User Manual Mondial Monobloc english
Contents
1. Are all screws nuts bolts rivets and roll pins for airway management frame securely in place Do all moving parts operate smoothly and properly Does the cot lock properly into each position Does the cot load and unload properly Does the cot roll smoothly Do the wheels have some tread Do the wheel locks engage properly and stop wheel rotation Do the swivel locks function properly Are the restraints properly installed Is restraint webbing in good condition with no cuts or frayed edges Are restraint buckles free of visible damage and do they operate properly Is the ambulance properly prepared for the cot with an approved Ferno cot fastener installed Do installed accessories operate properly without interfering with cot operation 31 Maintenance Mondial Monobloc 7 9 Lubricating the Cot LUBRICATION POINTS Disinfect and clean the cot before applying lubricant Use Use a small amount of lubricant Lubricate identical the lubricants designated at right to lubricate the cot Do not points on each side of the cot lubricate points marked with the do not lubricate symbol Telescoping handle 4 WRL 191S or E Z 1 1 2 drops 2 Shock frame hinge 2 WRL 191S or E Z 1 1 2 drops 3 Loading wheel linkage 4 WRL 191S or E Z 1 1 2 drops 4 Airway management hinge 2 WRL 191S or E Z 1 1 2 drops If equipped LUBRICATION FREE ITEMS Do Not Lubricate Lubricate Channel Do not lubricate2. ability to assist the patient 2 2 Training Operator trainees must e read and understand this manual and the manual for the cot fastener used with the cot e trained on the use of the cot and the cot fastener used with the cot e practice with the cot before using it with a patient e record their training information A sample training record sheet is provided on page 35 2 3 Height and Strength Considerations 0 T KE R 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 position 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 Untrained operators can cause injury or be injured Permit only trained personnel to operate the cot 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 29 Ferno Washington Inc 234 3480 01 January 2012 Mondial Monobloc About the Cot 3 ABOUT THE COT 3 1 Description The Ferno Mondial Mon
3. GFERNO Users Manual When It s Critical Mondial Monobloc Read this Manual January 2012 GLO Pub No 234 3480 01 and Retain for Future Reference Ferno Technical Support Ferno Technical Support 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 For technical support questions Text Message tst ferno com Email quality products ferno com Telephone Toll free 1 800 733 3766 ext 1010 Telephone 1 937 382 1451 ext 1010 Ferno Customer Relations For ordering assistance or general information CANADA AND THE U S A Telephone Toll free Telephone 1 937 382 1451 Fax Toll free 1 888 388 1349 Fax 1 937 382 1191 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 1 877 733 0911 Ferno Washington Inc 70 Weil Way Wilmington Ohio 45177 9371 U S A Telephone 1 937 382 1451 Fax 1 937 382 6569 Internet www ferno com EUROPEAN REPRESENTATIVE Ferno UK Limited Stubs Beck Lane Cleckheaton West Yorkshire BD19 4TZ United Kingdom Telephone 44 0 1274 851999 Fax 44 0 1274 851111 Internet www ferno co uk USERS MANUAL To request additional free users manuals contact Ferno Customer Relations
4. Using the Cot 6 4 Transferring the Patient BEFORE TRANSFERRING THE PATIENT Place the cot as close as possible to the patient to minimize lifting and moving Adjust the cot to the level of the patient l 24 Unfasten the restraints Arrange the straps so they will not interfere with transferring the patient onto the cot Lower the sidearms and engage the wheel locks Transfer the patient onto the cot using approved emergency medical procedures and following your local protocols Raise the sidearms adjust the backrest and shock frame as needed Fasten and adjust the patient restraints Figure 30 Disengage the wheel locks Before moving the cot or changing its position verify that sheets and other articles are positioned where they will not interfere with cot operation Raise the cot to a rolling position Mondial Monobloc Figure 30 Transferring the Patient Ferno Washington Inc 234 3480 01 January 2012 Mondial Monobloc Using the Cot 6 5 Rolling the Cot PENER AEAEE Rolling the cot sideways can cause the cot to tip and e Rolling the cot with a patient on it requires a injure the patient or operators Roll the cot only minimum of two trained operators working together with the head end or foot end first and maintaining control of the cot at all times e Use Position 5 or Position 6 to roll the cot Note that the cot must be in Position 6 to unlock the loading end caster swivel locks Imp
5. your Ferno distributor or visit www ferno com Mondial Monobloc Serial Number Location Patient left side rail under the backrest 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 It is recommended that training on the proper use of this product 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 patent 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 li
6. 14 3 Control end Operator Position yourself at the control end of the cot grasp the cot main frame or footrest and pull the cot forward Or grasp the main frame at the side of the cot and roll and guide the cot Figure 31 4 Loading end Operator Position yourself at the side of the cot near the patient s torso or at the loading end of the cot Figure 31 and grasp the main frame Attend the patient and assist in rolling and steering the cot Figure 31 Rolling the Cot Ferno Washington Inc 234 3480 01 January 2012 25 Using the Cot Mondial Monobloc 6 6 Loading the Cot Loading the cot with a patient on it requires a minimum of two trained operators working together and maintaining control of the cot at all times Note Use additional help as needed when working with heavy loads patient and equipment See Using Additional Help page 29 1 Ifthe ambulance has a folding tray lower the ramp 2 Both Operators Raise the cot to its highest bed position and verify that the loading end swivel casters are locked so they will not swivel during loading 3 Loading end Operator Stand at the side of the cot grasp the main frame and assist the Control end Operator in loading the cot into the ambulance lt A 4 Control end Operator Grasp the cot main frame ay FE SEE using an underhand palms up grip and begin pushing ec Inside a the cot into the ambulance Roll the cot forward u
7. Rollers Do not lubricate Wheels sealed bearings Do not lubricate Leg pivot points Do not lubricate m po rtant Swivel caster lock pins Do not lubricate Backrest hinges Do not lubricate Lubricating parts that should not be lubricated allows dirt and foreign particles to collect on those parts resulting in damage Lubricate only the numbered reference points shown The channels do not require lubrication Lubricating the channels or rollers will cause foreign particles to stick to the rollers and channel causing damage Clean only with mild detergent and water a a a FERRO _ T 32 Ferno Washington Inc 234 3480 01 January 2012 Mondial Monobloc Parts and Service 8 PARTS AND SERVICE 8 1 U S A and Canada In the United States and Canada to order parts or for professional cot repair contact EMSAR the only agent authorized by Ferno to manage service and repair Ferno products Telephone Toll Free 1 800 73 EMSAR Telephone 1 937 383 1052 Fax 1 937 383 1051 Internet www EMSAR com 8 2 Worldwide To order Ferno parts and for professional cot repair contact your Ferno distributor Your distributor 15 the only agent authorized by Ferno to manage service and repair Ferno products 8 3 Parts List Ferno Washington Inc 234 3480 01 January 2012 Modifying the cot can cause injury and damage Use the cot only as designed by Ferno Improper p
8. See Swivel Lock Release Lever page 14 Both Operators Stand at opposite ends of the cot Figure 29 Both Operators Use an underhand grip to grasp the cot main frame and position your right hand to use the leg control handle RAISING THE COT The operators do not need to use a control handle when raising the cot 1 Both Operators Lift the cot until it is near the desired height If the legs remain folded when you attempt to raise the cot disengage the Low Bed Leg Lock see Low Bed Leg Lock page 18 Both Operators Verify that the cot has locked at the new height before relaxing your grasp If the legs have not locked raise the cot a little higher until you hear an audible click from the locking mechanism then retest LOWERING THE COT Both Operators Squeeze and hold the leg control handle with your right hand Both Operators Lift the cot slightly to take the weight off the locking mechanism and allow the locking mechanism to disengage The leg status indicator will change to red Both Operators Together lower the cot Figure 29 Both Operators Release the leg control handles when the cot is near the desired height Continue lowering until the locking mechanism engages Both Operators Do not release your grasp until you are sure the undercarriage is locked at the new position Ferno Washington Inc 234 3480 01 January 2012 Using the Cot Figure 29 Raising or Lowering the Cot 23
9. lever Indicates a general injury warning when equipped the cot load limit reminds that operators need to read the manual and that two trained operators are required Indicates that engaging the blue lever will lock the legs and allow the cot to be carried like a stretcher Use at Bed Position 1 Undercarriage Lock Status Affixed to undercarriage lock mechanism Indicates the status of the undercarriage lock green means the legs are safe locked red means the legs are Pinch Point Labels unlocked for lowering or loading Affixed near backrest hinge and beneath shock frame Indicates potential for injury keep hands clear of these areas 1 6 Symbol Glossary The symbols defined below are used on the cot and or 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 AS 3 General Warning Pinch Point Read the Users Cot Operation Requires Load Limit of Potential Injury Keep Hands Clear Manual Two Trained Operators Do Not Lubricate Lubricate Unlocked Locked Product meets European Union Standards Ferno Washington Inc 234 3480 01 January 2012 5 Operator Skills and Training Mondial Monobloc 2 OPERATOR SKILLS AND TRAINING 2 1 Skills Operators using the cot require e working knowledge of emergency patient handling procedures e
10. of the keyhole Figure 5 Note Pressing the rear of the strap button against the bracket as you pull upward will help seat the button in the bracket 4 The attached shoulder straps should look similar to those shown in Figure 6 Figure 6 Restraints Attached Cot with Monobloc Mattress 12 Ferno Washington Inc 234 3480 01 January 2012 Mondial Monobloc Using the Features 5 USING THE FEATURES 5 1 EZ Pull Leg Control Handles e Purpose Unlocks the legs nearest the handle allowing the cot to be lowered e Location Each end of the cot accessible to the operator s right hand Figure 7 e Use The EZ Pull style handle allows the operators to operate the handle before lifting the cot so they can grasp the cot with both hands and lift evenly For complete instructions see Using the Cot pages 22 29 o Lowering the cot Operators pull both control handles at the same time then lift the cot to take Figure 7 Leg Control Handle the weight off the locking mechanism The leg status indicator will change to red and the cot can be lowered See Leg Status Indicator below Impo rtant o Raising the cot The leg control handles are not used The operators simultaneously lift the cot main frame until the cot locks at the desired height GREEN Locked Safe The leg status indicator indicates the state of the undercarriage leg lock o During loading The Control end Operator uses RED Unlocked Re
11. the cot 1 Unfasten or loosen the leg restraint s 2 Grasp the lifting strap with one hand and the foot end of the shock frame with your other hand 3 Liftthe shock frame with the lifting strap while sliding the foot end of the shock frame toward the head end of the cot Figure 16 until it locks in the contour position 4 Fasten and adjust the restraints To lower work from the foot end of the cot 1 Unfasten or loosen the leg restraint s 2 Use the lifting strap to lift the shock frame slightly 3 With your thumb press the shock frame control lever Figure 17 to disengage the support bars then lower the shock frame 4 Fasten and adjust the restraint s 16 Mondial Monobloc 1 Sawa 2 CN oe Ferno Washington Inc 234 3480 01 January 2012 Mondial Monobloc Using the Features 5 8 Backrest e Purpose The backrest allows the operator to elevate the patient s torso for patient comfort or medical necessity e Before Use o Loosen or unbuckle the torso restraint o Support the weight of the backrest and patient e Use A red backrest control handle is located on either side of the backrest frame Figure 18 Press the control handle down toward the main frame to unlock the backrest then raise or lower the backrest to the desired position Release the control handle to lock the backrest at the new position The gas spring is under pressure to ease raising and lowering
12. 0 kg Note All Ferno mattresses for emergency medical service use are heat sealed Height 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 center of the seat panel Weight is without mattress restraints and optional features About the Cot 3 3 Compliance MEDICAL DEVICE DIRECTIVE Ferno products meet the requirements of Medical Device Directive 93 42 EEC as established by the European Union CERTIFICATION The Mondial Monobloc cot when used with a Ferno FL1 or EFX Lock fastener meets European Harmonized Standards U S A NOTICE The cot is for use with ambulances that meet the requirements of the Star of Life certification via Federal Ambulance Specification KKK A 1822 For information contact Federal Supply Services Specifications Section Suite 8100 470 E L Enfant Plaza SW Washington DC 20407 Load Limit Inspect the cot if the load limit has been exceeded See Inspecting the Cot page 31 Mondial Monobloc 3 4 Cot Positions Position 1 Lowest Transfer Position s EE amp ee i LE af Eo Bed Height Loading Height b Position 6 Highest Rolling Position Ferno Washington Inc 234 3480 01 January 2012 Mondial Monobloc 4 1 Restraints Mattress and Acce
13. 234 3480 01 January 2012 Using the Features Figure 11 Wheel Lock Figure 12 Sidearm Release Button Footrest Figure 13 Footrest 15 Using the Features 5 7 Shock Frame In addition to the flat position the shock frame adjusts to two raised positions e Raised shock position Modified Trendelenburg position Figure 14 elevates the patient s feet e Contour shock position Fowler s position Figure 16 to elevate the patient s knees higher than the feet 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 Always work from the foot end of the cot Raising and lowering from the side can expose your hand to pinch points RAISED SHOCK POSITION To raise work from the foot end of the cot 1 Unfasten or loosen the leg restraint 2 Lift the shock frame with both hands until it locks in the raised position Figure 14 The support bars engage automatically 3 Fasten and adjust the leg restraint To lower work from the foot end of the cot 1 Unfasten or loosen the leg restraint 2 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 Figure 15 then lower the shock frame 4 Fasten and adjust the leg restraint s CONTOUR SHOCK POSITION To raise work from the foot end of
14. MENDED ROUTINE PARTS REPLACEMENT SCHEDULE Inspect and replace the cot parts listed below at the proper time or cycle count whichever comes first to order kits see Parts and Service page 33 As needed 100 mm 4 loading wheel 150 mm 6 transport wheel scuff strips TE re Every year or 5 000 Cycles Loading end leg return spring control end leg return spring Every three years or 15 000 Cycles Loading end wheel fork etc 2 o Swivel caster release pin and spring 2 ea Control end wheel fork lock etc 2 Every four years or 20 000 Cycles Loading end leg control box assembly 2 Loading end leg lock spring 2 Center control box assembly and control end leg auto release lever assembly if cot is equipped with control end leg auto release mechanism Ferno Washington Inc 234 3480 01 January 2012 Mondial Monobloc 7 4 Disinfecting and Cleaning the Mattress 1 Remove the mattress from the cot 2 To disinfect Apply disinfectant to the mattress following the disinfectant manufacturer s instructions for application method and contact time 3 To clean Wash the mattress with warm soapy water and a soft cloth Rinse the mattress with clear water Hang the mattress to dry or dry it with a towel 7 5 Disinfecting the Cot Wipe all surfaces with disinfectant Follow the disinfectant manufacturer s instructions for application method and contact time Ferno recommends you inspect
15. 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 e After Use Buckle and adjust the torso restraint 5 9 Backrest with Extending Headrest Optional e Purpose Use the extending headrest to make the patient surface longer for a tall patient This feature extends the patient surface by about 7 in 180 mm e Use To extend the headrest pull the frame until it stops at the extended position Figure 19 To retract push the frame in until it stops 5 10 Backrest with Airway Management Frame Optional e 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 e Use To adjust the frame pull the release bar Figure 20 and rotate the frame to the new position Let go of the bar to allow the frame to lock 1 Lh p A a 6 1 Figure 20 Backrest with Airway Management Frame Ferno Washington Inc 234 3480 01 January 2012 17 Using the Features Mondial Monobloc 5 11 Intermediate Loading Wheels e Purpose Reduces the amount of lifting required when loading the cot into an ambulance and when unloading the cot fro
16. ading process See Loading the Cot page 26 6 9 One Operator Empty Cot LOADING AND UNLOADING If local protocols permit an empty cot may be loaded into and unloaded from the ambulance by one trained operator Figure 37 Follow the procedures in Loading the Cot page 26 and Unloading the Cot page 27 CHANGING POSITIONS When the cot is empty no patient one operator can change the cot height To raise the cot raise one end of the cot then the other To lower the cot squeeze the leg control handle at one end of the cot and lower the cot to the desired position Figure 38 then move to the opposite end and repeat the process If equipment is on the cot raise or lower the cot in stages by adjusting the height only one or two positions at time This will help keep loose items from sliding off the cot 28 Mondial Monobloc g Figure 38 One Operator Changing Positions Ferno Washington Inc 234 3480 01 January 2012 Mondial Monobloc 6 10 Using Additional Help Operating the cot requires a minimum of two trained operators They may need additional help when working with heavy loads patient plus equipment e Trained operators stand at the head and foot ends of the cot maintain control of the cot operate the controls and direct all helpers e Side helpers may need to walk sideways under some circumstances Follow local protocols e Ferno recommends that helpers work in pairs to help maintain c
17. ady to Lower or Load the control end handle when loading the cot into an ambulance Note f the cot is equipped with the EZ Load automatic leg release option the control handle is not used when loading the cot into an ambulance See EZ Load Automatic Leg Release page 20 5 2 Leg Status Indicator e Purpose Indicates the status of the leg lock e Location Control panel at each end of the cot e Use Figure 8 The indicator changes automatically when the leg control handle at the same end of the cot is used ae Legs are Unlocked 3 E a 280 o Red the legs are unlocked the leg control handle 2 2 has been pulled and the cot may be lowered or loaded into an ambulance o Green the legs are locked o Always maintain your grasp on the cot until im is you verify that both legs have locked at the new Figure 8 Leg Status Indicator position Ferno Washington Inc 234 3480 01 January 2012 15 Using the Features Mondial Monobloc 5 3 Swivel Lock Release Lever e Purpose Unlocks and allows the loading end caster wheels to swivel 360 default the casters are locked The caster wheels can roll but cannot swivel The casters must be locked before loading the cot into an ambulance o When unlocked the caster wheels can roll and swivel 360 allowing the cot to be maneuvered easily when space is limited e Location Cot loading end Figure 9 e Use o To unlock the casters for swiv
18. arts and service can cause injury Use only Ferno parts and Ferno approved service on the cot 33 Accessories and Related Products Mondial Monobloc 9 ACCESSORIES AND RELATED PRODUCTS Ferno offers a full line of emergency medical service accessories fasteners IV poles immobilizers blankets etc Selected items approved for use with the cot are listed at the right Follow all instructions packed with accessories Keep the instructions with this manual When using accessories be aware of any special considerations such as doorway heights and widths etc Contact Ferno Customer Relations page 2 or your Ferno distributor for product information Description FL1 Fastener Mondial Safety Lock Device Mondial Tracker Mondial Monobloc storage tray Mondial Monobloc side assist handles SaniZene Hard Surface Disinfectant 4 ea 1 gallon 34 Kit 057 3080 083 2164 083 2165 083 2190 083 2191 078 9214 Attaching improper items to the cot can cause injury Use only Ferno approved items on the cot Ferno Washington Inc 234 3480 01 January 2012 Mondial Monobloc TRAINING RECORD Training Method 35 Ferno Washington Inc 234 3480 01 January 2012 Mondial Monobloc MAINTENANCE RECORD Maintenance Performed Ferno Washington Inc 234 3480 01 January 2012 36
19. dditional Help 29 4 2 Restraint Guidelines 9 7 Maintenance 30 4 3 Attaching the Leg Restraint 10 7 1 Maintenance Schedule 30 4 4 Attaching the Harness 11 7 2 Tracker Optional 30 5 Using the Features 13 7 3 Disinfecting and Cleaning the Restraints 30 5 1 EZ Pull Leg Control Handles 13 7 4 Disinfecting and Cleaning the Mattress 31 5 2 Leg Status Indicator 13 7 5 Disinfecting the Cot 31 5 3 Swivel Lock Release Lever 14 7 6 Cleaning the Cot 31 5 4 Wheel Locks 15 7 7 Waxing the Cot 31 5 5 Sidearms 15 7 8 Inspecting the Cot 31 5 6 Footrest 15 7 9 Lubricating the Cot 32 5 7 Shock Frame 16 8 Parts and Service 33 5 8 Backrest 17 8 1 U S A and Canada 33 5 9 Backrest with Airway 8 2 Worldwide 33 Management Frame Optional 17 8 3 Parts List 33 5 10 Backrest with Extending Headrest Optional _ 17 9 Accessories and Related Products 34 5 11 Intermediate Loading Wheels 18 Training Record 35 Maintenance Record 36 Ferno Washington Inc 234 3480 01 January 2012 3 Safety Information Mondial Monobloc 1 SAFETY INFORMATION 1 1 Warning Warning notices indicate a potentially hazardous situation which if not avoided could result in injury or death 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 ite
20. e brackets mounted on the cot main frame to secure the restraint on the cot The brackets are located on the inside patient side of the main frame where the backrest and bed seat sections meet Figure 3 Each bracket has two keyholes one for the shoulder strap and one for the chest strap ATTACHING THE CHEST STRAPS 1 Lower the sidearms and raise the backrest 2 Separate the restraint into its component pieces 3 Attach the chest strap to the bracket keyholes nearest the operator end of the cot To attach insert the button into the bracket keyhole and pull the button firmly upward to seat it in the narrow portion of the keyhole Figure 4 Note Pressing the rear of the strap button against the bracket as you pull upward will help seat the button in the bracket Figure 4 Attaching the Chest Strap Ferno Washington Inc 234 3480 01 January 2012 11 Setup Mondial Monobloc ATTACHING THE SHOULDER STRAPS Attaching the shoulder straps will be easier 1f you first buckle the chest and shoulder straps Place the shoulder strap links onto the tang and then insert the tang into the receiver 1 Lay the shoulder straps flat on the backrest Verify that the straps are not twisted 2 Pass both shoulder straps through the slots in the mattress and bed frame The guide strap is not used 3 Insert each shoulder strap bracket button into a loading end keyhole Pull the button firmly upward to seat it in the narrow portion
21. e handle position press the button on the end of the handle Figure 24 and push or pull the handle to the desired position Release the button and pull or push the handle until it locks o Use the telescoping handles only when they are in a locked position MONDIAL 5 14 Telescoping Side Handles Optional e Purpose Operators or helpers use the side handles as extra lifting or grasping points e Use Pull to extend the handle push to retract Figure 25 o Grasp the cot main frame with one hand using an underhand grasp Grasp the side handle with your other hand using a cylindrical grip o When lifting balance the cot by placing one operator or helper on each side of the cot and lift together using both handles Figure 25 Telescoping Side Handles Ferno Washington Inc 234 3480 01 January 2012 19 Using the Features Mondial Monobloc 5 15 EZLoad Automatic Leg Release Loading End Legs e Purpose A mechanism connected to the loading wheels Figure 26 automatically unlocks the loading end legs for folding as the cot 15 loaded into an ambulance e Use The automatic leg release is a passive device that does not require any action on the part of the operators Figure 26 Pressure On the Loading Wheels Unlocks the Loading End Legs 5 16 EZLoad Automatic Leg Release Control End Legs Optional e Purpose When the cot is equipped with this optional feature the operators do not use a
22. eling the Loading Figure 9 Swivel Lock Release Lever end Operator pulls and holds the blue swivel lock release lever Figure 9 The operator must continue holding the lever as long as the swivel function is needed To lock the casters let go of the lever and roll the cot toward the loading end until the wheels rotate and lock This allows the pin inside the trailing end of the caster to engage the lock Figure 10 Releasing the swivel locks increases the possibility for the cot to tip Maintain control of the cot at all times GUIDELINES FOR USE Important e The cot is more stable when the casters are locked and The loading end caster wheels lock only when the is more maneuverable when the casters can swivel swivel lock release lever is released and the trailing e The swivel lock release lever functions only when the end of each caster orients with the lock pin cot is in the highest rolling position Bed Position 6 e Lock the casters before loading the cot into an ambulance so the wheels will not swivel and interfere Lock Pin Not Shown 7 A with loading or unloading Inside Casting e Lock the casters before lowering the cot At a lower position shifting weight on the cot can cause an Trailing End unlocked loading end caster to swivel suddenly of Caster e The swivel caster lock pins are not designed to be lubricated See Lubricating the Cot page 32 Use warm water and a mild detergent to clean the loc
23. ith heavy loads patient and equipment See Using Additional Help page 29 1 Ifthe ambulance has a folding tray lower the ramp 2 Release the cot from the cot fastener 3 Control end Operator Grasp the main frame with an underhand palms up grip Roll the cot out of the ambulance until the control end legs unfold and lock Important If the legs do not unfold as the cot is removed from the ambulance check the low bed leg lock Push the cot back inside the ambulance release the lock and start the unloading process again Figure 34 Verify the Control Legs Have Locked Important If the ambulance is in a low area or on an incline the operators and any helpers may need to lift the cot to allow each set of legs to lock An unlocked undercarriage can cause injury Before removing the cot from the ambulance confirm that both sets of legs unfold completely and lock 4 Verify that the control legs have locked Figure 34 5 Loading end Operator As the cot is pulled from the ambulance grasp the main frame and assist the Control end Operator 6 Control end Operator Verify that the control end legs have locked See Leg Status Indicator page 13 After verifying the legs have locked continue pulling the cot out of the ambulance until the loading end legs unfold completely and lock 7 Loading end Operator Place your foot against one wheel of the loading end legs and verify that the legs have finished swi
24. k operator end legs e Backrest with extending headrest e Backrest with airway management frame e Low bed leg lock e Telescoping carry handles e 2 Side lifting handles e Safety lock device e Storage tray e Flat or bolster mattress Also available separately Ferno Washington Inc 234 3480 01 January 2012 Improper use of the cot can cause injury Use the cot only for the purpose described in this manual INCLUDED WITH PURCHASE The following items are included with purchase e Set of 2 patient restraints one harness torso restraint and one two piece leg restraint e Users manual 3 2 General Specifications Most general specifications 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 specifications without notice Bed Position 1 Construction Aluminum Transport Wheels Diameter 6 in 150 mm Width 2 in 44 mm Wheel Bearings Sealed greaseless Bed Surface Aluminum panels Height Bed Position 6 40 in 1006 mm Loading Height 28 in 700 mm Bed Position 5 37 in 946 mm Bed Position 4 34 in 871 mm Bed Position 3 30 in 752 mm Bed Position 2 23 in 593 mm 12 in 314 mm Folded Ambulance Position 13 in 327 mm Length 77 5 1n 1970 mm Width 22 in 553 mm Weight 98 1b 44 45 kg Load Limit 620 1b 28
25. k pins when needed Figure 10 Loading End Swivel Caster 14 Ferno Washington Inc 234 3480 01 January 2012 Mondial Monobloc 5 4 Wheel Locks e Purpose Aid in keeping the cot from rolling during patient transfer and certain medical procedures e Location Control end wheels e Use To engage the wheel lock press the lock lever on top of the caster Figure 11 To disengage the lock lift the lever up with your toe 5 5 Sidearms e Purpose Sidearms provide patient security and comfort Keep the sidearms raised except during patient transfer e Use o lower press the release button and swing the sidearm slightly toward the patient to release the lock Figure 12 then swing the sidearm down and away from the patient raise rotate the sidearm upward until it locks o Sidearms also lock at 90 degrees 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 5 6 Footrest e Use The permanent built in footrest Figure 13 provides stability and support for a patient s feet The footrest can also be used by the Control end Operator to pull and steer the cot while rolling it Note The footrest is attached upside down for shipping Before using the cot for the first time remove the four screws and re orient and reattach the footrest Refer to the sheet attached to the footrest Ferno Washington Inc
26. m an ambulance e Location Cot center e Use The intermediate loading wheels Figure 21 are passive aids and do not require any action on the part of the operators 5 12 Low Bed Leg Lock Blue Lever Optional e Purpose Locks both cot legs in the folded position allowing the cot to be carried as a stretcher Use additional help as needed See Using Additional Help page 29 e Location Control end of the cot Figure 22 e Use Both Operators Lower the cot to Bed Position 1 See Bed Positions page 8 Control end Operator Engage the leg lock by pushing the bottom portion of the blue low bed leg lock lever Figure 22 o Both Operators and Helpers if needed Lift and carry the cot Set the cot down when you reach your destination Figure 22 Low Bed Leg Lock Lever Important o Control Operator Disengage the low bed leg If the legs do not unfold as the cot is removed from the lock lever ambulance check the low bed leg lock Push the cot back inside the ambulance release the lock and start the unloading process again 18 Ferno Washington Inc 234 3480 01 January 2012 Mondial Monobloc Using the Features 5 13 Telescoping Handles Optional e Purpose The optional telescoping handles extend for lifting and carrying the cot The handles lock in three positions Figure 23 o Fully retracted o Middle about 5 in 125 mm o Fully extended about 9 11 225 mm e Use To change th
27. mited 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 Copyright Ferno Washington Inc All Rights Reserved Ferno Washington Inc 234 3480 01 January 2012 Mondial Monobloc Table of Contents TABLE OF CONTENTS Section Page Section Page Ferno Customer Relations 2 5 12 Low Bed Leg Lock Blue Lever Optional _ 18 Ferno Technical Support 2 5 13 Telescoping Handles Optional 19 1 Safety Information 4 5 14 Telescoping Side Handles Optional 19 1 1 Warning 4 5 15 EZ Load Automatic Leg Release 1 2 Important 4 Loading End Legs 20 1 3 Bloodborne Disease Notice 4 5 16 EZ Load Automatic Leg Release 1 4 Cot and Fastener Compatibility 4 Control End Legs Optional 20 1 5 Safety and Instruction Labels 5 5 17 Safety Lock Device Optional 21 1 6 Symbol Glossary 5 5 18 Storage Tray Optional 21 2 Operator Skills and Training 6 6 Using the Cot 22 2 1 Skills 6 6 1 Before Placing the Cot in Service 22 2 2 Training 6 6 2 General Guidelines for Use 22 2 3 Height and Strength Considerations 6 6 3 Changing Cot Positions 23 3 About the Cot 7 6 4 Transferring the Patient 24 3 1 Description 7 6 5 Rolling the Cot 25 3 2 General Specifications 7 6 6 Loading the Cot 26 3 3 Compliance 8 6 7 Unloading the Cot 27 3 4 Cot Positions 8 6 8 Carrying the Cot 28 4 Setup 9 6 9 One Operator Empty Cot 28 4 1 Restraints Mattress and Accessories 9 6 10 Using A
28. ms on the cot Releasing the swivel locks increases the possibility for the cot to tip Maintain control of the cot at all times 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 off the cot and be injured Use restraints to secure the patient on the cot Rolling the cot sideways can cause the cot to tip and injure the patient or operators Roll the cot only with the head end or food end first An unlocked undercarriage can cause injury Before removing the cot from the ambulance confirm that both sets of legs unfold completely and lock Helpers can cause injury or be injured Maintain control of the cot 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 cot only as described in this manual Modifying the cot can cause injury and damage Use the cot only as designed by Ferno Improper parts and service can cause injury Use only Ferno parts and Ferno approved service on the cot Attaching improper items to the cot can cause injury Use only Ferno approved items on the cot 1 2 Important Important notices emphasize important usage or maintenance information 1 3 Bloodborne Disease Notice To reduce the risk of exposure to bloodborne di
29. n be injured Stay with the manual patient at all times e It 15 the users responsibility to ensure safe practices for the patient and themselves e A minimum of two trained operators is required e Follow standard emergency patient handling An unrestrained patient can fall off the cot and be procedures when operating the cot injured Use restraints to secure the patient on the e Operators work together and maintain control of cot the cot at all times e Operators communicate with one another and use coordinated movements to operate the cot e 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 29 e Stay with the patient at all times e Always use patient restraints to secure the patient on the cot e When changing the cot position height or when unloading it from an ambulance verify that both sets of legs have locked at the new position before you release your grasp on the main frame e For details on using the cot fastener see the cot fastener users manual 22 Ferno Washington Inc 234 3480 01 January 2012 Mondial Monobloc 6 3 Changing Cot Positions 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 Engage the loading end caster swivel locks so the wheels will not swivel
30. nging to their final locked position 8 Both Operators Roll the cot out of the ambulance SAFETY LOCK DEVICE REMINDER During unloading cots equipped with the optional Safety Lock Device may catch on a catch plate If this happens raise the cot control end high enough for both sets of legs to unfold and lock Use additional help as needed This will allow the cot to be removed from the catch plate Figure 35 Unloading the Cot Ferno Washington Inc 234 3480 01 January 2012 27 Using the Cot 6 8 Carrying the Cot The cot legs can be locked in the lowest bed position so the operators can lift and carry the cot over rough terrain or obstacles To engage the leg lock 1 Both Operators Lower the cot to Bed Position 1 2 Control end Operator Engage the leg lock by pushing the bottom portion of the blue low bed leg lock lever Figure 36 3 Both Operators and any helpers Grasp the cot main frame and lift and carry the cot To disengage the leg lock 1 Both Operators Set the cot on the ground or flat surface 2 Control end Operator Disengage the leg lock by pressing the top portion of the lever Note Do not engage the leg lock while the cot is loaded in an ambulance Disengage the lock before loading the cot into an ambulance Note The cot cannot be loaded into an ambulance while in the folded position Set the cot down disengage the leg lock and raise the cot fully Then follow the standard lo
31. ntil both loading wheels are on the patient compartment floor or tray and the loading end legs contact the bumper The loading end legs will automatically begin to fold Figure 32 and 33 Note If the cot is equipped with the EZ Load automatic control end leg release the Control end Operator may choose to grasp the cot frame or telescoping handles to push the cot into the ambulance 5 Both Operators Before the rear legs contact the ambulance bumper lift and assume the remaining weight of the cot patient and equipment 6 Control end Operator o If the cot is NOT equipped with the EZ Load automatic control end leg release Squeeze the control end leg control handle to unlock the control end legs Continue pushing the cot into the ambulance Figure 33 o If the cot is equipped with the EZ Load automatic control end leg release The control end legs will automatically unlock and begin to fold after the loading end legs have folded Continue pushing the cot into the ambulance 7 Either Operator Secure the cot in a Ferno cot fastener Fold the folding tray ramp if needed Figure 33 Loading the Cot 26 Ferno Washington Inc 234 3480 01 January 2012 Mondial Monobloc Using the Cot 6 7 Unloading the Cot Unloading the cot with a patient on it requires minimum of two trained operators working together and maintaining control of the cot at all times Note Use additional help as needed when working w
32. ny control handles when loading the cot into an ambulance EZ Load Overview When the operators load a cot equipped with the EZ Load leg release into an ambulance the following sequence occurs The operators begin loading the cot into the e Use As the cot is loaded into the ambulance and after ambulance the loading end legs fold the control end legs are automatically unlocked for folding See Loading the The weight of the cot on the loading wheels Cot on page 26 unlocks the loading end legs for folding The operators continue pushing the cot into the ambulance The folded loading end legs automatically unlock the control end legs for folding The operators finish pushing the cot into the ambulance and secure it in a Ferno fastener 20 Ferno Washington Inc 234 3480 01 January 2012 Mondial Monobloc Using the Features 5 17 Safety Lock Device Optional e Purpose The Safety Lock Device prevents the cot from being accidentally unloaded from the ambulance before the loading end legs have locked This optional device is required in some countries check the requirements for your country The Safety Lock Device consists of a hook positioned under the loading end of the cot Figure 27 and a user installed catch plate installed on the ambulance floor or ramp e Use As the operators unload the cot from the ambulance o Ifthe loading end legs have not locked The cot hook will catch on the u
33. o a raised position and back The total number of cycles is displayed on an LCD readout Use the Tracker as an aid to schedule and record cot maintenance Note The Tracker is designed to maintain a count of the total number of cot cycles It is not designed to be reset to zero 7 3 Disinfecting and Cleaning the Restraints To disinfect 1 Remove restraints from the cot 2 Spray or wipe the metal buckles with disinfectant Allow the disinfectant to remain on the buckles for the proper contact time Wipe with a clean cloth Do not immerse buckles in liquid 3 Webbing may be immersed in disinfectant Follow the disinfectant manufacturer s instructions for dilution and contact time To clean 1 Remove restraints from the cot 2 Adda mild soap or cleaning solution to warm water using the recommended dilution 3 Immerse the restraint webbing in the solution for the proper contact time Do not immerse buckles 4 Repeatedly dip the restraint webbing in clear water to rinse Do not immerse buckles 5 Hang the restraints to dry 6 Attach clean dry restraints to the cot as described in Setup page 9 30 Improper maintenance can cause injury Maintain the cot only as described in this manual Important Disinfectants and cleaners containing bleach phenolics or iodines can cause damage Do not use products containing these chemicals Minimum Maintenance Intervals Disinfecting pages 30 31 RECOM
34. o rtant e Roll the cot on smooth unobstructed surfaces Roll the cot downhill operator end first whenever possible If it is not medically appropriate to do this roll the cot e cross a low obstacle such as a door sill lift the cot with the loading end first and have the Loading end slightly to take the weight off the wheels so the wheels Operator exert upward force on the main frame to help roll smoothly over the obstacle maintain cot balance e Lift and carry the cot over a high obstacle such as a curb Do not apply downward force on one end of the cot in order to raise the other end of the cot Loading end Control end Operator Operator e If the cot is equipped with the auxiliary leg lock the operators may fold the cot and carry it e not roll the cot sideways Rolling a cot sideways can increase the chance for the cot to tip and injure the patient and or operators e Use additional help as needed to safely control the weight of the patient and cot see Using Additional Help page 29 e When rolling over rough terrain the operators and helpers should grasp the cot main frame with both hands ROLLING THE COT 1 Securely fasten the restraints around the patient 2 Both Operators Place the cot at a suitable rolling height see Cot Positions page 8 and unlock the control end wheel locks If the swivel function on the loading end wheels is needed place the cot in Bed Position 6 See Swivel Lock Release Lever page
35. obloc Series 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 In this manual the generic term cot is used when the feature is shared by all models in the series The individual cot name is used when features differ COT FEATURES e Ergonomic control handles e Choice of red green or silver legs e Six bed positions and a folded position e Compatible with Ferno FL1 and EFX Lock fasteners e EZ Pull control handles allow operators to operate the control handle first before assuming the weight of the cot during position changes e Control handles not required for raising the cot e Automatic loading leg release when loading the cot into an ambulance control handle not required to unlock loading legs e Intermediate loading wheels e Pneumatic backrest e 3 Position shock frame with contour feature e 3 Position swing down sidearms e Footrest e Four 150 mm 6 in transport wheels Control end wheels with wheel locks two o Loading end wheels with swivel locks two e Extremely high visibility reflective safety stripes e Scuff strips w rollers Set of restraints OPTIONAL FEATURES e Automatic operator leg release control handle not required to unloc
36. ot balance The chart below shows suggested placement for operators and helpers Using the Cot Helpers can cause injury or be injured 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 Load Limit Inspect the cot if the load limit has been exceeded See Inspecting the Cot page 31 Helpers Changing Positions Rolling Loading Unloading Two Operators Helpers Two Operators Four Helpers Key O Operator H Helper P Patient Ferno Washington Inc 234 3480 01 January 2012 29 Maintenance Mondial Monobloc 7 MAINTENANCE 7 1 Maintenance Schedule The cot requires regular maintenance Set up and follow a maintenance schedule The table at right represents minimum intervals for maintenance Also refer to the Recommended Routine Parts Replacement Schedule on this page Keep maintenance records sample maintenance record sheet is provided on page 36 When using maintenance products follow the manufacturers directions and read the product material safety data sheets You can purchase a recommended disinfectant from your Ferno distributor or Ferno Customer Relations page 34 7 2 Tracker Optional The optional Tracker device is attached to the undercarriage and counts cot cycles A cycle is recorded each time the cot moves from the folded position t
37. ry 2012 Setup 4 SETUP Attaching improper items to the cot can cause injury Use only Ferno approved items on the cot Important Loose items and debris on the patient compartment floor can interfere with the operation of the cot with the cot fastener Keep the patient compartment floor clear Harness Restraint Bracket Button 4 Guide Strap Not Used with Mondial Monobloc Shoulder Strap 2 Shoulder Strap Buckle 2 Chest Strap 2 Tang Link 2 Receiver Leg Restraint Loop Webbing Receiver Tang Loop Figure 1 Patient Restraints Setup 4 3 Attaching the Leg Restraint Restraint brackets are provided for attaching the two piece leg restraint 1 3 10 Unbuckle the restraint separating it into its two straps Raise the shock frame Thread the loop end of the strap through the bracket attached under the shock frame then pass the receiver or tang end of the restraint through the loop Figure 2 Pull the strap to tighten the knot against the bracket Adjust the length of the restraint so it can be easily buckled Mondial Monobloc Shock Frame Ma Figure 2 Attaching the Two Piece Leg Restraint Ferno Washington Inc 234 3480 01 January 2012 Mondial Monobloc Setup 4 4 Attaching the Harness BRACKET BUTTON SYSTEM A metal button 1s affixed to the end of each harness shoulder strap and chest strap The buttons seat into metal keyhol
38. seases such as HIV 1 and hepatitis when using the cot follow the disinfecting and cleaning instructions in this manual 1 4 Cot and Fastener Compatibility Combining different manufacturers products into a mixed component 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 Ferno Washington Inc 234 3480 01 January 2012 Mondial Monobloc Safety Information 1 5 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 or your distributor page 33 PUN E oN 620 Ib Swivel Lock Release Lever Affixed near blue swivel lock release lever x x Indicates that using the release lever allows the loading end wheels to swivel 360 Use at Bed Position 6 238 1723 00 A Safety Information Label Low Bed Leg Lock Lever Affixed to the control panels Affixed near low bed leg lock
39. ser installed catch plate If this happens raise the control end of the cot Figure 27 Safety Lock Device until the loading end legs swing down completely and lock Use additional help as needed to lift the cot See Using Additional Help page 29 o If the loading end legs have locked No action is needed The hook on the cot will not catch on the catch plate and the cot may be unloaded normally 5 18 Storage Tray Optional e Purpose The optional storage tray is integrated with the cot under the backrest Figure 28 e Use Raise the backrest to place objects on the storage tray Remove objects before lowering the backrest Do not allow objects on the tray to interfere with the backrest pneumatic spring Figure 28 Storage Tray Ferno Washington Inc 234 3480 01 January 2012 21 Using the Cot Mondial Monobloc 6 USING THE COT 6 1 Before Placing the Cot in Service e Personnel who will work with the cot need to read this manual Improper operation can cause injury Operate the cot only as described in this manual e Set up the cot following the instructions in Setup pages 9 12 e Confirm that the cot operates properly See Inspecting the Cot page 31 e The vehicle must have a Ferno cot fastener installed Read the Load Limit Cot Operation Users Manual Requires Two Trained Operators 6 2 General Guidelines for Use e Medical advice is beyond the parameters of this An unattended patient ca
40. ssories Before placing the cot in service assign appropriate personnel to install the mattress restraints and any accessories shipped with the cot Keep accessory users manuals with this manual for future reference For additional free manuals contact Ferno Customer Service page 2 4 2 Restraint Guidelines A set of patient restraints 1s supplied to properly secure a patient Figure 1 The set includes a four point harness restraint to secure the patient s torso and two piece restraints to secure the patient s legs To comply with CEN crash standards a complete set of patient restraints must be attached and used as shown in this manual Unbuckle the restraints and lay the straps out of the way before transferring the patient Adjust restraints to safely secure the patient without causing discomfort or impairing circulation Place restraints to cross bony parts of the body Ferno recommends that the two piece restraint be attached at the knees Additional restraints may be required by the local government authority Follow local protocols and regulations Keep restraints fastened when not in use to prevent them from interfering with cot operation Dispose of and replace restraints that are worn damaged or have been involved in a vehicular accident Restraints that have been involved in a vehicular accident may have damage that is not visible to the eye Ferno Washington Inc 234 3480 01 Janua
41. the cot for damage as you disinfect it 7 6 Cleaning the Cot 1 Remove the restraints mattress and any accessories 2 Hand clean all surfaces of the cot with warm water and a mild detergent 3 Rinse with warm clear water Dry the cot with a towel or allow it to air dry 7 7 Waxing the Cot While it is not necessary to wax this cot waxing the painted legs will not damage them and will help maintain the cot s appearance Disinfect and clean the cot before applying wax Use an automotive wax as directed by the wax manufacturer Waxing the textured main frame is not recommended 7 8 Inspecting the Cot Have your service s equipment maintenance personnel inspect the cot regularly Follow the checklist at right and operate the cot through all its functions as described in this manual If inspection shows damage or excessive wear remove the cot from service until repair is made See Parts and Service page 33 Ferno Washington Inc 234 3480 01 January 2012 Maintenance Important Water under high pressure or steam can penetrate joints flush away lubricant and cause corrosion Use caution when cleaning moving parts such as joints and hinges and reapply lubricant if needed see page 32 Important Using abrasive cleaning compounds or applicators on the cot can cause damage Do not use abrasive materials to clean the cot INSPECTION CHECKLIST Are all components present Is the cot free of excessive wear
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