting
position.
The Megasus trolley is designed to provide effortless powered lifting and lowering
making use of its self contained hydraulic system (see page 2 for safe working load
limitations).

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2. Checking the trolley
The following routine checks are recommended before the start of each shift's use of
the Megasus 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 cot sides raise, lower and lock in position properly?
3. Check that the wheels and brakes operate satisfactorily.
4. Check castings and the frame of the trolley for damage.
5. Does the trolley lower and raise satisfactorily?
6. Does the ambulance have a properly installed approved locking device?
7. Check the operation of the push/pull handles and ensure the head end handle
clips in the stowed position.
8. Does the headrest extension operate correctly and lock in position.
9. Study this manual before use. Practice without a patient until totally competent in
using the trolley.
Once these checks have been completed, then the trolley is ready to be used in
regular service.
SAFE WORKING LOAD
200 kg with trolley in raised position
400 kg with trolley in lowered position
(Tested in accordance with the requirements of BS EN 1789: 2007)
WARNING
DO NOT OPERATE THE HEIGHT ADJUSTMENT PEDAL
WHEN THE TROLLEY IS FIXED INTO THE VEHICLE
LOCK.
THIS WILL CAUSE THE TROLLEY TO JAM IN THE LOCKS
AND MAY CAUSE DAMAGE.

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Important Notes
Always ensure that two operators are with the trolley at all times.
A non-laden trolley may be controlled by one operator provided it is considered
safe to do so.
When rolling the trolley in the elevated position along hospital corridors or
similar smooth surfaces, DO NOT use the pull handles, instead 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 trolley, operating leg
rest features and any features with hinge assemblies.
Before driving the ambulance, make sure that the trolley is secured with the
recommended locking device to prevent its movement in the patient
compartment.
To make full use of the Megasus trolley and its features, 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
Always ensure the drop down head end is in the raised position before
operating the lifting mechanism on 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.

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3. Operating Procedure
WARNING
Always ensure that two operators are with a laden trolley at all times.
Additional operators may be required when the trolley is laden to its upper
limits.
Ensure that the following procedures are complied with:
1. Advise the patient before making adjustments, lifting or loading the trolley.
2. Stay with the patient and control the trolley at all times.
3. Keep the patient restrained and the cot side rails up when using the trolley.
4. Use help when needed to ensure patient and operator safety.
Transferring a Patient onto a Trolley
1. Lower the cot side rails (Note that cotslides must be in the retracted position).
2. Place the trolley beside the patient and open the restraints.
3. Ensure that at least one wheel brake at each end of the trolley is applied.
4. Transfer the patient onto the trolley’s central area (i.e. with cotslides retracted)
using recognised manual handling procedures.
5. Close the restraints and secure the patient in position (see page 11).
6. If necessary extend the cotslides to the mid or outer position and raise the cot side
rails, locking them in the upright position.
7. Make adjustments as necessary.
When transferring a patient from a bed or other apparatus (see safe working
loads p.2)
1. Raise/lower the trolley to a suitable height.
2. Proceed with the transfer as aforementioned.
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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Height Adjustment –Do not raise the trolley when located in the vehicle lock.
The height adjustment must not be raised when the trolley is loaded above 200
kg.
1. The height adjustment of the Megasus is achieved by a simple hydraulic pumping
action.
2. The raising and lowering action is achieved by means of foot pedals, which are
located on each side of the trolley. NOTE ensure pedals on both sides are clear
before operating.
3. The foot pedal is a rocker action about an off centre pivot, the longer pedal is for
raising the trolley top and the shorter for lowering.
4. To raise the trolley, operate the long side of the foot pedal through full strokes to
achieve the desired height, this operation may be better achieved with two wheel
brakes engaged.
5. To lower the trolley, depress the short pedal. Slight repositioning of the foot
pedal will control the rate of lowering.
6. Using two operators, making use of both pump pedals, can ease the raising a
heavily laden trolley. Practice is advised to achieve unison of action.
Wheeling the Trolley
1. Transporting a patient should be done with the side rails raised and restraints
fastened.
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 using the corner frame grips. Repeat for
the trailing wheels.
4. High obstacles such as kerbs or steps, rough terrain, etc. 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 restraints are fastened around the patient (see page 10).
Place the trolley in the lowest position possible. However, the trolley may be
wheeled in an elevated position along hospital corridors or similar smooth
surfaces, provided that the patient is securely strapped to the trolley and that the
two attendants are in control of the patient and trolley at all times.
6. To lift the trolley top and base together the operator sited at the foot end needs to
lift slightly before the head end operator. This is necessary to ensure that the
lifting notches engage. Apart from the fully raised position there are two other
positions at which the lifting notches engage these are at mid lift and just above
fully lowered. When lifting from the fully lowered position the top and base will
separate slightly prior to the notch engaging, this is a normal action. It is
recommended that this process is practiced on an un-laden trolley.

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Locking system (Manual Foot End Lock)
1. To load the trolley, 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. To remove trolley, depress pedal whilst
pulling back on the trolley.
DO NOT OPERATE PUMP WHILST THE TROLLEY IS LOCATED IN THE LOCKING
SYSTEM, AS THIS WILL DAMAGE THE TROLLEY FRAME.
Loading/Unloading from a vehicle with ramp or lift IF FITTED
When using a powered winch, reference must be made to the winch
manufacturer’s instructions. The trolley winch connector is located at the
head end of the base frame.
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.
4. Unfold the push/pull handles and ensure they are locked in the extended position.
5. Using two operators guide the trolley down the ramp and out of the vehicle.
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. Ensure that the trolley is in its lowest position.
4. Ensure that the push/pull handles are locked in the extended position.
5. Position the trolley at the base of the ramp, head end first.
6. 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.
7. IMPORTANT: ONCE IN THE VEHICLE, BEFORE ENTERING THE LOCK,
FOLD THE HEAD END PUSH/PULL HANDLE AND ROTATE UNDER THE
TROLLEY TOP UNTIL IT IS SECURED IN THE RETAINING CLIPS AS
DAMAGE TO THE HANDLE WILL OCCUR IF IT IS INCORRECTLY STOWED.
NEVER ROTATE THE PUSH/PULL HANDLE OVER THE TOP OF THE
TROLLEY AS DAMAGE COULD OCCUR WHEN THE BACKREST IS
LOWERED.

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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 and roll the trolley to the rear of the ambulance compartment.
4. Guide the trolley onto the tail lift and out of the vehicle making sure the cotslides
clear all lift components.
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. Ensure that the trolley is in its lowest position and there are no trailing straps,
blankets etc.
4. IMPORTANT: BEFORE LOADING ONTO THE TAIL LIFT, FOLD THE HEAD
END PUSH/PULL HANDLE AND ROTATE UNDER THE TROLLEY TOP UNTIL
IT IS SECURED IN THE RETAINING CLIPS AS DAMAGE TO THE HANDLE
WILL OCCUR IF IT IS INCORRECTLY STOWED. NEVER ROTATE THE
PUSH/PULL HANDLE OVER THE TOP OF THE TROLLEY AS DAMAGE
COULD OCCUR WHEN THE BACKREST IS LOWERED.
5. Guide the trolley on to the tail lift, head end first making sure the cotslides clear
all lift components.
6. Operate the tail lift as per manufacturer’s instructions.
IMPORTANT NOTE
Ensure the trolley is secure at all times when on board the tail lift

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User Guide for 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, 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).
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.

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User Guide For 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

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Using the Restraints
1. The patient should always be secured using the harness and both of the single
strap restraints provided.
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. To secure the 4 point harness, slide the two buckles on the shoulder straps onto
the buckle on the right hand side strap and then clip left hand side to the right
hand side buckle. Adjust the shoulder straps so they are snug against the patient’s
shoulders and adjust left and right hand side straps so they are snug against the
patients sides.
6. Fasten the two leg restraints and adjust to ensure patient comfort.
7. To release the harness, press release button.
NOTE:
To remove the four-point harness, unclip two side brackets and un-loop the
shoulder straps from cross bar located underneath the Back rest.

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4. 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 and restraints are secured to the trolley
using locating posts with hooks.
Cotslides
The cot sides can be extended to increase the width of the trolley top. To extend the
cotslide pull the red release handle positioned in the centre below the cotslide
assembly. Extend the cotslide to one of the three locked positions as required. Fit the
cotslide pads as shown below.
Extending the cotslides must only be done once the patient is centrally on the
trolley top. DO NOT use the extended cotslides to support the full weight of the
patient.
Fitting Cot Side Pads
To fit the Side Pads to the Trolley, first extend the Cotslides as above and place the
side pads onto the extended Cotslides.

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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, the cot sides lock automatically
when raised to the vertical position.
Backrest
The backrest may be locked in any inclined position from 0° - 75°. Support the
backrest 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
trolley under any circumstances.
Headrest
The Megasus 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.
Push/Pull Handles
The pull handles have a unique feature, which enables them to be locked securely
into the extended position. This enables them to be used as push/pull handles.
To operate this feature, unclip the push/pull handle extension from the securing clip
and fully extend the handle. Slide the knurled sleeves over the hinges to prevent the
handle folding up, enabling the push handle feature.
When folding the handles, pull and HOLD the knurled sleeves against the stops to
ensure the knurled sleeves are clear of the hinges, then fold the handle and push
into the securing clip.
The head end push/pull handle should be locked in place when not in use.
NOTE:- If knurled sleeves are not held clear of the hinge section during the
folding procedure damage may result to same.
Length Reduction Facility
A feature of the trolley is the capability of the head end of the trolley to fold down,
thus allowing the trolley to be adapted for different circumstances.
Head End Fold Down
The benefit of a shorter trolley using the head end fold section can only be achieved
with the trolley in the elevated position, the backrest in a partially raised.
Using the foot pedal raise the trolley to its maximum height.
Stand at the head end of the trolley and grasp the two knurled sleeves,
NOTE:- Cot sides are not intended to be used to manoeuvre, lift the
trolley or to be used as a seat. Damage may result from this
practice.

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located one each side of the trolley frame.
Pull each knurled sleeve against the springs until the head end section can be
folded down.
Adjust the backrest angle to achieve the shortest length possible whilst
considering the comfort of the patient. Only leave the trolley in this
condition until sufficient space allows its return to normal length.
Always ensure that two operators are with a laden trolley at all times
To return the trolley to normal length, lift the folded head end and the spring
loaded knurled sleeves will return to their locked position. Adjust the backrest
as necessary.
Hold the foot pedal down and lower the trolley.
Wheels
All wheels have a braking system ensuring that the castor wheel will neither roll nor
rotate when the brake lever is applied. A minimum of two brakes should be engaged
whenever a patient is being transferred onto or off the trolley.
Leg Rest Feature, Trendelenberg Position
The legrest may be locked in the Trendelenberg 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

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5. Cleaning and Lubrication
Cleaning
Regular cleaning helps reduce the risk of transmitting disease and enables
equipment to function at its optimum.
Steam cleaning with a suitable cleaning additive is the most effective method. The
same results may be achieved by using a sponge and mild detergent soap mixed in
warm water. For particularly grimy cases, especially if the trolley has been in storage
for a long period, it may be necessary to first wash the trolley with a water soluble
solvent soaked cloth prior to using soap and water.
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.
Lubrication
Your Ferno Megasus 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.
Specific recommendations are available in the Megasus Service Manual, contact
Ferno Service Division on 01274 854511, for details.

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6. Warranty and Service
Ferno (UK) Ltd. standard terms and conditions apply to all sales. A copy is available
on request. These contain full details of warranty terms and do not limit the statutory
rights of the customer.
For service, maintenance and any questions regarding this, or any other Ferno
product, please contact:
Ferno (UK) Limited
Ferno House
Stubs Beck Lane
Cleckheaton
West Yorkshire
England
BD19 4TZ
Telephone: [phone]
Fax: [phone]
or your local distributor.
PREVENTATIVE MAINTENANCE MUST BE IN ACCORDANCE WITH THE
RECOMMENDATIONS IN THE SERVICE BOOK PROVIDED WITH EACH
TROLLEY

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7. Technical Data
Product Name
Megasus Trolley
Overall Length (without headrest)
1925 mm
Folded Length (Head End Only, inc. base)
Overall Width (Top Frame)
570 mm
Overall Width (Sides Extended)
955 mm (755mm intermediate
position)
Maximum Height (excluding mattress)
880 mm
Minimum Height
480 mm
Weight
(Excluding Mattress, Restraints and
headrest extension)
74.8 kg
Maximum Load Capacity (Elevating)
200 kg ( Includes mattress,
restraints and headrest)
Maximum Load Capacity (Lowest Position
only)
400 kg
Construction Materials
Aluminium Tubing
Aluminium Castings
Plastic Injection Mouldings
IMPORTANT NOTE
The ambulance vehicle must be fitted with a ramp or tail lift to assist trolley
loading. Contact our Technical Sales Department on 01274 851999 for
further details.
The CE mark on this product demonstrates conformity with the
requirements of the EC Directive 93/42/EEC for Medical Devices.

Registered Office:
Ferno (UK) Limited
Ferno House, Stubs Beck Lane, Cleckheaton, West Yorkshire, England. BD19 4TZ
Tel: + 44 (0) 1274 851999 Fax: + 44 (0) 1274 851111
e-mail: [email protected]
Registered number: 1007475 England
As our policy is one of continuous development Ferno (UK) Ltd reserves the right to change the specifications without notice.
Stock Code: 2003-0127