Caleo Neonatal incubator Software 2.n Instructions for Use Emergency Care Perioperative Care Critical Care Perinatal Care Home Care Because you care

Transcription

1 Caeo Neonata incubator Software 2.n Instructions for Use Emergency Care Perioperative Care Critica Care Perinata Care Home Care Because you care

2 How to use the Instructions for Use How to use the Instructions for Use The headine... specifies the subject of the main chapter to hep you find your way around rapidy. Preparation Before using for the first time Mounting accessories Preparation The page... contains instructions for use of the unit in a combination of text and iustrations. The information is transated directy into practica actions showing the user how to use the unit. Before using for the first time Check that a packaging materias have been competey removed (see packing sip in the pack). Check that the mains power suppy votage matches the votage rating specified on the namepate (see page 138). Check that the atitude above sea eve is correcty set (see page 82). Mounting accessories When fitting accessories, pease note: The eft-hand coumn... contains text expaining the unit and guiding the user ceary to its uses through concise instructions in ergonomic sequence. Dots refer to actions, 1 Numbers refer to the iustration next to the text and to the sequence of actions in the case of operations consisting of severa steps. Any equipment mounted on the accessories must not coide with the unit when adjusting the tit ange and height of Caeo. Any equipment mounted on accessories on the hande side must not move with the main unit during height adjustment of Caeo (page 121). Screw on poe 38 mm/600 (2M ) or aternativey poe 38 mm/310 (2M ) or aternativey poe 25 mm/600 (2M ). Remove the cover pate from the base frame. Screw the poe fuy into the base frame and tighten firmy. Check that it is securey hed in position. Observe the maximum oads. Danger of overturning the unit! Poe 38 mm/ kg Poe 38 mm/ kg Poe 25 mm/600 3 kg Distance between the oads and the poe: max. 150 mm. Moving the contro unit to the opposite side 228 for poe, 38 mm 1 Remove the contro unit = oosen the camping screw. 2 Remove the hoder = oosen the camping screw. The right-hand coumn... contains iustrations as a reference to the text and to guide the user in handing the unit itsef. The eements mentioned in the text are highighted, and unnecessary detais are omitted. The user is guided by screens confirming the various steps required for each action. On deivery, the contro unit is fixed to the 38 mm/310 tube. This tube is secured by a screwed fixing for transport. If required, the tube can be reeased (recommendation: ask for assistance from speciaised technica personne): 3 Remove both caps from the tube. Insert a screwdriver in the hoes and reease the tube. To fit the contro unit to the adjacent side: Push the hoder over the tube and set it to the desired working height. 2 Fix the hoder in position = tighten the camping screw. Set the contro unit to the desired working height. 1 Secure the contro unit to the hoder = tighten the camping screw. Make sure that the swive zone remains cear

3 Contents Contents For Your Safety and that of Your Patients 4 Intended Use 5 What's what 7 Operating concept 10 Preparation 13 Checking readiness for operation 31 Operation 39 Care 93 Maintenance intervas 106 Disposa 107 Troubeshooting Error Messages 109 Troubeshooting Fauts 115 Technica Data 117 Description 123 Order ist 141 Parts List 144 Index 145 3

4 For Your Safety and that of Your Patients Information on Safe Use For Your Safety and that of Your Patients Stricty foow the Instructions for Use Any use of the apparatus requires fu understanding and strict observation of these instructions. The apparatus is ony to be used for purposes specified here. Maintenance The apparatus must be inspected and serviced reguary by trained service personne at six monthy intervas. Repair and genera overhau of the apparatus may ony be carried out by trained service personne. We recommend that a service contract be obtained with DrägerService and that a repairs aso be carried out by them. Ony authentic Dräger spare parts may be used for maintenance. Observe chapter "Maintenance Intervas". Accessories Ony use the accessories indicated on the order ist. Even accessories designed to be reused after ceaning (e.g. after overhauing) have a imited ife. Due to a number of factors connected with handing and preparation, (e.g. disinfectant residues can attack the materia more intensey during autocaving) wear can occur and the service ife can be markedy shortened. Such parts shoud be repaced when externa signs of wear become apparent, such as cracks, deformation, discooration, peeing, etc. Not for use in areas of exposion hazard This apparatus is neither approved nor certified for use in areas where combustibe or exposive gas mixtures are ikey to occur. Safe connection with other eectrica equipment Eectrica connections to equipment which is not isted in these Instructions for Use shoud ony be made foowing consutations with the respective manufacturers or an expert. Liabiity for proper function or damage The iabiity for the proper function of the apparatus is irrevocaby transferred to the owner or operator to the extent that the apparatus is serviced or repaired by personne not empoyed or authorized by DrägerService or if the apparatus is used in a manner not conforming to its intended use. Dräger cannot be hed responsibe for damage caused by non-compiance with the recommendations given above. The warranty and iabiity provisions of the terms of sae and deivery of Dräger are ikewise not modified by the recommendations given above. Dräger Medica GmbH Information on Safe Use Genera information on eectromagnetic compatibiity (EMC) according to the internationa EMC standard IEC : 2001: Medica eectrica equipment needs specia precautions regarding eectromagnetic compatibiity (EMC) and needs to be instaed and put into service according to the EMC information provided in the technica documentation avaiabe from DrägerService upon request. Portabe and mobie RF communications equipment can affect medica eectrica equipment. Pins of connectors identified with the ESD warning symbo sha not be touched and not be connected uness ESD precautionary procedures are used. Such precautionary procedures may incude antistatic cothing and shoes, the touch of a ground stud before and during connecting the pins or the use of eectricay isoating and antistatic goves. A staff invoved in the above sha receive instruction in these ESD precautionary procedures. 4

5 Intended Use Intended Use Therapy system providing a controed suppy of warmth, humidity* and O2 enrichment* in the patient capsue for premature babies and sick neonates up to a body weight of 5 kg or a body ength of 55 cm (when treating twins, the tota body weight is imited to 5 kg). Used in cinica environment, where premature babies or neonates need controed cimate parameters. The unit may ony be used by propery trained personne under the supervision of quaified medica staff famiiar with the currenty known risks and benefits of using an incubator. Possibiities for nursing and therapy Heat therapy through contro of air temperature or skin temperature Humidification O2 therapy through controed O2 enrichment Norma or intensive care via access ports or a arge front fap Bed with pivoting adjustment for raising and owering the head With monitoring for Air temperature Skin temperature Reative humidity O2 concentration Weight* * optiona equipment feature 5

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7 What's what What's what What's what Front view Side view, connections Top view, bed Contro unit, connections on the back Operating concept Contro unit Screen

8 What's what What's what Front view 1 Canopy (2M ) 2 Access ports 3 Front fap 4 Hande for transport 5 Housing 6 Drawer (2M ) * 7 Pedas for height adjustment * 8 Height adjustabe piar * /Housing support 9 Connection for water heater (LuerLock) * 10 X-ray drawer/removabe bed 11 Dispay 12 Contro unit 13 Piar eement 14 Doube wa* (2M ) Side view, connections Centra aarm indicator 16 Sensor unit, temperature connections 17 Mains power connection 18 On/off switch 19 Fresh air fiter fap 20 Connection for O2 for adjustment * 21 Water container (2M ) * 22 Tubing grommet (2M ) 23 Side fap 24 Tubing port (2M ) 25 Feeding grommet, hood (2M ) 26 Troey castor with direction ock 27 Troey castors with brakes * optiona equipment feature

9 What's what Top view, bed 1 Spirit eve 2 Hot air duct Connections * on the back of the Contro Unit 3 Nurse ca 4 MEDIBUS* 5 Service RSB (Remote Service Box) * optiona equipment feature 9

10 Operating concept Operating concept Contro unit Hard Keys these permanenty defined keys enabe the user to seect various functions of Caeo : 1 Scaes * 2 Bed tit 3 Menu seection/configuration 4 Changeover key: air/skin temperature contro 5 Trend dispay 6 Suppress aarm tone 7 Lock key pad function 8 Rotary knob Visua signas indicate aarm situations 9 Red bar LED ** 10 Yeow bar LED *** 11 Power faiure aarm Soft Keys These keys, with variabe functions defined by different abes on the screen, guide the user through the specific routines of the unit, from preparing for use to shutting down the unit. Depending on the current menu, different soft keys with varying functions and abes are activated. Ony the soft keys required for the current menu actuay appear. This precaution keeps the dispay cear, preventing any confusion for the user. When a soft key is pressed, its function is activated and the reevant menu is dispayed on the screen. In the standard screen, the soft key abes are as foows: 12 Air/skin temperature 13 Humidity * 14 O2 * 15 Day and Night Menu Air Skin * optiona equipment feature ** Warning immediate action is required *** Caution rapid action is required 10

11 Operating concept Rotary knob A singe rotary knob is used to seect and set parameters. Turn knob = seect Press knob = confirm D Screen By defaut, the measured vaues are dispayed as numeric vaues (standard screen). Set vaues and actua measured vaues for air temperature/skin temperature Set vaues and actua measured vaues for reative humidity * Set vaues and actua measured vaues for O2 concentration * Day and Night (to adjust the brightness of the screen) Aarms and warnings The screen dispay can aso incude a trend graph * optiona equipment feature 11

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13 Preparation Preparation Preparation Before using for the first time Mounting accessories Doors, ports and bed Checking readiness for operation Before using for the first time Before each use

14 Preparation Before using for the first time Mounting accessories Preparation Before using for the first time Check that a packaging materias have been competey removed (see packing sip in the pack). Check that the mains power suppy votage matches the votage rating specified on the namepate (see page 138). Check that the atitude above sea eve is correcty set (see page 82). Mounting accessories When fitting accessories, pease note: Any equipment mounted on the accessories must not coide with the unit when adjusting the tit ange and height of Caeo. Any equipment mounted on accessories on the hande side must not move with the main unit during height adjustment of Caeo (page 121). Screw on poe 38 mm/600 (2M ) or aternativey poe 38 mm/310 (2M ) or aternativey poe 25 mm/600 (2M ). Remove the cover pate from the base frame. Screw the poe fuy into the base frame and tighten firmy. Check that it is securey hed in position. Observe the maximum oads. Danger of overturning the unit! Poe 38 mm/ kg Poe 38 mm/ kg Poe 25 mm/600 3 kg Distance between the oads and the poe: max. 150 mm. 228 Moving the contro unit to the opposite side for poe, 38 mm 1 Remove the contro unit = oosen the camping screw. 2 Remove the hoder = oosen the camping screw. On deivery, the contro unit is fixed to the 38 mm/310 tube. This tube is secured by a screwed fixing for transport. If required, the tube can be reeased (recommendation: ask for assistance from speciaised technica personne): 3 Remove both caps from the tube. Insert a screwdriver in the hoes and reease the tube. To fit the contro unit to the adjacent side: Push the hoder over the tube and set it to the desired working height. 2 Fix the hoder in position = tighten the camping screw. Set the contro unit to the desired working height. 1 Secure the contro unit to the hoder = tighten the camping screw Make sure that the swive zone remains cear. 14

15 Preparation Mounting accessories Mounting the contro unit on the hande side Ony technicay quaified personne may move the contro unit from the wa side to hande side or vice versa. Fit the basic poe (2M ), see page 16. Screw in the extension poe 38/600 (2M ) or poe 38/310 (2M ). Refit the contro unit as specified in the Assemby Instructions. The cabe to the contro unit must not be removed from the cabe guides on the basic poe. Make sure there is sufficient space to swive and tit the unit. Infusion support (2M ) for poe, 38 mm Max. oad per hook 3 kg Push the fixing caw onto the poe. Push the infusion hoder into the fixing and secure it firmy with the camping screw. Swive tabe (2M ) for poe, 38 mm For sma parts, max. oad 3 kg Pace the camp of the swive tabe on the stand piar and tighten the camping screw. Make sure that the swive zone remains cear

16 Preparation Mounting accessories Compact rai (2M ) for poe, 38 mm Max. oad 5 kg. This rai must ony be mounted by quaified technica staff. For hoding accessories, e.g. O2 monitor Adjust the height of the compact rai to the required height of the mounted accessory. 1 Fit the compact rai to the poe = push the compact rai over the poe and 2 fasten with the screws. 2 1 Bronchia aspiration system (2M ) Foow the separate Instructions for Use of the bronchia aspirator. 101 Fix the bronchia aspirator hoder to the standard rai on the wa side or hande side. Tighten the camping ever. Estabish the hose connections. Basic poe (2M ) Maximum oad 10 kg This poe must ony be mounted by quaified technica staff! Mount as specified in the Instaation Instructions. For fixing accessories, e.g. additiona poe extensions, see page 17. swive tabe (2M ), see page 15. monitor support pate (2M ), see page 18. Distance of the oads to the poe, max. 150 mm

17 Preparation Mounting accessories Tray 3020 (M ) Maximum oad must not exceed 2 kg! Hang the tray from the standard rai on the wa or hande side and secure in position. Poe extensions The foowing poes can be fixed to the base poe as extensions: Poe 38 mm/600 (2M ) or Poe 38 mm/310 (2M ) or Poe 25 mm/600 (2M ). Screw the poe into the base poe as far as it wi go and tighten securey. Make sure that it is securey hed in pace. Observe the maximum oads: Poe 38 mm/600 5 kg Poe 38 mm/310 5 kg Poe 25 mm/600 3 kg Distance between the oads and the poe: max. 150 mm

18 Preparation Mounting accessories Monitor shef (2M ) The monitor tray can be mounted on the wa side and/or the hande side. Maximum oad must not exceed 20 kg! Shef for monitor and ventiation equipment. This monitor shef must ony be mounted by quaified technica staff! To fix the monitor shef: on the wa side, fit a second 38 mm poe (see page 14), on the hande side, fit a second base poe (see page 16) with a 38 mm poe extension (see page 17). Mount the shef as specified in the Instaation Instructions. Fit the monitor hoder = side the shef over both 38 mm poes and 1 fix in pace with the screws. Do not exceed the maximum instaation height. max. 20 cm max. 100 cm Hose hoder for ventiation hoses ( ) Open the front fap. Raise the bed and pu it out of the incubator. Push the mattress sighty to one side. Pace the hose hoder in the mounting hoe in the bed and fasten from underneath with the ocking screw. Repace the bed in the incubator and cose the front fap. The hose hoder can be fixed to any of the four corners of the bed. 2 Cip the ventiation hoses and cabes into the cips at the end of the ventiation hose hoder

19 Preparation Mounting accessories O2 enrichment with O2 contro * 1 Screw the O2 connection hose to the underside of the incubator. Make sure that it is tightened securey. Connect the probe to the outet of the centra O2 suppy pipeine in the "park" position (see separate Instructions for Use). The permissibe gas pressure is between 300 and 600 kpa. 1 O2 monitor To monitor the O2 concentration, use an O2 monitor that has aarm imits: Fix the O2 monitor to the hande rai, with the hoder. Pace the sensor capsue in Caeo. Route the sensor cabe through one of the fexibe tubing ports. Where appicabe, push the sensor pug into the socket of the O2 monitor (e.g. Oxydig or MiniOx 3000) unti it audiby cicks into pace (see separate Instructions for Use of O2 monitor) Vacuum mattress (2M ) The contour of the vacuum mattress can be atered as required and is then maintained after air evacuation of the mattress. Extreme positions can therefore be obtained for specia appications. The mattress can remain in the incubator. Open the front fap. Insert and preform the vacuum mattress. Pace the patient on the mattress and finay adjust the mattress to the desired shape. Connect the vacuum mattress to the hose of the suction system. 2 Open the vave and evacuate the vacuum mattress. 2 Cose the vave and disconnect the hose. Cose the front fap Fitting the drawer (2M ) Maximum oad must not exceed 7 kg. The drawer must ony be mounted by quaified technica staff! Mount as specified in the Instaation Instructions. Fit the drawer = side the drawer box into the groove in the base frame. * optiona equipment feature

20 Preparation Doors, ports and bed Doors, ports and bed Access ports To open the access port: 1 Press down the knured area of the ocking bot. The access port opens. To cose the access port: Press the access port unti the ocking bot engages Front fap To open the front fap: 2 Turn the two knobs inwards to the vertica position. The red atch becomes visibe. 2 2 Lower the front fap unti it hangs down verticay towards the foor. Take care not to trap hoses and cabes in the moveabe doube wa of the front fap! To cose the front fap: Raise the front fap and press into position, 3 Turn the two knobs outwards to the horizonta position unti you fee them cick into pace. Make sure that both knobs are engaged in position! The red atches must no onger be visibe! 3 3 The moveabe doube wa must be positioned parae to the front fap otherwise the warm air duct might be obstructed!

21 Preparation Doors, ports and bed Side fap The side fap is opened and cosed in the same way as the front fap (see page 20). Doube wa * The doube wa (2M ) can ony be fastened to the canopy (2M ). 231 Fitting the doube wa 1 Pu the punger up as far as it wi go. The red shaft wi then be visibe. Pace the doube wa on the hood Position the centering ugs in the recesses in the hood. 3 Pace the bore seeve of the doube wa assemby in the hoe for the "feeding grommet" pug. Lay the contour sea (gasket) of the doube wa eveny on the hood Securing the doube wa 4 Push the punger down into the seeve unti it engages. The red shaft of the punger must no onger be visibe. 4 * optiona equipment feature

22 Preparation Doors, ports and bed Removing the doube wa 1 Pu the punger up as far as it wi go. The red shaft of the punger must be visibe. 2 Grip the doube wa with both hands and ift it off Storing the doube wa Fix the hanger (2M ) to the compact rai of the Caeo. 3 Hook the doube wa by its punger to the hanger. Note the set height of the Caeo. Make sure that if the Caeo is owered the doube wa does not touch the foor Canopy To open the canopy: 4 Grasp the hande on the canopy and 5 ift open (approx. 60 o ). Do not tit the canopy forwards! Raise the side support prop, and ower the canopy unti the prop is fixed in the sot in the canopy. To cose the canopy: 4 Grasp the hande on the canopy and raise it sighty. 6 Fod down the prop and cose the canopy. 6 The canopy can be opened from both sides

23 Preparation Doors, ports and bed To remove the canopy: 1 Grasp the handes on the sides of the canopy with both hands. 2 Lift the canopy horizontay off the piar eements. 1 To repace the canopy: 2 Repace the canopy horizontay, so that the guide pins fit into the hoes in the piar eement. Take care with the sensor unit! Removing the bed Maximum oad must not exceed 5 kg Open the front fap and fod it down. Pu the bed out: 3 Turn both knobs to the vertica position marked, 4 Pu the bed out towards the front as far as it wi go, hoding it by the recessed hande or by the knobs. When the bed is pued out, the patient must be monitored constanty to prevent the risk of a fa. Do not ean or rest any weight on the bed when it is pued out After carrying out the care operations, push the bed back unti it cicks into pace. Turn the knobs to the horizonta position marked, and cose the front fap. 187 Push the bed a the way in! Otherwise the hot air duct wi be interrupted, and the patient may be warmed or cooed excessivey! 23

24 Preparation Doors, ports and bed Using the X-ray drawer The X-ray drawer can be pued out when the front fap is either open or cosed. To open the X-ray drawer: 1 Turn both knobs to the horizonta position marked, 2 pu the drawer out by the recessed hande or the knobs. Insert or remove the X-ray cassette. Recesses are provided in the X-ray drawer for positioning. Do not use the X-ray drawer as a writing support or bed for the patient. To cose the X-ray drawer: 2 push the drawer inwards under the bed unti it tangiby cicks into pace. Push the X-ray drawer in fuy! Otherwise the hot air duct wi be interrupted, and the patient may be warmed or cooed excessivey! Seaed through-hoes 3 Tubing ports (2M ) 4 Tubing grommets (2M ) 5 The feeding grommet pug (2M ) can ony be used if a doube wa is not attached to the canopy. Route the cabes or hoses through the fexibe grommets and seeves. To route ventiation hoses and cabes through the Caeo, use the ventiation hose hoder (page 18) Hose fixing devices * The hose fixing devices (2M ) can ony be attached to hose modues with pins (2M ). Hose fixing devices act as guides for hoses and cabes. 285 * optiona equipment feature 24

25 Preparation Doors, ports and bed Drainage modue * The drainage modue (2M ) can ony be mounted onto the piar eements (2M and 2M ). The drainage modue faciitates the instaation of hoses for patient drainage. Open the side fap. 1 Positioning the hoses in the drainage modue. Cose the side fap. Ensure that the hoses have been aid so that they are secure and not obstructed! Drawer (2M ) Drawer for storing items required for nursing or treatment. The drawer is accessibe from both sides. Open the drawer: 2 grasp the drawer by the hande and pu it out as far as it wi go. Pace the required materia in the drawer. Cose the drawer: 2 push the drawer back in by the hande * optiona equipment feature 25

26 Preparation Doors, ports and bed Troey (base frame) with variabe height adjustment * To use the height adjustment faciity: Switch on Caeo (see page 43). 1 Press the eft peda Caeo is owered. 2 Press the right peda Caeo is raised. Adjust to a comfortabe working height. When the height stops changing, the frame is at its end position. Reease the peda. Hoses and cabes must be ong enough so that they do not kink, tear or become squashed! Do not store anything under the drawer! 1 2 The height adjustment and tit ange adjustment cannot be operated at the same time! The height adjustment can ony be operated for max. 6 minutes during one hour. Troey castor with direction ock Activate the ock ever: the castor wi be ocked in the engthways direction (ongitudina axis of device). The castor with direction ock does not have a brake. When parking the unit, appy the brakes of a braked castors. The castor with direction ock is visuay distinct from the castors with brakes * optiona equipment feature 26

27 Preparation Doors, ports and bed Titing the bed To tit the bed: Switch on Caeo (see page 43). 1 Press button = the bed wi be owered on the sensor unit side. 2 Press button = the bed wi be raised on the sensor unit side. Adjust the bed to the required tit ange. The end position is reached when the tit ange stops changing. Reease the button. D 1 2 The entire housing of the Caeo incubator is tited. Hoses and cabes must be carefuy routed so that they do not kink, tear or become squashed! The height adjustment and tit ange adjustment cannot be operated at the same time! Do not reach in between the housing and housing support during adjustment. Danger of injury! Setting the bed to the horizonta position Caeo must be switched on (see page 43). 1 Press button = the bed wi be raised on the contro unit side. 2 Press button = the bed wi be owered on the contro unit side. The spirit eves show whether the bed is horizonta. 3 Spirit eves for the horizonta position of Caeo in the transverse axis. 4 Spirit eve for the horizonta position of Caeo in the ongitudina axis. When using the integrated scaes (optiona, see "Weighing scae" on page 87), make sure that the unit is on a fat foor before setting

28 Preparation Doors, ports and bed Mounting accessories Using humidifier systems Ony use steriised water (Aqua dest.)! Water container (2M ): Disinfect hands. 1 Open the water container = ift up the cap. Fi the water tank with steriised water (Aqua dest.). Aways fi the water tank to the fu eve marking. Capacity: 2.8 L Do not use any additives! 1 Cose water container = push down the cap. Prepare a fresh connection tube (MX ). 2 Cose the camp on the connection tube. 3 Pierce the siicone nozze of the water container with the pin of the connection tube. 2 Open the camp on the connection tube. Beed the connection tube (et steriised water drain off). 2 Cose the camp on the connection tube Connect the LuerLock connection to the water connection pipe. 5 Open the camp on the connection tube. Switch on the humidification modue on Caeo and set the humidity vaue (page 58). 4 5 Water bag: Ony use authentic OEM seaed bags fied with steriised water (Aqua dest.). Do not use any additives! Must not be confused with infusion soutions! 185 Disinfect hands. Prepare a new connection tube (MX ) and a water bag with steriised Aqua dest. 6 Cose the camp on the connection tube. Insert the pin of the connection tube into the connector of the water bag. 6 Open the camp on the connection tube. Beed the connection tube (et steriised water drain off). 6 Cose the camp on the connection tube. 7 Connect the LuerLock connection to the water connection pipe. 6 Open the camp on the connection tube. Switch on the humidification modue on Caeo and set the humidity vaue (page 58) Repacing the water bag: Water bag empty = Water shortage aarm is triggered on the Caeo. Disinfect hands. Cose the camp on the connection tube. Repace the water bag and reopen the camp. 28

29 Preparation Doors, ports and bed Integrated socket strip The integrated socket strip can be used to connect infusion pumps and SpO2 measuring equipment. Connections may ony be made by quaified technica staff. Caeo does not monitor the power suppy to externa devices. Do not exceed the maximum power input of the connected accessories (a 4 sockets together: max. 2 A). The maximum permissibe tota eakage current must not be exceeded. For the eakage current of Caeo without socket strip, see "Technica Data" on page Connecting the nurse ca * Socket on the rear of the contro unit for connecting aarm signas to a centra aarm station in the hospita. The kit may ony be instaed by speciaists. For detais of the characteristics, refer to the Technica Data, page 120. The 6-pin round DIN pug (femae connector) must be connected to the ead for the centra aarm station in the hospita by a speciaist. Connection 3 to 5 wi be cosed and the nurse ca is activated in the event of an aarm with a high risk potentia or if there is a serious equipment faut. The centra hospita aarm system may ony be connected to the nurse ca if Caeo is connected to the mains power suppy via a mains power cabe or if it has been earthed via the earth connection on the back of the device. Eectric power may pose a hazard in a other cases. 1 Pug the connector into the» «socket on the back of the contro unit and screw into pace. Take care to route the connection cabe so that damage does not occur. Ensure that the connector pug cannot be pued out accidentay. Check correct operation of connected nurse ca system * optiona equipment feature 29

30 Preparation Doors, ports and bed Ony aarm messages with a high risk potentia or serious device fauts are transmitted via nurse ca. Aarm messages * are dispayed in the top ine of the screen. Caution* and advisory messages* are not transmitted. A power faiure wi not be reported by nurse ca. Use a separate system to monitor the power suppy. The nurse ca is aso activated when the interna acoustic generator in the device is defective. Connection of a nurse ca does not reieve staff of their duty to check patient data at reguar intervas. Screen dispays must be checked reguary. A faut in any of the components in the ink between nurse ca and centra hospita aarm system (e.g. in the eectronics for nurse ca in Caeo, in the Caeo, power suppy or in the aarm generator of the centra hospita aarm system, etc.) may resut in faiure of the nurse ca. The hospita connections to the centra aarm typicay use ony one channe. The eectronics for nurse ca consequenty aso uses ony one channe. MEDIBUS interface ** Seria interface for connecting up to medica devices which compy with IEC/ EN , for transmitting the incubator status data (actua vaues, set vaues, aarms). For information on parameters pease see Technica Data, page 120. Ony connect externa devices to the interfaces if Caeo is connected to the power suppy socket via the power cabe or the device is earthed via the earth connection on the back of the unit. Otherwise an eectrica hazard coud be possibe. 1 Insert the pug into the»medibus«socket on the back of the contro unit and screw it on tighty. Take care to route the connection cabe so that it does not get damaged. Ensure that the connector pug cannot be pued out accidentay. 1 A data that are transmitted via medica devices are for information ony and shoud not be used as the soe basis for cinica decisions. 287 * See Aarm description on page 136. ** optiona equipment feature 30

31 Checking readiness for operation Before using for the first time Before each use Checking readiness for operation Before using for the first time Check that the mains votage suppy corresponds to the votage rating on the namepate (see page 138). Check that the atitude above sea eve is correcty set (see page 82). Before each use Check that the equipment has been disinfected and ceaned in accordance with the conditions aid down by the hospita (see "Disinfecting/Ceaning/Steriising" on page 94). Check that an adequate gas suppy is avaiabe for the equipment to be used. Check that the required accessories and therapy equipment are avaiabe and in perfect condition. Ony use parts that have been stripped down and steriised. Check readiness for operation in accordance with the reevant Instructions for Use. Check that there are no cracks or sharp, chipped edges on the incubator canopy. Check that the hinges and catches on the canopy are in proper working order. Check that the cabes and hoses have been routed correcty and safey. If the contro unit is mounted on the hande side, check that the cabe to the contro unit is routed through the cabe guides on the basic poe. Check that there is sufficient space for adjusting the tit and height. Connect to the mains suppy. Check the nurse ca system * prior to each use. Trigger an appropriate aarm, e.g. switch Caeo to skin temperature mode and remove the skin temperature sensors. If the nurse ca system does not sound an aarm, ca DrägerService. Check that the sits of the sensor unit are not foued. Do not use mutipe-pug adapters for the Caeo power suppy! The patient eakage current may rise above the permitted imits if the protective earth conductor fais when equipment is connected to the socket strip. The risk of eectric shocks cannot be excuded in such cases. * optiona equipment feature 31

32 Checking readiness for operation Before each use Before using the unit, make sure that the foowing tests have been performed Disinfect hands before each test! Check that the access ports are securey cosed 1 Open the access port = press down the knured area of the ocking bot. Press the access port cosed unti the ocking bot engages in the ocked position. Try to open the access port outwards by puing it by the edge it must not open. 1 1 If the access port does not remain securey cosed: Ca DrägerService. 014 Checking the front fap and the moveabe doube wa for a secure fit Open the front fap and fod it down (see page 20). 2 Raise and press the fap cosed and turn the two knobs outwards unti they tangiby engage in the horizonta position. Make sure that both knobs are engaged! The red atches must no onger be visibe! 2 2 The moveabe doube wa must be positioned parae to the front fap otherwise the warm air duct may be obstructed! 090 If the front fap does not stay in pace, the red atches are visibe or the doube wa cannot be moved: Ca DrägerService. Check that the side fap is secure Open the side fap and fod it down (page 21). 3 Fod up the side fap and press it cosed. Turn the two knobs outwards unti they tangiby engage in the horizonta position. Make sure that both knobs are engaged! The red atches must no onger be visibe. 3 3 If the side fap fais to remain engaged or if the red atches are visibe: Ca DrägerService

33 Checking readiness for operation Before each use Check that the doube wa is firmy seated 1 Check that the doube wa is securey attached to the hood by attempting to ift it off with ight force. If the doube wa is not securey attached to the hood or the doube wa or parts of the ocking mechanism are damaged: Do not use the doube wa. Ca DrägerService Check that the canopy is secure 2 Grasp the hande and open the canopy. 3 Lift open the fap (approx. 60 o ) Raise the side prop. Lower the canopy unti the prop is secured in the sot of the canopy. Repeat the test on the other side. If the canopy fais to remain open: Ca DrägerService

34 Checking readiness for operation Before each use 1 Grasp the handes on the sides of the canopy with both hands. 2 Lift the canopy horizontay off the piar eements. 1 If the canopy hoders are damaged: Ca DrägerService Check that the trough is secure Remove the canopy. Remove the mattress. Remove the bed. 3 Check the catches of the trough. Pace the bed on the trough. Pace the mattress on the bed. Refit the canopy. 3 3 If the catches for the trough are damaged: Ca DrägerService. 136 Remove the bed Open the front fap and fod it down. 4 Turn both knobs to the vertica position marked. 5 Grasp the bed by the recessed hande or by the knobs and pu it out towards the front as far as it wi go. 5 Push the bed back unti it cicks into pace, 4 Turn both knobs to the position marked. Cose the front fap. If the bed cannot be pued out or pushed in or if the knobs are damaged: Ca DrägerService If the bed is not fuy pushed in, the hot air duct wi be interrupted, causing the contro system to mafunction! The resut may be excessive cooing or overheating of the patient!

35 Checking readiness for operation Before each use Activate the sef-test, check audibe warning tone 1 Switch on the unit = press the on/off switch unti it cicks into position During the sef-test, the functions of the machine are checked. The audibe signa, aarm beep sequence, screen dispays and LEDs must be checked by the user. An audibe warning signa and an aarm beep sequence are sounded. If the warning signa or aarm beeps are not sounded, Ca DrägerService. The screen and LEDs initiay go dark and are then it. If individua pixes fai to ight up or screen images are burnt, or if the LEDs fai to ight up, Ca DrägerService. The opening screen is dispayed. If the opening screen is not dispayed, Ca DrägerService. The unit is switched on

36 Checking readiness for operation Before each use Check the bed titing mechanism 1 Tit the bed. During the titing process, the entire housing of the Caeo must move uniformy. If not: Ca DrägerService. D Do not reach in between the housing and the housing support whie the unit is moving! Risk of injury! 2 Return the bed to the horizonta position (see page 27) The spirit eves in the bed show whether the bed is horizonta. This check is especiay important when using the buit-in weighing scaes (see page 87)! If the spirit eves are damaged: Ca DrägerService. Check the height adjustment mechanism * Operate both foot pedas in succession to raise and ower the Caeo (see page 26). Then adjust to a comfortabe working height. 253 When adjusting the height, the entire housing of the Caeo must rise or descend uniformy. If not: Ca DrägerService. Check the power faiure aarm Disconnect the unit from the mains. 3 The power faiure LED must fash. D 089 An intermittent tone must start. The voume of this tone must remain constant for at east 30 seconds. If the voume decreases too soon: Leave the incubator connected to the mains and switched on for 24 hours to recharge the NiCd battery. Repeat the test. If the voume again decreases too soon: Ca DrägerService * optiona equipment feature 36

37 Checking readiness for operation Before each use Check the fresh air fiter Tit the unit to remove the fresh air fiter more easiy (see page 27). 1 Check the expiry date: see the abe on the unit Press down the knured part of the cip and open the fiter fap. If a fiter is aready in position: Check the condition of the fiter. 2 Repace the fiter when the fiter is foued, damaged or moist. the expiry date has been reached. the fiter has been used with an infectious patient. Discard the od fiter. Fit a new fiter. 261 Inserting the fiter: Insert the fiter in the open fiter fap. 2 Cose the fiter fap. Check that the fiter fap is securey cosed. Write down the expiry date of the new fiter (2 months after instaation) on the abe. 1 Stick the abe to the device. Before operating the unit with skin temperature sensors, it is important that the sensors must be tested before they can be used on the unit (see "Using skin temperature contro" on page 48). The incubator is ready for operation when a checks have been carried out successfuy. 37

38 38

39 Operation Operation Operation Precautions Switching on Caeo Using air temperature contro Aarms Using skin temperature contro Changing over between air/skin temperature contro Using skin temperature contro Aarms Using humidity contro Setting AUTO humidity Manuay adjusting the set vaue Aarms Using O2 contro Adjusting the set vaue Aarms Using the Day/ Night setting Seecting menus Kangaroo mode Aarms Trend dispay Trend anaysis Trend seection Ceaning mode Configuration Activating configuration mode Language/date/time Setting system parameters Setting aarms O2 sensor information Viewing software information Lock key pad functions Aarm suppression Weighing scae Weighing without tare Ending operation Switch off incubator

40 Operation Precautions Operation Precautions Before each use, check that the unit is ready for operation (see page 31). Make sure that a hoses and cabes are routed correcty and safey without obstruction! Otherwise: Risk of extubation! Danger of disconnection! Livey patients must be observed with particuar care. If the hood, front fap, side fap or access ports are open or the bed is pued out or the hose modues removed, watch the patient carefuy to prevent any possibiity of their faing out of the incubator. Do not ean or appy weight on the bed when it has been pued out. Maximum oad 5 kg. Do not use the X-ray drawer as writing support or bed for the patient. Aow time for the incubator to warm up before use (page 119). Additiona externa heat sources, such as sunight, heat amps, spotamps and eectric cushions shoud be avoided! They cause the temperature inside the Caeo to rise in an uncontroed manner. The baby s core temperature must be reguary monitored with an independent thermometer. The concusions to be drawn from the measured skin temperature are the responsibiity of the attending physicians. Skin temperature contro mode must not be used on babies who are in shock or who have a high temperature! Skin temperature contro mode must not be used on twins, since the Caeo contros ony the temperature for one baby. Risk of hypothermia or overheating! For twins, the air temperature contro mode must be used. Make sure that you do not confuse the positions for the skin temperature sensors. Skin temperature contro is reguated by the yeow skin temperature sensor (T1). If this sensor is stuck to the wrong part of the body, the patient may be excessivey warmed! Do not pace any coths over the hot air duct. The temperature contro system woud be disrupted, causing a risk of burning if the air from the hot air duct is channeed directy to the patient. The castor with direction ock does not have a brake. When parking the unit, appy the brakes of a braked castors. When treating arger chidren, their increased heat production coud ead to a rise in the air temperature inside the Caeo if this is the case remove the doube wa. The room temperature must be at east 3 o C ower than the air temperature in the Caeo incubator. When treating twins, pay attention to the risk of cross-infection! Fire hazard from suppy of O2 No naked ights or smoking. Texties, oi and pastics can very easiy catch fire and burn rapidy in an O2 enriched atmosphere! A fittings and seas in contact with oxygen must be kept free of oi and grease! Open vaves on O2 cyinders sowy! Do not use Caeo in the presence of fammabe anaesthetic gases or disinfecting agents. Risk of exposion! Do not use or keep fammabe iquids, such as acoho, ether or acetone, in Caeo! Do not use any eectrica equipment in the patient capsue, uness this equipment is expressy designed for use in exposion-hazard areas. Note the physioogica risks from O2. During O2 therapy, monitor the O2 concentration with a separate O2 monitor. The air in the incubator shoud ony be enriched with O2 when prescribed by a doctor. Oxygen is cassed as a drug. O2 enrichment must be controed on the basis of measured O2 saturation in the patient s bood (SaO2 or SpO2). Otherwise, there is a danger of hyperoxaemia (possibiity of damage to the eyes) or hypoxaemia (possibiity of brain damage). Medicaments and simiar substances must not be atomised in the patient capsue. Correct functioning of the incubator may be impaired by the precipitation of atomised substances. 40

41 Operation Precautions Do not cover the sensor unit and do not hang anything from the sits in the sensor unit. Keep the sits of the sensor unit free of impurities. In the event of a power faiure, the CO2 eve in the patient capsue may rise due to an insufficient suppy of fresh air. Pay attention to the risk of CO2 poisoning! The centra aarm ight can be deactivated (see page 137). Aways pay attention to the bar LEDs and the aarm signa on the contro unit. Front faps When cosing the front faps, make sure that the patient is not ying in the cosing path. The front faps are not propery shut unti the red atches are no onger visibe. When opening and cosing the front faps, make sure that hoses and cabes are not caught in the moving doube wa! The moveabe doube wa must be positioned parae to the front fap otherwise the warm air duct may be obstructed! Side faps When opening and cosing the side faps, make sure that the hoses and cabes are routed safey and cear of any obstructions! The side faps are not propery shut unti the red atches are no onger visibe. Canopy The canopy must not be used as a shef for aying cothing, instruments etc. Do not hang any objects from the hooks for the doube was. Before moving the canopy, make sure that nothing has been aid on top of it. When fitting and removing the canopy cover hod it firmy in your hand. The canopy instaation catch must engage correcty. Do not ift the canopy when engaged. Do not tit the canopy forwards. When cosed, make sure that the canopy cover sits firmy in pace! Titing/height adjustment Ensure that the cabes and hoses are routed correcty and safey without obstruction. Hoses and/or cabes risk being trapped when titing the Caeo and when opening and cosing the front fap. Contro unit Position the contro unit so that the screen is ceary visibe from the working area. Do not mechanicay oad the cabe by e.g. hanging appiances from it. If the contro unit is mounted on the hande side, never remove the cabe from the cabe guides on the basic poe. Do not pace any iquid containers above the contro unit. When fitting accessories, pease note: The accessory equipment must not coide with the unit when adjusting the tit ange and height of Caeo. The accessory equipment on the hande side must not move with the main unit during height adjustment of Caeo (page 121). Observe the maximum oads. Danger of overturning the unit! Kangaroo mode The patient s core temperature must be monitored constanty, because it is outside the controed cimate. Particuar attention must be paid to critica patients vita parameters. When using Phototherapy Absorption of ight through the baby s skin wi suppy heat, which may increase the baby s core temperature. For this reason: Roughy 15 minutes before starting phototherapy, decrease the air temperature setting for the incubator air by about 2 o C. Decrease the set vaue for humidity. Room temperature must be at east 3 o C ower than the air temperature in Caeo. This vaue appies to Dräger Type 4000 phototherapy units. When using other phototherapy units, especiay units without a buit-in fan, the temperature in the Caeo incubator may rise even more sharpy. Phototherapy may ony be used with a stand! The core temperature of the baby must be monitored with particuar care during phototherapy! The suppy of fuid to the baby must be increased, e.g. by parentra infusion, to compensate for the increased oss of water during phototherapy. The phototherapy amp and Caeo canopy must not be covered with coths, auminium foi or other materias in order to boost the phototherapeutic effect risk of heat buidup, as the incubator cannot be adequatey cooed with ambient air. Danger of overheating the patient. 41

42 Operation Precautions Weighing scae Ony use the buit-in scaes to determine the weight of the patient. If you fai to observe the Instructions for Use (see page 87), considerabe measuring errors may occur when determining the weight. Consequenty, to make sure that critica therapeutic decisions based on patient weight are correct, the weight indicated by the integrated scaes must be checked against a reference measurement carried out on externa scaes. In-house transport An even foor surface must be ensured when moving the Caeo incubator. The incubator must not be used outside the hospita buiding, as the castors may be damaged or disodged. The Caeo may ony be moved when empty. High noise eves Excessive noise eves that can disturb the patient may be caused by: using O2 head boxes and deivering pressurised gases, wear on the bearings of the fan motor, pacing objects on the canopy. Observe the specified maintenance intervas see page 106. Eectrica safety Ony use eectromedica anciary equipment conforming to IEC / EN Do not use mutiway adapters to connect the power suppy of the Caeo! The patient eakage current may rise above the permitted imits if the protective earth conductor fais whie equipment is connected to the socket strip. In such cases, the risk of eectric shock cannot be excuded. When using the integrated socket strip: take into account the tota eakage current and tota current consumption! See "Technica Data" on page 118. Ony connect externa devices to the interfaces if Caeo is connected to the power suppy socket via the power cabe or the device is earthed via the earth connection on the back of the unit. Otherwise an eectrica hazard coud be possibe. Caeo does not monitor the power suppy to externa devices. Ceaning mode Ceaning mode shoud ony be used when Caeo is empty. After use, aow Caeo to coo down before dismanting. Risk of burning when touching the heater! During or after ceaning mode, condensation coud form under the aggregate housing of the Caeo! 42

43 Operation Switching on Caeo Switching on Caeo Connect the unit to the mains. 1 Switch on the unit = press the on/off switch unti it cicks into pace. 2 Position the contro unit so that the screen is ceary visibe from the working area. 2 1 An audibe signa is emitted. 110 The opening screen is dispayed. The incubator performs a sef-test. During the sef-test, the functions of the machine are checked. The audibe signa and screen dispays must be checked by the user, see page 35. After the sef-test, the standard screen for air temperature contro is dispayed. The currenty activated function is aways highighted by a ight background. With air temperature contro, the unit takes 20 minutes to warm up. During this period the aarm for "Air temp. deviation above 1.5 o C" is suppressed

44 Operation Using air temperature contro Using air temperature contro The baby s core temperature must be measured reguary with an independent thermometer! Do not eave the canopy open for any ength of time, otherwise the air temperature in the Caeo wi drop. Adjusting the set vaue for air temperature Standard set vaue range Extended set vaue range Defaut setting 28 o C to 37 o C 37.1 o C to 39 o C 20 o C to 27.9 o C 33 o C 1 Adjust the set vaue = press the button. D The current actua measured vaue and the desired set vaue are dispayed on the screen both as bar graphs and as numerica vaues. The message»set vaue with rotary knob«appears at the top of the screen. 2 Increase the set vaue = turn the rotary knob cockwise. 2 Decrease the set vaue = turn the rotary knob countercockwise. 2 Confirm the new setting = press the rotary knob. If you do not wish to change the settings: press = the new settings are canceed The dispay returns to the standard screen. The previous set vaue is retained. Or Wait for 7 seconds: Caeo emits 4 short beeps to prompt the user to press the rotary knob. The dispay returns immediatey to the standard screen. The previous set vaue is retained

45 Operation Using air temperature contro When using the extended set vaue range, the the baby's core temperature must be continuousy monitored. If the specified set vaue exceeds the standard set vaue range The foowing message is dispayed at the top of the screen»confirm extended range with rotary knob«. Confirm the extended range = press the rotary knob. Continue increasing the set vaue = turn the rotary knob cockwise. The advisory message» >37.0 o C«appears on the screen. The foowing message appears at the top of the screen:»set vaue with rotary knob«. Confirm the set vaue = press the rotary knob. The dispay returns to the standard screen. The measured vaues are dispayed. The set vaue and»set: >37.0 «are dispayed aternatey. The yeow bar LED ights up. If the yeow bar LED fashes, the set vaue has been increased by more than 1.5 o C, see page 47, or other aarms are active. If the specified set vaue is beow the standard range The foowing message is dispayed at the top of the screen:»confirm extended range with rotary knob«. Confirm the extended range = press the rotary knob. Continue decreasing the set vaue = turn the rotary knob counter-cockwise

46 Operation Using air temperature contro The advisory message» <28.0 o C«appears on the screen. The foowing message appears at the top of the screen»set vaue with rotary knob«. Confirm the set vaue = press the rotary knob. 151 The dispay returns to the standard screen. The measured vaues are dispayed. The set vaue and»set: <28.0 «are dispayed aternatey. The yeow bar LED ights up. If the yeow bar LED fashes, the set vaue has been decreased by more than 1.5 o C or 2.5 o C, see page 47, or other aarms are active. Reducing the air temperature in Caeo The cooing rate depends on the incubator design and can be increased by: removing the doube wa reducing the outside temperature (if possibe) reducing the set humidity vaue. The cooing rate is not acceerated by: reducing the air temperature setting beow the actuay desired vaue. 313 In emergencies: open the hood, front fap or access ports. In this case, the baby must be monitored constanty to ensure that he or she cannot fa out of the incubator. If you do not wish to confirm the new set vaue: 1 Cance adjustment of the set vaue = press button. The screen returns to the standard dispay mode. The previous set vaue is retained. Or Wait for 7 seconds: Caeo emits 4 short beeps to prompt the user to press the rotary knob. The dispay returns immediatey to the standard screen. The previous set vaue is retained. D

47 Operation Using air temperature contro Aarms Aarm imits can be changed in the configuration (see page 84). Exampe: if the deviation between the set and measured air temperature exceeds 1.5 o C * : The screen dispays the warning message»air temp. deviation above 1.5 o C«, The aarm tone sequence (3 beeps) is sounded, 1 The centra aarm indicator ights up **, 2 The measured vaue fashes, 3 Yeow bar LED fashes. 1 The intermittent aarm tone sequence can be muted for 15 minutes. 4 Suppress intermittent aarm tone = press button or 5 Press the rotary knob. The warning message remains on the screen, The intermittent aarm tone is muted, 1 The centra aarm indicator goes out, 2 The measured vaue continues to fash, 3 Yeow bar LED continues to fash. When the measured vaue returns within the range ±1.5 o C: The warning message disappears, The intermittent aarm tone is muted, 1 The centra aarm indicator goes out, 2 The measured vaue remains on-screen but does not fash, 3 Yeow bar LED goes out. If the extended set vaue range is used the yeow bar LED wi ight up. If the air temperature is over 38 o C (or over 40 o C in the case of the extended set vaue range): The screen dispays the warning message:»air temperature too high«, The intermittent aarm tone sequence (5 beeps) is sounded, 1 The centra aarm ight is it**, 2 The measured vaue fashes, 6 Red bar LED fashes. The aarm tone can be muted for 5 minutes. Caeo heats up if necessary to attain the desired interior air temperature setting. 2 The measured vaue continues to fash, 6 Red bar LED continues to fash. When the air temperature again drops beow the aarm vaue: 4 Press the button to cance the aarm. D For other aarms, see "Troubeshooting Error Messages" on page 110. See "Aarm description" on page 136. * The numerica vaues in this description are exampes. See "Setting aarms" on page 83. ** The centra aarm ight can be switched off. See "Setting system parameters" on page

48 Operation Using skin temperature contro Using skin temperature contro Immediatey before using the yeow skin temperature sensor or the white periphera sensor, insert it in the yeow or white socket and wait for the measurement signa to appear on screen. 1 Measurement signa from the yeow skin temperature sensor (T1) 2 Measurement signa from the white periphera temperature sensor (T2) If no measurement signa appears, the sensor must be repaced (page 113). 1 2 Using skin temperature measurement in air temperature contro mode or skin temperature contro mode. Connect the temperature sensors for measuring the skin temperature and periphera temperature: Push the yeow skin temperature connector as far as it wi go into the yeow connection socket of the sensor unit (skin temperature, T1). When using skin temperature contro, the contro functions refer to this sensor. Push the white periphera temperature sensor connector as far as it wi go into the white connection socket of the sensor unit (periphera temperature, or skin temperature of the twin in the case of air temperature contro mode, T2). Route the sensor cabe through one of the fexibe tubing grommets. Remove the protective foi from the adhesive pad and pace the skin temperature sensor on the pad. Using the adhesive pad, attach the sensor tip to the appropriate part of the baby s skin Positioning the skin temperature sensor (yeow): If the baby is ying on his/her back: Stick the yeow sensor with the adhesive pad on the baby s abdomen, in the area of the iver. If the baby is ying on his/her bey: Stick the yeow sensor with the adhesive pad on the baby s back, preferaby in the area of the kidneys. Positioning the periphera temperature sensor (white): Stick the white sensor with the adhesive pad on the extremities, preferaby on the foot or arm. Use ony Dräger sensors or sensors authorised by Dräger for the Caeo. Disposabe sensors must not be ceaned for re-use. If used more than once, the necessary measurement precision cannot be guaranteed. To attach temperature sensors to the patient, use ony ThermoPad adhesive pads or simiar adhesive pads with auminium fim. 48

49 Operation Using skin temperature contro Reguary check that the skin temperature sensor is correcty attached to the patient s skin. If the skin temperature sensor has faen off, it wi measure the air temperature, resuting in possibe overheating of the patient (athough the air temperature woud not rise above 39 o C). Do not use the skin temperature sensor (yeow) or periphera temperature sensor (white) to measure the recta temperature. When a skin temperature sensor is attached but "air temperature contro" is activated, the measured skin temperature is dispayed. However, in this case, the temperature is not controed as a function of skin temperature! 49

50 Operation Changing over between air/skin temperature contro Changing over between air/skin temperature contro Do not use skin temperature contro mode on babies in shock, as their skin temperature is much ower than norma. Skin temperature contro woud increase the air temperature by too much and woud endanger the patient. Use air temperature contro see page 44. Do not use skin temperature contro mode on babies with a high temperature, as their skin temperature is much higher than norma. The contro function woud overcoo the incubator, resuting in the risk of hypothermia. Do not use skin temperature contro mode on twins, because Caeo ony contros the temperature for one baby. Danger of hypothermia or overheating! 1 Change temperature contro mode = press button. 1 The LED for the contro mode requiring confirmation fashes. D The activated contro mode is dispayed on the screen. The actua and set vaues are dispayed as bar graphs and numeric vaues. The upper part of the screen dispays the message:»set vaue with rotary knob«

51 Operation Changing over between air/skin temperature contro After the new mode has been activated, you can set the desired vaue with the rotary knob. 1 The LED of the activated mode fashes. 2 Adjust the set vaue = turn the rotary knob. 2 Confirm the new set vaue = press the rotary knob. D The upper part of the screen dispays the advisory message»confirm new mode with rotary knob«. 2 Confirm the new mode = press the rotary knob The dispay returns to the standard screen. 1 The LED of the activated mode is it. If you do not wish to change the settings: 3 press = the new settings are canceed. The dispay returns to the standard screen. The previous set vaue is retained. Or Wait for 7 seconds: Caeo emits 4 short beeps to prompt the user to press the rotary knob. The dispay returns immediatey to the standard screen. The previous set vaue is retained

52 Operation Using skin temperature contro Using skin temperature contro Do not use skin temperature contro mode on babies in shock, as their skin temperature is much ower than norma. Skin temperature contro woud increase the air temperature by too much and woud endanger the patient. Use air temperature contro mode see page 44. Do not use skin temperature contro mode on babies with a high temperature, as their skin temperature is much higher than norma. The contro function woud overcoo the incubator, resuting in the risk of hypothermia. Do not use skin temperature contro mode on twins, because Caeo ony contros the temperature for one baby. Danger of hypothermia or overheating! Make sure that you do not confuse the positions for the skin temperature sensors. Skin temperature contro is reguated by the yeow skin temperature sensor (T1). If this sensor is stuck to the wrong part of the body, the patient may be excessivey warmed. Do not attach the sensor under the baby, because otherwise the core temperature, not the skin temperature, wi be measured and used as contro parameter! The baby s core temperature must be measured reguary with an independent thermometer! Do not eave the canopy open for any ength of time, because the air temperature in Caeo wi drop! Adjusting the set vaue Standard set vaue range Extended set vaue range Defaut setting 34 o C to 37 o C 37.1 o C to 38 o C 36.5 o C 1 Adjust the set vaue = press the button. D

53 Operation Using skin temperature contro The actua measured vaue and the set vaue are dispayed on the screen both as bar graphs and as numerica vaues. The foowing message is dispayed in the top part of the screen»set vaue with rotary knob« Increase the set vaue = turn the rotary knob cockwise. 1 Decrease the set vaue = turn the rotary knob countercockwise. 1 Confirm the new setting = press the rotary knob. D If you do not wish to change the settings: press = the new settings are canceed. The dispay returns to the standard screen. The previous set vaue is retained. Or Wait for 7 seconds: Caeo emits 4 short beeps to prompt the user to press the rotary knob. The dispay returns immediatey to the standard screen. The previous set vaue is retained When using the extended set vaue range, the the baby's core temperature must be speciay monitored. If the specified set vaue exceeds the standard set vaue range, The foowing message is dispayed»confirm extended range with rotary knob«. 1 Confirm the extended range = press the rotary knob. 1 Continue increasing the set vaue = turn the rotary knob cockwise

54 Operation Using skin temperature contro The advisory message» >37.0 o C«appears on the screen. The foowing message appears at the top of the screen:»set vaue with rotary knob«. Confirm the set vaue = press the rotary knob. The dispay returns to the standard screen. The measured vaues are dispayed. The set vaue and»set: >37.0 «are dispayed aternatey. The yeow bar LED ights up. If the yeow bar LED fashes, the set vaue has been increased by more than ±0.5 o C *, see page 55, or other aarms are active If you do not wish to confirm the set vaue: Cance adjustment of the set vaue = press button. The screen returns to standard dispay mode. The previous set vaue is retained. Or Wait for 7 seconds: Caeo emits 4 short beeps to prompt the user to press the rotary knob. The dispay returns immediatey to the standard screen. The previous set vaue is retained. D 081 * Can be set to between 0.3 and 1.0 o C, see page

55 Operation Using skin temperature contro Aarms Aarm imits can be changed in the configuration (page 84). Exampe: if the deviation between the set and measured skin temperature exceeds ±0.5 o C * : The screen dispays the warning message»skin 1 temp. deviation above 0.5 o C«, The aarm tone sequence (3 beeps) is sounded, 1 The centra aarm indicator ights up **, 2 The measured vaue fashes, 3 Yeow bar LED fashes The intermittent aarm tone sequence can be muted for 5 minutes: 4 Suppress intermittent aarm tone = press button, or 5 Press the rotary knob. The warning message remains on the screen, The intermittent aarm tone is muted, 1 The centra aarm indicator ight goes out, 2 The measured vaue continues to fash, 3 Yeow bar LED continues to fash. D When the measured vaue returns within the range ±0.5 o C: The warning message disappears, The intermittent aarm tone is muted, 1 The centra aarm indicator ight goes out, 2 The measured vaue remains on-screen but does not fash, 3 Yeow bar LED goes out. If the extended set vaue range is used the yeow bar LED wi ight up. 186 If the sensor pug is disconnected: After 3 seconds: The screen dispays the warning message»connect skin 1 sensor«. The intermittent aarm tone sequence (5 beeps) is sounded, 1 The centra aarm indicator ights up**, 2 3 fashing dashes are dispayed in pace of a temperature reading, 6 Red bar LED fashes. Then: Immediatey pug in the sensor As ong as 3 dashes appear on screen, Caeo does not heat. Danger of hypothermia for the patient! * The numerica vaues in this description are exampes. See "Setting aarms" on page 83. ** The centra aarm ight can be switched off. See "Setting system parameters" on page

56 Operation Using skin temperature contro If the sensor is defective: The screen dispays the warning message»skin 1 sensor faut«. The intermittent aarm tone sequence (5 beeps) is sounded, Centra aarm ight ights up *, 1 3 fashing dashes are dispayed in pace of a temperature reading, 2 Red bar LED fashes. Then: Change the skin temperature sensor. D As ong as 3 dashes appear on screen, Caeo does not heat. Danger of hypothermia for the patient! 4 The aarm tone can be muted for 5 minutes: 3 Suppress intermittent aarm tone = press button or 4 Press the rotary knob. The warning message remains on the screen, The intermittent aarm tone is muted, The centra aarm indicator ight goes out, 1 3 dashes continue fashing, 2 Red bar LED continues to fash. 215 For other aarms, see "Troubeshooting Error Messages" on page 110. See "Aarm description" on page 136. * The centra aarm ight can be deactivated. See "Setting system parameters" on page

57 Operation Using humidity contro Using humidity contro * Connect the humidifier system (see "Using humidifier systems" on page 28). 1 Set humidity contro = press button. D The actua vaue and current setpoint of the humidity contro are dispayed as bar graphs and numerica vaues. Soft key assignments: 2 = Do not activate new settings. D 3 off = Switch off humidity contro. 4 manua = Activate manua humidity contro mode. 5 auto = Activate automatic humidity contro mode (see page 133) On activating the humidity contro, AUTO humidity is proposed as defaut. 048 * optiona equipment feature 57

58 Operation Using humidity contro Setting AUTO humidity In AUTO humidity, the humidity setpoint is automaticay cacuated and set by the system as a function of the air temperature setting (siehe page 133). The maximum reative humidity depends on the ambient temperature and incubator air temperature at max. 75 % reative humidity. 1 Switch humidity contro over to AUTO humidity = press button (soft key). 2 Activate AUTO humidity = press the rotary knob. D 1 2 The dispay returns to the standard screen. The measured vaue and the automatic set vaue are dispayed Manuay adjusting the set vaue Standard set vaue range 30 % to 99 % 3 Switch humidity contro over to manua mode = press button (soft key). 4 Increase set vaue = turn rotary knob cockwise. 4 Decrease set vaue = turn rotary knob counter-cockwise. 4 Confirm set vaue = press rotary knob. D The maximum attainabe humidity eve depends on the air temperature and ambient humidity. At high air temperatures or ow ambient humidity, the attainabe humidity eve in Caeo is reduced

59 Operation Using humidity contro The actua vaue and the current set vaue of the humidity contro are dispayed as bar graphs and numerica vaues. The dispay returns to the standard screen. The measured vaues and set vaues are dispayed

60 Operation Using humidity contro Aarms In the event of water shortage The foowing warning message appears on the screen»water empty, pease refi«, The aarm tone sequence (3 beeps) is sounded, The centra aarm indicator ights up *, 1 The measured vaue fashes, 2 Yeow bar LED fashes. Repace the water bag or top up the water tank to the fu eve marking: see page 28. The intermittent aarm tone sequence can be muted for 15 minutes: 3 Suppress intermittent aarm tone = press button, or 4 Press the rotary knob. The warning message remains on the screen, The intermittent aarm tone is muted, The centra aarm indicator ight goes out, 1 The measured vaue continues to fash, 2 Yeow bar LED continues to fash. D When the cause of the aarm has been remedied, The warning message disappears, The intermittent aarm tone is muted, The centra aarm indicator ight goes out, 1 The measured vaue remains on the screen but does not fash, 2 Yeow bar LED goes out. If an extended set vaue range is used the yeow bar LED wi ight up. For other aarms, see "Troubeshooting Error Messages" on page 110. See "Aarm description" on page 136. * The centra aarm ight can be switched off. See "Setting system parameters" on page

61 Operation Using O2 contro Using O2 contro * Note the physioogica risks from O2! The air in the incubator shoud ony be enriched with O2 when prescribed by a doctor. Oxygen is cassed as a drug. O2 enrichment must be controed on the basis of measured O2 saturation in the patient s bood (SaO2 or SpO2). Otherwise, there is a danger of hyperoxemia (possibiity of damage to the eyes) or hypoxemia (possibiity of brain damage). Connect the probe of the O2 hose to the outet of the centra medica gas pipeine suppy (page 19). 1 Set O2 contro = press soft key button. D The actua vaue and the current set vaue of the O2 contro are dispayed as bar graphs and numerica vaues. 1 Soft key assignments: = Do not activate new settings. 3 off = Switch off O2 contro. D 4 on = Switch on O2 contro After switching on the device, the oxygen sensors need a warm-up phase of at east 3 minutes. An hourgass symbo appears in the dispay. The foowing message is dispayed at the top of the screen:»set vaue with rotary knob«. After confirming the seected O2 sensor and after competion of the warm-up phase, the automatic O2 contro is activated. The current measured vaue is dispayed after competing the warm-up phase. * optiona equipment feature

62 Operation Using O2 contro Adjusting the set vaue Standard set vaue range 21 Vo.% to 40 Vo.% Extended set vaue range 40.1 Vo.% to 75 Vo.% Defaut setting 21 % 1 Increase set vaue = turn rotary knob cockwise. 1 Decrease set vaue = turn rotary knob counter-cockwise. 1 Confirm set vaue = press rotary knob. D The dispay returns to the standard screen. The actua measured vaues and the set vaues are dispayed

63 Operation Using O2 contro Pease bear in mind the risks associated with high O2 concentrations (see page 40)! If the set vaue exceeds the standard set vaue range The foowing message is dispayed at the top of the screen:»confirm extended range with rotary knob«. Confirm the extended set vaue range = press the rotary knob. Continue increasing the set vaue = turn the rotary knob cockwise. The advisory message» >40 %«appears on the screen. The foowing message appears at the top of the screen»set vaue with rotary knob«. Confirm the set vaue = press the rotary knob. The dispay returns to the standard screen. The measured vaues are dispayed. The set vaue and»set: >40 «are dispayed aternatey. The yeow bar LED ights up. If the yeow bar LED fashes, the set vaue has been increased by more than 3 % or 5 %, see page 64, or other aarms are active

64 Operation Using O2 contro Aarms Aarm imits can be changed in the configuration (see page 84). Exampe: if the deviation between the set and measured O2 concentration exceeds ±5 % * : The screen dispays the warning message»oxygen deviation above 5 %«, The aarm tone sequence (5 beeps) is sounded, The centra aarm indicator ights up **, 1 The measured vaue fashes, 2 Red bar LED fashes. The intermittent aarm tone sequence can be muted for 2 minutes: 3 Suppress intermittent aarm tone = press button or 4 Press the rotary knob. The warning message remains on the screen, The intermittent aarm tone is muted, The centra aarm indicator goes out, 1 The measured vaue continues to fash, 2 Red bar LED continues to fash. D When the measured vaue returns within the range ±5 Vo.%: The warning message disappears, The intermittent aarm tone is muted, The centra aarm indicator goes out, 1 The measured vaue remains on-screen but does not fash, 2 Red bar LED goes out. For other aarms, see "Troubeshooting Error Messages" on page 110. See "Aarm description" on page 136. * The numerica vaues in this description are exampes. See "Setting aarms" on page 83. ** The centra aarm ight can be switched off. See "Setting system parameters" on page

65 Operation Using "Day and Night" Using "Day and Night" With Day and Night, the screen can be dispayed at four different brightness eves. After restarting the device, e.g. after a power faiure, the screen is dispayed in the ast seected mode. On starting up the device, the screen is dispayed with maximum brightness. The soft key for Day and Night is designated on the standard screen by the symbo To set the screen brightness = press the key repeatedy unti the desired brightness is obtained. D

66 Operation Seecting menus Seecting menus 1 Seect menu = press»menu«button. D The required mode can be seected from the menu dispayed: 2 Seect item = turn the rotary knob. 2 Confirm seection (activate item) = press the rotary knob. Kangaroo mode See page 130 for a description of Kangaroo mode. The patient s core temperature or skin temperature must be constanty monitored, becaused it is outside the controed cimate. Particuar attention must be paid to critica patients vita parameters. Ensure that a hoses and cabes are routed correcty and safey without obstruction! 156 In Kangaroo mode the incubator is operated in air temperature contro mode. If Caeo was previousy operated in air temperature mode, the set vaue for air wi be activated in Kangaroo mode. If Caeo was previousy operated in skin temperature mode, the ast air temperature vaue wi be oaded as set vaue. The yeow skin temperature sensor and the periphera temperature sensor can be used in Kangaroo mode to monitor the skin temperature of the baby. The aarm imits for monitoring must be redefined (page 83). The previousy set vaues for Humidity (page 58) and O2 (page 62) are retained in Kangaroo mode. The previous set vaue for skin temperature contro is stored in buffer memory. 66

67 Operation Seecting menus Activating Kangaroo mode 1 Dispay the main menu = press»menu«button. D Seect "Kangaroo mode" from the menu. 1 2 Seect item = turn the rotary knob. 2 Confirm and activate item = press the rotary knob The screen dispays the foowing advisory message:»to eave the current mode pease confirm the new Kangaroo Mode with rotary knob«. 2 Confirm Kangaroo mode = press the rotary knob. When activated, Kangaroo mode is highighted on screen by a ight background. The duration of Kangaroo mode can be dispayed on the screen in minutes and seconds (mm:ss). The aarm muting is automaticay activated, i.e. for the next 4 minutes, the foowing aarms are dispayed as "confirmed" for the reevant seected duration: Air temperature too ow, Kangaroo aarm (see page 131), Humidity too ow, O2 concentration too ow wi automaticay be dispayed as "acknowedged" for the reevant period. If the extended set vaue range is used (air or O2) the yeow bar LED wi ight up. See "Aarm suppression" on page The tubing grommets can be removed from the piar eements so that the hoses and cabes remain we ordered during Kangaroo mode

68 Operation Seecting menus Aarms Aarm imits can be changed in the configuration (page 83). If the skin temperature of the yeow skin temperature sensor (skin 1) fas beow the aarm imit set in the configuration: The screen dispays the warning message»skin 1 temperature beow 36.0 o C«*, The aarm tone sequence (3 beeps) is sounded, 1 The centra aarm indicator ights up **, 2 The measured vaue fashes, 3 Yeow bar LED fashes. 1 The intermittent aarm tone sequence can be muted for 15 minutes. 4 Suppress intermittent aarm tone = press button or 5 Press the rotary knob. The warning message remains on the screen, The intermittent aarm tone is muted, 1 The centra aarm indicator goes out, 2 The measured vaue continues to fash, 3 Yeow bar LED continues to fash. 216 When the measured vaue returns above the aarm imit: The warning message disappears, The intermittent aarm tone is muted, 1 The centra aarm indicator goes out, 2 The measured vaue remains on-screen but does not fash, 3 Yeow bar LED goes out. If the extended set vaue range is used the yeow bar LED wi ight up. D For other aarms, see "Troubeshooting Error Messages" on page 110. See "Aarm description" on page * The numerica vaues in this description are exampes. See "Setting aarms" on page 83. ** The centra aarm ight can be switched off. See "Setting system parameters" on page

69 Operation Seecting menus Ending Kangaroo mode 1 Dispay menu ist = press»menu«button. D 1 2 In the dispayed menu, seect»return to Air Mode«* or»return to Skin Mode«*. 2 Seect item = turn the rotary knob. 2 Activate item = press the rotary knob The screen dispays the advisory message»to eave the Kangaroo mode and return to Air Mode confirm with the rotary knob«. 2 Exit Kangaroo mode = press the rotary knob. The former operating status with the previous set vaues is reactivated. The dispay returns to the standard screen. After quitting Kangaroo mode, reinsert the tubing grommets in the piar eement. To maintain Kangaroo mode = press» «key. Or Wait for 7 seconds: Caeo emits 4 short beeps to prompt the user to press the rotary knob. The dispay returns immediatey to the standard screen. The previous set vaue is retained. 172 * the option dispayed depends on the previousy activated mode 69

70 Operation Seecting menus Trend dispay The trend screen is used for the graphica and numerica dispay of the measurement parameters. The data window aways shows the ast data in the seected time interva. In addition, the current measured vaues and set vaues are numericay dispayed. Switching over between standard/trend screen 1 Dispay trend = press» «button. D The trend for the air temperature over the ast 3 hours is dispayed. The current air and skin temperature vaues are dispayed on the right next to the trend. T1: Yeow skin temperature sensor (Skin 1) T2: White periphera sensor (Skin 2) Seect menu = press the»trend parameter«button. D

71 Operation Seecting menus Seect the desired trend dispay from the dispayed ist. Defauts: Air temperature trend Zoom factor 3 hours Seect trend = turn the rotary knob. Activate trend = press the rotary knob. Back to menu = press» «key. 307 To exit trend dispay mode = press» «button. The dispay returns to the standard screen. Setting the time interva (Zoom) 1 Dispay menu = press»trend parameter«button. D Seect the desired trend from the dispayed ist. Back to menu = press» «key

72 Operation Seecting menus 1 Dispay the zoom menu = press the»zoom«button. D Seect the desired zoom from the menu. 2 Seect zoom = turn the rotary knob. 2 Activate zoom = press the rotary knob. Back to menu = press» «button (soft key). Return to trend seection = press the»trend«button 308 In the iustrated exampe, the trend for the air temperature over the ast 3 hours wi be dispayed. T1: Yeow skin temperature sensor (skin 1) T2: White periphera sensor (skin 2)

73 Operation Seecting menus Trend anaysis Trend anaysis is used for the graphica and numerica dispay of measurement parameters and their associated set vaues. The data window can be seected at wi to any period over the ast 7 days. Trend anaysis can therefore be used to evauate thermomonitoring data. The foowing parameters can be set: Skin temperature 1 (yeow skin temperature sensor, skin 1, T1) Periphera temperature or skin temperature 2 (for twins) (white temperature sensor, skin 2, T2) Air temperature Reative humidity (re. %) * O2 concentration (vo. %)*. Whie trend anaysis is in progress, no current measured vaues (air, skin, etc.) are dispayed. The numerica vaues dispayed are vaues from past readings. If no button is pressed for 2 minutes, the dispay automaticay reverts to the standard screen. 1 To activate trend anaysis = hod down button for 4 seconds. D * optiona equipment feature 73

74 Operation Seecting menus The trend graph for the seected measured vaue is dispayed on the screen. Defaut vaues: Trend 1 Trend 2 Zoom Skin temperature Air temperature 3 hours The seected vaue is dispayed as a trend graph. In this graph, the trend curve of the measured vaue is overaid on the corresponding set vaue curve. Time cursor: The time cursor is dispayed as a vertica dotted ine marking a precise point of time on the graph's time axis. To move the time curve on the time scae = turn the rotary knob. 310 The time marked by the cursor ine is specified underneath the dotted ine by the date and time. The start time and end time of the current time window are specified to the right and eft underneath the trend graph. If the time cursor is moved beyond the dispayed time range, the screen adapts automaticay and dispays the reevant time range: Less recent time range = turn the rotary knob countercockwise. More recent time range = turn the rotary knob cockwise. Data window: The time cursor is associated with a data window situated to the right of the dispayed trend. This data window shows the numerica vaues vaid at the time marked on the time axis by the time cursor. The foowing vaues are dispayed in the data window: 1 Name of the seected parameter 2 Set vaue of this parameter at the marked time 3 Measured vaue at the marked time D

75 Operation Seecting menus Trend seection A trend graph can be seected with the soft keys. Soft Key assignments: 1 = Cance. New settings wi not be activated. D 2 trend 1 = Seect trend 1. 3 trend 2 = Seect trend 2. 4 zoom = Seect time interva Seect trend 1: 2 Dispay the trend 1 menu = press soft key. The foowing parameters can be seected as "trend 1": air skin humidity * O2* weight* 5 Seect trend 1 = turn rotary knob. 5 Confirm (activate) seection = press rotary knob. The newy seected trend wi be dispayed on the screen. Seect trend 2: 3 Dispay the trend 2 menu = press soft key. The foowing parameters can be seected as "trend 2": air humidity* oxygen* weight* disabe 5 Seect trend 2 = turn rotary knob. 5 Confirm (activate) seection = press rotary knob * optiona equipment feature 75

76 Operation Seecting menus The newy seected trend 2 is dispayed on the screen underneath trend 1. In addition, a second data window containing the reevant parameters is opened next to trend 2. The time cursor and time range (zoom) are the same for both trend dispays. The»disabe«option removes trend 2 from the screen, so that ony trend 1 is dispayed. Seecting the time interva (zoom) 1 Open the Zoom menu = press soft key. D The foowing intervas of time can be seected for the time window (zoom) function: 3; 6; 12; 24; 48 hours or 7 days. 2 Seect zoom = Turn rotary knob. 2 Activate zoom = Press rotary knob. The seected trends wi then be dispayed in the newy seected time window. A data going back a maximum of 7 days can be dispayed. The individua measuring points together with the associated data for the data window are dispayed. When dispaying the measured weight vaues, up to 30 vaues can be stored and dispayed as a trend. Vaues between the individua measured vaues are interpoated. 332 Ending trend anaysis To exit trend anaysis Back to menu = press» «soft key button or 3 Terminate trend anaysis = press button or if no soft key on the screen is pressed for 2 minutes, the dispay wi automaticay revert to the standard screen. 76

77 Operation Seecting menus Ceaning mode * Ceaning mode is ony avaiabe if Caeo is equipped with humidity contro. Ceaning mode can ony be used if there is not a patient in the Caeo. Ony use ceaning mode with an ambient humidity of >10 % reative humidity. Cose the termina on the connection set before starting ceaning mode. Ceaning mode takes approx. 60 minutes. The water heater is heated up during ceaning mode. The residue water evaporates. The water heater then coos down. During ceaning mode Caeo continues to measure the reative humidity. The vaue wi not be dispayed. If the reative humidity fas beow 10 % the "Humidity sensor fauty" aarm wi be triggered. Ceaning mode cannot be ended in the correct manner. In order to maintain a reative humidity of >10 %, the front and side faps and the hood shoud be open during ceaning mode. During or after ceaning mode, condensation coud form under the aggregate housing of the Caeo! 1 Open menu = press the»menu«button. D Seect "Ceaning Mode" from the dispayed menu. 2 Seect item = turn the rotary knob. 2 Confirm (activate) item = press the rotary knob. 328 * optiona equipment feature 77

78 Operation Seecting menus The required operating steps are specified on the screen:»disconnect Luerock connector from apparatus make sure that no patient is inside start Ceaning Mode by pressing both tttt keys«. 303 Start Ceaning Mode = press both soft keys simutaneousy. D 208 The water heater is boied dry. The heater is then cooed. Risk of burns on contact with the heater! Do not disassembe Caeo during ceaning mode

79 Operation Seecting menus The screen indicates when ceaning mode is compete. Confirm end of ceaning mode = press rotary knob. Caeo performs a restart. After ending ceaning mode: Disinfect and cean Caeo (see "Disinfecting/Ceaning/ Steriising" on page 94)

80 Operation Configuration Configuration In configuration mode, you can set Language, date and time System parameters and Aarm parameters and you can obtain information on O2 sensors the software version. Activating configuration mode 1 Activate configuration mode = hod down the»menu«button for 4 seconds. D The individua parameters of the configuration can now be seected. 2 Seect configuration parameters = turn the rotary knob. 2 Activate the configuration parameters = press the rotary knob. Cance seection = press» «key. The dispay returns to the standard screen

81 Operation Configuration Language/date/time 1 Seect anguage/date/time = Turn and press the rotary knob. D 1 The anguage seection box is highighted by a bright border. 1 Seect anguage = turn the rotary knob. 1 Confirm anguage = press the rotary knob. The seected anguage is dispayed on the screen. Foow the same procedure to set the date format, date and time. 1 Save settings = turn the rotary knob to»back«and then press the contro button Cance seection = press» «soft key button. The dispay returns to the configuration parameter seection menu (see page 80). 81

82 Operation Configuration Setting system parameters 1 Seect the temperature unit = turn and press the rotary knob. D 1 The temperature unit is highighted by a ight background. 1 Seect unit = turn the rotary knob. 1 Confirm unit = press the rotary knob. The seected unit is dispayed on the screen The weight unit, the dt/t2 dispay, the centra aarm ight, the height above sea eve and the contrast are set in the same way. The weight unit can ony be set if the optiona weighing scae is integrated in Caeo. If using 2 skin temperature sensors, the screen can dispay T1 and either T2 or the difference between T1 and T2 (dt). When the centra aarm ight is deactivated aarm situations are ony indicated by the fashing measured vaue, the fashing bar LED on the contro unit and the aarm signa. It is ony possibe to set the atitude above sea eve if automatic O2 contro is integrated in Caeo. If the oca atitude is entered incorrecty, the measurement accuracy of the O2 sensors wi be reduced (e.g. 1.5 % additiona error for 1000 m difference in atitude). If the screen is difficut to read the contrast settings can be adjusted. Cance seection = press» «soft key button. The dispay returns to the configuration parameter menu (see page 80). 82

83 Operation Configuration Setting aarms 1 Seect aarms = turn and push the rotary knob. D The menu that is then dispayed aows the user to seect Kangaroo mode, the initia voume of the audibe aarms and the aarm imits for temperature contro and O2 contro. 1 Seect menu item = turn rotary knob. 1 Confirm menu item = press rotary knob. Cance seection = press» «soft key button. The dispay returns to the configuration parameter seection menu (see page 80). Kangaroo mode: Adjustment ranges: Skin aarm T1 min Skin aarm T2 min dt aarm min dt aarm max Defaut vaues: 33 o C to 37 o C and off 33 o C to 37 o C and off 2 o C to 2 o C and off 2 o C to 5 o C and off Same as ast setting 067 The text items in the description that foows are exampes: 1 Seect skin aarm T1 min (ower aarm imit for skin temperature) = turn and press the rotary knob. The T1 min aarm seection box is highighted by a bright border. 1 Seect aarm = turn the rotary knob. 1 Confirm aarm = press the rotary knob. The dispay returns to the aarm settings menu (page 83). The other aarms are set by the same method. Cance seection = press» «soft key button. The screen returns to the configuration parameters menu (see page 80). For a description of Kangaroo mode aarms pease refer to page

84 Operation Configuration Initia voume (sound intensity) of the aarms: Adjustment range: 1 to 8 Defaut: 1 The initia sound intensity is highighted by a ight background. Set an initia sound intensity = turn rotary knob. Confirm initia sound intensity = press rotary knob. The screen returns to the aarm settings menu (page 83). Cance seection = press» «soft key button. The dispay returns to the configuration parameter menu (see page 80). Aarm imits: 071 Adjustment ranges: Air temperature deviation 1.5 or 2.5 o C Skin temperature deviation ±0.3 to 1.0 o C O2 deviation* ±3 % or ±5 % Defaut vaues: Air temperature deviation 1.5 o C Skin temperature deviation ±0.5 o C O2 deviation* ±5 % Seect the aarm imit for air/skin temperature and O2 * = turn and push the rotary rotary knob. The aarm imit setting for the deviation in air temperature is highighted by a bright border. Seect air temperature deviation = turn the rotary knob. Confirm air temperature deviation = press the rotary knob. The screen returns to the aarm settings menu (see page 83). The other aarm imits are set in the same way. Cance seection = press» «soft key button. The dispay returns to the configuration parameter menu (see page 80). 072 * optiona 84

85 Operation Configuration O2 sensor information * The screen dispays the foowing information for the O2 sensors used: Date of manufacture Date of ast caibration Date of next caibration. Viewing software information The software version and the number of operating hours are dispayed on the screen. Where appicabe, this screen contains additiona information on service intervas. Further information on this subject is provided in the service documentation Return to configuration parameter menu = press soft key button or 2 Press the rotary knob. The dispay returns to the configuration parameter menu (see page 80). D * optiona equipment feature 85

86 Operation Lock key pad functions Lock key pad functions 1 To ock further on-screen setting = press button. 1 The LED on the button ights up. D 1 After 4 seconds, a screen functions are ocked, except for: 2 Lock key pad function 3 Aarm suppression 4 Rotary knob 5 Bed tit. 1 The LED in the button remains it. D Enabing 1 Change setting on screen = press button. 1 The LED in the button goes out. After 4 seconds, the screen functions can be changed. The LED in the button remains off Aarm suppression 6 Pressing this key if an aarm is active: The audibe aarm is muted The centra aarm indicator goes out *. 6 The LED in the button is not it. The permitted duration of aarm suppression depends on the type of aarm. When the cause of the aarm is removed, aarm suppression is automaticay ended. D 6 6 Pressing this key if no aarm is active (aarm muting): For a aarms occurring in the ensuing 4 minutes due to insufficient vaues for Air temperature Skin temperature Humidity O2 concentration, no aarm tone is sounded and the centra aarm ight* is not it unti expiry of the aarm muting. However the aarm message is dispayed on the screen, and the LEDs for the measured vaue and aarm fash. 6 The LED in the button wi be it. 134 Aarms that are aready suppressed, regardess of the actua duration of suppression, sha be suppressed for the next 4 minutes. * The centra aarm ight can be switched off. See "Setting system parameters" on page

87 Operation Weighing scae Weighing scae * The weighing scae is ocated directy underneath the bed. During the weighing process, the entire bed and a objects on it are weighed. By ifting the patient, a other weights are deducted, so that the baby s weight can be precisey determined. The accuracy of the weight measurement is not imited by the objects paced on the bed. These additiona objects reduce the maximum dispayabe vaue of the scaes by their combined weight. In the event of patients that need hose ines, e.g. ventiation hoses, the infuence of these hoses on the measured weight, as with other types of scaes, cannot be fuy eiminated. In order to avoid fuctuating weighing resuts, the hoses shoud be removed from the ventiation hose hoder, if fitted, before weighing, and then, after aying the patient on the bed, the hoses shoud aso be aid on the bed in as strain-free and horizonta a position as possibe. Like items of cothing, if parts of the hose ines are weighed with the patient, they can ead to a sight increase in measured weight. Since these deviations are systematic, they do not affect trend observations. Weight measurements wi ony be competey accurate where taring has been used. Without taring the eve of accuracy wi be reduced. Changes made between measurements, such as, changing in the tit of the device or adding or removing objects from the cot, may resut in inaccurate resuts. For weight measurements without using tare, particuar attention must aso be paid to ensuring vibration free conditions. Pressing buttons on the contro unit too forciby may ead to vibration that may reduce the accuracy of the weight measurement. It is suggested that weighing shoud ony be conducted when the troey castors on Caeo are ocked. This heps to cushion vibrations and increases the accuracy of weight measurements. Before weighing, check that the bed is fuy pushed in and is in the horizonta position. The spirit eves show whether the bed is aigned horizontay. 1 Spirit eves for the horizonta aignment of Caeo in the transverse axis. 2 Spirit eve for the horizonta aignment of Caeo in the ongitudina axis. 1 2 To aign the bed horizontay see page * optiona equipment feature 87

88 Operation Weighing scae If the foowing instructions are not observed significant weighing errors may occur: Before the weighing process, make sure that both knobs are set to the scaes position. During the weighing process, Caeo must not be exposed to any vibrations. During the weighing process, no objects may be paced on the bed surface. During the weighing process, no objects may be paced been the bed and the housing. Hoses routed over the ventiation hose hoder may affect the accuracy of weighing. The scaes must be reguary tested with a test weight. In some regions, the accuracy of the scaes specified in the Technica Data is ony attained if the scaes are caibrated at the instaation ocation. Preparing for weighing Set Caeo to the horizonta position. Check with the aid of the buit-in water eves see page 27. Remove a objects that touch both the bed and the fixed environment or the incubator frame. Set both knobs to the scaes position, see page 24. Prepare the patient for ifting. Starting the weighing procedure 1 Activate the weighing process = Press button. D If the scae is not ready for operation, this function cannot be activated

89 Operation Weighing scae During weighing, the user is guided through the sequence of operating steps by the foowing prompts. Lift the baby off the bed. The device waits unti the scaes have stabiised and are at rest for 3 seconds. 1 beep is sounded. Pace patient on bed. Weighing then proceeds. 1 beep is sounded The weighing procedure is compete. The current and ast weighing resuts are dispayed on the screen. If the measuring range is exceeded, the symbo is dispayed. After 10 seconds, the dispay reverts to the standard screen. or Dispay the standard screen = press the rotary knob. 079 The screen dispays the ast weight as advisory text for the next 10 minutes. 89

90 Operation Weighing scae Weighing process canceed Weighing is aborted if the patient weight (minimum 250 g) is not removed or appied within 60 seconds. 3 short beeps are emitted. Weighing without tare If the ast tare weight was obtained no onger than 60 minutes earier, and if no objects have since been removed from the bed or paced on it, recaibration with a new tare weight is not necessary. Preparing for weighing Set Caeo to the horizonta position. Check with the aid of the buit-in water eves see page 27. Set both knobs to the horizonta position, see page 24. Starting the weighing procedure 1 Activate the weighing process = press soft key. D Caeo proposes reweighing directy without obtaining anewtare. 2 Weigh without tare = press button. Lay the patient on the bed. Weighing then proceeds. 1 beep is emitted

91 Operation Ending operation The weighing procedure is compete. The current and ast weighing resuts are dispayed on the screen. If the measuring range is exceeded, the symbo is dispayed. After 10 seconds, the dispay reverts automaticay to the standard screen. or Dispay the standard screen = press the rotary knob. The screen dispays the ast weight as advisory text for the next 10 minutes. 334 Ending operation Before turning off Caeo, acknowedge a active aarms with high risk potentia. Otherwise the nurse ca system * wi continue to indicate the active aarm after the device has been switched off. Switch off incubator 1 Switch off the incubator = press the on/off switch. The incubator is switched off If the O2 hose* is connected: Disconnect the probe from the outet of the centra O2 suppy pipeine and pace it in the "Park" position (stricty foow the separate Instructions for Use). * optiona equipment feature 91

92 92

93 Care Care Disinfecting/Ceaning/Steriising Stripping down Before reusing for a patient Care ist Maintenance intervas Disposa

94 Disinfecting/Ceaning/Steriising Disinfecting/Ceaning/Steriising Risk of burns on contact with the heater When the incubator is cosed, the heater is sti hot enough to cause serious burns for a ong time after switching off (sti approx. 70 o C after 1 hour). Cean and disinfect the incubator thoroughy: after each change of patient at east once a week. Disinfect and cean accessories such as the suction unit in accordance with their specific Instructions for Use. For disinfecting, use preparations cassified in the surface disinfectants group. Tips for proonging the service ife of components: immerse the components to be treated ony briefy in the disinfectant soution. After the time required for the disinfectant to act (see manufacturer s instructions), wipe the surfaces with a cean damp coth and then wipe dry. For reasons of materia compatibiity, preparations based on adehydes as the active substance are particuary suitabe. Due to materia incompatibiities, preparations based on haogen-reeasing compounds strong organic acids oxygen-reeasing compounds acoho are of ony imited suitabiity. Use ony detergents in automatic washing and disinfecting machines. For reasons of materia compatibiity, akaine or chorine-reeasing disinfectants can ony be used to a very imited extent. Risk of corrosion. In the Federa Repubic of Germany, recommended detergents are cassified in a ist issued by the DGHM (German Hygiene and Microbioogy Society). The DGHM ist does not provide any recommendation concerning materia compatibiity. In addition to the main active substances, disinfectants often contain other substances that can cause damage to materias. For countries where the DGHM ist is not pubished, the active substance basis of the named disinfectants (see page 95) can serve as a guide for materia compatibiity. Incubator manufacturers test surface disinfectants for materia compatibiity. The assessment of patient compatibiity is a question for speciaised medica personne or hygiene speciaists. 94

95 Disinfecting/Ceaning/Steriising Because of materia incompatibiity, we recommend using the surface disinfectant Incidur from Ecoab. If Incidur is not avaiabe the foowing disinfectants can be used: Surface disinfectant Incidur Dismozon pur Virkon Secuyse Sekupoudre Vaposepto Cidex Habitane Koramin Sactiv Viracean Note the manufacturer's directions for use. Manufacturer Ecoab Deutschand GmbH Bode Chemie GmbH & Co., Germany Tetena, Germany Paragerm (Henke Ecoab), France Paragerm (Henke Ecoab), France Paragerm (Henke Ecoab), France Johnson & Johnson, Taiwan Zeneca Limited, Norway Norsk Medisina Depot A/S, Norway Diversey Lever, Finand Whiteey, Austraia The foowing disinfectants have been tested and are not to be used because of materia incompatibiity: Surface disinfectant PaMo dur PaMo dur rapid AF PaMo dur Spray PaMo sept Univ. AF Daisy Des Incidin Extra N Terrain Asphene Spray Korsoin 50 Minudes Virufen Osuban S Taski Exact 300 Manufacturer Dräger, Germany Dräger, Germany Dräger, Germany Dräger, Germany Dräger, Germany Henke, Germany Schüke & Mayr, Germany Laborat, France Bode, France Paragerm, France Paragerm, France Japan Finand As a genera rue, when choosing the appropriate surface disinfectant, you shoud observe the manufacturer s recommendations. In this context, the manufacturer assumes iabiity for the specified range of appications and any materia damage caused by the reevant preparations. The foowing materias are used in the patient capsue: Components Hood, faps Piar eements Bed Intermediate eement X-ray drawer Housing SoftBed Caeo Materia Poycarbonate Styrene-butadiene thermo foam injection moded materia ABS (acryonitrie/ butadiene/ styrene) Styrene-butadiene thermo foam injection moded materia ABS (acryonitrie/ butadiene/ styrene) Styrene-butadiene thermo foam injection moded materia ABS (acryonitrie/ butadiene/ styrene) Poystyrene thermo foam injection moded materia Poystyrene thermo foam injection moded materia Poyurethane/ poyester 95

96 Disinfecting/Ceaning/Steriising Stripping down Stripping down Check the fresh air fiter Tit the unit to remove the fresh air fiter more easiy (see page 27). 1 Check the expiry date: see the abe on the unit Press down the knured part of the cip and open the fiter fap. If a fiter is aready in position: Check the condition of the fiter. 2 Repace the fiter when the fiter is foued, damaged or moist. the expiry date has been reached. the fiter has been used with an infectious patient. Discard the od fiter. Fit a new fiter. 261 Inserting the fiter: Insert the fiter in the open fiter fap. 2 Cose the fiter fap. Check that the fiter fap is securey cosed. Write down the expiry date of the new fiter (2 months after instaation) on the abe. 1 Stick the abe to the device. 96

97 Disinfecting/Ceaning/Steriising Stripping down Removing the water suppy Cose the camp on the connection tube. Remove and dispose of the water bag and connection tube or 1 Remove the water container from the hoder. 2 Detach the connection tube from the water container and water connection pipe. Dispose of the connection tube. Cean the water container in the ceaning and disinfecting machine at 93 o C * or steriise at 134 o C * Removing the water connection pipe Tit the incubator to make the water connection pipe easier to remove (see page 27). 3 Turn the water connection pipe 90 o cockwise and pu it out of the guide channe. 3 Cean the water connection pipe in the ceaning and disinfecting machine at 93 o C * or steriise at 134 o C * * Observe nationa and internationa standards on ceaning, disinfecting and steriisation procedures (e.g. EN 285, EN 554, EN 556). 97

98 Disinfecting/Ceaning/Steriising Stripping down Pace Caeo horizonta (see page 27). Switch on ceaning mode * (see page 77). After ceaning mode* has competed or if humidity contro is not provided: Switch off the incubator and disconnect from mains. Remove any auxiiary equipment instaed (for care instructions see the specific Instructions for Use of the equipment concerned). Risk of burns on contact with the heater. Aow Caeo to coo down before stripping down further. Removing the doube wa 1 Pu the punger up as far as it wi go. The red shaft of the punger wi then be visibe. 2 Grip the doube wa with both hands and ift it off Pace the doube wa on a soft, non-scratch surface. Remove the continuous sea from around the doube wa Force the bore seeve apart and 4 remove the punger * Ony avaiabe in combination with humidity contro. 98

99 Disinfecting/Ceaning/Steriising Stripping down 1 Tip the bore seeve to the side and remove it. 2 Tip the centering ugs to the side and remove them. 1 Remove visibe soiing with a disposabe coth. Wipe-disinfect the doube wa surfaces. After aowing the disinfectant time to take effect (see manufacturer's specifications), wipe the surface with a cean damp disposabe coth and then rub dry. Cean a other parts in the ceaning and disinfecting machine at 93 o C * Removing the hood 3 Hod the hood with both hands using the handes on the side. 4 Lift the hood verticay from the piar eements. 3 Remove visibe soiing with a disposabe coth and detergent. Wipe-disinfect the surfaces. After aowing the disinfectant time to take effect (see manufacturer's specifications), wipe the surface with a cean damp disposabe coth and then rub dry Removing the hood support The support (2M ) is ony mounted on the piar eements (2M and 2M ). 5 Move the support to a vertica position and remove it. Cean the support in the ceaning and disinfecting machine at 93 o C * Observe nationa and internationa standards on ceaning, disinfecting and steriisation procedures (e.g. EN 285, EN 554, EN 556). 99

100 Disinfecting/Ceaning/Steriising Stripping down Open the front fap 1 Turn the two ocking knobs inwards as far as they wi go and fod down the front fap. Fod out the adjustabe doube was to cean them. Open the side faps in the same way. 1 1 Remove visibe soiing with a disposabe coth and detergent. Wipe-disinfect the surfaces. After aowing the disinfectant time to take effect (see manufacturer's specifications), wipe the surface with a cean damp coth and then rub dry. 179 Through-hoe grommets, seeves and iners Remove a through-hoe grommets, seeves and iners etc. Cean them at 93 o C in the ceaning and disinfecting machine *. Push out the drainage modue ** to the side by the drainage cip. Push the drainage cip off the drainage unit. Cean the parts in the ceaning and disinfecting machine at 93 o C*. 181 Mattress and bed Remove the mattress from the bed Remove the bed. Take care not to damage the sensor unit. Remove visibe soiing with a disposabe coth and detergent. Wipe-disinfect the surfaces. After aowing the disinfectant time to take effect (see manufacturer's specifications), wipe the surface with a cean damp coth and then rub dry * Observe nationa and internationa standards on ceaning, disinfecting and steriisation procedures (e.g. EN 285, EN 554, EN 556). ** optiona equipment feature 100

101 Disinfecting/Ceaning/Steriising Stripping down Remove the X-ray drawer Using the recessed hande, pu out the X-ray drawer as far as it wi go. 1 Tit the drawer upwards and pu it out of the unit. Remove visibe soiing with a disposabe coth and detergent. Wipe-disinfect the surfaces. After aowing the disinfectant time to take effect (see manufacturer's specifications), wipe the surface with a cean damp coth and then rub dry. 1 Remove trough 2 Press both catches inwards and pu the trough upwards Lift out the trough. 4 Remove the fan impeer. Remove visibe soiing with a disposabe coth and detergent. Wipe-disinfect the surfaces. After aowing the disinfectant time to take effect (see manufacturer's specifications), wipe the surface with a cean damp coth and then rub dry Turn the trough over. 5 Lift the air guide pate to the side to disinfect and cean. Remove visibe soiing with a disposabe coth and detergent. Wipe-disinfect the surfaces. After aowing the disinfectant time to take effect (see manufacturer's specifications), wipe the surface with a cean damp coth and then rub dry

102 Disinfecting/Ceaning/Steriising Stripping down Base frame/body Remove visibe soiing with a disposabe coth and detergent. Wipe-disinfect the surfaces. After aowing the disinfectant time to take effect (see manufacturer's specifications), wipe the surface with a cean damp coth and then rub dry. Remove any impurities near the sits of the sensor unit. Do not aow any moisture to enter the sensor. Do not disinfect the sensor unit by immersion or spraying. Contro pane Pu off the turn-and-press rotary knob. 183 Remove visibe soiing with a disposabe coth and detergent. Wipe-disinfect the surfaces. After aowing the disinfectant time to take effect (see manufacturer's specifications), wipe the surface with a cean damp coth and then rub dry. D Do not aow any moisture to enter the contro pane. Do not disinfect the contro pane by immersion or spraying. 195 Use ony the recommended ceaning agents and disinfectants. Otherwise, there is a risk of cracks forming in the transparent parts, e.g. due to the use of acoho. Do not use UV radiation on the incubator, because this treatment may cause cracks in the transparent components. 102

103 Disinfecting/Ceaning/Steriising Before reusing for a patient Before reusing for a patient Check that the system has been ceaned and disinfected in conformity with the reguations of the hospita. Reassembe the equipment with disinfected hands. Refit a equipment see "Stripping down", page 96. When inserting the trough, make sure that both hoders cick into pace. If the hoders of the trough are damaged: Ca DrägerService. Fitting the water connection pipe 1 Check the O-ring (2M ) for damage and repace if necessary. 2 Check the ocking vave for damage To make the water connection pipe easier to insta, tit the incubator. Connect the incubator to the mains power suppy. Switch on the incubator = press the on/off switch unti it cicks into position (see page 43). Tit the bed (see page 27). 3 Push the water connection pipe into the guide duct, hoding the LuerLock connection verticay at the top After overcoming a spring force, 4 Turn the water connection pipe counter-cockwise through 180 o and secure the ocking vave in the hoder

104 Disinfecting/Ceaning/Steriising Before reusing for a patient Assembing the doube wa Check parts for damage and repace if necessary. Fit the parts into the doube wa. Fit in the foowing order: 1 Seeve 2 Punger 3 Centering ug 4 Sea Inserting the drainage modue * into the piar eement Check parts for damage and repace if necessary. Push the drainage unit and the drainage cip back together. Make sure that they are aigned correcty! 5 Insert the drainage modue into the piar eement from the side unti it engages. The ug of the drainage cip must be facing outwards and the perimeter of the drainage modue must be fush with the piar eement. Cose the side fap Check that the incubator is ready for operation see "Before each use" on page 31. To remove possibe disinfectant residue, it is recommend running the incubator in standby mode. Switch on Caeo (see page 43). Activate air temperature contro (see page 44). Run Caeo at 37 o C with opened faps. If using a water container: Do not refi the water container unti just before pacing the patient in the incubator (see page 28)! If using a water bag: Do not connect the water bag unti just before pacing the patient in the incubator (see page 28)! * optiona equipment feature 104

105 Disinfecting/Ceaning/Steriising Care ist Care ist What How often How Reusabe components Connection tube Care intervas Repace weeky and with each change of patient Disinfect and cean Wipe a Ceaning and disinfecting machine b 93 o C c a. Use the recommended surface disinfectants (see page 95) or comparabe disinfectants. b. Use ony detergent. Do not use disinfectants that reease akai or chorine. Risk of corrosion! c. Observe nationa and internationa standards on ceaning, disinfecting and steriisation procedures (e.g. EN 285, EN 554, EN 556). Steriise Steam 134 o C c Water container Change of patient/weeky yes yes Water connection pipe Change of patient/weeky yes yes Doube wa Change of patient/ weeky yes Bore seeve, punger, centering ug, sea Change of patient/ weeky yes Hood Change of patient/ weeky yes Support Change of patient/ weeky yes Front fap Change of patient/ weeky yes Side fap Change of patient/ weeky yes Doube was Change of patient/ weeky yes Grommets etc. Change of patient/ weeky yes Drainage modue, drainage cip Change of patient/ weeky yes Bed Change of patient/weeky yes Mattress Change of patient/weeky yes X-ray drawer Change of patient/weeky yes Trough Change of patient/weeky yes Air guide pate Change of patient/weeky yes Fan impeer Change of patient/weeky yes Base frame Change of patient/weeky yes Contro pane Change of patient/weeky yes Rotary knob (contro pane) Change of patient/weeky yes Fresh air fiter Repace every 2 months 105

106 Maintenance intervas Maintenance intervas Disinfect and cean the incubator or the reevant parts before each maintenance operation, even when returning the equipment for repair purposes! Disconnect from the mains before each maintenance operation. Risk of eectric shock. Repaceabe parts: when necessary weeky every 2 months Fresh air fiter X X Grommets, seeves etc. O-ring, for water connection pipe Fan motor X a X Intervas every 6 months once a year a. Repace if the materia becomes britte or sticky or if strips of materia have become detached b. Repace after operating hours c. At the atest when changing patient d. At the atest when changing patient e. Measuring accuracy depends on oca geoogica and geographica conditions. The specified accuracy is ony appicabe if the scaes have been caibrated at the instaation site. every two years X b Who? Medica and technica personne Medica and technica personne Medica and technica personne Authorised technicians Lithium battery X Authorised technicians O2 sensors X Authorised technicians Skin temperature sensors Adhesive pads X c X d Medica personne Medica personne Mattress X Medica personne Maintenance: Device servicing and maintenance Caibration: X Authorised technicians O2 sensors X Authorised technicians Scaes X e X Authorised technicians 106

107 Disposa Disposa Disposa of the connection tube and fresh air fiter with househod waste. Disposa of O2 sensors and battery Do not throw into the fire. Risk of exposion. Do not force open: risk of chemica burns. Do not recharge the battery. Specia waste: Dispose of specia waste in accordance with nationa waste disposa reguations. Further information can be obtained from nationa and oca environmenta and egisative authorities and suitabe waste disposa companies. Disposa of incubator At the end of its usefu ife. Dispose of the incubator in conformity with nationa waste disposa reguations. or Hand the incubator over to a suitabe waste disposa company for disposa. Further information can be obtained from nationa and oca environmenta and egisative authorities. For countries subject to the EU directive 2002/96/EG: This device is subject to EU directive 2002/96/EG (WEEE). It is not registered for use in private househods, and may not be disposed of at municipa coection points for waste eectrica and eectronic equipment. Dräger Medica has authorized a firm to dispose of this device in the proper manner. For more detaied information, pease contact your oca Dräger Medica organization. 107

108 Disposa Care ist 108

109 Troubeshooting Error Messages Troubeshooting Error Messages Troubeshooting Error Messages Troubeshooting Fauts

110 Troubeshooting Error Messages Troubeshooting Error Messages A error messages are dispayed on the screen. They are isted in the tabe beow in aphabetica order. See aso "Aarm description" on page 136. Message Cause Remedy Duration audibe aarm muted Adjust. inoperabe The yeow bar LED on the contro unit ights up. Aarm sounded (1x). Air heater inoperabe Measured vaue fashes on the screen. The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x). Air temp. deviation above 1.5 o C (see "Configuration" on page 84) Measured vaue fashes on screen. The yeow bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (3x). Air temp. sensor inoperabe The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x). Air temperature too high Measured vaue fashes on screen. The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x). Caibrate O2 sensor Three fashing dashes on the screen instead of the measurement vaue. The yeow bar LED on the contro unit fashes. The centra aarm ight* comes on. The aarm tone sequence (3x) is sounded. Height adjustment defective. Motor tit position defective. Servomotor drive defective. Ca DrägerService. 15 min Air heater defective. Ca DrägerService. 1 min The specified toerance imit for deviation from the set vaue has been exceeded by a vaue either above the maximum or beow the minimum vaue. Air temperature sensors are defective. Incubator temperature above 38 o C. Incubator temperature above 40 o C. O2 caibration time expired. Reduce/increase humidity. Cose canopy, front fap and access ports. Check the set vaue and the configuration (page 80). Ca DrägerService. Remove externa temperature sources. Ca DrägerService. Switch off O2 modue. Ca DrägerService. Caibrate scae before weighing The scaes are not caibrated. Ca DrägerService. Connect skin 1 sensor Three dashes fash on screen in pace of the measured vaue. The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x). Probe for skin temperature (yeow) is not connected. Check connection and correct if necessary. 15 min 1 min 5 min 1 min 5 min * The centra aarm ight can be deactivated. See "Setting system parameters" on page

111 Troubeshooting Error Messages Message Cause Remedy Duration audibe aarm muted Device Error with number dispay. Continuous aarm tone, Red bar LED ights up. Fan inoperabe The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x). Godcap accumuator faut The yeow bar LED on the contro unit ights up. Audibe aarm sounded (1x). Heater temp. sensor inoperabe The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x). Device faut. Fan defective. Godcap rechargeabe battery defective. Godcap battery connection defective. Air heater temperature sensors defective. Humidifier inoperabe Water heater is defective. Measured vaue fashes on the screen. The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x). Humidity deviation above 10 % Canopy, front fap or access ports are open. Sensor defective. Humidity sensor inoperabe 3 fashing dashes on the screen. The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x). Key pad ocked Message dispayed and yeow bar LED ights up for 2 seconds when a button is pressed. Oxygen concentration beow 18 % Humidity sensor is defective. Button functions (set vaue input/weighing/ menu button) disabed. O2 concentration ess than 18 Vo.%. Switch off device and then switch on again. Ca DrägerService. Check fan impeer. Ca DrägerService. Ca DrägerService. Ca DrägerService. Switch off humidity modue. Ca DrägerService. Wait for start-up phase. Set vaue <85 %. Cose canopy, front fap or access ports. Check water suppy connection. Ca DrägerService. Switch off humidity contro. Ca DrägerService. Activate push button functions (page 86). Check that the correct gas is connected. Ca DrägerService. 5 min 10 min 1 min 1 min 1 min - 1 min * The centra aarm ight can be deactivated. See "Setting system parameters" on page

112 Troubeshooting Error Messages Message Cause Remedy Duration audibe aarm muted Oxygen deviation above 5 % (can be set on 3 or 5 % see "Configuration" on page 84) Measured vaue fashes on screen. The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x). Oxygen modue inoperabe 3 fashing dashes on the screen. The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x). Oxygen sensor deviation above 3 % Measured vaue fashes on screen. The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x). Oxygen sensor 1 inoperabe 3 fashing dashes on the screen. The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x) Oxygen sensor 2 inoperabe 3 fashing dashes on the screen. The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x) Oxygen vave faut Measured vaue fashes on screen. The yeow bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (3x). Scae inoperabe 3 short aarm tones Skin 1 ess than 0.5 o C above skin 2 (see "Configuration" on page 83) The measured vaues for skin temperatures fash on-screen. The yeow bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (3x). 112 Difference in measured O2 concentration is greater than 3 or 5 %. Vaues above 65 % O2 have been set. Controer of O2 modue is defective. Sensor 1 or sensor 2 is defective. Sensor for oxygen measurement is defective. Sensor 1 is defective. Sensor for oxygen measurement is defective. Sensor 2 is defective. O2 vave defective. The scaes are defective. Kangaroo mode aarm: temperature difference between the skin temperature (yeow) and periphera temperature (white) too ow. * The centra aarm ight can be deactivated. See "Setting system parameters" on page 82.. Fuy cose the hood, front fap, removabe bed, X-ray drawer, access ports and fiter hoder or fiter fap. Check O2 connection. Check O2 suppy via centra medica gas pipeine or O2 cyinder. Check configuration (page 80). Reduce O2 setting to 65 %. Ca DrägerService. Switch off oxygen modue. Ca DrägerService. Switch off oxygen modue. Ca DrägerService. Switch off oxygen modue. Ca DrägerService. Switch off oxygen modue. Ca DrägerService. Switch off O2 modue. Ca DrägerService. Ca DrägerService. Check patient's heat exchange. Check configuration (page 80). 2 min 1 min 1 min 1 min 1 min 1 min 15 min

113 Troubeshooting Error Messages Message Cause Remedy Duration audibe aarm muted Skin 1 more than 4.0 o C above skin 2 (see "Configuration" on page 83) The measured vaues for skin temperatures fash on-screen. The yeow bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (3x). Skin 1 sensor faut 3 fashing dashes on the screen. The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x). Skin 1 temp. deviation above 0.5 o C (can be set between 0.3 and 1.0 o C see "Configuration" on page 84) Measured vaue fashes on screen. The yeow bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (3x). Skin 1 temperature above 39 o C Measured vaue on screen fashes. The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x). Skin 1 temperature beow 36.0 o C (see "Configuration" on page 83) Measured vaue on screen fashes. The yeow bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (3x). Skin 2 sensor faut 3 fashing dashes on the screen. The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x) Skin 2 temperature above 39 o C Measured vaue on screen fashes. The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x). Kangaroo mode aarm: temperature difference between the skin temperature (yeow) and periphera temperature (white) too high. Temperature sensor incorrecty attached to patient. Sensor for core temperature is defective. The specified imit vaue for deviation from the set vaue has been exceeded. Periphera temperature too high. Kangaroo mode aarm: Skin temperature is faing beow the aarm imit. Temperature sensor incorrecty attached to patient. Sensor for periphera temperature measurement is defective. Periphera temperature too high. * The centra aarm ight can be deactivated. See "Setting system parameters" on page 82.. Check patient's heat exchange. Check configuration (page 80). Check that temperature sensor is correcty attached to the patient. Repace sensor. Check that the sensor is correcty attached to the patient. Cose the canopy, front fap or access ports. Switch off externa heat sources. Remove doube was. Change configuration (page 80). Check that sensor is correcty attached to the patient. Switch off externa heat sources. Check whether doube was can be removed. Increase heat suppy to the patient. Check configuration. Check that temperature sensor is correcty attached to the patient. Repace sensor. Check that sensor is correcty attached to the patient. Switch off externa heat sources. Check whether doube was can be removed. 15 min 5 min 5 min 2 min 15 min 5 min 2 min 113

114 Troubeshooting Error Messages Message Cause Remedy Duration audibe aarm muted Skin 2 temperature beow 34.0 o C (see "Configuration" on page 83) Measured vaue on screen fashes. The yeow bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (3x). Water empty, pease refi Measured vaue fashes on screen. The yeow bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (3x). Wrong oxygen sensor 1 Message on screen fashes. The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x). Wrong oxygen sensor 2 Message on screen fashes. The red bar LED on the contro unit fashes. Centra aarm indicator ights up.* Intermittent audibe aarm is sounded (5x). Kangaroo mode aarm: Periphera temperature is faing beow the aarm imit. Temperature sensor incorrecty attached to patient. Water container is empty. Air bubbe in transfer set. Wrong sensor in O2 modue. No measurement can be performed after repacing the oxygen sensor. Wrong sensor in O2 modue. No measurement can be performed after repacing the oxygen sensor. Increase heat suppy to the patient. Check configuration. Check that temperature sensor is correcty attached to the patient. Top up the water tank to the Fu eve marking. Repace the water bag. Remove air bubbe from transfer set. Ca DrägerService. Switch off O2 contro. Ca DrägerService. Switch off O2 contro. 15 min 15 min 1 min 1 min * The centra aarm ight can be deactivated. See "Setting system parameters" on page

115 Troubeshooting Fauts Troubeshooting Fauts A fauts are isted in the tabe beow in aphabetica order. See aso "Aarm description" on page 136. Faut Cause Remedy Base frame cannot be set to the tited position. Motor overheating. Wait for at east 2 minutes. After this period, titing is again possibe for a few seconds (10 %). The fu duty cyce is ony avaiabe after a pause of 54 minutes. Motor defective. Ca DrägerService. Height adjustment does not switch off. Switch defective or oose contact. Motor defective. Ca DrägerService. Height adjustment not possibe. Lifting motor overheating. Wait for at east 2 minutes. After this period, height adjustment is again possibe for a few seconds (10 %). The fu duty cyce is ony avaiabe after a pause of 54 minutes. Lifting motor defective. Ca DrägerService. The red bar LED on the contro unit ights up. Continuous audibe aarm tone. Audibe aarm cannot be muted. Serious device faut. Ca DrägerService. Red LED at symbo fashing, Power faiure aarm. Check power suppy. intermittent aarm tone is sounded. Connect power suppy to mains. Ca DrägerService. Short beep signa (3x) is sounded. Whie setting a set vaue, the rotary knob Press rotary knob or cance input. is not pressed within 20 seconds. The yeow LED in the aarm button is it. Aarm muting is active. Deactivate aarm muting. If the machine does not operate as expected pease ca DrägerService. 115

116 116

117 Technica Data Technica Data Technica Data Environmenta conditions Operating data Performance characteristics Measurement and contro parameters Dimensions Cassification

118 Technica Data Technica Data Environmenta conditions In norma operation Temperature Atmospheric pressure Reative humidity During storage/transport Temperature Atmospheric pressure Reative humidity 20 o C to 35 o C 600 hpa to 1060 hpa 10 to 95 %, no dew formation 20 o C to 60 o C 210 hpa to 1060 hpa 10 to 95 %, no dew formation Operating data Eectrica power suppy 100 V / 110 V / 120 V / 127 V / 220 V to 240 V AC (pease specify in your order) 50 Hz / 60 Hz Max. current consumption at 100 V 10 A* Max. current consumption at 110 V 9.2 A* Max. current consumption at 120 V 8.7 A* Max. current consumption at 127 V 9.1 A* Max. current consumption at 220 V 5.4 A* Max. current consumption at 230 V 5.5 A* Max. current consumption at 240 V 5.6 A* Leakage current V / 50 Hz / 60 Hz 150 µa Leakage current V / 50 Hz 250 µa Leakage current V / 60 Hz 300 µa Heater power Air heater Water heater Buit-in socket strip Max. overa current consumption of a sockets at a power suppy votages 500 W 140 W 2 A Max. eakage current: By connecting devices to the socket strip the overa eakage current may be increased to an unacceptaby high eve. Where appicabe, nationa imits must be observed. The operator is responsibe for adhering to the specified maximum overa eakage current. Europe (IEC / EN ): Permissibe overa eakage current 500 µa Max. eakage current of the socket strip 250 µa with 50 Hz power suppy 200 µa with 60 Hz power suppy USA (UL ): Permissibe overa eakage current 300 µa Max. eakage current of the socket strip 150 µa Height adjustment and titing Duty cyce 10 % Shut-off mode 6 minutes ON, 54 minutes pause O2 inet pressure min. 300 kpa, max. 600 kpa * This vaue takes into account the current consumption of the buit-in socket strip. 118

119 Technica Data Performance characteristics Warm-up time Increase in O2 concentration from 21 to 60 Vo.% Humidification Air veocity over the bed Fresh air suppy CO2 fush, conforming to IEC/EN /105.1 Max. avaiabe CO2 concentration in the incubator Bed titing Operating noise inside the canopy 20 minutes from 20 o C to 31 o C (at 20 o C ambient temperature) <10 min Heating of steriised Aqua dest. or demineraised water <8 cm/second up to 30 L/min <0.5 Vo.% Infinitey variabe up to 13 o ±2 o tit ange on both sides 47 ±2 db(a) Partice fiter NaC pass voume 6 % Measurement and contro parameters The specified vaues depend on the environmenta conditions. Air temperature contro Measuring principe Measuring range Measuring accuracy Set vaue range Skin temperature contro Measuring principe Measuring range Measuring accuracy Set vaue range NTC, 2 x 13 o C to 42 o C ±0.8 o C 20 o C to 39 o C in 0.1 o C increments* <28 o C and >37 o C (extendabe with confirmation) NTC 13 o C to 43 o C ±0.3 o C 34 o C to 38 o C in 0.1 o C increments >37 o C (extendabe with confirmation) O2 contro Measuring principe Eectrochemica sensor (capiary) Measuring range 18 Vo.% to 99 Vo.% Measuring accuracy ±3 Vo.% Infuencing factors Atmospheric humidity <1.5 % Set vaue range 21 Vo.% to 75 Vo.% in 1 Vo.% increments >40 Vo.% (extendabe with confirmation) With a gas pressure of 400 kpa, the actua vaues are between 65 and 77 Vo.%. Reative humidity contro Measuring principe Capacitive Measuring range 10 % r.h. to 99 % r.h. Measuring accuracy ±10 % Set vaue range 30 % r.h. to 99 % r.h. in increments of 1 %** * The set vaue must be at east 3 o C above the ambient temperature. At ower ambient temperatures, the increased heat oss may prevent high set vaues (39 o C) being fuy attained. Use the doube wa. ** The maximum achievabe humidity depends on the air temperature and the ambient humidity. The humidity which can be achieved in the Caeo reduces in the event of higher air temperature and ower ambient humidity. 119

120 Technica Data Weighing scaes Measuring range Max. 10 kg Min. 250 g with taring Min. 0 g without taring Measuring accuracy* (e) With taring 2 g (250 g to 2.5 kg) 5 g (2.5 kg to 10 kg) Without taring 5 g (0 g to 2.5 kg) 10 g (2.5 kg to 10 kg) Resoution (d) 1 g (0 kg to 10 kg) MEDIBUS interface (optiona) Dräger communication protoco for medica devices Seria interface for connecting up to medica devices which compy with IEC/ EN , for transmitting the incubator status data (actua vaues, set vaues, aarms). A signas are eectricay isoated from the patient section (eectric strength 1500 V). For a detaied description of the interface protoco pease see the manua "Dräger RS 232 MEDIBUS Protoco Definition" (German), (Engish) and "MEDIBUS for Dräger Paediatric Devices" (German), (Engish) Caeo Pin pin sub-d connector GND RxD TxD Connector casing GND TxD RxD Monitor Pin pin sub-d socket 087 Service interface (optiona) For connecting to the Remote Service Box for service purposes Nurse ca (optiona) Potentia-free changeover contact Outet for the connection to in-house ca systems (nurse ca) Connection 3 to 5 wi be cosed and the nurse ca is activated in the event of an aarm with a high risk potentia or if there is a serious equipment faut. Connection 1 to 3 wi be cosed and the nurse ca is not activated in the event of an aarm with a medium or ow risk potentia * The measuring accuracy depends on the geoogica and geographica conditions at the instaation site. Caibration before deivery is not sufficient to guarantee the specified accuracy in some regions. On-site caibration is recommended in such cases. 120

121 Technica Data Centra aarm (optiona) Operating votage Current Power Outet for the connection to in-house ca systems (nurse ca) Max. 24 V Max. 250 ma Max. 3 W Dimensions Unit (Width x Depth) Height of overa unit with variabe piar Height of overa unit with fixed piar Height of mattress surface (variabe height) Height of mattress surface (fixed height) Bed (width x depth) 1167 mm x 687 mm 1220 mm to 1520 mm 1270 mm/1370 mm/1470 mm 800 mm to 1100 mm Optionay 875 mm, 950 mm or 1050 mm 645 mm x 500 mm Weight Overa weight max. basic equipment Tota oad 230 kg 130 kg 66 kg Overview of max. oads 38 mm poe, max. 10 kg per poe 25 mm poe, max. 3 kg per poe 38 mm poe, max. 5 kg per poe 25 mm poe, max. 3 kg per poe max. 5 kg max. 5 kg Wa side max. 7 kg max. 5 kg Hande side max. 2 kg (on both side) 121

122 Technica Data or aternativey with instaed monitor support tray (2M ) max. 20 kg max. 20 kg max. 5 kg max. 5 kg Wa side max. 5 kg Hande side max. 7 kg max. 2 kg (on both sides) Cassification according to EC Directive 93/42/EEC Appendix IX Cassification of the accessories described: Conforming to EC Directive 93/42/EEC Appendix IX Cass IIb Cass I UMDNS Code Universa Medica Device Nomencature System Standards Device conforms to IEC / EN , IEC / EN Encosure protection cass I Eectromagnetic compatibiity tested to IEC / EN and IEC / EN ( ) 10 V/m Skin temperature sensor Type BF 122

123 Description Description Description Operating principe Accessibiity Bed and mattress Twins in the Caeo (Caeo Twincubator ) X-rays Weighing scae Airfow Routing Air temperature contro Skin temperature measurement ThermoMonitoring Skin temperature contro Kangaroo Mode O2 enrichment Cosed-oop humidity contro Ceaning Mode Safety systems Aarm description Key to the symbos used Labeing Order ist Parts List

124 Description Description Operating principe Caeo is an incubator for premature chidren and sick neonates up to a body weight of 5 kg and a body ength of 55 cm. Inside the Caeo patient "capsue", the patients are suppied with a controed amount of heat and, if necessary, humidity * and oxygen *. The user/operator can adapt the incubator cimate to suit the needs of the patient, by adjusting the air temperature, reative humidity * and oxygen content *. The patient capsue acts as a speciay protected zone for the patient. The ambient air is therefore fitered before it enters the interior. Accessibiity Caeo provides exceent accessibiity to the patient for a norma and intensive care requirements: for this purpose, the four access ports (two on each ongitudina side) have been designed with especiay arge dimensions (Caeo JumboPorts ). The two ongitudina sides can be competey foded down. In addition, two smaer side faps at the head and foot ends of the patient can be foded down. If necessary, the canopy cover can aso be propped up from two different sides or can be fuy removed in an emergency in order to provide free accessibiity to the patient from above. A tota of ten generousy dimensioned hose through-hoe seeves ensure cear organisation and routing of hoses and cabes through the incubator. Each corner has two such seeves, which can be easiy removed, especiay during "Kangarooing" (where the patient rests in direct contact on the mother's or father's chest), to ensure ceary manageabe cabe and hose routing even when the patient is outside the patient capsue. Two other arge tubing ports are ocated in the side faps at the head and foot end. In addition, the canopy cover contains an aperture, e.g. for feeding the patient. * optiona equipment feature 124

125 Description Bed and mattress The bed is especiay arge in order to provide sufficient space for the patient under a variety of conditions such as hose instaation, the use of supports and storage aids, the treatment of twins in a singe incubator and turning over the patient, e.g. for reintubation in the incubator. To prevent decubitus, an extra-soft mattress is used (SoftBed Caeo * ). The bed can be pued out when the front fap is open. It can be eectricay tited in order to obtain either a head-up position (Trendeenburg position) or head-down positon (±13 o ). Twins in the Caeo (Caeo Twincubator ) Twins can be paced together in Caeo if there are no medica objections and if their tota combined weight does not exceed 5 kg. When treating twins in an incubator, Caeo must be operated in air contro mode. The treatment of twins together in a singe incubator can hep to prevent post-nata separation trauma. Direct skin contact between the twins can have positive effects on the deveopment of the patient, as is the case with "Kangaroo" mode (see page 130). If necessary, the incubator air temperature may have to be reduced, because the patients mutuay warm each other by direct contact and woud therefore risk overheating. During operation in air temperature mode, the skin temperature of the first patient can be monitored with the yeow temperature sensor, whist the second temperature channe (white probe) can be used to monitor the skin temperature of the second patient. Possibe dangers when treating twins in a singe incubator may occur e.g. from the risk of mutua infection or of confusing the patients when administering medicines or foods. Take the appropriate protective precautions when using X-rays. If twins require different ambient temperatures or an ambient air with different oxygen or humidity saturation eves, the patients shoud be treated in two separate incubators. * see Caeo Accessories range. 125

126 Description X-rays With the X-ray drawer, which is accessibe from outside, the patient can be X-rayed in the incubator without having to be removed or ifted. The X-ray drawer can be pued out without having to open the Caeo front fap. Unnecessary disturbance of the patient is therefore avoided. A grid is provided on the X-ray drawer to hep aign the X-ray cassette. Weighing scae * With the optionay fuy integrated incubator weighing scae, the weight of the patient can be determined without having to remove the patient from the protective cimate of the incubator. Even with the buit-in scaes, the use of the X-ray drawer remains possibe. To weigh, the patient must be ifted once in order to reset the scaes to a zero point. The patient can then be paced back on the mattress. The current and previous weight are dispayed for information. The resuts of the ast 30 weighs can be graphicay represented in the trend dispay. Weighing without ifting the patient again (without new tare measurement) is possibe. This option is usefu when the weight has to be taken again for checking purposes shorty after the first weigh, or if e.g. the weight with fu and empty nappies has to be determined. The entire weighing procedure is accompanied by short audibe signas, so that the operator's fu attention can be paid to the patient. When weighing the patient inside an incubator, take care to ensure that hoses and cabes are not jammed in the bed or distort the weight measurement. If the weight is determined with hoses and cabes, the best resuts are obtained if the hoses and cabes are removed from the ventiation hose hoder of the bed and aid on the surface of the bed as horizontay and as strain-free as possibe. The weighing scae in the Caeo comprises four weighing eements ocated underneath the bed, an eectronic measuring and anaysis unit and a specia page on the contro monitor. In norma mode, the entire bed rests on these four weighing eements under the bed. A safety system prevents the weighing eements being damaged if oads of more than 10 kg are appied. When removing the bed, it shoud be raised sighty by turning two fixing knobs so that it can then be pued out smoothy. * optiona equipment feature 126

127 Description Airfow Routing The heated and humidified air fows into the canopy from both sides. It is guided up the inside of the front fap, aong the canopy cover and then down the two transverse sides by suction. The air from the interior is mixed with fresh ambient air by an air fiter and is circuated by a fan impeer. Aong this path, the air is channeed past an eectricay powered heater and is humidified if necessary *. The patient ies in a cam zone with ow airfow speeds. Heat oss due to fow is kept to a minimum. When opening the arge faps or access ports (Caeo JumboPorts ), an efficient hot air curtain remains to prevent cooing in the patient compartment Air temperature contro The user sets the desired air temperature in the patient capsue by means of the contro pane (set vaue for air temperature in air temperature mode). The current air temperature is measured by the air temperature sensor in the patient capsue (at the patient's head end of the incubator) and is then compared to the set vaue. If the set vaue is greater than the actua measured air temperature, the heater receives the signa to appy more heat. The air temperature inside Caeo therefore increases. If the set vaue is ower than the actua measured air temperature, the heater receives the signa to appy ess heat. The air temperature inside Caeo drops. If the current air temperature deviates from the set vaue by more than ±1.5 o C ** an aarm is triggered. The audibe signa of this aarm can be muted by the user. As soon as the deviation in the measured air temperature is within ±1.5 o C ** of the set vaue (see above), the aarm is canceed. * optiona equipment feature ** other configurations possibe 127

128 Description Caeo temperature contro characteristics The desired temperature increase is achieved rapidy due to the high heating power. A temperature reduction takes onger, due to the good therma insuation of the incubator. Note on setting the air temperature set vaue in the Caeo : The patient has imited heat oss due to airfow, because the airfow rate above the mattress is ow. heat oss through the mattress, because the mattress is we insuated. heat oss due to evaporation, provided that humidity * is set reativey high (greater than 60 %). heat oss due to radiation, provided that the doube wa ** is instaed. Skin temperature measurement Two skin temperature sensors can be connected to measure the skin temperature (yeow skin temperature sensor) and periphera temperature (white skin temperature sensor). The measured vaue of the yeow skin temperature sensor is used to reguate the incubator heater in "skin temperature contro mode". ThermoMonitoring The term ThermoMonitoring refers to the continuous measurement and dispay of a centra temperature and a periphera temperature. Instead of the centra temperature, a near-core skin temperature can be used, as is the case e.g. during skin temperature contro at the incubator. The continuous dispay of the difference between these two temperatures permits eary detection of the occurrence of cod stress. Heat stress, thermoreguation probems and e.g. infections can aso be more rapidy detected by dispaying the two temperature vaues and evauating their difference. Consequenty, Caeo provides the possibiity of switching between a standard screen with arge numeric digits and a trend screen showing the trend graph of a maximum of two temperatures. In this way, the difference between near-core skin temperature and periphera temperature required by ThermoMonitoring can be dispayed continuousy. In addition, by means of trend anaysis, vaues from the past can be caed up for subsequent expanation, e.g. the onset of sickness symptoms or the deveopment of hypotherma stress. * optiona equipment feature ** see Caeo Accessories range 128

129 Description Vaues going back a maximum of seven days in the past can be accessed. In addition, the desired time window can be set (between 3 hours and seven days). With the "Trend Main Page" option seected from the main menu, the user can preconfigure which trend to dispay when switching over between numerica dispay and trend dispay. In addition to dispaying the two skin temperatures, the dispay can show the foowing parameters: air temperature, humidity *, oxygen * and the weight *, with a memory of up to 30 weight readings. Skin temperature contro Caeo is operated in skin temperature mode, this mode can be set on the contro unit. At east the yeow skin temperature sensor (skin 1) must be pugged in and correcty attached to the patient. The user sets the set vaue for the skin temperature on the contro pane. The actua skin temperature of the patient is measured by the yeow skin temperature sensor (skin 1) and compared with the set vaue. The difference between the set vaue and the measured actua vaue is used to contro the air temperature in Caeo between a minimum of 20 o C and a maximum of 39 o C. If the set vaue is greater than the currenty measured skin temperature (skin too cod), the heater receives a signa to suppy more heat. The air temperature in Caeo rises, thereby aso increasing the skin temperature of the patient. If the set vaue is ower than the actua measured air temperature (skin too hot), the heater receives a signa to appy ess heat. The air temperature inside Caeo drops, thereby aso reducing the skin temperature of the patient. The onger the deviation between the set vaue and the actua measured vaue persists, the more powerfuy heat is suppied by the heater (if the skin is too cod) or the more the air temperature in Caeo is reduced (if the skin is too hot). Skin temperature Set vaue Actua vaue contros Skin temperature Actua vaue Set vaue contros Air temperature Air temperature 126 Waiting for the controer to sette. The patient's skin temperature varies frequenty, e.g. due to food intake or medica care. Deviations of a few tenths of a degree are norma. Therefore: Ony change the set vaue of the skin temperature if the core temperature needs to be changed. If the actua temperature deviates from the set skin temperature by more than ±0.5 o C **, an aarm is sounded. This audibe aarm can be muted by the user. As soon as the measured vaue deviates from the set vaue by ess than ±0.5 o C ** (see above), the aarm is deactivated again. * optiona equipment feature ** other configurations possibe 129

130 Description Kangaroo Mode Kangaroo mode (Caeo KangarooMode ) simpifies the operation of the incubator when the baby is removed to have direct skin contact with the mother or father ("Kangarooing"). This mode provides the user with extended monitoring functions in order to detect overheating and overcooing of the patient even when the patient is outside the patient capsue. Other Caeo features designed to ensure easier remova of the patient from Caeo for "Kangarooing": the removabe tubing grommets (seeves) in the corners of the incubator, the faciity to ower the patient's bed by up to 80 cm (with the variabe "height adjustment" option) the minima space requirement of the fod-down front fap of the Caeo. The incubator is switched over to Kangaroo mode on the contro pane after pressing the "Menu" button. Once Kangaroo mode is activated, the foowing functions are automaticay activated: Switchover to "Standby" mode Since the baby is no onger inside Caeo during "Kangarooing", the baby's skin temperature shoud no onger be used as a measure for controing the air temperature inside the incubator. Instead, the incubator shoud be set up so that after terminating "Kangarooing" and putting the patient back inside Caeo, the incubator shoud aready be heated to the same temperature and cimate as when the baby was taken out of the incubator. Consequenty, during "Standby" mode, the foowing ogic is appied: If Caeo was previousy operated in skin temperature mode, it is switched over to air temperature mode for the duration of Kangaroo mode. The set vaue for the air temperature is automaticay set to the average air temperature over the ast three minutes. The previous set vaue for the skin temperature is stored in buffer memory. If Caeo was previousy operated in air temperature mode, the setting remains unchanged. Automatic aarm muting Since, generay, after switching over to Kangaroo mode the user opens the fap and takes the baby out of the incubator, aarms triggered by opening the faps are no onger meaningfu. Consequenty, a aarms that woud normay be activated by opening the arge faps are automaticay suppressed for the next 4 minutes see page

131 Description Activation of specia Kangaroo mode aarms During Kangarooing, the skin (and core) temperature of the patient is frequenty found to rise. However, in some cases, the patient is cooed. Consequenty, the core or skin temperature patient must be reguary monitored. In order to perform this monitoring with as itte nuisance as possibe to mother/father and baby, Caeo provides the faciity for activating specia Kangaroo mode aarms during operation in Kangaroo mode. These aarms are set in the configuration. The foowing aarm imits are set: Lower aarm imit for the skin temperature (Skin 1; T1) = Skin aarm T1 min. Lower aarm imit for the periphera temperature (Skin 2; T2) = Skin aarm T2 min. Lower aarm imit for the difference between T1 and T2 = Aarm Tmin. Upper aarm imit for the difference between T1 and T2 = Aarm Tmax. These kangaroo aarms have the foowing significance: Skin T1 min. aarm The aarm is triggered as soon as the skin temperature (T1, yeow skin temperature sensor) fas beow the set vaue. Skin T1 37 C Aarm deactivated Aarm imit 36 Skin T1 aarm activated t (min) 217 Skin T2 min. aarm The Skin T2 min. aarm is triggered as soon as the periphera temperature (T2, white skin temperature sensor) fas beow the set vaue. Skin T2 C Aarm deactivated 34 Skin T2 aarm activated t (min) 218 T min. aarm The aarm is triggered if the difference between Skin T1 and Skin T2 is ess than the set vaue (risk of hyperthermia). C Aarm deactivated Skin T1 T = Skin T1 Skin T2 <1.0 C Aarm activated t (min)

132 Description T max. aarm This aarm is triggered if the difference between Skin T1 and Skin T2 is above the set vaue (risk of hypothermia). C Aarm deactivated Skin T 1 T >4 C Skin T 2 Aarm activated t (min) 220 Each of these aarms can either be set or switched in advance to "OFF". However, immediatey after switching over to Kangaroo mode, automatic aarm muting is activated for the first four minutes, incuding for a specia Kangaroo aarms, in order to give the patient time to adapt to the new environment. O2 enrichment When adjusting the oxygen concentration in the patient capsue, the additiona oxygen suppy is metered by a microprocessor-controed vave. The oxygen is thereby channeed into the air routing system, so that it is heated and humidified with the air. 132

133 Description Cosed-oop humidity contro * Caeo provides the possibiity for hygienic humidification of the incubator air. In this system, water is suppied from a separate water container (water bag or water tank) and heated. With cosed-oop humidity contro, the desired reative humidity is set, and Caeo then automaticay reguates the evaporator output of the humidifier. Caeo can contro the humidity in two ways: By manua input of the desired reative humidity or Automatic humidity contro (AUTO humidity). Manua humidity contro A vaue between 30 % and 99 % reative humidity can be set. The actua humidity concentration is measured by the humidity sensor in the patient capsue (integrated in the sensor modue at the patient's head end of the capsue). If the set vaue is higher than the actua measured reative humidity (air too dry), the humidifier receives a signa to aow more water vapour into the patient capsue. The reative humidity inside Caeo therefore rises. If the set vaue is ower than the actua measured reative humidity (air too humid), the humidifier receives a signa to aow ess water vapour into the patient capsue. The reative humidity inside Caeo therefore fas. AUTO humidity When AUTO mode is set, the set vaue for the reative humidity is cacuated and set automaticay by the system as a function of the air temperature (see graph). This function is based on the observation that sma and reativey immature patients require both a higher air temperature and higher reative humidity than arger patients. Consequenty, in AUTO mode, the set vaue for reative humidity is cacuated and set as a function of the air temperature. The ower the air temperature setting, the ower the set vaue for reative humidity. Set vaue for reative humidity [% r.h.] Automatic cosed-oop humidity contro Set vaue for air temperature [ C] 105 * optiona equipment feature 133

134 Description Ceaning Mode * Ceaning mode is ony avaiabe if Caeo is equipped with humidity contro. Ceaning mode (Caeo CeanSwitch ) simpifies the task of ceaning Caeo and must be used after ending operation of Caeo (see page 77), after the water suppy has bee disconnected and the water suppy connection pipe has been removed (see page 97). Ceaning mode may ony be used if Caeo is empty. Ceaning mode is activated on the contro pane after pressing the "Menu" button and seecting the "Ceaning Mode" option. In Ceaning mode, the water heater is made to run dry. For this purpose, the humidifier is heated to above 100 o C, so that a remaining water in the humidifier is evaporated. After the residua water has been evaporated, the temperature in the humidifier is maintained at a temperature higher than 100 o C for approximatey 10 minutes onger. Then the humidifier is aowed to coo down. During or after ceaning mode, condensation may form under the aggregate housing of the Caeo! When there is no onger any danger of burns for the user, a message is dispayed on the screen to inform the user that Ceaning Mode is compete and that the incubator can be dismanted for disinfecting and ceaning (see "After competing ceaning mode" on page 98). * optiona equipment feature 134

135 Description Safety systems After switching on the incubator, a sef-test is performed to test a memory addresses of the microprocessor contro system and the faut-free running of the program segments. The functions of the contro eements and feedback messages are tested by switching on and off. This test is aso performed at ten-minute intervas during operation. In this test, a modues instaed in the incubator are tested. Any error message wi be dispayed even when the defective modue is switched off. Any unauthorised operating state wi cause Caeo to switch off the heater or water heater as a safety precaution. An additiona temperature sensor in the hot air duct restricts the heat output in cases were the contro oop woud otherwise operate the heater at fu power for a ong period. Typica situations incude e.g. faps opened for a ong period, high set vaues (39 o C) at ow ambient temperatures (<22 o C) or a party covered hot air duct. This safety system consideraby reduces the risk of burns caused by excessive heating of the surfaces next to the air outet or by the hot air stream itsef. 135

136 Description Aarm description Visua signas on the contro pane 1 Red bar LED * 2 Yeow bar LED ** 3 Red LED next to the symbo D 1 2 Caeo distinguishes between 5 different aarm priorities: 3 Serious device fauts Device faut: Continuous tone that cannot be muted, and 1 Red bar LED ights up Power faiure: Intermittent aarm tone that cannot be muted, and 3 the red bar LED next to the symbo ights up. 233 Warning (highest danger eve) Aarm tone sequence (5 beeps), which can be muted, 1 Red bar LED fashes, Centra aarm indicator ights up *** and Measured vaue fashes. For exampe: Skin 1 temperature above 39 o C Caution (medium danger eve) Aarm tone sequence (3 beeps), which can be muted, 2 Yeow bar LED fashes, Centra aarm indicator ights up*** and Measured vaue fashes. For exampe: Air temp. deviation above 1.5 o C Advisory (ow danger potentia) Aarm tone (1x), which can be canceed. 2 Yeow bar LED ights up, For exampe: Adjust. inoperabe Indication of extended setting ranges No aarm tone 2 Yeow bar LED ights up, Exampe: Extended temperature range >37 o C is activated. * Warning immediate action is required ** Caution rapid action is required *** The centra aarm ight can be switched off. See "Setting system parameters" on page

137 Description Information No bar LED ights up, no acoustic aarm signa For exampe: Humidity deviation above 10 %. Information messages on the active aarm are dispayed on screen. If another aarm occurs whie the aarm tone is muted, the aarm tone wi be reactivated. See "Aarm suppression" on page 86. Centra aarm indicator 1 The centra aarm indicator ights up when an aarm occurs. 1 The centra aarm indicator does not ight up with an aarm if the aarm muting button is pressed, or the centra aarm indicator has been deactivated in the Configuration. See "Setting system parameters" on page Key to the symbos used 216 Aarm muting Cance, stop setting procedure Weighing scae Bed tit Bed can be pued out Radioscopy, X-ray drawer can be removed Caution: pease note specia information on this function in the Instructions for Use. Type BF Information Pease wait. Function wi be activated shorty. Disabe keypad Waiting for input from rotary contro Day and Night Measurement range overfow, see page 89 Nurse ca 137

138 CH01 Description Labeing 1 T1 Connections for skin temperature sensors, page 48 1 T2 2 Auxiiary power sockets, page 29, Technica Data, Σ 2 A max. page 118 Type designation for T 2 H 250V IEC127-2/V fuses for auxiiary power sockets Type designation F 10A UL for system fuses Equipotentia bonding On/off switch, page 31 Namepate 244 REF 2M50555 SN ARXX-0000 V~ 230 A 3,5 Hz 50 2M50555ARXX-0000 Made in Germany 2010 Dräger Medica GmbH Lübeck, Germany kpa min. 600 kpa max. O2 page 19 4 Aquadest page

139 Description 1 Never eave baby unattended when page 31 doors are open! Do not tit canopy forwards, page 33 3 WARNING! page 9 and Never bock or obstruct air vents! Risk of burning! page Aways cose X-ray page 24 tray tighty! 5 max 5 kg, 11bs page max 7 kg, 14bs page Do not pace Use max. 6 min. any objects on within the base pate, 60 min. page 26 8 page Batt.: Interna battery, VARTA Lithium 3V CR 2NP page 106 MEDIBUS Interface connections, page page Aquadest page No spray disinfection! page 105 Wipe disinfection ony! (inside) Service Switch off device and aow heater to coo down for 90 min. before touching the surface! page 42 page Max 2.5/10 kg page 120 Min 250 g e 5/10 g d 1/1 g 139

140 Description 1 Castor without brake function, page 26 Stop

141 Order ist Order ist Designation and description Part No. Caeo 2M / Caeo incubator with air and skin servo 2M modes, ThermoMonitoring (temperature probes optiona) With arge front and rear access panes, 6 extra arge access ports (Jumbo Ports ), detachabe hood which opens to either side, eectronic bed incination (±13 o ); 10 extra arge tubing ports, integrated X-ray tray, integrated mains distribution box (4 sockets), arge graphic EL dispay with Dräger rotary knob, trend dispay and arge numerica dispay, centra aarm ight. Options Troey with fixed height Feature Troey with variabe height Feature Standard humidity Feature O2 contro Feature Doube wa Feature Bed scaes, integrated Feature Drawer Feature Interface Feature (2x RS232, 1x nurse ca) Accessories for servo controed oxygen O2 centra suppy system hose 3M NIST EN-F O2 centra suppy system hose 5M NIST EN-F CS hose O2 3M, DIN-ST M CS hose O2 5M, DIN-ST M CS hose O2 5M without connector M Oxygen hose 5M NIST, SW, w/o connect. M Adapter O2 DIN/NIST M Adapter O2 NIST/NF couping M Oxygen CS hose 3M DIN BL M Oxygen CS hose 5M DIN BL M MiniOx M

142 Order ist Designation and description Part No. Sheves, hoders, infusion accessories Shef, monitor 2M Swive tabe 2M Poe 38/600 2M Poe 38/310 2M Poe 25/600 2M Basic poe 2M Infusion support, 38 mm poe 2M Rai-mounted infusion hoder M Compact rai 2M Tray 3020 M Accessories for bed area Ventiation Hose hoder Caeo SoftBed MX Fixation Set Caeo (France ony) 2M Accessories for secretion aspiration Bronchia aspiration, 0.5 bar 2M O2 Air connection hose, 3M (back) M O2 Air connection hose, 5M (back) M Air/O2 CS hose, 3M DIN M Air/O2 CS hose, 5M DIN M Wire basket 510 M Wire basket 150 M Wire basket 300 M Wire basket 600 M Hoder for itter bags M Set of 100 itter bags M Accessories for phototherapy Phototherapy 4000 ( V) 2M Phototherapy 4000 ( V) 2M Phototherapy 4000 (100 V) 2M Stand for phototherapy unit M Accessories for care Cay 2M DC starter pack Caeo 2M "Hug it" storage aid 2M "Caeo" incubator hood 2M Cot bumper storage aid 2M Storage aid set 2M

143 Order ist Designation and description Part No. Spare parts and wearing parts Caeo canopy 2M "Feeding grommet" pug 2M Doube wa, compete 2M Water container set, compete 2M Cap for the water container 2M Nozze for the water container 2M Transfer set MX Water connection pipe 2M O-ring, for water connection pipe 2M Caeo Fresh air fiter (20 pcs) MX ThermoTrace, core (set of 5), yeow MX ThermoTrace, periphera (set of 5), white MX ThermoPad (set of 50) MX Oxy-Trace Incu. MX Tubing grommets, arge 2M Tubing port 2M Feeding grommet, hood 2M Caeo SoftBed MX Vacuum mattress 2M Lithium batteries, 3V/1400 mah Mattress cover (bue-nose kitten) 2M Cay 2M Upgrade kits 2M Servo controed humidity 2M O2 contro 2M Weighing scaes, integrated 2M Caeo canopy 2M Doube wa, compete 2M Drawer 2M Interface, RS 232 2M Hose fixing device (optiona) 2M Technica Documents on request 143

144 Parts List Parts List As an aternative to the part numbers isted in the Order List, the foowing parts and devices, which are no onger suppied by Dräger, may be used. Designation and description Part No. Babyguard PT M PT 800 2M Bronchia aspiration 2M Hose hoder 2M Stand for phototherapy 2M O2 distributor with cyinder connection 2M Oxydig, O2 measuring and warning device, inc. sensor capsue Adhesive pads 2M

145 Index Index Access port Accessibiity Accessories Activate the sef-test Air temperature contro Adjusting the set vaue Aarms Description Using Airfow routing, Description Aarm descriptions Aarm imits Aarm muting Aarm suppression Aarm suppression mode AUTO humidity, Description Basic poe Bed Removing Setting to the horizonta position Titing Before each use Before reusing for a patient Before using for the first time , 31 Bronchia aspiration system Cance, stop setting procedure Canopy , 33 Care Care intervas Care ist Cause , 115 Centra aarm indicator Changing over between air/skin temperature contro Check audibe warning tone Check fresh air fiter Check power faiure aarm Checking readiness for operation Audibe warning tone Bed Bed titing mechanism Canopy Fresh air fiter Front fap Height adjustment mechanism Power faiure aarm Sef-test Side fap Trough Cassification Ceaning Ceaning Mode Description Cosed-oop humidity contro Description Compact rai Configuration Aarms Language/date/time O2 sensor information Software information System parameters Contro unit , 14 Day and Night Day/Night setting Description Accessibiity Air temperature contro Airfow routing Aarm Auto humidity Bed and mattress Centra aarm indicator Ceaning Mode Cosed-oop humidity contro Kangaroo mode Manua humidity contro O2 enrichment Operating principe Safety systems Skin temperature contro Skin temperature measurement Twins in the Caeo Weighing scae X-rays Dimensions Disinfectant Disinfecting Disinfecting/Ceaning/Steriising Doors, ports and bed Access port Bed , 27 Canopy Drawer Front fap Height adjustment Humidifier systems Integrated socket strip Seaed through-hoes Side fap X-ray drawer Drain the water heater Drawer , 25 Eectrica safety Environmenta conditions Equipotentia bonding

146 Index Fire hazard from suppy of O Fitting accessories Front fap , 32 Front view , 139 Height adjustment Hose hoder for ventiation hoses Hot air duct , 40 Humidifier systems Humidity contro Aarms Manuay adjusting the set vaue Setting AUTO humidity Using Water shortage Infusion support Interfaces Kangaroo mode Activating Aarms Configuration Description Ending Tubing grommets , 69 Labeing Liabiity Loads, max Lock key pad functions Maintenance Manua humidity contro, Description Materias Measurement and contro parameters MEDIBUS interface Menus Ceaning Mode Kangaroo mode Seecting Trend dispay Monitor shef Mounting the accessory equipment Mutipe-pug adapters Nurse ca O2 contro Adjusting the set vaue Aarms Using O2 enrichment with O2 contro O2 enrichment, Description O2 monitor O2 sensor information Operating data Operating principe Operation Ending Precautions Switching on Order ist Performance characteristics Phototherapy, Precautions Poe extensions Possibiities for nursing and therapy Precautions Preparation Remedy , 115 Removing the water suppy Reusabe components Risk of burns , 94 Rotary knob Safety Safety systems, Description Screen Brightness Contrast Seaed through-hoes Setting aarms Aarm imits Initia voume of the aarms Kangaroo mode Side fap , 32 Side view, connections , 138 Skin temperature contro Adjusting the set vaue Aarms Description Using Socket strip Software information Sound intensity Spirit eves Steriising Switch off Switching on Switching over between standard/trend screen Swive space Swive tabe Swive zone Symbos Symbos used Technica Data ThermoMonitoring Titing the bed , 36 Transport, In-house Tray

147 Index Trend anaysis Ending Seecting the time interva (zoom) Trend seection Trend dispay Seecting Setting the time interva (Zoom) Troubeshooting - Error Messages Troubeshooting - Fauts Trough Twins in the Caeo, Description Used in Vacuum mattress Water bag Water connection pipe Water container Water shortage Weighing With tare Without tare Weighing scae Description What's what Contro unit Front view , 139 Labeing Side view, connections , 138 Top view, bed X-ray drawer X-rays, Description

148 These Instructions for Use appy ony to Caeo with Seria No.: If no Seria No. has been fied in by Dräger these Instructions for Use are provided for genera information ony and are not intended for use with any specific machine or device ç Directive 93/42/EEC concerning Medica Devices Dräger Medica GmbH Germany z Moisinger Aee D Lübeck y FAX ! Ony for Canada Distributed by Draeger Medica Canada Inc. z 120 East Beaver Creek Road Suite 104 Richmond Hi Ontario L4B 4V1 y (To Free) FAX GA en Dräger Medica GmbH Edition: (Edition: ) Subject to ateration