Dräger Medical Caleo User manual

MEDICAL
D
Instructions for Use
Software 1.n
Caleo
®
Neonatal incubator
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How to use the Instructions for Use
The headline ...
specifies the subject of the main chapter
to help you find your way around rapidly.
The page ...
contains instructions for use of the unit
in a co bination of text and illustrations. The infor ation is
translated directly into practical actions showing the user
how to use the unit.
The left-hand column ...
contains text
explaining the unit and guiding the user clearly to its uses
through concise instructions in ergono ic sequence.
●
Dots refer to actions,
1 Nu bers refer to the illustration next to the text and to the
sequence of actions in the case of operations consisting of
several steps.
The right-hand column ...
contains illustrations
as a reference to the text and to guide the user in handling the
unit itself. The ele ents entioned in the text are highlighted,
and unnecessary details are o itted. The user is guided by
screens confir ing the various steps required for each action.
14737054
Preparation
Before using for the first time
12
Preparation
efore using for the first time
●Check that all packaging aterials have been co pletely
re oved (see packing slip in the pack).
●Check that the ains power supply voltage atches the
voltage rating specified on the na eplate (see page 123).
●Check that the altitude above sea level is correctly set
(see page 73).
1Screw the extension pole fully into the base fra e and
tighten fir ly. Check that it is securely held in place.
2Slide the holder over the pole and secure it at the required
working height with the cla ping screw.
3Set the control unit to the desired working position and
cla p it securely to the holder with the locking screw.
Make sure that there is sufficient space to swivel and tilt
the control unit!
Fitting accessories
Screw in:
Pole 38 mm/600 (2M 50 691) or alternatively
Pole 38 mm/310 (2M 50 688)
●Re ove the cover plate fro the base fra e.
●Screw the pole fully into the base fra e and tighten fir ly.
Check that it is securely held in position.
Moving the control unit to the opposite side
4Re ove the control unit = loosen the cla ping screw.
5Re ove the holder = loosen the cla ping screw.
●Move the holder to the other pole and set to the desired
working height.
5Fix the holder in position = tighten the cla ping screw.
4Secure the control unit to the holder = tighten the cla ping
screw.
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Contents
3
Contents
For Your Safety and that of Your Patients 4
Intended use 5
What's what 7
Operating concept 9
Preparation 11
Checking readiness for operation 26
Operation 33
Care 83
Maintenance intervals 94
roubleshooting – Error Messages 97
roubleshooting – Faults 102
echnical Data 103
Description 109
Order list 125
Parts List 128
Index 129

For Your Safety and that of Your Patients
4
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 ust be inspected and serviced regularly by
trained service personnel at six onthly intervals.
Repair and general overhaul of the apparatus ay only be
carried out by trained service personnel. We reco end that
a service contract be obtained with DrägerService and that all
repairs also be carried out by the .
Only authentic Dräger spare parts ay be used for
aintenance.
Observe chapter "Maintenance Intervals".
Accessories
Do not use accessory parts other than those in the order list.
Not for use in areas of explosion hazard
This apparatus is neither approved nor certified for use in
areas where co bustible or explosive gas ixtures are likely to
occur.
Safe connection with other electrical equipment
Electrical connections to equip ent which is not listed in
these Instructions for Use should only be ade following
consultations with the respective anufacturers 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
e ployed or authorized by DrägerService or if the apparatus is
used in a anner not confor ing to its intended use.
Dräger cannot be held responsible for da age caused by
non-co pliance with the reco endations given above.
The warranty and liability provisions of the ter s of sale and
delivery of Dräger are likewise not odified by the
reco endations given above.
Dräger Medical AG & Co. KGaA

Intended use
5
Intended use
Therapy syste providing a controlled supply of war th,
hu idity* and O
2 enrich ent* in the patient capsule for
pre ature babies and sick neonates up to a body weight of
5 kg or a body length of 55 c (when treating twins, the total
body weight is li ited to 5 kg).
Used in
clinical environ ent, where pre ature babies or neonates
need controlled cli ate para eters.
The unit ay only be used by properly trained personnel under
the supervision of qualified edical staff fa iliar with the
currently known risks and benefits of using an incubator.
Possibilities for nursing and therapy
— Heat therapy through control of air te perature or skin
te perature
— Hu idification
—O 2 therapy through controlled O 2 enrich ent
— Nor al or intensive care via hand ports or a large front flap
— Bed with pivoting adjust ent for raising and lowering the
head
With monitoring for
— Air te perature
— Skin te perature
— Relative hu idity
—O 2 concentration
— Weight*
* optional equip ent feature

6

What's what
7
What's what
Contents
What's what . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Front view . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Side view, connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Top view, bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Operating concept . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Control unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

What's what
8
What's what
Front view
1 Canopy
2 Hand port
3 Front flap
4 Handle for transport
5 Housing
6 Drawer (2M 50 565)
*
7 Castors
8 Pedals for height adjust ent
*
9 Height adjustable pillar
*
/ Housing support
10 Connection for water heater (LuerLock)
*
11 X-ray drawer / re ovable bed
12 Display
13 Control unit
14 Pillar ele ent
Side view, connections
15 Central alar indicator
16 Sensor unit, te perature connections
17 Mains power connection
18 On/off switch
19 Fresh air filter (MX 17 015)
20 Connection for O 2 for adjust ent
*
21 Water container (2M 50 040)
*
22 Tubing gro et (2M 50 385)
23 Side flap
24 Tubing port (2M 50 412)
25 Feeding gro et, hood (2M 50 352)
* optional equip ent feature
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Operating concept
9
Top view, bed
1 Spirit levels
2 Hot air duct
Operating concept
Control unit
Hard Keys
these per anently defined keys enable the user to select
various functions of Caleo
®
:
3 Scales
*
4 Bed tilt
5 Menu selection/configuration
6 Changeover key: air/skin te perature control
7 Trend display
8 Suppress alar tone
9 Lock key pad function
10 Rotary knob
Visual signals indicate alarm situations
11 Red alar LED
12 Yellow alar LED
13 Power failure alar
Soft Keys
These keys, with variable functions defined by different labels
on the screen, guide the user through the specific routines of
the unit, fro preparing for use to shutting down the unit.
Depending on the current enu, different soft keys with
varying functions and labels are activated.
Only the soft keys required for the current enu actually
appear. This precaution keeps the display clear, preventing any
confusion for the user.
When a soft key is pressed, its function is activated and the
relevant enu is displayed on the screen.
In the standard screen, the soft key labels are as follows:
14 Air/skin te perature
15 Hu idity
*
16 O2*
* optional equip ent feature
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Menu
Air
Skin

Operating concept
10
Rotary knob
A single rotary knob is used to select and set para eters.
●Turn knob = select
●Press knob = confir
Screen
By default, the easured values are displayed as nu eric
values (standard screen).
— Set values and actual easured
values for air te perature/skin te perature
— Set values and actual easured values for relative hu idity*
— Set values and actual easured values for
O2 concentration*
— Alar s and warnings
The screen display can also include a trend graph.
* optional equip ent feature
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Preparation
11
Preparation
Contents
Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Before using for the first ti e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Fitting accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Doors, ports and bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Checking readiness for operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Before using for the first ti e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Before each use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Preparation
Before using for the first time
12
Preparation
efore using for the first time
●Check that all packaging aterials have been co pletely
re oved (see packing slip in the pack).
●Check that the ains power supply voltage atches the
voltage rating specified on the na eplate (see page 123).
●Check that the altitude above sea level is correctly set
(see page 73).
1Screw the extension pole fully into the base fra e and
tighten fir ly. Check that it is securely held in place.
2Slide the holder over the pole and secure it at the required
working height with the cla ping screw.
3Set the control unit to the desired working position and
cla p it securely to the holder with the locking screw.
Make sure that there is sufficient space to swivel and tilt
the control unit!
Fitting accessories
Screw in:
Pole 38 mm/600 (2M 50 691) or alternatively
Pole 38 mm/310 (2M 50 688)
●Re ove the cover plate fro the base fra e.
●Screw the pole fully into the base fra e and tighten fir ly.
Check that it is securely held in position.
Moving the control unit to the opposite side
4Re ove the control unit = loosen the cla ping screw.
5Re ove the holder = loosen the cla ping screw.
●Move the holder to the other pole and set to the desired
working height.
5Fix the holder in position = tighten the cla ping screw.
4Secure the control unit to the holder = tighten the cla ping
screw.
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Preparation
Fitting accessories
13
Infusion support (2M 21 514)
for pole, 38
●Place the fixing cla p on the stand pillar.
●Push the infusion support into the clip and secure by
tightening the cla ping screw.
Swivel table (2M 21 186)
For s all articles, ax. load 3 kg, for ounting on 38 pole
●Place the cla p of the swivel table on the stand pillar and
tighten the cla ping screw.
Make sure that the table has space to swivel freely!
Compact rail (2M 85 337)
Max. load 5 kg, for ounting on 38 pole
This rail must only be mounted by qualified technical staff!
For holding accessories, e.g.
—O2 onitor
●Adjust the height of the co pact rail to the required height
of the ounted accessory.
1Fit the co pact rail to the pole = push the co pact rail over
the pole and
2fasten with the screws.
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Preparation
Fitting accessories
14
ronchial aspiration system (2M 85 125)
Follow the separate Instructions for Use of the bronchial
aspirator.
●Fix the bronchial aspirator holder to the standard rail on the
wall side or handle side.
●Tighten the cla ping lever.
●Establish the hose connections.
asic pole (2M 50 680)
Maxi u load 5 kg
This pole must only be mounted by qualified technical
staff!
For fixing accessories, e.g.
— additional pole extensions (see page 15).
— swivel table (2M 21 186)
— onitor support plate (2M 50 085)
●Fix to the unit in accordance with the separate Asse bly
Instructions.
Tray 3020 (M 24 678)
Maxi u load ust not exceed 2 kg!
●Hang the tray fro the standard rail on the wall or handle
side and secure in position.
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Preparation
Fitting accessories
15
Pole extensions
The following poles can be fixed to the base pole as extension:
— Pole 38 /600 (2M 50 691) or
— Pole 38 /310 (2M 50 688) or
— Pole 25 /600 (2M 50 689).
●Screw the pole into the base pole as far as it will go and
tighten securely. Make sure that it is securely held in place.
Notebook holder (2M 22 171)
Maxi u load ust not exceed 3 kg!
1Fix the holder to the handle rail of the Caleo®.
2Align the holder horizontally with the cla ping screw.
●Check that the holder is securely fixed in position and that
the swivelling echanis is functioning correctly by turning
and tilting the support plate.
Monitor shelf (2M 50 085)
Maxi u load ust not exceed 20 kg!
Shelf for onitor and ventilation equip ent.
This shelf must only be mounted by qualified technical
staff!
To fix the onitor shelf, fit a second 38 pole
(see page 12).
●Fit the onitor holder = slide the plate over both 38
poles and
3fix in position with the screws.
The distance between the monitor shelf and the base
frame must not exceed 20 cm.
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Preparation
Fitting accessories
16
Hose holder for ventilation hoses (84 11 075)
●Open the front flap.
●Raise the bed and pull it out of the incubator.
●Push the attress slightly to one side.
●Place the hose holder in the ounting hole in the bed and
fasten fro underneath with the locking screw.
●Replace the bed in the incubator and close the front flap.
The hose holder can be fixed to any of the four corners of the
bed.
1Clip the ventilation hoses and cables into the clips at the
end of the ventilation hose holder.
O2 enrichment with O2 control*
2Screw the O2 connecting hose into the port underneath the
incubator.
●Connect the probe to the outlet of the central O2 supply
pipeline in the "park" position (see separate Instructions for
Use).
The axi u gas pressure ust be 500 kPa.
O2 monitor
To onitor the O2 concentration, use an O2 onitor that has
alar li its:
●Fix the O2 onitor to the handle rail with the holder.
●Place the sensor capsule in Caleo®.
●Route the sensor cable through one of the flexible tubing
ports. Where applicable, push the sensor plug into the
socket of the O2 onitor (e.g. Oxydig or MiniOx) until it
audibly clicks into place (see separate Instructions for Use
of O2 onitor).
* optional equip ent feature
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Preparation
Fitting accessories
17
Vacuum mattress (2M 17 909)
The contour of the vacuu attress can be altered as required
and is then aintained after air evacuation of the attress.
Extre e positions can therefore be obtained for special
applications. The foa attress can re ain in the incubator.
●Open the front flap.
●Insert and prefor the vacuu attress.
●Place the patient on the attress and finally adjust the
attress to the desired shape.
●Connect the vacuu attress to the hose of the suction
syste .
1Open the valve and evacuate the vacuu attress.
1Close the valve and disconnect the hose.
●Close the front flap.
Fitting the drawer (2M 50 565)
Maxi u load ust not exceed 7 kg.
●Fit the drawer = slide the drawer box into the groove in the
base fra e.
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Preparation
Doors ports and bed
18
Doors, ports and bed
Hand ports
To open the hand ports:
1Press the catch: the relevant hand port swings open.
To close the hand ports:
●Push the hand ports back into place until the catch
engages.
Front flap
To open the front flap:
2Turn the two knobs inwards to the vertical position.
The red latch beco es visible.
●Lower the front flap until it hangs down vertically towards
the floor.
Avoid pinching or ja ing hoses and cables in the re ovable
double wall!
To close the front flap:
●Raise the front flap and press into position,
3Turn the two knobs outwards to the horizontal position until
you feel the click into place.
Make sure that both knobs are engaged in position!
The red latches must no longer be visible!
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Preparation
Doors ports and bed
19
Side flap
●The side flap is opened and closed in the sa e way as the
front flap (see page 18).
Canopy
To open the canopy:
1Grasp the handle on the canopy
and
2lift open (approx. 60o).
Do not tilt the canopy forwards!
3Raise the side support prop, and lower the canopy until the
prop is fixed in the slot of the canopy.
To close the canopy:
1Grasp the handle on the canopy and raise it slightly.
3Fold down the prop
and
●close the canopy.
The canopy can be opened fro both sides.
To re ove the canopy:
4Grasp the handles on the sides of the canopy with both
hands.
5Lift the canopy horizontally off the pillar ele ents.
To replace the canopy:
5Replace the canopy horizontally, so that the guide pins fit
into the holes in the pillar ele ent.
Take care with the sensor unit!
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Preparation
Doors ports and bed
20
Double wall*
To re ove the double wall:
●Re ove the canopy and lay it upside down (on a soft,
non-abrasive surface).
1Squeeze the double wall inwards slightly, and
2release the oblong holes of the double wall fro the
retaining lugs in the canopy.
●Pull the double wall out of the canopy.
To install the double wall:
●Place the canopy upside down (on a soft, non-abrasive
surface).
●Insert the double wall in the canopy.
3On one longitudinal side, fit the retaining lugs of the canopy
into the oblong holes of the double wall.
●Squeeze the double wall inwards slightly and fit the
retaining lugs on the second longitudinal side of the canopy
into the oblong holes of the double wall.
●Turn the canopy the right way up again.
The retaining lugs of the canopy ust re ain seated in the
oblong holes.
Removing the bed
Maxi u load ust not exceed 5 kg
●Open the front flap and fold it down.
Pull the bed out:
4Set both knobs horizontally to the position arked ,
5Pull the bed out towards the front as far as it will go, holding
it by the recessed handle or by the knobs.
When the bed is pulled out, monitor the patient constantly
to prevent the risk of a fall.
Do not lean or rest any weight on the bed when it is pulled
out.
●After co pleting the care procedure, push the bed back in
until it engages. Turn the knobs to the position and
close the front flap.
Push the bed all the way in! Otherwise the hot air duct will
be interrupted, and the patient may be warmed or cooled
excessively!
* optional equip ent feature
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