Dräger Medical Babytherm 8000 WB User manual

D
Dräger Medical
Instructions for Use
MT-325-00
Babytherm
®
8000 WB
Warming bed

Table of contents
2
Table of contents
For Your Safety and that of Your Patients 3
Safety instructions 3
Intended Use 4
Preparation 5
Trolley 5
Storage options 5
Bronchial aspirator 6
Infusion bottle holder 7
Accessories for oxygen therapy 7
Warming bed 10
Fitting the inner walls 10
Fitting the ventilation hose bracket 11
Mattress 11
Bed canopy 11
Tilting the bed 12
In-hospital transport 12
Testing Readiness for Operation 13
Before using for the first time 13
Before each use 13
Operation 14
Patient care 14
Heat therapy 14
Mattress heating 15
Radiant heater 19
Recommended heater settings 20
Using the bed canopy 23
Oxygen therapy 25
Nebuliser therapy 27
Phototherapy 27
Bronchial aspiration 28
Taking X-rays 28
Care 29
Dismantling 29
Disinfecting/Cleaning/Sterilising 29
Before next use 29
Maintenance intervals 30
Troubleshooting 31
Mattress heating 31
Height adjustment (optional) 31
hat’s what 32
Complete unit 32
Mattress heater control panel 33
Technical Data 34
Construction and Description 36
Heated mattress 36
Order List 37
Parts list 38
Index 39

For Your Safety and that of Your Patients
3
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 order list
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 non-
compliance 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
Safety instructions
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
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
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

Intended Use
4
Intended Use
Babytherm
®
8000 WB* is a unit for warming premature
babies, neonates and infants with a body weight of up to 5 kg
The unit may be used in operating theatres, neonatal wards,
children’s wards and paediatric intensive care units
The unit may be operated by clinical staff or by nursing staff
under the supervision of a doctor
Babytherm 8000 WB provides heat through a heated gel
mattress
Therapy and nursing uses
— Warming up, maintaining warmth and thermal stability with
mattress heating
— Cooling patients with high temperatures (temperature of
mattress below body temperature)
— Adjustable bed angle for head-up or head-down position
— Transitional bed for weaning infants from incubators
— Oxygen and nebuliser therapy (with appropriate
accessories)
Babytherm 8000 WB monitors and adjusts the temperature of
the heating plate to attain and maintain a preselected
temperature at the contact surface between the infant and the
mattress
The heat supplied through the mattress is not sufficient on its
own for unclothed/uncovered infants/premature babies An
additional radiant heater or a Babytherm 8000 OC should be
used
* Babytherm
®
8000 WB – is a registered trademark of
Dräger
Options:
— Bed canopy (for oxygen and nebuliser therapy)
— Height adjustment
— Swivel cabinet
The basic unit can be combined with the accessories shown
on the Order List
Optional therapy accessories:
— Secretion aspirator
—O 2 flowmeter
—O 2 monitor
—O 2 hood
—O 2 injector
— Infusion bottle holder
— Phototherapy unit
— Radiant heater on extra mobile stand

Preparation
5
Preparation
Trolley
Adjusting the height
Height adjustment is optional
Before each use check:
●
Connect power supply
1 Press right pedal briefly to raise the bed
2 Press left pedal briefly to lower the bed
●
Adjust to a comfortable working height
●
Do not place any objects in the way of height adjustment
Storage options
Units with height-adjustable column:
— Swivel cabinet with 2 swivel compartments and 1 swivel tray
(optional)
Units without height adjustment:
— 2 open compartments in the column,
— 1 swivel cabinet with 2 swivel compartments and 1 swivel
tray (optional)
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1 2

Preparation
6
Bronchial aspirator
●
The aspirator should be prepared and tested according to
the specific instructions for use
Positioning the ejector on the standard rail
1 Clip the ejector to the standard rail
●
Mounting bracket with projecting support:
For units with height adjustment:
2 Screw bracket to the column so that the bottle holder is
outside the path of the swivel cabinet
Units with a fixed column:
●
Screw bracket to left side of column
3 Place the bottle holder on the projecting support
4 Connect the hose between the secretion bottle and the
ejector
●
Clip the hose bracket to the standard rail
●
Mount the aspiration hose and attach to hose bracket
●
Screw on the connecting hose and plug the connector into
the socket of the central supply system (park position)
When using the NIST* connecting hose:
●
Call in an expert to fit the fixed adapter to the device
connector
Mounting the ejector to the bed
●
Mounting bracket with projecting support:
For units with height adjustment
5 Screw the bracket to the column so that the bottle holder is
outside the path of the swivel cabinet
Units with a fixed column
●
Connect bracket to left side of column
6 Place the bottle holder on the projecting support
●
Connect the hose between the secretion bottle and the
ejector
●
Mount the aspiration hose and attach to hose bracket
●
Screw on the connecting hose and plug the connector into
the socket of the central supply system (park position)
When using the NIST* connecting hose:
●
Call in an expert to fit the fixed adapter to the device
connector
* NIST: Non Interchangeable Screw Thread
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1
2
3
4
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5
6

Preparation
7
Infusion bottle holder
●
Hang holder from standard rail and secure in place
Accessories for oxygen therapy
O 2 flowmeter
●
Preparing the flowmeter:
1 Check that the ball moves freely in the metering tube
2 Check that the sealing ring in the union nut is present and
undamaged
3 Close valve clockwise
●
To mount the flowmeter on the standard rail:
4 Press the slider all the way down; hook the flowmeter to the
rail and release the slider
5 Screw on the O 2 connecting hose
6 Insert the connector of the connecting hose into the O 2
delivery socket and press it all the way in
When using the NIST* connecting hose:
●
Call in an expert to fit the fixed adapter to the device
connector
* NIST: Non Interchangeable Screw Thread
004 28 517005 28 517
1
2
3
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4
5
6

Preparation
8
Nebuliser
Installing the nebuliser:
1 Check that the sealing ring above the nozzle is present and
undamaged
2 Insert atomiser on to housing as far as it will go
3 Slide hook ring on to nebuliser bottle
●
Fill nebuliser bottle with aqua dest up to the mark (quantity
220 mL)
4 Screw nebuliser bottle to housing
5 Screw the nebuliser securely to the flowmeter
●
Fit the spiral hose to the nebuliser port
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1
2
3
4
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5

Preparation
9
O 2 supply via injector
1
Press locking lever on mounting flange and push injector
into flange
●
Allow locking lever on injector to engage The injector is
now locked
●
Connect up hose
●
Fit bed canopy (see page 23)
O 2 supply should only be used with O 2 concentration
monitoring, e.g. via Dräger Oxydig.
O 2 monitor
e g Dräger Oxydig
●Prepare the O2 monitor in conformity with its specific
Instructions for Use
●Fasten O2 monitor, complete with holder, to the standard
rail
Turn the O2 monitor so that the control panel of the
measuring unit faces the mattress heater control panel
●Place O2 sensor in the warming bed and feed the cable
through the hole in the end panel
●Plug the connector of the sensor into the measuring unit
010 28 517
1
011 28 517

Preparation
10
arming bed
The bed is enclosed by two side panels and two end panels
that can be opened independently of one another The end
panels have holes and flexible grommets for hoses and cables
Fitting the panels
1Insert the lower mounting pins of the panel hinge-pieces
into the guide slots on either side
●Position the panel semi-upright
2Press the panel down firmly until the pins lock into position
at the bottom of the slots
●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 inner panels
Fitting the inner walls
●Insert the pins into the tapered holes and press down
slightly until the inner panel is firmly in place
Make sure the panels are seated correctly.
ith lively children, the optional inner walls should also
be used even when the side panels are closed.
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22
11
013 28 517

Preparation
11
Fitting the ventilation hose bracket
●Insert the hose bracket into the hole in the left-hand end
panel and tighten with knurled nut
Mattress
— When operating with mattress heater,
the gel mattress (2M 20 827) should be used
●Place gel mattress in the cot and cover it with a cotton
sheet
Prevent contact with sharp objects as these could damage
the gel mattress
Do not fold or kink the gel mattress To transport the gel
mattress, roll it up
Always observe the gel mattress warming-up time
Wait for about 1 hour to allow the gel mattress to warm up
before placing a patient in the Babytherm
Bed canopy
Optional
Higher side panels (230 mm) are recommended when using
the bed canopy
●Check that the bed canopy is closed
When the bed canopy is not required:
●Attach bracket to standard rail
1Hang bed canopy from bracket
011 42 8 517015 28 517016 28 517
1

Preparation
12
Tilting the bed
1Pull the handle of the locking mechanism out towards the
front
2Press handle down = head-up position
Pull handle up = head-down position
●Release the handle: the bed automatically locks into the
selected position
Maximum tilt angle:
Head-up position: 20o
Head-down position: 15o
The bed can be tilted in finely graduated steps
Preferred positions:
Horizontal,
10o tilt head-up and
10o tilt head-down
The mattress may slip at maximum tilt
●In this case do not place a sheet over the mattress
In-hospital transport
●If optional height adjustment is fitted, lower the unit to its
lowest position
●Swivel the swivel compartments or tray inwards
●Accessories projecting beyond either side of the unit must
be removed or folded in
●Switch off heating systems and disconnect the mains plug
●Disconnect gas supply hoses from central supply unit
●Fit optional bed canopy to protect patient from draughts
Immediately after transport:
●Plug in the mains plug and switch on the heating systems
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1
018 28 517
2

Testing Readiness for Operation
13
Testing Readiness for Operation
Before using for the first time
●Check that the mains voltage matches the values indicated
on the rating plate next to the power cable
Before each use
●Check that the unit has been disinfected
●Check that the side panels are locked securely into place
●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
●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
●Check that the therapy equipment used is ready for
operation:
See chapter on heat therapy, see page 14
See chapter on oxygen therapy, see page 25
See chapter on phototherapy, see page 27

Operation
14
Operation
Patient care
Precautions
●Never leave the patient unattended when the side panels
are down Risk of infant falling out of the cot.
●When folding up the side panels, take care not to pinch any
parts of the patient’s body or any hoses or other articles,
e g bedding
●Check that all 4 panels are closed and securely locked in
position: the yellow panel hardware should be visible above
the surface of the bed
●The inner walls should be used with all patients, whether
the side panels are open or closed
●With lively infants and/or older children, the 230 mm high
side panels should be used Such patients should be kept
under very close observation
Heat therapy
Two heating systems are available for keeping patients warm
and if necessary for warming up or cooling down patients:
— Mattress heater for operation, see page 16
— Radiant heater with extra mobile stand (accessory)
Following the specific instructions for use
Precautions
●Constantly monitor the core temperature of the patient.
●Adjust the temperature settings to the needs of the
patient.
●Increased heat is directed to the patient when the mattress
heater and radiant heater are operated in combined mode
Follow the instructions on page 20 onwards for setting the
two heating systems, separately and in combination
●hen mattress heating is in use, the gel mattress must
be in place on the heated bed area.
●The gel mattress should only be used as a heating pad
with the Dräger Babytherm 8000. Do not use it with the
Dräger Babytherm 4200 or other warming beds with
heating plate temperatures over 40 oC – danger of
burns.
●Prevent contact with sharp objects, as these can damage
the gel mattress Do not fold or kink the gel mattress
To transport the gel mattress, roll it up
●Always adhere to the gel mattress warming-up time.
Wait for about 1 hour before placing a patient in the
Babytherm, to allow the gel mattress to warm up sufficiently
●Additional heat sources, such as phototherapy lamps or
radiant heaters, increase the heat directed to the patient
and should be taken into account Avoid exposure to direct
sunlight

Operation
15
Mattress heating
Checking readiness for use
Before each use
●Check that the gel mattress has been disinfected and is in
perfect condition
●Lay gel mattress flat on the aluminium heating plate
●Connect mains power
Switching on and running self-test
1Press main switch until it engages = ON
The microprocessor checks the function of the device as
part of the self-test
●All the LEDs light up; the digital display reads 88.8 and an
audible alarm sounds
2After approximately 2 seconds the device flashes to
propose a temperature setting of 37 0 oC
3The display alternates cyclically between the letters SEt and
the measured temperature value
4Press p or P key briefly to accept the temperature
setting and
3the display continuously shows the measured value =
measured mattress temperature value
5If Acc is displayed alternately with the measured
temperature value and at the same time an intermittent
alarm sounds, this indicates that the power failure alarm
battery is insufficiently charged.
After approximately 30 minutes operation, the battery is
charged up The display continuously shows the measured
temperature value and the intermittent alarm is switched off
To mute the intermittent alarm:
6Press G key The yellow LED lights up
The intermittent alarm can be muted for 15 minutes
7Display Err alternating with the measured temperature and
8red LED Inop lit – device malfunction,
see “Troubleshooting” on page 31
019 28 517
Babytherm 8000
°C
>36 °C
>35 °CCheck
D
°C
1
2
020 28 517
Babytherm 8000
°C
>36 °C
>35 °CCheck
D
°C
3
44
021 28 517
Babytherm 8000
°C
>36 °C
>35 °CCheck
D
°C
5
6
022 28 517
Babytherm 8000
°C
>36 °C
>35 °CCheck
D
°C
78

Operation
16
Testing the LEDs, displays and audible alarm:
1Press k key:
for approximately 2 seconds – all the LEDs light;
the digital displays read 88.8 and an audible alarm sounds
After that the displays and LEDs are dark and the audible
alarm is switched off After approximately 2 seconds the
temperature is displayed again
The function test can also be run while the device is
operating
●Check at least once a day
Testing the power failure alarm
●Disconnect mains plug
2Red LED N lights, continuous alarm sounds
●Reconnect mains plug
The device carries on operating with the values set before
the power failure alarm
Operation
●Heat the mattress to 37 oC Allow a warming-up time of
around 1 hour
During the warming-up stage and when in standby mode,
the gel mattress should be covered with a blanket
●Cover the gel mattress with a sheet before placing a patient
on it
If the radiant heater is not in use:
●Cover the patient with a blanket
Do not switch off the mattress heater while an infant is
lying on the gel mattress. Risk of hypothermia.
023 28 517
Babytherm 8000
°C
>36 °C
>35 °CCheck
D
°C
1
024 28 517
Babytherm 8000
°C
>36 °C
>35 °CCheck
D
°C2

Operation
17
Setting the temperature
The set temperature can be adjusted in increments of 0,1 oC
To set a temperature within the normal range of 35 oC to
37 oC:
1Hold down p or P key until the desired setting is
displayed
To set a temperature outside the normal range:
— Extended lower limit: 30 oC to 35 oC,
— Extended upper limit: 37 oC to 38.5 oC
Only use low temperatures if prescribed by doctor
Monitor patient very closely
2Press unlocking key 5,
yellow LED in the key lights up
3Hold down p or P key until the desired setting is
displayed
●The setting over 37 oC or under 35 oC should be set within
1 minute
Otherwise the LED in the key 5 is extinguished
The extended setting range is locked again
If the temperature is outside the measuring range of
5 oC to 45 oC:
— 3 dashes at the bottom of the display =
temperature below 5 oC
— 3 dashes at the top of the display =
temperature above 45 oC
●See chapter on “Troubleshooting”, page 31
025 28 517
Babytherm 8000
°C
>36 °C
>35 °CCheck
D
°C
11
026 28 517
Babytherm 8000
°C
>36 °C
>35 °CCheck
D
°C
233
027 28 517
°C
°C

Operation
18
Alarms
Deviation from set temperature
If the deviation between the set and measured mattress
temperature is greater than ±1 oC:
1The red LED ±1 oC starts flashing
— an intermittent alarm sounds and
2the display flashes
The intermittent alarm can be muted for 15 minutes:
3Press G key The yellow LED in the key lights up
1the red LED is lit continuously
When the measured mattress temperature returns to within
±1 oC of the set value:
— The red LED ±1 oC goes out and the intermittent alarm is
switched off
After initially switching on the mattress heater:
— the audible alarm is suppressed for one hour (warming-up
phase)
1Red LED ±1 oC lights up
3Yellow LED in the G key lights up
40 oC alarm
4Red LED 40 oC flashes and a continuous alarm sounds
5The display flashes
The continuous alarm cannot be suppressed
The alarm stops automatically as soon as the mattress
temperature drops to the normal setting
Shutting down
Only for care purposes, when changing over patients
●Press main power switch all the way home = OFF
then
●Disconnect mains plug
It is important to proceed in this order, as otherwise the
power failure alarm is activated
028 28 517
Babytherm 8000
°C
>36 °C
>35 °CCheck
D
°C
21
3
029 28 517
Babytherm 8000
°C
>36 °C
>35 °CCheck
D
°C
4
5

Operation
19
Radiant heater
●Slide the radiant heater mobile stand underneath the
Babytherm 8000 WB
●Follow the instructions for use of the radiant heater
See Page 20 for settings
030 28 517

Operation
20
Recommended heater settings
Instructions for using and setting the mattress heater and
radiant heater, alone or in combination
Using the mattress heater with a gel mattress without
using the radiant heater
Always monitor the core temperature of the patient and
adjust the mattress temperature setting to the needs of the
patient.
●Always cover and/or clothe the patient
Do not place blankets or other insulating material under
the patient, since they obstruct heat transfer to and from
the bed (warming/cooling).
●To warm the patient:
Set the temperature to e g 38 5 oC
●To neither warm nor cool the patient:
Set the temperature to 36 oC to 37 oC
●To cool the patient:
Set the mattress temperature to e g 36 oC or lower
031 28 517032 28 517033 28 521
38.5°C
034 28 521
37.0°C
035 28 521
36.0°C