Ferno CCT-PX User manual

Users’ Manual
FERNO/MAN/1121/226-R3/UK
Stock Code 2003-0158
Read this Manual and Retain for Future Reference
* Photo showing CCT-PX congured with various available options
Ferno CCT-PX
Critical Care Trolley

FERNO/MAN/1121/226-R3/UK
2
USER MANUALS
To request additional user manuals, contact
Ferno Service Department, your Ferno
distributor, or visit www.ferno.co.uk.
Ferno UK Customer Services
Customer Service and product support are important
aspects of each Ferno product. Please have the product serial
number available when calling, and include it in all written
communications.
Manufactured by Ferno (UK) Ltd, Ferno House, Stubs Beck Lane,
Cleckheaton, West Yorkshire, BD19 4TZ
Telephone - Main Reception [phone]
Telephone - Sales Department [phone]
Telephone - Service Department [phone]
Email - Sales [e-mail]
Email - Service [email protected].uk
Web www.ferno.co.uk
ALL OTHER LOCATIONS
For assistance or information, please contact your Ferno
distributor. If you do not have a Ferno distributor, please contact
your nearest Ferno Customer Services oce.
USA HEADQUARTERS
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
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
UK, Stubs Beck Lane, Cleckheaton, West Yorkshire, BD19 4TZ.
Ferno UK reserves all intellectual property rights, proprietary
design rights, manufacturing rights, regarding production 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
on [phone] or [phone]
SERIAL Number ____________________
CCT-PX trolley serial number is marked on the manufacturer's
plate, which includes the SWL, date of manufacture and CE
mark. The manufacturer's plate is located on the lower frame of
the trolley, below the backrest at the head-end.
FERNO S.r.l.
via B. Zallone, n. 26, 40066
Pieve di Cento, Bologna, Italy
+39.051.6860028

FERNO/MAN/1121/226-R3/UK 3
TABLE OF CONTENTS
1 - Safety Information _______________________________ 4
1.1 Warnings ___________________________________ 4
1.2 Dangers ____________________________________ 4
1.3 Important Notices____________________________ 4
1.4 Cautions ___________________________________ 4
1.5 Trolley and Lock Compatibility__________________ 4
1.6 Safety and Instruction Labels ___________________ 5
1.7 Symbol Glossary _____________________________ 5
2 - Operator Skills and Training _______________________ 6
2.1 Skills_______________________________________ 6
2.2 Training ____________________________________ 6
3 - About CCT-PX Critical Care Trolley __________________ 7
3.1 Specication & Features _______________________ 7
4 - CCT-PX Trolley Features ___________________________ 8
4.1 Attachment of Equipment & Medical Devices______ 8
4.2 Pole-Clamp Vertical Poles______________________ 8
4.3 E Size Cylinder Holders ________________________ 8
4.4 E Cylinder Holder with CD Adapter _____________8-9
4.5 CD Size Cylinder Holder (Option)________________ 9
4.6 Storage Cabinet (Option) ______________________ 9
4.7 Bump Wheels _______________________________ 9
4.8 OxyLog 3000 Bracket Arm (Option) _____________ 10
4.9 Specialist Mounting Bracket Options____________ 10
4.10 Power Sockets for Medical Devices _____________ 10
4.11 Trolley Siderail Interface ______________________ 10
4.12 3-Stage IV Pole (Option) ______________________ 11
4.13 Adjusting Height of IV Pole ___________________ 11
4.14 Balloon Pump xed platform __________________ 11
4.15 PacRac+ Equipment Table ____________________ 12
4.16 Attaching Equipment to PacRac+ ______________ 12
4.17 Specialist Mount Options for PacRac+___________ 13
4.18 Storage Pouch for PacRac (Option) _____________ 13
4.19 Lateral Transfer a patient with PacRac+ attached __ 13
5 - CCT-PX Operation _______________________________ 14
5.1 Adjustment of Backrest ______________________ 14
5.2 Adjustment of Leg Position ___________________ 14
5.3 Trendelenburg Position ______________________ 14
5.4 Knee Contour & Shock Position _______________ 14
5.5 Recumbent Position _________________________ 14
5.6 Adjustable Winged Headrest __________________ 15
5.7 Attachment/Detachment of Headrest___________ 15
5.8 AB-PR Mattress _____________________________ 15
5.9 Wheel Brake _______________________________ 16
5.10 Anti-Static Wheel ___________________________ 16
5.11 Directional Wheel Lock (Option) _______________ 16
5.12 Lateral-folding cotsides (option) _______________ 17
5.13 Surface eXtending (SX) Cotside (option) _________ 17
5.14 Lowering/Raising SX Cotsides _______________17-18
5.15 SX Cotside Positioning for Patient Lateral Transfer_ 18
5.16 SX Cotside Ratcheting Positions _______________ 19
5.17 Using SX Cotsides for Bariatric Transfers _________ 20
5.18 Positioning options of SX Cotsides _____________ 20
5.19 Sidepad for SX cotsides (Option) _______________ 20
5.20 Attachment of SX Cotsides ___________________ 20
Section Page
5 - CCT-PX Operation (cont....)
5.21 Head-end Storage Net (option) ________________ 21
5.22 Backrest Monitor Hook (option)________________ 21
5.23 Push Poles _________________________________ 22
5.24 Side-xing Manoeuvring Handles (option) _______ 22
5.25 Split Scoop extended patient surface kit_________ 23
5.26 Attaching Split Scoop extended surface kit ___ 23-26-
7 - Preparing to Transport a Patient __________________ 27
7.1 Transporting a Patient _______________________ 27
7.2 Transferring a Patient onto Trolley ______________ 27
7.3 Patient Harness and Straps____________________ 27
7.4 Prepare to Deploy Cross-Strap Harness __________ 27
7.5 Deploying Cross-Strap Harness ________________ 28
7.6 Unfastening Cross-Strap Harness_______________ 29
7.7 Cross-Strap Extension for Larger Patients (Option)_ 29
7.8 Attaching Child Harness (PediMate, NeoMate) ____ 30
7.9 Attaching 3rd party Child Harness (ACR etc.) ___31-32
7.10 Strap attachment points (Cross-Strap harness) ___ 32
7.11 Using BabyPod on CCT-PX ____________________ 32
8 - Preparing to Move the Trolley ____________________ 33
8.1 Manoeuvring the Trolley _____________________ 33
8.2 Winch Link Attachment _____________________ 33
8.3 Loading the Trolley into a Vehicle with Ramps ____ 33
8.4 Unloading a Trolley from a Vehicle with Ramps ___ 33
8.5 Loading the Trolley into a Vehicle with a Tail-lift ___ 33
8.6 Unloading a Trolley from a Vehicle with a Tail-lift__ 34
8.7 Fastening Trolley in a Vehicle __________________ 34
9 - Locking Devices ________________________________ 34
9.1 Vehicle Locking devices ______________________ 34
10 - Maintenance __________________________________ 35
10.1 Maintenance Schedule_______________________ 35
10.2 Cleaning the Trolley _________________________ 35
10.3 Disinfecting the Trolley_______________________ 35
10.4 Disinfecting the Mattress and Patient Harness ____ 35
10.5 Lubricating the Trolley _______________________ 36
11 - Parts and Service_______________________________ 36
11.1 UK Support________________________________ 36
11.2 Worldwide ________________________________ 36
12 - Accessories____________________________________ 36
12.1 Accessories ________________________________ 36
13 - Inspection ____________________________________ 37
13.1 Inspection checklist _________________________ 37
14 - Servicing _____________________________________ 39
14.1 Servicing schedule form______________________ 39

FERNO/MAN/1121/226-R3/UK
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1  SAFETY INFORMATION
1.1 - Warnings
Warning notices indicate a potentially hazardous situation which,
if not avoided, could result in injury or death.
WARNING
Improper use of the trolley can cause injury. Use the
trolley only for the purpose described in this manual.
Untrained operators can cause injury or be injured. Permit
only trained personnel to operate the trolley.
Improper operation can cause injury. Operate the trolley
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 trolley and be
injured. Use all harness straps to secure the patient on the
trolley.
Helpers can cause injury or be injured. Maintain control of
the trolley, operate the controls, and direct all helpers.
Improper maintenance can cause injury. Maintain the
trolley only as described in this manual.
Improper parts and service can cause injury. Use only
Ferno parts and Ferno-approved service on the trolley.
Modifying the trolley can cause injury and damage.
Use the trolley only as designed by Ferno.
Attaching improper items to the trolley can cause injury.
Use only Ferno-approved items on the trolley.
Bleach, phenols and iodine can cause damage. Do not apply
products containing these chemicals to the Trolley.
Improper lubricants can cause damage. Please refer to
service manual for instructions.
Trapping hazards are unavoidable in any design of Trolley
due to its folding action. Operate with care.
Safety Information
WARNING
Do NOT exceed the safe working load of the trolley
DANGER
Electric shock can cause death or serious injury.
INSTALL/USE/OPERATE/MAINTAIN the trolley only
as described in this manual.
1.2 - Dangers
Danger notices indicate an immediate hazardous situation which,
if not avoided, will result in injury or death.
1.5 - Trolley and Lock Compatibility
Combining dierent manufacturers’ products into a “mixed-
component” trolley/fastener system can increase the user’s risk
of injury and damage if not checked rst for compatibility.
However, Ferno trolleys are designed to be compatible with
either the Ferno range of Two-Part locking devices or competitors
equivalent locking devices, giving full compatibility and
interchangeability across your vehicle eet.
WARNING
To comply with EN 1789, the patient harness and leg
strap(s) MUST be used at all times to hold the patient
on the trolley and the trolley MUST be secured in the
vehicle with the 2-part locking device.
1.3 - Important Notices
Important notices emphasise important usage or maintenance
information. Failure to follow Important notices could result in
damage to the product or property damage. Example:.
1.4 - Cautions
WARNING
Blood-borne Disease Notice
To reduce the risk of exposure to blood borne diseases such
as HIV-1 and hepatitis when using the trolley, follow the
disinfecting and cleaning instructions in this manual.

FERNO/MAN/1121/226-R3/UK 5
1.6 - Safety and Instruction Labels
Safety and instruction labels place important information from
the user manual on the trolley.
Read and follow label instructions. Replace worn or damaged
labels immediately. New labels are available from your distributor.
1.7 - Symbol Glossary
The symbols dened below are used on the trolley and/or in this
user manual. Ferno uses symbols recognised by the International
Standards Organisation (ISO).
Pinch Point:
Keep Hands Clear
Product meets UK and EU Standards
Safety Information
Manufacturer's plate
Safety warning
Monitor hook weight limit
1  SAFETY INFORMATION

FERNO/MAN/1121/226-R3/UK
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2  OPERATOR SKILLS AND TRAINING
2.1 - Skills
Operators using CCT-PX trolley need:
● The strength, balance, coordination and common sense to
safely operate the trolley
● The ability to select the proper equipment and procedures
for the circumstances
● The ability to read, understand and follow the procedures
as described in this manual
● To have full training on the proper operation of the trolley
● To have a working knowledge of manual handling
procedures
2.2 - Training
Operator trainees need to:
● Have followed a training plan
● Read and understand the instructions in this manual
● Practice using the fully-equipped trolley with weight and
under simulated conditions
● Trainees should be tested to verify their understanding of
trolley operation
● Keep training records. Annual refresher training for all
trolley operators is recommended
Operator Skills and Training
WARNING
Untrained operators can cause injury or be injured.
Permit only trained personnel to operate the trolley.
WARNING
Improper use of the trolley can cause injury.
Use the trolley only for the purpose described in
this manual.
* Photo showing CCT-PX baseline conguration

FERNO/MAN/1121/226-R3/UK 7
3  ABOUT CCTPX CRITICAL CARE TROLLEY
About CCT-PX
3.1 - CCT-PX Specication & Features
The Ferno CCT-PX is a critical care trolley specically designed for
the transfer of critically ill patients, requiring a range of medical
devices and equipment to be transported with the patient to
monitor and clinically support to the patient throughout the
transfer.
The CCT-PX is designed such that all medical equipment is
securely xed to the trolley, ensuring the safety of the both patient
and medical sta when travelling in the ambulance.
For use on vehicles with a tail-lift or ramp, CCT-PX is compatible
with Ferno's range of in-vehicle 2-part lock systems, ensuring the
trolley is safely xed to the vehicle oor.
Each trolley is bespoke-designed and individually built according
to the specic equipment requirements that are required to be
transported.
A range of features and options are available on CCT-PX, allowing
the trolley to be congured to diering needs, all of which are
covered within this user manual.
CCT-PX baseline conguration, as shown on the previous page,
includes the following features as standard:
• Fixed frame lower frame body with 3 vertical xing poles on
trolley base for attachment of any medical device utilising a
pole-clamp attachment, such as syringe drivers.
• 2 E size cylinder holders as standard, with adapter to allow
CD cylinders also to be carried
• Olson 12-gang Power Distribution Unit
• Adjustable winged headrest, PR foam AB material
• Patient platform on trolley incorporating Anti-Bacterial
Pressure-Reducing (AB-PR) mattress, providing body
support and excellent infection control
• Flat mattress surface ensures unhindered patient lateral
transfers
• Utilising a clinically-developed anti-bacterial VELCRO® to x
mattress to trolley, making removal for cleaning easy
• Anti-bacterial moulded plastic parts & frame paint coating
• Black/Orange webbing 'Cross-strap' patient harness straps,
quick and easy to deploy
• Lateral-folding cotsides
• Easy-to-operate lift-assisted backrest and leg position
platform (Trendelenburg, Shock & Knee Contour)
• Wheel brakes on all 4 wheels, anti-static wheel on one
wheel
• Detachable push-poles at foot-end for manoeuvring of
trolley, with option of 2 additional push-poles at head-end
• Push-poles stored within trolley frame when not being
used, preventing loss or abuse
• Bump wheels at all 4 corners to minimise damage from
knocks and scrapes along hospital corridors
• MCF winch-link connection for assisted loading on ramps
Additional Options available:
• Anti-Bacterial, wipe-clean Biosafe 'Cross-strap" patient
harness instead of webbing harness
• 2 Push poles at head-end additional to the 2 at foot-end
• Surface eXtending (SX) ratcheting cotsides instead of
lateral-folding cotsides, giving extended-width patient
surface, load bearing when horizontal
• Split-Scoop Bariatric Extended Patient Surface kit
• Detachable 3-stage telescoping IV pole
• Head-end document stowage net
• Latching backrest monitor hook
• Side-xing manoeuvring handles
• Dedicated CD/Nitric cylinder holder attached to base of
trolley
• PacRac+ for holding medical equipment
• Range of medical device brackets, xed & swivel mount
• Directional wheel locks at head-end
550 lbs
250 kg
40 st
MAX PATIENT PLATFORM LOAD LIMIT
Imperial Metric
Patient Platform Max SWL*
*see note below
40 stone 250 kg
Trolley Weight (excluding mattress + harness)
*Dependant on conguration
78 kg*
Mm
Dimensions Imperial Metric
Length
77.56 in 1970 mm
Width
Trolley 22.4 in 570 mm
Surface Xtenders open 36.2 in 920 mm
Split-Scoop extender kit 37.2 in 945 mm
Height
To underside of mattress 32.5 in 825 mm
Wheels (Diameter) 6 in 150 mm
• Patient platform total 250kg SWL to include PacRac (10kg) +
equipment (25kg), if tted
• In addition 80kg of medical equipment can be mounted equally
spaced on the trolley base
• If foot-end Fixed platform for Balloon Pump is tted, then 40kg on
trolley base and 40kg on foot-end platform
• Total Mass not to exceed 430 Kg (Patient+Equipment+Trolley)

FERNO/MAN/1121/226-R3/UK
8
4  CCTPX TROLLEY FEATURES
CCT-PX Features
4.3 - E Size Cylinder Holders
CCT-PX includes 2 cylinder holder tubes designed to hold E size
cylinders, but also include an adapter to allow a CD cylinder to
be held in the tube. To store cylinder in a holder tube, simply
unfasten the top lid , place the cylinder inside the tube and lock
the lid back on.
CD cylinder in upper E holder using CD adapter kit
E size Cylinder holder tubes
4.1 - Attachment of Equipment &
Medical devices
The CCT-PX trolley is designed to allow equipment and medical
devices to be safely attached to the trolley to ensure everything
stays in place in all scenarios, throughout the patient journey.The
following pages explains the various features and options.
4.2 - Pole-Clamp Vertical Fixing Poles
At the base of the trolley are vertical poles for attaching medical
devices that have a pole-clamp bracket incorporated into their
design, such as syringe drivers. Such equipment can be attached
simply by holding the device bracket against the pole and then
tighten the pole clamp fully. Once tightened recheck that the
device is indeed correctly attached.
A number of specialist brackets for a range of medical devices
are available from Ferno for attaching equipment via pole clamp.
Vertical poles for attachment of pole clamp devices
Example specialist bracket with pole clamp
4.4 - E Cylinder Holder with CD Adapter
When using the E cylinder holder tubes to hold a CD cylinder,
the E-to-CD cylinder adapter kit needs to be rst deployed. This
consists of a tube foam insert and an alternative top lid adapter
ring for holding the CD cylinder in place instead of an E cylinder.
First place the foam insert into the holder tubing and push it
down as far as it will go. Then place the CD cylinder in the tube
and attach the lid adapter ring, placing the ring over the top of the
CD cylinder and then attaching the two wires that are attached
to the ring to the sizes of E cylinder to the tube locking clasps,
making sure one of the wires is fed through the CD cylinder
handle and that the wires are tight. Use the supplied R clips to
ensure the wires are securely held in place. The CD adapter kit will
need removing if an E cylinder needs to be transported instead
of CD cylinder.

FERNO/MAN/1121/226-R3/UK 9
WARNING
Ensure that grease never comes in contact with O2
cylinder or cylinder holder due to the potential explosive
risk that oil with oxygen under pressure can pose, in the
(unlikely) event of an incident and the O2 cylinder getting
ruptured.
CCT-PX Features
Locking storage cabinet
4.5 - CD size cylinder holder (Option)
Also available as an option on CCT-PX is a dedicated CD cylinder
holder, which can also hold a Nitric cylinder, which is mounted to
the baseplate of the trolley.
To place a CD cylinder in the holder, loosen the 2 rubberised
straps, place the cylinder inside the holder.
Then tighten the straps and x them by pushing the xing pin
through the applicable hole in the strap (same principle as a belt
buckle)
It is important that the straps are fully tightened at all times
when a cylinder is located in the holder.
To remove the cylinder, loosen the holder straps and then remove
the cylinder from the holder.
4.6 - Storage Cabinet (Option)
Also available as an option on CCT-PX is a locking cabinet,
mounted onto the end of trolley at foot-end, allowing medical
items, documents add personal possessions etc. to be safely
stored on the trolley whilst it is being transported. A set of keys is
supplied with the cabinet.
CD size Cylinder holder mounted to CCT-PX baseplate
4.4 - E Holder with CD Adapter (cont...)
CD cylinder in E cylinder held in place by top xing
ring and xing wires attached to side of cylinder tube
4  CCTPX TROLLEY FEATURES
4.7 - Bump Wheels
Each corner casting where the push poles are xed to the
trolley includes a white bump wheel, which safeguards
against knocks, bumps and scrapes.
Bump-wheel

FERNO/MAN/1121/226-R3/UK
10
4.10 - Power Sockets for Medical
Devices
CCT-PX includes an Olson 12-way Power Distribution Panel for
plugging in the various medical devices held on the trolley. The
Power distribution board can then be plugged into a 240v power
source to supply power to all devices.
The power distribution panel is a Hospital Grade, 13 Amp,
unswitched PDU, with a neon power indicator on the panel. This
is mounted onto the trolley underneath the patient platform with
easy access to plug in all the various medical devices.
Olson 12-way power distribution panel
4  CCTPX TROLLEY FEATURES
4.9 - Specialist Mounting Brackets
Various other specialist storage brackets are available for a range
of medical device and monitor mounts. Refer to the specic
device mount for details of operation.
4.8 - OxyLog 3000+ / Hamilton T1
Bracket Arm (Option)
CCT-PX can be supplied with a metal plate at the head-end of the
trolley underneath the patient platform for attaching an Oxylog
3000 or Hamilton T1 mounting bracket for holding a ventilator.
With an Oxylog mounting bracket p/n 2M86900 bolted to this
metal plate an Oxylog 3000+ ventilator can be attached to the
trolley. To attach, simply push the unit into the mounting bracket
until it locks in place. To release, pull down the metal ap under
the unit and then pull the unit out.
Oxylog ventilator mounting bracket
Oxylog 3000+ ventilator
A mount is also available for attaching Hamilton T1, which bolts
to the same metal plate.
Oxylog 3000+ bracket mounted on metal backplate
CCT-PX Features
4.11 - Trolley Siderail Interface
CCT-PX trolley includes an integrated side-rail interface which
allows a range of medical accessories and manoeuvring aids to
be attached along the full length and on both sides of the trolley.
This gives the trolley the capability to be congured according to
the needs of the use of the trolley at any one time, and according
to the patient's physical size, condition and clinical needs, giving
full exibility, multiple role and future-proong of the trolley
from a single modular design.
How to attach and operate the various options for clinical
capability and aid of manoeuvrability that are available is
outlined in the following pages.
The siderail interface on CCT-PX is the same as is used on
Ferno's POWERX and iNX ambulance patient transportation
trolleys, meaning that all clip-on accessories are interchangeable
between models and systems.