Dräger Incubator 8000 NC Operating Instructions Manual
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Dräger Incubator 8000 NC Operating Instructions Manual

Dräger Incubator 8000 NC Operating Instructions Manual

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Incubator 8000 NC
Operating Instructions
– Software 11.n –

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Summary of Contents for Dräger Incubator 8000 NC

  • Page 1 Incubator 8000 NC Operating Instructions – Software 11.n –...
  • Page 2 NOTICE Proprietary Information This document contains information in which Dräger, Inc. claimed proprietary rights. The information may not be reproduced in whole or in part except as authorized in writing by Dräger. This information is the property of Dräger, Inc., it is provided solely for the use intended.

  • Page 3: Table Of Contents

    Contents Contents Page Page Checking LED's, Displays and Alarm Sound 31 Introduction READ THIS FIRST Operation Operator's Responsibility for Patient Safety Limitation of Liability General Precautions During Patient Care Warranty Starting Operation Definitions Water Supply General WARNINGS and CAUTIONS Placing a Baby in the Incubator Precautions During Preparation Using Air Temperature Control Precautions During Operation...

  • Page 4: Introduction Read This First

    Introduction Operator's Responsibility for Patient Safety Limitation of Liability Introduction Limitation of Liability Dräger, Inc.'s liability, whether arising out of or related Operator's Responsibility for Patient Safety to manufacture and sale of the goods, their installation, demonstration, sales representation, use, performance, For correct and effective use of the product and in or otherwise, including any liability based upon Dräger, order to avoid hazards, it is mandatory to carefully...

  • Page 5: Warranty

    Warranty Introduction Warranty Application of this warranty is subject to the following All Dräger products are guaranteed to be free of de- conditions: fects for a period of one year from date of delivery. 1. Dräger, Inc. or its authorized representative must The following are exceptions to this warranty: be promptly notified, in writing, upon detection of 1.

  • Page 6: Definitions

    Introduction Definitions Definitions WARNING ! A WARNING statement refers to conditions with a possibility of personal injury if disre- garded. CAUTION ! A CAUTION statement designates the possibility of damage to equipment if disregarded. NOTE: A NOTE provides additional information intended to avoid inconveniences during operation.

  • Page 7: General Warnings And Cautions

    Nothing must be kept below the stroge cabi- Maintenance or repair of the Incubator 8000 NC nets. Hoses, circuits, and cables must be long shall be performed only by Dräger authorized enough for the height of the incubator being adjusted.

  • Page 8: Precautions During Preparation

    Introduction Precautions During Preparation Precautions During Operation Precautions During Preparation Precautions During Operation Readiness for Operation WARNING ! Never leave baby unattended when front door or hand ports are open to avoid any risk of a WARNING ! patient falling out of the incubator. The incubator is ready for operation only when all checks have been performed successfully.
  • Page 9 Precautions During Operation Introduction Skin Temperature Control Fire hazards associated with the use of oxygen WARNING ! WARNING ! Skin temperature control must not be used Fire Hazard! with babies in shock. Because of reduced Keep matches, lighted cigarettes, and all peripheral bloodflow the skin temperature of other sources of ignition out of the room in these babies occasionally lies below the core...

  • Page 10: Precautions During Care

    Introduction Precautions During Care Precautions During Maintenance Precautions During Care Precautions During Maintenance WARNING ! WARNING ! To avoid risk of infection, clean and disinfect Always follow established hospital procedures for handling equipment contaminated with incubator and accessories before any mainte- bodily fluids.
  • Page 11 Notes Introduction This page intentionally left blank...

  • Page 12: Intended Use

    Only accessories listed in this Operator's Man- ual are recommended by Dräger for use with the Incubator 8000 NC. The safety of combi- nations of this device with other equipment is the sole responsibility of the user and must be determined on the basis of the individual situation.

  • Page 13: Description

    Principle of Operation Description Description Principle of Operation Heated and humidified air flows into the hood over the full width of the incubator. It is channeled up the front door, along the roof of the hood, and then drawn down along the rear wall via suction.

  • Page 14: Alarm Hierarchy

    Description Alarm Hierarchy Ergonomics Hygiene Alarm Hierarchy The incubator features a hierarchical system of alarms. Any faults occurring generate an alarm signal that is communicated according to its priority. If a non-essential function fails, the functions which are of vital importance remain in operation.
  • Page 15 This page intentionally left blank...

  • Page 16: What's What

    Reset Check ±0,1 Control Control U-grommets Incubator 8000 NC Bed with mattress and endboard Mounting rail, left and right, (option) Bed tilt hand weels, left and right, (option) Swivel cabinet, (option) Fixed height mobile stand with four castors (2 lockable)

  • Page 17: Control Panel

    Control Panel What's What Main Module Control Panel Alarm °C HAUT/SKIN/PEAU/PIEL °C LUFT/AIR °C FEUCHTE/HUMID. Control Control Inop. °C °C >37 °C °C °C >37 °C ±1,5 °C ± 0,5 °C Check Reset Check 15.22 Control Control 36 °C 87.06 ±0,1 Sensor Sensor...

  • Page 18: Air Temperature Control Module

    What's What Air Temperature Control Module Air Temperature Control Module Key to switch on air temperature control (only with skin temperature control option). Unlocking key,extends range for set °C LUFT/AIR temperatures Control Yellow LED >37 °C, °C >37 °C is lit when a higher range of values has been set. °C Green LED >37 °C...

  • Page 19: Skin Temperature Control Module

    Skin Temperature Control What's What Module Humidity Control Module Skin Temperature Control Module On/off button for skin temperature control. Callibration sign, not applicable in the US. Button to display the peripherical skin temperature, °C HAUT/SKIN/PEAU/PIEL only with optional ThermoMonitoring. Control Green LED Control;...

  • Page 20: Labels

    FEDERAL (USA) LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A PHYSICIAN WARNING ! USE ONLY PURE, DISTILLED WATER DO NOT ADD BACTERICIDAL AGENTS WARNING ! DANGER OF BURNING INJURY DO NOT TOUCH HOT HEATER ELEMENT LET HEATER COOL DOWN BEFORE CLEANING Incubator 8000 NC...

  • Page 21: Preparation

    Scandinavian flap: Swing upper part of the flap up until it rests completly on the hood. Incubator 8000 NC To close the front flap Press latch together with thumb and index finger and press front flap agains to hood. After engaging the front flap, the red index will no longer be visible.

  • Page 22: Hood

    Trendellenburg Position Raise left lever – left end of bed is lifted. Put bed at maximum height; lever engages. Raise right lever – right end of bed is lifted. Put at maximum height; lever engages. Incubator 8000 NC...

  • Page 23: Repositioning Bed Endboard

    Push middle of endboard outwards until released from its groove, and reposition on other end of bed. Incubator 8000 NC Cover mattress with clean sheet and place on bed. Close front door. Red marks on door catches should no longer be visible indicating that the catches are...

  • Page 24: Connect Air Temperature Sensor

    Preparation Connecting Air Temperature Sensor Mounting Accessories Installing Accessories Connecting Air Temperature Sensor Open back flap of the incubator. Push plug of air temperature sensor through opening in bottom of rear incubator body (from below), and push into socket until it engages. Route sensor cable using cable clips provided on the hood.
  • Page 25 Instrument tray (for small items) Attach tray to hand rail and tighten. Observe load limit of 4 lbs (2 kg). Incubator 8000 NC Mounting plate Monitor and ventilator support with latching system for standard Dräger RS enclosure, e. g. Babylog 8000.
  • Page 26 Preparation Mounting Accessories Swivel cabinet (option) To install a swivel cabinet: Push hex cap screw up through cabinet from below and tighten to mounting bracket on incubator. Insert extra drawer organizers. Fill swivel storage with necessary supplies. Incubator NC Additional Swivel cabinet (option) To install a swivel cabinet: Push hex cap screw up through cabinet from below and tighten to mounting bracket on incubator.

  • Page 27: Routing Cables And Hoses

    Route hoses, cables, or lines through the access grommets provided. Attach ventilator circuits and cables to clips on end of support arm. Incubator 8000 NC Preparing for Oxygen Therapy – for enriching incubator atmosphere with oxygen – for oxygen enrichment under a head box...
  • Page 28 Attach hose to connector nipple on O flowmeter and to O port at the right underneath incubator body. NOTE: The Incubator 8000 NC features an unrestricted oxygen input port. In order to restrict flow to limit oxygen concentrations, use external oxygen limiter. Incubator 8000 NC...

  • Page 29: Checking Readiness For Operation

    Checking hand ports Checking Readiness for Operation Checking Readiness for Operation Before using incubator for the first time Verify that line voltage corresponds to the specifica- tion on the rating plate. Before each use Verify that equipment has been disinfected. Check that adequate gas supply is available for all equipment to be used.

  • Page 30: Checking Front Door Flaps

    Put bed at maximum height; lever engages. Press down on raised bed with hand – bed must not drop down. If bed drops down: Incubator 8000 NC Call DrägerService. Raise right lever – right end of bed is lifted. Put at maximum height; lever engages.

  • Page 31: Activating Incubator Selftest

    Activating incubator self-test Checking Readiness for Operation Checking power failure alarm Activating incubator self-test Push power switch down – until it engages = ON. Incubator performs self-test. °C HAUT/SKIN/PEAU/PIEL °C LUFT/AIR Green LED is lit. Control Control Inop. °C °C >37 °C Display of measured values shows dashes.

  • Page 32: Operation

    Operation General Precautions During Patient Care Operation General Precautions During Patient Care Warm-up time Allow adequate time for the incubator to warm up before placing a baby inside (about 35 minutes). Recommendation: operate incubator in standby, see page 36. Incubator temperature control system –...
  • Page 33 Operation General Precautions During Patient Care Reducing incubator temperature The time it takes for the incubator to cool off is a design feature, it can be shortened when necessary by: – reducing the outside (room) temperature (where possible), – reducing the incubator setting for humidity. The rate of cooling is not accelerated by: –...
  • Page 34 Operation General Precautions During Patient Care Physiological risks associated with the use of oxygen WARNING ! Oxygen Concentration The atmosphere inside the incubator should only be enriched with oxygen by or on the order of a physician or respiratory therapist. It is absolutely essential that elevated oxygen concentrations are selected on the basis of arterially measured oxygen partial pressure in...
  • Page 35 General Precautions During Operation Patient Care WARNING ! Do not cover phototherapy lights or incubator hood with blankets, aluminum foil, or other materials intended to boost the effect of phototherapy. This would cause build-up of heat since the incubator would not be cooled by ambient air, a factor absolutely essential for operation.

  • Page 36: Starting Operation

    Operation Starting Operation Water Supply Placing a Baby in the Incubator Starting Operation Wait for incubator warm-up Wait for about 35 minutes before using incubator. Heat incubator in "air temperature control" operating mode. In order to keep incubator ready for use without delay: Operate incubator in standby: Set air temperature between 32 °C and 36 °C and,...

  • Page 37: Using Air Temperature Control

    Using Air Temperature Control Operation Using Air Temperature Control WARNING ! Always measure baby's core temperature at regular intervals! Push power switch in – until it engages = ON. Green LED is lit. Wait for self-test to complete. Incubator will then °C LUFT/AIR switch to "air temperature control"...
  • Page 38 Operation Using Air Temperature Control Extending Temperature Range From 37 ºC to 39 ºC WARNING ! Temperatures above 37 °C may only be used on the order of a physician. In this mode of operation, the baby´s tempera- ture must be monitored especially carefully. Press unlocking button yellow indicator LED >37 °C lights up.
  • Page 39 Using Air Temperature Control Operation Alarms Zentralalarm Rote LED Alarm blinkt und ein Alarmton entspre- chend dem ausgelösten Alarm ertönt. Bei Alarmen mit Intervallton kann dieser für 10 Minuten °C LUFT/AIR unterdrückt werden: Taste drücken, g g g g °C gelbe LED und rote LED Alarm leuchten.

  • Page 40: Using Skin Temperature Control

    Operation Using Skin Temperature Control To switch back to "air temperature control" with the module "skin temperature control" installed and in operation: ç °C LUFT/AIR Press key, green LED Control is lit; "air temperature control" mode is reactivated. °C >37 °C NOTE: The default for air temperature set value will be the last value the system had attempted to maintain.
  • Page 41 Using Skin Temperature Control Operation WARNING ! Always verify that single use sensor probe is specified and approved for use with Dräger Series 8000 incubators. Attach sensor tip to skin at an appropriate measuring point using a skin probe adhesive cover pad (if not part of the sensor itself).
  • Page 42 Operation Using Skin Temperature Control NOTE: When a skin temperature sensor is connected while "air temperature control" mode is active, the measured skin temperature is displayed. Skin temperature is not controlled, however. °C HAUT/SKIN/PEAU/PIEL °C LUFT/AIR °C °C >37 °C Check Reset Control...
  • Page 43 Using Skin Temperature Control Operation NOTE: Allow at least 5 minutes for the skin temperature sensor to reach the baby's temperature. When value displayed remains constant, ç Press key, green LED Control lights up, skin temperature control is now active. °C HAUT/SKIN/PEAU/PIEL °C LUFT/AIR The large display alternates between the measured...
  • Page 44 Operation Using Skin Temperature Control Setting values in range of 35 °C to 37 °C Press key until the set value desired is displayed. °C HAUT/SKIN/PEAU/PIEL °C LUFT/AIR °C °C >37 °C Check Reset Control Control 36 °C ±0,1 Always allow enough time to reach steady state skin temperature air temperature Differences between set and measured value of skin...
  • Page 45 Using Skin Temperature Control Operation Alarms In case of deviations greater than ±0.5 °C between set and measured value of skin temperature: Red LED Alarm and red LED ±0.5 °C flashing, °C HAUT/SKIN/PEAU/PIEL °C LUFT/AIR display flashing accompanied by intermittent audible °C °C alarm.

  • Page 46: Thermomonitoring, Optional

    – BabyView software package – IMB (or compatible) personal computer NOTE: Alway follow the operators manual for accessories used together with the Incubator 8000 NC. Connect peripherical skin temperature sensor to the lower socket on the left side of the incubator base.

  • Page 47: Using Humidity Control

    Using Humidity Control Operation Using Humidity Control Air temperature and relative humidity are interdependent. If the setting of the incubator air temperature changes, required the incubator adjusts humidifier output to keep relative rel. humidity in % humidity inside the incubator constant despite the (max.
  • Page 48 Operation Using Humidity Control When incubator is switched on: 0 will be flashing in humidity control display = off °C FEUCHTE/HUMID. Press key briefly – to confirm off, 0 remains continuously lit in the display. Changing set value: Press key – set value is decreased in steps from 10 to 0 (0 = off).

  • Page 49: Using Oxygen

    Supply oxygen from a medical gas pipeline system or oxygen tank via an O flowmeter. Preparation, see page 28. Adjust O supply at flowmeter to required concen- tration. Incubator 8000 NC Guideline for flow settings: Desired O conc. 25 30 35 40 45 50 55 60 flow 2.0 4.5 6.5 9.0 11.5 14 16.5 19...

  • Page 50: Care Disassembly

    Care Disassembly Care Clean and disinfect incubator after each patient, or at least once a week. Perform any disinfection procedures according to established hospital procedures as well as to the following additional instructions. WARNING ! Always follow established hospital procedures for handling equipment contaminated with bodily fluids.
  • Page 51 Danger of burn injury The exposed heater surface will still be very hot after operation. It may take up to one hour for the temperature to drop to 70 °C (158 °F) with the incubator closed. Remove fan. Remove trough. Incubator 8000 NC...

  • Page 52: Cleaning/Disinfecting/Sterilizing

    Care Cleaning / Disinfecting / Sterilizing Cleaning / Disinfecting / Sterilizing CAUTION ! Certain components of the incubator consist of materials that are sensitive to certain organic sol- vents sometimes used for cleaning and disinfect- ing (e.g., alcohols, phenols, halogen releasing compounds, oxygen releasing compounds, strong organic acids, etc.).

  • Page 53: Reassembly

    Install bed support brackets. Check that the O-rings are correctly positioned on the support brackets. If not, push rings all the way back up or install new O-ring. Lay bed on brackets. Watch for correct fit. Fit mattress on bed. Incubator 8000 NC...

  • Page 54: Care For Humidification System

    Care Reassembly Care for Humidity System Installing hand port seals: Insert seal marked with an "L" on its molded tag into left opening. Insert seal marked with an "R"on its molded tag into right opening. Position molded tag of seal directly on top of hinge. Install with sealing lip (thin edge of profile) facing outside.
  • Page 55 Notes Care...

  • Page 56: Troubleshooting

    Care Master Switch Module Troubleshooting Master Switch Module Alarm Inop. Check Problem/Message Likely Causes Remedy Rote LED Alarm leuchtet. Störung in einem Modul. Klappe mit der Kurz-Bedienungs- Alarmton ertönt. anleitung herunterklappen und alarmgebendes Modul feststellen. In "Fehler, Ursache, Abhilfe" des Moduls nachsehen.

  • Page 57: Air Temperature Control Module

    Air Temperature Control Troubleshooting Modul Air Temperature Control Module °C LUFT/AIR Control °C >37 °C °C >37 °C ±1,5 °C Reset Control Sensor Problem/Message Likely Causes Remedy LED ±1.5 °C flashing. Air temperature in incubator is Temperature below set value: Display of measured value flashing.

  • Page 58: Skin Temperature Control Module

    Troubleshooting Skin Temperature Control Module Skin Temperature Control Module °C HAUT/SKIN/PEAU/PIEL Control °C °C ± 0,5 °C Check 15.22 Control 36 °C 87.06 ±0,1 Sensor Problem/Message Likely Causes Remedy Red LED ±0.5 °C flashing. Skin temperature deviating from Below set value: set value by more than ±0.5 °C.

  • Page 59: Humidity Control Module

    Humidity Control Module Troubleshooting Humidity Control Module °C FEUCHTE/HUMID. Problem/Message Likely Causes Remedy Red LED H O flashing. Water supply depleted. Refill water container. Display of set value flashing. Intermittent audible alarm Err display flashing alternately with Defective humidifier while Switch off humidifier.

  • Page 60: Inspection And Maintenance

    Inspection and Inspection and Maintenance Maintenance Replacement of Parts Inspection and Maintenance WARNING ! To avoid any risk of infection, clean and disin- fect incubator and accessories before any maintenance according to established hospital procedures – this applies also when returning units or parts for repair.

  • Page 61: Preventive Maintenance Intervalls

    Preventive Maintenance Inspection and Intervals Maintenance CAUTION ! For disposal of batteries, follow all local, state, and federal legislation with respect to environ- mental protection. Preventive Maintenance Intervals WARNING ! Preventive Maintenance work on the Incubator 8000 NC may be performed by trained and factory authorized staff only.

  • Page 62: Technical Data

    Technical Data Technical Data Ambient conditions: During operation 20 °C to 30 °C Temperature Atmospheric pressure 900 to 1100 hPa Rel. humidity 15 to 95 % During storage 0 °C to 70 °C Temperature Atmospheric pressure 900 to 1100 hPa Rel.
  • Page 63 Technical Data Range of set values 28 °C to 39 °C Air temperature 35 °C to 37 °C Skin temperature Humidity Depending on operating conditions, set values from 1 to 10 result in a relative humdity inside the incubator from about 30 to 85 % Measuring principles of sensors Air temperature sensor...

  • Page 64: Ordering Information

    Ordering Information Name and description Order No. Name and description Order No. Basic unit Spare parts Incubator 8000 NC, USA FR 00 083 Air filter 84 02 926 with control of air temperature, humidity, Mattress 2M 20 907 and skin temperature control...
  • Page 68 These Instructions for Use apply only to Incubator 8000 NC with Serial No.: If no Serial No. has been filled in by Dräger these Instructions for Use are provided for general information only and are not intended for use with any specific machine or device.

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