Ohmeda Panda User manual

Panda™
Baby Warmer
OperationandMaintenanceManual
6600−0371−000−DWG 100 MANUAL−DOC, User Reference Manual, OM Panda, English−default
Reproduced from the electronic master in MATRIX
Approved 2009−6−4 16:13 EET DST Barbara A Hairfield

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Table of Contents
i
This Product will perform in conformity with the description thereof contained
in this operating manual and accompanying labels and/or inserts, when
assembled, operated, maintained and repaired in accordance with the instruc-
tions provided. This Product must be checked periodically. A defective Product
should not be used. Parts that are broken, missing, plainly worn, distorted or
contaminated should be replaced immediately. Should such repair or replace-
ment become necessary, Ohmeda Medical recommends that a telephone or
written request for service advice be made to the nearest Ohmeda Medical
Regional Service Center. This Product or any of its parts should not be
repaired other than in accordance with written instructions provided by
Ohmeda Medical and by Ohmeda Medical trained personnel. The Product
must not be altered without the prior written approval of Ohmeda Medical’s
Quality Assurance Department. The user of this Product shall have the sole
responsibility for any malfunction which results from improper use, faulty
maintenance, improper repair, damage, or alteration by anyone other than
Ohmeda Medical.
CAUTION: U.S. Federal law restricts this device to sale by or on the order
ofalicensedmedicalpractitioner.
User Responsibility
w
6600−0371−000−DWG 100 MANUAL−DOC, User Reference Manual, OM Panda, English−default
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Table of Contents
i
Definitions.......................................................................................................................ii
General Precautions .....................................................................................................iv
Warnings ........................................................................................................ iv
Cautions ......................................................................................................... iv
1/Description
1.1 General ................................................................................................1-1
1.2 SupportStructure.................................................................................1-1
1.3 HeaterAssembly .................................................................................1-1
1.4 ControlUnit..........................................................................................1-1
1.5 BedPlatform ........................................................................................1-2
1.6 Bassinet ..............................................................................................1-2
1.7 Accessories.........................................................................................1-2
2/Setup and Checkout Procedure
2.1 Setup ...................................................................................................2-1
2.2 MechanicalCheckoutProcedure .........................................................2-1
A. OverallAppearance .....................................................................2-1
B. HeaterAssemblyRotation ..........................................................2-2
C. MechanicalChecks.....................................................................2-2
D. Accessory Checks......................................................................2-3
E. Wall Mount Checkout..................................................................2-3
2.3 ControlUnitCheckoutProcedure .........................................................2-4
A. ControlUnitCheck ......................................................................2-4
B. ElapsedTimerCheck ..................................................................2-5
C. ObservationLightCheck .............................................................2-5
D. RaiseandLowerBed SwitchCheck............................................2-5
E. InterlockSwitchCheck................................................................2-6
FPowerFailure,Memory andBatteryTest ....................................2-6
3/Operation
3.1 ControlPanelOperation .......................................................................3-1
A. Displays ......................................................................................3-1
B. IndicatorLights............................................................................3-2
C. Switches .....................................................................................3-2
D. Alarms ........................................................................................3-4
3.2 Preheat,ManualandServoModeOperation ........................................3-7
3.3 ElapsedTimerOperation....................................................................3-11
3.4 BedPlatformOperation......................................................................3-11
3.5 SidePanelOperation .........................................................................3-12
3.6 OxygenAdministration.......................................................................3-13
3.7 GasCylinderInstallationandOperation .............................................3-14
3.8 MountingAccessories .......................................................................3-16
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ii
A. Mounting and Releasing Procedure ........................................ 3-17
B. Adapter Plate Mounting and Releasing Procedure ................. 3-17
3.8 Rotating Drawer Option.................................................................... 3-18
4/Cleaning and Disinfecting
4.1 Cleaning ............................................................................................. 4-1
4.2 Wood Surfaces................................................................................... 4-2
4.3 Reusable Skin Temperature Probe.................................................... 4-2
5/Maintenance
5.1 Repair Policy and Procedure ............................................................. 5-1
5.2 Circuit Breaker Reset ......................................................................... 5-2
5.3 Lamp Replacement ............................................................................ 5-2
A. Alarm Lamp Replacement ......................................................... 5-2
B. Observation Lamp Replacement............................................... 5-3
5.4 Yoke Manifold Assembly.................................................................... 5-5
5.5 Battery Test........................................................................................ 5-5
5.6 Maintenance Schedule....................................................................... 5-6
A. Operator Maintenance............................................................... 5-6
B. Service Maintenance ................................................................. 5-6
6/Illustrated Parts
Appendix
Temperature Conversion Chart .................................................................. A-1
Servo Mode Algorithm ................................................................................ A-2
Infant Warmer System Specifications......................................................... A-2
Electrical.............................................................................................A-2
Controller............................................................................................ A-3
Alarms ................................................................................................ A-4
Environmental Specifications ............................................................. A-5
Electromagnetic Compatibility (EMC) ................................................ A-6
Mechanical (Without Accessories) ..................................................... A-6
Bassinet .............................................................................................A-6
Accessories........................................................................................ A-7
Radiant Energy Distribution ............................................................... A-8
Installing wall mounted units....................................................................... A-9
Pre-Installation Preparation.............................................................. A-10
Warmer Installation .......................................................................... A-10
Warranty
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Note: A Note provides additional information to clarify a point in the text.
Important: An Important statement is similar to a note but used for greater
emphasis.
CAUTION: A Caution statement is used when the possibility of damage to the
equipment exists.
WARNING: A Warning statement is used when the possibility of injury to the
patient or the operator exists.
Symbols
Attention!Consultthemanualformoreinformation.
TypeBequipment.
FunctionalEarthTerminal
ProtectionEarthTerminal
Increase%PowerorControlTemperature
Decrease%PowerorControlTemperature
AlarmSilence
AlternatingCurrent
Do not place an infant on this surface
European Union Representative
Definitions
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Notes
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ww
ww
wWarnings
Before using the Ohmeda Medical PandaTM Baby Warmer System, read this
entiremanual.Attempting tousethis devicewithouta thoroughunderstanding
of its operation may result in patient or user injury. This device should only be
operatedby personneltrained inits operationandunderthedirectionofqualified
medical personnel familiar with the risks and benefits of this type of device.
Additional precautions specific to certain procedures are found in the
text of this manual.
Do not use the Warmer in the presence of flammable anesthetics; a possible
explosion hazard exists under these conditions.
DonotperformtheCheckoutProcedures(MechanicalandControlUnit)whilea
patient occupies the Warmer.
Completethe“CheckoutProcedures”sectionofthis manualbeforeputtingthe
unit into operation. If the warmer fails any portion of the checkout procedures it
must be removed from use and repaired.
Do not use the Warmer system if the system failure alarm is activated. Remove
the unit from service and refer to qualified personnel for repair.
ww
ww
wCautions
Only competent individuals trained in the repair of this equipment should
attempt to service it as detailed in the service manual. The Service Manual
provides detailed information solely for use by individuals having proper
knowledge, tools and test equipment, and for service representatives trained
by Ohmeda Medical.
General Precautions
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Notes
6600−0371−000−DWG 100 MANUAL−DOC, User Reference Manual, OM Panda, English−default
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1-1 6600-0371-000 10/27/03
1/Description
1-1
In this section
1.1 General ................................................................................................................1-1
1.2 SupportStructure.................................................................................................1-1
1.3 HeaterAssembly .................................................................................................1-1
1.4 ControlUnit..........................................................................................................1-1
1.5 BedPlatform ........................................................................................................1-2
1.6 Bassinet ..............................................................................................................1-2
1.7 Accessories.........................................................................................................1-2
1.1 General
TheOhmedaMedicalPandaTM BabyWarmerprovidesacontrolledsourceofradiantheat
forinfantsandpediatric patients.Thecontrolsystem uses amicroprocessorandprovides
bothmanualandservomodesofoperation.Thepatienttemperature,controltemperature,
andelapsedtimedisplays aredigitalforease of viewing.Thecontrolpanel includesaone
hour elapsed timer with time displayed in minutes and seconds. The timer features
optionalaudibletonesforuseduringApgarscoring. Acompleteaudio andvisualalarm
system is included on the control panel.
1.2 Support Structure
Thesupportstructureprovidesexcellentstabilityfortheradiantheaterandoptionalaccessories.On
thefreestandingunit,the supportstructureconsistsofthebaseassemblyand theuprightswithan
integralrailsystem.Therailsprovideameansformountingaccessoriesandancillaryequipmentto
theunit.Referto Section1.7fora description oftheaccessory items.
1.3 Heater Assembly
Thewarmerisdesignedtowarminfantsonabedsurfacelocatedbeneaththeheaterassembly.
WARNING: wBed-to-heater spacing less than the recommended 64 cm will result in incor-
rect operation and may adversly affect the patient’s condition.
Foryourconvenience,onthefreestandingunittheproperbed-to-heaterspacingisindi-
catedbyalabellocatedon the right aluminumupright(asviewedfromthe front).
Theheaterassemblyconsistsofaradiantheater,parabolicreflector,observationlight,and
avisualalarmlight.Theparabolicreflectorfocusesradiantenergyonthebed surface,
minimizingenergylossduetoscatteringandprovidinganevenfieldofradiantheatoverthe
bedsurface.Theobservationlightprovidesintenselightforprocedures.Thealarmlightis
locatedonthe end oftheheaterassembly foreaseofviewing. Theentireheaterassembly
rotatestothesideforX-rayproceduresandforobservationlampreplacement.
1.4 Control Unit
The control unit contains the electronic circuits and controls used to operate the radiant
heaterandtheobservationlight.The controlunit performsregularself checks during its
operationincludingfailurediagnostics.
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1/Description
1-2
When the unit is first turned on, it automatically operates in the preheat mode, and will
continuetodosountilthemode,increase/decreaseorApgarbuttons are pressed. Then
a tone will prompt the operator to select a heater power percentage in the manual mode.
Eithermanualor servo modeofoperation may beselected.Inthe manualmodeof
operation, select the level of radiant heat output as indicated by the % power display on
the control panel. The control circuit then maintains the selected level of radiant heat. In
the servo mode of operation, select the patient’s control temperature. A skin temperature
probe is used to monitor the patient skin temperature. The control system modulates the
radiant heat to maintain the patient at the selected control temperature. The patient’s
skin temperature is continuously displayed.
Alarms activate to alert the operator of a low or high patient temperature, a skin tempera-
tureprobe failure,apowerfailure,equipmentfailureoracheckpatientprompt.
1.5 Bed Platform
The warmer with a bed includes a mattress and transparent side panels. The side panels
folddownforeasyaccesstothe patient and can beremovedforcleaning.Thetiltablebed
platformallowsTrendelenburgandreverseTrendelenburgpositioning. Thehydraulic
systemforthetiltable bedprovidesasmooth,dampened motiontoavoiddisturbing the
patient.
1.6 Bassinet
Twobassinetsmodelsareavailableforusewiththefreestandingwarmers.One with
removabedropsidepanelsandmattress,andonewitharemovabletub.Transparent
locking sidepanelsfold down for easypatient access and areremovable for cleaning. A
tiltablelockblockallowsTrendelenburgandreverseTrendelenburgpositioningatthe 8°
tiltposition.Three drawers openfromthe sideforstoringequipment orsupplies.Thetop
drawer is provided with a key lock. Front casters lock to hold the bassinet in place.
1.7 Accessories
The rail mounting system is the basis for most of the accessories for the Warmer. This
patenteddesignconsists ofadovetailshaped aluminumextrusionanda positivelocking
mounting block. Mounting blocks are attached to various accessories for mounting to the
railsystem.Themountingblocksareproducedintwo standard lengths and are machined
to accommodate each specific accessory.
Accessorieswhichmount onasingleuprightareinterchangeablebetweenallmodel
Warmers.
Accessories can only be mounted to the inside dovetail rail on each upright of the free
standingwarmer.
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2/Setup and Checkout Procedures
2-1
In this section
2.1 Setup ...................................................................................................................2-1
2.2 MechanicalCheckoutProcedure .........................................................................2-1
A. OverallAppearance.........................................................................................2-1
B. HeaterAssemblyRotation..............................................................................2-2
C. MechanicalChecks ........................................................................................2-2
D. Accessory Checks .........................................................................................2-2
E. Wall Mount checkout......................................................................................2-3
2.3 ControlUnitCheckoutProcedure ......................................................................... 2-4
A. ControlUnitCheck .........................................................................................2-4
B. ElapsedTimerCheck .....................................................................................2-4
C. ObservationLightCheck.................................................................................2-5
D. Raise andLower Bed SwitchCheck ...............................................................2-5
D. InterlockSwitchCheck...................................................................................2-6
E. PowerFailure,Memory andBatteryTest........................................................ 2-6
2.1 Setup
Refer to the setup instructions shipped with the warmer for initial unpacking and setup of
the unit after shipment.
Afterremovalfromtheshippingcontainers,inspecttheOhmedaPandaBabyWarmerandall
accessoryitemsforany signsofdamagewhichmay haveoccurredduringshipment. File a
damageclaimwiththeshippingcarrierif damagehasoccurred.Alsoconfirm thepresenceof
all accessory items or factory installed options as listed on the packing slip.
2.2 Mechanical Checkout Procedure
WARNING: wBefore using the Ohmeda Panda Baby Warmer, read this entire manual.
Attempting to use this device without a thorough understanding of its
operation may result in patient or user injury.
wDo not perform the Checkout Procedures (Mechanical and Control Unit)
while a patient occupies the warmer.
wComplete the “Checkout Procedures” section of this manual before putting
the unit into operation. If the warmer fails any portion of the checkout
procedures it must be removed from use and repaired.
A.Overall Appearance
1. Disconnect the power cord from the ac power source for the mechanical checks
portionofthisprocedure.
2. Checktheoverall appearanceofthe PandaBabyWarmer/ BassinetSystem.There
shouldbenoobviousdamage.
3. Check that all casters are in firm contact with the floor and that the warmer is stable
andmovesfreely.
For the free standing warmer, check that all six casters on the warmer move freely.
Note: On the free steanding warmer, it is possible that the two center casters may not
be in contact with the floor at all times.
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4. Lock the two front casters and check that the warmer is held in place. On the free
standing warmer, lock the two rear casters and check that the warmer is held in place.
5. For the free standing warmer, place the bassinet on a level surface. Check that all four
casters are in firm contact with the floor and that the bassinet moves freely.
6. Examinethe powercordfordamage.Replacethepowercordifdamageisevident.
7. Examine the unit for objects placed on top of the heater assembly.
8. Checkheater-to-bedspacingfalls withinrangesspecifiedin "1.3 HeaterAssembly".
WARNING: wDo not place any accessories or other objects directly over the bed surface.
This may block radiant heat energy and lead to cooling of the infant.
wDo not place items on top of the heater assembly. Items placed on top of
the heater assembly can fall and injure the patient, prevent adequate
ventilation of the heater assembly, and may pose a fire hazard.
B. Heater Assembly Rotation
Rotate the Heater Assembly to the side and then back to the normal position. Check for a
smoothrotation.
C. Mechanical Checks
1. Check the operation of the bed sides. The bed sides should operate smoothly.
WARNING: wRegularly inspect the bed side panel latching mechanism to ensure proper
operation and to prevent the infant falling off the bed.
2. Check the operation of the tilt mechanism. Verify that the bed platform operates
smoothlyandlocksinnormal,TrendelenburgandreverseTrendelenburgpositions.
3. If the drawer package is installed, check that all the drawers open and close freely. On
unitswiththerotatingdrawer package, make surethedrawersrotatefrom front to 90°
left and right and firmly stop in the detented positions.
WARNING: wOverloading the drawers can affect the stability of the unit. Limit the load
to 4.6 kg per drawer.
D. Accessory Checks
Perform these checks if they are applicable.
1. Check that all accessories are mounted securely and that the load limits are not
exceeded.
2. Checkthatallgasaccessoriesareinstalledandoperatingproperly(refertoSection3.9).
3. Whereapplicable,performthecheckoutproceduresdetailedintheOperationand
MaintenanceManualsfortheaccessories.
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0000
00000000
WARNING: wLimit the load of accessories to 23 kg per side on the Warmer to ensure
stability. Always try to evenly distribute the weight of accessories on both
sides of the unit for a more balanced load. Accessories should not be
mounted more than 142 cm above the floor. For free standing warmers,
limit the load of accessories to 9 kg maximum per side mounted no more
than 112 cm above the floor.
E. Wall Mount Checkout
Figure 2-2
ControlPanel
Patient
Temperature Elapsed TimeDisplay
Control
Temperature Heater Power%
Increase
Decrease ElapsedTime Start/Hold
and Reset
Light
On/Off
Switch
Apgar
Tones
On/Off
Apgar
Indicator
Alarm
Lights Alarm
Silence Mode
Switch
Mode
Indicators
Bed
Controls*
* Bed controls present on elevating bed models only.
CI.14.096
Figure 2-1
Wall mount pin insertion
1. Verify that the warmer is rigidly secured to the wall and the heater assembly is level.
Note: Toaccessthecontrol unit anddisplaymoduleforservice procedures, either
hingepinmayberemoved,allowingthe warmertopivotawayfrom thewall.
2. Check that both hinge pins are in place and fully inserted with the pin heads at the
top of the hinge.
WARNING: wIn the service position the strength of the hinge bracket is reduced. Never place a
patient in the bed when the heater is in the service position. Never leave the unit
unattended in the service position or with either pin removed.
CI.44.005
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2/Setup and Checkout Procedures
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2.3 Control Unit Checkout Procedure
WARNING: wDo not perform the Checkout Procedures (Mechanical and Control Unit)
while a patient occupies the warmer.
wComplete the “Checkout Procedures” section of this manual before
putting the unit into operation. If the warmer fails any portion of the
checkout procedures it must be removed from use and repaired.
A. Control Unit Check
1. Connectthewarmerpowercordtoanappropriatepowersource.Refertotherating
plateontheWarmerforthepropervoltageneeded.SwitchthepowerOnandverify
thefollowingontheControlPanel(Figure2-2):
a. Thealternatingtwotone audiblealarmsoundsand alldisplaysandindicators are
lit for approximately two seconds.
Note: During this time the controller also performs self check functions. If the
controller detects a failure, the alarm stays on and service is required.
Note: All alarms except system failure or power failure are preceded by a 30
secondintermittentoperatorprompttone.
b. Thedisplayflashes"PrEHEAT" until the mode,increase/decreaseorApgar
touch switches are pressed. Press the decrease touch switch.
c. The manual mode indicator is lit.
d. Operatorprompttonessound and the%powerdisplay flashes.
2. Adjust the heat output with the increase (M) and decrease (?) touch switches to
attain the high and low limits as indicated by the % power display.
3. Connecttheskintemperatureprobetothewarmer.
4. Press the mode touch switch to place the warmer in the servo mode and verify the
following:
a. Theservomodeindicator is lit.
b. Anoperatorprompttonesoundsandthecontroltemperaturedisplayflashes36.5°C.
5. Press the increase (M) touch switch and verify that the maximum servo control
temperatureattainableis37.5°C.
Note:Apatienttemperaturealarm occursifthe differencebetweenthepatient
temperatureandthecontroltemperatureisgreaterthan1°C(thedifferencecanbe
adjustedto0.5°Cbyaqualifiedserviceperson).
Note:Analternatingtwotonealarm,aflashingoverheadalarmlight andaflashing
patienttemperaturedisplaymayoccurhereiftheskintemperature probe is below
30°C. Warm the probe with your fingers or silence the alarm.
6. Pressthedecreasetouch switch and verifythattheminimumservo control tempera-
tureattainableis35.0°C.
7. Disconnecttheskintemperatureprobe.Verifythefollowing:
a. Theprobefailureindicatorlightislit.
b. Thereisanalternatingtwotonealarm.
c. Theoverheadalarmlightisflashing.
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2-5
d. Thepatienttemperaturedisplayflashes“HH.H”.
Note: The functionality of the remainder of the alarms is continually checked by the
microprocessorsoftwareduringnormaloperation.Ifafaultoccursinanyofthiscircuitry,
an indicator lights and a tone is sounded. The patient alarm can be verified manually by
placing the unit in the manual mode and setting the power to 50%. After 12 minutes, the
patientalarmshouldsound.
Additionally,acomputer independent”watchdog“circuit willresetthecomputer,turnoff
theheater,andactivatethe alarmsintheeventofamicroprocessorfailure orsoftware
failure.
8. Press the alarm silence touch switch and verify the following:
a. Theprobefailureindicatorlightislit.
b. Thealternatingtwotone alarm is silenced.
c. Theoverhead alarmlight islit.
d. Thepatienttemperaturedisplayindicates“HH.H”.
e. Afterone minute,the alternatingtwotonealarmsounds,theoverheadalarm
flashesandthepatienttemperaturedisplayflashes“HH.H”.
9. Switch to the manual mode and set the heat at 25% power.
B. Elapsed Timer Check
1. Press the Start/Hold touch switch to activate the elapsed timer. Verify that the timer
startsoperating.
2. Press the Apgar tones On/Off touch switch for the Apgar tones. Verify that the
indicator light for the Apgar tones is extinguished.
3. Press the Apgar tones On/Off switch for the Apgar tones again. Verify that the
indicator light for the Apgar tones is lit.
4. Press the Start/Hold touch switch. Verify that the present elapsed time is held.
5. Press the Start/Hold touch switch and verify that the timer updates to the current
elapsed time and the Apgar tones continue to sound at the specified times (at 1
minuteandatevery 5 minuteintervalafterthe elapsed timerhasstarted).
6. Press the Reset touch switch and verify that the timer indicates “00:00”. If the
elapsed timer is not used for approximately two minutes, the display switches off.
C. Observation Light Check
Press the Light On/Off touch switch. Verify that the observation light functions.
D. Raise and Lower Bed Switch Check
(ElevatingModelsOnly)
CAUTION:wDo not continue to run the motor at the upper and lower limit positions; equip-
ment damage may result.
1. Press the Raise Bed touch switch and verify that the bed raises to a maximum of
118cmoffthe floor.
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2. Press the Lower Bed touch switch and verify that the bed lowers to a minimum of 98
cmoffthefloor.
3. Press the foot switches on both sides of the unit and verify that they raise and lower
thebed.
E. Interlock Switch Check
1. Place the warmer in the manual mode at 25% power output.
2. Rotate the heater assembly to the side. Verify that the heat off indicator light is On
and the % power display indicates 0% heat.
3. Rotate the heater assembly to the normal operating position. Verify that the heat off
indicator light is Off and the % power display indicates 25%.
F. Power Failure, Memory and Battery Test
1. Operate the unit in the manual mode with the heat set at 25% power for a minimum
of one hour to charge the battery.
Note: The battery must be fully charged to pass the 10 minutes test or partially
charged to pass the two minute test. If the battery is defective, replace it. Refer to the
servicemanual. Thereis no maintenancerequiredfor thebattery.Thebattery hasa
twoyearreplacementschedule.
2. RemovetheWarmerpowerplugfromthepowersourcefortwominutes.Donot
switchthepowerOff.The powerfailurealarmshouldsound fortwominutesandthe
powerfailureindicator onthedisplaypanel lights.
Note: If the power failure alarm is tested for 10 minutes, the warmer must be con-
nectedtothecorrectpower source and operatedfor24hoursto recharge the battery
beforeallowingapatienttooccupythe Warmer.
Note: Thepowerfailurealarm will notoperateifthe circuitbreakertrips.
3. Reconnectthewarmertothe powersource.Verifythefollowing:
a. Thewarmerisoperatinginthemanualmode.
b. The heat output is still set at 25% power.
c. Theaudiopowerfailurealarmisoff.
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3/Operation
3-1
In this section
3.1 ControlPanelOperation .......................................................................................3-1
A. Displays .........................................................................................................3-1
B. IndicatorLights ...............................................................................................3-2
C. Switches ........................................................................................................3-2
D. Alarms............................................................................................................3-4
3.2 Preheat,ManualandServoModeOperation .....................................................3-7
3.3 ElapsedTimerOperation.................................................................................... 3-11
3.4 BedPlatformOperation...................................................................................... 3-11
3.5 SidePanelOperation ......................................................................................... 3-12
3.6 OxygenAdministration....................................................................................... 3-13
3.7 GasCylinderInstallationandOperation ............................................................. 3-14
3.8 MountingAccessories ....................................................................................... 3-16
A. MountingandReleasingProcedure .............................................................. 3-17
B. AdapterPlateMountingandReleasingProcedure ........................................ 3-17
3.9 RotatingDrawerOption ...................................................................................... 3-18
3.1 Control Panel Operation
(Control Panel is shown in Figure 2-2)
A. Displays
•PatientTemperature
•ControlTemperature*
•%Power
•ElapsedTime*
*During the preheat mode "PrE HEAT" flashes in the control temperature and elapsed time displays.
Patient Temperature:
Thepatienttemperaturedisplay indicatesthetemperaturesensedat theskintempera-
tureprobetip. The skintemperatureprobemust beproperlyconnectedto thewarmerand
theinfantforanaccuratepatienttemperaturemeasurement.Therangeoftemperature
measurementisfrom30.0to42.0°C,witharesolutionof0.1°C.Temperaturesabovethis
rangeresultinan“HH.H” patient temperaturedisplayandbelowthis range resultinan
“LL.L”patienttemperaturedisplay.
Control Temperature:
Thecontroltemperaturedisplay indicates thecontroltemperatureyou select intheservo
mode.Theservocontroltemperaturerangeisfrom35.0to37.5°C.Thecontroltempera-
ture display is not active in the manual mode.
% Power:
The%powerdisplayindicatesthe percentage of maximum powerthatisbeingsupplied
to the radiant heater in 5% increments.
Power settings between 0 to 25% allow operation without the 12 minute check patient
alarminthemanual mode.
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Elapsed Time:
The elapsed time display indicates elapsed time in minutes and seconds up to a maxi-
mum of 60 minutes.
B. Indicator Lights
•ServoModeIndicator
•ManualModeIndicator
•ApgarTonesIndicator
Servo Mode Indicator:
The servo mode indicator lights when the warmer is in the servo mode of operation.
For proper operation of the warmer in the Servo Mode see section 3.2.
Manual Mode Indicator:
Themanualmodeindicatorlights when thewarmerisinthe manual modeofoperation.
Forproperoperationofthewarmerinthe Manual Mode see section 3.2.
WARNING: wUse the servo mode unless the manual mode is specifically prescribed.
While both modes require patient monitoring, the manual mode requires
constant attention. In the manual mode, you must take the responsibility
for making heater adjustments or environmental changes in response to
the following conditions:
•patient size and weight;
•bed to heater head height differences;
•changes in the environment (drafts, direct sunlight, phototherapy lamp
usage, etc.);
•changes in the patient condition
In the servo mode, the warmer automatically adjusts heater output to
maintain the desired skin temperature, reducing (but not eliminating) the
need to monitor the patient and make environmental adjustments to
ensure adequate patient temperature.
Apgar Tones Indicator:
TheApgartonesindicator lights when theApgartonesare activated, and theApgartimer
isrunning.
C. Switches
•ModeSwitch
•Increase(M)andDecrease(?)Switches
•AlarmSilence
•Start/Hold
•Reset
•ApgarTonesOn/Off
•LightOn/OffModeSwitch
•Raise Bed (M) (Elevating models only)
•LowerBed (?)(Elevatingmodelsonly)
6600−0371−000−DWG 100 MANUAL−DOC, User Reference Manual, OM Panda, English−default
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This switch is used to select either the Manual or Servo mode of operation. An audio tone
sounds momentarily when the mode switch is depressed.
Increase (MM
MM
M) and Decrease (??
??
?) Switches:
Theseswitchesareusedtoset the radiant power level(%power)inthemanual mode
and to set the control temperature in the servo mode.
Alarm Silence:
This switch is used to silence the audible alarm. It silences all alarms except the system
failurealarm.Referto Table 1-WarmerAlarmsfor details onhowlongthe audible alarms
aresilenced.
Holdingthisswitchdepressedforfivesecondsorlongeractivatestheaudiblealarmand
lights all the indicator lamps for testing purposes.
Start/Hold:
This switch activates the elapsed timer. Refer to the elapsed timer operation, Section 3.3,
foradetailedexplanation ofitsfunction.
Reset:
This switch is used to reset the elapsed timer to “00:00”.
ApgarTonesOn/Off:
This switch activates the Apgar tones. When the Apgar tones are activated, a short alarm
toneissounded atoneminuteand everyfiveminuteinterval aftertheelapsed timeris
started.
LightOn/Off:
This switch activates the observation light located in the heater assembly.
WARNING: wProlonged exposure to the light emitted by the observation lamp in this
unit may harm the unprotected eyes of the infant. For safety, cover the
infant’seyes.
Raise Bed (MM
MM
M) (Elevating Models Only)
WARNING: wCheck for proper clearance above the Warmer and below the bed surface
before raising or lowering the bed.
wInspect all patient connected tubes or wires before and after moving or
tilting the bed. Tilting or moving the warmer bed up or down can pull on
tubing or leads connected to the patient. This may disconnect tubes or
leads, restrict gas or liquid flow, or move sensors out of position.
CAUTION: wDo not continue to run the motor at the upper and lower limit positions; equip-
ment damage may result.
This switch raises the bed to a maximum height of 118 cm from the floor.
Lower Bed (??
??
?) (Elevating Models Only)
This switch lowers the bed to a minimum height of 98 cm from the floor.
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On/Off Power Switch and Circuit Breaker:
(SeeFigure3-1.)
TheOn/Offpowerswitchislocatedontheleftsideof thecontrollerassembly (asviewed
fromthefront)nearthepowercordsocket.It is used for switching the power to the
warmer(OnandOff).The switch is alsoacircuitbreaker and limits themaximumcurrent
drawn by the unit. If this circuit breaker trips when the warmer is operating, the power switch
isdeactivatedtotheOffposition.Toresetthecircuitbreaker, return the power switch to the
Onposition.If thecircuitbreaker tripsagain,serviceis required.
CI.05.009
On/OffSwitch
(I-On,O-Off)
Figure 3-1
On/OffPowerSwitchwithbuilt-in circuitbreaker
D.Alarms
All alarms except system failure and power failure are preceded by a 30 second intermit-
tentoperatorprompttone.
•ProbeFailureAlarm
•PatientTemperatureAlarm
•System Failure Alarm
•HeatOffAlarm
•Check Patient Alarm
•PowerFailureAlarm
Probe Failure Alarm:
Theprobefailurealarmisonlyactiveintheservomodeofoperation.Thealarmactivates
when the skin temperature probe fails electrically due to an open or short circuit, or is
disconnectedfromtheWarmer. Theheaterdeactivatesandthepatienttemperature
display flashes “HH.H” or “LL.L” when this alarm condition exists.
Patient Temperature Alarm:
Thepatienttemperaturealarmisonlyactiveintheservomodeofoperation.Thealarm
activateswhenthedifferencebetweenthepatienttemperatureandthecontroltempera-
tureisgreaterthan1°C.Whenthe patient temperature returns to within0.8°Cofthe
control temperature, this alarm is automatically reset.
Note:Ifthepatienttemperatureprobereadsbelow30°Corabove42°Cinservomode,the
heaterisdeactivatedand“LL.L”or“HH.H”respectively,appearsinthepatienttemperature
display.
Note:Qualifiedservicepersonnelcanadjustthealarmtotriggeratadifferenceof0.5°C
andreset atadifferenceof0.3°C.
6600−0371−000−DWG 100 MANUAL−DOC, User Reference Manual, OM Panda, English−default
Reproduced from the electronic master in MATRIX