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Operation And Maintenance Manual

1. M 05 042 043 044 Figure 4 Toggler anchor installation Mount the hinge bracket on the wall with the flat washers split ring washers and screws provided See Figure A 5 Tighten the screws with approximately 80 Ib in of torque Note The screws provided 3 8 16 UNC 2 v2 long are for installations in 1 2 inch or 5 8 inch thick drywall For applications involving double thicknesses of drywall longer screws will be required To properly mount the warmer at least 2 a screw threads must be engaged Verify that the bracket is level and the distance to the bed surface is 69 5 23 cm Keep hands clear of the hinge area when installing a wall mounted heater assembly A pinch hazard exists Heater assembly weighs approximately 14 kg Proper installation may require two people Due to the weight of the 3100 and 3150 units approxi mately 34 kg proper installation will require two people Mount the warmer by inserting the back of the unit into the hinge bracket mounted on the wall then securing it by tapping in the 2 hinge pins Verify that the heater assembly is rigidly secured to the wall is level and is parallel to the floor For the model 3050 attach the proper bed to heater spacing label provided with the unit to the wall so that the bottom line of the label is 74 cm from the lower edge of the hinge bracket
2. eens anes 4 2 4 3 Reusable Skin Temperature 4 2 4 1 Cleaning WARNING A Disconnect power to the Warmer and allow the heat rod to cool before cleaning to avoid the possibility of a burn Clean the Warmer at least once a week or after each patient Cleaning procedures for the Warmer and accessories are explained in the following sections CAUTION A Use the cleaning solution sparingly on a cloth when cleaning the warmer Do not saturate the unit excessive solution causes damage to internal compo nents 1 Unplug the power cord 2 Clean the exterior of the warmer using mild detergent solution applied with a damp cloth or sponge Aqueous solutions which are U S Environmental Protection Agency approved hospital level disinfectants may be used Do not allow liquids to seep into the electrical housing Foam Mattress 10 013 Push end pins in for installation and removal Figure 4 1 Disassembly for cleaning 400 1909 MANUAL DOC User Reference Manual OM Panda English default 6600 0371 000 DWG 100 Reproduced from the electronic master in MATRIX 4 Cleaning and Disinfecting CAUTION The mattress bed and side panels be cleaned without immersing by using a disinfecting agent safe for use on the materials Note Bleach sodium hypochlorite should not be used tthe soft heater end cap The following lists recommended cleaning
3. 3 11 3 5 SidePanel Operation 2 tiic Ve ate pra ew corde cuu eoe xL d 3 12 3 6 5 2 cett talenta eite E Reda ER EYE de e EM n 3 13 3 7 Gas Cylinder Installation and Operation 3 14 3 8 Mounting ACCeSSOTFIGS iran wae 3 16 A Mounting and Releasing Procedure 3 17 B Adapter Plate Mounting and Releasing 3 17 3 9 Rotating Drawer 22 usps icc 3 18 3 1 Control Panel Operation Control Panel is shown in Figure 2 2 A Displays Patient Temperature Control Temperature Power Elapsed Time During the preheat mode PrE HEAT flashes in the control temperature and elapsed time displays Patient Temperature The patient temperature display indicates the temperature sensed at the skin tempera ture probe tip The skin temperature probe must be properly connected to the warmer and the infant for an accurate patient temperature measurement The range of temperature measurement is from 30 0 42 0 C with a resolution of 0 1 C Temperatures above this range result in an HH H patient temperature display and below this range result in an LL L patient temperature display Control Temperature The control temperature display indicates the control temperature you select in the servo mode
4. Medical Panda Baby Warmer Operationand Maintenance Manual Approved 2009 6 4 16 13 EET DST Barbara A Hairfield 6600 0371 000 DWG 100 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX User Responsibility 6600 0371 000 DWG This Product will perform in conformity with the description thereof contained in this operating manual and accompanying labels and or inserts when assembled operated maintained and repaired in accordance with the instruc tions provided This Product must be checked periodically A defective Product should not be used Parts that are broken missing plainly worn distorted or contaminated should be replaced immediately Should such repair or replace ment become necessary Ohmeda Medical recommends that a telephone or written request for service advice be made to the nearest Ohmeda Medical Regional Service Center This Product or any of its parts should not be repaired other than in accordance with written instructions provided by Ohmeda Medical and by Ohmeda Medical trained personnel The Product must not be altered without the prior written approval of Ohmeda Medical s Quality Assurance Department The user of this Product shall have the sole responsibility for any malfunction which results from improper use faulty maintenance improper repair damage
5. PE BH 815 201203 Tel 8621 38777888 Fax 8621 38777402 Australia 1300 722 229 China 800 810 8188 India 1 800 425 7255 Korea 02 1544 4564 South Eastern Asia 65 6277 3444 Internal Use Only 6600 0371 000 Revision 100 Language English USA All rights reserved To reorder this manual order 6600 0371 000 6600 0371 000 DWG 100 Reproduced from the electronic master in MATRIX Printing instructions Black on white 8 5 x 11 paper size Two 2 sides print Three 3 hole punch Stapled or shrink wrapped MANUAL DOC User Reference Manual OM Panda English default
6. A Oxygen concentrations higher than 40 can increase the risk of retrolental fibroplasia retinopathy of prematurity It is probable that even concentrations of 4096 or less oxygen formerly considered safe could be dangerous to some infants Therefore arterial blood gas measurements are extremely important for regulation of the concentration of inspired oxygen when an oxygen en riched environment is considered necessary See current edition of Standards and Recommendations for Hospital Care of Newborn Infants prepared by the Committee of Fetus and Newborn of the American Academy of Pediatrics Oxygen can be administered from a regulated pipeline source or from auxiliary oxygen tanks mounted on the Warmer 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 3 Operation 3 7 Gas Cylinder Installation and Operation WARNING CAUTION 3 1 6600 0371 000 DWG See Figure 3 6 Note Use United States E size pin indexed gas cylinders only U S E size cylinders with 11 cm x 66 cm outside dimensions may be used with warmer units with elevating pedestals A Using medical gas cylinders that are not recommended for mounting on the Infant Warmer System may result in a fire hazard or an explosion Note Discontinue therapy while replacing cylinders Open cylinder valves slowly to avoid damaging the regulators Make sure safety i
7. Drywall Track A 7 WARNING A A 8 9 WARNING A Bed to heater spacing less than the recommended 64 cm will result in incorrect operation and may adversly affect the patient s condition A 1 6600 0371 000 DWG 4 00 2 900 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX Appendix Drywall 19 mm Dia Hole Flat Washer Slit Ring Washer i Mounting Screw d Stud Track i2 Toggler 05 045 Hinge Bracket Power Cord For the model 3100 or Sea LARA Ure ps 10 through 14 For the model 3050 skip to step 15 Figure A 5 Mounting the warmer 10 Position the lower mounting bracket on the wall Use the lower hinge bracket as a template to mark the mounting holes on the wall for the lower bracket 11 Remove the warmer from the wall by tapping out the 2 hinge pins from the upper bracket 12 Remove the lower hinge bracket from the warmer by removing the 2 hinge pins one on either side that secure the bracket to the warmer 13 Repeat steps 5 6 and 7 to properly install the lower mounting bracket 14 Mount the warmer by inserting the back of the unit into the upper hinge bracket mounted on the wall then securing by tapping in the 2 hinge pins Secure the warmer to the lower mounting bracket by tapping in the 2 hinge pins Verify that the heater assembly and side rails are rigidly secured to the w
8. 2 3 E Wall Mount 2 3 2 3 Control Unit Checkout 24 A Control Unit Check cet ipte tna 2 4 B Elapsed Timer 2 5 C Observation Light Check wisn candace ina 2 5 D Raise and Lower Bed Switch 2 5 E Interlock Switch 4 42000 2 6 F Power Failure Memory and Battery 2 6 3 Operation 3 1 Control Panel Operation 3 1 3 1 B Jndicatorbights uiui eee 3 2 SWIIChes cues Pe ente ei Raga exinde 3 2 De uai cet 3 4 3 2 Preheat Manual and Servo Mode Operation 3 7 3 8 224 0 3 11 3 4 Bed Platform 3 11 3 5 lt 2 3 12 3 6 enne 3 13 3 7 Gas Cylinder Installation and Operation 3 14 3 8 Mounting Accessories 0 0 82 3 16 6600 0371 000 DWG 400 IMANUAL DOC User Reference Manual OM Panda English default Reproduced f
9. 3 5 Side Panel Operation WARNING WARNING 3 12 6600 0371 000 DWG See Figure 3 4 A Do not leave the patient unattended when the side panels are lowered A Do not move the warmer by pushing or pulling on the bedside panels This action may lead to the deterioration and breakage of the compo nents which form a safety barrier around the infant Ensure that the bedside panels are locked in position when a patient occupies the bed Blankets or other foreign objects may prevent the latches from fully engaging To lower a side panel pull it up and then pull the top edge away from the bed To raise a side panel swing it to the upright position then allow it to engage in the latched position To remove a side panel lower the side panel press the end pins in and lift the side panel out To replace a side panel hold the end pins in place the side panel in position and release the end pins Push pins in to install or remove side 1 05 010 Figure 3 4 Side Panel operation The Tubing Organizer Rear Side Panel aids in routing tubing to patients receiving therapy in warmer beds The various size holes in the panel can accommodate large diameter tubes such as aerosol tubes or the fiber optic cable of a BiliBlanket System or smaller diameter tubes such as ventilator or tubes See Figure 3 5 A Install tubing in the appropriately sized holes Use of inappropriate holes may cause kinking
10. A complete audio and visual alarm system is included on the control panel 1 2 Support Structure The supportstructure provides excellent stability for the radiant heater and optional accessories On the free standing unit the support structure consists of the base assembly and the uprights with an integral rail system The rails provide a means for mounting accessories and ancillary equipment to the unit Refer to Section 1 7 for a description of the accessory items 1 3 Heater Assembly WARNING The warmer is designed to warm infants on a bed surface located beneath the heater assembly A Bed to heater spacing less than the recommended 64 cm will result in incor rect operation and may adversly affect the patient s condition For your convenience on the free standing unit the proper bed to heater spacing is indi cated by a label located on the right aluminum upright as viewed from the front The heater assembly consists of a radiant heater parabolic reflector observation light and a visual alarm light The parabolic reflector focuses radiant energy on the bed surface minimizing energy loss due to scattering and providing an even field of radiant heat over the bed surface The observation light provides intense light for procedures The alarm light is located on the end of the heater assembly for ease of viewing The entire heater assembly rotates to the side for X ray procedures and for observation lamp replacement 1 4 C
11. MANUAL DOC User Reference Manual OM Panda English default 6600 0371 000 DWG 100 Reproduced from the electronic master in MATRIX Notes iv 4 000 6600 0371 000 DWG 100 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX General Precautions A Warnings ACautions 6600 0371 000 DWG Before using the Ohmeda Medical Panda Baby Warmer System read this entire manual Attempting to use this device without a thorough understanding of its operation may result in patient or user injury This device should only be operated by personnel trained in its operation and under the direction of qualified medical personnel familiar with the risks and benefits of this type of device Additional precautions specific to certain procedures are found in the text of this manual Do not use the Warmer in the presence of flammable anesthetics a possible explosion hazard exists under these conditions Do not perform the Checkout Procedures Mechanical and Control Unit while a patient occupies the Warmer Complete the Checkout Procedures section of this manual before putting the unit into operation If the warmer fails any portion of the checkout procedures it must be removed from use and repaired Do not use the Warmer system if the system failure alarm is activated Remove the unit from service and refer to qualified personnel for repair Only competent individuals trained in th
12. OM Panda English default Reproduced from the electronic master in MATRIX 3 Operation CAUTION A Always remove the probe from the patient by grasping and removing the heat reflective patch first then remove the probe from the patient or the patch Always remove the probe from the Warmer by grasping the plug at the panel Placing excessive strain on the skin temperature probe lead wire can damage the probe Heat Reflecting Patch with Foil Side Facing Up White Paper Protector Patient Probe Place the metal side in contact with the infant s skin Cl 02 006 T TT Figure 3 2 Skin Temperature Probe attachment Figure 3 3 Note Avoid placing excessive strain LAL on the skin temperature SS probe lead Always we remove the probe by grasping the plug at the panel Do not pull on the probe lead wire 05 011 Temperature Probe connection to the Display Module 6 31 6600 0371 000 DWG Servo Mode Operation Note The skin temperature probe must be properly attached before starting servo mode operation Refer to step 5 You must select a servo control temperature setting when the Warmer is used in the servo mode for the first time You are prompted to make this setting with an operator prompt tone and the flashing of the control temperature display The servo control temperature is adjusted by pressing the increase A or the decrease w touch sw
13. Press the Start Hold touch switch to activate the elapsed timer The Apgar indicator light is illuminated when the Apgar tones are enabled Press the Apgar Tones On Off touch switch to enable or cancel the Apgar tones Press the Start Hold touch switch to hold the present elapsed time when the timer is running The Apgar tones if enabled continue to sound at the specified times after 1 minute and at every 5 minute interval after the elapsed timer is started Press the Start Hold touch switch to update the timer to the current elapsed time Press the reset touch switch to start the timer over at 00 00 The elapsed time display is blanked out when the elapsed time reaches 60 minutes 3 4 Bed Platform Operation On units with integral beds the bed platform tilts for Trendelenburg and reverse Trendelenburg positioning capabilities Lift or push down on the tilt handle to position the bed WARNING A Inspect all patient connected tubes or wires before and after moving or tilting the bed Tilting or moving the warmer bed up or down can pull on tubing or leads connected to the patient This may disconnect tubes or leads restrict gas or liquid flow or move sensors out of position Note Tilting the bed mattress can affect the operation and performance of the radiant warmer 6600 0371 000 DWG 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 3 Operation
14. Refer to Figure 5 5 While holding the lamp with one hand use your other hand to pull the lever next to the lamp toward you Remove the lamp Place the new lamp in position and push it into the lamp socket Replace the cover and the mounting screws Rotate the heater assembly back to its normal operating position Plug the power cord in and switch the observation lamp on Check for proper operation 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX CI 10 011 10 012 5 Maintenance 05 013 Lamp Figure 5 5 Observation Lamp replacement 5 4 Yoke Manifold Assembly WARNING CAUTION A Never oil or grease oxygen equipment Oils and grease oxidize readily and in the presence of oxygen will burn violently Vac Kote is the oxygen service lubricant recommended Stock No 6700 0092 200 if the use of a lubricant is specified Periodically at least once a year lubricate the Tee handle screw threads with a small amount of oxygen service lubricant This prolongs their life and makes sealing of the yoke gaskets easier See Figure 3 9 Periodically at least once a year replace the yoke check valve strainer nipples before they become clogged with lint or dust A Open cylinder valves S L O W L Y to avoid damaging regulators When installing fresh cylinders briefly open then immediately close the cylinder valve to blow
15. a computer independent watchdog circuit will reset the computer turn off the heater and activate the alarms in the event of a microprocessor failure or software failure 8 Pressthe alarm silence touch switch and verify the following a The probe failure indicator light is lit The alternating two tone alarm is silenced The overhead alarm lightis lit b d The patient temperature display indicates e Afterone minute the alternating two tone alarm sounds the overhead alarm flashes and the patient temperature display flashes HH H 9 Switch to the manual mode and set the heat at 25 power B Elapsed Timer Check 1 Press the Start Hold touch switch to activate the elapsed timer Verify that the timer starts operating 2 Pressthe Apgar tones On Off touch switch for the Apgar tones Verify that the indicator light for the Apgar tones is extinguished 3 Pressthe Apgar tones On Off switch for the Apgar tones again Verify that the indicator light for the Apgar tones is lit 4 Pressthe Start Hold touch switch Verify that the present elapsed time is held 5 Pressthe Start Hold touch switch and verify that the timer updates to the current elapsed time and the Apgar tones continue to sound at the specified times at 1 minute and at every 5 minute interval after the elapsed timer has started 6 Pressthe Reset touch switch and verify that the timer indicates 00 00 If the elapsed timer is not used
16. 5 at maximum power setting Average Energy at Mattress Level at maximum 96 power setting 34 mw cm Recommended Bed Level 69 5 cm from bottom of heater module A Bed to heater spacing less than the recommended 64 cm will result in incorrect operation and may adversly affect the patient s condition For your convenience on the free standing warmer the proper bed to heater spacing is indicated by a label located on the right aluminum upright as viewed from the front Line Voltage Compensation Input line voltage is monitored and the heater drive is adjusted to compensate for varia tions in the line voltage This ensures a stable heater output despite input line voltage fluctuations 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX Appendix WARNING 6600 0371 000 DWG CircuitBreaker RatedCurrent 7 5A Trip Point 9 45 A Minimum Type Manual Resetting Model Airpax Snapak Isolation Voltage 2500 Vrms 60 Hz from the patientprobe to the ac phase and neutral lines for one minute A The patient probe is notisolated from earth ground Any additional equipment used with the Ohmeda Infant Warmer System must comply with UL544 CSA 22 2 IEC 601 and VDE 750 Leakage Current With ground wire open or connected and measured at an exposed metal surface less than 100 microamperes on 120 V units 200 microamperes on 230 V units Grou
17. allows Vacuum Collection bottle slides and Bird blender bracket to mount to the rail system 1 Loosen the two mounting screws on the side of the adapter plate with the hex key provided with the plate 2 Place the adapter plate in position on the rail 3 Tighten the two mounting screws 4 Releasethe adapter plate by loosening the mounting screws 4 10 5 Q Q Q 9 9 9 9 0 Tighten the mounting screws Figure 3 8 Mounting the Adapter Plate 6600 0371 000 DWG 792 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 3 Operation 3 9 Rotating Drawer Option The rotating drawer option allows access to the storage drawers from the front or from either side of the warmer The drawer cabinet rotates by pushing on the side of the cabinet stoping at 90 detent positions WARNING A Use caution when rotating the cabinet to avoid damage to the drawers or possible injury Always ensure the drawers are fully closed before rotating the cabinet ar H 14 003 3 9 Rotating Drawer Package 3 16 6600 0371 000 DWG 100 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 4 Cleaning and Disinfecting In this section ZENONE 4 1 4 2 WoodSUrtfaces
18. and have the yoke assembly repaired by a qualified service person Using Two Cylinders as an Oxygen Supply When two cylinders are installed to provide an oxygen supply a check valve permits replacement of one depleted cylinder while the other continues to furnish oxygen Leave the valve on the new cylinder closed until the old cylinder requires replacement then open the valve on the new cylinder and immediately replace the old cylinder as described above This assures that a full back up cylinder is always available for use WARNING A Leaving both oxygen cylinder valves open at the same time will allow simulta neous depletion of both cylinders with no reserve oxygen supply available 6600 0371 000 DWG 4 00 2 900 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 3 Operation WARNING Use of Pipeline Air and Oxygen Supplies 1 Connect pipeline supply s to the appropriate pipeline inlet s 2 Connectdesired equipmentto the appropriate outlet s 3 Ensurecorrect operation of the secondary pipeline equipment When pipeline air or oxygen supplies are used install cylinders as described above to provide an emergency gas supply in the event of a pipeline failure Cylinder valves should remain closed until and unless the emergency gas supply is needed A Do not leave gas cylinder valves open if the pipeline supply is in use Pressures from both oxygen suppli
19. and verify that the maximum servo control temperature attainable is 37 5 C Note A patient temperature alarm occurs if the difference between the patient temperature and the control temperature is greater than 1 C the difference can be adjusted to 0 5 C by a qualified service person Note An alternating two tone alarm a flashing overhead alarm light and a flashing patient temperature display may occur here if the skin temperature probe is below 30 C Warm the probe with your fingers or silence the alarm Press the decrease touch switch and verify that the minimum servo control tempera ture attainable is 35 0 Disconnectthe skin temperature probe Verify the following a The probe failure indicator light is lit b There is an alternating two tone alarm c Theoverhead alarm light is flashing 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 2 Setup and Checkout Procedures CAUTION 6600 0371 000 DWG 100 d The patienttemperature display flashes HH H Note The functionality of the remainder of the alarms is continually checked by the microprocessor software during normal operation If a fault occurs in any of this circuitry an indicator lights and a tone is sounded The patient alarm can be verified manually by placing the unit in the manual mode and setting the power to 50 After 12 minutes the patient alarm should sound Additionally
20. any foreign matter out of the valve outlet Do not use excessive force on the shut off valve Remove the old gasket and use a clean new gasket Stock No 6600 0152 400 in its place 5 5 Battery Test 6600 0371 000 DWG The maintenance free battery should be tested regularly and replaced if necessary Refer to Section 2 3 for testing the battery The battery has a two year replacement schedule Refer to the Service Manual for battery replacement 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 5 Maintenance 5 6 Maintenance Schedule 5 6 The unit should be maintained in accordance with the procedures detailed in the Service Manual Service maintenance must be performed by a technically competent individual as described in the Repair Policy A Operator Maintenance This schedule lists the minimum frequencies Always follow hospital and local regula tions for required frequencies Weekly or after each patient After each gas cylinder replacment Annually Clean the Warmer Discard old gasket Use a clean new gasket Lubricate the Tee handle screw threads On models equipped with gas package B Service Maintenance This schedule lists the minimum frequencies Always follow hospital and local regula tions for required frequencies Per hospital protocol Annually Annually Every two years Every five years 1 000 6600 0371
21. for another 12 minutes of operation If this alarm is not silenced within 3 minutes of the check patient alarm occurring an alternating two tone alarm is sounded and the heater is deactivated until the alarm silence switch is pressed 3 Servo Mode The check patient alarm activates in the servo mode of operation if the heater has been at the 10096 power level for 12 continuous minutes The alternating single tone alarm is activated for this alarm Pressing the alarm silence switch silences this alarm and resets the timer for another 12 minutes of operation If this alarm is not silenced within 3 minutes of the check patient alarm occurring the alternating two tone alarm is sounded and the heater is deactivated until the alarm silence switch is pressed Power Failure Alarm A battery operated power failure alarm activates when the external power source fails or is accidentally disconnected The battery also provides power to an electronic memory to recall previous control temperature settings for approximately 10 minutes when the battery is fully charged 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 3 Operation Table 1 Warmer Alarms Alarm Condition Probe Failuret Patient Temperature is greater than 42 C Patient Temperature more than 2 C from Control temperaturet Patient Temperature between 1 and 2 Sof Control temperaturet Patient Temperatu
22. module for service procedures either hinge pin may be removed allowing the warmer to pivot away from the wall 2 Check that both hinge pins in place and fully inserted with the pin heads at the top of the hinge WARNING A Inthe service position the strength of the hinge bracket is reduced Never place patient in the bed when the heater is in the service position Never leave the unit unattended in the service position or with either pin removed Patient Control Heater Elapsed Temperature Temperature Power Time Display Patient Temperature Control Temperature Power Elapsed Time i5 Light 8 On Off E i Switch 5 Alarms IP Probe Failure Bed Patient Temp Controls System Failure Heat Off Check Patient Power Failure Alarm Alarm Mode Increase Apgar Elapsed Time Lights Silence Switch Decrease Tones Start Hold Mode Apgar On Off Reset Indicators Indicator Bed controls present on elevating bed models only Figure 2 2 Control Panel 400 9 MANUAL DOC User Reference Manual OM Panda English default 6600 0371 000 DWG 100 Reproduced from the electronic master in MATRIX 2 Setup and Checkout Procedures 2 3 Control Unit Checkout Procedure WARNING A 2 4 A Do not perform the Checkout Procedures Mechanical and Control Unit while a patient occupies the warmer Complete the Checkout Procedures section of this manual before putting the unit in
23. or alteration by anyone other than Ohmeda Medical CAUTION U S Federal law restricts this device to sale by or on the order ofalicensed medical practitioner 1 000 100 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX Table of Contents leap nme TD ii General Precautions seiscacitinsisiencicpenctectnecentecennsanaaydnsinipedapavnsnbnopincemssunaseatacwcscedekatatnecenaictes iv WAMMINQS 1 Description DEEC OJCUROTTE TESTS 1 1 1 2 5 2 2 40 4 1 1 1 3 2 1 1 ero 1 1 1 5 Bed Platform 1 2 1 6 ERR 1 2 1 7 ACCESSOS edat nnd ad a ets ead areas aes 1 2 2 Setup and Checkout Procedure XE LE 2 1 2 2 Mechanical 2 1 A sss 2 1 B Heater Assembly Rotation 2 2 2 2 C Mechanical 0 24 00 einna 2 2 D Accessory
24. probe fails electrically due to an open or short circuit or is disconnected from the Warmer The heater deactivates and the patient temperature display flashes or LL L when this alarm condition exists Patient Temperature Alarm The patient temperature alarm is only active in the servo mode of operation The alarm activates when the difference between the patient temperature and the control tempera ture is greater than 1 C When the patient temperature returns to within 0 8 C of the control temperature this alarm is automatically reset Note If the patient temperature probe reads below 30 C or above 42 C in servo mode the heater is deactivated and LL L or HH H respectively appears in the patient temperature display Note Qualified service personnel can adjust the alarm to trigger at a difference of 0 5 C and reset at a difference of 0 3 C 34 6600 0371 000 DWG 800 90 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 3 Operation WARNING WARNING 6600 0371 000 DWG A In the servo mode verify that the patient temperature probe is securely attached to the patient at least once every half hour A dislodged probe may not trigger an alarm If the probe becomes dislodged the warmer can over or under heat the infant A The skin temperature probe should be located on the patient s skin in an area which is directly in the path of the
25. radiant heat It should not be attached to an area which is shielded from the radiant heat or between the patient and the mattress Large temperature gradients and very long servo response times will result from improper probe placement A Rectal temperatures must never be used to servo control a patient s temperature System Failure Alarm The system failure alarm activates if the solid state relay controlling the radiant heater fails if the microprocessor fails or if the calibration drifts by more than 0 3 C The alter nating two tone alarm cannot be silenced with the alarm silence switch A Do not use the Warmer system if the system failure alarm is activated Remove the unit from service and refer to qualified personnel for repair Heat Off Alarm When the heater is rotated to the side position the heater is switched off and the Heat Off indicator is switched on The audible Heat Off alarm activates after 5 minutes if the heater is not returned to the normal position The alarm can be silenced by pressing the Alarm Silence switch Check Patient Alarm 1 Preheat Mode Check patient alarm is inactivated in this mode 2 Manual Mode The check patient alarm activates in the manual mode of operation when the heater has been energized at a power level greater than 25 for 12 min utes The alternating single tone alarm is activated for this condition Pressing the alarm silence switch silences this alarm and resets the timer
26. than where Ohmeda Medical s warranty is applicable repairs will be made at Ohmeda Medical s current list price for replacement part s plus a reasonable labor charge 4 00 1 900 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 5 Maintenance 5 2 Circuit Breaker Reset See Figure 5 1 The warmer is equipped with a combination power switch and manual reset circuit breaker located on the left side of the controller assembly as viewed from the front near the power cord socket The circuit breaker limits the maximum current drawn If this circuit breaker trips when the warmer is operating the power switch is deacti vated to the Off position To reset the circuit breaker return the power switch to the On position If the circuit breaker trips again service is required Place the switch in the I On position to reset the circuit breaker 05 009 5 1 Circuit breaker reset 5 3 Lamp Replacement WARNING 5 2 6600 0371 000 DWG Disconnect the Warmer power cord and allow the unit to cool before replacing the alarm or observation lights A Alarm Lamp Replacement See Figure 5 2 Lamp GTE Sylvania 120 MB 6W Ohmeda Medical Stock No 0690 2100 315 1 Disconnect the Warmer power cord and allow the unit to cool for 10 minutes 1 000 100 MANUAL DOC User Reference Manual OM Panda English default Reproduce
27. 0 0371 000 DWG 100 Reproduced from the electronic master in MATRIX MANUAL DOC User Reference Manual OM Panda English default Appendix In this section Temperature Conversion Chart A 1 Servo ModeAlgorithm auae rident dac A 2 Infant Warmer System Specifications A 2 c unsere 2 eol A 3 YE A 4 Environmental Specification 5 Electromagnetic Compatibility EMC 6 Mechanical Without A 6 Bassinet EHE M aaa A 6 hire rlgLcc ates A 7 Radiant Energy 8 All specifications are subject to change without notice Temperature Conversion Chart C F 20 0 68 0 34 5 94 1 37 6 99 7 21 5 70 7 35 0 95 0 37 7 99 9 22 0 71 6 35 1 95 2 37 8 100 0 22 5 72 5 35 2 95 4 37 9 100 2 23 0 73 4 35 3 95 4 38 0 100 4 23 5 74 3 35 4 95 7 38 1 100 6 24 0 75 2 35 5 95 9 38 2 100 8 24 5 76 1 35 6 96 1 38 3 100 9 25 0 77 0 35 7 96 3 38 4 101 1 25 5 77 9 35 8 96 4 38 5 101 3 26 0 78 8 35 9 96 6 38 6 101 5 26 5 79 7 36 0 96 8 38 7 101
28. 000 DWG 100 Reproduced from the electronic master in MATRIX Perform the electrical safety and checkout procedure from the Service Manual Check the calibration and perform the service checkout procedure as detailed in the Service Manual Inspect the yoke strainer nipples and replace if necessary On models equipped with gas package Replace the battery Replace the regulator s On models equipped with gas package MANUAL DOC User Reference Manual OM Panda English default 6 lllustrated Parts Figure 6 1 Illustrated parts Stock Number 0305 5060 300 0217 5221 300 6600 0228 801 6600 0004 853 6600 0004 855 Description Mattress 46 2 x 64 cm Mattress Support Panel Corner Block Kit gray Left and Right Side Panel gray Front and Rear Side Panel gray CNP ON Additional items not shown in Figure 6 1 6600 0004 807 6600 0167 716 0217 5363 800 0217 5372 800 6600 0006 800 0217 5377 800 0690 2100 315 6600 0031 900 0212 0300 600 0221 6267 300 0221 6285 300 6702 1224 905 6600 0053 850 6000 0053 855 6600 0053 852 6600 0053 857 0203 1980 300 6600 0513 801 0217 5378 800 6600 0240 801 0208 0516 300 6712 1260 921 0304 5260 800 6600 0051 800 0208 0523 300 6600 0055 851 6600 0195 000 6600 0371 000 DWG Tubing organizer panel gray model 2001 amp series 3000 Figure 3 6 HFOV Panel gray Adapter Plate Figure 6 2 Air Flowmeter with DISS Fittings 50 psi Figure 6 3 Air Oxygen Yoke and
29. 22 cm radius from the upright One end of the shaft extends 36 cm while the other extends 16 cm Ventilators humidifiers blenders or other user hardware can be pivoted into optional position Radiant Energy Distribution This table lists typical average radiant energy distribution across the patient bed surface for informational purposes only Typical Radiant Energy Level on the Mattress Surface 277 2 mW cm Zone Mattress Average Average 34 34 CI 14 001 Infant Zone 15 38 wide 1 000 100 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX Appendix Installing wall mounted units WARNING A Carefully follow these installation instructions Failure to do so may result in serious injury to the operator or patient The model 3050 3100 and 3150 wall mounted warmers were designed for locations where permanent infant radiant warmers attached directly to the room wall are desired To adequately install these models pre planning at the architectural design phase is required m LL 41 cm Ceiling Track 30 cm 5 Sheet Metal Screws OEC MEC Floor Track Figure A 1 Wall cross section 1 000 6600 0371 000 DWG 100 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX App
30. 4 cm Mounting 17 41 Anchors Hinge Bracket 19 8 cm 05 041 884 1 577 68 6 cm Heater Assembly Note For proper ventilation and access allow at least 10 cm clearance 24 cm around the heater assembly All dimensions are nominal Figure A 2 Warmer mounitng overhead view 1 Locate the stud edges by pre measurement or by using a stud finder Find the center of the drywall track 86 mm over from the stud edge See Figure A 2 2 Remove the hinge bracket from the warmer by removing the 2 hinge pins one on either side that secure the bracket to the warmer heater head 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX Appendix 3 Utilizing a level position the hinge bracket on the wall The bottom edge of the heater mounting bracket on the model 3050 and 3100 must be 69 5 23 cm inches from the bed surface of the mattress that will be used See Figure A 3 The model 3150 integral bed warmer already comes with 69 5 cm bed to heater spacing 4 Use the hinge bracket as a template to mark the mounting holes on the wall 5 Usea 19 mm diameter metal cutting hole saw to drill 4 holes through the dry wall and through metal drywall tracks behind the wall WARNING A When installing wall mounted units to achieve adequate structur
31. 6600 0371 000 DWG 000 100 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 2 Setup and Checkout Procedures In this section 2 1 2 2 2 1 A sesionin asinan n ntes nnne nennen nnns 2 1 B Heater Assembly Potatlori oc eec tec the ce itc 2 2 C Mechanical 2 2 D ACCESSORY CHECKS MH 2 2 E Wall Mount 2 3 2 3 Control Unit Checkout Procedure 2 0 2 2 2 4 A Control Unit Check 2 4 B Elapsed Timer Check 2 4 Observation Light CHECK rikunin aE 2 5 D Raise and Lower Bed Switch Check 2 5 D Interlock Switch Check reed tae EN Enn eva cd 2 6 E Power Failure Memory and Battery Test 2 6 2 1 Setup Refer to the setup instructions shipped with the warmer for initial unpacking and setup of the unit after shipment After removal from the shipping containers inspect the Onmeda Panda Baby Warmer and all accessory items for any signs of damage which may have occurred during shipment File a damage claim with the shipping carrier if damage has occurred Also confirm the presence of all accessory items or factory installed options as listed
32. 7 27 0 80 6 36 1 97 0 38 8 101 8 27 5 81 5 36 2 97 2 38 9 102 0 28 0 82 4 36 3 97 3 39 0 102 2 28 5 83 3 36 4 97 5 39 5 103 1 29 0 84 2 36 5 97 7 40 0 104 0 29 5 85 1 36 6 97 9 40 5 104 9 30 0 86 0 36 7 98 1 41 0 105 8 30 5 86 9 36 8 98 2 41 5 106 7 31 0 87 8 36 9 98 4 42 0 107 6 31 5 88 7 37 0 98 6 42 5 108 5 32 0 89 6 37 1 98 8 43 0 109 4 32 5 90 5 37 2 99 0 43 5 110 3 33 0 91 4 37 3 99 1 44 0 111 2 33 5 92 3 37 4 99 3 44 5 112 1 34 0 93 2 37 5 99 5 45 0 113 0 6600 0371 000 DWG 792 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX Appendix Servo Mode Algorithm The servo mode uses the difference between the servo mode control temperature and the patient skin temperature to determine the percent of heater power required Control Temp Patient Temp Percent Heater Power 0 45 100 0 44 to 0 30 95 0 29 to 0 25 90 0 24 to 0 20 85 0 19 to 0 15 75 0 14 to 010 65 0 09 to 0 05 45 0 04 to 0 04 C 25 0 05 to 0 09 20 0 10 to 0 14 C 15 0 15 to 0 19 C 10 0 20 to 0 24 C 5 0 25 0 Panda baby Warmer System Specifications WARNING A 2 6600 0371 000 DWG Electrical Power Requirements 120 V 50 60 Hz Model 115 V 10 6 6 Amps 230 V 50 60 Hz Model 230 V 10 6 3 4 Amps All models designed to conform to BSI 5724 IEC 601 1 UL544 CSA 22 2 SEMKO and TUV requirements Heater Output All models 540 watts
33. CH A 4 Environmental A 5 Electromagnetic Compatibility A 6 Mechanical Without A 6 scii CET A 6 2 7 Radiant Energy Distribution A 8 Installing wall mounted A 9 Pre Installation Preparation A 10 Warmer Installation seesseeennm m A 10 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX Definitions Note A Note provides additional information to clarify a point in the text Important An Important statement is similar to a note but used for greater emphasis CAUTION A Caution statement is used when the possibility of damage to the equipment exists WARNING A Warning statement is used when the possibility of injury to the patient or the operator exists Pp Symbols Attention Consult the manual for more information Type B equipment Functional Earth Terminal Protection Earth Terminal Increase Power or Control Temperature Decrease Power or Control Temperature Alarm Silence Alternating Current Do not place an infant on this surface 4 b Gt gt gritty d C European Union Representative 400 909
34. Patient probe lead is made from low mass wire that helps prevent probe detachment while reducing pulling on the neonate s skin Place the metal side of the skin temperature probe on the skin over the liver area of the infant s abdomen Remove the paper protecting the hypoallergenic adhesive on the Heat Reflective Patch Secure the skin temperature probe to the patient s skin with the adhesive side of the patch Figure 3 2 Do not remove the heat reflecting foil which must be facing up Note The probe jack is attached at a specific torque value Loosening or tightening the jack may break the electrical connector See Figure 3 3 If the patient is prone place the skin temperature probe on the back where it will not be against the mattress If the probe is between the patient and the mattress it will producefalse readings 5 WARNING A A A WARNING A Intimate contact between the skin temperature probe tip and the patient s skin must be maintained for accurate skin temperature measurement Underheating or overheating may result from poor contact between the skin temperature probe and the patient Verify that the skin temperature probe is securely attached to the patient at least once every half hour 6600 0371 000 DWG Connect the skin temperature probe to the Warmer by plugging the probe connector into the left side of the display module as viewed from the front See Figure 3 3 4 00 000 MANUAL DOC User Reference Manual
35. Regulator all model U S Airway Manometer Assembly Figure 6 5 Alarm Lamp Bird Dovetail Adapter includes adapter plate show in Figure 6 2 Collection Bottle 1 4 Gallon Collection Bottle Bracket Collection Bottle Cap with Float Assembly DISS Continuous 3 Mode Suction Regulator with Overflow Trap Drawer Kit Stationary gray 3 drawer Drawer Kit Stationary gray 2 drawer Drawer Kit Rotating gray 3 drawer Drawer Kit Rotating gray 2 drawer Heat Reflective Probe Patch Box of 50 Instrument Shelf gray 30 x 30 cm Figure 6 12 IV Pole 30 cm Figure 6 4 Monitor Shelf gray 30 x 66 cm Figure 6 13 Observation Lamp Oxygen Flowmeter with DISS Fittings 50 psi Oxygen Yoke and Regulator Assembly Figure 6 6 all models U S Spot Phototherapy Lamp Rail Mounting Kit Power Cord 120 Volt Routing Clip gray Package of 6 Service Manual all models 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 1 06 002 6 lllustrated Parts 0208 0697 700 6600 0208 700 6600 0196 700 6600 0001 850 6600 0004 801 6700 0136 900 6600 0018 800 0217 5374 800 0217 5369 800 0217 5367 800 0217 5357 800 Skin Temperature Probe Model LA003 Skin Temperature Probe Model LA005 Disposable 10 pkg Skin Temperature Probe Model LA005 Disposable 50 pkg ThermaLink Upgrade Kit available for IWS units w 5 0 software or higher Tubing organizer side panel r
36. The servo control temperature range is from 35 0 to 37 5 C The control tempera ture display is not active in the manual mode Power The 96 power display indicates the percentage of maximum power that is being supplied to the radiant heater in 596 increments Power settings between 0 to 25 allow operation without the 12 minute check patient alarm in the manual mode 6600 0371 000 DWG 100 79 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 3 Operation WARNING 3 2 6600 0371 000 DWG Elapsed Time The elapsed time display indicates elapsed time in minutes and seconds up to a maxi mum of 60 minutes B Indicator Lights Servo Mode Indicator ManualMode Indicator Apgar Tones Indicator Servo Mode Indicator The servo mode indicator lights when the warmer is in the servo mode of operation For proper operation of the warmer in the Servo Mode see section 3 2 Manual Mode Indicator The manual mode indicator lights when the warmer is in the manual mode of operation For proper operation of the warmer in the Manual Mode see section 3 2 A Use the servo mode unless the manual mode is specifically prescribed While both modes require patient monitoring the manual mode requires constant attention In the manual mode you must take the responsibility for making heater adjustments or environmental changes in response to the following conditio
37. Use of electrosurgical units or other electrical field radiating equipment can affect the operation of the Warmer Keep the patient probe lead as far away as possible from electrosurgical cables Do not allow excess electrical cables to be laid on the bed platform Use of electrosurgical units or other instruments which radiate electrical fields can cause indi rect heating by several tenths of a degree of the skin temperature probe due to absorbed elecirical energy When using these devices near the radiant warmer operate the Warmer in manual mode for maximum safety The use of phototherapy equipment may raise the patient s temperature Radiant warmers increase an infant s insensible water loss Take appro priate measures to maintain the patient s fluid balance while caring for them in a radiant warmer Do not use the Warmer in the presence of flammable anesthetics a possible explosion hazard exists under these conditions Radiant energy can adversely affect blood components When using intravenous tubing systems for delivery of blood components to patients occupying a warmer shield any tubing with aluminum foil When using a radiant warmer change the patient s diapers frequently Radiant energy causes more rapid urine evaporation and may lead to inaccurate urine diagnosis test analysis and inaccurate weight measurements Do not touch the protective grill under the radiant heater or the top of the heater assembly These surfac
38. a Operating and Storage Relative Humidity Range 0 to 95 Electromagnetic Compatibility EMC Specifications All models meet the requirements as specified in IEC 601 1 2 Collateral Standard Electromagnetic Compatibility Requirements and Tests Mechanical Without Accessories Overall Dimensions Model Height cm Depth cm Width cm Minimum Wt kg Integral bed 185 104 66 96 Free standingt 185 103 62 102 Elevating bed 183 203 114 77 91 T Includes bassinet Drawers not included for stationary drawers add 25 kg for rotating drawers add 32 kg 6600 0371 000 DWG 800 792 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX Appendix Mattress dimensions Model Width cm Length cm Integral bed 46 64 Dropsidebassinet 46 67 Tub bassinet 33 69 Casters Model Integral bed 13 cm dia 2 locking 2 non locking Freestanding 5 cm dia 2 locking 4 non locking Bassinet 13 cm dia 2 locking 2 non locking Drawers Model Integral bed 3 drawers 38 x 39 x 10 cm or 1 drawer 38 x 39 x 10 cm 1 drawer 38 x 39 x 23 cm Bassinet 3 drawers 38 x 57 x 12 cm Bedtilt positions Integralbed 10 continuously adjustable Bassinet t8 Bed duty cycle Elevating models only 1 minute on 10 minutes off Bassinet Material Select oak and oak veneer Optional custom stain colors are available Storage Three Drawer storage opening from either side or t
39. ailure alarm Refer to Table 1 Warmer Alarms for details on how long the audible alarms are silenced Holding this switch depressed for five seconds or longer activates the audible alarm and lights all the indicator lamps for testing purposes Start Hold This switch activates the elapsed timer Refer to the elapsed timer operation Section 3 3 for a detailed explanation of its function Reset This switch is used to reset the elapsed timer to 00 00 Apgar Tones On Off This switch activates the Apgar tones When the Apgar tones are activated a short alarm tone is sounded at one minute and every five minute interval after the elapsed timer is started Light On Off This switch activates the observation light located in the heater assembly A Prolonged exposure to the light emitted by the observation lamp in this unit may harm the unprotected eyes of the infant For safety cover the infant s eyes Raise Bed A Elevating Models Only A Check for proper clearance above the Warmer and below the bed surface before raising or lowering the bed A Inspect all patient connected tubes or wires before and after moving or tilting the bed Tilting or moving the warmer bed up or down can pull on tubing or leads connected to the patient This may disconnect tubes or leads restrict gas or liquid flow or move sensors out of position A Do not continue to run the motor at the upper and lower limit positions equip ment
40. al strength all four holes must engage tracks Should the hole saw miss a track do not proceed Consult the project engineer for further direction A Enclosing the heater assembly inside a cabinet may prevent proper venti lation and may create a fire hazard If the heater is enclosed in a cabinet it must be equipped with a power cut off device that prevents operation while the cabinet is closed Hinge Bracket a 16 5 cm 2 Heater Assembly g 11 5 69 5 23 Place Bed Height Label Here T Bed Surface 05 046 All dimensions Figure A 3 are nominal Heater to bed distance 6 Perform steps A through C to secure the 4 Toggler anchor bolts in the wall See Figure A 4 A Hold the metal channel flat alongside the plastic straps and slide the channel through the hole in the wall and track B With one hand hold the ring so the metal channel rests flush behind the wall Slide the plastic cap along straps with the other hand until the flange of the cap is flush with the wall C Place your thumb between the straps and push from side to side snapping off the straps level with the flange of the cap 400 9 MANUAL DOC User Reference Manual OM Panda English default 6600 0371 000 DWG 100 Reproduced from the electronic master in MATRIX Appendix Metal Channel Straps Cap Ring
41. all and that the heater is level and is parallel to the floor 15 Refer to the Operation amp Maintenance Manual for checkout procedures WARNING A Perform Checkout Procedures before placing the unit in operation 400 90 MANUAL DOC User Reference Manual OM Panda English default 6600 0371 000 DWG 100 Reproduced from the electronic master in MATRIX Notes A 16600 0371 000 DWG 800 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX Warranty This Product is sold by Ohmeda Medical under the warranties set forth in the following paragraphs Such warranties are extended only with respect to the purchase of this Product directly from Ohmeda Medical or Ohmeda Medical s Authorized Dealers as new merchandise and are extended to the Buyer thereof other than for the purpose of resale For a period of twelve 12 months from the date of original delivery to Buyer or to Buyer s order but in no event for a period of more than two years from the date of original delivery by Ohmeda Medical to an Ohmeda Medical Authorized Dealer this Product other than its expendable parts is warranted to be free from functional defects in materials and workmanship and to conform to the description of the Product con tained in this operation manual and accompanying labels and or inserts provided that the same is properly operated under the conditions of normal use that regular pe
42. ator prompt tone Alternating single tone Alternating two tone For a more detailed description of the audible alarms see section 3 1D Overhead Alarm Light Large alarm light located on the front of the heater assembly for easy visual identification Probe Failure Alarm The alternating two tone alarm is active only in the servo mode Activates when the skin temperature probe 1 Fails electrically due to an open or short circuit or 2 Is disconnected from the Warmer 3 Probe senses temperature outside the 30 42 C range When this alarm condition exists 1 The heater is turned off and 2 The patient temperature display flashes HH H or LL L Patient Temp Alarm This single tone alarm activates in the servo mode when the difference between the patient temperature and the control temperature is greater than 1 can be adjusted to 0 5 C by qualified service person Alarm cancels when the patient temperature returns to within 0 8 C of the control temperature System Failure Alarm This alternating two tone alarm cannot be silenced Alarm activates and turns the heater off if any of the following occurs 1 The analog to digital converter calibration drifts by more than 0 3 C 2 The heater solid state relay fails 3 The microprocessor fails or 4 The self check functions fail on power up A 4 6600 0371 000 DWG 000 100 MANUAL DOC User Reference Manual OM Panda English default Reproduce
43. bration Failure E005 RAM Test Failure E010 Line Voltage Out of Range E013 Heater Not Switching Off E015 Software Upset RAM Inconsistency E017 Software Upset Missing Routine E025 Hardware Watchdog Circuit Tripped 3 6 6600 0371 000 DWG 100 1 000 Reproduced from the electronic master in MATRIX E002 E004 E007 E012 E014 E016 E019 ADC High Calibration Failure Checksum Failure ADC Converter Failure Heater Not Switching On Alarm Oscillator Failure Safety Relay Not Opening Properly Software Upset MANUAL DOC User Reference Manual OM Panda English default 3 Operation 3 2 Preheat Manual and Servo Mode Operation WARNING A Before using the Panda Baby Warmer System read this entire manual Attempting to use this device without a thorough understanding of its operation may result in patient or user injury This device should only be operated by personnel trained in its operation and under the direction of qualified medical personnel familiar with the benefits and risks of this type of device Do not leave the patient unattended when using the Infant Warmer Check the patient s temperature periodically using an independent tem perature monitoring device to ensure the comfort and the safety of the patient If the warmer is used for an extended time it is recommended that the servo mode of operation be used When an alarm is silenced close monitoring of the patient s condition is required
44. closed in a clockwise direction and tighten the Tee Handle sufficiently by hand only to hold the cylinder firmly in place Do not use wrenches or any other tool on the Tee Handle screws If only one oxygen cylinder is used a yoke plug Ohmeda Stock No 6600 0399 500 and a gasket are required to seal the unused yoke cylinder port CAUTION A Yoke check valves are not intended to provide a leak free seal always use a yoke plug and a fresh cylinder gasket to seal an unused cylinder port Open cylinder valve S L O W L Y and rotate until it is fully open CAUTION A Open cylinder valves S L O W L Y to avoid damaging the regulators Leak Testing the System Prior to initial use and as prescribed by hospital protocol the yoke system s should be checked for leaks according to the following procedure 2 Discontinue use of the system to be tested Disconnect all pipeline gas supply and outlet lines from the yoke assembly Use new gaskets and full cylinders at each cylinder port optionally one full cylinder and a yoke plug may be used on a 2 cylinder oxygen manifold Open acylinder valve at each manifold to charge the manifold s to a minimum of 5137 kPa and then close the valve s Note the gauge pressure reading in the manifold s After one minute check the gauge pressure reading s again The pressure gauge needle should not drop visually If there is a visual pressure drop discontinue use of the gas system
45. d from the electronic master in MATRIX 5 Maintenance 2 Use a Phillips head screwdriver to remove the lens mounting screw located in the center of the alarm light 3 Remove the bulb by pushing in and turning it counterclockwise 4 Install the new bulb by pushing in and turning it clockwise Note Replace both bulbs for maximum lamp life 5 Place the lens cover in position and secure it with the mounting screw 6 Plug the power cord in and check for proper operation Push the alarm lamp in and turn counterclockwise to remove it 2 Mounting Screw Figure 5 2 Alarm Lamp replacement B Observation Lamp Replacement See Figures 5 8 5 9 and 5 10 Lamp GE EXZ Q50 MR16 NFL Ohmeda Medical Stock No 0208 0516 300 or GE EXN 050 MR16 FL 1 2 6600 0371 000 DWG Disconnect the power cord for the Warmer and allow the unit to cool for 10 minutes Rotate the heater assembly to the side position shown in Figure 5 3 1 000 100 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 5 Maintenance Figure 5 3 Carefully rotate the heater to the left Heater rotation to the side position 3 Figure 5 4 Refer to Figure 5 4 Use a Phillips head screwdriver to remove the back panel of the heater assembly Unscrew the two cover mounting screws and remove the cover Observation Lamp cover removal 5 4 6600 0371 000 DWG
46. d from the electronic master in MATRIX Appendix Note Excessive EMI in the hospital environment can trigger the system failure alarm Note the error code if any and switch off the unit Wait ten seconds and switch the power back on If the system fail alarm recurs remove the warmer from use Check Patient Alarm Preheat Mode Check Patient Alarm is deactivated Manual Mode Single tone alarm activates if the heater has been energized at greater than 25 heat for 12 continuous minutes Servo mode Alarm activates when the heater has been at full power for 12 continuous minutes Alternating two tone alarm activates after 3 minutes if the Check Patient Alarm is not silenced Power Failure Alarm Single tone alarm activates if the line power is interrupted The power failure LED on the display panel lights Arechargeable maintenance free nickel cadmium battery powers the audio alarm and the microprocessor for up to 10 minutes with a fully charged battery If power is restored within 10 minutes the mode of operation and the set point are recalled Heat Off Alarm The Light Emitting Diode LED indicator activates when the heater is in the side position The audio alarm activates after the heater has been in the side position for 5 minutes Environmental Specifications Operating Temperature Range 10 to 40 C Transport and Storage Temperature Range 25 to 60 Transport Operating and Storage Pressure Range 500 to 1060 hP
47. damage may result This switch raises the bed to a maximum height of 118 cm from the floor Lower Bed Elevating Models Only This switch lowers the bed to a minimum height of 98 cm from the floor 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 3 Operation On Off Power Switch and Circuit Breaker See Figure 3 1 The On Off power switch is located on the left side of the controller assembly as viewed from the front near the power cord socket It is used for switching the power to the warmer On and Off The switch is also a circuit breaker and limits the maximum current drawn by the unit If this circuit breaker trips when the warmer is operating the power switch is deactivated to the Off position To reset the circuit breaker return the power switch to the On position If the circuit breaker trips again service is required On Off Switch l On O Off 05 009 Figure 3 1 On Off Power Switch with built in circuit breaker D Alarms All alarms except system failure and power failure are preceded by a 30 second intermit tent operator prompt tone ProbeFailure Alarm Patient Temperature Alarm System Failure Alarm HeatOff Alarm Check Patient Alarm PowerFailure Alarm Probe Failure Alarm The probe failure alarm is only active in the servo mode of operation The alarm activates when the skin temperature
48. e repair of this equipment should attempt to service it as detailed in the service manual The Service Manual provides detailed information solely for use by individuals having proper knowledge tools and test equipment and for service representatives trained by Ohmeda Medical 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX Notes vi 4 000 6600 0371 000 DWG 100 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 1 Description In this section MEC cM 1 1 1 2 Support SIFUCEUTO 1 1 1 3 TeaterAssembly a esi citet ette vete Pr ed OE ea dex 1 1 eremi 1 1 1 5 BEC Plat OMIM ces see 1 2 16 1 2 1 60 1 2 1 1 General The Ohmeda Medical Panda Baby Warmer provides a controlled source of radiant heat for infants and pediatric patients The control system uses a microprocessor and provides both manual and servo modes of operation The patienttemperature control temperature and elapsed time displays are digital for ease of viewing The control panel includes a one hour elapsed timer with time displayed in minutes and seconds The timer features optional audible tones for use during Apgar scoring
49. ear see Fig 3 6 Du O Vac Du O Vac Mounting Kit Utility Post 3 5 Inch Stub x 1 in diameter Figure 6 8 Vacuum Manifold with DISS Fittings Figure 6 9 Vacuum Slide Bracket Figure 6 10 Ventilator Mounting Post Accessory For more information about these and other accessories see the Infant Care Equipment Accessories Catalog Form No F058 6 2 6600 0371 000 DWG 1 000 100 Reproduced from the electronic master in MATRIX MANUAL DOC User Reference Manual OM Panda English default 6 lllustrated Parts Figure 6 2 Adapter Plate 0217 5363 800 Figure 6 3 Air Flowmeter 50 psi with DISS Fittings 0217 5372 800 Figure 6 4 IV Pole 30 cm 0217 5378 800 Figure 6 5 Airway Manometer Assembly 0217 5377 800 Figure 6 6 Oxygen Yoke and Regulator Assembly see list on 6 1 and 6 2 Figure 6 7 Routing Clip Package of 6 0217 5290 870 1 000 6600 0371 000 DWG 100 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 6 lllustrated Parts Figure 6 8 Utility Post 3 5 Inch stub 0217 5374 800 Figure 6 9 Vacuum Manifold with DISS Fittings 0217 5369 800 Figure 6 10 Vacuum Slide Bracket 0217 5367 800 Figure 6 11 Drawer Module Stationary See list on 6 1 and 6 2 Figure 6 12 Instrument Shelf See list on 6 1 and 6 2 Figure 6 13 Monitor Shelf See list on 6 1 and 6 2 6 4 4 000 660
50. endix Ate 6600 0371 000 DWG The following instructions describe the manufacturer s recommended method of installation in new construction Use only the Ohmeda hardware provided to mount the model 3050 3100 and 3150 The installation should be approved by the appropriate State and Local authorities Deviation from these recommendations or attempts to retrofit existing construction should only be undertaken by professionals experienced in structural design who in turn are wholly respon sible for the structural integrity of the mounting method they devise Pre Installation Preparation A pattern of two 2 Extra Duty Drywall Studs STE 20 gauge and one 1 10 x 4 cm Drywall Track 16 gauge at 41 cm centers form the basic rough in for installing each IWS 3050 unit See Figure A 1 Verify that the studs and track are securely fastened together at 30 cm intervals and to both the floor and ceiling tracks with 10 sheet metal screws Warmer Installation After the wall is finished and the room is completed you are ready to install the warmer The distance from the warmer heater head to the bassinet or bed mattress surface is critical for proper operation of the warmer This distance must be 69 5 23 cm Before installing the model 3050 or 3100 you must determine the bed surface height that will be used for your convenience a bed height label is provided to attach to the wall to aid in visually aligning the bassinet bed surface 102
51. ervice Manual for this product may be repaired or replaced by a competent trained person who has experience in repairing devices of this nature After repair test the equipment to ascertain that it complies with the published specifications A Only competent individuals trained in the repair of this equipment should attempt to service it as detailed in the Service Manual Stock Number 6600 0195 000 Detailed information for more extensive repairs is included in the service manual solely for use by individuals having proper knowledge tools and test equipment and for service representatives trained by Datex Ohmeda Contact the nearest Ohmeda Medical Regional Service Office for assistance or before returning equipment for servicing Obtain a Return Authorization Number before retuning equipment If you send equipment to the Datex Ohmeda Service and Distribution Center package it securely for protection in the original shipping container if possible and ship it prepaid Enclose the following five items 1 Aletter describing in detail any difficulties experienced with the equipment Refer ence the Return Authorization number 2 Warranty information a copy of the invoice or other applicable documentation must be included Purchase order number to cover repair of equipment not under warranty 4 Shipto and bill to information 5 Person name and telephone number to contact for functional questions In all cases other
52. es may be hot and a burn could result Always set the caster brakes before placing a patient in the warmer 6600 0371 000 DWG Connect the power cord to a properly grounded AC power source Place the power switch in the On position During the first seconds of operation the warmer performs a self check of the control system The software is verified calibra tion is checked and operation of the solid state relay controlling the heater is verified All displays and indicators are lit and the audible alarm is sounded If the self check detects a failure the alarm stays on and service is required Note The Panda Baby Warmer begins operation in the Preheat Mode described in Step 3 To operate the warmer in the Manual Mode refer to step 4 To operate the warmer in the Servo Mode refer to Step 6 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 3 Operation Do not operate the warmer in the preheat mode while a patient occupies the bed The preheat mode is used to quickly warm and maintain heat to an empty bed The preheat mode is not designed for clinical use with a patient since the Check Patient Alarm is disabled Preheat Mode Operation The Panda Baby Warmer automatically starts in the Preheat Mode During the preheat mode Check Patient Alarms are not activated In the Preheat Mode the control temperature and elapsed time displays continiously flash the
53. es may become equal and if simulta neously used cylinder supplies may be depleted leaving no reserve supply in case of pipeline failure 3 8 Mounting Accessories WARNING 3 16 6600 0371 000 DWG See Figure 3 7 A Limit the load of the accessories to 23 kg per side on the Warmer to ensure stability Always try to evenly distribute the weight of accessories on both sides of the unit for a more balanced load Accessories should not be mounted more than 142 cm above the floor For the free standing warmer limit the load of accessories to 9 kg maximum per side mounted no more than 112 cm above the floor Rail system components mount to the uprights and provide ready access to commonly used equipment such as suction regulators flowmeters collection bottles etc 02 005 02 004 Loosen mounting screw and Tighten mounting screw place mounting block in position Figure 3 7 Mounting rail system components 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 3 Operation A Mounting and Releasing Procedure See Figure 3 7 1 Loosen the mounting screw on the mounting block 2 Place the mounting block in position on the rail Tighten the mounting screw 4 Release the rail system component by loosening the mounting screw B Adapter Plate Mounting and Releasing Procedure See Figure 3 8 Universal Adapter plate
54. ese precautions will help avoid damage to the probe Note Some cleansers may discolor the skin temperature probe over time Note Disposable skin temperature probes cannot be cleaned 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 5 Maintenance In this section 5 1 Repair Policy and Procedure ertet entente 5 1 5 2 Circuit Breaker 5 2 5 9 Lamp eterne ien tite Re cere ee indice Estes 5 2 A Alarm Lamp Replacement sessen 5 2 B Observation Lamp 5 3 5 4 Yoke Manitold Assembly 5 5 5 5 Baloy TOS ee ect ER eet date Ce pc ep qu uui 5 5 5 6 Maintenance Schedule sss nennen 5 6 A Operator 5 6 B Service BR cueva a Rd dun 5 6 5 1 Repair Policy and Procedure CAUTION 6600 0371 000 DWG Warranty repair and service must be performed by an Ohmeda Medical Service Represen tative or at the Datex Ohmeda Service and Distribution Center USA To contact an Ohmeda Medical Service Representative contact the nearest Onmeda Medical Service Office Do not use malfunctioning equipment Make all necessary repairs or have the equip ment repaired by an Ohmeda Medical Service Representative Parts listed in the S
55. for approximately two minutes the display switches off C Observation Light Check Press the Light On Off touch switch Verify that the observation light functions D Raise and Lower Bed Switch Check Elevating Models Only A Do not continue to run the motor at the upper and lower limit positions equip ment damage may result 1 Pressthe Raise Bed touch switch and verify that the bed raises to a maximum of 118 cm off the floor 719 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 2 Setup and Checkout Procedures 2 6 2 Press the Lower Bed touch switch and verify that the bed lowers to a minimum of 98 cm off the floor Press the foot switches on both sides of the unit and verify that they raise and lower the bed E Interlock Switch Check Place the warmer in the manual mode at 25 power output Rotate the heater assembly to the side Verify that the heat off indicator light is On and the power display indicates 0 heat Rotate the heater assembly to the normal operating position Verify that the heat off indicator light is Off and the power display indicates 25 F Power Failure Memory and Battery Test 1 6600 0371 000 DWG Operate the unit in the manual mode with the heat set at 2596 power for a minimum of one hour to charge the battery Note The battery must be fully charged to pass the 10 minutes test or partially charged to pa
56. he front of the unit depending on the model ordered Accessories Accessories include the following see also Section 6 Illustrated Parts Air Oxygen Yoke and Regulator Pin indexed oxygen yokes accommodate two U S E size oxygen cylinders Additional yoke accommodates one U S E size cylinder of compressed air Air and oxygen pipeline fittings Regulators 358 14 kPa Cylinder pressure gauges 0 to 20700 kPa A c600 0371 000 DWG 800 90 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX Appendix WARNING WARNING 6600 0371 000 DWG Oxygen Yoke and Regulator Pin indexed yokes accommodate two U S E size oxygen cylinders Oxygen pipeline fittings Regulator 358 14 kPa Cylinder pressure gauge 0 to 20700 kPa Rail Mounted Accessories A Overloading the shelves can affect the stability of the unit Limit the load to 9 kg per instrument shelf mounted to a single upright and 23 kg per moni tor shelf mounted between the uprights A Limit the load of accessories to 23 kg per side on the Warmer to ensure stability Always try to evenly distribute the weight of accessories on both sides of the unit for amore balanced load Accessories should not be mounted more than 56 inches 142 cm above the floor Limit the load of accessories to 9 kg maximum per side mounted no more than 112 cm above the floor Monitor Shelf Dimensions 30 x 58 c
57. itches The control temperature can be adjusted from 35 to 37 5 C In the servo mode the temperature sensed by the skin temperature probe is used by the control system to modulate the radiant heat and maintain the patient s skin temperature at the selected control temperature The Appendix details the Servo Control Mode Algorithm 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 3 Operation Note The Warmer cannot differentiate between an increase in core temperature with cold skin fever and low core and skin temperature hypo thermia Patient tempera ture should be verified with an axillary thermometer WARNING A In the servo mode verify that the patient temperature probe is securely attached to the patient at least every half hour A dislodged probe does not always trigger an alarm If the probe becomes dislodged the warmer can over or under heat the infant Note A patient placed in any warmer will normally develop temperature gradients with hotter and cooler areas This is due to radiant heat being applied above the infant the unequal skin cooling effect from evaporative water loss unequal heat generation within the patient andthe environmental variables of room temperature room air movement incidental sunlight etc WARNING A The use of phototherapy equipment may raise the patient s temperature 3 3 Elapsed Timer Operation 1 2
58. m Load limit 22 kg Instrument shelf Dimensions 30 x 30 cm Load limit 9kg Oxygen flowmeter with DISS fittings 0 to 15 LPM Air flowmeter with DISS fittings 0 to 15 LPM Airway Manometer 20 to 100 centimeters of water IV pole 30 and 60 cm Gas manifold with 1 8 inch NPT fitting 9 cm utility post Drawer Storage Accessory for all models with beds stationary or rotating Standard drawer 38 x 39 x 10 cm 14 820 cm per drawer Deep Drawer 38 x 39 x 23 cm 34 086 cm per drawer A Overloading the drawers can affect the stability of the unit Limit the load to 4 6 kg per drawer 9 kg per deep drawer 4 00 2 900 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX Appendix A 8 6600 0371 000 DWG Utility Post 22 Inch 0217 5376 800 2 5 cm diameter x 56 cm long post Provides a rigid vertical mounting space for stack mounting of equipment The post should be mounted as low as possible to ensure the stability of the Warmer Vacuum Manifold with DISS Adapters Two DISS vacuum adapters are mounted on a standard manifold block The locations of these adapters can be changed to any of the other tapped holes in the block to meet special requirements Vacuum Bottle Slide Bracket The standard vacuum bottle slide can be mounted on either upright Ventilator Mounting Post The vertical mounting post is a non locking 1 inch diameter shaft which pivots in an
59. message PrE HEAT and the heater operates at 10096 power for the first 12 minutes After 12 minutes heater power drops to 5096 and will continue at 5096 until either the mode increase decrease or Apgar touch switches are pressed Pressing the mode increase decrease or Apgar touch switches exits the Preheat Mode and returns the warmer to normal modes of operation If the Apgar touch switches are pressed the manual mode indicator will light and a prompt tone will sound until a power percentage is selected using the increase decrease touch switches The Check Patient Alarm is again activated If the mode or the increase decrease touch switches are pressed the unit will automati cally change to the Manual Mode with a power percentage setting of 5096 The Check Patient Alarm is again activated The only way to re enter the preheat mode is to shut off and restart the warmer Manual Mode Operation Use the servo mode unless the manual mode is specifically prescribed While both modes require patient monitoring the manual mode requires constant attention In the manual mode you must take the responsibility for making heater adjustments or environmental changes in response to the following conditions patient size and weight bed to heater head height differences changes in the environment drafts direct sunlight phototherapy lamp usage etc changes in the patient condition In the servo mode the warmer au
60. ndResistance Less than 0 2 ohms as measured from the power cord plug IEC 601 1 Specifications Type of protection against electric shock Classi Degree of protection against electric shock Type B Mode of Operation Continuous Protection against hazards of explosion Not Protected Protection against ingress of liquids Not Protected Degree of electrical connection between Equipment with an applied equipment and patient part designed for non conductive connection to the patient Degree of mobility Mobile Controller Electronics Microprocessor based control system Self test functions are performed at power up and during normal operation Power Control Method Proportional heat control with zero voltage switching to minimize radiated and conducted EMI Observation Light Nominal illuminance output 100 foot candles at center of mattress Estimated lamp life 3 000 hours Temperature Sensing System Range 30 42 C Accuracy 0 3 C Resolution 0 1 C Probe interchangeability 0 1 C Probe Model Number LA003 or LAO05 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX Appendix Elapsed Timer 60 minute elapsed timer with hold mode and Apgar tones Manual Mode Heat Selector Range 0 to 540 watts in 20 increments of 5 each Servo Mode Control Range 35 0 to 37 5 C in increments of 0 1 C Alarms Multiple audio tones Oper
61. ndex pins are engaged before closing yoke gate Tee Handle Cylinder Valve Use E size gas cylinders Make sure cylinder valve dust cap is removed gasket each time a cylinder is replaced Close Yoke Use only one Gate Tighten cylinder gasket tee handle by per yoke hand only 6600 0152 400 1 06 013 Figure 3 6 Gas cylinder installation Cylinder Removal 1 Close the valve on the cylinder to be removed 2 While supporting the cylinder back out the Tee handle until the tip of the screw is flush with the inside surface of the gate 3 Swing the gate open in a counter clockwise direction 4 Remove the old cylinder 5 Remove the old gasket from the yoke strainer nipple and discard Cylinder Installation 1 Install a new gasket Ohmeda Stock No 6600 0152 400 on the strainer nipple A Use only one cylinder gasket per yoke Use of more than one gasket could cause leakage of the cylinder gas 2 Beforeinstalling a cylinder 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 3 Operation a Remove the cylinder dust cap if present b Briefly open then immediately close the cylinder valve to blow any foreign matter out of the valve outlet Do not use excessive force on the shut off valve Install the cylinder valve over the strainer nipple making sure that the safety index pins are engaged Swing the gate
62. ns patient size and weight bed to heater head height differences changes in the environment drafts direct sunlight phototherapy lamp usage etc changes in the patient condition In the servo mode the warmer automatically adjusts heater output to maintain the desired skin temperature reducing but not eliminating the need to monitor the patient and make environmental adjustments to ensure adequate patient temperature Apgar Tones Indicator The Apgar tones indicator lights when the Apgar tones are activated and the Apgar timer is running C Switches Mode Switch Increase A and Decrease Switches AlarmSilence Start Hold Reset ApgarTones On Off Light On OffMode Switch Raise Bed A Elevating models only e Lower Bed Elevating models only 1 000 100 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 3 Operation WARNING WARNING CAUTION 6600 0371 000 DWG This switch is used to select either the Manual or Servo mode of operation An audio tone sounds momentarily when the mode switch is depressed Increase A and Decrease w Switches These switches are used to set the radiant power level 96 power in the manual mode and to set the control temperature in the servo mode Alarm Silence This switch is used to silence the audible alarm It silences all alarms except the system f
63. on the packing slip 2 2 Mechanical Checkout Procedure WARNING A Before using the Ohmeda Panda Baby Warmer read this entire manual Attempting to use this device without a thorough understanding of its operation may result in patient or user injury A Do perform the Checkout Procedures Mechanical and Control Unit while a patient occupies the warmer A Complete the Checkout Procedures section of this manual before putting the unit into operation If the warmer fails any portion of the checkout procedures it must be removed from use and repaired A Overall Appearance 1 Disconnectthe power cord from the ac power source for the mechanical checks portion of this procedure 2 Checkthe overall appearance of the Panda Baby Warmer Bassinet System There should be no obvious damage 3 Checkthat all casters are in firm contact with the floor and that the warmer is stable and moves freely For the free standing warmer check that all six casters on the warmer move freely Note On the free steanding warmer it is possible that the two center casters may not be in contact with the floor at all times 6600 0371 000 DWG 100 79 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 2 Setup and Checkout Procedures WARNING WARNING WARNING 2 2 4 Lock the two front casters and check that the warmer is held in place On the free standing wa
64. ontrol Unit 6600 0371 000 DWG The control unit contains the electronic circuits and controls used to operate the radiant heater and the observation light The control unit performs regular self checks during its operation including failure diagnostics 4 00 000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 1 Description When the unit is first turned on it automatically operates in the preheat mode and will continue to do so until the mode increase decrease or Apgar buttons are pressed Then a tone will prompt the operator to select a heater power percentage in the manual mode Either manual or servo mode of operation may be selected In the manual mode of operation select the level of radiant heat output as indicated by the power display on the control panel The control circuit then maintains the selected level of radiant heat In the servo mode of operation select the patient s control temperature A skin temperature probe is used to monitor the patient skin temperature The control system modulates the radiant heat to maintain the patient at the selected control temperature The patient s skin temperature is continuously displayed Alarms activate to alert the operator of a low or high patient temperature a skin tempera ture probe failure a power failure equipment failure or a check patient prompt 1 5 Bed Platform The warmer with a bed includes a mattres
65. ove set forth Onmeda Medical makes no warranty of merchantability or fitness for a particular purpose with respect to the product or parts thereof 1 000 6600 0371 000 DWG 100 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX EDA Medical World Headquarters GE Healthcare 9900 West Innovation Drive Wauwatosa WI 53226 4856 USA Tel 1 800 345 2700 Europe Middle East Africa GE Healthcare P O Box 900 FIN 00031 GE Finland Tel 358 10 39411 Fax 4358 9 146 3310 Latin America Representatives GE Healthcare 3350 SW 148 Avenue Suite 301 Miramar Florida 33027 USA Tel 1 954 744 5600 Brazil Only GE Healthcare Clinical Sytems Equipamentos M dicos Ltda Av Paulista 37 13 andar CEP 01311 902 Cerqueira C sar S o Paulo SP Brasil Tel 455 11 3053 2500 Fax 55 11 3053 2573 Ohmeda Medical a Division of Datex Ohmeda Inc a General Electric Company 8880 Gorman Road Laurel MD 20723 Panda Baby Warmer 0086 Operation and Maintenance Manual Printed in USA Copyright 2002 by Datex Ohmeda Inc Jr J Representative Datex Ohmeda Ltd Ohmeda House 71 Great North Road Hatfield Hertfordshire ALO 5EN Tel 44 1707 263570 Fax 44 1707 260065 Asia Representative GE Healthcare Shanghai GE China Hi tech Park No1 Huatuo Road Zhangjiang Hi tech Park Pudong Shang hai 201203 HR
66. pinching or restriction of flow through the tubes and may interfere with the proper operation of therapy equipment 1 000 100 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 3 Operation WARNING Tubes up to 9 mm O D 8 8 Tubes up to Tubes up to 13 mm O D 21 mm O D Figure 3 5 Tubing organizer panel A Inspect all patient connected tubes or wires before and after moving or tilting the bed Tilting or moving the warmer bed up or down can pull on tubing or leads connected to the patient This may disconnect tubes or leads restrict gas or liquid flow or move sensors out of position Do not lower the Tubing Organizer Rear Side Panel with tubing attached Lowering can pull on the tubing causing the tubes to dislodge from the patient Radiant energy can adversely affect blood components When using intravenous tubing systems for delivery of blood components to patients occupying a warmer shield any tubing with aluminum foil Using the side panel as a tubing organizer restricts the panel s ability to be lowered Install the tubing organizer side panel on the back of the bed platform the side nearest the aluminum uprights to maintain easy access to the infant The tubing organizer side panel should be inspected visually and by touch for sharp edges cracks or crazing before each use 3 6 Oxygen Administration WARNING 6600 0371 000 DWG
67. re is less than 30 C System Failure Heat Off Check Patient Power Failure Alarm Sound Alternating Two Tone t Alternating Two Tone Alternating Single Tone 1 Alternating Single Tone t Alternating Two Tone Alternating Two Tone Alternating Single Tone t Alternating Single Tone t after 12 minutes Alternating Two Tone after 15 minutes Alternating Single Tone Heater output is dependent on the Patient Temperature and Control Temperature settings in the servo mode and the Power setting in the manual mode Error code in elapsed time display indicates the cause of the alarm T Preceded by a 30 second operator prompt tone Can be set to between 5 and 2 C by qualified service personnel Error Codes Alarm Silence Period 1 minute 1 minute 5 minutes 15 minutes 1 minute Cannot be silenced 5 minutes 12 minutes 15 minutes Cannot be silenced Heater 9 9 In the event of a system failure nonsilenceable high priority alarm sounds and the System failure LED illuminates Before shutting off the Warmer and removing it from service make note of the error code that appears in the elapsed time display This code will aid qualified service personnel in diagnosing the problem Table 2 lists the possible error codes for a more detailed explanation of error codes see the Service manual Table 2 Warmer Error Codes E001 Instruction Test Failure E003 ADC Low Cali
68. riodic maintenance and service is performed and that replacements and repairs are made in accordance with the instructions provided This same warranty is made for a period of thirty 30 days with respect to expendable parts The foregoing warranties shall not apply if the Product has been repaired other than by Ohmeda Medical or in accordance with written instructions provided by Ohmeda Medical or altered by anyone other than Ohmeda Medical or if the Product has been subject to abuse misuse negligence or accident Ohmeda Medical s sole and exclusive obligation and Buyer s sole and exclusive remedy under the above warranties is limited to repairing or replacing free of charge at Ohmeda Medical s option a Product which is telephonically reported to the nearest Ohmeda Medical Field Service Support Center and which if so advised by Ohmeda Medical is thereafter returned with a statement of the observed deficiency not later than seven 7 days after the expiration date of the applicable warranty to the Ohmeda Medical Service and Distribution Center during normal business hours transportation charges prepaid and which upon Ohmeda Medical s examination is found not to conform with above warranties Ohmeda Medical shall not be otherwise liable for any damages including but not limited to incidental damages consequential damages or special damages There are no express or implied warranties which extend beyond the warranties herein ab
69. rmer lock the two rear casters and check that the warmer is held in place For the free standing warmer place the bassinet on a level surface Check that all four casters are in firm contact with the floor and that the bassinet moves freely Examine the power cord for damage Replace the power cord if damage is evident Examine the unit for objects placed on top of the heater assembly Check heater to bed spacing falls within ranges specified in 1 3 Heater Assembly Do not place any accessories or other objects directly over the bed surface This may block radiant heat energy and lead to cooling of the infant Do not place items on top of the heater assembly Items placed on top of the heater assembly can fall and injure the patient prevent adequate ventilation of the heater assembly and may pose a fire hazard Heater Assembly Rotation Rotate the Heater Assembly to the side and then back to the normal position Check for a smooth rotation C 1 Mechanical Checks Check the operation of the bed sides The bed sides should operate smoothly Regularly inspect the bed side panel latching mechanism to ensure proper operation and to prevent the infant falling off the bed Check the operation of the tilt mechanism Verify that the bed platform operates smoothly and locks in normal Trendelenburg and reverse Trendelenburg positions If the drawer package is installed check that all the drawers open and close freel
70. rom the electronic master in MATRIX Table of Contents A Mounting and Releasing Procedure 3 17 B Adapter Plate Mounting and Releasing Procedure 3 17 3 8 Rotating Drawer Option 3 18 4 Cleaning and Disinfecting 5 Maintenance 6 Illustrated Parts Appendix Warranty 6600 0371 000 DWG 44 Cl aning zii iita tree ee te 4 1 42 Wood SUIfaCeS uiniicr certet inten Rete pee E cc eats 4 2 4 3 Reusable Skin Temperature 4 2 5 1 Repair Policy and Procedure ceret ret tes 5 1 5 2 Circuit Breaker 5 2 5 3 Lamp Replacement Lent rnb cr ede 5 2 A Alarm Lamp 5 2 B Observation Lamp 5 3 5 4 Yoke Manifold 5 5 5 5 5 5 5 6 Maintenance 5 6 A Operator 5 6 B Service Maintenance 2424 0 0 0 5 6 Temperature Conversion A 1 Servo Mode A 2 Infant Warmer System A 2 i eii RE A 2 enne A 3 A
71. s and transparent side panels The side panels fold down for easy access to the patient and can be removed for cleaning The tiltable bed platform allows Trendelenburg and reverse Trendelenburg positioning The hydraulic system for the tiltable bed provides a smooth dampened motion to avoid disturbing the patient 1 6 Bassinet Two bassinets models are available for use with the free standing warmers One with removabe drop side panels and mattress and one with a removable tub Transparent locking side panels fold down for easy patient access and are removable for cleaning A tiltable lock block allows Trendelenburg and reverse Trendelenburg positioning at the 8 tilt position Three drawers open from the side for storing equipment or supplies The top drawer is provided with a key lock Front casters lock to hold the bassinet in place 1 7 Accessories The rail mounting system is the basis for most of the accessories for the Warmer This patented design consists of a dovetail shaped aluminum extrusion and a positive locking mounting block Mounting blocks are attached to various accessories for mounting to the rail system The mounting blocks are produced in two standard lengths and are machined to accommodate each specific accessory Accessories which mount on a single upright are interchangeable between all model Warmers Accessories can only be mounted to the inside dovetail rail on each upright of the free standing warmer 1 2
72. solutions that may be used safely Generic Formulation Max concentration level Hydrogen peroxide 6 Sodium hypochlorite compound 0 5 Aqueous Solution Quaternary ammonium 0 2 lodophors 50 mg liter Glutaraldehyde 2 A Use of cleaning disinfecting solutions containing chemicals that are not listed above i e alcohol acetone etc or chemicals in greater concentrations than those listed above may damage the patient probe or other material being cleaned A Do not autoclave or gas sterilize the mattress 4 2 Wood Surfaces The wood surfaces are covered with a tough polymer coating which does not require waxing or special cleaners Clean all wood surfaces with a mild soap and warm water solution Apply the cleaning solution with a clean cloth or sponge Dry the wood surfaces with a clean soft cloth Dust the wood surfaces with a clean soft cloth which is free of abrasive material 4 3 Reusable Skin Temperature Probe CAUTION 4 2 6600 0371 000 DWG Clean the skin temperature probe by gently wiping with a soft damp cloth containing detergent or disinfecting solution The table in section 4 1 above lists recommended cleaning solutions that may be used safely A Do not autoclave or gas sterilize the skin temperature probe Do not immerse the probe in liquid cleaner Avoid placing excessive strain on the probe lead Always remove the probe by grasping the plug at the panel Do not pull on the probe lead Th
73. ss the two minute test If the battery is defective replace it Refer to the service manual There is no maintenance required for the battery The battery has a two year replacement schedule Remove the Warmer power plug from the power source for two minutes Do not switch the power Off The power failure alarm should sound for two minutes and the power failure indicator on the display panel lights Note If the power failure alarm is tested for 10 minutes the warmer must be con nected to the correct power source and operated for 24 hours to recharge the battery before allowing a patient to occupy the Warmer Note The power failure alarm will not operate if the circuit breaker trips Reconnect the warmer to the power source Verify the following a The warmeris operating in the manual mode b The heat output is still set at 25 power c Theaudio power failure alarm is off 4 00 00 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 3 Operation In this section 3 1 Gontrol Panel Operation 5 tees tetti a Exe coca tna 3 1 3 1 B IndicatorLbights 5 meti de 3 2 EE 3 2 0 3 4 3 2 Preheat Manualand Servo Mode Operation 2 3 7 3 3 Elapsed Timer enne 3 11 3 4 Bed Platform
74. temperature in the manual mode but it does not control the radiant heat energy level See step 5 for skin temperature probe attachment Note A patient placed in any warmer will normally develop temperature gradients with hotter and cooler areas This is due to radiant heat being applied above the infant the cooling effect from the mattress below the infant the unequal skin cooling effect from evaporative water loss unequal internal heat generation within the patient and the environmental variables of room temperature room air movement incidental sunlight etc Skin Temperature Probe Attachment Use only the Reusable Ohmeda skin temperature probe Stock No 0208 0697 700 and heat reflective patches Stock No 0203 1980 300 50 pkg or the disposable probe Stock No 6600 0208 700 10 pkg Stock No 6600 0196 700 50 pkg to monitor the patient s skin temperature Use of other manufacturer s probes may affect the accuracy of warmer operation and the electrical safety of the patient The skin temperature probe should be located on the patient s skin in an area which is directly in the path of the radiant heat It should not be attached to an area which is shielded from the radiant heat or between the patient and the mattress Large temperature gradients and very long servo response times will result from improper probe placement Rectal temperatures must never be used to servo control a patient s temperature The Ohmeda
75. to operation If the warmer fails any portion of the checkout procedures it must be removed from use and repaired A Control Unit Check 1 6600 0371 000 DWG Connect the warmer power cord to an appropriate power source Refer to the rating plate on the Warmer for the proper voltage needed Switch the power On and verify the following on the Control Panel Figure 2 2 a The alternating two tone audible alarm sounds and all displays and indicators are lit for approximately two seconds Note During this time the controller also performs self check functions If the controller detects a failure the alarm stays on and service is required Note All alarms except system failure or power failure are preceded by a 30 second intermittent operator prompt tone b The display flashes PrE HEAT until the mode increase decrease or Apgar touch switches are pressed Press the decrease touch switch c The manual mode indicator is lit d Operator prompt tones sound and the power display flashes Adjust the heat output with the increase A and decrease w touch switches to attain the high and low limits as indicated by the power display Connectthe skin temperature probe to the warmer Press the mode touch switch to place the warmer in the servo mode and verify the following a The servo mode indicator is lit b Anoperator prompttone sounds andthe control temperature display flashes 36 5 C Press the increase A touch switch
76. tomatically adjusts heater output to main tain the desired skin temperature reducing but not eliminating the need to monitor the patient and make environmental adjustments to ensure adequate patient temperature WARNING 3 4 WARNING 3 8 6600 0371 000 DWG In the manual mode of operation an operator prompt tone and the flashing of the power display prompt you to select a level of radiant heat Use the increase A or decrease w touch switch to adjust the power in 5 incre ments The power display indicates the power level selected You must select a power level each time the warmer is switched to the manual mode When you select power levels between 30 and 100 a check patient alarm sounds after 12 minutes to remind you to monitor the patient temperature After checking the patient this alarm can be reset by pressing the alarm silence switch This alarm recurs every 12 minutes during operation in the manual mode If the alarm silence switch is not pressed within 3 minutes of the check patient alarm an alternating two tone alarm sounds and the heater is turned off In the manual mode the warmer may be operated using 0 to 25 power level settings without the 12 minute check patient alarm being activated 4 00 2000 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 3 Operation The skin temperature probe may be used to monitor the patient s
77. y On units with the rotating drawer package make sure the drawers rotate from front to 90 left and right and firmly stop in the detented positions Overloading the drawers can affect the stability of the unit Limit the load to 4 6 kg per drawer D Accessory Checks Perform these checks if they are applicable 1 6600 0371 000 DWG Check that all accessories are mounted securely and that the load limits are not exceeded Checkthat all gas accessories are installed and operating properly refer to Section 3 9 Where applicable perform the checkout procedures detailed in the Operation and Maintenance Manuals for the accessories 1 000 100 MANUAL DOC User Reference Manual OM Panda English default Reproduced from the electronic master in MATRIX 2 Setup and Checkout Procedures WARNING Limit the load of accessories to 23 kg per side on the Warmer to ensure stability Always try to evenly distribute the weight of accessories on both sides of the unit for a more balanced load Accessories should not be mounted more than 142 cm above the floor For free standing warmers limit the load of accessories to 9 kg maximum per side mounted no more than 112 cm above the floor E Wall Mount Checkout 14 096 oo Figure 2 1 Wall mount pin insertion 1 Verify that the warmer is rigidly secured to the wall and the heater assembly is level Note To access the control unit and display

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