Dräger Babytherm 8000 OC User manual

Babytherm8000 OC
Resuscitation/Open Care Unit
Instructions for Use
138594
D

Contents
Page
For Your Safety and that of Your Patients................. 3
Intended Use.............................................................. 4
Preparing the Warming Bed ..................................... 5
Adjusting the height .................................................... 5
Storing ....................................................................... 5
Fitting bronchial aspirator.............................................6
Preparing the Stand................................................... 7
Shelf............................................................................7
Compact rail................................................................ 7
Swivel table................................................................. 8
Preparing accessories for oxygen therapy.................... 8
Observe stability......................................................... 9
Preparing the Cot ................................................... 10
Fitting the panels ...................................................... 10
Fitting the holder for breathing tubes ........................ 11
Mattress ................................................................... 11
Fitting the cover ....................................................... 11
Tilting the resting surface ......................................... 12
Preparing the unit for in-hospital transport.................. 12
Checking operational readiness ............................... 13
Patient Care.............................................................. 14
Safety precautions..................................................... 14
Heat Therapy............................................................ 14
Safety precautions..................................................... 14
Mattress Heating .......................................................15
Safety precautions.................................................15
Checking operational readiness.............................15
Operation..............................................................17
Alarms...................................................................19
Shut-down.............................................................19
Radiant Heater........................................................... 20
Safety precausions................................................ 20
Checking operational readiness.............................21
Setting heat output manually.................................. 22
Using skin temperature control.............................. 23
Using timer............................................................27
Positioning halogen lamp....................................... 28
Shut-down.............................................................28
Notes on Settings of the Mattress and Radiant
Heater Heating Systems ..........................................29
Babytherm8000 OC is a registered brand name of Drägerwerk AG
Page
Oxygen Therapy ........................................................32
Safety precautions......................................................32
Administering oxygen with the hood ............................33
Bronchial Aspiration..................................................33
Babylog 2000 ............................................................33
Phototherapy.............................................................34
X-Raying ....................................................................34
Care...........................................................................35
Stripping down...........................................................35
Cleaning, disinfecting and sterilizing ...........................35
Before the next use.....................................................35
Maintenance Intervals ...............................................36
Disposal of NiCd batteries..........................................36
Fault, Cause, Remedy ...............................................37
What is what..............................................................39
Technical Data ..........................................................43
Design and Description.............................................46
Order List ..................................................................48
Index .........................................................................50
Contents
2

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*yearly
by trained service personnel (and a record kept).
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".
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.
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 Medizintechnik GmbH
*
Definitions:
Inspection = examination of actual condition
Service = measures to maintain specified condition
Repair = measures to restore specified condition
Maintenance = inspection, service, repair
3
Safety

Intended Use
Babytherm 8000 OC is an open care 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 intensiv care
units.
The unit may be operate by clinical staff or by nursing
staff under the supervision of a doctor.
Babytherm 8000 OC provides warmth by a radiant
heater and, optionally, by a heated gel mattress.
Therapy and nursing uses:
– resuscitation station
– nursing station for normal and intensive care
– warming-up and compensation for heat loss
– thermal stabilising with mattress heating
– gentle heat therapy with a combination of radiant
heater and mattress heating
– cooling patients with high temperatures (temperature
of mattress below body temperature)
– resting surface adjustable for head-up or head-low
position
– weaning of infants from an incubator
– oxygen and aerosol therapy with appropriate
accessories
– timer for APGAR test
Babytherm 8000 OC heating features
– Radiant heater operating with set heat output:
radiant heater output controlled in manual operating
mode and therapy at raised heat output monitored.
– Radiant heater operating with skin temperature
control:
skin temperature is controlled and monitored.
– Optional heated mattress, independent of radiant
heater:
the temperature of the heating plate is controlled and
monitored so that a pre-selected temperature is set for
the contact surface between infant and mattress.
Skin temperature control must not be used on
children who are in shock or have high temperatures.
Mobile radiotelephones must not be used within
10 metres of the equipment!
Mobile radiotelephones may cause malfunctions in
electromedical equipment.
Options:
– mattress heating
– height adjustment
– swivel unit or two swivel units for Babytherm
with height adjustment
– inner panels
The accessories included in the Order List can be used
with the standard version. Not yet Cmarked.
Optional therapy accessories:
– bronchial aspirator
–O2flowmeter
–O2distributor
–O2distributor with cylinder connection
–O2Oxydig monitor
–O2hood
– infusion bottle holder
– phototherapy unit
Intended Use
4

Preparing
Preparing the warming bed
Adjusting the height
The height adjustment is optional.
Before operation, always check:
●Connect the power supply.
1Press the right pedal briefly to raise the resting
surface.
2Press the left pedal briefly to lower the resting
surface.
●Adjust to comfortable working height.
●Do not place objects in lifting area.
Storing
Unit with height adjustment:
– swivel unit with 2 compartments and 1 table surface,
optional.
Unit without height adjustment:
– 2 open compartments in the column,
– 1 swivel unit with 2 compartments and 1 table
surface, optional.
5
Preparing
Warming bed
Height adjustment
Storing
12

Fitting bronchial aspirator
●Prepare the aspirator in accordance with the relevant
Instructions for Use and check.
Positioning ejector on compact rail
●Attach the compact rail to stand as required,
see page 7.
1Clamp the ejector to the compact rail.
●Attach the holder using the mounting pin:
Decvice with height adjustment
2screw the holder to the column but keep the bottle
holder clear of the swivelling area of the swivel unit.
Device with fixed column
●screw the holder to the left side of the column.
3Attach the bottle holder to the mounting pin.
4Connect the secretion jar to the ejector using the
hose.
●Attach the hose holder to the compact rail.
5Attach the aspiration hose and clip into the hose
holder.
●Screw on the connecting hose and insert the probe
into the terminal unit of the medical gas pipeline
system (in parking position).
Ejector fitted to resting surface
●Attach the holder using the mounting pin:
Decvice with height adjustment
6screw the holder to the column but keep the bottle
holder clear of the swivelling area of the swivel unit.
Device with fixed column
●screw the holder to the left side of the column.
7Attach the bottle holder to the mounting pin.
8Connect the secretion jar to the ejector using the
hose.
9Attach the aspiration hose and clip into the hose
holder.
●Screw on the connecting hose and insert the probe
into the terminal unit of the medical gas pipeline
system (in parking position).
Preparing
Bronchial aspirator
6
1
2
3
5
4
6
78
9

Preparing the stand
Shelf
The unit is equipped with one shelf:
Proceed as follows to fit another, optional shelf:
●Loosen bolts at existing shelf. Change height of shelf
as required and tighten bolts again.
●Insert second shelf at desired height and tighten bolts.
Make sure that the shelf is firmly positioned.
Fitting rails to shelf, optional:
●Screw rail to the left and/or right of the shelf.
●Deposit auxiliary equipment on shelves and rails.
Maximum load per shelf: 20 kg.
Compact rail
To accommodate auxiliary equipment, e. g. O2flowmeter,
O2monitor.
●Attach compact rail to one column of the stand at
required height.
7
Preparing
Stand
Shelf
Compact rail

Swivel table
For small parts, max. load 3 kg.
●Push jaw of swivel table onto one column of the stand
and tighten tommy screw.
●Make sure to keep swivel range clear.
Preparing accessories for oxygen therapy
Oxygen flowmeter
●Prepare flowmeter in accordance with the relevant
Instructions for Use.
Attaching the flowmeter to the compact rail:
1Press the slider all the way down, hook the flowmeter
to the compact rail and release the slider.
2Screw on the oxygen connecting hose.
3Insert the probe of the connecting hose to the socket
of oxygen, and press it all the way in.
Nebulizer
●Prepare nebulizer in accordance with the relevant
Instructions for Use.
4Screw the nebulizer tight onto the flowmeter.
5Clip the hose onto the bushing of the nebulizer.
Preparing
Stand
Swivel table
Accessories for oxygen therapy
8
1
2
3
45
1
2
3
4
5

Oxygen distributor
Different versions are available either for connection to a
pipeline system or an oxygen cylinder.
●Suspend the oxygen distributor from the standard rail.
●Connect the oxygen supply.
●Connect the oxygen load.
Oxygen monitor, e. g. Dräger Oxydig
●Fasten Oxydig onto the compact rail, with its holder.
Turn Oxydig such that the control panel of the measu-
rement unit faces the front.
●Place the oxygen sensor in the cot.
Feed the cable through the flexible hose seals on the
front side. Plug the sensor's plug into the
measurement unit.
●Prepare and use Oxydig in accordance with the rele-
vant Instructions for Use.
Observe stability
The unit is nontilting in accordance with IEC regulations.
The following restrictions are applicable for accommoda-
tion of accessories:
●Be sure not to exceed 30 kg maximum load-
bearing capacity of the stand.
●If accessories which swivel to the front are positioned
on a column of the stand, e. g. on a swivel table, the
maximum load at this column is 5 kg.
9
Preparing
Stand
Accessories for oxygen therapy
Stability

The cot is surrounded by two side panels and two end
panels, which can be opened independently of each
other. The end panels have flexible hose seals.
Fitting the panels
1Insert lower pins into the left- and right-hand guide
grooves.
●Place the panels in an upward position.
2Press the panel down firmly, until the pins lock into
position and lie in the grooves.
●Tilt the panel into a vertical position, and drop it into
the locking position.
●Fit all four panels.
Make sure the panels are seated correctly!
To open:
●Lift the panel all the way up, until the upper pins leave
the guide groove, then fold down the panel.
Recommendation:
In order to prevent the patient from falling out when the
side panels are open, fit inner panels:
●Insert pins in tapered holes and press down slightly
until the inner panel is firmly seated.
With lively children, the optional inner walls should
also be used even when the side panels are closed.
10
Preparing
Cot
Panels
11
22

Fitting the holder for breathing tubes
●Place the tube holder into the hole on the left end
panel.
Mattress
●Select mattress type:
– Operation with mattress heating:
Gel mattress 2 M 20 827, for ideal heat conduction.
– Operation without mattress heating:
Foam rubber mattress 2 M 21 012, for ideal heat
insulation.
Do not swap mattresses!
●Place the mattress in the cot and cover it with a cloth.
Tilting the resting surface
1Pull the unlocking handle toward the front.
2Push down handle = head-up position.
Pull up handle = head-down position.
●Release the unlocking handle; the resting surface
locks into position.
The resting surface can be tilted in gradual steps.
Maximum tilting position:
head-up position: 20°
head-down position: 15°
Preferred positions:
horizontal position,
head tilted up 10°and
head tilted down 10°.
Preparing
Cot
Holder for breathing tubes
Mattress
11
2
1

Preparing the unit for in-hospital transport
●If optional height adjustment is available, lower the unit
to ultimate position.
●Slide swivel drawers inward.
●Slide swivel table inward.
●Accessory equipment wich projects the unit on either
side must be detached or inverted.
●Switch off heating system and unplug mains
connector.
●Detach gas supply hoses from pipeline system.
For in-hospital transport of a patient in
Babytherm 8000 OC:
●Open oxygen cylinder valve.
●Position the cover (accessory) to protect the child
from draughts. The internal temperature can be read
on the thermometer from the cover.
Immediately after transport:
●Plug in mains connector and activate heating systems.
12
Preparation
In-hospital transport

Checking operational readiness
Prior to initial operation
●Check whether the mains voltage agrees with the
values on the rating plate next to the power cable.
●Connect to mains power supply.
Prior to each use
●Was the device disinfected?
●Are the side panels locked securely into place, and
closed?
●Are the side panels free of cracks and sharp edges?
●Is the right mattress in the cot:
Operation with mattress heating: gel mattress,
operation without mattress heating: foam rubber
mattress.
●Does the resting surface tilt properly, and lock
securely into position?
●Is the thermometer in the cover?
●Are the accessories and therapy equipment available,
and in proper working order?
●Is the gas supply for the devices used available and
sufficient?
●Are the cables and hoses installed securely and
properly?
Never route them over panels – they may be pinched
when folding up panels or when fitting the cover.
●Is the therapy equipment in order:
"Heat therapy" chapter, pp. 15-17 and 21, 22;
"Oxygen therapy" chapter, pp. 8, 9, 23;
"Phototherapy" chapter, p. 34.
Preparation
Operational readiness
13

Patient Care
Safety precautions
●Do not leave the cot when the side panels are open.
The patient could fall out!
●When folding up the side panels, do not pinch
patient's body parts, tubes or any other foreign
bodies, such as sheets.
●Check if all 4 panels are closed and locked securely
into place. If so, the yellow panel fixtures are visible
above the resting surface.
Heat Therapy
There are two heating systems for keeping the patient
warm, and for warming up or cooling down:
– Mattress heating (option), see pp. 15-19,
– Radiant heater, see pp. 20-28.
Safety precautions
Monitor the core temperature of the patient
constantly!
Adjust the temperature to the needs of the patient!
An increased amount of heat is directed to the patient
when the mattress heating and the radiant heaters are
used together.
The settings required when these heating systems are
used together or separately are specified on pp. 29-31.
14
Patient Care
Heat Therapy
Safety precautions

Mattress Heating
Safety precaution
When the mattress heating is used, the gel mattress
(Part. No. 2M 20 827) must lie on the heating resting
surface!
Only use the gel mattress as a heat pad for Dräger
Babytherm 8000! Do not use it in Dräger cot
Babytherm 4200 or other cots with heating plate
temperatures above 40 °C, due to the danger of
burns!
Remove all objects with sharp edges. The gel mattress
can be damaged!
Do not fold the gel mattress!
To transport it, roll the gel mattress up.
Take note of the warm-up time of the gel mattress!
Wait approximately 1 hour before laying patients in the
cot, after the gel mattress has had time to warm up
sufficiently.
Consider the effects of additional sources of heat, such
as photo-therapy radiators or radiant heaters. They
increase the heat directed to the patient. Avoid sunlight!
Checking operational readiness
Prior to each use
●See if the gel mattress was disinfected and is in
proper condition.
●Lay the gel mattress flat on the aluminum heating
plate.
Heat Therapy
Mattress Heating
Safety precautions
Operational readiness
15

Switching unit on and activating self-test
1Press the mains switch until it engages = ON.
The microprocessor self-test checks the unit for
proper functioning.
●All LEDs lit. The numeric display shows 88.8 and an
alarm tone sounds.
2After approximately 2 seconds, the unit shows the
standard specified temperature of 37.0 °C (display
blinks).
3The display alternates periodically between SEt and
measured temperature.
4Press button por Pbriefly to adopt the specified
value.
3Display continuously indicates the measured mattress
temperature.
5Whenever the display alternates between Acc and
the measured temperature, and a tone sounds
periodically, the emergency storage battery is not
charged sufficiently.
The storage battery will be fully charged after
approximately 30 minutes of operation. The display
shows the measured temperature continuously, and
the tone does not sound.
To switch off the tone:
6Press the button G, its yellow LED is lit.
The tone can be switched off for 15 minutes.
7The display alternates between Err and the measured
temperature, and
8the red LED Inop is lit – unit inoperative: see p. 37
for "Fault, Cause, Remedy".
Heat Therapy
Mattress Heating
Operational readiness
16
Babytherm 8000
°C
>36 °C
>35 °C Check
D
°C
Babytherm 8000
°C
>36 °C
>35 °C Check
D
°C
3
2
1
Babytherm 8000
°C
>36 °C
>35 °C Check
D
°C
4 4
Babytherm 8000
°C
>36 °C
>35 °C Check
D
°C
5
6
3
78

Checking LEDs, displays and alarm tone:
1Press kbutton:
All LEDs light up for approximately 2 seconds; the
numeric display shows 88.8, and an alarm tone
sounds.
Then displays and LEDs are dark and alarm tone goes
off. After 2 seconds, temperature is displayed again.
The functional check is also possible during operation.
●Check at least once daily.
Checking mains failure alarm
●Pull down mains plug.
2Red LED Nlights up and constant tone sounds.
●Plug in mains plug again.
Unit continues to operate with values set prior to
mains failure alarm.
Operation
Additional external heat sources, such as a radiant
heater, will increase the heat supplied to the patient
and must be taken into consideration.
●Heat up mattress to 37 °C. Allow 1 hour for warm-up.
During warm-up and in standby mode, cover the gel
mattress with a pillow.
●Place patient on the gel mattress, which is covered
with a sheet.
When not operating a radiant heater:
●Cover patient with a blanket.
Do not switch off the heating when a child is lying on
the gel mattress, as the child's temperatur may be
reduced.
17
Heat Therapy
Mattress Heating
Operational readiness
Operation
Babytherm 8000
°C
>36 °C
>35 °C Check
D
°C
1
Babytherm 8000
°C
>36 °C
>35 °C Check
D
°C 2

Setting the specified temperature
The temperature can be varied in 0.1 °C steps.
Setting the temperature in the normal range
(35 °C to 37 °C):
1Press and hold down button por P, until the
desired temperature is shown in the display.
Setting the temperature outside of the normal range:
– extended lower range: 30 °C to 35 °C,
– extended upper range: 37 °C to 38.5 °C.
Set low temperatures only if clinical required.
Watch the patient continuously.
2Press the unlocking button 5,
the yellow LED in the button is lit.
3Hold down the por Pkey, until the desired
temperature is shown in the display.
●Within 1 minute, input a temperature above 37 °C or
below 35 °C.
Otherwise, the LED in the 5button will go out.
The extended temperature ranges will then be locked
again.
When the temperature is outside the range 5 °C
to 45 °C:
– three dashes in the bottom of the display =
the temperature is below 5 °C
– three dashes in the top of the display =
the temperature is above 45 °C.
● See page 37 for "Fault, Cause, Remedy".
Heat Therapy
Mattress Heating
Operation
18
Babytherm 8000
°C
>36 °C
>35 °C Check
D
°C
°C
°C
Babytherm 8000
°C
>36 °C
>35 °C Check
D
°C
1 1
2
33

Alarms
Deviation from specified temperature
In case of deviations greater than ±1 °C between the
specified and actual mattress temperature:
1The red LED ±1 °Cflashes and an intermittent tone
sounds, and
2the display flashes.
The intermittent tone can be switched off for
approximately 15 minutes:
3Press the Gbutton, its yellow LED is lit.
1The red LED is lit continuously.
When the actual mattress temperature has returned to a
value within ±1 °C of the specified temperature:
1The red LED ±1 °Cturns off, and the intermittent
tone goes off.
After the mattress heating is switched on:
– The alarm tone is suppressed for 1 hour (warm-up).
1 The red LED ±1 °Cis lit.
3The yellow LED in the Gbutton is lit.
40 °C alarm
4The red LED 40 °Cflashes, and a continuous tone
sounds.
5The display flashes.
The continuous tone cannot be suppressed.
The alarm stops automatically when the temperature
decreases.
Shut-down
Only for processing when changing patients.
●Press the power switch all the way = OFF.
Then:
●Disconnect from mains power supply.
Do this in the specified sequence. Otherwise, the
mains failure alarm will be activated.
19
Heat Therapy
Mattress Heating
Alarms
Shut-down
Babytherm 8000
°C
>36 °C
>35 °C Check
D
°C
3
4
Babytherm 8000
°C
>36 °C
>35 °C Check
D
°C
4
3
5
1
2
3
4
5

Radiant Heater
Safety precautions
Do not put anything on top of the radiant heater.
Ventilation may be blocked and the radiant heater and the
object placed there may be damaged.
Do not touch top of radiant heater or protective
screen. Danger of burns.
Do not use flammable detergents or medicaments
whilst in operation. Danger of fire.
Any additional external heat sources, such as a photo-
therapy lamp or heated mattress, will increase the
heat supplied to the patient and must be taken into
consideration.
Keep out of direct sunlight.
Do not place medicaments and infusion solutions in
the heated area.
Do not use skin control on children subject to shock.
The skin temperature is distinctly lower than normal.
These children would become overheated if the skin
temperature control system was used.
With children in state of shock – set heater to »Man«
operating mode and take the core temperature every
15 minutes.
Do not use skin temperature control on infants with a
high temperature. Their skin temperature is significantly
higher than normal so that controlling skin temperature
would lead to hypothermia.
Babytherm's measuring functions must undergo regular
technical checks.
See section on "Maintenance Intervals", page 36.
20
Heat Therapy
Radiant Heater
Safety precautions