Ferno XT Operating instructions

User and
maintenance manual
Immobilisation and Extrication
device XT - XT PRO - XT Floating
Rel.01102019 English
Pub. No. MU-086-G
Read this manual
carefully and keep it
for future reference

2© Ferno s.r.l. MU-086-G Rel.01102019
XT Extrication Device
TABLE OF CONTENTS
Chapter/Section Page Chapter/Section Page
Ferno Technical Support _______________________ 3
Ferno Customer Service _______________________ 3
Limitation of liability _________________________ 3
Intellectual property declaration _________________ 3
Limited warranty _____________________________ 3
1 - Safety information ___________________________ 4
1.1 Warning________________________________ 4
1.2 Important_______________________________ 4
1.3 Blood-borne diseases _____________________ 4
1.4 Load capacity ___________________________ 4
1.5 Compatible accessories____________________ 4
1.6 Glossary of symbols ______________________ 5
1.7 Information and safety labels _______________ 5
2- Operator training and skills ___________________ 6
2.1 Skills __________________________________ 6
2.2 Training ________________________________ 6
3 - The Extrication Device _______________________ 6
3.1 Description _____________________________ 6
3.2 CE Compliance __________________________ 6
3.3 Components (Extrication device) ____________ 7
3.4 Generalspecications _____________________ 8
4 - Conguration of the extrication device __________ 9
4.1 QHI (Quick Head Immobilizer) application____ 9
4.2 Triangular head immobiliser application ______ 9
4.3 Chin strap QHI application ________________ 10
4.4 Restraintconguration ___________________ 10
5 - Use of the extrication device __________________ 13
5.1 Before placing the device into service _______ 13
5.2 Instructions for Use______________________ 13
5.3 Quick extrication________________________ 14
5.4 Precautionary extrication _________________ 15
6 - Xt Pro (Extrication device) Components________ 18
6.1 Preparation procedures ___________________ 19
6.2 Head immobilisation_____________________ 21
6.3 Chest immobilisation ____________________ 22
6.4 Thigh strap application ___________________ 23
6.5 Using auxiliary handles___________________ 23
6.6 Xt pro ________________________________ 25
7 - Components of the Xt Floating Extrication Device _ 28
7.1 Preparation procedures ___________________ 29
7.2 Head immobilisation_____________________ 31
7.3 Chest immobilisation, longitudinal retaining strip
application _________________________________ 34
7.4 Mainoats ____________________________ 35
7.5 Carrying handles ________________________ 36
7.6 TriangularHEADIMMOBILISERtting ____ 37
7.7 XT Floating____________________________ 39
8 - Maintenance _______________________________ 42
8.1 XT maintenance ________________________ 42
8.2 XT-PRO maintenance ____________________ 42
8.3 XT-FLOATING maintenance ______________ 43
8.4 Cleaning ______________________________ 44
8.5 Inspection _____________________________ 44
8.6 Disinfection____________________________ 44
8.7 Storage _______________________________ 46
9 - Accessories ________________________________ 51
9.1 Accessories for XT extrication device _______ 51
10 - Technical support__________________________ 51
10.1 Ferno Technical Support _________________ 51
11 - Warranty ________________________________ 52
11.1 Legal warranty ________________________ 52
11.2.1 Limitation of liability _________________ 52
11.2.2. Warranty claims and complaints _________ 53
11.2.3 Return authorisation __________________ 53
11.2 Conventional warranty __________________ 52
Training record _______________________________ 54
Maintenance record ___________________________ 55

3
© Ferno s.r.l. MU-086-G Rel.01102019
XT Extrication Device
© Copyright Ferno S.R.L. All rights reserved.
Serial number XT _________________________
Placement: Bottom side of the main label.
USER AND MAINTENANCE MANUAL
Additional free copies can be downloaded
online at www.ferno.it.
Limitation of liability
This manual contains general instructions on the use and
maintenance of the product. The instructions do not cover all
possible applications and operations. The user is solely responsible
for proper and safe use of the product. The safety information is
provided as a service to the user and ensures only the minimum
required level of safety to prevent injury to operators and patients.
Any other safety measure implemented by the user must comply
with applicable regulations. Before using the product, it is strongly
recommended that staff be trained in its correct usage. Retain
this manual for future reference. In case of change of ownership,
ensure that the manual remains with the product. Additional free
copies can be downloaded online at www.ferno.it.
Intellectual property declaration
The information in this manual is the property of Ferno S.R.L. -
Via Benedetto Zallone 26, 40066 Pieve di Cento (Bologna) Italy.
All patent rights, design, construction, reproduction, use and
It is prohibited to reproduce this manual, either in full or in part,
without the prior consent of Ferno S.R.L.
Limited warranty
Ferno products are covered by a 24-month warranty against
manufacturing defects. For the full terms and conditions of
warranty and liability, see chapter Warranty, page 52.
Serial Number
1122
3344
2
160 kg
352 lb
Ferno Technical Support
Customer Service and Technical Support are important aspects of
every Ferno product. Before contacting us, note the serial number
of the product and specify it in all written communications. For all
queries concerning technical support, contact Ferno S.R.L.:
E-mail [email protected]
Website dedicated to support - Ferno SOS www.fernosos.it
Phone [phone]
Telephone (toll-free in Italy) 800.501.711
Fax [phone]
Ferno S.R.L. is authorised to carry out preventive and corrective
maintenance (repairs) on all Ferno products in exclusivity.
Any corrective action MUST necessarily be carried out by FERNO
personnel and the operations must be carried out using original
spare parts. In this way, the warranty is also extended to the
components involved in the operation.
Any corrective action carried out by non Ferno personnel will
automatically cancel any Civil Liability insurance and any guarantee.
Ferno Customer Service
For further details, please contact Ferno S.R.L.'s Customer Service:
MANUFACTURER
Ferno S.R.L., Via Benedetto Zallone 26
40066 - Pieve di Cento (BO) - ITALY
Telephone (toll-free in Italy) 800.501.711
Phone [phone]
Fax [phone]
Website www.ferno.it
sale rights relating to any item covered in this manual are the
condential and exclusive property of Ferno S.R.L., except for
rights expressly transferred to third parties or not attributable to
parties owned by the supplier.

4© Ferno s.r.l. MU-086-G Rel.01102019
XT Extrication Device
1.4 Load capacity
Observe the load capacity of the XT extrication device.
Refer to section General specications, page 8.
1  SAFETY INFORMATION
Safety information
Read this user manual carefully. It is an integral part of the
device and must always be stored close at hand. For your
personal safety and for that of patients, please observe the
following points:
– Before every use, make sure that there are no signs of
wear, damage and/or malfunctioning. Refer to section 8.5
Inspection, page 44.
– In order to avoid infections and/or bacterial
contaminations, follow the indications in sections 8.4
Disinfection and Cleaning, page 44.
1.1 Warning
The danger symbols draw attention to potentially dangerous
situations that, if disregarded, may result in accidents,
damage and/or injury.
WARNING
Untrained users may injure themselves, cause damage and/or
physical harm. Allow only trained and qualied sta to use the XT
extrication device.
Improper use of the extrication device may cause damage and/or
injury. Use the XT extrication device as described in this manual.
Unauthorised modications of the XT extrication device could cause
serious damage, injury and/or unforeseeable operating problems.
Do not modify or alter the device in any way.
Any damage to the components of the extrication device or to the
entire system may aect its performance and safety. Inspect the XT
extrication device frequently, especially before and after each use.
Place the extrication device out of service if it shows signs of wear
or damage.
An unassisted patient is at risk of injury. Never leave the patient
alone while tied to the extrication device. Assist the patient
throughout all rescue operations.
Any improper use of the restraints can cause the patient to fall and
endanger their safety. Always use the patient restraints as described
in this manual.
Failure to comply with the instructions in this manual for the
application of restraints could cause accidents, damage and/or
injury.
Occasional assistants may cause damage and/or physical harm, or
injure themselves. Do not allow any occasional assistant to carry out
the preparation of the extrication device. Take extreme care when
using the device and coordinate any assistants.
Improper maintenance may cause serious accidents and/or damage.
Perform maintenance as instructed in this user manual.
The use of improper and/or unauthorised devices may cause
accidents, damage, and/or injury. Use only devices that have been
approved and authorised by Ferno S.R.L.
1.2 Important
Boxes labelled "Important" contain important
information on use and/or maintenance of the device.
Important
1.3 Blood-borne diseases
To reduce risks of exposure to infectious diseases that may
be transmitted by blood, such as HIV-1 or Hepatitis, follow
the instructions on disinfection and cleaning in this manual
carefully.
WARNING
Unauthorised repairs, and repairs carried out by technicians not
authorised by Ferno S.R.L., will render all warranties null and
void and may compromise the safety of the extrication device.
Non-original spare parts and inadequate repairs may cause
damage and/or injury. Use only original Ferno spare parts and
refer exclusively to Ferno S.R.L.'s Customer Support.
1.5 Compatible accessories
Use only accessories that have been approved and authorised
by Ferno. The extrication device includes QHI (Quick Head
Immobilizer code QHI-B), triangular head immobiliser
(code 038245211), chin strap for QHI (code 25-0601-002),
and restraint system (code 25-0500-001).
The XT device has been tested with the following accessories:
– Quick Head Immobilizer – Kit Floating
– Neck brace WizLoc – Kit Pro
– Triangular head immobiliser
Ferno S.R.L. shall not be liable for any damage to users
or third parties due to improper use of the XT extrication
device.

5
© Ferno s.r.l. MU-086-G Rel.01102019
XT Extrication Device
Important
Safety information
1.7 Information and safety labels
The information and safety labels contain important information that the user needs to know.
Read and follow the label instructions. Replace worn and damaged labels immediately. To obtain replacement labels, contact
Ferno S.R.L.'s Customer Service. (page 2).
The label shown below is attached to the device.
Main Label
WARNING
ALL IMAGES ARE INCLUDED FOR ILLUSTRATIVE PURPOSES.
PRODUCTS MAY BE SUBJECT TO CHANGE.
1.6 Glossary of symbols
Thesymbolsusedinthismanualand/orontheXTextricationdevice'slabelsaredenedbelow.
Read the user manual
carefully
Twoqualiedoperatorsare
recommended for correct use
2
This product meets
European Union
Standards
Load capacity
Do not wash with high
pressure water
QR Code
Serial Number
1122
3344
2
160 kg
352 lb
160 kg
352 lb

6© Ferno s.r.l. MU-086-G Rel.01102019
XT Extrication Device
Operator training and skills
3.2 CE Compliance
MEDICAL DEVICES DIRECTIVE
Ferno's products meet the requirements of European
Directive 93/42/EEC concerning medical devices.
The extrication device is a Class I device.
2  OPERATOR TRAINING AND SKILLS
2.1 Skills
Operators who use the extrication device must:
● Have specic experience in patient handling
procedures.
● Possess the skills required to assist the patient.
2.2 Training
Operators are required to:
● Carefully read and understand all information in this
manual.
● Attend a suitable training course on the use of the
extrication device.
● Practice with the extrication device before using it in
real situations with patients.
WARNING
Untrained users may injure themselves, cause
damage and/or physical harm. Allow only trained
and qualied sta to use the XT extrication device.
3  THE EXTRICATION DEVICE
3.1 Description
The XT extrication device (hereinafter also referred to as
"device") is an instrument for the head-spine immobilisation
and extrication of trauma and non-trauma patients.
TWO trainedandqualiedoperatorsarerecommendedfor
correct use of the extrication device XT. In case of heavy
patients always refer to local protocols.
The device is equipped with 4 adjustable restraints to allow
a correct immobilisation of the patient. The upper chest
restraints must be applied in a crossed conguration; the
lower groin restraints must be secured on the same side.
WARNING
Improper use of the extrication device may cause
damage and/or injury. Use the XT extrication device
as described in this manual.
COMPONENTS OF THE EXTRICATION DEVICE
● Upper chest restraints, yellow and red (2)
● Lower groin restraints, black and green (2)
● The yellow and red chest restraints are provided with
red handles for lifting and carrying (4)
● Holes for restraint securing (15)
● Ergonomic side handles (2)
● QHI (Quick Head Immobilizer)
● Neoprene triangular head immobiliser
● Chin strap for QHI
● SUPPLIED ACCESSORIES KIT XT PLUSB
● Board-carbonbrecompositematerial(1)
● Quick Head Immobilizer (1x)
● Triangular head immobiliser (1x)
● Chin strap for QHI (1x in a handy bag)
● Restraints (2x chest and 2x groin restraints)
● WizLoc neck braces (3x)
● Carry and storage bag (1x)
● User's manual
● Log the training sessions. An example of a form for
logging the training sessions can be found on page 54.
Important
Operators must be able to ensure the safety of both themselves
and their patients while using the device. They must be able
to determine the number of assistants required to handle the
patient according to the laws in force.

7
© Ferno s.r.l. MU-086-G Rel.01102019
XT Extrication Device The extrication device
3.3 Components (Extrication device)
FRONT VIEW Neoprene
triangular head immobiliser
Chin strap for QHI
Quick Head Immobilizer
Auxiliary handles
Lifting and carrying handles (4)
Yellow chest
upper restraint
Black groin
lower restraints
Additional free copies can be downloaded online at
www.ferno.it. (page 2).
USER AND
MAINTENANCE
MANUAL
Red chest
upper restraint
Green groin
lower restraint

8© Ferno s.r.l. MU-086-G Rel.01102019
XT Extrication Device
The extrication device
3.4 General specications
Fernoreservestherighttochangethespecicationswithout
notice. For further details, please contact Ferno's Customer
Service (page 2).
XT
Materials
BoardXTcarbonbrecompositematerial
Quick Head Immobilizer polyurethane
Restraints nylon
Buckles plastic
Triangular head immobiliser and chin strap neoprene
Length 830 mm
Width 300 mm
Height 60 mm
Weight (including accessories) 2 kg
Load capacity 160 kg
XT Pro
Materials
BoardXTcarbonbrecompositematerial
Quick Head Immobilizer polyurethane
Restraints nylon
Buckles Aluminum 7075
Triangular head immobiliser and chin strap neoprene
Length 830 mm
Width 300 mm
Height 60 mm
Weight (including accessories) 3,4 kg
Load capacity 160 kg
XT Floating
Materials
BoardXTcarbonbrecompositematerial
Quick Head Immobilizer polyurethane
Restraints nylon
Buckles plastic
Triangular head immobiliser and chin strap neoprene
Length 1200 mm
Width 350 mm
Height 110 mm
Weight (including accessories) 3,3 kg
Load capacity 160 kg
Load capacity
Never exceed the load capacity of
the XT extrication device. Inspect the
extrication device if the load capacity
has been exceeded (see section
Inspection, page 44).
WARNING
Untrained users may injure themselves, cause
damage and/or physical harm. Allow only trained
and qualied sta to use the XT extrication device.
WARNING
Never exceed the load capacity of the extrication
device specied in this manual.
160 kg
352 lb

9
© Ferno s.r.l. MU-086-G Rel.01102019
XT Extrication Device Conguration of the extrication device
4  CONFIGURATION OF THE EXTRICATION DEVICE
4.1 QHI (Quick Head Immobilizer)
application
The Quick Head Immobilizer must be applied before using
the XT device.
1. Before its application, make sure that the extrication
deviceisplacedonaatsurfaceandthepartwheretheQHI
head immobilizer will be applied is clean and dry.
2.PeeloffthestickerlmplacedundertheQHI,ensuring
that the black part stays on the QHI (Figure 1A).
3. Centre the QHI (Figure 1B) on the upper part of the
extrication device, close to the head end hole no. 1 (to
identify the hole see Figure 4, page 10).
4. Press the QHI so that its sticker perfectly adheres to the
surface (Figure 1C).
Figure 1 - QHI application
Detail 1D - QHI applied correctly
1A 1B
1C 1D
4.2 Triangular head immobiliser
application
In order to apply the triangular head immobiliser correctly,
follow these instructions. Starting from the top (head end):
1. Insert the strap (Figure 2A) in the head end hole from
inside the device.
2.Insertthe strap inthe rstloopofthefastening buckle
(Figure 2B).
3. Then insert it in the second loop (Figure 2C) and pull to
fasten the strap (Figure 2D).
2. Repeat the same operations with the other two straps in
the two side holes no. 3 and 14 (to identify the holes see
Figure 4, page 10).
2A 2B
2C
2D
Figure 2 - Triangular head immobiliser application

10 © Ferno s.r.l. MU-086-G Rel.01102019
XT Extrication Device
4.3 Chin strap QHI application
The neoprene chin strap, stored in a special bag, can be
secured on the extrication device using side hole no. 14 (to
identify the hole see Figure 4, page 10).
1. Extract the neck strap from the bag attached to the
extrication device (Figure 3B).
2. Insert the opposite end of the strap in hole no. 3 on the
right (to identify the hole see Figure 4, page 10).
3. Overlap and secure the two Velcro straps to ensure a
perfect closure (Figure 3D).
When the strap is not used, store it in the suitable bag.
Figure 3 - Neoprene red strap application
3A 3B
3C 3D
Conguration of the extrication device
4.4 Restraint conguration
The XT extrication device is equipped with two upper chest
restraints (yellow and red) and two lower groin restraints
(black and green).
The upper chest restraints must be applied in a crossed
conguration,whilethegroinrestraintsmustbesecuredon
the same side. Each restraint is composed of two parts, one
with a male end and the other with a female end. The male
end must be fastened to the female end. Always make sure
that the two ends are well secured.
The upper chest restraints are provided with red handles for
lifting and carrying.
The restraints must be applied before using the XT device.
For their application and the identication of the right
hole on the device, refer to Figure 4. In Figure 4 holes are
numbered clockwise from 1 to 15.
Figure 4 - Restraint conguration (operator view)
HEAD END
FOOT END
RIGHT
SIDE
LEFT
SIDE
1
15
14
13
12
11
10
9 8
7
6
5
4
3
2

11
© Ferno s.r.l. MU-086-G Rel.01102019
XT Extrication Device
RED CHEST RESTRAINT
In order to apply the red chest restraint proceed as follows:
1. Insert the slot of the restraint part with the male end into
hole no. 4 on the right side of the device, with the stitching
facing the operator (upwards).
2. Pull the restraint and tie a knot by inserting the red buckle
in the restraint slot.
3. Firmly tighten the restraint around the hole.
4. Move the red lifting and carrying handle outwards so that
it is always within easy reach of the operator.
5. Insert the slot of the restraint part with the female end into
hole no. 10 on the left side of the device, with the stitching
facing the operator (upwards).
6. Pull the restraint and tie a knot by inserting the red buckle
in the restraint slot.
7. Firmly tighten the restraint around the hole.
8. Move the red lifting and carrying handle outwards so that
it is always within easy reach of the operator.
Figure 6 - Crossed conguration of chest restraints
5A 5B
5C 5D
Figure 5 - Yellow chest restraint application
Detail 5D - Yellow restraint applied and buckled
CROSSED CONFIGURATION
FOR CHEST RESTRAINTS
YELLOW CHEST RESTRAINT
In order to apply the yellow chest restraint proceed as
follows:
1. Insert the slot of the restraint part with the male end into
hole no. 13 on the left side of the device, with the stitching
facing the operator (upwards) (Figure 5A).
2. Pull the restraint and tie a knot by inserting the yellow
buckle in the restraint slot (Figure 5B).
3. Firmly tighten the restraint around the hole (Figure 5B).
4. Move the red lifting and carrying handle outwards so that
it is always within easy reach of the operator (Figure 5B).
5. Insert the slot of the restraint part with the female end into
hole no. 7 on the right side of the device, with the stitching
facing the operator (upwards) (Figure 5C).
6. Pull the restraint and tie a knot by inserting the yellow
buckle in the restraint slot.
7. Firmly tighten the restraint around the hole (Figure 5C).
8. Move the red lifting and carrying handle outwards so that
it is always within easy reach of the operator (Figure 5C).
Conguration of the extrication device

12 © Ferno s.r.l. MU-086-G Rel.01102019
XT Extrication Device
Conguration of the extrication device
GREEN GROIN RESTRAINT
In order to apply the green groin restraint proceed as follows:
1. Insert the slot of the restraint part with the female end into
hole no. 12 on the left side of the device, with the stitching
facing the operator (upwards) (Figure 8A).
2. Pull the restraint and tie a knot by inserting the green
buckle in the restraint slot.
3. Firmly tighten the restraint around the hole (Figure 8B).
4. Insert the slot of the restraint part with the male end into
hole no. 9 on the foot end of the device, with the stitching
facing the operator (upwards) (Figure 8C).
5. Pull the restraint and tie a knot by inserting the green
buckle in the restraint slot.
6. Firmly tighten the restraint around the hole.
8A 8B
5C 5D
Figure 8 - Green groin restraint application
Detail 8D - Green restraint applied and buckled
SAMESIDE CONFIGURATION FOR GROIN
RESTRAINTS
BLACK GROIN RESTRAINT
In order to apply the black groin restraint proceed as follows:
1. Insert the slot of the restraint part with the female end into
hole no. 5 on the right side of the device, with the stitching
facing the operator (upwards) (Figure 7A).
2. Pull the restraint and tie a knot by inserting the black
buckle in the restraint slot.
3. Firmly tighten the restraint around the hole.
4. Insert the slot of the restraint part with the male end into
hole no. 8 on the foot end of the device, with the stitching
facing the operator (upwards) (Figure 7B).
5. Pull the restraint and tie a knot by inserting the black
buckle in the restraint slot (Figure 7C).
6. Firmly tighten the restraint around the hole.
7A 7B
7C 7D
Figure 7 - Black groin restraint application
Detail 7D - Black restraint applied and buckled
8C 8D

13
© Ferno s.r.l. MU-086-G Rel.01102019
XT Extrication Device
5.1 Before placing the device into
service
Staff using the extrication device must have carefully read
and understood the information contained in this manual.
● Before performing any operation with the extrication
device, make sure that: the Quick Head Immobilizer,
the triangular head immobiliser and the chin strap
havebeencorrectlyappliedandarereadyforuse;the
restraints have been correctly applied according to
their number (two upper chest restraints and two lower
groin restraints).
● Ensure that the device does not show any signs of
damage or wear, and that it is fully operational. Refer
to section 8.5 Inspection, page 44.
5.2 Instructions for Use
● This manual does not provide any medical instructions.
● It is the responsibility of the operators to follow correct
procedures and ensure the safety of both the patient
and themselves.
● This manual explains the use of the extrication device
under ideal conditions and is purely indicative.
● The use of the device requires a minimum of two
trainedandqualiedoperators.
● These operators must work together and coordinate
correctly during all operations.
● Follow procedures while complying with standard
regulations for moving the patient in an emergency.
● Lift only the weight that you can safely support.
Obtain additional assistance for heavy loads.
● The extrication device can be adapted to a variety of
circumstances and different scenarios. The trained
staff of the emergency service must assess the patient's
conditions and determine the most suitable equipment
and procedures.
● In any case, always observe local healthcare
instructions and regulations.
● Always assist the patient and never leave them alone
during the operations with the device.
Use of the extrication device
WARNING
Never leave the patient alone while tied to the
extrication device. Assist the patient throughout all
rescue operations.
Important
When the extrication device is not used, store it indoors
in a dry place. It is recommended to use its carry bag
for storage purposes.
5  USE OF THE EXTRICATION DEVICE
WARNING
The use of improper and/or unauthorised devices
may cause accidents, damage, and/or injury.
Use only devices that have been approved and
authorised by Ferno S.R.L.
Read the user
manual carefully
At least two
qualied
operators
2
Load capacity
160 kg
352 lb

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XT Extrication Device
Use of the extrication device
5.3 Quick extrication
A quick extrication requires the presence of
an operator to stabilise the patient's head and
neck manually and another operator to apply
the device and help in the extrication operation.
For this kind of extrication, the chest and groin
restraints should be arranged sideways so as not
to interfere with patient positioning (Figure 9).
The triangular head immobiliser must be ready for use and
suitably fastened to the upper hole (head end) and the two side
holes (the second ones starting from the top, head end). For
the application of the triangular head immobiliser, refer to
section 4.2 Triangular head immobiliser application, page 9. Figure 9 - Restraints arranged sideways
Forthequickextricationprocedure,thepresenceoftwotrainedandqualiedoperatorsisrecommended:
1. Operator 1: moves the patient forwards while holding head and neck to create the necessary space to position the
extrication device (Figure 10A).
2. Operator 2: inserts the device behind the patient and correctly centres it (Figure 10B).
3. Operator 1: repositions the patient on the device (Figure 10B).
4. Operator 2: while operator 1 keeps holding the cervical spine of the patient, operator 2 applies the triangular head
immobiliser, arranging it with care immediately above the patient's eyebrows (Figure 10C). The correct positioning of the
head immobiliser reduces the risk of it moving upwards or downwards.
5. Operator 2: before extricating the patient, seizes the two orange upper lifting and carrying handles, making sure that they
pass under the patient's armpit (Figure 10D).
6. Operator 2: extricates the patient.
7. Both operators: take the patient away from the scenario.
Figure 10 - Quick extrication sequence
10A 10B 10C 10D

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© Ferno s.r.l. MU-086-G Rel.01102019
XT Extrication Device
Figure 11 - Cervical spine supporting Figure 12 - Neck brace applied
Use of the extrication device
5.4 Precautionary extrication
A precautionary extrication requires the presence of two trained and qualied operators, who are able to
assess the patient's conditions and are familiar with the correct positioning and use of the extrication device.
Fortheprecautionaryextricationprocedure,thepresenceoftwotrainedandqualiedoperatorsisrecommended:
1. Operator 1: holds the cervical spine to make it easier for operator 2 to apply the neck brace (Figure 11).
2. Operator 2: applies the neck brace correctly (Figure 12).
Figure 13 - Extrication device insertion Figure 14 - Patient repositioning
3. Operator 1: moves the patient forwards while holding their head and neck to create the necessary space for operator 2 to
place the extrication device behind their back (Figure 13).
4. Operator 2: inserts the device behind the patient and correctly centres it, making sure that the chest and groin restraints
and the lifting and carrying handles are arranged sideways and ready for use.
5. Operator 1: repositions the patient on the device (Figure 14).

16 © Ferno s.r.l. MU-086-G Rel.01102019
XT Extrication Device
Use of the extrication device
6. Operator 2: while operator 1 keeps holding the cervical spine of the patient, operator 2 applies the triangular head
immobiliser, arranging it with care immediately above the patient's eyebrows (Figure 15). The correct positioning of the
head immobiliser reduces the risk of it moving upwards or downwards.
7. Both operators:positionthechestrestraints(yellowandred)incrossedconguration(Figure16)andfastentheupper
section to the lower one with the buckles provided. If necessary, they suitably adjust the restraints' tension. In this phase,
the operators must ensure that the red lifting and carrying handles remain free above the patient's shoulders, in order to
ndandseizethemeasilyduringthenalextricationphase.
Figure 18 - Cervical spine nal fastening
Figure 15 - Triangular head immobiliser applied Figure 16 - Application of chest restraints
(yellow and red)
8. Both operators: position the groin restraints (black and green), arranging them under the patient's legs, each one on its
side of the board. They fasten the lower section of the restraint to the upper one using the buckles provided (Figure 17),
and suitably adjust their tension to secure the patient to the extrication device. Suitably adjust the restraints to avoid any
compression/constriction for the patient.
9. Operator 1: once all restraints have been applied and fastened, operator 1 takes the chin strap from its bag, adjusts its
length and gives the opposite end to operator 2 (Figure 18).
Figure 17 - Green restraint buckled

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© Ferno s.r.l. MU-086-G Rel.01102019
XT Extrication Device
Figure 19 - Cervical spine nal fastening Figure 20 - Extrication with the carrying handles
Detail: Hold the carrying handles
Figure 21 - Positioning on backboard
10. Operator 2: inserts the end of the chin strap in the relevant hole of the extrication device (opposite side). Then, he/she
fastens it with the Velcro strap and adjusts it to complete the cervical immobilisation and stabilisation procedure (Figure 19).
11. Before proceeding to extricate the patient, both operators must make sure that they have applied and adjusted all
fastening systems correctly.
12. Both operators: work together to identify the best way out, the safe and correct procedures for themselves and the patient
according to the circumstances. Then, using the red lifting and carrying handles, they extricate the patient (Figure 20).
13. Both operators: complete the extrication procedure by placing the patient on the chosen medical device (Figure 21).
Use of the extrication device

18 © Ferno s.r.l. MU-086-G Rel.01102019
XT-PRO Extrication Device
6  XT PRO extrication device components
tested according to EN1498

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XT-PRO Extrication Device
CONFIGURATION OF THE EXTRICATION DEVICE
6.1 Preparation procedures
SNAPHOOK
LIFTING TAPE
COBRA BUCKLE
LEG HOOPSLEG HOOPS
CHIN STRAP
YELLOW UPPER CHEST
RESTRAINT
RED UPPER CHEST
RESTRAINT
TRIANGULAR HEAD
IMMOBILISER
HEAD CUSHION  QHI

20 © Ferno s.r.l. MU-086-G Rel.01102019
XT-PRO Extrication Device
TRIANGULAR HEAD
IMMOBILISER
QHI HEAD CUSHION
CHIN STRAP
CHEST STRAP
FIXED CHEST STRAP
THIGH STRAP
THIGH STRAP
WARNING
Check that all XT-PRO slots allow the strap to pass.