Step-By-Step Guide
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CRITICOOL® Infant Step-By-Step Guide Version 6.3
TARGETED TEMPERATURE MANAGEMENT: CritiCool® Infant Step-by-Step Indication for use: CritiCool is a thermal regulating system, indicated for monitoring and controlling patient temperature
1.
Fill the water tank with sterile water / 0.22 micron filtered water
2.
Place the CritiCool unit at the desired location and lock the front wheels
3.
4.
5.
Power ON the system. After a short Self-Test, a “Select Mode” screen appears. The water inside CritiCool will begin to cool. Select and place the appropriate CureWrap® on the bed or underneath patient (see CureWrap Instructions for Use) • Ensure the CureWra p cla mps a re OPEN • Do not secure the wra p on the pa tient yet!
Connect Core cable to the Core socket on the right and Surface cable to the Surface socket on the left of the system, matching colors, gray to gray and green to green, and then plug the temperature probes into the appropriate adapter cables. Attach the Core and Surface temperature probes to the patient
6. 7.
• Do not pla ce Surfa ce tempera ture probe undernea th the CureWra p • CritiCool ca nnot thermoregula te without a Core rea dout
Connect water hoses to the wrap and to the CritiCool device • Wa ter a utoma tica lly sta rts to flow into the wra p
8.
Return to the touch screen. TTM is the default mode and is already highlighted. Touch OK to select TTM.
9.
The default Set Point (SP) Temperature is 33.5°C. If required, change the Set Point by using the Set Point key:
10.
Wait until the CureWrap is filled with water – When filling is complete, secure the CureWrap to the patient (see CureWrap Instructions for Use)
Thermoregulation with CritiCool has now begun. Note: It is norma l to see slight fluctua tions in the pa tient's tempera ture a s a physiologica l response.
CONTROLLED REWARMING The patient’s temperature is gradually increased every hour by a pre-set step. 1.
Choose Select Mode from the drop-down menu on the upper right side of the screen
2.
Select Controlled Rewarming mode and touch OK to confirm
3. 4.
"Switching to AutoRewarm Mode" message appears • As long a s this messa ge a ppea rs, the Rewa rming ha s not sta rted yet!
Confirm that the Core temperature readout is valid, touch OK and start the rewarming
The patient's temperature will now begin to rise gradually to the required Target Temperature. • The CritiCool rewarming Target Temperature default is 36.5°C • The user can select Target Temperature between 30°C and 40°C using the Target Temperature Key (See user manual instructions) • A Rewarming step (per hour) should be pre-set according to the clinical protocol • CritiCool uses a default Rewarming step of 0.2°C/hour
© Belmont Medical Technologies Part # DDT136009 Rev. 001
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CRITICOOL® Infant Step-By-Step Guide Version 6.3
MANUAL REWARMING The user can manually increase the patient’s temperature gradually. The user increases the Set Point temperature manually, as per the rewarming protocol, until the target temperature is achieved.
1. 2.
Use Set Point key to select the Set Point. • Note: It is recommended to ra ise the Set Point tempera ture in steps of 0.2°C-0.3°C per hour
MESSAGES “Core Readout too Low” Trigger:
Core reading is at least >2.0°C below Set Point
Indicates:
This message may indicate wrong placement of the Core temperature probe
Impact:
The system will stop the water flow to the CureWrap and halt thermoregulation! 1.
If the message appears:
Check that the core temperature probe is correctly inserted into the patient and that the temperature reading is valid 2. Reposition the Core temperature probe if needed 3. Then touch OK to confirm Core temperature reading In Controlled Rewarming, it is especially important to ensure the core temperature reading is correct BEFORE pressing the OK button. If the OK button is pressed before confirming the core temperature is correct, thermal regulation algorithms may be affected. Thermoregulation will continue and the screen will return to TTM mode. Note: If the system continues to measure low Core temperature, this message will be repeated every 30 minutes.
MESSAGES "Low Core Temperature. Thermoregulation is Continuing…” Trigger:
If the difference between the patient's Core temperature and the Set Point is >0.8°C but <2.0°C
Indicates:
This message may indicate wrong placement of the Core temperature probe
Impact:
Thermoregulation continues
If the message appears:
• Check that the core temperature probe is correctly inserted into the patient. • Keep following the patient’s temperature.
AFTER USE CARE: Before storage, or at least once a week 1. 2. 3.
Change the system mode to Standby. After waiting a few seconds, close the clamps on the CureWrap and detach the CureWrap and probes from the patient. Drop NaDCC into the water tank per NaDCC manufacturer recommendations and run for 30 minutes in Standby Mode. Empty the water tank: Select Empty from the Services menu (see User Manual for instructions). CritiCool will alert you when the tank has emptied. Clean and disinfect CritiCool according to hospital routine care.
*This document does not replace the requirement to read the entire CritiCool 6.3 user manual. 780 BOSTON ROAD BILLERICA, MA 01821, USA T: 866.663.0212 F: 978.663.0214 WWW.BELMONTMEDTECH.COM
© Belmont Medical Technologies Part # DDT136009 Rev. 001
TECHNICAL SUPPORT USA: 855.397.4547 WORLDWIDE: +1.978.663.0212 [email protected]
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