CSZ Electri-Cool 757 User manual

ELECTRI−COOL
Localized Cold Therapy Unit
Product Manual
®
LIMITED ONE YEAR WARRANTY
SCOPE OF WARRANTY
Cincinnati Sub-Zero Products, Inc. warrants the Electri-Cool one year from date of purchase. During the warranty period Cincinnati Sub-Zero will repair or replace, at its option, any Product which is defective in materials or workmanship or which fails to meet the published product specification for that model. This Limited Warranty is made only to the original purchaser of the Product and is non-transferable. The remedies described in this Limited Warranty are the exclusive remedies for breach of warranty. THIS WARRANTY SHALL
NOT APPLY TO ANY PRODUCT WHICH HAS BEEN ALTERED OR MODIFIED IN ANY WAY OR WHICH HAS BEEN SUBJECTED TO MISUSE OR ABUSE.
DISCLAIMER OF IMPLIED WARRANTIES
The foregoing Express Limited Warranty is given in lieu of any and all other express or implied warranties.
CINCINNATI SUB-ZERO MAKES NO OTHER WARRANTIES INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
LIMITATION OF REMEDIES
In no case shall Cincinnati Sub-Zero Products, Inc. be liable for any special, incidental or consequential damages whether based on breach of warranty or other legal theory. Some states do not allow limitations on warranties or on remedies for breach in certain transactions. In such states, the limits in this paragraph and the preceding paragraph do not apply.
WARRANTY CLAIMS In the event of a warranty claim within the warranty period please take the following steps:
1. Notify the Cincinnati Sub-Zero Products, Inc. Customer Service Department at Toll Free: 1-800-989-7373 or contact your local Cincinnati Sub-Zero representative. Please provide details about the nature of the problem and include the product serial number. Upon receipt of this information, Cincinnati Sub-Zero will provide you with a date for service or a return shipping authorization.
2. Upon receipt of the shipping authorization, forward the equipment, freight prepaid, to the
location
specified in the shipping authorization.
Your compliance with these steps will help assure that you receive prompt warranty service for your Product.
® Localized Cold Therapy Unit for
Manual 71065 Rev. B DRAFT
ELECTRI-COOLLocalized Cold Therapy Unit
TABLE OF CONTENTS
1. Introduction.................................................
1.1 Purpose .....................................................................2
1.2 Indications—Localized Cold Therapy
Equipment ................................................................. 2
1.3 Contraindications......................................................2
2. Description................................................... 3
2.1 Description.................................................................3
2.2 Accessories.................................................................3
2.3 Incoming Inspection..................................................4
3. Operation..................................................... 6
3.1 Theory of Operation ................................................. 6
3.2 Safety Precautions.....................................................6
3.3 Filling Instructions.................................................... 7
3.4 Pad Connecting Instructions.................................... 7
3.5 Remote Probe Connection........................................ 7
3.6 Power Connection ..................................................... 7
3.7 Start-Up ..................................................................... 7
3.8 Mode of Operation ................................................... 8
3.9 Setpoint ...................................................................... 8
3.10 Continuous/Alternating Mode ................................. 8
3.11 Add Water ................................................................. 8
3.12 Cleaning..................................................................... 8
3.13 Storage ....................................................................... 8
3.14 Draining..................................................................... 8
4. Specifications............................................... 9
5. General Maintenance & Checkout
Proc. ............................................................
5.1 General.....................................................................10
5.2 Preventive Maintenance ......................................... 10
5.3 Checkout Procedures.............................................. 10
5.4 Calibration...............................................................11
6. Component Removal and
Replacement ...............................................
6.1 General.....................................................................12
6.2 Front to Rear Enclosure.........................................12
6.3 Vertical Power Supply Board ................................12
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6.4 CPU Board...............................................................12
6.5 Fan............................................................................ 12
6.6 Control Panel...........................................................13
6.7 Pump Removal ........................................................13
6.8 Reservoir Removal..................................................13
6.9 Thermoelectric Unit Removal................................13
7. Troubleshooting Guide..............................
7.1 General.....................................................................14
8. Service and Parts Information .................
8.1 Warranty and Repair Policy..................................15
8.2 Obtaining Return Authorization ...........................15
8.3 Obtaining Replacement Parts ................................15
8.4 Parts List..................................................................16
9. Recommended Spare Parts.......................28
Figures
Fig. 2.1 Indicators and Switches........................................5
Fig. 3.1 Control Panel.........................................................6
Fig. 5.1 Temperature/Flow Tester ..................................10
Fig. 6.1 Extraction Procedure..........................................13
Fig. 6.2 4-Pin Connector ..................................................13
Fig. 6.3 9-Pin Connector ..................................................13
Fig. 8.1 Front to Rear Assembly......................................18
Fig. 8.2 Rear Assembly.....................................................19
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Fig. 8.3 Front Assembly w/ Power Supply
(100V & 230V) .........................................................................20
Fig. 8.4 Front Assembly w/ Power Supply
(110V) 21
Fig. 8.5 Front Assembly w/ CPU Board..........................22
Fig. 8.6 Thermoelectric Unit Assembly ..........................23
Fig. 8.7 Pump Assembly...................................................24
Fig. 8.8 Reservoir Assembly ............................................25
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Fig. 8.9 Switch Plate Assembly........................................26
Fig. 9.0 Electrical Schematic ...........................................27
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ELECTRI-COOLLocalized Cold Therapy Unit
1. Introduction
1.1 Purpose
The purpose of this manual is to provide operation, maintenance, repair, and service instructions for the Electri-Cool Localized Cold Therapy Unit.
1.2 Indications—Localized Cold Therapy Equipment
Cold therapy has been found to be clinically effective in accelerating the healing of damaged tissue, and in retarding metabolism within the tissue cells.
Localized cold therapy is used in the operating room, recovery room, intensive care unit, physical therapy, and in individual patient rooms. It is used effectively to treat surgical incisions, as well as wounds and inflammation caused by traumatic injury. It is prescribed with many types of surgery, for example:
• Orthopaedic (Arthroscopy, Anterior Cruciate Ligament Repair, Arthroplasty for Hip, Knee, and other Total Joint Replacement)
• Neurologic/Orthopaedic (Laminectomy)
• Abdominal (Hernia, Cholecystectomy)
• Oral/Maxillofacial/Plastic (Dental Extractions, Rhinoplasty, Augmentations, Face Lifts)
• Urological (Vasectomy, Prostatectomy, Urological Implants)
• Obstetrical/Gynecological (“C” Section, Episiotomy, Hysterectomy)
In most cases, cold therapy is applied immediately following the surgical procedure directly to the wound site. This acts to reduce swelling and pain, while also reducing or eliminating the need for pain-killing medications. For the specialty of hand surgery, cold therapy is also applied to the upper extremity before and during the procedure in conjunction with a tourniquet.
Other conditions indicating the application of cold therapy are:
• Acute injuries • Chronic pain
• Alopecia • Low back pain
• Arthritis • Muscle spasms
• Bruises/contusions • Sprains
• Cellulitis • Strains
1.3 Contraindications
Observe patient's skin condition frequently due to individual differences in sensitivity and susceptibility to injury from cold or heat and/or externally applied chemicals or pressure. Patients at greatest risk are those unconscious, on prolonged therapy, diabetics, children, and persons incapacitated or with insensitive skin or compromised
circulation.
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ELECTRI-COOLLocalized Cold Therapy Unit
2. Description
2.1 Description
The Electri-Cool Unit consists of a plastic reservoir for holding distilled water; a float switch to sense water level; a pump for circulating water through an external pad; a thermoelectric assembly to cool the water; a microprocessor-based electronic control to regulate water temperature and a fan to transfer absorbed heat to the ambient air.
A phone jack labeled “SKIN PROBE” allows connection of a 400 Series patient temperature probe for monitoring and/or controlling patient skin temperature. The control panel offers two modes of operation: “WATER TEMP” or “SKIN TEMP”.
• In the “WATER TEMP” mode, the operator selects the desired water temperature setpoint and the unit maintains the water at this temperature.
• In the “SKIN TEMP” mode, the operator selects the desired skin temperature, as measured by the remote probe, and the unit automatically lowers the water temperature to maintain the skin temperature at the setpoint.
• In the “WATER TEMP” mode the setpoint range is 40° to 68°F (4° to 20°C) and in the “SKIN TEMP” mode the setpoint range is 50° to 86°F (10° to 30°C).
Audible and visible alarms indicate “ADD WATER” and “LOW LIMIT”. Digital displays indicate actual water temperature and skin temperature (when a probe is connected) in degrees Fahrenheit or Celsius.
2.2 Accessories
The essential accessories for the Electri-Cool Unit are the Temp-Pad® or Maxi-
®
Therm
Lite Thermal Pads , Temp-Hose® Connection Hose, Steri-Probe® skin
probe and reusable cable.
The Thermal Pads consist of two layers of plastic sealed together to provide multiple passageways for water flow in a random-flow pattern designed to prevent occlusion.
Temp-Pad Localized Cold Therapy Pads Urethane with Foam Backing Sterile w/o Straps Sterile w/Straps
3" x 18" (7.6cm x 45.7cm) 318-US 5" x 10" (1 2.7cm x 25.4cm) 510-US 510­USS 7" x 16" (1 7.8cm x 40.6cm) 716-US 8" x 14" (20.3cm x 35.6cm) 814-US 814­USS
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ELECTRI-COOLLocalized Cold Therapy Unit
11" x 12" (27.9cm x 30.5cm) 1112-US 1112­USS 12" x 15" (30.5cm x 38.1 cm) 1215-US
Maxi-Therm Lite Localized Temperature Therapy Pads EVA with Non-Woven Backing, Not Sterile
25" x 4" (63.5cm x 10.2cm) 870 22" x 16" (55.9cm x 40.6cm) 871 25" x 19" (63.5cm x 48.3cm) 872 18" x 12.5" (45.7cm x 31.8cm) 873
COOLTEMP Localized Cold Therapy Pads Urethane with Foam Backing, Sterile
3" x 20" (7.6cm x 50.8cm) CT-60 5" x 10" (12.7cm x 25.4cm) CT-50 5" x 10" (1 2.7cm x 25.4cm) CT-50SS (self-sealing couplings) 11" x 10" (27.9cm x 25.4cm) CT-99
12" x 18" (30.5cm x 45.7cm) CT-216
ImmobilICE Supports consist of a Temp-Pad P ad contained within a polypropylene felt body, brushed nylon outer laminate and Tietex 100% polyester with hook and loop closures.
ImmobilICE Supports, Sterile
Universal Back Support 814-IMB Universal Hip Support 814-IMH
Temp-Pad Wraps
Shoulder Wrap - small/medium 707-WSS Shoulder Wrap - large/x-large 707-WSL Knee Wrap 707-WKN
Temperature Probes
Reusable Cable 4900B Steri-Probe, Sterile disposable Skin Probe 499B
The pads are connected to the unit via a hose with self-sealing “quick-connect” couplings containing automatic shut-off valves at each end.
Temp-Hose
Insulated Connecting Hose, 6' (1.83m) 757-HIN Insulated Dual Pad Connecting Hose, 8' (2.44m) 757-H8D
Other Accessories
Bed Bracket 757-BBK Disposable Filter 757-FIL Mobile Stand (Requires 757-BBK) 757-MST
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ELECTRI-COOLLocalized Cold Therapy Unit
2.3 Incoming Inspection
Shipping cartons should be inspected upon receipt. If goods are damaged from shipping, make a claim immediately to the carrier.
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ELECTRI-COOLLocalized Cold Therapy Unit
3. Operation
CAUTION: Federal (USA) Law restricts this device to sale by or on the order of a physician.
3.1 Theory of Operation
The Electri-Cool Unit provides a flow of temperature-controlled water to an external pad. The unit, therefore, provides a means of cooling a localized area of the body.
Two modes of operation are available to the operator: “WATER TEMP” and “SKIN TEMP”. (See Fig. 3.1, Electri-Cool Control Panel.)
• In the “WATER TEMP” mode, the operator selects the desired water
temperature and sets the “SETPOINT” accordingly. The Electri-Cool System then provides water at the “SETPOINT” temperature. To cause a change in pad temperature, the operator must change the water temperature setpoint.
• In the “SKIN TEMP” mode the operator selects the desired skin
temperature and sets the “SETPOINT” accordingly. The unit then automatically provides water at a temperature necessary to maintain the desired skin temperature.
Fig. 3.1 - Control Panel
Note: The “SKIN TEMP” mode requires the connection of a remote patient
temperature probe to sense skin temperature. If the probe becomes disconnected, opened or shorted, an error code (“EEP”) will show in the “SKIN TEMP” display and an audible alarm will sound.
Protection against overcooling is provided by a programmed low limit which activates at 36°-38°F (2°- 3°C) and automatically disconnects power to the thermoelectric unit and pump motor. In addition, if the water in the reservoir reaches
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ELECTRI-COOLLocalized Cold Therapy Unit
a low level, an alarm alerts the operator and power is removed from the pump and thermoelectric unit. All alarms are indicated by visual and/or audible signals.
3.2 Safety Precautions
The Electri-Cool Localized Cold Therapy Unit has been designed to provide maximum thermal transfer efficiency at optimum safety. Safety features include:
• Microprocessor control to ensure accuracy of temperature settings at all times by eliminating the need for
calibration.
• Digital display of actual water temperature, setpoint temperature, and skin temperature (when a probe is attached).
• Audible and visual alarms to indicate activation of programmed low limit at 36°­38°F (2°- 3°C) (power to the cooling unit and pump motor automatically disconnected)
• Audible and visual alarms to indicate disconnected, open or shorted temperature probe.
• Audible and visual alarms to indicate a low water level in the reservoir (power to thermoelectric unit and pump motor automatically disconnected).
CAUTION: Read the “Operation” portion of this manual before using
product. Water or skin temperature must be set as prescribed by physician. Observe patient’s skin condition frequently due to individual differences in sensitivity and susceptibility to injury from cold and/or externally applied chemicals or pressure. Patients at greatest risk are those unconscious, on prolonged therapy, diabetics, children, and persons incapacitated or with insensitive skin areas or compromised circulation.
DANGER: Risk of explosion if used in the presence of flammable anesthetics.
CAUTION: Electric shock hazard. Do not remove cover. Service to be
performed by qualified service personnel only.
3.3 Filling Instructions
Remove reservoir cap and fill reservoir to full mark with distilled water only. Replace cap.
3.4 Pad Connecting Instructions
Attach pad connecting hose to unit by inserting male couplings on 6 foot (1.83 meter) connecting hose into female couplings on unit. Be sure couplings are locked together tightly. (An audible “click” can be heard when couplings lock together.)
Select a CSZ Thermal Pad and insert the male couplings from the pad into the female couplings on the hose. Again, make sure couplings are locked together tightly. The hose and pad must be free of kinks that might restrict flow. Place or wrap pad onto the area of the patient to be treated.
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ELECTRI-COOLLocalized Cold Therapy Unit
3.5 Remote Probe Connection
Place a skin temperature probe onto the patient as instructed by the attending physician. Connect the probe to the reusable cable and then insert the plug end of the cable into the jack on the side of the unit marked “Skin Probe”.
Note: Use only 400 series patient temperature probes.
3.6 Power Connection
3.6.1 Plug the power cord into a receptacle providing the appropriate voltage for your
unit. The Electri-Cool System is now ready to begin operation.
CAUTION: Minimum clearance of 2 inches (5 cm) air space must be
maintained on left and right sides of unit where cooling slots are located. Restriction of air flow will reduce cooling performance and cause unit to overheat.
3.7 Start-Up
Turning the power switch to the “On” position causes the following:
• Power switch illuminates and fan energizes.
• All visual indicators flash four times.
• The audible alarm sounds.
• The setpoint and mode of operation to which the unit was last set flashes four times.
The purpose of this “test” sequence is to allow the operator to check for proper operation of all indicators. The operator should make sure that all indicators are operating each time the unit is turned on. If an indicator does not illuminate, remove unit from service and repair.
3.8 Mode of Operation
Select the mode of operation desired by pressing the “WATER TEMP” or “SKIN TEMP” switch on the control panel. The unit will always begin operation in the mode to which it was last set, even if it has been unplugged. An amber indicator will illuminate adjacent to the pressed switch indicating the mode of operation chosen. If the “SKIN TEMP” mode is selected without a probe connected, the “SKIN TEMP” readout will display an error code, indicating “EEP”, and the audible alarm will sound.
3.9 Setpoint
Once the mode of operation has been selected, the setpoint may be raised or lowered. To change the setpoint, press the “SETPOINT” switch (the display will flash) and simultaneously press either the increment (up arrow) or decrement (down arrow) switch. The “arrow” switches can only be activated while pressing the “SETPOINT” switch. The “SETPOINT” temperature of the mode selected will display in the respective window of that mode. Each time the unit is turned on, the setpoint will be the temperature at which it was last set. Therefore, power interruptions will not affect setpoint. The setpoint range is 40° to 68°F (4° to 20°C) in the “WATER TEMP” mode, and 50° to 86°F (10° to 30°C) in the “SKIN TEMP” mode.
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ELECTRI-COOLLocalized Cold Therapy Unit
3.10 Continuous/Alternating Mode
The “CONTINUOUS/ALTERNATING" Mode allows for selection of either continuous delivery of cold therapy or alternating cold therapy, i.e., the unit cycles cooling on for 30 minutes and cooling off for 15 minutes.
3.11 Add Water
The “ADD WATER” indicator illuminates and the audible alarm sounds when the water falls to a low level. Power to the cooling unit and pump is automatically disconnected.
3.12 Cleaning
The Electri-Cool Localized Cold Therapy Unit case is constructed of plastic. Wipe outer surface with a cloth soaked in a solution of water and mild detergent. Rinse cloth of excess solution before applying to unit.
3.13 Storage
The Electri-Cool Unit may be stored full of water for short-term storage of one week or less. If long-term storage is contemplated, it is best to drain the unit.
3.14 Draining
Drain the Electri-Cool Unit by removing the fill cap and inverting the unit over a sink.
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