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Ohmeda Ohio Care Plus, Operation And Maintenance Manual

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Ohio

®

 Care Plus

®

 Incubator  

and Ohio

®

 Care Plus

®

Access Incubator

Operation and Maintenance Manual

Summary of Contents for Ohio Care Plus

Page 1: ...Ohio CarePlus Incubator and Ohio CarePlus Access Incubator Operation and Maintenance Manual...

Page 2: ...re paired 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 Ohmeda s Quality A...

Page 3: ...perating 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 4 Preoperative Checkout Proced...

Page 4: ...er Clear plastic parts 6 8 Lower unit mattress mattress tray base platform cover etc 6 8 Oxygen inlet 6 8 Cabinet 6 8 7 Service Procedures Repair policy 7 1 Maintenance schedule 7 1 Operator maintenan...

Page 5: ...repaired Do not use the Care Plus or the Elevating Base in the presence of flammable anesthetics an explosion hazard exists under these conditions Always disconnect the power before performing service...

Page 6: ...Table of Contents iv iv 6600 0239 000 100 Notes...

Page 7: ...s ports The Optional ThermaLink feature simplifies charting and monitoring RS 232 serial data is provided for use with customized research software or compatible vital signs monitors The Nurse Call co...

Page 8: ...rough this entire manual As with all medical equipment attempting to use this device without a thor ough understanding of its operation may result in patient or user injury The Elevating Base accessor...

Page 9: ...Chapter 7 Service procedures helps you solve problems that may occur with the incubator For example what do you do if the temperature switches M and don t work Press the Enable switch to activate them...

Page 10: ...1 1 1 Introduction 1 4 6600 0239 000 100 Notes...

Page 11: ...instructions in the operation and maintenance manual for the device In this section Unpacking 2 1 Mounting the Care Plus on the Elevating Base 2 2 Mounting the Care Plus on the cabinet 2 3 Mounting th...

Page 12: ...bator Refer to Figure 2 1 3 Install the four mounting screws WARNING If mounting hardware is not securely fastened the incubator could tip off the stand CAUTION When handling the controller avoid bump...

Page 13: ...door Refer to Figure 2 2 3 Install the four mounting knobs WARNING If mounting hardware is not securely fastened the incubator could tip off the stand CAUTION When handling the controller avoid bumpi...

Page 14: ...ting the basic rails The short rails long rails single rails and the overhead shelf use the same basic as sembly procedure CI 02 188 Screw Lockwasher Tape Threaded Mounting Hole Stiffener Plate Tape D...

Page 15: ...on the stiffener plate will not support any weight The only reason for the tape is to help you line the parts up 5 Put split ring lockwashers on four 10 x 3 4 inch socket head screws and install the...

Page 16: ...2 6 2 Getting Started 2 6 6600 0239 000 100 Notes...

Page 17: ...r 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 he...

Page 18: ...re making any adjustments If the patient temperature is less than 30 C 86 0 F or above 42 C 107 6 F the incubator assumes that the patient probe has detached from the infant the patient temperature al...

Page 19: ...epeat first stage No Infant is cold Yes Infant is hot Is the PTG 0 C Is the DPT 0 2 C Is the DPT 0 2 C DET change 0 Yes Yes DET PTG Change 0 5 C 0 3 C 0 4 C 0 3 C 0 3 C 0 2 C 0 2 C 0 1 C 0 1 C 0 0 C 0...

Page 20: ...onds tests the temperature monitoring system If the monitoring system is functioning correctly 25 05 C 0 2 C replaces the patient temperature during the test Air temperature During normal operation th...

Page 21: ...has two functions Pressing the switch silences 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 detai...

Page 22: ...sed For controllers with serial numbers beginning with HBJ or HCE the power switch is located on the right side of the controller assembly adjacent to the power cord socket It switches the incubator p...

Page 23: ...s ports The Optional ThermaLink feature simplifies charting and monitoring RS 232 serial data is provided for use with customized research software or compatible vital signs monitors The Nurse Call co...

Page 24: ...rough this entire manual As with all medical equipment attempting to use this device without a thor ough understanding of its operation may result in patient or user injury The Elevating Base accessor...

Page 25: ...Chapter 7 Service procedures helps you solve problems that may occur with the incubator For example what do you do if the temperature switches M and don t work Press the Enable switch to activate them...

Page 26: ...1 4 1 Introduction 1 4 6600 0239 000 100 Notes...

Page 27: ...ng access covers let you route cables and tubes into or out of the unit There are four tubing access covers two on either side Controller latches The controller latches hold the controller in place du...

Page 28: ...t is open You must press the hood tilt release while raising or lowering the hood Oxygen inlet The oxygen inlet connects to a flow meter outlet to raise hood oxygen concentration Cap the inlet when no...

Page 29: ...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 th...

Page 30: ...ood is closed 14 Check that the tubing access covers are also installed on either side of the hood 15 Check the hood tilt latch Open the front door Depress the hood tilt release button and rotate the...

Page 31: ...required suction or gas supply systems Check them for leaks as outlined in the appropriate operation and maintenance manuals Controller checks WARNING Do not use the Care Plus or the Elevating Base i...

Page 32: ...tor 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...

Page 33: ...e can be raised to 37 5 C 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 exc...

Page 34: ...cubator 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 t...

Page 35: ...ly plugged into the Elevating Base s socket If necessary loosen the plug guard and connect the power cord Then reposition the plug guard and tighten the screws Plug the other end of the cord into a po...

Page 36: ...amage a thermal switch opens cutting the motor power The switch remains open preventing operation until the motor cools 1 Complete the Checkout procedure 2 Use the M and pedals to adjust the Elevating...

Page 37: ...cubator Direct sunlight or other radiant heat sources can cause an increase in incubator temperature to dangerous levels CAUTIONS Proper temperature control depends on continuous unobstructed air circ...

Page 38: ...uminate and 188 88 appears in the temperature displays b All indicators are extinguished except for the air control and the enable indicators The temperature displays change to show from left to right...

Page 39: ...e mattress it will produce false readings WARNING Intimate contact between the skin temperature probe tip and the patient s skin must be maintained to assure accurate skin temperature measurement Unde...

Page 40: ...emperature Use of other manufacturer s probes may affect the accuracy of equipment operation and the electrical safety of the patient In incubators equipped with radiant or phototherapy lamps the skin...

Page 41: ...it ten seconds and switch the unit back on If the system failure alarm recurs remove the incubator from use If an alarm is silenced closely monitor the patient Note Refer to the troubleshooting sectio...

Page 42: ...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...

Page 43: ...ake good contact with the infant s 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 t...

Page 44: ...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 administeri...

Page 45: ...igure 5 4 WARNINGS 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 When sliding out the...

Page 46: ...ood 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 depress the...

Page 47: ...ush down on the tilt handle to raise the corresponding side of the mattress When mattress reaches the desired position release the locking button The tilt handle should be locked in position Otherwise...

Page 48: ...e the knob downward to lower the mattress Administering oxygen WARNINGS Additional oxygen should only be administered under the direction of qualified medical personnel The use of head boxes hoods and...

Page 49: ...fant s 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 an...

Page 50: ...side of the incubator For the optional servo controlled humidifier see the Servo controlled Humidifier manual 6600 0223 000 The Care Plus offers three levels of humidification none low and high If you...

Page 51: ...aLink Serial data interface and Nurse Call connections are options offered with the Care Plus Your unit has these features if there is a nine pin connector on the side of the controller next to the po...

Page 52: ...l If you connect the Nurse Call output to system which uses the normally open connection a disconnected Nurse Call cable will not trigger an alarm The Nurse Call connector lets you use the Care Plus w...

Page 53: ...nplug the incubator to trigger an alarm Verify that you also get an alarm at the Nurse Call station Note Any interruption of incubator power deliberately switching off the incubator accidentally unplu...

Page 54: ...5 18 5 18 6600 0239 000 100 Notes...

Page 55: ...ling the incubator for a complete cleaning 6 2 Cleaning and disinfecting individual components 6 5 Humidifier 6 6 Patient Probe Reusable 6 6 Controller assembly 6 7 Compartment Temperature Probe 6 8 P...

Page 56: ...er 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...

Page 57: ...portion of the inner wall fasteners as shown in Figure 6 2 10 Lift out the mattress and the mattress tray Figure 6 4 11 Remove each tilt assembly by pulling up on the tilt handle The assemblies will...

Page 58: ...embling the continuous tilt components 12 Lift out the base platform cover 13 Remove the humidifier Slide the humidifier out from under the base For servo controlled humidifier disassembly see the Ser...

Page 59: ...lower unit tilt handle model shown Cleaning and disinfecting individual components CAUTIONS Clean the incubator at least once a week or after each patient Do not clean the incubator with organic solve...

Page 60: ...disposable or reusable Reusable probes have black connectors and use a separate heat reflecting patch Disposable probes have white connectors and come with a smaller heat reflecting patch already att...

Page 61: ...e 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 solu...

Page 62: ...a dry cloth Do not autoclave or gas sterilize the mattress or any of the plastic parts Do not use strong acids or strong bases on plastic parts Clean the hood the inner wall and other clear plastic p...

Page 63: ...service it as detailed in the Service Manual Stock Number 6600 0017 000 Detailed information for more extensive repairs is included in the service manual solely for the convenience of users having pr...

Page 64: ...de 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 If an alarm is silenced closely monitor the patient Symptom Pos...

Page 65: ...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...

Page 66: ...7 4 7 Service Procedures 7 4 6600 0239 000 100 Notes...

Page 67: ...nt 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...

Page 68: ...sensor 6600 0138 800 Manifold with 1 8 inch pipe thread 0217 5359 800 Vacuum manifold w DISS adapters 0217 5369 800 Air flow meter w bracket 0217 5372 800 Manometer w bracket 0217 5377 800 Retaining...

Page 69: ...00 1 4 Gal Shatter Resistant Collection Bottle 0212 0300 600 Collection Bottle Bracket 0221 6267 300 Collection Bottle Cap and Float Assembly 0221 6285 300 Pleur Evac Hanger Kit 6600 0115 800 Iris Por...

Page 70: ...8 Illustrated Parts 8 4 8 4 6600 0239 000 100 Notes...

Page 71: ...omestic Designed to UL 544 and CSA 22 2 specifications 120 Vac 50 60 Hz Models 115 Vac 10 5 7 Amps Export Designed to IEC 601 1 and IEC 601 2 19 specifications 220 Vac 60 Hz Models 220 Vac 10 3 0 Amps...

Page 72: ...rmal performance Temperature Rise Time Less than or equal to 20 min Temperature Variability 0 2 C 0 4 F Temperature Overshoot Less than or equal to 0 8 C 1 4 F Note These terms are defined in the Glos...

Page 73: ...ons of up to 10 of the nominal voltage Air velocity over mattress Less than 10 cm sec Double Walled Units Less than 35 cm sec Single Walled Units Noise level within unit Less than 60 Decibels A weight...

Page 74: ...nt probe is not isolated from earth ground Any additional equipment used with the Care Plus must comply with UL 544 CSA 22 2 IEC 601 and VDE 750 Leakage current For all ground wire configurations with...

Page 75: ...Approximately 110 lbs 50 kg Maximum total capacity 500 lbs 227 kg evenly distributed over central column Maximum weight rail mount accessories 20 lbs 9 kg each side total not to exceed 40 lbs 18 kg T...

Page 76: ...ncubator may be connected to a SpaceLabs Bedside Monitor via a Flexport SL P N 90444A The parameters passed to the SpaceLabs Bedside Monitor are patient temperature air temperature set temperature and...

Page 77: ...r equal to 1 00 C indicate an open or a disconnected probe Any temperature greater than or equal to 50 C is a shorted probe at at This is the air temperature in degrees centigrade The air temperature...

Page 78: ...ailure Alarm System Failure Alarm Not used Audible Alarm Status Bit code This is the error code that appears in the control temperature display during a system failure alarm e g E014 If the system is...

Page 79: ...ata output share the same female nine pin d type connector Pin 6 Closed contact under normal conditions i e power on no alarm recommended configuration Pin 1 Common contact Pin 9 Open contact under no...

Page 80: ...A 10 Appendix A 10 6600 0239 000 100...

Page 81: ...symbols appear on the unit Symbol Description Consult accompanying documents Specifications The product is designed to meet a life span of 7 years However with proper maintenance and repairs the serv...

Page 82: ...perature 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 des...

Page 83: ...e parts including but not limited to the reusable Ohio skin temperature probe The foregoing warranties shall not apply if the Product has been repaired other than by Ohmeda or in accordance with writt...

Page 84: ...ngjiang Hi tech Park Pudong Shanghai P R China 201203 GE 1 201203 Tel 8621 38777888 Fax 8621 38777402 Australia 1300 722 229 China 800 810 8188 India 1 800 425 7255 Korea 02 1544 4564 South Eastern As...

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