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STANAG 2040
STANAG 2040 stretchers, bearing brackets and attachment supports
Makers of military medical stretchers, stretcher brackets and patient-transport fittings for vehicles and aircraft, and the buyers who specify them.
STANAG 2040 is the NATO agreement that makes military medical stretchers and their mountings interchangeable between nations. NATO has not released it publicly; this page describes it from the Czech defence standard that implements it.
- Edition
- 8
- Published
- 2020-11-24
NATO has not released this STANAG publicly. It is NATO UNCLASSIFIED, and organisations that need it obtain it through their national standardization authority.
What it is
STANAG 2040 is the NATO Standardization Agreement on stretchers, bearing brackets and attachment supports. Edition 8, promulgated in November 2020 under NATO's military medical committee, covers the publication AMedP-2.1 (B). Its purpose is interchangeability: a casualty on one nation's stretcher can be carried in another nation's ambulance, vehicle or aircraft without being moved to a different stretcher.
NATO has not released STANAG 2040 or AMedP-2.1 publicly. This page describes them from a public national implementation, the Czech defence standard ČOS 653001 (edition 1, amendment 3, 2025), which states that it introduces STANAG 2040 edition 8 and AMedP-2.1 (B) into Czech use. A national implementation can add national requirements and reservations, so treat what follows as the Czech implementation's content, not as NATO's own text.
What the Czech implementation requires of a stretcher
ČOS 653001 sets out requirements for the stretcher itself and for how it is fixed in transport. For the stretcher, it requires a load capacity of at least 150 kg and a weight of no more than 8.5 kg; a rigid, lightweight frame that resists twisting and allows cardiopulmonary resuscitation; four feet for setting it on the ground; at least two patient restraints with a quick-release mechanism; and resistance to a 10 G load longitudinally, laterally and vertically in the event of a crash. Flammability is tested to the methods of FAR 23.853, the combustion toxicity of the materials is assessed under EN 60695-7-1, and risks to patient and staff are managed under ISO 14971.
Some requirements are plainly national: a khaki bed surface, resistance to the disinfectants and decontaminants in use by the Czech armed forces, and a reference to a Czech decree on patient-transport equipment. Those tell you how one nation implements the agreement, not what every NATO nation requires.
The dimensions that make stretchers interchangeable
The part of the standard that does the interoperability work is the set of fixing dimensions. In the Czech implementation, the outer edges of the fixing points on a carrying system are at most 2,120 mm apart and their inner edges at least 2,000 mm; the fixings take handles between 30 mm and 42 mm in diameter; the outer edges of the bearing brackets are 1,065 mm apart and hold stretchers 540 mm to 590 mm wide. Annexes give the frame, foot and handle dimensions in full. For aircraft, the fixing must suit the aircraft type, and stretcher, restraints and mountings must meet airworthiness requirements.
How we help
A supplier bound by STANAG 2040 through a contract holds the obtained text through its national authority. In ComplyTrain you record the requirements that apply to you, from load and weight to fixing dimensions, as your own requirements, give each an owner, and keep the test reports and drawings that show you meet them against each one.
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