Ohmeda BiliBlanket Plus User manual

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BiliBlanket® Phototherapy

Operation,

Maintenance

Plus

System

and

W =

Service

Manual

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General

Precautions

Care

PLEASE

of

the

IMPORTANT

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Skin

The

skin

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Resource,

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45.

Neonatal

of

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Care,

NAACOG.

hyperbilirubinemia.

premature

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infants,

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Rutter,

N.,

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of

Pediatrics,

Brown,

February , 1988

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skin,

British

of

Phototherapy

Medical

trial

of

in

Bulletin,

Vol.

prophylactic

Prevention

and

44,

No.

4,

phototherapy

Management

1988

in

the

infant

of

Neonatal

with

very

low

birth

Hyberbilirubinemia,

weight,

Pediatrics,

TheJoumal

Table

of

Contents

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1/General

2/Operation

3/Maintenance..............

Information

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17

1

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General

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04/22/96

1-3

1/General

Information

Light

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controls,

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1/General

Information

Accessories

Table

Stock

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6600 0228

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04/22/96

2-1

2/Operation

CAUTIONS

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ensure

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the

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cool

for a minimum

the

bulb.

and

light

in

the

Appendix.

result

in

damage

pad

assemblies

manufacturers

recommended

the

performance

pad

or

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operation

BiliBlanket

that

transilluminator

are

familiar

Plus

the

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with

of

ten

minutes

intensity,

Use to

or

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Phototherapy

delivers

the

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replace

of

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effective

This

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with

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pads

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at

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abrasive

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decrease

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life

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least

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allow

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surfaces.

the

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storage

removing

it.

not

lay

the

not

place

the

light

procedure

reduced

if

the

minutes

fiber

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the

fiber

on

an

it

for

fiber

anything

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guidelines

cable’s

intensity

unit

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moved

before

optic

cable,

protective

fiber

optic

cable

IV

pole,

use.

Carefully

optic

cable

on the

may

outer

protective

optical

at

the

if

the

lamp

moving

pad

coverings

cable

and

door,

wall

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fiber

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light

or

the

light

source

while

the

bulb

is

the

unit.

or

transilluminator

may

be

and

pad

assembly

pad

or

transilluminator

hook

or

similar

lift

the

cable

free

transilluminator

optic

cable

excessive

conduit,

pad

or

transilluminator.

where

or

transilluminator.

stress

is

hot.

Allow

to

damaged.

and

item,

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of

obstructions

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rub

on

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assembly

not

be

to

bulb

sharp

for

pull

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when

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cable

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2-2

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locate

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6600 0228

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air

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filter

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04/22/96

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air

on

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level

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feet

of

the

on

the

sides

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use

treatment

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the

amounts

the

mounting

location.

light

of

lint.

source

slide

bracket)

are

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to

2/Operation

CAUTION

WARNING

ZX

Do

not

3.

Examine

signs

of

4.

Connect

5.

Fully

engage

port.

A

Do

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7.

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the

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8.

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the

light

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the

power

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or

heavy

“|”

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the

brightness

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light

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on

surface

source

the

power

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power

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the

is

port

air

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objects

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selector

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power

switch

exposed port.

whether

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optic

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the

light

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to

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to

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cable and

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they

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source

connector

end

fiber

optic

turn

the

on

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the

turn

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insert

lamp

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damaged.

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or

transilluminator

of

the

pad,

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on.

the

front

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power

fiber

optic

fingers

is

on

or

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connector

vest

or

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panel,

off.

cable

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off.

cable

to

the

line

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connecting

green

select

any

is

disconnected

objects

power the

power

light

for

obvious

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light

Do

not put

cable.

indicator

intensity

into

source

light

and

from

the

Using

WARNING

the

BiliBlanket

The

disposable

infant

lies

pad and

А

If

there cover System

with

Plus

1.

When

2.

When

3.

When

or

The

disposable

term

infants

disposable

The

infant,

will

continue

covered,

cover

directly

the

on

infant.

is a concern

the

patient’s

to

shield

conventional

may

not

using the

pad

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patient

abdomen.

vest

who

cannot

cover

should

along

with

to

receive

light-emitting

Plus

is

designed

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covered

eyes

them

phototherapy

be

necessary

the

vest.

is

kept

is

secures

tolerate

be

the

light

effective

section

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for

use

with

both

pad

about

when

or

when

against

clothed

the

having

used.

pad,

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of

without

exposure

using

under

the

after

fiber-optic

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the

pad

any

to

the

BiliBlanket

lights.

these

patient’s

applying

pad

the

vest

be

covered

treatment

remains

System

premature

method

direct

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Eye

conditions:

to

the

secured

in

of

light

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patch

back.

the

pad

infant.

around

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as

contact

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full-term

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Plus

is

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use

with

to

the

patient’s

For

premature

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in a blanket.

long

as the

with

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infants.

between

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pad,

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in

conjunction

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and

full-

midsection,

The

disposable-

skin.

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the

infant

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disposable

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6600 0228

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infant's

cover.

04/22/96

should

skin.

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disposable

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be

the

only

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side

of

be

replaced

patients.

the

2-3

2/Operation

Important:

The

Pad

scribed

must

above.

тт I

| I

b 4

|!

1.

Inserting pad

be

Do

4

into

covered

not

use

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the

light

the

cover.

with the

the

Pad

disposable

without

the

cover

or

disposable

2.

Adhesive fastened

cover

tabs

around

the

vest

or

vest.

optic

as

de-

cable.

Figure Inserting

2-1

1.

Inserting pad

the

light

=

into

pad

~

the

light

the vest.

into

the

cover

or

vest

2.

Adhesive fastened

optic

tabs

around

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C1.01.007,008,009,010

the

WARNINGS

2-4

ZA

6600

The

light

exposed

an

electric

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000

source

to

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place

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bassinet;

04/22/96

unit

liquids.

hazard.

the

light

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waterproof.

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conditions

the

Locate

the

infant

expose

the

unit

can

compartment

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unit

damage

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where

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of a incubator,

to

possible

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injury.

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2/Operation

1.

source

the

Mount

the

place

it

so

can

Insert

the

fiber-optic

disposable

pad

all

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it

sits

on a flat,

be

placed

pad

vest

goes

the

way

in

Plus

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flat

on

into a new,

over

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to

the

solid

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clear

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side

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on a radiant

surface

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upright.

disposabie

illuminating

the

vest/cover.

warmer,

cover

side

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incubator,

feet

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or

vest.

the

pad.

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the

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2-1.

or

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baby.

white

sure

The

side

to

insert

or

light

of

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Connect outlet.

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(side

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‧ When

hold Set

prescribed.

9.

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the

place

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over

the

covered

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infant's

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much

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baby’s

using

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pad

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brightness

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power

cover

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power

cord

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fiber-optic

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when

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pad

with

the

feet.

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of

the

infant’s

possible

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in

position

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switch

vest

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the

cable

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precaution

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on the

up.

tip

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Figure

skin

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the

(clothing

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wrap

the

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secure

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on.

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is

in

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with

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port.

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with

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the

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to

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intensity

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electrical

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than

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side

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be

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phototherapy the

skin

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hold

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patient's

Figure

Placing

6600 0228

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the

isomerization

nurse

Be

skin.

2-2

the

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000

04/22/96

from

the

sure

onto

as

the

infant

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the

or

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in a blanket

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the

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maximum

pad

with

area

cover

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section

the

outer

of

illumination

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the

few

millimeters

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is

pad

the

in

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remains

vest,

receive

in

of

skin

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to

the

with

С1.01.028

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2/Operation

1.

Place

infant

with a disposable

on

light

vest.

pad

covered

2.

Secure

disposable

vest

around

σι.01.027,029

infant.

CAUTION

Using

WARNING

the

Figure Placing

A\

10.

2-3

the

Lamp

or

bumping,

for

at

When

remove

infant

life

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the

treatment

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onto

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ten

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pad

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tip

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=

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AR

.

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の

.

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DO

.

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of

the

if

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lowering

burn.

the

phototherapy

the

mode

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transilluminator

power

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light

intensity

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transilluminator

skin.

notice

the

tight

select

on.

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slide

with

vest

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lamp

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tranilluminator

redness

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light

using

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optic

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the

of

cable

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into

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bulb

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hot.

the

unit.

off

the

light

source

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tip

the

light

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the

disposable

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of

the

transilluminator

the

skin.

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this

intensity

from

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light

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port.

intensity

knob.

return

to

is

subjected

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power

vest.

of

energy

case

you

control

source.

phototherapy

knob

the

bulb

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often,

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to

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can

avoid

mode.

shock

to

cool

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@

2-6

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off

the

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0

.

Using

一

o

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6600

0228

000

the

04/22/96

mode

the

transilluminator

selector

phototherapy

switch,

light

cable

pipe.

select

to

the

phototherapy.

light

port.

0

3/Maintenance

In

this

section

Maintenance

Naintenance

Operator Service

Cleaning

Bulb

Cleaning Attaching

and

replacement

the

schedule

Maintain

Operator

After

Weekly

Quarterly:

the

each

or

schedule........................................

maintenance

disinfecting

.9

fan

filter

dovetail

unit

in

accordance

.................

ii

RARA

ee

.................

rail

bracket

sise

with

the

information

ии

RAR

ecenin

линии

RRE

below:

RARE R RR

maintenance

patient:

after

each

patient:

Replace

Clean

the

light

source

the

unit.

accumulation

Clean

the

air

the

phototherapy

cables.

disposable

Check

(see

and

vacuum

filter.

and

RRA

RR RR

RR

nr re

naU

cover

or

vest.

the

air

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Figure

4-6)

for

clean

if

Clean

the

light

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ини

naa

rc

nanananones

ss

on

the

side

lint

and

dust

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input

end

of

connector

3-1 3-1 3-1

3-1

3-2

3-4 3-4

of

Cleaning

WARNING

CAUTIONS

Note:

This

it

appears

ronment.

Service

Annually

According

care

institution

electrical

and

disinfecting

À

Make source

А

Never

circuited,

ZN

Never

is

the

minimum

dirty,

depending

maintenance

to

your

health

protocol

equipment

sure

the

before

immerse

causing

immerse

cleaning

on

for

light

source

cleaning

the

light

permanent

the

pad, vest

frequency.

the

concentration

Perform described

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emitted.

Measurement

power

and

that

source

in

damage.

or

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the

that

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cord

the

unit

liquid.

The

air

filter

of

lint

and

electrical

in

section

the

required

to

Light

Procedures.

is

disconnected

is

completely

The

electronic

cable

must

dust

in

safety

4/Service.

light

Output

circuitry

in

liquid.

be

cleaned

the

operating

procedures

output

from

dry

is

the

before

can

whenever

envi-

being

power

using

be

short-

it.

А

Z\

6600

Use

light

Do

not

0228

000

the

cleaning

source.

source

autoclave

04/22/96

solution

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not

causing

or

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saturate damage

gas

sterilize

on a cloth

the

unit - excessive

to

internal

the

BiliBlanket

when

solution

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Plus

cleaning

the

may

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exterior

flow

into

System.

of

the

3-1

3/Maintenance

3.

4.

cord

power

the

or

not

the

pad

both

the

outside

sponge.

allow

light

assembly

hospital

use

an

rinse

of

Agueous

may

liguids

to

source

and

agent

disinfectants

abrasive

the

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cloth mycobactericides

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using a disinfecting

are

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transilluminator. Thoroughly

the

allow

and

source

light

the

solutions

be

used.

seep

into

the

surface

pad

with a clean,

transilluminator

safe

for

and

cleaner

to

remove

on

source

light

using

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soft,

must

use

on

the

mycobactericides

the

pad,

any

cleaning

to

detergent

mild

a

are

both

cloth.

be

cleaned

materials.

the

cable,

for

cool

hospital

without

Aqueous

may

by

the

connector

solution

residue.

minutes.

ten

least

at

a

solution

disinfectants

used.

on

immersing

solutions

or

the

damp

and

by

which

|

CAUTIONS

A\

Do

not

been

A\

Exposing

ultra-violet ing

solutions

pad’s solutions,

The

following

Table

3-1

Cleaning

use a phenolic

associated

the

fiber-optic

light

that

light

output.

strong

table

lists

Generic Formulation:

Hydrogen

Sodium

Cavicide®

and

disinfecting

compound

with

elevated

can

cause

discolor

Do

not

acids,

some

peroxide

hypochlorite

solutions

pad’s

plastic

premature

the

pad,

place

strong

alkali,

cleaning

based

bilirubin

cover

breakdown

such

the

pad

or

solutions:

cleaner.

levels

in

to

strong

as

iodine

in

direct

bleach

Maximum

Phenolic

infants.

cleaning

of

the

plastic

solutions,

sunlight.

solutions

concentration

6%

100

parts/million

100%

spray

compounds

solutions

material.

will

Do

not

to

clean

reduce

use

the

level:

have

or

Clean-

the

iodine

pad.

Bulb

WARNINGS

CAUTION

3-2

replacement

A\

Disconnect bulb

access

4\

Allow

move

Â

To

ensure

the

Ohmeda

will

affect

Phototherapy

6600

0228

000

the

it.

04/22/96

the

door.

bulb

the

proper

bulb

the

performance

System.

power

to

cool

listed

cord

from

for

at

operation

in

Specifications

of,

least

and

the

ten

light

may

power

result

source

minutes

intensity,

in

the

in

before

replace

Appendix.

damage

opening

attempting

the

bulb

Use

of

other

to,

the

BiliBlanket

to

only

the

re-

with

bulbs

Plus

0

3/Maintenance

Note:

tamination

during

clean, hot.

Refer

1.

Switch source.

2.

Turn

and

3.

Gently

the

Move

5.

Firmly

Connect

6.

Close clockwise.

Do

not

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of

the

bulb

installation

soft

cloth.

Also,

to

figure

3-1

off

the

screw

open

the

door.

move

the

bulb

outward.

the

lever

slide

the

pins

the

lamp

the

center

may

or

if

stains

take

light

source

on

the

lever

Disconnect

back

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of

access

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bulb

all

the

glass

are

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care

not

and

access

to

its

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the

way

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bulb

panel

bulb

or

in

reduced

clean

to

let

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disconnect

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the

bulb

the

connector,

position.

into

the

into

the

and

turn

the

lamp

the

bulb

the

one

from

socket

bulb

panel

mirror

surface performance. bulb

with

wires

touch

power

cord

quarter

right

turn

to

left,

remove

connector.

the

until

it

screw a quarter

with

your

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If

the

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alcohol

moving

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and

dry

the

reflector

from

the

power

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lever

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and

discard.

into

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turn

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when

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2/Operation.

|

door

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8

CAUTION

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6600

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life

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04/22/96

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3-3

3/Maintenance

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Repair

WARNING

policy

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tools

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6600

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4-1

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factory

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When clean in

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CAUTION

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Insulation

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Table

4-1

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lamp

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6600-0680-200).

to

unit

in

cool.

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4/Service

Symptom:

Power

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light

source

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the but

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4-3

4/Service

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WARNINGS

4-4

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Servicing

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ZX

ELECTRICAL Phototherapy

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competent

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6600

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of

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4/Service

Useful

#1

Phillips

3/16

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5/16

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for

screwdriver

flat

blade

socket

the

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repair

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procedures

inch

hex key

inch

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inch

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wrench

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Mate-N-Lok

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removal

Replacing a fuse

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To

replace a fuse

1.

2.

3.

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fuse

Switch

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on

To holder

the

replace

the

door

the

light

the

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ensure

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6600 0228

4-1

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04/22/96

the

correct

replacement

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4-5

4/Service

WARNING

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For

protection

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source

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checkout

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procedure

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source

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2/Operation.

and

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the

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board

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four

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the

orientation

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to

the

4/Service

5.

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scratch

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Release the tached.

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the

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04/22/96

the

light

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6600

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000

04/22/96

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parts

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Specifications

Note:

Environmental:

Ambient

All

specifications

Operating:

are

nominal

o

Temperature:

and

are

subject

15

to

change

35°C

without

(59

to

notice.

95°F).

WARNING

Performance:

Å

Equipment

anesthetics. A possible

Storage

Light

requirement:

bandwidth:

is

not

Humidity:

Atmospheric

suitable

for

explosion

Temperature:

Humidity:

Atmospheric

Intesity © 10%

Intesity

(all

The

infrared

©50%

wavelengths + 15

transilluminator

energy

pressure:

operation

hazard

pressure:

390

nm

563

nm

452

nm

546

nm

nm)

option

0

to

70

kPa

in

—5

0

to

50

blocks

95%

to106

the exists

to

+50°C

95%

kPa

to

RH

non-condensing

kPa

presence

under

(23

to

RH

non-condensing

106

kPa

ultraviolet

of

flammable

these

122°F).

and

conditions.

Bulb

Light

output:

(Spectral

Mode

of

t

Factory

calibrated

on

the

accuracy

Type:

Life:

6600

0228

000

Irradiance)

Operation:

using a light

of

the

light

04/22/96

High

brightness:

Designed

meter

used.

Ohmeda

with an

for

accuracy

Stock Specifically specifications

Nominally

light

intensity

continuous

of + 1pw/cm/nm.

Number

designed

for

the

800

hours

setting

35

uW/cm?/nm + 8.75 uW/cm?/nm See

Light

Procedures

9,000 + 2250/-3150

maximum

for

Output

on

intensity

transilluminator.

operation.

Light

output

6600-0680-200

to

meet

light

intensity

BiliBlanket

at

25°C

and

Plus

(77°F)

ambient;

continuous

phototherapy

Measurement

page

4-12.

lux

is

setting

measurement

(carton

and

may

of

six

focal

Phototherapy

tested

operation.

+.

for

the

vary

depending

lamps).

length

System.

at

high

A-1

Appendix

|

Physical

(All

dimensions

are

nominal)

Electrical

Light

source

Fiber

optic

Fiber

optic

Fiber

optic

Transilluminator:

Protection ingress

Input:

light

cables:

pad:

against

of

water:

unit:

pad:

Size:

Weight:

Size:

Illuminated

Length:

Not

protected.

2.2 A at

1.1 A at

100-120

220-240

area:

Vac

10.56 x 4.31 x 10.27

in

(26.82 x 10.95 x 26.09

Less

than 8 pounds

(entire

4.38 x 9.38

4.00 x 6.00

47

2400 mat

the 4 x 6 inch

48

system).

in

(1.19

m)

optic

fibers

providing

in

(1.2m)

in

(3.64

(11.12 x 23.83

(10.16 x 15.2

woven

total

illumination

area.

(Wx H x

cm)

kg)

cm)

into

a

L)

of

Safety

Standards

Fusing:

Overheat

Chassis current:

Ground

impedance:

protection:

leakage

250

watts

maximum

180-264

Two

Fuse

Thermal (239°F),

IEC

Less (less

(power polarity polarity.

Less on

Designed

VAC ~ 50/60

primary

on

Type B equipment.

Class 1 equipment

than than

than

the

fuses

the

power

cutout switch removing

300

500

on)

with

and

with

0.1

unit

to

meet:

at

90-132,

Hz

for

all

voltages

supply

near

power

to

designed

microamperes microamperes

the

ground

the

ground

ohm

from

ground

any

exposed

UL544, CSA

board

the

lamp

the

lamp.

at

100/120

at

220/230/240

intact

open

metal

IEC

601-1-M90

T

3.15A,

T

4.0A, 5 x

actuates

for

continuous

for

normal

for

normal

of

the

surface

601-1

VAC

and

power

on

the

and

5 x

20mm,

at

115°C

operation.

VAC)

reverse

inlet

unit.

IEC

601-1-2,

250V

module

0

A-2

6600 0228

000

04/22/96