Ferno RS5 User manual

Users’ Manual
RS5 stretcher
RS6 stretcher
November 2022
Pub.No. 50-8400-001_08
Ferno Slovakia s.r.o.
913 07 Bosaca 893 Slovak Republic
Tel: + 421 (0) 32 7708 010, [email protected]
Fax: + 421 (0) 32 7708 011

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RS5 and RS6 Stretcher
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Table of content
Disclaimer................................................................................................................................................ 4
Technical specification............................................................................................................................ 4
About the Stretcher................................................................................................................................ 5
Components............................................................................................................................................ 6
Symbol Glosary ....................................................................................................................................... 7
CE Compliance......................................................................................................................................... 7
1. Quick Set-Up Guide............................................................................................................................. 8
1.1 Patient Restraints ......................................................................................................................... 8
1.1.1 About the Patient Restraints................................................................................................. 8
1.1.2 Preparing the Shoulder Straps .............................................................................................. 8
1.1.3 Attaching the Torso Restraint ............................................................................................... 9
1.1.4 Attaching the Pelvis and Leg Restraints.............................................................................. 10
1.2 Backrest....................................................................................................................................... 11
1.2.1 Backrest Airway Management Frame (Optional)............................................................... 11
1.2.2 Headrest Extension (Optional) ...................................................................................... 12
1.3 Telescoping Handles ............................................................................................................ 12
1.4 Folding handles (RS5) .......................................................................................................... 13
1.5 Sidearms (RS5, RS6)............................................................................................................. 14
1.6 Chair Stretcher (RS5) ........................................................................................................... 15
1.6.1 Conversion lock ............................................................................................................ 15
1.6.2 Converting from stretcher to chair ................................................................................ 15
1.6.3 Converting from chair to stretcher................................................................................. 15
1.6.4 Folding handle .............................................................................................................. 16
1.7 Shock Frame ........................................................................................................................ 17
1.7.1 Raised shock position –RS5 a RS6 ................................................................................. 17
1.7.2 Contour shock position –RS6 ........................................................................................ 18
2. Using the Stretcher ................................................................................................................... 19
2.1 Before Placing the Stretcher in Service ................................................................................ 19
2.2 General Guidelines for Use .................................................................................................. 19
2.3 Attaching and Removing A Stretcher ................................................................................... 20
2.3.1 Attaching the stretcher ................................................................................................. 20
2.3.2 Removing the stretcher ................................................................................................ 21
2.4 Transferring the Patient ...................................................................................................... 21
2.4.1 Transfer to stretcher ..................................................................................................... 21

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2.4.2 Transfer to transporter ................................................................................................. 22
2.5 Operator Skills and Training ................................................................................................ 22
2.5.1 Height and Strength Considerations ............................................................................. 22
2.6 Using Additional Help ......................................................................................................... 23
3. Maintenance ............................................................................................................................ 24
3.1 Maintenance Schedule ....................................................................................................... 24
3.2 Disinfecting and Cleaning the Restraints ............................................................................. 24
3.3 Disinfecting and Cleaning the Mattress ............................................................................... 25
3.4 Disinfecting the Stretcher ................................................................................................... 25
3.5 Cleaning the Stretcher ........................................................................................................ 25
3.6 Waxing the Stretcher .......................................................................................................... 25
3.7 Inspecting the Stretcher ...................................................................................................... 25
3.8 Inspection checklist ............................................................................................................. 25
3.9 Lubricating the Stretcher ..................................................................................................... 26
4. Parts and Services ..................................................................................................................... 26

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Disclaimer
This manual contains general instructions for the use, operation and care of this stretcher. The
instructions are not all-inclusive. Safe and proper use of this stretcher 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. It is recommended that training on
the proper use of this chair be provided before using this stretcher in an actual situation. Retain this
manual for future reference. Include it with the stretcher in the event of transfer to new users. Additional
free copies are available upon request from FERNO Manufacturing.
Stretcher Transporter
Technical specification
Wheels
RS5/RS6
Dia
100 mm
RS5/RS6
Width
19 mm
Height
RS5
Bed Height
160 mm
Chair Height
1390 mm
Seat Height
500 mm
Chair Depth
720 mm
Seat Depth
410 mm
RS6
Height
160 mm
Length
RS5
Length
1940 mm
RS6
Length
1950 mm
RS5/RS6
Width
555 mm
Weight
RS5
Weight
23 kg
RS6
Weight
22 kg
RS5/RS6
Load limit
250 kg
TIP: Regular cleaning helps reduce
the risk of transmitting disease and
enables the equipment to function
at its optimum
Untrained operators can cause injury or be
injured. Permit only trained personnel to
operate the stretcher.
Improper use of the stretcher can cause injury.
Use thestretcher only for the purpose described
in this manual.
Improper operation can cause injury. Operate
the stretcher only as described in this manual.
An unattended patient can be injured. Stay with
the patient at all times.
An unrestrained patient can fall off the stretcher
and be injured. Use restraints to secure the
patient on the stretcher.
An improperly-secured stretcher can separate
from the transporter and cause injury. Attach
the stretcher securely and verify that the slam
latches have locked.
Helpers can cause injury. Maintain control of the
stretcher,operate the controls, and direct all
helpers.
Helpers can be injured. Show helpers where to
grasp the stretcher to avoid pinch points.
Improper maintenance can cause injury.
Maintain the stretcher only as described in this
manual.
Improper parts and service can cause injury. Use
only Ferno parts and Ferno-approved service on
the stretcher.
Modifying the stretcher can cause injury and
damage. Use the stretcher only as designed by
Ferno.
Attaching improper items to the stretcher can
cause injury. Use only Ferno-approved items on
the stretcher.
551 lb
250 kg

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About the Stretcher
The Models RS5 and RS6 are emergency patient-handling devices. Each stretcher in the series is for
professional use by a minimum of two trained operators. The stretcher can be carried by the operators
or attached to a compatible transporter for wheeled transport.
In this manual, the generic term “stretcher” is used when the feature is shared by all models in the series.
The individual stretcher name is used when features differ. The stretchers are part of a three-component
patient handling system when matched with a compatible transporter and ambulance-mounted fastener.
Compatible transporters
●Ferno® Mondial® ST64 Transporter
●Ferno® Mondial® ST70 Transporter
Compatible fasteners
●See the Transporter users’ manual
Stretcher Features
●Compatible with the Mondial® Transporter
●Anodized tubing prevents oxidation for clean hands and clothing
●Infinitely-adjustable gas-assist backrest, adjusts up to 90°
●2 Wheels 100mm/4in. (RS5), 4 Wheels 100mm/4in. (RS6)
●2 Folding handles + 2 Telescoping handles (RS5), 4 Telescoping handles (RS6)
●2 Folding handles (foot of stretcher) (RS5)
●Reversible patient loading: head first or feet first
●Pivoting footrest is standard
●Features contour shock position (RS5), Features raised or contour shock position (RS6)
●Swing-down sidearms (RS5, RS6)
Included with purchase
●Users’ manual
Accessories
●Headrest Extension
●Backrest Airway Management Frame
●Set of three patient restraints: one harness torso restraint and two, one-piece belt restraints
●PackRack (RS5)
●Mattress –thickness 50 mm (RS5), 90 mm (RS6)
●IV Pole
Material
●Construction: tabular aluminum
●Bed Surface: aluminum panels

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Components

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Symbol Glosary
The symbols defined below are used on the stretcher 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.
General warning of
Pinch Point
Read the
Operation requires
Potential injury
Keep Hands Clear
Users` Manual
Two trained operators
Do not lubricate Lubricate Locked Unlocked
Stretcher meets Load Limit
Europian Union
Standards
CE Compliance
Medical device directive
Ferno products meet the requirements of Medical Device Directive
MDR745/2017 as established by the European Union.
The RS5 and RS6 stretchers, when used with a Ferno® transporter plus a Ferno®
fastener meet European Harmonized Standards.
Mondial® series products were independently
tested by TÜV Rheinland, Germany, and certified
compliant with EN 1865, governing patient
transport equipment, and EN 1789,
governing road ambulances.
551 lb
250 kg

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1. Quick Set-Up Guide
1.1 Patient Restraints
1.1.1 About the Patient Restraints
A set of three patient restraints is supplied: a harness
torso restraint for use at the patient’s shoulders and chest;
a 2134 mm (7-foot), one-piece restraint for use at the
patient’s pelvis; and a 1524 mm (5-foot), one-piece
restraint for use with the patient’s upper or lower legs.
Use all three restraints to secure the patient on the
stretcher. Adjust restraints to safely secure the patient
without causing discomfort or impairing circulation.
Position restraints so they will cross bony structures of
the body, such as the ribs, pelvis, and upper- or lowerleg
bones.
Keep restraints fastened when not in use to prevent them
from interfering with stretcher or transporter operation. Patient restraints
For complete usage and maintenance information, see the restraint users’ manuals (provided).
1.1.2 Preparing the Shoulder Straps
1. Raise the backrest.
2. Use a flat-blade screwdriver to pry the plastic covers off the two shoulder strap link sliders.
Removing the plastic cover

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1.1.3 Attaching the Torso Restraint
Attaching the shoulder straps
Note: When attaching shoulder straps, verify that the links will be
touching (facing the center of the backrest) when attached.
1. Wrap the looped end of a strap around the stretcher main-frame
crosstube, located at the bottom of the backrest.
2. Slide the link through the loop and pull the strap through the
loop until the strap is tight around the crosstube.
3. Route the link end of the strap over the backrest control
crosstube and through the backrest. Verify that the strap will not
interfere with the function of the backrest control handle.
4. Press the plastic cover onto the slider.
5. Repeat Steps 1-4 to attach the other shoulder strap.
Insert Link-End Through Loop
Insert link Through Backrest
Link On Patient Surface-Side of
Press Cover Onto Link-Strap
(Over Crosstube)
Backrest
Slider

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Attaching the chest straps
1. There are two pairs of restraint slots on the
backrest frame. Select either the upper or lower
pair of slots; attach the chest straps only to a
matched set of slots.
2. Wrap the looped end of a chest strap around the
backrest frame.
3. Slide the tang end (or buckle end) of the strap
through the loop and pull the strap through the
loop until the strap is tight around the backrest
frame.
4. Repeat Steps 2 and 3 to attach the other half of
the chest strap to a matching slot on the opposite
side of the backrest frame. Attaching the Chest Strap Slots
1.1.4 Attaching the Pelvis and Leg Restraints
Attaching the Pelvis Restraint:
Lay the 2134 mm (7-foot) restraint for the pelvis
across the top surface of the seat panel and wrap
the ends of the restraint around the main frame.
Attaching the leg Restraint:
●Follow your local protocols to select the
appropriate restraint position using the pair of
slots in either the upper or lower shock frame
panel. Pelvis Restraint Properly Attached
●Feed the tang of the 1524 mm (5-foot) restraint
upward through one slot in the shock frame panel,
across the top surface of the panel, and through
the opposite slot.
●Wrap the restraint around the patient surface
only. Do not wrap this restraint around the
stretcher main frame.
●Verify that the restraint placement does not
interfere with using the shock frame.
Leg-Restraint Slots

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1.2 Backrest
●Purpose: The backrest allows the operator to elevate
the patient’s torso for patient comfort or medical
necessity.
●Before Use:
○Loosen or unbuckle the torso restraint.
○Support the weight of the backrest and patient.
●Use: The black backrest-control lever is located on the
rear side of the backrest. Press and hold the control lever
to unlock the backrest, then raise or lower the backrest to the desired
position. Release the control lever to lock the backrest into the new
position.
○The gas spring is under pressure to ease raising and lowering.
When a heavy patient is on the stretcher, support the patient’s weight
before adjusting the backrest. When a light patient is on the stretcher,
control the upward movement of the backrest so it does not move too
quickly.
●After Use: Buckle and adjust the torso restraint.
1.2.1 Backrest Airway Management Frame (Optional)
●Purpose: The airway management frame allows the head
section of the backrest to be adjusted between three locking
positions to allow trained medical personnel to access and
work with the patient`s airway.
●Use: To adjust the frame, pull the release bar and rotate
the frame to the new position. Let go of the bar to allow the
frame to lock.
Airway Management Control Handle
Position of Airway Management
Release Bar

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1.2.2 Headrest Extension (Optional)
●Purpose: This accessory allows the backrest to be extended and locked into positions up to 18 cm
accommodating even the tallest patient.
●Use: Pull the locking pin, extend the backrest and lock.
1.3 Telescoping Handles
●Purpose: A pair of telescoping handles are located at one
end (RS5) or at each end (RS6) of the stretcher. The operators
must extend the handles to lift and carry the stretcher. The
handles lock into three positions:
○Fully retracted
○Middle (about 125 mm)
○Fully extended (about 255 mm)
Lift Handle Positions

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●Use: To change the handle position, hold the handle and pull the red realease lever. Then push or pull
the handle to the desired position. Release the lever and pull or push the handle until it locks. Use the
telescoping handles only when they are in a locked position.
Telescoping Handle Release Lever
1.4 Folding handles (RS5)
Purpose: A pair of folding handles is located at one end of the stretcher. The operators must fold out
the handles for lifting and carrying the stretcher.
Use: To change the folding handle position, pull the handles out and rotate them 90°. Use the folding
handles only when they are in a locked position. Do not use the folding handles when removing the
stretcher from the transporter.
Folding handles are closed. For the open pull the handles. Folding handles are open
Push the red button lever to fold close the handles
WARNING
Do not use the folding handles when
removing the stretcher from the transporter.
WARNING
Use the folding handles only when they are
in a locked position.

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1.5 Sidearms (RS5, RS6)
●Purpose: Sidearms provide the patient security and
comfort. Keep the sidearms raised except during patient
transfer.
Sidearms open (raised)
Use:
●to lower, while holding the side arm, depress the red lever
and lower the side arm in the direction of the patient`s feet.
●to raise, lift the sidearm until it locks. You do not need to
use the lever when raising the sidearm.
Closing the sidearm
Sidearm closed

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1.6 Chair Stretcher (RS5)
1.6.1 Conversion lock
The conversion lock is on both patient`s side of the stretcher chair between the sidearm and the foot end.
It controls the function of converting the stretcher to chair and vice versa.
Disengage the lock to convert the stretcher to a chair, to convert the chair to a stretcher, or to place the
leg section in a shock position.
To disengage, turn the lock parallel with the main frame. To engage, turn lock perpendidular to the main
frame.
Pull the conversion lock down Rotate the conversion lock 90°
1.6.2 Converting from stretcher to chair
1. Unfasten or loosen the hip and leg restraints.
2. Disengage the conversion lock (pull down and rotate).
3. Lift the shock frame strap and raise the shock frame upward until the
telescoping leg section moves into the chair position.
4. Engage the conversion lock. Verify that the conversion lock has
locked securely.
5. Fasten and adjust the restraints.
6. Set the stretcher chair upright onto its foot-end wheels and shock
frame.
Lifting the shock frame Stretcher Chair as a Chair
1.6.3 Converting from chair to stretcher
1. Unfasten or loosen the hip and leg restraints
2. Lay the stretcher chair on its four wheels.
3. Disengage the conversion lock.
4. Pull the shock frame down as you fully extend the telescoping leg section.
5. Engage the conversion lock.
6. Fasten and adjust the restraints.

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1.6.4 Folding handles
Purpose: it is used for maneurvering the chair
To open:
1. Pull down on the rotable folding
handle.
2. Fold the handle up 90°.
3. Push the handle toward the chair until it
locks.
Pull the handle and rotate it down 90°
Push the handle toward the chair
To close:
1. Hold the handle in the open position
and pull it away from the chair.
2. Fold the handle down 90°.
3. Pull the handle up into the locked
position.
Pull the handle away from the chair
Rotate the handle 90° up and press
IMPORTANT
Verify, that the folding handle is properly
locked in open position.

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1.7 Shock Frame
In addition to the flat position, the shock frame adjusts to two raised positions:
●Raised shock (Modified Trendelenburg position) –RS5 and RS6
●Contour shock (Fowler’s position) –RS6
Follow your local medical protocols when deciding which position to use. Use an underhand grip (palms
up) to support the shock frame while raising or lowering it.
1.7.1 Raised shock position –RS5 a RS6
1.7.1.1 Raised shock position –RS5
Use the raised or Trendelenburg shock position to elevate the patient’s legs.
To raise the shock frame:
1. Unfasten or loosen the leg and pelvis restraints.
2. Disengage the conversion lock (pull down and rotate). See section 1.6.1 Conversion lock.
3. Lift the shock frame up with the strap.
4. Slide the foot end of the shock frame up until the frame locks in the raised position.
5. Fasten and adjust the restraints.
To lower the shock frame:
1. Unfasten or loosen the leg and pelvis restraints.
2. Disengage the conversion lock (pull down and rotate). See section 1.6.1 Conversion lock.
3. Lower the shock frame into the horizontal position.
4. Once fully lowered, the frame will automatically lock into postion. Verify that the conversion lock
has locked securely.
5. Fasten and adjust the restraints.
Raising the shock frame
Raised shock position

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1.7.1.2 Raised shock position –RS6
Use the raised or Trendelenburg shock position to elevate
the patient’s legs.
To raise the shock frame:
1. Unfasten or loosen the leg restraint.
2. From the foot end of the stretcher, lift the shock frame
from the center until it locks in the raised position. The
support bars will engage automatically.
3. Fasten and adjust the leg restraint.
To lower the shock frame:
1. Unfasten or loosen the leg restraint.
2. From the foot end of the stretcher, support the weight of
the shock frame with both hands and lift slightly.
3. With your thumbs, press the shock frame control levers
to disengage the support bars, then lower the shock frame.
4. Fasten and adjust the leg restraint.
Raised Shock Position –RS6
1.7.2 Contour shock position –RS6 Lowering the Shock Frame –RS6
Use the contour or Fowler`s shock position to elevate the
patient`s knees higher than the feet.
To raise the shock frame:
1. Unfasten or loosen the leg and pelvis restraints.
2. Grasp the lifting strap with one hand and the foot end of
the shock frame with your other hand.
3. Lift the shock frame with the lifting strap while sliding the
foot end of the shock frame toward the head end of the
stretcher until the frame locks in the contour position. Do not hold orlift this tube (pinch point)
4. Fasten and adjust the restraints.
To lower the shock frame:
1. Unfasten or loosen the leg and pelvis restraints.
2. Use the lifting strap to lift the shock frame slightly.
3. With your thumb, press the shock frame control lever to
disengage the support bars, then lower the shock frame.
4. Fasten and adjust the restraints.
Lowering from the Contour Position Contour Shock Frame Position
WARNING
When raising the frame to the Raised Shock
Position use the center bar. Raising it with the
corner bars could result in injury.

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2. Using the Stretcher
2.1 Before Placing the Stretcher in Service
●Personnel who will work with the stretcher need to read
this manual and the users’ manual for the transporter to be
used with the stretcher.
●Set up the stretcher, following the instructions in the
section 1.1 Patient Restraints, page 8.
●Confirm that the stretcher operates properly.
●The vehicle must have a Ferno® fastener system installed.
2.2 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.
●Operators work together and maintain control of the
stretcher at all times.
●Follow standard emergency patient-handling procedures
when using the stretcher.
●Operators communicate with one another and use coordinated movements to operate the stretcher.
●Lift only the weight you can safely handle. Use additional help when working with heavy loads
(patient and equipment). For placement of helpers, see 2.6 Using Additional Help, page 23.
●Stay with the patient at all times.
●Always use patient restraints to secure the patient on the stretcher.
Note:The transporter is designed to carry the maximum load of a stretcher plus the weight of the
stretcher. Do not exceed the stretcher load limit.

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2.3 Attaching and Removing A
Stretcher
The stretcher can be locked onto a transporter
with the patient’s head at either end of the
transporter. A stretcher locks onto the
transporter when the strike pins on the bottom
of the stretcher engage the transporter slam
latches.
Note: Mondial® stretchers are compatible
only with Ferno®Mondial® series
transporters.
2.3.1 Attaching the stretcher
Slam Latches on Transporter
1. Lock the transporter wheel locks to help hold
the transporter stationary.
2. Both Operators: Lift the stretcher and
position the stretcher slightly toward the control
end of the transporter. Use additional help as
needed to control the load (see 2.6 Using
Additional Help, page 23).
3. Both Operators: Align the stretcher glides
with the transporter main frame and set the
stretcher on the transporter main frame.
4. Both Operators: Roll the stretcher toward Attaching the Stretcher
the loading end of the transporter until the
stretcher strike pins fully engage in the transporter slam latches.
Note:On flat, level floors or ground, the
Loading-End Operator may grasp the
transporter main frame and hold it steady as
the Control Operator slides the stretcher into
the slam latches.
5. Control-End Operator: Verify that the
stretcher is locked by attempting to pull it
toward the control end of the transporter. If the
locks have engaged, the stretcher will remain
fixed on the transporter. If the locks have not
engaged, repeat Steps 2-4. Stretcher-Release Handle
6. Control-End Operator: Release the
transporter wheel locks before rolling the
transporter.