Dräger WBR82, RW82, WMRW82 Instructions For Use Manual

Instructions for Use

Air-Shields Resuscitaire

WARNING
To properly use this medical device, the user must
obtain a full understanding of the performance
characteristics of this medical device prior to use
by carefully reading these Instructions for Use.

Radiant Warmer Products
Models WBR82, RW82, and WMRW82
International Version

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Trademarks

AutoBreath™ is a trademark of Draeger Medical Systems, Inc.

Care-For-Me™ is a trademark of Draeger Medical Systems, Inc.

Critter Covers® is a registered trademark of Draeger Medical Systems, Inc.

Nylok® is a registered trademark of Nylok Fastener Corporation.

Resuscitaire® is a registered trademark of Draeger Medical Systems, Inc.

VentStar™ is a trademark of Draeger Medical Systems, Inc.

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

Table of Contents

Section 1: Symbol Definition and Intended Use

Symbol Definition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

Dictionary of Common Terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6

Section 2: Introduction, Features, and Specifications

Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

Warmer Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

Cart/Bassinet (Resuscitaire Birthing Room Warmer (WBR82) and Cart only). . . . . . . . . . . . . 2-1

Bassinet (Resuscitaire Radiant Warmer (RW82) only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

Controller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

Blender Module (Optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

Resuscitation Module (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

Resuscitation Module without Autobreath™ Infant Resuscitator . . . . . . . . . . . . . . . . . . . . 2-3

Resuscitation Module with AutoBreath™ Infant Resuscitator . . . . . . . . . . . . . . . . . . . . . . 2-5

Suction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7

Suction Line Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8

Gas Supply Module (Optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8

Apgar Timer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8

Weigh Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8

Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

High Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

Check Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

Baby Temperature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

Power Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

System Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

Blender Differential Bypass (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10

Features of the Resuscitaire Birthing Room Warmer (WBR82) . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11

Features of the Resuscitaire Radiant Warmer (RW82). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12

Features of the Resuscitaire Wall Mounted Radiant Warmer (WMRW82). . . . . . . . . . . . . . . . . . 2-13

Standard Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13

Bassinet (Resuscitaire Birthing Room Warmer (WBR82) and Resuscitaire Radiant

Warmer (RW82) only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13

Warmer Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13

Controller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13

Optional Features (Resuscitaire Birthing Room Warmer (WBR82) and Resuscitaire

Radiant Warmer (RW82) only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14

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Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14

Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16

Standard Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16

Optional Features (Resuscitaire Birthing Room Warmer (WBR82) and Resuscitaire

Radiant Warmer (RW82) only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18

Accessories (WBR82 and RW82 only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-20

Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-20

Regulations, Standards, and Codes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-21

Device Classification (EN60601 Medical Electrical Equipment Part I: General

Requirements for Safety) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-21

Electromagnetic Compatibility (EMC) Guidance and Manufacturer’s Declarations. . . . . 2-22

Section 3: Precautions and Safety Tips

Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

Electrical Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Explosion Precautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Oxygen Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Low-Flow Microblender Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6

Resuscitation Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

AutoBreath™ Infant Resuscitator Precautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9

Suction Precautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11

System Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11

Electromagnetic Compatibility Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12

Safety Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13

Warning Labels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16

Section 4: Installation and Assembly

Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

Assembly of the Resuscitaire Birthing Room Warmer (WBR82) . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Warmer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Cart and Bassinet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Assembly of the Resuscitaire Radiant Warmer (RW82) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6

Warmer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6

Assembly of the Resuscitaire Wall Mounted Radiant Warmer (WMRW82). . . . . . . . . . . . . . . . . 4-10

Mounting of the Resuscitaire Wall Mounted Radiant Warmer (WMRW82). . . . . . . . . . . . . . 4-12

Operational Checkout Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14

Controller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14

Mechanical Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-16

Resuscitation Equipment (Optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-19

Resuscitation Module (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

Resuscitation Module with AutoBreath™ Infant Resuscitator (Optional). . . . . . . . . . . . . 4-24

Blended Gas Supply (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-25

Section 5: Instructions for Use

Instructions for Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1

Controls, Indicators, and Connectors (Resuscitaire Birthing Room Warmer

(WBR82) shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1

Resuscitation Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12

Controller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13

Pre-Warm Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13

Manual Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13

Baby Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15

Examination Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17

Cart and Bassinet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18

End and Side Panels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18

Bassinet Tilt Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18

Vari-tilt Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-19

Docking and Undocking (Resuscitaire Birthing Room Warmer (WBR82) only) . . . . . . . 5-19

X-Ray Cassette Tray Accessory (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-20

Universal Cylinder Bracket (Optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-20

Section 6: Cleaning, Maintenance, Replacement Parts, and Storage and Handling

Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1

General Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Cleaning Agents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Steam Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Cleaning Difficult to Access Areas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Cleaning Painted Surfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Cleaning Clear Plastic and Acrylic Surfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Cleaning Metal Surfaces. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3

Cleaning Wood Surfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3

Cleaning the Reusable Skin Temperature Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3

Cleaning the Reusable Suction Bottle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3

Cold or Gas (Ethylene Oxide) Sterilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4

Disassembly for Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4

Assembly After Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6

Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7

Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7

Pneumatic System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7

Replacement Parts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8

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Storage and Handling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10

Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10

Transport. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10

Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10

Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10

Section 7: Troubleshooting

Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1

System Fail Error Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3

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Section 1

Symbol Definition

and Intended Use

Symbol Definition

This manual contains different typefaces and icons designed to improve readability and increase
understanding of its content. Note the following examples:

• Standard text—used for regular information.

• Boldface text—emphasizes a word or phrase.

• NOTE:—sets apart special information or important instruction clarification.

• The symbol below highlights a WARNING or CAUTION:

Warning and Caution

– A WARNING identifies situations or actions that may affect patient or user safety. Disregarding a

warning could result in patient or user injury.

– A CAUTION points out special procedures or precautions that personnel must follow to avoid

equipment damage.

• The symbol below highlights an ELECTRICAL SHOCK HAZARD WARNING:

Electrical Shock Hazard Warning

• The symbol below indicates Attention: Consult accompanying documents:

Attention: Consult Accompanying Documents

This product contains different icons designed to increase understanding. Note the following examples:

• The symbol below indicates Type B equipment with an F-type isolated (floating) applied part:

Type B Equipment with an F-Type Isolated (Floating) Applied Part

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

• The symbol below indicates a disposable suction bottle:

Disposable Suction Bottle

• The symbol below indicates a reusable suction bottle with suction line filter:

Reusable Suction Bottle

• The symbol below indicates a patient:

Patient

• The symbol below indicates the Suction Line Filter:

Suction Line Filter

• The symbol below indicates the Power On/Off key:

Power On/Off Key

• The symbol below indicates the Celsius/Fahrenheit Selection key:

Celsius/Fahrenheit Selection Key

• The symbol below indicates the Temperature Override Mode (>37°C) key:

Temperature Override Mode (>37°C) Key

• The symbols below indicates the Set Temperature keys:

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Set Temperature Keys

PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

• The symbol below indicates the Apgar Timer keys:

Apgar Timer Keys

• The symbol below indicates the Procedural Silence indicator:

Procedural Silence Indicator

• The symbol below indicates the Silence/Reset key:

Silence/Reset Key

• The symbol below indicates the Mode Select key:

Mode Select Key

• The symbol below indicates the Keypad Lock key:

Keypad Lock Key

• The symbol below indicates the Examination Light key:

Examination Light Key

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

Dictionary of Common Terms

This manual contains some terms that could be confused or can be used interchangeably. This section is
designed to increase understanding of its content. Note the following examples:

Alarm: may require user intervention, usually includes an audible beep or series of beeps

Alert: system information update, may consist of a text message on the display or an audible beep

AAP: American Academy of Pediatrics

Absolute humidity: pressure exerted by water pressure in the air, measured in mmHG (millimeters of

mercury) like blood pressure, independent of air temperature

ACOG: American College of Obstetrics and Gynecology

Apgar: named for Dr. Virginia Apgar. After birth, the infant is rated and assessed according to

Appearance, Pulse, Grimace, Airway, and Respiration

Apnea: cessation of breathing. Central apnea means the infant stops breathing. Obstructive apnea means
that something is preventing the infant from breathing

Average Db: decibel measurements smoothed to represent consistent sound measurement in the acoustic
environment (averaged over 1 minute)

Baby Mode: warmer temperature control mode whereby heater output is determined by baby
temperature via a skin temperature sensor attached to the baby's skin

NOTE:
Baby Mode, Skin Mode, and Servo Mode can be used interchangeably

Conduction: heat transfer between a surface colder or hotter than itself by direct contact

Convection: heat transfer due to warm or cold air currents

Core temperature: infant’s internal temperature

Decibel (Db): numerical expression of the relative loudness of a sound

ELBW: Extremely Low Birth Weight, micro-preemie

Evaporation: conversion of a liquid to a vapor which causes thermal dissipation when body heat is

consumed by the process

Flow Rate and Flow Rate (LPM): flow meter, LPM = liters per minute as measured by a flow meter

Foot Candle: measurement of light and the relative illumination of a surface

Hyperthermia: patient is too hot (hyper = too much; thermia = heat)

Hypothermia: patient is too cold (hypo = not enough; thermia = heat)

Hypoxia: lack of oxygen

IR: infrared, primary method of heat gain from warmer heating elements

Keratin: component of epidermal skin layer in mature skin. Premature skin has lower levels of keratin in

the epidermal (outer) skin layer, which is why premature babies have higher evaporative heat losses. This
layer normally develops about 2 weeks after birth.

LBW: Low Birth Weight (term for premature babies)

Lux: measurement of light and illumination of a surface

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

Manual Mode: warmer temperature control mode where users determine the heater output to the infant
manually

Non-shivering Thermogenesis: Premature infants do not shiver. Term infants do, however, have rich
mitochondrial areas in brown adipose tissue called "brown fat" which creates heat for the infant
metabolically when required. The "brown fat" is used up in the process.

Peak Decibel: decibel measurements showing continual, meaning maximum, sound level measurement,
more reflective of subtle changes to acoustic environment

Preemie: premature infant, born <37 weeks gestation

Pre-Warm mode: Pre-Warm mode is typically associated with radiant warmers. The system will enable

the overhead heaters at 100% for 3 min, then reduces to 60% for 12 min, and then reduces again to 30%.
Thus, when the patient is admitted to the bed, it is already warm and the heating elements can respond
quickly to user or patient requirements.

Relative Humidity: amount of water vapor present in the air, expressed as a percentage and temperature
dependent

RT: Respiratory Therapist, someone who provides ventilator, resuscitation, and other pulmonary support
for patients

Radiation: heat transfer to a warm or cold surface NOT in contact

Servo Mode: closed loop systems that automatically maintain set levels based on feedback to a source.

For example, Baby mode temperature control is a servo system that controls heat processes to the patient
based on that infant's temperature.

NOTE:
Baby Mode, Skin Mode, and Servo Mode can be used interchangeably

Skin temperature: evaluation of patient temperature as measured on the skin. All of our probes are skin

measurement probes, and are attached to the skin via probe covers. Typically, there is a difference of
approximately 0.50C between skin temperature and core temperature.

Thermoneutral Zone: temperature at which an infant's temperature is regulated such that metabolic
processes are minimized, oxygen consumption is optimized, and temperature losses are minimized

Thermoregulation: ability to control and balance heat processes (convection, conduction, radiation, and
evaporation) to minimize infants’ heat losses and encourage growth

Trendelenburg: elevating one end of the mattress

UV: ultraviolet light, a component of the normal spectrum of white light

VLBW: Very Low Birth Weight baby

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

Intended Use

This manual provides instructions for installation, use, operator maintenance, and troubleshooting of the
Resuscitaire® Birthing Room Warmer (WBR82), the Resuscitaire Radiant Warmer (RW82), and the
Resuscitaire Wall Mounted Radiant Warmer (WMRW82). Dräger Medical cannot be responsible for the
performance of the equipment if the user does not operate the equipment in accordance with the
instructions, fails to follow the maintenance recommendations, or makes repairs with unauthorized
components. Only qualified service personnel should calibrate or repair the unit as indicated in the
service manual. Service manuals are available from technical support.

The Resuscitaire Birthing Room Warmer (WBR82) is designed especially for labor and delivery use. It
consists of a detachable cart and bassinet and a freestanding warmer that provides heat control and
monitors skin temperature and includes an Apgar timer. The Resuscitaire Birthing Room Warmer also
includes an optional resuscitation package with suction and oxygen delivery. Other options include a
reserve gas supply and blender.

The Resuscitaire Radiant Warmer (RW82) is designed for use during labor and delivery. The Resuscitaire
Radiant Warmer consists of a bassinet, warmer, and a controller module that provides heat control,
monitoring of the skin temperature, and Apgar timing. The Variable Height (VHA) Resuscitaire Radiant
Warmer provides an adjustable mattress height. The Resuscitaire Radiant Warmer also includes the same
optional resuscitation package with suction and oxygen delivery that is available with the Resuscitaire
Birthing Room Warmer.

The Resuscitaire Wall Mounted Radiant Warmer (WMRW82) is designed specifically for labor, delivery,
and birthing room use. The Resuscitaire Wall Mounted Radiant Warmer consists of a warmer and a
controller module that provide heat control, monitoring of the skin temperature, and an Apgar timer. The
Resuscitaire Wall Mounted Radiant Warmer is installed permanently and, therefore, is not portable. There
are no resuscitation options available with this product.

All personnel who work with the equipment should read, thoroughly understand, and have ready access
to this user manual. When not in use, store the manual with the equipment. If there is anything you do not
understand, please contact your technical support representative for further information.

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

Section 2

Introduction, Features,

and Specifications

Introduction

There are three versions of the Resuscitaire Radiant Warmer product: the Resuscitaire Birthing Room
Warmer (WBR82), the Resuscitaire Radiant Warmer (RW82), and the Resuscitaire Wall Mounted
Radiant Warmer (WMRW82).

Warmer Module

A controller provides Pre-Warm Mode, Manual Mode, or Baby Mode (servo skin temperature control) to
control the warmer. An examination light provides additional illumination of the mattress area. A warmer
head pivot allows the warmer to be pivoted to either side for x-ray procedures. Additionally, when the
warmer is pivoted, it continues to provide heat.

Cart/Bassinet (Resuscitaire Birthing Room Warmer (WBR82) and Cart only)

The bassinet is designed to provide maximum function and utility to aid in the care of the newborn. It is
detachable so you can transport the infant to the NICU, the general nursery, or another area of the
hospital. The side and front panels fold down to permit access to the infant. The mattress tilts at a 0°, 5°,
or 10° angle. Openings are provided on each side of the bassinet for the insertion of the accessory x-ray
cassette tray. A writing surface is available; when the writing surface is closed, it is not visible. Each cart
has a pass-through drawer and a locking front access drawer. The cart locks in place when used with a
warmer.

Bassinet (Resuscitaire Radiant Warmer (RW82) only)

The bassinet is designed to provide maximum function and utility to aid in the care of the newborn. You
may fold the side and front panels down to gain access to the infant. The mattress tilts at a 0°, 5°, or 10°
angle. Openings are provided on each side of the bassinet for the insertion of the accessory x-ray cassette
tray. A push-through drawer is supplied standard on every unit.

Controller

At power-up, the microprocessor within the controller performs a series of diagnostic tests to confirm the
proper operation of the system. During this time, all display and indicators light, except for Power Fail,
and a tone sounds.

When powered-up, the system initializes in Pre-Warm Mode, the controller starts the heater at 100%
power and maintains that setting for 3 min, reduces to 60% for 12 min, and then reduces the heater power
to 30%. During the low heat setting, the unit continues to provide heat with no low limit alarms enabled.

When operating the controller in Manual Mode, you can adjust the heater power from 0% to full power in
10% increments. After 10 min of operation in Manual Mode, the Check Patient alarm occurs. To silence

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

the alarm for 10 minutes, verify the infant’s temperature, and press the Silence/Reset key. Failure to
acknowledge the Check Patient alarm by pressing the Silence/Reset key within the next 5 min causes
the heater to shut down, and an alarm occurs.

When operated in Baby Mode, the controller uses a skin temperature probe, connected between the
controller input and the infant, to automatically adjust the heater output of the warmer module to maintain
a selected set temperature.

The Apgar Timer displays the elapsed time and sounds an alert tone at 1, 5, and 10 minutes.

The Keypad Lock key, when pressed, enables or disables the Up/Down arrows, the Select Mode key,
and the >37°C key.

A procedural silence timer blocks out Low Baby Temp audible alarms for 5 minutes during routine
procedures.

Blender Module (Optional)

The blender module provides blended gas from 21% to 100% to the patient outlet on the resuscitation
module.

Resuscitation Module (Optional)

The resuscitation module contains pneumatic outlets necessary for infant resuscitation. Controls and
displays for the module are located above the bassinet on the warmer column.

Two variations of resuscitation modules exist: Resuscitation Module without Autobreath™ Infant
Resuscitator and Resuscitation Module with Autobreath™. The Resuscitation Module has an adjustable
airway pressure relief.

NOTE:

When pressure in the hose delivering gas to the patient falls below -0.4 kPa (-4 cm H2O), the one-way
valve installed at the Patient Outlet connection opens. In the unlikely failure of the gas supply, the one­way valve allows patient to inspire room air.

The resuscitation modules consist of the factory-installed components discussed on the following pages.

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

Resuscitation Module without Autobreath™ Infant Resuscitator

• Patient Outlet (Resuscitation Module only)—Use the
Patient Outlet to provide continuous gas flow to the
patient. Controls are provided for Airway Pressure Relief
(maximum pressure) and Flow Rate (circuit flow
delivering 100% oxygen or blended gas). The adjustable
Airway Pressure Relief control is always operative when
used with the 15 mm tubing provided. Pressure relief is
adjustable and ranges from 0 to 4.9 kPa (0 to 50 cm
H2O/mbar). The fixed internal safety relief valve is always
operable and provides redundant maximum pressure relief
at 5.9 kPa (60 cm H2O/mbar) ± 20% and allows the patient
to inspire room air in the event of gas supply failure. The
fixed internal safety relief valve provides a maximum
pressure relief at 4.9 kPa (50 cm H2O/mbar) ± 20%.

• Airway Pressure—The airway pressure gauge monitors
the airway pressure when externally connected to patient
circuits. (UK and other local variants are connected
internally and may not have this fitting.)

• Blender—The optional blender supplies blended gas only to the Patient Outlet in the Resuscitation
Module. During operation, the resuscitation module alarms if both oxygen or air pressures are low.

• Auxiliary Outlet—The Auxiliary Outlet supplies 100% oxygen through the Auxiliary Flow control to
the auxiliary outlet connector. It is intended for oxygen enrichment of a manual bag resuscitator, for
supplemental delivery to the patient, mother, or a second neonate, such as a twin. The Auxiliary Flow
control adjusts the flow rate from 0 LPM to 15 LPM. An internal pre-set relief valve limits the
auxiliary outlet pressure to 15.7 kPa (160.1 cm H2O/mbar). For the UK only: This internal pre-set
relief valve limits the Aux Outlet pressure to 3.9 kPa (40 cm H2O/mbar).

NOTE:
The Auxiliary Outlet oxygen percentage is not adjustable. It always supplies 100% oxygen.

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

WARNING:

The internal adjustable airway pressure relief is not functional with a self-inflating bag because
the patient supply is connected to the fresh gas reservoir on the self-inflating bag rather than
directly to the patient airway. When using a self-inflating bag, always use a suitable external
airway pressure relief valve connected to the patient airway. To obtain maximum flow, turn the
adjustable airway pressure relief knob to the Max. position. Failure to do so could result in infant
injury

WARNING:

Using a breathing circuit other than the one supplied may inadvertently restrict the gas flow
such that the indication of the gas flow and the adjustable airway pressure relief may be
inaccurate. Infant injury could occur.

• Patient breathing and supply circuits—Use the disposable patient supply circuit (PN 81 001 27/
MU10900) for manual bagging on the Resuscitation Module.

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

Resuscitation Module with AutoBreath™ Infant Resuscitator

WARNING:

Always use an airway pressure monitor if the AutoBreath™ Infant Resuscitator is to be used
unattended. Failure to do so could result in patient injury.

• AutoBreath™ Infant Resuscitator—Use the
AutoBreath™ Infant Resuscitator in conjunction with the
continuous gas flow provided by the Patient Supply sub­module. The AutoBreath™ Infant Resuscitator circuit is a
gas-powered, time-cycled, continuous flow, pressure­limited resuscitator. It has a Rate (BPM) control and a fixed
I/E ratio of 1:2 nominal. An On/Off switch allows the
timing circuit to be turned on and off as needed. A PEEP
control adjusts the Positive End Expiratory Pressure in the
patient circuit.

• Patient Gas Supply—The patient gas supply circuit may be
used with the AutoBreath™ Infant Resuscitator turned on or
off to provide continuous gas flow to the patient. Controls
are provided for Airway Pressure Relief (maximum
pressure) and Flow Rate (LPM) (circuit flow delivering
100% oxygen or blended gas). The adjustable Airway
Pressure Relief control is always operative. A fixed internal
safety valve is also provided and is also always operable.
This valve provides redundant maximum pressure relief at 4.9 ± 1.0 kPa (50 cm H2O/mbar) and also
allows the patient to inspire room air in the event of gas supply failure. Negative pressure is not
available in the expiratory phase.

NOTE:

Flow Rate (LPM) is equivalent to flow meter.

• Auxiliary Outlet—The auxiliary outlet supplies 100% oxygen through the Auxiliary Flow control to
the auxiliary outlet connector. It is intended for oxygen enrichment of a manual bag resuscitator, for
supplemental delivery to the patient, mother or second neonate, such as a twin. The Auxiliary Flow
control adjusts the flow rate from 0 LPM to 15 LPM. An internal pre-set relief valve limits the
auxiliary outlet pressure to 15.7 kPa (160.1 cm H

O/mbar). This internal pre-set relief valve limits the

2

Aux Outlet pressure to 3.9 kPa (40 cm H2O/mbar).

NOTE:

Increasing back pressure may develop as the length of oxygen circuit tubing increases and tubing
diameter decreases. Install oxygen delivery tubing as intended in a clinical situation and verify through
flow measurement that approximately 15 LPM (maximum) can be achieved.

NOTE:

The Auxiliary Outlet oxygen percentage is not adjustable. It always supplies 100% oxygen.

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

WARNING:

The internal adjustable airway pressure relief is not functional with a self-inflating bag because
the patient supply is connected to the fresh gas reservoir on the self-inflating bag rather than
directly to the patient airway. When using a self-inflating bag, always use a suitable external
airway pressure relief valve connected to the patient airway. To obtain maximum flow, turn the
adjustable airway pressure relief knob to the Max. position. Failure to do so could result in infant
injury.

WARNING:

Using a breathing circuit other than the AutoBreath™ Infant Resuscitator Breathing Circuit
(PN 81 000 19/ MU10850) may inadvertently restrict the gas flow such that the indication of the
gas flow and the adjustable airway pressure relief may be inaccurate. Infant injury could occur.

• Patient Breathing Circuits—Use the patient breathing circuit (PN 81 000 19/ MU10850) in
conjunction with the AutoBreath™ Infant Resuscitator. Additionally, a patient supply circuit for
manual bagging, or blow-by, (PN 81 001 26/ MU10899) may be used.

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

Suction

A gas-powered, venturi-generated vacuum drives
the suction circuit, which provides a negative
pressure for suctioning the patient’s airway. This
suction device is specifically intended for removal
of mucus from neonates post delivery. The suction
negative pressure is indicated on the suction gauge.
Adjust suction with the Suction control, and turn it
on or off with the On/Off switch. A fixed relief valve limits the maximum suction pressure to 150 mm
Hg (80" H2O/mbar). This suction module contains an On/Off switch and a suction control knob for
suction adjustment between 0 to 19.99 kPa (0 to 2.90 psi), minimum of 15.7 LPM at maximum.

NOTE:

The disposable suction bottle has a built-in filter.

Disposable suction bottle (PN 81 001 49/
MU10918) and the associated filter (PN 81 001 46/
MU10915)

Reusable suction bottle (PN 81 001 50/ MU10919)
and the associated filter and tubing (PN 81 001 54/
MU10923)

Reusable micro-volume suction bottle
(PN 81 001 44/ MU10913) and the associated filter
(PN 81 001 36/ MU10907), or box of 10 disposable
micro-volume suction bottles (PN 81 001 48/
MU10917), or reusable micro-volume suction kit
(PN 81 001 47/ MU10916)

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

Suction Line Filter

The Suction Line Filter is a hydrophobic bacterial filter with
extension tubing. It is connected in line with the supply
connection to the suction bottle. The extension tubing connects
to the suction bottle outlet port.

Gas Supply Module (Optional)

The gas supply module includes an On/Off switch that
controls the pipeline and cylinder gas supply to the
resuscitation module. The basic resuscitation module
includes an oxygen cylinder pressure gauge.

NOTE:

When both wall and tank gas sources are turned on, the
system may not always pull gas from the wall source. It will
pull from the source with the highest pressure. Check tank gauges to determine gas source.

On units equipped with the blender module, oxygen and air
pressure gauges are provided.

NOTE:

The Blender Module option changes the Resuscitation
Module to add the air pipeline, the tank connections, and
also adds an air gauge to the Gas Supply Module.

Apgar Timer

When the Apgar Timer is enabled, the Apgar Timer display shows elapsed minutes and seconds up to
59:59, and an alert sounds at the 1, 5, and 10 min intervals.

Weigh Scale

The scale consists of a Display Module and Weighing Platform. A microcomputer is used to determine
the weight of infants in the Resuscitaire Birthing Room Warmer and the Resuscitaire Radiant Warmer.
The infant weight remains on the digital display for several minutes. Refer to the User Manual that
accompanies the scale for additional information.

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

Alarms

All alarm indicators are displayed in the upper right corner of the controller panel and illuminate when
activated.

High Temperature

When the skin temperature probe is attached to the infant and the skin temperature exceeds 39°C (102°F),
the heater automatically turns off, the High Temp indicator flashes, and the alarm sounds continuously.
To silence the alarm for 2 min, press the Silence/Reset key. After you correct the alarm condition or the
infant’s temperature falls below 38.5°C (101.3°F), the alarm automatically resets. If the skin probe
detects a temperature of 39.5°C (103.1°F), the unit shuts down, and a System Fail alarm activates.

Check Patient

After 10 min of operation in Manual Mode, the Chk Patient indicator illuminates, and the alarm sounds.
Thereafter, the Chk Patient indicator remains illuminated, and the alarm sounds every 30 s for 5 min. To
silence the alarm for 10 min, check the infant’s temperature, and press the Silence/Reset key. If the alarm
has not been acknowledged after a total of 15 additional min, the heater shuts down, and a continuous
ramping alarm sounds. To activate the heater, check the infant’s temperature, and press the Silence/Reset
key.

Probe

If the skin temperature probe fails (short- or open-circuits), or if the controller is in Baby Mode and there
is no skin temperature probe connected to the controller, the Probe indicator flashes and a ramping alarm
sounds. Additonally, the word “Lo” displays in the baby temperature display due to the baby skin
temperature probe reading <18° C ambient temperature. After correcting the alarm condition, the alarm
automatically resets.

Baby Temperature

When the temperature sensed by the skin temperature probe is 1°C above or below the Set Temperature
display setting in Baby Mode, the Baby Temp indicator flashes, and an alarm sounds, first at a low level,
then at a medium level, and then at a high level. Additionally, if the temperature is 0.2°C above the Set
Temperature display, the heater turns off automatically. To silence the alarm for 10 min, check the
infant’s temperature, and press the Silence/Reset key.

Power Failure

NOTE:

Turning off the power switch keeps the controller and heater from starting automatically when power is
returned to the unit. The settings are retained in memory.

When AC power to the unit is interrupted while the controller is on, the Power Fail indicator flashes, and
the alarm beeps. To silence the alarm, press the ON/STBY switch. When power is restored to the unit, the
alarm automatically resets, and all the settings are retained.

System Failure

If an internal malfunction is detected, the System Fail indicator flashes, and the alarm beeps. In addition,
the Baby Temperature display shows an error code, such as Er01 to Er023. A prolonged brown-out,
such as 5 min or longer, also causes this alarm. This alarm is not resettable. Refer the unit to qualified
service personnel. See “System Fail Error Codes” on page 7-3 for error codes.

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

Blender Differential Bypass (Optional)

The factory-installed, optional, blender module alarms whenever the pressure differential between the
oxygen and air supplies exceed 207 kPa (30 psi) ± 14 kPa (2 psi). When this condition occurs, the blender
continues to supply whichever gas has the higher pressure: either 100% air or 100% oxygen. This is an
audible alarm only; there are no visual indicators. If a blender is present, both sources of air and oxygen
must be connected and turned on and present to prevent the Differential Bypass alarm from activating.

NOTE:

Because this alarm is pneumatically powered, either O2 or air must be present for the alarm to sound.

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

Features of the Resuscitaire Birthing Room Warmer (WBR82)

NOTE:

Suction bottle not shown. It is located on the lower right side of the warmer column.

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

Features of the Resuscitaire Radiant Warmer (RW82)

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

Features of the Resuscitaire Wall Mounted Radiant Warmer (WMRW82)

Standard Features

Bassinet (Resuscitaire Birthing Room Warmer (WBR82) and Resuscitaire Radiant
Warmer (RW82) only)

The bassinet provides maximum visibility and access to the infant. The bassinet tilts up in the rear to 5°
and 10°, and allows insertion of an accessory x-ray cassette tray. Vari-tilt models are continually
adjustable at ±10°.

Warmer Module

The warmer module houses a heating element and an examination light for special procedures.

Controller

The controller provides pre-warm, manual heat control, and automatic skin temperature servo-control,
and contains an Apgar Timer, skin temperature display, heater power indication, ambient temperature
sensing, diagnostic modes, alarms, keypad lock, and probe connection. All units include a reusable probe.

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

Optional Features (Resuscitaire Birthing Room Warmer (WBR82) and
Resuscitaire Radiant Warmer (RW82) only)

The following factory-installed options are available:

Resuscitation module which contains connections for suction, patient or primary gas delivery (blended
air/oxygen or oxygen), auxiliary oxygen delivery, and airway pressure gauge. Two variations of
resuscitation modules exist: Resuscitation Module without Autobreath™ Infant Resuscitator and
Resuscitation Module with Autobreath™. The Resuscitation Module has an adjustable airway pressure
relief.

• Precision blender

• Oxygen pipeline and cylinder gas supply module (included on all variants)

• Oxygen/Air pipeline and cylinder gas supply module (included on blender variants only)

• Vari-tilt bassinet

• Anti-static casters

CAUTION:

Casters do not control all the Electro Static Discharge (ESD) characteristics of the device on
which they are mounted. They do, however, help prevent the build up of charge on the casters
from friction during motion.

ESD is a product of the environment and only the user/owner can control the ESD in that
environment by maintaining a conductive floor, equipping employees with ESD clothing and
control devices, etc.

Accessories

The following field-installed accessories are available (refer to Perinatal Care Accessories P/N 90 50 360
for additional parts):

Description

Organizer Tray for Air-Shields Resuscitaire slide through drawer
Optional X-Ray cassette tray below mattress, accessible from either side
Optional instrument trays available for either side of the bed
Monitor trays fit either side
IV pole fit either side
Microvolume kit (40ml)
Hydrophobic filters (package of 10)
Micro volume suction bottle (package of 10)
800 ml suction bottle (package of 20)
Reusable 750 ml (each)
Filter for reusable suction bottle (package of 25)
Reusable temperature probes (skin probe)
Disposable breathing circuit 15mm without exhalation valve for use with breathing bag (pack-

age of 25)
Disposable breathing circuit 15mm with exhalation valve (package of 25)

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

Description

Optional instrument trays available for either side of the bed
Monitor shelf assembly, birthing room warmer
Insert, Drawer
Basket assembly
Rod, moounting, basket

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PROPRIETARY AND CONFIDENTIAL DRAFT 5 Feb 04

Specifications

Standard Features

Feature Dimension

POWER REQUIREMENTS

100V Models 100V, 50/60 Hz, 750W (non-VHA), 1300W

(VHA)

230V Models 230V, 50/60 Hz, 750W (non-VHA), 1300W

(VHA)

OVERLOAD PROTECTION

100V Models Dual Circuit Breakers 6A (non-VHA), 10A (VHA)
230V Models Dual Circuit Breakers 3A (non-VHA), 5A (VHA)

CHASSIS LEAKAGE CURRENT

100V and 120V Models 300 μA maximum
230V Models 500 μA maximum

EXAMINATION LIGHT

DISPLAYS

Skin Temperature Display Range 18 to 43°C (64.4 to 109.4°F)
Skin Temperature Display Accuracy ± 0.2°C for 31°C to 38°C (88°F to 100.4°F)
Skin Temperature Display Resolution 0.01°C (0.1°F)
Apgar Timer Display Range 0:00 to 59:59 (mins:secs)
Apgar Timer Display Accuracy 0 ± 1 s
Apgar Timer Display Resolution 1 s

MANUAL HEAT CONTROL Adjustable in 10% increments from zero to full

Heater Element Life Expectancy 1000 hours of operation

DATA PORT 2400 bits/s fixed baud rate, RS-232C compatible
MATTRESS TILT (WBR82 and RW82 only) 0, 5, and 10 degrees
BASSINET TILT- Vari-tilt (if so equipped)

(WBR82 and RW82 only)

DIMENSIONS AND WEIGHT

Mattress Height (from floor) 100 cm ± 1 cm (39.4" ± 0.4")
Mattress Height w/VHA (RW82 only) (from

floor)
Mattress Length 66.0 cm (26”)
Mattress Width 53.3 cm (21”)
Mattress Thickness 2.54 cm (1”)
Height (WBR82) 188 cm (74")
Height (RW82) 190.5 cm (75") *UK Variant add (5 cm)
Height w/VHA (RW82) 171 cm to 200.7 cm (67" to 79")
Height w/VHA and Vari-tilt option (RW82) 205.7 cm (81")

>100 Foot Candles (0.11 lumens/cm2) (50W
Quartz bulb)

power (100%).

± 10 degrees from horizontal

89.2 cm to 109.2 cm ± 1 cm (35.1" to 43" ± 0.4")

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