neoBLUEcozy Hospital Inservice Training

neoBLUE cozy LED Phototherapy Overview

• Phototherapy unit designed for use within a patient enclosure

• Incorporates blue LEDs

► Emit blue light in the range of 400-500 nm (peak wavelength 450 - 470 nm)

• Most effective for degradation of bilirubin

► Emit no significant UV or IR

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Components of the neoBLUE cozy device

• neoBLUE cozy enclosure • Power supply and cord • neoBLUE cozy Mattress • Mattress cover

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Preparing the neoBLUE cozy Light for Use • Step 1

► Plug the power supply into the base of the neoBLUE cozy device. Route the power cord of the neoBLUE cozy device so that it lies outside the vicinity of the baby and is plugged into a grounded (3prong) power outlet. neoBLUE cozy Power Cord

neoBLUE cozy Power Cord channel

► The channel in the base of the enclosure can be used to route the cable to the head of the device.

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Preparing the neoBLUE cozy Light for Use • Step 2

► Place the neoBLUE cozy device in an enclosure (e.g., bassinet). Warning! The neoBLUE cozy device should not be used on its own outside of an enclosure. There is a potential for the baby to roll off the device.

► The bassinet’s mattress may be removed prior to placing the neoBLUE cozy device.

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Preparing the neoBLUE cozy Light for Use • Step 3

► Position the neoBLUE cozy device so that the air vents are not covered by blankets or clothing or positioned against obstructing surfaces.

neoBLUE cozy Rear view

neoBLUE cozy Front view Air vents

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Preparing the neoBLUE cozy Light for Use • Step 4

► Place the disposable mattress cover over the neoBLUE cozy mattress. Use only the mattress and covers supplied with the device to ensure proper delivery of light to the baby. Disposable mattress cover

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Mattress

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Preparing the neoBLUE cozy Light for Use • Step 5

► Place the covered neoBLUE cozy mattress into the neoBLUE cozy system so that it lies flat.

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Preparing the neoBLUE cozy Light for Use • Step 6 ► Check light intensity (per hospital protocol or every 6 months) • Place the photometer sensor face down on top of the covered mattress • The neoBLUE cozy device is calibrated to deliver intensive phototherapy as defined by the 2004 AAP Guidelines: > 30 W/cm2/nm • LED panel provides over 3,000 hours of intensity above 30 W/cm2/nm* with thousands more hours of panel life at a lower intensity.

• If intensity is deemed below acceptable level, biomedical engineering can adjust intensity per instructions in Service Manual (P/N 051736) * As measured by an Ohmeda BiliBlanket® Meter BiliBlanket is a registered trademark of Ohmeda Medical.

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Using the neoBLUE cozy Light on a Patient

• Step 7

► ATTENTION: Cover the baby’s eyes with protective eye shields prior to initiating phototherapy.

Biliband is a registered trademark of Nascor Pty Ltd.

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Using the neoBLUE cozy Light on a Patient • Step 8

► Place the baby (unclothed) in the neoBLUE cozy device on top of the covered mattress.

• Note: The baby’s head should be positioned at the curved end of the device. The baby should be placed with his / her back against the mattress. • A blanket may be placed over the baby for added warmth. Ensure that the blanket is not blocking the air vents on the outside of the enclosure Head at curved end of device Baby’s back against mattress

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Using the neoBLUE cozy Light on a Patient • Step 9

► Bumpers, head protectors, or rolled-up blankets can be placed within the device as needed. Ensure that they do not compromise phototherapy treatment to the baby.

Keep air vents clear

Keep air vents clear

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Using the neoBLUE cozy Light on a Patient • Step 10

► Turn on the phototherapy device by moving the Power Switch to the ON “I” position.

Red indicator light

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Power Switch

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Inservice Notes ► Note: If the surface temperature of the LED Panel becomes too warm, the phototherapy light will automatically shut off as the ventilation fan continues to operate. A red blinking light will alert you to check the air vents and ensure that they are not obstructed. Once the temperature has decreased, the blue LEDs will automatically turn back on; however, the red flashing light will remain on. To inactivate the blinking light, power off the neoBLUE cozy system and then power it back on.

► Note: Turn off the neoBLUE cozy light when feeding or diapering the baby.

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Using the neoBLUE cozy Light on a Patient • Step 11

► Upon completion of phototherapy treatment, turn off the neoBLUE cozy device. Move the Power Switch to the Standby “

” position.

Power Switch

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Inservice Notes Use with Patient Enclosures such as Bassinets or Radiant Warmers

• The neoBLUE cozy device must be placed within a patient enclosure. If blankets are used, ensure they are not blocking the vents on the exterior of the neoBLUE cozy device.

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Use of the neoBLUE cozy Light w/ an Incubator Use with an Incubator

• The neoBLUE cozy device can be used in incubators under certain conditions.

•

Warning! Placement within an incubator: The light is not designed to be used in an oxygen enriched environment. Only use in the presence of room oxygen.

• The operating temperature for the neoBLUE cozy device is 20 -

30 C. Though the device will initially operate in warmer conditions when new, use in warmer environments will shorten the life of the LED panel. Monitor patient temperature when used in warmer environments.

• The use of patient temperature control mode in incubators is recommended.

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Surface Area Coverage Surface Area Coverage

• The infant should be placed in the supine position on the neoBLUE cozy device. If additional surface are coverage is required, neoBLUE overhead lights may be used in conjunction with the neoBLUE cozy device.

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Alleviating Sensitivity to Blue Light

• Use neoBLUE cozy device in well-lighted area • Wear glasses with yellow lenses ► Guard Dog Bones glasses (P/N 413BB) • Order online at www.safetyglasses.com or by phone (1-800-870-6189)

• Use blanket rolls or bumpers around the baby to shield excess light

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Thank You

• Additional Resources

► neoBLUE cozy User Manual ► neoBLUE cozy Service Manual ► neoBLUE cozy Hospital Inservice Reference Guide ► Natus Customer Service (888-496-2887)

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