GE Panda iRes Warmer User manual

GE Healthcare
Panda®iRes Warmer
Operation and Maintenance Manual
Panda iRes Warmer
Operation and Maintenance Manual - English
M1110737 006
© 2007 General Electric Company
All rights reserved

© 2007 General Electric Company
All rights reserved. General Electric Company reserves the right to make changes in
specications 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. Panda 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.

iiiPanda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved
Table of Contents
__________________________________________
Important Safety Information ..................................................................................................................................v
Warnings, Cautions and Notes.........................................................................................................................v
Symbols......................................................................................................................................................................vii
About this Manual ..........................................................................................................................................................ix
Scope and intended users .................................................................................................................................ix
Organization of this manual..............................................................................................................................ix
References..................................................................................................................................................................x
Chapter 1 - Introduction.........................................................................................................................................1-1
System Description and Indications for Use .........................................................................................1-1
Mechanical controls and cable connectors...........................................................................................1-2
Controls and Displays.......................................................................................................................................1-5
Temperature Regulation.................................................................................................................................1-6
Control Modes......................................................................................................................................................1-7
On Screen Help....................................................................................................................................................1-8
Home Screen........................................................................................................................................................1-9
Scale (optional) ................................................................................................................................................. 1-11
Trends................................................................................................................................................................... 1-12
Setup ..................................................................................................................................................................... 1-13
Alarms................................................................................................................................................................... 1-15
Temperature regulation alarms ............................................................................................................... 1-17
Alarm Table........................................................................................................................................................ 1-21
Chapter 2 - System Setup and Checkout Procedures.............................................................................2-1
Mechanical checks ............................................................................................................................................2-1
Controller checks................................................................................................................................................2-4
Ancillary equipment checks ..........................................................................................................................2-7
Chapter 3 - Operating the Warmer ..................................................................................................................3-1
Basic Operating Procedure............................................................................................................................3-1
Start up.................................................................................................................................................................... 3-3
Panda iRes Warmer Flow Chart ..................................................................................................................3-7
Attaching the Skin Temperature Probe....................................................................................................3-8
Setting the manual temperature alarm................................................................................................ 3-11
Raising or lowering the bedside panels................................................................................................ 3-13
Tilting the bed ................................................................................................................................................... 3-14
Raising and lowering the bed.................................................................................................................... 3-15
Using the X-ray tray....................................................................................................................................... 3-16
Using the observation and procedure lights...................................................................................... 3-16
Uninterruptible Power Supply (UPS)........................................................................................................ 3-17
Using the In-Bed Scale (optional)............................................................................................................. 3-17
Weighing procedure ...................................................................................................................................... 3-18
Using the Integrated SpO2 Monitor (optional)................................................................................... 3-22
Using the Integrated Resuscitation System (optional)................................................................... 3-22
Mounting ancillary equipment.................................................................................................................. 3-22
ThermaLink option.......................................................................................................................................... 3-22
Using the Serial Data interface................................................................................................................. 3-22
Using the Nurse Call System interface.................................................................................................. 3-22

Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reservediv
Chapter 4 - Maintenance and Cleaning .........................................................................................................4-1
Repair Policy .........................................................................................................................................................4-1
Maintenance schedule ....................................................................................................................................4-2
Cleaning Instructions........................................................................................................................................4-3
Cleaning the Warmer ....................................................................................................................................... 4-4
Cleaning Solutions .............................................................................................................................................4-5
Cleaning and disinfecting individual components .............................................................................4-6
Patient Probe (reusable) ..................................................................................................................................4-6
Cleaning other components..........................................................................................................................4-7
Appendix A - General Use Items .........................................................................................................................A-1
Ancillary Equipment ..........................................................................................................................................A-1
General Use Equipment ..................................................................................................................................A-1
Appendix B- Specications....................................................................................................................................B-1
Power Requirements and Accessory Outlets........................................................................................B-1
Standards...............................................................................................................................................................B-1
Operating Environment...................................................................................................................................B-1
User Control Settings........................................................................................................................................B-1
Performance.........................................................................................................................................................B-2
Mechanical Specications .............................................................................................................................B-2
Uninterruptible Power Supply (UPS) Specications............................................................................B-2
Appendix C - Electromagnetic Compatibility ..............................................................................................C-1
Appendix D - Conforming with Standards and Directives................................................................... D-1
Appendix E - Additional Safety Information................................................................................................. E-1
GE Service Centers....................................................................................................................... inside back cover

vPanda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved
Before using the Panda iRes Warmer, read through this entire manual. As with all medical equipment,
attempting to use this device without a thorough understanding of its operation may result in patient
or user injury. This device should only be operated by personnel trained in its operation under the
direction of qualied medical personnel familiar with the risks and benets of this type of device.
Additional precautions specic to certain procedures are found in the text of this manual.
Complete the checkout procedures in this manual before putting the unit into operation. If the unit
fails any portion of the checkout procedure it must be removed from use and repaired.
Do not use the warmer in the presence of ammable anesthetics; an explosion hazard exists under
these conditions.
Device alarms are readable only at a viewing angle of 129° from the front of the device. Position the
device for appropriate view of the display.
In the event of loss of Mains power the unit will enter a power fail alarm condition. While in power fail
alarm condition a single red LED will be lit at the left side of the alarm light display. The audible alarm
is a repeating series of three rapid beeps separated by a short pause. The unit will remain in power
fail alarm condition for up to ten minutes, or until mains power is restored. If mains power is restored
in less than 10 minutes the unit will return to operation with the same settings as when power was
lost. If mains power has not been restored within ten minutes the unit will shut down and the LED
indicator and alarm tones will cease. Upon restart of the system after a loss of power of greater than
10 minutes the user may need to reset SpO2parameters.
Always disconnect the power before performing service or maintenance procedures detailed in this
manual. Apply power only if you are specically instructed to do so as part of the procedure.
Thoroughly air dry the warmer after cleaning it with ammable agents. Small amounts of ammable
agents, such as ether, alcohol or similar cleaning solvents left on the warmer can cause a re.
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 convenience of users having proper knowledge, tools and test equipment, and for service
representatives trained by GE Healthcare.
Important Safety Information
__________________________________________

Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reservedvi
WARNINGS, CAUTIONS, NOTES, and SYMBOLS: This section introduces the various
types of warnings, cautions information notes and symbols used in this guide to alert you to possible
safety hazards and to provide you with additional information.
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 identies general warnings, cautions and Notes associated with the use of the
Panda iRes Warmer.
WARNING:
As with all medical equipment, carefully route patient cabling to reduce the possibility of
patient entanglement or strangulation.
WARNING:
Do not lean against side of warmer. Leaning against the side of the warmer may cause it to
tip over.
CAUTION:
U.S. Federal law restricts this device to sale by, or on order of, a licensed medical
practitioner.
CAUTION:
This device is for professional use only, by trained clinicians.
For professional use only
NOTE:
Ranges listed in this manual represent the operational ranges of the equipment. The gauge
ranges may exceed operational ranges.
NOTE:
Air always means medical grade air.
NOTE:
Additional copies of this manual are available on request from the GE Healthcare oce
listed on the inside back cover of this manual.

viiPanda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved
SYMBOLS: This section identies the symbols that are displayed on the Panda iRes Warmer:
Symbol Description
Type BF Equipment
Functional Earth Terminal
Protection Earth Terminal
Alternating Current
Alarm Silence
European Union Representative
Consult instructions for use
Catalog Number
Serial Number
Manufacturer
Do not reuse
Help menu
Patient temperature
Observation light
Scale
Date of manufacture
Do not lean on warmer
Dispose of electrical and electronic equipment as unsorted municipal
waste; must be collected separately
Increase/decrease, up/down
For professional use only Equipment shall be used only by qualied, trained medical personnel.
Do not place items in path of heat.

Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reservedviii
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ixPanda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved
Scope and intended users
This manual describes the features and operation of the Panda iRes Warmer. The Panda iRes Warmer is
used in hospital delivery rooms, hospital newborn nurseries and neonatal intensive care units (NICU).
The intended users for this manual consists of end users of the equipment, primarily care providers in
infant delivery rooms and NICUs, and hospital biomedical engineering services.
Organization of this manual
The organization of this manual is:
Important Safety Information provides important safety information for the safety of both
the patient and the care providers.
Chapter 1 - Introduction describes the Panda iRes Warmer system and the system’s
indications for use.
Chapter 2 - System Setup and Checkout Procedures describes the procedures to set up and
check out the Panda iRes Warmer prior to use.
Chapter 3 - Operating the Warmer describes the procedures to operate the Panda
iRes Warmer.
Chapter 4 - Maintenance and Cleaning provides information on performing maintenance and
cleaning of the Panda iRes Warmer.
Appendix A - General Use Items is a list of general use and ancillary items that may be used
with the Panda iRes Warmer.
Appendix B - Specications provides information on power requirements and accessory
outlets, standards, operating environment, storage conditions, user control settings,
performance and mechanical specications.
Appendix C - Electromagnetic Compatibility (EMC) provides information on the
Panda Ires Warmer’s electromagnetic emissions and the electronic environment that is
compatible with the use and operation of the Panda iRes Warmer.
Appendix D - Conforming with Standards and Directives provides information on the
European Council Directive and the disposal of electrical/electronic equipment.
Appendix E - Additional Safety Information provides information on IEC 60601-1 3rd edition
requirements
Inside back cover provides a geographically organized list of Datex-Ohmeda service centers.
About this Manual
__________________________________________

Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reservedx
References
References to other manuals pertaining to the Panda iRes Warmer are:
• Girae Warmer Operation and Maintenance Manual, M1110734
• SpO2 - Masimo SET Option, Operation and Maintenance Supplement, M1110918
• Resuscitation System - Bag and Mask Option, Operation and Maintenance Supplement M1110023
• Resuscitation System - T-piece Option Operation and Maintenance Supplement, M1109204
• Service Manual - Resuscitation Girae and Panda Warmers, M1128929
• Service Manual - Girae and Panda Warmers, M1128921

1-1Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved
Chapter 1
Introduction
__________________________________________
System Description and Indications for Use
Infant radiant warmers provide infrared heat in a controlled manner to neonates who are unable to
thermoregulate based on their own physiology. Infant radiant warmers may be used to facilitate
the neonate’s transition to the external environment or to provide a controlled open environment.
An optional integrated SpO2 monitoring feature may be used for continuous noninvasive monitoring
of functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate (measured by an SpO2
sensor). An optional integrated resuscitation system may be used to provide the basic equipment
required for pulmonary resuscitation of infants. Pulmonary resuscitation includes practices
necessary to establish a clear airway and provide oxygen or air/oxygen mixtures and/or manual
ventilation to the infant.
The Panda iRes Warmer includes:
• Recessed heater dish
• Dimmable observation lights
• Hands Free Alarm Silence
• Graphical trending features
• APGAR Timer
• Full color control panel
• Resuscitation mattress
• Progressive, adjustable alarms
• Bed tilt
• Dovetail rail system
Optional features include:
• Integrated SpO2monitor
• Aimable procedure light
• Integrated Resuscitation
• Tubing management wall
• In-bed weighing scale
• Elevating base
• Multiple drawer packages
• Wood accents
• Accessories
Figure 1: Panda iRes Warmer

Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved1-2
Mechanical Controls and Cable Connections
Figure 2: Panda iRes Warmer, front oblique view
Feature
number
Description
1Two dimmable observation lights
2Aimable procedure light
3Procedure light “On/O” switch
4Color display screen
5Resuscitation system (optional)
6Bed, with integrated scale
7Front bedside panel
8Bed tilt control lever
1
2
3
4
5
6
7
8
1

1-3Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved
Figure 3: Panda iRes Warmer, side view
Feature
number
Description
9Recessed radiant heater
10 Side bedside panel
11 Front handle
12 Pass trough drawer
13 Two bed height adjustment pedals, up and down
14 Four caster wheels
15 Four brakes
16 Elevating column
17 Tank guard (optional)
18 Scale cable connector
19 Temperature probe Jack
20 High pressure air/oxygen yoke (optional)
21 Maneuvering handle and cord wrap
22 Dovetail rail
9
14
12
13
15
16
10
11
17
18
19
20
21
22

Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved1-4
Mechanical Controls and Cable Connections (continued)
Figure 4: Panda iRes Warmer, rear view
Feature
number
Description
23 RS 232 connector
24 Two accessory power outlets
25 SpO2 Jack
26 Removable rear bedside panel
27 Power cord inlet
28 Mains Power Switch
28
27
26
25
23
24

1-5Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved
Controls and Displays
Figure 5: Control panel and color screen display
Feature
number
Description
1 Power stand-by switch - On the left below the display turns the power to the warmer
“On” and “O”.
2 Oximetry key (optional) - This key retains its same function at all times.
3 Mode key - To select manual or baby mode. This key retains its same function at all
times
4 Temperature/power increase/decrease key - This key retains its same function at all
times
5 Baby temperature - Can be displayed in degrees Celsius or degrees Fahrenheit.
The default setting is degrees Celsius.
6 Alarm silence key - Alarms can be silenced by pushing the key above the display or by
a wave of your hand directly in front of the alarm light.
7Help key - The key with the “?” in the upper right corner brings up the help screen that
explains alarms and functions.
8 Task keys - The ve keys on the right are “soft” keys that change their function de-
pending on what task you wish to perform. They control equipment settings and op-
tions.
9 Dimmer knob - On the right controls the brightness of the observation lights.
10-11 Date and time - Displayed at the bottom of the screen.
1
2
3
4
5
6
7
8
9
10 11

Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved1-6
Temperature Regulation
WARNING:
Do not place the baby in the bed while in Warmup Mode. Warmup Mode is used to quickly
warm and maintain heat to an empty bed. Warmup Mode is not designed for clinical use
with a baby since the Check Baby Alarm is disabled.
Warmup Mode
Screen Step Description
1The Panda Warmer automatically starts
in Warmup Mode. During Warmup Mode
“Check Baby” alarms are deactivated.
If you do not press the “Admit Baby” key
or the “APGAR On/O” key during the rst
minutes after start up, the display will show
“Warming...” and the radiant heater will
automatically run at 100% power.
2After 7 minutes, the display indicates “War-
mup Complete…” and the default
heater power setting decreases to 50%.
The display continues to ash “Admit Baby”
until you press the “Admit Baby” key or
the “APGAR On/O” key and start normal
operation.

1-7Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved
Control Modes
The Panda Warmer has two control modes, Manual Mode and Baby Mode. In Manual Mode, the
warmer controls radiant heater output from a heater power percentage setting that you enter using
the control panel. In Baby Mode, the warmer controls radiant heater output based on temperature
readings from a probe attached to the baby’s skin (skin probe) and a set temperature (set temp) you enter
using the control panel.
Manual Mode
Screen Step Description
1 Manual Mode - Set heater power.
After completing warm up and pushing the
“Admit Baby” key, or the “APGAR On/O”
key the warmer starts in the Manual Mode
with a default 100% heater power setting.
The percentage of full power can be
adjusted in 5% increments using the
temperature/power keys on the left of the
display.
You can monitor the baby’s temperature
with a skin probe in the Manual Mode,
shown in the upper left corner of the display,
but it does not control heater output. If you
intend to use Manual Mode for a prolonged
period of time a skin probe should be
attached to the baby.
WARNING:
Do not leave baby unattended while the warmer is in Manual Mode. Whenever possible,
use the warmer in the servo-control mode (Baby Mode). The Manual Mode requires
constant monitoring of the baby’s condition by the caregiver.
Baby Mode
Screen Step Description
1Baby Mode - Adjust set temperature.
In the Baby Mode the warmer controls
heater output to a desired baby set
temp you enter. Heater output is based
on measured dierences between the
set temperature and the skin probe
temperature reading. You can enter desired
set temperatures from 34 to 37.5 °C using
the increase/decrease keys on the left of
the display, and this value is shown above
the power indicator bar graph in white
numerals slightly smaller than the baby’s
actual temperature. Baby temperature is
shown in green in the upper left corner of
the display.

Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved1-8
On Screen Help
Screen Step Description
1Pushing the “Help” (?) key brings up Help
screen that provides information about
alarms and functions.
When an alarm sounds, pushing the “Help”
key automatically displays information
about that alarm.
The help screen main menu contains
four sections:
1. “Operating Modes” (see Step 2, below),
2. “Functions” (see Step 3, below),
3. “Alarms” (see Step 4, below),and
4. “About” (see step 5, below).
2 “Operating Modes”
Pushing “Operating Modes” brings up
information on warmer modes such as Baby
Mode, etc.

1-9Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved
Screen Step Description
3 “Functions”
Pushing “Functions” brings up information
on warmer features such as APGAR, etc.
4 “Alarms”
Pushing “Alarms” brings up information on
alarms.
5Pushing “About” brings up information on
the current software revision.
Pushing “Exit” brings up the Home Screen.

Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved1-10
Home Screen
Screen Step Description
1 Mode
Current mode setting, “Manual” or “Baby”
mode, is highlighted in blue on the left side
of screen (arrow).
2APGAR On/O
Press the “APGAR On/O” key to start the
APGAR timer and continuously display
time elapsed. A tone will sound at 1, 5, 10
minutes, and every ve minutes thereafter
to remind you to evaluate the baby’s APGAR
score. A visual message will appear for the
1, 5, and 10 minute APGAR times only.
Press the “APGAR On/O” key a second
time to end the timer.
3 Menu
Push the “Menu” key to access the “APGAR
On/O”, “Scale” , “Trends”, “SpO2”, and
“Setup” keys.
Note: If the Scale or SpO2 options are not
installed on your unit, these keys will not ap-
pear on the display.