Resuscitaire Operators Manual

OPERATING PRECAUTIONS

GENERAL PRECAUTIONS

.

Federal Law restricts this device to sale by or on order of a physician.

.

Infant radiant warmers should be used only by properly trained personnel as directed by an appropriately qualified physician aware of currently known hazards and benefits.

.

The functional checkout procedure should be performed before each use and after disassembly for cleaning, servicing or maintenance. Refer to qualified service personnel if the unit does not perform as specified.

.

The Cart/Bassinet End and Side panels cannot be used for pushing or pulling the Cart/Bassinet and or

Warmer.

.

Do not leave the infant unattended in the Cart/Bassinet when the side panels orthefront panel arefolded down.

.

To avoid overheating or underheating, skin temperature must be continuously monitored and controlled either manually or automatically. Rectal temperature should never be used to control skin temperature.

.

To avoid overheating or underheating when operating in manual mode, observe the infant constantly and monitor the temperature using the temperature probe supplied with the equipment or another electronic thermometer.

.

The skin temperature sensing probe must be in direct contact with the skin to provide accurate monitoring of the infant’s skin temperature. Failure to maintain direct skin contact can result in overheating and possible burning. Check infant’s condition at least every fifteen minutes for correct Sensor attachment, reddened skin areas, and proper skin temperature.

.

The skin temperature sensing probe should be placed at least 1.5 inches from any transcutaneous monitor (TcPOz or TcPCOz) probe to prevent false temperature indications. The skin temperature probe should not be placed on an area previously used by a TcPOz or TcPC02 probe.

.

To avoid overheating the skin, the location of the skin temperature probe must be such that the skin around the Sensor is in direct line with the radiation from the warmer. Do not place anything between the radiant warmer and the infant that will interfere with the radiation from the warmer.

.

Radiant warming increases insensible water loss. Appropriate measures to maintain proper fluid balance should be considered.

.

For effective heating, make sure the Warmer Module is positioned on the center axis and locked with its detent.

.

This Warmer is intended for use with the Cart/Bassinet. If the Warmer is used to warm the mother immediately after delivery, all warnings and instructions should be followed with particular regard to the heater-to-mattress distance and skin probe location. Avoid placement of objects near the mother which can absorb heat and become hot to the touch.

.

Compressed gas cylinders, such as oxygen cylinders, can become hazardous projectiles if the gas is released rapidly due to damage or other causes. Cylinders must be securely fastened.

.

To avoid overheating the Warmer, do not place objects (equipment, blankets, clothing or sterile packs) on top of the Warmer.

COPYRIGHT@3 1998, HILL-ROM AIR-SHIELDS, INC.

OPERATING PRECAUTIONS (Continued)

l Avoid placement of objects between the infant and the Warmer Module that can block heat transfer or absorb heat. These objects may be heated directly by the heater and can cause skin burns.

a

Temperature uniformity (per IEC 601-2-21) across the mattress surface may not be maintained when the Bassinet is tilted in the 5- and 1 O-degree positions.

l

During calibration, inspect the secondary reflector directly under the warmer heater element for particles.

If particles are present, replace the heater element. The life expectancy of the heater element is 1000 hours of operation.

0

Evidence that the safety certification of the ACCESSORY has been performed in accordance with the appropriate IEC 601-l and/or IEC 601-l-l harmonized national standard.

RESUSCITATION PRECAUTIONS

A one-way valve is installed at the Patient Outlet connection. This valve opens when pressure in the hose delivering gas to the patient falls below -4 cm H20. Its purpose is to allow patient inspiration in the unlikely event of failure of the gas supply.

A humidifier, when used, must be placed between the Patient Outlet connection and the patient circuit.

DO NOT PLACE A HUMIDIFIER IN THE SUPPLY LINE.

Humidifier must have low series flow resistance and not be placed between exhalation valve and patient airway.

Gas going to the patient should not be super-saturated as evidenced by excessive condensation in the tubing. Condensation droplets on the inner walls of the tubing are normal.

Periodic blood gas measurements should be made to ensure proper levels of ventilation.

Always confirm the airway pressure relief valve setting before patient use.

Confirm that the oxygen/air blender control of the Blended Gas Supply Module is correctly set prior to use.

Confirm that the patient circuit contains all the parts needed prior to use.

Ensure that the patient breathing circuit connections are secure and free of obstructions.

The Aux Outlet circuit does not provide adjustable pressure limiting.

Auxiliary Gas Supply Pressure is internally limited to 160 cm circuit that includes appropriate pressure relief.

HzO. Always use a patient resuscitation

Always monitor Airway Pressure and/or provide appropriate pressure relief during infant resuscitation.

Confirm that the oxygen supply is turned off and that the equipment is disconnected from the oxygen supply when performing cleaning and maintenance procedures; a fire and explosion hazard exists when performing cleaning and/or maintenance procedures in an oxygen-enriched environment.

Gas supplies (02 and Air) should always be clean and dry. Water/Trap Filters should be used in the supply lines if necessary.

All hoses should be securely fastened to fittings. Hand-tighten to avoid damage to fittings.

Gas supplies should be maintained at 40 to 75 psi.

Flow restrictions (e.g., flowmeter, valve, etc.) must not be placed in the supply line.

If a compressor is used as the air source, steps should be taken to filter and dehumidify the room air before introducing it into the Gas Supply Module.

_ ii _


ELECTRICAL PRECAUTIONS a

An electrical shock hazard exists within the Warmer Module and Controller. Any substitution of components within the Controller or Warmer Module may impair the intrinsic safety of the unit. Service should be performed by qualified personnel.

0

Connect the power cord only to a properly grounded receptacle that is approved for hospital use and of the correct voltage. DO NOT USE EXTENSION CORDS. l

Use only with power cords supplied with the Warmer.

EXPLOSION PRECAUTIONS

l

Do not use in the presence of flammable anesthetics.

0

Confirm that the oxygen supply is turned off and that the equipment is disconnected from the oxygen supply when performing cleaning and maintenance procedures; a fire and explosion hazard exists when performing cleaning and/or maintenance procedures in an oxygen-enriched environment.

.

OXYGEN PRECAUTIONS

l

Improper use of supplemental oxygen may be associated with serious side effects including blindness, brain damage, and death. The risks vary with each infant. The method, the concentration, and the duration of oxygen administration should be prescribed by the attending physician.

If it is necessary to administer oxygen in an emergency, the attending physician should be notified immediately.

NOTE: See the current edition of “Guidelines for Perinatal Care”of the American Academy of Pediatrics/The

American College of Obstetricians and Gynecologists.

.

.

.

.

The oxygen concentration inspired by an infant does not predictably determine the partial pressure of oxygen (PO,) in the blood. When deemed advisable by the attending physician, blood PO2 should be measured by accepted clinical techniques.

Oxygen flow rates cannot be used as an accurate indication of oxygen concentrations. Oxygen concentrations should be measured with acalibrated oxygen analyzer at intervals directed by the attending physician.

Keep matches and all other sources of ignition out of the room in which the Warmer is located and keep spark-producing equipment or any sources of ignition out of the Bassinet. Wood, textiles, oils, and other combustibles are easily ignited and burn with great intensity in air enriched with oxygen.

Although oxygen compatible materials are used in the oxygen delivery system, special care must be taken when high pressure oxygen such as found in a medical oxygen cylinder is used. Violent ignition of oil, grease, greasy substances, small particles of dust, dirt or other particulate contaminants (even small particles of metal), can occur in the presence of high pressure oxygen if their ignition temperature is reached. An instantaneous increase in temperature can occur due to friction, particle acceleration, or adiabatic compression, if the oxygen cylinder valve is opened too rapidly. SERIOUS INJURY MAY RE-

SULT! Always observe the following precautions:

Oil, grease, greasy substances, dust, dirt and other particulate contaminants must be kept away from oxygen regulators, cylinder valves, tubing and all other oxygen equipment.

-

III -


-

Always open oxygen cylinder shut-off valves very slowly and carefully.

-

On high pressure oxygen cylinders use only pressure regulators or reducing valves approved for oxygen service. Do not use oxygen pressure regulators or reducing valves for air or gases other than oxygen as they may be hazardous. Operate such devices in strict accordance with the manufacturer’s recommendations.

When new or replacement oxygen cylinders are to be installed, they should have their outlet ports cleared by cracking the cylinder valve momentarily before attachment to the equipment.

LOW FLOW MICROBLENDER WARNINGS

l

If either the air or oxygen gas source pressure is reduced or increased creating a pressure differential of 30 psi, the microblender alarm will sound. This condition significantly alters the

FiO2 and flow output from the microblender.

l

Always operate the low flow microblender with clean/dry medical grade gases.

.

Air inlet water filters are recommended for use with the low flow microblender.

.

The level of oxygen and the partial pressure of oxygen within the patient’s blood should be monitored.

(Pa02)

- iv -

TABLE OF DEFINITIONS AND SYMBOLS

NOTE, IMPORTANT, PRECAUTION, CAUTION, AND WARNING

NOTE: A Note is inserted in text to point outprocedures or conditions which may otherwise be misinterpreted or overlooked.

A Note may also be used to clarify apparent/y contradictory or confusing situations.

IMPORTANT Similar to a Note but used when greater emphasis is required.

PRECAUTION: A Precaution is supplementalinformation equipment.

to assist the

user in the safe and effective use of the

CAUTION: A Caution is inserted in text to call attention to a procedure which, if not followed exactly, can lead to damage or destruction of the equipment.

WARNING: A Warning is inserted in text to call attention to dangerous or hazardous conditions inherent to the operation, cleaning, and maintenance of the equipment which may result In personal injury or death of the operator or patient.

SYMBOLS

Attention: consult accompanying documents.

Type B equipment with an F-type isolated (floating) applied part.

-

\

’

0

8

I

o-

’

/

A

8

Danger! High Voltage!

Examination Light

Examination Light Switch

Mode Control Key

Temperature Override Mode

Key

Keypad Lock Key

Disposable Suction Bottle

Reusable Suction Bottle

00

Set Temperature Keys

I Power On/Off Switch

Celsius/Fahrenheit Selection

Key

Patient

Heater Element

Silence/Reset Key

Suction Line Filter

Procedural Silence Indicator

w@

Apgar Timer Keys

Load Symbol

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TABLE OF CONTENTS

SECTION

PAGE

1 GENERALINFORMATION..

.........................................................

1

1.1 INTRODUCTION..

......................................................................

1.2 DESCRIPTION

.........................................................................

1.3 SPECIFICATIONS

....................................................................... 1

1

1

1.4 EQUIPMENTPROVIDED

................................................................

1.5 FACTORY INSTALLED ACCESSORIES

3

................................................... 4

1.6 FIELD INSTALLED ACCESSORIES (Refer to Section 6 for Part Numbers)

.................... 4

2 INSTALLATION .....................................................................

6

2.1 UNPACKING

...........................................................................

2.2 ASSEMBLY (Refer to Figure 2.1)

6

.......................................................... 6

2.3 ASSEMBLY OF CART/BASSINET

......................................................... 6

3 FUNCTIONAL DESCRIPTION

........................................................

8

3.1 GENERAL ..............................................................................

8

3.2 FUNCTIONALDESCRIPTION

............................................................

8

3.2.1 WARMERMODULE..

..............................................................

8

3.2.2 CART/BASSINET

..................................................................

8

3.2.3 CONTROLLER

....................................................................8

3.2.4 BLENDER MODULE (OPTIONAL)

.................................................... 8

3.2.5 RESUSCITATION MODULE (OPTIONAL)

3.2.6 GAS SUPPLY MODULE (OPTIONAL)

............................................. 8

............................................... 12

3.2.7 ALARMS .........................................................................

3.2.8 APGARTIMER

13

...................................................................13

4 OPERATION

......................................................................

14

4.1 CONTROLS, INDICATORS AND CONNECTORS

.......................................... 14

4.2 OPERATIONAL CHECKOUT PROCEDURE

4.3 MECHANICALCHECKOUT

.............................................................

4.4 RESUSCITATION EQUIPMENT PRE-USE CHECKOUT AND SETUP (OPTIONAL)

4.4.1 SUPPLYPRESSURE

- CONTROLLER

............................... 24

..............................................................

25

............ 27

27

4.4.2 BLENDED GAS SUPPLY PRE-USE CHECKOUT AND SETUP (OPTIONAL)

............. 27

4.4.3 RESUSCITATION MODULE PRE-USE CHECKOUT AND SETUP (OPTIONAL)

.......... 28

4.5 CONTROLLEROPERATION

............................................................

29

4.5.1

PRE-WARMMODE ...............................................................

29

4.5.2 MANUALMODE

..................................................................

29

4.5.3 BABYMODE .....................................................................

30

4.5.4 EXAMINATION LIGHT .............................................................

31

4.6 CART/BASSINET ......................................................................

32

4.7 DOCKlNGANDUNDOCKlNGTHECART/BASSlNET

......................................

4.8 X-RAYPROCEDURES

.................................................................

32

32

5

CLEANINGANDMAINTENANCE

...................................................

33

5.1 GENERAL .............................................................................

33

5.2 CLEANING ............................................................................

33

5.3 DISASSEMBLYFORCLEANING

.........................................................

33

5.4 CLEANINGPROCEDURES

.............................................................

34

5.4.1 CLEANING AGENTS..

............................................................

5.4.2 PAINTEDSURFACES

.............................................................

54.3 CLEAR PLASTIC AND ACRYLIC SURFACES

34

34

........................................ 34

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TABLE OF CONTENTS (continued)

SECTION

5.4.4 METAL SURFACES ...............................................................

5.4.5 WOODEN SURFACES

............................................................

5.4.6 SKIN TEMPERATURE PROBE (REUSABLE) .........................................

5.5 STERILIZATION

.......................................................................

5.6 REASSEMBLY AFTER CLEANING

......................................................

5.7 CALIBRATION .........................................................................

5.8 TROUBLESHOOTING ..................................................................

6 PARTS LIST .......................................................................

6.1 GENERAL .............................................................................

PAGE

34

34

35

35

35

35

35

37

37

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SECTION 1

GENERAL INFORMATION

1 .l INTRODUCTION

This manual provides instructions for installation, use, operator maintenance and troubleshooting of the equipment. Hill-Rom Air-Shields cannot be responsible for the performance of the equipment if the user does not operate the equipment in accordance with the instructions, fails to follow the maintenance recommendations in Section 5 of this manual or effects any repairs with unauthorized components. Calibration and repair should be performed only by qualified service personnel. Service manuals are available from Hill-Rom Air-Shields.

This manual should be read, thoroughly understood, and be readily accessible to all personnel who will be working with the equipment. The manual should be stored with the equipment when not in use. If there is anything you do not understand, please contact your Hill-Rom Air-Shields’ representative for further information.

1.2 DESCRIPTION

The ResuscitaireB Birthing Room Warmer is designed specifically for birthing room use. The

Re-

suscitaire8 Birthing Room Warmer consists of a detachable Cart/Bassinet, Warmer, and a Controller module which provides heat control, monitoring of skin temperature and Apgar timing. The

Resus-

citaire8 Birthing Room Warmer also includes an optional resuscitation package with suction and oxygen delivery. Other options include a reserve gas supply and blender.

1.3 SPECIFICATIONS

Specifications for the

ResoscitaireB Birthing

Room

Warmer are provided in Table 1 .l . All specifications are subject to change without notice.

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TABLE 1.1 SPECIFICATIONS

POWER REQUIREMENTS ...........................................

12OV, 60 Hz, 750W

OVERLOAD PROTECTION

..................................... Dual 12A Circuit Breakers

CHASSIS LEAKAGE CURRENT ....................................... Less than 300 uA

EXAMINATION LIGHT.

..............................

>lOO Foot Candles (0.12 lumens/cm:z)

ALARMS

High Temperature

Check Patient

................................ Activates if Skin Temperature Probe is attached and the skin temperature sensor reaches 39.0 “C. Resets at 38.5 “(3.

................................ Activates in Manual Mode after 10 minutes.

Apgar Timer

Remains on with audible alarm every

30 seconds for 5 minutes; totalling 15 minutes. Then the heater is turned Off.

............................................Activates at the l-,

5-and lominute Apgar Time intervals.

Power Fail

Probe..

................................................... Activates when there is a

.......................................

loss of power.

Activates if Skin Temperature Probe fails

SystemFail ..........................................

(open or short).

Indicates system failure; refer unit to service immediately.

BabyTemp ..............................................

Electrical Module Audio Alarms

Activates if Baby Temperature fluctuates 1 “C above or below set poirit.

....................... Tone Frequency: 1.2 KHz maximum

Blender Module Pneumatic Audio Alarm

Three-stage sound level: 15 seconcls low, 15 seconds medium, then high.

..................................Vibrating Reed.

DISPLAYS

Skin Temperature Display

Accuracy..

Resolution

.................................

f 0.2 “C for 31 “C to 37 “C (88 “F to 98.6

.............................................................0.1 “C (0.5

“F)

“F)

Apgar Timer Display

Range ...............................................

Resolution .................................................................

Accuracy .............................................................

MANUAL HEAT CONTROL

0 to 59 minutes, 0 to 59 seconcls lsecond

Of0.5second

..................................Adjustable in 10% increments from zero to full power (100 %#)

DATA PORT .....................................................

2400 Bits/second fixed

Baud Rate. RS232C Compatible

DIMENSIONS AND WEIGHT-FREE STANDING WARMER

Height ...........................................................

Width (side to side) ................................................

Depth (front to back)

74 inches (188 cm)

28 inches (102 cm)

................................................

.40 inches (89 cm)

Weight (without tanks) ................................................. 170 Ibs (77 kg)

Warmer Head Rotation (right and left) .......................................

90 Degrees

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TABLE 1 .I SPECIFICATIONS (Cont.)

DIMENSIONS AND WEIGHT - Cart/Bassinet

Height to Mattress ................................................

Width (to outside of bumper)

38.5 inches (98 cm)

......................................... 24 inches (61 cm)

Length (to outside bumper)

Weight

.......................................... 31 inches (79 cm)

...........................................................

c 160 Ibs (c73 Kg)

MattressTilt .................................

5 and 10 degrees Reverse Trendelenburg.

Infant’s head should be toward front of warmer.

TOTAL SYSTEM DIMENSIONS AND WEIGHT

Height .........................................................

Width .............................................................

Length ..........................................................

Weight ........................................................

..74inches(188cm)

28inches (71 cm)

48inches(122cm)

..c320Ibs(c152Kg )

ACCESSORY WEIGHT LIMITS

Infusion Pump/IV Pole ...................................................

Monitor Shelf

5 Ibs (2.2 Kg)

.......................................................... 10 Ibs (4.5 Kg)

ENVIRONMENTAL

Operating Temperature Range

Storage Temperature Range

.................................. 18

“C to 30 “C ambfent

..................................

Relative Humidity Operating Range

- 20 “C to

.................. 5% RH to 95% RH,

+45 “C ambient non-condensrng

RESUSCITATION

Wall Supply Pressure

...................................................

Cylinder Pressure .....................................................

Cylinder Diameter

............................................

4-5

40 to

2900

75 psi psi max inches( 1 O-l 2 cm)

Patient Gas Supply

Airway Pressure Limiting Operator-Adjustable

Fixed Pressure Relief, Factory Set .....................................

Suction Circuit

Adjustable Suction Intensity ................................

0 to 50 cm

.. . 60 cm

0 to 150

Hz0 (4.9 kPa) + 10%

Hz0 (5.9 kPa) 2 10% mmHg (0 to 20 kPa)

Auxiliary Supply

Auxiliary Flow Range .....................................................

Auxiliary Pressure Limit

.................................... 160 cm

0 to 15 LPM

Hz0 (16 kPa) -c 10%

.

1.4 EQUIPMENT PROVIDED

.

Bassinet

- The Bassinet provides maximum visibility and access to the infant. The Bassinet tilts up in the rear to 5 and 10 degrees and provides for X-ray Cassette tray (optional) insertion.

Warmer Module

- The Warmer Module houses a heating element and an Examination Light for special procedures.

.

.

Controller

- The Controller provides prewarm, manual heat control, automatic skin temperature servo-control and contains an

Apgar Timer, Skin Temperature monitor and probe.

Resuscitation Module (optional) -The Resuscitation Module contains a suction circuit, a patient oxygen delivery circuit with airway pressure relief and an auxiliary oxygen delivery circuit.

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.

.

1.5 FACTORY INSTALLED OPTIONS

.

Resuscitation Module

Integrated Precision Blender

Gas Supply Module

-

02 Pipeline and Cylinder

-

Oz/Air Pipeline and Cylinder

.

.

.

.

.

.

1.6

FIELD INSTALLED ACCESSORIES

(Refer to Section 6 for Part Numbers)

X-ray Cassette Tray

Air Hose Assembly

Oxygen Hose Assembly

Monitor Shelf

I.V.

Pole

Drawer Organizer

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DRAWER

LOCK

PASS-THROUGH

DRAWER

WARMER MODULE

MONITOR SHELF

3c.

iT TILT

MtwiANISM

\

X-RAY TRAY 4

WALL 02/AIR

GAS HOSES

- GAS TANKS

(NOT SUPPLIED)

SUCTION BOTTLE

CAiTER LOCK

CASTER LOCK

CONTROLLER

/

BLENDED GAS

SUPPLY MODULE

RESUSCITATION

GAS SUPPLY MODULE

FIGURE 1

PASS-THROUGH DRAWER

.I EQUIPMENT PROVIDED WITH

FACTORY INSTALLED OPTIONS AND

FIELD INSTALLED ACCESSORIES

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2.1 UNPACKING

The

ResuscitaireB Birthing Room Warmer

is shipped in two cartons. One carton contains the following assemblies:

.

Upper Post Assembly

.

Lower Post Assembly

.

Warmer Module Assembly

.

Post Handle

.

Any user installed Accessories that were ordered

The other carton contains the Cart/Bassinet.

2.2

ASSEMBLY OF THE WARMER

(RE-

FER TO FIGURE 2.1)

When removing the equipment from the carton, use care not to scratch or otherwise damage unprotected surfaces; remove all packing material.

NOTE: If a Monitor Shelf is to be installed on the unit, refer to the instructions provided with the Monitor Shelf and install the weights provided with these accessories in the bottom of the Lower Post.

1.

REMOVE THE CONTROLLER (3) from the

Upper Post (2).

CAUTION: Two persons of sufficient strength

are required when performing Steps

3 through 6.

2.

3.

REST THE UPPER POST (2) on top of the

Lower Post opening.

CONNECT THE SUCTION HOSE (4) to the

Suction Hose (11). Release the joined Suction

Hoses from the Neat Clip inside the Lower Column.

4.

5.

6.

MOUNT THE UPPER POST (2) on the Lower

Post using four 10 - 32 x 3/8 inch screws (16) provided.

INSTALL TWO 10

- 32 X 3/8 INCH SCREWS

(6) IN THE UPPER HOLES OF THE UPPER

POST. Do not tighten the screws.

RAISE THE WARMER (7) above the open end of the Upper Post (2) and insert the Power

Cable (10) into the open end of the column.

SECTION 2

INSTALLATION

7.

8.

9.

10

11.

12.

13.

SLOWLY LOWER THE WARMER (7) onto the

Upper Post. Tighten the upper screws and install the remaining four 10 screws (6).

- 32 x 3/8 inch

THREAD THE WARMER POWER CABLE out through the Controller opening. Connect the Power Cable (10) to connector J4 on the

Controller (3).

REMOUNTTHE CONTROLLER on the Upper

Post.

MOUNT THE BACK COVER (1) on the Upper

Column using the six 8 - 32 x 3/4 painted screws (5).

MOUNT THE HANDLE (12) on the Post using the two 10 - 32 x 2.6 inch Phillips Head

Screws, No. 10 Lock Washers and Spacers

(13 1 (14 1 (15 ).

CONNECT THE LINE CORD to the Power

Connector on the rear of the Controller (refer to

Figure 4.2).

SECURE THE LINE CORD to the Back Cover

(1) using the Cable Clamp (8) and 8 - 32 x 3/8 screw (9).

CAUTION: Securing the Line Cord to the Back

Panel is required to prevent removal of the Controller chassis with the ac power applied.

14.

2.3

1.

2.

INSTALL ANY ACCESSORIES that were ordered using the installation instructions provided with the accessory.

ASSEMBLY OF THE CART/BASSINET

Refer to Paragraph 5.6, Step 4, and install the

Rear and Side Panels. Raise the Front Panel from its storage slot and lock it in place.

ENGAGE THE CART/BASSINET TO THE

WARMER by pushing the Cart/Bassinet straight onto the Warmer until it latches. Pull on the Cart/Bassinet to ensure that it is latched properly.

To disengage the Cart/Bassinet from the

Warmer, push and hold the release switch

(Figure 4.14) and pull the Cart/Bassinet away from the Warmer.

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PARTS LIST

Screw, lo-32~3/8(QtylO) .

Screw, 10

...99041 36

- 32 x 2.6 (Qty 2) . . . . .99 045 30

Screw, 8 - 32 x

Screw, 8 -32 x

3/4 (Qty 6) . . . .

3/8 (Qty 1) . . . . .

.99 032 85

.99 031 38

No.iOLockWasher . . . . . . . . . . . . 9912416

Spacer (Qty 2) . . . . . . . . . . . . . . . .

Cable Clamp

Post Handle . : : : : 1: : : : : : : : 1: : .

.99 124 61

..1772564

.81 005 73

FIGURE 2.1 INSTALLATION

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SECTION 3

FUNCTIONAL DESCRIPTION

3.1 GENERAL

This section provides a functional description of the equipment.

3.2 FUNCTIONAL DESCRIPTION

3.2.1 WARMER MODULE

The Warmer is controlled by a Controller which provides Pre-Warm Mode, Manual Mode heater control, or Baby Mode (automatic skin temperature control). An Examination Light provides added illumination of the mattress area. A Warmer Head Pivot permits the Warmer to be pivoted to either side for

X-ray procedures. In addition, when the Warmer is pivoted, it can be powered and provide heat.

3.2.2 CART/BASSINET

The Bassinet is designed to provide maximum function and utility to aid in the care of the newborn. It is detachable so that the infant can be transported to the NICU, the general nursery or another area of the hospital. The side and front panels may be folded down to permit maximum access to the infant. The mattress may be tilted up in the rear at a 0, 5- or lo-degree angle. Openings are provided on each side of the Bassinet for the insertion of the optional

X-ray Cassette Tray.

3.2.3 CONTROLLER

At power-up, the microprocessor within the Controller performs a series of diagnostic tests to confirm the proper operation of the system. During this time, all displays and indicators are lighted (except

Power Fail) and an audible tone is sounded.

When powered up, the system initializes in

100% power and maintain that setting

Pre-

Warm Mode, the Controller will start the heater at forthree minutes, reduce to 60% for 12 minutes and then reduce the heater power to 30%.

When operating the Controller in the Manual Mode, the operator can adjust the heater power from 0 to full power. After 10 minutes of operation in the Manual Mode, a Chk Patient Alarm occurs.

Failure to acknowledge the Check Patient Alarm by pressing the Silence/Reset Key within the next 5 minutes will cause the heater to be shut down.

The Apgar Timer displays the elapsed time and sounds an audible dual tone to alert the operator that 1, 5, and 10 minutes have elapsed since the timer was activated.

When operated in the Baby Mode, the Controller utilizes a Skin Temperature Probe, connected between the Controller input and the infant, to automatically adjust the heater output of the Warmer

Module to maintain a digitally displayed preset Set

Temperature.

The Keypad Lock Key, when pressed, renders the

Up/Down Arrows and Select Mode Keys inactive or active.

Also included is a Procedural Silence Timer to block out Baby Temp audible Alarms during routine procedures.

3.2.4 BLENDER MODULE (OPTIONAL)

The Blender Module provides blended oxygen from

21% to 100% to the Patient Outlet on the Resuscitation Module.

3.2.5 RESUSCITATION MODULE (OPTIONAL)

The Resuscitation Module contains pneumatic circuitry necessary for infant resuscitation. Controls and displays for the module are located above and to the rear of the Bassinet.

The Resuscitation Module consists of the following components:

.

Suction

- The Suction Circuit (reusable or disposable) is driven by a gas powered venturi actuated vacuum generator which provides a negative pressure for suctioning the patient’s airway. The suction pressure is indicated on the Suction Gauge (Figure 3.1). Suction pres-

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sure may be adjusted using the Suction trol or turned on and off using the On/Off

Con-

Switch. A fixed internal relief valve limits the maximum suction level to 150 mmHg.

Extension Tube

Suction Catheter

Disposable

Note: Disposable bottle has built-in filter

I

Reusable

Suction Catheter

I

‘Extension Tube

FIGURE 3.1 SUCTION FUNCTIONAL BLOCK DIAGRAM

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.

FIGURE 3.2 RESUSCITATION MODULE WITH PATIENT GAS SUPPLY AND

AUXILIARY FLOW

Patient Gas Supply -

The Patient Gas Supply Circuit may be used to provide continuous gas flow to the patient. Controls are provided for Airway Pressure Relief (maximum pressure) and Flow Rate (LPM) (circuit flow delivering 100% oxygen or blended gas). The adjustable Airway Pressure Relief Control is always operative.

.

Auxiliary Flow

The Aux Flow circuit supplies 100% oxygen through the Aux Flow (LPM) Control to the Aux

Outlet Connector. It is intended for oxygen enrichment of a manual bag resuscitator, for supplemental delivery to the patient, the mother, or a second neonate, i.e., twins. The Aux Flow (LPM) Control adjusts the flow rate from 0 to 15 Ipm. An internal preset relief valve limits the AUX Outlet pressure to

160 cm HzO.

A fixed internal safety relief valve is also provided and is also always operable. This valve provides redundant maximum pressure relief at 50 + 10 cm

Hz0 and also allows the patient to inspire room air in the event of gas supply failure.

.

Airway Pressure

The Airway Pressure Gauge displays airway pressure when connected to patient circuits via external connection.

WARNING: Breathing room air through the

2-way relief valve requires extra effort. This condition, if it occurs, should be rectified as soon as possible.

.

Patient Breathing and Supply Circuits

The patient breathing circuit used in conjunction with the Resuscitation Module is illustrated in Figure

3.3. In addition, a patient supply circuit for Manual

Bagging (Figure 3.4) may also be used.

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l-CORRUGATED TUBING

2-EXHALATION VALVE HOUSING

3-EXHALATION VALVE CAP

4-EXHALATION VALVE DIAPHRAGM

5-EXHAUST PORT

6-PATIENT PORT

7-“T” FITTING

NOTE: EXHALATION VALVE DIAPHRAGM (ITEM 4)

MUST BE INSTALLED WITH DIAPHRAGM STEM

STEM

OF

ITEM

4

GAUGE

FIGURE 3.3 PATIENT BREATHING CIRCUIT FOR MANUAL VENTILATION

l-10/7.5 mm ID Adapter 2-10 mm Corrugated Tubing

3-15 mm/l0 mm Adapter

CONNECT BETWEEN PATIENT

OUTLET AND RESUSCITATION

FIGURE 3.4 PATIENT BREATHING CIRCUIT FOR MANUAL BAGGING

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3.2.6

GAS SUPPLY MODULE (Optional)

The Gas Supply Module includes an On/Off Switch which controls the pipeline and cylinder gas supply to the Resuscitation Module. An oxygen cylinder

I

Pressure Gauge is provided if the Resuscitation option is included. Oxygen and Air Pressure Gauges are provided on units equipped with the Blender

Module.

FIGURE 3.5 GAS SUPPLY MODULE

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3.2.7 ALARMS

HIGH TEMPERATURE. When the Skin Temperature Probe is attached to the infant and the skin temperature exceeds 39.0 “C, the heater is automatically turned off, the High Temp Indicator will flash and the audible alarm will sound continuously.

Press the Silence/Reset Key to silence the alarm for two minutes. After the alarm condition is corrected (a skin temperature of 38.5 “C or less), the alarm will automatically reset. If the Skin Probe should detect a temperature of 39.5 “C, a hardware shutdown will occur and a System Fail Alarm will be generated.

CHECK PATIENT. When in the Manual Mode after

10 minutes of operation, the Chk Patient Indicator will illuminate and the alarm will sound one time.

Thereafter, the Chk Patient Indicator will remain illuminated and the audible alarm will sound every 30 seconds for 5 minutes. If the alarm has not been acknowledged at the end of 5 minutes, the heater will be shut down and a continuous ramping audible alarm will sound. The Silence/Reset Key then must be pressed to reactivate the heater.

PROBE. If the Skin Temperature Probe fails (shortcircuited or open) or if the Controller is in Baby Mode and there is not a Skin Probe connected to the Controller, the Probe Indicator will flash and a ramping audible alarm will sound. Afterthe alarm condition is corrected (the Probe is replaced), the alarm will automatically reset.

BABY TEMPERATURE. When the temperature sensed by the Skin Temperature Probe is 1 “C above or 1 “C below the selected Set Temperature

Display setting (in Baby Mode), the Baby Temp Indicator will flash and an audible alarm will sound, first at a low level, then at a medium level, then at a high level. In addition, if the temperature is 0.2 “C above the selected Set Temperature, the heater will be turned off automatically. Press Silence/Re-

set to silence the alarm for 10 minutes.

POWER FAIL. When ac power to the unit is interrupted while the Controller is on, the Power Fail Indicator will flash and the audible alarm will beep.

When power is restored to the unit, the alarm will automatically reset and all the settings will be retained. The alarm may be silenced by turning off the power switch.

SYSTEM FAIL. If an internal malfunction is detected, the System Fail Indicator will flash and the audible alarm will beep. In addition, an Error Code

(eRO0 to eR025) will be displayed in the

BabyTem-

perature Display. This alarm is not resettable and the unit should be referred to qualified service personnel. A prolonged brown-out (five minutes or more) will also cause a System Fail alarm.

BLENDER DIFFERENTIAL BYPASS ALARM

(Optional). The Blender Module (factory installed option) will alarm and bypass whenever the pressure differential between the 02 and Air supplies exceeds 30 psi f2 psi. When this condition occurs, the blender will continue to supply whichever gas is the higher pressure: either 100% Air or 100% Oxygen.

This is an audible alarm only. There are no visual indicators.

3.2.8 APGAR TIMER

When the Apgar Timer is running, the Apgar Timer

Display will show elapsed minutes and seconds and the audible alarm will sound at the l-,

1 O-minute Apgar time intervals.

5- and

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SECTION 4

OPERATION

4.1 CONTROLS, INDICATORS AND

NECTORS

CON-

Controls, Indicators and Connectors for the Controller are presented in Figures 4.1 and 4.2 and Tables

4.1 and 4.2. Controls, Indicators and Connectors for

the Resuscitation Module are presented in Figure

4.3 and Table 4.3.

FIGURE 4.1 CONTROLLER FRONT PANEL: CONTROLS, INDICATORS AND

CONNECTORS

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5

6

7

TABLE 4.1 CONTROLLER FRONT PANEL: CONTROLS, INDICATORS AND

CONNECTORS

ITEM

1

NAME

Mode

Pre-Warm Indicator

DESCRIPTION

Manual Indicator

Baby Indicator

Indicates that the Controller is operating in the

Warm Mode.

Pre-

Indicates that the Controller is operating in the Manual

Mode.

Indicates that the Controller is operating in the

Baby

Mode.

2

Press to select either Pre-Warm, Manual or Baby

Mode of operation.

Mode Select Key

/\

8

Skin Temp Probe

Connector

>37 “C Key

0

>37

“C Indicator

Accepts Skin Temperature Probe for monitoring infant skin temperature. When connected, the Baby Temperature Display indicates the temperature sensed by the probe. When probe isdisconnected, the BabyTemperature Display is blank. When disconnected in Baby

Mode, a Probe Alarm also occurs.

Press to place Set Temperature Display (refer to Item 9) in Temperature Override Mode, >37 “C (98.6 “F).

NOTE: This Key is inactive until the Set Temperature has been set to 37.0 “C.

Keypad Lock Key e

0

Exam Light Key

Lights to indicate that the Temperature Override Mode,

>37 “C (98.6 OF), has been selected.

Press to disable the ~37 “C, Up/Down Arrow and Mode

Select Keys (refer to Items 2, 4 and 8). Press again to enable the ~37 “C, Up/Down Arrow and Mode Select

Keys. Key lights to indicate that Keypad is locked.

Press to turn on or turn off the Examination Light located in the Warmer Module.

8

0

8 @ @ Display).

Manual Mode

Press the Up Arrow Key to raise heater power from 0% to

100% in 10% increments (refer to Item 11, Heater Power

Press the Down Arrow Key to lower relative heater power from 100% to 0% in 10% increments (refer to Item 11,

Heater Power Display).

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CONNECTORS (cont.)

ITEM

8

NAME

@@

DESCRIPTION

Baby Mode

Press the Up Arrow Key to raise the Set from 34.0 “C (93 “F) to 37.0 “C (98.6

Temperatu?e

“F). In the Ternperature Override Mode (refer to Items 4 and to raise the Set Temperature from 37.0

5), press

“C (98.6 “F) to

38.0 “C (102.2 “F).

Press one time to raise the Set Temperature in 0.1 degree increments. Press and hold to raise the Set Ternperature rapidly.

Press the Down Arrow Key to lower the Set turefrom 37.0 “C (98.6 “F) to 34.0 “C (93

Tempera-

“F). In the Teriperature Override Mode (refer to Items 4 and 5), press to lower the Set Temperature from 38.0 “C (102.2 “F) to

37.0 “C (98.6 “F).

Press one time to lower the Set Temperature in 0.1 degree increments, Press and hold to lower the Set Ternperature rapidly.

NOTE: The Up/Down Arrow Keys may be locked the Keypad Lock Key (refer to Item 6).

by

9

10

11

Set Temperature Display

Power Key

-

Heater Power Display

In Baby Mode, displays the Set Temperature as

selected by the Up/Down Arrow Keys (refer to Item

8) in “C or “F as selected by the “C/OF Key (refer to

Item 12). Display is blank in Pre-Warm and Manual

Modes.

Press to turn on or turn off the Controller and Warmer

Module.

12

Displays relative heater power in 10% increments from

0% to 100%.

Press to alternately select “C or “F for the Baby

perature and Set Temperature Displays.

Tem-

13

Baby Temperature Display

Digital display of infant temperature in “C or “F (referto

Item 12), whether in Manual, Pre-Warm or Baby

Mode. The display is blank if the Skin Temperature

Probe (refer to Item 3) is disconnected from the Controller.

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15



ITEM

14

16

NAME

Silence/Reset Key

w

@

Procedural Silence

Indicator

M

Alarms

Baby Temp

High Temp

Probe

DESCRIPTION

In Manual Mode

Press to silence the High Temp Alarm (refer to Item 16) for 2 minutes.

Resets Chk Patient Alarm (refer to Item 16), and silences Audible Alarm at any time after 10 minutes of

Manual Mode.

Resets Chk Patient Alarm (refer to Item 16), silences

Audible Alarm and restores heater power after the

15-minute Manual Mode period is complete.

In Baby Mode

Press to silence the High Temp Alarm (refer to Item 16) for 2 minutes.

Press to silence Baby Temp (refer to Item 16) Alarm for

10 minutes.

During non-alarm conditions, press to enter

Procedural Silence (refer to Item 15).

When illuminated, indicates thatthe unit is in Procedural

Silence. Procedural silence interval is 5 minutes. During

Procedural Silence, the Baby Temp Alarms are blocked.

The Baby Temp Indicator will flash with a three-level audible alarm to indicate that the baby’s skin temperature is more than 1 “C above or below the selected Set

Temperature (refer to Item 9). Press Silence/Reset

Key to silence alarm for 10 minutes.

The High Temp Indicator will flash, the audible alarm will sound continuously, and the heater will be turned off when the Skin Temperature Probe is attached to the infant and the skin temperature exceeds 39.0 “C. High

Temp (39.0 “C) Alarms can only be silenced for two minutes by the Silence/Reset Key.

Press the Silence/Reset Key to silence the audible

alarm for 2 minutes.

The Alarm condition is corrected when the temperature falls to 38.5 “C; the alarm will automatically reset.

When in Baby Mode, if the Skin Temperature Probe fails, the Probe Indicator will flash and a three-level

audible alarm will sound. After the Alarm condition is corrected (the Skin Temperature Probe is replaced), the alarm will automatically reset. Also refer to Table

5.1)

When in Baby Mode, if the Skin Temperature Probe

fails (shorted probe), the System Fail Indicator will light

and an audible alarm will sound. This Alarm cannot be silenced. The Power MUST BE TURNED OFF then

ON to reset the alarm condition.

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TABLE

4.1 CONTROLLER FRONT PANEL: CONTROLS INDICATORS AND


ITEM

16

NAME

Alarms (Cont.)

Chk Patient

System Fail

DESCRIPTION

When in the Manual Mode, if the Warmer is in operation for longer than 10 minutes, the Chk Patient Indicator will illuminate and the audible alarm will sound one time.

Thereafter, the Chk Patient Indicator will remain on and the audible alarm will sound every 30 seconds for the next

5 minutes. If at the end of 5 minutes (15 minutes total) the alarm has not been acknowledged by pressing the Silence/Reset Key (refer to Item 14), the heater will be shut down and a three level audible alarm will sound continuously.

When an internal malfunction is detected, the System

Fail Indicator will illuminate and the audible alarm wlill sound continuously. In addition, an Error Code (ErOO to

Er025) will be displayed in the Baby Temperature Display. When a malfunction is detected, the Controller wiill automatically perform the self-test function (refer to para. 4.2 Step 3) to determine if the fault has corrected itself. If the fault has not corrected itself, the error code will be displayed until corrected.

This alarm is not resettable and the unit should be referred to qualified service personnel.

NOTE: Error code 023 may be corrected by the Operator; refer to Table 5.1.

17

18

Power Fail

Apgar Timer

When power to the unit is interrupted while the Control-, ler is on, the Power Fail Indicator will flash and the audi-,

ble alarm will beep. When power is restored to the unit, the alarm will automatically reset. Push the Power Key to silence the Alarm.

When the Apgar Timer (refer to Item 18) is running, the

Apgar Timer displays elapsed minutes and seconds and the audible alarm will sound at the l-, 5- and

1 O-minute Apgar Time intervals.

Press to start or stop the Apgar Timer.

Stop/Start bm

Reset

0

//

When timer is runnlng, press to reset the timer to zero and restart the Apgar count.

When timer is stopped, press to turn timer off.

NOTE: The Timer can be reset at any time.

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FIGURE 4.2 CONTROLLER REAR PANEL: CONTROLS AND CONNECTORS

TABLE 4.2 CONTROLLER REAR PANEL: CONTROLS AND CONNECTORS

ITEM NAME

DESCRIPTION

1

2

3

CIRCUIT BREAKER

POWER

AUX PORT

Turns Controller on and off when switched by operator or the presence of excessive current drain is detected.

Accepts ac power cord.

Data port for connection to printer or host system.

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FIGURE 4.3A RESUSCITATION MODULE, INDICATORS AND

CONNECTORS

-2o-

12

13

14

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TABLE 4.3A RESUSCITATION MODULE: CONTROLS, INDICATORS AND

CONNECTORS

I

ITCM

I LI.,

I

NAMF

1.e-nm.mmm

I

I-bFSCRIPTlflN

. .

. .-..

5

6

7

Suction

Suction Gauge

Suction Min Max Control

On/Off Switch

Patient Supply

Airway Pressure Gauge

Airway Pressure Relief

Min Max Control

Flow Rate (LPM) Control

Patient Outlet Connector

Displays suction level from 0 to 200 mmHg of vacuum.

Adjusts suction level from 0 to 150 mmHg of vacuum.

Turns Suction on and off.

Displays airway pressure from -10 to +80 cm HzO.

Adjusts airway pressure relief setting from 0 to 50 cm HzO.

Adjusts patient gas flow from 0 to 15 LPM.

Accepts patient circuit outlet line.

16

17

Auxiliarv Flow

Aux Outlet 100% Oxygen

Connector

Aux Flow (LPM) Control

Accepts auxiliary gas delivery line.

Adjusts auxiliary patient gas flow from 0 to 15 LPM.

Connects Airway Pressure Gauge to Patient Circuit.

18 Airway Pressure Port

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FIGURE 4.3B BLENDED GAS SUPPLY MODULE CONTROL

ITEM

1

2

TABLE 4.38 BLENDED GAS SUPPLY MODULE CONTROL

DESCRIPTION

NAME

Blended Gas Supply Module (Optional)

Blender % Oxygen Control

-

Blends air and oxygen mixture from 21 to 100% 02.

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FIGURE 4.3C GAS SUPPLY MODULE: CONTROLS AND INDICATORS

ITEM

TABLE 4.3C GAS SUPPLY MODULE: CONTROLS AND INDICATORS

NAME

DESCRIPTION

Gas SUPPIV (Optional )

19

20

21

Air Cylinder Gauge

Oxygen Cylinder Gauge

Gas Supply On/Off

Switch

Provides indication of air cylinder supply pressure 0

to 4000 psi.

Provides indication of oxygen cylinder supply pressure 0 to 4000 psi.

Turns gas supply to pneumatic system on and off.

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4.2 OPERATIONAL CHECKOUT PROCE-

DURE - CONTROLLER

WARNING: The Warmer should not be used if the Controller or other parts of the equip ment fail to function as described below. A potential shock hazard exists within the

Warmer Module. Service should be ferred to qualified personnel.

ra-

IMPORTANT:

Before attempting to perform this procedure, refer to Paragraph 4.1,

Controls, lndica tors and Connectors.

NOTE: The Operational Checkout procedure should be performed before each use and after disassembly for cleaning, servicing or maintenance. Refer to qualified service personnel if the unit does not perform as specified.

1.

CONNECT THE AC LINE CORD TO THE

POWER CONNECTOR on the Rear Panel.

WARNING: Connect the power cord only to a properly grounded wall receptacle that is approved for hospital-use and of the correct voltage. DO NOT use extension cords or an ac Receptacle Box for this device.

2.

CHECK THE SELF-TEST FUNCTION. Turn on the Power Switch, the Self-Test Function should be initiated and the following should occur:

Apgar Timer, Baby Temperature and

Set Temperature Digital Displays show all eights

All Alarm Indicators light (except Power

Fail)

All Mode Indicators light

The > 37 “C Indicator lights

All ten segments of the Heater Power Indicator light

The Procedural Silence Indicator lights

The Keypad Lock Switch lights

The audible alarm will sound a high pitch tone, a low pitch tone, then a beep-beepbeep

3.

4.

5.

6.

When the Self-Test Function is complete, the

Controller should begin operating in the

Warm Mode.

Pre-

CHECK THE PRE-WARM MODE. The

Pre-

Warm Indicator should be on and the Heater

Power Indicator should display 10 segments

(100%) for three minutes, reduce to 6 segments (60%) for 12 minutes, then reduce to 3 segments (30%).

CHECK THE MANUAL MODE. Select Manu-

al Mode by pressing the Mode Select Key. The

Manual Indicator should light.

Press the Up Arrow Key until all the Heater

Power Display segments are lit. Press the

Down Arrow Key until all the Heater Power Indicators are off. Connect the skin temperature probe to the Skin Temp Probe Connector, the

Baby Temperature Display should come on.

Attach the Skin Temperature Probe to the Mattress, with a Probe Cover, to prevent Error

Code 18.

Set the Heater Power Indicator to lOO%, all segments are lit. Wait 10 minutes. After 10 minutes have elapsed, the Chk Patient Indicator should come on and the audible alarm should sound one time. Wait an additional 5 minutes.

During this time the audible alarm should sound at 30-second intervals. At the end of 5 minutes (15 total), the heater should shut down and the Heater Power Indicators should go off.

Press the Silence/Reset Key, the Chk Patient

Indicator and audible alarm should go off and

the heater should come back on along with the

Heater Power Indicators.

CHECKTHE KEYPAD LOCK. Press the Keypad Lock Switch. The Keypad Lock Switch should light up. The Mode Key and Up/Down

Arrow Keys should be inoperative. Press the

Keypad Lock Switch. The Keypad Lock

Switch Light should go off and the Keypad should be enabled.

CHECK THE BABY MODE. Select Baby

Mode by pressing the Mode Select Key. The

Baby Indicator should light and the Set Tem-

perature Display should read 36.5 “C. In addition, the Baby Temp Indicator should flash and the audible alarm should sound. Press the Si-

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lence/Reset Key, the audible alarm should go

off, the Baby Temp Indicator should remain on.

7.

CHECK THE TEMPERATURE OVERRIDE

MODE. Press the Up Arrow Key to raise the

Set Temperature to 37.0 “C. Press the >37 “C

Key, the >37 “C Indicator should come on.

Press the Up Arrow Key to raise the Set Temperature to 38.0 “C.

Press the Down Arrow Key to lower the Set

Temperature to below 37.0 “C. When the Set

Temperature falls below 37.0

Indicator should go off.

“C, the ~37 “C

8.

CHECK THE PROBE ALARM. Disconnect the skin temperature probe from the Skin

Temp Probe Connector. The Baby Temperature Display should go off, the Probe Indicator should flash and the audible alarm should sound. Connect the probe to the Skin Temp

Probe Connector.

9.

CHECK THE APGAR TIMER. Press the Start

/Stop Key, the Apgar Timer Display should come on and begin to count up from zero seconds. Press the Start/Stop Key, the Apgar

Timer count should stop. Press the Reset Key, the Apgar Timer Display should go off.

10.

CHECK THE EXAMINATION LIGHT. Press the Exam Light Switch. The Examination Light should come on. Press the Exam Light Switch, the Examination Light should go off.

11.

CHECK THE POWER FAILURE ALARM.

Turn off the CIRCUIT BREAKER on the Rear

Panel. Turn on the Power Switch on the Front

Panel. The Power Fail Indicator should come on and the Audible alarm should sound. Turn off the Power Switch and turn on the CIRCUIT

BREAKER. Disconnect the Skin Temperature

Probe from the Skin Temp Probe Connector and the Mattress.

NOTE: The unit must be connected to the ac line and power turned on for at least three minutes before the Power Fail circuitry becomes active.

4.3 MECHANICAL CHECKOUT

1.

CHECK THE BASSINET TILT CONTROL

(Figure 4.4) by pulling up on the lever located at the bottom rear of the Bassinet while supporting the rear lower edge of the Bassinet with the palm. Place the Bassinet in the 5-degree and then the lo-degree tilt position; return the

Bassinet to the level position.

FIGURE 4.4 CHECKING BASSINET

TILT CONTROL

2.

CHECK THE BASSINET SIDE PANELS (Figure 4.5) by raising each panel and pivoting it to hang straight down. Return the panel by reversing the procedure. Check that the panel is positively engaged to confine the infant.

3.

FIGURE 4.5 CHECKING THE

BASSINET SIDE PANELS

CHECK THE BASSINET FRONT PANEL

(Figures 4.6 and 4.7) by raising the panel and sliding it under the mattress. Return the panel by reversing the procedure. Check that the panel is positively engaged to confine the infant.

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BASSINET FRONT PANEL


THROUGH DRAWER

PASS-

5.

CHECK THE WARMER MODULE SWIVEL

OPERATION (Figure 4.9) by rotating the

Warmer Module 90 degrees to the left or right of center. Return to center position.

PRECAUTION: For effective heating, make sure the Warmer Module is positioned on the center axis and locked with its detent.


BASSINET FRONT PANEL

4. CHECK THE PASS-THROUGH DRAWER

(Figure 4.8) by sliding the drawer in and out on both sides of the Cart/Bassinet. Return to center position.

FIGURE 4.9 CHECKING THE WARMER

MODULE SWIVEL

6.

CHECK THE OPERATION OF THE

X-RAY

CASSETTE TRAY (ACCESSORY)

(Figure

4.10) by grasping the middle of a Side Panel and pulling the X-ray Cassette Tray out from under the Bassinet. Replace the X-ray Cassette Tray by reversing the procedure.

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FIGURE 4.10 CHECKING THE X-RAY

CASSETTE TRAY

7. CHECK THE WRITING SURFACE

(Figure

4.11) by pulling it out from under the Bassinet.

Replace the Writing Surface by reversing the procedure.


WRITING SURFACE

8. CHECK THE CART/BASSINET DOCKING

MECHANISM AND CASTER LOCKS. Refer to paragraph 4.7 and undock the Cart. Depress the Caster Locks (Figure 1.1) and check that they prevent the Can from moving. Release the Caster Locks and dock the Cart/Bassinet.

Pull on the Car-t/Bassinet to ensure that it is latched properly.

4.4 RESUSCITATION EQUIPMENT

USE CHECKOUT AND SETUP (Op-

PREtional)

4.4.1 SUPPLY PRESSURE

1.

Ensure that O2 (and AIR) pipeline(s) are securely attached to appropriate fittings on the rear of the unit and that gas supply present is

40 to 75 psi.

If using Reserve Gas Supply from cylinders:

2.

Ensure that cylinder(s) are properly secured in the mounting yokes on the rear of the Warmer and that the cylinder valve located on the top of the cylinder is open.

3. Examine the appropriate cylinder pressure gauges on the front of the upper column to ensure that sufficient reserve gas supply is present.

4. Set the handle of the

Gas Supply On/Off

Switch to the On position,

1.4.2

BLENDED GAS SUPPLY PRE-USE

CHECKOUT AND SETUP (Optional)

.

.

.

LOW FLOW MICROBLENDER WARNINGS:

.

If either the air or oxygen gas source pressure is reduced or increased, creating a pressure differential of 30 psi, the microblender alarm will sound. This condition significantly alters the FiO2 and flow output from the microblender.

Always operate the low flow microblender with clean/dry medical grade gases.

Air inlet water filters are recommended for use with the low flow microblender.

The concentration of oxygen provided and the partial pressure of oxygen within the patient’s blood (Pa02) should be monitored.

1.

If present, turn the precision blender knob to ensure free rotation.

2

Remove either the oxygen or air supply (pipeline or cylinder). The blender alarm should sound. Replace the supply.

3.

Set the blender to the desired % oxygen concentration.

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4.4.3 RESUSCITATION MODULE PRE-USE

CHECKOUT AND SETUP (Optlonal)

SUCTION

FIGURE 4.12 CHECKING THE SUCTION

NOTE: To obtain suction, the Gas Supply On/Off

Switch (Figure 4.3C) must be ON.

BOlTLE

tion Min Max Control while viewing the suction level on the Suction Gauge. Adjust the suction magnitude to the desired maximum suction pressure value.

1.

Check that a clean suction bottle (reusable or disposable, Figure 4.12) is installed and properly connected at the base of the Warmer column.

6.

Turn off the Suction On/Off Switch.

2.

Ensure that a bacterial filter is connected inline with the supply connection to the reusable suction bottle (a filter is built-in on the disposable bottle).

RESUSCITATION (Optional)

Manual Resuscitation

- Use with Patient Breathing Circuit - 10 mm tubing with thumb (finger) hole at patient end.

3.

Connect the desired extension tubing to the outlet of the suction bottle outlet port (refer to

Figure 3.1) and secure the free end of the extension tubing in either tubing retaining slot provided on the front and rear panels of the

Bassinet.

WARNING: Excessive airway pressure can cause damage to patient’s lungs. Always monitor airway pressure and/or provide appropriate pressure relief during resuscitation.

4.

Turn on the Suction On/Off Switch. There may be an initial reading of up to 30 mmHg on the Suction Gauge (refer to Figure 3.1) due to flow resistance of the hydrophobic filter and suction tubing.

WARNING: For prolonged ventilation, use of a heat and moisture exchanger is recommended.

NOTE: The filter and tubing resistance will not affect the desired maximum value that is set in Step 5 below. The pressure value on the

Suction Gauge matches the actual pressure value at the end of the catheter.

There are potential hazards associated with the delivery of supplemental oxygen. If it is necessary to administer oxygen, the attending physician should be notified immediately.

5.

Block the patient outlet of the suction bottle.

Adjust the suction magnitude using the Suc-

1.

Connect the Patient Circuit to the Patient Outlet (refer to Figures 3.2, 3.3 and 3.4).

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2.

Adjust the flow rate to the desired fresh gas flow rate using the Patient Supply Flow Rate

(LPM) Control.

3.

Set the Airway Pressure Relief control to the desired pressure limit according to the color coded bands on the Airway Pressure Gauge and Airway Pressure Relief Control. Alternately, a “T” Fitting with an airway pressure monitor port can be inserted into the Patient

Outlet Port and connected to the Airway

Pressure Fitting to indicate the breathing circuit pressure. Adjust the Airway Pressure Relief Control as necessary.

4.5 CONTROLLER OPERATION

WARNING: Connect the power cord only to a properly grounded wall receptacle that is approved for hospital-use and of the correct voltage. DO NOT use extension cords or an ac Receptacle Box for this device.

Connect the unit to the ac line. Turn on the CIRCUIT

BREAKER on the Rear Panel and the Power

Switch on the Front Panel. Observe the Functional

Test.

4.5.1 PRE-WARM MODE

After the Functional Test is complete, the Pre-

Warm Mode will activate. The Heater Power Indicator will be at 100% (all lights on) for three minutes, reduce to 60% (six lights on) for 12 minutes and then

be reduced to 30% (three lights on).

NOTE: Selection of Manual or Baby Mode and then returning to Pfe-Warm Mode during the three minutes of 700% or 12 minutes of

60% power will automatically reduce the

power to 30%.

During Pre-Warm Mode, the Chk Patient Alarm is disabled.

WARNING:

To avoid overheating or underheating, observe the infant constantly and monitor the temperature using the skin temperature probe supplied with the equipment or other electronic thermometer.

Inspect infant’s skin for reddened areas which may result from heating of materials in contact with the skin (plastic diapers, pins, etc.).

Avoid placement of objects (equipment, blankets, or clothing) between the infant and Warmer Module that can block heat transfer or absorb heat. These objects may be heated directly by the heater and can cause skin burns.

Radiant warming increases insensible water loss. Appropriate measures to maintain fluid balance should be considered.

4.5.2 MANUAL MODE

1.

Use the Mode Key to select Manual Mode.

2.

Use only for short-term warming with nursing personnel in constant attendance.

3.

Do not use the Warmer in Manual Mode if

Manual Indicator is not on.

4.

Set the Heater Power Indicator to the desired level. The heater power will be maintained for

10 minutes.

5.

After 10 minutes, the Chk Patient Alarm will activate. Press the Silence/Reset Key to initiate another 1 O-minute warming period.

6.

If the Chk Patient Alarm is not acknowledged, the heater will be automatically disabled after an additional 5 minutes of operation.

7.

Heater power output must be adjusted manually to maintain Baby Temperature within the desired range.

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8. Check infant’s temperature and condition at least every 15 minutes. When initially setting or when changing heater power output, check

Baby Temperature more frequently to be sure it

is maintained within the desired range.

CAUTION: A change in heater power output will not result in an immediate change in

Baby Temperature. Wait for results.

Large changes in heater power output will cause a more rapid change in Baby Temperature.

9. Use Skin Temperature Probe to continuously monitor Baby Temperature whenever possible.

Refer to paragraph 4.5.3 to attach the probe to the patient.

IMPORTANT: In Manual Mode, the Skin Temperature Probe monitors only -- it does not control heater output and the

Baby Temp alarms are not functional.

NOTE: It is not necessary that the Skin Temperature Probe be connected to the Controller for Manual Mode.

4.5.3 BABY MODE

1.

Use the Mode Key to select Baby Mode.

2. Plug Skin Temperature Probe into Controller

Skin Temp Probe Connector.

3. Attach the Skin Temperature Probe to the infant. The probe should be located on the infant’s abdomen, halfway between the xyphoid and the umbilicus (Figure 4.13). The metal side of the probe should be placed in direct contact with the skin.

WARNING:

Infant radiant warmers should be used only by properly trained personnel as directed by an appropriately qualified physician aware of currently known hazards and benefits.

To avoid hazards of overheating or underheating, the infant should not be left unattended. Use only with the Hill-Rom

Air-Shields Skin Temperature Probe supplied with the unit. Inspect the infant’s skin for reddened areas which may result from heated materials in contact with the skin (plastic diapers, pins, etc.).

Dressing the infant or swaddling with a blanket during radiant warming can lead to skin temperature variations which can cause Set Point Temperature alarms. Always uncover or undress the infant during radiant warming to prevent excessive skin temperature variations.

FIGURE 4.13 ATTACHING SKIN PROBE

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WARNING:

The location of the Skin Temperature

Probe must be such that the skin around the Sensor is in direct line with the heat from the Warmer Module. If the location is shadowed, for example, by the infant’s body, overheating and possible burning of the infant’s skin can result. Do not use a rectal probe. Use of a rectal probe can result in overheating of the infant.

The Skin Temperature Probe must be in direct contact with the skin to provide accurate monitoring of the infant’s skin temperature. Failure to maintain intimate skin contact can result in overheating and possible burning. Check infant’s condition at least every fifteen minutes for correct Sensor attachment and feel infant’s skin for signs of overheating.

The Skin Temperature Probe should be placed at least 1.5 inches from any transcutaneous monitor (TcPOz or TcPCOz) probe to prevent false temperature indications. The Skin Temperature Probe should not be placed on an area previously used by a TcP02 or TcPCO2 probe.

4.

When the infant is prone, the Skin Temperature

Probe should be located on the infant’s back.

5.

The skin area around the probe should be thoroughly cleansed and dried before the probe is placed on the skin.

6. To obtain an accurate reading of the infant’s skin temperature, place the probe in position and cover with a Critter Covers@ Disposable

Probe Cover, Care-For-Me Cover or tape the probe into position, cover it with a small piece of cotton just large enough to cover the tip of the probe, and then place a second piece of tape over the cotton. If it is desired to reduce tape contact on the infant’s skin, the cotton can be applied directly to the probe tip without the first piece of tape. To stabilize the attached probe, a third piece of tape may be placed overthe probe wire approximately three to four centimeters from the probe tip.To minimize the effect of direct radiation on the Skin Temperature Probe, in order to obtain a more accurate Baby Temper-

ature measurement, cover the Sensor with a

Critter Covers@ Disposable Probe Cover,

Care-For-Me Cover or an equivalent insulating foam cover with a reflective surface facing the

Warmer Module.

7.

Baby Mode should be used for long-term warming and when attending personnel cannot be in constant attendance.

8.

Set the Set Temperature Display to the prescribed temperature. A higher Set Temperature setting does not increase rapid warming.

9.

Verify that Baby Temperature Display reading

stabilizes within 0.2 “C of SetTemperature Dis-

play. Fluctuations in the Heater Power Indicators or the Baby Temperature Display reading can result from air currents, obstruction of radiation to the infant or the Skin Temperature

Probe not being in intimate contact with the skin.

10.

Baby Temp Alarms can be silenced for 10 minutes by pressing the Silence/Reset Key.

11.

Baby Temp, Probe and High Temp (39.0 “C)

Alarms are automatically reset after the alarm condition is corrected.

12.

The High Temp Alarm may be silenced for 2 minutes by pressing the Silence/Reset Key.

NOTE: In the event of a Probe Alarm,

Manual

Mode can be used temporarily until a replacement Skin Temperature Probe is available and only if nursing personnel are in constant attendance.

4.5.4 EXAMINATION LIGHT

The light is turned on and off by the Exam Light

Switch. Turn the light on only as required for optimum bulb life.

Protect infant’s eyes to minimize risk of injury.

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4.6

CART/BASSINET

CAUTION: Do not attempt to move the Cart/

Bassinet by using the acrylic End and Side Panels as a handle.

4.7

DOCKING AND

CART/BASSINET

UNDOCKING THE

1. The End and Side Panels raise and pivot to hang down (refer to Figures 4.5,4.6 and 4.7).

1.

The Car-t/Bassinet is attached to the Warmer by a latching mechanism located underneath the

Cart/Bassinet which attaches to a stud protruding from the Warmer center leg.

2.

The Bassinet Tilt Control (Figure 4.4) operates by pulling up on the lever located at the bottom rear of the Bassinet while supporting the rear lower edge of the Bassinet with the palm. Place the Bassinet in the 5-degree or the lo-degree tilt position.

I

WARNING:

This Warmer is intended for use with infants in the

Cart/Bassinet. If the Warmer is used to warm the mother immediately after delivery, all warnings and instructions should be followed with a particular regard to heater-to-mattress distance and skin probe location.

Avoid placement of objects near the mother which can absorb heat and become hot to the touch.

To engage the Cart/Bassinet to the Warmer, push the Cart/Bassinet straight onto the Warmer until it latches. To release the Cart/Bassinet, push and hold the Release Switch on the front of the Cart/Bassinet (Figure 4.14) and pull the

Cart/Bassinet away from the Warmer.

b

PRECAUTION

FOR PATENT SAFETY CART

~.__ ~~~

DOCKED

AND LATCHED TO ENSURE

CORRECT BASSINET

POSITIONI;Q$IoEFFECTiVE

When repositioning the mattress with an infant on the mattress, hold the infant securely to prevent the infant from moving during repositioning.

Do not leave infant unattended when the panels are down. When transporting the infant in the CatVBassinet, the Mattress should be in the horizontal position.

All panels must be erect and secure during transport.

/

PRESS AND HOLD

TO RELEASE CART.

FIGURE 4.14 CART/BASSINET

RELEASE SWITCH

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4.8 X-RAY PROCEDURES

1.

Swing the Warmer Module (Figure 4.9) to the right or left of center as required to position the

X-ray machine.

2.

Lift the Left or Right Bassinet Side Panel up, slide the X-ray Cassette Tray out (Figure 4.10); place the X-ray Cassette on the tray and return the tray to the Bassinet. Align the tray as desired with the markings on the X-ray Cassette and relative markings on the inside of the Bassinet walls.

3.

When the X-ray is complete, remove the X-ray

Cassette and return the X-ray Cassette Tray.

Place the Warmer Module in its normal operating position.

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SECTION 5

CLEANING AND MAINTENANCE

5.1 GENERAL

This section provides cleaning and maintenance instructions.

Where necessary, disassembly instructions are provided. Maintenance other than that provided in this section should be pet-formed only by qualified service personnel.

WARNING:

If oxygen is in use, make sure that the oxygen supply to the equipment is turned off and that it is disconnected from the oxygen supply when performing cleaning and maintenance procedures. A fire and explosion hazard exists when performing cleaning and/or maintenance procedures in an oxygen-enriched environment.

An electrical shock hazard exists when performing cleaning and maintenance procedures; make sure that the Power Cord is disconnected from the wall receptacle.

FIGURE 5.1 REMOVING BASSINET

SIDE PANELS

2.

Remove the Bassinet Back Panel (Figure 5.2) by raising it straight up until the bottom pins are adjacent to the slots in the corner brackets.

5.2 CLEANING

When an infant is discharged, or at least once a week, the equipment should be thoroughly disinfected. Cleaning can most effectively be accomplished by disassembling, then grouping the parts and/or assemblies in categories according to the method of cleaning required.

5.3 DISASSEMBLY FOR CLEANING

1.

Remove both Bassinet Side Panels (Figure

5.1) by pulling them straight up.

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BACK PANEL

3.

Remove the Bassinet Front Panel (Figure 5.4) by raising it and then swiveling it down. At the corners, press up on the release buttons (Figure 5.3) and pull the panel straight out.

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RELEASEBUTTON

5.4 CLEANING PROCEDURES

When an infant is discharged, or at least once a week, the equipment should be thoroughly cleaned and disinfected.

FIGURE 5.3 BASSINET FRONT PANEL

RELEASE BUTTONS

5.4.1 CLEANING AGENTS.

An iodophor or quaternary disinfectant-detergent registered by the U.S. Environmental Protection

Agency should be used, but only when the equipment is not in use and disassembled as described elsewhere in this section. A cleanser such as Kleenaseptic@b Germicidal Surface Cleanser may be used. When using any cleaning agent, follow the manufacturer’s directions for use. Before cleaning, remove all solid wastes and contaminants from the disassembled parts.

5.4.2 PAINTED SURFACES

Use a disinfectant-detergent to clean all surfaces thoroughly; then dry with a clean cloth or paper towel.


FRONT PANEL

4.

Remove the Mattress from the Bassinet.

5. Remove the X-ray Cassette Tray (Figure

4.10).

6.

Remove the Suction Bottle and Filter (Figure

4.12) from the side of the column.

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5.4.3 CLEAR PLASTIC AND ACRYLIC SUR-

FACES

CAUTION: Alcohol can cause crazing of plastic and acrylic. Do not use alcohol, acetone, or any organic solvents for cleaning.

Do not expose plastic and acrylic to direct radiation from germicidal lamps. Ultraviolet radiation from these sources can cause cracking and crazing of clear plastic and acrylic.

Use a disinfectant-detergent to clean all surfaces thoroughly. Make sure to clean all holes, indentations, etc.; then dry with a clean cloth or papertowel.

5.4.4 METAL SURFACES

Use a disinfectant-detergent to thoroughly clean all surfaces; then dry with a clean cloth or paper towel.

5.4.5 WOODEN SURFACES

Use a disinfectant-detergent to thoroughly clean all surfaces; then dry with a clean cloth or paper towel.

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5.4.6 SKIN TEMPERATURE PROBE, REUS-

ABLE

CAUTION: Do not pull on the tip of the skin temperature probe when cleaning or drying; damage to the probe may result.

Use a disinfectant-detergent to thoroughly clean all surfaces; then dry with a clean soft cloth or paper towel.

IMPORTANT

After cleaning, a complete operational checkout procedure should be performed before returning the unit to service.

5.5 STERILIZATION

CAUTION: DO NOT STEAM AUTOCLAVE. Gas sterilization temperature should not exceed 54.4 “C (130 “F).

Sterilization can be accomplished with the following:

A. COLD STERILIZATION

CAUTION: Do not expose plastic and acrylic to direct radiation from germicidal lamps. Ultraviolet radiation from these sources can cause cracking of gasket surfaces, fading of paint, and ultimately, crazing of plastic and acrylic.

B. GAS STERILIZATION (ETHYLENE OXIDE).

Prior to gas sterilization, the entire unit should be thoroughly cleaned as described elsewhere

in this section. Remove and discard all used disposable elements. New disposable elements should be installed after sterilization.

Standard gas sterilization procedures, as programmed by automatic equipment such as made by American Sterilizers and Wilmot

Castle, are satisfactory as these do not normally exceed 54.4 “C (130 “F).

IMPORTANTI

After sterilization, a complete func-

tional checkout procedure should be performed before returning the unit to service.

5.6 REASSEMBLY AFTER CLEANING

1.

Replace the Mattress on the Bassinet.

2

3.

4.

Replace the X-ray Cassette Tray (Figure

4.10).

Replace the Bassinet Back Panel by inserting the pins in the Corner Brackets (Figure 5.2).

Replace the Bassinet Side Panels by pushing them straight down into their slots (Figure 5.1).

5.

6.

Replace the Bassinet Front Panel by sliding it into the Front of the Bassinet (Figure 5.4) until the release tabs catch. Raise the Panel into position.

Install a new Suction Filter if a Reusable Bottle is in use (Figure 4.12). Replace the Suction

Bottle if a Disposable Suction Bottle is in use.

5.7 CALIBRATION

The equipment should be completely checked and calibrated at least once a year by qualified service personnel. Refer to the appropriate Service Manual

for details.

5.8 TROUBLESHOOTING

Troubleshooting for the operator of the equipment is presented in Table 5.1. If the fault cannot be localized from the chart, the unit should be removed from use and referred to factory trained or otherwise qualified service personnel.

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TABLE 5.1 TROUBLESHOOTING

SYMPTOM POSSIBLE CAUSE

CORRECTIVE ACTION

No Power and Power Fail Alarm a.

Circuit Breaker not set to On.

a.

Set Circuit Breaker to On.

is not activated

Power Fail Alarm activated a. Circuit Breaker tripped.

b. Power Cord unplugged.

c. Defective Power Cord.

a.

Reset Circuit Breaker (Figure 4.2).

b.

Connect Power Cord to

POWER connector (Figure

4.2) or wall socket.

c. Replace Power Cord.

System Fail Alarm activated a. Internal malfunction.

a. Refer to service.

Probe Alarm activated.

Possible Defective Skin

Probe(s).

a.

Check to ensure Skin Probe is in good contact with the skin.

b. Replace Skin Probe(s). If condition is not corrected, refer to service.

a. Refer to service.

Error Code ErOl through Er022

Er024 and Er025

Error Code Er023 a. Internal malfunction.

Ambient Temperature in excess of 32 “C (90 “F).

Verify ambient temperature with an external thermometer.

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SECTION 6

PARTS LIST

6.1 GENERAL

This section provides a listing of Operator replacement parts. Parts other than those listed here

should be replaced by qualified service personnel.

For a listing of accessories, refer to Figure 1.1 of this manual.

REPLACEMENT PARTS

PART NUMBER

Bassinet Side Panel

Bassinet Rear Panel

. . . . . . , , . . . . . . . . . . . . . . . . . . . . .

. . , . . . . . . . . . . . . . . , , , . . . . . . . . .

Bassinet Front Panel

PowerCord

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

,.......,,.....,....................81 900 00

,..........,,.......................81 90001

,...................................81 900 02

Skin Temperature Probe (Reusable)

Reusable Suction Bottle Kit (750 ml) (Bottle, Stopper, Tubing and Filter)

Reusable Suction Bottle Only

Filters (Box of 25)

Mattress/Cover (Mattress with Cover)

.................... 81 001 50

DISPOSABLES

Premi-Probe@ Skin Temperature Probe@ (Box of 10)

....................................81 300 08

Premi-Probe@ Skin Temperature Probe@ (10 Boxes of 10)

Critter Covers@ Probe Cover (Box of 100)

...............................81 300 09

.............................................

.68 209 46

Critter Covers@ Probe Cover (Box of 600)

.............................................

.68 209 45

Care-for-Me Probe Covers, 100 Large (10% discount when you order 5)

.................. 68 209 47

Care-for-Me Probe Covers, 100 Standard (10% discount when you order 5)

................ 68 209 48

Patient Supply Circuit (Box of 25)

Infant Breathing Circuit (Box of 25)

NeatClips-3/8”Diameter(BoxoflOO)

...............................................

1 .OO” Diameter (50/Case)

.6812053

................................................

.68 120 54

Disposable Suction Bottle and tubing, 800 ml (Box of 100)

Disposable Suction Bottle and tubing, 800 ml (Box of 20)

................................81 001 51

.................................81 001 49

OPTIONS

AirHoseAssembly,USA(lOft)Yelloww/WingNuts .....................................

7846410

OxygenHoseAssembly, USA(lOft)Greenw/WingNuts.. ...............................

X-rayCassetteTray ...............................................................

MonitorShelf .....................................................................

7846510

..811004 4

..820015 4

I .V. Pole...........................................................................820015

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Resuscitaire Operators Manual

OPERATING PRECAUTIONS

OPERATING PRECAUTIONS (Continued)

OPERATING PRECAUTIONS (Continued)

OPERATING PRECAUTIONS (Continued)

LOW FLOW MICROBLENDER WARNINGS

TABLE OF DEFINITIONS AND SYMBOLS

A

TABLE OF CONTENTS

TABLE OF CONTENTS (continued)

SECTION 1

GENERAL INFORMATION

TABLE 1.1 SPECIFICATIONS

TABLE 1 .I SPECIFICATIONS (Cont.)

FACTORY INSTALLED OPTIONS AND

FIELD INSTALLED ACCESSORIES

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SECTION 2

INSTALLATION

PARTS LIST

FIGURE 2.1 INSTALLATION

SECTION 3

FUNCTIONAL DESCRIPTION

FIGURE 3.1 SUCTION FUNCTIONAL BLOCK DIAGRAM

FIGURE 3.2 RESUSCITATION MODULE WITH PATIENT GAS SUPPLY AND

AUXILIARY FLOW

FIGURE 3.3 PATIENT BREATHING CIRCUIT FOR MANUAL VENTILATION

FIGURE 3.4 PATIENT BREATHING CIRCUIT FOR MANUAL BAGGING

FIGURE 3.5 GAS SUPPLY MODULE

/?EsuscimmD

SECTION 4

OPERATION

FIGURE 4.1 CONTROLLER FRONT PANEL: CONTROLS, INDICATORS AND

CONNECTORS

TABLE 4.1 CONTROLLER FRONT PANEL: CONTROLS, INDICATORS AND

CONNECTORS

TABLE 4.1 CONTROLLER FRONT PANEL: CONTROLS, INDICATORS AND

CONNECTORS (cont.)

TABLE 4.1 CONTROLLER FRONT PANEL: CONTROLS, INDICATORS AND

CONNECTORS (cont.)

TABLE

CONNECTORS (cont.)

FIGURE 4.2 CONTROLLER REAR PANEL: CONTROLS AND CONNECTORS

TABLE 4.2 CONTROLLER REAR PANEL: CONTROLS AND CONNECTORS

FIGURE 4.3A RESUSCITATION MODULE, INDICATORS AND

CONNECTORS

TABLE 4.3A RESUSCITATION MODULE: CONTROLS, INDICATORS AND

CONNECTORS

I

I

FIGURE 4.3B BLENDED GAS SUPPLY MODULE CONTROL

TABLE 4.38 BLENDED GAS SUPPLY MODULE CONTROL

FIGURE 4.3C GAS SUPPLY MODULE: CONTROLS AND INDICATORS

TABLE 4.3C GAS SUPPLY MODULE: CONTROLS AND INDICATORS

FIGURE 4.4 CHECKING BASSINET

TILT CONTROL

FIGURE 4.5 CHECKING THE

BASSINET SIDE PANELS

FIGURE 4.6 CHECKING THE

BASSINET FRONT PANEL

FIGURE 4.8 CHECKING THE

THROUGH DRAWER

PASS-

FIGURE 4.7 CHECKING THE

BASSINET FRONT PANEL

FIGURE 4.9 CHECKING THE WARMER

MODULE SWIVEL

FIGURE 4.10 CHECKING THE X-RAY

CASSETTE TRAY

FIGURE 4.11 CHECKING THE

WRITING SURFACE

FIGURE 4.12 CHECKING THE SUCTION

BOlTLE

FIGURE 4.13 ATTACHING SKIN PROBE

FIGURE 4.14 CART/BASSINET

RELEASE SWITCH

SECTION 5

CLEANING AND MAINTENANCE

FIGURE 5.1 REMOVING BASSINET