Fisher and Paykel 900 User manual

OPERATING MANUAL

MANUEL D’UTILISATION

MANUAL DE

Systèmes de régulation thermique pour nouveau-nés - Série 900

Sistemas de regulación térmica neonatal de la Serie 900

FUNCIONAMIENTO

900 Series Infant Warmers

Contents Page Chapter 1 - Read This First

Symbols ....................................................................................................................................................1-1

Deﬁ nitions ................................................................................................................................................. 1-2

Warnings - User and paient Safety ........................................................................................................... 1-2

Skin Sensor and Sensor Cover ............................................................................................. 1-2

Heater ....................................................................................................................................1-3

Electrical ............................................................................................................................... 1-3

Bassinet .................................................................................................................................1-3

Warmer Loadings ...................................................................................................................1-3

Neopuff™ Infant Resuscitator ................................................................................................ 1-4

Oxyen Adminstration .............................................................................................................. 1-4

Phototherapy .........................................................................................................................1-4

Cleaning and Maintenace ...................................................................................................... 1-5

Cautions - General .................................................................................................................................... 1-5

Oxygen Adminstration ............................................................................................................. 1-5

Alarm Summary - Baby Control Models .................................................................................................... 1-6

Manual control Models .................................................................................................. 1-7

Alarm Systems .............................................................................................................. 1-7

Alarm Veriﬁ cation ..........................................................................................................1-7

Disabled Low Skin Temperature Alarm ......................................................................... 1-7

Chapter 2 - About Your Warmer

Application & Description ........................................................................................................................ 2-1

Chapter 3 - Using Your Warmer

Controls & Indicators ............................................................................................................................... 3-1

Using Prewarm Mode .............................................................................................................................. 3-2

Placing the Skin Sensor .......................................................................................................................... 3-2

Using Baby Mode .................................................................................................................................... 3-4

Using Manual Mode ................................................................................................................................ 3-5

Using the Procedure Timers .................................................................................................................... 3-5

Using the Apgar Timer ............................................................................................................................. 3-6

Using the Examination Light ................................................................................................................... 3-6

Using the CosyCot Bassinet - IW930/950 Series ................................................................................. 3-7

Raising and Lowering the Mobile Stand - IW910/920 ............................................................................. 3-9

Alarm Systems ........................................................................................................................................ 3-9

IW910/920 Mobile Infant Warmer Diagram ............................................................................................. 3-12

IW930/950 CosyCot™ Infant Warmer Diagram ...................................................................................... 3-12

IW980/990 Wall Mount Infant Warmer Diagram ...................................................................................... 3-12

Chapter 4 - Accessories

DuoSense™ Skin Sensor & SunSpot™ Sensor Cover ........................................................................... 4-1

Electric Elevator Module ......................................................................................................................... 4-1

Neopuff™ Infant Resuscitator Module .................................................................................................... 4-2

Gas System Accessories ........................................................................................................................ 4-4

Flowmeter Modules ................................................................................................................................. 4-5

X-Ray Tray Module ................................................................................................................................. 4-5

Mounting Accessories ............................................................................................................................. 4-6

Storage Accessories ............................................................................................................................... 4-7

Uninterruptable Power Supply (UPS) ..................................................................................................... 4-7

Phototherapy Accessories ...................................................................................................................... 4-8

Chapter 5 - Cleaning & Maintenance

Cleaning .................................................................................................................................................. 5-1

Maintenance ............................................................................................................................................ 5-3

Chapter 6 - Troubleshooting

General Assistance ................................................................................................................................. 6-1

Chapter 7 - Appendices

Product Speciﬁ cations ............................................................................................................................. 7-1

Contents

1 - 1

Chapter 1 – Read This First

1. Symbols

Before use Please read and understand these symbols before using the warmer or accessories.

Type B Equipment

Type BF Applied Part

Caution: Electric Shock Hazards

Attention: Consult Accompanying Documents

Alternating Current

Protective Earth

Functional Earth

Mute (alarm silence)

Light

Power On (connect to wall power supply)

Power Off (disconnect from wall power supply)

Power On (part of equipment)

Power Off (part of equipment)

Sensor Disconnect

Power Disconnect

Timer

Temperature Sensor

25% Power Level ( Prewarm or Standby mode)

Baby Mode (Servo mode)

Manual Mode

Check Baby

High Temperature Alarm

Low Temperature Alarm

Read This First

2. Deﬁ nitions

Before use Please read and understand these deﬁ nitions before using the warmer or accessories.

Warning statement

Caution statement

WARNING

A WARNING statement refers to the conditions when the

possibility of injury to the patient or user exists if a procedure is not followed correctly.

CAUTION

 A Caution statement indicates the possibility of damage to the equipment

exists if a procedure is not followed correctly.

1 - 2

Note statement

NOTE:

 A Note statement provides additional information intended to clarify

points, procedures or instructions.

3. User & Patient Safety

Before use Please read and understand these deﬁ nitions before using the warmer or accessories.

WARNING

This product is intended for use by authorised and qualiﬁ ed medical personnel who are aware of currently

known hazards and beneﬁ ts of infant radiant warmers. All personnel must be familiar with the operation of this warmer before using the device with patients. Do not use in the presence of a ﬂ ammable anaesthetic mixture with oxygen or nitrous oxide, or other ﬂ ammable

materials. Overloading the shelves and mounting brackets may affect the stability of the warmer. Independent monitoring of temperature is essential for any baby under an infant radiant warmer. A warmer cannot differentiate between hypothermia (low skin and low core temperature), and fever (low skin and

high core temperature). When using the warmer in Manual mode, continuously monitor the baby’s clinical condition and temperature. It is inadvisable to leave a baby unattended under an infant radiant warmer. The heat emitted by a radiant warmer may increase the baby’s insensible water loss. Consider appropriate

measures to maintain proper ﬂ uid balance. Do not use the warmer if the See Manual alarm is activated. Remove the unit from service and refer to qualiﬁ ed

personnel. Always lock the wheels before use. Ensure that all limbs are clear of moving parts under the base and legs while operating the electric elevator.

Ensure the clinical condition of the baby is regularly reviewed.

4. Skin Sensor & Sensor Cover

WARNING

The warmer cannot measure or control the baby’s skin temperature if the skin sensor is not correctly positioned

on the baby or a reﬂ ective sensor cover is not used. Use only the 900IW001 DuoSense™ skin sensor to measure the baby’s skin temperature. Regularly check that the skin sensor and sensor cover remain correctly positioned on the baby. Ensure the skin sensor is always in direct contact with the baby’s skin. Never place an obstruction between the heater and the skin sensor other than a reﬂ ective sensor cover. Heating is obstructed if the baby is wrapped in a blanket which comes between the heater and the skin sensor. Do not use an axillary or rectal temperature sensor measurement to control baby skin temperature. Use of an

axillary or rectal temperature sensor measurement to control baby skin temperature can result in over-heating

or under-heating of the baby. While in Manual mode, the displayed skin temperature is for monitoring purposes only and not used to control

heater power.

Read This First

1 - 3

5. Heater

WARNING

Ensure there is at least 30 cm (12”) clear airspace above the Heater Ensure the heater grill to mattress distance is 68 cm (27”). Less than 65 cm (25.5”) or more than 80 cm (31.5”) may

affect warmer performance, may result in over-heating or under-heating of the baby, and may affect the baby’s

clinical condition. A baby’s thermal balance can be affected by ambient conditions. Do not place an infant radiant warmer in direct

sunlight, near another heat source, or in draughty conditions. Accessories such as phototherapy lamps and heated mattresses can affect warmer performance by altering the

heat distribution across the bassinet mattress. Never place objects on top of the warmer heater. Never attach objects to any surface on the warmer heater.

6. Electrical

WARNING

Ensure additional equipment connected to the baby or the warmer is electrically safe. Ensure the power supply is continuous, earthed, approved for hospital use and complies with the voltage

speciﬁ ed on the unit. Ensure a power regulator is used if the power supply voltage or frequency is likely to vary outside the speciﬁ ed

range. Electrical shock hazards exist beneath the control panels. Ensure all service and maintenance is carried out by

qualiﬁ ed personnel. Do not use extension cords to connect the warmer to the power supply. Use only hospital grade power cords and

plugs.

7. Bassinet

WARNING

Ensure the bassinet and side panels are locked into position before transport. Use the transport handle and

ensure drawers are in the central position. Do not move the warmer by pushing or pulling on the bassinet side panels. This action may lead to the deterioration

and breakage of the components that act as a safety barrier around the baby. Tilting the bassinet from the horizontal position can affect warmer performance by altering the heat distribution

across the bassinet mattress. Inspect all tubes or wires connected to the baby before and after tilting bassinet. Tilting or moving the warmer

bassinet can pull on tubing or leads. Do not leave the baby unattended in the bassinet when the side panels are folded down.

8. Warmer Loadings

WARNING

Maximum bassinet loading is 10 kg (22 lb). Do not exceed maximum side load limits speciﬁ ed on the column label. Maximum side loads for the CosyCot™ infant warmer are:

10 kg (22 lb) max up to 130 cm (51.2”) from ﬂ oor

5 kg (11 lb) max from 130 to 160 cm (51.2” to 62.9”) from ﬂ oor

1 kg (2.2 lb) max above 160 cm (62.9”) from ﬂ oor Ensure all mounting accessories are securely fastened in the column mounting slot before items are placed or

attached to each accessory. Do not exceed the maximum total storage drawer and storage tray loading of 7 kg (15.4 lb). The maximum total accessory weight on a CosyCot™ should not exceed 65kg (143lbs).

Read This First

9. Neopuff™ Infant Resuscitator

WARNING

Please read and understand the instructions fully before using the Neopuff™ infant resuscitator and related

accessories. It is the responsibility of the purchaser to ensure that all users of this device have been adequately trained in

resuscitation techniques.

WARNING

The Neopuff™ resuscitator should only be used after checking that correct pressures will be delivered to the

baby. Ensure no smoking, naked ﬂ ames or sources of ignition are present while the unit is in use. For connection to ﬂ ow regulated oxygen or oxygen/air mixture only. Recommended operating gas ﬂ ow range is 5 to 15L/min. Do not attempt to use a higher ﬂ ow than 15L/min. The Maximum Pressure Relief can be adjusted up to a nominal 80cm H2O/mbar, and should only be done

in exceptional circumstances by persons trained in infant resuscitation.

Pressure Relief above 80cm H20/mbar. Use only a Fisher and Paykel Healthcare patient T-piece.

WARNING

Ensure all oxygen and air supplies are turned off and disconnected from the Neopuff™ before performing cleaning

procedures.

environment.

The Neopuff™ infant resuscitator is to be used only by persons trained in infant resuscitation.

Do not attempt to set the Maximum

Explosion and ﬁ re hazards can exist when performing cleaning procedures in an oxygen-enriched

1 - 4

10. Oxygen administration

WARNING

The attending physician should prescribe the method, concentration and duration of oxygen administration. Improper use of oxygen may be associated with serious side effects, including blindness, brain damage and

death. Oxygen-enriched gas has been found to increase the risk of retrolental ﬁ broplasia (retinopathy of prematurity).

Use arterial blood gas measurement for regulation of inspired oxygen concentration when oxygen-enriched gas

is necessary. Keep ignition sources away from the warmer and out of the room in which oxygen equipment is located. Ensure no foreign material is present in the ﬂ owmeter nipples or patient supply lines. Always adjust the ﬂ owmeter valves slowly to avoid possible pressure points in patient supply lines. To avoid possible patient injury or ﬂ owmeter damage do not attempt to adjust the ﬂ owmeter ﬂ owrate above 15

L/min. Ensure the cylinder valves are closed when the hospital pipeline systems are in use. Supply pressures may

become equal and if used simultaneously, cylinder supplies could be exhausted leaving no emergency backup

supply. Compressed gas cylinders can become hazardous projectiles if the gas is released rapidly. To prevent damage

from shock or impact, the cylinders must be securely fastened.

11. Phototherapy

WARNING

This product is intended for use by authorized and qualiﬁ ed personnel who are aware of currently known hazards

and beneﬁ ts of phototherapy for treatment of hyperbilirubinemia. All personnel must be familiar with the operation of this phototherapy system before using the device with

patients. Protect baby’s eyes and genitals from Phototherapy light. Do not look directly at the blue light. Ensure Phototherapy Lamp head is securely ﬁ tted to the mounting bracket.

Read This First

1 - 5

Electric shock hazards exist beneath the control panels. Ensure qualiﬁ ed personnel carry out all service and

maintenance issues. Only qualiﬁ ed personnel should carry out service and maintenance procedures. To avoid the possibility of electric shock hazard when performing cleaning and maintenance procedures,

disconnect the Infant Warmer from the mains power.

12. Cleaning & Maintenance

WARNING

Only qualiﬁ ed personnel should carry out service and maintenance procedures. To avoid the possibility of burns when performing cleaning and maintenance procedures, ensure the warmer is

disconnected from the power supply and the heater element is allowed to cool. To avoid the possibility of electric shock hazard when performing cleaning and maintenance procedures, ensure

the warmer is disconnected from the power supply. Ensure all oxygen and air supplies are turned off and disconnected from the warmer before performing cleaning

and maintenance procedures. Explosion and ﬁ re hazards can exist when performing cleaning and maintenance procedures in an oxygen-

enriched environment.

13. General

Before use Please read and understand these deﬁ nitions before using the warmer or accessories.

CAUTION

 Us Federal law restricts this device to sale by or on the order of a physician.  Do not stand on any part of the warmer base.  Do not autoclave or gas sterilise the DuoSense  Do not autoclave or gas sterilise any part of the warmer.  Ensure the skin sensor is only removed from the controller by grasping the plug at the front panel.

strain is not placed on the sensor lead during use, cleaning or inspection.

 Do not remove the skin sensor from the baby’s skin by placing excessive strain on the cable.

damage the skin sensor and cause irritation to the baby.

 Ensure the bassinet side panels are not used to move the warmer.  Do not use solvents, or abrasive cleaning solutions for cleaning surfaces of the warmer.

acrylic surfaces can cause crazing and cracking.

 Do not expose plastic and acrylic surfaces to direct radiation from germicidal lamps.

sources can cause crazing and cracking.

 Ensure all warmer parts and accessories are checked before returning the device to service.

of this operating manual for directions.

 For cold sterilisation:

Ensure the cold sterilisation agents are safe for use with the relevant warmer surfaces. If in doubt

check with supplier.

 For chemical liquid immersion: Some chemicals can be harmful to plastics.

™

skin sensor.

Ensure excessive

Such a procedure can

The use of alcohol for cleaning

The ultraviolet radiation from these

Refer to relevant sections

If in doubt check with supplier.

14. Oxygen Administration

CAUTION

 Disconnect and turn off the oxygen supply when cleaning the unit or performing service and maintenance procedures  Ensure cylinder valves are opened slowly to avoid damage to the regulators and resuscitation system.  Ensure only one cylinder gasket is used per yoke.

Using more than one gasket could result in gas leakage.

Read This First

15. Alarm Summary, Baby Control Models IW910/930/980

Before use

Please read and understand the following alarm summary for baby control models

before using the warmer or accessories.

Alarm Mode Cause Effect Mute Button

Check Baby Baby Warmer operating at 100% power

for longer than 15 minutes

Heater reduced to 25% power

Cancels alarm & restores heater power

1 - 6

Manual Warmer operating at more than

25% power for longer than 15 minutes

Prewarm Not active Not active Not active

High Skin Temp Baby Measured skin temperature higher

than set temperature by 1ºC

Manual Measured skin temperature higher

than 39°C

Prewarm Measured skin temperature higher

than 39°C

Low Skin Temp Baby Measured skin temperature lower

than set temperature by 1ºC

Manual Not active Not active Not active Prewarm Not active Not active Not active

Sensor Disconnect Baby Skin sensor unplugged or faulty Heater power

Manual Skin sensor faulty Heater power

Prewarm Not active Not active Not active

See Manual All Software or electronic fault

detected

Heater reduced to 25% power

Heater power disabled

Heater reduced to 25% power

disabled

Warmer disabled No effect

Cancels alarm & restores heater power

Silences audible alarm only

Silences audible alarm & restores heater power

Silences audible alarm only

Power Fail All Power supply to warmer failed Warmer disabled No effect

Read This First

1 - 7

16. Alarm Summary, Manual Control Models IW920/950/990

Before use

Please read and understand the following alarm summary for baby control models

before using the warmer or accessories.

Alarm Mode Cause Effect Mute Button

Check Baby Manual Warmer operating at more than

25% power for longer than 15 minutes

OR measured skin temperature higher than 39°C

OR skin sensor faulty Heater power

Prewarm Measured skin temperature higher

than 39°C

See Manual All Software or electronic fault

detected

Power Fail All Power supply to warmer failed Warmer disabled No effect

Heater reduced to 25% power

Heater power disabled

disabled Heater power

disabled Warmer disabled No effect

Cancels alarm & restores heater power

Silences audible alarm only

17. Alarm systems

WARNING

See Alarm Systems on page 3-9 for full details of alarm systems, possible causes and recommended action.

18. Alarm veriﬁ cation

NOTE:

 See page 3-11 for procedures to verify operation of alarms.  All alarms are indicated by a ﬂ ashing red light and audible alarm, except for See Manual which may use a ﬂ ashing or

continuous light.

19. Disabled low skin temperature alarm

NOTE:

 If the baby’s skin temperature is less than the set temperature when Baby mode is ﬁ rst selected, the Low Skin Temperature

alarm is disabled for 15 minutes or until the baby skin temperature has warmed up to the set temperature.

 The 15 minute warm-up period enables safe continuous warming of the baby without nuisance alarms.

Read This First

Chapter 2 - About Your Warmer

1. Application and Description

2 - 1

(a) Introduction

(b) Models

i The Fisher & Paykel infant radiant warmers are speciﬁ cally designed to

provide a controlled source of warmth to babies in the ﬁ rst few weeks

The warmers can provide complete care for the newborn baby in

of life. delivery through to the critically ill baby in neonatal intensive care.

i The CosyCot™ Infant Warmer combines an integrated bassinet with

optional accessories to suit your own particular warming needs.

The

Mobile Infant Warmer provides truly mobile warming wherever needed.

ii The Wall Mount Infant Warmer provides discrete and convenient space

saving warming.

iii Model Baby Control Manual Control Mobile IW910 IW920

™

CosyCot

IW930 IW950

Wall Mount IW980 IW990

i In Baby mode, the baby control models provide stable control of the

baby’s skin temperature by automatically adjusting the heater power to compensate for varying physiological and environmental conditions. This is achieved using a microprocessor which measures and updates the baby’s temperature ten times every second.

ii In Manual mode, all warmers provide user-adjustable heater power and

the option to monitor the baby’s skin temperature using the skin sensor.

iii In Prewarm mode, all warmers provide alarm and trouble free prewarming

of the heater and environment above the warmer mattress.

(d) DuoSense™ skin sensor

(e) Operating manual

i Safety of the baby is enhanced by the DuoSense™ skin sensor. The skin

sensor measures the baby’s skin temperature using two independent sensors. These sensors are continuously compared to ensure accurate and reliable skin temperature measurements.

i This operating manual must be read thoroughly and all instructions,

warnings, cautions and notes thoroughly understood by personnel working with the warmers and accessories.

About Your Warmer

3 - 1

Chapter 3 - Using Your Warmer

Controls & Indicators

(a) Warmer diagrams

Power Switch

The warmer starts up automatically in the last mode that was used.

Control Knob

Adjusts set temperature in Baby mode and power level in Manual mode. Adjusts preset countdown time when either the Timer 1 or Timer 2 buttons are held down (Baby control models only).

Baby Skin Temperature Display

Displays the current baby skin temperature when a skin sensor is inserted in Baby mode or Manual mode and the skin sensor is correctly attached to the baby. ‘---’ in the event of a Sensor Disconnect alarm. mode or when no skin sensor is inserted in Manual mode.

Set Temperature Display (Baby control models only)

Displays the current set temperature when in Baby mode. The display switches off in Prewarm mode or Manual mode.

Power Display

Displays the current power level in the range 0% to 100% in 5% steps.

Timer Display (Baby control models only)

Displays the current time of the Apgar timer, Timer 1 or Timer 2 when they are active.

Mute (Baby control models only)

Pressing this button silences all audible alarms (except See Manual and Power Fail) for 10 minutes.

Prewarm

Pressing this button selects Prewarm mode and illuminates the green Prewarm mode indicator light. The Power level is preset to 25% to provide alarm and trouble free prewarming of the heater and environment above the warmer mattress before arrival of the baby.

Baby (Baby control models only)

Pressing this button selects Baby mode and illuminates the green Baby mode indicator light. The Power level is automatically controlled according to the baby skin temperature to achieve the desired set temperature.

Manual

Pressing this button selects Manual mode and illuminates the green Manual mode indicator light. steps.

Apgar

Pressing this button starts the Apgar timer and illuminates the green Apgar indicator light. Apgar tones sound at 1, 5 and 10 minutes, with optional tone at 3 minutes. The Apgar timer switches off after 30 minutes. the Apgar timer.

Examination Light

Pressing this button switches the Examination Light on and off. The green Light indicator is illuminated when the light is on. If the light is faulty, the warmer will sound a tone and the light indicator will be switched off

Procedure Timer 1 (Baby control models only)

Pressing this button starts Timer 1 at the preset count-down time. Pressing the button a second time will cancel and switch off the timer. 1 count-down time to be adjusted with the control knob

The Check Baby alarm is reset for 15 minutes

The Power level is adjustable using the Control knob in the range 0% to 100% in 5%

Before use

While reading this section you may ﬁ nd it helpful to look at the

diagrams on page 3-12

The display switches off when in Prewarm

The set temperature range is from 34.5 (C to 37.5 (C.

Pressing the button a second time will cancel and switch off

Holding the button down allows the Timer

In Baby mode displays

Using Your Warmer

2. Using Prewarm Mode

(a) About Prewarm Mode

i Prewarm mode provides alarm and trouble free prewarming of the heater

ii Prewarm mode should be selected at least 5 minutes before the baby is

3 - 2

and environment above the warmer mattress before arrival of the baby.

placed on the warmer.

Prewarm mode may also be used to provide low

power background heating when required.

(b) How to use

Prewarm

Mode

i Press the Power On/Off switch to the On position. The warmer starts up

automatically in the mode that was last used.

ii Select Prewarm mode by pressing the Prewarm button. The Power

level is preset to 25%.

iii The warmer will now operate continuously at the preset power level

without any nuisance alarms.

i NOTE: Prewarm mode maintains the total infrared irradiance level at the

mattress surface below 10 mW/cm particular requirements for the safety of infant radiant warmers.

3. Placing the Skin Sensor

(a) About the skin sensor

(b) About the sensor cover

i The 900IW001 DuoSense™ skin sensor measures the baby’s skin

temperature using two independent sensors that are continuously compared to ensure accurate and reliable skin temperature measurements.

i The 900IW010 SunSpot™ reﬂ ective sensor cover ﬁ rmly yet gently

attaches the skin sensor to the baby while its reﬂ ective and insulating nature shields the skin sensor from external sources of heat.

ii The SunSpot

be placed, removed and then gently re-wet before re-use.

, as prescribed in IEC 60601-2-21,

™

sensor covers are single-baby multi-use items, which can

skin sensor

i Gently clean and dry the baby’s skin where you intend to place the

DuoSense

™

skin sensor.

ii Remove the adhesive backing paper from the sensor cover. iii Place the coloured side of the skin sensor in the centre of the adhesive

side of the sensor cover as shown above.

iv Moisten the exposed adhesive surface and surrounding edges of the

sensor cover using sterile water.

v Place the skin sensor and sensor cover against the baby’s skin in the

desired location.

vi Gently press and hold the edges of the sensor cover to allow the hydrogel

adhesive to adhere to the baby’s skin.

Using Your Warmer

3 - 3

(e) How to remove the skin

sensor

(f) How to re-use the

sensor cover

(g) Clinical procedures

i Gently lift up the edge of the sensor cover. If required moisten the edges

of the sensor cover using sterile water and dampened cotton swab.

ii Gently peel the sensor cover and skin sensor from the skin surface.

i Place the coloured side of the skin sensor in the centre of the adhesive

side of the sensor cover.

ii Moisten the exposed adhesive surface and surrounding edges of the

sensor cover using sterile water. iii Reposition the sensor cover and skin sensor on the baby. iv Gently press and hold the edges of the sensor cover to allow the hydrogel

adhesive to adhere to the baby’s skin.

NOTE:

 To ensure the continued comfort of the baby, avoid pressing directly on

the skin sensor.  Clinical procedures can interrupt the infra-red heat path from the heater

to the baby.

DuoSense

Complete all immediate procedures before placing the

™

skin sensor and SunSpot™ sensor cover on the baby.

(h) Skin sensor &

sensor cover

(i) DuoSense™

skin sensor

WARNING

The warmer cannot measure or control the baby’s skin

temperature if the skin sensor is not correctly positioned on the baby or a reﬂ ective sensor cover is not used.

Use only the 900IW001 DuoSense™ skin sensor to measure the

baby’s skin temperature.

Regularly check that the skin sensor and sensor cover remain

correctly positioned on the baby.

Ensure the skin sensor is always in direct contact with the baby’s

skin.

Never place an obstruction between the heater and the skin

sensor other than a reﬂ ective sensor cover.

Heating is obstructed if the baby is wrapped in a blanket which

comes between the heater and the skin sensor.

Do not use an axillary or rectal temperature sensor measurement

to control baby skin temperature. Use of an axillary or rectal temperature sensor measurement to control baby skin temperature can result in over-heating or under-heating of the baby.

CAUTION  Ensure the skin sensor is only removed from the controller by grasping

the plug at the front panel. Ensure excessive strain is not placed on the

sensor lead either during use, cleaning or inspection.

Using Your Warmer

4. Using Baby Mode

(a) About Baby mode

3 - 4

i Baby mode provides stable control of the baby’s skin temperature by

automatically adjusting the heater power to compensate for varying

metabolic and environmental conditions.

(b) Before you begin

(d) Clinical condition

i See Using Prewarm Mode on page 3-2, Placing the Skin Sensor on

page 3-2, and Alarm System Veriﬁ cation on page 3-12.

i Push the skin sensor plug ﬁ rmly into the front panel socket. ii When the baby arrives, place on the warmer mattress and correctly

attach the skin sensor. iii Select Baby mode by pressing the Baby button. iv Set the desired skin temperature between 34.5°C and 37.5°C by turning

the control knob on the front panel. The set temperature is displayed

above the control knob. v With the skin sensor plug correctly inserted into the front panel socket

and the skin sensor correctly positioned on the baby, the baby’s skin

temperature is displayed above the control knob. The warmer will now automatically adjust the heater power to stabilise

the baby’s skin temperature at the desired set

temperature.

WARNING

Independent monitoring of temperature is essential for any baby

under an infant radiant warmer.

A warmer cannot differentiate between hypothermia (low skin

and low core temperature), and fever (low skin and high core temperature). Ensure the clinical condition of the baby is regularly reviewed.

(e) Disabled low skin

temperature alarm

(f) Warm-up time

(g) Temperature adjustments

NOTE:

 If the baby’s skin temperature is less than the set temperature when

Baby mode is ﬁ rst selected, the Low Skin Temperature alarm is disabled

for 15 minutes or until the baby’s skin temperature has warmed up to the

set temperature.  The 15 minute warm-up period enables safe continuous warming of the

baby without nuisance alarms.

NOTE:

 The baby’s weight, age, clinical condition, and other metabolic and

environmental factors, will affect the time required to stabilise at the

desired set temperature.

NOTE:

 Allow 5 to 10 minutes for the baby’s skin temperature to stabilise after

set temperature adjustments

Using Your Warmer

3 - 5

5. Using Manual Mode

(a) About Manual mode

Manual mode provides user-adjustable heater power, and the option to

monitor the baby’s skin temperature using the DuoSense

™

skin sensor or

an independent temperature monitor.

(b) Before you begin

(d) Independent monitoring

See Using Prewarm Mode on page 3-2, and Alarm System Veriﬁ cation

on page 3-12.

If monitoring baby’s skin temperature see Placing the Skin

Sensor on page 3-2.

i Select Manual mode by pressing the Manual button.

ii Set the desired heater power level between 0% and 100% by turning the

control knob on the front panel. The heater power level is displayed on

the power bar to the left of the control knob. The baby can now be placed on the warmer mattress, and the warmer

will deliver the set heater power. iii When using Manual mode the baby’s skin temperature should be

monitored using the DuoSense

temperature monitor. iv If monitoring is required, place the skin sensor on the baby, and push the

skin sensor plug ﬁ rmly into the front panel socket. v With the skin sensor plug correctly inserted into the front panel socket

and the skin sensor correctly positioned on the baby, the baby’s skin

™

skin sensor or an independent

temperature is displayed above the control knob.

WARNING

Independent monitoring of temperature is essential for any baby

under an infant radiant warmer.

When using the warmer in Manual mode continuously monitor

the baby’s clinical condition and skin temperature using the DuoSense™ skin sensor or an independent temperature monitor.

While in Manual mode, the displayed skin temperature is not used

to control heater power.

(e) 15 minute

Manual mode alarm

NOTE:

 If the heater power level is above 25% for longer than 15 minutes, the

Check Baby and Manual indicators will ﬂ ash, an audible alarm will sound,

and the heater power will be reduced to 25%.  If the Manual or Mute button is now pressed, the Check Baby and

Manual indicators will be extinguished, the audible alarm silenced and

the heater power will be restored at the set level.

6. Using the Procedure Timers (Baby Control Models Only)

(a) About the procedure

timers

i The two timers provide simple count-down timing of clinical procedures,

each sounding a tone at the completion of their preset time period. Both

timers can be independently preset from 1 to 99 minutes.

Using Your Warmer

(b) How to set the procedure

timers

3 - 6

i Press and hold down either Timer 1 or Timer 2 button.

ii Set the desired count-down time for the chosen procedure timer by

turning the control knob on the front panel. The count-down time is

shown on the timer display. iii Release the procedure timer button to start the count-down. iv Press the procedure timer button again if you wish to cancel the timer.

(d) How to use the

procedure timers

(e) Timer completion

Using the Apgar Timer

(a) About the Apgar timer

(b) How to use the

Apgar timer

NOTE:

 Each procedure timer will remember its own count-down time until reset

with a new count-down time period.  Only one procedure timer can be active at any time.

i Press the desired timer button to start the count-down period. ii Press the same timer button again if you wish to cancel the timer.

NOTE:

 At the end of the time period the procedure timer will produce alarm

tones, ﬂ ash the timer display for 30 seconds then switch off the display.

i The Apgar timer provides easy timing of Apgar scores. Apgar tones

sound at 1, 5 and 10 minutes, with optional

Apgar timer switches off after 30 minutes.

i Press the Apgar button to start the Apgar timer. ii Press the Apgar button again if you wish to cancel the Apgar timer.

tones at 3 minutes. The

8. Using the Examination Light

(a) How to use the light

(b) Light faulty

i Press the Light button to switch on the light. ii Press the Light button again to switch off the light.

NOTE:

 If the light is faulty or fails during use, the warmer will sound a tone and

the Light indicator will be switched off.

Infant Warmer Technical Manual for servicing information (pn 185 041 130).

Please refer to the IW900 Series

Using Your Warmer

3 - 7

9. Using the CosyCot™ Bassinet - IW930/950 Series

(a) About the bassinet

(b) How to tilt the bassinet

bassinet

i The bassinet provides a support platform for the mattress, which in turn

provides a comfortable and thermally insulated surface for nursing and

caring for the baby.

to +10°, to achieve Trendelenburg and Fowler type positions.

i Grip the lever beneath the front of the bassinet with both hands and

squeeze to unlock the bassinet tilt mechanism. ii Tilt the bassinet to desired position from -10° to +10°. iii Release lever to lock the bassinet in new position. iv To locate the bassinet horizontally squeeze the lever until you feel the

central detente.

i Ensure the bassinet side panels are locked into position before

transporting. ii Check the castor wheels are not locked. iii Locate the transport handle beneath the front of the bassinet iv Pull down the spring loaded collars at the sides of the handle and re-

orient the transport handle to the horizontal and release the collars to

lock the handle into position.

The bassinet can be continuously adjusted from -10°

(d) How to use the lift and

fold-down sides

i To open the lift and fold-down sides:

 Lift the top of the side panel and fold down over the edge of the

bassinet.

Using Your Warmer

ii To close the lift and fold-down sides:

 Fold up the side panel and lift over the recess to engage the side

panel to the bassinet.

iii To remove a side panel:

 Lift and retract the moveable pin by operating the latch and slide out

the ﬁ xed pin.

iv To replace a side panel:

 Engage the ﬁ xed pin in the lower recess, retract the moveable pin

and release into the lower slot.

3 - 8

(e) Bassinet Tube holders

(f) Bassinet

i The CosyGrip™ tube holders located in the rear and front panels are

designed to accommodate cables and tubing up to 22mm in diameter. The CosyGrip™ tube holders are designed to hold tubes in place and can be removed for cleaning.

Using the CosyGrip™ tube holders restricts the

rear and front panel ability to be lowered.

™

ii The CornerGrip

tube holders located in the four corners of the bassinet have been designed to accommodate cables and tubing up to 15mm in diameter. The lift and fold down sides do not effect tubes and cables in

CornerGrip™ tube holders.

the

WARNING

Maximum bassinet loading is 10 kg (22 lb) Ensure the bassinet and side panels are locked into position

before transport. Use transport handle and ensure the drawers are in central position.

Do not move the warmer by pushing or pulling on the bassinet

side panels. This action may lead to the deterioration and breakage of the components that act as a safety barrier around the baby.

Tilting the bassinet from the horizontal position can affect warmer

performance by altering the heat distribution across the bassinet mattress.

Inspect all tubes or wires connected to the baby before and after

tilting bassinet. Tilting or moving the warmer bassinet can pull on tubing or leads.

Do not leave the baby unattended in the bassinet when the side

panels are folded down.

(g) Transport

CAUTION

 Ensure the bassinet side panels are not used to move the warmer.

Using Your Warmer

3 - 9

10. Raising and Lowering the Mobile Stand - IW910/920

(a) About raising & lowering

the mobile stand

(b) How to raise or lower the

mobile stand

i The mobile stand allows the heater to be easily raised or lowered to suit

beds, bassinets or theatre and examination tables of various heights.

i Grip the lower half of the mobile stand and loosen the locking nut.

ii Observe the height of the bassinet, cot or examination table on the scale

on the lower half of the mobile stand.

iii Raise or lower the heater head and controller until the same height is

shown just above the locking nut.

iv Tighten the locking nut. The mobile warmer is ready for use.

CAUTION

 Ensure the mobile stand is adjusted to the lowest position before

transport.

11. Alarm Systems

(a) About alarm systems

i Check Baby

ii High Skin Temp

The following section describes the alarm systems, possible

causes, and suggested actions.

Baby control only The red indicator light will ﬂ ash, an audible alarm will sound, and the

heater power level will be reduced to 25% if the warmer has been operating either in Baby mode at 100% power or in Manual mode at more than 25% power, for longer than 15 minutes. Pressing the Mute or relevant mode button cancels the alarm and recommences heating.

Possible Cause Action to Take

1 In Baby mode:

The skin temperature measurement may be incorrect due to skin sensor placement.

2 In Manual mode:

The heater power was set higher than 25% for longer than 15 minutes.

1 Check the skin sensor

placement, then press the Mute or Baby button to re-commence heating.

2 Adjust the heater power to less

than 25%, or press the Mute or Manual button to re-commence heating.

Baby control only

The red indicator light will ﬂ ash, an audible alarm will sound, and the

heater will be disabled if the baby skin temperature is greater than the set temperature by 1°C. for 10 minutes, while the red indicator light will remain ﬂ ashing until the baby skin temperature is within 1°C of the set temperature.

Pressing the Mute button silences the audible alarm

In Prewarm or Manual mode this alarm will occur if the baby skin temperature is greater than 39°C.

Using Your Warmer

iii Low Skin Temp

3 - 10

Possible Cause Action to Take

1 The set temperature may have

been adjusted lower by more than the alarm limit.

2 The baby may be experiencing

heat stress.

1 Press the Mute button and wait

for the baby’s skin temperature to fall.

2 Check the baby’s clinical

condition.

Baby control only The red indicator light will ﬂ ash, an audible alarm will sound, and the

heater power level will be reduced to 25% if the baby skin temperature is less than the set temperature by 1°C.

Pressing the Mute button silences the alarm for 10 minutes and re-enables heater power, while the red indicator light will remain ﬂ ashing until the baby skin temperature is within 1°C of the set temperature.

This alarm is not active in Prewarm or Manual mode, and is disabled during initial warm-up for 15 minutes, or until the baby skin temperature has warmed up to the set temperature.

Sensor Disconnect

See Manual

Possible Cause Action to Take

1 The set temperature

may have been adjusted higher by more than 1°C

2 The skin sensor and cover may

have been accidentally covered.

3 The skin sensor may have

been detached or is incorrectly positioned.

4 The baby may be experiencing

cold stress.

1 Press the Mute button and wait

for the baby’s skin temperature to rise.

2 Remove the object which is

covering the skin sensor

3 Check the skin sensor and

reattach or reposition as required.

4 Check the baby’s clinical

condition.

Baby control only

The red indicator light will ﬂ ash, an audible alarm will sound, and the

heater will be disabled if the skin sensor is either removed or faulty. Pressing the Mute button silences the alarm for 10 minutes, while the red indicator light will remain ﬂ ashing and the heater remains disabled until the skin sensor is plugged in or replaced.

This alarm does not indicate if a sensor is removed in Manual mode, and is not active in Prewarm mode.

Possible Cause Action to Take

1 The skin sensor may not be

connected to the warmer.

2 The skin sensor may be faulty. 2 Replace the skin sensor.

1 Push the skin sensor plug into

the front panel socket.

Have the suspect skin sensor checked by a technician.

Baby control only

If this indicator is ﬂ ashing or illuminated continuously a fault has been

detected or the overheat protector in the heater has tripped.

For both faults the warmer should be immediately disconnected from the wall supply outlet, the baby relocated onto another warmer, and the unit sent for servicing.

Possible Cause Action to Take

1 A software fault has been

1 Send warmer for servicing.

detected.

2 An electronic fault has been

2 Send warmer for servicing.

detected

Using Your Warmer

3 - 11

iv See Manual

Baby control only

The red indicator light will ﬂ ash and an audible alarm will sound if the

power supply to the warmer has failed. then either the wall supply outlet has been switched off, or the warmer

If the power on/off switch is on,

power cord has been unplugged from the wall supply outlet.

Possible Cause Action to Take

1 The wall supply to the warmer

has failed.

1 Turn the power switch off to

cancel the audible and visual alarms. We recommend providing an alternative source of warmth for the baby.

2 The wall supply to the

warmer has been switched off

2 Turn the wall supply switch on to

restart the warmer.

accidentally.

3 The power cord has been

accidentally unplugged while the

3 Plug the cord back into the wall

supply outlet.

warmer is in use.

Alarm system veriﬁ cation

(b)

The following procedure can be used to verify the operation of auditory and visual alarms.

Before commencing ensure:

 A baby is not present on the warmer.  There is no skin sensor plugged into the front panel socket.  The power cord is plugged into an appropriate wall supply outlet.

i Press the Power On/Off switch to the On position ii Check the power-on alarm sounds brieﬂ y iii For a Baby control model: Check the indicator lights for the Check Baby, High Skin Temp, Low Skin

Temp, and Sensor Disconnect alarms are illuminated brieﬂ y.

For a Manual control model: Check the indicator light for Check Baby is illuminated brieﬂ y. iv Change to Prewarm mode. v Unplug the power cord from the wall supply.

Check the Power Fail indicator light ﬂ ashes and audible alarm sounds.

vi vii Press and hold the Prewarm button.

Plug the power cord into the wall

supply outlet.

viii Check the warmer re-starts correctly, the See Manual indicator light

ﬂ ashes and audible alarm sounds. ix Press the Power On/Off switch to the Off position. If steps 2, 3, 6 and 8 produce the desired results, the warmer can be returned

to use.

If either step 2, 3, 6 or 8 does not produce the desired results, then

send the warmer for servicing.

12 Warmer Diagrams

3 - 12

IW910/920 Mobile Infant Warmer

IW930/IW950 Series CosyCot

IW980/990 Wall Mount Infant Warmer

Manual Controlled Front Control Panel

IW920, IW950 Series and IW990

Using Your Warmer

Baby Controlled Front Control Panel IW910,

IW930 Series and IW980

4 - 1

Chapter 4 - Accessories

1. DuoSense

(a) About the DuoSense™

skin sensor

(b) About the SunSpot™

sensor cover

™

Skin Sensor & SunSpot™ Sensor Cover

i The 900IW001 DuoSense™ skin sensor measures the baby’s skin

temperature using two independent sensors that are continuously compared to ensure accurate and reliable skin temperature measurements

i The SunSpot™ reﬂ ective sensor cover ﬁ rmly yet gently attaches the skin

sensor to the baby while its reﬂ ective and insulating nature shields the skin sensor from external sources of heat.

ii The SunSpot

be placed, gently removed, then re-wet before re-use.

iii Each 900IW010 SunSpot

covers.

2. Electric Elevator Module

Before use

Please read and understand all instructions before using the electric

™

sensor covers are single-baby multi-use items, which can

™

sensor cover pack contains 10 sensor

elevator module and related accessories with the warmer.

(a) About the electric

elevator module

(b) Using the electric

elevator module

(d) Operation

i The electric elevator modules raise or lower the warmer bassinet

from 93 to 108 cm (36.6”- 42.5”) at the touch of a button.

Different voltage options available

i To raise the bassinet press the up  button on the right-hand leg. ii To lower the bassinet press the down

WARNING

Ensure that all limbs are clear of moving parts under the base and

legs while operating the electric elevator.

CAUTION

 Ensure there is adequate clearance above and below the warmer before

raising or lowering the electric elevator module.

 Do not stand on the base and legs or climb onto any part of the

warmer.

 Do not exceed the stated load for the infant warmer (max 130 kg - 286

lbs).

 To avoid overheating the electric elevator motor, do not continuously

raise or lower the warmer bassinet.

 button on the right-hand leg

Accessories

4 - 2

(e) Isolating switch

NOTE:

 Isolating switch provides on/off control for the electric elevator.

3. Neopuff™ Infant Resuscitator Module

(a) About the Neopuff

™

(b) Using the Neopuff™ infant

resuscitator

Please read and understand the instructions fully before using the

Neopuff

WARNING

The Neopuff™ infant resuscitator is to be used only by persons

trained in infant resuscitation.

It is the responsibility of the purchaser to ensure that all users

of this device have been adequately trained in resuscitation techniques.

i The 900IW130 series Neopuff™ Infant Resuscitator is an easy to-use

manually operated, gas powered resuscitator which provides controlled and accurate resuscitation of newborn babies in delivery suites, nurseries and neonatal intensive care units.

i To Resuscitate:

 Adjust gas supply to the desired ﬂ owrate.  Fit patient T-piece to neonatal resuscitation mask and place over the

baby’s mouth and/or nose.

Fit patient T-piece to the endotracheal tube.  Resuscitate by placing and removing thumb over the PEEP

inspiration and expiration.

ii Set-up:

 Connect gas supply:

Connect oxygen or blended oxygen/air supply to gas inlet port using gas supply line.

Connect Patient Supply line: Connect patient supply line and patient T-piece to the gas outlet port. Connect test lung to patient T-piece.

iii Check Settings:

 Adjust gas supply to desired ﬂ owrate between 5 and 15 LPM.

To check Maximum Pressure:

 Occlude PEEP1 cap and turn PIP2 control fully clockwise.

™

infant resuscitator and related accessories.

Before use

cap to allow

 Adjust maximum pressure control knob clockwise or counterclockwise to set desired maximum pressure.

To set PIP:

 While still occluding the PEEP cap, turn PIP control knob counter-

clockwise until the desired peak inspiratory pressure is set.

To set PEEP:

 Adjust PEEP cap to the desired PEEP level.  Turn off gas supply and remove test lung from patient T-piece.

1. Positive End Expiratory Pressure 2. Peak Inspiratory Pressure.

Accessories

4 - 3

WARNING

The Neopuff™ resuscitator should only be used after checking that correct pressures will be

delivered to the baby. Ensure no smoking, naked ﬂ ames or sources of ignition are present while the unit is in use. For connection to ﬂ ow regulated oxygen or oxygen/air mixture only Recommended operating gas ﬂ ow range is 5 to 15L/min.

Do not attempt to use a higher ﬂ ow than 15L/min The Maximum Pressure Relief can be adjusted up to a nominal 80cm H2O/mbar, and should only be

done in exceptional circumstances by persons trained in infant resuscitation. Do not attempt to set

the Maximum Pressure Relief above 80cm H2O/mbar. Use only a Fisher and Paykel Healthcare patient T-piece. Ensure all oxygen and air supplies are turned off and disconnected from the Neopuff™ before

performing cleaning procedures. Explosion and ﬁ re hazards can exist when performing cleaning

procedures in an oxygen-enriched environment.

NOTE:

 US Federal law restricts this device to sale by or on the order of a physician.  Ensure the oxygen concentration of an oxygen/air supply is either monitored using an oxygen analyzer, or

preset using oxygen/air ﬂ ow rate graphs.

 The factory setting of the Maximum Pressure relief is 40cm H

O/mbar.

 The Maximum Pressure Relief valve acts as an overall limit on the achievable circuit pressure. Resuscitation

above 40cm H

O/mbar cannot be achieved unless the Maximum Pressure Relief valve is adjusted.

 Internally the Maximum Pressure and Inspiratory Pressure valves are in the same circuit. The Inspiratory

Pressure valve is intended for regular use to adjust and control the desired patient supply line pressure, up to the pressure set by the Maximum Pressure Valve.

™

 The Neopuff

infant resuscitator can be used with either reusable or single-use patients supply lines.

 Single-use patient supply lines can eliminate the possibility of cross-patient infection without requiring time-

consuming and expensive cleaning and sterilization procedures.

accessories

NOTE:

 Also available as the standalone RD900 Neopuff

™

 The Neopuff

Infant Resuscitator accessories include single-use

™

resuscitation kits, test lungs and individual kit components.

Infant Resuscitator.

Accessories

4. Gas System Accessories

Please read and understand these instructions before using the gas

4 - 4

Before use

system accessories and related accessories with the warmer.

(a) About gas system

accessories

(b) Gas supply modules

i The 900 series gas system accessories provide reliable gas supply from

standard gas cylinders or regulated hospital pipeline systems.

i The 900IW100 series Gas Supply Modules combine the ﬂ exibility of dual

gas cylinders and hospital pipeline system gas inlets and outlets with readily accessible panel mounted ﬂ owmeter modules.

ii The Gas Supply Modules use pin-indexed cylinders and are available

with DISS, NIST, and Australian gas ﬁ ttings.

 The Flowmeter Modules are available with either two oxygen ﬂ owmeters

or one oxygen and one air ﬂ owmeter. Please refer to page 4-5 for further Flowmeter Module information.

Different gas and inlet/outlet options available

i The 900IW150 series Gas Accessory Blocks provide a single oxygen

or air gas outlet from either a Gas Supply Module or regulated hospital pipeline system. The single gas outlet can be used for ﬂ owmeters or venturi suction units.

ii The Gas Accessories are available with DISS, NIST, and Australian gas

ﬁ ttings.

(d) Gas cylinder installation

To install gas cylinders in either the Gas Supply Module or Gas Cylinder

Block: i Check and clear all connections of oil, grease and foreign material Ensure damaged connections are correctly serviced before use. ii Turn the tee handle counter-clockwise until the tip of tee screw is almost

ﬂ ush with the inside face of the cylinder yoke. Remove the cylinder dust

cap if ﬁ tted. iii Carefully open then immediately close the cylinder valve to blow any

foreign debris from the cylinder valve outlet. During this operation ensure

you are standing next to the cylinder and not in front of the cylinder

valve. iv Ensure the valve is closed without excessive force v Remove and replace the cylinder gasket from the yoke nipple. Ensure

fresh gaskets are used for every new cylinder. vi Carefully install the cylinder over the yoke nipple and index pins. Turn

the tee handle clockwise to hold the cylinder ﬁ rmly in place. Avoid over-

tightening the tee handle. vii SLOWLY open cylinder valve one full turn. The gas supply module is

now ready for use.

The Gas Supply Module with dual oxygen cylinders uses individual

check valves to allow replacement of an empty cylinder while the other

cylinder is in use. Promptly replace empty cylinders.

Accessories

4 - 5

5. Flowmeter Modules

Before Use

Please read and understand all instructions before using the ﬂ owmeter

modules and related accessories with the warmer.

(a) About ﬂ owmeter

modules

(b) Using the ﬂ owmeter

modules

i The 900IW110 oxygen ﬂ owmeter module and 900IW111 Oxygen/Air

Flowmeter Module provide an accurately controlled ﬂ ow of oxygen

(0 to 15 L/min).

Before, during and after use

WARNING

Ensure the cylinder valves are closed when the hospital pipeline

systems are in use. Supply pressures may become equal and if used simultaneously, cylinder supplies could be exhausted leaving no emergency backup supply.

Compressed gas cylinders can become hazardous projectiles

if the gas is released rapidly. To prevent damage from shock or impact, the cylinders must be securely fastened.

i Before use always check the oxygen and/or air cylinder and the hospital

pipeline supply to the warmer. ii Check the ﬂ owmeter nipple is hand-tight. iii Connect the patient supply tube to either of the ﬂ owmeter nipples using

ﬁ rm hand pressure.

iv Connect the other end of the patient supply tube to the intended device,

for example, a Fisher & Paykel humidiﬁ er, Neopuff

headbox, or oxygen therapy system. v Adjust the ﬂ owmeter valve to the desired ﬂ ow rate. Ensure all gas supply

and patient lines are regularly inspected for possible leaks during use.

™

Infant Resuscitator,

6. X-Ray Tray Module

(a) About the x-ray tray

WARNING

Oxygen-enriched gas has been found to increase the risk of

retrolental ﬁ broplasia (retinopathy of prematurity). Use arterial blood gas measurement for regulation of inspired oxygen concentration when oxygen-enriched gas is necessary.

Before use

Please read and understand all instructions before using the x-ray tray

and related accessories with the warmer.

i The 900IW205 x-ray tray combines a non-slip surface with a grid

reference label for accurate placement of the x-ray cassette beneath the

bassinet without disturbing the baby. The heater can be rotated to the

left or right to allow access for x-ray equipment.

Accessories

4 - 6

(b) Using the x-ray tray

i Grasp the x-ray tray handle beneath the front of the warmer bassinet,

and pull out the cassette drawer. ii Align the x-ray cassette in the drawer using the grid reference label on

the bassinet side panels and drawer base. iii Push the cassette drawer back beneath the warmer bassinet. A ‘click’

will be felt when the drawer is latched. iv Rotate the heater out of the way, position the x-ray machine and take the

x-ray.

Limit the load placed on the x-ray to 2kg to avoid tipping hazard. Never place a baby on the x-ray cassette tray.

7. Mounting Accessories

Please read and understand all instructions before using the mounting

(a) About the mounting

accessories

i The mounting accessories provide various methods of attaching warmer

accessories and alternative supplier products onto the warmer.

WARNING

Before use

accessories with the warmer.

(b) Using the mounting

accessories

900IW301 Short Mounting Pole & 900IW302 Long Mounting Pole

These accessories are used to mount Fisher & Paykel humidiﬁ ers,

oxygen/air blenders, and syringe pumps onto the warmer column. The

Short Mounting Pole is shown below. The Long Mounting Pole extends

the full length of the column.

ii 900IW303 Side Shelf Mounting Block

This accessory is used to mount the side shelves onto the warmer

column.

iii 900IW305 Cable/Hose Hook

This accessory provides an adjustable point for convenient, tidy

storage of power cables, oxygen and air hoses, especially useful during

transportation. Maximum loading 5kg (11lb)

iv 900IW306 Accessory Hook

This accessory can be used to mount medication and irrigation bags,

stethoscopes, cables, clipboards and catheters on the warmer column

and from beneath the warmer bassinet. Maximum loading 2kg (4.4lb).

Accessories

4 - 7

8. Storage Accessories

Before use

Please read and understand all instructions before using the storage

accessories with the warmer.

(a) About the storage

accessories

(b) Using the storage

accessories

i The storage accessories provide various methods of storing warmer

accessories and alternative supplier products onto the warmer.

i 900IW401 Side Shelf

 This accessory provides an easily positioned surface for monitors,

syringe pumps and other large items. The side shelf attaches to the

IW930 or IW950 using the supplied 900IW303 shelf support block.  To install and use the Side Shelf:

• Slide the shelf support block into the column mounting slot and tighten

the lock knob at the desired side shelf height.

• Guide the side shelf pin into the shelf support block.

• Place items on the side shelf and position as required.

Maximum loading 15kg (33lb).

ii 900IW408 Storage Drawer System

 The storage drawer system consists of a slide out drawer system, which

provides convenient and easy storage for larger items such as sheets,

blankets and diapers. Inside the main storage drawer is a multipurpose

tray that provides storage for smaller items such as catheters, swabs

and syringes.

WARNING

Do not exceed the maximum total storage drawer loading of 7 kg

(15.4lb).

9. Uninterruptable Power Supply (UPS)

Please read and understand these instructions and refer to the Powervar User Guide before using the uninterrupted power supply

and related accessories with the warmer.

i About the UPS

The UPS provides warming during transportation and may be ﬁ tted to an

IW93x/IW95x. Two components are required to provide an uninterruptible

power supply (UPS), the UPS itself and a mounting kit 900IW312 to

secure it to the CosyCot

warming for up to 10 minutes on full power and 22 minutes at 50%

power.

Before use

™

Infant Warmer. The UPS provides constant

Accessories

+ 103 hidden pages

Fisher and Paykel 900 User manual

Specifications and Main Features

Frequently Asked Questions

User Manual