GE Panda iRes Warmer Operation And Maintenance Manual

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GE Healthcare

Panda

Operation and Maintenance Manual

iRes Warmer

Panda iRes Warmer

Operation and Maintenance Manual - English

M1110737 006

Table of Contents

Summary of Contents for GE Panda iRes Warmer

Page 1 GE Healthcare Panda iRes Warmer ® Operation and Maintenance Manual Panda iRes Warmer Operation and Maintenance Manual - English M1110737 006 © 2007 General Electric Company All rights reserved...
Page 2 All rights reserved. General Electric Company reserves the right to make changes in specifications and features shown herein, or discontinue the product described at any time without notice or obligation. Contact your GE Representative for the most current information. Panda is a trademark owned by Datex-Ohmeda, Inc. GE and GE Monogram are trademarks of General Electric Company.
Page 3: Table Of Contents
Chapter 3 - Operating the Warmer ........................3-1 Basic Operating Procedure ..........................3-1 Start up..................................3-3 Panda iRes Warmer Flow Chart ........................3-7 Attaching the Skin Temperature Probe ....................3-8 Setting the manual temperature alarm....................3-11 Raising or lowering the bedside panels ....................3-13 Tilting the bed ..............................
Page 4 Appendix C - Electromagnetic Compatibility ....................C-1 Appendix D - Conforming with Standards and Directives ..............D-1 Appendix E - Additional Safety Information ....................E-1 GE Service Centers ........................inside back cover Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 5: Important Safety Information
Important Safety Information __________________________________________ Before using the Panda iRes Warmer, read through this entire manual. As with all medical equipment, attempting to use this device without a thorough understanding of its operation may result in patient or user injury. This device should only be operated by personnel trained in its operation under the direction of qualified medical personnel familiar with the risks and benefits of this type of device.
Page 6: Warnings, Cautions And Notes
NOTE: Air always means medical grade air. NOTE: Additional copies of this manual are available on request from the GE Healthcare office listed on the inside back cover of this manual. Panda iRes Warmer M1110737 006...
Page 7: Symbols
SYMBOLS: This section identifies the symbols that are displayed on the Panda iRes Warmer: Symbol Description Type BF Equipment Functional Earth Terminal Protection Earth Terminal Alternating Current Alarm Silence European Union Representative Consult instructions for use Catalog Number Serial Number...
Page 9: About This Manual
__________________________________________ Scope and intended users This manual describes the features and operation of the Panda iRes Warmer. The Panda iRes Warmer is used in hospital delivery rooms, hospital newborn nurseries and neonatal intensive care units (NICU). The intended users for this manual consists of end users of the equipment, primarily care providers in infant delivery rooms and NICUs, and hospital biomedical engineering services.
Page 10: References
References References to other manuals pertaining to the Panda iRes Warmer are: • Giraffe Warmer Operation and Maintenance Manual, M1110734 • SpO - Masimo SET Option, Operation and Maintenance Supplement, M1110918 • Resuscitation System - Bag and Mask Option, Operation and Maintenance Supplement M1110023 •...
Page 11: Chapter 1 - Introduction
Chapter 1 Introduction __________________________________________ The Panda iRes Warmer includes: • Recessed heater dish • Dimmable observation lights • Hands Free Alarm Silence • Graphical trending features • APGAR Timer • Full color control panel • Resuscitation mattress • Progressive, adjustable alarms •...
Page 12: Mechanical Controls And Cable Connectors
Mechanical Controls and Cable Connections Figure 2: Panda iRes Warmer, front oblique view Description Feature number Two dimmable observation lights Aimable procedure light Procedure light “On/Off” switch Color display screen Resuscitation system (optional) Bed, with integrated scale Front bedside panel...
Page 13 Figure 3: Panda iRes Warmer, side view Feature Description number Recessed radiant heater Side bedside panel Front handle Pass trough drawer Two bed height adjustment pedals, up and down Four caster wheels Four brakes Elevating column Tank guard (optional) Scale cable connector...
Page 14 Mechanical Controls and Cable Connections (continued) Figure 4: Panda iRes Warmer, rear view Description Feature number RS 232 connector Two accessory power outlets Jack Removable rear bedside panel Power cord inlet Mains Power Switch Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 15: Controls And Displays
They control equipment settings and op- tions. Dimmer knob - On the right controls the brightness of the observation lights. 10-11 Date and time - Displayed at the bottom of the screen. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 16: Temperature Regulation
50%. The display continues to flash “Admit Baby” until you press the “Admit Baby” key or the “APGAR On/Off” key and start normal operation. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 18: On Screen Help
3. “Alarms” (see Step 4, below),and 4. “About” (see step 5, below). “Operating Modes” Pushing “Operating Modes” brings up information on warmer modes such as Baby Mode, etc. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 19 APGAR, etc. “Alarms” Pushing “Alarms” brings up information on alarms. Pushing “About” brings up information on the current software revision. Pushing “Exit” brings up the Home Screen. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 20: Home Screen
On/Off”, “Scale” , “Trends”, “SpO2”, and “Setup” keys. Note: If the Scale or SpO2 options are not installed on your unit, these keys will not ap- pear on the display. 1-10 Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 21: Scale (Optional)
Push the “Scale” soft key to start the weighing procedure and access the next menu. For more detail on performing the weighing procedure and using the scale (refer to “Using the In-Bed Scale (optional))” on page 3-17. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 22: Trends
15 minutes to 30 minutes, or to 60 minutes. Push the “Back” key to return to the trending screen and the “Exit” key to return to the Home Screen. 1-12 Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 23: Setup
Push the “Elevate” key to enable and disable the bed elevating feature. Push “Hands Free Silence” key to enable and disable the hands free alarm silence feature. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved 1-13...
Page 24 1.0°C. For more details on operation of the Manual Temperature Alarm, (see “Setting the manual temperature alarm” in chapter3). NOTE: After power down, only the time setting will remain. 1-14 Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 25: Alarms
(for greater detail about alarm priorities and silence periods, see the Alarm Table at the end of this chapter). If there are multiple alarms, the text messages alternate every 2 seconds. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved 1-15...
Page 26 WARNING: Do not block the alarm speaker located on the back of the control panel near the power outlets. Doing so may interfere with audio alarms. 1-16 Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 27: Temperature Regulation Alarms
Mode using the “Setup” and “Man Temp Alarm” keys. (See Chapter 3 for detailed description.) Action: monitor the baby carefully and check the attachment of the probe on the baby’s skin. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved 1-17...
Page 28 *Default power setting is 25%, but this can be adjusted on the Service Screen. Refer to the Service Manual. 1-18 Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 30 Weight on scale above maximum This alarm means that the weight on the scale is above 8 kilograms (17.6 lb). Action: check for other objects on scale. 1-20 Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 31: Alarm Table
Failure probe differ by 0.5° C or 30 secs.) when Manual Temperature more. Alarm set. * 1= high priority audio signal 2= low priority audio signal Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved 1-21...
Page 33: Chapter 2 - System Setup And Checkout Procedures
Disconnect the power cord for the mechanical portion of the preoperational checkout procedure. Examine the power cord for any signs of damage. Replace the cord if damage is evident. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 34 Lock the caster brakes and check that they hold the unit in place. Release the brakes and check that the unit moves smoothly. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 36: Controller Checks
Verify the following: • All the displays and indicators light • The software revision appears • The prompt tone begins Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 37 In-bed scale connection. Check the skin probe. Warm it by placing it between your fingers, and verify that the baby temperature reading increases. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 38 NOTE: If readying the bed to admit a new patient, power down the warmer for 10 seconds, then turn power back on. Allow warmer to preheat the bed in Warmup Mode. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 39: Ancillary Equipment Checks
Do not place the warmer in a high ambient air flow environment. WARNING: Do not place the baby in the bed while in Warmup Mode, Service Mode, or while servicing or calibrating the unit. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 41: Chapter 3 - Operating The Warmer
WARNING: Always set the brakes before placing a patient in the unit. WARNING: Do not leave the patient unattended when using the Panda iRes Warmer. WARNING: Check the patient’s temperature periodically with an independent monitor to ensure the comfort and the safety of the patient. If the warmer is used for an extended time, it is recommended that the baby control mode be used.
Page 42 Do not place objects in the radiant heat path. Objects will be heated and could block heat to the baby. WARNING: Do not hang items from the heater head. WARNING: Do not connect unapproved equipment into accessory outlets. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 43: Start Up
Place the power Stand By switch, located on the left side of the controller, in the On (I) position. Check the control panel to ensure the screen is working properly. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 44 You may press the “Admit Baby” key to start normal operation of the warmer at any time Select heater power setting using the up or down temperature keys. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 45 If Baby Mode is desired, press the “Mode” key to toggle to Baby Mode. Current mode setting, “Manual” or “Baby” mode, is highlighted in blue on the left side of screen. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 46 Illustration Description Step Select a temperature setting using the up or down temperature keys. WARNING: Do not connect unapproved equipment into accessory outlets. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 47: Panda Ires Warmer Flow Chart
Panda iRes Warmer Flow Chart START Warmup Mode Press “Admit Baby “APGAR On/Off” Press Do you up or down want to remain heater power in Manual Mode? to desired level Confirm that the heater power “Check Baby Alarm” Temperature probe...
Page 48: Attaching The Skin Temperature Probe
Remove the probe from the jack panel by grasping the plug at the panel WARNING: Regularly check that the probe is attached- if the probe is not in contact with the baby’s skin inaccurate readings will result Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 49 WARNING: Only use Ohmeda probes; other manufacturers probes are not calibrated to GE Healthcare equipment. Using probes from other manufacturers may cause inaccurate temperature readings, may not comply with safety standards, and will void your GE Healthcare equipment warranty. WARNING: When using phototherapy lamps, the probe must be directly in the path of the radiant heat of the lamp;...
Page 50 Plug the temperature probe into the jack. NOTE: The Panda iRes Warmer cannot differentiate between an increase in core temperature with cold skin (fever), and low core and skin temperatures (hypothermia). Patient temperature should be verified with an axillary thermometer.
Page 51: Setting The Manual Temperature Alarm
In most cases, the “Man.Temp Alarm” soft key will be in the off position. Select whether you want a safety notification of 0.5 or 1.0 °C around the desired baby temperature. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved 3-11...
Page 52 Enter the set temp that will serve as the “Man. Temp Alarm” set point. Return to Manual Mode and adjust the heater power up or down to achieve the desired baby’s skin temperature. 3-12 Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 53: Raising Or Lowering The Bedside Panels
Then press the side panel release button in with one hand, place the panel in position and release the pin. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved 3-13...
Page 54: Tilting The Bed
Remove the rear bedside panel by pressing the release button and lifting up on the panel. WARNING: The Panda iRes Warmer and Giraffe Warmer bedside panels are different heights. Use only the Panda iRes Warmer bedside panels on the Panda iRes Warmer. Tilting the bed Illustration...
Page 55: Raising And Lowering The Bed
After adjustments to the fixed base height have been made, ensure the fixed base is locked in place before placing a patient in the bed. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved 3-15...
Page 57: Uninterruptible Power Supply (Ups)
The Giraffe UPS is a medical grade power supply offering uninterruptible power supply to the Panda iRes Warmer. The UPS is designed to securely mount to a single Panda iRes Warmer via specific mounting hardware provided in the Giraffe UPS kit, or separately in the Shelf Hardware Mounting Kit.
Page 58: Weighing Procedure
Press the “Menu’ key, then select the “Scale” key to bring up the scale menu. If the scale is not connected, no icon will appear. Select “Weigh” from the menu to initiate weighing. 3-18 Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 59 “Lift Baby” icon while a tone sounds. Lift the baby and any tubing or leads attached to the baby. Make sure that arms, legs, blankets, and clothing are clear of the mattress. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved 3-19...
Page 61 Selecting “Last weight” will display the most recent weight value. Push the “g/oz” key to toggle the weight dis- play between “grams” (default) and “ounces”. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved 3-21...
Page 62: Using The Integrated Spo2 Monitor (Optional)
Using the Integrated SpO Monitor (optional) The Panda iRes Warmer can be equipped with its own integrated SpO Monitor that is operated from the control panel screen. Refer to the SpO Monitor setup, check out and use instructions in the SpO - Masimo SET Option, Operation and Maintenance Supplement.
Page 63 2. Place the adapter plate in position on the rail. 3. Tighten the two mounting screws. Release the adapter plate by loosening the mounting screws. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved 3-23...
Page 64: Using The Serial Data Interface
Nurse Call alarm and the audible alarm reactivate unless the condition has been resolved. The alarm silence period ends prematurely if another alarm triggers. Refer to the Service manual for additional information on Nurse Call connections. 3-24 Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 65 Place the unit into Baby Mode and unplug the patient probe to trigger an alarm. Verify that you also get an alarm at the Nurse Call station. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 67: Chapter 4 - Maintenance And Cleaning
Repair Policy Warranty repair and service should be performed by a GE Healthcare Service Representative or at the GE Healthcare Service and Distribution Center. To contact a GE Healthcare Service Representative, call the GE Healthcare Service Office listed on the back cover.
Page 68: Maintenance Schedule
Replace the battery as described in the service manual. NOTE: The battery is used to sound the power failure alarm and to power memory circuits during a power failure. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 69: Cleaning Instructions
The heater, lamps and surrounding areas are hot. WARNING: Do not spray cleaning solution into the vents on the back of the heater housing; this can damage electronics inside the unit. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 70: Cleaning The Warmer
Reattach all clean ancillary equipment (e.g. patient temperature probe, shelves, etc.). Plug bed into power outlet. Turn bed on at standby power switch. Prepare bed for next admission. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 71: Cleaning Solutions
CAUTION: Use of cleaning/disinfecting solutions containing chemicals not listed above, i.e. alcohol, acetone, etc., or chemicals in greater concentrations than those listed above, may damage the probe. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 72: Cleaning And Disinfecting Individual Components
Clean the reusable patient temperature probe by gently wiping with a soft damp cloth con- taining a disinfecting agent safe for use on the probe materials. Always be sure to wipe dry all cleaning agents after cleaning. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 73: Cleaning Other Components
NOTE: Do not allow excess cleaning solution to seep in between plastic parts (for example: between the side panels and lock or hinges) where it can not be easily wiped dry with a cloth. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 75: Appendix A General Use Items
6600-0513-801 Tubing Management 6600-2145-500 North Wall Tubing Management M1092506 South Wall Utility Post (3.5” x 1”) 0217-5374-800 Retaining Clips 6600-0055-851 Easy-Load Cylinder 6600-0836-800 Holder Power Strip 6600-0414-800 Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 77: Appendix B Specifications
0 to 85% Non-condensing relative humidity Pressure 50 to 106 kPa User Control Settings Patient control temperature 34-37.5°C in 0.1° increments Radiant heat power 0-100% in 5% increments Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 78: Performance
6.8 kg maximum load Instrument shelf 3.6 kg maximum load Uninterruptible Power Supply (UPS) Specifications For UPS specifications, refer to the Giraffe UPS Installation Instructions (provided with the UPS). Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 79: Appendix C - Electromagnetic Compatibility
Harmonic Class A emissions IEC 61000-3-2 Voltage Complies fluctuations/ flicker emissions IEC 61000-3-3 Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 81 (see Note 3a) should be less than the compliance level in each frequency range (see Note 3b). Interference may occur in the vicinity of equipment. Marked with the following symbol Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 83 NOTE: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved...
Page 85: Appendix D - Conforming With Standards And Directives
Appendix D Conforming with Standards and Directives __________________________________________ GE Healthcare has declared that this product conforms with the European Council Directive 93/42 EEC Medical Device Directive when it is used in accordance with the instructions provided in the Operation and Maintenance Manual.
Page 87: Appendix E - Additional Safety Information
Healthcare recommends that a telephone or written request for service advice be made to the nearest GE Healthcare Regional Service Center. This Product or any of its parts should not be repaired other than in accordance with written instructions provided by GE Healthcare and by GE Healthcare trained personnel.
Page 88 During the seven minute warmup period, the radiant heater is at 100% power (~27 mW/cm ). After the radiant heater has been running in warmup mode for seven minutes, the heater power setting drops to 50% (10 to 15 mW/cm Panda iRes Warmer M1110737 006 © 2007 General Electric Company, all rights reserved.
Page 90 上海GE中国科技园 Tel + 1 954 744 5600 地址：中国上海市浦东张江高科技园华佗路1号, 201203 Tel + (8621) 38777888 Fax + (8621) 38777402 Brazil Only GE Healthcare Clinical Sytems Equipamentos Médicos Ltda Australia 1300 722 229 Av. Paulista, 37 - 13º andar China 800 810 8188 CEP: 01311-902 - Cerqueira César...

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Giraffe

GE Panda iRes Warmer Operation And Maintenance Manual

Important Safety Information

About this Manual

Chapter 1 - Introduction

Chapter 2 - System Setup and Checkout Procedures

Chapter 3 - Operating the Warmer

Chapter 4 - Maintenance and Cleaning

Appendix A General Use Items

Appendix B Specifications

Appendix C - Electromagnetic Compatibility

Appendix D - Conforming with Standards and Directives

Appendix E - Additional Safety Information

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