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Cincinnati Sub-Zero BLANKETROL III 233 Скачать руководство пользователя страница 42

OPERATION

BLANKETROL III, Model 233

OPERATION AND TECHNICAL MANUAL

Page 42 of 131

D.

Check the level of distilled water in the reservoir.  To do so, lift the cover of the water
fill opening and check if the water is visibly touching the strainer.  If needed, carefully
add distilled water.  In addition, if the water falls below a preset level, the alarm
sounds and the Status Display flashes LOW WATER.  The operator cannot proceed
until this is corrected as described in Sections (3-12-D.) and (4-2.2).

E.

Check that the power switch is in the “O” position (unit is off).

F.

Inspect the power plug for bent or missing prongs.

WARNING



Do not

by-pass ground lug

(230V System).

Electrical hazards may result.

G.

Insert the plug into a properly grounded hospital grade receptacle.

H.

Lay the hyper-hypothermia blanket flat with the hose routed, without kinks, towards
the unit.

I.

If the blanket is already filled, check that there are no leaks.

WARNING



Any time water is found leaking into or around the unit, connecting hose, and/or
blanket, turn the unit off, disconnect the power cord from its power source, and correct
the problem before proceeding.

Proper maintenance procedures should be followed

including, but not limited to, the preventative maintenance described in this manual.
Leaky blankets or hoses should never be used.

Water leaks could present a slip

hazard and risk of infection and could lead to electric shock.

J.

Cover the blanket with a dry sheet or bath blanket (if using PLASTI-PAD, or MAXI-
THERM Blanket).

K.

Connect the blanket to the BLANKETROL III unit as described in Section (2-3.1.),
Step (H.).

CAUTION



Use distilled water only. Do Not Use De-Ionized water. De-Ionized water

may

cause corrosion to plumbing system components.

Do Not Use Tap Water.

Minerals and deposits

can clog plumbing system components.



Do not

use alcohol. Alcohol may cause blanket deterioration.



Do not

overfill. Overfilling may result in overflow when the water in the blanket

drains back into the system when the system is turned off.

CAUTION



Unapproved blankets or hoses should never be used.

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Содержание BLANKETROL III 233

Страница 1: ...Operation and Technical Manual Model 233 Hyper Hypothermia System Cincinnati Sub Zero Products LLC 12011 Mosteller Road Cincinnati Ohio 45241 U S A www cszmedical com ...

Страница 2: ...LANKETROL III Model 233 Page 2 of 131 BLANKETROL is a registered trademark of Cincinnati Sub Zero Products LLC Cincinnati Ohio USA Copyright 2018 Cincinnati Sub Zero Products LLC All rights reserved Manual 56201 Rev AG ECN M1807 5495 ...

Страница 3: ...Indicators 10C Gradient 10 C V Gradient Variable 5C Smart Mode Water Flow Indicator Fill to Strainer Outlet Inlet Low Water Level Power Failure Symbol Definitions Read Operation Instructions and Manual Before Operating Separate Disposal for Electrical Electronic Equipment Power Cord Holder Type BF Equipment ESD Susceptibility OFF ON Switch O I AC Voltage USB Port Insert Port in This Direction Moni...

Страница 4: ...ing therapy may be required and should not block the fluid pathways of the blanket or connecting hose Failure to do so may result in inadequate treatment Prep solutions have been reported to injure the skin when allowed to remain between patients and a water circulating heating blanket during prolonged procedures Use of materials of good thermal conductivity such as water gel and similar substance...

Страница 5: ... therapy to the patient Follow instructions for desired mode to resume operation Failure to resume therapy could result in serious injury or death Do not by pass ground lug 230V System Electrical Hazards may result To avoid the risk of electric shock this equipment must only be connected to a supply mains with protective earth Risk of electrical shock may occur Blanket punctures can result in an i...

Страница 6: ...h good repair practices for servicing medical devices and in accordance with instructions contained in this manual Improper repair can result in damage to the BLANKETROL III system and patient injury No modification of this equipment is allowed without prior written authorization from CSZ Failure to do so may result in damage to the BLANKETROL III system and patient injury Before returning the BLA...

Страница 7: ...ove the probe from patient contact before activating an electrosurgical unit Do not immerse probes or connecting cables in liquid Failure to do so may result in damage to the probes If the unit was shipped on its side permit the unit to rest in an upright position for twelve 12 hours before operating due to refrigeration oil displacement For safe handling and use of chemicals follow manufacturer g...

Страница 8: ...7 2 1 INTRODUCTION 27 2 2 UNPACKING THE SHIPMENT 27 2 3 FIRST TIME SET UP SYSTEM TEST ROUTINE 27 2 3 1 Inspecting and Arranging the Equipment 27 2 3 2 Completing a System Test Routine 29 2 4 UNIT AND PATIENT RELATED PRECAUTIONS 36 2 5 PATIENT PREPARATION AND BEDSIDE CARE 37 SECTION 3 OPERATING THE BLANKETROL III SYSTEM 41 3 1 INTRODUCTION 41 3 2 ARRANGING THE SYSTEM COMPONENTS 41 3 3 OPERATING THE...

Страница 9: ...EPLACEMENT OF THE WATER FILTER ASSEMBLY 91 5 5 REPLACEMENT OF THE PUMP HOUSING 92 5 6 REPLACEMENT OF THE PUMP MOTOR 93 5 7 REPLACEMENT OF THE FLOW SWITCH 95 5 8 REPLACEMENT OF THE WATER TEMPERATURE SENSOR 96 5 9 REPLACEMENT OF THE UPPER AND OR LOWER WATER MANIFOLDS 97 5 10 REPLACEMENT OF THE COMPRESSOR STARTING CAPACITOR THE OVERLOAD PROTECTOR AND OR THE COMPRESSOR RELAY 98 5 11 REPLACEMENT OF THE...

Страница 10: ...IST B 119 FIGURE 6 4 BLANKETROL III INTERNAL EXPLODED REAR VIEW 120 FIGURE 6 5 A BLANKETROL III ELECTRICAL WIRING DIAGRAM 115 VOLT 121 FIGURE 6 5 B BLANKETROL III ELECTRICAL WIRING DIAGRAM 230 VOLT 122 FIGURE 6 6 BLANKETROL III WATER CIRCULATION DIAGRAM 123 FIGURE 6 7 BLANKETROL III REFRIGERATION FLOW DIAGRAM 124 TABLE 6 8 BLANKETROL III SYSTEM ACCESSORIES 125 TABLE 7 1 GUIDANCE AND MANUFACTURER S...

Страница 11: ...cates that this is the 60 000th unit of a certain model IN WARRANTY REPAIR AND PARTS All parts on your BLANKETROL III unit are covered by a two year 2 warranty Additional third year warranty is available at the time of purchase To return defective parts or units first obtain a Returned Materials Authorization RMA number from our Medical Technical Service department All returns should be made using...

Страница 12: ...ins a troubleshooting guide Section six outlines parts information and section seven lists the specifications of the BLANKETROL III This manual is prepared for professional personnel who use the BLANKETROL III for patient care as well as technicians and service personnel who are responsible for maintaining the equipment All personnel who operate or service the unit should be familiar with all part...

Страница 13: ...et the desired effect is to elevate the patient s temperature The BLANKETROL III unit can be set so that it operates based on the temperature of the water in the BLANKETROL III equipment MANUAL CONTROL MODE or it can be set so that it operates based upon the patient s temperature Automatic Modes The five Automatic modes include 1 AUTO CONTROL MODE 2 GRADIENT 10C MODE 3 GRADIENT 10C SMART MODE 4 GR...

Страница 14: ... top and O off at the bottom The switch illuminates green when the unit is on A circuit breaker is built into the switch to protect against overload conditions D The storage drawer tilts out from the top to provide storage space for items such as probes connecting cables connecting hoses the drain hose and the Operator s Manual E The grill permits air to be drawn into the unit and pass over the co...

Страница 15: ...OPERATION BLANKETROL III Model 233 OPERATION AND TECHNICAL MANUAL Page 15 of 131 FIGURE 1 1 BLANKETROL III FRONT VIEW ...

Страница 16: ...ion of the water path will cause the paddle wheel to stop completely B The air vents on both the right and left side of the unit provide air circulation for the microprocessor C The four capped screws on the right and left side of the unit secure the top to the base D The patient 1 4 inch receptacle is where the 400 Series probe refer to Table 6 8 for a list of temperature probes is connected to t...

Страница 17: ...OPERATION BLANKETROL III Model 233 OPERATION AND TECHNICAL MANUAL Page 17 of 131 FIGURE 1 2 BLANKETROL III RIGHT SIDE ...

Страница 18: ...rovide air circulation for the microprocessor C The nylon strap is used to secure and store the coiled power cord when not in use D The rear enclosure panel secured with four screws provides access to the interior The panel is removed to perform maintenance repair or replacement of components E The water fill opening is where the operator pours distilled water into the unit to fill the reservoir F...

Страница 19: ...OPERATION BLANKETROL III Model 233 OPERATION AND TECHNICAL MANUAL Page 19 of 131 FIGURE 1 3 BLANKETROL III REAR VIEW ...

Страница 20: ...relative to the desired Set Point temperature G The GRADIENT 10C button is used to activate the GRADIENT 10C MODE In this mode the operation is based on the patient s temperature relative to the Set Point temperature H The GRADIENT VARIABLE button is used to activate the unit GRADIENT VARIABLE MODE In this mode the operation is based on the patient s temperature relative to the desired Set Point t...

Страница 21: ...OPERATION BLANKETROL III Model 233 OPERATION AND TECHNICAL MANUAL Page 21 of 131 FIGURE 1 4 A BLANKETROL III MEMBRANE CONTROL PANEL English FIGURE 1 4 B BLANKETROL III MEMBRANE CONTROL PANEL Symbols ...

Страница 22: ...rator must first insert or attach a 400 Series probe in or to the patient and connect the probe probe connecting cable to the BLANKETROL III unit The probe measures the patient s temperature and unit s microprocessor compares the patient s temperature reading to the specified Set Point If the patient s temperature reading measures below Set Point the BLANKETROL III System heats the water in the BL...

Страница 23: ...porarily inactive and the unit simply maintains the patient s temperature If the patient s temperature deviates from Set Point the unit automatically switches to SMART MODE until the patient s temperature again reaches Set Point NOTE the lowest allowable water temperature is 4 C 39 2 F and the highest allowable water temperature is 42 C 107 6 F As in all cases the patient s skin integrity must be ...

Страница 24: ...ing reservoir to the circulating reservoir as needed The circulating water flows over and around the heating cooling element located in the circulating reservoir The heated or cooled water then flows out of the reservoir to the circulating pump through connecting hoses over a water temperature sensor to the hyper hypothermia blanket s The water circulates through the blanket s and returns to the u...

Страница 25: ...0 F If water in the BLANKETROL III equipment reaches 44 0 C 2 0 C 111 2 F 3 6 F the safety device shuts off the unit the Status Display flashes HIGH LIMIT REMOVE FROM SERVICE and the trouble alarm sounds If software fails and water in the BLANKETROL III equipment reaches 44 0 C 2 0 C 111 2 F 3 6 F the back up safety device shuts off the unit Status Display flashes HIGH LIMIT REMOVE FROM SERVICE an...

Страница 26: ...a Export Software CAUTION Do not make any connection to the USB port terminal while the device is also connected to a patient Do not touch this connector and the patient at the same time Patient injury may result WARNING The USB connection on the BLANKETROL III unit is intended for data transfer to a computer Any other uses connections may result in damage to the BLANKETROL III unit ...

Страница 27: ...ess look carefully for signs of shipping damage If any unacceptable damage is found notify the transportation company immediately and file a claim The transportation company is responsible for the shipment after it leaves the factory If problems other than shipping damage are found notify your Cincinnati Sub Zero representative or the Factory 2 3 FIRST TIME SET UP SYSTEM TEST ROUTINE CAUTION If th...

Страница 28: ...the unit by attaching the quick disconnect female fitting of the connecting hose to a male outlet coupling on the bottom row of the unit Attach the male quick disconnect fitting of the connecting hose to a female return coupling on the top row of the unit Each blanket must be connected to one outlet and one return To attach the couplings 1 Grasp the female coupling of the connecting hose 2 Slide t...

Страница 29: ...e I position unit is turned on 1 The switch illuminates green 2 The microprocessor board goes through self test 3 The Status Display in the center of the membrane control panel flashes CHECK SETPT If the above are not observed consult the Troubleshooting Guide in Section 5 20 If they are observed continue with the test routine B Press and hold the TEST INDICATOR button 1 The alarm produces a beep ...

Страница 30: ...NITOR ONLY MODE from any other mode without pressing TEMP SET G Press the MANUAL CONTROL switch 1 The microprocessor board beeps 2 The LED in the corner of the button illuminates 3 The WATER display shows the temperature of the water in the reservoir 4 The Status Display shows XXXXXX WATER MANUAL SETPT 37 0 C Or Status Display shows WATER SETPT MANUAL SETPT 37 0 C XXXXXX represents HEATING or COOL...

Страница 31: ...not switched ON may decrease the temperature of the patient The area between the patient and the blanket should be kept dry to avoid injury to patient H Check the blanket for leaks If a leak is found the blanket cannot be used I Check the couplings at the unit and at the blanket for positive connection J Press the TEMP SET switch 1 The microprocessor board beeps 2 The LED in the corner of the swit...

Страница 32: ...0 C 86 F The unit will not operate in the AUTO CONTROL MODE unless the probe is properly placed on a patient and reading between 30 C 43 5 C 86 F 110 3 F P Press the SILENCE ALARM button 1 The alarm stops 2 The Status Display continues to flash CHECK PROBE The Operator has 5 minutes to correct the problem In an actual situation the operator would check the probe and then continue operation Q Press...

Страница 33: ...NG or COOLING The above depends upon the relationship of the patient temperature to the Set Point temperature Note that the Set Point may be displayed in Fahrenheit 5 The pump is activated 6 The heater or compressor may be activated 7 The water flow indicator on the right side panel begins to move The water moves from the unit through the blanket and returns to the unit 8 System operates in AUTO C...

Страница 34: ...lay shows the temperature of the water in the reservoir 4 The Status Display shows XXXXXX PATIENT AUTO SETPT 37 0 C Or Status Display shows PATIENT SETPT AUTO SETPT 37 0 C XXXXXX represents HEATING or COOLING The above depends upon the relationship of the patient temperature to the Set Point temperature Note that the Set Point may be displayed in Fahrenheit 5 The pump is activated 6 The heater or ...

Страница 35: ...t the Set Point may be displayed in Fahrenheit 6 The pump is activated 7 The heater or compressor may also be activated 8 The water flow indicator on the right side panel begins to move The water moves from the unit to the blanket and returns to the unit 9 System operates in GRADIENT VARIABLE mode AE Press TEMP SET button 1 The microprocessor board beeps 2 The LED in the corner of the button illum...

Страница 36: ...ct the power cord from the power source loosely coil it and attach it to the back panel using the nylon strap AK For reusable PLASTIPAD blankets disconnect the connecting hose from the unit Loosely coil the hose lengthwise in the center of the blanket Fold the blanket lengthwise into the center 1 3 from the left side and 1 3 from the right side To drain the water from the reusable blanket simply s...

Страница 37: ...n possible injury to the patient Prevent excessive and or prolonged tissue pressure and shearing forces especially over bony prominences Failure to do so may result in tissue injury Do not place additional heat sources between the patient and blanket Tissue damage may result Means to maintain contact between the patient and the blanket during therapy may be required and should not block the fluid ...

Страница 38: ...the board If unit requires repair do not attempt to fix unit on your own Only qualified personnel should perform repairs Damage to the unit or malfunction may otherwise result Use of accessories other than those specified in Table 6 8 may result in increased electromagnetic emissions or decreased immunity to electromagnetic emissions of the BLANKETROL III unit This could affect the BLANKETROL III ...

Страница 39: ...rization from CSZ Failure to do so may result in damage to the BLANKETROL III system and patient injury Before returning the BLANKETROL III to patient use after repairs the FIRST TIME SET UP SYSTEM TEST ROUTINE in Section 2 must always be performed Improper repair and inadequate maintenance can result in damage to the BLANKETROL III system and patient injury CAUTION Federal law restricts this devi...

Страница 40: ...C 86 F Potential for interruption of therapy Unapproved blankets or hoses should never be used A dry sheet should be placed between the hyper hypothermia blanket and the patient when using PLASTI PAD or MAXI THERM Blankets The MAXI THERM LITE Blanket does not require an interposed sheet While using a hyper hypothermia blanket include the following tasks A A physician s order is required for settin...

Страница 41: ...sing disposable probes 7 Distilled water B Place the BLANKETROL III unit in the patient area accessible to the correct power source and in an ambient environment of 15 C 30 C 59 F 86 F C Review Section 1 3 that outlines the features of the unit and membrane control panel WARNING Due to electromagnetic compatibility the BLANKETROL III unit should not be used adjacent to or stacked with other equipm...

Страница 42: ... Any time water is found leaking into or around the unit connecting hose and or blanket turn the unit off disconnect the power cord from its power source and correct the problem before proceeding Proper maintenance procedures should be followed including but not limited to the preventative maintenance described in this manual Leaky blankets or hoses should never be used Water leaks could present a...

Страница 43: ...probe is inserted in the patient It is often preferred that the patient is comatose or under anesthesia when the probe is placed in the esophagus The 400 Series probe should be inspected periodically to insure that it is not dislodged or impacted The BLANKETROL III System sounds an alarm when the reading from the probe falls below 30 C 86 F It is important that the 400 Series probe be inserted in ...

Страница 44: ...he BLANKETROL III s water temperature Pediatric patients temperature sensitive patients with vascular disease surgical patients diabetics and patients with Raynaud s Disease should be checked more frequently Notify the physician promptly of any change in patient status in order to avoid serious injury or death Due to static electricity a 400 Series Probe may not be connected to the BLANKETROL III ...

Страница 45: ... determine the desired patient Set Point temperature As a safety precaution the SET POINT display can only be set between 30 C 40 C 86 F 104 F to operate in AUTOMATIC CONTROL MODE E Use the C F button to choose the desired temperature scale English membrane only F Press the TEMP SET button 1 The microprocessor board beeps 2 The LED in the corner of the button illuminates 3 The SET POINT display sh...

Страница 46: ... to confirm that the blanket is heating cooling K To make any changes in the control settings press the TEMP SET button and begin again The BLANKETROL III System is now operating in AUTOMATIC CONTROL MODE You should continue to monitor the system and the patient Review the suggestions for patient care described in Section 2 5 If at any time the Status Display shows a message other than the message...

Страница 47: ...r board goes through self test 3 The Status Display flashes CHECK SETPT B Consult the physician s orders to determine the desired patient Set Point temperature and the desired water temperature setting C Press the TEMP SET Switch 1 The microprocessor board beeps 2 The LED in the corner of the button illuminates 3 The SET POINT display shows a temperature reading 4 The Status Display shows SET TEMP...

Страница 48: ...nheit 5 The pump is activated The heater or compressor may be activated 6 The Water Flow indicator on the right side panel begins to move 7 The water moves from the unit through the blanket and returns to the unit G Check the water flow indicator to confirm that the water is circulating H Touch the hyper hypothermia blanket to confirm that the blanket is heating cooling I To make any changes in th...

Страница 49: ...rature and use of equipment At least every 20 minutes or as directed by physician check patient s temperature and skin integrity of areas in contact with blanket also check the BLANKETROL III s water temperature Pediatric patients temperature sensitive patients with vascular disease surgical patients diabetics and patients with Raynaud s Disease should be checked more frequently Notify the physici...

Страница 50: ...h vascular disease surgical patients diabetics and patients with Raynaud s Disease should be checked more frequently Notify the physician promptly of any change in patient status in order to avoid serious injury or death Due to static electricity a 400 Series Probe may not be connected to the BLANKETROL III unit without first discharging one s body to the frame of the BLANKETROL III unit or anothe...

Страница 51: ...ed patient Set Point temperature As a safety precaution the desired patient Set Point can only be set between 30 C 40 C 86 F 104 F to operate in GRADIENT 10C mode E Use the C F button to choose the desired temperature scale English membrane only F Press the TEMP SET button 1 The microprocessor board beeps 2 The LED in the corner of the button illuminates 3 The Status Display shows a temperature Se...

Страница 52: ...g K To make any changes in the control settings press the TEMP SET switch and begin again The BLANKETROL III System is now operating in GRADIENT 10C MODE You should continue to monitor the system and the patient Review the suggestions for patient care described in Section 2 5 If at any time the Status Display shows a message other than the messages described in GRADIENT 10C MODE procedures make th...

Страница 53: ... Notify the physician promptly of any change in patient status in order to avoid serious injury or death Due to static electricity a 400 Series Probe may not be connected to the BLANKETROL III unit without first discharging one s body to the frame of the BLANKETROL III unit or another grounded object Failure to do so may result in damage from electrostatic discharge ESD All staff that may touch th...

Страница 54: ... Down arrow to change the Set Point temperature on the Status Display to the desired patient temperature The display can only be set between 30 C 40 C 86 F 104 F 1 The microprocessor board beeps 2 The Set Point temperature in the Status Display changes H Press the GRADIENT 10C button 1 The microprocessor board beeps 2 The LED in the corner of the button illuminates 3 The PATIENT display shows the ...

Страница 55: ... treatment proceed as described in Section 3 11 NOTE IN ORDER TO CHANGE FROM GRADIENT 10C SMART MODE TO ANOTHER CONTROL MODE FIRST PRESS THE TEMP SET BUTTON AND THEN SELECT THE OPERATING MODE OF CHOICE In order to change from GRADIENT 10C SMART MODE to MONITOR ONLY MODE simply press the MONITOR ONLY button 3 8 OPERATING THE BLANKETROL III SYSTEM IN GRADIENT VARIABLE MODE WARNING A physician s orde...

Страница 56: ...ED in the corner of the button illuminates 3 The Status Display shows a temperature Set Point G Press the Up arrow or Down arrow to change the Set Point temperature on the Status Display to the desired patient temperature The display can only be set between 30 C 40 C 86 F 104 F 1 The microprocessor board beeps Basic static electricity or ESD training should include an introduction to the physics o...

Страница 57: ...erature 4 The WATER display shows the actual temperature of the water in the BLANKETROL III equipment 5 The Status Display shows either XXXXXX PATIENT AUTO SETPT 37 0 C Or Status Display shows PATIENT SETPT AUTO SETPT 37 0 C XXXXXX represents HEATING or COOLING The above depends upon the relationship of the patient temperature to the Set Point temperature Note that the Set Point may be displayed i...

Страница 58: ...isease surgical patients diabetics and patients with Raynaud s Disease should be checked more frequently Notify the physician promptly of any change in patient status in order to avoid serious injury or death Due to static electricity a 400 Series Probe may not be connected to the BLANKETROL III unit without first discharging one s body to the frame of the BLANKETROL III unit or another grounded o...

Страница 59: ...essor board goes through self test 3 The Status Display flashes CHECK SETPT D Consult the physician s orders to determine the desired patient Set Point temperature As a safety precaution the desired patient Set Point can only be set between 30 C 40 C 86 F 104 F to operate in GRADIENT VARIABLE SMART MODE E Use the C F button to choose the desired temperature scale English membrane only F Press the ...

Страница 60: ...0 C Or Status Display shows PATIENT SETPT AUTO SETPT 37 0 C XXXXXX represents HEATING or COOLING The above depends upon the relationship of the patient temperature to the Set Point temperature Note that the Set Point may be displayed in Fahrenheit 6 The pump is activated The heater or compressor may also be activated 7 The Water Flow indicator on the right side panel begins to move 8 The water mov...

Страница 61: ... patient may or may not already be positioned on a hyper hypothermia blanket but the unit and the 400 Series probe must be arranged as described in Section 3 2 After arranging the equipment proceed as follows A Check the placement of the 400 Series probe in or on the patient B Connect the probe to the 1 4 inch receptacle on the right side of the unit C Press the power switch to I position 1 The sw...

Страница 62: ...1 NOTE IN ORDER TO CHANGE FROM MONITOR ONLY MODE TO ANOTHER OPERATING MODE FIRST PRESS THE TEMP SET BUTTON AND THEN SELECT THE OPERATING MODE OF CHOICE 3 11 CONCLUDING HYPER HYPOTHERMIA TREATMENT Discontinue therapy upon the order of the physician Patient s temperature can drift up or down 5 C 1 F after therapy has been discontinued The drift may be greater if the patient has been shivering and tr...

Страница 63: ...cate a numerical digit that can change based on measurements or operator actions and Y is used when C or F would be displayed depending on the temperature scale in use A During normal operation in MANUAL CONTROL MODE the Status Display shows the following messages Status Display Message Function MANUAL This message is displayed on the left side of the bottom line and indicates that the BLANKETROL ...

Страница 64: ... displayed on the top line when the BLANKETROL III is heating the patient COOLING PATIENT This message is displayed on the top line when the BLANKETROL III is cooling the patient PATIENT SETPT This message is displayed on the top line when the patient s temperature has reached the Set Point temperature C During normal operation in MONITOR ONLY MODE the Status Display shows the following messages S...

Страница 65: ...heit This message occurs when the TEMP SET button is pressed The Status Display can now be changed by pressing the Up or Down arrow or verify the preset temperature of 37 C 98 6 F on power up GRADIENT VARIABLE OFFSET xxY xx represents Temperature and Y represents Centigrade or Fahrenheit This is displayed after the first press of the GRADIENT VARIABLE button when the user is setting the BLANKETROL...

Страница 66: ... pump will turn off The alarm silence key cannot silence this alarm This message will continue to display and the trouble alarm will continue to sound until the unit is turned off using the ON OFF switch or the power cord is disconnected from the power source If the unit is unplugged before turning the ON OFF switch the power fail alarm will activate and the power fail LED will light If the unit i...

Страница 67: ...rocessor While both messages are displayed the trouble alarm will sound and the heater compressor and pump will turn off The alarm silence key cannot silence this alarm Both messages will continue to display and the trouble alarm will continue to sound until the unit is turned off using the ON OFF switch or the power cord is disconnected from the power source If the unit is unplugged before turnin...

Страница 68: ...isplay is blank If the temperature comes back into range the unit should resume operation in MONITOR ONLY MODE In MANUAL CONTROL MODE a probe out of range should result in the PATIENT display going blank but the unit continuing operation with no error message If the temperature comes back into range the PATIENT display should come back on BAD PROBE While in any of the five automatic modes if the p...

Страница 69: ...cceptable flow has been previously detected Along with this message a trouble alarm will sound The operator can silence this alarm using the SILENCE ALARM button The operator has 5 minutes to fix the condition If after that time the condition has not been cleared the system will trouble alarm again even though the SILENCE ALARM button has been previously pressed The condition can also be satisfied...

Страница 70: ...y or when indicated by 500 hour PM notification whichever occurs first 2 Only qualified Medical Equipment Service Technicians Certified Biomedical Electronics Technicians or Certified Clinical Engineers can reset the Hours Until Service hour counter after preventative maintenance has been performed To reset the HOURS UNTIL SERVICE hour counter back to 500 simultaneously press the SILENCE ALARM Dec...

Страница 71: ...l not void the warranty of the unit After maintenance has been performed the qualified Medical Equipment Service Technician Certified Biomedical Electronics Technician or Certified Clinical Engineer should reset the PM Required HOURS UNTIL SERVICE hour counter back to 500 by simultaneously pressing SILENCE ALARM Decrement and Increment buttons The following procedures should be performed quarterly...

Страница 72: ...orm the preventive maintenance functional check out procedures CSZ s model TFRW 86171 Trimatic Temperature Tester Flow Meter Resistance Tester Need Probe Extension Cable TM 4A Part 39005 Need Hose Assembly TM 6 Part 91802 400 Series Probes calibrated Mercury Thermometer or Thermocouple Leakage Current Tester Small slotted screwdriver and a Phillips screwdriver ...

Страница 73: ...ter See Section 4 3 8 Refill reservoir with distilled sterile distilled water See Section 4 2 2 9 Condition of blankets hoses and couplings check for leaks 10 Connecting hoses are tight and not leaking 11 Leakage current check all readings should be under 300 microamps 115V Leakage current check all readings should be under 500 microamps 230V See Section 5 17 OFF Normal Polarity ON Reverse Polarit...

Страница 74: ... DISINFECTION DRY STORAGE PROCEDURE for Circulating Water Units Utilizing Household Bleach The required tools supplies Drain hose s and or hose connector s household bleach distilled water U S P Grade Propylene Glycol and the appropriate AC electrical power The following procedure disinfects the fluid circuit in these products PROCEDURE 1 Drain the water from the reservoir as described in Section ...

Страница 75: ...ervoir s with distilled water Perform all the checks as described in the respective Manual FLUID CIRCUIT DISINFECTION DRY STORAGE PROCEDURE for Circulating Water Units Utilizing CE Approved Gigasept FF Product of Schulke Mayr Contact your local Cleaning Supplier Gigasept FF Is Not Available In the United States The following procedure disinfects the fluid circuit in these products The required too...

Страница 76: ...l the reservoir with the appropriate amount of Maranon H per the below chart 4 Fill the reservoir with the appropriate amount of water per the above chart 5 Turn the unit on and circulate per the Chemical Cleaning Circulation CCC Chart above Note The duration indicated in the CCC chart is meant to begin when the circulating water reaches the temperature indicated in the CCC chart 6 Drain the unit ...

Страница 77: ... coupling 2 Insert the female coupling over the male coupling 3 Release the collar so the coupling Snaps into position D Plug the power cord into a properly grounded power outlet E Place the power switch to the I position F Press the TEMP SET button G Press the MANUAL CONTROL button The water is pumped into the container until there is approximately gallon 1 9 liters of water remaining to be drain...

Страница 78: ...The BLANKETROL III circulating system includes a water filter designed to clear the line of any particulate matter as the water is pumped through the system The water filter assembly is a plastic T shaped fitting that intersects the hose from the water flow indicator to the flow switch A stainless steel wire mesh screen is located inside the clear plastic cap of the water filter assembly Quarterly...

Страница 79: ...n the plastic cap and position the wire mesh O ring and plastic cap H Screw the cap clockwise onto the fitting until it is secure I Reposition the front storage drawer as described in Section 5 2 6 J Replenish the water reservoir as described in Section 4 2 2 WARNING The repair calibration and servicing of the BLANKETROL III should be performed by qualified Medical Equipment Service Technicians Ce...

Страница 80: ... the general maintenance and for the reusable and disposable blankets General maintenance tasks include cleaning draining and storing the blankets 4 6 1 Reusable Blanket Cincinnati Sub Zero reusable blankets are constructed from biocompatible polyurethane urethane Stains and debris can be wiped away with mild soap and water For cleaning and disinfecting always use conventional hospital approved to...

Страница 81: ...act items 4 7 MAINTENANCE OF REUSABLE THERMISTOR PROBES The standard 400 Series probe consists of a thermistor temperature sensing element housed in a probe and attached to a plasticized vinyl jacketed shielded lead wire terminated with a phone plug Refer to the printed material enclosed with each probe regarding temperature specifications cautions maintenance and disposal In general clean with a ...

Страница 82: ...the water temperature to rise above 4 0 C H Place a jumper on the test port in the location marked LS I Turn the unit on and monitor the temperature on the water temperature display as the water is cooled J The unit should cool the water to 2 0 C 2 0 C and shut off status should indicate LOW LIMIT REMOVE FROM SERVICE K Turn the unit off and remove the test jumper L Allow the water temperature to r...

Страница 83: ...erature display as the water is heated J The BLANKETROL III should heat the water to 44 0 C 2 0 C and shut off status should indicate HIGH LIMIT REMOVE FROM SERVICE K Turn the BLANKETROL III off and remove the test jumper L Allow the water temperature to fall below 42 0 C M Place jumpers on the test port in the locations marked HC and JP2 N Turn the unit on and monitor the temperature on the water...

Страница 84: ...e alarm Note This step is required to reset the SNAP DISC REMOVE FROM SERVICE alarm only 4 10 TEMPERATURE ACCURACY CHECK For temperature accuracy and verification we recommend using the CSZ TFRW 86171 Trimatic Follow directions enclosed in the Trimatic to test temperature accuracy 4 11 DISPOSAL OF THE BLANKETROL II UNIT Medical devices that have come in contact with patients contain the risk of bi...

Страница 85: ...edures and the precautions necessary to complete the task Maintenance repair and or service of the BLANKETROL III by qualified maintenance technical personnel will not void the warranty of the unit WARNING Always unplug the unit before accessing internal components during service Failure to unplug the unit could result in electric shock The repair calibration and servicing of the BLANKETROL III sh...

Страница 86: ...mperature sensor C Lower manifold outlet D Pump housing assembly E Transformer F Compressor G Compressor electrical box H Filter drier I Refrigeration solenoid valve J Starting capacitor K Condenser fan blade L Hot gas by pass valve M Terminal Block N Flow switch O Heater P Thermal disc Q Reservoir If any part that is removed from the unit is still under warranty return it to the factory as descri...

Страница 87: ...FIELD REPAIR SERVICE BLANKETROL III Model 233 OPERATION AND TECHNICAL MANUAL Page 87 of 131 FIGURE 5 1 BLANKETROL III EXPOSED REAR VIEW ...

Страница 88: ...caps of the two screws on the left side and right side of the unit B Remove the four Phillips screws C Carefully lift up the front edge of the top of the unit so that you can see the stainless steel divider reservoir cover The microprocessor board is attached to the top assembly D Ensure that no water drips on the electrical components After the screws on the side of the unit are removed and the t...

Страница 89: ...anel to the side E Installation is reverse of removal 5 2 4 Disconnecting the Cables from the Microprocessor Board A Remove the top of the unit per Section 5 2 2 B Tilt the front edge of the top of the unit back rotate and stably rest the top so that the fill lid is on the stainless steel reservoir top NOTE DO NOT BEND ANY OF THE TERMINALS C Locate the following connectors on the microprocessor bo...

Страница 90: ...ower supply wires by loosening the screws that tighten the wires in place F The top of the unit may now be removed from the base 5 2 5 Extending the Front Storage Drawer A Open the front storage drawer B Locate the 8 32 Phillips head screw on the right inside edge of the drawer Number 6 in Figure 6 4 C Using a Phillips head screwdriver remove the 8 32 screw and set it aside D Tilt the drawer all t...

Страница 91: ...d remove the heater cartridge F Insert and tighten the replacement heater in the evaporator coil assembly G Replace fiberglass tubing over wires H Re connect the wires from the heater to proper terminal I Replace the rear enclosure panel as described in Section 5 2 1 J Refill the reservoir as described in Section 4 2 2 5 4 REPLACEMENT OF THE WATER FILTER ASSEMBLY A Obtain a replacement water filte...

Страница 92: ...en both screw clamps I Refill the reservoir as described in Section 4 2 2 J Re position the front storage drawer as described in section 5 2 6 5 5 REPLACEMENT OF THE PUMP HOUSING A Obtain replacement pump housing B Drain the reservoir as described in Section 4 2 1 C Remove the rear enclosure panel as described in Section 5 2 1 D Locate the white pump housing assembly and the inlet and outlet hose ...

Страница 93: ...e of the housing K Tighten the screws in the following order top bottom right and then left Do not tighten the screws sequentially L Reconnect the hose of the water manifold to the outlet at the top of the pump housing and tighten the screw clamp M Reconnect the hose of the water reservoir to the inlet at the center of the pump housing and tighten the screw clamp N If needed clean the water filter...

Страница 94: ...and offs Set the nuts and faceplate to the side J Trace the three wire cable from the pump motor to the electrical box The cable enters the box from the right side K Locate the termination of the three wires Reference the wiring diagram located on the electrical box L Disconnect and remove each of the wires from the electrical box The white and black wires are terminated with slide off connector T...

Страница 95: ...ve the rear enclosure panel as described in Section 5 2 1 D Locate the flow switch assembly E Remove the two 2 hose clamps one 1 from the inlet and one 1 from the outlet fitting F Remove the inlet and the outlet fitting from the flow switch G Carefully pry off and remove the two 2 snap caps from the left side and the right side of the unit H Remove the four 4 Phillips screws I Carefully lift up th...

Страница 96: ...old and 4 wire connector on the left side of the back of the unit as shown in Figure 5 1 B E Disconnect the water temperature sensor by pulling apart the plug F Using a 7 16 wrench unscrew the nut of the water temperature sensor at the water manifold and remove the water temperature sensor There may be water in the line G Insert and tighten the replacement water temperature sensor into the lower w...

Страница 97: ...nifold by loosening the screw clamp Be sure to exercise caution there may be water in the line F Using a 9 16 open end wrench unscrew and remove the three male quick disconnect fittings from the outside of the unit G Disconnect the by pass line from the reservoir Remove the clamp from the clear plastic by pass line and disconnect the bypass line H Carefully work the lower manifold from the holes o...

Страница 98: ...quick disconnect fittings from the outside of the unit Set aside R Carefully work the manifold from the holes on the side of the unit and remove it from the back of the unit S Apply Teflon tape around the threaded nipples of the replacement manifold T Insert the replacement upper manifold so the three nipples align with the three holes on the side of the unit and the copper elbow points toward the...

Страница 99: ...the slide on connector to the insulated terminal white wire and orange wire of the thermal disc K Replace the rear enclosure panel as described in Section 5 2 1 5 12 REPLACEMENT OR CLEANING OF THE WATER FLOW INDICATOR ASSEMBLY A Obtain a replacement water flow indicator B Drain the reservoir as described in Section 4 2 1 C Extend the front storage drawer as described in Section 5 2 5 WARNING Alway...

Страница 100: ... go to Step M If the water flow indicator is to be cleaned and then reinserted go to Step H H Remove the four remaining Phillips head screws around the face of the water flow indicator Set the screws to the side I Disassemble the parts of the water flow indicator Do not lose the large black O ring J Rinse thoroughly with clean water A small brush may be used to clean the parts K Reassemble the par...

Страница 101: ...pright and I is at the top H Connect the wires in the same locations in which they were disconnected I Work the power switch and attached cable to the inside of the unit by pressing together the tension clips on the top and bottom of the switch assembly J Reposition the front storage drawer as described in Section 5 2 6 5 14 REPLACEMENT OF THE WATER LEVEL SENSOR ASSEMBLY A Obtain a replacement wat...

Страница 102: ...e and tighten the four nuts on the screw posts K Reconnect the white 2 pin connector L Replace the top of the unit as described in Section 5 2 2 M Refill the reservoir as described in Section 4 2 2 5 15 REPLACEMENT OF THE MICROPROCESSOR BOARD AND OR THE MEMBRANE CONTROL PANEL Access to the membrane control panel requires first removing the microprocessor board A Obtain the required replacement par...

Страница 103: ...osition the microprocessor board to align with the membrane control panel K Connect the membrane ribbon cable to the 11 pin connector at J7 position on microprocessor board NOTE BE CAREFUL NOT TO OVERTIGHTEN NUTS L Replace the nylon nuts tighten the nuts M Reposition the top on the unit and reconnect the cables by referencing Section 5 2 2 5 2 4 Reconnect the power wires on the terminal by referen...

Страница 104: ...8 nylon clamp ID 50119 one 1 8 32x screw ID 60201 one 1 brass washer ID 60632 then tighten Feed the wires into the terminal block and wire according to the drawing a For 230 Volt See NOTE above G Connect the wires in the same locations in which they were disconnected 5 18 LEAKAGE CURRENT The BLANKETROL III unit should periodically be checked for Leakage Current prior to general floor use Using an ...

Страница 105: ... so that it is HEATING and record the Leakage Current To set the unit in the heating cycle 1 Press the power switch to the I position 2 Press the TEMP SET button 3 Press the Up arrow so the Set Point is a high number 4 Press the MANUAL CONTROL button The Status Display must show HEATING 5 18 3 Taking Measurements in Reverse Polarity A Set the tester to Reverse Polarity B Press the power switch of ...

Страница 106: ...to the power switch is defective or tripped Check amperage at switch a If the amp reading is less than 15 amperes the circuit breaker may be defective b If the amp reading is greater than 15 amperes check the amp reading of the compressor and the heater c Check for short in unit C The power switch is set to I position and illuminates but the membrane control panel is blank inoperable The transform...

Страница 107: ...r LED has failed Replace microprocessor board See section 5 15 G Unit is on When the TEST INDICATOR is pressed the displays across the panel show an atypical pattern Microprocessor board malfunctions Replace microprocessor board See Section 5 15 H The probe from the patient is inserted but when operating in one of the automatic modes the PATIENT display does not illuminate and alarm doesn t sound ...

Страница 108: ...sounds Replace the 1 4 inch Receptacle Assembly I The probe from the patient is inserted but when operating in MANUAL CONTROL MODE the PATIENT display does not illuminate and alarm doesn t sound The patient temperature is not within the appropriate temperature range Check the location and temperature of the probe The probe is broken or defective Set the BLANKETROL III to MONITOR ONLY MODE to deter...

Страница 109: ...ure below 30 C 86 F Replace with the correct 400 Series probe refer to Table 6 8 Reinsert probe into patient The probe is defective Replace probe with a new 400 Series probe Cable from the 1 4 inch receptacle to microprocessor board is disconnected Reconnect cable See Section 5 15 1 4 inch receptacle on side of unit is defective Replace 1 4 inch receptacle assembly L The unit is operating in one o...

Страница 110: ...5 8 Replace the microprocessor board See Section 5 15 N The unit is operating in one of the three modes the unit momentarily blanks and then the Status Display flashes CHECK SETPT Low line voltage or power source Check line voltage Reset Set Point display and resume operations O The unit is operating in one of the control modes When cycling to Cool mode all displays flicker on and off the unit goe...

Страница 111: ...reaches 44 0 C 2 0 C 111 2 F 3 6 F due to defective control Water not circulating due to internal clogged by pass Replace microprocessor board See Section 5 15 Turn the unit OFF force compressed air in the male outlets Q Unit is operating in AUTOMATIC or MANUAL MODE the Status Display flashes SNAP DISC REMOVE FROM SERVICE and PATIENT displays EE02 The Snap Disc high limit safety device is triggere...

Страница 112: ...mperature sensor Replace microprocessor board See Section 5 15 Replace water temperature sensor See Section 5 8 S Unit operating in one of the control modes the Status Display flashes SENSOR FAULT REMOVE FROM SERVICE Water temperature sensor is defective Replace water temperature sensor See Section 5 8 T Unit is set to operate in a control mode the water flow indicator does not move i e water not ...

Страница 113: ...ngs U Unit is set to operate in a control mode Blanket does not cool Operator error switches not set correctly Water not circulating Correctly set switch See Section 3 See Observation T Compressor running but not cooling Check for leak Recharge system Check solenoid valve Tasks to be done by a qualified refrigeration technician Check solenoids in line fuse located at J1 position pin 11 violet wire...

Страница 114: ...ntrol mode Blanket does not heat Operator error switches not set correctly Water not circulating Defective heater Correctly set switches See Section 3 See Observation T Replace heater See Section 5 3 W Unit is set to operate in a control mode PATIENT temp display or WATER temp display not accurate or jumps up and down Defective microprocessor board Replace microprocessor board See Section 5 15 ...

Страница 115: ... the replacement part number as well as the serial number of your unit located on the identification plate on the rear bumper There is no minimum order requirement for replacement parts Section 6 3 outlines the recommended replacement parts inventory It is strongly recommended that all parts be replaced with parts purchased from CSZ or Healthlink Europe Use of other parts could void the warranty o...

Страница 116: ...ear 2012 1 indicates the quarter first 3 means BLANKETROL III Model 233 60000 indicates that this is the 60 000th unit of a certain model 4 Date of installation or purchase 5 Return Materials Authorization RMA number Additional third year warranty is available at the time of purchase You must first obtain a RMA number by calling the factory prior to returning 6 5 SHIPPING PARTS Parts to be returne...

Страница 117: ...5V White Reservoir Lid Assembly 230V 7 Strain Relief 8 Manifold Pan 9 1 8 Socket Quick Disconnect Fitting Female 10 1 8 Plug Quick Disconnect Fitting Male 11 12 ft Lead in Power Cord with Plug 115V 12 ft Lead in Power Cord with Plug 230V 12 ft Lead in Brazil std Power Cord 12 ft Lead in British std Power Cord 12 Water Flow Indicator Assembly 13 Power Switch with Circuit Breaker 15 Amp 115V Power S...

Страница 118: ...SPECIFICATIONS BLANKETROL III Model 233 OPERATION AND TECHNICAL MANUAL Page 118 of 131 FIGURE 6 2 BLANKETROL III INTERNAL EXPLODED FRONT VIEW ...

Страница 119: ...denser 15 4 Casters Locking 4 Casters Non Locking 16 Drier 17 Solenoid Valve Body Solenoid Valve Coil 115V Solenoid Valve Coil 230V 18 Compressor 115V Compressor 230V 19 Terminal Block 20 Transformer Assembly 115V Transformer Assembly 230V 21 3C Pump Housing Assembly Complete Pump 115V Complete Pump 230V 22 Water Temperature Sensor 23 Lower Manifold Outlet 24 Upper Manifold Return 25 Nylon Strap A...

Страница 120: ...SPECIFICATIONS BLANKETROL III Model 233 OPERATION AND TECHNICAL MANUAL Page 120 of 131 FIGURE 6 4 BLANKETROL III INTERNAL EXPLODED REAR VIEW ...

Страница 121: ...BLANKETROL III Model 233 OPERATION AND TECHNICAL MANUAL Page 121 of 131 FIGURE 6 5 A BLANKETROL III ELECTRICAL WIRING DIAGRAM 115 VOLT Note Beeper is located on the board for most devices built before 2nd quarter 2012 ...

Страница 122: ...BLANKETROL III Model 233 OPERATION AND TECHNICAL MANUAL Page 122 of 131 FIGURE 6 5 B BLANKETROL III ELECTRICAL WIRING DIAGRAM 230 VOLT Note Beeper is located on the board for most devices built before 2nd quarter 2012 ...

Страница 123: ...SPECIFICATIONS BLANKETROL III Model 233 OPERATION AND TECHNICAL MANUAL Page 123 of 131 FIGURE 6 6 BLANKETROL III WATER CIRCULATION DIAGRAM ...

Страница 124: ...SPECIFICATIONS BLANKETROL III Model 233 OPERATION AND TECHNICAL MANUAL Page 124 of 131 FIGURE 6 7 BLANKETROL III REFRIGERATION FLOW DIAGRAM ...

Страница 125: ...8 193CPC Infant Size with CPC Connectors 12 x 18 186 9 Blanket Extension Hose with Couplings Head Wrap Single Patient Use Pad 600 Adult Head Wrap KOOL KIT Single Patient Use Convenience Kits 900 Kool Kit Adult Head Wrap Patient Vest and Lower Body Pad 910 Head Wrap Kit Adult Head Wrap and Lower Body Pad 920 Patient Vest Kit Patient Vest and Lower Body Pad 930 Large Kool Kit Adult Head Wrap Patient...

Страница 126: ...sophageal or Rectal 402 Infant Esophageal or Rectal 409 Attachable Surface Temperature Tape on Skin 440 Probe Extension Cord 10 Length Disposable Temperature Probes Sterile 400 Series 491B Steri Probe Rectal Esophageal Probe 499B Steri Probe Skin Probe 4900B Steri Probe Reusable Connector Cable RJ 11 connection 483M 9 Therma Temp Rectal Esophageal Probe 9F 4872MS Therma Temp Connecting Cable Molex...

Страница 127: ...ing 4 0 C 39 2 F Low Limit Safety 2 0 C 2 0 C 35 6 F 3 6 F Low Limit Secondary Back up Safety 2 0 C 2 0 C 35 6 F 3 6 F Defective or Dislodged Probe Alarm Audible Visual Primary Secondary High and Secondary Low Limit Failure Alarm Audible Visual Low Water Alarm Audible Visual Defective Water Temp Sensor Audible Visual Water Flow Indicator Visual Low Flow Alarm Audible Visual Water Temperature Senso...

Страница 128: ...ketrol III Model 233 unit is twelve 12 years from the date of manufacture provided the product is not subject to misuse negligence accident or abuse and under the conditions that the device is properly used as intended and serviced and maintained according to the Operation Technical Manual provided with the device CONTROL SYSTEM cont d Display Type LED Temp Settings Water Temp 0 1 C 0 1 F Patient ...

Страница 129: ...mpliance level Electromagnetic environment guidance Electrostatic discharge ESD IEC 61000 4 2 6 kV contact 8 kV air 6 kV contact 8 kV air Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 Electrical fast transient burst IEC 61000 4 4 2 kV for power supply lines 1 kV for input output lines 2 kV for power supply l...

Страница 130: ...nce in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey a should be less than the compliance level in each frequency range b Interference may occur in the vicinity of equipment marked with the following symbol NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic pro...

Страница 131: ...ding to frequency of transmitter m 150 kHz to 80 MHz d 1 2 P 80 MHz to 800 MHz d 1 2 P 800 MHz to 2 5 GHz d 2 3 P 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where ...

Страница 132: ...Cincinnati Sub Zero Products LLC 12011 Mosteller Road Cincinnati OH 45241 Toll Free 1 800 989 7373 Fax 513 772 9119 www cszmedical com ...

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