Dräger Babytherm 8004-8010 - Manual 5g4zv

Dräger Medical

D

Babytherm® 8004/8010 Open Care Unit

MT-292-98

Instructions for Use

Contents

Contents For Your Safety and that of Your Patients . . . . . . . . . . . . . . 3

Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Safety instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

General system failures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 System faults – Babytherm 8010 (Mattress heating) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 System faults radiant warmer . . . . . . . . . . . . . . . . . . . . . . . . . 47

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Operating Concept . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Maintenance Intervals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Disposing of the unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Shelf . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Compact rail/rail brackets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Swivel tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Ensuring stability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 X-ray tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Warming bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Tilting the bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Bed canopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Bronchial aspirator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Accessories for oxygen therapy . . . . . . . . . . . . . . . . . . . . . . . 12 Fitting the hose bracket . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Drainage canister hook . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Compressed air distributor / socket strip . . . . . . . . . . . . . . 13 Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 In-hospital transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

What’s what . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Complete unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Radiant warmer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Controller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Controller, rear view . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

49 50 51 53

Technical Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 Construction and Description . . . . . . . . . . . . . . . . . . . . . . . 58 Alarm description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 Order List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Parts list . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

Testing Readiness for Operation . . . . . . . . . . . . . . . . . . . . . 14 Before using for the first time . . . . . . . . . . . . . . . . . . . . . . . . 14 Before each use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Switching on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Manual operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Using baby control mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . ThermoMonitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Using heated gel mattress . . . . . . . . . . . . . . . . . . . . . . . . . . . Using the bed canopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Recommended heater settings for heat therapy . . . . . . . . . Using phototherapy, optional . . . . . . . . . . . . . . . . . . . . . . . . . Switching lighting On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . Central alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Configuration mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Oxygen therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bronchial aspiration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Taking X-rays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Shutting down . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

17 19 19 21 26 27 31 33 36 37 37 38 43 43 44 44

Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Dismantling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Disinfecting/cleaning/sterilising . . . . . . . . . . . . . . . . . . . . . . 45 Before next use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

2

For Your Safety and that of Your Patients

For Your Safety and that of Your Patients Strictly follow the Instructions for Use Any use of the apparatus requires full understanding and strict observation of these instructions. The apparatus is only to be used for purposes specified here.

Maintenance The apparatus must be inspected and serviced regularly by trained service personnel at six monthly intervals. Repair and general overhaul of the apparatus may only be carried out by trained service personnel. We recommend that a service contract be obtained with DrägerService and that all repairs also be carried out by them. Only authentic Dräger spare parts may be used for maintenance. Observe chapter "Maintenance Intervals".

Accessories Do not use accessory parts other than those in the attached accessory list.

Not for use in areas of explosion hazard This apparatus is neither approved nor certified for use in areas where combustible or explosive gas mixtures are likely to occur.

Safety instructions It is the responsibility of the doctor to draw conclusions from the skin temperature measurements taken.

Baby control mode must not be used with children who are in shock or who have fever.

Do not use mobile phones within a distance of 10 metres from the machine. Mobile phones can cause interference to electrical and electronic medical appliances, thereby putting patients at risk.* *

Dräger medical appliances comply with the interference immunity requirements of the specific standards for the products or EN 60601-1-2 (IEC 601-1-2). However, depending on the design of the mobile phone and situation of use, field strengths may occur in the immediate environment of a mobile phone that exceed the values of the standards quoted and therefore cause interference.

Safe connection with other electrical equipment Electrical connections to equipment which is not listed in these Instructions for Use should only be made following consultations with the respective manufacturers or an expert.

Liability for proper function or damage The liability for the proper function of the apparatus is irrevocably transferred to the owner or operator to the extent that the apparatus is serviced or repaired by personnel not employed or authorized by DrägerService or if the apparatus is used in a manner not conforming to its intended use. Dräger cannot be held responsible for damage caused by noncompliance with the recommendations given above. The warranty and liability provisions of the of sale and delivery of Dräger are likewise not modified by the recommendations given above. Dräger Medical AG & Co. KGaA

3

Intended Use

Intended Use Babytherm 8004/8010 is an open care unit for warming premature babies, neonates and infants with a body weight of up to 8 kg. The unit may be used in operating theatres, neonatal wards, children’s wards, obstetric units and paediatric intensive care units. The unit may be operated by clinical staff or by nursing staff under the supervision of a doctor.

Therapy and nursing uses — In intensive care and obstetric units for resuscitation, normal and intensive care — For infant warming and compensation of heat loss — Thermal stability with mattress heating — Gentle heat therapy with a combination of radiant warmer and mattress heating — Cooling patients with fever (temperature of mattress below core temperature) — Adjustable bed angle for head-up or head-down position — Weaning infants from incubators — O2 and nebuliser therapy (with appropriate accessories) — Lowering the bilirubin levels when using the phototherapy option.

Babytherm 8004 heating features — Radiant warmer operation with a preset heat output: the radiant warmer output is set in manual mode, and therapy time at the higher heater output level is monitored. — Radiant warmer operation with baby control mode: temperature is automatically monitored and controlled.

Babytherm 8010 heating features — Radiant warmer operation with a preset heat output: the radiant warmer output is set in manual mode, and therapy time at the higher heater output levels is monitored. — Radiant warmer operation with baby control mode: temperature is automatically monitored and controlled. — Heated gel mattress, operating independently of the radiant warmer: the temperature of the heating pads is automatically monitored and adjusted to attain and maintain a preselected temperature at the surface between the infant and the mattress.

4

Options — Height adjustment — One or two swivel cabinets — Side s (150 mm or 230 mm) — Infusion holder — Phototherapy — Bed canopy — Swivel tray — RS 232 interface

Optional therapy accessories — Bronchial aspirator — O2 flowmeter — O2 distributor — O2 distributor with cylinder connection — O2 monitor — O2 hood

Intended Use

Babytherm 8004 D

Babytherm 8010 D

Babytherm 8004

Babytherm 8010

10

10

°C

5

°C

5 Check

1 skin °C

Check > 38°C

1

Inop. skin °C

manual

skin

manual

Inop.

< 36°C

matress °C

skin

man.

man. OK

02

51

01

OK

5

0

5

01

51

02

000 29 457

°C

5

Operating Concept

Operating Concept ➇

➈

➆ Babytherm 8010

➅ ➄

10

°C

°C

5 Check 1 skin °C

manual

➃

> 38°C

Inop.

< 36°C

➂

mattress.°C

skin man. OK

➁

094 29 458

➀

➉ ➀ ON/OFF indicator: The green LED is lit when the unit is ON. The red LED is lit following a power failure.

➁ OK button for confirming advisory messages and settings. If the OK button is not pressed within 10 seconds of entering a new setting, the previous settings remain active.

➂ "Inop" alarm display ➃ Pushbutton for checking the LEDs, displays, siren and audible alarm.

➄ Pushbutton for switching off the audible alarm. ➅ Visual display for alarms: Warning = red LED. Caution = yellow LED.

➆ Text display: shows advisory messages for the ➇ Babytherm 8010 only – display and keypad for the heated gel mattress: top: display for the measured mattress temperature; bottom: display for the set mattress temperature, with buttons for setting the desired temperature. right: indicators for operation in extended setting range – high (>38 oC) or low (<36 oC).

6

➈ Display and keypad for the radiant warmer: top: display for the measured value of the core and peripheral skin temperature; bottom: display for the set skin temperature, with buttons for setting the desired value and a toggle button for selecting "man." (manual mode) or "skin" (baby control mode). The active mode is indicated by the relevant yellow LED; right: display of heater levels 1 to 10, for manual operation of the radiant warmer: Heater levels 1 to 3 = green LEDs Heater levels 4 to 10 = yellow LEDs complete with buttons for selecting the desired increment.

➉ On/Off buttons for: Work light Night light Phototherapy, optional Radiant warmer. Each of these buttons has a yellow LED that is lit when the relevant function is switched on.

Preparation

Preparation Shelf The unit is fitted with one shelf. Make sure that the shelf is firmly in position. To fit rails to the shelf: 1 Screw rail to the left and/or right of the shelf. ● Place desired auxiliary equipment on the rails and shelf. Max. 20 kg per shelf. 2 Fasten infusion holder to stand column at the required height.

2

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1

Compact rail/rail brackets This rail is designed to hold auxiliary equipment, e.g. O2 flowmeter, O2 monitor, infusion pumps.

4

3 Fasten the compact rail(s) to one column of the stand at the required height. 4 Fasten rail brackets and 5 small equipment bar to one column of the stand at the required height.

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4

Swivel tray For small articles and parts. Max. load 3 kg. ● Position the swivel tray on one of the columns of the stand and tighten the hand screw. Recommended height: level with the mattress.

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● Make sure that the swivel path is kept clear of obstructions!

Ensuring stability Stability is ensured when the unit is placed on a surface with a slope of not more than 10o. The following restrictions apply when adding accessories: ● Do not exceed the maximum load-bearing capacity of

the stand = 30 kg. ● If accessories are positioned on a column of the stand,

e.g. on two swivel trays, the maximum load for this column is 5 kg.

7

Preparation

X-ray tray Babytherm 8004 only

Do not use the X-ray tray in the extended position to write on. Do not place objects other than x-ray plate. Do not lean on the tray. Risk of damage.

Preparation 1 Push X-ray tray fully home in the horizontal position.

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1

2 Lower X-ray tank into the bed – the pegs engage in the holes in the X-ray tank. ● Prepare the warming bed, see page 9.

2

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2

8

Preparation

Warming bed The bed is enclosed by two side s and two end s that can be opened independently of one another. The side s are provided with holes for secretion and drainage hoses. The end s have flexible grommets for hoses and cables.

Fitting the s 1 Insert the lower mounting pins of the hinge-pieces into the guide slots on either side.

2

2

● Position the semi-upright,

2 press the down firmly until the pins lock into position at the bottom of the slots.

1

1

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With the s on the long side, ensure that the handle points outwards.

● Fold the up into the vertical position and allow it

to drop into the locking position. ● Fit all four s in this way.

Make sure that the s are seated correctly. To open: ● Lift the all the way up until the upper pins come out of their slots, then fold the down. With lively infants or older children: ● Use 230 mm high s.

Fitting the inner s

Inner s must be used with all patients, regardless of whether the side s are open or closed! ● Insert the pins into the tapered holes in the corners of the

housing and press down lightly until the inner is firmly in place.

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Make sure the s are seated correctly.

Mattress ● Lay the mattress flat in the cot and cover it with a cotton sheet.

9

Preparation

Tilting the bed 1 Pull the handle of the locking mechanism out towards the front. 2 Press handle down = head-up position Pull handle up = head-down position ● Release the handle: the bed automatically locks into the

selected position.

1 010 29 457

The bed can be tilted in finely graduated steps.

Maximum tilt angle: Head-up position: 20o Head-down position: 15o Preferred positions: Horizontal, 10o tilt head-up and 10o tilt head-down. 095 29 457

2 The mattress may slip at maximum tilt. In this case do not place a sheet over the mattress.

Bed canopy Optional Higher side s (230 mm) are recommended when using the canopy.

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● Check that the bed canopy is closed.

When the bed canopy is not required: ● Attach bracket to standard rail.

3

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3 Hang bed canopy from bracket.

10

Preparation

Bronchial aspirator

Fastening the ejector on the compact rail ● Fit the compact rail to the desired position on the stand, see page 7. 1 Clip the ejector to the compact rail.

● Fit the hose clip (optional) to the compact rail.

5 Clip aspiration hose into the hose clip.

4

3 2

013 29 457

2 Mount bracket with projecting to one of the positions provided on the column. For units with height adjustment, place the bracket so that the bottle holder is outside the path of the swivel cabinet. 3 Place the bottle holder on the projecting . 4 Connect hoses.

1 5

● Screw on the connecting hose and plug the connector into

the socket of the central supply system (park position).

If the ejector is mounted on the bed ● Mount bracket with projecting to one of the

positions provided on the column. For units with height adjustment, place the bracket so that the bottle holder is outside the path of the swivel cabinet.

7

● Place the bottle holder on the projecting . ● Fasten hose clip to frame.

6 Connect hoses. 7 Clip aspiration hose into the hose clip.

6

● Screw on the connecting hose and plug the connector into 014 29 457

the socket of the central supply system (park position).

● Prepare the aspirator in accordance with its specific

Instructions for Use.

11

Preparation

Accessories for oxygen therapy O2 flowmeter ● Prepare the flowmeter in accordance with its specific Instructions for Use.

3

2 4

5 015 29 457

To mount the flowmeter on the compact rail: 1 Press the slider all the way down; hook the flowmeter to the compact rail and release the slider. 2 Screw on the O2 connecting hose. 3 Insert the connector of the connecting hose into the O2 delivery socket and press it all the way in.

1

Nebuliser ● Prepare the nebuliser in conformity with its specific Instructions for Use. 4 Screw the nebuliser securely to the flowmeter. 5 Fit the spiral hose to the nebuliser port. O2 distributor Different versions are available for connection either to a pipeline system or an oxygen cylinder.

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● Hang the O2 distributor from the standard rail. ● Connect the O2 supply. ● Connect the O2 load.

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O2 monitor, e.g. Dräger Oxydig ● Prepare the O2 monitor in conformity with its specific Instructions for Use. ● Fasten O2 monitor, complete with its holder, to the compact rail. ● Place the O2 sensor on the bed and feed the cable through the hole on the front. ● Plug the connector of the sensor into the measuring unit.

O2 supply via injector When using the injector, the higher side s (230 mm) and the bed canopy should be used (pages 9 onwards).

6

6 Press locking lever on mounting flange and push injector into flange.

now locked. ● Connect up hose.

O2 supply should only be used with O2 concentration monitoring, e.g. via Dräger Oxydig.

12

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● Allow locking lever on injector to engage. The injector is

Preparation

Fitting the hose bracket ● Insert the hose bracket into the hole in the left side of the

019 29 457

head and tighten with knurled screw.

Drainage canister hook 1 Insert hook horizontally into hole in the Babytherm casing. 2 Pivot hook downwards.

2

2

098 29 457

1

Compressed air distributor / socket strip

020 29 457

● Secure the compressed air distributor to the standard rail. ● Secure the socket strip to the standard rail.

Storage Units with height-adjustable column: — One or two swivel cabinets each with 2 swivel compartments and 1 swivel tray (optional) Units without height adjustment: — Two open compartments in the column — One swivel cabinet with two swivel compartments and one swivel tray, optional. ● For clearly organised storage of required equipment and

accessories.

In-hospital transport ● Monitor the patient’s core temperature. ● If optional height adjustment is fitted, lower the unit to its

lowest position. Swivel the swivel cabinets inwards. Swivel the swivel tray inwards. Remove X-ray cartridge from X-ray tray (see page 44). Accessories projecting beyond either side of the unit must be removed or folded in. ● Switch off heating systems and disconnect the mains plug. ● Fit optional bed canopy to protect patient from draughts. ● ● ● ●

Immediately after transport: ● Plug in the mains plug and switch on the heating systems.

13

Testing Readiness for Operation

Testing Readiness for Operation Before using for the first time 1 Check that the mains voltage matches the values indicated on the rating plate next to the power cable. 2 Plug into the mains.

1 Before each use 2 021 29 457

● Check that the unit has been disinfected. ● Check that the side s are locked securely into place.

The hardware must be visible above the bed surface. ● Check that the side s are free from cracks and sharp

edges. ● Check that the correct mattress is in the cot;

● ● ● ●

Operation with mattress heater: gel mattress Operation without mattress heater: foam mattress. Check that the bed tilts properly and locks securely into position. Check that the required accessories and therapy equipment are available and in proper working order. Check that the gas supply is available and sufficient for the accessories and equipment to be used. Check that the cables and hoses are correctly and securely installed. Never route cables or hoses over the s because they might be pinched or crushed when folding up the s or fitting the bed canopy.

Checking height adjustment (optional) Test height adjustment system if fitted: 3 Press the right pedal briefly to raise the bed. 4 Press the left pedal briefly to lower the bed. ● the maximum load for height adjustment

is 50 kg. ● Hoses and cables should be long enough to ensure

3

14

4

022 29 457

a secure connection even in the top or bottom height adjustment position. ● Do not place any objects in the raising/lowering path. ● Adjust to a comfortable working height.

Testing Readiness for Operation

Switching on and activating the self-test ● Press the On/Off button until it engages = ON. ● Babytherm now runs a self-test to check important

023 29 457

functions.

%$

1

Babytherm 8010

5 10

°C

15min

5

6

1 <36°C

skin °C

mattress .°C

manual

4

4

skin man.

3 2 024 29 457

1 The following message appears in the display: »All displays on, horn on«. All the displays are lit for about 2 seconds: digital displays read 88.8 and a continuous tone sounds. 1 The following message appears in the display: »All displays off, soft alarm on«. All displays are dark for about 2 seconds and the alarm sounds. 2 The green LED is lit. 3 After about 2 seconds, the unit displays the radiant warmer mode: Man. (manual mode) – no skin temperature sensor in place or Skin (baby control mode) – yellow skin temperature sensor for core temperature in place. The corresponding LED flashes. 4 The preset desired values are displayed. 1 If the text display reads »Battery charge low« 5 and the yellow LED is lit, the battery is being charged for the power failure alarm. It takes about 30 minutes to charge the battery. 5 The yellow LED is extinguished. 6 If the red LED inop. = operating fault is lit, see page 46.

Checking LEDs, displays and audible alarm 7 Press the k key.

8 8 The following message appears in the display: »All displays on, horn on«. All the displays are lit for about 2 seconds: digital displays read 88.8 and a continuous tone sounds.

10

°C

15min

7

5 1 <36°C

skin °C

manual

mattress .°C

skin man.

025 29 457

8 The following message appears in the display: »All displays off, soft alarm on«. All displays are dark for about 2 seconds and the alarm sounds. A function check can also be carried out while the unit is in operation.

Babytherm 8010

● Check at least once a day.

15

Testing Readiness for Operation

Testing the power failure alarm ● Disconnect the power plug.

6

1 The red LED N should light up and a continuous alarm tone should sound.

Babytherm 8010

10

°C

● Reconnect the power. The unit will continue to operate

15min

5

with the values set before the power failure alarm.

1 <36°C

manual

skin man.

2

Testing the lights 2 Press the left-hand button. The bed should now be lit by the work light. 2 Press the button again. The work light will be switched off. 3 Press the middle button. The bed should now be lit by the night light. 3 Press the button again. The night light will be switched off.

Testing phototherapy (optional) 4 Press button. The yellow LED in the button will start to flash. 6 The following message appears in the text display: »Phototherapy: Use eye protection Press OK button to start XX:XX:XX«. 5 Press OK button = phototherapy lights switched on. 6 The following message appears in the text display for 5 seconds: : »Duration of phototherapy XX:XX:XX«. 4 The yellow LED in the button is now continuously lit. 4 Press button 6 The following message appears in the text display: »Phototherapy turned OFF Press OK button to confirm XX:XX:XX«. 5 Press OK button = phototherapy switched off. 4 The yellow LED in the button will go out.

16

3

4

mattress .°C

5 1

026 29 457

skin °C

Operation

Operation Precautions Patient care Never leave the patient unattended when the side s are down. Risk of infant falling out of the cot. When operating the side s and bed canopy, take care not to pinch any parts of the patient’s body or any hoses or other articles, e.g. bedding. The side s must be securely locked in position, and the hardware must be visible above the surface of the bed. Inner s must be used with all patients, regardless of whether the side s are open or closed! With lively infants and/or older children, the 230 mm high side s should be used.

Heat therapy/phototherapy Constantly monitor the core temperature of the patient. Adjust the temperature settings to the needs of the patient. Watch out for exposure to sunlight. Increased heat is directed to the patient when the heated gel mattress, radiant warmer and phototherapy are operated in combined mode. This should be taken into when setting the heating system. Following the instructions on pages 33 onwards for setting the two heating systems, separately and in combination. Changes in ambient conditions, e.g. draughts, can affect the patient’s temperature balance.

When the bed is tilted, those parts of the patient’s body that are closer to the radiant warmer will receive more heat. The skin temperature of such body parts should be regularly monitored. Do not use any flammable cleaning agents or medication while the heater is in operation – fire hazard. Do not place medication or infusion solutions in the heated area. Do not use the baby control mode for infants in a state of shock. When in shock, skin temperature is much lower than normal. Infants would be overheated by the baby control mode. For infants in a state of shock, set the heater output to "man." (manual mode) and measure the core temperature every 15 minutes. Do not use the baby control mode for infants with fever. In this case, skin temperature is much higher than normal. Baby control mode in these cases would lead to hypothermia.

Oxygen therapy

Do not use a gel mattress with Babytherm 8004. Do not use a foam mattress with Babytherm 8010. Keep clear of sharp objects – risk of damage to the gel mattress. Do not fold or kink the gel mattress. To transport the gel mattress, roll it up. Always adhere to the warm-up time of the gel mattress. Wait for about 1 hour before placing a patient in the Babytherm, to allow the gel mattress to warm up sufficiently.

The risks of the system are increased when oxygen is in use. — Avoid naked flame and lit cigarettes. — Textiles, plastics and oils are more easily ignited and burn with greater intensity in an oxygen-rich atmosphere. — Keep oxygen fittings and seals free of oil and grease. — Open the valves slowly. — Do not use Babytherm in the presence of flammable anaesthetic gases or disinfectants. — Do not use or store flammable liquids such as alcohol, ether or acetone in the Babytherm. — Do not use electrical appliances underneath the Babytherm bed canopy, except for devices authorised and certified for operation in explosion-hazard areas.

Radiant warmer

Physiological dangers of oxygen

The use of the radiant warmer can cause an unnoticed increase in the patient’s water loss. Do not place any objects on top of the radiant warmer. Ventilation would be impeded, and both heater and object may be damaged. Do not touch the top of the radiant warmer or the protective screen. Danger of burns.

Only enrich the oxygen concentration under the instructions of a doctor and only in accordance with the arterially measured oxygen partial pressure in the patient’s blood. Otherwise there is a danger of hyperoxaemia (damage to the eyes) or hypoxaemia (damage to the brain). During oxygen therapy, the oxygen concentration must be constantly monitored, e.g. with Oxydig.

Mattress heater

17

Operation

X-ray tray Do not use the X-ray tray in the extended position to write on. Do not place objects other than x-ray plate. Do not lean on the tray. Risk of damage. Remove X-ray cartridge from the X-ray tray for transport.

Bed canopy The infant’s core temperature should be monitored when the bed canopy is in use. The effect of the radiant warmer is reduced when the bed canopy is in use. When the bed canopy is in place, the side s can be folded down. Do not leave the Babytherm unattended with the side s open, as the infant can fall out. The bed canopy should not be used as a convenient place to lay objects, clothing, etc. When using external phototherapy, the maximum load on the bed canopy is 11 kg.

Configuration mode No care/therapy should be carried out during configuration of the system, because the normal equipment functions (e.g. temperature measurement, alarms) are switched off.

18

Operation

Switching on After switching on, the system runs a self-test and then proposes the following default operating mode for the radiant warmer:

Babytherm 8010

— if no skin temperature sensors connected = man (manual) — if yellow skin temperature sensor for core temperature is connected = skin (baby control mode)

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1 The yellow LED for the mode selected will flash in the button.

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1

Manual operation The heater is controlled manually in the case of short-term treatment or for infants in shock and for whom baby control mode must not be used. In manual mode, the radiant warmer delivers a preset heat output regardless of the infant’s core temperature. Do not leave the equipment unattended. Measure the infant’s core temperature regularly. If the system is still in "skin" mode:

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2 Press button until the yellow "man" LED starts to flash 3 The following message appears in the text display: »Set radiant heater level Press OK button to confirm.« 4 Babytherm will propose the most recently calculated heater output setting as the default (after switching on, the default heater level is always 3). Each LED segment represents one heater output level: 1 to 3 = green LEDs, radiant warmer power ≤10 mW/cm2 4 to 10 = yellow LEDs, radiant warmer power >10 mW/cm2 5 Press OK button = confirm heater output at proposed default level. Or 6 Press p or P button until the desired heater output setting is displayed. 5 Press OK button = confirm selected heater output level. If the OK button is not pressed within 10 seconds, the message disappears and the previous setting will remain in effect. 4 Display of new selected heater output level. 2 Yellow LED in the button is lit continuously: "man" mode is now active.

19

Operation

15 minutes alarm To remind the to monitor the core temperature constantly at higher heater output levels, — an audible alarm is emitted every 14 minutes at heater level 4 and above. At the same time: 1 the yellow LED flashes. — The red central alarm lamp on the radiant warmer starts to flash.

3

2 The heater level display flashes and 3 the following message appears in the text display:

4 Press G button or 5 Press OK button

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5 The audible alarm will stop and the yellow LED and the central alarm lamp will go out. The heating will remain on. The heating level display will be continuously lit.

If there is no acknowledgement after 15 minutes the heating will switch off. — The audible alarm remains on 1 Yellow LED flashes and — The red central alarm lamp on the radiant warmer flashes. 2 The display of the heating level selected will disappear and 3 the following message will appear in the text display: »15 min. patient temp check required Press OK button to acknowledge alarm«.

4 Press G button or 5 Press OK button The heating will be switched on again. The audible alarm will stop and the yellow LED and the central alarm lamp will go out. The heating level display will be lit again.

If a skin temperature sensor is connected or attached in manual mode, it will generate a skin temperature display but will not affect the heater output.

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»15 min. patient temp check required Press OK button to acknowledge alarm«.

Babytherm 8010

Operation

Using baby control mode In this operating mode, the skin temperature of the infant is adjusted towards the set value. The sensor attached to the skin measures the skin temperature. The radiant warmer output is adjusted according to the temperature difference between the skin temperature and the desired value. Therefore: Do not use for infants in a state of shock. Their skin temperature will be much lower than normal. If automatic baby control mode is used, the infants will be overheated. Set the heater level manually, see page 19. Do not use for infants with fever. Their skin temperature will be much higher than normal. If automatic baby control mode is used, it could induce hypothermia. Check the set value or set the heater level manually, see page 19.

Connecting the skin temperature sensor 1 Plug the yellow sensor connector into the yellow connection socket. 2 Feed the cable through one of the flexible grommets in the cot. 3 Remove the protective film from the adhesive pad and place the sensor probe on the pad.

patient’s skin with the adhesive pad. ● If the infant is lying on its back: attach the sensor to the abdomen in the liver region. ● If the infant is lying on its front: Attach the sensor to the back, preferably in the kidney region.

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● Attach the sensor probe to the appropriate area of the

Do not attach the sensor underneath the infant; otherwise the measured value for the skin temperature would be distorted by the mattress. ● Secure the sensor cable with adhesive tape (plaster). ● Regularly check that the skin temperature sensor is in

the correct position. If the skin temperature sensor becomes detached, it will measure the air temperature, and so the infant is at risk of overheating. Never use the skin temperature sensor to measure rectal temperature.

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Operation

Allow at least 5 minutes for the skin temperature sensor to adjust to the temperature of the infant. If a skin temperature sensor is connected when the apparatus is switched on:

Or 5 Press p or P until the desired setting is displayed. The setting can be adjusted in increments of 0.1 oC. 3 Press the OK button = confirm setting. 4 The new set value is displayed. 1 The yellow skin LED lights up, indicating that the "baby control mode" mode is active. 6 The measured skin temperature value is displayed. 7 The heater output level display changes according to the difference between the current measured skin temperature of the infant and the set skin temperature. If the apparatus is in "man." mode: 1 Press button. The yellow skin LED will start flashing. The system will propose the mode "baby control mode". The prompts in the display should be acknowledged as above.

Allow time for the system to reach steady state. Deviations between the set and measured skin temperature are normally corrected within 5 to 15 minutes. An infant’s skin temperature changes frequently, for instance as a result of food intake or treatment. Deviations of a few tenths of a degree are normal. Therefore: Only change the set value for the skin temperature if the core temperature needs to be corrected.

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1 Babytherm proposes "baby control mode" as the default operating mode. The yellow skin LED in the toggle switch will be flashing. 2 The following prompt appears in the display: »Check skin temperature sensor position Press OK button to confirm«. 3 Press OK button 2 The following message appears in the text display: »Set skin temperature Press OK button to confirm«. 4 Babytherm proposes the default skin temperature setting of »36,5 oC« or the most recently used setting. 3 Press the OK button to accept the proposed setting.

Operation

Outside measuring range If the temperature is outside the measuring range of 15 oC to 42 oC: ● 3 dashes at the bottom of the display = temperature below 15 oC

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● 3 dashes at the top of the display = temperature above 42 oC

If the temperature drops below 15 oC, the message »Skin temp. below range« appears on the display.

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● Refer to ”Troubleshooting”, see page 46.

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The message »Skin temp. above range« appears if the temperature rises above 42 oC.

If the sensor probe is disconnected or the sensor is defective: 1 Three dashes light up in the middle of the display. After 10 seconds: — The audible alarm sounds, 2 the red LED flashes and — the red central alarm lamp on the radiant warmer starts flashing.

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1 The three dashes on the display flash. 3 The display shows the message: »Plug in skin temp. sensor Press OK button to acknowledge«. Or »Skin temp. sensor fault Press OK button to acknowledge«.

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● Immediately connect the sensor plug or change the skin

temperature sensor. The audible alarm can be muted for 15 minutes: 4 Press G button or 5 Press OK button — The audible alarm will be muted, 2 the red LED goes out and — the red central alarm lamp on the radiant warmer goes out. 3 The display shows the message: »Plug in skin temp. sensor«. Immediately connect the sensor plug or change the skin temperature sensor. If the error cannot be remedied immediately: 6 Switch to manual mode ("man"), see page 19.

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Operation

For deviations greater than ±0.5 oC between the set and measured skin temperature: 1 The skin temperature display starts flashing. — An audible alarm sounds, 2 the yellow LED starts flashing and — the red central alarm lamp on the radiant warmer starts to flash.

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3 The following message appears in the text display: »Skin temp. deviation above 0.5 oC Press OK button to acknowledge«.

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The audible alarm can be muted for 15 minutes: 4 Press G button or 5 Press OK button — The audible alarm is cancelled, 2 the yellow LED lights up, — the red central alarm lamp on the radiant warmer goes out. 1 Skin temperature display starts to flash 3 The following message appears in the text display: »Skin temp. deviation above 0.5 oC «. After the measured skin temperature has returned to a value within ±0.5 oC of the set temperature, the yellow LED goes out, the audible alarm is cancelled and the message in the display disappears. Before temporarily removing the skin temperature sensor from the skin, switch to manual mode ("man."), see page 19.

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The permitted skin temperature deviation can be set in configuration mode see page 38. A default skin temperature deviation of ±0.5 oC is set by the manufacturer.

Operation

Skin temperature above 39 oC 1 The skin temperature display starts flashing. — The audible alarm sounds. 2 the red LED starts flashing. — The red central alarm lamp on the radiant warmer starts to flash.

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3 The following message appears in the text display: »Skin temperature above 39 oC alarm Press the OK button to acknowledge«. 2 The red LED lights.

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5 The alarm can be muted for 2 minutes: 4 Press G button or 5 Press the OK button. — The audible alarm is cancelled, 2 The red LED is lit continuously, — The red central alarm lamp on the radiant warmer goes out. 3 The following message appears in the text display: »Skin temperature above 39 oC alarm« The radiant warmer should be switched off in manual (”man”) mode: 1 Skin temperature display is lit, 2 Red LED starts flashing. The alarm is cancelled automatically when the measured skin temperature drops below 38.5 oC again.

25

Operation

ThermoMonitoring For improved on the thermal condition of the patient, we recommend that both the core and the peripheral temperature should be measured. Connecting the peripheral skin temperature sensor 1 Plug the white sensor into the white socket. 2 Route the sensor cable through one of the flexible grommets in the bed. 3 Remove the protective film from the adhesive pad and place the skin temperature sensor on the pad.

3 2

● Attach the sensor with the adhesive pad to the patient’s

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extremities, preferably the foot. ● Secure the sensor with a plaster.

Display the peripheral skin temperature 4 The peripheral temperature is displayed as soon as the peripheral skin temperature sensor is attached. 5 The symbol for the peripheral skin temperature lights up.

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If 3 dashes appear in the display, see "System faults radiant warmer" on page 47. The measured value of the peripheral temperature has no effect on the radiant warmer control. Both skin temperatures can be displayed when the radiant warmer is operating in "man." mode.

Data output via interface, optional The core and peripheral temperature can be displayed in graphic form. Prerequisites: — Interface option — MediCable connecting lead — Monitor compatible with the MEDIBUS protocol and complying with the requirements of EN 60601-1 and EN 60601-1-2. ● Following the associated Instructions for Use.

Switching off the radiant warmer 6 Press button 7 The following message appears in the text display: »Radiant heater OFF Press OK button to confirm«. 8 Press the OK button.

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The radiant warmer will be switched off.

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7 The following message appears in the text display: »Radiant heater turned off«. 6 Press button again = radiant warmer can be switched on again, see pages 19 onwards.

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Operation

Using heated gel mattress Observe the warm-up time of the gel mattress. Wait until the desired mattress heating value is reached before placing the infant in the Babytherm 8010. Do not switch off the mattress heater while an infant is lying on the gel mattress. Risk of hypothermia. Setting the mattress temperature The set temperature can be adjusted in increments of 0.1 oC. To set a temperature within the normal range of 36 oC to 38 oC: 1 The display shows the current set value for the mattress temperature.

3

2 Press p or P button until the desired setting is displayed.

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3 The following message appears on the display: »Set mattress temperature Press OK button to confirm«. If the setting is not confirmed within the next 10 seconds, the message will disappear and the previous setting will remain in effect.

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4 Press the OK button = confirm new setting. 1 The new set value for the mattress temperature is displayed.

Extending upper limit of setting range 38 oC to 38.5 oC: 5 Press P button until 6 the set value 38 oC is displayed. 7 The following message appears in the text display: »Mattress temperature Confirm temp. above 38 oC with OK« 8 Press OK button = confirm extended range. 9 The yellow LED >38 oC starts flashing.

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5 Press P button until the desired setting appears in the display. 7 The following message appears in the text display: »Set mattress temperature Press OK button to confirm« 8 Press OK button = confirm new setting. 6 The new mattress temperature setting is displayed. 9 The yellow LED >38 oC is lit continuously.

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Operation

Extending lower limit of the setting range 36 oC to 30 oC Only use low temperatures if prescribed by doctor. Monitor patient very closely. 1 Press p button until 2 the set value 36 oC is displayed. 3 The following message appears in the text display: »Mattress temperature Confirm temp. below 36 oC with OK« 4 Press OK button = confirm extended range. 5 The yellow LED <36 oC will be lit continuously.

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1 Press p button until the desired setting appears in the display. 3 The following message appears in the text display: »Set mattress temperature Press OK button to confirm«. 4 Press the OK button = confirm new setting. 2 The new mattress temperature setting is displayed. 5 The yellow LED <36 oC is lit continuously.

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15min

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Outside measuring range If the temperature is outside the display range of 5 oC to 45 oC:

— 3 dashes at the top of the display = temperature above 45 oC. ● Wait until the mattress temperature falls below 45 oC.

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— 3 dashes at the bottom of the display = temperature below 5 oC. The following message appears in the text display: »Mattress temperature below 5 oC«. ● Wait until the mattress temperature exceeds 5 oC.

Operation

Deviation from set temperature If the deviation between the set and measured mattress temperature is greater than ±1 oC: — The audible alarm sounds, 1 the yellow LED starts flashing and — the red central alarm lamp on the radiant warmer flashes.

3

2 Measured mattress temperature value flashes, 3 The following message appears in the text display: »Mattress temp. deviation above 1 oC Press OK button to acknowledge«.

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4 Press G button

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The audible alarm can be muted for 15 minutes:

or 5 Press the OK button — The audible alarm is cancelled, 1 the yellow LED is lit continuously and — the red central alarm lamp on the radiant warmer goes out. 3 The following message appears in the text display: »Mattress temp. deviation above 1 oC« 2 Measured mattress temperature value flashes When the measured mattress temperature returns to within ±1 oC of the set value: 1 The yellow LED goes out and — the audible alarm is switched off. After initially switching on the system: — the audible alarm is suppressed during the warm-up phase: 1 The yellow LED is lit.

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Operation

Mattress temperature above 40 oC 1 Red LED flashes — The red central alarm lamp starts to flash.

3

2 Display flashes, 3 The following message appears in the text display: »Mattress temperature above 40 oC Press OK button to acknowledge«

Babytherm 8010

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4 Press G button or 5 Press the OK button 1 Red LED flashes, — the red central alarm lamp on the radiant warmer goes out. 3 The following message appears in the text display: »Mattress temperature above 40 oC« The alarm stops automatically as soon as the mattress heater temperature drops below 39 oC.

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The alarm can be suppressed for 10 minutes:

Operation

Using the bed canopy When the bed canopy is in place, the side s can be folded down. Do not leave the Babytherm unattended with the side s open, as the infant can fall out. When using external phototherapy, the maximum load on the bed canopy is 11 kg. The bed canopy should not be used as a convenient place to lay objects, clothing, etc.

Installing the bed canopy Check whether the bed canopy is in the closed position; otherwise: 1 Close bed canopy = turn lock until it engages.

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1

2 Hold bed canopy handles with both hands and place over the side s.

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2

It is advisable to use the higher side s (230 mm) when using the bed canopy.

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Operation

Opening / closing the bed canopy 1 Unlock bed canopy = turn lock 2 Open bed canopy = swivel handles upwards until they engage. The infant is now accessible for care/medical treatment.

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2 Close bed canopy = swivel handles forwards.

Removing the bed canopy 3 Put bed canopy in closed position = turn lock until it engages.

3

● Remove bed canopy by holding the handles with both

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hands (follow instructions on the bed canopy).

Hang bed canopy from the bracket.

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●

32

Operation

Recommended heater settings for heat therapy Instructions for setting the mattress heater and radiant warmer, alone or in combination. Using the mattress heater with a gel mattress without using the radiant warmer (Babytherm 8010 only) Normal setting: The core temperature of the patient adapts to the mattress temperature over a relatively long period. The mattress heater should therefore be set to the appropriate core temperature for the patient, e.g. between 38.0 oC and 38.3 oC for a premature baby and 37.0 oC for a neonate born after a normal term. Monitor the core temperature of the patient and adjust the mattress temperature setting to the needs of the patient.

● Always cover and/or clothe the patient. Do not place

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blankets or other insulating material under the patient, since they obstruct heat transfer to and from the bed (warming/cooling).

● Warm up the patient:

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Set the mattress temperature setting to the desired core temperature or, if necessary, slightly higher in order to reduce the warming period.

● Cool the patient:

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Set the mattress temperature to a value lower than the current core temperature, e.g. to 36.0 oC.

33

Operation

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Using radiant warmer only Monitor the core temperature and adjust the temperature setting to the needs of the patient. ● The radiant warmer is less effective when the bed canopy is used. (The acrylic glass bed canopy provides only limited permeability to the infrared radiation of the radiant warmer).

● Do not cover or dress the patient. Otherwise, the effect of

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the radiant warmer is uncontrollably reduced.

Radiant warmer without mattress heater Babytherm 8004 1 Use foam mattress. Do not use a gel mattress with Babytherm 8004. The unheated gel mattress would cool the patient.

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1

34

Operation

Using radiant warmer in combination with mattress heater and gel mattress (Babytherm 8010 only) Normal setting: Set the mattress temperature to the core temperature appropriate for the patient, e.g. between 38.0 oC and 38.3 oC for a premature baby and 37.0 oC for a neonate born after the normal term. Set the skin temperature setting to the skin temperature appropriate for the patient, e.g. 37.0 oC for a premature baby and 36.5 oC for a neonate born after the normal term.

● To increase patient temperature:

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Set mattress temperature to desired core temperature. If necessary, set skin temperature to a slightly higher value. For a very hypothermic patient: set mattress temperature and skin control temperature to achieve a patient temperature increase rate of approximately 1 oC per hour.

● To stabilize or maintain patient temperature:

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Set the mattress temperature and skin temperature to the current core and skin temperature, respectively.

● To decrease patient temperature:

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Set mattress temperature to the desired core temperature. If necessary, set skin control temperature to a slightly lower value.

35

Operation

Using phototherapy, optional Always use patient eye protection when using phototherapy. Always monitor the differential diagnosis for the neonate to ensure that no life-saving measure is delayed. The patient’s bilirubin levels must be measured regularly. In manual mode, reduce the heat output of the radiant warmer. The phototherapy light directs additional warmth to the patient. Monitor the patient’s core temperature. ● Swing the radiant warmer over the patient. Position the

phototherapy lights vertically above the patient, as otherwise the effect of the phototherapy will be diminished.

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Resetting the duration of therapy for phototherapy 1 Press button for 3 seconds. 2 The following message appears in the text display: »Duration of phototherapy XX:XX:XX Press OK to confirm reset«. 3 Press OK button = counter reset. 2 The display now reads: »Duration of phototherapy 00:00:00«. The counter is reset automatically when the unit is switched off. When using the radiant warmer in the "man." (manual mode): ● Reduce the radiant warmer output level by about 3 increments compared to operation without phototherapy. When using the radiant warmer in the "skin." (baby control mode), the radiant warmer output is automatically adjusted to the patient’s heat requirements. Switching off 4 Press button 5 The following message appears in the text display: »Phototherapy turned OFF Press OK button to confirm XX:XX:XX«. 6 Press OK button = phototherapy switched off. 4 The yellow LED in the button will go out.

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Switching on 1 Press button. The yellow LED in the button will start to flash. 2 The following message appears in the text display: »Phototherapy: Use eye protection Press OK button to start XX:XX:XX«. 3 Press OK button = phototherapy lights switched on. 2 The following message appears in the text display for 5 seconds: : »Duration of phototherapy XX:XX:XX«. 1 The yellow LED in the button is now continuously lit.

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Operation

Switching lighting On/Off 1 Press button. The bed surface will now be illuminated by work light.

Babytherm 8010

1 Press button again. The work light is switched off. 10

2 Press button. The bed surface will now be illuminated by night light.

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2 Press button again. The night light is switched off. skin man.

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1

Central alarm 3 The red lamp on the radiant warmer flashes when an audible alarm is emitted. As soon as the alarm is acknowledged, the lamp goes out.

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3

37

Operation

Configuration mode No care/therapy should be carried out during configuration of the system, because the normal equipment functions (e.g. temperature measurement, alarms) are switched off. Capabilities available in configuration mode Code c01 c02 c03 c04 c05 c06 c07 c08 Err

Activity Show current software version Set skin temperature deviation Set volume of soft alarm Operating hours of phototherapy Test control buttons Test Nurse call Set language Set display contrast Error mode

The significance of the keys and displays on the control is different from that applicable when working with the radiant warmer! 1 2 3 4 5 6 7 8 9

Activate/deactivate configuration mode Information on the activated mode Abbreviation for the activated mode Code for the activated mode Set next/previous mode Increase/decrease values for the activated mode Activate/deactivate error mode Change states for the activated mode Show setting in current mode

2 9

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1

Activate configuration mode 1 Press OK button for 3 seconds. A brief acoustic signal sounds. 2 The following message appears in the text display: »Configuration Mode Press OK button to start«. 1 Press OK button again. A brief acoustic signal sounds. Configuration mode is now active. The equipment is in mode »c01« and shows the current software version.

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Operation

Show software version 1 The following message appears in the text display: »Configuration Mode Mode c01: Software version«. 2 The current software version is indicated: e.g. »1.n«. 3 The code for the current mode is displayed: »c01«

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man.

Set permissible skin temperature deviation 1 Briefly press P button. 2 The following message appears in the text display: »Configuration Mode Mode c02: Max. skin temperature fault«. 3 the abbreviation for this mode appears: »SdE«. 4 The code for the current mode appears: »c02«. 5 Indication of the set permissible skin temperature deviation at which an alarm is not yet generated. Default setting: »0.5«.

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6 Press P or p button until the required value appears on the display. Values can be set from 0.3 to 1.0 oC in increments of 0.1.

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1

Set start volume for alarm tone sequence (soft alarm) 1 Briefly press P button. 2 The following message appears in the text display: »Configuration Mode Mode c03: Soft alarm start volume«. 3 The abbreviation for this mode appears: »SSL«. 4 The code for the current mode appears: »c03«. 5 Indication of the set volume. Default setting »2«. The alarm tone sounds briefly.

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6 Press P or p button until the required value appears on the display. Settings from 1 to 8 are possible. The alarm tone sequence sounds briefly at the set volume.

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Operation

Show operating hours for phototherapy 1 Briefly press P button. 2 The following message appears in the text display: »Configuration Mode Mode c04: Time counter photo therapy«. 3 Indication of the operating hours up to 1000 hours.

2

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4 Press G button for 3 seconds. The counter is reset to »0«. This must be done when changing the phototherapy lights.

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1

Test buttons on control 1 Briefly press P button. 2 The following message appears in the text display: »Configuration Mode Mode c05: Keyboardtest (inactive)«. 3 The abbreviation for this mode appears: »but« 4 The code for the current mode appears: »c05«

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5 Press P or p key and the test is activated. 2 The following message appears in the text display: »Configuration Mode Mode c05: Keyboardtest (active)«.

2

● Press the buttons to be tested, 1 A string of digits appears on the display: 1st digit = number of buttons momentarily pressed 2nd and 3rd digit = number of last button pressed

Number of buttons: Babytherm 8010

● Press G button for 2 seconds. The test is ended.

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13

Operation

Test Nurse call 1 Briefly press P button. 2 The following message appears in the text display: »Configuration Mode Mode c06: Nurse Call Relay«. 3 The abbreviation for this mode appears: »Nuc«. 4 The code for the current mode appears: »c06«. 5 Display »0« = Nurse call relay open Display »1« = Nurse call relay closed.

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4

6

1 <36°C

skin °C

manual

6 Press G button until the relay switches.

mattress .°C

skin man.

1 071 29 457

7 Press k button for 4 seconds. The relay is activated. The "Inop" alarm is triggered: the red LED inop lights up and the continuous alarm sounds.

Select language 1 Briefly press P button. 2 The following message appears in the text display: »Configuration Mode Mode c07: Display language –> English«. 3 The abbreviation for this mode appears: »LAN«. 4 The code for the current mode appears: »c07«. 5 Indication of the language number: setting »2« = English.

Babytherm 8010

5

3

10

15min

°C

5

4

1 <36°C

skin °C

mattress .°C

manual

skin man.

6

1

072 29 457

6 Press P or p button until the number of the required language appears on the display. Possible settings: from 1 to 11.

2

Set display contrast

6 Press P or p button until the required contrast has been set. Possible settings: 1 to 255 in increments of 1.

2 5

3

Babytherm 8010

10

°C

15min

5

4

1 <36°C

skin °C

manual

mattress .°C

skin man.

1

6 073 29 457

1 Briefly press P button. 2 The following message appears in the text display: »Configuration Mode Mode c08: Display contrast«. 3 The abbreviation for this mode appears: »CON« 4 The code for the current mode appears: »c08« 5 Indication of the set contrast. Default setting. The code for the actual mode appears »128«.

41

Operation

Read error memory 1 Press button until error mode is active.

2 2 The following message appears in the text display: »Configuration Mode Error memory«.

5

3

Babytherm 8010

10

°C

4 Indication »Err«.

4

8 7

5

3 The error number appears: »FXX«.

15min

1 <36°C

skin °C

manual

mattress .°C

skin man.

6 Press P or p button and the next error is displayed. 7 Press k button. The equipment runs a self-test. 8 Press G button for 3 seconds. The error memory is erased.

Return to radiant warmer mode ● Press OK button.

42

1

6 074 29 457

5 The frequency of the error is indicated.

Operation

Oxygen therapy Only enrich the oxygen concentration under the instructions of a doctor and only in accordance with the arterially measured oxygen partial pressure in the patient’s blood. Otherwise there is a danger of hyperoxaemia (eye damage) or hypoxaemia (brain damage). During oxygen therapy, monitor the oxygen concentration, e.g. with Dräger Oxydig. O2 hood 1 Place the O2 monitor sensor with the adapter ring in the star-shaped cuff cut-out. Plug the connector into the measuring device. 2 Connect the hose to the hood. ● Lay the patient on his/her back. 3 Place the hood over the patient’s head: the hood must rest on the mattress. Do not seal the collar area. 4 Set the O2 supply at the metering valve: 0.5 to 4 L/min. 5 Monitor the O2 concentration.

4 5

2 3

After use ● Remove the hood from the patient. ● Close the valve on the O2 flowmeter = turn clockwise. ● Dismantle and service the oxygen therapy equipment, 075 29 457

see page 45.

1 Injector and closed bed canopy ● Place canopy in position (see page 31). 6 Set O2 concentration on the injector: 30, 40, 50 vol.% O2. ● Set O2 supply on flowmeter.

7

Injector setting

Vol.% O2

30

40

50

O2 supply

L/min

5

10

15

6

7 Monitor the O2 concentration.

After use ● Open the bed canopy. ● Close the valve on the O2 flowmeter = turn clockwise. ● Dismantle and service the oxygen therapy equipment,

076 29 457

see page 45.

Bronchial aspiration ● Use bronchial aspirator in accordance with its specific

Instructions for Use.

43

Operation

Taking X-rays Babytherm 8010, Babytherm 8004 without X-ray tray ● Swivel radiant warmer to one side. The infant will continue

to be warmed. ● Place the X-ray film cartridge directly underneath the

patient. ● Position the X-ray machine above the bed surface.

51

01

5

01

5

0

5

01

51

02

51

02

077 29 457

02

Babytherm 8004 with X-ray tray The X-ray tray has no lock and can be completely removed from the Babytherm. ● Pull out X-ray tray and insert X-ray cartridge, placing it

● ● ● ●

according to the position of the infant. Use the scale on the side s and X-ray tray as a guide. Push X-ray tray in. Swivel radiant warmer to one side and position X-ray machine. After taking X-ray, remove X-ray cartridge from tray and push tray in again. After removing the X-ray machine, swivel the radiant warmer back into position. 51

0

5

01

078 29 457

02

Shutting down

%$

44

079 29 457

● Press the On/Off button. The green "On" LED will go out.

Care

Care The Babytherm 8004/8010 infant warmer system must be thoroughly cleaned and disinfected — after each change of patient — at least once a week. Clean and disinfect all accessories, e.g. bronchial aspirator, in accordance with their specific Instructions for Use.

Dismantling ● Switch off the device(s). Disconnect the power plug(s)

● ● ● ● ● ●

from the mains and switch off all compressed gas supplies used. Remove any ancillary equipment installed. Remove the mattress from the bed. Always store the gel mattress flat. Remove the ventilation hose clips. Remove the silicone grommets. Swivel the drainage canister bracket upwards and remove from the hole horizontally.

Disinfecting/cleaning/sterilising ● Before disinfecting/cleaning the radiant warmer, allow

it to cool down for about 30 minutes. ● Do not allow any liquids to penetrate inside the device

Do not expose device to UV radiation as a means of disinfecting/cleaning. Cracks may be caused in the acrylic glass components. Only use the recommended cleaning agents and disinfectants. Otherwise, there is a danger of causing cracks in the acrylic glass and macrolon, e.g. when using alcohol. Use only preparations classified as "surface disinfectants" for disinfecting. For material compatibility, we recommend preparations based on — aldehydes, — quaternary ammonium compounds. Due to their chemical composition and the risk of damage to materials, the following preparations are unsuitable: — halogen-releasing compounds, — strong organic acids, — oxygen-releasing compounds. The manufacturer’s recommendation should always be followed when choosing the product. The manufacturer is liable for the data concerning suitable applications for the products and any damage to property. Do not use disinfectants or cleaning products that contain alcohol.

and/or the radiant warmer. Bed frame, inside and outside; Side s, inside and outside; Inside walls, inside and outside; Bed surface; Mattress; X-ray tray and X-ray tank; Bed canopy; Stand, including all attachments: ● Wipe off visible soiling with a disposable cloth wrung out in a detergent. ● Disinfect surfaces by wiping with disinfectant. ● After waiting the prescribed time for the disinfectant to act, wipe with a clean damp cloth and dry. ● Do not wash the mattress in a washing machine. Do not autoclave. Silicone grommets: ● Disinfect components in disinfectant bath. After immersing for the prescribed time, rinse with clean water and dry. ● Then wash with a detergent and rinse with clean water; or ● Sterilise at 120 oC (glove programme). Gel mattress: ● Wipe gel mattress with disinfectant.

Phototherapy lenses: ● The lenses should only be cleaned and disinfected with products with a pH value between 7 and 9.

For s in the Federal Republic of , we recommend the use of disinfectants listed in the current DGHM list (DGHM = German Society for Hygiene and Microbiology). The DGHM list (published by mhp-Verlag GmbH, Wiesbaden) also specifies the active basis of each disinfectant. For countries where the DGHM list is unavailable, the above recommendations apply. For example, the following wipedisinfectants may be used: Dismozon® powder Bode Chemie GmbH & Co, Hamburg pur Incidur® Henkel Hygiene GmbH, Düsseldorf Sekusept® Henkel Hygiene GmbH, Düsseldorf Follow the Instructions for Use provided by the disinfectant manufacturer.

Before next use ● Reassemble components, pages 7 onwards. ● After wipe-disinfecting, operate the fully assembled unit for

a few hours without a patient to eliminate any disinfectant residues: ● Set the mattress temperature to 37 oC ● Set the radiant warmer to heat level 3 in "man." mode. Before a patient is next placed in the unit: ● Fit all therapy accessories required. ● Check that the unit is ready for operation, pages 14 onwards.

45

Troubleshooting

Troubleshooting General system failures Message

Cause

Remedy

Red LED N is lit, Audible alarm on

Power failure

Check that unit is plugged into mains. Check that the mains is switched on. Inform internal technical department. Call DrägerService

Red Inop. LED lit, Audible alarm on.

Malfunction

Call DrägerService

The following message appears in the text display: »Battery charge low«,

Unit has been switched off for a relatively Battery will be charged automatically long time. when the unit is switched on. Display disappears after 15 minutes.

System faults – Babytherm 8010 (Mattress heating) Message

Cause

Measured mattress temperature deviates Yellow LED flashing, measured value display flashing, message in text display: from set value by more than ±1 oC. »Mattress temp. deviation above 1 oC« Audible alarm. Red LED flashing, Measured value display flashing, message in text display: »Mattress temp. above 40 oC« Audible alarm

Mattress temperature above 40 oC.

Red LED flashing, the three middle Temperature sensors in heating surface segments of the measured value display defective. are flashing, message in text display: »Mattress temp. sensor fault« Audible alarm

Remedy If used in combination with radiant warmer: Reduce the output level of the radiant warmer. If used in combination with radiant warmer: Reduce the output level of the radiant warmer. Call DrägerService.

Three dashes at top of measured value display

Mattress temperature >45 oC

Wait until mattress temperature under 45 oC.

Three dashes at bottom of measured value display, message in text display: »Mattress temp. below 5 oC”«

Mattress temperature <5 oC

Wait until mattress temperature above 5 oC.

46

Troubleshooting

System faults radiant warmer Message

Cause

Remedy

Yellow LED flashing, measured value display flashing, message in text display: »Skin temp. deviation above X oC« Audible alarm.

The measured skin temperature deviates from the set value by more than the permissible skin temperature deviation (0.3 to 1.0 oC).

If the measured value is less than the set value: check that the skin temperature sensor is correctly attached. If the measured value is more than the set value: measure the core temperature.

Red LED flashing, the three middle Skin temperature sensor not connected segments of the measured value display or sensor defective. are flashing, message in text display: »Plug in skin temp. sensor«, Audible alarm

Check connection. Switch to "man" mode; replace sensor and then switch back to "skin" mode.

Red LED flashing, the three middle Sensor defective. segments of the measured value display are flashing, message in text display: »Skin temp. sensor fault«, Audible alarm

Switch to "man" mode; replace sensor and then switch back to "skin" mode.

Red LED flashes, measured value display flashes and the message »Skin temperature above 39 oC« appears on the display, acoustic alarm sounds.

Skin temperature >39 oC

Check that the peripheral skin temperature sensor has been secured correctly. Check that the child is not being heated by additional heat sources, e.g. phototherapy or the sun.

Three dashes at top of measured value display. Message in text display: »Skin temp. above range«

Skin temperature >42 oC

Check that the skin temperature sensor is correctly attached.

Three dashes at bottom of measured value display. Message in text display: »Skin temp. below range«

Skin temperature <15 oC

Three dashes at top of measured value display. Message in text display: »Peripheral temp. above range«

Peripheral temperature >42 oC

Three dashes at bottom of measured value display. Message in text display: »Peripheral temp. below range«.

Check that the peripheral skin temperature sensor is correctly attached.

Peripheral temperature <15 oC

Red LED flashes, the three middle Sensor defective. segments of the measured value display are flashing, the message »Peripheral temp. sensor fault« appears on the display and the acoustic alarm sounds.

Replace sensor.

47

Maintenance Intervals

Maintenance Intervals Always disinfect and clean the unit and accessories before any maintenance * – even when returning the unit to the supplier for repair. Always disconnect power supply before any maintenance! Use only Dräger original parts for maintenance. Gel mattress

Silicone grommets Lamps for work and night light Phototherapy lights

Temperature measuring system Inspection and maintenance

Patch over small cuts or other damage in the covering film with adhesive tape. Replace if the material becomes brittle or large cracks appear; after about 2 years. Replace as soon as the material becomes brittle and/or sticky. To be replaced if defective by trained service personnel. Must be replaced by trained service personnel after 1000 hours of operation. The complete set (6 lights) must be replaced if a single light fails. Measuring system should be checked by trained service personnel every 2 years. Yearly by trained service personnel.

Disposing of the unit At the end of its service life: ● Dispose of the unit in accordance with national waste disposal regulations or ● Ask a suitable disposal contractor to dispose of the unit.

The local environmental agency can supply further details.

*

48

Definitions according to DIN 31 051: Inspection = examination of actual condition Service = measures to maintain specified condition Repair = measures to restore specified condition Maintenance = inspection, service, repair

What’s what

What’s what Complete unit

19 1

18

20

17

21 2 3

16 15

4

14 5 13 12

6

11

9 1 2 3 4 5 6 7 8 9 10

Radiant warmer End Side Inner Handle with inner release bar for tilting the bed Swivel cabinet, optional (left and/or right) Chassis with 4 castors, 2 of which are lockable Height-adjustable column, optional Foot controls for height-adjustable column (8) Skin temperature sensor connector: top socket, yellow – for measuring skin temperature lower socket, white – for measuring peripheral skin temperature

8

080 29 457

10

7 11 12 13 14 15

Connection for equipotential bonding Identification and rating plate Accessory mounting rail Bed assembly Gel mattress for use with mattress heater; foam mattress for use without mattress heater 16 Silicone grommets 17 Stand, with shelf and 2 side rails 18 Control unit with operating 19 Swivel t for radiant warmer, ±90o 20 X-ray tray at rear – Babytherm 8004 only 21 Bed canopy

49

What’s what

Radiant warmer

1 2 5

5

3 081 29 457

3 4

1 Handle 2 Red central alarm lamp 3 Heater elements 4 Work light, day/night 5 Phototherapy lights (optional), set of 6

50

What’s what

Controller 10

9

8 Babytherm 8010

7 6 10

°C

5

°C

5 Check

4

PostScript-Fehler (invalidfont, findfont) 3 >38°C

1

skin °C

Inop.

<36°C

mattress °C

manual

skin man. OK

2

11

12

13

082 29 458

1

14

1 ON/OFF indicator: The green LED is lit when the unit is ON. The red LED is lit following a power failure.

8 Text display: provides advisory messages for the and prompts the to confirm/acknowledge. 9 Display and keypad for operating the mattress heater.

2 OK button for confirming settings and acknowledging alarms.

10 Display and keypad for operating the radiant warmer.

3 Red LED Inop.: indicates device malfunction.

11 On/Off buttons for work light; yellow LED in button is lit when work light is on.

4 Pushbutton for checking LEDs, displays and audible alarm.

12 On/Off button for night light; yellow LED in button is lit when night light is on.

5 Pushbutton for muting the audible alarm. 6 Yellow alarm LED: lit for Caution alarm level

13 On/Off button for phototherapy; yellow LED in button is lit when phototherapy lamps are on (blue background).

7 Red alarm LED: flashes for Warning alarm level

14 On/Off button for radiant warmer; yellow LED in button is lit when radiant warmer is on.

51

What’s what

Display and keypad for mattress heater Babytherm 8010 1 Display of measured (actual) mattress temperature 1

2

2 Indicator for upper extended range >38 oC 3 Indicator for lower extended range <36 oC

°C

4 Keys (buttons) for setting the desired mattress temperature

> 38°C < 36°C

mattress °C

5 Displayed of set (desired) mattress temperature

5

4

3

23

4

083 29 458

OK

Display and keypad for the radiant warmer 1 Display of measured temperature for skin temperature 1

2 Foot symbol for peripheral temperature; lit when the peripheral skin temperature sensor is connected.

10

°C

3 Display of the measured value for peripheral skin temperature; only possible when the peripheral skin temperature sensor is connected.

5 1 skin °C

manual

skin

4 Display of radiant warmer output level; Levels 1 to 3: green Levels 4 to 10: yellow 8

5 Keys (buttons) for setting the radiant warmer output level 6 Button for selecting between operating modes "man" (manual) and "skin" (baby control mode); the yellow LED corresponding to the selected mode stays lit. 7 Keys (buttons) for setting the desired skin temperature 8 Display for the skin temperature setting

52

7

6

5

084 29 458

man.

What’s what

Controller, rear view

2

1 3 4 5

10029457

%$ 6

1 Inputs for connecting the Nurse call from up to three equipment units at the workstation (connections for central alarm) 2 Output for connection to internal paging systems, Nurse call (connection for central alarm) 3 RS 232 interface (BabyLink), optional 4 RS 232 interface (modem), optional 5 Controller ON/OFF switch; % = OFF, $ = ON 6 Cover

53

Technical Data

Technical Data Ambient conditions For operation Temperature Atmospheric pressure rel. humidity Air velocity in air-conditioned rooms

15 oC to 35 oC 900 hPa to 1060 hPa 0 to 75 %, no condensation max. 0.3 m/s

For storage/transport Temperature Atmospheric pressure rel. humidity

–20 oC to 60 oC 700 hPa to 1060 hPa 0 to 90 %, no condensation

Radiant warmer Radiant power at a distance of 80 cm between the bed and the radiant warmer Heat level 3 Heat level 10

10 mW/cm2 30 mW/cm2

Lamps Work light Night light

120 V / 230 V 30 W 9W

Minimum clearance between top edge of radiant warmer and ceiling

>50 cm

Skin temperature measurement: Sensor Measuring range/Display range Accuracy (sensor) Accuracy of complete measuring system (not including sensor) Setting range Mattress heater (Babytherm 8010 only) Temperature measurement Measuring range/display range accuracy Setting range

Height adjustment (optional) Height adjustment range Specified operation

Bed canopy CO2 concentration with bed canopy fitted

54

use only original Dräger sensors, see page 61. 15 oC to 42 oC ±0.1 οC ±0.2 oC 35 oC to 37.5 oC

5 oC to 45 oC ±0,5 oC between 20 and 42 oC ±2 oC in all other parts of range 30 oC to 38.5 oC

295 mm Intermittent operation (1 min. operation followed by 60 min. cooling period)

max. 0,2 %

Technical Data

Phototherapy (optional) Lights

Halogen 12 V / 50 W (set of 6)

Opening angle

24o

Radiation intensity at a distance of 80 cm 9.5 W/m2 and useful area of 400 x 200 mm

Irradiated useful area on the bed (mm)

750 400 200 490

Relative spectral radiation intensity

086 29 457

Relative spectral radiation intensity as a function of the wavelength

Wavelength (mm)

55

Technical Data

Operating data Mains voltage

100/120/240 V (to be specified on order) 50/60 Hz

Power consumption radiant warmer Mattress heater (Babytherm 8010) Lighting Height adjustment (optional) Phototherapy (optional)

600 W 160 W 30 W 560 W 400 W

Fuses 100 V /120 V 230 V

M 15 A UL 198G, 2 units M 10 A UL 198G, 2 units

Height adjustment (optional) 100 V /120 V 230 V

T 6.3 A L 250 V; IEC 127-2/III (2 units) T 3.15 A L 250 V; IEC 127-2/III (2 units)

Standards EN 60601-1 EN 60601-2-35, for mattress heater EN 60601-2-21, for radiant warmer I

Skin temperature sensor

Type BF

Heating surface of mattress

Type BF

Classification (according to EC Directive 93/42/EC Appendix IX)

Class IIb

UMDNS-Code (Universal Medical Device Nomenclature System)

15-610

Electromagnetic compatibility (EMC)

according to EN 60601-1-2

Interface

RS 232

Level measured according to DIN 66020 Monitor cable (Part No. 83 06 488) Wiring layout diagram

Babytherm 8004/8010 Pin GND 5 2 3 9-pin sub-D socket

TxD

TxD

RxD

Connector casing

3 2 9-pin sub-D socket

RS 232 Pin 5 2 3 7 8

The two RS 232 interfaces are electrically coupled to each other and with the central alarm input.

56

RxD

Monitor Pin 5

GND RxD TxD RTS CTS

088 29 457

Modem interface Connection for external modem for service purposes Wiring layout diagram

GND

087 29 457

Electrical protection class

Technical Data

Central alarm

Output for connecting internal paging systems (Nurse call)

Operating voltage

max. 24 V

Current

max. 250 mA

Power

max. 3 W

Potential-free changeover 3 1

Potential-free make

Connection of the Nurse caller from up to 3 devices (the red central alarm LED lights up for every alarm forwarded from these devices to the Babytherm 8004/8010).

2 3

090 29 457

Input

089 29 457

5

Interfaces, optional All interface signals are electrically isolated from the patient sector. Electric strength 1.5 kV. Dimensions Length x width

315 x 750 mm

Overall height Unit without height adjustment Unit with height adjustment

1960 mm 1896 to 2210 mm

Working height of bed surface without height adjustment with height adjustment

1025 mm 885 to 1180 mm

Bed dimensions Bed tilting Tilt Height of side s Height of inner walls

750 x 490 mm adjustable in small increments maximum of 20o front end down maximum of 15o front end up 150 mm or 230 mm 70 mm

Weight (with one cabinet) Unit without height adjustment with mattress heater without mattress heater

133 kg 120 kg

Unit with height adjustment with mattress heater without mattress heater

120 kg 110 kg

57

Construction and Description

Construction and Description Babytherm consists of: — a chassis with infant bed and stand — a control unit with operating — a radiant warmer and — a heated gel mattress (for Babytherm 8010). Control unit The control unit is positioned at the head end underneath the radiant warmer and between the columns of the stand. It has an operating and display, and an integral text display with 2 x 40 characters for easier guidance.

Heated gel mattress The heated gel mattress consists of the following components: gel mattress, aluminium heating plate and an electronic monitoring and control unit. The gel mattress consists of a highly heat-conductive gel that does not run or dislocate even when the bed is tilted. The gel is surrounded by a film of soft material compatible with the skin.

Radiant warmer The radiant warmer contains two infrared ceramic radiating elements and 2 lamps for illuminating the bed surface.

The mattress moulds itself to the body contours of the patient lying on it, thereby providing a large surface that transfers warmth to the patient and avoids pressure points. When the gel mattress is cold, warmth is transferred from the patient to the mattress.

The bed surface lighting can be adjusted for working lighting and night lighting. The good colour reproduction of the lamps ensures easier detection of diagnostically important skin colour nuances.

The gel has good heat storage properties. If the mains supply is interrupted, e.g. for in-hospital transport, the patient will be kept warm for about 15 minutes, provided the insulation is sufficient (blanket, bed canopy).

The radiant warmer can be operated in manual control or baby control mode mode. In manual mode, fixed heater levels of 1 to 10 are set.

The heating system consists of a thick aluminium plate and a heater element below the plate. This system ensures that heat is distributed evenly over the entire bed surface.

In "baby control mode" mode, the skin temperature is constantly adjusted towards a preselected optimum setting. In this mode, the output level of the radiant warmer is automatically adjusted to the needs of the patient.

The control and display for the heated gel mattress is located on the right-hand side of the control unit.

In both modes, self-check routines and alarm systems provide appropriate system monitoring.

ThermoMonitoring Thermal monitoring is possible with a second skin temperature sensor. Skin temperatures readings are displayed on the controller and can be graphically represented by means of the optional interface (RS 232) and a monitor. This facility improves the diagnostic possibilities of the system. Phototherapy Light from the halogen lamps contributes to photochemical breakdown of the bilirubin in the skin. Dräger halogen lights emit particularly effectively at wavelengths around 460 nm. Unlike the phototherapy units of the past, the colour of the light is not blue, and so the skin colour is accurately visible. Phototherapy is switched on/off from the operating on the control unit.

58

The mattress temperature is adjusted with reference to a set temperature entered by the . The set temperature is only attained in the areas where the patient is in with the mattress. System monitoring includes self-check routines and alarms. Configuration mode Configuration mode is a special operating mode of the control unit. Information on the current software version and on the error protocol can be called up in this mode. The equipment can be configured to meet the 's specific needs: with maximum permissible skin temperature deviation, volume of soft alarm, language and display contrast. The buttons on the control and Nurse call can also be tested.

Construction and Description

Alarm description The Babytherm unit distinguishes three alarm levels:

091 29 457

Warning (high potential risk) A continuous audible alarm that cannot be muted is emitted for: — device malfunction — power failure

092 29 457

A sequence of alarms tones that can be muted, combined with a flashing red LED, is triggered for: — mattress heater sensor failure — mattress heating exceeding the temperature limits — skin temperature sensor not connected in baby control mode — sensor failure of skin temperature sensor — skin temperature above 39 oC

093 29 457

Caution (medium potential risk) An alarm tone sequence that can be muted, combined with a flashing yellow LED, is triggered for: — deviation between set and actual value of skin or mattress temperature too great — 15-minutes alarm (reminder to check the core temperature every 15 minutes with heater levels higher than 4). Message (low potential risk) Display messages for: — measured values outside the measuring range — battery low.

Any alarm that has not been acknowledged is indicated by the central alarm lamp on the radiant warmer unit. The text display shows a specific message for the active alarm. If a second alarm is triggered while the audible alarm is muted, the audible alarm will be reactivated.

59

Order List

Order List Name and Description

Part No.

Name and Description

Part No.

Babytherm 8010 with mattress heater and baby control mode, 100 V / 120 V / 230 V

FR 00 105

Shelf

Babytherm 8004 with baby control mode and optional X-ray tray, 100 V / 120 V / 230 V

2M 30 404

Shelf bracket Centre distance: 37 mm Centre distance: 170 / 240 mm

G 13 822 G 13 821

Double clamp

G 13 147

Rod for small items Ø 25 mm, length 50 mm Ø 25 mm, length 110 mm

G 13 831 G 13 823

Rails Length: 400 mm Length: 600 mm Length: 800 mm

G 13 851 G 13 829 G 14 449

Modular system, variants to be specified with order: — Set of side s, height 230 mm or Set of side s, height 150 mm — Stand with electric height adjustment or stand with fixed column — without swivel cabinet, with 1 swivel cabinet or with 2 swivel cabinets (only for stands with electric height adjustment) — Interfaces — Integral phototherapy

Shelf rail

2M 21 158

2M 21 161

Basket 150

M 25 121

Basket 300

M 26 145

Basket 600

M 26 146

Waste bag holder

M 24 695

Connecting hose clip

2M 85 446

Suction hose clip

2M 85 239

Options (for retrofitting) Set of side s, height 230 mm

2M 21 034

Set of side s, height 150 mm

2M 21 032

Inner

2M 20 936

Swivel cabinet

2M 20 638

Cabinet fixing

2M 20 868

Interface option

2M 30 268

Phototherapy kit

2M 30 313

MediCable

83 06 488

Bronchial aspiration Bronchial aspiration unit, complete, ejector up to 0.5 bar, with rail clamp

2M 85 045

Bronchial aspiration unit, ejector up to 0.5 bar, with mounting kit for installation under the bed

2M 21 187

Set of fixtures for extraction below the mattress (hook rail) )

2M 21 338

NIST connecting hoses Accessories Bed canopy

2M 30 392

Bed canopy bracket

2M 21 342

Infusion bottle holder

2M 21 514

Ventilation hose bracket

2M 21 191

O2 distributor for central supply

2M 18 810

Compressed air distributor for central gas supplies

2M 19 090

Socket strip (230 V)

G 14 294

Swivel tray

2M 21 186

Compact rail

2M 85 337

Cable clips (bag of 4)

60

G 13 171

O2/air connecting hose 1,5 m

M 34 410

O2/air connecting hose 3 m

M 34 411

O2/air connecting hose 5 m

M 34 412

Order List

Name and Description

Part No.

Oxygen therapy with hood

Name and Description

Part No.

For bronchial aspiration

O2 hood

2M 19 250

Aspiration hose, 1.5 m

M 25 780

O2 flowmeter, 0 to 16 L/min

2M 85 501

Secretion inspection window, set of 5

M 07 582

Nebuliser

2M 85 834

Bacterial filter CH 102, set of 5

Spiral hose, 1 m (set of 5)

2M 85 811

Secretion canister

2M 85 594

Bottle cap with valve, plastic

2M 85 012

67 23 976

Oxygen therapy with canopy Injector for 230 mm side s

2M 14 190

O2 flowmeter, 0 to 16 L/min

2M 85 501

Nebuliser

2M 85 835

Spiral hose, 1 m (set of 5)

2M 85 811

NIST connecting hoses O2 connecting hose 1,5 m

M 34 401

O2 connecting hose 3 m

M 34 402

O2 connecting hose 5 m

M 34 403

NIST adapter

M 32 493

Consumables/accessories

Service documentation on request

Parts list Instead of the part nos. shown in the Order List, the following parts or units no longer in the Dräger product range can be used: Name and Description Canopy Oxydig, O2 measuring device

Part No. 2M 21 030 83 04 411

Oxydig measuring system holder

2M 17 770

O2 sensor capsule

68 50 645

Oxydig sensor housing

68 50 250

Foam mattress for unheated bed surface

2M 21 012

Gel mattress for use with mattress heater

Skin temperature sensor, yellow, uncalibrated, box of 10

2M 21 916

2M 20 827

Repair kit for gel mattress

2M 21 324

Skin temperature sensor, white, uncalibrated, box of 10

2M 21 915

Mattress cover sheet

2M 21 272

Replacement adhesive pads, box of 100

2M 21 734

ThermoTraceTM Skin temperature sensor, yellow, box of 5

MX 11 000

ThermoTraceTM Skin

temperature sensor,

white, box of 5

MX 11 001

ThermoPadTM, box of 50

MX 11 002

Halogen lamp

2M 30 084

Lamps for bed lighting (work light)

2M 30 079

Lamps for night light

2M 30 078

Silicone grommet

2M 20 434

Blue-nose kitten

2M 21 420

Drainage canister hook

2M 21 293

Waste bag

M 26 240

61

Index

Index Alarm mattress temperature . . . . . . . . . . . . . . . . . . . . . . . 29, 30 Ambient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 Baby control mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bed canopy preparing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . using . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Before each use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Before next use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Before using for the first time . . . . . . . . . . . . . . . . . . . . . . . . Bronchial aspiration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

21 10 31 14 45 14 43

Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Central . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Compressed air distributor . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Configuration mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Construction and Description . . . . . . . . . . . . . . . . . . . . . . . 58 Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Dismantling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Drainage canister hook . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Ensuring

........................................... 7

Fitting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 For your safety and that of your patient . . . . . . . . . . . . . . . . . . 3 Gel mattress maintenance intervals . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Heat therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Hook for Drainage canister . . . . . . . . . . . . . . . . . . . . . . . . . . 13 In-hospital transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Injector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Inner s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Maintenance intervals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Mattress heater Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Mattress heating using . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Maximum load . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 mobile phones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Mobile radiotelephones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

62

O2 distributor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . O2 flowmeter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . O2-monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . shutting down . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Oxygen therapie Injector und closed bed canopy . . . . . . . . . . . . . . . . . . . O2 hood . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12 12 12 17 19 44 43 43

Parts list . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 Phototherapy testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 using . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Power failure alarm testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Radiant heater . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Shelf . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Skin temperature sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Switching lighting On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Switching on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Technical data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Testing Readiness for Operation . . . . . . . . . . . . . . . . . . . . . ThermoMonitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tilting the bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Troubleshooting General system failures . . . . . . . . . . . . . . . . . . . . . . . . . .

54 14 26 10 46

Unit disposing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 switching on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Warming bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 What’s what complete unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Controller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 Radiant heater . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 X-ray tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 X-rays precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 using . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

63

These Instructions for Use apply only to

Babytherm 8004/8010 with Serial No.: If no Serial No. has been filled in by Dräger these Instructions for Use are provided for general information only and are not intended for use with any specific machine or device.

ç Directive 93/42/EEC concerning Medical Devices

Dräger Medical AG & Co. KGaA z Moislinger Allee 53 – 55 D-23542 Lübeck y +49 451 8 82- 0 x 26 80 70 FAX +49 451 8 82- 20 80 ! http://www.draeger.com

90 29 458 - GA 6132.303 en © Dräger Medical AG & Co. KGaA 3rd edition - July 2001 Subject to alteration