Stryker Thermaltek 300 Plus Manual

Thermaltek300 “Plus” Portable Warmer
OPERATIONS/MAINTENANCE MANUAL
For Parts or Technical Assistance
1–800–327–0770
IMPORTANT
Keep manual
with warmer
at all times.

Table of Contents
Portable Warmer Operation
WARNINGS 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
INTRODUCTION 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SPECIFICATIONS 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
WARNING / CAUTION / NOTE DEFINITION 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CLEANING 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PRE–OPERATION SET–UP 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OPERATING WARMER 5–7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OVERLAY SPECIFICATIONS 8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PORTABLE WARMER SAFETY FEATURES 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PORTABLE WARMER SUPPORT POST 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
USING THE I.V. POLE ATTACHMENT SYSTEM 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Troubleshooting Guide 11. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fuse Replacement 11. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Filter Replacement 12. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Assembly Drawings and Parts Lists
BASE ASSEMBLY 13. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOSE ASSEMBLY 14. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SHELL AND HOSE ASSEMBLY 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2
Portable Warmer Operation
WARNING
SRead and understand all information in this manual before using the Thermaltek300 ”Plus”Portable
Warmer.
SFederal law (U.S.A.) restricts this device to sale by or on the order of a licensed health care professional.
SDuring warming therapy, the clinician is responsible for monitoring the patient’s condition. It is recom-
mended that the patient’s skin condition, body core temperature, and vital signs be monitored at a mini-
mum of 15 minute intervals. If monitoring does not occur, thermal injury may result, especially if the patient
has the following conditions:
a. Significant peripheral vascular disease (occlusive or diabetic).
b. Low cardiac output.
c. Totally immobilized/anesthetized.
d. Marginal cutaneous perfusion.
Do not use the High temperature setting (110_F) if the patient has any of the conditions (a, b, c or d) listed
above.
Reduce air temperature or discontinue warming therapy when therapeutic goal is reached, vital sign insta-
bility occurs or if the patient’s skin condition is compromised in any way.
This warming system is not intended for use with other external warming devices.
SThe Thermaltek”Plus”Portable Warmer must only be used with a Thermaltekoverlay. Use of any
other warming blanket may result in thermal injury.
SThe Thermaltekoverlay must only be used with the Thermaltek”Plus”Portable Warmer. Using a Ther-
maltekoverlay with any other warming unit may result in thermal injury.
SThe temperature settings on the Thermaltek300 ”Plus”:
High 110_±5_F (43_±3_C),
Medium 100_±5_F (38_±3_C),
Low 90_±5_F (32_±3_C),
are average temperatures at various points around the patient and under the overlay based on a specific
testing protocol. The actual temperature of the air at various points around the patient and under the over-
lay is determined by different factors including, but not limited to, ambient temperature and use of insulat-
ing blankets.
SThe Thermaltek300 ”Plus”Portable Warmer is equipped with an Automatic Temperature Step–Down
(ATS) feature (see page 9 for details) that automatically lowers the temperature from high to medium
after 20 minutes of continuous operation. A brief alarm sounds as the temperature changes. Manual re-
setting is required to select a new temperature. The ATS feature does not preclude the clinician from moni-
toring the patient’s skin condition throughout the usage of the warmer. The patient’s skin condition must
always be monitored at a minimum of 15 minute intervals to prevent patient injury.
SInspect warmer for damage prior to use. If damage is present or warmer has been dropped, do not use
the warmer. Contact your Stryker Service representative.

3
Portable Warmer Operation
INTRODUCTION
This manual is designed to assist you with the operation of the Thermaltek300 ”Plus”Portable Warmer.
Read it thoroughly before using the equipment. The 300 ”Plus”Portable Warmer is for use by qualified medi-
cal personnel only.
SPECIFICATIONS
Dimensions: Depth x Width x Height 13”x 13”x 18”(including handle & support
post)
Dimensions (with Base): Depth x Width x Height 22”x 22”x 42”
Weight 10.5 pounds
Weight (with Base and Overlay Bag) 22 pounds
I.V. Pole Attachment System (I.V. Pole Diameter) 5/8”–1 3/8”
I.V. Pole Socket Support Post (I.V. Pole Socket Diameter) 3/8”–1/2”(without adaptor)
Electrical Requirements 115 VAC, 60 Hz, 8.0 Amp
NOTE
A ground connection is available on the 300 ”Plus”Portable Warmer. It is located next to the power cord and
is marked with the symbol .
WARNING / CAUTION / NOTE DEFINITION
The words WARNING, CAUTION and NOTE carry special meanings and should be carefully reviewed.
WARNING
The personal safety of the patient or user may be involved. Disregarding this information could result in injury
to the patient or user.
CAUTION
These instructions point out special procedures or precautions that must be followed to avoid damaging the
equipment.
NOTE
This provides special information to make maintenance easier or important instructions clearer.
CLEANING
Be sure warmer is unplugged before cleaning. Hand wash all surfaces of the warmer with a damp cloth and
mild detergent. Dry thoroughly.
The warmer hose material is a non water permeable 200 denier urethane coated nylon. It can be cleaned
by wiping it with a standard hospital cleaning/disinfecting solution.
CAUTION
Do not steam clean or hose off the 300 ”Plus”Portable Warmer. Do not immerse any part of the warmer.
Some of the internal parts of the warmer are electric and may be damaged by exposure to water.
To reduce the risk of shock, DO NOT REMOVE COVER. Refer servicing to qualified service personnel.

4
Portable Warmer Operation
PRE–OPERATION SET–UP
WARNING
All electrical medical devices must be tested by qualified personnel for leakage current prior to operation.
Assembly of the Thermaltek300 mobile base/stand is required:
A
B
C
D
1. Using a 3/8”wrench, attach the base tube (A) to
the 5–star base (B) with the bolt (C) and washer (D)
provided.
2. Place the warmer on the base so the support post
rests securely inside of the socket (E) on top of the
base tube.
E
3. An overlay storage bag is available (not shown) and
provides 3 storage compartments for warmer overlays.
Slip the top loop over the top of the base tube and
secure the bag to the bottom of the base tube with the
velcro strap.
WARNING
The 300 ”Plus”Portable Warmer is equipped with a hospital grade plug for protection against shock hazard.
It must be plugged directly into a properly grounded three–prong receptacle. Grounding reliability can be
achieved only when a hospital grade receptacle is used. Risk of explosion if used in the presence of flam-
mable anesthetics.
Inspect warmer for damage prior to use. If damage is present or warmer has been dropped, do not use the
warmer. Contact your Stryker Service representative.
DO NOT operate the warmer with the dust cap on or without fully extending the warmer hose.

5
Portable Warmer Operation
OPERATING WARMER
110_"5_F
43_"3_C
100_"5_F
38_"3_C
90_"5_F
32_"3_C
1
3
3
4
4
2
5
6
7
POWER light indicates when the warmer power cord is plugged into the wall socket.
Press the ONE TOUCH key to immediately set the air flow speed on medium and the air temperature
on high. Or...
Press the HI or LO key to select air flow speed. The warmer fan will start when a temperature is selected.
The LED on the key will light to indicate which air flow speed is selected.
Press and release the Yor Bkey to select an air temperature setting (HI, MED or LO). The correspond-
ing LED will light. The warmer fan will begin operating. The Thermaltek 300 ”Plus”Portable Warmer
is equipped with a ”step–down”feature that automatically lowers the warmer temperature from high to
medium and sounds a brief alarm (3 beeps) after 20 minutes of continuous operation (see page 9).
AMBIENT light indicates room temperature air is being circulated. To circulate ambient air, press and
release the Bkey until the AMBIENT light comes on.
Press OFF/STANDBY to stop warmer operation. The heater and fan will stop and air will stop circulating.
The temperature values indicated on the control panel represent the average temperature of the air at
various points around the patient and under the overlay and are based on specific conditions and test
protocol (see page 9 for details). The values have been rounded to the nearest degree. The actual
temperature of the air around the patient is affected by the room temperature and the use of insulating
blankets.

6
Portable Warmer Operation
OPERATING WARMER (CONTINUED)
INDICATIONS
For patient warming
CONTRAINDICATIONS
Do not apply heat to lower extremities during aortic cross–clamping. Thermal injury may occur if heat is ap-
plied to ischemic limbs.
1. Place the overlay directly on top of the patient, with the perforated side on the patient’s body.
2. Remove the cap from the hose. DO NOT operate the warmer with the dust cap on or without fully
extending the warmer hose.
3. If the hose is retracted, twist the connector to the left or right to align the four tabs. The hose will
spring out. Continue to pull out the hose until the inside connector is centered and the four tabs are
outside the warmer housing. Twist the hose or the inside connector to lock it in place.
4. To connect the hose to a warming overlay, select an inlet on the overlay. Remove the foam core from
the center of the inlet. Grasp the hose connector around the wide raised ridge. While holding the
inlet tab on the overlay, insert the hose, bottom first. Pull the overlay inlet firmly over the hose con-
nector so the inlet covers at least the first ridge on the connector. (Pulling the inlet over the wide se-
cond ridge provides a more secure connection). If an overlay inlet is accidently opened, an adhesive
label is provided in the overlay package to re–seal the opening.
5. To maximize effectiveness, place a cotton blanket over the top of the overlay. Do not place sheets or
blankets between the overlay and the patient.
WARNING
SWhen using the full–body and lower–body overlays, the urethane hose connector must be positioned so
that the hose as it leaves the blanket is parallel to the center tubes of the overlay.
SWhen using the upper–body overlay, the urethane hose connector must be positioned so that the hose
as it leaves the blanket is perpendicular to the center tubes of the overlay.
SPosition the warmer hose so that the air flow is not restricted.
SThe perforated fabric–like side of the overlay must be placed against the patient’s skin to ensure safe
usage. Do not place the polyethylene side of the overlay next to the patient’s skin or thermal injury could
result.
SDuring warming therapy, the patient’s wounds should be covered. If the patient’s wounds are infected,
the possibility of airborne contamination should be considered.
SBefore beginning warming therapy, be sure the patient is dry. If warming therapy is started on a wet pa-
tient, a cooling effect will occur.
SWarming overlays are not sterile and are intended for single patient use only. Placing a sheet between
the warming overlay and the patient does not prevent contamination. Re–use of the warming overlay may
cause cross–contamination.
SDo not sterilize the warming overlays. Materials have not been proven compatible with any sterilization
method. Ethylene Oxide sterilization may leave toxic residue on the warming overlay.
STo prevent suffocation from misuse, do not leave children or infants unattended when administering warm-
ing therapy.
SAvoid direct contact of a laser or an electro–surgical active electrode with overlay material to avoid pos-
sible ignition.

7
Portable Warmer Operation
OPERATING WARMER (CONTINUED)
6. Plug warming unit into a properly grounded wall receptacle and ensure the power light comes on.
7. Activate the warmer by pressing the ONE TOUCH key or press an air flow and an air temperature
key to activate the desired settings.
NOTE
If the HI or LO key is pressed prior to the ONE TOUCH key, the warmer will not activate until a temperature
setting is selected.
8. Select the initial temperature setting based on the patient’s condition as per protocol.
Ambient air for mild cooling.
Low 90_±5_F (32_±3_C) long term therapy for temperature maintenance.
Medium 100_±5_F (38_±3_C) for immobilized/anesthetized patients or those with poor perfusion.
High 110_±5_F (43_±3_C) for patients who are moving all extremities and have normal lower
extremity cutaneous perfusion.
WARNING
The following maximum recommended temperatures may be used as a guide, however, the ultimate decision
is the responsibility of the attending physician. The patient’s skin condition, core temperature and vital signs
must be monitored every 15 minutes and the temperature adjusted accordingly.
Patient Condition Maximum Recommended Temperature
Aortic Cross–Clamping Do Not Apply Heat
Significant Vascular Disease (occlusive or diabetic) Medium
Low Cardiac Output Medium
Totally Immobilized/Anesthetized Medium
Marginal Cutaneous Perfusion Medium
WARNING
Monitor the patient’s core, axillary or skin temperature and skin condition at a minimum of 15 minute intervals
during the warming therapy. Reduce air temperature or discontinue therapy when the therapeutic goal is
reached, if vital sign instability occurs, or if the patient’s skin condition is compromised in any way. Notify
physician of vital sign instability immediately. Temperature in excess of the therapeutic goal may result from
failure to monitor the patient’s temperature every 15 minutes. See CONTRAINDICATIONS for patients who
should not receive therapy.
9. Following warming therapy, the hose can be tucked inside the warming unit and secured by twisting
the hose connector until it fits securely in the warmer housing. Seal the hose cap over the retracted
hose to prevent dust from collecting. The hose can also be stored in the extended position by attach-
ing the end of the hose to the hose cap.
10. The hose can be removed from the warmer if it becomes damaged or soiled. Pull the hose out until
the inside connector is visible. Instead of centering the connector as for normal operation, turn it per-
pendicular to the warmer opening. Squeeze the connector to flatten it, align it with the opening
notches and remove it from the warmer. To reattach the hose perform these steps in reverse.

8
Portable Warmer Operation
OVERLAY SPECIFICATIONS
Materials: Polyolefin = Polyethylene + Polypropylene Inlet Rings = Polyethylene Foam
Incinerability: Results in 98% water and 2% ethylene gas (2% ethylene gas is less than the percentage in the
air we breathe)
Full–Body Overlay (92”long x 55”wide)
Upper–Body Overlay (90”long x 30”wide)
Lower–Body Overlay (58”long x 55”wide)
OVERLAY PART NUMBERS
PACU–FB Full Body –Part Number 300–50–00
OR–UB Upper Body –Part Number 300–52–00
OR–LB Lower Body –Part Number 300–54–00
Overlay Storage Bag –300–68–10

9
Portable Warmer Operation
300 ”PLUS”PORTABLE WARMER SAFETY FEATURES
ALARMS
The warmer is equipped with high and low temperature alarms. If alarm sounds, press the OFF/STANDBY
key to silence the alarm.
High Alarm: Whether the temperature setting is on high, medium or low, when the sensor determines that
the internal temperature of the unit is above the desired range for the setting, it automatically shuts the heater
and fan off. The HI LED will flash and an alarm will sound. Press OFF/STANDBY to silence the alarm. Note:
Refer to the troubleshooting guide on page 11 to help determine the cause for the alarm. After correcting
the problem, reset the desired temperature and air flow settings.
Low Alarm: Whether the temperature setting is on high, medium or low, when the sensor determines that
the internal temperature of the unit is below the desired range for the setting, it automatically shuts the heater
and fan off. The LO LED will flash and an alarm will sound. Press OFF/STANDBY to silence the alarm. Note:
Refer to the troubleshooting guide on page 11 to help determine the cause for the alarm. After correcting
the problem, reset the desired temperature and air flow settings.
AUTOMATIC TEMPERATURE STEP–DOWN
The Thermaltek 300 ”Plus”Portable Warmer is equipped with Automatic Temperature Step–Down, a feature
that automatically lowers the warmer temperature from high to medium and sounds a brief alarm (3 beeps)
after 20 minutes of continuous operation. The warmer will remain on the medium setting until another temper-
ature is selected. Any time the high temperature button is pressed, the internal clock will automatically reset
and another 20 minute period will start.
WARNING
The Automatic Temperature Step–Down feature does not preclude the clinician from monitoring the patient’s
skin condition throughout the usage of the warmer. The patient’s skin condition must always be monitored
at a minimum of 15 minute intervals to prevent patient injury.
PORTABLE WARMER TEST PROTOCOL
SRoom temperature is between 75_F and 80_F.
SA Thermaltekoverlay is placed on a standard stretcher mattress and a single cotton blanket is placed
over the overlay.
SThe warmer hose is positioned as recommended.
SThe warmer is set on high fan speed.
STemperature readings are taken from thermocouples spaced under the center of the overlay. Average
temperature readings are taken once the temperature under the overlay has stabilized.