Resuscitaire Operators Manual
Contents
1. 4 ohh 30 4 5 4 EXAMINATION hn 31 4 6 5 2 5 6 32 4 7 DOCKING AND UNDOCKING THE CART BASSINET 32 4 8 X RAY PROCEDURES 2 1 4 2 14 32 5 CLEANING AND MAINTENANCE 33 5 1 kh a the hh nnn 33 5 2 CLEANING er a 33 5 3 DISASSEMBLY FOR 33 5 4 CLEANING PROCEDURES 34 5 4 1 CLEANING AGENTS 34 5 4 2 PAINTED SURFACES nnn 34 5 4 3 CLEAR PLASTIC AND ACRYLIC SURFACES 34 vi TABLE OF continued SECTION PAGE 5 4 4 METAL SURFACES 34 5 4 5 WOODEN SURFACES 1 2 2 34 5 4 6 SKIN TEMPERATURE PROBE 5 35 55 STERIEIZATION 122404 444 cee Wa alee nie EA Lee e I2. Integrated Precision Blender Air Hose Assembly Resuscitation Module Oxygen Hose Assembly Monitor Shelf Pole Oy Air Pipeline and Cylinder Drawer Organizer Gas Supply Module Oso Pipeline and Cylinder Birtane Room Warmer DRAWER LOCK PASS THROUGH DRAWER CASTER LOCK WARMER MODULE MONITOR SHELF CONTROLLER IV POLE BA T TILT BLENDED GAS MEvHANISM SUPPLY MODULE RESUSCITATION MODULE GAS SUPPLY MODULE WALL O2 AIR GAS HOSES GAS TANKS NOT SUPPLIED SUCTION BOTTLE CASTER LOCK PASS THROUGH DRAWER FIGURE 1 1 EQUIPMENT PROVIDED WITH FACTORY INSTALLED OPTIONS AND FIELD INSTALLED ACCESSORIES Resuscitaire Room Warmer SECTION 2 INSTALLATION 2 1 UNPACKING The Resuscitaire Birthing Room Warmer is shipped in two cartons One carton contains the fol lowing assemblies Upper Post Assembly Lower Post Assembly Warmer Module Assembly Post Handle Any user installed Accessories that were or dered 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 unpro tected surfaces remove all packing material NOTE If a Monitor S
3. POWER Accepts ac power cord AUX PORT Data port for connection to printer or host system 19 Resuscitaire Room Warmer B E e Patient Supply Arway Pressure Airway Pressure Relief Flow Rate LPM 2 2 72 god IR og Patient Outtet FIGURE 4 3A RESUSCITATION MODULE INDICATORS AND CONNECTORS 20 Resuscitaire Room Warmer TABLE 4 3A RESUSCITATION MODULE CONTROLS INDICATORS AND CONNECTORS NAME DESCRIPTION Suction Suction Gauge Displays suction level from 0 to 200 mmHg of vacuum Suction Min Max Control Adjusts suction level from 0 to 150 mmHg of vacuum On Off Switch Turns Suction on and off Patient Supply Airway Pressure Gauge Displays airway pressure from 10 to 80 cm H20 Airway Pressure Relief Adjusts airway pressure relief setting from 0 to 50 Min Max Control cm H20 Flow Rate LPM Control Adjusts patient gas flow from 0 to 15 LPM Patient Outlet Connector Accepts patient circuit outlet line Auxiliary Flow Aux Outlet 100 Oxygen Accepts auxiliary gas delivery line Connector Aux Flow LPM Control Adjusts auxiliary patient gas flow from to 15 LPM Airway Pressure Port Connects Airway Pressure Gauge to Patient Circuit 21 ResuscitaireE Room Warmer Blender Oxygen 30 21 40 FIGURE 4 3B BLENDED GAS SUPPLY MODULE CONTROL TABLE
4. 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 Figsuscrraing amp Room Warmer sure may be adjusted using the Suction Switch A fixed internal relief valve limits the trol or turned on and off using the On Off maximum suction level to 150 mmHg Filter Extension Tube e cic 2 Suction Catheter 9 Suction Catheter Extension Tube Disposable Note Disposable bottle Reusable has built in filter FIGURE 3 1 SUCTION FUNCTIONAL BLOCK DIAGRAM ResuscitaireE Birtane Room Warmer Arway Pressure Palet Flow Hate PM Patient Outlet FIGURE 3 2 RESUSCITATION MODULE WITH PATIENT GAS SUPPLY AND AUXILIARY FLOW e 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 maxi mum pressure and Flow Rate LPM circuit flow delivering 10096 oxygen or blended gas The ad justable Airway Pressure Relief Control is always operative A fixed internal safety relief valve is also provided and is also always operabl
5. 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 Proce dural Silence refer to Item 15 When illuminated indicates that the unitis in Procedural Procedural Silence Indicator Silence Procedural silence interval is 5 minutes During X Procedura Silence the Baby Temp Alarms are blocked Alarms The Baby Temp Indicator will flash with a three level audible alarm to indicate that the baby s skin tempera ture 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 Baby Temp 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 in fant and the skin temperature exceeds 39 0 C High Temp 39 0 C Alarms can only be silenced for two min utes by the Silence Reset Key High Temp 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 Mo
6. ale uA Er abe 8 3 2 3 CONTROLLER SER RR E S dg eain 8 3 2 4 BLENDER MODULE OPTIONAL nnn 8 3 2 5 RESUSCITATION MODULE OPTIONAL 8 3 2 6 GAS SUPPLY MODULE OPTIONAL 12 3 2 7 ALARMS cerei aa ml ect a Mr iHd 13 3 2 8 APGAR TIMER 13 4 OPERATION 14 4 1 CONTROLS INDICATORS AND CONNECTORS nnn 14 4 2 OPERATIONAL CHECKOUT PROCEDURE CONTROLLER 24 4 3 MECHANICAL CHECKOUT 1 2 2 22 25 4 4 RESUSCITATION EQUIPMENT PRE USE CHECKOUT AND SETUP OPTIONAL 27 4 4 1 SUPPLY 5 5 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 CONTROLLER OPERATION 1 29 4 5 1 PRE WARM MODE 1 1 1 29 4 5 2 MANUAL 29 4 5 3 BABY MODE
7. reusable or disposable Figure 4 12 is installed and prop erly connected at the base of the Warmer col umn 2 Ensure that a bacterial filter is connected in line with the supply connection to the reusable suction bottle a filter is built in on the dispos able bottle 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 ex tension tubing in either tubing retaining slot provided on the front and rear panels of the Bassinet 4 Turn on the Suction On Off Switch There may be an initial reading of up to 30 mmHg the Suction Gauge refer to Figure 3 1 due to flow resistance of the hydrophobic filter and suction tubing NOTE The filter and tubing resistance will not af fect the desired maximum value that is set in Step 5 below The pressure value on the Suction Gauge matches the actual pres sure value at the end of the catheter 5 Block the patient outlet of the suction bottle Adjust the suction magnitude using the Suc FIGURE 4 12 CHECKING THE SUCTION BOTTLE tion Min Max Control while viewing the suction level on the Suction Gauge Adjust the suction magnitude to the desired maximum suction pressure value 6 Turn off the Suction On Off Switch RESUSCITATION Optional Manual Resuscitation Use with Patient Breath ing Circuit 10 mm tubing
8. tad ee Ge ea ie 35 5 6 REASSEMBLY AFTER CLEANING 35 5 7 CALIBRATION cs ine ALARA Dana esters iE aa OWE eae 35 5 8 TROUBLESHOOTING 35 6 PARTS 6 37 6 1 GENERAL ie ee ea oad ats en Ere OER 37 vii Resuscitaire Room Warmer SECTION 1 GENERAL INFORMATION 1 1 INTRODUCTION This manual provides instructions for installation use operator maintenance and troubleshooting of the equipment Hill Rom Air Shields cannot be re sponsible for the performance of the equipment if the user does not operate the equipment in accor dance with the instructions fails to follow the main tenance recommendations in Section 5 of this manual or effects any repairs with unauthorized components Calibration and repair should be per formed only by qualified service personnel Service manuals are available from Hill Rom Air Shields This manual should be read thoroughly under stood 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 repre sentative for further information 1 2 DESCRIPTION The Resuscitai
9. NOTE In the event of a Probe Alarm Manual Mode can be used temporarily until a re placement 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 opti mum bulb life 22412 Room Warmer 4 6 CART BASSINET 4 7 CAUTION Do not attempt to move the Cart Bassinet by using the acrylic End and Side Panels as a handle 1 The End and Side Panels raise and pivot to hang down refer to Figures 4 5 4 6 and 4 7 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 10 degree tilt position WARNING DOCKING AND UNDOCKING THE CART BASSINET The Cart Bassinet is attached to the Warmer by a latching mechanism located underneath the Cart Bassinet which attaches to a stud protrud ing from the Warmer center leg To engage the Cart Bassinet to the Warmer push the Cart Bassinet straight onto the Warm er 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 N PRECAUTION This Warmer is intended for use with infants in the Cart B
10. 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 INSTALL ANY ACCESSORIES that were or dered using the installation instructions pro vided 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 10 11 12 13 14 Resusciraire Room Warmer PARTS LIST Screw 10 32 x 3 8 Qty 10 99 041 36 Screw 10 32x 2 6 Qty 2 99 045 30 Screw 8 32x 3 4 Qty 6 99 032 85 Screw 8 32 x 3 8 Qty 1 99 031 38 No 10 Lock Washer 99 124 16 Spacer Qty 2 99 124 61 Cable Clamp 17 725 64 Post Handle 81 005 73 FIGURE 2 1 INSTALLATION Room Warmer 3 FUNC
11. an emergency the attending physician should be notified imme diately 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 PO5 in the blood When deemed advisable by the attending physician blood PO should be measured by accepted clinical techniques Oxygen flow rates cannot be used as an accurate indication of oxygen concentrations Oxygen concen trations should be measured with a calibrated oxygen analyzer at intervals directed by the attending phy sician 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 tak en 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
12. 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 OPERATING PRECAUTIONS Continued ELECTRICAL PRECAUTIONS An electrical shock hazard exists within the Warmer Module and Controller Any substitution of compo nents within the Controller or Warmer Module may impair the intrinsic safety of the unit Service should be performed by qualified personnel 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 Use only with power cords supplied with the Warmer EXPLOSION PRECAUTIONS Do not use in the presence of flammable anesthetics 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 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 dura tion of oxygen administration should be prescribed by the attending physician If itis necessary to administer oxygen in
13. 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 dis posable elements New disposable elements should be installed after sterilization Standard gas sterilization procedures as pro grammed by automatic equipment such as made by American Sterilizers and Wilmot Castle are satisfactory as these do not normal ly exceed 54 4 C 130 F IMPORTANT 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 Replace the X ray Cassette Tray Figure 4 10 3 Replace the Bassinet Back Panel by inserting the pins in the Corner Brackets Figure 5 2 4 Replace the Bassinet Side Panels by pushing them straight down into their slots Figure 5 1 5 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 6 installa 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
14. with thumb finger hole at patient end WARNING Excessive airway pressure can cause damage to patient s lungs Always monitor airway pressure and or provide ap propriate pressure relief during resuscita tion WARNING For prolonged ventilation use of a heat and moisture exchanger is recom mended There are potential hazards associated with the delivery of supplemental oxygen If it is neces sary to administer oxygen the attending physi cian should be notified immediately 1 Connectthe Patient Circuit to the Patient Out let refer to Figures 3 2 3 3 and 3 4 28 ResuscirairE Birtane Room Warmer 2 Adjust the flow rate to the desired fresh gas flow rate using the Patient Supply Flow Rate LPM Control 3 Setthe 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 Alter nately 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 cir cuit pressure Adjustthe Airway Pressure Re lief 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 cor rect voltage DO NOT use extension cords or an ac Receptacle Box for this device Connectthe unit to the ac line Turn on
15. 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 local ized from the chart the unit should be removed from use and referred to factory trained or otherwise qualified service personnel 35 Resusciraire Room Warmer TABLE 5 1 TROUBLESHOOTING SYMPTOM POSSIBLE CAUSE CORRECTIVE ACTION No Power and Power Fail Alarm a Circuit Breaker not set to On Set Circuit Breaker to On is not activated Power Fail Alarm activated Circuit Breaker tripped Reset Circuit Breaker Fig ure 4 2 Power Cord unplugged Connect Power Cord to POWER connector Figure 4 2 or wall socket Defective Power Cord Replace Power Cord System Fail Alarm activated Internal malfunction Referto service Probe Alarm activated Possible Defective Skin Check to ensure Skin Probe Probe s is in good contact with the skin Replace Skin Probe s If condition is not corrected refer to service Refer to service Error Code Er01 through Er022 Internal malfunction Er024 and Er025 Verify ambient temperature with Error Code Er023 Ambient Temperature in excess an external thermometer of 32 C 90 F 36 Room Warmer SECTION 6 PARTS LIST 6 1 GENERAL should be replaced by qualified service
16. 10 discount when you order 5 68 209 47 Care for Me Probe Covers 100 Standard 1096 discount when you order 5 68 209 48 Patient Supply Circuit Box 0125 e nnne 81 001 27 Infant Breathing Circuit Box of 25 2 212 81 000 06 Neat Clips 3 8 Diameter Box of 100 68 120 53 1 00 Diameter 50 Case 68 120 54 Disposable Suction Bottle and tubing 800 ml Box 100 81 001 51 Disposable Suction Bottle and tubing 800 ml Box of 20 81 001 49 OPTIONS Air Hose Assembly USA 10 ft Yellow w Wing Nuts 78 464 10 Oxygen Hose Assembly USA 10 ft Green w Wing 6 78 465 10 X ray Cassette Tray 1 81 100 44 Monitor Shelf 4 82 001 54 arse es teo dita ee ee eer Dade cie 82 001 53 47
17. 37 0 C Press gt 37 Key the gt 37 Indicator should come on Press the Up Arrow Key to raise the Set Tem perature to 38 0 Press the Down Arrow Key to lower the Set Temperature to below 37 0 When the Set Temperature falls below 37 0 the gt 37 Indicator should go off CHECK THE PROBE ALARM Disconnect the skin temperature probe from the Skin Temp Probe Connector The Baby Tempera ture Display should go off the Probe Indicator should flash and the audible alarm should sound Connect the probe to the Skin Temp Probe Connector CHECK THE APGAR TIMER Press the Start Stop Key the Apgar Timer Display should come on and begin to count up from zero se conds Press the Start Stop Key the Apgar Timer count should stop Press the Reset Key the Apgar Timer Display should go off 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 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 min utes before the Po
18. 4 3 BLENDED GAS SUPPLY MODULE CONTROL DESCRIPTION Blended Gas Supply Mod ule Optional Blender Oxygen Control Blends air and oxygen mixture from 21 to 100 Oo 22 Resuscitaine Birtane Room Warmer FIGURE 4 3C GAS SUPPLY MODULE CONTROLS AND INDICATORS TABLE 4 3C GAS SUPPLY MODULE CONTROLS AND INDICATORS DESCRIPTION Gas Su Optional Air Cylinder Gauge Provides indication of air cylinder supply pressure 0 to 4000 psi Oxygen Cylinder Gauge Provides indication of oxygen cylinder supply pres sure to 4000 psi Gas Supply On Off Turns gas supply to pneumatic system on and off Switch 23 Resusciraire Room Warmer 4 2 OPERATIONAL CHECKOUT PROCE DURE CONTROLLER WARNING The Warmer should not be used 3 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 re ferred to qualified personnel IMPORTANT Before attempting to perform this procedure refer to Paragraph 4 1 Controls Indicators and Connec tors 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 prop
19. FIGURE 5 2 REMOVING BASSINET 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 Fig ure 5 3 and pull the panel straight out 33 Resusciraire Room Warmer RELEASE BUTTON FIGURE 5 3 BASSINET FRONT PANEL RELEASE BUTTONS FIGURE 5 4 REMOVING BASSINET 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 5 4 CLEANING PROCEDURES When an infant is discharged or at least once a week the equipment should be thoroughly cleaned and disinfected 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 equip ment is not in use and disassembled as described elsewhere in this section A cleanser such as Kleen aseptic amp 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 tow el 5 4 3 CLEAR PLASTIC AND ACRYLIC SUR FACES CAUTION Alcohol can cause crazing of plastic and acryli
20. IGURE 4 9 CHECKING THE WARMER MODULE SWIVEL 6 CHECK THE OPERATION OF THE X RAY 4 CHECK THE PASS THROUGH DRAWER CASSETTE TRAY ACCESSORY Figure 4 10 by grasping the middle of a Side Panel i and pulling the X ray Cassette Tray out from both sides of the Cart Bassinet Return to cen under the Bassinet Replace the X ray Cas ter position sette Tray by reversing the procedure Figure 4 8 by sliding the drawer in and out on 26 Resuscitaire Birtane Room Warmer 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 FIGURE 4 11 CHECKING THE WRITING SURFACE 8 CHECK THE CART BASSINET DOCKING MECHANISM AND CASTER LOCKS Refer to paragraph 4 7 and undockthe Cart Depress the Caster Locks Figure 1 1 and check that they prevent the Cart from moving Release the Caster Locks and dock the Cart Bassinet Pull on the Cart Bassinet to ensure that it is latched properly 4 4 RESUSCITATION EQUIPMENT PRE USE CHECKOUT AND SETUP Op tional 4 4 1 SUPPLY PRESSURE 1 Ensure that and AIR pipeline s are se curely 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
21. M EE FACING THE CAP ITEM 3 outer 10 mm CORRUGATED TUBING NNS 4 WAY PRESSURE GAUGE FIGURE 3 3 PATIENT BREATHING CIRCUIT FOR MANUAL VENTILATION 1 10 7 5 mm ID Adapter 2 10 mm Corrugated Tubing 3 15 mm 10 mm Adapter CONNECT BETWEEN PATIENT OUTLET AND RESUSCITATION BAG FIGURE 3 4 PATIENT BREATHING CIRCUIT FOR MANUAL BAGGING E m ResuscitaireE Room Warmer 3 2 6 GAS SUPPLY MODULE Optional Pressure Gauge is provided if the Resuscitation op tion is included Oxygen and Air Pressure Gauges are provided on units equipped with the Blender Module The Gas Supply Module includes an On Off Switch which controls the pipeline and cylinder gas supply to the Resuscitation Module An oxygen cylinder Gas Supply FIGURE 3 5 GAS SUPPLY MODULE 12 Resuscitaire Room Warmer 3 2 7 ALARMS HIGH TEMPERATURE When the Skin Tempera ture Probe is attached to the infant and the skin tem perature exceeds 39 0 C the heater is automati cally 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 cor rected 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 Syst
22. 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 notleave the infant unattended in the Cart Bassinet when the side panels orthe front panel are folded 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 monitor ing 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 redden
23. Operating Temperature Range Storage Temperature Range Relative Humidity Operating Range RESUSCITATION Wall Supply Pressure Cylinder Pressure Cylinder Diameter Patient Gas Supply Airway Pressure Limiting Operator Adjustable Fixed Pressure Relief Factory Set Suction Circuit Adjustable Suction Intensity Auxiliary Supply Auxiliary Flow Range Auxiliary Pressure Limit 1 4 EQUIPMENT PROVIDED Bassinet The Bassinet provides maximum visibility and access to the infant The Bassi net tilts up in the rear to 5 and 10 degrees and provides for X ray Cassette tray optional in sertion Warmer Module The Warmer Module houses a heating element and an Examina tion Light for special procedures 74 inches 188 cm 28 inches 71 cm 48 inches 122 cm 320 Ibs lt 152 5 Ibs 2 2 Kg 10 Ibs 4 5 Kg 0 to 50 cm H20 4 9 kPa 10 60 cm H20 5 9 kPa 10 Controller The Controller provides warm manual heat control automatic skin temperature servo control and contains an Apgar Timer Skin Temperature monitor and probe Resuscitation Module optional The Resus citation Module contains a suction circuit a patient oxygen delivery circuit with airway pressure relief and an auxiliary oxygen deliv ery circuit ResuscitaireE Room Warmer 1 5 FACTORY INSTALLED OPTIONS 1 6 FIELD INSTALLED ACCESSORIES Refer to Section 6 for Part Numbers X ray Cassette Tray
24. TIONAL 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 pro vides Pre Warm Mode Manual Mode heater con trol or Baby Mode automatic skin temperature control An Examination Light provides added illu mination 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 CART BASSINET The Bassinet is designed to provide maximum func tion 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 10 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 Con troller performs a series of diagnostic tests to con firm 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 Warm Mode the Controller will start the heater at 10096 power and maintain that s
25. al operat ing position Resuscitairne Room Warmer 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 performed only by qualified service personnel WARNING If oxygen is in use make sure that the oxy gen supply to the equipment is turned off and that it is disconnected from the oxygen supply when performing cleaning and main tenance procedures A fire and explosion hazard exists when performing cleaning and or maintenance procedures in an oxy gen enriched environment An electrical shock hazard exists when per forming cleaning and maintenance proce dures make sure that the Power Cord is dis connected from the wall receptacle 5 2 CLEANING When an infant is discharged or at least once a week the equipment should be thoroughly disin fected Cleaning can most effectively be accom plished 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 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
26. ankets clothing or sterile packs on top of the Warmer COPYRIGHT O 1998 HILL ROM AIR SHIELDS INC OPERATING PRECAUTIONS Continued 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 Temperature uniformity per IEC 601 2 21 across the mattress surface may not be maintained when the Bassinet is tilted in the 5 and 10 degree positions 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 Evidence that the safety certification of the ACCESSORY has been performed in accordance with the appropriate IEC 601 1 and or IEC 601 1 1 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 s
27. assinet If the Warmer is used to warm the moth er immediately after delivery all warnings and instruc tions 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 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 Cart Bassi net the Mattress should be in the horizontal position All panels must be erect and secure during transport FOR PATIENT SAFETY CART MUST BE PROPERLY DOCKED AND LATCHED TO ENSURE CORRECT BASSINET POSITIONING FOR EFFECTIVE HEATING 4 8 X RAY PROCEDURES PRESS AND HOLD 3 TO RELEASE CART FIGURE 4 14 CART BASSINET RELEASE SWITCH _ 32 1 Swing the Warmer Module Figure 4 9 to the right or left of center as required to position the X ray machine 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 When the X ray is complete remove the X ray Cassette and return the X ray Cassette Tray Place the Warmer Module in its norm
28. c Do not use alcohol ace tone 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 indenta tions etc then dry with a clean cloth or paper towel 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 _ 34 Birtane Room Warmer 5 4 6 SKIN TEMPERATURE PROBE REUS ABLE CAUTION Do not pull on the tip of the skin tem perature probe when cleaning or drying damage to the probe may re sult Use a disinfectant detergent to thoroughly clean all surfaces then dry with a clean soft cloth or paper towel IMPORTANT After cleaning a complete opera tional 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 4 130 F Sterilization can be accomplished with the follow ing A COLD STERILIZATION CAUTION Do not expose plastic and acrylic to direct radiation from germicidal lamps Ultraviolet
29. de 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 147a ResuscitairE Room Warmer TABLE 4 1 CONTROLLER FRONT PANEL CONTROLS INDICATORS AND CONNECTORS cont mem NAME ____ DESCRIPTION Alarms Cont When in the Manual Mode if the Warmer is in operation Chk Patient 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 Si lence Reset Key refer to 14 the heater will be shut down and a three level audible alarm will sound continu ously System Fail When an internal malfunction is detected the System Fail Indicator will illuminate and the audible alarm will sound continuously In addition an Error Code Er00 to Er025 will be displayed in the Baby Temperature Dis play When a
30. e This valve provides re dundant maximum pressure relief at 50 10 cm H20 also allows the patient to inspire room airin the event of gas supply failure 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 e 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 enrich ment of a manual bag resuscitator for supplemental delivery to the patient the mother or a second neo nate i e twins The Aux Flow LPM Control ad justs the flow rate from to 15 Ipm An internal pre set relief valve limits the AUX Outlet pressure to 160 e Airway Pressure The Airway Pressure Gauge displays airway pres sure when connected to patient circuits via external connection e 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 10 Room Warmer 1 CORRUGATED TUBING 5 EXHAUST PORT 2 EXHALATION VALVE HOUSING 6 PORT ITEM 3 EXHALATION VALVE CAP 7 FITTING 4 EXHALATION VALVE DIAPHRAGM 5 _ NOTE EXHALATION VALVE DIAPHRAGM ITEM 4 4 MUST BE INSTALLED WITH DIAPHRAGM STE
31. ed skin areas and proper skin temperature The skin temperature sensing probe should be placed at least 1 5 inches from any transcutaneous moni tor or TcPCO probe to prevent false temperature indications The skin temperature probe should not be placed an area previously used by a 2 or TcPCOz 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 bal ance 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 im mediately 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 bl
32. em 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 il luminated and the audible alarm will sound every 30 seconds for 5 minutes If the alarm has not been ac knowledged 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 short circuited or open or if the Controller is in Baby Mode and there is not a Skin Probe connected to the Con troller the Probe Indicator will flash and a ramping audible alarm will sound After the 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 above or 1 below the selected Set Temperature Display setting in Baby Mode the Baby Temp In dicator 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 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 inter rupted while the Controller is on the Power Fail In d
33. erly grounded wall receptaclethat is ap proved 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 oc cur Apgar Timer Baby Temperature and Set Temperature Digital Displays show all eights All Alarm Indicators light except Power Fail Mode Indicators light gt 37 C Indicator lights Allten segments of the Heater Power dicator light 6 Procedural Silence Indicator lights The Keypad Lock Switch lights Theaudible alarm will sound a high pitch tone a low pitch tone then a beep beep beep 24 When the Self Test Function is complete the Controller should begin operating in the Pre Warm Mode 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 seg ments 6096 for 12 minutes then reduce to 3 segments 3096 CHECK THE MANUAL MODE Select Manu al Mode by pressing the Mode Select Key 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 In dicators are off Connect the skin temperature probe to the Skin Temp Probe Connector the Baby Temperature Display shou
34. et Apgar Timer ler 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 16 15 Alarms Silence Reset 14 Skin Tomp Probe Keypad Lock Exam Light 13 12 m Heater Power 11 OY 100 On Standby FIGURE 4 1 CONTROLLER FRONT PANEL CONTROLS INDICATORS AND CONNECTORS 14 Resuscivairne Room Warmer TABLE 4 1 CONTROLLER FRONT PANEL CONTROLS INDICATORS AND CONNECTORS DESCRIPTION Mode Pre Warm Indicator Indicates that the Controller is operating in the Warm Mode Manual Indicator Indicates that the Controller is operating in the Manual Mode Baby Indicator Indicates that the Controller is operating in the Baby Mode Mode Select Key Press to select either Pre Warm Manual or Baby Mode of operation Skin Temp Probe Accepts Skin Temperature Probe for monitoring infant Connector skin temperature When connected the Baby Tempera ture Display indicates the temperature sensed by the probe When probe is disconnected the Baby Tempera ture Display is blank When disconnected in Baby Mode a Probe Alarm also occurs gt 37 Key Press to place Set Temperature Display referto Item 9 in Temperature Override Mode gt 37 C 98 6 F NOTE This Key is inactive until the Set Tempera
35. etting for three min utes reduce to 6096 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 to full power After 10 minutes of operation in the Man ual 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 be tween the Controller input and the infant to auto matically 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 pro cedures 3 2 4 BLENDER MODULE OPTIONAL The Blender Module provides blended oxygen from 2196 to 10096 to the Patient Outlet on the Resus citation Module 3 2 5 RESUSCITATION MODULE OPTIONAL The Resuscitation Module contains pneumatic cir cuitry necessary for infant resuscitation Controls and displays for the module are located above and to the rear of the Bassinet
36. 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 OPERATING PRECAUTIONS Continued Always open oxygen cylinder shut off valves very slowly and carefully 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 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 FiO 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 level of oxygen and the partial pressure of oxygen with
37. helf 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 bot tom of the Lower Post REMOVE THE CONTROLLER 3 from the Upper Post 2 CAUTION Two persons of sufficient strength are required when performing Steps 3 through 6 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 Col umn 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 1 7 SLOWLY LOWER THE WARMER 7 onto the Upper Post Tighten the upper screws and install the remaining four 10 32 x 3 8 inch screws 6 THREAD THE WARMER POWER CABLE out through the Controller opening Connect the Power Cable 10 to connector J4 on the Controller 3 REMOUNT THE 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 14 15 CONNECT THE LINE CORD to the
38. hould 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 H2O Always use a patient resuscitation circuit that includes appropriate pressure relief 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 and Air should always be clean and dry Water Trap Filters should be used in the sup ply 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
39. icator 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 re tained The alarm may be silenced by turning off the power switch SYSTEM FAIL if an internal malfunction is de tected the System Fail Indicator will flash and the audible alarm will beep In addition an Error Code eROO to 025 will be displayed in the Baby Tem perature Display This alarm is not resettable and the unit should be referred to qualified service per sonnel 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 pres sure differential between the Os and Air supplies ex ceeds 30 psi 2 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 in dicators 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 1 5 and 10 minute Apgar time intervals 13 Birtane Room Warmer 4 OPERATION 4 1 CONTROLS INDICATORS AND CON NECTORS Controls Indicators and Connectors for the Control 18 17 y Aig Shi amp lds 1 Stari Stop Res
40. in the patient s blood 2 should be monitored TABLE OF DEFINITIONS AND SYMBOLS NOTE IMPORTANT PRECAUTION CAUTION AND WARNING NOTE A Note is inserted in text to point out procedures or conditions which may otherwise be misinterpreted or overlooked A Note may also be used to clarify apparently contradictory or confusing situations IMPORTANT Similar to a Note but used when greater emphasis is required PRECAUTION A Precaution is supplemental information to assist the user in the safe and effective use of the equipment 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 per sonal injury or death of the operator or patient Attention consult accompanying documents Examination Light 5 Examination Light Switch Type B equipment with an isolated floating applied part Danger High Voltage pe Disposable Suction Bottle Mode Control Key Temperature Override Mode Key Keypad Lock Key Ch Set Temperature Keys Power On Off Switch Celsius Fahrenheit Selection Patient Key t Ec Reusable Suction Bottle 55551535355 H Silence Reset Key Suction L
41. ine Filter Load Symbol Procedural Silence Indicator 7 Apgar Timer Keys gt 09O 1 TABLE OF CONTENTS SECTION PAGE 1 GENERAL 1 125 INTRODUCTION E OUO e Mire ce edi ea eT REI Wa espe cds ee gie 1 12 DESCRIPTION 1 2 7er Rer epe RENE Renard ERR RR rae xn 1 1 3 SPECIFICATIONS Ce oor pb pese sore 1 1 4 EQUIPMENT PROVIDED 2 3 1 5 FACTORY INSTALLED ACCESSORIES 4 1 6 FIELD INSTALLED ACCESSORIES Refer to Section 6 for Part Numbers 4 2 INSTALLATION 2 ccc cece e hh Ih Ihn hash sh hanh annt 6 24 UNPACKING 4 32 ES nacta tea Soe pees S TR Ene 6 2 2 ASSEMBLY Refer to Figure 21 6 2 3 ASSEMBLY CART BASSINET 0 6 3 FUNCTIONAL DESCRIPTION 8 GENERAL A Rae te 8 3 2 FUNCTIONAL DESCRIPTION 2 8 3 2 4 WARMER 8 322 GART BASSINET
42. ion 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 re sult in overheating of the infant The Skin Temperature Probe must be in di rect contact with the skin to provide accu rate monitoring of the infant s skin tem perature Failure to maintain intimate skin contact can result in overheating and pos sible burning Check infant s condition at least every fifteen minutes for correct Sen sor attachment and feel infant s skin for signs of overheating The Skin Temperature Probe should be placed at least 1 5 inches from any trans cutaneous monitor 2 TcPCO probe to prevent false temperature indica tions The Skin Temperature Probe should not be placed on an area previously used by a TCPO or TcPCO probe 10 11 When the infant is prone the Skin Temperature Probe should be located on the infant s back The skin area around the probe should be thor oughly cleansed and dried before the probe is placed on the skin To obtain an accurate reading of the infant s skin temperature place the probe in position and cover with a Critter Covers amp 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 c
43. kin Tempera ture 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 fant The probe should be located on the infants 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 di rected by an appropriately qualified phy sician aware of currently known hazards and benefits To avoid hazards of overheating or un derheating the infant should not be left unattended Use only with the Hill Rom Air Shields Skin Temperature Probe sup plied 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 Al ways uncover or undress the infant dur ing radiant warming to prevent excessive skin temperature variations FIGURE 4 13 ATTACHING SKIN PROBE 30 Room Warmer 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 locat
44. ld come on Attach the Skin Temperature Probe to the Mat tress with a Probe Cover to prevent Error Code 18 Set the Heater Power Indicator to 10096 all segments are lit Wait 10 minutes After 10 min utes 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 andthe 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 CHECK THE KEYPAD LOCK Press the Key pad 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 addi tion the Baby Temp Indicator should flash and the audible alarm should sound Press the Si Birtane Room Warmer 10 11 lence Reset Key the audible alarm should go off the Baby Temp Indicator should remain on CHECK THE TEMPERATURE OVERRIDE MODE Press the Up Arrow Key to raise the Set Temperature to
45. malfunction is detected the Controller will 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 re ferred to qualified service personnel NOTE Error code 023 may be corrected by the Opera tor refer to Table 5 1 Power Fail 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 Apgar Timer 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 1 5 and 10 minute Apgar Time intervals Stop Start Press to start or stop the Apgar Timer When timer is running 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 18 ResuscitairE Room Warmer FIGURE 4 2 CONTROLLER REAR PANEL CONTROLS AND CONNECTORS TABLE 4 2 CONTROLLER REAR PANEL CONTROLS AND CONNECTORS DESCRIPTION Turns Controller on and off when switched by oper ator or the presence of excessive current drain is detected CIRCUIT BREAKER
46. nce 3 Do not use the Warmer in Manual Mode if Manual Indicator is not on 4 Setthe 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 ac tivate Press the Silence Reset Key to initiate another 10 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 manual ly to maintain Baby Temperature within the de sired range 29 ResuscivaireE Room Warmer 8 Check infant s temperature and condition at 3 Attach the Skin Temperature Probe to the in 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 Achangein heater power output will not result in an immediate change in Baby Temperature Wait for results Large changes in heater power out put 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 Manual Mode the Skin Tempera ture Probe monitors only it does not control heater output and the Baby Temp alarms are not function al NOTE It is not necessary that the S
47. ned Off Activates at the 1 5 10 minute Apgar Time intervals Activates when there is a loss of power Activates if Skin Temperature Probe fails open or short Indicates system failure refer unit to service immediately Activates if Baby Temperature fluctuates 1 C above or below set point Tone Frequency 1 2 KHz maximum Three stage sound level 15 seconds low 15 seconds medium then high Vibrating Reed 0 2 C for 31 C to 37 88 F to 98 6 F 0 1 0 5 to 59 minutes 0 to 59 seconds 1 second 0 0 5 second Adjustable in 1096 increments from zero to full power 100 9c 2400 Bits second fixed Baud Rate RS232C Compatible DIMENSIONS AND WEIGHT FREE STANDING WARMER Width side to side Depth front to back Weight without tanks Warmer Head Rotation right and left 74 inches 188 cm 28 inches 102 cm 40 inches 89 cm 170 Ibs 77 kg 90 Degrees Resuscivaire Birtane Room Warmer TABLE 1 1 SPECIFICATIONS Cont DIMENSIONS AND WEIGHT Cart Bassinet Height to Mattress Width to outside of bumper Length to outside bumper Mattress 38 5 inches 98 cm 24 inches 61 cm 31 inches 79 cm lt 160 Ibs lt 73 Kg 5 and 10 degrees Reverse Trendelenburg Infant s head should be toward front of warmer TOTAL SYSTEM DIMENSIONS AND WEIGHT Weight ACCESSORY WEIGHT LIMITS Infusion Pump IV Pole Monitor Shelf ENVIRONMENTAL
48. 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 en sure that sufficient reserve gas supply is pres ent 4 Set the handle of the Gas Supply On Off Switch to the On position 4 4 5 BLENDED GAS SUPPLY PRE USE CHECKOUT AND SETUP Optional LOW FLOW MICROBLENDER WARNINGS e If either the air or oxygen gas source pressure is reduced or increased creat ing a pressure differential of 30 psi the microblender alarm will sound This condition significantly alters the 2 and flow output from the microblender Always operate the low flow micro blender 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 with in the patient s blood PaO5 should be monitored 1 f present turn the precision blender knob to ensure free rotation 2 Remove either the oxygen or air supply pipe line or cylinder The blender alarm should sound Replace the supply 3 Setthe blender to the desired oxygen con centration 27 Room Warmer 4 4 3 RESUSCITATION MODULE PRE USE CHECKOUT AND SETUP Optional SUCTION NOTE To obtain suction the Gas Supply On Off Switch Figure 4 3C must be ON 1 Check that a clean suction bottle
49. ontact 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 12 wire approximately three to four centimeters from the probe tip To minimize the effect of di rect radiation on the Skin Temperature Probe in order to obtain a more accurate Baby Temper ature measurement cover the Sensor with a Critter Covers amp Disposable Probe Cover Care For Me Cover or an equivalent insulating foam cover with a reflective surface facing the Warmer Module Baby Mode should be used for long term warming and when attending personnel cannot be in constant attendance Set the Set Temperature Display to the pre scribed temperature A higher Set Temperature setting does not increase rapid warming Verify that Baby Temperature Display reading stabilizes within 0 2 of Set Temperature Dis play Fluctuations in the Heater Power Indica tors or the Baby Temperature Display reading can result from air currents obstruction of radi ation to the infant or the Skin Temperature Probe not being in intimate contact with the skin Baby Temp Alarms can be silenced for 10 min utes by pressing the Silence Reset Key Baby Temp Probe and High Temp 39 0 Alarms are automatically reset after the alarm condition is corrected The High Temp Alarm may be silenced for 2 minutes by pressing the Silence Reset Key
50. personnel This section provides a listing of Operator replace For alisting of accessories referto Figure 1 1 ofthis ment parts Parts other than those listed here manual REPLACEMENT PARTS PART NUMBER Bassinet Side Panel ie Ue die SR EAEE EAE Le ee dre ds 81 900 00 Bassinet Rear 11222 81 900 01 Bassinet Front Panel 81 900 02 POWER COM Bae 17 AZ 104 Skin Temperature Probe Reusable 2 81 300 05 Reusable Suction Bottle Kit 750 ml Bottle Stopper Tubing and Filter 81 001 50 Reusable Suction Bottle Only 0 08 131 00 Filters BOX of 25 81 001 54 Mattress Cover Mattress with Cover 78 120 20 DISPOSABLES Premi Probe amp Skin Temperature Probe amp 10 81 300 08 Premi Probe amp Skin Temperature Probe 10 Boxes 10 81 300 09 Critter Covers amp Probe Cover of 100 68 209 46 Critter Covers Probe Cover Box of 600 68 209 45 Care for Me Probe Covers 100 Large
51. re Birthing Room Warmer is de signed specifically for birthing room use The Re suscitaire Birthing Room Warmer consists of a detachable Cart Bassinet Warmer and a Control ler module which provides heat control monitoring of skin temperature and Apgar timing The Resus citaire 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 Resuscitaire Birthing Room Warmer are provided in Table 1 1 All specifi cations are subject to change without notice ResuscitairE Room Warmer TABLE 1 1 SPECIFICATIONS POWER REQUIREMENTS OVERLOAD PROTECTION EXAMINATION LIGHT ALARMS High Temperature Check Patient Apgar Timer Power Fail Baby Temp Electrical Module Audio Alarms Blender Module Pneumatic Audio Alarm DISPLAYS Skin Temperature Display Accuracy Resolution Apgar Timer Display Range Resolution Accuracy MANUAL HEAT CONTROL DATA PORT 120V 60 Hz 750W Dual 12A Circuit Breakers Less than 300 nA 100 Foot Candles 0 12 lumens cm Activates if Skin Temperature Probe is attached and the skin temperature sensor reaches 39 0 C Resets at 38 5 C Activates in Manual Mode after 10 minutes Remains on with audible alarm every 30 seconds for 5 minutes totalling 15 minutes Then the heater is tur
52. ss to lower the Set Temperature from 38 0 102 2 F to 37 0 98 6 F Press one time to lower the Set Temperature in 0 1 de gree increments Press and hold to lower the Set Tern perature rapidly NOTE The Up Down Arrow Keys may be locked by the Keypad Lock Key refer to Item 6 9 Set Temperature 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 Key refer to Item 12 Display is blank in Pre Warm and Manual Modes 10 Power Key Press to turn on or turn off the Controller and Warmer ra Module 11 Heater Power Display Displays relative heater power in 10 increments from 096 to 10096 12 Press to alternately select or F for the Baby Tem ern perature and Set Temperature Displays 13 Baby Temperature Display Digital display of infant temperature in C or F refer to 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 Control ler 16 ResuscitaireE Room Warmer TABLE 4 1 CONTROLLER FRONT PANEL CONTROLS INDICATORS AND CONNECTORS cont NAME DESCRIPTION Silence Reset Key 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 si lences Audible Alarm at any time after 10 minutes of Manual Mode
53. 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 Warm Mode will activate The Heater Power Indi cator will be at 100 all lights on for three minutes reduce to 60 six lights on for 12 minutes and then be reduced to 3096 three lights on NOTE Selection of Manual or Baby Mode and then returning to Pre Warm Mode during the three minutes of 100 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 ob serve the infant constantly and monitor the temperature using the skin tempera ture 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 main tain 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 attenda
54. ture has been set to 37 0 gt 37 C Indicator Lights to indicate that the Temperature Override Mode gt 37 C 98 6 F has been selected Keypad Lock Key Press to disable the gt 37 C Up Down Arrow and Mode Select Keys refer to Items 2 4 and 8 Press again to enable the gt 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 Manual Mode Press the Up Arrow Key to raise heater power from 0 to 100 in 10 increments refer to Item 11 Heater Power Display Press the Down Arrow Key to lower relative heater power from 100 to 0 in 10 increments refer to Item 11 Heater Power Display 15 Resuscitaire Room Warmer TABLE 4 1 CONTROLLER FRONT PANEL CONTROLS INDICATORS AND CONNECTORS cont mem NAME O DESCRIPTION Baby Mode Press the Up Arrow Key to raise the Set Temperatu e from 34 0 C 93 F to 37 0 C 98 6 F In the Tern perature Override Mode refer to Items 4 and 5 press to raise the Set Temperature from 37 0 C 98 6 F to 38 0 102 2 F Press one time to raise the Set Temperature in 0 1 de gree increments Press and hold to raise the Set Tern perature rapidly Press the Down Arrow Key to lower the Set Tempera ture from 37 0 C 98 6 F to 34 0 C 93 F In the perature Override Mode refer to Items 4 and 5 pre
55. wer Fail circuitry be comes active 4 3 MECHANICAL CHECKOUT 1 CHECK THE BASSINET TILT CONTROL Figure 4 4 by pulling up on the lever located 25 FIGURE 4 4 CHECKING BASSINET at the bottom rear of the Bassinet while sup porting the rear lower edge of the Bassinet with the palm Place the Bassinet in the 5 degree and then the 10 degree tilt position return the Bassinet to the level position TILT CONTROL CHECK THE BASSINET SIDE PANELS Fig ure 4 5 by raising each panel and pivoting it to hang straight down Return the panel by re versing the procedure Check that the panel is positively engaged to confine the infant 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 in fant Resuscitairne Birtane Room Warmer FIGURE 4 8 CHECKING THE PASS THROUGH DRAWER 5 CHECK THE WARMER MODULE SWIVEL OPERATION Figure 4 9 by rotating the FIGURE 4 6 CHECKING THE BASSINET FRONT PANEL 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 FIGURE 4 7 CHECKING THE BASSINET FRONT PANEL F
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