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Ohio

Care Plus

Series 1000/2000
Incubator
Operation and Maintenance Manual
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Table of Contents
v v 6600-0291-000 2/24/97
User Responsibility
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 instructions 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 immedi-
ately. Should such repair or replacement become necessary, Ohmeda recommends
that a telephone or written request for service advice be made to the nearest Ohmeda
Regional Service Center. This Product or any of its parts should not be repaired other
than in accordance with written instructions provided by Ohmeda and by Ohmeda
trained personnel. The Product must not be altered without the prior written approval of
Ohmedas 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.
Important This manual is subject to periodic review. Customers are cautioned to obtain and
consult the latest manual revision. Suggestions are also invited from customers for
consideration by Ohmeda in connection with these periodic reviews. Customers
may contact product service at 1-800-345-2755 or by writing to Ohmeda at P.O.
Box 7550, Madison, WI 53707.
CAUTION w U.S. Federal and Canadian law restrict this device to sale by or on the order of
a licensed medical practitioner.
6600-0291-000 02/24/97
Table of Contents
i i 6600-0291-000 2/24/97
Table of Contents
General Precautions
Warnings........................................................................................................................ iii
Cautions......................................................................................................................... iii
1/Introduction
Introducing the Ohio Care Plus Incubator .................................................................... 1-1
2/Getting Started
Mounting the Care Plus on the cabinet ........................................................................ 2-2
3/General Information
Operating modes ......................................................................................................... 3-1
The air control (manual) mode ............................................................................ 3-1
The optional patient control mode ....................................................................... 3-2
Controls and displays .................................................................................................. 3-4
Alarms.......................................................................................................................... 3-6
Cable connections and mechanical controls ............................................................. 3-10
4/Preoperative Checkout Procedure
Mechanical checks ...................................................................................................... 4-1
Accessory checks ........................................................................................................ 4-2
Controller checks ......................................................................................................... 4-3
Operational checks ...................................................................................................... 4-6
5/Using the Incubator
Basic operating procedure ........................................................................................... 5-2
Responding to alarms .................................................................................................. 5-5
Air circulation alarm............................................................................................. 5-6
Control temperature alarm .................................................................................. 5-6
High air temperature alarm ................................................................................. 5-6
Patient temperature alarm (Patient control models only) .................................... 5-7
Probe failure alarm (Patient control models only) ............................................... 5-7
Power failure alarm ............................................................................................. 5-8
System failure alarm ........................................................................................... 5-8
Additional operating procedures .................................................................................. 5-8
Accessing the patient .......................................................................................... 5-8
Raising and lowering the hood .......................................................................... 5-10
Trendelenburg and reverse Trendelenburg positioning-tilt handle models ....... 5-11
Administering oxygen ........................................................................................ 5-12
Using the optional humidifier ............................................................................. 5-14
Table of Contents
ii ii 6600-0291-000 2/24/97
6/Maintaining the Incubator
Cleaning schedule ....................................................................................................... 6-1
Disassembling the incubator for a complete cleaning ................................................. 6-2
Cleaning and disinfecting individual components ........................................................ 6-6
Humidifier ............................................................................................................ 6-6
Patient Probe ...................................................................................................... 6-7
Controller assembly ............................................................................................ 6-8
Porthole ............................................................................................................... 6-9
Compartment Temperature Probe ...................................................................... 6-9
Other Clear Plastic Parts..................................................................................... 6-9
Lower unit (mattress, mattress tray, base platform cover, etc.) .......................... 6-9
Oxygen inlet ........................................................................................................ 6-9
Cabinet ................................................................................................................ 6-9
7/Service Procedures
Repair Policy................................................................................................................ 7-1
Maintenance schedule ................................................................................................. 7-1
Operator maintenance ........................................................................................ 7-1
Service maintenance........................................................................................... 7-2
Troubleshooting incubator problems ........................................................................... 7-2
8/Illustrated Parts
Base platform and cover assembly.............................................................................. 8-1
Appendix
Care Plus specifications ................................................................................................. 1
Electrical specifications .......................................................................................... 1
Performance specifications .................................................................................... 2
Safety specifications .............................................................................................. 4
Environmental specifications.................................................................................. 4
Electromagnetic Compatibility (EMC) Specifications ............................................. 4
Mechanical specifications ...................................................................................... 5
Glossary.......................................................................................................................... 6
Warranty
Table of Contents
iii iii 6600-0291-000 2/24/97
wWarnings
Before using the Ohio Care Plus Incubator, 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 qualified 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.
Complete the Pre-operative Checkout Procedures section of this manual before
putting the unit into operation. If the incubator fails any portion of the checkout proce-
dure it must be removed from use and repaired.
Do not use the Care Plus in the presence of flammable anesthetics; an explosion
hazard exists under these conditions.
Always disconnect the power before performing service or maintenance procedures
detailed in this manual. Apply power only if you are specifically instructed to do so as
part of the procedure.
Thoroughly air dry the incubator after cleaning it with flammable agents. Small amounts
of flammable agents, such as ether, alcohol or similar cleaning solvents left in the
incubator can cause a fire.
wCautions
Only competent individuals trained in the repair of this equipment should attempt to
service it as detailed in the Service Manual (Stock Number 6600-0292-000).
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 Ohmeda.
General Precautions
Table of Contents
iv iv 6600-0291-000 2/24/97
Notes
1-1
1/Introduction
1-1 6600-0291-000 2/24/97
1/Introduction
In this section
Introducing the Ohio

Care Plus

Incubator ............................................................... 1-1


How to use this manual ............................................................................................... 1-2
Introducing the Ohio Care Plus Incubator
Thank you for selecting the Ohio Care Plus Incubator. The Care Plus adapts to your
patients needs with: manual and optional patient operating modes; an optional
passive humidifier; an oxygen inlet; removable inner wall; and zero or ten degree
bed positions.
From its comprehensive series of alarms and quiet operation, to unique oval portholes
for greater lateral access, the Care Plus offers both security and convenience. Its
familiar styling integrates into the existing nursery environment.
Ohio

Care Plus

Incubator is a registered trademark of Ohmeda.
Figure 1-1
The Ohio Care Plus Incubator
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1/Introduction
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Care Plus technology
The Care Plus combines microprocessor technology, a unique hood design with front
to back air flow, and an optional humidifier to stabilize patient temperature:
The microprocessor responds immediately to temperature changes, minimizing the
temperature fluctuations of older, analog incubators.
Heated air circulated along the hood wall, or between the optional double walled
hood, warms the surfaces surrounding the infant, reducing radiant heat loss.
Limiting air movement around the infant reduces convective and evaporative heat
loss. Humidifying the air further reduces evaporative heat loss.
WARNING w Before using the Ohio Care Plus Incubator, 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.
What warnings and cautions mean
No matter what part of this manual you are using, you should always be familiar with
the cautions and warnings that appear throughout this manual. Warnings
alert you to conditions and actions that can cause injury. Cautions point out
conditions or actions that may damage the incubator.
Please also take a moment to review the User Responsibility Statement on the inside
of the front cover; it describes what is expected of you to maintain the Care Plus
Incubator. Also read the Warranty on the back cover; it outlines Ohmedas responsibil-
ity in case of a functional defect.
Symbols used in this manual
An attention symbol in the left hand column alerts you to a warning or a caution in the
text. The attention symbol looks like this:
w
Just as on the controller panel, we use arrow heads to represent the temperature
switches:
M Increase the control temperature
? Decrease the control temperature
2-1
2/Getting Started
2-1 6600-0291-000 2/24/97
2/Getting Started
WARNINGS w Safely mounting or dismounting the Care Plus Incubator requires two
people. Remove the controller unit before mounting or dismounting the
incubator.
w Do not place the incubator in direct light. Exposing the infant or the
incubator to direct radiation from the sun or incandescent lighting may
cause the infant to overheat.
Items not covered in this chapter
If your system uses any accessories or external monitoring devices (phototherapy light,
blender, etc.), follow the mounting instructions in the operation and
maintenance manual for the device.
In this section
Mounting the Care Plus on the cabinet ........................................................................ 2-2
2-2
2/Getting Started
2-2 6600-0291-000 2/24/97
Mounting the Care Plus on the cabinet
WARNING: w Safely mounting or dismounting the Care Plus Incubator
requires two people.
1. Install the four mounting knobs.
WARNING w If mounting hardware is not securely fastened, the incubator could tip off
the stand.
CAUTION w When handling the controller, avoid bumping the fan or the heater. If these
items are knocked out of alignment, the fan can grate against the heater or the
base.
2. Install the controller. Lift the levers on the controller and slide it into the incubator
as shown in Figure 2-2. Push the levers down to lock the controller in place.
3. Refer to section 4 in this manual to perform preoperative checkout procedures.
Figure 2-1
Mounting the Care Plus Incubator
Mounting
Knob
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Controller
Lever
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3/General Information
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3/General Information
In this section
Operating modes ......................................................................................................... 3-1
The air control (manual) mode ............................................................................ 3-1
The patient control (servo) mode ........................................................................ 3-2
Controls and displays .................................................................................................. 3-4
Alarms.......................................................................................................................... 3-6
Cable connections and mechanical controls ............................................................. 3-10
Operating modes
The Care Plus has two operating modes: the air control (or manual) mode, which
adjusts heater output to achieve a target air temperature; and the patient control (or
servo) mode, which adjusts the incubator temperature to achieve a target infant skin
temperature. In both modes, the target temperature appears in the Control Tempera-
ture display on the front of the controller and can be adjusted using the temperature
switches (? and M).
To distinguish between control temperatures in the different modes, this manual uses
the term air control temperature for the control temperature in the air control mode
and the term patient control temperature for the control temperature in the patient
control mode.
Note: This section briefly mentions displays, controls, and alarms that play a significant
role in the air control and patient control modes. For further information, refer to the
appropriate section Controls and displays or Alarms.
The air control (manual) mode
The air control mode compares the air temperature to the air control temperature to
determine if the heater should be switched on or off. If the air temperature is too high,
the heater switches off. If the air temperature is too low, the heater switches on.
Air control temperature
The air control mode lets you enter air control range temperatures from 20
to 37C (68.0 to 98.6F) using the temperature switches (? and M). Pressing
the Override switch when the air control temperature is 37C (98.6F) lets
you increase the air control temperature to 39.0C (102.2F).
Control temperature alarm
The control temperature alarm triggers if the air temperature exceeds a normal range
air control temperature by more than 1.5C (2.7F) or if the air temperature falls more
than 3.0C (5.4F) below the air control temperature. For air control temperatures
above 37C, the control temperature alarm triggers if the air temperature exceeds the
air control temperature by more than 1.0C (1.8F).
To avoid unnecessary alarms, the control temperature alarm does not trigger during the
first 30 minutes after power is switched on and for 15 minutes after you change the air
control temperature or enter the air control mode from the patient control mode. During
this period, normal incubator alarm routines verify proper operation and switch off the
heater if the air temperature exceeds certain default safety limits: 38C (100.4F) for
control temperatures below 37C (98.6F) and 40C (104.0F) for control temperatures
above 37C.
3-2
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3-2 6600-0291-000 2/24/97
Patient probe (Care Plus 2000 only)
In the air control mode, the patient probe has no affect on incubator opera-
tion; connecting the probe simply displays the patient temperature for your
information.
The patient control mode (Care Plus 2000 only)
In the patient control mode, the control temperature (patient control temperature)
corresponds to the desired patient skin temperature. To reach an incubator tempera-
ture that will maintain the desired skin temperature the incubator control system loops
through the program shown in Figure 3-1. This program compares the patient control
temperature setting to the actual patient temperature and raises or lowers the incubator
temperature depending on whether the infant is hot or cold. The incubator temperature
that maintains the desired skin temperature is referred to as the DET (Desired Environ-
mental Temperature). The maximum DET that the incubator will maintain is 39.0C
(102.2F).
You can reduce the time required to reach the DET by preheating the incubator in the
air control mode before entering the patient control mode. The closer the air tempera-
ture gets to the actual air temperature required to maintain the desired infant skin
temperature, the sooner the incubator will stabilize the infants temperature in the
patient control mode. When you switch to the patient control mode, the previous air
control temperature becomes the initial DET. The incubator automatically adjusts the
DET using the three stage patient control mode program, shown in Figure 3-1.
The first stage of the loop checks to make sure that the patient probe is reporting a
reasonable patient temperature before making any adjustments. If the patient tempera-
ture is less than 30C (86.0F) or above 42C (107.6F), the incubator assumes that
the patient probe has detached from the infant, the patient temperature alarm triggers,
the heater shuts off, and the DET remains unchanged.
The second stage of the loop calculates the PTG (Patient Temperature Gradient), the
difference between the actual patient temperature and the selected patient control
temperature, to determine if the infant is hot or cold. If the infant is too cold (PTG < -
0.5C), the heater switches On. If the infant is too hot (PTG > 0.5C), the heater shuts
down. The patient temperature continues to be checked every three seconds.
The third stage calculates the change in the patient temperature over the previous ten
minute period. If the infant temperature differs from the patient control temperature
setting by 0.2C or more, and this difference has not decreased by at least 0.2C
during the last ten minute period, the DET will be adjusted. To prevent large incubator
temperature swings and to allow time for the patient to respond to changes in the
incubator temperature, the magnitude of the change in the DET depends on the PTG.
Patient control temperature range
The patient control mode lets you enter air control temperatures from 35.0 to 37.0C
(95.0 to 98.6F) using the temperature switches (? and M). An internal
adjustment lets you increase the patient control temperature to 37.5C (99.5F).
Patient temperature alarm
Patient temperature alarm monitoring runs concurrently with the control loop. A patient
temperature alarm triggers if the patient temperature differs from the patient control
temperature by more than 1.0C (1.8F), or 0.5C (0.9F) with an internal adjustment.
Additional alarm routines verify proper operation and switch off the heater if the air
temperature exceeds 40.0C (104.0F).
3-3
3/General Information
3-3 6600-0291-000 2/24/97
Start
Is the PT
<30C?
Is the PT
>42C?
Is the PTG
<-0.5C?
Is the PTG >
0.5C?
Yes
Infant is
hot
Supply no heat
Yes
Infant is
cold
Yes
Assume probe
is dislodged
1) Switch heater off
2) Activate alarm
3) Keep DET constant
Yes
Assume probe
is dislodged
No
No
No
Have 10 min
passed?
No
Supply
maximum heat
No
Repeat first stage
No
Infant is
cold
Yes
Infant is
hot
Is the
PTG0C?
Is the PT
-0.2C?
Is the PT
0.2C?
DET change
=0
Yes Yes
DET
PTG Change
-0.5C 0.3C
-0.4C 0.3C
-0.3C 0.2C
-0.2C 0.1C
-0.1C 0.0C
-0.0C 0.0C
DET
PTG Change
0.5C -0.3C
0.4C -0.3C
0.3C -0.2C
0.2C -0.1C
0.1C -0.0C
0.0C -0.0C
No No
Calculate new DET
New DET =Old DET +Change
PT =Patient Temperature
PCT =Patient Control Temperature
PTG =PT-PCT
PT =Current PT - PT 10 min.
previous
Yes
Start
third
stage
Stage 1
Stage 2
Figure 3-1
Patient control mode logic diagram
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3/General Information
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Controls and displays
Figure 3-2
Controls and displays
Patient temperature
During normal operation, the patient temperature display shows the temperature
sensed at the patient probe tip, in Celsius or Fahrenheit. The patient probe must be
properly connected to the incubator and the infant for an accurate patient temperature
measurement.
Temperatures between 22.0 and 42.0C (71.6 and 107.6F) are displayed to the
nearest 0.1C or F. Temperatures above this range result in a HHHH temperature
display. Temperatures below this range cause LLLL to be displayed.
Depressing the Enable switch for more than five seconds tests the temperature moni-
toring system. If the monitoring system is functioning correctly, 25.05C 0.2C re-
places the patient temperature during the test.
Air temperature
During normal operation, the air temperature display shows the internal incubator
temperature.
Air temperatures between 5 and 50.0C (41 and 122F) are displayed to the nearest
0.1C or F.
Depressing the Enable switch for more than five seconds tests the temperature moni-
toring system. If the monitoring system is functioning correctly, 37.95C 0.2C re-
places the air temperature during the test.
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0
3
>37C
F / C
100%
75%
50%
25%
188.8 188.8 188.8 8 8 8
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0
4
Care Plus

1000
Care Plus

2000
>37C
F / C
100%
75%
50%
25%
188.8
188.8
8
8
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3/General Information
3-5 6600-0291-000 2/24/97
Control temperature
During normal operation, the control temperature display shows the control tempera-
ture (air or patient) selected by the operator. When you first power up the unit or if you
enter the patient control mode, the control temperature flashes and a prompt tone
sounds until you enter a control temperature.
In the air control mode, the control temperature range is 20 to 39.0C (68 to 102.2F).
Air control temperatures above 37.0C (98.6F) require the use of the Override switch.
In the patient control mode, the control temperature range is 35 to 37C (95.0 to
98.6F).
Note: Qualified service personnel can configure maximum patient temperature to
37.5C.
During a system failure alarm, the appropriate error code appears in the control tem-
perature display.
Depressing the Enable switch for more than five seconds replaces the control tempera-
ture with the percentage of the rated line voltage supplied by the power outlet.
Four LED displays illuminate to show the average heater power over
the last minute as a percentage of the maximum output (100%, 75%,
50% and 25%). In the example, the average heater power is 75% of the
maximum power.
The alarm silence switch has two functions. Pressing the switch si-
lences all audible alarms except for the system failure and power failure
alarms. The length of the alarm silence period depends on the alarm
condition as detailed in the Alarms section. The alarm silence indica-
tors (next to the switch) illuminates for the duration of the alarm silence
period.
Depressing alarm silence switch for five seconds or longer illuminates
all control panel LEDs and causes 188.88 to appear in the tempera-
ture displays. The alternating, two tone alarm also activates.
The F/C switch changes the temperature displays from degrees
Celsius to degrees Fahrenheit and vice versa.
Pressing the Enable switch activates the temperature switches (? and
M), the mode switches, and the Override switch for approximately 12
seconds. The enable indicator illuminates when these switches are
active. If the indicator goes out, you must press the Enable switch again
to reactivate these switches.
Pressing the Air Control switch selects the air control mode of operation
and illuminates the Air Control indicator (next to Control Temperature
display). To prevent accidental mode changes, you must press the
Enable switch to activate the Air Control switch. The audible alarm
sounds briefly when the mode of operation is changed.
Note: The incubator defaults to the air control mode when power is first
applied.
100%
75%
50%
25%
F / C
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3-6 6600-0291-000 2/24/97
The Override switch lets you select air control temperatures higher than
37.0C (98.6F). To raise the air control temperature above 37C,
increase the control temperature to 37C, press the Enable switch,
press the Override switch, and then increase the air control tempera-
ture. The maximum set temperature is 39C. The override indicator
remains illuminated to indicate that the air control temperature exceeds
37.0C.
Pressing the Patient Control switch selects the Patient control mode of
operation and illuminates the Patient Control indicator (next to Control
Temperature display). To prevent accidental mode changes, you must
press the Enable switch to activate the Patient Control switch. The
audible alarm sounds briefly when the mode of operation is changed.
The first time that you select the patient control mode, the control
temperature display also flashes and an operator prompt tone sounds
until you enter a control temperature.
These switches adjust the control temperature. To prevent accidental
changes, you must press the Enable switch to activate these switches.
These switches remain active as long as the enable indicator is illumi-
nated, approximately 12 seconds after the last switch is pressed.
The power switch is located on the right side of the controller assembly,
adjacent to the power cord socket. It switches the incubator power On
and Off. Two circuit breakers, located within the controller, limit the
maximum current drawn by the incubator. If the circuit breaker trips,
remove the unit from use and contact qualified service personnel for
repair.
Alarms
Note: All silenceable alarms are preceded by a 30 second operator prompt tone.
Seven LEDs on the left side of the control panel illuminate for various alarm conditions.
Each visual indicator is accompanied by an audio signal.
Figure 3-3
Alarm indicators
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2
1
5
>37C
Patient Temp
Control Temp
High Air Temp
Air Circulation
Probe Failure
System Failure
Power Failure
Alarm
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3-7 6600-0291-000 2/24/97
What the audible tone tells you about the alarm
The audio tone varies with the alarms priority: power failure and system failure alarms
cannot be silenced; an alternating two tone alarm indicates a critical alarm that triggers
automatic heater shutdown; an intermittent single tone alarm is used for all other
alarms.
Silencing an alarm
With the exception of the power and system failure alarms, all audio alarms can be
silenced by pressing the Alarm Silence switch. At the end of the silence period, the
audio alarm reactivates unless the alarm condition has been resolved. The alarm
silence period ends prematurely if another alarm triggers. When two or more alarms
trigger, their respective indicators illuminate, and the audio signal sounds for the
highest priority alarm.
Patient temperature alarm (Care Plus 2000 only)
The patient temperature alarm is only active in the patient control mode of operation.
The alarm activates when the difference between the patient temperature and the
control temperature is greater than 1.0C (1.8F) and resets when the patient tempera-
ture returns to within 0.8C (1.4F) of the control temperature.
Patient probe readings above 42.0C or below 30.0C trigger an alternating two tone
alarm and automatic heater shutdown.
Note: Service personnel can configure the alarm to trigger if the difference exceeds
0.5C and to reset when the difference is less than 0.3C.
Control temperature alarm
The control temperature alarm is only active in the air control mode. The alarm triggers
when the air temperature exceeds the control temperature by more than 1.5C, (2.7F)
or falls more than 3.0C (5.4F) below the control temperature. This alarm is inactive
for 30 minutes after the incubator is first switched on. It is also inactive for 15 minutes
after either a mode or control temperature change.
High air temperature alarm
The high air temperature alarm warns of abnormally high incubator air temperatures
and automatically switches Off the heater. This alarm is produced by a circuit that is
independent of microprocessor temperature monitoring.
The high temperature alarm is not self resetting. After the alarm has been activated, it
must be manually reset even if the alarm condition has been resolved.
The alarm activation temperature varies with the mode of operation:
Mode Control Temperature Alarm Limit
Patient Control All Settings 40.0C (104.0F)
Air Control 20.0 to 37.0C 38.0C (100.0F)
37.0to 39.0C 40.0C (104.0F)
Air circulation alarm
The air circulation alarm triggers when air flow inside the unit ceases or is restricted.
This could be caused by a blower motor failure, or a missing fan. When this alarm
occurs, the heater is automatically shut down.
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3-8 6600-0291-000 2/24/97
Probe failure alarm
In either operational mode, a disconnected air temperature sensor triggers the probe
failure alarm. In the patient control mode, the probe failure alarm can also be caused by
an open or a short circuit in the patient probe.
When a probe failure alarm triggers, the heater automatically shuts down. The tem-
perature displays indicate the cause of the alarm; if the air temperature sensor is
disconnected, the air temperature display flashes 00.0; if the patient probe is discon-
nected or malfunctioning, the patient temperature display flashes HHHH or LLLL
respectively.
System failure alarm
The system failure alarm automatically shuts off the heater and triggers an alternating
two tone alarm if an electrical failure is detected. This alarm cannot be silenced. An
error code may replace the control temperature to give specific information on the
nature of the failure.
Power failure alarm
A battery operated power failure alarm activates when the external power source fails
or is accidentally disconnected. The battery powers the nonsilenceable audible alarm
and the microprocessor for up to 10 minutes during a power failure. If power is restored
within 10 minutes, the previous mode of operation and control temperatures are
recalled.
3-9
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3-9 6600-0291-000 2/24/97
Audio Alarm Heater
Alarm* Signal

Mode Possible Causes Silence Status


Probe Failure Alternating All Disconnected air 1 min. Off
two tone temperature sensor
Alternating Pat. Patient probe disconnected, 1 min. Off
two tone open or shorted (patient
control mode)
Control Intermittent Air Air temperature is 1.5C 15 min. @
Temperature single tone above or 3.0C below control
temperature
System Alternating All Electrical malfunction or Cannot Off
Failure two tone excessive EMI^ in the silence
hospital environment. Note
the error code and switch the
power off. Wait ten seconds
and switch the unit back on.
If the system failure reoccurs,
remove the incubator from use.
Air Circulation Alternating All See the Troubleshooting 5 min. Off
Failure two tone section in Chapter 7.
Patient Intermittent Pat. The difference between the 15 min. @
Temperature single tone patient temperature and the
(Care Plus control temperature exceeds
2000 only) 1.0C
&
Intermittent Pat. The difference between the 5 min. @
single tone patient temperature and the
control temperatures exceeds
2.0C
Alternating Pat. Patient temperature is above 1 min. Off
two tone 42.0C or below 30.0C
High Air Alternating All In the air control mode without 5 min. Off
Temperature two tone override: the air temperature
exceeds 38.0C
In the patient control or the air
control mode with override: the
air temperature exceeds 40.0C
Power Failure Intermittent All Power outage while the power Cannot Off
single tone switch is on. silence
* If a nonsilenceable alarm is present with no alarm indicator illuminated and the heater is shut down, a microprocessor
failure may have occurred.
^ Electro Magnetic Interference from other electrical equipment.
@Heater output is dependent on the patient temperature and the control temperature setting, in the patient control mode and
on the control temperature setting in the air control mode. Output will also vary with the ambient room temperature, patient
condition, etc.
& Service personnel can adjust patient alarm to trigger if the difference exceeds 0.5C.
All silenceable alarms are preceded by a 30 second operator prompt tone.
3-10
3/General Information
3-10 6600-0291-000 2/24/97
MAX 1000 mL
MIN
Cable connections and mechanical controls
Air Temp. Sensor
Tilt Handle
Portholes
Front Door Latch
C
I
.
2
3
.
0
0
4
Figure 3-4
The front of the incubator
3-11
3/General Information
3-11 6600-0291-000 2/24/97
Patient Probe
Connector
(Model 2000 only)
Tubing Access
Covers
Controller
Latches
C
I
.
2
3
.
0
0
5
Figure 3-5
The left side of the incubator
Iris Port Holes
Air Temperature
Sensor
Connector
Filter Mounting
Knobs
(Cord Wrap)
Humidifier
Fill Tray
(optional)
3-12
3/General Information
3-12 6600-0291-000 2/24/97
Power
Switch
Oxygen
Inlet
C
I
.
2
3
.
0
0
6
Figure 3-6
The right side of the incubator
Oxygen Inlet
Ohmeda
ColumbiaMD210461801
Madein USA
U.S. Pat. No. 4,936,824
m
Oxygen Inlet: EnsuretheController
is sealed and latched prior to
administering oxygen.
WWARNINGS: Firehazard. Keep matches, lighted cigarettes
and all other sources of ignition out of theroomin which the
incubator is located. Textiles, oils, and other combustibles are
easilyignited and burn with great intensityin air enriched with
oxygen.
Possibleexplosion hazard. Do not usein thepresenceof
flammableanesthetics.
Oxygen concentrations higher than 40%can increasetherisk
of retrolental fibroplasia. It is possiblethat evenconcentrations
of 40%or less (formerlyconsideredsafe) couldbedangerous
for someinfants. Therefore, arterial blood gas measurements
areextremely important for regulation of theconcentration of
inspired oxygen when in an oxygen enriched environment.
Power must bedisconnected prior to removing bed platform.
Air Heater may behot.
Thefront door inner wall must bein placewhileapatient
occupies theincubator.
Useonly Ohmedaskin temperatureprobe.
Thehumidity reservoir, or humidity reservoir plugs, must be
fully inserted for correct incubator operation, even if the
humidifier featureis not used.
Useonly hospital gradegrounded power receptacle.
WCAUTION: U.S. Federal and Canadian lawrestrcts this
deviceto saleby or on theorder of alicensed medical
practitioner.
Replace filter every three (3)
months.
?
?
Oxygen Concentration Chart
NOTE: Oxygen concentration levels in this
chart areintended as areferenceonly.
Actual concentrations should bechecked
with an oxygen analyzer.
Oxygen input
5L/min
10L/min
15L/min
Average oxygen
concentration range
25-45%
35-55%
45-75%
Hood Tilt
Release
Power Input
4-1
4/Preoperative Checkout Procedure
4-1 6600-0291-000 2/24/97
4/Preoperative Checkout Procedure
WARNINGS w Do not perform the preoperative checkout procedure while a patient
occupies the incubator.
w Complete the Preoperative Checkout Procedures section of this manual
before putting the unit into operation. If the incubator fails any portion of
the checkout procedure it must be removed from use and repaired.
In this section
Mechanical checks ...................................................................................................... 4-1
Accessory checks ........................................................................................................ 4-2
Controller checks ......................................................................................................... 4-3
Operational checks ...................................................................................................... 4-6
Mechanical checks
WARNING w Disconnect the power cord for the mechanical portion of the preoperative
checkout procedure.
1. Disconnect the power cord for the Care Plus Incubator for the mechanical portion
of the preoperative checkout procedure.
2. Examine the power cord for damage. Replace the power cord if damage is evident.
3. Examine the incubator for obvious signs of damage.
4. Lock the two front casters and check that the unit is held in place. Release the
locks and verify the unit moves smoothly.
5. On the cabinet, open the cabinet front doors (if present) and verify that the four
incubator mounting knobs that attach the Care Plus to the cabinet are secured
tightly in place.
6. Rotate both front door latches toward the center of the incubator, verify the red
stamp is visible on both latches, and lower the door. Make sure that the inner wall
is securely fastened to the door.
WARNING w The front door inner wall must be in place while a patient occupies
the incubator.
4-2
4/Preoperative Checkout Procedure
4-2 6600-0291-000 2/24/97
7. Make sure that the front door is securely fastened to the incubator.
8. Check that the mattress and the mattress tray are properly installed. Verify that you
must lift the tray slightly to slide it out of the hood. This prevents the tray from
sliding out accidentally. Slide the mattress tray back into the hood.
9. Check the portholes. Open the portholes by pressing on the latch. The cover
should swing open. If arm cuffs are installed, the elastic cuff band should fit into the
groove around the porthole without obstructing the cover. Close the porthole and
verify that the mounting posts hold the porthole securely to the hood and that the
latch holds the porthole closed.
10. If the optional inner wall is installed, check that it is securely attached to the outer
wall. To attach the inner wall, insert the two outside inner wall fasteners in the key
holes in the inner wall and slide them along the slots until the wall is in position.
Lock the wall in place by snapping the two inside fasteners into the holes in the
middle of the inner wall.
11. Check that the tubing access covers are also installed on either side of the hood.
12. Check the hood tilt latch. Open the front door. Rotate the hood back approximately
30 degrees, until it locks into position. Push against the hood and make sure that it
is held in place. To close the hood, support the hood and release the hood latch by
pushing back on the release tab. Gently lower the hood.
13. Close the front door and rotate the latches upward. Verify that the red stamp on the
latch is masked by the opaque patch on the hood.
14. Check the operation of the tilt mechanism. Rotate the tilt handles down to raise the
bed until it locks in position, then rotate the handles up to return the bed to its
original position.
15. Check that the controller is latched in position. The controller latches should be all
the way down, parallel with the sides of the controller.
16. Locate the humidifier fill tray (if present) on the underside of the base. Slide the fill
tray out. Verify that the seals are in good condition and that there is no obvious
damage to any of the humidifier components. Slide the humidifier back in and push
until it locks in position. Push it back until you feel slight resistance, then push
harder till it snaps into position. Otherwise, verify that the plugs are in place.
17. Unscrew the two filter mounting knobs on the rear of the incubator, lift off the
vented filter cover panel and check the condition of the filter. If the filter is dirty, has
been used with an infectious patient, or has been in use for three months, it must
be replaced. When you replace the filter, mark the date on the label supplied with
the replacement filter. Affix the label to the side of the incubator.
Accessory checks
1. Check that all accessories are securely mounted.
2. Check the operation of any accessories with reference to the appropriate operation
and maintenance manuals.
3. Set up any required suction or gas supply systems. Check them for leaks as
outlined in the appropriate operation and maintenance manuals.
4-3
4/Preoperative Checkout Procedure
4-3 6600-0291-000 2/24/97
Controller checks
WARNING w Do not use the Care Plus in the Presence of flammable anesthetics; an
explosion hazard exists under these conditions.
Patient Control Mode and Patient Probe
(available on Care Plus 2000 only)
Note: The Enable switch must be pressed to activate the temperature adjustment, the
Override or the control mode switches. These switches remain active as long as the
enable indicator is illuminated (approximately 12 seconds after the last time one of
these switches is pressed).
Note: If the patient probe reading is below 22.0C (71.6F), LLLL appears in place of
the patient temperature.
Note: All silenceable alarms are preceded by a 30 second operator prompt tone.
1. Make sure the power cord is connected to the socket on the right side of the
controller.
2. Plug the patient probe into the labeled connection on the left side of the controller.
3. Line up the air temperature sensor connectors. Plug the air temperature sensor
into the labeled connection on the left side of the controller.
4. Route the patient probe cord through the tubing access cover and place the patient
probe inside the incubator.
5. Plug the power cord into an appropriately rated power source (see rating plate for
proper voltage, etc.).
6. Switch the power On and verify the following sequence:
a. An alternating two tone audible alarm sounds for approximately five seconds, all
the indicators illuminate and 188.88 appears in the three temperature dis-
plays.
b. All indicators are extinguished except for the air control and the enable indica-
tors. The temperature displays change to show from left to right:
Patient Air Control
Temperature Temperature Temperature
XX.XX (software 60H (AC frequency; 39.0C (maximum
version, for ex:01.01) 50H for 50 Hz units) air control temperature)
c. An operator prompt tone sounds, and the control temperature display flashes
33.0C. The operator prompt tone will sound every two seconds until a control
temperature is entered by pressing one of the temperature switches (? or M).
d. If the system failure alarm sounds, note the error code and switch off the unit.
Wait ten seconds and switch the unit back on. If the system failure alarm recurs,
remove the incubator from use. Then, call for service.
4-4
4/Preoperative Checkout Procedure
4-4 6600-0291-000 2/24/97
7. Adjust the control temperature to silence the prompt tone.
8. Check display illumination and the audible alarm by depressing the Alarm Silence
switch until all the indicator LEDs illuminate and 188.8 appears in the three
temperature displays (approximately five seconds). An audible alarm will sound.
9. Check the Enable switch. Press the Enable switch. The enable indicator should
illuminate and go out after approximately 12 seconds. Verify that pressing the tem-
perature switches (? and M) has no effect when the enable indicator is extinguished.
10. Check the analog to digital calibration and the line voltage. Depress the Enable
switch until the temperature displays show, from left to right (approximately five
seconds):
Patient Air Control
Temperature Temperature Temperature
25.05C (0.2C) 37.95C (0.2C) From 09.00 to 11.00
(low calibration point) (high calibration point) (Service use only)
Note: An audible alarm will sound to indicate that the actual temperatures are not
displayed.
11. Check the patient probe. Warm the patient probe by placing it between your
fingers. Verify that the displayed patient temperature increases. If you have an
ASTM approved thermometer, accurate to 0.1C, place the thermometer and the
patient probe in a glass of warm water. Stir the water and wait several minutes until
the thermometer reading stabilizes. Verify that the patient temperature shown on
the control panel is within 1C of that shown on the thermometer. Replace the
probe if the difference exceeds 1C.
12. Check the normal range of air control temperatures. Press the Enable switch to
activate the temperature switches (? and M). The enable indicator will illuminate.
Press and hold the ? switch. Verify that the lowest control temperature attainable is
20.0C. If the enable indicator has gone out, press the Enable switch again. Depress
the M switch and verify that the air control temperature cannot be set above 37.0C.
13. Check the extended range of air control temperatures. With the control temperature
set to 37.0C, sequentially press the Enable and Override switches. The enable
indicator should illuminate and the override indicator should blink. Depress the M
switch and verify that the maximum air control temperature is now 39.0C. The
override indicator will blink as long as the control temperature setting remains at, or
above, 37.0C.
14. Check the F/C switch. Adjust the control temperature to 36.0C and press the
F/C switch. Verify that the control temperature is now displayed as 96.8F. Press
the switch a second time to return to a Celsius display.
4-5
4/Preoperative Checkout Procedure
4-5 6600-0291-000 2/24/97
15. Switch to the patient control mode of operation. Press the Enable and the Patient
Control switches and verify the following sequence:
a. The enable and the patient control indicators illuminate.
b. The control temperature display flashes 36.5Cand an operator prompt tone
sounds every two seconds. Adjust the control temperature to silence the prompt
tone. The enable indicator will be extinguished approximately 12 seconds after
the last time one of the temperature switches (? and M) is pressed.
Note: A patient temperature alarm will be triggered if the patient probe temperature
differs from the control temperature by more than 1.0C. If the probe temperature is
below 30.0C or above 42.0C the heater will not switch On.
16. Check the range of patient control temperatures. Press the Enable switch to activate
the temperature switches (? and M). The enable indicator will illuminate. Press and
hold the ? switch. Verify that the lowest control temperature attainable is 35.0C. If
the enable indicator has gone out, press the Enable switch again. Depress the M
switch. Verify that the patient control temperature cannot be set above 37.0C.
Note: The maximum patient control temperature can be raised to 37.5C by
internal adjustments specified in the service manual.
17. Check the patient temperature alarm. Press the Enable switch and adjust the patient
control temperature until it exceeds the patient temperature by more than 1.0C. An
alarm should sound, the patient temperature should flash and the patient tempera-
ture alarm indicator should illuminate. Press the Enable switch and adjust the
patient control temperature until it is within 0.8C of the patient temperature. The
alarm should cancel.
Note: Service personnel can configure the alarm to trigger if the difference exceeds
0.5C and to reset when the difference is less than 0.3C.
18. Check the probe failure alarm.
a. Unplug the patient probe from the controller. Verify that an alternating two tone
alarm sounds, the probe failure LED illuminates, HHHH flashes in the patient
temperature display and the heater power LEDs are extinguished. Plug the
probe back in and verify that the alarm cancels.
b. Unplug the air temperature sensor from the controller by pushing in the back of
connector while pulling back on the T handles. Verify that an alternating two
tone alarm sounds, 00.0C flashes in the air temperature display, the probe
failure LED illuminates, and the heater power LEDs are extinguished. Align the
connectors and plug the air temperature sensor back into the controller. Verify
that the alarm cancels.
4-6
4/Preoperative Checkout Procedure
4-6 6600-0291-000 2/24/97
19. Check the power failure alarm and the battery backed memory. Verify that you are
still in the patient control mode. Adjust the patient control temperature to 36.0C.
Switch to the air control mode and adjust the control temperature to 35.0C. Unplug
the incubator. An intermittent, nonsilenceable alarm should sound and the power
failure LED should illuminate. All other displays and indicators will be extinguished.
Wait two minutes and plug the incubator back in. Verify that the alarm cancels and
the unit returns to the air control mode of operation with a control temperature of
35.0C. Switch to the patient control mode and verify a control temperature of
36.0C.
Note: A fully charged battery should supply the power failure alarm for approxi-
mately 10 minutes. If the alarm is tested for the full 10 minutes the incubator must
be run for at least two hours to recharge the battery before it is used with a patient.
Total recharge time is 8 to 10 hours.
20. Check the Alarm Silence switch. Unplug the air temperature sensor and press the
Alarm Silence switch. Verify that the alarm is silenced for one minute. Reconnect the
air temperature sensor.
Note: The functionality of the remainder of the alarms is continually checked by the
microprocessor software during normal operation. If a fault occurs in any of this circuitry,
an indicator lights and a tone is sounded.
Computer independent circuitry continuously measures and compares the incubator
temperature with a factory set level. Visual and audible alarms are activated and the
heater is shut-off if the incubator temperature exceeds this pre-set level, independent of
the software.
Additionally, a computer independent watchdog circuit will reset the computer, turn off the
heater, and activate the alarms in the event of a microprocessor failure or software error.
Operational checks
1. Make sure that the incubator is in the air control mode.
2. Verify that the front door, the portholes and the hood are closed.
3. Set the control temperature as close to the air temperature as possible. Allow the air
temperature reading to stabilize. Verify that the air temperature remains within 0.5C
of the control temperature for five minutes after stabilization.
5-1
5/Using the Incubator
5-1 6600-0291-000 2/24/97
5/Using the Incubator
WARNINGS w Complete the Preoperative Checkout Procedure section of this manual
before putting the unit into operation. If the incubator fails any portion of
the checkout procedure it must be removed from use and repaired.
w Do not leave the patient unattended when using the incubator. Check the
patients temperature at least every half hour. For maximum patient
monitoring over an extended period of time, select the patient control
mode of operation.
w Residual ether or similar gases exhaled by a post surgical patient may be
decomposed by the heater to produce formaldehyde.
w The optional patient probe is not isolated from earth ground. Any addi-
tional equipment used with the Care Plus must comply with UL 544, CSA
22.2, IEC 601, and VDE 750.
w Do not use the Care Plus or the in the presence of flammable anesthetics;
an explosion hazard exists under these conditions.
w Using an incubator with a fan motor that has worn parts can produce
unacceptable noise levels within the incubator.
w Direct sunlight or other radiant heat sources can cause an increase in
incubator temperature to dangerous levels.
CAUTIONS w Proper temperature control depends on continuous, unobstructed air circula-
tion. Do not cover air circulation openings around the bed as obstruction will
result in loss of air circulation, loss of heat, and carbon dioxide buildup.
w Do not mount or rest a radiant warmer or incandescent light on or over the
incubator hood; ineffective heating and damage to the hood may result. If using
incandescent phototherapy lamps, check manufacturers recommended mini-
mum distance to hood.
Note: Because the mattress tray is radiopaque, x-ray plates must be placed directly
under the infant.
In this section
Basic operating procedure ........................................................................................... 5-2
Responding to alarms .................................................................................................. 5-5
Air circulation alarm............................................................................................. 5-6
Control temperature alarm .................................................................................. 5-6
High air temperature alarm ................................................................................. 5-6
Patient temperature alarm................................................................................... 5-7
Probe failure alarm.............................................................................................. 5-7
Power failure alarm ............................................................................................. 5-8
System failure alarm ........................................................................................... 5-8
Additional operating procedures .................................................................................. 5-8
Accessing the patient .......................................................................................... 5-8
Raising and lowering the hood .......................................................................... 5-10
Trendelenburg and reverse Trendelenburg positioning .................................... 5-11
Administering oxygen ........................................................................................ 5-12
Using the optional humidifier ............................................................................. 5-14
5-2
5/Using the Incubator
5-2 6600-0291-000 2/24/97
Basic operating procedure
This section tells you how to setup and use the incubator in the air and the patient
control modes.
For more detailed information on humidifier setup, oxygen administration, opening and
closing the door, or Trendelenburg or reverse Trendelenburg positioning, refer to the
section Additional operating procedures at the end of this chapter.
WARNINGS w Always set the brakes before placing a patient in the incubator.
w On units equipped with a humidifier the humidifier must be installed for
proper incubator operation, even if you do not plan to use the humidifier.
1. Verify that the air temperature probe is connected to the controller and that the
humidifier or the hole plugs are installed. Plug the incubator into a power outlet and
set the caster brakes. If desired, fill the humidifier (if present), position the mattress
tilt, and set up any additional equipment.
2. Use the temperature switches (? and M) to enter the control temperature. The
normal range for air control temperatures is 20.0 to 37.0C.
3. To select a control temperature above 37.0C, adjust the control temperature to
37.0C, make sure the enable indicator is still illuminated, and press the Override
switch. If the enable indicator has gone out, the Enable switch has to be depressed
before the Override switch will function.
4. Select either Celsius or Fahrenheit temperature readings with the F/C switch.
5-3
5/Using the Incubator
5-3 6600-0291-000 2/24/97
5. For optional patient control mode operation, connect the patient probe. For air
control mode operation, the patient probe is optional. Connect it only if you wish to
display patient skin temperature.
a. If you plan to use the patient control mode, use steps 2 and 3, as appropriate, to
preheat the incubator to the air temperature required to maintain the desired skin
temperature.
b. Place the metal side of the skin temperature probe on the patients skin over the
liver area of the infants abdomen. Attach reusable probes with a heat reflecting
patch. Remove the paper protecting the hypoallergenic adhesive of the Heat
Reflective Patch and secure the skin temperature probe to the patients skin with
the adhesive side of the patch (Figure 5-1). Do not remove the heat reflecting foil.
c. If the patient is prone, place the skin temperature on the patients back, where it
will not be against the mattress. If the probe is between the patient and the
mattress, it will produce false readings.
WARNING w Intimate contact between the skin temperature probe tip and the patients
skin must be maintained to assure accurate skin temperature measure-
ment. Under or over heating may result from poor contact between the skin
temperature probe and the patient. Check this attachment regularly to
assure the patients safety.
CAUTION w Avoid placing excessive strain on the skin temperature probe lead. Always
remove the probe from the patient by grasping and removing the heat reflective
patch first, then remove the probe from the patient or the patch. Always remove
the probe by grasping the plug at the panel. Do not pull on the probe lead.
d. Connect the skin temperature probe to the unit.
Note: The disposable probe comes with the heat reflecting pad attached.
Figure 5-1
Attaching the patient probe to the infant
Heat Reflecting Patch
with Reflective Side
Facing Up
White Paper Protector
Patient Probe (Place the
metal side in contact with
the infants skin)
C
I
.
0
2
.
0
0
6
5-4
5/Using the Incubator
5-4 6600-0291-000 2/24/97
e. Route the wire through the left tubing access cover and plug the probe connector
into the side of the controller. Refer to Figure 5-2.
If the ambient temperature is less than 22.0C (71.6F), LLLL appears in place of
the patient temperature until you attach the probe to the infant.
WARNINGS w Use only the Reusable Ohmeda skin temperature probe (Stock No.
0208-0697-700) and Heat Reflective Patches (Stock No. 0203-1980-300, 50/
pkg) or the disposable probe (Stock No. 6600-0208-700,10/pkg; Stock No.
6600-0196-700, 50/pkg) to monitor the patients skin temperature. Use of
other manufacturers probes may affect the accuracy of equipment opera-
tion and the electrical safety of the patient.
w In incubators equipped with radiant or phototherapy lamps, the skin
temperature probe should be located on the patients skin in an area which
is directly in the path of the radiant heat. It should not be attached to an
area which is shielded from the radiant heat or between the patient and the
mattress. Large temperature gradients and very long servo response times
will result from improper probe placement.
w Rectal temperatures must never be used to control a patients temperature.
Figure 5-2
Connecting the patient probe to the Care Plus 2000 incubator
Air Temperature
Sensor
Patient Probe
Air Temperature
Sensor Connector
Patient Probe
Connector
C
I
.
2
3
.
0
0
7
5-5
5/Using the Incubator
5-5 6600-0291-000 2/24/97
6. If you plan to use the patient control mode, verify that the incubator has warmed up
to the Desired Environmental Temperature. Then press the Enable switch followed
by the Patient Control switch:
a. The patient control and the enable indicators illuminate.
b. The control temperature display flashes 36.5C and an operator prompt tone
sounds every two seconds. The alarm will continue to sound until you enter a
control temperature. The heater will not operate unless a control temperature is
entered.
Note: When patient control mode operation first begins, a patient temperature
alarm may trigger. Silence the alarm and attend the patient. This alarm triggers
normally if the patient probe temperature differs from the control temperature by
more than 1.0C. If the probe temperature is below 30.0C or above 42.0C, the
heater will not switch On.
Responding to alarms
WARNINGS w Excessive EMI levels in the hospital environment can trigger the system
failure alarm. Note the error code and switch off the unit. Wait ten sec-
onds and switch the unit back on. If the system failure alarm recurs,
remove the incubator from use.
w If an alarm is silenced, closely monitor the patient.
Note: Refer to the troubleshooting section in Chapter 7 for problems that do not involve
an alarm indicator.
Many things can trigger alarms. For example: a patients condition may change; a
patient probe may detach; or a change in the control temperature may increase the
difference between the control temperature and the monitored temperature (air or
patient) to an unacceptable level.
If an alarm triggers:
Evaluate the patient
Attend the infant.
Identify the alarm
Check the indicators to identify the active alarm. When two or more alarms are
active, their respective indicators illuminate. If an indicator illuminates, look the
alarm up alphabetically in this section. If two or more alarms have been triggered,
the audio signal sounds for the highest priority alarm.
Silencing the alarm
If desired, silence the alarm. At the end of the silence period the audio alarm
reactivates unless the alarm condition has been resolved. The length of the alarm
silence period depends on the alarm. Power failure and system failure alarms
cannot be silenced.
Another alarm prematurely ends the alarm silence period.
30 second operator Prompt tone
All silenceable alarms are preceded by a 30 second operator prompt tone,
in order to minimize disturbance to the infant.
5-6
5/Using the Incubator
5-6 6600-0291-000 2/24/97
Air circulation alarm
Air is not circulating through the incubator. The most common cause is a missing fan or
a fan that is not rotating.
If the alarm continues, stop using the incubator and call for service.
Control temperature alarm
The air temperature is 1.5C above or 3.0C below the air control temperature (air
control mode alarm).
The control temperature alarm is automatically silenced for 30 minutes after you switch
on the unit and for 15 minutes after you change the control temperature or switch to the
air control mode.
1. Evaluate the patient:
Opening the incubator door causes some heat loss.
If the incubator starts out cold, or you make a large change in the control
temperature, the incubator may take longer than the automatic alarm silence
period to warm up.
2. If the alarm continues, stop using the incubator and call for service.
High air temperature alarm
The air temperature exceeds fixed limits:
Control High Temperature
Mode Temperature Alarm Limit
Patient Control Entire Range 40.0C (104.0F)
Air Control 20.0 to 37.0C 38.0C (100.4F)
(68.0 to 98.6F)
37.0 to 39.0C 40.0C (104.0F)
(98.6 to 102.2F)
1. Evaluate the patient:
Have you changed the air control temperature? In the air control mode, de-
creasing the control temperature below 37.0C decreases the alarm limit from
40C to 38C. Making this change while the incubator temperature exceeds
38C triggers the alarm.
Have you changed operating modes? The same thing can happen if you switch
from the patient control mode (alarm limit 40C) to the normal air control mode
(alarm limit 38C).
2. Press the alarm silence button and monitor the patient. This alarm does not self
cancel if the temperature falls below the alarm limit. You must press alarm silence
to reset it.
3. If the alarm recurs, stop using the incubator and call for service.
5-7
5/Using the Incubator
5-7 6600-0291-000 2/24/97
Patient temperature alarm (Care Plus 2000 only)
The patient temperature differs from the patient control temperature by more than
1.0C or the patient temperature is outside the 30.0 to 42.0C range (patient control
mode alarm).
Note: Service personnel can adjust this alarm to trigger at a temperature difference of
0.5C
1. Evaluate the patient:
Opening the incubator door causes some heat loss.
Control temperature changes can temporarily increase the difference between
the patient and the control temperatures.
2. Make sure that the patient probe is properly connected to the patient: the metal
side of the probe must make good contact with the infants skin. With a reusable
probe, you must also attach a separate reflecting patch. Make sure the metal side
of the patch faces up.
3. If HHHH or LLLL appears in the patient temperature display while the patient probe
is properly connected to the patient, replace the patient probe.
4. If the alarm continues, stop using the incubator and call for service.
Probe failure alarm (Care Plus 2000 models only)
One of the temperature sensors is disconnected or contains an open or shorted circuit.
In the air control mode:
1. If 00.0 appears in the air temperature display, plug the air temperature sensor into
the controller.
2. If the alarm continues, stop using the incubator and call for service.
In the patient control mode:
1. If 00.0 appears in the air temperature display, plug the air temperature sensor into
the controller.
2. Make sure that the patient probe is plugged into the controller.
3. If HHHH or LLLL appears in the patient temperature display and the patient probe
is plugged into the controller, replace the patient probe.
4. If the alarm continues, stop using the incubator and call for service.
5-8
5/Using the Incubator
5-8 6600-0291-000 2/24/97
Power failure alarm
The incubator is switched on, but it is not getting any power.
1. Make sure that one end of the power cord is plugged into the controller and that the
other end of the cord is plugged into a power outlet.
2. Plug another device into the outlet to verify that the power outlet has power.
3. Replace the power cord.
4. If the alarm continues, stop using the incubator and call for service.
System failure alarm
Excessive EMI levels in the hospital environment can trigger the system failure alarm.
Note the error code and switch off the unit. Wait ten seconds and switch the unit back
on. If the system failure alarm recurs, remove the incubator from use. Then, call for
service.
Additional operating procedures
This section provides more information on opening the hood, using the humidifier, and
administering oxygen.
Accessing the patient
Opening the front door:
Opening the front door gives you total access to the patient without affecting the air
flow. To lower the door, rotate the door latches down (Figure 5-3).
WARNINGS w Do not leave the infant unattended while the front door or the portholes
are open.
w When opening or closing the front door or the portholes, make sure that
the infant, any clothing, the monitoring leads, etc., are completely within
the confines of the bed.
Opening the porthole:
To open a porthole, press in on the latch until the porthole opens. To close a porthole,
push the cover shut until the latch clicks into position.
5-9
5/Using the Incubator
5-9 6600-0291-000 2/24/97
Figure 5-3
Opening the front door
Pulling out the mattress tray:
Pulling out the mattress tray facilitates procedures that require total access to the
infant. This can only be done when both tilt mechanisms are at their lowest
position. Lower both tilt mechanisms, lift the tray slightly at the edge of the door
and gently pull the tray out (Figure 5-4).
WARNINGS w While sliding the mattress tray out, make sure the square tabs on the
back corners of the tray are engaged in the guide tracks at both ends of
the platform cover.
w When sliding out the mattress tray, carefully guide any tubes or monitor-
ing leads through the tubing access covers. If there is insufficient slack
or the tubing gets stuck, the attached devices could accidentally discon-
nect or the patient could be harmed.
CAUTION w Do not operate the tilt mechanisms when the mattress tray is pulled out. The tilt
mechanism may jam as a result.
Porthole Latch
Door Latch
C
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2
3
.
0
0
4
MAX 1000 mL
MIN
5-10
5/Using the Incubator
5-10 6600-0291-000 2/24/97
Oxygen Inlet
Ohmeda ColumbiaMD210461801 Madein USA U.S. Pat. No. 4,936,824
m
Oxygen Inlet: EnsuretheController is sealed and latched prior to administering oxygen.
WWARNINGS: Firehazard. Keep matches, lighted cigarettes and all other sources of ignition out of theroomin which the incubator is located. Textiles, oils, and other combustibles are easilyignited and burn with great intensityin air enriched with oxygen.
Possibleexplosion hazard. Do not usein thepresenceof flammableanesthetics.
Oxygen concentrations higher than 40%can increasetherisk of retrolental fibroplasia. It is possiblethat evenconcentrations of 40%or less (formerlyconsidered safe) could bedangerous for someinfants. Therefore, arterial blood gas measurements areextremely important for regulation of theconcentration of inspired oxygen when in an oxygen enriched environment.
Power must bedisconnected prior to removing bed platform.
Air Heater may behot.
Thefront door inner wall must bein placewhileapatient occupies theincubator.
Useonly Ohmedaskin temperatureprobe.
Thehumidity reservoir, or humidity reservoir plugs, must be fully inserted for correct incubator operation, even if the humidifier featureis not used.
Useonly hospital gradegrounded power receptacle.
WCAUTION: U.S. Federal and Canadian lawrestrcts this deviceto saleby or on theorder of alicensed medical practitioner.
Replace filter every three (3) months.
?
?
Oxygen Concentration Chart
NOTE: Oxygen concentration levels in this
chart areintended as areferenceonly.
Actual concentrations should bechecked
with an oxygen analyzer.
Oxygen input
5L/min
10L/min
15L/min
Average oxygen
concentration range
25-45%
35-55%
45-75%
Oxygen Inlet
Ohmeda ColumbiaMD210461801 Madein USA U.S. Pat. No. 4,936,824
m
Oxygen Inlet: EnsuretheController
is sealed and latched prior to
administering oxygen.
WWARNINGS: Firehazard. Keep matches, lighted cigarettes and all other sources of ignition out of theroomin which the incubator is located. Textiles, oils, and other combustibles are easilyignited and burn with great intensityin air enriched with oxygen.
Possibleexplosion hazard. Do not usein thepresenceof flammableanesthetics.
Oxygen concentrations higher than 40%can increasetherisk of retrolental fibroplasia. It is possiblethat evenconcentrations of 40%or less (formerlyconsideredsafe) couldbedangerous for someinfants. Therefore, arterial blood gas measurements areextremely important for regulation of theconcentration of inspired oxygen when in an oxygen enriched environment.
Power must bedisconnected prior to removing bed platform.
Air Heater may behot.
Thefront door inner wall must bein placewhileapatient occupies theincubator.
Useonly Ohmedaskin temperatureprobe.
Thehumidity reservoir, or humidity reservoir plugs, must be fully inserted for correct incubator operation, even if the humidifier featureis not used.
Useonly hospital gradegrounded power receptacle.
WCAUTION: U.S. Federal and Canadian lawrestrcts this deviceto saleby or on theorder of alicensed medical practitioner.
Replace filter every three (3) months.
?
?
Oxygen Concentration Chart
NOTE: Oxygen concentration levels in this
chart areintended as areferenceonly.
Actual concentrations should bechecked
with an oxygen analyzer.
Oxygen input
5L/min
10L/min
15L/min
Average oxygen
concentration range
25-45%
35-55%
45-75%
Figure 5-5
Raising the hood
Front Door
(Open Position)
Figure 5-4
Pulling out the mattress tray
Raising and lowering the hood
WARNING w Do not raise the hood when a patient occupies the incubator. Raise the
hood only for hood disassembly and cleaning.
The hood can be raised to facilitate cleaning. The hood tilt latch on the right rear corner
of the incubator holds the hood open. To tilt the hood, push on the tab on the hood
latch and rotate the hood back until it locks in position. See Figure 5-5. To return the
hood to its normal position, support the hood and release the hood tilt latch by pushing
back the release tab on the latch. Then slowly lower the hood.
Mattress
Tray
C
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2
3
.
0
0
8
C
I
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2
3
.
0
0
9
Hood Latch
Press Here
5-11
5/Using the Incubator
5-11 6600-0291-000 2/24/97
MAX 1000 mL
MIN
Trendelenburg and reverse Trendelenburg positioning-tilt handle
models
CAUTION w Do not use the tilt handles to maneuver the incubator.
Tilt handles on the front of the unit, allow ten degree Trendelenburg (feet up) or reverse
Trendelenburg (head up) positioning.
Tilting the mattress:
1. Grasp the tilt handle on the side of the mattress that you wish to raise
(Figure 5-6).
2. Rotate the tilt handle down until it locks in position to raise the corresponding
side of the mattress.
WARNING w Verify that the mattress is locked in position before releasing the
tilt handle.
Returning to the horizontal position:
To return the mattress to the horizontal position, rotate the handle up to lower
the mattress.
Figure 5-6
Tilting the mattress
Air Temp. Sensor
Tilt Handle
Portholes
Front Door Latch
C
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2
3
.
0
0
4
5-12
5/Using the Incubator
5-12 6600-0291-000 2/24/97
Administering oxygen
WARNINGS w Additional oxygen should only be administered under the direction of
qualified medical personnel.
w The use of head boxes, hoods and oxygen inlets can increase the noise
level inside the incubator.
w Remove all sources of ignition including smoking materials, and sources
of electrical discharge from the area when oxygen is in use. In the pres-
ence of high oxygen concentrations, even relatively nonflammable items
can ignite and burn rapidly. Do not place auxiliary equipment producing
sparks inside the incubator. Even small quantities of highly flammable
items (such as organic cleaning solvents) may explode.
w Ensure the controller is seated and latched prior to administering oxygen.
You can increase the internal incubator oxygen concentration by connecting an oxygen
source to the inlet on the right hand side of the incubator. Either pipeline or regulated
cylinder supplies may be used.
5-13
5/Using the Incubator
5-13 6600-0291-000 2/24/97
Oxygen Inlet
Ohmeda ColumbiaMD210461801 Madein USA U.S. Pat. No. 4,936,824
m
Oxygen Inlet: EnsuretheController
is sealed and latched prior to
administering oxygen.
WWARNINGS: Firehazard. Keep matches, lighted cigarettes
and all other sources of ignition out of theroomin which the
incubator is located. Textiles, oils, and other combustibles are
easilyignited and burn with great intensityin air enriched with
oxygen.
Possibleexplosion hazard. Do not usein thepresenceof
flammableanesthetics.
Oxygen concentrations higher than 40%can increasetherisk
of retrolental fibroplasia. It is possiblethat evenconcentrations
of 40%or less (formerlyconsideredsafe) couldbedangerous
for someinfants. Therefore, arterial blood gas measurements
areextremely important for regulation of theconcentration of
inspired oxygen when in an oxygen enriched environment.
Power must bedisconnected prior to removing bed platform.
Air Heater may behot.
Thefront door inner wall must bein placewhileapatient
occupies theincubator.
Useonly Ohmedaskin temperatureprobe.
Thehumidity reservoir, or humidity reservoir plugs, must be
fully inserted for correct incubator operation, even if the
humidifier featureis not used.
Useonly hospital gradegrounded power receptacle.
WCAUTION: U.S. Federal and Canadian lawrestrcts this
deviceto saleby or on theorder of alicensed medical
practitioner.
Replace filter every three (3)
months.
?
?
Oxygen Concentration Chart
NOTE: Oxygen concentration levels in this
chart areintended as areferenceonly.
Actual concentrations should bechecked
with an oxygen analyzer.
Oxygen input
5L/min
10L/min
15L/min
Average oxygen
concentration range
25-45%
35-55%
45-75%
Figure 5-7
Connecting oxygen supplies
1. Connect the output of the oxygen flow meter to the inlet fitting on the right hand
rear corner of the incubator (Figure 5-7).
WARNING w Always use a back pressure compensated flow meter to deliver oxygen to
the incubator. Other flow meters may not compensate for the back pres-
sure created by the oxygen inlet and could deliver incorrect flow rates.
2. Set up an oxygen analyzer to monitor the hood oxygen concentration. Position the
sampling tube or sensor near the center of the infant compartment. Route the tube
or sensor cable out the hood through one of the tubing access covers.
WARNINGS w Monitor the oxygen concentration at a position near the infants head.
The concentration vs flow rate chart on the side of the incubator gives
only approximate concentrations to aid in setting the initial flow rate. It
must not be used in place of an oxygen analyzer.
w Use an oxygen monitor whenever oxygen is being administered. Concen-
tration of inspired oxygen does not predictably determine the partial
pressure of oxygen in the blood; blood gas measurements are extremely
important for the regulation of inspired oxygen concentrations when an
oxygen enriched environment is necessary. Oxygen concentrations
above 40% can increase the risk of retrolental fibroplasia (retinopathy of
prematurity). Even concentrations of 40% or less oxygen (formerly con-
sidered safe) could be dangerous to some infants. (See current edition of
Standards and Recommendations on Hospital Care of Newborn Infants
prepared by the Committee on Fetuses and Newborns of the American
Academy of Pediatrics.)
Oxygen Inlet
C
I
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2
3
.
0
0
6
5-14
5/Using the Incubator
5-14 6600-0291-000 2/24/97
3. Switch On the incubator. Unless the incubator is operational, there will be no air
flow to ensure adequate mixing inside the hood.
4. Set up the initial flow rate using the oxygen concentration table next to the oxygen
inlet. The chart will give you a general idea what flow rate will be required to
maintain the desired concentration. The actual concentration will vary with the
condition of the incubator air inlet filter, hood seals, door seals and the number of
open portholes, as well as the infants condition.
5. Wait 30 minutes and then check the oxygen concentration inside the unit, without
opening the hood. Adjust the flow rate if required. Allow 30 minutes between
adjustments for the new concentration to stabilize.
Using the optional humidifier
WARNING w The humidifier must be installed for proper incubator operation, even if
you do not plan to use the humidifier.
The Care Plus offers three levels of humidification: none, low, and high. If you do not
want humidification, do not put water in the humidifier.
Even at the high setting, the humidifier reservoir holds more than enough water to last
for 24 hours.
1. Gently slide the humidifier out of the base. You will feel an initial resistance, but
apply a steady pull to avoid spilling its contents (Figure 5-8).
2. Set the humidifier down on a level surface and add water to the fill level indicated
on the label (1000 ml maximum).
Note: Do not fill the humidifier past the fill level. Filling past the fill level actually
DECREASES humidification.
3. Slide the humidifier back into the base.
4. Adjust the slide on the side of the humidifier to set the humidification level:
For high humidification move the slide completely back.
For low humidification move the slide completely forward.
Drain the humidifier when the unit is not in use. Disinfect the humidifier weekly or after
each patient. Refer to the section Cleaning and disinfecting individual components in
chapter 6 for disinfection instructions.
5-15
5/Using the Incubator
5-15 6600-0291-000 2/24/97
C
I
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2
3
.
0
1
0
Humidifier
Lid
Slide
Figure 5-8
Using the humidifier
5-16
5/Using the Incubator
5-16 6600-0291-000 2/24/97
Notes
6-1
6/Maintaining the Incubator
6-1 6600-0291-000 2/24/97
6/Maintaining the Incubator
WARNINGS w The heater is hot enough to cause skin burns. Unplug the incubator and
allow the heater to cool before disassembly or cleaning.
w Always disconnect the power before performing service or maintenance
procedures detailed in this manual. Apply power only if you are specifi-
cally instructed to do so as part of the procedure.
w Thoroughly air dry the incubator after cleaning it with flammable agents.
Small amounts of flammable agents, such as ether, alcohol or similar
cleaning solvents left in the incubator can cause a fire.
w Never oil or grease oxygen equipment unless a lubricant that is made and
approved for this type of service is used. Oils and grease oxidize readily,
and in the presence of oxygen, will burn violently.
In this section
Cleaning schedule ....................................................................................................... 6-1
Disassembling the incubator for a complete cleaning ................................................. 6-2
Cleaning and disinfecting individual components ........................................................ 6-6
Humidifier ............................................................................................................ 6-6
Patient Probe (Reusable) .................................................................................... 6-7
Controller assembly ............................................................................................ 6-8
Porthole ............................................................................................................... 6-9
Compartment Temperature Probe ...................................................................... 6-9
Other Clear Plastic Parts..................................................................................... 6-9
Lower unit (mattress, mattress tray, base platform cover, etc.) .......................... 6-9
Oxygen inlet ........................................................................................................ 6-9
Cabinet ................................................................................................................ 6-9
Cleaning schedule
This schedule lists the minimum frequencies. Always follow hospital and local regula-
tions for required frequencies.
Weekly or after each patient
Disinfect the humidifier if it was used.
Perform a complete cleaning and if necessary disinfect the entire incubator.
Check the air filter; replace the air filter after use with an infectious patient.
Check the front door and the porthole latches and hinges to make sure that they will not
open accidently.
Quarterly
Replace the air filter.
When the incubator is not in use, use standard analytical methods to make sure that
the infant compartment and any direct contact components, such as the humidifier and
the oxygen inlet, meet hospital cleanliness standards.
6-2
6/Maintaining the Incubator
6-2 6600-0291-000 2/24/97
Disassembling the incubator for a complete cleaning
If the incubator has been exposed to body fluids, check your hospitals infection control
procedures. You may need to wear protective clothing and eye wear or use special
sterilization agents and cleaning procedures.
WARNING w Disconnect the power cord before disassembling or reassembling the lower
unit.
CAUTIONS w Electronic devices in the microprocessor controller are susceptible to damage from
discharges of static electricity. These devices are adequately protected, but can be
damaged if the unit is disassembled beyond that recommended for cleaning and
maintenance.
w Do not remove the air temperature sensor mounted to the rear hood wall; the
air temperature sensor must remain in the correct position for proper incubator
operation.
1. Turn the power switch Off and unplug the unit from the power outlet.
2. If the incubator was previously on, allow it to cool for at least 30 minutes.
3. Remove the filter by unscrewing the two filter mounting knobs on either side of the
vented rear panel. Pull off the panel and remove the filter.
WARNING w The air filter cannot be cleaned and must be replaced every three months,
when visibly dirty or after use with an infectious patient. If the air filter is
exposed to liquids or disinfectants, replace it with a new filter.
4. Unplug the power cord from the right side of the controller.
5. Unplug the air temperature sensor and the patient probe (if present) from the controller.
6. Pull up on both controller latches and slide the controller forward, out of the lower unit.
Be careful not to bump the heater or the fan. They may grate against each other or the
base platform if they are knocked out of alignment.
7. Open the incubator door and tilt the hood back to its locked position. Remove the inner
wall by pressing up on the center of the wall until it flexes enough to free the two inside
inner wall fasteners from their holes, then slide the wall toward the incubator so that the
two outside inner wall fasteners slide along their keyhole slots and out the large holes
at the slots end. See Figure 6-1. If the optional rear inner wall is installed, it may be
removed in a way similar to the front inner wall.
6-3
6/Maintaining the Incubator
6-3 6600-0291-000 2/24/97
Figure 6-1
Removing the inner wall
8. Lift out the mattress and the mattress tray (Figure 6-3).
9. Remove the tilt assemblies. See figure 6-2
1) Lift the tilt handle out of its slot.
2) Pull the tilt rod just a little up out its hole
3) Turn the handle down 90
4) Tilt the assembly all the way back while turning it in another 90
5) Grasp the rod where it enters the hole and pull it straight out.
10. Lift out the base platform cover.
11. Remove the optional humidifier. Slide the humidifier out from under the base.
Remove the seals on the portholes.
12. Remove the iris cuff by streching its elastic band off the frame and tightening
ring. Snap the tightening ring off the frame. Remove the gasket from the frame.
Push the frame out of the hood.
Reverse the steps for assembly. Replace the porthole seals. To install new arm
cuffs, slip the larger elastic ring over the housing of the porthole. To reattach the
inner wall, insert two outside inner wall fasteners in their keyhole slots and slide the
wall until the two inside inner fasteners pop into their holes
C
I
.
2
3
.
0
3
8
>37C
F / C
100% 75% 50% 25%
6-4
6/Maintaining the Incubator
6-4 6600-0291-000 2/24/97
C
I
.
2
3
.
0
3
3
,

0
3
4
,

0
3
5
,

0
3
6
,

0
3
7
Figure 6-2
Removing the tilt handle
>37C
F / C
100% 75% 50% 25%
1
>37C
F / C
100% 75% 50% 25%
2
.5 cm
>37C
F / C
100% 75% 50% 25%
3
>37C
F / C
100% 75% 50% 25%
4
>37C
F / C
100% 75% 50% 25%
5
6-5
6/Maintaining the Incubator
6-5 6600-0291-000 2/24/97
>37C
F / C
100% 75% 50% 25%
Base
Platform
Cover
Filter
Slide
Lid
Mattress
Tray
Mattress
Controller
Filter
Cover
Base Platform
Tilt
Assemblies
C
I
.
2
3
.
0
1
2
Humidifier
(optional)
Figure 6-3
Disassembling the lower unit
6-6
6/Maintaining the Incubator
6-6 6600-0291-000 2/24/97
Cleaning and disinfecting individual components
CAUTIONS w Clean the incubator at least once a week or after each patient.
w Do not clean the incubator with organic solvents, scouring compounds, strong
acids, or strong bases. These compounds may damage the incubator.
Divide the components according to cleaning methods. Methods other then those
detailed in this section may damage the incubator.
Humidifier
CAUTION w Do not use peroxide or alcohol solutions to clean the humidifier tray.
Disassemble the humidifier. Clean the interior with a mild detergent-disinfectant
solution. Rinse and thoroughly dry the parts before reassembly. The humidifier
may be pressure steam sterilized up to a maximum of 15 minutes at 240F (116C)
and 15 psig (103 kPa).
To avoide part distortion:
Do not exceed 15 minute maximum
Do not place parts on top of one another
Place all items on a flat surface
Rinse and dry all parts before sterilizing
6-7
6/Maintaining the Incubator
6-7 6600-0291-000 2/24/97
Patient Probe
CAUTIONS w Avoid placing excessive strain on the probe lead. When cleaning, be careful
not to pull on or bend the lead at the probe tip. Always remove the probe from
the incubator by grasping the plug at the panel. Do not pull on the probe lead.
w Do not apply cold sterilization or cleaning solutions to the probe connector.
Note: The reusable, Ohio patient temperature probe, Stock No. 0208-0697-700, is an
expendable part as specified in the warranty.
1. Determine if the patient probe is disposable or reusable:
Reusable probes have black connectors and use a separate,
heat reflecting patch.
Disposable probes have a white connectors and come with a
smaller heat reflecting patch already attached.
Note: Disposable skin temperature probes cannot be cleaned.
2. Clean the skin temperature probe by gently wiping with a soft damp cloth
containing a disinfecting agent safe for use on the probe materials.
The following lists some cleaning solutions that may be used safely:
Generic Formulation Maximum Concentration Level
Sodium Hypochlorite 0.5% Aqueous Solution
Glutaraldehyde 2%
Hydrogen Peroxide 6%
Iodophor Solution 0.27%
CAUTIONS w Use of cleaning/disinfecting solutions containing chemicals not listed above
(i.e. alcohol, acetone, etc.), or chemicals in greater concentrations than those
listed above, may damage the probe.
w Do not autoclave or gas sterilize the skin temperature probe. Do not immerse
the probe in liquid cleaner. Avoid placing excessive strain on the probe lead.
Always remove the probe by grasping the plug at the panel. Do not pull on the
probe lead. These precautions will avoid damage to the probe.
6-8
6/Maintaining the Incubator
6-8 6600-0291-000 2/24/97
Controller assembly
CAUTION w If you fill the cleaning tank past the fill mark, cleaning solution can leak into the
controller electronics.
Controller parts that do not contact the infant
Wipe the front panel, the top cover, the side panels, and the rear panel with a damp
cloth and a mild detergent solution. Do not apply cleaning solutions onto or near the
probe connectors.
Heater and fan assembly
Remove any lint build up from the rear of the controller. Wipe the fan, the motor shaft
and the controller surfaces to which these items are mounted, with a cloth dampened in
the cleaning solution. Use a minimum amount of solution. Do not spray on the cleaning
solution or permit it to contact any electrical parts.
Alternatively, lower the back of the controller into the cleaning tank accessory. Refer to
Figure 6-5.
CAUTIONS w Never substitute any other container for the controller cleaning tank (Stock No.
6600-0202-500).
w Do not clean the fan sensor with hydrogen peroxide.
Figure 6-3
Cleaning the controller
CAUTIONS w Do not autoclave or gas sterilize any of the plastic parts.
w Do not use strong acids or strong bases on plastic parts.
Controller
Bulkhead
Cleaning Tank
C
I
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0
2
.
0
1
8
6-9
6/Maintaining the Incubator
6-9 6600-0291-000 2/24/97
Porthole
The following cleaning agents are acceptable for cleaning and disinfecting the porthole:
Isopropyl Alcohol, 70% concentration
Hydrogen Peroxide, 6% concentration (such as Endo-Spor 100% strength)
Cavicide Spray, 100% concentration as sprayed from the can (active ingredients -
Diisobutylphenoxyethyl dimethyl benzyl ammonium chloride .25%, Isopropanol
14.85%).
Idophor Solution, 0.27% concentration (active ingredients - Polythoxy polypropoxy
polyethoxy ethanoliodine complex 9.10%, nonyl phenoxypoly [ethyleneoxy] ethanoliodine
8.74%, provides 1.6% minimum Titratable iodine, such as Wescodyne- mixed 2 fl. oz. to 1
gal. H
2
O) Note: this solution will stain porthole seals and bumpers yellow.
The following cleaning agents will damage the material being cleaned and are not
recommended:
Sodium Hypochlorite, 0.5% (bleach)
Quaternary Ammonium, 0.2% concentration (such as Virex)
Glutaraldehyde, 2% concentration (such as Cidex Plus)
Compartment Temperature Probe
Wipe the temperature probe with a cloth dampended with a mild detergent-disinfectant
solution, such as Cavicide. Be sure to allow the probe to thoroughly dry before
putting the incubator back into operation.
Other Clear Plastic Parts
CAUTIONS w To minimize the generation of static electricity, do not polish the incubator hood
with a dry cloth.
w Do not autoclave or gas sterilize the mattress or any of the plastic parts.
w Do not use strong acids or strong bases on plastic parts.
Clean the hood, the inner wall, and other clear plastic parts of the incubator with a
disinfectant-detergent. Make sure that the inner walls have been removed so that all
incubator surfaces are exposed.
Apply the cleaning solution with a clean cloth or sponge. Dry the plastic parts with a
clean damp soft cloth to avoid scratches.
Note: Do not allow excess cleaning solution to seep in between plastic parts (for
example: between the hood and porthole, or between the hood and the inner wall
retainers) where it can not be easily wiped dry with a cloth.
Lower unit (mattress, mattress tray, base platform cover, etc.)
Clean the base platform cover, the mattress and the mattress tray with a mild deter-
gent-disinfectant solution. The tilt mechanism parts in the patient compartment can be
cleaned by immersing them in soap and water or a mild detergent disinfectant solution.
Clean the exterior tilt controls by wiping down the exposed surfaces with a cloth
dampened with a mild detergent-disinfectant solution. Do not immerse exterior tilt
mechanism. Rinse and thoroughly dry the parts before reassembly.
Oxygen inlet
Clean the oxygen inlet with a mild cleaning solution or disinfectant.
Cabinet
Clean the cabinet with a mild cleaning solution. Apply the cleaning solution with a clean
cloth or sponge. Dry the cabinet with a clean, soft cloth.
6-10
6/Maintaining the Incubator
6-10 6600-0291-000 2/24/97
Notes
7-1
7/Service Procedures
7-1 6600-0291-000 2/24/97
7/Service Procedures
In this section
Repair Policy................................................................................................................ 7-1
Maintenance schedule ................................................................................................. 7-1
Operator maintenance ........................................................................................ 7-1
Service maintenance........................................................................................... 7-2
Troubleshooting incubator problems ........................................................................... 7-2
Repair Policy
Warranty repair and service must be performed by an Ohmeda Service Representative
or at the Ohmeda Service and Distribution Center. To contact an Ohmeda Service
Representative, call the nearest Ohmeda Regional Service Office listed on the back
cover.
Do not use malfunctioning equipment. Make all necessary repairs or have the equip-
ment repaired by an Ohmeda Service Representative. Parts listed in the service
manual, for this product, may be repaired or replaced by a competent, trained person
who has experience in repairing devices of this nature. After repair, test the equipment
to ascertain that it complies with the published specifications.
CAUTIONS w Only competent individuals trained in the repair of this equipment should
attempt to service it as detailed in the Service Manual (Stock Number 6600-
0292-000).
w 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 Ohmeda.
Maintenance schedule
The unit should be maintained in accordance with the procedures detailed in the
Service Manual. Quarterly and two year maintenance must be performed by a techni-
cally competent individual as described in the Repair Policy.
Operator maintenance
This schedule lists the minimum frequencies. Always follow hospital and local regula-
tions for required frequencies.
Weekly or After Each Patient
Disinfect the humidifier if used.
Clean the incubator and check the air filter. Disinfect the incubator if required or after
use with infectious patients.
Quarterly
Replace the air filter. When you replace the filter, mark the date on the label supplied
with the replacement filter and affix it to the filter cover panel.
Note: This is the minimum replacement frequency. The filter must also be replaced
whenever it appears dirty, or has been used with an infectious patient.
7-2
7/Service Procedures
7-2 6600-0291-000 2/24/97
Service maintenance
This schedule lists the minimum frequencies. Always follow hospital and local regula-
tions for required frequencies.
Quarterly
Perform the electrical safety and checkout procedure from the Service Manual. If
possible verify an acceptable sound level within the infant compartment. Every other
quarterly inspection, check the calibration as detailed in the Service Manual.
Every Two Years
Replace the battery. Inspect all seals and gaskets. Replace shock mounts and bushings.
Note: The battery is used to sound the power failure alarm and to power memory
circuits during a power failure.
Troubleshooting incubator problems
WARNINGS w Excessive EMI levels in the hospital environment can trigger the system
failure alarm. Note the error code and switch off the unit. Wait ten sec-
onds and switch the unit back on. If the system failure alarm recurs,
remove the incubator from use.
w If an alarm is silenced, closely monitor the patient.
Symptom Possible cause(s) Recommended action(s)
Controller does not Power is off or the power Connect the power cord.
energize cord is disconnected
Switch the power on.
Unit will not heat in Probe temperature Warm probe above 30C
Patient Control Mode* below 30C
All LEDs go out while Open circuit breaker For controllers with serial
the unit is in use numbers beginning with
HBJ and HCE, discontinue
use and call for service.
For all other controllers,
switch the power Off and
On to reset the unit. After
the second occurrence,
discontinue use and call
for service.
Mode control, Switches are not enabled Press the Enable switch to
temperature switches (enable indicator is out) activate the switches.
(? and M), or Override
switches do not respond Controller failure Discontinue use and call
for service.
* On units with patient control mode
7-3
7/Service Procedures
7-3 6600-0291-000 2/24/97
Symptom Possible cause(s) Recommended action(s)
HHHH or LLLL appears Patient probe jack Plug the patient probe
in the patient temperature not properly seated completely into the
display in the air control controller.
mode
Patient probe failure Replace the probe and
check the patient.
Alarm cannot be silenced Microprocessor failure Discontinue use and call
and all indicators are for service.
extinguished
System failure alarm Electrical failure Note the error code and
switch off the unit. Wait ten
seconds and switch the
unit back on. If the system
failure alarm recurs,
discontinue use and call
for service.
Probe failure alarm* Air probe disconnected in Reconnect the air
either mode. Air temp. temperature sensor
display reads 00.0
Patient probe disconnected Reconnect the patient
in patient control mode. probe.
Patient temp. display reads
HHHH
Patient probe malfunction Replace the patient probe.
in patient control mode.
Patient temp. display reads
HHHH
Control unit failure Discontinue use and call
for service.
Air circulation alarm Blower motor failure Discontinue use and call
for service.
Missing fan Reinstall fan
Power failure alarm The power cord is not Plug the power cord in.
plugged into a live power
outlet
The power cord is not
plugged into the controller
One or more indicators fail Electrical failure Discontinue use and call
for service.
Improper or no Disconnected RS-232 Reconnect RS-232 cable.
Serial String cable
Unable to achieve On units with humidifier Check humidifier
humidification level tray not properly installed
Unable to achieve On units without humidifier Check to see if plugs
O
2
level plug in base missing are installed
7-4
7/Service Procedures
7-4 6600-0291-000 2/24/97
Notes
8/Illustrated Parts
8-1 8-1 6600-0291-000 2/24/97
>37C
F / C
100% 75% 50% 25%
8/Illustrated Parts
Item Stock Number
1. Mattress with cover ........................................................................... 6600-0152-500
2. Filter w/replacement date sticker ....................................................... 6600-0043-800
3. Humidifier, passive (complete, includes 4-7)* ................................... 6600-0218-800
4. Humidifier fill tray ............................................................................... 6600-0768-500
5. Humidifier slide .................................................................................. 6600-0435-500
6. Humidifier lid...................................................................................... 6600-0434-500
7. Humidifier seal 2/pkg ......................................................................... 6600-0220-800
Base platform and cover assembly
2
1
6
7
5
4
C
I
.
2
3
.
0
1
2
* For Servo-Controlled Humidifier see manual 6600-0223-000
3
8/Illustrated Parts
8-2 8-2 6600-0291-000 2/24/97
Notes
A-1
Appendix
A-1 6600-0291-000 2/24/97
Appendix
In this section
Care Plus specifications ............................................................................................. A-1
Electrical specifications ...................................................................................... A-1
Performance specifications ................................................................................ A-2
Safety specifications .......................................................................................... A-4
Environmental specifications.............................................................................. A-4
Electromagnetic Compatibility (EMC) Specifications ......................................... A-4
Mechanical specifications .................................................................................. A-5
Glossary...................................................................................................................... A-9
Care Plus specifications
Electrical specifications
Power requirements
Designed to IEC 601-1 and IEC 601-2-19 specifications
120 Vac 50/60 Hz Models (115 Vac 10%, 5.7 Amps)
220 Vac 60 Hz Models (220 Vac 10%, 3.0 Amps)
220-230 Vac 50 Hz Models (220 Vac - 10%, 230 Vac + 10%, 3.0 Amps)
240 Vac 50/60 Hz Models (240 Vac 10%, 2.7 Amps)
Nominal power consumption
450 watts at maximum heater output
Line voltage compensation
Heat output compensated for line voltage fluctuations up to 10% of nominal line voltage.
Rated Current: 7 Amps
Trip Point: 9.8 Amps Minimum
Type: Manual Resetting
Model: ETA 41-06-P10 7 Amps
A-2
Appendix
A-2 6600-0291-000 2/24/97
Performance specifications
Patient temperature measurement
Range Displayed: +22 to 42C (71.6 to 107.6F)
Accuracy*: 0.3C ( 0.5F) within a range of 30-42C
Resolution: 0.1C or F
Probe Model Numbers: LA003, LA005 (disposable)
Probe Interchangeability: 0.1C ( 0.2F)
Air temperature measurement
Range Displayed: 5 to 50C (41.0 to 122.0F)
Resolution: 0.1C or F
Accuracy*: Varies over temperature range
Temperature Range Accuracy
5 to 22C (41-71.6F) 0.5C (0.9F)
22.0 to 42.0C (71.6-107.6F) 0.3C (0.5F)
42.0 to 50.0C (107.6-122.0F) 0.5C (0.9F)
Control temperature ranges
Patient Control Mode: 35.0 to 37.0C (95.0 to 98.6F), up to 37.5C (99.5F) with
internal adjustment
Air Control Mode: 20.0 to 37.0C (68.0 to 98.6F), up to 39.0C (102.2F) with control
panel Override switch.
Thermal performance
Temperature Rise Time*: Less than or equal to 20 min
Temperature Variability*: 0.2C (0.4F)
Temperature Overshoot*: Less than or equal to 0.8C (1.4F)
Note: * These terms are defined in the Glossary.
Alarms
Indicator and Nonsilenceable Audio Alarm
Power Failure
Indicator and Silenceable Single Tone Alarm
Difference between patient temperature and patient control temperature exceeds 1.0C
patient control mode (can be adjusted to 0.5C).
Air temperature is 1.5C above or 3.0C below air control temperature (air control
mode; Disabled for 15 minutes after control temperature change and for 30 minutes on
power up).
Indicator, Silenceable Two Tone Alarm and Heater Shutdown
Air temperature sensor disconnected (both modes)
Patient probe disconnected or malfunctioning (patient control mode)
Air circulation system failure
Patient temperature > 42.0C or < 30.0C
Air temperature > 38.0C (air control mode w/o Override)
Air temperature > 40.0C (patient control mode or air control mode with Override)
A-3
Appendix
A-3 6600-0291-000 2/24/97
Indicator, Nonsilenceable Two Tone Alarm, Heater Shutdown and Possible Error Code
System failure
Operator prompt tone
Intermittent audio tone sounds when the unit is first switched On and when the patient
control mode is first selected. Tone is silenced when control temperature is entered.
The heater will not operate until a control temperature has been entered. On controllers
with serial numbers beginning with HBJ, this 30 second tone also precedes all
silenceable alarms.
Proportional heat control
Features zero voltage switching to minimize radiated and conducted EMI. Heater
power compensated for line voltage fluctuations of up to 10% of the nominal voltage.
Air velocity over mattress
Less than 35 cm/sec.
Noise level within unit
Less than 60 Decibels, A weighted
Incubator Temperature (C)
%RH
(Incubator)
100
75
50
60
48
52
40
24.6
30
0
35 39
High Setting
Low Setting
Empty Reservoir
35
Note: RH values shown above may vary by 10%
Humidifier specifications
Specification test conditions used to collect data:
Room temperature: 25C
Room humidity: 50% RH
Readings taken two hours after reaching temperature equilibrium without an infant in
the incubator.
C
I
.
0
2
.
0
6
7
A-4
Appendix
A-4 6600-0291-000 2/24/97
Oxygen concentration within unit
25 to 45% with 5 l/min. oxygen input
35 to 65% with 10 l/min. oxygen input
45 to 75% with 15 l/min. oxygen input
Carbon dioxide concentration within unit
Less than 0.5% when a 4% carbon dioxide, 96% air mixture is fed into the infant
compartment at rate of 0.75 l/min (simulated infant occupancy).
Safety specifications
Isolation voltage
2500 Vrms 60 Hz from the patient probe to the ac phase and neutral lines for one minute.
IEC 601-1 Class I Equipment
mIEC 601-1 Type B Isolation
Mode of Operation: Designed for continuous operation.
Protection against ingress of water: Not protected.
WARNING w The patient probe is not isolated from earth ground. Any additional equip-
ment used with the Care Plus must comply with IEC 601-1
Leakage current
Power supply: 120V 50/60 Hz
Leakage current: less than 300 A
Power supply: 220/240 V 50/60 Hz
Leakage current: less than 500 A
Self test
The microprocessor performs self test and software verification functions when the
power is first switched On.
Environmental specifications
Operating Temperature Range: 20 to 30C (68 to 86F)
Storage Temperature Range: -25 to 60C (-13 to 140F)
Operating and Storage Pressure Range: 500 to 1060 hPa
Operating and Storage Relative Humidity Range: 0 to 95%
Electromagnetic Compatibility (EMC) Specifications
All models meet the requirements as specified in IEC 601-1-2
Collateral Standard Electromagnetic Compatibility - Requirements and Tests.
A-5
Appendix
A-5 6600-0291-000 2/24/97
Mechanical specifications
Incubator with cabinet
Height: 135.9 cm (53.5 in)
Depth: 64.8 cm (25.5 in)
Width: 88.9 cm (35.0 in)
Weight: 84.04 kg (185 lbs)
Casters: 3 inch diameter, 2 locking, 2 non-locking
Height
to bed: 92 cm (36 in.)
Incubator only
Height: 62.2 cm (24.5 in)
Depth: 61.5 cm (24.2 in)
Width: 83.1 cm (32.7 in)
Mattress: 34.8 x 65.0 cm (13.7 x 25.6 in)
Maximum Load: 30 lbs. (13.6 kg)
Tilt Positions:
Two Position: 0 degrees or 10 degrees
A-6
Appendix
A-6 6600-0291-000 2/24/97
Glossary
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.
Accuracy: As stated in the performance specifications, the assigned accuracy of the
equipment; including all the system components from the sensors to the display.
Desired Environmental Temperature (DET): The air temperature required to maintain
the infants temperature at the patient control temperature (patient control mode).
Air Control Mode: Manual Mode of operation. The incubator air temperature is main-
tained at the air control temperature.
Incubator Temperature: The air temperature measured at a point 10 centimeters (4
inches) above the center of the mattress.
Patient Control Mode: Servo Mode of operation. The incubator changes the DET to
maintain the desired patient skin temperature.
Patient Probe: The Ohio patient temperature probe, model LA003, or the Ohmeda skin
temperature probe, model LA005.
Temperature Rise Time: The time required for the incubator temperature to rise 11C.
Temperature Equilibrium: The condition where the average incubator temperature does
not vary by more than 0.2C in a one hour period.
Temperature Variability: The maximum difference between the incubator temperature
and the average incubator temperature during temperature equilibrium.
Temperature Overshoot: The number of degrees by which the maximum incubator
temperature exceeds the average incubator temperature at temperature equilibrium
following a change in the air control temperature (air control mode).
w Indicates a WARNING
or a CAUTION in the text
m Type B electrical equipment
x Protective ground
y Functional ground
~ Alternating Current (AC)
Patient Temperature
Air Temperature
Control Temperature
Alarm
Controls
Upper IV Pole: 2.3 kg Max
Lower IV Pole: 12 kg Max
IV Pole is not a handle
Lower IV Pole to 143 cm
Max during transport
Air Circulation Failure
Probe Failure
System Failure
Power Failure
Air Control Mode
Patient Control Mode
Enable
Raise Temperature
Lower Temperature
}
}
A-7
Appendix
A-7 6600-0291-000 2/24/97
Warranty
W-1
This Product is sold by Ohmeda under the warranties set forth in the following
paragraphs. Such warranties are extended only with respect to the purchase of this
Product directly from Ohmeda or Ohmedas Authorized Dealers as new merchandise
and are extended to the Buyer thereof, other than for the purpose of resale.
For a period of twelve (12) months from the date of original delivery to Buyer or to
Buyers order, but in no event for a period of more than two years from the date of
original delivery by Ohmeda to an Ohmeda Authorized Dealer, this Product, other than
its expendable parts, is warranted to be free from functional defects in materials and
workmanship and to conform to the description of the Product contained in this
operation manual and accompanying labels and/or inserts, provided that the same is
properly operated under the conditions of normal use, that regular periodic
maintenance and service is performed and that replacements and repairs are made in
accordance with the instructions provided. This same warranty is made for a period of
thirty (30) days with respect to expendable parts. The foregoing warranties shall not
apply if the Product has been repaired other than by Ohmeda or in accordance with
written instructions provided by Ohmeda, or altered by anyone other than Ohmeda, or if
the Product has been subject to abuse, misuse, negligence, or accident.
Ohmedas sole and exclusive obligation and Buyers sole and exclusive remedy under
the above warranties is limited to repairing or replacing, free of charge, at Ohmedas
option, a Product, which is telephonically reported to the nearest Ohmeda Field Service
Support Center and which, if so advised by Ohmeda, is thereafter returned with a
statement of the observed deficiency, not later than seven (7) days after the expiration
date of the applicable warranty, to the Ohmeda Service and Distribution Center during
normal business hours, transportation charges prepaid, and which, upon Ohmedas
examination, is found not to conform with above warranties. Ohmeda shall not be
otherwise liable for any damages including but not limited to incidental damages,
consequential damages, or special damages.
There are no express or implied warranties which extend beyond the warranties
hereinabove set forth. Ohmeda makes no warranty of merchantability or fitness for a
particular purpose with respect to the product or parts thereof.
Cvr Chg
06 00
6600 0291 000
2 97 0 13 10 06
Printed in USA
Ohmeda Medical
North America
United States
Customer Service and
Distribution Center
Datex-Ohmeda, Inc.
Ohmeda Drive
PO Box 7550
Madison, WI 53707-7550
Tel 1 800 345 2700
Fax 1 608 221 4384
Technical Support
Datex-Ohmeda, Inc.
Three Highwood Drive
Tewksbury, MA 01876
Tel 1 800 345 2755
Sales and Service
Datex-Ohmeda, Inc.
Three Highwood Drive
Tewksbury, MA 01876
Tel 1 800 635 6099
Fax 1 978 640 0469
Equipment Service Center
Datex-Ohmeda, Inc.
1315 West Century Drive
Louisville, CO 80027-9560
Tel 1 800 345 2755
Canada
Dynamed Health Care Systems
235 Shields Court
Markham, Ontario L3R 8V2
Canada
Toll Free 800 227 7215
Tel 905 752 3300
Fax 905 752 3304
Asia/Pacific
Japan
Datex-Ohmeda K. K.
TRC Annex 9F
6-1-1 Heiwajima
Ohta-ku, Tokyo 143-0006
Japan
Tel 81 3 5763 6801
Fax 81 3 5763 6838
Datex-Ohmeda K. K.
Technical Center
TRC A Bldg. AE 4-8
6-1-1 Heiwajima
Ohta-ku, Tokyo 143-0006
Japan
Tel 81 3 5763 6850
Fax 81 3 5763 6852
Malaysia
Datex-Ohmeda
13 Jalan 223
Level 2 Bangunan O'connors
46100 Petaling Jaya
Selangor, Malaysia
Tel 60 3 754 7872
Fax 60 3 757 6948
Singapore
Datex-Ohmeda Pte. Ltd.
152 Beach Road
#12-05/07 Gateway East
Singapore 189721
Tel 65 391 8618
Fax 65 291 6618
Australia
Datex-Ohmeda Pty. Ltd.
Units 1 & 2
149 Arthur Street
P O Box 356
Homebush
NSW 2140
Australia
Tel 61 132 229
Fax 61 297 461796
Europe
France
Datex-Ohmeda S.A.S.
17 rue Jean-Elyse Dupuy
F-69410 Champagne Au Mont
d'Or
France
Tel 33 01 30 68 60 00
Fax 33 04 78 43 26 58
Germany
Datex-Ohmeda GmbH
Dr-Alfred-Herrhausen-Allee 24
D-47228
Germany
Tel 49 2065 691 0
Fax 49 2065 691 236
Italy
Datex-Ohmeda S.p.A.
Via Cassanese, 100
20090 Segrate, Milan
Italy
Tel 39 2 21693431
Fax 39 2 26926226
Netherlands
Datex-Ohmeda B.V.
Kantemarsweg 18
Post Box 22
3870 CA Hoevelaken
Netherlands
Tel 31 33 253 5404
Fax 31 33 253 7223
Spain
Datex-Ohmeda S.L.
C/Manuel Tovar 26
28034 Madrid
Spain
Tel 34 1 334 26 00
Fax 34 1 358 12 84
United Kingdom
Datex-Ohmeda Ltd.
Ohmeda House
71 Great North Road
Hatfield Hertfordshire
AL9 5EN England
Tel 44 1707 263570
Fax 44 1707 260191
Latin America,
Caribbean
Datex-Ohmeda Latin America
10685 North Kendall Drive
Miami, FL 33176
USA
Tel 1 305 273 9940
Fax 1 305 273 4382
Ohmeda Medical
8880 Gorman Road
Laurel MD 20723
USA
410-381-2555
For distributor locations worldwide
www.ohmedamedical.com