Giraffe OmniBed Operators Manual Rev ZAB

Table of Contents General Information Incubator/Warmer Operating Modes...1-1 Control Modes...1-2 Controls and Displays...1-2 Incubator Operation...1-3 Warmer Operation...1-4 Operating Mode Transition...1-5 Options...1-5 Alarms...1-12 Options Alarms...1-17 Alarm Table...1-19 Cable Connections and Mechanical Controls...1-21 Checkout Mechanical Checks...2-1 Controller Checks...2-2 Option Checks...2-4 Operating the OmniBed Basic Operating Procedure...3-1 Operation as an Incubator...3-3 Operation as a Warmer...3-3 Attaching the Skin Temperature Probe...3-4 Additional Operating Procedures...3-5 Accessing the Baby...3-5 Raising the Canopy...3-6 Raising and Lowering the Bed...3-6 Tilting the Bed...3-6 Using the X-ray Tray...3-7 Administering Oxygen...3-7 Installing wristlets...3-7 Using the humidifier...3-8 Thermalink option...3-9 Uninterruptible Power Supply (UPS)...3-10 Using the In-Bed Scale...3-11 Mounting Options...3-12 Gas Cylinder Holder...3-13 Tubing Management Arm...3-13 Oscillator Port Cover...3-13 Maintaining the OmniBed Repair Policy...4-1 Maintenance schedule...4-2 Disassembling the OmniBed for complete cleaning...4-3 Cleaning and disinfecting individual components...4-5 Options

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Appendix Specifications...A-1 Performance...A-2 Appendix B Additional Safety Information...B-1 i

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Definitions Table of Contents Warnings Before using the OmniBed, read through this entire manual. As with all medical equipment, attempting to use this device without a thorough understanding of its operation may result in patient or user injury. This device should only be operated by personnel trained in its operation under the direction of qualified medical personnel familiar with the risks and benefits of this type of device. Additional precautions specific to certain procedures are found in the text of this manual. Complete the Checkout procedures in this manual before putting the unit into operation. If the unit fails any portion of the checkout procedure it must be removed from use and repaired. Do not use the OmniBed in the presence of flammable anesthetics; an explosion hazard exists under these conditions. Always disconnect the power before performing service or maintenance procedures detailed in this manual. Apply power only if you are specifically instructed to do so as part of the procedure.

Cautions

Thoroughly air dry the OmniBed after cleaning it with flammable agents. Small amounts of flammable agents, such as ether, alcohol or similar cleaning solvents left in the incubator can cause a fire. Only competent individuals trained in the repair of this equipment should attempt to service it as detailed in the Service Manual (6600-0343-000). Detailed information for more extensive repairs is included in the service manual solely for the convenience of users having proper knowledge, tools and test equipment, and for service representatives trained by Ohmeda Medical. Note: A Note provides additional information to clarify a point in the text. CAUTION: A Caution statement is used when the possibility of damage to the equipment exists.

Symbols

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

Attention! Consult the manual for more information.

Type B equipment. Functional Earth Terminal

Protection Earth Terminal

Alarm Silence

Alternating Current

Always lower the bed to its lowest position before mounting options to ensure proper clearance with the caster legs and the floor. Do not lean against equipment.

Do not place items in path of heat.

Hot surface, do not touch MAX

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Maximum European Union Representative ii

General Information Incubator/Warmer operating modes

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The Giraffe® OmniBed® combines the features of an incubator and a radiant warmer. When used as an incubator, a fan and heater beneath the bed circulate warm air through the closed infant compartment. The baby can be accessed through portholes or doors. When you require even greater access to the baby, the canopy can be raised and the compartment walls can be lowered. As the canopy raises, doors open to expose a focused radiant heating element inside the canopy that maintains the baby’s temperature like a warmer. The OmniBed allows the full range of clinical procedures without the disruptive intervention of transferring the baby from one care bed to another.

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General Information Control Modes

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Controls and Displays The controls and displays, located at the top of the uprights at the head of the bed, can be divided into two areas: on the left are the buttons and numeric temperature displays that control the temperature regulation of the infant, on the right are the graphics display screen and control knob that control all the options. Temperatures can be shown in Celsius or Fahrenheit degrees: the default setting is Celsius.

1. Alarm Light 2. Alarm Silence Button 3. Options Control Knob 4. Graphics Screen 5. Options Displays and Controls 6. Temperature Regulation Controls 7. Control Mode Buttons 8. Temperature/Power controls 9. Numeric Displays 10. Power Failure Indicator 2

Temperature Regulation At start up, the OmniBed prompts you to select one of the control modes. If the unit was used in the last 2 hours, it will ask if you would like to retain the settings you used previously. If you are using the OmniBed as an incubator (canopy closed)- you select baby or air mode. If you are using the OmniBed as a warmer (canopy open)- you select baby or manual mode. If you start with the canopy open, or open the bed during the first minutes after start up, and you do not select a control mode, the graphics screen will show the “Warm Up Mode” message and the radiant heater will automatically run at 100% power. When ten minutes has elapsed and you still have not selected a control mode, the graphics display will show the “Preheat Zone” message and the radiant heater will then run at the preheat level; the default preheat level setting is 25% power.

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The OmniBed has two control modes when used as either an incubator or a warmer. With the compartment closed, the OmniBed controls the inside temperature comparing air temperature readings from the probe on the compartment wall to a setting you enter using the control panel (air mode) or from a probe attached to the baby’s skin (baby mode). With the canopy raised, the OmniBed controls radiant heater output from a heater power percentage setting that you enter using the control panel (manual mode) or by using temperature readings from a probe attached to the baby’s skin (baby mode).

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7 10 8 9 1. Greater than 37°C Indicator 2. Greater than 37°C Button 3. Baby Mode Indicator 4. Baby Mode Button 5. Manual Mode Indicator 6. Manual Mode Button 7. Air Mode Indicator 8. Air Mode Button 9. Boost Air Curtain Button 10. Boost Air Curtain Indicator 11. Decrease Temperature/Power 12. Increase Temperature/Power

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General Information Incubator operation When operating as an incubator, select the control mode by pushing the Air Mode Button at the bottom or the Baby Mode Button at the top of the temperature regulation controls.

The Air Mode Indicator lights when air mode is selected. Two temperature values are shown in the lower third of the display: the value shown in the larger numerals at the top is the air temperature measured by the compartment probe, the value shown below in smaller numerals is the air set temperature. The set temperature can be adjusted using the temperature/power buttons located at the left of the mode buttons. Temperature settings from 20° to 37°C can be entered in 0.1°C increments. Temperatures from 37° to 39°C can only be entered after pressing the >37°C Button. Note: When operating the OmniBed as an incubator in the air mode with a probe attached to the infant’s skin, the infant’s temperature will also be shown in the baby temperature section at the top of the display.

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Air Control Mode

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1. Air Set Temperature 2. Air Temperature 3. Air Mode Button

Baby Control Mode The Baby Mode Indicator lights when the baby mode is selected. 2 Two temperature values are shown in the upper third of the display: 1 the value shown in larger numerals at the top is the temperature measured by the probe on the infant’s skin, the value shown below in smaller numerals is the baby set temperature, which can be adjusted by using the temperature/power buttons located at the left of the mode buttons. Temperature settings from 35° to 37°C can be entered in 0.1°C increments. Temperatures settings from 37° to 37.5°C can only be entered after pressing the >37°C Button. Note: When operating the OmniBed as an incubator in the baby mode, the compartment temperature will also be shown in the air temperature display section at the bottom of the display.

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1. Baby Mode Button 2. Baby Set Temperature 3. Baby Temperature

Boost Air Curtain

An indicator on the button lights when the Boost Air Curtain is activated. Running the fan at higher speed, however, will raise the noise level in the infant compartment. To deactivate the Boost Air Curtain, push the button a second time to resume Whisper Quiet™ mode. The Boost Air Curtain will automatically shut off after twenty minutes and the indicator light will go out. The button must be pressed again to continue for another twenty minutes at high speed.

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If the OmniBed is being operated as an incubator, and the doors will be open for an extended length of time, pushing the Boost Air Curtain Button increases fan speed and improves open door thermal performance.

Note: The fan speed may increase automatically due to other requirements without pushing the Boost Air Curtain button, and in these cases the button indicator will not light. 1-3

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General Information Warmer Operation When operating as a radiant warmer, select the control mode by pushing the Manual Mode Button in the middle or the Baby Mode Button at the top of the controls. 2

Manual Control Mode

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Note: when operating the OmniBed as a warmer in the manual mode with a probe attached to the infant’s skin, the infant’s temperature will also be shown in baby temperature section at the top of the display.

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The Manual Mode Indicator lights when the manual mode is selected. The power setting is indicated by the bar graph LED in the middle third of the display. The percentage of full power can adjusted in 5% increments using the temperature/power buttons located to the left of the mode buttons. 1. Manual Mode Button 2. % Radiant Heater Power

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Baby Control Mode

Note: when operating the OmniBed as a warmer in the baby mode, the bar graph in the middle of the display will also indicate the percentage of power at which the heater is currently running.

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The Baby Mode Indicator lights when baby mode is selected. Two temperature values are shown in the upper third of the display: the value shown in larger numerals at the top is the temperature measured by the probe on the infant’s skin, the value shown below in smaller numerals is the baby set temperature. The set temperature can be adjusted by using the temperature/power buttons located to the left of the mode buttons. Temperature settings from 35° to 37°C can be entered in 0.1°C increments. Temperature settings from 37° to 37.5°C can only be entered after pressing the >37°C Button.

1. Baby Mode Button 2. Baby Temperature 3. Baby Set Temperature

Operating with Two Temperature Probes 1

The OmniBed is equipped with two patient temperature probe jacks for co-bedding of twins, or to monitor a single baby’s temperature from two anatomical sites. They are identified as probe 1 and probe 2 on the jack panel behind the bed. Temperature readings for probe jack 1 are displayed in Baby Temperature at the top of the numeric displays. Temperature readings from probe jack 2 are displayed in the upper right corner of the graphic display labeled Probe 2.

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Note: The OmniBed will only Baby Control from a probe attached to jack 1. When both jack 1 and jack 2 are used, the unit will not operate in the Baby Control mode.

1. Probe 2 Temperature

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General Information Operating Mode Transition If the canopy is raised while the OmniBed is being operated as an incubator, it automatically switches to operation as a radiant warmer. If it was in the baby mode as an incubator, after the canopy is raised it will continue to operate in the baby mode, using the same baby set temperature you entered earlier. If the canopy is raised while the OmniBed is being operated in the air mode as an incubator, it will operate in the manual mode as a warmer. The radiant heater will activate at the preheat level (the factory set preheat level is 25%; this can be adjusted on the service screen), and the OmniBed will prompt you to select a heater power percentage. If the canopy is lowered while the OmniBed is being operated as a radiant warmer, it automatically switches to operation as an incubator. If it was in the baby mode as a warmer, after the canopy is lowered it will continue to operate in the baby mode, using the same baby set temperature you entered earlier. If the canopy is lowered while the OmniBed is being operated in the manual mode as an warmer, it will operate in the air mode as an incubator. The compartment heater and fan will start at the last air set temperature saved since power-off, or at the preheat temperature of 33°C, and the OmniBed will prompt you to select an air set temperature.

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4 1. Help 2. Timer 3. Trending 4. Comfort Zone 5. Setup/Customize 6. Scale 7. Day 8. Time 9. Date* 10. Baby Information 11. Servo Oxygen 12. Humidity 13. Options

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Options

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* The date may be set using the service screen; see the service manual.

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The OmniBed may be equipped with a number of options. Menu icons of these options are shown on the graphics display at the right of the control area. Pressing the knob activates the screen. Rotating the control knob either direction scrolls through each menu icon; highlighting each icon as it is selected. Pressing in the control knob selects the highlighted option and brings up its menu screen. Note: Some of the features shown are optional. These icons will not appear on your display if Giraffe is not equipped with that particular option.

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Help: Select the Help icon (question mark) to bring up the “Help” screen. The screen will present a menu of topics on how your OmniBed unit works. “Alarms” list all the alarm messages on the left and more detailed descriptions of the alarm and how to react to a given alarm on the right. “Controls” identifies the various button and switches on the control panel. “Operation” lists basic procedures on the left and step by step instructions on the right. Select Done/Exit to return to the option icon screen.

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General Information

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If you select the Help icon during an alarm condition, the description of that particular alarm will automatically appear on the screen; it is not necessary to scroll through the help menu options to find it.

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Timer: Select the Timer icon (clock face) to bring up the “Timer” menu screen. Select Start/Stop to start timer; select it again to stop the timer. Select Pause/Resume to pause display number while timer continues in back-ground. Scroll down and select Reset to return the timer to zero. Select the Apgar Tone symbol (musical note) to activate or deactivate a tone after one minute and every 5 minutes after the timer was started. Select Done/Exit to return to the option icon screen. Note: If the OmniBed was powered up as a warmer, this audio tone will sound as a default; if the unit was started as an incubator, the audio tone will be off as a default.

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General Information

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Note: The trending screen does not retain data that is not currently shown on the display. For example, if you have selected that only 2 hours of data be trended, after the display has been running for 3 hours, the first hour of data is lost.

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screen. The graph will plot temperatures from two patient skin probes (if they are installed in the jacks), the air temperature read at the compartment probe, and the set temperature entered during the time period. The graph also shows what control modes the OmniBed was in during the trended period, and heater power percentage if it was operated as a radiant warmer. By selecting “Humid” in the “Display” option the “Modes” graph is replaced by a graph plotting the percent relative humidity read by the compartment humidity sensor. Turn the knob to scroll through 2, 8, 24, or 96 hours and press it to select the desired trending time period.

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Trend: Select the Trending icon (graph) to bring up the “Trending”

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General Information

Important: The comfort zone screen is only a reference information screen used for calculating suggested temperature ranges* during air control mode, or suggest temperatures to pre-warm the bed prior to admitting the baby, from data you supply. You must manually enter the temperature settings using the buttons on the temperature regulation controls.

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Comfort Zone: Select Comfort Zone icon (thermometer and face) to bring up the “Comfort Zone” screen.

Push the knob to select weight then enter the patient’s weight range in grams by turning the knob in 100 gram increments. Push the knob to enter the weight value. Scroll to Gest age. Push the knob to select Gest age then turn the knob to find the patient’s gestational age in weeks.

Push the knob to select Post natal age then turn the knob to find the age in days. Push the knob to enter the postnatal age.

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Push the knob to enter the gestational age value and scroll down to Postnatal age.

The suggested incubator air set temperature range will now appear in degrees Celsius (or Fahrenheit if you have changed the temperature unit default on the Setup Screen). If you wish to use this suggested temperature setting, enter it using temperature control buttons to the left of the screen. Select done/exit to return to the option menu screen. Note: The natal day, or day of birth, is considered day of life number one. * Adapted from Sauer, Dane and Visser, Archives of Disease in Childhood, 1984. 59, 18-22.

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General Information

Setup/Customize: Select Setup/Customize icon (wrench) to bring up the setup screen.

Select “Alarm Volume” to choose from 4 volume levels. Select “Man Temp Alarm” to choose from 3 settings: choose “Off” to deactivate the alarm, choose “.5” to set the alarm to activate when a 0.5°C difference is read between a set temperature and the baby probe temperature, or choose “1.0” to set the alarm to activate when a 1.0°C difference is read between a set temperature and the baby probe temperature. “Off” is the default setting. The “Man Temp Alarm” can be used in either the warmer Manual mode or the incubator Air mode. However, to select a set temperature you must first select the Baby mode, input the set point, then select the Manual or Air modes.

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Select “Temp Units” to change temperature displays from the default Celsius setting to Fahrenheit.

This optional alarm provides you audiovisual notification in the Air control mode if the skin probe temperature drifts outside the range you select. For example, if you select 0.5°C on the setup screen, and then set 36.5°C as the skin temperature threshold in the Baby mode before switching to the Air mode, the alarm will sound if the baby’s skin temperature falls below 36°C or rises above 37°C while in the Air mode. If this alarm is not required, or if the skin temperature probe is not being used, “Man Temp Alarm” should always be set to “Off” on the setup screen. Select “Patient Alarm” to choose between 2 settings: choose “.5” ” to set the alarm to activate when a 0.5°C difference is read between a set temperature and the baby probe temperature, or choose “1.0” to set the alarm to activate when a 1.0°C difference is read between a set temperature and the baby probe temperature.”1.0” is the default setting. The “Patient Alarm” is used in either the incubator or warmer Baby modes. Select “Canopy Pedal” to disable or enable foot pedals that raise the canopy. When the pedal is disabled, the canopy can still be raised or lowered with the buttons on either side at the head of the bed. Select “Set Clock” to change the time setting in hours, minutes and seconds on a 24 hour clock. Note: Early versions of the software have no “Set Clock” menu option on the set up screen. On these units the time must be set using the service screen. See the service manual on accessing the service screen. Select “Elevate” to disable or enable the foot pedals that raise or lower the bed height. Note: If the canopy or bed elevate pedals have been disabled on the service screen they cannot be enabled using the setup screen. Select “Baby Info” to bring up the Baby Info screen. By turning the knob until the desired character appears and then pushing the knob, you can enter up to a 9-character name. Blanks and periods can also be selected. Selecting “ ” allows you to go back and change the previous character. Selecting “ ” enters the letters you have selected for names that are less than 9 characters long. By selecting the month, day and year numbers, you can enter the baby’s birth date. These settings will be saved for 2 hours after power down. Select Done/Exit to return to the option icon screen. Note: A service screen allows you to change preheat % power, alarm criteria, disable the canopy control pedal and other default settings. See the service manual for a description of this screen and how it may be accessed. 1-9

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General Information

Note: A FiO2 > 26% message indicates a leak or higher oxygen levels from other equipment. For more information see Option Alarms later in this chapter.

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Note: Calibration is required only if the Servo Control Oxygen System is activated. The Giraffe Servo Control Oxygen System uses fuel cell type sensors that generate specific voltages depending on the oxygen concentrations that are present. The microprocessor stores this measurement and compares it with the setting you enter using the display, opening and closing the valves that allow supply oxygen into the baby compartment. Fluctuations in fuel cell temperature and humidity are compensated for by the microprocessor. The temperature of the oxygen sensor housing under the bed is always slightly higher than the baby compartment, so condensation that would affect accuracy will not occur.

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Servo Control Oxygen System is a fully integrated option available on the Giraffe® OmniBed® During operation noise levels in the infant compartment are imperceptible. Remote oxygen sensors mount inside the unit underneath the bed. Oxygen concentration is set using the OmniBed’s or Incubator’s display. Calibration, prompted once a day by the display, requires only a single push of a button. The Servo Control Oxygen System allows the administration of oxygen with virtually no intrusion to either you or the baby.

The Servo control system should be calibrated before each patient and at least once during every 24 hours. The system must be connected to an oxygen source during calibration. The display will prompt you when the system requires calibration. Calibration is initiated from the Set Up (wrench icon) screen by selecting Cal Oxygen. Once you start it, calibration is automatic and takes less than five minutes. A bar graph indicates progress toward completing calibration. If for any reason you wish to discontinue calibration before it is completed, turning the control knob in either direction will cause the word Cancel to appear on the calibration screen. Pushing in the control knob will discontinue calibration.

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The servo-control system must be calibrated at the same atmospheric pressure in which it is to be used. Operation at atmospheric pressures other than that present during calibration may result in readings outside the stated accuracy for the unit.

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Select the O2 icon to bring up the Servo Control Oxygen System screen. The actual concentration of oxygen, from the sensor underneath the compartment, is displayed in large numerals. The set percentage of oxygen by volume, ranging from 21 to 65%, is shown in smaller numerals. Adjust the set percentage to the desired level by pushing the knob to select the setting. Turn the knob to increase or decrease percentage then push the knob to enter the new setting. Exit the menu. The actual and set oxygen concentrations will remain displayed.

CAUTION

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Servo-Humidity: Select the Humidity icon to bring up the humidity menu screen. The actual relative humidity measured inside the infant compartment is displayed in large numerals. The set relative humidity is shown in smaller numerals. Adjust the relative humidity percentage to the desired level by pushing the knob to highlight the setting. Turn the knob to increase or decrease the humidity setting then push the knob to enter the new setting. Exit the menu. The actual and set relative humidity will remain displayed. To deactivate the humidifier, set the humidity level to “off”.

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Scale: Available if the in-bed scale is installed. Select the Scale icon (balance scale) to bring up the scale menu screen. Select Weigh to start the weighing procedure. An audio prompt sounds and the screen will prompt you to lift the baby from the bed surface while the scale zeros. It then tells you to replace the baby on the bed and calculates the infant’s weight. Select Trend to plot a series of weights on a graph. Select Modify to change to smaller increments on the Y axis, and so enlarge the differences shown between weights plotted on the graph. The axis will automatically adjust to the nearest 500 gram threshold base. Select Done/Exit to return to the option icon screen.

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General Information

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General Information 1 2

Alarms

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An alarm message appears across the top graphics display screen identifying the various alarm conditions. In addition, the alarm light at the top of the control panel housing activates and an audio alarm sounds.

With the exception of the system failure and power failure alarms, all audio alarms can be silenced by pressing the alarm silence button located above the graphics screen. At the end of the alarm silence period the alarm reactivates if the alarm condition has not been resolved. If two or more alarm conditions occur at the same time, the audio signal for the highest priority alarm will sound while all the alarm messages will alternately appear at the top of the graphics screen. If you select the Help icon during an alarm condition, the description of that particular alarm will automatically appear on the screen.

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The audio tone varies with the alarm’s priority: an alternating two tone alarm indicates a critical alarm that triggers automatic heater shutdown; an intermittent single tone alarm is used for other alarms. The alarm light remains on continuously for over temperature and system failure alarms; it blinks for all other alarms.

1. Alarm Light 2. Alarm Silence Button 3. Alarm Display

High Air Temperature

Active only when the canopy is closed and the unit is in the air mode, the Low Air Temperature alarm triggers when the temperature measured by the compartment probe falls more than 3.0°C below the air temperature you set previously. The audio alarm is suspended for a ten minute period when you push the alarm silence button. This alarm usually occurs when the doors are open without using Air Curtain Boost, when the canopy has just been lowered, or when both doors are open at the same time. Monitor the unit closely to assure the air temperature increases. Note: The Low Temperature alarm is suspended for 60 minutes when the unit is first turned on, for 30 minutes after the canopy is closed, and 15 minutes after the set point is increased.

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Low Air Temperature

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Active only when the canopy is closed and the unit is in the air mode, the High Air Temperature alarm triggers when the temperature measured by the compartment probe exceeds the air temperature you set previously by more than 1.5°C. The audio alarm is suspended for ten minutes when you push the alarm silence button. This alarm usually occurs when you have just lowered the air set temperature, or when you have changed from baby to air control mode. Monitor the unit closely to assure the air temperature decreases.

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General Information Baby Hot - Check Probe 1

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Active whenever the unit is in the baby mode, the Baby Hot alarm activates when the temperature measured by the probe on the baby skin is 1.0°C above the baby temperature you set previously (this can be adjusted to 0.5°C using the Setup/Customize screen). Monitor the patient carefully and check the attachment of the probe on the baby’s skin. The audio alarm is suspended for a ten minute period when you push the alarm silence button. This alarm can also be activated in the Manual and Air modes. See setup screen.

Baby Cold - Check Probe 1

Air Temperature Greater Than... Alarms

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Active whenever the unit is in the baby mode, the Baby Cold alarm activates when the temperature measured by the probe on the baby skin is 1.0°C below the baby temperature you set previously (this can be adjusted to 0.5°C using the Setup/Customize screen). Monitor the patient carefully and check the attachment of the probe on the baby’s skin. The audio alarm is suspended for a 15 minute period when you push the alarm silence button. This alarm can also be activated in the Manual and Air modes. See setup screen.

These alarms warn of abnormally high temperatures read by the compartment probe in all control modes and automatically shut off the heater. They are not self resetting; once the alarms are activated they must be manually reset by pushing the alarm silence button, even if the alarm condition is resolved. Computer independent circuitry continuously measures and compares the compartment temperature with factory set levels. Visual and audible alarms are activated and the heater shuts off if the compartment temperature exceeds these preset levels, independent of the software. The functionality of all other alarms is continually checked by the microprocessor software during normal operation. If a fault occurs in any of this circuitry, an indicator lights and a tone is sounded. Additionally, a computer independent “watchdog” circuit will reset the computer, turn off the heater, and activate the alarms in the event of a microprocessor failure or software error.

Active only when the canopy is closed and the set temperature is below 37°C, the Air Temp >38°C alarm activates in the air mode when temperatures greater than 38°C are read by the compartment probe. This alarm may occur when you have just lowered the air set temperature, or when you have changed from baby to air control mode. Monitor the unit closely to assure the air temperature decreases.

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Air Temperature >38 C

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General Information Air Temperature > 40 C

Disconnected Baby Probe 1 Active in all modes, the Disconnected Baby Probe alarm activates when the baby skin probe jack is unplugged at the jack panel. Check that jack is fully inserted. Check that the Man Temp Alarm has not been set in error.

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In the baby mode, the Air Temp >40°C alarm activates whenever temperatures greater than 40°C are read by the compartment probe. Check for external heat sources on the baby (sunlight, phototherapy lamp, etc.)

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In the air mode, when the air temperature is set above 37°C by using the >37°C key, the Air Temp >40°C alarm activates when temperatures greater than 40°C are read by the compartment probe.

Active only when the canopy is closed, the Fan Failure alarm triggers when the fan is missing or malfunctioning and there is inadequate air flow. The heater is automatically turned off. Remove the baby from the unit. Service required.

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Fan Failure

Active only when the canopy is closed, the Fan Always in High Speed alarm activates when the heater temperature sensor malfunctions.

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Fan Always in High Speed

Active only when the canopy is closed, the Air Probe Disconnect alarm activates when the compartment air temperature probe is disconnected. The heater is automatically turned off. Confirm connection of compartment probe to unit.

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Air Probe Disconnect

Active only when the canopy is closed, the Air Probe Failure alarm activates when the compartment air temperature probe malfunctions. The heater is automatically turned off. Remove the baby from the unit. Service required.

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Air Probe Failure

If the canopy is stopped or is prevented from reaching it’s fully raised or fully closed position, this alarm activates. All heat is shut off until the canopy reaches its travel limit.

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In Transition - Heat Off

Active in all modes, baby Probe 1 Failure alarm activates when the difference in the two thermistors in the skin probe in jack one is greater than 0.5˚C for over 6 minutes. Replace probe. 1-14

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Baby Probe 1 Failure

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General Information Active in all modes, baby Probe 2 Failure alarm activates when the difference in the two thermistors in the skin probe in jack two is greater than 0.5˚C for over 6 minutes. Replace probe.

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Baby Probe 2 Failure

Active only when the canopy is open, the Check Baby alarm activates when the radiant heater has been running at 100% power for more than twelve minutes. Check the attachment of the skin probe to the baby and monitor the baby’s temperature closely.

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Check Baby

When the unit is in the manual mode, the Check baby alarm activates when the radiant heater’s preheat power percentage has been exceeded for more than twelve minutes. The default power setting is 25%, but this can be adjusted on the Service Screen. See the service manual for information about how this screen may be accessed. A single alarm tone sounds. After fifteen minutes, a dual tone alarm sounds, the heater is turned off automatically, and the alarm message changes to “Check Baby- Heat Off.”

This alarm activates if the canopy pedal has been disabled on either the service screen or the set up screen, and the pedal is pressed. When the pedal is released, the alarm deactivates.

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Canopy Pedal Disabled

This alarm activates if the bed height pedals have been disabled on either the service screen or the set up screen, and one of the pedals is pressed. When the pedal is released, the alarm deactivates.

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Bed Height Pedal Disabled

These alarms activate if the pedals are pressed while turning on the Giraffe. When the pedal is released, the alarm deactivates. If the Alarm Silence button is pushed while the pedal is still pressed, a Pedal Failure alarm will be activated and the pedal will be disabled.

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Canopy Pedal Pressed, Up Pedal Pressed and Down Pedal Pressed

This alarm activates if Patient Control is set to manual on the service screen and the Baby Mode button on the control panel is pressed. To deactivate the alarm, press the alarm silence button.

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Baby Mode Disabled

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General Information Disconnect Probe 2 for Baby Mode CI.31.184

This alarm activates when either the Giraffe is in the Baby Mode and a probe is inserted in Jack 2 on the probe panel, or when the Giraffe has 2 probes connected and the Baby Mode button is pushed. If the Giraffe is in the Baby Mode and a probe is inserted in Jack 2, the Giraffe will automatically switch to the Air Mode (if the canopy is open, the OmniBed will automatically switch to the Manual mode). To deactivate the alarm, remove probe from Jack 2. Note: the unit will continue to operate in the Air or Manual Mode until the Baby Mode button is pressed. If the Giraffe is in the Air Mode (Manual Mode on the OmniBed) with probes in Jack 1 & 2, and the Baby Mode button is pressed, you can deactivate the alarm by pushing the alarm silence button.

Temperature Out of Calibration

CI.31.185

This alarm activates if there is a temperature calibration error while turning on the unit; the unit will now use a default value to control temperature. Pressing the alarm silence will cancel the audio alarm, but the Temperature Out of Calibration message will remain on the display. You can continue to use the OmniBed while a baby occupies the bed, but the unit should be serviced before using it with another patient.

System Failure Do not use the OmniBed if the system failure alarm is activated. Remove the unit from service and refer to qualified personnel for repair.

CI.31.047

WARNING

If an electrical failure is detected, the system failure alarm automatically shuts off the heater and triggers a two tone audio alarm that can not be silenced.

Bad Membrane Switch One of the electronic switches behind the control panel buttons has failed. This alarm can not be silenced. Remove unit from service.

Power Failure If power to the unit is cut off, an audio alarm sounds and a LED lights.

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The following alarm messages indicate a repair is required, but the OmniBed can be used in another operating mode, the unit need not be taken immediately out of service.

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CI.31.055

Service Alarms 1. Power Failure Indicator

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General Information •

Radiant Heater Failure- The OmniBed can still be used in the closed bed incubator operating mode.

•

Heater Doors Not Closed- The OmniBed can still be used in the open bed warmer operating mode.

•

Canopy Pedal Failure- Use the hand buttons to raise or lower the canopy.

•

Bed Up Pedal Failure- A switch in the pedal is shorted. Continue to use at the current height.

•

Bed Down Pedal Failure- A switch in the pedal is shorted. Continue to use at the current height.

•

Bed Heater Failure- The OmniBed can still be used in the open bed warmer operating mode.

•

Motor Drive Failure- The drive system for raising and lowering the canopy or raising and lowering the bed has failed. Continue to use the Omnibed in its current operating mode. The humidifier will not operate when this alarm is activated.

Option Alarms

Calibrate Oxygen- Servo Control Oxygen System requires recalibration; select Set Up icon (wrench) to bring up Set Up screen. Scroll down and select Cal Oxygen to initiate calibration.

CI.31.155

High Oxygen- The percent volume of oxygen is more than 3% above the set percentage. Monitor level closely. If condition persists use alternate oxygen delivery system.

CI.31.156

Low oxygen- The percent volume of oxygen is more than 3% below the set percentage. Check for leaks in compartment.

CI.31.154

Servo Control Oxygen Alarms

Check O2 Supply- Ensure that the unit is connected to the O2 supply and that the regulator is open.

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CI.31.158

Oxygen system failure- System failure; use alternate oxygen delivery system.

CI.31.159

Oxygen probe failure- System failure; use alternate oxygen delivery system.

CI.31.157

Note: The servo control oxygen system may prompt for calibration if there is a large leak in the system (for example if a door is open) for half an hour.

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