Ferno Mobile Transporter 35A Series User manual

Model 35A Series
Ambulance Cot
Users’ Manual
September 2016
Pub. No. 234-3451-03
Read this Manual and Retain
for Future Reference

© Ferno-Washington, Inc. / 234-3451-03 / September 2016
2
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
USERS’ MANUALS
To request additional free users’ manuals,
contact Ferno Customer Relations, your
Ferno distributor, or www.ferno.com.
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
1.937.382.1451
44 (0) 1274 851999
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 crosstube under the shock frame.

© Ferno-Washington, Inc. / 234-3451-03 / September 2016 3
TABLE OF CONTENTS
Section Page Section Page
Ferno Customer Relations ________________________2
1 - Safety Information _____________________________4
1.1 Warning __________________________________4
1.2 Important_________________________________4
1.3 Symbol Glossary ___________________________4
1.4 Bloodborne Disease Notice___________________5
1.5 Cot and Fastener Compatibility _______________5
1.6 Safety and Instruction Labels _________________5
2 - Operator Skills and Training _____________________6
2.1 Skills _____________________________________6
2.2 Training __________________________________6
2.3 Height and Strength Considerations ___________6
3 - About the Cot__________________________________7
3.1 Description________________________________7
3.2 General Specications_______________________8
3.3 Cot Positions ______________________________8
4 - Setup and Installation __________________________9
4.1 Ambulance Information _____________________9
4.2 Restraints and Accessories ___________________9
4.3 Fastener Compatibility ______________________9
4.4 Install the Safety Hook______________________10
5 - Using the Features ___________________________ 12
5.1 Lift-First Control Handles____________________12
5.2 Ergonomic Lifting Positions _________________13
5.3 Fastener Release Controls ___________________13
5.4 Two-Position Drop Frame ___________________14
5.5 Backrest _________________________________14
5.6 Shock Frame______________________________15
5.7 Sidearms ________________________________15
5.8 Lead Handle______________________________16
5.9 Wheel Locks (Optional) _____________________16
5.10 Oxygen Cylinder Holder
(Models 35A+, 35A+ST Only) ________________17
5.11 Storage Tray (Models 35A+, 35A+ST Only)______17
6 - Using the Cot ________________________________ 18
6.1 Before Placing the Cot in Service _____________18
6.2 General Guidelines for Use __________________18
6.3 Fully Engaging the Locking Mechanism________18
6.4 Raising and Lowering the Cot________________19
6.5 Transferring the Patient to the Cot ____________20
6.6 Rolling the Cot ____________________________21
6.7 Preparing to Load the Cot ___________________22
6.8 Loading the Cot ___________________________22
6.9 Unloading the Cot _________________________23
6.10 One Operator, Empty Cot ___________________24
6.11 Using Additional Help ______________________25
7 - Maintenance ________________________________ 26
7.1 Maintenance Schedule _____________________26
7.2 Disinfecting and Cleaning the Restraints _______26
7.3 Disinfecting and Cleaning the Mattress ________26
7.4 Disinfecting the Cot________________________26
7.5 Cleaning the Cot __________________________26
7.6 Waxing the Cot ___________________________27
7.7 Inspecting the Cot _________________________27
7.8 Lubricating the Cot ________________________28
8 - Accessories and Related Products ______________ 29
9 - Parts and Service_____________________________ 29
9.1 U.S.A. and Canada _________________________29
9.2 Worldwide _______________________________29
9.3 Selected Parts for Cots
Before Serial Number L-322137 ______________29
9.4 Parts for Cots Serial Number
L-322137 and Higher _______________________30
Training Record_________________________________ 31
Maintenance Record ____________________________ 31

© Ferno-Washington, Inc. / 234-3451-03 / September 2016
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1  SAFETY INFORMATION
1.1 Warning
Warning notices indicate a potentially hazardous situation
which, if not avoided, could result in injury or death.
1.2 Important
Important notices emphasize important usage or maintenance
information.
Important
Safety Information
1.3 Symbol Glossary
The symbols dened below are used on the cot and 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.
Unlocked Locked Do Not Lubricate Lubricate
Do Not Fold Cot
With Items On Tray
Manufacturer Authorized Representative in the
European Community
WARNING
Untrained operators can cause injury or be injured.
Permit only trained personnel to operate the cot.
Improper use of the cot can cause injury. Use the cot only
for the purpose described in this manual.
Attaching improper items to the cot can cause injury. Use
only Ferno-approved items on the cot.
Failure to use the safety hook can cause injury. Install and
use the safety hook as described in this manual.
Improper operation can cause injury. Operate the cot
only as described in this manual.
An unattended patient can be injured. Stay with the
patient at all times.
An unrestrained patient can fall o the cot and be injured.
Use restraints to secure the patient on the cot.
Rolling the cot sideways or in a loading position can cause
the cot to tip and injure the patient or operators. Roll the
cot only in a level (rolling) position and with the head-end
or foot-end rst.
False locking can cause injury. After changing positions,
lift the cot until all the wheels are o the ground. This
allows the lock to engage if it has not already done so.
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 cot lowering. Do not tuck sheets or place
other objects where they can interfere with, or become
entangled in, the locking mechanism.
Helpers can cause injury. Maintain control of the cot,
operate the controls, and direct all helpers.
Helpers can be injured. Show helpers where to grasp the
cot to avoid pinch points.
Improper maintenance can cause injury. Maintain the cot
only as described in this manual.
Improper parts and service can cause injury. Use only
Ferno parts and Ferno-approved service on the cot.
Modifying the cot can cause injury and damage. Use the
cot only as designed by Ferno.
General Warning of
Potential Injury
Pinch Point:
Keep Hands Clear
Operation Requires
Two Trained Operators
Read the Users’Manual
Product meets
European Union Standards
Load Capacity
(Safe Working Load in
pounds, kilograms, stone)
500 lb
227 kg
35.7 st

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1.4 Bloodborne Disease Notice
To reduce the risk of exposure to bloodborne diseases such as
HIV-1 and hepatitis when using the cot, follow the disinfecting
and cleaning instructions in this manual.
1.5 Cot and Fastener Compatibility
Combining different manufacturers’ products into a “mixed-
component” cot/cot fastener system can increase the user’s risk
of injury and damage.
Ferno-Washington, Inc. strongly recommends that only
Ferno-manufactured cots be used in Ferno-manufactured cot
fasteners, and that only Ferno-manufactured cot fasteners be
used for securing Ferno-manufactured cots in ambulances.
ANY COMBINATION OF A FERNO COT OR COT
FASTENER WITH A NON-FERNO COT OR COT
FASTENER IS MISUSE OF THE FERNO PRODUCT.
Responsibility for the outcome of known, intentional misuse
rests squarely on the misuser.
Safety Information
1.6 Safety and Instruction Labels
Safety and instruction labels place important information from
the users’ manual on the cot. Read and follow label instructions.
Replace worn or damaged labels immediately. New labels are
available from EMSAR (page 29) or from your Ferno distributor
(page 2).
General Information Label (Qty. 1)
is label identies the cot and warns the user to read the users’
manual, operate the cot with two trained operators, and to
observe the cot Load Capacity.
Pinch Point Label (Qty. 4 or 6)
Keep hands clear of these areas
Tray Label (Qty. 2)
On cots equipped with a lower storage tray, this label reminds
operators to empty the tray before lowering or loading the cot.
Hand Guard Label (Qty. 2)
Removing the guard can expose operators or helpers to injury.
Do not remove the guard.

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2  OPERATOR SKILLS AND TRAINING
2.1 Skills
Operators using the cot need:
● a working knowledge of emergency patient-handling
procedures.
● the ability to assist the patient.
2.2 Training
Operator trainees need to:
● read and understand this manual.
● be trained on the use of the cot.
● practice with the cot before using it with a patient.
● record their training information. A sample training
record sheet is provided on page 31.
2.3 Height and Strength Considerations
When unloading the cot, the foot-end operator must lift and
hold the weight of the cot, patient and equipment high enough
for the wheels to remain off the ground until the undercarriage
legs completely unfold and lock into place.
Supporting this weight requires greater strength from short
operators than from tall operators because short operators must
raise their arms higher in relation to their shoulders.
Be aware that if the ambulance is parked on an uneven surface,
the foot-end operator (and any helpers) may need to lift the cot
higher than normal to allow the legs to unfold completely and
lock.
Note:Use additional help as needed to lift the weight of the cot,
patient and equipment (see Using Additional Help, page 25).
Operator Skills and Training
WARNING
Untrained operators can cause injury or be injured.
Permit only trained personnel to operate the cot.

© Ferno-Washington, Inc. / 234-3451-03 / September 2016 7
3  ABOUT THE COT
3.1 Description
The Ferno®Model 35A Series Ambulance Cot (called the
“cot” in this manual) is an emergency patient-handling device
designed to transport a patient in a ground-based ambulance.
The cot is for professional use by a minimum of two trained
operators. It is designed for roll-in loading to help reduce the
risk of back injury to medical service personnel.
The standard term “cot” is used in this manual when features
are the same among all models. When features differ, the
specic model name is used.
COT FEATURES ALL COTS
● Clear-anodized handling surfaces keep hands and clothes
clean
● Eight height positions
● Two loading positions for vehicle oors 28 inches to 32
inches (711-810 mm)
● Pneumatic backrest
● Two-position drop frame
● Two-position shock frame
● Swing-down sidearms
● Lead handle
● Four 5"x1.25" (127x32 mm) transport wheels and two
5"x1" (127x25 mm) loading wheels
● Users’ manual included
● The following are included or available for purchase
separately, based on the terms of your purchase order.
(For more information, contact your distributor or Ferno
Customer Relations, page 2)
○Set of three restraints
○Mattress
U.S.A. NOTICE
The cot is for use with ambulances that meet the requirements
of the “Star of Life” certication via Federal Ambulance
Specication KKK-A-1822. For information, contact:
Federal Supply Services, Specications Section
Suite 8100
470 E. L’Enfant Plaza, SW
Washington, DC 20407
About the Cot
MODELSPECIFIC COT FEATURES
Cot Name Bed Surface Compatible with
Ferno® Cot Fastener
Oxygen Cylinder
Holder Storage Tray Wheel Locks (2 Wheels)
35A Aluminum Tubes 175 (Antler/Rail) Accessory Accessory Option
35A-ST Aluminum Tubes Stat Trac® Accessory Accessory Option
35A+ Aluminum Panels 175 (Antler/Rail) Standard Standard Option
35A+ST Aluminum Panels Stat Trac® Standard Standard Option
● Cots compatible with the Model 175 antler/rail fastener
are constructed with an integrated fastener post, fastener
release levers, and a safety bar as standard cot features. A
user-installed safety hook is shipped with the cot (Model
35A and Model 35A+).
● Cots compatible with the Stat Trac®fastener are
constructed with two fastener loading posts and a fastener
release handle as standard cot features (Model 35A-ST
and Model 35A+ST).
COT FASTENER NOTES
WARNING
Improper use of the cot can cause injury. Use the cot only
for the purpose described in this manual.

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3.2 General Specications
Most general specications below are rounded to the nearest
whole number. Metric conversions are calculated before rounding
the Imperial measurements. For more information, contact Ferno
Customer Relations (page 2) or your Ferno distributor.
Ferno reserves the right to change specications without notice.
Construction Tubular aluminum
Wheels
Diameter 5 in./127 mm
Width 1.25 in./32 mm
Wheel Bearings Sealed/greaseless
Bed Surface (35A, 35A-ST) Aluminum tubes
Bed Surface (35A+, 35A+ST) Aluminum panels
Height1
Bed Position 8 35 in./883 mm
Loading Position 2 32 in./810 mm
Bed Position 7 33 in./834 mm
Loading Position 1 28 in./711 mm
Bed Position 6 30 in./772 mm
Bed Position 5 28 in./699 mm
Bed Position 4 24 in./616 mm
Bed Position 3 20 in./521 mm
Bed Position 2 16 in./413 mm
Bed Position 1 (folded) 10 in./257 mm
Length
Maximum 79 in./2007 mm
Minimum 61 in./1549 mm
Width (Overall) 24 in./610 mm
Weight2
35A 74 lb/34 kg
35A-ST 78 lb/35 kg
35A+ 84 lb/38 kg
35A+ST 88 lb/40 kg
Strength to Weight Ratio3
35A 6.76 SWR
35A-ST 6.41 SWR
35A+ 5.95 SWR
35A+ST 5.68 SWR
Load Capacity 500 lb/227 kg
Load Capacity (UK) 35.7 st
Note:All Ferno® mattresses for emergency medical service use
are heat-sealed.
1Height measurements are as follows: Loading Position is the
distance from the ground to the bottom of the loading wheel. Bed
Position is the distance from the ground to the patient surface,
measured at the casting in the center of the bed surface.
2Weight is without mattress, restraints and optional features.
3Strength to Weight Ratio is the Load Capacity of the cot divided
by the cot’s weight.
3.3 Cot Positions
About the Cot
FOLDED POSITION
Use the folded position to transfer the patient, secure the cot
inside an ambulance, or to store the cot.
Bed Position
ROLLING/TRANSFER POSITION 5
Use a level position to roll the cot and for transferring the
patient to or from the cot.
Bed Position
Bed Position
LOADING POSITION 2
The loading positions are for use only when loading the cot
into, or unloading the cot from, an ambulance. Use the lowest
loading position that allows the cot to roll into the ambulance.
Loading Position
Load Capacity
Inspect the cot if the load capacity has
been exceeded. See Inspecting the Cot,
page 27).
500 lb
227 kg
35.7 st

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4  SETUP AND INSTALLATION
4.1 Ambulance Information
The ambulance bumper extension should not exceed 14 inches
(356 mm). The patient compartment should have a level oor
large enough for the folded cot, and a Ferno®cot fastener
installed (not included). See Cot and Fastener Compatibility,
page 4.
Important
Loose items and debris on the patient compartment
floor can interfere with the operation of the cot
with the fastener. Keep the patient compartment
floor clear.
Setup and Installation
4.3 Fastener Compatibility
Read the cot fastener users’ manual for instructions on using
the fastener (see Cot and Fastener Compatibility, page 4).
ANTLERANDRAIL FASTENER
The Models 35A and 35A+ cots are compatible with all versions
of the Ferno®Model 175 antler-and-rail cot fasteners. The cot
fastener must be congured for use with the Ferno® Model
35 Series. See the fastener installation manual for complete
installation details.
Using the Model 175 cot fastener requires the installation of the
safety hook (included with the cot).
STAT TRAC® FASTENER
The Models 35A-ST and 35A+ST cots are compatible with all
versions of the Ferno®Model 185 Stat Trac®fastener. See the
fastener installation manual for complete installation details.
Important
A “sloped” (or low-prole) mounting block (shown
here) must be used when the antler portion of the cot
fastener is removable (installed with large turn-knobs
for easy removal).
If your removable fastener
does not already have this
mounting block, contact Ferno
Customer Relations, page 2.
This block is not used with fasteners permanently-
mounted to the oor with a large bolt.
4.2 Restraints and Accessories
Before placing the cot in service, place the mattress on the cot
bed and assign appropriate personnel to install the restraints and
any accessories shipped with the cot. Follow the instructions
in the restraint and accessory users’ manuals supplied with the
products.
Keep all restraint and accessory users’ manuals with this
manual for future reference.
For additional, free manuals, contact Ferno Customer Relations
or your Ferno distributor (page 2).
Figure 1 - Restraints (Set of Three)
Two-Piece Restraint (2)
Harness Restraint (1)
WARNING
Attaching improper items to the cot can cause injury. Use
only Ferno-approved items on the cot.

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Important
Before installing the safety hook, consult the
ambulance manufacturer about possible interference
with wiring and other elements under the ambulance
oor, and about the ambulance warranty.
Setup and Installation
4.4 Install the Safety Hook
Note:If your ambulance service uses only the Stat Trac®
Fastening System, skip the rest of Section 4.
The safety hook (Figure 2) provided with the cot must be
installed on the ambulance oor. The safety hook is used with
the Ferno®Model 175 Cot Fastener.
The safety hook catches the cot safety bar (Figure 3) to ensure
that the cot remains secure inside the ambulance while the
operators raise or lower the undercarriage during loading or
unloading.
Installing the safety hook requires the skills of a mechanic
familiar with ambulance construction.
Before installing the safety hook, consult the ambulance
manufacturer regarding:
● the location of wiring, oxygen or fuel lines, and other
elements under the ambulance oor
● the ambulance warranty.
HARDWARE REQUIRED NOT SUPPLIED
2 1/4-20 Socket-head cap screws
2 Flat washers
2 Lock washers
2 1/4-20 Nuts
● The socket-head cap screws must be long enough to pass
through the safety hook, patient compartment oor, both
washers, and still have at least two full threads extending
past the nut.
● The hardware should be of at least SAE Grade 5 or higher,
with UNC-2 threading (or equivalent), and a corrosion-
reisistant coating.
Safety Hook
Figure 3 - Engaging the Safety Hook
Safety Bar
Figure 2 - Safety Hook (One Shipped with Cot)
Hook
Front Edge
4-Inch Safety Hook (Standard)
2.5-Inch Safety Hook (Optional)
Hook
Front Edge
WARNING
Failure to use the safety hook can cause injury. Install and
use the safety hook as described in this manual.

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Figure 4 - Safety Hook Placement
Setup and Installation
INSTALLING THE SAFETY HOOK
1. Mark the position of the safety hook on the oor.
2. Drill holes for the screws and attach the safety hook to
the oor (Figure 5).
3. To test the hook, load and unload the cot. Verify that
there is no interference with folding or unfolding the
legs.
PROPER SAFETY HOOK PLACEMENT
Position the safety hook as close to the rear of the ambulance as
possible, within the limits below:
● The bumper or extended folding bumper must not exceed
14 inches (356 mm).
● Position the safety hook with the hook facing the front of
the ambulance.
● Position the safety hook at least 11 inches (279 mm)
from both sides of the door frame (Figure 4) so the cot
safety bar will engage the hook when the cot is loaded
or unloaded.
● Position the safety hook no more than
19-7/8 inches (505 mm) from the front edge of the hook
to the rear of the ambulance, including the bumper and
folding bumper step in the extended (open) position.
Important
If the safety hook is installed too far inside the
ambulance, you will not be able to properly fold or
unfold the cot undercarriage when it is secured by the
hook. Measure and install the safety hook as instructed
in this manual.
19-7/8" (505 mm)
Maximum
Figure 5 - Installing the Safety Hook
Socket-Head Cap Screw
Hook
Front Edge
Flat Washer
Lock Washer
Nut
Ambulance Rear Ambulance Front
11" (279 mm)
11" (279 mm)

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5  USING THE FEATURES
5.1 Lift-First Control Handles
● Purpose: An operator uses one of the Lift-First control handles
to disengage the locking mechanism and raise or lower the cot.
● Location: There are three Lift-First control handles: an upper and
a lower control handle at the cot foot end (Figure 6), and a side
control handle at the patient’s right side of the cot (Figure 7).
● Use: Any one of the control handles may be used to disengage
the undercarriage lock.
○A “Lift-First” style control handle requires the operators
to lift the weight of the cot, patient and accessories off the
locking mechanism before pulling the control handle.
○To lift the cot evenly, the two trained operators must stand
opposite one another. If using a foot-end control handle,
position the assisting operator at the cot head end. If using
the side control handle, position the assisting operator at the
opposite side of the cot.
○Use the control handle that is best for the lifting situation.
For example, the lower control handle gives a short operator
better leverage for lifting.
○After the position change, both operators continue to
support the weight of the cot, patient and accessories
while the operator releases the control handle to allow the
undercarriage to lock. Both operators verify that the cot has
locked at the new position before relaxing their grasp on the
main frame.
Figure 6 - Foot-end Control Handles
Using the Lift-First Control Handle
1. All Operators/Helpers: In a movement coordinated between
the operators and any helpers, lift the cot to take the weight
off the locking mechanism.
2. Control Operator: While continuing to hold the weight of
the cot, open the control-handle hand and pull the control
handle to unlock the cot’s locking mechanism.
3. All Operators/Helpers: Raise or lower the cot to the desired
height.
4. Control Operator: Release the control handle when the cot
is near the desired height.
5. All Operators/Helpers: Continue to raise or lower the cot
until the lock engages.
6. All Operators/Helpers: Before relaxing your grasp on the
cot main frame, verify that the cot has locked at the new
position.
Using the Features
Figure 7 - Side Control Handle

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5.2 Ergonomic Lifting Positions
● Purpose: Both operators choose the best position
for lifting and lowering the cot.
● Use: Always grasp the cot with both hands, using an
underhand (palms up) grip. For complete instructions,
see Raising and Lowering the Cot, page 19.
Foot-end Operator: Select either the upper or
lower lifting frame (Figure 8)
Head-end Operator:
○Models 35A and 35A+ Only: Grasp the drop
frame or the safety bar (Figure 8)
○Models 35A-ST, 35A+ST Only: Grasp the
drop frame (main frame)
5.3 Fastener Release Controls
● Purpose: The fastener release control lever
(Models 35A, 35A+) or fastener release control
handle (Models 35A-ST, 35A+ST) allows the cot
to be released from the cot fastener when unloading
the cot from an ambulance.
● Location: The lever or handle is located near the
cot loading wheels.
● Use: Before using the control lever or handle,
verify that the undercarriage is locked, then release
the cot from the fastener as follows:
○Models 35A, 35A+: Release the cot from
the safety hook by turning the lever counter-
clockwise (Figure 9).
○Models 35A-ST, 35A+ST: Release the cot
from the Stat Trac®safety stop by squeezing
the release handle (Figure 10).
Figure 10 - Release Handle
(Stat Trac® Fastener)
Figure 9 - Release Lever
(Model 175 Fastener)
Using the Features
Figure 8 - Short Operators Grasping the
Lower Lift Frame and Safety Bar

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14
5.4 Two-Position Drop Frame
● Purpose: In the extended position, the two-position drop
frame (Figure 11) is used for raising, lowering, loading,
and unloading the cot. In the lowered position, it is used
to shorten the cot where space is limited, such as in an
elevator or narrow hallway. The frame is unlocked in the
lowered position and is not usable for lifting.
● Use: To lower the drop frame:
1. Place the cot in Position 5 or Position 6.
2. Unfasten or loosen the harness restraint and raise the
backrest.
3. Grasp the hinge sleeves on the drop frame and slide
them toward the head end of the cot to expose the
hinges (Figure 11).
4. Push the drop frame down.
5. Fasten and/or adjust the harness restraint.
To extend the drop frame, raise the frame until the hinge sleeves
automatically snap over and lock the hinges.
5.5 Backrest
● Purpose: The backrest allows the patient’s torso to
be elevated for comfort or for medical necessity. The
backrest can be adjusted between 0° and 75°.
● Before Use:
○Loosen or unbuckle the harness restraint.
○Support the weight of the backrest and patient.
● Use: Press the red control handle toward the backrest frame
to unlock the backrest (Figure 12), then raise or lower the
backrest to the desired position. Release the control handle
to lock the backrest at the new position.
○The backrest is under pressure to ease raising
and lowering. When a heavy patient is on the cot,
support the patient’s weight before adjusting the
backrest. When a light patient is on the cot, control
the upward movement of the backrest so it does not
move too quickly.
● After Use: Buckle and/or adjust the harness restraint.
Using the Features
Figure 12 - Adjusting the Backrest
Control
Handle
Figure 11 - Lowering the Drop Frame
Pull Hinge Sleeves Toward
End of Drop Frame

© Ferno-Washington, Inc. / 234-3451-03 / September 2016 15
Using the Features
5.6 Shock Frame
● Purpose: The shock frame allows the operator to elevate
the patient’s legs to treat shock or for patient comfort.
● Use:
○Before Use: Loosen or unbuckle the leg restraint.
○To raise, stand at the foot end of the cot. Use both
hands to lift the shock frame until it locks in the
raised position.
○To lower, stand at the foot end of the cot. Lift the
shock frame slightly to support the weight, then
press the two thumb levers (Figure 13) and lower
the shock frame.
○After Use: Buckle and/or adjust the leg restraint.
5.7 Sidearms
● Purpose: Sidearms provide patient security and comfort.
Keep the sidearms raised except when transferring a
patient to or from the cot.
● Use:
○To lower, squeeze the sidearm release handle (Figure
14) and lower the sidearm.
○To raise, lift the sidearm until it locks. You do not
need to use the release handle.
Important
Do not use the sidearms to lift the cot. Sidearms are
not designed for lifting. Lift the cot only by grasping
the main frame.
Figure 13 - Lowering the Shock Frame
1 - Lift Slightly
2 - Press Thumb
Tabs
Figure 14 -
Sidearm Release
Handle

© Ferno-Washington, Inc. / 234-3451-03 / September 2016
16
5.8 Lead Handle
● Purpose: The lead handle allows the foot-end operator to
pull the cot when it is in a rolling position.
● Use: Raise the lead handle for use; lower it when not in
use (Figure 15).
○Use the lead handle only when the cot is on a smooth,
level surface. When rolling the cot on an incline or
rough terrain, grasp the main frame of the cot with
both hands.
Figure 15 - Lead Handle
5.9 Wheel Locks (Optional)
● Purpose: The wheel locks help keep the cot stationary
during patient transfer and certain medical procedures.
When engaged, the wheel lock stops wheel rotation.
● Location: On equipped cots, the wheel locks are located
at opposite corners of the cot where they are accessible to
the operator’s right foot.
● Use (Figure 16):
○To engage: The trailing end of the lock lever is
marked with the word “ON”; press this end of the
lever to engage the lock.
○To disengage: The shank-end of the lever is marked
with the word “OFF”. Press this end of the lever to
disengage the wheel lock.
○Wheel locks are NOT brakes. Engage the wheel
locks only when the cot is stationary. Stay with the
cot and maintain control of it at all times. Do not
leave the patient unattended.
Using the Features
Figure 16 - Wheel With Wheel Lock
Shank End:
“OFF” or
Disengage
Trailing End:
“ON” or
Engage
Wheel Shank

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5.10 Oxygen Cylinder Holder
(Models 35A+, 35A+ST Only)
● Purpose: The oxygen cylinder holder secures a “D”-
size or “Jumbo D”-size portable oxygen cylinder (up to
5.3" (135 mm) diameter by 18.75" (476 mm) length. It
is also compatible with Spiracle Technology’s “DD-Lite”
oxygen cylinder.
● Location: On equipped cots, the oxygen cylinder holder
is attached to the foot end of the shock frame (Figure 17).
● Use:
1. Unfasten the straps and center the cylinder on the
holder.
2. Wrap the straps around the cylinder and thread the
straps through the D-rings.
3. Cinch the straps tight, then press the hook-and-loop
fastener straps together (Figure 17). Figure 17 - Oxygen Cylinder Holder
5.11 Storage Tray
(Models 35A+, 35A+ST Only)
● Purpose: The storage tray can hold items while the cot
is being rolled. Remove items before lowering or folding
the cot and before loading the cot into an ambulance.
Include the weight of items placed on the tray as part of
the total load on the cot.
● Location: On equipped cots, the tray is located between
the four transport wheels inside the cot undercarriage
(Figure 18).
Figure 18 - Storage Tray
Important
Items on the tray can interfere with folding the
undercarriage. Empty the tray before lowering, folding,
or loading the cot.
Using the Features

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18
6  USING THE COT
6.1 Before Placing the Cot in Service
● Personnel who will work with the cot need to read this
manual.
● Set up the cot, following the instructions in Setup and
Installation, pages 9-11.
● Conrm that the cot operates properly. See Inspecting the
Cot, page 27.
● The vehicle must have a Ferno®cot fastener system
installed.
6.2 General Guidelines for Use
● Medical advice is beyond the parameters of this manual.
● It is the users’ responsibility to ensure safe practices for
the patient and themselves.
● A minimum of two trained operators is required.
● Follow standard emergency patient-handling procedures
when operating the cot.
● Operators work together and maintain control of the
cot at all times.
● Operators communicate with one another and use
coordinated movements to operate the cot.
● Lift only the weight you can safely handle. Use
additional help when working with heavy loads (patient
and equipment). For placement of helpers, see Using
Additional Help, page 25.
● Stay with the patient at all times.
● Always use patient restraints to secure the patient on the
cot.
6.3 Fully Engaging
the Locking Mechanism
False locking is a condition in which the locking mechanism
does not fully engage when a control handle is released. This
can occur after changing cot positions if the locking pin rests
exactly on the tip of a ratchet bar tooth, and can allow the cot to
lower to the next locking position when moved.
To ensure the locking mechanism fully engages after
changing positions, lift the cot until all the wheels are off
the ground. This allows the lock to fully engage if it has not
already done so.
Using the Cot
WARNING
Improper operation can cause injury. Operate the cot
only as described in this manual.
An unattended patient can be injured. Stay with the
patient at all times.
An unrestrained patient can fall o the cot and be injured.
Use restraints to secure the patient on the cot.
Rolling the cot sideways or in a loading position can cause
the cot to tip and injure the patient or operators. Roll the
cot only in a level (rolling) position and with the head-end
or foot-end rst.
False locking can cause injury. After changing positions,
lift the cot until all the wheels are o the ground. This
allows the lock to engage if it has not already done so.
Load Capacity
(Safe Working Load in
pounds, kilograms, stone)
500 lb
227 kg
35.7 st
Operation Requires
Two Trained Operators
Read the Users’Manual

© Ferno-Washington, Inc. / 234-3451-03 / September 2016 19
6.4 Raising and Lowering the Cot
Changing cot positions with a patient on the cot requires a
minimum of two trained operators working together.
PREPARING TO RAISE OR LOWER THE COT
1. Both Operators: If the cot is equipped with a storage
tray, empty the tray before lowering or folding the cot.
2. Assisting Operator: Raise the drop frame to the extended
position if needed.
3. Both Operators: Stand at opposite ends or sides of the
cot (Figure 19 or Figure 20).
4. Both Operators: Select the lifting position that
provides the best leverage. Use an underhand grip to
grasp the cot frame (or safety bar, see Ergonomic Lifting
Positions, page 13).
5. Foot-End or Side-Control Operator: Position your
hand to use the control handle.
Important
Operators should expect and be prepared to control
the normal downward movement of the cot which
occurs when a control handle is squeezed.
RAISING OR LOWERING THE COT
1. Both Operators: Lift the cot slightly to take the weight
off the locking mechanism.
2. Both Operators: As the control operator squeezes and
holds the control handle, both operators raise or lower
the cot. If the control handle is difcult to squeeze, both
operators lift the cot a little higher to free the locking
mechanism.
3. Control Operator: Release the control handle when the
cot is near the desired height.
4. Both Operators: Together, lift the cot until all four
transport wheels are off the ground. This ensures the
undercarriage lock engages if it has not already done so.
5. Both Operators: Set the cot onto the oor or ground. Do
not release your grasp until you are sure the undercarriage
is locked at the new position.
Using the Cot
Figure 19 - Raising or Lowering the Cot
Figure 20 - Raising or Lowering the Cot
Important
Extend the drop frame before adjusting the height of
the cot.

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Using the Cot
Two-Stage Raising or Lowering
To maintain proper lifting techniques, the operators may choose
to adjust the cot height in two stages (Figure 21). To do this:
1. Use one set of lifting positions to raise or lower the cot
partway.
2. Stop at a comfortable position and verify that the
undercarriage is locked.
3. Adjust your hands to new lifting positions:
○Assisting Operator: Move your hands from the drop
frame to the safety bar (if equipped) or vice-versa.
○Control Operator: Move your hands from the main
frame to the lower lift frame or vice-versa.
4. Raise or lower the cot to the desired nal position. Figure 21 - Raise or Lower the Cot Partway,
Then Adjust Your Grasp and Continue
6.5 Transferring the Patient to the Cot
To transfer a patient onto the cot:
1. Unfasten the restraints and arrange the straps so they will
not interfere with transferring the patient onto the cot.
2. Place the cot beside the patient and adjust it to the
patient’s level.
3. Engage the wheel locks (if equipped) and lower the
sidearms.
4. Transfer the patient onto the cot using approved EMS
procedures and following your local protocols.
5. Raise the sidearms. Adjust the backrest and shock frame
as needed.
6. Fasten and adjust the patient restraints (Figure 22).
7. Disengage the wheel locks if needed.
8. Before moving the cot or changing its position, make
sure sheets and other articles will not interfere with cot
operation.
Figure 22 - Securing the Patient
WARNING
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 cot lowering. Do not tuck sheets or place
other objects where they can interfere with, or become
entangled in, the locking mechanism.