COOLING THERAPY SYSTEM Q U I C K R E F E R E N C E G U I D E Garment Models Description and Operation Controller Troubleshooting The Quick Reference Guide is a guideline only and does not replace the User's Manual. Please refer to the User s Manual for full instructions. Garment Troubleshooting
Step-by-Step Operation FRONT VIEW Handle Control Panel Surface Sensor Socket Water-in Quick Coupling Connector Water Feeder Tube Core Sensor Socket Water-out Quick Coupling Connector Water Level Indicator REAR VIEW Power Switch 3-Prong Power Socket RS-232 Connector Rear Cover Thumb Captive Screws (4) Air Outlet Grille 6mm Threaded Hole for Equipotentiality Screw Installation Thumb Captive Screws (2)
Set: Step-by-Step Operation 1. Place CritiCool unit in the desired location and lock front wheels. 2. Pour cold tap water into water tank up to maximum level (between the two lines). 3. Turn power ON. Following a short Self Test, the system automatically cools the water Avoid further connections until patient arrival to the ICU Place appropriate garment on bed or underneath patient (see Instructions of Use). Connect Water tubes to garment and to CritiCool unit. The garment automatically fills up! (Lower water level in the reservoir is normal) Check that clamps on garment are open and a clicking sound is heard. Description and Operation Wrap: 4. Secure on patient Cool: Plug Gray sensor into Core socket and Green sensor into Surface socket of CritiCool unit. Once sensors are inserted to patient and valid feedback is obtained, algorithm is activated. The CritiCool unit will not Thermo regulate if core sensor is not properly inserted into patient Ensure no interference from other factors influence correct continuous temperature feedback readings. When feedback is unavailable predefined cooling program is set, an alarm sounds and a message appears. Re-warming: Gradual re-warming is advised (do not exceed more than 2 C above actual temperature) * For Accidental hypothermia or fast re-warming: switch to Normothermia management mode CONTROL PANEL Core Temperature Surface Temperature Mode Key Alarm Mute Cooling\Heating Status System Function Status Energy Transfer to/from Patient Set Point Temperature Arrow Keys
Step-by-Step Operation 6. Monitor patient temperature and system messages. Use Arrow keys to select desired mode Operation Mode Temperature Graph Stand-by Mode Treatment Mode Selection Screen Garment replacement / *Shut Down 1. Turn OFF CritiCool unit or switch to Stand-by mode. 2. Wait a few seconds and close clamps on garment. 3. Disconnect Water Tubes from garment. 4. Unwrap patient and dispose garment. Do not use garment to lift or move the patient. Ensure garment is fully released. * Disconnect Water Tubes and remove Core and Surface sensors from patient and from CritiCool unit. Clean and prepare CritiCool unit and its accessories for future use. For Disinfections / Sterilization of sensors use CIDEX / ETO only according to hospital protocol.
Controller Troubleshooting An alarm will sound to inform about any problem. The system will assist you in solving the problem. Observation Possible Problem Action to be Taken Water leak between connecting tubes and CritiCool unit Connecting tubes are not connected properly Damage to connecting tubes Damage to quick coupling connector Disconnect connecting tubes from machine and connect again Replace connecting tubes Call Biomedical department Water tank overfilled If necessary, drain water tank as follows: 1. Connect one end of the ThermoWrap connecting tube to the Water-out Quick Coupling Connector (beneath Core Sensor socket), or, Connect the gray-coded end of the CureWrap connecting tube to the Water-out Quick Coupling Connector (beneath Core Sensor socket). Controller Troubleshooting 2. Connect special male connector to connecting tube: For ThermoWrap, see Figure 1. For CureWrap, see Figure 2. 3. Turn CritiCool device ON. 4. Change to Operation mode. 5. Allow excess water to drain into a receptacle, pail or sink. 6. When desired water level has been reached, turn CritiCool device OFF. Special Male Connector for Draining Water Tank Special Male Connector for Draining Water Tank Figure 1 Figure 2
Controller Troubleshooting Message Probable Cause Action to be Taken HALT - PLEASE RESTART XX NO WATER PLEASE ADD WATER Error during normal function No water in tank Water tank float is jammed Turn OFF system for three seconds and then ON again. If problem persists, turn OFF CritiCool unit and contact your local service representative. Note the number that appears on screen Refill water tank Open water tank cap and insert long object to release float OUT OF NORMOTHER- MIA PRESS OK TO CONFIRM CHECK CORE SENSOR Cooling Therapy Desired set-point is set to exceed 38 C (100.4 o F) Normothermia Management Desired set-point is set above 38 C (100.4 o F) or below current set point Misplacement of sensor in core socket Approve action Disapprove action Connect core sensor to appropriate socket 11 Core adapter is connected to CritiCool unit without disposable temperature sensor Connect disposable sensor CHECK SURFACE SENSOR Misplacement of sensor in surface socket Connect appropriate surface sensor to socket 12 Surface adapter is connected to CritiCool unit without disposable temperature sensor Connect disposable sensor - Indicates alarm activated
Controller Troubleshooting Message Probable Cause Action to be Taken CONNECT CORE SENSOR* No Core Sensor inserted in socket Connect Core Sensor WATER TEMP TOO LOW WATER TEMP TOO HIGH 16 17 Water Temperature < 10 o C (50.0F) Water Temperature > 42 o C (107.6F) Turn OFF system for three seconds and turn ON again. If problem persists, turn OFF CritiCool unit and contact your local service representative Turn OFF system for three seconds and turn ON again. If problem persists, turn OFF CritiCool unit and contact your local service representative Controller Troubleshooting CORE READ OUT TOO LOW 18 Cooling Therapy: Core temperature is more than 2 C below set point Normothermia management: Core temperature is less than 27.0ºC (80.6ºF) Re-warming: Do not attempt to increase more than 2 C above actual core temperature Insert core sensor into patient Patient temp ABOVE 38.5ºC (101.3ºF)** Core temperature reading above 38.5 C (101.3 F) Inform physician - Indicates alarm activated * The alarm is activated again after 30 minutes if no action is taken. ** Pressing Alarm Mute silences buzzer for this present condition and any re-occurrence of this condition for thirty minutes. ELECTRO-MAGNETIC INTERFERENCE 22 CONNECT SURFACE SENSOR The CritiCool unit detects electromagnetic field higher than allowable standard No Surface Sensor inserted into socket The message will disappear after ten seconds If message appears for more than ten seconds, replace Core Sensor Connect Surface Sensor to socket
Garment Models CureWrap Adult Model Patient Height cm (in.) 3500 Fits All Adult Sizes Pediatric ThermoWrap Pediatric Model Patient Height cm (in.) 3131 79 91 (31 36) 3136 91 104 (36 41) 3141 104 122 (41 48) 3148 122 135 (48 53)
Garment Models Infant ThermoWrap Infant CureWrap Infant Model Weight Kg (Lb) 3118 / 3518* 2.5 4.0 (5.5 8.8) 3121 / 3521* 4.0 7.0 (8.8 15.4) 3125 / 3525* 7.0 11.0 (15.4 24.2) *NEW Infant CureWrap models POSITIONING THE PATIENT CureWrap Garment Models Pediatric ThermoWrap Infant ThermoWrap Indicates Head Positioning -------- Indicates Armpit Line The garment should be filled with water prior to wrapping and securing to patient. Do not use garment to lift or move patient. Avoid handling garment with sharp objects. Make sure garment is not folded or clamped. Before moving patient from the operating table, ensure garment is fully released.
Garment Troubleshooting An alarm will sound to inform about any problem. The system will assist you in solving the problem. Observation Possible Problem Action to be Taken Garment leak Accidental puncture of garment during course of operation Turn OFF CritiCool unit and allow water to return to reservoir Replace garment if possible Water leak from connector between garment and connecting tube Connecting tubes are not connected properly Close garment clamps. Disconnect connecting tubes and connect again Ensure click sound is heard Damage to connecting tubes Replace connecting tubes Check ThermoWrap Connecting tubes are not connected Connect connecting tubes 10 Garment is blocked due to incorrect wrapping Garment clamps are closed Check for snarls, folds, or objects that obstruct water flow in garment Check clamps - Indicates alarm activated
QUICK REFERENCE GUIDE Catalog No. 014-00082 Ver: 02 Copyright 2007 MTRE Advanced Technologies 4 Ha-Yarden Street, Yavne, P.O. Box 102, Rehovot 76100, Israel TEL: 972-8-932 3333 FAX: 972-8-932 8510 Website: www.mtre.com