babytherm_8004_and_8010_open_care_unit_instructions.pdf
Page 1
Dräger Medical
D
Babytherm® 8004/8010
Open Care Unit
MT-292-98
Instructions for Use
Page 2
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
Page 3
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 terms of sale and
delivery of Dräger are likewise not modified by the recommendations given above.
Dräger Medical AG & Co. KGaA
3
Page 4
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 contact surface between
the infant and the mattress.
4
Options
— Height adjustment
— One or two swivel cabinets
— Side panels (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
Page 5
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
Page 6
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 user
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.
Page 7
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
003 29 457
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.
3
5
3
004 29 457
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.
005 29 457
● 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
Page 8
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.
006 29 457
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
007 29 457
2
8
Page 9
Preparation
Warming bed
The bed is enclosed by two side panels and two end panels
that can be opened independently of one another. The side
panels are provided with holes for secretion and drainage
hoses. The end panels have flexible grommets for hoses and
cables.
Fitting the panels
1 Insert the lower mounting pins of the panel hinge-pieces
into the guide slots on either side.
2
2
● Position the panel semi-upright,
2 press the panel down firmly until the pins lock into position
at the bottom of the slots.
1
1
008 29 457
With the panels on the long side, ensure that the handle
points outwards.
● Fold the panel up into the vertical position and allow it
to drop into the locking position.
● Fit all four panels in this way.
Make sure that the panels are seated correctly.
To open:
● Lift the panel all the way up until the upper pins come out of
their slots, then fold the panel down.
With lively infants or older children:
● Use 230 mm high panels.
Fitting the inner panels
Inner panels must be used with all patients, regardless of
whether the side panels are open or closed!
● Insert the pins into the tapered holes in the corners of the
housing and press down lightly until the inner panel is firmly
in place.
009 29 457
Make sure the panels are seated correctly.
Mattress
● Lay the mattress flat in the cot and cover it with a cotton
sheet.
9
Page 10
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 panels (230 mm) are recommended when using
the canopy.
011 29 457
● Check that the bed canopy is closed.
When the bed canopy is not required:
● Attach bracket to standard rail.
3
012 29 457
3 Hang bed canopy from bracket.
10
Page 11
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 support 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 support.
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 support 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 support.
● 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
Page 12
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.
016 29 457
● Hang the O2 distributor from the standard rail.
● Connect the O2 supply.
● Connect the O2 load.
017 29 457
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 panels (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
018 29 457
● Allow locking lever on injector to engage. The injector is
Page 13
Preparation
Fitting the hose bracket
● Insert the hose bracket into the hole in the left side of the
019 29 457
head panel 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
Page 14
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 panels are locked securely into place.
The panel hardware must be visible above the bed surface.
● Check that the side panels 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 panels
because they might be pinched or crushed when folding up
the panels 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.
● Remember 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.
Page 15
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
Page 16
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.
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Page 17
Operation
Operation
Precautions
Patient care
Never leave the patient unattended when the side panels
are down. Risk of infant falling out of the cot.
When operating the side panels 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 panels must be securely locked in position, and the
panel hardware must be visible above the surface of the bed.
Inner panels must be used with all patients, regardless of
whether the side panels are open or closed!
With lively infants and/or older children, the 230 mm high
side panels 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 account 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
Page 18
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 panels can be
folded down. Do not leave the Babytherm unattended with
the side panels 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, remember 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.
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Page 19
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)
10
15 min
°C
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1 The yellow LED for the mode selected will flash in the
button.
manual
<36°C
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027 29 457
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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:
3
Babytherm 8010
10
15 min
°C
4
5
1
skin °C
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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
Page 20
Operation
15 minutes alarm
To remind the user 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
10
15 min
°C
5
2
skin °C
1
manual
<36°C
mattress.°C
skin
man.
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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029 29 457
»15 min. patient temp check required
Press OK button to acknowledge alarm«.
Babytherm 8010
Page 21
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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030 29 457
● 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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Page 22
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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Babytherm 8010
10
6
15 min
°C
7
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031 29 457
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.
Page 23
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
°C
● 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.
032 29 457
● Refer to ”Troubleshooting”, see page 46.
°C
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.
3
1
Babytherm 8010
2
10
15min
°C
4
5
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6
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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«.
skin
°C
● 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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Page 24
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.
3
1
Babytherm 8010
10
15min
°C
2
4
5
3 The following message appears in the text display:
»Skin temp. deviation above 0.5 oC
Press OK button to acknowledge«.
1
<36°C
skin
°C
manual
mattress
.°C
skin
man.
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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034 29 457
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.
Page 25
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.
3
1
Babytherm 8010
2
10
15min
°C
4
5
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.
1
<36°C
skin
°C
manual
mattress
.°C
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man.
035 29 457
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