Download as pdf or txt
Download as pdf or txt
You are on page 1of 84

Ohio® Care Plus® Incubator

and Ohio® Care Plus®


Access Incubator
Operation and Maintenance Manual
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, oper-
ated, 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
immediately. Should such repair or replacement become necessary, Ohmeda recom-
mends 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 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 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 U.S. Federal and Canadian law restrict this device to sale by or on the order of
a licensed medical practitioner.

ii ii
6600-0239-000  100
Table of Contents
General Precautions
Warnings .................................................................................................................................................................. iv
Cautions .................................................................................................................................................................... iv

1/Introduction
Introducing the Ohio® Care Plus® Incubator.............................................................................................. 1-1
The Elevating Base accessory........................................................................................................................... 1-2
Adding a rail system or storage module...................................................................................................... 1-2
How to use this manual..................................................................................................................................... 1-3

2/Getting Started
Unpacking ............................................................................................................................................................. 2-1
Mounting the Care Plus on the Elevating Base ....................................................................................... 2-2
Mounting the Care Plus on the cabinet ..................................................................................................... 2-3
Mounting the rail system on the cabinet .................................................................................................. 2-4
Mounting the basic rails ....................................................................................................................... 2-4
Mounting the overhead shelf ............................................................................................................ 2-5

3/General Information
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

4/Preoperative Checkout Procedure


Mechanical checks ............................................................................................................................................. 4-1
Accessory checks ................................................................................................................................................ 4-3
Controller checks ................................................................................................................................................ 4-3
Operational checks ............................................................................................................................................ 4-6
Elevating Base and Stationary Pedestal Checkout Procedure............................................................. 4-6
Operating the Elevating Base.......................................................................................................................... 4-8

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 .................................................................................................................. 5-7
Probe failure alarm ................................................................................................................................. 5-7
Power failure alarm ................................................................................................................................ 5-8
System failure alarm .............................................................................................................................. 5-8
Additional operating procedures ................................................................................................................. 5-8
Accessing the patient ............................................................................................................................ 5-8

i i
6600-0239-000  100
Table of Contents
Raising and lowering the hood .......................................................................................................5-10
Trendelenburg and Reverse Trendelenburg positioning – tilt handle models................5-11
Trendelenburg and Reverse Trendelenburg positioning –
continuous tilt models .................................................................................................................5-12
Administering oxygen ........................................................................................................................5-12
Using the humidifier ............................................................................................................................5-14
ThermaLink Option ..............................................................................................................................5-15
Using the Serial Data interface ........................................................................................................5-16
Using the Nurse Call System interface ..........................................................................................5-16

6/Maintaining the Incubator


Cleaning schedule ............................................................................................................................................. 6-1
Disassembling the incubator for a complete cleaning ......................................................................... 6-2
Cleaning and disinfecting individual components ................................................................................ 6-5
Humidifier ................................................................................................................................................. 6-6
Patient Probe ............................................................................................................................................ 6-6
Controller assembly ............................................................................................................................... 6-7
Portholes .................................................................................................................................................... 6-8
Compartment Temperature Probe..................................................................................................... 6-8
Other 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 maintenance........................................................................................................................... 7-1
Service maintenance............................................................................................................................... 7-2
Troubleshooting incubator problems ........................................................................................................ 7-2

8/Maintenance Parts and Accessories


Base platform and cover assembly .............................................................................................................. 8-1
Accessories ........................................................................................................................................................... 8-2

Appendix
Care Plus specifications ....................................................................................................................................A-1
Electrical specifications ........................................................................................................................A-1
Performance specifications .................................................................................................................A-2
Safety specifications ..............................................................................................................................A-4
Environmental specifications .............................................................................................................A-4
Electromagnetic Compatibility (EMC) Specifications ................................................................A-4
Mechanical specifications ...................................................................................................................A-5
Optional Elevating Base pecifications..........................................................................................................A-5
ThermaLink Option Specifications ...............................................................................................................A-6
A.  Hewlett Packard CMS Monitor (Vuelink)............................................................................A-6
B.  SpaceLabs Monitor (Flexport).................................................................................................A-6
C. RS-232 Serial Data ......................................................................................................................A-6
D. Nurse Call ......................................................................................................................................A-9
Additional Safety Information .................................................................................................................... A-11
Glossary .............................................................................................................................................................. A-12

Warranty

ii ii
6600-0239-000  100
Table of Precautions
General Contents
Warnings
Before using the 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
procedure it must be removed from use and 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 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.

Cautions
Only competent individuals trained in the repair of this equipment should attempt to
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 proper knowledge, tools and test equipment, and
for service representatives trained by Ohmeda.

iii iii
6600-0239-000  100
Table of Contents
Notes

iv iv
6600-0239-000  100
1/Introduction
In this section
Introducing the Ohio® Care Plus® Incubator............................................................................................... 1-1
The Elevating Base accessory........................................................................................................................... 1-2
Adding a rail system or storage module...................................................................................................... 1-2
How to use this manual..................................................................................................................................... 1-3

Introducing the Ohio Care Plus Incubator


Thank you for selecting the Ohio Care Plus Incubator. The Care Plus adapts to your
patient’s needs with: servo and manual operating modes; a built-in passive humidifier;
an oxygen inlet; removable inner walls; a model with three or six degree bed positions
or a continous tilt model with bed positions from zero to twelve degrees. The Care Plus
Access Incubator provides a larger hood for greater patient access and two additional
tubing access 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 connection lets you integrate the Care Plus into your current
or future remote alarm system.

From its comprehensive series of alarms and quiet operation, to unique oval portholes
for greater lateral access, the Care Plus offers both security and convenience. Its famil-
iar styling integrates into the existing nursery environment with a rail mounting system
that accommodates most Ohmeda rail mount accessories. Options, such as single
or double walls, an adjustable height stand with or without storage units and a servo-
controlled humidifier, let you select the system best suited to your needs.

Ohio® Care Plus® Incubator is a registered trademark of Ohmeda.

CI.07.038

Figure 1-1
The Ohio Care Plus Incubator

1-1
6600-0239-000  100
1-1
1/Introduction
Care Plus technology

The Care Plus combines microprocessor technology, a unique hood design with front
to back air flow, and an integral 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 Before using the Ohio Care Plus Incubator, read through 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 accessory


The Elevating Base lets you adjust the Care Plus Incubator to the height that is most
comfortable for you. The mattress can be as low as 85 cm (34 inches) or as high as
107 cm (42 inches) above the ground. The foot pedal controls leave your hands free to
care for the patient.

CI.07.003
Figure 1-2
Different elevations

Adding a rail system or storage module


Optional storage units and rail systems provide convenient storage for the Elevating
Base and keep accessories nearby. Rail systems are also available for cabinet mounted
incubators.

Each of the Care Plus configurations accommodates Ohmeda’s dove-tail rail systems.
Rail systems expand with your needs to support a full range of patient care accessories.

1-1
6600-0239-000  100
1-2
1/Introduction
How to use this manual
This manual serves both as a guide to learn how to operate the Care Plus and as refer-
ence once you are familiar with the Care Plus.

If you are setting up the system for the first time, read all the sections starting with
Chapter 2, “Getting Started,” which contains unpacking, assembly, and accessory
mounting information.

If the Care Plus is already in place and this is the first time you have used it, start with
Chapter 3, “General Information.”

If you have used the Care Plus previously, complete the step-by-step checkout proce-
dure in Chapter 4, which is required before using the incubator. Then turn to Chapter 5
“Using the Incubator.”

This manual includes instructions for a new continuous bed tilt model, so even if you
have used the Care Plus before, you should acquaint yourself with new operation and
check procedures concerning this new model.

Before cleaning the Care Plus, read Chapter 6, “Maintaining the Incubator,” carefully.
In addition to explaining how to disassemble and clean the incubator, it contains spe-
cific cautions about cleaning methods that can damage incubator components.

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.)

Chapter 8, “Maintenance Parts and Accessories,” tells you how to order replacement
parts and accessories.

The Appendix contains additional reference material: incubator specifications and a


glossary of the terms used in this manual.

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 Incu-
bator. Also read the Warranty on the back cover; it outlines Ohmeda’s responsibility 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:

Just as on the controller panel, we use arrow heads to represent the temperature
switches:

M Increase the control temperature

? Decrease the control temperature

1-1
6600-0239-000  100
1-3
1/Introduction
Notes

1-1
6600-0239-000  100
1-4
2/Getting Started
The Care Plus mounts on several different devices, the cabinet, elevating or
non-elevating Base. Follow the installation instructions supplied with your system.

WARNINGS Safely mounting or dismounting the Care Plus Incubator or the Elevating
Base rail system requires two people. Remove the controller unit before
mounting or dismounting the incubator.

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
Unpacking............................................................................................................................................................... 2-1
Mounting the Care Plus on the Elevating Base......................................................................................... 2-2
Mounting the Care Plus on the cabinet ...................................................................................................... 2-3
Mounting the rail system on the cabinet.................................................................................................... 2-4
Mounting the basic rails......................................................................................................................... 2-4
Mounting the overhead shelf.............................................................................................................. 2-5

Unpacking
Inspect the Care Plus for any signs of shipping damage immediately after unpacking.
If the Care Plus or its accessories appear to have been damaged in shipment, file a
damage claim with the shipping carrier within 15 days of receipt. Keep all packaging
materials until the claim is resolved.

Also check the packing slip against the shipment to verify that all accessory devices
are present.

If you are not mounting the incubator on a Care Plus cabinet, elevating or non-elevating
base, to install the controller perform only steps 4 and 5 of either Mounting the Care
Plus on the Elevating Base or Mounting the Care Plus on the cabinet.

2-1
6600-0239-000  100
2-1
2/Getting Started
Mounting the Care Plus on the Elevating or Non-elevating Base

WARNING Safely mounting or dismounting the Care Plus Incubator or the Elevating Base
rail system requires two people.

1. Verify that O-rings or foam gaskets are installed in the depression around each of
the incubator mounting holes in the incubator platform.

2. Lift the Care Plus Incubator onto the Base. Make sure that the front of the Elevating
Base (foot pedals) faces the same direction as the front of the incubator. 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 bumping the fan or the heater. If these items are
knocked out of alignment, the fan can grate against the heater or the base.

4. Install the controller. Lift the levers on the controller and slide it into the incubator as
shown in Figure 2-1. Push the levers down to lock the controller in place.

5. Refer to section 4 in this manual to perform preoperative checkout procedures.

Controller Incubator
Lever Platform
(Lift to Remove
Controller)

Mounting
Screw
CI.07.049

Foot Pedal
Controls

Figure 2-1
Mounting the Care Plus Incubator

2-2
6600-0239-000  100
2-2
2/Getting Started
Mounting the Care Plus on the cabinet

WARNING: Safely mounting or dismounting the Care Plus Incubator or the Elevating
Base rail system requires two people.

1. Verify that O-rings or foam gaskets are installed in the depression around each of
the incubator mounting holes in the cabinet top.

2. Lift the Care Plus Incubator onto the cabinet. Make sure that the cabinet doors
face the same direction as the incubator’s front 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 bumping the fan or the heater. If these items
are knocked out of alignment, the fan can grate against the heater or the base.

4. 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.

5. Refer to section 4 in this manual to perform preoperative checkout procedures.

Controller
CI.02.189

Controller
Lever

Mounting
Knob

Figure 2-2
Mounting the Care Plus Incubator

2-3
6600-0239-000  100
2-3
2/Getting Started
Mounting the rail system on the cabinet
Note: This section applies to cabinets with threaded mounting holes. If your cabinet
does not have four threaded mounting holes on each corner, refer to the rail mounting
instructions in the Service Manual.

CAUTION The maximum load on cabinet rail systems must not exceed 23 kg (50 lbs). This
includes the weight of items placed on rail mount or overhead shelves.

Mounting the basic rails


The short rails, long rails, single rails, and the overhead shelf use the same basic as-
sembly procedure.

Dovetail
Rail

Threaded
Mounting
Hole

Tape

CI.02.188
Lockwasher
Screw
Tape
Stiffener
Plate
Figure 2-3
Mounting the basic rail system

Note: The rail kits include extra hardware to adapt them for the earlier cabinets. You
will have eight, rectangular plates, 16 internal tooth lockwashers, and 16, #10 x 5/8
inch truss head screws left over.

1. Make sure that you have the correct rail. The rails are not symmetrical. Markings
on each rail tell you which side of the cabinet to put it on (Right Front/Left Rear or
Left Front/Right Rear).

2-4
6600-0239-000  100
2-4
2/Getting Started
2. Remove the four screws and lockwashers from the corner of the cabinet where
you intend to mount the rail.

3. Align a stiffener plate with the threaded mounting holes on the cabinet. Use the
tape on the stiffener to hold it in place. Refer to Figure 2-3.

4. Place the rail over the stiffener plate and align the holes in the rail with those in the
stiffener plate. Use the tape on the stiffener to hold the rail in place.

CAUTION The tape 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 screws from the outside of the cabinet.

Note: Verify that all four screws are tight before mounting any accessories on the
rail.

6. Repeat steps 1 through 5 for the second rail, if applicable.

Mounting the overhead shelf


1. Mount the basic rails.

2. Align the holes in the shelf with the holes at the top of the rails (four on each rail).
Secure the shelf with eight, 1/4 inch screws and lockwashers.

Overhead
Shelf

Screw

Lockwasher

Endcap
CI.02.040

Figure 2-4
Mounting the overhead shelf

2-5
6600-0239-000  100
2-5
Notes
2/Getting Started

2-6
6600-0239-000  100
2-6
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
Temperature 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 37°C
(68.0 to 98.6°F) using the temperature switches (? and M). Pressing the Override
switch when the air control temperature is 37°C (98.6°F) lets you increase the air
control temperature to 39.0°C (102.2°F).

Control temperature alarm

The control temperature alarm triggers if the air temperature exceeds a normal range
air control temperature by more than 1.5°C (2.7°F) or if the air temperature falls more
than 3.0°C (5.4°F) below the air control temperature. For air control temperatures
above 37°C, the control temperature alarm triggers if the air temperature exceeds the
air control temperature by more than 1.0°C (1.8°F).

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: 38°C
(100.4°F) for control temperatures below 37°C (98.6°F) and 40°C (104.0°F) for control
temperatures above 37°C.

3-1
6600-0239-000  100
3-1
3/General Information
Patient probe

In the air control mode, the patient probe has no affect on incubator operation;
connecting the probe simply displays the patient temperature for your information.

The patient control (servo) mode


In the patient control mode, the control temperature (patient control temperature)
corresponds to the desired patient skin temperature. To reach an incubator
temperature 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 Environmental Temperature). The maximum DET that the incubator will
maintain is 39.0°C (102.2°F).

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
temperature gets to the actual air temperature required to maintain the desired infant
skin
temperature, the sooner the incubator will stabilize the infant’s 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
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 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 <
-0.5°C), the heater switches On. If the infant is too hot (PTG > 0.5°C), 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 0.2°C or more, and this difference has not decreased by at least 0.2°C
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 37.0°C
(95.0 to 98.6°F) using the temperature switches (? and M). An internal
adjustment lets you increase the patient control temperature to 37.5°C (99.5°F).

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 1.0°C (1.8°F), or 0.5°C (0.9°F) with an internal adjustment.
Additional alarm routines verify proper operation and switch off the heater if the air
temperature exceeds 40.0°C (104.0°F).

3-2
6600-0239-000  100
3-2
3/General Information

Repeat first stage


PT = Patient Temperature
PCT = Patient Control Temperat
PTG = PT-PCT
Start No DPT = Current PT - PT 10 min.
previous

Yes 1) Switch heater off Yes


Is the PT 2) Activate alarm Have 10 min
<30°C? Assume probe 3) Keep DET constant passed? Start
is dislodged third Stage 3
stage

Stage 1
No
No Yes
Is the
PTG³0°C?
Infant is Infant is
Yes cold hot
Is the PT
>42°C? Assume probe
is dislodged
Yes Yes
Is the DPT³ DET change Is the DPT£
No 0.2°C? = 0 -0.2°C?

No No
Is the PTG Yes Supply
<-0.5°C? maximum heat DET DE
Infant is PTG Change PTG Chang
cold -0.5°C 0.3°C 0.5°C -0.3°C
-0.4°C 0.3°C 0.4°C -0.3°C
-0.3°C 0.2°C 0.3°C -0.2°C
No
-0.2°C 0.1°C 0.2°C -0.1°C
Stage 2 -0.1°C 0.0°C 0.1°C -0.0°C
-0.0°C 0.0°C 0.0°C -0.0°C

Yes
Is the PTG > Supply no heat
0.5°C? Infant is
hot

Calculate new DET


No New DET = Old DET + Change

CI.02.068

Figure 3-1
Patient control mode logic diagram

3-3
6600-0239-000  100
3-3
3/General Information
Controls and displays

Patient Temperature Air Temperature Mode Control Temperatur

Air
Control
Patient
Control

Alarms Heater Controls


Air Air
Air Circulation Control Override
100% > 37° C
Patient Temp Probe Failure 75%
Control Temp System Failure
50%
Patient
25% Control
High Air Temp Power Failure

°F / °C
Enable

CI.02.181
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 42.0°C (71.6 and 107.6°F) are displayed to the
nearest 0.1°C 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
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, the air temperature display shows the internal incubator
temperature.

Air temperatures between 5 and 50.0°C (41 and 122°F) are displayed to the nearest
0.1°C or °F.

Depressing the Enable switch for more than five seconds tests the temperature
monitoring system. If the monitoring system is functioning correctly, 37.95°C ±0.2°C
replaces the air temperature during the test.

3-4
6600-0239-000  100
3-4
3/General Information
Control temperature

During normal operation, the control temperature display shows the control
temperature (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 39.0°C (68 to 102.2°F).
Air control temperatures above 37.0°C (98.6°F) require the use of the Override switch.

In the patient control mode, the control temperature range is 35 to 37°C (95.0 to
98.6°F).

Note: Qualified service personnel can configure maximum patient temperature to


37.5°C.

During a system failure alarm, the appropriate error code appears in the control
temperature display.

Depressing the Enable switch for more than five seconds replaces the control
temperature with the percentage of the rated line voltage supplied by the power outlet.
Heater
Four LED displays illuminate to show the average heater power over
100%
the last minute as a percentage of the maximum output (100%, 75%,
75%
50%
50% and 25%). In the example, the average heater power is 75% of the
25% maximum power.

The alarm silence switch 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 detailed in the “Alarms” section. The alarm silence
indicators (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
temperature displays. The alternating, two tone alarm also activates.

°F / °C
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


Enable 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.

Air Pressing the Air Control switch selects the air control mode of
Air
Control operation and illuminates the Air Control indicator (next to Control
Override
> 37° C
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.

3-5
6600-0239-000  100
3-5
3/General Information
Air The Override switch lets you select air control temperatures higher
Air
Control Override than 37.0°C (98.6°F). To raise the air control temperature above
> 37° C 37°C, increase the control temperature to 37°C, press the Enable
switch, press the Override switch, and then increase the air control
temperature. The maximum set temperature is 39°C. The override
indicator remains illuminated to indicate that the air control temperature
exceeds 37.0°C.

Patient Pressing the Patient Control switch selects the Patient control mode of
Control 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
illuminated, approximately 12 seconds after the last switch is pressed.

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 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.

On all other controllers, combination power switch/circuit breaker is


located on the right side of the controller assembly, adjacent to the
power cord socket. It switches incubator power On and Off. It also
resets the circuit breaker, which limits the maximum current drawn by
the incubator. If the circuit breaker trips, the power switch returns to the
off (O) position. To reset the circuit breaker, set the switch back to the
on (|) position. If the circuit breaker trips again, remove the unit from
use and contact qualified service personnel for repair.

Alarms
Note: On Controllers with serial numbers beginning with HBJ or HCE, 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.

Alarms
Air Circulation

Patient Temp Probe Failure


Control Temp System Failure
High Air Temp Power Failure
CI.02.215

Figure 3-3
Alarm indicators

3-6
6600-0239-000  100
3-6
1/Introduction
In this section
Introducing the Ohio® Care Plus® Incubator............................................................................................... 1-1
The Elevating Base accessory........................................................................................................................... 1-2
Adding a rail system or storage module...................................................................................................... 1-2
How to use this manual..................................................................................................................................... 1-3

Introducing the Ohio Care Plus Incubator


Thank you for selecting the Ohio Care Plus Incubator. The Care Plus adapts to your
patient’s needs with: servo and manual operating modes; a built-in passive humidifier;
an oxygen inlet; removable inner walls; a model with three or six degree bed positions
or a continous tilt model with bed positions from zero to twelve degrees. The Care Plus
Access Incubator provides a larger hood for greater patient access and two additional
tubing access 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 connection lets you integrate the Care Plus into your current
or future remote alarm system.

From its comprehensive series of alarms and quiet operation, to unique oval portholes
for greater lateral access, the Care Plus offers both security and convenience. Its famil-
iar styling integrates into the existing nursery environment with a rail mounting system
that accommodates most Ohmeda rail mount accessories. Options, such as single
or double walls, an adjustable height stand with or without storage units and a servo-
controlled humidifier, let you select the system best suited to your needs.

Ohio® Care Plus® Incubator is a registered trademark of Ohmeda.

CI.07.038

Figure 1-1
The Ohio Care Plus Incubator

1-1
6600-0239-000  100
1-1
1/Introduction
Care Plus technology

The Care Plus combines microprocessor technology, a unique hood design with front
to back air flow, and an integral 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 Before using the Ohio Care Plus Incubator, read through 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 accessory


The Elevating Base lets you adjust the Care Plus Incubator to the height that is most
comfortable for you. The mattress can be as low as 85 cm (34 inches) or as high as
107 cm (42 inches) above the ground. The foot pedal controls leave your hands free to
care for the patient.

CI.07.003
Figure 1-2
Different elevations

Adding a rail system or storage module


Optional storage units and rail systems provide convenient storage for the Elevating
Base and keep accessories nearby. Rail systems are also available for cabinet mounted
incubators.

Each of the Care Plus configurations accommodates Ohmeda’s dove-tail rail systems.
Rail systems expand with your needs to support a full range of patient care accessories.

1-2
6600-0239-000  100
1-2
1/Introduction
How to use this manual
This manual serves both as a guide to learn how to operate the Care Plus and as refer-
ence once you are familiar with the Care Plus.

If you are setting up the system for the first time, read all the sections starting with
Chapter 2, “Getting Started,” which contains unpacking, assembly, and accessory
mounting information.

If the Care Plus is already in place and this is the first time you have used it, start with
Chapter 3, “General Information.”

If you have used the Care Plus previously, complete the step-by-step checkout proce-
dure in Chapter 4, which is required before using the incubator. Then turn to Chapter 5
“Using the Incubator.”

This manual includes instructions for a new continuous bed tilt model, so even if you
have used the Care Plus before, you should acquaint yourself with new operation and
check procedures concerning this new model.

Before cleaning the Care Plus, read Chapter 6, “Maintaining the Incubator,” carefully.
In addition to explaining how to disassemble and clean the incubator, it contains spe-
cific cautions about cleaning methods that can damage incubator components.

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.)

Chapter 8, “Maintenance Parts and Accessories,” tells you how to order replacement
parts and accessories.

The Appendix contains additional reference material: incubator specifications and a


glossary of the terms used in this manual.

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 Incu-
bator. Also read the Warranty on the back cover; it outlines Ohmeda’s responsibility 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:

Just as on the controller panel, we use arrow heads to represent the temperature
switches:

M Increase the control temperature

? Decrease the control temperature

1-3
6600-0239-000  100
1-3
1/Introduction
Notes

1-4
6600-0239-000  100
1-4
3/General Information
Hole Plugs
(Single Walled
Units)

Tubing Access
Covers

CI.02.042
Filter Mounting
Knobs Controller
(Cord Wrap) Latches

Humidifier Patient Probe


Fill Tray Connector

Air Temperature
Sensor Connector
Figure 3-5
The left side of the incubator

Humidifier
The passive humidifier is active whenever water is in the fill tray. A lever on the side of
the humidifier lets you select low or high humidification. The humidifier slides out like
a drawer for cleaning and refilling. For the optional servo-controlled humidifier, see the
Servo-controlled humidifier manual (6600-0223-000).

Filter cover
The filter cover is a vented panel that covers the fan filter. To replace the fan filter,
unscrew the black knobs (electrical power cord wrap) until you can lift off the cover.
(These knobs are permanently affixed to the filter cover.)

Hole plugs
The hole plugs are inserted into the holes in the top of the hood on single walled units.

Tubing access covers


Tubing 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 during operation. To remove the
controller, pull the latches up (perpendicular to controller sides) and slide out the
controller. Push the latches down to secure controller. There are two controller latches,
one on either side.

Patient probe connection


The patient probe plugs into this connection. To connect the probe, push its connector
firmly into socket until you hear a click. To disconnect the probe, grasp the probe
connector and pull.

Air temperature sensor connection


The air temperature sensor plugs into this connection. This connector is keyed to
ensure proper alignment. To connect the air temperature sensor, align the connectors
and push them together. To disconnect the sensor, push in the back of the connector
while pulling back on the “T” handle.

3-11
6600-0239-000  100
3-11
3/General Information

Inner Wall
Fastener

Deflector
Panel
Hood Tilt
Release

Power Oxygen
Switch Inlet

CI.02.048
Power Input ThermaLink Connector
Figure 3-6
The right side of the incubator

Inner wall fasteners

The inner wall fasteners secure the interior walls. To attach the walls, line up the fasteners
with the mating mounting posts on the outer hood and press in plunger until it snaps into
place. Pull out plunger to release the fastener.

Hood tilt latch and the hood tilt release

The hood tilt release prevents the hood from opening accidently. The hood tilt latch
prevents the hood from closing when it 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 not in use.

Power input socket

Plug one end of the power cord into the power inlet socket. Plug the other into an
appropriately rated wall outlet.

Power switch circuit breaker

On units with serial numbers prior to HBJ and HCE, the power switch also serves as a
circuit breaker. The switch automatically returns to the off position if the circuit breaker
opens. To reset the circuit breaker, set the power switch to On.

ThermaLink Connector

A ThermaLink connector, available as an option on controllers with serial numbers


beginning with HBJ and HCE, provides connection for serial data output and remote nurse
call. See the Appendix for details.

3-12
6600-0239-000  100
3-12
4/Preoperative Checkout Procedure
WARNINGS Do not perform the preoperative checkout procedure while a patient occupies
the incubator.

Complete the “Preoperative Checkout Procedures” section of this manual


before putting the unit into operation. If the incubator fails any portion of the
checkout procedure it must be removed from use and repaired.

In this section
Mechanical checks............................................................................................................................................... 4-1
Accessory checks.................................................................................................................................................. 4-3
Controller checks.................................................................................................................................................. 4-3
Operational checks.............................................................................................................................................. 4-6

Mechanical checks
WARNING Disconnect the power cord for the mechanical portion of the preoperative
checkout procedure.

1. Disconnect the power cord for the Care Plus Incubator for the mechanical portion
of the preoperative checkout procedure.

2. Examine the power cord for damage. Replace the power cord if damage is
evident.

3. Examine the incubator for obvious signs of damage.

4. Lock the two front casters and check that the unit is held in place. Release the
locks and verify the unit moves smoothly.

5. On the cabinet, open the cabinet front doors and verify that the four incubator
mounting knobs that attach the Care Plus to the cabinet are secured tightly in
place.

On the Elevating Base, open drawers (if present) and verify that the four incubator
mounting screws, visible from the underside of the incubator platform, are tightly
fastened.

6. Check the front door seals. With the door closed, check that the clear plastic seals
on the upper and lower edges fit tightly.

7. Rotate both front door latches toward the center of the incubator, verify the red
stamp is visible on both latches, and lower the door. Make sure that the inner wall
is securely fastened to the door and that the deflector panel is installed on the
inner wall.

WARNING The front door inner wall must be in place with the lower deflector panel
attached while a patient occupies the incubator.

4-1
6600-0239-000  100
4-1
4/Preoperative Checkout Procedure
8. Make sure that the front door is securely fastened to the incubator. Opening the
door exposes the two spring-loaded metal hinge pins that slide into holes in the
base platform. If the door is not properly attached, pull both pins out towards the
sides of the incubator and line them up with the hinge. Release the pins and verify
that they snap into position.

9. Check that the mattress and the mattress tray are properly installed. Verify that
you must lift the tray slightly to slide it out of the hood. This prevents the tray from
sliding out accidentally. Slide the mattress tray back into the hood.

10. Check the portholes. Open the portholes by pressing on the latch. The cover
should swing open. If arm cuffs are installed, the elastic cuff band should fit into
the groove around the porthole without obstructing the cover. Close the porthole
and verify that the mounting posts hold the porthole securely to the hood and that
the latch holds the porthole closed.

11. If the optional inner walls are installed, check that they are securely attached to
the outer walls. To attach the inner wall, align the inner wall fasteners with the
mounting posts on the outer hood and push in on the plunger portion of the
fastener. Also verify that the deflector panel is attached to the rear inner wall.

12. If the upper inner wall is not used, make sure that hole plugs are inserted into the
unused top mounting holes.

13. Check the hood seals. Examine the seals at the bottom of the left, right and back
sides of the hood. They should seal tightly when the hood 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 hood back approximately 30 degrees, until it locks into position with
an audible click. Push against the hood and make sure that it is held in place. To
close the hood, support the hood and press the hood release button. Gently lower
the hood.

16. Close the front door and rotate the latches toward the sides of the incubator. Verify
that the red stamps on the latches are masked by the opaque patches on the
hood (units with HCD serial numbers only).

17. Check the operation of the tilt mechanism. On units with the two position tilt
option, press in the locking button in the center of the tilt handle and push down
on the handle. Release the locking button and verify that the handle locks in the 45
degree position. Press the locking button again and rotate the handle downwards.
Release the locking button and verify that the handle locks in the 90 degree
position. Depress the locking button and lift up on the tilt handle to return to the
horizontal position. Repeat this step for the second tilt handle.

17a. On units with the continuous tilt option, check the operation of the tilt mechanism.
Check that the tilt knob assembly is secured to the incubator with the latch. Rotate
each tilt knob upward until the bed reaches its highest position. Check that the
actuating arm and bed lifter are firmly seated in the cover platform. Rotate the
tilt knobs downward and check that the mattress tray slides out when both tilt
mechanisms are at their lowest positions.

18. Check that the controller is latched in position. The controller latches should be all
the way down, parallel with the sides of the controller.

4-2
6600-0239-000  100
4-2
4/Preoperative Checkout Procedure
19. Locate the humidifier fill tray on the underside of the base. Slide the fill tray out.
Verify that the seals are in good condition and that there is no obvious damage
to any of the humidifier components. Slide the humidifier back in and push until it
locks in position. Push it back until you feel slight resistance, then push harder till it
snaps into position. For check out for the optional servo-controlled humidifier, see
the Servo-controlled Humidifier O&M manual (6600-0223-000).

20. Unscrew the two filter mounting knobs on the rear of the incubator, lift off the
vented filter cover panel and check the condition of the filter. If the filter is dirty, has
been used with an infectious patient, or has been in use for three months, it must
be replaced. When you replace the filter, mark the date on the label supplied with
the replacement filter. Affix the label to the exterior of the filter cover panel.

Accessory checks
1. Check that all accessories are securely mounted.

2. Check the operation of any accessories with reference to the appropriate


operation and maintenance manuals.

3. Set up any required suction or gas supply systems. Check them for leaks as
outlined in the appropriate operation and maintenance manuals.

Controller checks

WARNING Do not use the Care Plus or the Elevating Base in the Presence of flammable
anesthetics; an explosion hazard exists under these conditions.

Note: The Enable switch must be pressed to activate the temperature adjustment, the
Override or the control mode switches. These switches remain active as long as the
enable indicator is illuminated (approximately 12 seconds after the last time one of
these switches is pressed).

Note: If the patient probe reading is below 22.0°C (71.6°F), LLLL appears in place of
the patient temperature.

Note: On controllers with serial numbers beginning with HBJ and HCE, all silenceable
alarms are preceded by a 30 second operator prompt tone.

1. Make sure the power cord is connected to the socket on the right side of the
controller.

2. Plug the patient probe into the labeled connection on the left side of the controller.

3. Line up the air temperature sensor connectors. Plug the air temperature sensor
into the labeled connection on the left side of the controller.

4. Route the patient probe cord through the tubing access cover and place the
patient probe inside the incubator.

5. Plug the power cord into an appropriately rated power source (see rating plate for
proper voltage, etc.).

4-3
6600-0239-000  100
4-3
4/Preoperative Checkout Procedure
6. Switch the power On and verify the following sequence:
a. An alternating two tone audible alarm sounds for approximately five seconds, all
the indicators illuminate and “188.88” appears in the three temperature 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:
Patient Air Control
Temperature Temperature Temperature
XX.XX (software 60H (AC frequency; 39.0°C (maximum
version, for ex:01.01) 50H for 50 Hz units) air control temperature)
c. An operator prompt tone sounds, and the control temperature display flashes
“33.0°C”. The operator prompt tone will sound every two seconds until a control
temperature is entered by pressing one of the temperature switches (? or M).
d. If the system failure alarm sounds, note the error code and switch off the
unit. Wait ten seconds and switch the unit back on. If the system failure alarm
recurs, remove the incubator from use. Then, call for service.

7. Adjust the control temperature to silence the prompt tone.

8. Check display illumination and the audible alarm by depressing the Alarm Silence
switch until all the indicator LEDs illuminate and “188.8” appears in the three
temperature displays (approximately five seconds). An audible alarm will sound.

9. Check the Enable switch. Press the Enable switch. The enable indicator should
illuminate and go out after approximately 12 seconds. Verify that pressing the temper-
ature switches (? and M) has no effect when the enable indicator is extinguished.

10. Check the analog to digital calibration and the line voltage. Depress the Enable
switch until the temperature displays show, from left to right (approximately five
seconds):

Patient Air Control


Temperature Temperature Temperature

25.05°C (±0.2°C) 37.95°C (±0.2°C) From 09.00 to 11.00


(low calibration point) (high calibration point) (Service use only)

Note: An audible alarm will sound to indicate that the actual temperatures are not
displayed.

11. Check the patient probe. Warm the patient probe by placing it between your
fingers. Verify that the displayed patient temperature increases. If you have an
ASTM approved thermometer, accurate to ±0.1°C, place the thermometer and
the patient probe in a glass of warm water. Stir the water and wait several minutes
until the thermometer reading stabilizes. Verify that the patient temperature shown
on the control panel is within 1°C of that shown on the thermometer. Replace the
probe if the difference exceeds 1°C.

12. Check the normal range of air control temperatures. Press the Enable switch to
activate the temperature switches (? and M). The enable indicator will illuminate.
Press and hold the ? switch. Verify that the lowest control temperature attainable is
20.0°C. If the enable indicator has gone out, press the Enable switch again. Depress
the M switch and verify that the air control temperature cannot be set above 37.0°C.

13. Check the extended range of air control temperatures. With the control
temperature set to 37.0°C, sequentially press the Enable and Override switches.
On controllers with serial numbers beginning with HBJ and HCE, the enable
indicator should illuminate and the override indicator should blink (On all other
controllers both the enable and the override indicators should illuminate and

4-4
6600-0239-000  100
4-4
4/Preoperative Checkout Procedure
remain illuminated.) Depress the M switch and verify that the maximum air control
temperature is now 39.0°C. The override indicator will blink as long as the control
temperature setting remains at, or above, 37.0°C.

14. Check the °F/°C switch. Adjust the control temperature to 36.0°C and press the
°F/°C switch. Verify that the control temperature is now displayed as 96.8°F. Press
the switch a second time to return to a Celsius display.

15. Switch to the patient control mode of operation. Press the Enable and the Patient
Control switches and verify the following sequence:
a. The enable and the patient control indicators illuminate.
b. The control temperature display flashes “36.5°C”and an operator prompt
tone sounds every two seconds. Adjust the control temperature to silence
the prompt tone. The enable indicator will be extinguished approximately
12 seconds after the last time one of the temperature switches (? and M) is
pressed.

Note: A patient temperature alarm will be triggered if the patient probe


temperature differs from the control temperature by more than 1.0°C. If the probe
temperature is below 30.0°C or above 42.0°C the heater will not switch On.

16. Check the range of patient control temperatures. Press the Enable switch to
activate the temperature switches (? and M). The enable indicator will illuminate.
Press and hold the ? switch. Verify that the lowest control temperature attainable
is 35.0°C. If the enable indicator has gone out, press the Enable switch again.
Depress the M switch. Verify that the patient control temperature cannot be set
above 37.0°C.

Note: The maximum patient control temperature 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 exceeds the patient temperature by more than
1.0°C. An alarm should sound, the patient temperature should flash and the patient
temperature alarm indicator should illuminate. Press the Enable switch and adjust
the patient control temperature until it is within 0.8°C of the patient temperature.
The alarm should cancel.

Note: Service personnel can configure the alarm to trigger if the difference
exceeds 0.5°C and to reset when the difference is less than 0.3°C.

18. Check the probe failure alarm.


a. Unplug the patient probe from the controller. Verify that an alternating two tone
alarm sounds, the probe failure LED illuminates, HHHH flashes in the patient
temperature display and the heater power LEDs are extinguished. Plug the
probe back in and verify that the alarm cancels.
b. Unplug the air temperature sensor from the controller by pushing in the back
of connector while pulling back on the “T” handles. Verify that an alternating
two tone alarm sounds, 00.0°C flashes in the air temperature display, the probe
failure LED illuminates, and the heater power LEDs are extinguished. Align the
connectors and plug the air temperature sensor back into the controller. Verify
that the alarm cancels.

19. Check the power failure alarm and the battery backed memory. Verify that you
are still in the patient control mode. Adjust the patient control temperature to
36.0°C. Switch to the air control mode and adjust the control temperature to
35.0°C. Unplug the incubator. An intermittent, nonsilenceable alarm should sound
and the power failure LED should illuminate. All other displays and indicators
will be extinguished. Wait two minutes and plug the incubator back in. Verify that

4-5
6600-0239-000  100
4-5
4/Preoperative Checkout Procedure
the alarm cancels and the unit returns to the air control mode of operation with
a control temperature of 35.0°C. Switch to the patient control mode and verify a
control temperature of 36.0°C.

Note: A fully charged battery should supply the power failure alarm for
approximately 10 minutes. If the alarm is tested for the full 10 minutes the incubator
must be run for at least two hours to recharge the battery before it is used with a
patient. Total recharge time is 8 to 10 hours.

20. Check the Alarm Silence switch. Unplug the air temperature sensor and press the
Alarm Silence switch. Verify that the alarm is silenced for one minute. Reconnect
the air temperature sensor.

Note: The functionality of the remainder of the alarms is continually checked by the
microprocessor software during normal operation. If a fault occurs in any of this
circuitry, an indicator lights and a tone is sounded.

Computer independent circuitry continuously measures and compares the incubator


temperature with a factory set level. Visual and audible alarms are activated and the
heater is shut-off if the incubator temperature exceeds this pre-set level, independent
of the software.

Additionally, a computer independent “watchdog” circuit will reset the computer, turn off
the heater, and activate the alarms in the event of a microprocessor failure or software
error.

Operational checks
1. Make sure that the incubator is in the air control mode.

2. Verify that the front door, the portholes and the hood are closed.

3. Set the control temperature as close to the air temperature as possible. Allow the
air temperature reading to stabilize. Verify that the air temperature remains within
0.5°C of the control temperature for five minutes after stabilization.

Elevating Base and Stationary Pedestal Checkout Procedure

WARNING Always complete the checkout procedure and verify that the incubator is
securely mounted before using the base.

1. Check for external damage.

2. Make sure that the incubator is securely mounted to the base.

3. If a rail system is attached to the base, check that accessories are securely
mounted and that their weight is evenly distributed between the two rails.

CAUTIONS Rail mounted accessories should not exceed 20 Ibs (9 kg) on either side. Total
accessory weight, including items placed on the overhead shelf, must not exceed
50 Ibs (23 kg).

All rail mounted accessories except IV poles must be mounted below the accessory
weight caution label.

4-6
6600-0239-000  100
4-6
4/Preoperative Checkout Procedure
4. Make sure that the casters are securely attached.

5. Verify that the base rolls freely when the brakes are not set. Then, set the brakes
and verify that the base stays in place.

WARNING Always set the brakes before placing a patient in the incubator.

For Elevating Base models only, proceed with steps 6-9. For Stationary Pedestal
models, proceed to step 10.

6. Verify that the area is free of flammable anesthetic agents and other flammable
substances.

WARNING Do not use the Elevating Base in the presence of flammable anesthetics.
A possible explosion hazard exists under these conditions.

7. Verify that the power cord is tightly 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 power
outlet (Figure 4-1). On units with HCB serial number a green power indicator lamp
located at the Elevating Base foot switch should illuminate.

8. Depress the M pedal and verify that the incubator mattress rises to approximately
42 inches (107 cm) above the floor.

WARNING Before raising or lowering the base, check that there is adequate slack in
tubing and cable connections and that no obstructions (e.g. shelves, etc.)
limit the range of motion.

9. Depress the ? pedal and verify that the incubator mattress lowers to
approximately 34 inches (86 cm) above the floor.

10 Before using the Care Plus system with a patient, verify proper operation of the
incubator and all other system components.

4-7
6600-0239-000  100
4-7
4/Preoperative Checkout Procedure

Front View Back View

Power
Indicator
Lamp

Power
Connection

CI.07.041
CI.07.047

Figure 4-1
Power connections and control locations

Operating the Elevating Base

Note: Continuously depressing the M or ? pedals for long periods can cause the
motor to overheat. To avoid damage, 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 Base to the desired height.

WARNING When a patient occupies the incubator, always close the incubator door and
portholes before raising or lowering the Elevating Base.

4-8
6600-0239-000  100
4-8
5/Using the Incubator
WARNINGS Complete the “Preoperative Checkout Procedure” section of this manual
before putting the unit into operation. If the incubator fails any portion of the
checkout procedure it must be removed from use and repaired.

Do not leave the patient unattended when using the incubator. Check
the patient’s temperature at least every half hour. For maximum patient
monitoring over an extended period of time, select the patient control mode
of operation.

Residual ether or similar gases exhaled by a post surgical patient may be


decomposed by the heater to produce formaldehyde.

The patient 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.

Do not use the Care Plus or the Elevating Base in the presence of flammable
anesthetics; an explosion hazard exists under these conditions.

Using an incubator with a fan motor that has worn parts can produce
unacceptable noise levels within the incubator.

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 circulation.


Do not cover air circulation openings around the bed as obstruction will result in
loss of air circulation, loss of heat, and carbon dioxide buildup.

Do not mount or rest a radiant warmer or incandescent light on or over the


incubator hood; ineffective heating and damage to the hood may result. If using
incandescent phototherapy lamps, check manufacturer’s recommended minimum
distance to hood.

Note: Because the mattress tray is radiopaque, x-ray plates must be placed directly
under the infant.

In this section
Basic operating procedure................................................................................................................................ 5-2
Responding to alarms......................................................................................................................................... 5-5
Air circulation alarm................................................................................................................................. 5-6
Control temperature alarm................................................................................................................... 5-6
High air temperature alarm.................................................................................................................. 5-6
Patient temperature alarm.................................................................................................................... 5-7
Probe failure alarm................................................................................................................................... 5-7
Power failure alarm.................................................................................................................................. 5-8
System failure alarm................................................................................................................................ 5-8
Additional operating procedures................................................................................................................... 5-8
Accessing the patient.............................................................................................................................. 5-8
Raising and lowering the hood.........................................................................................................5-10
Trendelenburg and reverse Trendelenburg positioning-tilt handle models....................5-11
Trendelenburg and reverse Trendelenburg positioning-continuous
tilt models..........................................................................................................................................5-12
Administering oxygen .........................................................................................................................5-12

5-1
6600-0239-000  100
5-1
5/Using the Incubator
Using the humidifier..............................................................................................................................5-14
ThermaLink Option................................................................................................................................5-15
Using the Serial Data interface..........................................................................................................5-16
Using the Nurse Call System interface............................................................................................5-16

Basic operating procedure


This section tells you how to setup and use the incubator in the air and the patient
control modes.

For more detailed information on humidifier setup, oxygen administration, opening and
closing the door, or Trendelenburg or reverse Trendelenburg positioning, refer to the
section “Additional operating procedures” at the end of this chapter.

WARNINGS Always set the brakes before placing a patient in the incubator.

The humidifier must be installed for proper incubator operation, even if you
do not plan to use the humidifier.

1. Verify that the air temperature probe is connected to the controller and that the
humidifier is installed. Plug the incubator into a power outlet and set the caster
brakes. If desired, fill the humidifier, position the mattress tilt, and set up any
additional equipment.

2. Place the power switch in the On position and verify that:


a. An alternating, two tone audible alarm sounds for approximately five seconds,
all the indicators illuminate 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:
Patient Air Control
Temperature Temperature Temperature
XX.XX (software 60H (AC frequency; 39.0°C (maximum
version, for ex:01.01) 50H for 50 Hz units) air control temperature)
c. An operator prompt tone sounds, and the control temperature display flashes
“33.0°C”. The operator prompt tone sounds every two seconds until a control
temperature is entered. The heater will not operate until a control temperature
is entered.
d. If you plan to use the air control mode, continue with step 3.
e. If you plan to use the patient control mode, use steps 3 and 4, as appropriate,
to preheat the incubator to the air temperature required to maintain the desired
skin temperature.

3. Use the temperature switches (? and M) to enter the control temperature. The
normal range for air control temperatures is 20.0 to 37.0°C.

4. To select a control temperature above 37.0°C, adjust the control temperature


to 37.0°C, make sure the enable indicator is still illuminated, and press the
Override switch. If the enable indicator has gone out, the Enable switch has to be
depressed before the Override switch will function.

5. Select either Celsius or Fahrenheit temperature readings with the °F/°C switch.

5-2
6600-0239-000  100
5-2
5/Using the Incubator
6. For patient control mode operation, connect the patient probe. For air control mode
operation, the patient probe is optional. Connect it only if you wish to display patient
skin temperature.
a. Place the metal side of the skin temperature probe on the patient’s skin over the
liver area of the infant’s abdomen. Attach reusable probes with a heat reflecting
patch. Remove the paper protecting the hypoallergenic adhesive of the Heat
Reflective Patch and secure the skin temperature probe to the patient’s skin with
the adhesive side of the patch (Figure 5-1). Do not remove the heat reflecting foil.
b. If the patient is prone, place the skin temperature on the patient’s back, where
it will not be against the mattress. If the probe is between the patient and the
mattress, it will produce false readings.

WARNING Intimate contact between the skin temperature probe tip and the patient’s skin
must be maintained to assure accurate skin temperature measurement. Under or
over heating may result from poor contact between the skin temperature probe
and the patient. Check this attachment regularly to assure the patient’s safety.

CAUTION Avoid placing excessive strain on the skin temperature probe lead. Always remove
the probe from the patient by grasping and removing the heat reflective patch first,
then remove the probe from the patient or the patch. Always remove the probe by
grasping the plug at the panel. Do not pull on the probe lead.

c. Connect the skin temperature probe to the unit.

Heat Reflecting Patch


with Reflective Side
Facing Up

White Paper Protector

Patient Probe (Place the


metal side in contact with
the infants skin)
CI.02.006

Note: The disposable probe comes with the heat reflecting pad attached.

Figure 5-1
Attaching the patient probe to the infant

5-3
6600-0239-000  100
5-3
5/Using the Incubator
d. Route the wire through the left tubing access cover and plug the probe
connector into the side of the controller. Refer to Figure 5-2.
If the ambient temperature is less than 22.0°C (71.6°F), LLLL appears in place of
the patient temperature until you attach the probe to the infant.

WARNINGS Use only the Reusable Ohmeda skin temperature probe (Stock No. 0208-
0697-700) and Heat Reflective Patches (Stock No. 0203-1980-300, 50/pkg)
or the disposable probe (Stock No. 6600-0208-700,10/pkg; Stock No. 6600-
0196-700, 50/pkg) to monitor the patient’s skin temperature. 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


temperature probe should be located on the patient’s skin in an area which is
directly in the path of the radiant heat. It should not be attached to an
area which is shielded from the radiant heat or between the patient and the
mattress. Large temperature gradients and very long servo response times will
result from improper probe placement.

Rectal temperatures must never be used to servo control a patient’s


temperature.

Air Temperature
Sensor

Patient Probe

Patient Probe
Connector
CI.02.047

Air Temperature Sen-


sor Connector

Figure 5-2
Connecting the patient probe to the incubator

5-4
6600-0239-000  100
5-4
5/Using the Incubator
7. If you plan to use the patient control mode, verify that the incubator has warmed
up to the Desired Environmental Temperature. Then press the Enable switch
followed by the Patient Control switch:
a. The patient control and the enable indicators illuminate.
b. The control temperature display flashes “36.5°C” and an operator prompt tone
sounds every two seconds. The alarm will continue to sound until you enter a
control temperature. The heater will not operate unless a control temperature is
entered.
Note: When patient control mode operation first begins, a patient temperature
alarm may trigger. Silence the alarm and attend the patient. This alarm triggers
normally if the patient probe temperature differs from the control temperature
by more than 1.0°C. If the probe temperature is below 30.0°C or above 42.0°C,
the heater will not switch On.

Responding to alarms
WARNINGS Excessive EMI levels in the hospital environment can trigger the system
failure alarm. Note the error code and switch off the unit. Wait ten seconds
and switch the unit back on. If the system failure alarm recurs, remove the
incubator from use.

If an alarm is silenced, closely monitor the patient.

Note: Refer to the troubleshooting section in Chapter 7 for problems that do not
involve an alarm indicator.

Many things can trigger alarms. For example: a patient’s condition may change; a
patient probe may detach; or a change in the control temperature may increase the
difference between the control temperature and the monitored temperature (air or
patient) to an unacceptable level.

If an alarm triggers:

• Evaluate the patient

Attend the infant.

• Identify the alarm

Check the indicators to identify the active alarm. When two or more alarms are
active, their respective indicators illuminate. If an indicator illuminates, look the
alarm up alphabetically in this section. If two or more alarms have been triggered,
the audio signal sounds for the highest priority alarm.

• Silencing the alarm

If desired, silence the alarm. At the end of the silence period the audio alarm
reactivates unless the alarm condition has been resolved. The length of the alarm
silence period depends on the alarm. Power failure and system failure alarms
cannot be silenced.

Another alarm prematurely ends the alarm silence period.

5-5
6600-0239-000  100
5-5
5/Using the Incubator
• 30 second operator Prompt tone

On controllers with serial numbers beginning with HBJ and HCE, all silenceable
alarms are preceded by a 30 second operator prompt tone, in order to minimize
disturbance to the infant.

Air circulation alarm


Air is not circulating through the incubator. The most common cause is a missing fan
or a fan that is not rotating.

If the alarm continues, stop using the incubator and call for service.

Control temperature alarm


The air temperature is 1.5°C above or 3.0°C below the air control temperature (air
control mode alarm).

The control temperature alarm is automatically silenced for 30 minutes after you switch
on the unit and for 15 minutes after you change the control temperature or switch to
the air control mode.

1. Evaluate the patient:


• Opening the incubator door causes some heat loss.
• If the incubator starts out cold, or you make a large change in the control
temperature, the incubator may take longer than the automatic alarm silence
period to warm up.

2. If the alarm continues, stop using the incubator and call for service.

High air temperature alarm


The air temperature exceeds fixed limits:

Control High Temperature


Mode Temperature Alarm Limit

Patient Control Entire Range 40.0°C (104.0°F)

Air Control 20.0 to 37.0°C 38.0°C (100.4°F)


(68.0 to 98.6°F)

37.0 to 39.0°C 40.0°C (104.0°F)


(98.6 to 102.2°F)

1. Evaluate the patient:


• Have you changed the air control temperature? In the air control mode,
decreasing the control temperature below 37.0°C decreases the alarm limit
from 40°C to 38°C. Making this change while the incubator temperature
exceeds 38°C triggers the alarm.
• Have you changed operating modes? The same thing can happen if you switch
from the patient control mode (alarm limit 40°C) to the normal air control mode
(alarm limit 38°C).

5-6
6600-0239-000  100
5-6
5/Using the Incubator
2. Press the alarm silence button and monitor the patient. This alarm does not self
cancel if the temperature falls below the alarm limit. You must press alarm silence
to reset it.

3. If the alarm recurs, stop using the incubator and call for service.

Patient temperature alarm


The patient temperature differs from the patient control temperature by more than
1.0°C or the patient temperature is outside the 30.0 to 42.0°C range (patient control
mode alarm).

Note: Service personnel can adjust this alarm to trigger at a temperature difference
of 0.5°C

1. Evaluate the patient:


• Opening the incubator door causes some heat loss.
• Control temperature changes can temporarily increase the difference between
the patient and the control temperatures.

2. Make sure that the patient probe is properly connected to the patient: the metal
side of the probe must make good contact with the 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 temperature display while the patient probe
is properly connected to the patient, replace the patient probe.

4. If the alarm continues, stop using the incubator and call for service.

Probe failure alarm


One of the temperature sensors is disconnected or contains an open or shorted
circuit.

In the air control mode:

1. If 00.0 appears in the air temperature display, plug the air temperature sensor into
the controller.

2. If the alarm continues, stop using the incubator and call for service.

In the patient control mode:

1. If 00.0 appears in the air temperature display, plug the air temperature sensor into
the controller.

2. Make sure that the patient probe is plugged into the controller.

3. If HHHH or LLLL appears in the patient temperature display and the patient probe
is plugged into the controller, replace the patient probe.

4. If the alarm continues, stop using the incubator and call for service.

5-7
6600-0239-000  100
5-7
5/Using the Incubator
Power failure alarm
The incubator is switched on, but it is not getting any power.

1. Make sure that one end of the power cord is plugged into the controller and that
the other end of the cord is plugged into a power outlet.

2. Plug another device into the outlet to verify that the power outlet has power.

3. Replace the power cord.

4. If the alarm continues, stop using the incubator and call for service.

System failure alarm


Excessive EMI levels in the hospital environment can trigger the system failure alarm.
Note the error code and switch off the unit. Wait ten seconds and switch the unit back
on. If the system failure alarm recurs, remove the incubator from use. Then, call for
service.

Additional operating procedures


This section provides more information on opening the hood, using the humidifier, and
administering oxygen.

Accessing the patient


Opening the front door:

Opening the front door gives you total access to the patient without affecting the air
flow. To lower the door, rotate the door latches toward the center of the
incubator (Figure 5-3).

WARNINGS Do not leave the infant unattended while the front door or the portholes are
open.

When opening or closing the front door or the portholes, make sure that the
infant, any clothing, the monitoring leads, etc., are completely within the
confines of the bed.

Opening the porthole:

To open a porthole, press in on the latch until the porthole opens. To close a porthole,
push the cover shut until the latch clicks into position.

5-8
6600-0239-000  100
5-8
5/Using the Incubator
Porthole Latch

Door Latch

CI.02.190
Figure 5-3
Opening the front door

Pulling out the mattress tray:

Pulling out the mattress tray facilitates procedures that require total access to the
infant. This can only be done when both tilt mechanisms are at their lowest
position. Lower both tilt mechanisms, lift the tray slightly at the edge of the door
and gently pull the tray out (Figure 5-4).

WARNINGS 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 mattress tray, carefully guide any tubes or monitoring
leads through the tubing access covers. If there is insufficient slack or the
tubing gets stuck, the attached devices could accidentally disconnect or the
patient could be harmed.

CAUTION Do not operate the tilt mechanisms when the mattress tray is pulled out. The tilt
mechanism may jam as a result.

5-9
6600-0239-000  100
5-9
5/Using the Incubator

Mattress
Tray

CI.02.043
Figure 5-4
Pulling out the mattress tray

Raising and lowering the hood


WARNING Do not raise the hood when a patient occupies the incubator. Raise the hood
only for hood disassembly and cleaning.

The hood can be raised to facilitate cleaning. The hood tilt latch on the right rear
corner of the incubator holds the hood open. To tilt the hood, depress the hood tilt
release button, lift up on the sides and push back (Figure 5-5). To return the hood to its
normal position, support the hood and depress the hood tilt release button on the rear
right hand corner of the incubator. Then slowly lower the hood.

Hood Tilt
Front Door Release Button
(Open Position)
CI.02.044

Figure 5-5
Raising the hood

5-10
6600-0239-000  100
5-10
5/Using the Incubator
Trendelenburg and reverse Trendelenburg positioning-tilt handle
models
CAUTION Do not use the tilt handles to maneuver the incubator.

Tilt handles on the front of the unit, allow three or six degree Trendelenburg (feet up) or
reverse Trendelenburg (head up) positioning.

Tilting the mattress:

1. Grasp the tilt handle on the side of the mattress that you wish to raise (Figure 5-6).

2. Depress the locking button. Push 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
rotate the handle until it locks in place.

WARNING Verify that the mattress is locked in position before releasing the tilt handle.

Returning to the horizontal position:

To return the mattress to the horizontal position, repeat the procedure pulling up on
the handle to lower the mattress.

Tilt Handle Model Tilt Knob Model

Portholes

CI.02.184
Air Temp. Sensor

Front Door Latch

Locking Button
Tilt Handle

Tilt Knob
CI.02.190

Figure 5-6
Tilting the mattress

5-11
6600-0239-000  100
5-11
5/Using the Incubator
Trendelenburg and reverse Trendelenburg positioning-continuous
tilt models
WARNING When raising or lowering the mattress tray, make sure that the infant,
any clothing, the monitoring leads, etc., are completely within the confines
of the bed.

CAUTION Do not use the tilt knobs to maneuver the incubator.

Tilt knobs on the sides of the unit, allow continuous tilt up to twelve degrees for
Trendelenburg (feet up) or reverse Trendelenburg (head up) positioning

Tilting the mattress:

1. Grasp the tilt knob on the side of the mattress that you wish to raise (Figure 5-6).

2. Rotate the knob upward to raise that end of the bed.

Returning to the horizontal position:

To return the mattress to the horizontal position, rotate 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 oxygen inlets can increase the noise level
inside the incubator.

Remove all sources of ignition including smoking materials, and sources of


electrical discharge from the area when oxygen is in use. In the presence of
high oxygen concentrations, even relatively nonflammable items can ignite
and burn rapidly. Do not place auxiliary equipment producing sparks inside
the incubator. Even small quantities of highly flammable items (such as
organic cleaning solvents) may explode.

Ensure the controller is seated and latched prior to administering oxygen.

You can increase the internal incubator oxygen concentration by connecting an


oxygen source to the inlet on the right hand side of the incubator. Either pipeline or
regulated cylinder supplies may be used.

5-12
6600-0239-000  100
5-12
5/Using the Incubator

Oxygen Inlet

CI.02.048
Figure 5-7
Connecting oxygen supplies

1. Connect the output of the oxygen flow meter to the inlet fitting on the right hand
rear corner of the incubator (Figure 5-7).

WARNING Always use a back pressure compensated flow meter to deliver oxygen to
the incubator. Other flow meters may not compensate for the back pressure
created by the oxygen inlet and could deliver incorrect flow rates.

2. Set up an oxygen analyzer to monitor the hood oxygen concentration. Position the
sampling tube or sensor near the center of the infant compartment. Route the tube
or sensor cable out the hood through one of the tubing access covers.

WARNINGS Monitor the oxygen concentration at a position near the infant’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 analyzer.

Use an oxygen monitor whenever oxygen is being administered.


Concentration of inspired oxygen does not predictably determine the partial
pressure of oxygen in the blood; blood gas measurements are extremely
important for the regulation of inspired oxygen concentrations when
an oxygen enriched environment is necessary. Oxygen concentrations
above 40% can increase the risk of retrolental fibroplasia (retinopathy
of prematurity). Even concentrations of 40% or less oxygen (formerly
considered safe) could be dangerous to some infants. (See current edition
of “Standards and Recommendations on Hospital Care of Newborn Infants”
prepared by the Committee on Fetuses and Newborns of the American
Academy of Pediatrics.)

5-13
6600-0239-000  100
5-13
5/Using the Incubator
3. Switch On the incubator. Unless the incubator is operational, there will be no air
flow to ensure adequate mixing inside the hood.

4. Set up the initial flow rate using the oxygen concentration table next to the oxygen
inlet. The chart will give you a general idea what flow rate will be required to
maintain the desired concentration. The actual concentration will vary with the
condition of the incubator air inlet filter, hood seals, door seals and the number of
open portholes, as well as the infant’s condition.

5. Wait 30 minutes and then check the oxygen concentration inside the unit, without
opening the hood. Adjust the flow rate if required. Allow 30 minutes between
adjustments for the new concentration to stabilize.

Using the humidifier


WARNING The humidifier must be installed for proper incubator operation, even if you
do not plan to use the humidifier.

Note: Refer to the Service Manual for units with the humidifier fill port on the left 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 do not
want humidification, do not put water in the humidifier.

Even at the high setting, the humidifier reservoir holds more than enough water to last
for 24 hours.

1. Gently slide the humidifier out of the base. You will feel an initial resistance, but
apply a steady pull to avoid spilling its contents (Figure 5-8).

2. Set the humidifier down on a level surface and add water to the fill level indicated
on the label (1000 ml maximum).

Note: Do not fill the humidifier past the fill level. Filling past the fill level actually
DECREASES humidification.

3. Slide the humidifier back into the base.

4. Adjust the slide on the side of the humidifier to set the humidification level:
• For high humidification move the slide completely back.
• For low humidification move the slide completely forward.

Drain the humidifier when the unit is not in use. Disinfect the humidifier weekly or after
each patient. Refer to the section “Cleaning and disinfecting individual components” in
chapter 6 for disinfection instructions.

5-14
6600-0239-000  100
5-14
5/Using the Incubator

Lid

Slide

CI.02.152
Humidifier

Figure 5-8
Using the humidifier

ThermaLink Option
The ThermaLink 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 power connection.

ThermaLink
Connector
Ci.02.048

Figure 5-9
ThermaLink connector

5-15
6600-0239-000  100
5-15
5/Using the Incubator
Using the Serial Data interface
WARNING Remote monitoring does not replace the need for direct patient observation
by qualified medical personnel.

The ThermaLink serial data output can be used with a computer or a commercial
RS-232 monitor. Because of the wide variety of applications and systems, detailed
information on decoding the data stream appears in the appendix. For details of the
RS-232 protocol and the connector pinout, refer to the Specification section.

WARNING The computer or RS-232 monitor’s user program must continuously check the
data link. The program should constantly verify connection to the incubator
controller and check for updated data.

Using the Nurse Call System interface


WARNINGS Remote monitoring does not replace the need for direct patient observation
by qualified medical personnel.

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 with your current remote alarm
system. Nurse Call alarms trigger for:
• Patient Temperature Alarms
• Control Temperature Alarms
• High Air Temperature Alarms
• Air Circulation Alarms
• Probe Failure Alarms
• System Failure Alarms
• Power Failure Alarms

The Nurse Call alarms works with the incubator’s audible alarm. Silencing the audible
alarm on the incubator stops the Nurse Call alarm even if the alarm condition still
exists. At the end of the silence period, the Nurse Call alarm and the audible alarm
reactivate unless the condition has been resolved. The alarm silence period ends
prematurely if another alarm triggers.

Refer to the Appendix for additional information on Nurse Call connections.

Nurse Call checkout:

1. Complete the basic operating procedure in chapter 5.

2. Verify proper operation of the Nurse Call station.

3. Connect the Nurse Call connector to the incubator.

5-16
6600-0239-000  100
5-16
5/Using the Incubator
4. Unplug 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 unplugging the power cord, etc.) triggers a Nurse Call alarm.

5-17
6600-0239-000  100
5-17
Notes

5-18 5-18
6600-0239-000  100
6/Maintaining the Incubator
WARNINGS The heater is hot enough to cause skin burns. Unplug the incubator and
allow the heater to cool before disassembly or cleaning.

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.

Never oil or grease oxygen equipment unless a lubricant that is made and
approved for this type of service is used. Oils and grease oxidize readily,
and in the presence of oxygen, will burn violently.

In this section
Cleaning schedule............................................................................................................................................... 6-1
Disassembling the incubator for a complete cleaning........................................................................... 6-2
Cleaning and disinfecting individual components.................................................................................. 6-5
Humidifier.................................................................................................................................................... 6-6
Patient Probe (Reusable)........................................................................................................................ 6-6
Controller assembly................................................................................................................................. 6-7
Compartment Temperature Probe..................................................................................................... 6-8
Porthole........................................................................................................................................................ 6-8
Other Clear Plastic Parts......................................................................................................................... 6-8
Lower unit (mattress, mattress tray, base platform cover, etc.)................................................ 6-8
Oxygen inlet............................................................................................................................................... 6-8
Cabinet......................................................................................................................................................... 6-8

Cleaning schedule
This schedule lists the minimum frequencies. Always follow hospital and local
regulations for required frequencies.

Weekly or after each patient

Disinfect the humidifier if it was used.

Perform a complete cleaning and if necessary disinfect the entire incubator.

Check the air filter; replace the air filter after use with an infectious patient.

Check the front door and the porthole latches and hinges to make sure that they will
not open accidently.

Quarterly

Replace the air filter.

When the incubator is not in use, use standard analytical methods to make sure that
the infant compartment and any direct contact components, such as the humidifier
and the oxygen inlet, meet hospital cleanliness standards.

6-1
6600-0239-000  100
6-1
6/Maintaining the Incubator
Disassembling the incubator for a complete cleaning
If the incubator has been exposed to body fluids, check your hospital’s infection
control procedures. You may need to wear protective clothing and eye wear or use
special sterilization agents and cleaning procedures.

WARNING Disconnect the power cord before disassembling or reassembling the


lower unit.

CAUTIONS Electronic devices in the microprocessor controller are susceptible to damage


from discharges of static electricity. These devices are adequately protected,
but can be damaged if the unit is disassembled beyond that recommended for
cleaning and maintenance.

Do not remove the air temperature sensor mounted to the rear hood wall; the
air temperature sensor must remain in the correct position for proper incubator
operation.

1. Turn the power switch Off and unplug the unit from the power outlet.

2. If the incubator was previously on, allow it to cool for at least 30 minutes.

3. Remove the filter by unscrewing the two filter mounting knobs on either side of
the vented rear panel. Pull off the panel and remove the filter.

WARNING The air filter cannot be cleaned and must be replaced every three months,
when visibly dirty or after use with an infectious patient. If the air filter is
exposed to liquids or disinfectants, replace it with a new filter.

4. Unplug the power cord from the right side of the controller.

5. Unplug the air temperature sensor and the patient probe from the controller.

6. Pull up on both controller latches and slide the controller forward, out of the lower
unit. Be careful not to bump the heater or the fan. They may grate against each
other or the base platform if they are knocked out of alignment.

7. Open the front door to reveal the two spring loaded hinge pins which attach the
door to the lower unit. Pull both pins out toward the sides of the hood and lift off
the door. See Figure 6-1.
CI.02.015

Figure 6-1 Hinge Pins


Removing the front door

6-2
6600-0239-000  100
6-2
6/Maintaining the Incubator
8. Remove the inner wall from the door by pulling out the plunger portion of the inner
wall fasteners as shown in the Figure 6-2 detail.

CAUTION Inner wall fasteners are permanently attached to the inner wall and cannot be
removed without damaging them.

Inner Wall

Pull out

CI.02.070
Plunger Mounting Post
to Remove

Plunger

Hole Mounting
Detail of Captive Fastener Posts
Plugs

Upper
Inner Wall
Captive
Fasteners
Rear
Inner Wall

Hood Tilt
Release

CI.02.050
CI.02.071

Single Walled Unit Double Walled Unit

Figure 6-2
Removing the inner wall

9. On double-walled units, remove the inner wall. Lift up the hood while pressing the
hood tilt release. Push the hood back until it locks in the tilted position with an
audible click. Remove the upper and rear inner walls by pulling out the plunger
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
slide out of their retaining sockets as shown in Figure 6-4.
a For units with the continuous tilt feature, to remove the tilt assembly as shown
in Figure 6-3:
• Pull up the latch on the tilt knob assembly, and swing it out away from the
incubator.
• Grasp the actuator rod and lift the bed lifter/actuator rod assembly straight
up to remove it.

6-3
6600-0239-000  100
6-3
6/Maintaining the Incubator
To re-assemble:
• Place the bed lifter back into the the slots in the platform cover.
• Insert the actuator rod in the hole in the back of the platform cover, then place the
other end of the rod in the slot at the front of the cover.
• Allow the bed lifter/actuator rod assembly to slide down until it lies flat in the cover
platform.
• Make sure the tilt knob is rotated down to the lowest tilt position.
• Swing the tilt knob assembly back against the incubator and lock it in position by
pushing down the latch.

Bed Lifter
Actuator Rod

Tilt Knob
Assembly

CI.02.217
Figure 6-3
Disassembling 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 Servo-controlled humidifier O&M
manual (6600-0223-000).

14. To remove the disposable cuffs, open the porthole and slip the elastic band out
from under the outer ring on the housing. Discard disposable cuffs.

15. Remove the seals on the portholes.

Reverse the steps for assembly. Replace the porthole seals. To install new arm
cuffs, slip the larger elastic ring over the housing of the porthole. To reattach the
inner wall, align the inner wall fasteners with the mating mounting posts and push
in the plunger portion of the fastener.

6-4
6600-0239-000  100
6-4
6/Maintaining the Incubator

Mattress

Tilt Assem-
blies

Mattress
Tray Base
Platform
Cover

Filter
Cover

Filter

Lid
Base Platform

Slide

Humidifier Controller

CI.02.072
Figure 6-4
Disassembling the 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 solvents, scouring compounds, strong
acids, or strong bases. These compounds may damage the incubator.

Divide the components according to cleaning methods. Methods other then those
detailed in this section may damage the incubator.

6-5
6600-0239-000  100
6-5
6/Maintaining the Incubator
Humidifier
CAUTION Do not use peroxide solutions to clean the humidifier.

Disassemble the humidifier. Clean the interior with a mild detergent-disinfectant


solution. Rinse and thoroughly dry the parts before reassembly. The humidifier may be
disinfected using Cavicide®.For servo-controlled humidifier cleaning instructions, see
the Servo-controlled Humidifier manual (6600-0223-000).

Patient Probe (Reusable)


CAUTIONS Avoid placing excessive strain on the probe lead. When cleaning, be careful not
to pull on or bend the lead at the probe tip. Always remove the probe from the
incubator by grasping the plug at the panel. Do not pull on the probe lead.

Do not apply cold sterilization or cleaning solutions to the probe connector.

Note: The reusable, Ohio patient temperature probe, Stock No. 0208-0697-700, is an
expendable part as specified in the warranty.

1. Determine if the patient probe is disposable or reusable:


• Reusable probes have black connectors and use a separate, heat reflecting
patch.
• Disposable probes have white connectors and come with a smaller heat
reflecting patch already attached.
Note: Disposable skin temperature probes cannot be cleaned

2. Clean the skin temperature probe by gently wiping with a soft damp cloth
containing a disinfecting agent safe for use on the probe materials.

The following lists some cleaning solutions that may be used safely:

Generic Formulation Maximum Concentration Level


Sodium Hypochlorite 0.5% Aqueous Solution
Glutaraldehyde 2%
Hydrogen Peroxide 6%
Iodophor Solution 0.27%
Cavicide 100% spray

CAUTIONS Use of cleaning/disinfecting solutions containing chemicals not listed above (i.e.
alcohol, acetone, etc.), or chemicals in greater concentrations than those listed
above, may damage the probe.

Do not autoclave or gas sterilize the skin temperature probe. Do not immerse the
probe in liquid cleaner. Avoid placing excessive strain on the probe lead. Always
remove the probe by grasping the plug at the panel. Do not pull on the probe lead.
These precautions will avoid damage to the probe.

6-6
6600-0239-000  100
6-6
6/Maintaining the Incubator
Controller assembly

CAUTION If you fill the cleaning tank past the fill mark, cleaning solution can leak into the
controller electronics.

Controller parts that do not contact the infant

Wipe the front panel, the top cover, the side panels, and the rear panel with a damp
cloth and a mild detergent solution. Do not apply cleaning solutions onto
or near the probe connectors.

Heater and fan assembly

Remove any lint build up from the rear of the controller. Wipe the fan, the motor shaft
and the controller surfaces to which these items are mounted, with a cloth dampened
in the cleaning solution. Use a minimum amount of solution. Do not spray on the
cleaning solution or permit it to contact any electrical parts.

Alternatively, lower the back of the controller into the cleaning tank accessory. Refer to
Figure 6-5.

CAUTIONS Never substitute any other container for the controller cleaning tank (Stock No.
6600-0202-500).

Do not clean the fan sensor with hydrogen peroxide.

Controller

Bulkhead

Cleaning Tank CI.02.018

Figure 6-5
Cleaning the controller

CAUTIONS Do not autoclave or gas sterilize any of the plastic parts.

Do not use strong acids or strong bases on plastic parts.

6-7
6600-0239-000  100
6-7
6/Maintaining the Incubator
Porthole
The following cleaning agents are acceptable for cleaning and disinfecting the porthole:
Isopropyl Alcohol, 70% concentration
Hydrogen Peroxide, 6% concentration (such as Endo-Spor 100% strength)
Cavicide Spray, 100% concentration as sprayed from the can (active ingredients -
Diisobutylphenoxyethyl dimethyl benzyl ammonium chloride .25%, Isopropanol 14.85%).
Idophor Solution, 0.27% concentration (active ingredients - Polythoxy polypropoxy
polyethoxy ethanoliodine complex 9.10%, nonyl phenoxypoly [ethyleneoxy]
ethanoliodine 8.74%, provides 1.6% minimum Titratable iodine, such as
Wescodyne- mixed 2 fl. oz. to 1 gal. H2O) Note: this solution will stain porthole
seals and bumpers yellow.
The following cleaning agents will damage the material being cleaned and are not
recommended:
Sodium Hypochlorite (bleach)
Quaternary Ammonium (such as Virex)
Glutaraldehyde (such as Cidex Plus)

Compartment Temperature Probe


Wipe the temperature probe with a cloth dampended with a mild detergent-disinfectant
solution, such as Cavicide™. Be sure to allow the probe to thoroughly dry before
putting the incubator back into operation.

Other Clear Plastic Parts

CAUTIONS To minimize the generation of static electricity, do not polish the incubator hood
with 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 parts of the incubator with a
disinfectant-detergent. Make sure that the inner walls have been removed so that all
incubator surfaces are exposed.
Apply the cleaning solution with a clean cloth or sponge. Dry the plastic parts with a
clean damp soft cloth to avoid scratches.

Note: Do not allow excess cleaning solution to seep in between plastic parts (for
example: between the hood and porthole, or between the hood and the inner wall
retainers) where it can not be easily wiped dry with a cloth.

Lower unit (mattress, mattress tray, base platform cover, etc.)


Clean the base platform cover, the mattress and the mattress tray with a mild
detergent-disinfectant solution. The tilt mechanism parts in the patient compartment
can be cleaned by immersing them in soap and water or a mild detergent disinfectant
solution. Clean the exterior tilt controls by wiping down the exposed surfaces with a
cloth dampened with a mild detergent-disinfectant solution. Do not immerse exterior
tilt mechanism. Rinse and thoroughly dry the parts before reassembly.

Oxygen inlet
Clean the oxygen inlet with a mild cleaning solution or disinfectant.

Cabinet
Clean the cabinet with a mild cleaning solution. Apply the cleaning solution with a clean
cloth or sponge. Dry the cabinet with a clean, soft cloth.

6-8
6600-0239-000  100
6-8
7/Service Procedures
In this section
Repair Policy........................................................................................................................................................... 7-1
Maintenance schedule....................................................................................................................................... 7-1
Operator maintenance........................................................................................................................... 7-1
Service maintenance............................................................................................................................... 7-2
Troubleshooting incubator problems.......................................................................................................... 7-2

Repair Policy
Warranty repair and service must be performed by an Ohmeda Service Representative
or at the Ohmeda Service and Distribution Center. To contact an Ohmeda Service
Representative, call the nearest Ohmeda Regional Service Office listed on the back
cover.

Do not use malfunctioning equipment. Make all necessary repairs or have the
equipment repaired by an Ohmeda Service Representative. Parts listed in the service
manual, for this product, may be repaired or replaced by a competent, trained person
who has experience in repairing devices of this nature. After repair, test the equipment
to ascertain that it complies with the published specifications.

CAUTIONS Only competent individuals trained in the repair of this equipment should attempt
to 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 proper knowledge, tools and test
equipment, and for service representatives trained by Ohmeda.

Maintenance schedule
The unit should be maintained in accordance with the procedures detailed in the
Service Manual. Quarterly and two year maintenance must be performed by a
technically competent individual as described in the Repair Policy.

Operator maintenance
This schedule lists the minimum frequencies. Always follow hospital and local
regulations for required frequencies.

Weekly or After Each Patient

Disinfect the humidifier if used.

Clean the incubator and check the air filter. Disinfect the incubator if required or after
use with infectious patients.

Quarterly

Replace the air filter. When you replace the filter, mark the date on the label supplied
with the replacement filter and affix it to the filter cover panel.

Note: This is the minimum replacement frequency. The filter must also be replaced
whenever it appears dirty, or has been used with an infectious patient.

7-1
6600-0239-000  100
7-1
7/Service Procedures
Service maintenance
This schedule lists the minimum frequencies. Always follow hospital and local
regulations for required frequencies.

Per hospital protocol

Perform the electrical safety and checkout procedure from the Service Manual.

Annually

Check the calibration as detailed in the Service Manual. If possible verify an


acceptable sound level within the infant compartment.

Every Two Years

Replace the battery. Inspect all seals and gaskets. Replace shock mounts and
bushings.

Note: The battery is used to sound the power failure alarm and to power memory
circuits during a power failure.

Troubleshooting incubator problems


WARNINGS Excessive EMI levels in the hospital environment can trigger the system
failure alarm. Note the error code and switch off the unit. Wait ten seconds
and switch the unit back on. If the system failure alarm recurs, remove the
incubator from use.

If an alarm is silenced, closely monitor the patient.

Symptom Possible cause(s) Recommended action(s)

Controller does not Power is off or the power Connect the power cord.
energize cord is disconnected

Switch the power on.

Unit will not heat in Probe temperature Warm probe above 30°C
Patient Control Mode below 30°C

All LEDs go out while Open circuit breaker For controllers with serial
the unit is in use numbers beginning with
HBJ and HCE, discontinue
use and call for service.

For all other controllers,


switch the power Off and
On to reset the unit. After
the second occurrence,
discontinue use and call
for service.

Mode control, Switches are not enabled Press the Enable switch to
temperature switches (enable indicator is out) activate the switches.
(? and M), or Override
switches do not respond Controller failure Discontinue use and call
for service.

7-2
6600-0239-000  100
7-2
7/Service Procedures
Symptom Possible cause(s) Recommended action(s)

HHHH or LLLL appears Patient probe jack Plug the patient probe
in the patient temperature not properly seated completely into the
display in the air control controller.
mode

Patient probe failure Replace the probe and


check the patient.

Alarm cannot be silenced Microprocessor failure Discontinue use and call


and all indicators are for service.
extinguished

System failure alarm Electrical failure Note the error code and
switch off the unit. Wait ten
seconds and switch the
unit back on. If the system
failure alarm recurs,
discontinue use and call
for service.

Probe failure alarm Air probe disconnected in Reconnect the air


either mode. Air temp. temperature sensor
display reads 00.0

Patient probe disconnected Reconnect the patient


in patient control mode. probe.
Patient temp. display reads
HHHH

Patient probe malfunction Replace the patient probe.


in patient control mode.
Patient temp. display reads
HHHH

Control unit failure Discontinue use and call


for service.

Air circulation alarm Blower motor failure Discontinue use and call
for service.

Missing fan Reinstall fan

Power failure alarm The power cord is not Plug the power cord in.
plugged into a live power
outlet

The power cord is not


plugged into the controller

One or more indicators fail Electrical failure Discontinue use and call
for service.

Improper or no Disconnected RS-232 Reconnect RS-232 cable.


Serial String cable

7-3
6600-0239-000  100
7-3
7/Service Procedures
Notes

7-4
6600-0239-000  100
7-4
8/Illustrated Parts
Base platform and cover assembly

3
5

CI.02.072
4

Item Stock Number



1. Mattress with cover.......................................................................................................... 6600-0152-500
2. Filter w/replacement date sticker............................................................................... 6600-0043-800
3. Humidifier, passive (complete, includes 4-7)*........................................................ 6600-0218-800
4. Humidifier fill tray............................................................................................................. 6600-0768-500
5. Humidifier slide................................................................................................................. 6600-0435-500
6. Humidifier lid..................................................................................................................... 6600-0434-500
7. Humidifier seal 2/pkg...................................................................................................... 6600-0220-800

* For Servo-Controlled Humidifier see manual 6600-0223-000

8-1 8-1
6600-0239-000  100
8/Illustrated Parts
Accessories
Item Stock Number
Instrument shelf, 12" x 12" (beige)...................................................................................... 6600-0513-800
Instrument shelf, 12" x 12" (grey)......................................................................................... 6600-0513-801
Under shelf light, 110V............................................................................................................ 6600-0415-800
I.V. pole, rail mount, 12"........................................................................................................... 0217-5378-800
I.V. pole, rail mount, 24"........................................................................................................... 6600-0491-801
Cabinet (beige with blue doors).......................................................................................... 6600-0036-900
Cabinet (beige with beige doors)........................................................................................ 6600-0036-901
Cabinet (grey with blue doors) ............................................................................................ 6600-0036-902
Cabinet (grey with grey doors)............................................................................................. 6600-0036-903
Set short rails (kit-black caps)† ............................................................................................. 6600-0041-800
Set short rails (kit-grey caps)................................................................................................. 6600-0041-801
Single short rail, right (kit-grey caps)................................................................................. 6600-0210-800
Single short rail, left (kit-grey caps).................................................................................... 6600-0211-800
Overhead shelf (kit 33" x 12" -beige) - including long rails† ...................................... 6600-0042-800
Overhead shelf (kit 33" x 12" -light grey) - including long rails................................ 6600-0042-801
Cabinet bumper guards, beige............................................................................................ 6600-0417-800
Cabinet bumper guards, grey............................................................................................... 6600-0417-801
Suction regulator w/DISS connectors & safety trap..................................................... 6702-1224-905
Standard M 2100 oxygen blender*..................................................................................... 6750-0022-900
Ventilator mounting post....................................................................................................... 0217-5357-800
Oxygen flow meter w/bracket.............................................................................................. 0217-5370-800
Reusable patient probe (LA003, 1/pkg)............................................................................ 0208-0697-700
Disposable patient probe (10/pkg)..................................................................................... 6600-0208-700
Disposable patient probe (50/pkg)..................................................................................... 6600-0196-700
Heat reflecting probe patch (50/pkg)^............................................................................. 0203-1980-300
Scale, 110V................................................................................................................................... 6600-0208-903
Tubing Organizer....................................................................................................................... 6600-0220-900
Probe pull upgrade kit (air 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 clips (6/pkg)............................................................................................................ 0217-5290-870
ThermaLink Upgrade Kit (available for controllers with
HBJ serial numbers)......................................................................................................... 6600-0399-800
Continuous Tilt Upgrade kit (beige-includes base platform cover)........................ 6600-0514-800
Continuous Tilt Upgrade kit (beige)................................................................................... 6600-0505-802
Continuous Tilt Upgrade kit (light grey)........................................................................... 6600-0505-801
Servo-controlled humidifier Upgrade kit 120V, light grey#....................................... 6600-0506-803
Servo-controlled humidifier Upgrade kit 120V, beige@ .............................................. 6600-0506-802
Servo-controlled humidifier Upgrade kit 230V, light grey#....................................... 6600-0506-807
Servo-controlled humidifier Upgrade kit 230V, beige@ .............................................. 6600-0506-801

* Mounting the Standard M 2100 Oxygen Blender on the rail system requires the adapter plate
(Stock No. 0217-5363-800) and the bird bracket (Stock No. 6600-0031-900).

^ Not required for disposable probes, which come with the pad already attached

† Rail systems work with both cabinet styles (earlier cabinets did not have threaded mounting holes for the rail system.)

@ Older units with the internal passive humidifier require a base platform upgrade kit (6600-0107-800)
prior to installing the servo-controlled humidifier.

# Before installing the Care Plus Servo-controlled Humidifier, check the part number of your incubator temperature
compartment probe. If the probe part number is not 6600-0495-70X, you must order a new temperature probe before
installing the Servo-controlled Humidifier.

8-2 8-2
6600-0239-000  100
8/Illustrated Parts
Accessories (continued)

Item Stock Number


Duo-O-Vac (North American)................................................................................................ 6700-0136-900
Duo-O-Vac Rail Mounting Kit (North American)............................................................ 6600-0018-800
3.5 Inch Utility Post................................................................................................................... 0217-5374-800
22 Inch Utility Post.................................................................................................................... 0217-5376-800
Vacuum Bottle Slide Bracket................................................................................................. 0217-5367-800
Adapter Plate Assembly.......................................................................................................... 0217-5363-800
BiliBlanket Phototherapy System, 120 V........................................................................... 6600-0104-900
Phototherapy Light II (Free Standing), 120 V.................................................................. 6600-0029-900
Phototherapy Light II (Rail/Wall Mounting), 120 V........................................................ 6600-0055-900
Phototherapy Light II Rail Mounting Kit........................................................................... 6600-0051-800
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 Porthole kit (2/pkg)............................................................................................................ 6600-0498-800
Wristlets (6/pkg)......................................................................................................................... 6600-0507-500
Porthole Cuff for Ventilator tubing, ( 2/pkg).................................................................... 0217-3955-600
Porthole Seal Kit (6 seals/pkg).............................................................................................. 6600-0221-800
Power Strip (4 outlet) 110V.................................................................................................... 6600-0414-800
Service manual........................................................................................................................... 6600-0017-000
Controller Cleaning tank......................................................................................................... 6600-0202-500
Cavicide, 8 oz bottle (12/pkg)............................................................................................... 6600-0468-801
Cavicide, 24 oz bottle (12/pkg)............................................................................................. 6600-0468-802
Cavicide, 1 gal bottle (4/pkg)............................................................................................... 6600-0468-803
Cavicide, 5 gal container......................................................................................................... 6600-0468-804

For more information about these and other accessories see the
Infant Care Equipment Accessories Catalog (Form No F058)

8-3 8-3
6600-0239-000  100
8/Illustrated Parts
Notes

8-4 8-4
6600-0239-000  100
Appendix
In this section
Care Plus specifications ....................................................................................................................................A-1
Electrical specifications ........................................................................................................................A-1
Performance specifications .................................................................................................................A-2
Safety specifications ..............................................................................................................................A-4
Environmental specifications .............................................................................................................A-4
Electromagnetic Compatibility (EMC) Specifications..................................................................A-4
Mechanical specifications......................................................................................................................A-5
Optional Elevating Base Specifications........................................................................................................A-5
ThermaLink Option Specifications ...............................................................................................................A-6
A.  Hewlett Packard CMS Monitor (Vuelink)............................................................................A-6
B.  SpaceLabs Monitor (Flexport).................................................................................................A-6
C. RS-232 Serial Data ......................................................................................................................A-6
D. Nurse Call ......................................................................................................................................A-9
Additional Safety Information .................................................................................................................... A-11
Glossary .............................................................................................................................................................. A-12

Care Plus specifications


Electrical specifications
Power requirements

Domestic (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)
220-230 Vac 50 Hz Models (220 Vac - 10%, 230 Vac + 10%, 3.0 Amps)
240 Vac 50/60 Hz Models (240 Vac ± 10%, 2.7 Amps)
100 Vac 50/60 Hz Models (95 Vac ± 10%, 6.4 Amps)

Nominal power consumption

450 watts at maximum heater output

Line voltage compensation

Heat output compensated for line voltage fluctuations up to 10% of nominal line voltage.

Circuit breakers controllers with HBJ and HCE serial numbers

Rated Current: 7 Amps


Trip Point: 9.8 Amps Minimum
Type: Manual Resetting
Model: ETA 41-06-P10 7 Amps

Circuit breaker on all other controllers

Rated Current: 7 Amps


Trip Point: 9.45 Amps Minimum
Type: Manual Resetting
Model: Airpax Snapak

A-1 6600-0239-000  100 A-1


Appendix
Performance specifications
Patient temperature measurement

Range Displayed: +22 to 42°C (71.6 to 107.6°F)


Accuracy*: ± 0.3°C (± 0.5°F) within a range of 30-42°C
Resolution: ± 0.1°C or °F

Probe Model Numbers: LA003, LA005 (disposable)


Probe Interchangeability: ± 0.1°C (± 0.2°F)

Air temperature measurement

Range Displayed: 5 to 50°C (41.0 to 122.0°F)


Resolution: ± 0.1°C or °F
Accuracy*: Varies over temperature range

Temperature Range Accuracy


5 to 22°C (41-71.6°F) ± 0.5°C (0.9°F)
22.0 to 42.0°C (71.6-107.6°F) ± 0.3°C (0.5°F)
42.0 to 50.0°C (107.6-122.0°F) ± 0.5°C (0.9°F)

Control temperature ranges

Patient Control Mode: 35.0 to 37.0°C (95.0 to 98.6°F), up to 37.5°C (99.5°F) with
internal adjustment

Air Control Mode: 20.0 to 37.0°C (68.0 to 98.6°F), up to 39.0°C (102.2°F) with
control panel Override switch.

Thermal 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 Glossary.

Alarms

Indicator and Nonsilenceable Audio Alarm


Power Failure

Indicator and Silenceable Single Tone Alarm


Difference between patient temperature and patient control temperature exceeds
1.0°C patient control mode (can be adjusted to 0.5°C).

Air temperature is 1.5°C above or 3.0°C below air control temperature (air control mode;
Disabled for 15 minutes after control temperature change and for 30 minutes
on power up).

Indicator, Silenceable Two Tone Alarm and Heater Shutdown


Air temperature sensor disconnected (both modes)
Patient probe disconnected or malfunctioning (patient control mode)
Air circulation system failure
Patient temperature > 42.0°C or < 30.0°C
Air temperature > 38.0°C (air control mode w/o Override)
Air temperature > 40.0°C (patient control mode or air control mode with Override)

A-2 6600-0239-000  100 A-2


Appendix
Indicator, Nonsilenceable Two Tone Alarm, Heater Shutdown and Possible Error Code
System failure

Operator prompt tone

Intermittent audio tone sounds when the unit is first switched On and when the patient
control mode is first selected. Tone is silenced when control temperature is entered. The
heater will not operate until a control temperature has been entered. On controllers with
serial numbers beginning with HBJ, this 30 second tone also precedes all silenceable alarms.

Proportional heat control

Features zero voltage switching to minimize radiated and conducted EMI. Heater power
compensated for line voltage fluctuations of up to 10% of the nominal voltage.

Air velocity over mattress

Less than 10 cm/sec. (Double Walled Units)


Less than 35 cm/sec. (Single Walled Units)

Noise level within unit

Less than 60 Decibels, A weighted

Humidifier specifications*

100

75 70 High Setting 60
%RH
52

CI.02.067
(Incubator)50 Low Setting
35
25 20 Empty Reservoir12
0
30 35 39

Incubator Temperature (°C)

Note: These are approximate values and are for reference only. Actual values may vary
depending on incubator configuration.

High setting: 65 ± 10% RH


Low setting: 45 ± 10% RH
Empty humidifier: 15 ± 10% RH

Specification test conditions used to collect data:


Room temperature: 25°C
Room humidity: 50% RH
Readings taken two hours after reaching temperature equilibrium without an infant in the
incubator.

*For optional servo-controlled humidifier specifications, see manual 6600-0223-000.

Oxygen concentration within unit

A-3 6600-0239-000  100 A-3


Appendix
Note: These are approximate values and are for reference only. Actual values may vary
depending on incubator configuration.

25 to 45% with 5 l/min. oxygen input


35 to 65% with 10 l/min. oxygen input
45 to 75% with 15 l/min. oxygen input

Carbon dioxide concentration within unit

Less than 0.5% when a 4% carbon dioxide, 96% air mixture is fed into the infant
compartment at rate of 0.75 l/min (simulated infant occupancy).

Safety specifications
Isolation voltage

2500 Vrms 60 Hz from the patient probe to the ac phase and neutral lines for one minute.

m
IEC 601-1 Class I Equipment
IEC 601-1 Type B Isolation
Mode of Operation: Designed for continuous operation.
Protection against ingress of water: Not protected.

WARNING The patient 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 UL, CSA, or AAMI test load attached:

Power supply: 120V 50/60 Hz


Leakage current: less than 100 µA

Power supply: 220/240 V 50/60 Hz


Leakage current: less than 200 µA

Self test

The microprocessor performs self test and software verification functions when the power is
first switched On.

Environmental specifications
Operating Temperature Range: 20 to 30°C (68 to 86°F)
Storage Temperature Range: -25 to 60°C (-13 to 140°F)
Operating and Storage Pressure Range: 500 to 1060 hPa
Operating and Storage Relative Humidity Range: 0 to 95%

Electromagnetic Compatibility (EMC) Specifications


All models meet the requirements as specified in IEC 601-1-2
Collateral Standard Electromagnetic Compatibility - Requirements and Tests.

Mechanical specifications
Incubator with cabinet

A-4 6600-0239-000  100 A-4


Appendix
Height: 135.9 cm (53.5 in)
Depth: 64.8 cm (25.5 in)
Width: 88.9 cm (35.0 in)
Weight: 84.04 kg (185 lbs)
Casters: 5 inch diameter, 2 locking, 2 non-locking

Incubator only

Height: 62.2 cm (24.5 in)


Depth: 61.5 cm (24.2 in)
Width: 83.1 cm (32.7 in)
Mattress: 34.8 x 65.0 cm (13.7 x 25.6 in)
Maximum Load: 30 lbs. (13.6 kg)
Tilt Positions:
Two Position: 3 degrees or 6 degrees
Continuous Tilt: 0 to 12 degrees

Cabinet rail systems

Maximum total weight: 23 kg (50 lbs), including any items on overhead or rail mounted
shelves.

Optional Elevating Base Specifications


Mechanical Height (elevating Base only): 26 to 34 inches (64 to 86cm)
specifications Height w/ incubator (to mattress): 34 to 42 inches (85 to 107 cm)
Weight: 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)

Total rail weight (includes. monitors and other items supported by


rail mount accessories): 90 lbs (41 kg).

Electrical Power supply: 100 V 60/50 Hz (95 Vac ±10%, 3.0/2.2 Amps)
specifications Leakage current: Less than 100 µA

Power supply: 120 Vac 60 Hz (115 Vac ±10%, 2.7 Amps)


Leakage current: Less than 100 µA

Power supply: 220-240 Vac 60/50 Hz (220 Vac -10%, 240 +10%
1.3/1.0 Amps)

Leakage current: Less than 200 µA

Circuit breakers:
Rated current: 3.5 A for 100 V & 115 V units
Rated current: 2.5 A for 220-240 V units
Trip current is 140% of rated current
Type: Manual resetting
IEC 601-1 Type of protection against electric shock: Class I
Classification
Degree of protection against electric shock: Type B

Mode of operation: Continuous with

A-5 6600-0239-000  100 A-5


Appendix
intermittent loading
Duty cycle: 1 minute on,
10 minutes off
Protection against hazards of explosion: Not protected
Protection against ingress of liquids: Not protected
Degree of electrical connection Equipment without
between equipment and patient: an applied part
Degree of mobility: Mobile
Electromagnetic Meet requirements of IEC 601-1-2
Compatibility

ThermaLink Option Specifications


(Available on controllers with serial numbers beginning with HBJ and HCE)

A. Hewlett Packard CMS Monitor (Vuelink)


The incubator may be connected to a Hewlett Packard CMS Monitor via a Vuelink open interface
module (HP P/N M1032A Option A05) and HP Ohmeda option cable. The
parameters passed to the HP monitor are: patient temperature, air temperature, set
temperature, incubator power, and D.E.T. (Desired Environmental Temperature); the first three
parameters are displayed by default on power-up. The user can select to display any or all of
the 5 parameters. All alarms are also passed to the monitor. See the Hewlett Packard CMS and
Vuelink manuals for features and functions of the HP system.

B. SpaceLabs Monitor (Flexport)


The Incubator 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 P-A (Patient minus Air). All alarms
are also passed to the monitor. See the SpaceLabs Monitor and Flexport manuals for features
and functions of the SL system

C. RS-232 Serial data

WARNING The computer or RS-232 monitor’s user program must continuously check the data link.
The program should constantly verify connection to the incubator controller and check for
updated data.

Note: In the event of a power failure, all serial communication will cease until power
is restored.

RS-232 Connector
The Nurse Call and the serial data output share the same female, nine pin, d-type
connector.
Pin 2: Receive Data (incubator input)
Pin 3: Transmit Data (incubator output)
Pin 5: Gnd (Signal Ground)
Cable requirements
The user interface cable must have capacitance less than 1500 pF. It should be a
shielded cable such as Belden 9611 with AMP shielding kit 748046-1 and ferrule 747579-8.

Data transmission

The incubator continuously sends data from the time that it is first powered up.
Note that the incubator cannot be controlled through the serial port. Data output stops when
the incubator receives a <cntrl>S (XOFF) and resumes when it receives a <cntrl>Q (XON).

A-6 6600-0239-000  100 A-6


Appendix
Data format

1 start bit, 7 data bits (ASCII), 1 parity bit (odd), 1 stop bit, 1200 baud, full duplex

Serial data has the format: start text character, “<stx>”; Care Plus header, “CP”;
software version; data string; checksum characters; carriage return, “<cr>”; line feed, “<lf>”;
end of text character, “<etx>”. Data elements are separated by spaces, “_”.
Each String contains 53 characters:

Sample data:
<stx>CP0300_36.52_34.20_P_34.80_36.50_00001000_E014_11<cr><lf><etx>

Data for discussion (use the following table):


<stx>CPxxxx_pt.pt_at.at_m_ac.ac_pc.pc_alrmleds_code_ck<cr><lf><etx>

<stx>

Start of text character (ASCII 2); indicates a string of data will follow.

CPxxxx

CP means the data is from the Care Plus; xxxx is the software version in the unit,
e.g. 0300 for version 3.00.

pt.pt

This is the patient temperature in degrees centigrade. The patient temperature will always be
sent even if it is outside the normal display range. Temperatures less than or 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 will always be sent
even if it is outside the normal display range. Temperatures less than or 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.

This is the mode of operation. P means patient control mode. A means air control mode.
Always check the mode of operation before evaluating the air and patient
control temperatures.

ac.ac

In the air control mode, this is the air control temperature set with the M and ?
switches. In the patient control mode this is the air temperature that will maintain the
patient control temperature (or DET). The DET is calculated by the software and changes
in response to infant condition, incubator heat loss, etc. Both readings are in degrees
centigrade.

pc.pc

In the patient control mode, this is the patient control temperature set with the M and ?
switches in degrees centigrade. It has no significance in the air control mode.

alrmleds

A-7 6600-0239-000  100 A-7


Appendix
This series of bits represents the alarm LEDs. If an LED is illuminated, the corresponding bit is
set to 1 (alarm active). If there is no alarm, the bit is set to 0. Audible alarm status bit is 1 if an
alarm condition exists and if the alarm is not silenced. Audible alarm status bit is 0 if there are
no active alarms, or if the active alarms are silenced.

00000100
Patient Temperature Alarm

Control Temperature Alarm

High Air Temperature Alarm

Air Circulation Alarm

Probe Failure 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 operating normally (no system failure), zeroes replace the
error code (e.g. E000).

ck

This is the two byte ASCII representation of the byte that when added to the sum of all the
ASCII data bytes in the string equals zero. Note that all over flows are dropped and the sum
of the data bytes DOES NOT INCLUDE the <stx>, checksum, <etx>, <cr>, or <lf> characters or
the parity bit of each byte.

<cr>

Carriage return character.

<lf>

Line feed character.

<etx>

End of transmission character (ASCII 3).

Figure A-1
Serial data

D. Nurse Call

A-8 6600-0239-000  100 A-8


Appendix

Patient Temperature Air Temperature Mode Control Temperatur

Air
Control
Patient
Control

Alarms Heater Controls


Air Air
Air Circulation Control Override
100% > 37° C
Patient Temp Probe Failure 75%
Control Temp System Failure
50%
Patient
25% Control
High Air Temp Power Failure

CI.02.207
°F / °C
Enable

<stx>CP0300_36.52_34.20_P_34.80_36.50_00001000_E014_11<cr><lf><etx>

Contact ratings

Maximum resistive load: 4 VA


Maximum DC switching voltage: 100 Vdc
Maximum switching current: 0.25 A
Maximum carrying current: 0.50 A. Gray Display

Connector

The Nurse Call contacts and the serial data 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 normal conditions, power on, no alarm

These contacts are not powered. They only provide closure.

Table A-1  Nurse Call signals

Incubator Nurse Call Signal


Status Pins 1&6 Pins 1&9
Normal Closed Open
Alarm Open Closed
Pwr switch off or pwr fails Open Closed
Nurse Call cable Open Open
disconnected

WARNING If you connect the Nurse Call output to a system which uses the normally open
connection, a disconnected Nurse Call cable will not trigger an alarm.

Note: Any interruption of incubator power (deliberately switching off the incubator,
accidentally unplugging the power cord, etc.) triggers a Nurse Call alarm.

A-9 6600-0239-000  100 A-9


Appendix

A-10 6600-0239-000  100 A-10


Appendix
Additional Safety Information
Statements
This device should only be operated by personnel trained in its operation and familiar with
the risks and benefits of this type of device.

WARNING To avoid the risk of electrical shock, this equipment must only be connected to a supply
mains with protective earth.

No additional tasks are required to power down the device after clinical use, other than
turning off the unit.

Isolation of the unit from the supply mains can be achieved by turning off the device with the
power switch.

WARNING Electrical shock hazard: Before servicing, always unplug the unit from wall power.

Symbols
The following 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 service life can be extended as long as service parts are available.

The maximum patient weight is 40 kg (88 lbs).

Directives
Ohmeda Medical, a division of Datex-Ohmeda, Inc., has declared that this product conforms
with the European Council Directive 93/42/EEC Medical Device Directive when it is used in
accordance with the instructions provided in the Operation and Maintenance Manual.

This symbol indicates that the waste of electrical and electronic equipment must not be disposed
as an unsorted municipal waste and must be collected separately. Please contact an authorized
representative of the manufacturer for information concerning the decommissioning of your
equipment.

A-11 6600-0239-000  100 A-11


Appendix
Glossary
Note: A Note provides additional information to clarify a point in the text.

Important: An Important statement is similar to a Note but used for greater emphasis.

CAUTION: A CAUTION statement is used when the possibility of damage to the


equipment exists.

WARNING: A WARNING statement is used when the possibility of injury to the patient or the
operator exists.

Accuracy: As stated in the performance specifications, the assigned accuracy of the


equipment; including all the system components from the sensors to the display.

Desired Environmental Temperature (DET): The air temperature required to maintain the
infant’s temperature at the patient control temperature (patient control mode).

Air Control Mode: Manual Mode of operation. The incubator air temperature is
maintained at the air control temperature.

Incubator Temperature: The air temperature measured at a point 10 centimeters


(4 inches) above the center of the mattress.

Patient Control Mode: Servo Mode of operation. The incubator changes the
DET to maintain the desired patient skin temperature.

Patient Probe: The Ohio patient temperature probe, model LA003, or the Ohmeda
skin temperature probe, model LA005.

Temperature Rise Time: The time required for the incubator temperature to rise 11°C.

Temperature Equilibrium: The condition where the average incubator temperature does not
vary by more than 0.2°C in a one hour period.

Temperature Variability: The maximum difference between the incubator temperature and
the average incubator temperature during temperature equilibrium.

Temperature Overshoot: The number of degrees by which the maximum incubator


temperature exceeds the average incubator temperature at temperature equilibrium
following a change in the air control temperature (air control mode).

m Type B electrical equipment.

x Protective ground.

y Functional ground.

~ Alternating Current (AC).

European Union Representative

A-12 6600-0239-000  100 A-12


Appendix
Warranty
This Product is sold by Ohmeda under the warranties set forth in the following paragraphs.
Such warranties are extended only with respect to the purchase of this Product directly from
Ohmeda or Ohmeda’s Authorized Dealers as new merchandise and are extended to the first
Buyer thereof, other than for purpose of resale.

For a period of twelve (12) months from the date of original delivery to Buyer or to Buyer’s
order, but in no event for a period of more than two years from the date of original delivery
by Ohmeda to an Ohmeda Authorized Dealer, this Product, other than its expendable parts,
is warranted to be free from functional defects in materials and workmanship and to conform
to the description of the Product contained in this operation manual and accompanying
labels and/or inserts, provided that the same is properly operated under conditions of normal
use, that regular periodic maintenance and service is performed and that replacements and
repairs are made in accordance with the instructions provided. This same warranty is made
for a period of thirty (30) days with respect to the expendable 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 written instructions
provided by Ohmeda, or altered by anyone other than Ohmeda, or if the Product has been
subject to abuse, misuse, negligence, or accident.

Ohmeda’s sole and exclusive obligation and Buyer’s sole and exclusive remedy under the
above warranties is limited to repairing or replacing, free of charge, at Ohmeda’s option, a
Product, which is telephonically reported to the nearest Ohmeda Regional Service Office
and which, if so advised by Ohmeda, is thereafter returned with a statement of the observed
deficiency, not later than seven (7) days after the expiration date of the applicable warranty,
to the designated Ohmeda Service Office during normal business hours, transportation
charges prepaid, and which, upon Ohmeda’s examination, is found not to conform with the
above warranties. Ohmeda shall not be otherwise liable for any damages including but not
limited to incidental damages, consequential damages, or special damages.

There are no express or implied warranties which extend beyond the warranties hereinabove
set forth. Ohmeda makes no warranty of merchantability or fitness for a particular purpose
with respect to the product or parts thereof.

A-13 6600-0239-000  100 A-13


W-1
World Headquarters EC Representative
GE Healthcare GE Medical Systems
9900 West Innovation Drive 283 Rue de la Miniere
Wauwatosa, WI 53226-4856 78530 BUC - FRANCE
USA
Tel 1 800 345 2700

Europe, Middle East, Africa Germany


GE Healthcare GE Medical Systems Information Technologies GmbH
P.O. Box 900 Munzinger Str. 3-5
FIN-00031 GE 79111 Freiburg
Finland Tel. 49 761 4543 570
Tel +358 10 39411 Fax 49 761 4543 571
Fax +358 9 146 3310 Service 0800 4343258

Latin America Representatives Asia Representative


GE Healthcare GE Healthcare
3350 SW 148 Avenue Shanghai GE (China) Hi-tech Park
Suite 301 No1 Huatuo Road, Zhangjiang Hi-tech Park Pudong, Shanghai,
Miramar, Florida, 33027 P.R.China 201203
USA 上海GE中国科技园
Tel + 1 954 744 5600 地址:中国上海市浦东张江高科技园华佗路1号, 201203
Tel + (8621) 38777888
Fax + (8621) 38777402
Brazil Only
GE Healthcare Clinical Sytems Equipamentos Médicos Ltda
Australia 1300 722 229
Av. Paulista, 37 - 13º andar
CEP: 01311-902 - Cerqueira César China 800 810 8188
São Paulo, SP - Brasil India 1 800 425 7255
Tel +55 11 3053 2500 Korea (02) 1544 4564
Fax +55 11 3053 2573 South Eastern Asia (65) 6277 3444

Ohmeda Medical, Care Plus 3000/4000 6600-0239-000


a Division of Datex-Ohmeda, Inc., Revision 100
Operation and Maintenance Manual Language: English
a General Electric Company
8880 Gorman Road
Printed in USA
Laurel MD 20723 Copyright 2001 by Datex-Ohmeda, Inc.
USA All rights reserved.
To reorder this manual, order kit: Printing instructions:
• 6600-0523-800 (US) Black on white
8.5” x 11” paper size
Two (2) sides print
Three (3) hole punch
Stapled or shrink wrapped

You might also like