Level 1 H-1200 115V, H-1200 230V User manual

l

OPERATOR’S MANUAL

Level 1® H-1200
Fast Flow Fluid Warmer

With:
H-31, Version B,
Air Detector/Clamp

< H-1200 115V

®

< H-1200 230V

6 2

s

l

Level 1® H-1200
Fast Flow Fluid Warmer

With:
H-31, Version B, Air Detector/Clamp

<

H-1200 115 V

<

H-1200 230 V

OPERATOR’S MANUAL

®

P/N 40-6917-51A

s

SECTION X • Title

ii

FAST FLOW FLUID WARMER

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Operator’s ManualH-1200

General Information

SECTION X • Title

General Information

Level 1® H-1200 Fast Flow Fluid Warmer

Part Number: 40-6917-51A

This revision supercedes all previous revisions.

Under copyright laws, this manual may not be reproduced in any form, in
whole, or in part, without prior written permission of Smiths Medical ASD,
Inc. (Smiths Medical).

Smiths Medical and Level 1 design marks and Level 1 are trademarks of
Smiths Medical. The symbol ® indicates the trademark is registered in the U.
S. Patent and Trademark oce and certain other countries. All other names
and marks mentioned are the tradenames, trademarks, or service marks of
their respective owners.

Every eort has been made to ensure that the information in this
manual is accurate and details provided are correct at the time of printing.
The company, however, reserves the right to improve the equipment
shown.

Mention of third-party products is for informational purposes only and
constitutes neither an endorsement nor a recommendation. Smiths Medical
assumes no responsibility with regard to the performance or use of
these products.

For further information, please call your local Smiths Medical distributor or
Smiths Medical direct at 1 800 258 5361 or [phone].

©2014 Smiths Medical.

All rights reserved.

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Operator’s ManualH-1200

iii

Contents

Contents

1 About this Manual 1
2 Description 3
3 Indications for Use 4
4 Important Safety Information 5

CONTRAINDICATIONS 5
WARNINGS 5
CAUTIONS 8

5 Out of the Box – Assembly 9

Step 1 – Verify Components of the Level 1® H-1200 Fast Flow Fluid Warmer 10
Step 2 – Assemble I.V. Pole to the Warming Unit 11
Step 3 – Install the Pressure Chambers 12
Step 4 – Attach the I.V. Bag Hanger 13
Step 5 – Disinfect the Recirculating Solution Reservoir 13
Step 6 – Preliminary Preparation 14
Step 7 – Connect the Pneumatic Tubing 14
Step 8 – Install the Level 1® H-31, Version B, Air-Detector/Clamp 15
Step 9 – Perform Electrical Safety Tests 17

6 Principle of Operation 19

Fluid Warming 19
Pressurized Fluid Delivery 19
Air Detection/Clamping 19

7 Controls and Displays 20

Fluid Warmer Power and Alarm Test Panel 21
Fluid Warmer Display Panel 22
Reservoir Level Display 22
Pressure Chamber Control Panel 24
Interlocks 25

8 Operation 27

Modes of Operation 28

OFF Mode 28
ON/Automatic Operation Mode for Fluid Warmer 28
Alarm Test Mode 28
Over Temperature Test Mode 29
Temperature Display 29
Check Disposables Mode 29
Add Recirculating Solution Mode 30
Over Temperature Alarm Mode 30
Power ON Test for Air Detector/Clamp 31
Automatic Operation Air Detector/Clamp 31
Check Tubing Mode 31
Air Detected/Clamped Mode 32
Pressure Display 32
Pressurized Mode 32
Unpressurized Mode 32

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9 Operating Instructions 33

WARNINGS 34

9.1 Set Up for Use 34

A – Install the Disposable Administration Set 34
B – Prime the Disposable Administration Set 35
C – Prime the Patient Line 37
D – Test the Audible and Visual Alarms 37
E – Test the Air Detector/Clamp 38

9.2 Use of the Fluid Warmer 39

Step 1—Load the Pressure Chambers 40
Step 2—Pressurize the Pressure Chambers 40
Step 3—Make Patient Connection 40
Step 4—Replace the Gas Vent/Filter Assembly 40
Step 5—Change the Fluid Bag 41

9.3 Replace the Gas Vent/Filter Assembly 41

9.4 Activated Alarms 42

9.5 After Use 44

10 Troubleshooting 45

General Troubleshooting Guide 45
Slow Flow Rate Troubleshooting 46

11 Testing 47

Add Recirculating Solution Alarm 47
Check Disposables Alarm 47
Over Temperature Test 48
Fluid Warmer Alarm Signal Test 48
Performance Testing 48

Cold Start Test 48
Calibration Test 49
Calibration Test with DSTA-40 49
Proper Calibration of Recirculating Solution Temperature 49

Periodic Electrical Testing 50

Earth Leakage 50
Ground Continuity 50

12 Maintenance 51

Maintenance Performed Prior to Every Use 51

Clean the Exterior 51
General Inspection 52

Maintenance Performed Every 30 Days 52

Lubricate O-Ring Seals 52
Change Recirculating Solution with Distilled Water 53

Maintenance Performed Every 12 Months 53

Disinfect the Recirculating Solution Reservoir 53
Change Recirculating Solution with a

0.3% Hydrogen Peroxide/Distilled Water Solution 53
Change O-Rings 54
Clean Fan Filter 54
Inspect Air Detector/Clamp 54
Inspect the Reservoir and Float Switch Assembly 54
Testing Fluid Warmer Operation 54

Maintenance and Calibration Log 55

Scheduled Maintenance and Calibration Checklist 55

Contents

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Operator’s ManualH-1200

v

Contents

13 Limited Warranty 56
14 Service 58

Non-Warranty Work 58
Additional Documentation 58
Disposal Information 58
Service Contacts 59

15 Specications 60

System Specications 61

Standard Compliance 61
Physical 61
Environmental 61
Thermal 61
Electrical 61

Electromagnetic Environment Recommendations 61
Disposable Administration Set Specications 61

DI-50 61
D/DI-60HL 61
D/DI-70 62
D/DI-100 62
D/DI-300 62

16 Symbols 63
Index 66

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SECTION 1

SECTION 1 • About this Manual

1 About this Manual

About this Manual

WARNING: These instructions contain important information for safe use
of the product. Read the entire operator’s manual, including Warnings and
Cautions, before using this product. Failure to properly follow warnings,
cautions and instructions could result in death or serious injury to the patient.

This Operator’s Manual describes the set-up, use, and maintenance of:

• Level 1® H-1200 Fast Flow Fluid Warmer

• Level 1® H-1000 Fast Flow Fluid Warmer with H-2 Pressure

Chambers (H-1025)

• Level 1® H-1000 Fast Flow Fluid Warmer with H-2 Pressure

Chambers and H-31, Version B, Air Detector/Clamp

The manual is intended for use by individuals trained in the healthcare
and biomedical professions.

This operator’s manual is also for users of the H-1000 Fast Flow
Fluid Warmer. All references to the “Level 1® H-1200 Fast Flow Fluid
Warmer” apply to the H-1000 Fast Flow Fluid Warmer except where
indicated by the symbols dened in the following table.

Symbol Description

Appears in the margin to identify information that
only applies to the H-1200 Fluid Warmer and the H-1000
Fluid Warmer equipped with the H-31, Version B,
Air Detector/Clamp

Appears in the margin to identify information that only
applies to the H-1000 Fluid Warmer (not equipped with
the H-31, Version B, Air Detector/Clamp)

Conventions Used in this Manual

This manual uses the following text and text conventions:

Convention Description

CONTRAINDICATION

WARNING

CAUTION

A Contraindication statement alerts the user to
conditions when the device should not be used.

A Warning statement alerts the user to conditions that
may cause death or serious injury to the patient or user.

A Caution statement alerts the user to conditions that
may cause malfunction, failure, or damage to the device.

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1

SECTION 1 • About this Manual

This manual is organized into the following sections:

2 and 3 Description and Indications for Use

These sections provide the purpose and indications for use of the
Level 1® H-1200 Fast Flow Fluid Warmer.

4 Important Safety Information

Lists the Contraindications, Warnings, and Cautions associated with
the use of the Level 1® H-1200 Fast Flow Fluid Warmer.

5 Out of the Box—Assembly

Guides the user through the installation of the Level 1® H-1200
Fast Flow Fluid Warmer and the Level 1® H-31, Version B,
Air Detector/Clamp.

6 Principle of Operation

Provides a functional description of the Level 1® H-1200 Fast Flow
Fluid Warmer.

7 Controls and Displays

Provides a description of the function and purpose of the
controls, displays, and indicators for the Level 1® H-1200 Fast Flow
Fluid Warmer.

8 Operation

Describes Operation, Indicator, and Alarm modes of the Level 1®
H-1200 Fast Flow Fluid Warmer.

9 Operating Instructions

Describes the Set Up, Use, and Alarm modes of the Level 1® H-1200
Fast Flow Fluid Warmer.

10 Troubleshooting

Contains information on troubleshooting the Level 1® H-1200
Fast Flow Fluid Warmer. This section also details troubleshooting
slow uid ow rates.

11 Testing

Describes Operational, Performance, and Electrical Tests that are
used to verify the proper operation of the Level 1® H-1200 Fast Flow
Fluid Warmer.

12 Maintenance

Regular maintenance procedures for every use, 30-day, and
12-month intervals are covered in this section.

13 Limited Warranty

Describes the Limited Warranty and its provisions.

14 Service

Explains Non-Warranty Work as well as listing Service Contacts.

15 Specications

Provides physical, environmental, and electrical specications of the
Level 1® H-1200 Fast Flow Fluid Warmer.

16 Symbols

Lists the symbols and their denitions used with the Level 1®
H-1200 Fast

Flow Fluid Warmer.

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Operator’s ManualH-1200

SECTION 2

SECTION 2 • Description

2 Description

Description

®

The Level 1
uid warmer with pressure chambers, air detection, and automatic
clamping capability. I.V. uid and/or blood products are warmed
through the use of a sealed heat exchanger through which a
recirculating solution ows. Pressure Chambers apply pressurization
and deliver the uids at a fast ow rate. This non-invasive method
employs single-use, disposable administration sets that include a Gas
Vent/Filter Assembly and Heat Exchanger.

The Air Detector/Clamp monitors for the presence of air in the
disposable Gas Vent/Filter Assembly. When air is detected in the Gas
Vent/Filter Assembly, the Air Detector/Clamp closes o the patient
line and alerts operators to the presence of air with audible and visual
alarms. An ultrasonic signal continually passes through the uid lled
Gas Vent/Filter Assembly. As a bolus of air displaces the uid in the Gas
Vent/Filter Assembly, the ultrasonic signal is broken and the clamp
closes, stopping the air before it enters the patient line. Audible and
visual alarms are activated, notifying the user that the uid ow has
stopped. Clearing the bolus of air and restoring the uid ow are
quickly accomplished without disconnecting from the patient.

H-1200 Fast Flow Fluid Warmer (Fluid Warmer) is an I.V.

Disposable Administration Sets

The installation, set up, and replacement of Level 1® Fast Flow I.V.
Disposable Administration Sets (Disposable Sets) follows a four­step sequence that corresponds to numbered blocks on the device.
Disposable Sets available for use on the Level 1® H-1200 Fast Flow
Fluid Warmer are listed below.

• DI-50

• D-60 / DI-60HL

• D-70 / DI-70

• D-100 / DI-100

• D-300 / DI-300

D-series Disposable Sets are for use in the U.S.A. DI-series Disposable Sets
are for use in markets outside of the U.S.A.

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3

SECTION 3 • Indications for Use

SECTION 3

Indications for Use

The Level 1® H-1200 Fast Flow Fluid Warmer (Fluid Warmer) provides
a rapid ow of warmed uids, such as crystalloid or blood product,
including red blood cells, as volume replacement for patients suering
from blood loss due to trauma or surgery.

The Fluid Warmer provides fast ow of warmed uid to re-warm patients
during surgery by trained medical personnel.

3 Indications for Use

4

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Operator’s ManualH-1200

SECTION 4 • Important Safety Information

SECTION 4

4 Important Safety Information

CONTRAINDICATIONS

WARNINGS

Important Safety Information

This section covers information for prescribers and guidelines for safe

®

use of the Level 1

Not for use in warming platelets, cryo-precipitates, or
granulocyte suspensions.

Death or serious injury may occur to the patient or user if
these warnings are not followed:

H-1200 Fast Flow Fluid Warmer (Fluid Warmer).

CONTRAINDICATIONS

WARNINGS

• These instructions contain important information for safe use

of the product. Read the entire operator’s manual, including
Warnings and Cautions, before using this product. Failure to
properly follow warnings, cautions, and instructions could result
in death or serious injury to the patient or user.

• Remove all air from the uid bags before spiking and the uid

lines before connecting to the patient. Failure to do so can result
in infusion of air into the patient.

• Replace Gas Vent/Filter Assembly every three hours, or when

the lter becomes clogged, or when air is slowly vented.
Failure to do so will result in a reduction of ow rate. This
may result in inadequate patient treatment

• The replacement Gas Vent/Filter Assembly must be fully

primed before continuing infusion. Failure to do so may
allow air to be infused into the patient.

• Do not use the Fluid Warmer in high-energy elds such as:

MRI, X-RAY, portable and mobile RF communications equipment,
and other such devices. The Fluid Warmer may act as a
projectile in a strong magnetic eld, cause image artifacts, or
not function as intended.

• Do not bend the heat exchanger. Bending may damage the

heat exchanger allowing communication between the
recirculating solution and I.V. uid path, resulting in the I.V.
delivery of inappropriate uids.

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5

SECTION 4 • Important Safety Information

WARNINGS [continued]

• Blood and blood products could contain pathogenic

organisms. Failure to follow institutional policy and
procedures for biomedical-hazardous materials could lead to
exposure to harmful pathogens.

• When injecting medications into the uid path, do not inject

through the triple lumen tubing of the D/DI-60HL Disposable
Set. This may allow communication between the recirculating
solution and I.V. uid path.

• Exposed conductor on MAINS power cord can cause an

electrocution hazard. Remove device from service if MAINS
power cord has exposed wires.

• Do not re-use partially full uid bags. Fluid bags that have

been partially drained, un-spiked, and then reinstalled may
contain air, which if used can result in infusion of air into the
patient. Use only new uid bags from which the air has
been removed.

• Activation of the Over Temperature warning signal indicates

that warming has stopped and immediate operator
intervention is required. Failure to clear the over temperature
condition or to take the device out of service may result in death
or serious injury to the patient.

• The Fluid Warmer is not for use with irrigating tubing, which

may not t into the clamp slot of the Air Detector/Clamp
causing diminished ow or a failure to stop ow.

• The Fluid Warmer is for use only with Smiths Medical

supplied or approved parts, accessories, and D or DI series
Disposable Sets. The device may not function as intended with
the use of unapproved parts, accessories, or Disposable Sets.

• Grounding reliability can only be achieved when MAINS

power cords are connected to a properly grounded
receptacle. Risk of electrical shock exists if the equipment is
not connected to a properly grounded receptacle.

• Use of a bedside leukocyte reduction lter may cause a

sudden precipitous drop in blood pressure resulting in
respiratory distress, facial ushing, abdominal pain and
nausea, and loss of consciousness. Immediately stop
transfusion, and follow institution’s protocol for treatment of
transfusion reactions.

• Do not operate the Fluid Warmer in the presence of a ammable

anesthetic mixture with air, oxygen, or nitrous oxide. The risk of

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SECTION 4 • Important Safety Information

WARNINGS [continued]

explosion exists if the Fluid Warmer is operated in
a potentially explosive environment.

• No user-serviceable parts. All service must be performed by

Smiths Medical or competent personnel.

• Disposable Sets are supplied with a sterile uid path which may

be compromised if the caps are not in place. Do not use
Disposable Set if Luer and spike caps are not securely in place,
or if Luer connections are not secure as the uid path may not
be sterile and may cause death or serious injury to the patient.

• Disposable Sets are for single use only. To reduce the risk of

cross contamination, do not reuse Disposable Sets.

• If uid exits the Patient Line of the D/DI-60HL Disposable Set,

replace the Disposable Set.

• Do not use auto-transfusion bags. Auto-transfusion bags

may contain air that can result in infusion of air into the patient.

• Set-up, priming, and use require aseptic technique. Failure to

use aseptic technique may result in death or serious injury to
the patient.

• Do not use the Fluid Warmer if equipment or Disposable

Set malfunction is evident.

• No modication of this equipment is allowed.

WARNINGS for the Air Detector/Clamp

• The tubing must be properly placed in the Clamp Slot of the

Air Detector/Clamp. Failure to ensure that the tubing is
correctly positioned in the Clamp Slot may result in failure to
stop air infusion.

• Activation of the Air Detector/Clamp alarm during infusion

indicates that uid ow has stopped and that immediate
operator intervention is required to restore uid ow.
Failure to reinstate ow (after purging any air or foam) may
result in death or serious injury to the patient.

• Do not turn OFF the Fluid Warmer when the Air Detector alarm

is active. If the Fluid Warmer is powered OFF in an active alarm
state, the Air Detector/Clamp will open and the Air Detector
will become disabled. This could allow any air within the patient
line to be delivered to the patient resulting in serious injury
or death.

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7

SECTION 4 • Important Safety Information

WARNINGS for the Air Detector/Clamp [continued]

• The functional test for the Air Detector/Clamp accessory

must be performed before each use. If any visual indicator
does not illuminate or the audible signal does not sound,
do not use the Fluid Warmer. Remove the device from service
immediately. Fully functional visual and audible alarm systems
are essential for the safe use of the Air Detector/Clamp.

CAUTIONS

Malfunction, failure, or damage to the device may occur if these
cautions are not followed:

• Never use organic solvents (e.g., acetone), strong acids, or

bases to clean any portion of the Fluid Warmer.

• Do not place the Fluid Warmer directly under a faucet or use a

faucet sprayer to rinse. Never spray cleaning or other uids into
openings on the Fluid Warmer or into the external connectors.

CAUTIONS

• When loading uid bags into Pressure Chambers, choose a

hanging hook that allows the bag port to hang freely in the
indented slot at the bottom of the chamber door. If bag ports
are positioned above this slot, diminished ow could occur.

• Federal law (U.S.A.) restricts this device to sale by or on the

order of a physician.

• Medical devices require specic material characteristics to

perform as intended. These characteristics have been veried
for single use only. Any attempt to re-process the device for
subsequent re-use may adversely aect the integrity of the
device or lead to deterioration in performance.

8

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Operator’s ManualH-1200

SECTION 5

SECTION 5 • Out of the Box—Assembly

5 Out of the Box – Assembly

Out of the Box—Assembly

This device must be assembled and tested by authorized Smiths Medical
personnel, an authorized distributor of Smiths Medical, or competent
personnel prior to placing the device into service.

The following steps describe how to assemble and do preliminary set up
of the Level 1® H-1200 Fast Flow Fluid Warmer (Fluid Warmer).

Refer to Step 8 if you need to install the Level 1® H-31, Version B, Air
Detector/Clamp to the Level 1® H-1000 Fast Flow Fluid Warmer.

Step 1 Verify components of the Fluid Warmer

Step 2 Assemble I.V. Pole to Warming Unit

Step 3 Install Pressure Chambers

Step 4 Attach the I.V. Bag Hanger

Step 5 Disinfect the Recirculating Solution Reservoir

Step 6 Preliminary Preparation

Step 7 Connect the Pneumatic Tubing

Step 8 Install the Level 1® H-31, Version B,

Air Detector/Clamp

Step 9 Perform Electrical Safety Tests

Read through the instructions completely prior to setting up the device.

Note: After unpacking the system, recycle packaging material according to
hospital policy for recyclable materials.

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Operator’s ManualH-1200

9

SECTION 5 • Out of the Box—Assembly

Step 1 – Verify Components of the Level 1® H-1200
Fast Flow Fluid Warmer

Note: The Level 1® H-31, Version B, Air Detector/Clamp is shipped as a

separate accessory only for installation on an existing Level 1® H-1000
Fast Flow Fluid Warmer.

Check the contents of all packaging to verify that the following
components are present. If any parts are missing or damaged, do
not use the Fluid Warmer. Do not substitute parts not supplied by
Smiths Medical. Contact Smiths Medical for replacement parts.
Below is a listing of the component parts for the Level 1® H-1200
Fast Flow Fluid Warmer.

Components Checklist

in order of appearance in illustration

Qty Component

2 Pressure Chambers / Contents:
(2) “U” brackets
(4) Thumbscrews

1 I.V. Bag Hanger
1 Fluid Warming Unit

1 H-31, Version B, Air

Detector/Clamp
1 Accessory Pack

(3) Pan-head screws
(3) Power Cord Clips
(3) Flat-head screws

1 Operator’s Manual
1 Quick Reference Guide
1 I.V. Pole with Flanking Brackets
1 Accessory Pack / Contents:

(2) Plastic “J” Clamps
(1) Y Connector
(1) Black Tubing
(1) Hex Wrench

1 O-Ring Kit / Contents:
(1) Silicone
(2) O-Rings
(1) Hex Wrench
(1) Instructions for Use

3 Bolts
3 Washers
1 I.V. Pole Base

10

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SECTION 5 • Out of the Box—Assembly

Step 2 – Assemble I.V. Pole to the Warming Unit

There are three steps involved in assembling the I.V. Pole to the
Warming Unit. The steps are: 1. Assemble the I.V. Pole to the Base,

2. Close the Drain Valve, and 3. Attach the Warming Unit to the Flanking
Brackets. Each step is detailed in a short procedure.

2.1 Assemble the I.V. Pole to the Base

1 Locate the I.V. Pole Base (a).

2 Locate the dark-gray extruded I.V. Pole (b) with Flanking

Brackets.

b

d

e

3 Place the I.V. Pole Base upright on its wheels, (c) and lock the

wheels to prevent movement during set up.

4 Locate three bolts (d) and washers for the

pole base.

5 Align the three holes (e) in the I.V. Pole with the three screw

holes on the pole base.

6 Slide the I.V. Pole down over the pole base, (f) keeping holes

f

aligned.

7 Guide three bolts and washers through the holes (g) at the base

of the pole and tighten.

g

c

a

2.2 Close the Drain Valve

h

Turn valve, located on the bottom of the device, perpendicular
to stem (h) of the Warming as shown.

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11

SECTION 5 • Out of the Box—Assembly

2.3

Attach the Warming Unit to the Flanking Brackets

1 Align the eight hex screws on the back of the WarmingUnit

with the eight keyhole notches on the anking bracket.

2 Slide screw heads down into keyhole notches.

3 Tighten all eight hex screws with the supplied hexwrench

and secure in place.

Attach the Quick Reference Guide

2.4

to the Fluid Warmer by sliding the ring on the
Quick Reference Guide over one of the poles
on the Flanking Bracket.

Step 3 – Install the Pressure Chambers

1 Locate the two Pressure Chambers.

2 Locate the U-brackets and thumbscrews supplied with

the Pressure Chambers.

3 Attach the U-brackets with thumbscrews to the back of

thePressure Chambers, as shown. Keep thumbscrews
and brackets loose.

4 Slide one Pressure Chamber with attached U-bracket over

the top of each anking pole.

5 Align the U-bracket slightly below the top of the anking

pole. Tighten the thumbscrews securely.

12

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MIN

MAX

1

2

SECTION 5 • Out of the Box—Assembly

Step 4 – Attach the I.V. Bag Hanger

1 Slide the I.V. Bag Hanger on top of the I.V. Pole.

2 Align with tabs.

3 Press down and snap into place.

Step 5 – Disinfect the Recirculating
Solution Reservoir

1 Remove the ll-port plug (a) on the reservoir.

2

c

R

b

1

a

MAX

2 Prepare a 0.3% hydrogen peroxide/distilled water solution

for the reservoir. Mix 140 ml of 3% hydrogen peroxide
solution and 1,260 ml of distilled water.

3 Fill the reservoir with 1.4 liters of 0.3% hydrogen peroxide/

distilled water solution.

4 Replace the ll-port plug.

5 Insert a Disposable Set into the Fluid Warmer.

6 Insert the power cord into a properly grounded receptacle.

7 Turn the Fluid Warmer ON. Let the solution circulate for a

30-minute disinfection period.

8 Turn the Fluid Warmer OFF.

9 Empty the reservoir.

10 Remove the Disposable Set and discard according to

established hospital procedures.

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13

MAX

1

2

SECTION 5 • Out of the Box—Assembly

Step 6 – Preliminary Preparation

1 Remove the ll-port plug (a) on the front of the warming unit

and ll the reservoir to the maximum level with 1.4 liters of one
of the following solutions:

• 0.3% Hydrogen Peroxide/Distilled Water Solution

Mix 140 ml of 3% hydrogen peroxide and 1,260 ml of
distilled water.

Note: If this option is selected, the maintenance requirement to
change the recirculating solution is once every 12 months.
Always use a 0.3% hydrogen peroxide/distilled water solution
when relling the reservoir.

• Distilled Water

Note: If this option is selected, the maintenance requirement to
change the recirculating solution is once every 30 days.

2 Replace the ll port plug.

3 Lubricate O-Rings in #1 Block (b) and #2 Block (c). Place a small

amount of silicone lubricant, provided in the supplied O-Ring
Kit, on a cotton swab and apply all around the inside of each
O-Ring.

c

2

R

b

a

1

Step 7 – Connect the Pneumatic Tubing

1 Locate the Accessory Pack with the black pneumatic tubing (a),

two “J” clamps (b), and one “Y” Connector (c).

a

b

c

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SECTION 5 • Out of the Box—Assembly

2 Locate the orange protective plug in the red ring connector (d)

located on the back of the device. Remove the plug by
depressing the red plastic ring as you pull the plug out of the
connector.

f

e

g

3

Take the pneumatic tubing and press one end of the tubing rmly into
the ring connector

4

Take the “Y” connector and press the other end of the pneumatic
tubing into the bottom of the “Y” connector, as shown

(d)

until it can go no further.

(e)

, until it can

go no further.

5

Press the pneumatic tubing from the Pressure Chamber into place

(f)

on the top of the “Y” connector until it can go no further. Repeat

this procedure with the pneumatic tubing from the other Pressure

h

Chamber.

6

Remove the protective backing sheet on one “J” clamp, exposing the
adhesive side.

7

d

Carefully position the “J” clamp and press the adhesive side against the
gray I.V. Pole in the approximate locations

(g)(h)

shown.

F1

Press down rmly to secure in place.

Repeat this procedure for the other “J” clamp.

8

Press the pneumatic tubing into place on the “J” clamps.

Step 8 – Install the Level 1® H-31, Version B,
Air-Detector/Clamp

Before installing the Air detector, determine if the
Fluid Warmer was manufactured before 2004. If
it is, inspect the “F1” fuse to conrm that it is the
correct value and type. The year of manufacture
can be determined by the serial number label
which is located on the bottom right side of the
unit, or for older units on the inside. If the rst four
characters of the serial number are numbers, then
the numbers represent the year of manufacture (e.g.
20040100 would be manufactured in 2004). If the
rst character of the serial number is the letter “J”,
then the year of manufacture is prior to 2004 (the
letter “S” indicates the year 2007 or later). For units
manufactured prior to 2004, perform the following.

1 Disconnect the power.

Two Fuse Conguration

F1

Four Fuse Conguration

FAST FLOW FLUID WARMER

2 Remove the 18 screws from the rear of the
Fluid Warmer and remove the back panel.

3 Locate the “F1” fuse on the electronic

assembly. See gures to locate the “F1” fuse
for either a two fuse conguration or a four
fuse conguration.

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Operator’s ManualH-1200

15

SECTION 5 • Out of the Box—Assembly

• For 100 - 120V Fluid Warmers,

Remove the fuse and verify that T6.3AL250V (time lag,

6.3 amp, 250V fuse), is printed on one of the silver end
caps, if not replace the fuse with a new fuse marked
T6.3AL250V.

• For 220 - 240V Fluid Warmers,
Remove the fuse and verify that T3.15AL250V (time lag,

3.15 amp, 250V fuse), is printed on one of the silver end
caps, if not replace the fuse with a new fuse marked
T3.15AL250V.

4 Replace the back panel and insert all but 6 of the screws (a)

as indicated in Step 1 below. Then proceed to install the
Air Detector/Clamp.

a

d

a

a

e

a

To install the Air Detector/Clamp,

1 Remove 6 screws (a) from the rear of the Fluid Warmer,

lower left side, from locations shown in gure.

2 Plug in the power cord (b) of the Level 1® H-31, Version B,

Air Detector/Clamp into the auxiliary MAINS outlet located
on the bottom of the Fluid Warmer.

Note: If you turn the Fluid Warmer o and the Air Detector/Clamp
does not turn o, contact Smiths Medical or your local Smiths
Medical distributor.

3 Loosen the three screws holding the mounting bracket to the

rear of the Air Detector/Clamp (do not remove).

4 Align the slot on the Air Detector/Clamp with #3 Block on the

Fluid Warmer (c). Fit in place over the block.

Note: Do not bend the mounting bracket while holding the
Air Detector/Clamp against the uid Warmer.

5 Carefully align the mounting bracket on the rear of the

Air Detector/Clamp with three screw holes, shown (d).
Ensure that the gasket seal on the Air Detector/Clamp is
ush with the Fluid Warmer. Insert three at-head screws
and tighten, securing the Air Detector/Clamp to the
Fluid Warmer. Tighten the three screws on the
mounting bracket on the Air Detector/Clamp.

e

a

e

a

b

c

6 Locate three power cord clips (e) included with the

Air Detector/Clamp and snap onto power cord. Align
clips with the three screw holes as shown, insert
screws, and tighten.

7 Install and prime a Level 1® Fast Flow I.V. Disposable

Administration Set, and test the audible and visual
alarms and Air Detection/Clamp as described in
Section 9 Operating Instructions.

16

FAST FLOW FLUID WARMER

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Operator’s ManualH-1200