GE Healthcare
Giraffe, Lullaby and Panda Neonatal Systems
Giraffe OmniBed Carestation CS1 User Manual Rev L
User Manual
156 Pages
Preview
Page 1
Giraffe™ OmniBed™ Carestation™ CS1 User Manual
© 2016 - 2021 General Electric Company All rights reserved. General Electric Company (GE) reserves the right to make changes in specifications and features shown herein, or discontinue the product described at any time without notice or obligation. Contact your GE Representative for the most current information. Information contained in this document is proprietary to GE. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form, in whole or in part, by any means electronic, mechanical or otherwise, including photocopying and recording, for any purpose without written permission of GE. All illustrations are provided as examples only. Your product features and configuration may be different than those shown. Names of persons, institutions and places and related information are fictitious; any similarity to actual persons, entities or places is purely coincidental. Existing artwork or images that you may desire to scan may be protected by copyright law. Be sure to obtain permission for use of existing artwork. Specifications in this manual are subject to change without notice. Contact GE for the most current information. Trademarks
This product carries the Trademark of General Electric Company. All the trademarks of component parts used by GE in the manufacture of this product are the property of their respective owners. The GE logo, Giraffe, OmniBed, and Panda are registered trademarks of General Electric Company. All brand or product names are trademarks or registered trademarks of their respective companies or organizations. Warranty
This Product is sold by GE under the warranties set forth in the following paragraphs. Such warranties are extended only with respect to the purchase of this Product directly from GE or GE’s Authorized Dealers as new merchandise and are extended to the Buyer thereof, other than for the purpose of resale. For a period of twelve (12) months for the product from the date of original delivery to Buyer or to Buyer’s order, but in no event for a period of more than two years from the date of original delivery by GE Healthcare to an GE Authorized Dealer, this Product, other than its expendable parts, is warranted to be free from functional defects in materials and workmanship and to conform to the description of the Product contained in this operation manual and accompanying labels and/or inserts, provided that the same is properly operated under the conditions of normal use, that regular periodic maintenance and service is performed and that replacements and repairs are made in accordance with the instructions provided. This same warranty is made for a period of thirty (30) days with respect to expendable parts such as batteries. The foregoing warranties shall not apply if the Product has been repaired other than by GE Healthcare or in accordance with written instructions provided by GE, or altered by anyone other than GE Healthcare, or if the Product has been subject to abuse, misuse, negligence, or accident. GE’s sole and exclusive obligation and Buyer’s sole and exclusive remedy under the above warranties is limited to repairing or replacing, free of charge, at GE’s option, a Product, which is telephonically reported to the nearest GE Healthcare Regional Service Office and which, if so advised by GE, is thereafter returned with a statement of the observed deficiency, not later than seven (7) days after the expiration date of the applicable warranty, to the designated GE Service Center during normal business hours, transportation charges prepaid, and which, upon GE Healthcare’s examination, is found not to conform with above warranties. GE shall not be otherwise liable for any damages including but not limited to incidental damages, consequential damages, or special damages. There are no express or implied warranties that extend beyond the warranties hereinabove set forth. GE Healthcare makes no warranty of merchantability or fitness for a particular purpose with respect to the product or parts thereof.
Table of Contents About this Manual ... 1-1 Intended Audience ...1-1 Getting Help...1-1 Conventions...1-2
Understanding Modes... 2-1 Air Mode ...2-1 Baby Mode ...2-1 Baby Mode Control Algorithm ...2-2 Manual Mode ...2-3 Warm-up and Pre-heat Modes ...2-4 Incubator/Warmer Operation Mode Transition ...2-4
Safety and Regulatory Information... i-5 Intended Use ... i-5 Safety Information... i-5 Symbols ...i-14 Regulatory ...i-18 User Responsibility ...i-19
System Description ... ii-1 Front View ... ii-2 Rear View ... ii-5 Optional Equipment Installation ... ii-6 Installing the Scale... ii-6 Mounting Rail System Components ... ii-6 Gas Cylinder Holder... ii-7 Tubing Management Arm ... ii-7 Porthole Cover ... ii-7 Silo Support Arm ... ii-8
Understanding the Control Panel... iii-1 Home Screen... iii-2 Away Screen... iii-3 Using the Keyboard ... iii-4 On-screen Help ... iii-4
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Setup Features ... iv-1 Navigating the Setup Screen...iv-1 Patient Setup...iv-1 Current Time ...iv-2 Baby Name...iv-2 Date of Birth...iv-3 Gestational Age...iv-3 Comfort Zone ...iv-4 Alarms Setup...iv-4 Temperature Units...iv-4 Skin Temp Alarm (Baby Mode)...iv-4 Skin Temp Alarm (Air/Manual Mode) ...iv-5 Alarm Volume...iv-6 Hands Free Alarm Silence ...iv-6 System Setup ...iv-6 Canopy Raise Pedal...iv-6 Bed Elevation...iv-7 Away Screen Timeout...iv-7 Screen Brightness ...iv-8 Calibrate Oxygen ...iv-8 Themes ...iv-9 System Defaults for Setup ... iv-10
Pre-use Checkout ... v-1 Mechanical Checks ...v-1 Options Checks...v-3 Control Panel Checks ...v-4 Humidifier Checks...v-5 Oxygen Checks...v-5
Using the OmniBed... vi-1 Powering the Device...vi-1 Setting up for Admission ...vi-3 Admitting the Patient ...vi-4 Attaching the Skin Temperature Probe ...vi-5 Operating with Two Skin Temperature Probes ...vi-7 Manipulating Portholes and Bed Panels ...vi-8 Opening and Closing Portholes ...vi-9 Opening and Closing Bed Panels...vi-9 Using the Mattress ... vi-11 Sliding out the Mattress... vi-11 Rotating the Mattress... vi-12
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Giraffe OmniBed User Manual
Tilting the Mattress ... vi-12 Raising the Canopy ... vi-13 Raising and Lowering the Bed ... vi-15 Using the X-ray Tray ... vi-16 Administering Oxygen ... vi-16 Connecting Oxygen... vi-17 Calibrating Oxygen ... vi-17 Administering Oxygen... vi-18 Using the Humidifier... vi-19 Administering Humidity... vi-19 Using the Scale... vi-20 Trending Weights ... vi-21 Using Air Boost ... vi-22 Setting the Timer ... vi-23 Displaying Trends... vi-24 Setting the Air Temp in Air Mode ... vi-25 Setting Air Set Temperature Manually... vi-25 Using the Comfort Zone ... vi-25 Nurse Call System and Remote Monitoring... vi-27 Using the Remote Monitoring Interface ... vi-27 Using the Nurse Call System Interface... vi-28
Understanding Alarms... vii-1 Alarm Priorities...vii-2 Understanding The Control Panel Display...vii-2 Understanding Audio Tones...vii-2 Silencing Alarms ...vii-3 Multiple Alarms ...vii-4 Temperature Regulation Alarms...vii-4 Enter Setting ...vii-4 High Air Temperature ...vii-4 Low Air Temperature ...vii-5 Patient Hot - Check Probe 1 ...vii-5 Patient Cold - Check Probe 1 ...vii-6 Air Temperature Greater Than 38° C...vii-7 Air Temperature Greater Than 40° C...vii-8 Disconnected Skin Temperature Probe 1 ...vii-8 Disconnect Probe 2 for Baby Mode ...vii-9 Fan Failure ...vii-9 Fan Always in High Speed... vii-10 Compartment Sensor Disconnected... vii-10 Compartment Sensor Failure ... vii-11 In Transition - Heat Off... vii-11 Skin Temperature Probe 1 Failure ...vii-11
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Skin Temperature Probe 2 Failure ...vii-13 Check Patient ... vii-13 Check Patient-Heat Off... vii-14 Temperature Out of Calibration ... vii-14 Radiant Heater Failure... vii-15 Heater Doors Not Closed ... vii-15 Heater Doors Not Opened... vii-15 Bed Heater Failure ... vii-16 Pedal Alarms ... vii-16 Canopy Pedal Pressed ... vii-16 Bed Raise Pedal Pressed ...vii-16 Bed Lower Pedal Pressed ... vii-17 Canopy Pedal Disabled... vii-17 Bed Height Pedals Disabled ... vii-17 Canopy Pedal Failure... vii-18 Bed Raise Pedal Failure ... vii-18 Bed Lower Pedal Failure...vii-18 Oxygen Alarms... vii-19 Low Oxygen ... vii-19 High Oxygen ... vii-19 Calibrate Oxygen ... vii-20 Oxygen Sensor Failure ... vii-20 Oxygen System Failure ... vii-21 Check O2 Supply... vii-21 FiO2 > 26% ... vii-22 O2 Cal Lost - No O2 ...vii-22 Humidifier Alarms ... vii-23 Add Water...vii-23 Water Reservoir Not Engaged... vii-23 Humidity Sensor Failure ...vii-23 Humidity Failure... vii-24 Other Alarms ... vii-24 System Failure ...vii-24 Power Failure... vii-25 Motor Drive Failure ...vii-25 Scale ...vii-26 Notifications ... vii-26 Clock Battery ... vii-26
Maintenance, Cleaning, and Disinfection ... viii-1 Repair Guidelines ...viii-1 Maintenance Schedule...viii-2 User Maintenance, Cleaning, and Disinfection Frequency...viii-2 Service Maintenance Frequency...viii-3
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Cleaning and Disinfection Guidelines...viii-4 Cleaning and Disinfecting Solutions...viii-6 Cleaning and Disinfecting Method Recommendations...viii-7 Cleaning and Disinfecting the Touch Screen...viii-7 Preparing to Clean and Disinfect the Device ...viii-7 Disassembling the Device...viii-8 Cleaning and Disinfecting Individual Components... viii-13 Cleaning and Disinfecting the Humidifier Water Reservoir ... viii-14 Cleaning and Disinfecting the Skin Temperature Probe... viii-14 Cleaning and Disinfecting the Mattress ...viii-15 Reassembling the Device...viii-16 Additional Chemically compatible solutions ...viii-18
Troubleshooting... ix-1 Specifications ...A-1 Options ...B-1 Electromagnetic Compatibility (EMC) ...C-1 EMC Guidance ... C-1 Degraded performance characteristics... C-1 Manufacturer’s Guidance And Declaration - Electronic Emissions... C-2 Manufacturer’s Guidance And Declaration - Electronic Immunity... C-3 IEC Guidance And Declaration - Electronic Immunity ... C-4 Recommended separation distance between portable and mobile RF communications equipment and the Device... C-6
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Chapter 1: About this Manual
This manual describes the Giraffe OmniBed system, its operation, optional equipment/configurations, and how to maintain it.
Intended Audience This manual assumes that the reader is a trained healthcare professional with a basic understanding of thermoregulation of the patient as well as the use of incubators and radiant warmers.
In This Chapter • Intended Audience • Getting Help • Conventions
This manual is intended for clinical professionals. Clinical professionals are expected to know the medical procedures, practices, and terminology required to monitor patients. Operation of the device should neither circumvent nor take precedence over required patient care, nor should it impede the human intervention of attending nurses, physicians, or other medical personnel in a manner that would have a negative impact on patient health.
Getting Help The Help button on the Control Panel provides a brief explanation and procedure for Control Panel functions, software version, and alarm conditions. See “On-screen Help” on page iii-4 for more information on this feature.
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Conventions About this Manual
Conventions The following conventions are used in this manual. Convention
Description
Bold
Actions you should take such as text or data to be typed exactly or items to press.
Italics
Items to type for which you must supply a value.
Screen Name
Screen Names are in initial caps.
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Warning: A warning statement is used when the possibility of injury to the patient or operator exists. Caution: A caution statement is used when the possibility of damage to the equipment exists.
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Baby Mode
An operating mode. While this term is used throughout this manual, the terms Servo mode and Skin mode are interchangeable with Baby Mode.
Authorized service personnel
This term refers to any technician trained to repair the equipment. This could include internal Biomed technicians or engineers as well as external GE service technicians. Follow your hospital’s procedure for requesting service help.
Giraffe OmniBed User Manual
Chapter 2: Understanding Modes
The OmniBed has three operational environmental control modes that vary depending on whether the OmniBed is operating as a Warmer or Incubator. During Incubator operation, Air Mode or Baby Mode can be used. During Warmer operation, Manual Mode or Baby Mode can be used.
In This Chapter • Air Mode • Baby Mode • Manual Mode • Warm-up and Pre-heat Modes
Air Mode Air Mode controls the temperature inside a the closed compartment by comparing air temperature reading from the compartment air sensor to a set temperature. The set temperature can be applied manually (see “Setting Air Set Temperature Manually” on page vi-25) or using the Comfort Zone feature (see “Using the Comfort Zone” on page vi-25). Air Mode is only available on the OmniBed when the bed is closed. When operating in Air Mode with a skin temperature probe attached, the patient’s temperature is shown in the BABY TEMP area. If the patient's temperature is below 30°C, the display will show -L-. If the patient's temperature is above 42°C, the display will show -H-. To enter Air Mode: 1. 2.
Touch the AIR TEMP area. Touch Air Mode.
3.
Set the Comfort Zone (see “Using the Comfort Zone” on page vi25) or manually apply the Set temperature (see “Setting Air Set Temperature Manually” on page vi-25).
Baby Mode Baby Mode controls the radiant heat output or inside temperature based on skin temperature probe readings.
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Baby Mode Understanding Modes When operating in Baby Mode, the temperature detected by the skin temperature probe is shown in the BABY TEMP area. If the patient's temperature is below 30°C, the display will show -L-. If the patient's temperature is above 42°C, the display will show -H-. To enter Baby Mode: 1. 2. 3.
Touch the BABY TEMP area. Touch Baby Mode. Use the arrows to set skin temperature to the desired control set point per clinical protocol.
When operating the OmniBed as a warmer in Baby Mode, a bar graph and numeric percentage report the current power. If the warmer is used for an extended time, use of Baby Mode is recommended.
Baby Mode Control Algorithm The desired environmental temperature (DET) is defined as the incubator air temperature required to maintain the patient within the desired set temperature. When the Canopy is open and the OmniBed is in Baby Mode, the system performs the following adjustment every 30 seconds. The Patient Condition column indicates the difference between the patient skin temperature and the patient set temperature.
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Patient Condition
DET Adjustment
Warm by 0.16°C to 0.30°C
Decrease by 5%
Warm by 0.06°C to 0.15°C
Decrease by 1%
Warm by less than 0.05°C
No adjustment
Cold by less than 0.05°C
No adjustment
Cold by 0.05°C to 0.14°C
Increase by 1%
Cold by 0.15°C to 0.24°C
Increase by 5%
Cold by 0.25°C to 0.34°C
Increase by 10%
Cold by 0.35°C to 0.49°C
Increase by 15%
Giraffe OmniBed User Manual
Manual Mode Understanding Modes In the following table, the Patient Condition column indicates the difference between the patient skin temperature and the patient set temperature. The system performs the following adjustment every 10 minutes. Patient Condition
DET Adjustment
Warm by 0.4°C or more
Decrease by 0.3°C
Warm by 0.3°C to 0.39°C
Decrease by 0.2°C
Warm by 0.2°C to 0.29°C
Decrease by 0.1°C
Warm by less than 0.2°C
No adjustment
Cold by less than 0.2°C
No adjustment
Cold by 0.2°C to 0.29°C
Increase by 0.1°C
Cold by 0.3°C to 0.39°C
Increase by 0.2°C
Cold by 0.4°C or more
Increase by 0.3°C
Manual Mode Manual mode, available when the canopy is raised, controls radiant heater output based on a heater power percentage setting. The percentage of full power can be adjusted in 5% increments. If heater power is less than 25% (or the value set in service mode), the Check Patient alarm is deactivated.
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Warning: Once the patient is admitted, do not keep the warmer in Manual mode at 100% power for extended periods of time.
When operating in Manual Mode with a skin temperature probe attached, the patient’s temperature is shown in the BABY TEMP area. To enter Manual Mode: 1. 2. 3.
Giraffe OmniBed User Manual
Touch the Heater Power area. Touch Manual Mode. Use the arrows to set the desired heater power percentage, per clinical protocol.
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Warm-up and Pre-heat Modes Understanding Modes
Warm-up and Pre-heat Modes
!
Warning: Do not place patient under radiant heat during Warmup or Pre-heat Mode. Warmup mode is used to quickly warm and maintain heat in an empty bed. Warmup mode is not designed for clinical use with a patient due to the fact that the Check Patient Alarm is disabled.
If you power on with the canopy open or open the bed during the first minute after start up and do not select a control mode, the device enters Warm-up mode. The radiant heater automatically runs at 100% power. After 10 minutes without a selected control mode, the device will enter Pre-heat Mode. The radiant heater runs at the preheat range defined (10%50%) by authorized service personnel. The Check Patient Alarm Disabled symbol is always displayed in the bottom bar when the power settings are within the preheat range.
Incubator/Warmer Operation Mode Transition If the canopy is raised while the OmniBed is being operated as an incubator, it automatically switches to operate as a radiant warmer. Baby Mode remains in Baby Mode and uses the same set temperature. Air Mode switches to Manual Mode. The radiant heater activates at the preheat level, and the OmniBed prompts 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 operate as an incubator. Baby Mode remains in Baby Mode and uses the same set temperature. Manual Mode switches to Air Mode retaining SET TEMP and Comfort Zone settings.
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Giraffe OmniBed User Manual
Safety and Regulatory Information
Intended Use The Giraffe OmniBed is a combination of an infant incubator and an infant warmer. The device can be operated as an incubator or as a warmer and can transition from one mode to the other on user's demand. It cannot be operated in both modes at the same time. Incubators and warmers provide heat in a controlled manner to neonates who are unable to thermoregulate based on their own physiology. Incubators provide an enclosed, temperaturecontrolled environment and warmers provide infrared heat in an open environment. They may also be used for short periods of time to facilitate the neonate's transition from the uterus to the external environment. This device may incorporate a Servo Controlled Oxygen Delivery System. This is indicated to provide stable oxygen concentration within the infant compartment at the value set by the operator (21-65%).
Safety Information
!
Warning: Before using the device, read through this entire manual. Attempting to use this device without a thorough understanding of its operation may result in patient and user injury.
!
Warning: This device should only be operated by clinically trained personnel familiar with the risks and benefits of this type of device.
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Warning: Use of this device is restricted to one patient at a time.
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Warning: Perform the device pre-use checkout procedures located in the User Manual before patient use. If the device fails any of the checkout procedures, remove the device from service and contact authorized service personnel for repair.
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Warning: Do not perform any pre-use checkout procedure while the patient occupies the device.
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Warning: Do not use the device in the presence of flammable anesthetics; an explosion hazard exists under these conditions.
!
Warning: Do not place the device in extreme environmental conditions such as a high ambient air flow environment or high or low temperature. This may affect the thermal balance of the patient.
!
Warning: Do not use this device if the system failure alarm is activated. Remove the device from service and contact authorized service personnel for repair.
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Safety Information
i-6
!
Warning: In the event of loss of mains power, check all parameters upon power restoration.
!
Warning: Carefully route patient cabling to reduce the possibility of patient entanglement or strangulation.
!
Warning: Do not lean against the side of the device. The pressure may cause the device to tip over.
!
Warning: Do not connect to a power strip or another unapproved piece of equipment. This may result in power failure or a reduced level of safety.
!
Warning: Do not connect unapproved equipment into the accessory outlets.
!
Warning: Use the device only with the power cord supplied.
!
Warning: The use of accessories, replacement parts, or power cords other than those specified by the manufacturer may affect the performance of the device and could result in damage to the device or unsafe operating conditions.
!
Warning: To avoid the risk of electrical shock, this equipment must directly connect to a supply mains with a grounded outlet or a hospital grade outlet.
!
Warning: Cover patients’ eyes if an observation light is used for an extended time. Prolonged exposure to an observation light can damage patient’s eyes.
!
Warning: Insulation on electrical wiring can deteriorate with age. Check for brittle or deteriorated insulation on power cord and all other electrical wiring.
!
Warning: Do not clean or disinfect while the device is in clinical use.
!
Warning: Always wear gloves while cleaning and disinfecting the device.
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Warning: Do not service the device while it is in clinical use.
!
Warning: Always disconnect power prior to performing service or maintenance.
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Warning: Allow the device to dry after cleaning and disinfection. Small amounts of flammable agents, such as glycol, ether, alcohol, or similar cleaning or disinfecting solvents left wet on the device can ignite.
Giraffe OmniBed User Manual
Safety Information
!
Warning: Dispose of all waste properly as per federal, state, and local waste disposal regulations. Improper disposal could result in personal injury and environmental impact. Caution: Do not allow alcohol or substances containing alcohol, such as handdisinfectants, to come in contact with any acrylic part. Alcohol can cause clouding of acrylic parts. After using a hand-disinfectant, allow your hands to thoroughly dry before touching the device. Caution: This device should only be serviced by authorized service personnel.
!
Warning: Using a device with a fan motor that has worn parts can produce unacceptable noise levels within the patient compartment.
!
Warning: Limit the load on the device on the outside of each upright to 18kg. Do not mount shelves to the outside mounting rail more than 137 cm from the floor.
!
Warning: Overloading the shelves and rails can affect the stability of the device. Always try to evenly distribute the weight of options on both sides of the unit for a more balanced load.
!
Warning: Direct sunlight, phototherapy, other radiant heat sources, or heated mattresses can cause an increase in device and patient temperature.
!
Warning: Proper temperature control depends on continuous, unobstructed air circulation. Do not cover air circulation openings around the bed, as obstruction will result in loss of air circulation, loss of heat, and carbon dioxide buildup. Caution: Do not remove the compartment sensor mounted to the bed panel on the Control Panel end; the compartment sensor must remain in the correct position for proper operation.
!
Warning: A hazard can exist if different alarm settings are used with the same or similar equipment on a single patient. Caution: Pins of connectors identified with the Electrostatic Discharge Sensitive symbol should not be touched and connection should not be made to these connectors unless Electrostatic Discharge precautionary procedures are used. Caution: Do not mount or rest a radiant warmer or incandescent light on or over the device canopy; ineffective heating and damage to the canopy may result. If using incandescent phototherapy lamps, check manufacturer’s recommended minimum distance to canopy. Caution: Detailed information for more extensive repairs is included in the service manual solely for the convenience of authorized service personnel trained by General Electric having proper knowledge, tools and test equipment.
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Safety Information
Caution: Do not clean or disinfect the device with organic solvents, scouring compounds, strong acids, or strong bases. These compounds may damage components. Caution: Do not autoclave or gas sterilize any plastic parts unless stated otherwise in the manual. Caution: U.S. Federal law restricts this device for sale by or on the order of a licensed medical practitioner. Caution: This device is for professional use only.
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!
Warning: When bed panels are in an upright position, ensure that the bed panels are securely locked in place. Ensure all bed panels are secure prior to leaving the patient’s bedside.
!
Warning: When opening or closing bed panels or portholes, make sure that the patient, as well as, clothing, monitoring leads, tubing, and similar items are completely within the confines of the bed. Inspect all patient connected tubes or leads before and after sliding out, rotating, tilting, or raising and lowering the bed. Moving the bed can pull on leads and tubing, restrict gas or liquid flow, or move probes out of position.
!
Warning: When using a chest tube drainage system, verify that the system has adequate floor clearance prior to transporting or activating the elevating base.
!
Warning: Always set the brakes before placing a patient in the device.
!
Warning: Do not leave the patient unattended while any bed panels are lowered or removed.
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Warning: Only use bed panels approved for this device.
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Warning: Do not leave the patient unattended when using the device.
!
Warning: Before raising or lowering the bed, check that there is adequate slack in tubing and leads and that no obstructions limit the range of motion.
!
Warning: Never place patient on the X-ray tray. The X-ray tray is located under the mattress.
!
Warning: Do not transport with storage drawer(s) open.
Giraffe OmniBed User Manual
Safety Information
Caution: Do not move the device by pushing or pulling on the bed panels. This action may lead to the deterioration and breakage of these components. Caution: Do not place objects on the device legs.
Caution: To minimize the generation of static electricity, do not polish the side panels with a dry cloth.
!
Warning: Tilting the mattress from its horizontal position can result in uneven heat distribution.
!
Warning: Use of electrosurgical units or other electrical field radiating equipment can affect the operation of the device. Keep the patient probe lead as far away as possible from electrosurgical cables. Do not allow excess electrical cables to be laid on the bed platform. Use of electrosurgical units or other instruments that radiate electrical fields can cause indirect heating, by several tenths of a degree of the skin temperature probe due to absorbed electrical energy. When using these devices near the radiant warmer, operate the device in Manual Mode for maximum safety and use a skin temperature probe to monitor patient temperature. For added safety, you should consider use of the skin temperature alarm found in the Setup menu.
!
Warning: Radiant warmers may increase a patient’s insensible water loss. Take appropriate measures to maintain the patient’s fluid balance while caring for them on a radiant warmer.
!
Warning: Radiant energy can adversely affect blood components. When using intravenous tubing systems for delivery of blood components to patients occupying a device, limit the volume of a single transfusion to a quantity that can be infused within four hours or per clinical protocol.
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Warning: Radiant energy may cause more rapid urine evaporation, and may lead to inaccurate urine diagnostic test analysis and inaccurate diaper weight measurements. Frequent measurement of urinary output is recommended.
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Warning: Use Baby Mode unless Manual Mode is specifically prescribed. Always monitor the patient with the skin temperature probe and an independent thermometer device.
!
Warning: Do not place objects in the radiant heat path. Objects will be heated and could block heat to the patient.
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Warning: Do not place patient under radiant heat during Warmup or Pre-heat Mode. Warmup mode is used to quickly warm and maintain heat in an empty bed. Warmup mode is not designed for clinical use with a patient due to the fact that the Check Patient Alarm is disabled.
Giraffe OmniBed User Manual
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Safety Information
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!
Warning: The heater, lamps, and surrounding areas are hot when in use and for 30 minutes after power down. Unplug the unit and allow the heater to cool before disassembly or cleaning.
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Warning: Do not use a mercury thermometer while device is in use.
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Warning: Do not place the patient in the bed during Warmup mode.
!
Warning: Once the patient is admitted, do not keep the device in Manual mode at 100% power for extended periods of time.
!
Warning: Observe the patient frequently, looking for signs of heat stress such as skin redness, warmth to touch, diaphoresis, or increased heart rate.
!
Warning: Check the patient’s temperature frequently with an independent temperature measurement at a site such as the axilla, rectum, or ear.
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Warning: Only use GE approved skin temperature probes; other manufacturers’ probes are not calibrated to GE equipment. Using probes from other manufacturers’ may cause inaccurate temperature readings, may not comply with safety standards, and will void your GE equipment warranty.
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Warning: When using phototherapy lamps, the skin temperature probe must be directly in the path of the radiant heat of the lamp; do not place the probe in an area shielded from the radiant heat.
!
Warning: Do not re-use a disposable skin temperature probe. Cleaning and reusing a single use skin temperature probe may damage the skin temperature probe and result in inaccurate readings.
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Warning: Do not place the skin temperature probe between the patient and the mattress; inaccurate readings will result.
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Warning: Do not remove the reflective foil from the heat reflecting patch. Do not use a skin temperature probe without a heat reflecting patch. Replace the heat reflecting patch when repositioning the skin temperature probe or when adhesive strength degrades.
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Warning: Do not pull on the skin temperature probe wire. Remove the skin temperature probe from the skin by gently lifting the adhesive patch. Remove the skin temperature probe from the probe panel by grasping the plug and pulling out.
!
Warning: Regularly check that the skin temperature probe is attached to the patient’s skin. If the skin temperature probe is not in contact with the patient’s skin, inaccurate readings will result.
Giraffe OmniBed User Manual
Safety Information
!
Warning: Do not use skin temperature probe as rectal temperature probe to control the patient’s temperature.
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Warning: The skin temperature probe is not isolated from earth ground. Any additional equipment used with the device must comply with IEC 60601. Caution: Do not allow cleaning fluid to leak into skin temperature probe and electrical connectors. Equipment damage may occur. Caution: Use of cleaning/disinfecting solutions containing chemicals not listed in the User Manual , i.e. alcohol, acetone, etc., or chemicals in greater concentrations than those listed in the Cleaning and Disinfecting Solutions section may damage the skin temperature probe. Caution: Avoid placing excessive strain on the skin temperature probe wire. When cleaning, be careful not to pull on or bend the lead at the probe tip. Always remove the probe from the device by grasping the plug at the probe panel. Do not pull on the skin temperature probe wire. Do not immerse the skin temperature probe in liquid cleaner.
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Warning: Single patient use and single use devices are not designed or validated to be reused between patients. Reuse may cause a risk of cross-contamination.
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Warning: The clinician must ensure that the single patient use device is not damaged or contaminated between usages on the same patient.
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Warning: When performing ECMO (Extracorporeal Membrane Oxygenation) or HFOV (High Frequency Oscillatory Ventilation), disable the Elevating Base using the Setup screen. Patient injury may result if the elevating base is moved unintentionally.
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Warning: Medical Electrical Equipment needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in the User Manual or the service manual.
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Warning: Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 30 cm (12 inches) to any part of the device, including cables specified by the manufacturer. Otherwise, degradation of the performance of this equipment could result.
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Warning: This equipment/system is intended for use by clinically trained professionals only. It may cause radio interference or may disrupt the operation of nearby equipment. It may be necessary to take mitigation measures, such as reorienting or relocating the equipment system or shielding the location. Verify equipment adjacent to the device operates as intended.
!
Warning: Use of accessories, transducers and cables other than those specified or provided by the manufacturer of this equipment could result in increased electromagnetic emissions or decreased electromagnetic immunity of this equipment and result in improper operation.
Giraffe OmniBed User Manual
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