Smiths System 250 User manual

Service

System

250

Manual

Fluid

Warmer

:

Unpacking Filling

Electricat

Alarm

Performance

Maintenance

Troubleshooting

Limited Service Specifications...

Electrical

Parts Mechanical

and

with

Distilled

Safety

Power

Leakage

Testing

Testnd

Inoperable Flow

Restriction,

Warranty

Schematics

List,

Maintenance

Parts

Set-Up

Reguirement.

Current

.

List

..

Water

ii

System

and

.

Test.

250

|.V.

Disposable

User

Sets

Replaceable

Parts

6

…

Revised

REV

A

May

1993

215)

Purpose

The

Level 1 System

patients.

The

Minimum are Level 1 1.V.

board infusion

warming

Disposable

standard

delivery

delivered

safety

of

for

250

sets

Disposable

temperature

near

37°C.

Sets,

and

monitoring

normothermic

and

|.C.U.

is

designed

specifically

Set

allows

at

Blood

and

will

be

delivered

systems

fluids.

Emergency

for

designed

infusion

these

packed

make

Typical

Room

safe

and

for

of

6°C

flow rates

RBCs

near 37°C.

the

Level 1 System

uses

of

use.

rapid

various

blood

is

35°C.

from

ail

High

the

system

in-line

warming

infusion

up

to

At

the

auto

warming

of

rates

are

100

ml/min.

somewhat

transfusion

and

flow

250

the ideal

include

all

|.V.

fluids

available.

or

6°C

crystalloid

lower

flow rates

systems

capacity,

choice

routine

surgery

as

may

simple

for

they

are

generally

be

infused

all

procedures and

_

administered

up

to

150

used,

through

operation,

blood

to

mMmin.

fluids

the

and

on-

requiring

and

fluid

Messages

improper

results.

Messages

cause

improper

Messages

cause

improper

Concept

The

Level 1 System

makes used

The

rapidly

rapid System

Taking

very

available

in

the

System

circulated

water

250.

advantage

cold

blood.

that

are

headed

that

are

headed

results

that

are

headed

results,

to

all

Open

Heart

250

employs a Disposable

counter-flow

circulation,

of

The

Filter

and

250

other

the

by

damage

by

damage

is

the

areas

Suite

for

and

counter-flow

high

Holder

“NOTE:"

indicate

“CAUTION:"

to

the

“WARNING:"

to

the

equipment,

first

significant

of

the

on-pump

through

warming

of

an

capacity,

the

System

information

indicate

equipment.

indicate

advance

hospital

warming

Heat

Exchanger.

anodized

warming

the

250

or

information

injury

to

personnel,

in

routine

the

same

for

over

25

As

aluminum

all

contribute

Disposable

is

warmed

procedures

or

procedures

or

procedures

or

blood

fluid

warming

years.

with

extracorporeal

tube.

The

to

the

Sets

allow

to

help

maintain

that

if

not

that i not

`

that

serious

and

use

excellent

patient

fluid

technology

of a thermal

increased

peak

followed

if

not

followed

harm.

warming

Perfusionists

warming,

conductor

high

warming

fluid

efficiency

correctly

correctly can

correctly

in

over

warmed

capacity

flow

rates,

at

low

can

cause

can

20

years.

have

water

It

safety

is

(aluminum),

of

the

even

with

flow

rates.

The

Hardware

and

easy

to

use.

the

system

safely

Safety

FILTER

The

released

delivered

WITH

Level 1 Disposable

from to

the

and

Disposables

By

following

set-up

GAS

VENT

fluids

as

patient

and

Sets

they

along

of

the

Level 1 System

the

1-2-3

instructions

operating

employ a unique

are

with

within

warmed. the

warmed

seconds.

In

many

fluids.

Gas

found

Vent

other

250

on

which

warming

are

integrated

the

unit,

vents

into

properly

micro-bubbles

systems,

the

design

trained

these

to

be

highly

users

can

confidently

of

gas

which

micro-bubbles

effective

are

always

are

actually

have

The

ability

Gas

Vent

with

luer-locks Fitter vent

replacement

For

D-50

For

D-100

with

of

in

gas

Set

the

and

vent

order

Gas

Vent

I.V.

Sets

is

easily

should

fitters

are

replacement

to

quickly

contains a 170-micron

changed

be

changed

available

fitter

without

as

F-10

filter

F-10

vent

air

every

follows:

patient

three

also

screen

permits

hours

rapid

filter

to

trap

disconnection

to

maintain

priming

of

the

macro-aggregates.

or

repriming

efficient

system

Disposable

This

of

the

entire

performance.

Set.

The

filter

is

disposable

Fitter

with

connected

set.

he

with

gas

TEMPERATURE

The

System

temperature

this

circuit, a second

temperature

Fluid

present

temperatures.

ELECTRICAL

A

special

through

low

the

power

CONTROL

250

employs a safe

control

reaches

in

the

circuit

“watchdog”

about

heat

SAFETY

leakage

cord

limits

41°C.

exchanger

immersion

providing

circulating

the

circulating

circuit

will

while

heater

an

is

extra

Unpacking

The

Level 1 System

Contents

water

visually

the

unit

used

measure

heating

to a 40°C

and

audibly

is

operating

in

the

Level 1 System

of

patient

and

Set-Up

250

system,

maximum.

alarm

is

and

is

packaged

inherently

and

never

exposed

250.

operator

and

tn

the

stop

This

safety.

partially

Quantity

free

of

unlikely

the

circulating

to

any

heater

assembied.

"hot

spots".

event

of a malfunction

water

damaging

is

electrically

The

primary

pump

or

dangerous

grounded

if

of

the

Figure

UNIT

PACKAGING

Power

Rolling

ACCESSORY

Service Operators Casters

ГУ IV. Fill

Set

Level 1 Video

Hitch

1

Вад Pole

Plug

Up

Unit

Base

Manual

Напдег

Knob

Card

1

PACK

a

da

一

一一

一

WARNING

This

unit

prior

to

1,

With

wheels.

2.

Slide

base

as

3.

insert

must

placing

the

Rolling

the

Power

shown

the

be

assembled

the

device

base

Unit

in

Figure

through

into

on

Pole

1.

the

and

service.

its

side,

down

holes

tested

push

over

in

the

by

Level 1 technical

the

four

the

vertical

bottom

of

casters

square

the

pole

FULLY

base

and

personnel

into

their

tube

with

vertical

or

sockets.

Power

base

an

authorized

Unit

tube,

Place

facing

locking

distributor

the

base

the

longer

them

together.

of

Level

upright

side

of

on

1

its

the

Filling

Set-Up

CAUTION

For

WATER

water

operating

DO

creates

A.

B. port

in

Figure

way

port

proper

in

the

NOT

an

Unscrew

Fil

with

exits

3.

to

be

and

fill

with

system

should

unit

efficiency.

FILL

air

and

1.3

at

the

This

sure

the

Distilled

operation

be

used

will

build

the

unit

lock

preventing

remove

liters

of

bottom

vent

port

the

reservoir

Water

and

in

the

up

mineral

with a DISPOSABLE

proper

the

Fillport

Distilled

of

the

also

is

until

water

component

water

Plug.

Water.

Power

serves

full

is

begins

life,

reservoir.

scale

and

SET

filling.

Note: A water

Module

as

to

at

an

overflow

place a cup

to

exit

only

DISTILLED

The

use

seriously

IN

PLACE

reservoir

the

location

tube.

under

the

port.

of

reduce

as

this

vent

shown

An

easy

this

vent

tap

its

Fillport

Plug

Figure

2

C.

Replace

CAUTION

The

Distilled

manual.

sure

there

The

are

the

Fillport

Water

System

no

in

250

large

Plug

the

reservoir

draws a maximum

power

consumers

should

on

be

of

7.5

that

changed

Amps.

circuit.

every It

should

30

days.

be

plugged

See

the

Maintenance

into a 10

to

20

section

Amp

of

circuit,

being

this

Electrical

Safety

Power Requirement

Most

of

the

current

600

Watt

immersion

turned

temperatures

full

proportional proportionally water

Leakage

on

and

ON

condition.

nears

controller

the

Current

drawn

the

digital

below

Beyond

shorter

40°C

heater.

30°C,

cycles

target

Test

NOTE This

device

the

Parts

WARNING DO

NOT

WITHOUT A DISPOSABLE

and

is

equipped

perform

List

section

DEFEAT

leakage

of

THE

΄

by

the

System

When

display

the

shows

600

approximately

the

heater

ON

times temperature.

with

disposable

current

this

manual.

DISPOSABLE

HEAT

250

the

device

rapidly

Watt

heater

30°C,

ON/OFF

as

the

circulating

sensing

testing.

EXCHANGER

Non-Sterile

SENSING

is

for

its

is

first

rising

is in

a

the

with

interlocks. A Level 1 Heat

Test

Sets

are

INTERLOCKS

IN

PLACE.

Exchanger

available

OR TRY

Figure

from

Level 1 for

TO

Air

intake

3

is

required

this

OPERATIVE

Vent

Port

Slots

to

operate

purpose.

THE

the

See

UNIT

Power in

be

warms

Although less

Units

repair.

On

order

performed

up

than

exceeding

Alarm

NOTE

Alarm avatlable

testing

Leakage

to

be

quickly,

the

specifications

50

microamps.

sure

on

100

Current

the

immersion

units

test

readings

microamps

which

Testing

requires a Level 1 Heat

from

Level 1 for

this

Tests

have

should

claim

purpose.

should

heater

less

electrical

circuit

been

be

than

Exchanger

See

be

allowed

taken

100

・

leakage

the

performed

is

in a full

to

stand

within 1 minute

microamps

should

to

be

Parts

List

with

the

ON

condition,

until

electrical

be

removed

in

place

in

this

immersion

Power

close

to

of

startup.

leakage,

from

on

the

manual.

heater

On

room

temperature.

units

service

System

circuit

Leakage

leaving

and

250.

Non-sterile

in

the

full

Current

As

the

factory

returned

ON

condition.

Tests

should

System

are

usually

to

Level 1 for

Test

Sets

250

are

Add

Water

The

System

water

level

condition

Alarm

250

is

too

the

circulating

is

equipped

low, a RED

pump

with a float

L.E.D.

should

on

not

switch

the

Display

be

running.

which

senses

Panel

the

water

illuminates

level

in

the

and a sonic

on-board

alarm

reservoir,

sounds.

In

When the

the

alarm

With a Test

tube

on

the

Replace

Check

Two

and

running,

1.

2.

Over

any

Disposables

interlocks

the

Power

each

Top

Heat

Exchanger

Temperature

With a Test

the

water

Fil/Drain

DISTILLED

this

manual.)

illuminate

above,

normal

and

turn

operation.

Heat

Exchanger

back

of

the

Power

water

drained

Alarm

sense a property

Switch

interlock

Exchanger

is

may

Socket - Pull

Guide - Bend

Alarm

Heat

Exchanger

tube

on

WATER

the

Turn the

Power

which

the

Sonic

Switch

Power

Alarm

in

place,

Unit

with

DISTILLED

installed

ON,

the

RED

be

independently

tube

in

place and

the

back

has

been

Switch

should

OFF

and

the

ADD

and

tilting

Heat

indicator

Release

portion

the

of

the

heated

ON.

sound.

allow

WATER

it

down

WATER.

Exchanger.

tested:

knob

of

Heat

Power

to

45°C

The

Over

The

the

unit

ALARM

to

See

will

illuminate

and

slide

Exchanger

Switch

Unit

and

to

48°C.

temperature

water

circulating

to

cool

may

allow

some

the

Filling

If a properly

and a pulsed

up.

out

OFF,

drain

tilting

it

(See

FILLING

pump

to

room

be

tested

of

the

water

with

Distilled

installed

of

Guide

down

RED

groove.

the

water

to a container.

WITH

L.E.D.

should

temperature.

by

releasing

to

drain

Water

Heat

Exchanger

alarm

will

out

of

the

DISTILLED

on

the

not

be

Restart

the

out

section

sound.

reservoir

Fill

WATER

Display

running.

the

water

Fil/Drain

into a container.

of

this

manual.

is

not

in

place

With

the

unit

by

releasing

with

1.3

liters

of

section

Panel

Confirming

unit

and

of

should

the

confirm

NOTE

The

sonic

alarm

Performance

NOTE

Performance Disposable

THREE

1.

COLD

Store

in

piace,

Rapidly

minutes

simpie

the

rising

on

Test

START

System

note

an

and

all

RED

Testing

testing

the

numbers

efficiently

requires a Level 1 0-50

Sets

are

tests

allow

TEST

250

unit

time

and

will

operating

L.E.D.s

available

periodic

in a room

turn

checking

the

appear

unit.

may

from

Level 1 for

where

Power

on

be

the

tested

Disposable

of

the

room

Switch

Water

by

pressing

Set

this

purpose.

overall

operating

temperature

ON.

The

Temperature

the

to

See

Green

alarm

test

be

in

place

the

Parts

efficiency

is

approximately

System

display.

37°C

button

of

on

List

the

21°C

on

the

System

section

System

Operational

will

appear

the

back

250.

in

this

250.

(70°F).

With a D-50

indicator

in

approximately

of

the

cabinet.

Non-sterile

manual.

will

illuminate.

Set

3

2.

SYSTEM

RECOVERY

TEST

Chill a 1

allow

the

place

the

Pole

so

at

250

mUmin.

Note

the

display.

not

read

3.

STEADY

Thermal

For

use

NOTE

Use

of

this

accurate

liter

bag

of

unit

to

reach

Male

Luer

the

fluid

bag

(This

time

and

OPEN

The

fluid

bag

below

37°C.

STATE

Calibration

with:

within

Level 1 Fluid

unit

requires a digital

0.1°C.

Normal

in a container

may

RUN

Well

at

least

outlet

be

the

should

TEST:

(TCW)

Saline

39.5°C.

is

4"

confirmed

clamp

empty

Warmers

thermometer

to

10°C

to

Remove

on

the

floor.

above

the

level

with a graduated

below

the

in

about 4 minutes,

'.

Model

15°C.

the

Close

of

bag,

P/N

H-500

H-500 H-250 H-250

NIST

With a D-50

cap from

the

Bag

the

Heat

Exchanger

beaker

allowing

80-03-002

traceable

and

INT

the

and

Test

the

Spike

and

fluid

digital

Set

in

place,

Male

Luer

clamps,

inlet.

stopwatch.)

to

flow

freely.

display

at

and

With

in

the

spike

an

turn

the

Power

end

of

the

fluid

all

clamps

Watch

the

efficiently

Switch

Patient

bag.

open,

fluid

Water

Temperature

operating

Set

ON

Line

the

will

unit

and

LV.

flow

will

Required

Short

a.

Install

(sockets 1 &

“For

b.

Turn thermometer Compare

Unit

correctly

Examples

Thermometer

Level 1 Unit

probe

checklist

TCW

H:500 & H-500

the

temperatures.

display

calibrated

size:

to

verify

in

machine

2).

machine

probe

will

be

39.750

WITHIN

0.099"

0.50" - 1.50"

displayed

INT,

on

and

fully

into

within

unit.

THIS

in

normal

also

install a test

allow

well

0.3°C

of

RANGE

OD

maximum

long

circulating

heat

to

warm

and

allow

the

thermometer

39.4°C - 40.0°C = OK

water

exchanger

filter

at

up

for

15

display

temperature:

position

to

display

3.

minutes.

stabilize.

on

Insert

a

7 し

pe

|

一

3

一

圖

一

1

Thermometer Levelt

NOTE

IF

SERVICE.

THE

Unit

SYSTEM

Maintenance

40.0°C WITHIN

250

THIS

DOES

RANGE

NOT

39.7°C - 40.3°C = OK

MEET

1,

2,

or

3,

IT

SHOULD

BE

RETURNED

TO

THE

FACTORY

FOR

CLEAN

Clean

and a soft

discolor

CHANGE

Release

container.

water.

GREASE

Place a small Rings

sockets

CHANGE

Note: the socket

Ring Caps

EXTERIOR

the

entire

some

DISTILLED

the

See

O-RING

in

the

to

O-RING

An

O-Ring

Parts

List

and

sockets.

and

button

cloth

Replace

FILLING

grease

remove

System

after

of

the

water

amount

bottom

Kit

jn

this

Coat

head

--

EVERY

every

plastics

WATER

Fil/Drain

the

tube

WITH

SEALS

of

and

top

them.

SEALS

containing 2 O-Rings, 1 1/8"

manual.

the

rectanguiar

the

new

screws.

USE

250

with a spray

use.

Cold

on

the

--

tube

by

pushing

DISTILLED

--

EVERY

silicone

heat

--

EVERY

Using a 1/8"

O-Rings

sterilizing

device.

EVERY

behind

firmiy

WATER

30

DAYS

grease

exchanger

on a cotton

12

MONTHS

Socket

with

of

Do

30

the

hex

Caps.

silicone

warm

solutions

not

DAYS

Power

up

into

section

sockets

hex

wrench,

After

grease

soapy

use

Unit

the

swab

of

wrench

unscrew

removing

water

may

be

cleaning

and

tilt

fitting

of

this

or

the

Pole

and

press

solution

used,

agents

it

down

until

it

bottoms.

manual.

end

of a smali

Assembly.

silicone

the

four

and

discarding

them

or a commercial

but

strong

containing abrasives.

to

allow

It

grease

stainless

into

the

Refill

finger

is

not

is button

the

their

chemical

non-abrasive

concentrations

water

to

with

1.3

and

apply

necessary

available

head

old

O-Rings,

sockets.

drain

into

liters

of

all

around

to

disassemble

from

Level

screws

clean

Replace

cleaner

may

a

distilled

the

1.

See

of

each

the

O-

the

Socket

O-

the

GENERAL

INSPECTION

--

EVERY

USE

Visually

service

Disposable

This

bottom Pole

check

which

unit

is

of

mount ( figure

the

shows

Set

cooled

the

cabinet

condition

physical

does

not

by

4)

of

damage

install

convection.

(refer

to

are

not

blocked.

Air

Vent

Figure

4

the

device.

easily.

Be

Figure

or

one

sure

3)

and

Remove

in

which

the

air

any

the

intake

vent

below

unit

Test

slots

from

on

the

Ι.Ν.

Troubleshooting

Inoperable System

PROBLEM

NO

POWER

NO

GREEN

OPERATIONAL

and

CHECK ALARM

ADD WHEN

DISPOSABLES

WATER

UNIT.IS

250

SYSTEM

ALARM

MOVED

LIGHT

CHECK

Unit

is

PLUGGED

Power

Minimum

Note:

from Switch will

Heat properly

Pole

property

Switch

If

power

the

is

GLOW.

Exchanger

installed?

interlocks

engaged

Exchanger?

Add

about

water

to

the

Fill

Port.

ON?

10

AMP

is

wall

and

turned

(2)

150

mt

reservoir

IN?

circuit?

reaching

the

Power

ON,

the

switch

by

the

Heat

distilled

through

the

unit

the

ADD WHEN

ON

OVER ALARM

WATER

UNIT

ALARM

IS

TEMPERATURE

TURNED

Fill

with

distilled

alarm

stops.

Manual

filling

Turn

and

service.

or

for

complete

instructions.

off

the

remove

It

must

replaced

by

Technologies,

Note:

Room

above

unusual

off

40°C,

before

situation,

returning

water

until

Refer

to

Service

draining

Power

the

Switch

Unit

be

repaired

Level

from

1

Inc.

temperature

may

cause

turn

the

it

to

service.

above

the

Power

and

40°C

H-250

(104°F)

to

shut

Switch

down

OFF

or

filling

and

allow

with

alarm.

the

distilled

In

unit

this

to

water

cool

Smiths System 250 User manual

Specifications and Main Features

Frequently Asked Questions

User Manual