Lullaby Warmer Operation and Maintenance Manual Rev H

Disclaimer © 2011 General Electric Company All rights reserved. General Electric Company reserves the right to make changes in specifications and features shown herein, or discontinue the product described at any time without notice or obligation. Contact your GE Representative for the most current information. Lullaby is a trademark owned by Datex-Ohmeda, Inc. GE and GE Monogram are trademarks of General Electric Company. All other company and product names mentioned may be trademarks of the companies with which they are associated.

Table of Contents IMPORTANT SAFETY INFORMATION - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - vii Operation- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - vii Power supply - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - vii Service - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - vii Cleaning and General - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - vii Warnings, Cautions and Notes - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - viii SYMBOLS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ix ABOUT THIS MANUAL - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - xii Scope and Intended Users - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - xii Organization of this Manual - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - xii CHAPTER 1 INTRODUCTION - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-1 1.1 INDICATIONS FOR USE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-1 1.2 MECHANICAL CONTROLS AND CABLE CONNECTIONS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-2 1.3 CONTROLS AND DISPLAYS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-5 1.4 CONTROL MODES AND INDICATION - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-9 1.4.1 Manual Mode - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-9 1.4.2 Baby Mode- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-10 1.5 DISPLAYS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-10 1.6 SWITCHES AND KEYS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-11 1.7 ALARMS AND INDICATION - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-12 CHAPTER 2 SYSTEM SETUP AND CHECKOUT PROCEDURES - - - - - - - - - - - - - - - - - - - - - - - - - 2-1 2.1 MECHANICAL CHECKS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-1 2.2 CONTROLLER CHECK - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-4 2.3 ACCESSORY CHECK - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-6 CHAPTER 3 OPERATING THE LULLABY WARMER - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-1 3.1 BASIC OPERATING PROCEDURE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-1 3.2 ATTACHING THE SKIN PROBE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-4 3.3 BEDSIDE PANEL OPERATION - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-6 3.4 USING THE X-RAY TRAY - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-7 3.5 REPLACING THE OBSERVATION LAMP - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-9 3.6 TILTING THE BED - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-10 3.7 MOUNTING THE ACCESSORIES - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-11 3.7.1 Rail System Components - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-11 3.7.2 Mounting the IV Pole - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-12 3.7.3 Mounting the Monitor/Instrument Tray - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-12 3.7.4 Mounting the Chest Tube Drainage Hanger - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-13 3.7.5 Mounting the Tubing Management Arm - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-13 3.7.6 Mounting the Utility Post- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-13 3.7.7 Mounting the Basket Assembly - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-14 3.7.8 Mounting the Utility Pole- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-14 3.7.9 Mounting the Resuscitation Bag Clip - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-14 3.7.10 Mounting the Retaining Clip - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-15 3.7.11 Mounting the Cylinder - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-15 3.7.12 Assembling the Slotted Bedside Panel - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-16 3.8 TRANSPORT OF LULLABY WARMER - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-16 CHAPTER 4 MAINTENANCE AND CLEANING - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -4-1 4.1 REPAIR POLICY - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -4-1 4.2 MAINTENANCE SCHEDULE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-1 4.2.1 Operator maintenance- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -4-1 4.2.2 Service maintenance - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -4-1 4.3 CLEANING INSTRUCTIONS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-2

Lullaby Warmer

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4.4 CLEANING THE LULLABY WARMER - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-3 4.5 CLEANING SOLUTIONS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-5 4.6 CLEANING AND DISINFECTING INDIVIDUAL COMPONENTS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -4-6 4.6.1 Patient Probe (Reusable) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -4-6 4.7 CLEANING OTHER COMPONENTS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -4-7 APPENDIX A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - A-1 GENERAL USE EQUIPMENT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - A-1 Temperature Conversion Chart - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - A-1 APPENDIX B - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - B-1 SPECIFICATIONS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - B-1 Power Requirements - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - B-1 Standards - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - B-1 Classification- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - B-1 Operating Environment - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - B-1 Storage and Transport Conditions - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - B-2 User Control Settings - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - B-2 Performance - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - B-2 Mechanical Specifications - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - B-2 Weight Bearing Capacity - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - B-3 APPENDIX C - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -C 1 ELECTROMAGNETIC COMPATIBILITY - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - C-1 Electromagnetic compatibility (EMC) guidance - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - C-1 Manufacturer’s guidance and declaration regarding electronic emissions - - - - - - - - - - - - C-1 Manufacturer’s guidance and declaration regarding electromagnetic immunity - - - - - - - C-2 APPENDIX D - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - D-1 CONFORMING TO STANDARDS AND DIRECTIVES - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - D-1

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© 2011 GE Healthcare, all rights reserved

Lullaby Warmer

Table of Figures Figure 1: Lullaby Warmer - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-1 Figure 2: Front Oblique View - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-2 Figure 3: Front View - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-3 Figure 4: Side View - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-4 Figure 5: Back View - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-4 Figure 6: Controls and Displays - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-5 Figure 7: Temperature Settings and Mode - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-6 Figure 8: Alarms and Indicators - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-7 Figure 9: APGAR- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-8 Figure 10: Manual Mode - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-9 Figure 11: Baby Mode - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-10 Figure 12: Displays - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-10 Figure 13: Keys- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-11 Figure 14: Observation Light - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-11 Figure 15: Power Standby/On Switch - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-12 Figure 16: Alarms - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-12 Figure 17: Global Alarm- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-13 Figure 18: Check Baby Alarm- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-14 Figure 19: Probe Failure Alarm- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-14 Figure 20: System Heater Failure Alarms - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-15 Figure 21: Heat Off Indicator - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-16 Figure 22: Power Failure Alarm - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1-16 Figure 23: Disconnecting the Power Cord - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-1 Figure 24: Power Cord- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-1 Figure 25: Unit Inspection - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-2 Figure 26: Locking/Releasing Rear Caster Brakes - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-2 Figure 27: Inspecting the bedside panels - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-2 Figure 28: Inspecting bedside panel lock - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -2-2 Figure 29: Bed Tilt- Towards Pillar - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -2-3 Figure 30: Bed Tilt- Away From the Pillar - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-3 Figure 31: Bed Tilt Position - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-3 Figure 32: Hood Swivel – Towards Right - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -2-3 Figure 33: Hood Swivel - Towards Left - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -2-3 Figure 34: Hood Lock - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -2-3 Figure 35: Connecting the Power Cord - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -2-4 Figure 36: Connecting the Patient Probe- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-4 Figure 37: Power Standby/On Switch - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -2-5 Figure 38: Checking the Skin Probe - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -2-5 Figure 39: Checking the accessories- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -2-6 Figure 40: Opening the drawer - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-6 Figure 41: AC Power Outlet - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-3 Figure 42: Power Standby/on Switch - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-3 Figure 43: Temperature Keys- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-3 Figure 44: Baby Mode Button - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-4 Figure 45: GE Patient Probe Lead - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-4 Figure 46: Reusable Patient Temperature Probe - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-4 Figure 47: Disposable Patient Temperature Probe - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-5 Figure 48: Lowering the bedside panel - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-6 Figure 49: Removing the bedside panel - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-6 Figure 50: Replacing the bedside panel- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-6 Figure 51: Positioning the Hood - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-7 Figure 52: Positioning the X-ray cassette - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-8 Figure 53: Locking the Hood - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-8 Figure 54: Unscrewing the Top Cover of the Hood - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-9 Figure 55: Light Holder Assembly - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-9

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Figure 56: Releasing the circlip - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-9 Figure 57: Replacing the lamp - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-10 Figure 58: Inserting the circlip - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-10 Figure 59: Bed Tilting - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-10 Figure 60: Rail System - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-11 Figure 61: Rail System Marking - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-11 Figure 62: Mounting the IV Pole - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-12 Figure 63: Mounting the Monitor/Instrument Tray - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-12 Figure 64: The Monitor/Instrument Tray with Power Cord - - - - - - - - - - - - - - - - - - - - - - - - - -3-12 Figure 65: Mounting the Chest Tube Drainage Hanger - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-13 Figure 66: Mounting the Tubing Management Arm - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-13 Figure 67: Mounting the Utility Pole - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-13 Figure 68: Mounting the Basket Assembly - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-14 Figure 69: Mounting the Utility Pole - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-14 Figure 70: Mounting the Resuscitation Bag Clip- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-14 Figure 71: Mounting the Retaining Clip - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-15 Figure 72: Setting Rear Castor Brakes - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-15 Figure 73: Fasten the Cylinder with Velcro - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-15 Figure 74: Mounting Bracket - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-15 Figure 75: Mounting the XL Cylinder- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-15 Figure 76: Assembling the Slotted Bedside Panel - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3-16 Figure 77: The Hood - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-2 Figure 78: Removing the bedside panel located at the rear - - - - - - - - - - - - - - - - - - - - - - - - - -4-3 Figure 79: Removing the mattress - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -4-3 Figure 80: Removing the Plexiglas - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-4 Figure 81: Cleaning with an ear bud - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -4-4 Figure 82: Removing the X-ray tray - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -4-4

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Lullaby Warmer

IMPORTANT SAFETY INFORMATION Read the important safety information listed below.

Operation • • • •

Read through the entire manual before using the warmer. As with all medical equipment, attempting to use this device without a thorough understanding of its operation may result in injury to the patient or the user. This device should only be operated by personnel trained in its operation under the direction of qualified medical professional familiar with the risks and benefits of this type of device. Complete the checkout procedure in this manual before putting the unit into operation.

NOTE: If the unit fails any portion of the checkout procedures, it must be removed from use and repaired.

Power supply •

In the event of loss of main power the unit will enter into a power fail alarm condition.

NOTE: The unit will display a single red Light Emitting Diode (LED) in this condition on the right side of the alarm, refer to Alarms and Indication under Chapter 1. This audible alarm will give continuous beeps and the unit will remain in this power fail mode until the main power is restored.

•

Always disconnect the power before performing service or maintenance procedures. Apply power only if you are specifically instructed to do so as part of the procedure.

Service • •

Only competent individuals trained in the repair of this equipment should attempt to service it as detailed in the service manual. Detailed information for more extensive repairs is included in the service manual solely for the purpose of users who already have a good knowledge of tools and test equipments, and also for the service representatives trained by GE Healthcare.

Cleaning and General • •

Do not use the warmer in the presence of flammable anesthetics as an explosion hazard could occur under such conditions. Additional precautions specific to certain procedures are found in the following pages of this manual.

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WARNINGS, CAUTIONS AND NOTES This section introduces the information notes, various types of warnings, cautions and symbols used in this manual that alert the users to the possible hazards and provides additional information. Symbol

Description WARNING: A WARNING statement is used when the possibility of injury to the

patient or the operator exists. CAUTION: A CAUTION statement is used when the possibility of damage to the equipment exists. NOTE: A NOTE provides additional information to clarify a point in the text.

WARNINGS, CAUTIONS AND NOTES This section identifies general Warnings, Cautions and Notes associated with the use of the warmer. Symbol

Description WARNING: As with all medical equipment, carefully route patient cabling to reduce the possibility of patient entanglement or strangulation. WARNING: Do not lean against the side of the warmer. Leaning against the side of the warmer may cause it to tip over. WARNING: This device is for professional use only.

WARNING: The tilting of the mattress from its horizontal position relative to the warmer heater can affect the performance of the Lullaby Warmer.

CAUTION: US Federal Law restricts this device to sale by, or on order of, a licensed

medical practitioner.

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WARNINGS, CAUTIONS AND NOTES This section identifies general Warnings, Cautions and Notes associated with the use of the warmer. CAUTION: Technical competence is required to service the warmer. The procedures

described in this manual should be performed by trained and authorized personnel only. Maintenance should only be undertaken by competent individuals who have knowledge and experience with devices of this nature. There are no user serviceable parts in the system. Repairs should be undertaken only by a qualified person. Genuine replacement parts manufactured or sold by GE Healthcare must be used for all repairs. Read through each step in every procedure before starting, any exceptions may result in a failure in safely completing the attempted procedure. NOTE: Air always means medical grade gas.

SYMBOLS This section identifies the symbols that are displayed on the warmer.

Symbol

Description

Type B Applied Part

Functional Earth Terminal

Protective Earth Terminal

Alternating Current

European Union Representative

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Consult instructions for use

Catalog Number or Orderable Part Number

Serial Number

Manufacturer

Date of manufacture

Dispose of electrical and electronic equipment as unsorted municipal waste: must be collected separately

Do not reuse, single use only

Baby Mode

Temperature Increase/Decrease

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Lullaby Warmer

Manual Mode

Symbol

Description

APGAR Start/Pause

APGAR Reset

Alarm Silence

Baby Temperature

Heater/System Failure

Skin Probe Failure/Disconnect

Power Failure

Observation Light

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Heater power indication in % bar graph displayed in intervals of every 5 %

Equipotential Stud

WARNING: Do not place the baby on the X-ray tray

WARNING: Dovetail rail capacity (Maximum 14 kg). Rail system components need to be mounted below the arrow, which is seen in the figure.

Maximum load capacity. WARNING: For e.g., maximum load capacity should be less than 2.2 kg as shown in the figure.

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WARNING: Do not hang items on the hood.

WARNING: Pull the knob to swivel the hood.

WARNING: Keep your head out of the way when the hood is being swivelled to the right or left.

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ABOUT THIS MANUAL Scope and Intended Users This manual describes the features and operation of Lullaby™ Warmer. Lullaby Warmer is used in hospital delivery rooms, hospital newborn nurseries, Pediatric Intensive Care Units (PICU) and Neonatal Intensive Care Units (NICU). The intended users of this manual are primary care providers in infant delivery rooms, PICUs, NICUs, and hospital biomedical engineering service providers.

ORGANIZATION OF THIS MANUAL The organization of this manual is as follows:

• • • • • • • • • •

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Important Safety Information: Provides important safety information for both the patient and care providers. Chapter 1 – Introduction: Describes Lullaby Warmer and the system’s indications for use. Chapter 2 - System Setup and Checkout Procedures: Describes the procedures to set-up and check out the warmer prior to use. Chapter 3 - Operating the Lullaby Warmer: Describes procedures to operate the warmer. Chapter 4 - Maintenance and Cleaning: Provides information on performing maintenance and cleaning of the warmer. Appendix A - General Use Items: Lists out the general use items that may be used with the warmer. Appendix B - Specifications: Provides information on power requirement standards, operating environment, storage conditions, user control settings, performance and mechanical specifications. Appendix C - Electromagnetic Compatibility (EMC): Provides information on the warmer’s electromagnetic emissions and the electronic environment that is compatible with the use and operation of the warmer. Appendix D - Conforming to Standards and Directives: Provides information on the European Council Directive and the disposal of electrical/electronic equipment. Back cover: Provides a geographically organized list of Datex-Ohmeda service centers.

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Lullaby Warmer

Chapter 1

INTRODUCTION Lullaby™ Warmer includes:

• • • • • • • • • • • •

Heater assembly with Calrod® heater element Control panel Bed height configurable at three height settings Bed tilt Mattress Observation light Dovetail rail system Alarms and alarm silence X-ray tray APGAR timer Skin probe socket with protective cover Patient skin temperature probe

Optional Feature includes:

• •

User selectable Drawer system with under bed storage Accessories Figure 1: Lullaby Warmer

1.1 INDICATIONS FOR USE Infant radiant warmers provide infrared heat in a controlled manner to neonates and infants who are unable to maintain appropriate thermo-regulation based on their own physiology. Infant radiant warmers may be used to facilitate the neonate’s transition to the external environment after birth or to provide a controlled open microenvironment in a hospital setting.

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1–1

1.2 MECHANICAL CONTROLS AND CABLE CONNECTIONS 5 6

1 2 3

7 4

8 9

10

11

Figure 2: Front Oblique View

Feature Number

1–2

Description

1

Resuscitation bag clip (Optional)

2

Utility post (optional)

3

Tubing management arm (Optional)

4

Monitor/Instrument tray (Optional)

5

Heater hood

6

IV pole (optional)

7

Basket assembly (Optional)

8

Mattress

9

Slotted window panel (Optional)

10

X-ray tray

11

Drawer package (Optional)

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MECHANICAL CONTROLS AND CABLE CONNECTIONS (CONTINUED)

14 15

12

16

13

17

18 19 20

Figure 3: Front View

Feature Number

Description

12

Control panel

13

Observation light standby/on switch

14

Hood swivel knob

15

Dovetail rail

16

Skin probe socket with protective cover

17

Power standby/on switch

18

Utility pole (Optional)

19

Drainage hanger assembly (Optional)

20

Cylinder holder (Optional)

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1–3

21

22

23

25

24 Figure 4: Side View

Feature Number

Description

21

Bedside panel

22

Bed tilt handle

23

Caster with brake

24

Height skirt

25

Caster without brake

28

29

26

27

Figure 5: Back View

Feature Number

1–4

Description

26

Maneuvering handle and cord wrap

27

Power inlet plug

28

Electrical component enclosure

29

Equipotent stud

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Lullaby Warmer

1.3 CONTROLS AND DISPLAYS Controls and displays explained in the following section include,

• • • •

Control Modes and Indication Displays Switches and Keys Alarms and Indication

1

4 5 6 7

2

8 9

3

Figure 6: Controls and Displays

Feature Number Description 1

Displays

2

Alarms and indicators

3

Observation light standby/on switch

4

Control modes and indication

5

APGAR keys

6

Alarm silence indicator

7

Alarm silence key

8

Skin probe socket with protective cover

9

Power standby/on switch

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1–5

1

2

5

3 4

6 7 8

Figure 7: Temperature Settings and Mode

Feature Number

1–6

Description

1

Baby temperature - Displayed in degree Celsius

2

Control temperature - Displayed in degree Celsius

3

Baby Mode indicator

4

Baby Mode key- To select Baby Mode

5

Heater power indicator in % bar graph

6

Manual Mode indicator

7

Manual Mode key- To select Manual Mode

8

Temperature/Power increase/decrease key

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Lullaby Warmer