The Hydraulic linear Actuator is a reliable self-contained hydraulic actuator for use in stretchers and trolleys. The pump cylinder. valves and reservoir recombined into one compact. maintanance free unit. The Stretcher Actuator with is integrated guidance can handle high inside loads. Therefore. no additional actuation or support mechanism is needed in the design of the strecther or trolley. This can lower the manufacturing cost of the stretcher or trolley. The Stretcher Actuator is easy to install and built for long life.