Selects the operating mode ; phototherapy or transillumination. Using the Ohmeda transilluminator light pipe, the BiliBlanket Plus System can be used as a transilluminator. A fan cools the light source unit. A thermal cutout switch located next to the light-filter protects the light source unit and fiber optic cable or transilluminator from overheating. A disposable vest is designed to secure the fiber optic pad to the infant. With the disposable vest, it is possible to hold and nurse the infant while continuing.
The transilluminator light pipe contains plastic fibers which transmit light from the light source to the tip. C1 The green light-emitting diode LED tights when the light source unit power is on. The red light-emitting diode LED lights when there is an air flow failure. Nonresettable timer runs whenever the bulb is turned on. The mode select slide selects the operating mode: phototherapy or transilluminator.
The light source port is for attaching the fiber optic cable connector or transilluminator. Light pads or transilluminators from other manufacturers can affect performance and may damage the unit. Using any lamp other than that recommended and distributed by Ohmeda for the BiliBlanket Plus system will affect the performance of and may result in damage to the. Place the light source on a flat, level surface or use the mounting slide bracket to locate the light source within a few feet of the treatment location.
Examine the power cord, fiber optic cable and transilluminator cable for obvious signs of damage. Replace them if they are damaged. Connect the power cord to the light source first and then to the line power supply. Using the brightness selector switch on the front panel, select any light intensity and ensure that light is being emitted from the pad.
The disposable cover is designed for use with both premature and full-term infants. Eye patch use with the BiliBlanket Plus may not be necessary under these conditions:. The disposable vest secures the fiber-optic pad to the infant. For premature and fullterm infants who cannot tolerate having the vest secured around the midsection, the.
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Enter a new password. BiliBlanket Plus. The skin is also important in the regulation of body temperature and serves as a route of water excretion, especially in premature infants. The introduction of new intensive-care techniques has been associated with the increased survival of very small, premature infants. Please read, evaluate and implement the following recommendations as appropriate: 1. Please refer to the following standard of skin care recommendations as given in the literature?
Special attention should be given to sanitation and skin integrity. Use of this device for prophylactic treatment, particularly of premature infants, is not recommended.
This is the attention symbol: A When the attention symbol appears in front of text that is printed on the system itself, it means that the text is elaborated upon in the operation manual. Indicates alternating current. Fri Jun 01 Reply from Jean Monteiro. The monitor will ask you a password. Datex-ohmeda centiva-5 - service manual. Datex-ohmeda centiva-5 - user manual. Manuales de Servicio y todo archivo de informacion tecnica util para las reparaciones electronicas.
Todos los socios pueden agregar archivos al sistema 1 Introduction 1. The Ohmeda Modulus II Plus Anesthesia Machine comes standard with a ventilator that integrates oxygen, volume, and pressure monitoring and has optional pulse oximetry and endtidal CO2 modules. If the return is not honored the item will be returned to the customer at their expense. Defective Items: All defective items must be confirmed defective with the factory, if found defective a replacement will be sent or an RMA issued for return.
Special Ordered Items: All items that are special ordered are non-returnable. This will pertain to items with special color, size or alteration.
Integris Equipment will not be held responsible for items ordered with a special color not meeting customer requirement. The customer will be responsible for return shipping charges. Please submit inquiries or requests for return related activities to: sales integrisequipment. We remain committed to protecting public health, by implementing, social distancing, safety, and sanitization efforts in our facilities.
To better serve our customer and minimize excess ordering of products, the following policy changes have been instituted until further notice:. We recognize that you have many options for purchasing and remain firmly committed to providing high quality products and distribution solutions. Integris Equipment will continue to strive to earn your business every day.
Thank you for your continued support to small businesses during these trying times. For alternative payment methods and for large orders please contact our sales team via email or phone:. View all products in Anesthesia Machines for Sale. Check that the vaporizers are properly installed. Ensure that the shelves are not overloaded. Check that the cylinder wrench is available.
Check that the caster brake is set. Check the condition of casters and free movement. Make sure a gas cylinder or cylinder yoke plug is properly and securely mounted in each cylinder hanger yoke.
Disconnect the pipeline supply hoses from the wall outlets. Move the system master switch to OFF. Open the flow control valves by turning their Imobs fully counterclockwise. Open each cylinder valve and check the cylinder pressure gauges to verify that the cylinder supplies are adequate.
Make a note of all the cylinder pressures. If you are using a second oxygen yoke: a. Close the first cylinder. Check that none of the flowmeters indicate gas flow. Close all of the cylinder valves and note the value on each cylinder pressure gauge. The gauges must show less than a Pa psig pressure drop in a five minute period. Defective cylinder gaskets or loose tee handles can cause such leaks.
Replace the gasket and tighten the tee handle. Repeat the leak check. If the circuit stil leaks, do not use the system for clinical applications. Call a qualified service representative for repairs. Chock hospital pipoline 9. Check the anesthesia machine-to-hospital pipeline connections. Tum the system master switch to ON. Open all of the flow control valves to retum the cylinder Pressure gauges to zero.
Tum the system master switch to OFF. Close all of the flow control valves. Connect the hospital Oz pipeline hose to the system's Oz pipeline inlet. Ensure that the Oz pipsline supply pressure, Which should be about kPa 60 psig , is indicated on the Oz pipeline pressure gauge only.
Fully open-all of the flow control valves. Ensure that only the Oz flowmeter indicates flow. N20 pipeline hose i. Connect the hospital NzO pipeline hose to the system's Nz pipeline inlot. Ensure that the NO pipeline supply pressure, which should be about kPa 50 psig , is, indicated on the NzO pipeline pressure gauge only. Fully open the NO and, if included in your system, the third- gas flow control valves. Ensure that the N2O flowmeter indicates flow. Ensure that the third-gas flowmeter indicates zero flow.
Disconnect the NO pipeline supply from the system. Fully open the NzO flow control valve to retum the NzO pressure gauge to zero. Pipeline air x. If your system includes pipeline air, connect the hospital air Pipeline supply to the system's air pipeline inlet. Ensure that the air pipeline supply pressure, which should be about kPa 60 psig , is indicated on the air pipeline pressure gauge only. Fully open the NzO and Air flow control valves. Ensure that the N,O flowmeter indicates zero flow.
A WARNING: Leaking gases and vapors downstream of the flow control valves and Oxygen Flush valve may deprive the patient of metabolic gases and anesthetic agent and may pollute the atmosphere. If detected, leakage must be reduced to an acceptable level. Store this device, which should always be kept with the system, in one of the gas machine's drawers.
Perform the low-pressure leak test with the cylinders installed. At least once every six months test the device's ability to produce a partial vacuum of mm Hg or greater.
Connect the device to a suitable vacuum gauge. Squeeze and release the bulb to obtain progressively greater displacements. Replace the leak testing device if—while the bulb is still deformed—the device produces a partial vacuum less than 65mm Hg. Check Low Pressure Gas Circuitry 1. Check the condition of the low pressure leak-testing device.
Seal the device's inlet connector and squeeze the bulb unt it collapses. Release the bulb and check the time it takes to reinflate. Switch OFF the vaporizers. Open each gas supply either by slowly opening the cylinder valves or by connecting the pipeline hoses. Fully open all of the flow control valves. Disconnect the gas supply tubing from the common gas outlet.
Attach the leak testing device to the common gas outlet. Repeatedly squeeze and release the hand bulb until it collapses and remains collapsed. Once the bulb stays closed, check how long it takes to reinflate. If the hand bulb reinflates in less than 30 seconds, the low-pressure circuit has an unacceptable leak. Make sure the vaporizer is properly mounted and that the filler and drain valves are closed tightly.
Tum the vaporizer concentration control dial to one percent. Repeat step eight. If the circuit does not pass the test, the leak is in the vaporizer.
Remove leaking vaporizers from service. Switch OFF the vaporizer. With alt vaporizers switched OFF, purge the circuit with a flow of 1 liter per minute oxygen flow for one minute. Using a system that has not been purged with oxygen may result in incorrect gas mixtures, and injury to the patient.
Tum all of the flow control valve knobs completely clockwise to close the flow control valves. Do not over tighten the valves, finger tight is sufficient.
Either connect the pipeline supplies or slowly open the cylinder valves. The other flowmeters should show no gas flow.
If you overshoot a setting, repeat this section starting at step one. Table A. Increase the oxygen flow to 6 liters per minute. Reduce the oxygen flow to 3 liters per minute. Table B. Using an incorrectly operating control system may result in incorrect gas mixtures, and injury to the patient. Adjust all of the gas flows to mid-scale. While you are tuming the flowmeter knobs, the flowmeter floats must move smoothly.
Do not over tighten the valves. Unplug the power cord. Check the alarms of any installed monitors as described in their individual operation-and-maintenance manuals. Before each case—while the system's master switched is ON —press the battery test button to test the system's backup battery. When the battery is fully charged, the left-most green-indicator bar is lighted.
As the battery becomes progressively weaker, the lit bar moves from green, to yellow, and then to red. If the battery is completely discharged, the system switches itself off.
Do not use the system unless the battery is fully charged. If, however, the battery fails during an a-c power outage, you can use the battery bypass button to restart the system once a-c power is restored. Move the ventilator's mechanical ventilation switch to OFF.
Switch ON the anesthesia system. Figure Location of the battery test button Battery Test 8 Button 3 4. Press the battery test button, which is on the patient interface panel. Switch OFF the anesthesia system. If your system includes other components, consult the Uterature for those devices and consider their affect on the performance of the entire breathing system.
Although this section does mention the Ohmeda GMS Absorber, you should refer to the absorber's operation and maintenance manual for a detailed description of using, maintaining, and testing the Ohmeda GMS Absorber.
General Breathing System Checks Verify that any breathing system condensate has been drained and that the drain is completely closed. Verify that the tubing connecting the volume sensor to the patient circuit is draped away from the turbine connections to keep collected condensate away from the turbine vanes.
Verify that the capacity of the absorbent is adequate for the case. Verify that the Ohmeda GMS Absorber's pressure gauge is zeroed when the system is open to atmosphere. Then rotate the knob counter-clockwise one- quarter tur to partially open the valve.
Do not use any object small enough to slp completely into the system. Objects in the breathing system can interrupt or disrupt the delivery of breathing-system gases, possibly resulting in infury to the patient. Before using the breathing system on a patient, always check the breathing system components for foreign objects.
Watch the absorber's pressure gauge. Press the oxygen flush button briefly to pressurize the breathing system to just under 40 cm HzO. The bellows must not move. Continue to watch the pressure gauge. The milliliters per minute oxygen flow from the anesthesia machine should raise the breathing system's prossure to at least 40 cm H Perform the APL valve tests: a.
Rotate the APL valve knob fully clockwise. Slowly tum the APL valve knob counterclockwise in one- quarter-tumn increments. The pressure should drop, then stabilize, with each tum of the Imob. This checks the adjustable pressure-limiting function of the valve. The APL valve knob should now be fully counterclockwise. Connect the breathing bag you are planning to use for the next case to the breathing system bag nipple. The 3. The pressure should stabilize between 1.
Reduce the oxygen flow delivered to the breathing system to milliliters per minute. Remove any occhisions you have added to the breathing system. Testing The Ventilator Circuit 1. Do not use any object small enough to slip completely into the system.
Press the oxygen flush button to fill the bellows. When full the bellows may swell, but it must remained installed on the bellows base. The pressure gauge reading must not exceed 15 cm H,0. Examine the bellows and confirm that it is undamaged. Release the oxygen flush button. Watch the pressure gauge and adjust the oxygen flow from milliters per minute to 10 liters per minute and back.
The pressure reading must stay within the range of 1. This tests the bellows assembly's pressure relief valve. Switch OFF the anesthesia machine. The bellows must not drop more than milliliters per minute. If the bellows drops more than miliiters per minute, either the bellows is leaking or the pressure relief valve is not functioning properly. If any leak cannot be corrected, do not use the ventilator; have a qualified service representative make repairs.
Remove any occlusions you have added to the system. If the button does not move freely, the relief valve is malfunctioning; do not use the assembly if the relief valve button indicates a i To test the valve, reach under the assembly and push up, then release, the button. The button must immediately drop back to its lower position. Relief Valve Button 4.
The cartridge must be clear and free of any obstructions. Ensure that the tubing to the volume sensor is draped away from the turbine cartridge to drain possible condensate. Figure One end of the clear, 3mm. If the probe has boon left unplugged, replace the oxygen sensor cartridge. See section 6.
Oxygen Probe 4. Power ON the system master switch to energize the ventilator. Remove the oxygen sensor probe from the breathing system. Umit to 18 percent. Use the high-Oz push-wheel to readjust the high oxygen alarm Umit to 40 percent. If you don't know when the sensor was last calibrated, do it now. Make sure the inspiratory pause is OFF. Sot the tidal volume to milliliters.
Set the inspiratory pressure limit to 40 cm H0. Use the low Vz push-wheel to set the low Vz alarm Limit to 0. Set the anesthesia system's oxygen flow to 2 liters per minute. Ensure that the volume sensor cartridge is in the expiratory limb of the breathing system. Make sure that the arrows on the sensor clip point in the direction of exhaled gas flow. Note: Ignore any low pressure alarms that occur while testing the low minute volume, reverse flow and apnea alarms while proceeding with steps 12 through The display Vr should be between 3.
Use the low Vp pushwheel to readjust the low Vz alarm limit to 9. Remove the volume-sensor clip from the volume-sensor cartridge. From this point on the ventilator displays the number of seconds since apnea was detected. Put the volume sensor clip back on the volume cartridge.
Make sure the arrows point in the direction of exhaled gas flow. Use the setup page to verify the reverse flow detection is enabled. Remove the volume sensor clip from the volume cartridge. Reinstall the volume sensor clip backwards so the arrows point in the opposite direction of the exhaled gas flow on the volume cartridge. Correctly reinstall the volume sensor clip on the volume cartridge.
Set the tidal volume to milliiters. Sot the rate to 10 breaths per minute. This tee is the barbed connector mounted under the pressure gauge on the absorber. If you're using a device other than an Ohmeda GMS Absorber, the tube may connect to an in- Une sensing tee in the inspiratory side of the patient breathing system, as shown in Appendix 9-D.
Figure Pressure sensing tube's connection to the control module 8. See figure 4- Within five seconds the ventilator cancels the low pressure alarm and extinguishes the red LED. Figure 4. Occhude the patient end of the "Y" connector. When the bellows are completely extended, move the mechanical ventilation switch to ON. Objects in the breathing system can interrupt or disrupt the delivery of breathing-system gases, possibly resulting in injury to the patient.
Tum the APL valve fully clockwise. If not already connected, connect a three-liter bag to the bag arm. As you press the anesthesia system's oxygen flush button, watch the absorber's pressure gauge until the system pressure reaches at least 20 cm HzO. Slowly open the APL valve to release the pressure in the system. A WARNING: After completing the prooperative checkout procedures, and before starting any procedure during which this device will be used, confirm that all hoses, tubing, and other circuit components are connected properly.
Failure to do so may result in patient injury. Refer to the operations manuals for all devices in the system to confirm that they are set up properly.
Tighten the knob to secure the pod. The vaporizer is designed for that agent only. Using any other agent can cause injury to the patient. Discard the old agont in a manner consistent with Jocal policies and guidelines, as well as good environmental practices. General Periodically check the agent level of the vaporizer.
For complete instructions on using the vaporizers, refer to the Ohmeda. Small deviations from the upright position will not affect the output or the safety of the vaporizer. But, because the agent depth is shallow in relation to the diameter of the vaporizing chamber, more frequent checks must be made when small deviations from the upright position occur.
This avoids a misleading impression about the amount of agent in the chamber. At least every two weeks and whenever the agent is low, drain the vaporizer agent into a correctly labeled drug bottle. This helps preserve the drug purity by removing the old agent with oxidized impurities, accumulated contaminants and stabilizers. Less frequent draining intervals may be used if the anesthetic agent does not contain additives or stabilizing agents.
When the switch is in its first position, both electrical and pneumatic power are OFF. In the second position, both electrical and pneumatic power are ON. Just left of the switch is the system's indicator panel, which provides information about the status of the system's electrical supply, battery condition and oxygen supply.
When the switch is set to OFF the panel's indicator lights are OFF; gas is not supplied to the flow-control circuits; electrical power is not supplied to the monitors or ventilator; but a-c power is provided to the a-c outlets on the back of the anesthesia machine. Figure Serene eee lea eens switch ed Corn 1. Tum all the gas flow control knobs completely clockwise. Set the vaporizers to OFF. Perform the preoperative checkout procedures. To set the altitude compensation 1, Move the mechanical ventilation switch to OFF.
Press and continue to hold down the alarm silence button, Bg], then press in the inspiratory pause button. Release buttons. If the model number or drive gas is incorrect, have a trained Ohmeda service representative service the ventilator. If the volume sensor is at the proximal end of the Y, select OFF to disable the alarm. Using a supply gas that does not match the displayed supply gas will result in operational errors.
To retum to normal operations press the alarm silence button to move through the menu or, leave the Setup Pago display on without any parameter changes for 30 seconds. To increase Cc the value of an alarm set point, push the button directly over the digit you want to change.
To set the alarm limits 1.
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