Arizant Healthcare Ranger 245 User manual

Ranger®Blut-/Flüssigkeitswärmeeinheit
Betriebshandbuch
Réchauffement de sang/soluté Ranger
Manuel de l’utilisateur
Sistema per il riscaldamento di sangue e
di fluidi Ranger
Manuale d’uso
Calentamiento de fluidos /plasma
Manual del usuario
Sistema de aquecimento de sangue/flui-
dos Ranger
Manual do utilizador
Ranger bloed/vloeistofverwarming
Gebruiksaanwijzing
Ranger Blod-/Væskeopvarmning
Brugsanvisning
Ranger blod-/vätskeuppvärmning
Användarhandbok
Ranger-blod/væskevarming
Bruksanvisning
Ranger veren/nesteen lämmitin
Käyttäjän opas
Θέρμανση αίματος/υγρών Ranger
∂Á¯ÂÈÚ›‰ÈÔ ÃÂÈÚÈÛÙ‹
Ranger血液/輸液加温
取扱説明書
Urządzenie do ogrzewania krwi/płynów
Ranger
Instrukcja Obsługi
Ranger vér-/folyadékmelegítő
Használati Utasítás
Ohřívání krve a kapalin - Ranger
Návod k obsluze
„Ranger“ kraujo/skysčio šildymas
Vartotojo vadovas
Ranger Подогрев крови/жидкости
Руководство оператора
Ranger血液（液体）升温
操作员手册
Operator’s Manual
Ranger
Blood/Fluid Warming
Check the Ranger system website to ensure you have the most recent version of this document. www.rangerfluidwarming.com reorder #241434C

English 1
Deutsch 17
Français 33
Italiano 49
Español 65
Português 81
Nederlands 97
Dansk 113
Svenska 129
Norsk 145
Suomi 161
Ελληνικά
177
日本語 193
Polski 209
Magyar 225
Cesky 241
Lietuviškai 257
Русский
273
中文 285
Operator’s Manual

241434C
Ranger Blood/Fluid Warming English 1
Table of Contents
Technical Service and Order Placement������������������������������������������� 2
Introduction ��������������������������������������������������������������� 3
Indications for use ������������������������������������������������������ 3
Warnings and Cautions �������������������������������������������������� 3
Product Description ��������������������������������������������������������� 4
The Ranger warming unit ������������������������������������������������ 4
Ranger disposable set���������������������������������������������������� 5
Product safety features��������������������������������������������������� 6
Instructions for Use ��������������������������������������������������������� 8
Preparation and setup of the Ranger warming unit������������������������������ 8
Removing the disposable set from the Ranger warming unit����������������������� 9
Transferring the disposable set from one Ranger warming unit to another ������������ 9
Troubleshooting ����������������������������������������������������������� 10
Maintenance and Storage ���������������������������������������������������� 12
Specifications ������������������������������������������������������������� 14
Definition of Symbols�������������������������������������������������������� 15

2 English Ranger Blood/Fluid Warming
Arizant Healthcare Inc.
Technical Service and Order Placement
u s a
TEL: [phone]
[phone]
FAX: [phone]
[phone]
u n i t e d k i n d g o m
TEL: [phone]
FAX: [phone]
g e r m a n y
TEL: [phone]
FAX: [phone]
f r a n c e
TEL: [phone]
Indigo (in France only): 0-820-33-90-40
FAX: [phone]
In-warranty repair and exchange
Replacement parts to correct a problem are delivered at no charge� To return a device to Arizant
Healthcare Inc� for service, first obtain a Return Authorization (RA) number from a customer
service representative� Please use the (RA) number on all correspondence when returning a device
for service� A shipping carton will be delivered to you at no charge, if needed� We will service
and ship your device within five (5) working days of our receipt� Call your local supplier or sales
representative to inquire about loaner devices while your device is being serviced�
When you call for technical support
Remember, we will need to know the serial number of your unit when you call us� The serial
number label is located on the bottom of the warming unit�

241434C
Ranger Blood/Fluid Warming English 3
Introduction
The Ranger blood/fluid warming system includes a warming unit and a disposable IV blood/fluid
administration set� The Ranger warming system is designed to warm blood, blood products, and
liquids and deliver these at flow rates from KVO to 500 ml/min� At these flow rates, the device
maintains fluid output temperatures ranging from 33°C to 41°C (Note: Output temperatures are
dependant on input fluid temperatures and flow rate)� It takes less than 2 minutes to warm up to
the 41°C set point temperature�
Two disposable blood/fluid sets are available: one for standard flow applications and one for high
flow applications� Disposable sets are sterile, latex-free, single-use-only items and are designed to be
used with the reusable warming unit�
The Ranger warming unit is designed to be mounted to an IV pole� A handle located on the top
of the unit makes transport easy� When mounted to the IV pole, the unit fits easily above the Bair
Hugger warming unit�
Indications for use
The Ranger warming system is intended to warm blood, blood products, and liquids�
Warnings and Cautions
w a r n i n g
Electrical shock hazard� Do not open the warming unit case�•
Do not substitute other devices (i�e� model 247) for the Ranger blood/fluid warming unit or•
Ranger blood/fluid disposable sets� Thermal or electrical injury or device damage may occur�
Do not continue use of the unit if the over-temperature alarm continues to sound and the•
temperature does not return to the set point temperature� Immediately stop fluid flow and
discard the disposable set� Have the warming unit tested by a biomedical technician or call
Arizant Healthcare Inc� technical service�
Never infuse fluids if air bubbles are present in the fluid line, as air embolism may result�•
Equipment not suitable for use in the presence of a flammable anaesthetic mixture with air or•
with oxygen or nitrous oxide�
c a u t i o n
Do not immerse the warming unit� Wipe with a clean, slightly damp cloth�•
To prevent tipping, clamp the Ranger blood/fluid warming unit to an I�V� pole with a minimum•
14" (35�6 cm) radius wheelbase and at a height no higher than 44" (112 cm)� Failure to do so may
result in damage to the product�

4 English Ranger Blood/Fluid Warming
Arizant Healthcare Inc.
Product Description
The Ranger blood/fluid warming system consists of a warming unit and a sterile disposable IV
blood/fluid delivery set�
The Ranger warming unit
The warming unit is a compact,
lightweight, liquid-resistant device
with a clamp located on the side for
attachment to an IV pole� A carrying
handle on the top of the unit makes it
easy to transport� Located on the front
panel you will find:
Alphanumeric display that indicates•
the heater temperature during normal
operation� In an over-temperature
condition, the display alternately
flashes a temperature of 43°C
or higher and the word “HI�” In
an under-temperature condition,
the display alternately flashes a
temperature of 33°C or lower and
word the “LO�”
Alarm indicator light that comes•
on when either an over- or under-
temperature condition occurs�
Slot for warming
cassette
Alphanumeric
display Bubble trap holder
Power switch
IV pole clamp
Alarm indicator light

241434C
Ranger Blood/Fluid Warming English 5
Ranger disposable set
Blood/fluid administration sets include a warming cassette (heat
exchanger), tubing and connectors compatible with hospital standard IV
blood/fluid administration sets, bubble trap, and injection port� The High
Flow set also includes 2 blood/fluid bag spikes and a 150 micron filter
located in a central drip chamber�
Disposable irrigation sets deliver 30 L/hr flow rates and 142 ml priming volume� They include
spike sets and a 183 cm patient line�
Refer to the instructions provided with each disposable set for information on use�
Warming Cassette
fl o w ra t e Pri mi ng Vo l u m e Pa t i e n t li n e le n g t h
Standard Flow Set 150 ml/mn 39-44 ml 76 cm
152 cm (76 cm patient line
plus 76 cm extension)
High Flow Set 100-500 ml/min 150 ml 152 cm (76 cm patient line
plus 76 cm extension)
Pediatric/Neonate 6 L/hr 20 ml 46 cm

6 English Ranger Blood/Fluid Warming
Arizant Healthcare Inc.
Product safety features
The following chart describes the safety alarm features of the Ranger warming unit�
a l a r m t y P e w h a t t o l o o k f o r d e s c r i P t i o n /c a u s e a c t i o n
Over-temperature
alarm - 43°C
Alarm indicator light
illuminates and alarm
sounds, alphanumeric
display alternately
flashes a temperature of
43°C or higher and the
word “HI�”
Heater
temperature
rose to 43°C
because of
transient
conditions�*
Observe alphanumeric
display� If temperature
does not drop to 41°C
(may take a few minutes),
discontinue use of unit�
Call Arizant Healthcare
Customer Service�
Under-temperature
alarm - 33°C
Alarm indicator light
illuminates and alarm
sounds, alphanumeric
display alternately
flashes a temperature of
33°C or lower and the
word “LO�”
Heater
temperature has
fallen to 33°C�
Alarms stop when
temperature rises above
33°C� Continue use of
unit� If the temperature
does not rise above 33°C,
unplug the unit and
call Arizant Healthcare
Customer Service�

241434C
Ranger Blood/Fluid Warming English 7
Warming units Rev A to M
Independent back-up
safety alarm - 46°C
Alarm indicator light•
illuminates and alarm
sounds, alphanumeric
display alternately
flashes a temperature of
43°C or higher and the
word “HI�”
Alphanumeric display•
is dark, alarm sounds
(backup safety alarm
still works even if
display is dark)�
Heater
temperature
rose to 46°C�
Safety backup
system is
activated at
46°C and unit
shuts off power
to the heating
plates�
TURN OFF THE
UNIT AND UNPLUG
IT� Do not use the unit�
Discard the disposable
set� Call Arizant
Healthcare Customer
Service�
Warming units Rev N and newer
Independent back-up
safety alarm - 44°C
Alarm indicator light•
illuminates and alarm
sounds, alphanumeric
display alternately
flashes a temperature of
43°C or higher and the
word “HI�”
Alphanumeric display•
is dark, alarm sounds
(backup safety alarm
still works even if
display is dark)�
Heater
temperature
rose to 44°C�
Safety backup
system is
activated at
44°C and unit
shuts off power
to the heating
plates�
TURN OFF THE
UNIT AND UNPLUG
IT� Do not use the unit�
Discard the disposable
set� Call Arizant
Healthcare Customer
Service�
*Transient conditions may cause an over-temperature alarm condition� These conditions include:
There was an extreme change in flow rates (e�g�, from 500 mL/min to stop flow)�•
The unit was turned on and reached the set point temperature of 41°C before the warming•
cassette was inserted in the device�
Fluids were prewarmed to above 42°C before being infused�•

8 English Ranger Blood/Fluid Warming
Arizant Healthcare Inc.
Instructions for Use
Preparation and setup of the Ranger warming unit
Attach the Ranger warming unit to the IV pole� Tighten the1�
pole clamp securely�
Caution: To prevent tipping, clamp the Ranger warming unit
to an IV pole with a minimum 14" (35�6 cm) radius wheelbase
and at a height no higher than 44" (112 cm)� Failure to do so
may result in damage to the product or catheter site trauma�
Slide the fluid warming cassette into the slot in the2�
warming unit� The cassette can only fit into the device
one way�
Prime the disposable set� For more information about3�
priming the set, refer to instructions provided with the
disposable sets�
Place the bubble trap in the holder�4�
Plug the power cord into an appropriate outlet� Turn the5�
unit ON� In a few seconds the alphanumeric display will
illuminate� It takes less than 2 minutes to warm up to the
41°C set point temperature�
Begin infusion� When infusion is completed, remove6�
the disposable set and discard according to institutional
protocol�
44"
(112 cm) 14" (35.6 cm)

241434C
Ranger Blood/Fluid Warming English 9
Removing the disposable set from the Ranger warming unit
Close the inlet clamp proximal to the fluid warming cassette and open all clamps distal to the1�
cassette�
Disconnect the disposable set from the fluid source, if applicable�2�
Allow fluid to flow to the patient (this may take 2-3 seconds)� Close a distal clamp�3�
Remove the fluid warming cassette from the warming unit and discard according to institutional4�
protocol�
Reconnect the patient IV line to the fluid source to continue the infusion without warming�5�
Transferring the disposable set from one Ranger warming unit to another
Follow steps 1-3 above, then remove the disposable set from the first warming unit�1�
During transport, keep the clamps closed and do not infuse fluids while the warming cassette is2�
outside of the warming unit�
Slide the warming cassette into the second warming unit�3�
Ensure that air is removed from the tubing�4�
Open the clamps and continue the infusion�5�

10 English Ranger Blood/Fluid Warming
Arizant Healthcare Inc.
Troubleshooting
co n d i t i o n ca u s e so l u t i o n
Nothing illuminates on
the warming unit panel�
Unit is not turned on,•
plugged in, or power cord
is not plugged into an
appropriate outlet�
Turn unit on� Make sure the•
power cord is plugged into the
power entry module of the
warming unit� Make sure the
warming unit is plugged into a
properly grounded outlet�
Unit failure�• Call Arizant Healthcare•
Customer Service�
co n d i t i o n ca u s e so l u t i o n
Alarm indicator
illuminates and alarm
sounds, alpha-numeric
display alternately flashes
a temperature of 43°C or
higher and the word “HI�”
Temporary over-temperature
condition because:
An extreme change in flow•
rates occurred (e�g�, from
500 ml/min to stop flow)�
Unit was turned on•
and reached set point
temperature before warming
cassette was inserted�
Fluids were prewarmed to•
above 42°C before being run
through the warming unit�
Open flow to reduce•
temperature� Alarms will stop
when the display reads 41°C�
The unit is ready to use�
Alarms will stop when the•
display reads 41°C� The unit is
ready to use�
Turn off unit� Discontinue•
infusion of fluids� Do not
warm fluids before infusing
them through the Ranger unit�
co n d i t i o n ca u s e so l u t i o n
Alarm sounds,
alphanumeric display
and alarm indicator
light go dark�
Primary controller failure� Unit
will no longer operate�
Power to heating plates will shut
off if temperature rises to 44°C
(warming unit Rev N and newer)
or 46°C (warming units Rev A
to M)� Turn unit off and unplug
it� Discontinue use of unit�
Discard disposable set� Alarm
will continue to sound if you do
not unplug unit� Call Arizant
Healthcare Customer Service�

241434C
Ranger Blood/Fluid Warming English 11
co n d i t i o n ca u s e so l u t i o n
Unit alarms soon after•
plugging it in (unit does not
have to be turned on for
this condition to occur)�
Heater temperature rises•
to 44°C (warming units
Rev N and newer) or 46°C
(warming units Rev A to
M) and unit shuts down
soon after plugging it in
(unit does not have to be
turned on for this condition
to occur)�
Test screw on bottom of unit is
loose or missing�
Make sure test screw is
completely tightened� If it
is missing, turn unit off
and unplug it� Call Arizant
Healthcare Customer Service�
co n d i t i o n ca u s e so l u t i o n
Alarm sounds but unit has
been turned off�
Independent backup safety
system has been activated�
Unplug unit� Call Arizant
Healthcare Customer Service�
co n d i t i o n ca u s e so l u t i o n
Cannot remove warming
cassette from unit�
Warming cassette is too•
full, fluids are still being
infused, or clamp is open
proximal to the warming
cassette�
Make sure fluid is drained•
from warming cassette
before sliding out the
cassette, that fluids are no
longer infusing, and that
clamp is closed proximal to
the warming cassette�
Warming unit is below•
patient level, creating
excessive back pressure
Raise unit above patient•
level�
co n d i t i o n ca u s e so l u t i o n
Alarm indicator light
illuminates and alarm
sounds, alphanumeric
display alternately flashes a
temperature of 33°C or below
and the word “LO�”
Under temperature condition
caused by very high flow using
very cold fluid, or defective
heater/relay�
Alarm should stop when
temperature rises above 33°C�
If alarm continues, unplug
unit and discontinue use� Call
Arizant Healthcare Customer
Service�
co n d i t i o n ca u s e so l u t i o n
Alphanumeric display reads
“Er 4” or “Open�”
Open wire on temperature
sensor�
Do not use unit� Call Arizant
Healthcare Customer Service�
co n d i t i o n ca u s e so l u t i o n
Alphanumeric display reads
“Er 5” or “Open�”
Electrical interference� Remove the unit� Refer to
biomedical technician or call
Arizant Healthcare Customer
Service�

12 English Ranger Blood/Fluid Warming
Arizant Healthcare Inc.
Maintenance and Storage
Cleaning the Ranger blood/fluid warming unit
Clean the Ranger unit on an as-needed basis
c a u t i o n
Do not immerse the warming unit in cleaning or sterilizing solutions� The unit is not liquid•
proof�
Do not clean the warming unit with solvents� Damage to the case, label, and internal components•
may result�
t o c l e a n t h e e x t e r i o r o f t h e w a r m i n g u n i t :
Disconnect the Ranger warming unit from the power source�1�
Wipe the outside of the unit with warm, soapy water, nonabrasive cleaning solutions, dilute2�
bleach, or cold sterilants� Do not use abrasive materials�
Wipe with a dry, soft cloth�3�
t o c l e a n t h e h e a t i n g P l a t e s :
The Ranger blood/fluid hardware cleaning tool is intended to clean both heating plates of the
warming unit� It is not necessary to disassemble the warming unit to use the tool�
c a u t i o n
Do not insert metallic instruments in the warming unit, as damage to the heating plates may•
occur�
Do not use abrasive materials or solutions to clean the heater plates�•
Do not allow spills to dry inside the unit, as this may make it more difficult to clean the unit�•
The cleaning tool provides only superficial cleaning, it does not disinfect or sterilize the interior•
of the unit�

241434C
Ranger Blood/Fluid Warming English 13
Method
Unplug the warming unit�1�
Unfold the cleaning tool� Wet the foam pads with a nonabrasive2�
solution, such as Alconox* brand detergent�
Insert the tool from the back of the unit and pull the tool all the3�
way out from the front�
Rinse the tool with water and repeat 3 times�4�
Wipe off the unit to remove excess fluid�5�
t o c l e a n r e s i s t a n t , d r i e d -o n f l u i d s :
Spray a nonabrasive solution inside the slot of the warming unit and1�
let sit for 15-20 minutes�
Clean the unit by using the cleaning tool�2�
Note: If the cleaning tool cannot be inserted through the slot of the
warming unit because of excess dried-on fluids, send the unit to a
biomedical technician�
Storage
Store all components in a cool, dry place when not in use�
Servicing
There are no user-serviceable parts in the Ranger warming unit� All service must be performed by
Arizant Healthcare Inc� or an authorized service technician� Call Arizant Healthcare Inc� Technical
Service at 800-733-7775 or 952-947-1200 for service information�
*Alconox is a registered trademark of Alconox, Inc�

14 English Ranger Blood/Fluid Warming
Arizant Healthcare Inc.
Specifications
Physical characteristics
w a r m i n g u n i t
4�5 in� (11 cm) high x 7�5 in� (19 cm) wide x 10 in� (25 cm) long; wt�: 7 lb� 7 oz� (3�4 kg)
c l a s s i f i c at i o n
Classified under IEC 601-1 Guidelines (and other national versions of the Guidelines) as Class I,
Type B, Ordinary Equipment� Not suitable for use in the presence of flammable anesthetic mixtures
with air or with oxygen or nitrous oxide� Classified by Underwriters Laboratories Inc� with respect to
electric shock, fire, and mechanical hazards only, in accordance with UL 2601-1 and in accordance
with Canadian/CSA C22�2 No� 601�1�
Leakage current
Meets leakage current requirements in accordance with UL 60601-1 and IEC 601-1�
Environmental conditions
o p e r a t i n g t e m p e r a t u r e r a n g e
15° to 40°C (59° to 104°F)
s t o r a g e t e m p e r a t u r e r a n g e
-20° to 45°C (-4° to 113°F)
o p e r a t i n g h u m i d i t y
10 to 85% RH, noncondensing
a t m o s p h e r i c p r e s s u r e r a n g e
50 kPa to 106 kPa
Electrical characteristics Temperature characteristics
d e v i c e r a t i n g
100-120 VAC, 50/60 Hz
220-240 VAC, 50/60 Hz
s e t p o i n t t e m p e r a t u r e
41°C
m a x i m u m h e a t i n g p o w e r
900 W
o v e r -t e m p e r a t u r e a l a r m
43°C
f u s e
10 Amp
u n d e r -t e m p e r a t u r e a l a r m
33°C
o v e r -t e m p e r a t u r e c u t o f f
44°C (warming units Rev N and newer)
46°C (warming units Rev A to M)

241434C
Ranger Blood/Fluid Warming English 15
Definition of Symbols
ON
OFF
Fuse
Attention - Read accompanying documents
Type B Applied Part
Voltage, Alternating Current (AC)
Equipotentiality plug (ground)
Special Refuse, discard separately
Protective earth ground