Beruflich Dokumente
Kultur Dokumente
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
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
3-1
3/General Information
3-1 6600-0291-000 2/24/97
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
3/General Information
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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Care Plus
1000
Care Plus
2000
>37C
F / C
100%
75%
50%
25%
188.8
188.8
8
8
3-5
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/General Information
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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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