CSZ NORM-O-TEP 111Z, Руководство по эксплуатации и техническому обслуживанию, Страница: 4 / 82

Operation / Technical Manual NORM-O-TEMP, Model 111Z
Page 4 of 81
Cincinnati Sub-Zero Products, LLC, reserves the right to make changes to the device, which may not
be reflected in this manual.
WARNING
•
A physician's order is required for the use of the device and setting the temperature of the
blanket/pad. At least every 20 minutes, or as directed by physician, check patient's
temperature and skin condition of areas in contact with blanket/pad; also, check
blanket/pad water temperature. Pediatric patients, temperature-sensitive patients with
vascular disease, surgical patients, and diabetic patients are at greater risk for developing
tissue injuries, and this should be considered when selecting the temperature, duration of
therapy and frequency of skin checks. If patient’s temperature does not reach desired set
point or differs drastically from recommended set point, notify physician.
Notify the
physician promptly of any change in patient status in order to avoid serious injury or
death.
1. Pediatrics – Infants’ and children’s body temperatures are often more
responsive to surface heating and cooling than adults. Due to their size, the
effect of heating or cooling a child is likely more pronounced because of their
higher ratio of skin contact area to body mass.
2. Temperature Sensitive Patients – Patients with impaired peripheral blood
circulation and patients who are incapacitated may be more sensitive to
temperature changes than patients with normal circulation.
3. Surgical Patients – Patients with poor circulation due to inadequate heart
function, loss of blood, or impaired peripheral blood circulation may be more
sensitive to temperature changes.
• The method of temperature control provided by all hyperthermia units presents the danger of
heating body tissues, particularly the skin, to a point where they are injured. The clinician is
responsible for determining the appropriateness of the temperature limits in dependency to
time. Exceeding 40
°
C water temperature for extended periods can cause tissue damage and
burns. Clinical judgment should be used to determine the safe maximum contact periods
based on patient age, clinical condition, and current medications.
Avoid placing additional
heating or cooling sources between the patient and blanket/pad. Depending on the
extent and severity of a burn, very serious and even fatal complications may arise.
•
Do not use the NORM-O-TEMP ® System distal to arterial cross clamping.
Thermal injury
may result.
•
Prevent excessive and/or prolonged tissue pressure and shearing forces, especially over bony
prominences,
to prevent skin damage that may result.
•
Do not place additional heat sources between the patient and blanket/pad.
Skin damage
may result.
•
The area between the patient and the blanket/pad should be kept dry to avoid injury
to patient.
Prep solutions have been reported to injure the skin when allowed to remain
between patients and a water-circulating heating blanket/pad during prolonged procedures.
If using a vinyl blanket/pad, place a dry absorbent sheet between the patient and the
blanket/pad to prevent moisture from accumulating.
•
Proper sanitation procedures must be practiced and hygienic safety must be
maintained, to prevent contamination.
Contamination can affect patient’s health, i.e. skin
irritation/rash may result.