To obtain information about a warranty, if any, contact Nellcor’s Technical Services Department
(1.800.635.5267, press 3), or your local Nellcor representative.
WARNING: Possible explosion haz ard. Do not use the WarmTouch® Model
WT-5200 Patient Warming System in the presence of flammable anesthetic
agents.
WARNING: Possible electrical shock hazard. To reduce electrical shock do
not remove back case. Servicing is only to be done by qualified personnel.
WARNING: Possible electric shock hazard. Grounding reliability can be
achieved only when the Warming System is connected to an equivalent socket
marked “HOSPITAL ONLY” or “HOSPITAL GRADE.”
WARNING: Possible fire hazard. Prevent the blanket material from coming
into contact with a laser or an electrosurgical active electrode; rapid
combustion could result.
WARNING: Possible burn hazar d. Do not apply heat directly to open
wounds. All patient’s wounds should be covered while using the warming
system.
WARNING: Possible patient bur ns . Us e caution and consider discontinuing
use on patients during vascular surgery when an artery to an extremity is
clamped. Do not apply the warming system to ischemic limbs. This could
possibly cause the patient to be burned.
WARNING: Possible patient bur ns . Us e caution and monitor closely if used
on patients with severe peripheral vascular disease. This could possibly cause
the patient to be burned.
WARNING: If a malfunction occurs in the warming system, discontinue use.
Notify your sales/service center of the malfunction. The unit must be serviced
by an authorized service technician.
WT-52001
Safety Information
WARNING: Possible patient burns. Do not warm patients with the warming
system hose only. Thermal injury may result. Always attach the hose to a
WarmTouch blanket before providing warming therapy.
WARNING: WarmTouch, CareDrapeTM, and CareQuilt® blankets are for
single patient use only.
WARNING: The warming system should not be operated in the presence of
electromagnetic fields that are greater than 3 volts/meter. This could cause
shutdown of the warming system by the fail-safe function within the
equipment.
WARNING: The warming system is not suitable for use during magnetic
resonance imaging (MRI) scanning. The warming system may affect the MRI
image.
Cautions
Caution: Federal (U.S.A.) law restricts the use of the warming system to sale by or
on the order of a physician.
Caution: Continuously monitor the patient's temperature. Reduce the air
temperature or discontinue therapy when normothermia is reached.
Caution: The warming system is fitted with an air filter; however, airborne
contamination should be considered when using the warming system.
Caution: If the warming system is mounted on the intravenous (IV) pole, it should
be installed with the top of the unit’s handle less than 76 cm (30 inches) ab ove the
floor to prevent the IV pole from tipping over.
Caution: If a malfunction occurs in the warming system, discontinue use. Notify
your sales/service center of the malfunction. Servicing is only to be done by
qualified personnel.
Caution: Ensure that the patient is dry or the warming system may be ineffective.
2
Introduction
Intended Use
The WarmTouch Model WT-5200 Patient Warming System (warming unit and
blanket) is intended for prevention and treatment of hypothermia. For example,
with the surgical patient, the patient in the pre-operative holding area, the
pregnant woman who shivers during epidural anesthesia, or any patient who is
uncomfortable in the cold critical care environment.
Manual Availability
The most recent revision of this manual is available on the Internet at:
There are numerous ways of warming your patient, from cotton blankets to water
mattresses. Research has shown that low temperatures surrounding the patient are
a major factor contributing to hypothermia
patient with warm air and actively transfers heat across the skin. The result is to
achieve normal thermia.
In creating this warm customized pocket of air around the hypothermic patient,
Stagnant air, even if it is warm, does not work as an effective heat transfer
medium. Stagnant air acts as an insulator, preventing the boundary layer of
molecules next to the skin surface from transferring heat.
Forced air warming causes warmed air molecules to flow over cooler skin surface.
It is this active flow of warmed molecules that acts as a heat transfer medium.
With the warming system, air is warmed and delivered into a lightweight blanket
(CareQuilt or CareDrape Blanket) that rests over or under the patient. The CareQuilt and CareDrape blankets have many small perforations on the
underside that allow air to exit the blanket and surround the patient.
1), 2)
. The warming system covers the
1) Morris RH, Wilkey BR. "The Effects of the Ambient Temperature on Patient Temperature
During Surgery Not Involving Body Cavities.” Anesthesiology 32:102-107, 1970.
2) Morris RH. “Influence of Ambient Temperature on Patient Temperature During Intraabdominal Surgery.” Annals of Surgery 173:230-233, 1971.
WT-52003
Introduction
Safety Features
The warming system is designed to give healthcare professionals more control
over patients' core body temperature. Several safety features of the warming
system make it safe and appropriate for such use. These features are described
below.
Customized Warming Therapy
Clinicians select temperature range setting at the onset of warming therapy to help
ensure the appropriate setting is selected for every patient.
Automatic Temperature Stepdown
The warming system provides a 45-minute temperature stepdown feature. When
the unit is operating in the high mode, air temperature will automatically drop to
medium after 45 minutes of continuous use. The temperature may be reset to high
mode by selecting high temperature on the unit front panel.
Automatic Shutdown
Warning Light
HEPA Filter
The automatic temperature controller and two back-up systems help to ensure
temperature will not reach excessive levels. If necessary, the back-up systems
automatically turn off the heater and illuminates the warning light. The warming
system heater will start producing heat when the warming system temperature
drops to approximately 34ºC to 37ºC.
When the warning light on the control panel is illuminated, it indicates that one of
the two thermostats has turned off the heater. The reason for the heater turn-off
should be investigated as soon as possible after use.
The system's High Efficiency Particulate Air Filter is 99.97% efficient at
0.3-micron particle size.
Wheel Locks
4
The cart is equipped with two wheel locks. The wheel locks prevent the cart from
moving while in use. The wheel locks must be released when moving the cart.
Introduction
Press the wheel lock arm down to lock the wheel. Lift the wheel lock arm to
release the wheel lock. See Figure 1.
Figure 1: Cart Wheel Lock
WT-52005
Introduction
Symbols
The symbols identified in Table 1 are the symbols used on the WT-5200 and all
WT-5200 labeling.
The warming system (Figure 2 and Figure 3) and CareQuilt and CareDrape
blankets are intended to prevent and treat hypothermia. For example, with the
surgical patient, the patient in the pre-operative holding area, the preg nant woman
who shivers during epidural anesthesia, or any patient who is uncomfortable in the
cold critical care environment.
Introduction
1 — Hose4 — Power Cord
2 — Main Power Switch5 — Hour Meter
3 — Nozzle6 — Control Panel
Figure 2: Model WT-5200 Front View
WT-52007
Introduction
1 — Over-Temperature Test Port4 — Warning Label
2 — Bed Hook Bracket5 — Nozzle Strap with Clip
3 — Filter Cover6 — Instruction Label
Figure 3: Model WT-5200 Back View
8
Routine Maintenance
Caution: The institution should follow local governing ordinances and recycling
instructions regarding disposal or recycling of filter and device components or end
of life of the product.
HEPA Filter Replacement
The warming system filter should be replaced after every 2000 hours of use.
Contact Nellcor’s Customer Service Department (1.800.635.5267, press 3) or
your local Nellcor representative to purchase new filters. The correct filter will be
sent to your hospital for installation.
Caution: Only qualified hospital personnel should replace the air filter.
The warming system total operating hours and the date of installation should be
recorded on the new filter label and on the unit label when the filter is installed.
See Figure 4 for the location of the Hour Meter on the warming system.
Note: The warming system must be operating to read the total operating hours
Warning: Do not operate the warming system with the back cover removed.
1.Write the date and total hours of operation of the warming system on the new
filter label and unit label.
2.Unplug the warming system.
3.Lay the warming system on the front cover.
4.Unwrap the power cord from the rear of the warming system.
5.Remove the three screws from the rear of the warming system. See Figure 5.
10
Figure 5: Rear Panel Screws
6.Remove the warming system back panel.
Routine Maintenance
1 — HEPA Filter2 — Power Cord Stain Relief
Figure 6: HEPA Filter
7.Remove the filter. See Figure 6.
8.Place the new filter into the warming system.
9.Ensure that the power cord’s female connector is fully seated into the
10. Place the warming system back panel on the case and insert the power cable
11. Align the back case with the three screw holes in the filter and install the three
Hose Replacement
If the warming system hose is damaged, contact Nellcor’s Technical Services
Department (1.800.635.5267, press 3) or your local Nellcor representative to
obtain a replacement hose. The hose for the warming system is made of plastic
reinforced with wire.
warming system case.
into the power cable slot on the bottom of the case.
screws holding the back case to the unit.
Warning: Only qualified hospital personnel should replace the hose.
2.Place the warming system on a workbench with the back of the unit facing
you.
3.Remove the 7 screws holding the case together. See Figure 7.
12
Figure 7: Back of Case
4.Open the top of the case assembly far enough to access the hose and the hose
retaining wire. See Figure 8.
1 — Hose Retaining Wire
Figure 8: Hose Retaining Wire
Routine Maintenance
5.Straighten the hose retaining wire.
6.Remove the hose from the warming system.
7.Install the new hose. Ensure that the hose retaining wire is threaded through
the hose retaining wire hole.
8.Bend the hose retaining wire to ensure that the hose does not detach from the
warming system.
9.Close the warming system case.
10. Install the 7 screws to hold the case together. See Figure 7.
Power Cord Replacement
The warming system is equipped with a detachable power cord. If the power cord
is damaged, contact Nellcor’s Technical Services Department (1.800.635.5267,
press 3) or your local Nellcor representative.
Caution: Only qualified hospital personnel should replace the power cord.
Table 4: Power Cord Replacement Equipment Required
EquipmentDescription/Use
Allen Wrench3/32 inch, loosening retaining bracket
WT-520013
Routine Maintenance
1.Unplug the warming system power cord from the AC outlet.
2.Place the warming system unit on a workbench with the bottom of the unit
facing you.
3.Unwind the power cord from the warming unit case.
Caution: The power cord retaining bracket screws have retaining nuts. Do not
unscrew the screws enough to damage the retaining nuts or screws.
4.Loosen the power cord retaining bracket screws enough to pull the bracket
away from the power cord connector. See Figure 9.
14
1
— Power Cord Retaining Bracket Screws3 — Power Cord Connector
— Power Cord Retaining Bracket4 — Power Cord Routing
2
Figure 9: Power Cord Routing
5.Disconnect the power cord connector from the warming unit.
6.Remove the power cord from the power cord routing bracket.
7.Connect the new power cord connector to the warming unit.
8.Insert the power cord into the power cord routing bracket. It may be necessary
to use a screwdriver to pry apart the power cord routing bracket, to aid
insertion.
9.Tighten the power cord retaining bracket screws.
Nozzle Replacement
If the nozzle is damaged, contact Nellcor’s Technical Services Department
(1.800.635.5267, press 3) or your Nellcor representative. The nozzle is held in
place by four clips on the hose assembly. Pu ll and twist the nozzle to remove it. To
replace the nozzle, push the new nozzle over the clips on the hose assembly.
Cleaning the WarmTouch Patient Warming System
Caution: Do not spray, pour, or spill any liquid on the warming system, its
accessories, connectors, switches, or openings in the case.
For surface-cleaning and disinfecting, follow your institution's procedures or:
•The warming system may be surface-cleaned by using a soft cloth
dampened with either a commercial, nonabrasive cleaner or a solution of
70% alcohol in water, and lightly wiping the surfaces of the monitor.
Routine Maintenance
•The warming system may be disinfected using a soft cloth saturated with
a 10% solution of chlorine bleach in tap water.
WT-520015
Blank Page
Performance Verification
Thermostat Protection Check
This procedure checks to ensure that the thermostat protection controls are
working properly. This procedure should be performed before returning the
warming system into service. Table 5 lists the equipment required for the
thermostat protection check.
No calibration of the thermostat protection is required or possible. If the test time
or temperatures are outside the allowable range, factory service is required.
Contact Nellcor’s Technical Services Department (1.800.635.5267, press 3) or
your local Nellcor representative.
Table 5: Equipment Required for Thermostat Protection Check
EquipmentDescription/Use
Temperature Probe
TapeTo hold the temperature probe in place
StopwatchManual or electronic
Jumper wire with alligator
clips
Phillips Screwdriver#2
WarmTouch CareDrape
Lower Body Blanket
1.Lay the temperature probe beside the warming system nozzle at the end of the
hose and bend approximately 1.5 inches (4 centimeters) of the temperature
probe into the nozzle opening.
2.Position the tip of the temperature probe so that it is centered in the middle of
the nozzle opening and is inside the nozzle approximately 1 to 2 inches (2.5 to
5 centimeters).
3.Tape the probe in place.
Mon-a-Therm
probe, or equivalent, and temperature
monitor with an accuracy of ±0.2 degrees C
3 to 12 inches (8 to 30 centimeters) long,
alligator clip at each end, 12 gauge minimum
To complete patient warming system
®
subcutaneous temperature
4.Connect the probe to the temperature monitor.
5.Connect the nozzle to the blanket.
6.Unplug the warming system.
WT-520017
Performance Verification
7.Loosen the over-temperature test port screw. See Figure 10.
8.Slide the over-temperature test port cover to the side.
1 — Over Temperature Test Port
Figure 10: Over-Temperature Test Port
WARNING: Possible Patient Injury. Connecting the jumper wire disables
(shorts out) the thermistor that is part of the temperature control system and
is only for use by qualified personnel.
9.Connect the jumper wire across the two terminals in the over-temperature test
port.
10. Plug in the warming system and turn it on.
18
Performance Verification
11. Select the high temperature setting. See Figure 11.
1 — High T emperature Setting
Figure 11: WarmTouch High Temperature Setting
12. When the monitored temperature exceeds 46 degrees C, start the stopwatch.
1 — Warning Light
Figure 12: Warning Light
13. When the Warning Light indicator lights, stop the stopwatch. See Figure 12.
14. The stopwatch should indicate 10 minutes or less, and the temperature
monitor should not exceed 66 degrees C.
15. Turn off the warming system and unplug it.
WARNING: Possible Patient Injury. Connecting the jumper wire disables
(shorts out) the thermistor that is part of the temperature control system and
only for use by qualified personnel. The jumper wire must be removed.
16. Remove the jumper wire from the over-temperature test port. See Figure 10.
17. Close the over-temperature test port and tighten the screw.
18. Disconnect the warming system from the blanket.
19. Allow the warming system to cool for 30 minutes before using the unit on a
patient.
WT-520019
Performance Verification
Output Temperature Check
This procedure measures the warming system output air temperature at the input
to the blanket. The output temperature should be measured before returning the
Warming System into service. Table 6 lists the equipment required for the
thermostat protection check.
No calibration of the temperature control circuit is required or possible. If the test
temperatures are outside the allowable range, factory service is required. Contact
Nellcor’s Technical Services Department (1.800.635.5267, press 3) or your local
Nellcor representative.
Table 6: Equipment Required for Output Temperature Check
EquipmentDescription/Use
T emperature ProbeMon-a-Therm subcutaneous temperature probe,
or equivalent, and temperature monitor with an
accuracy of ±0.2 degrees C
TapeTo hold the temperature probe in place
WarmTouch CareDrape
Lower Body Blanket
1.Lay the temperature probe alongside the warming system nozzle at the end of
the hose and bend approximately 1.5 inches (4 centimeters) of the temperature
probe into the nozzle opening.
2.Position the tip of the temperature probe so that it is centered in the middle of
the nozzle opening and is inside the nozzle approximately 1 to 2 inches (2.5 to
5 centimeters).
3.Tape the probe in place.
4.Connect the probe to the temperature monitor.
5.Connect the nozzle to the blanket.
6.Extend the warming system hose to the configuration shown in Figure 13.
To complete patient warming system
20
1 — 14 to 16 inches2 — 32 to 34 inches
Figure 13: Output Temperature Setup
7.Turn on the warming system.
Performance Verification
8.Select the low temperature range. See Figure 14.
1 — High Temperature3 — Low Temperatu re
2 — Medium Temperature4 — Ambient T e mp erature
Figure 14: Temperature Selection
9.Allow the temperature to stabilize. The temperature monitor should indicate
30.0 ºC to 35.0 ºC.
10. Select the medium temperature range.
11. Allow the temperature to stabilize. The temperature monitor should indicate
36.0 ºC to 41.5 ºC.
12. Select the high temperature range.
13. Allow the temperature to stabilize. The temperature monitor should indicate
42.0 ºC to 48.0 ºC.
WT-520021
Performance Verification
Safety Tests
14. Turn off the warming system.
15. Disconnect the warming system nozzle from the blanket.
16. Remove the temperature probe from the warming system nozzle.
The warming system is provided with a ground stud to allow safety testing
without opening the case.
1 - Ground Stud
Figure 15: Ground Stud
The warming system meets the standards of CSA C22.2 No. 125 (Risk Class 2)
and UL 544.
Applicable tests for these standards are listed below. Technicians should be
familiar with the standards applicable to their institution and country. Test
equipment and its application must comply with the applicable standard.
•Ground Integrity. See page 94 for test values.
•Earth Leakage Current. See page 94 for test values.
•Enclosure Leakage Current. See page 94 for test values.
22
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