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1. EQUATOR Convective Warmer Operator s Manual B 7 APPENDIX B Position the Convective Warming Blanket SW 2010 Small Upper Body Convective Warming Blanket 1 Place the blanket on the patient a with the perforated side against the patient s skin 2 Remove the paper backing from the adhesive strip b and tape the blanket to the patient to prevent air flow on the surgical site 3 Attach the hose to the blanket Refer to Step 4 on page 16 for more information 4 Attach the sheet clip Refer to Step 5 on page 16 for more information New style sheet clip Older style sheet clip B 8 EQUATOR Convective Warmer Operator s Manual APPENDIX B gt Position the Convective Warming Blanket 5 Inflate the blanket before tying the drawstrings Refer to Step 6 on page 17 for more information Note Do not tie the drawstrings too tightly Ensure airflow moves freely through the blanket 6 Tie the drawstrings around the patient s arms c to prevent the blanket from moving 7 If desired place a light weight blanket over the convective warming blanket 8 If desired carefully lay the clear head drape loosely over the patients s head c Note Do not cover the patient s head with clear drape if the patient is not intubated and ventilated 9 Continue with Step 6 on page 17 to begin using the convective warmer EQUATOR Convective Warmer Operator s Manual B 9 APPENDIX B
2. A 5 EQUATOR Convective Warmer Operator s Manual APPENDIX B gt Position the Convective Warming Blanket APPENDIX B Position the Convective Warming Blanket WARNINGS f the patient s nose or mouth is positioned against the convective warming blanket or the plastic drape closely monitor the patient s breathing to prevent suffocation injury Cover all open wounds in contact with the convective warming blanket to prevent airborne contamination Always place the perforated side of the convective warming blanket the side with small holes towards the patient Failure to do so may result in thermal injury Do not use a convective warming blanket over transdermal medications as this may lead to increased drug delivery that may result in patient injury or death The convective warming blanket is for single use only Reusing the blanket may increase the risk of cross contamination Do not place objects onto the convective warming blanket that will obstruct air flow Items on the blanket can produce localized pressure on the patient s skin reducing cutaneous blood flow and causing thermal injury to the patient For underbody blankets do not place objects other than the patient s body onto the convective warming blanket that will obstruct air flow Items on the blanket can produce localized pressure on the patient s skin reducing cutaneous blood flow and causing thermal injury to the patient For the SW 20
3. EQUATOR Convective Warmer EQ 5000 OPERATOR S MANUAL PN 4533900 EN Rev 009 smiths medical Generallnformation EQUATOR Convective Warmer Operator s Manual Part Number 4533900 EN Rev 009 2010 12 This revision supercedes all previous revisions Every effort has been made to ensure that the information in this manual is accurate and details provided are correct at the time of printing The company however reserves the right to improve the equipment shown Mention of third party products is for informational purposes only and constitutes neither an endorsement nor a recommendation Smiths Medical ASD Inc Smiths Medical assumes no responsibility with regard to the performance or use of these products The Smiths Medical and Level 1 design marks and EQUATOR and Snuggle Warm are trademarks of the Smiths Medical family of companies The symbol indicates the trademark is registered in the U S Patent and Trademark office and certain other countries All other names and marks mentioned are the trade names trademarks or service marks of the respective owners For further information please call your local Smiths Medical distributor or Smiths Medical direct at 1 800 258 5361 or 1 781 878 8011 2010 Smiths Medical family of companies All rights reserved ii EQUATOR Convective Warmer Operator s Manual Contents L About this Manual Indications for Use Conventions Used in this Manual Descript
4. EE Blanket SW 2014R 101 6cm W 203 2cmL SW5 HOSE7 EQUATOR model EQ 5000 Right Lateral Access 40 W 80 L White Snuggle Warm model SW 4000 Convective Warming g4 Blanket SW 2015 101 6cm W 203 2cmL SW5 HOSE7 EQUATOR model EQ 5000 Upper Underbody 40 W 80 L White Snuggle Warm model SW 4000 Convective Warming Blanket SW 2016 101 6cm W 203 2cmL SW5 HOSE7 EQUATOR model EQ 5000 E Full Body Split Access 40 W 80 L White Snuggle Warm model SW 4000 CET e Convective Warming ys e Blanket continued EQUATOR Convective Warmer Operator s Manual A 4 APPENDIX A Convective Warming Blanket Identification Chart Convective Warming Description Dimensions Hose Compatible Convective Warmers Blanket Selection m SW 2018 101 6cm W 203 2cmL SW5 HOSE7 EQUATOR model EQ 5000 A Multi Access 40 W 80 L White Soole Nan med WeI WE t Convective Warming c j e Blanket AEO F LED 1 HET TUTEEHT 4 PIS SW 2019 101 6cm W 203 2cmL SW5 HOSE7 EQUATOR model EQ 5000 Poncho Convective 40 W 80 L White 7 a a cm Warming Blanket includes the non inflating MM d 2 flaps
5. CONTRAINDICATIONS Thermal injury may occur if convective warming therapy is applied to lower extremities during aortic cross clamping procedures Thermal injury may occur if convective warming therapy is applied to ischemic limbs WARNINGS Death or serious injury may occur to the patient or users if these warnings are not followed These instructions contain important information for safe use of the product Read the entire contents of this Operator s Manual including Warnings and Cautions before using this product Failure to properly follow warnings cautions and instructions could result in death or serious injury to the patient Electrocution Hazard There are no user serviceable parts inside the enclosure Only competent personnel knowledgeable in the safety procedures required for servicing live primary MAINS parts shall be allowed to open the enclosure Grounding reliability can only be achieved when the MAINS power cord is connected to a properly grounded receptacle Risk of electrical shock exists if the equipment is not connected to a properly grounded receptacle Exposed conductor on the MAINS power cord can cause an electrocution hazard Remove the device from service if the MAINS power cord has exposed wires The convective warmer meets the international electrical interference requirements of EN 60601 1 2 MRI Portable and mobile RF communications equipment and other such devices can affect the convecti
6. Convective Warmer Operator s Manual 7 SECTION 3 Important Safety Information WARNINGS continued Do not sterilize convective warming blankets Sterilizing blankets may damage the blanket and may cause thermal injury to the patient f Over Temperature audible alarm sounds and or red Over Temperature alarm indicator illuminates discontinue use of the convective warmer to prevent thermal injury to the patient Remove the device from service Contact Smiths Medical or your local Smiths Medical distributor f the convective warmer does not perform its self test properly fails to operate or stops while running discontinue use of the convective warmer to prevent thermal injury to the patient Remove the device from service Contact Smiths Medical or your local Smiths Medical distributor The convective warmer must be calibrated by competent personnel authorized by Smiths Medical Failure to calibrate the device correctly may result in thermal injury to the patient Do not use the SW 2008 convective warming blanket if the package is damaged or open Sterility may be compromised CAUTIONS Malfunction failure or damage to the device may occur if these cautions are not followed Do not use alcohol or other strong solvents to clean the hose or exterior surfaces These solutions may damage labels and other parts Never use organic solvents e g acetone strong acids or bases to clean any portion of the convect
7. Position the Convective Warming Blanket SW 2011 Large Pediatric Underbody Convective Warming Blanket 1 Place the blanket on the table with the perforated side facing up a 2 Position the patient on top of the blanket b Place the patient s head in the non inflated head section c and the body centered between the absorbent pads d 3 Select one of the two entry ports Fold the port then tear away the cardboard center in the collar ring e 4 Fold the entry port back to open the collar ring and insert the hose nozzle f into the collar ring Refer to Step 4 on page 16 for more information 5 If desired carefully lay the clear drape s loosely over the patient g Remove the paper backing h from the adhesive g strip and press the adhesive strip firmly against the patient and bed to secure Note Do not cover the patient s head with clear drape if the patient is not intubated and ventilated 6 Continue with Step 5 on page 16 to attach the sheet clip B 10 EQUATOR Convective Warmer Operator s Manual APPENDIX B gt Position the Convective Warming Blanket SW 2013 Adult Underbody Convective Warming Blanket 1 Place the blanket on the table with the perforated side facing up a a O E E E CN UC gy JU EN WARNINGS gaa ff Always keep the arms at the patient s side Do not allow the patient s arms to extend outside the blanket as they may obstruct ai
8. f the patient s nose or mouth is positioned against the convective warming blanket or the plastic drape closely monitor the patient s breathing to prevent suffocation injury continued 6 EQUATOR Convective Warmer Operator s Manual SECTION 3 Important Safety Information WARNINGS continued Cover all open wounds in contact with the convective warming blanket to prevent airborne contamination The hose nozzle MUST be connected to a Snuggle Warm convective warming blanket Do not treat patients with the hose alone Thermal injury may occur Use only one convective warmer and one hose Use of multiple convective warmers in multiple inlet ports of the same convective warming blanket may cause damage to the blanket and thermal injury to the patient To prevent thermal injury do not allow any of the patient s body parts to rest on the active hose inlet Do not place objects onto the convective warming blanket that will obstruct air flow Items on the blanket can produce localized pressure on the patient s skin reducing cutaneous blood flow and causing thermal injury to the patient For underbody blankets do not place objects other than the patient s body onto the convective warming blanket that will obstruct air flow Items on the blanket can produce localized pressure on the patient s skin reducing cutaneous blood flow and causing thermal injury to the patient For the SW 2013 Adult Underbody Convective Wa
9. s collar ring f to the hose nozzle g Press together making sure the hose barb snaps into the collar ring f 6 If desired place a lightweight blanket over the convective warming blanket 7 Continue with Step 5 on page 16 to attach the sheet clip and begin using the convective warmer B 6 EQUATOR Convective Warmer Operator s Manual APPENDIX B gt Position the Convective Warming Blanket SW 2009 Pediatric Underbody Convective Warming Blanket 1 Place the blanket on the table with the perforated side facing up a 2 Position the patient on top of the blanket b Place the patient s head in the non inflated head section c and the body centered between the absorbent pads d 3 Select one of the two entry ports Fold the port then tear away the cardboard center in the collar ring e 4 Fold the entry port back to open the collar ring and insert the hose nozzle f into the collar ring Refer to Step 4 on page 16 for more information 5 If desired carefully lay the clear drape s loosely over the patient g Remove the paper backing h from the adhesive strip and press the adhesive strip firmly against the patient and bed to secure Note Do not cover the patient s head with clear drape if the patient is not intubated and ventilated 6 Continue with Step 5 on page 16 to attach the sheet clip
10. EQUATOR Convective Warmer Operator s Manual Blanket B 17 APPENDIX B Position the Convective Warming Blanket SW 2019 Poncho Convective Warming Blanket 1 Place the blanket on the table with the perforated side facing a b up a T TTL 2 Position the patient on top of the blanket b Place the y x T patient s head in the opening c and the body centered on S d di do Th ma the blanket im ase amp OS ip 3 Pull the top of the blanket over the patient s head onto the upper body d d e P rr Rae 4 Carefully tear along the perforation in the center of the blanket e as needed B 18 EQUATOR Convective Warmer Operator s Manual APPENDIX B gt Position the Convective Warming Blanket 5 Remove the paper backing from the adhesive strips f and tape the blanket as needed 6 Continue with Step 4 on page 16 to attach the hose to the blanket EQUATOR Convective Warmer Operator s Manual B 19 APPENDIX C Ordering Information APPENDIX C Ordering Information Replacement Components Product Description SW 2001 Ad
11. and snap closed Storage Store the convective warmer in a cool dry place away from temperature extremes Refer to Section 12 Specifications for more details EQUATOR Convective Warmer Operator s Manual 19 SECTION 7 SECTION 7 Troubleshooting Troubleshooting If the suggested solutions do not correct the problem discontinue use of the EQUATOR Convective Warmer and remove from service Contact Smiths Medical or your local Smiths Medical distributor Problem Possible Cause Solution The convective warmer does not start when the ON button is pressed The convective warmer is not plugged in e Check that the power cord is plugged into the rear of the convective warmer and into a working electrical receptacle 2 Power cord is defective or cut Inspect the power cord and replace if necessary The convective warmer does not complete self test The thermistor cable may be disconnected or not fully inserted Check the thermistor cable connection 2 The hose may not be fully inserted into the air outlet Push the hose firmly to secure it in the outlet Ensure the hose retainer clip is properly attached 3 The hose has a malfunction Replace the hose No air flow The hose and or the thermistor cable may not be properly connected Check the hose and thermistor cable connections Weak air flow Clogged air filter or obstructed air filter intake Check the air filter intake for an
12. equipment off and on the user is encouraged to try to correct the interference by one or more of the following measures Reorient or relocate the receiving device Increase the separation between the equipment Connect the equipment to an outlet on a circuit different from that to which the other device s is are connected Consult the manufacturer or field service technician for help If placed near monitoring equipment or other electronic devices this equipment must be IEC 601 1 2 EN 60601 1 2 approved or electromagnetic interference may result EQUATOR Convective Warmer Operator s Manual 21 SECTION 8 Maintenance SECTION 8 Maintenance Only competent personnel should perform any routine maintenance and repairs to the EQUATOR Convective Warmer Clean the Convective Warmer and Hose Clean the enclosure and hose after every use 22 CAUTIONS Do not use alcohol or other strong solvents to clean the hose or exterior surfaces These solutions may damage labels and other parts Never use organic solvents e g acetone strong acids or bases to clean any portion of the convective warmer Do not place the convective warmer directly under a faucet or use a faucet sprayer to rinse Never spray cleaning or other fluids into openings on the convective warmer or into the external connectors Disconnect the MAINS power cord from the electrical receptacle and from the rear of the convective warmer Vis
13. operate air flows Hose End Temperature Display Displays the temperature of the air at the hose end EQUATOR Convective Warmer Operator s Manual 13 SECTION 6 Operating Instructions SECTION 6 Operating Instructions The Operating Instructions for the EQUATOR Convective Warmer are grouped into seven segments Read through each segment before performing a procedure Step 1 Set Up for Use WARNINGS When replacing the hose always disconnect the thermistor cable attached to the old hose Be sure to attach the hose and thermistor cable from the new hose prior to using the device Never allow the use of two hoses where one hose is inserted in the air outlet of the device while the thermistor cable from another hose is connected to the device Failure to replace the hose without replacing the associated thermistor cable may result in an uncontrolled temperature that may cause a serious burn to the patient 1 Verify that the correct hose either SW5 HOSE7 a or SW5 HOSE N b is attached to the convective warmer Refer to Section 4 Assembly Instructions for the procedure to install the hose Note When replacing the hose always remove the thermistor cable with the hose Never replace the hose without replacing the thermistor cable Refer to Appendix A Convective Warming Blanket Identification Chart for a list of convective warming blankets and the appropriate hose 2 Verify that the
14. Attach the hose to the blanket Refer to Step 4 on page 16 for more information B 14 EQUATOR Convective Warmer Operator s Manual APPENDIX B gt Position the Convective Warming Blanket SW 2016 Full Body Split Access Convective Warming Blanket 1 Place the blanket on the patient a with the perforated side against the patient s skin 2 Carefully tear along the perforation b to access the surgical site 3 Fold either the left or right panel back remove the paper backing from the adhesive strip and fasten the panel to the top of the blanket c 4 Remove the paper backing from the adhesive strips d and tape the blanket to prevent air flow on the surgical site 5 If desired place a light weight blanket over the convective warming blanket 6 Continue with Step 4 on page 16 to attach the hose to the blanket EQUATOR Convective Warmer Operator s Manual a TET mie E IN b TEIT G TET 2 j4 2 d B 15 APPENDIX B Position the Convective Warming Bl
15. LED p lights the motor stops and the control panel displays the temperature at which the Over Temperature alarm was activated Test 7 Medium 40 C Over Temperature and Under Temperature Test 1 Press the OFF button and then press the ON button The device will restart and proceed through the self test sequence 2 If the device is hot let it cool to approximately 35 C before proceeding p 3 Press and hold the Medium button 8 on the control panel for approximately 8 seconds until the Medium button LED starts to flash 4 Asthe temperature increases verify that the following events occur Between 36 C and 38 C the Under Temperature LED k stops flashing Between 42 C and 44 C the Over Temperature alarm sounds the Over Temperature LED y lights the motor stops and the control panel displays the temperature at which the Over Temperature alarm was activated Test 8 High 44 C Over Temperature and Under Temperature Test 1 Press the OFF button and then press the ON button The device will restart and proceed through the self test sequence 2 If the device is hot let it cool to approximately 40 C before proceeding EQUATOR Convective Warmer Operator s Manual SECTION 8 Maintenance an 3 Press and hold the High button D on the control panel for approximately 8 seconds until the High button LED starts to flash 4 As the temperature increases verify that the following ev
16. Limited Warranty 1l Service Non Warranty Work Additional Documentation Disposal Information Service Contacts USA Canada European Representative Australian Representative 12 Specifications System Specifications Electromagnetic Environmental Recommendations 13 Symbols A Convective Warming Blanket Identification Chart B Position the Convective Warming Blanket C Ordering Information EQUATOR Convective Warmer Operator s Manual 33 34 35 A 1 B 1 C 1 SECTION 1 gt About this Manual SECTION 1 About this Manual This Operator s Manual describes the assembly use and maintenance of the EQUATOR Convective Warmer This manual is intended for use by individuals trained in the healthcare and biomedical professions WARNING These instructions contain important information for safe use of the product Read the entire contents of this Operator s Manual including Warnings and Cautions before using this product Failure to properly follow warnings cautions and instructions could result in death or serious injury to the patient Indications for Use The EQUATOR 5000 Convective Warmer System is intended for thermal regulation of a patient s temperature to prevent hypothermia by a warm air heated blanket system to reduce cold discomfort during and after surgical procedures It intended for use by appropriately trained healthcare professionals in clinical environments Conventions Used in this M
17. hose thermistor cable is connected to the thermistor receptacle c on the convective warmer Note When using the blue Neonatal hose with the black connector SW5 HOSE N orient the white shield d to the left Do not use the hose retainer clip with this hose 14 EQUATOR Convective Warmer Operator s Manual SECTION 6 Operating Instructions Step 2 Determine the Convective Warming Blanket Size WARNINGS The convective warming blanket is for single use only Reusing the blanket may increase the risk of cross contamination Cover all open wounds in contact with the convective warming blanket to prevent airborne contamination Use with the EQUATOR convective warmer EQ 5000 and the Snuggle Warm convective warmer SW 4000 Using non compatible convective warmers may cause damage to the convective warming blanket and thermal injury to the patient Determine which convective warming blanket is appropriate for the patient Refer to Appendix A Convective Warming Blanket Identification Chart for a description and dimensions of the convective warming blankets that are available Do not use the convective warming blanket if the package has been opened or is damaged Do not sterilize blankets Product meets Consumer Products Safety Commission s flammable fabric regulation 16 CFR 1610 however follow standard safety protocols when using high intensity heat sources Step 3 Position the Convective Warming B
18. hose used to transmit a signal from the hose end Hose transports air to the convective warming blanket Hose Nozzle hose end that attaches to the convective warming blanket Snuggle Warm Convective Warming Blankets Description The convective warming blanket consists of two layers of non woven polypropylene fabric coated with a layer of polyethylene The layers are bonded together to form a distribution network of air delivery channels The warm air is distributed around the blanket through the delivery channels and exits the blanket through a specially designed series of perforations in the patient side of the blanket The distribution of air is designed to minimize temperature differences throughout the blanket Refer to Appendix A Convective Warming Blanket Identification Chart for the list of blankets available EQUATOR Convective Warmer Operator s Manual SECTION 2 e Description Accessories The convective warmer is supplied with the following accessories Sheet Clip Assembly secures the hose to bed sheets to keep the convective warming blanket in place Cord Wrap keeps the power cord wrapped together EQUATOR Convective Warmer Operator s Manual SECTION 3 Important Safety Information SECTION 3 Important Safety Information This section covers information for prescribers and guidelines for safe use of the EQUATOR Convective Warmer
19. obstruction and remove Check the air filter for clogging or obstructions and replace if necessary Air flow is too strong and the convective warmer is noisy Defective air filter or the air filter is not properly installed Check the air filter for proper installation Replace if defective No heat but the motor is turned on and air is flowing 1 Ambient air button is selected Select desired temperature The Disconnect indicator illuminates the motor is operating air is flowing but is no longer heated A blockage in the blanket or an object on the blanket is preventing air from flowing freely through the blanket a Check the blanket for anything blocking airflow such as an unfolded blanket tight drawstrings around the blanket drapes on the blanket Correct the condition until the blanket fills with air b Press the Ambient Air Temperature Setting button then press a Temperature Setting button c If the condition continues remove the convective warmer from service Contact Smiths Medical or your local Smiths Medical distributor Over Temperature indicator illuminates The temperature at the hose end is above the temperature selected on the control panel Turn the power off and then turn it on again If the condition persists discontinue use of the convective warmer and remove it from service continued 20 EQUATOR Convective Warmer Operator s Manual Problem SECTION7 Troubl
20. to operate or stops while running discontinue use of the convective warmer to prevent thermal injury to the patient Remove the device from service Contact Smiths Medical or your local Smiths Medical distributor Do not place objects onto the convective warming blanket that will obstruct air flow Items on the blanket can produce localized pressure on the patient s skin reducing cutaneous blood flow and causing thermal injury to the patient For underbody blankets do not place objects other than the patient s body onto the convective warming blanket that will obstruct air flow Items on the blanket can produce localized pressure on the patient s skin reducing cutaneous blood flow and causing thermal injury to the patient To prevent thermal injury do not allow any of the patient s body parts to rest on the active hose inlet Use only one convective warmer and one hose Use of multiple convective warmers in multiple inlet ports of the same convective warming blanket may cause damage to the blanket and thermal injury to the patient Always place the perforated side of the convective warming blanket the side with small holes towards the patient Failure to do so may result in thermal injury Do not use a convective warming blanket over transdermal medications as this may lead to increased drug delivery that may result in patient injury or death Plug the power cord into a properly grounded MAINS receptacle Press and release the gr
21. 13 Adult Underbody Convective Warming Blanket always keep the arms at the patient s side Do not allow the patient s arms to extend outside the blanket as they may obstruct airflow through the blanket Airflow obstruction may result in insufficient patient warming and loss of therapy The following sections describe how to position the convective warming blanket Refer to the page number below for the specific blanket being used Blanket Page Number SW 2001 Adult Full Body Convective Warming Blanket B 2 SW 2002 Pediatric Full Body Convective Warming B 2 Blanket SW 2003 Upper Body Convective Warming Blanket B 3 SW 2004 Lower Body Convective Warming Blanket B 3 EQUATOR Convective Warmer Operator s Manual B 1 APPENDIX B Position the Convective Warming Blanket Blanket SW 2005 Neonate to Small Child Convective Warming Blanket Page Number B 4 SW 2006 Preemie to Neonate Convective Warming Blanket B 4 SW 2007 Tube Convective Warming Blanket B 5 SW 2008 Sterile Cardiac Convective Warming Blanket B 6 SW 2009 Pediatric Underbody Convective Warming Blanket B 7 SW 2010 Small Upper Body Convective Warming Blanket B 8 SW 2011 Large Pediatric Underbody Convective Warming Blanket SW 2013 Adult Underbody Convective Warming Blanket SW 2014L Left and SW 2014R Right Lateral Access Convective Warming Blanket SW 2015 Upper Underbody Convective Warming Blanke
22. Batch Code Authorized Representative in the European Community Manufacturer Date of Manufacture Quantity Protective Earth Ground Alternating Current Do Not Reuse Attention see instructions for use Caution Consult instructions for use Electric Shock Hazard y Latex Free Co xSP OPES O0LERRERE EQUATOR Convective Warmer Operator s Manual SECTION13 Symbols Symbols Definitions Rx Federal U S A law restricts this device to sale by or on the order of a physician ONLY Device is class type 1 equipment No free hosing Non sterile Protective earth terminal Do not use if package is damaged e pc Sterilized using ethylene oxide STERILE EO Temperature Limitation Humidity Limitation Use by Recyclable Product Device has been tested by National Technical Systems a nationally recognized technical laboratory to meet U S requirements for safety Collect separately for electrical and electronic equipment p B 2 Qs CE Mark and Notified Body number 0473 indicates AMTAC o A N D EQUATOR Convective Warmer Operator s Manual 37 APPENDIX A Convective Warming Blanket Identification Chart APPENDIX A Convective Warming Blanket Identification Chart WARNINGS Use with the EQUATOR convective warmer EQ 5000 and the Snuggle Warm convective warmer SW 4000 Using
23. P d 7 E1 VP 0 01 0 116 0 116 0 233 0 1 0 368 0 368 0 737 1 1 16 1 16 2 33 10 3 69 3 69 7 38 100 11 66 11 66 23 33 manufacturer For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 34 EQUATOR Convective Warmer Operator s Manual SECTION 13 Symbols Symbols Definitions Power ON Button SECTION 13 Symbols Power OFF Button Ambient Temperature Setting Button 36 C Temperature Setting Button 40 C Temperature Setting Button 44 C Temperature Setting Button Over Temperature Alarm Indicator Under Temperature Alarm Indicator Disconnect Indicator Hose End Temperature Elapsed Time Display h hours Type BF Equipment IPX1 Protected Against Dripping Water EQUATOR Convective Warmer Operator s Manual 35 SECTION 13 e lt 3 c o J Symbols Definitions Catalog Number Serial Number Part Number
24. QUATOR Convective Warmer Operator s Manual 33 SECTION 12 Specifications Electrical Type Mode of Operation Continuous Type of Current Alternating Ingress Protection Rating IPX1 Performance Relative Average Noise Level at 1000 Hz 44 1 dBA front and back Hose End Temperature Control Servo controlled by thermistors placed at hose end The Snuggle Warm convective warming Average Maximum blankets meet the average and maximum lt 46 C lt 48 C contact surface temperature specified in ASTM F2196 02 Approximate time to change the average 7 minutes contact surface temperature from 20 C to 36 C Electromagnetic Environmental Recommendations Recommended separation distances between portable and mobile RF communications equipment and the EQUATOR Convective Warmer The convective warmer is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the convective warmer can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the convective warmer as recommended below according to the maximum output power of the communications equipment Rated maximum Separation distance according to frequency of transmitter m output power of 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz TA d 8 5 V1 NP d 3 5 E1 V
25. R Convective Warmer Operator s Manual APPENDIX A Convective Warming Blanket Identification Chart Convective Warming Description Dimensions Hose Compatible Convective Warmers Blanket Selection SW 2004 101 6cm W x 162 6cm L SW5 HOSE7 EQUATOR model EQ 5000 Lower Body 40 W x 64 L White amp I SW 4 Convective Warming includes the non inflating anigo viene miedo en dong B EN ox SW 2005 129 5cm Wx71 lcmL SWS HOSE N EQUATOR model EQ 5000 Neonate to Small 51 W x 28 L Blue amp SW 4 Child Convective includes the non inflating snuggle Marn Modera Warming Blanket flaps SW 2006 101 6cm W x 55 9cm L SW5 HOSE N EQUATOR model EQ 5000 Preemie to Neonate 40 W x 22 L Blue 7 Convective Warming includes the non inflating a e Net mpdel S400 Blanket flaps SW 2007 58 4cm W x 175 3cm L SW5 HOSE7 EQUATOR model EQ 5000 Tube Convective 28 W x 69 L White Snuggle Warm model SW 4000 Warming Blanket SW 2008 101 6cm W x 162 6cm L SWS HOSE7 EQUATOR model EQ 5000 Sterile Cardiac 40 W x 64 L White Convective Warming Blanket includes the non inflating foot drape Snuggle Warm model SW 4000 continued EQUATOR Convective Warmer Operator s Manual A 2 APPENDIX A Convective Warming Blanket Identification Chart Convective Warming D
26. SC 5000 1 Wrap the plastic strap of the sheet clip e around the hose near the hose nozzle 2 Close the snap f to secure the sheet clip to the hose New style sheet clip Older style sheet clip 28 EQUATOR Convective Warmer Operator s Manual SECTION 10 gt Limited Warranty SECTION 10 Limited Warranty Smiths Medical ASD Inc the Manufacturer warrants to the Original Purchaser that the EQUATOR Convective Warmer the Convective Warmer not including accessories shall be free from defects in materials and workmanship under normal use if used in accordance with this Operator s Manual for a period of one year from the actual date of sale to the Original Purchaser THERE ARE NO OTHER WARRANTIES This warranty does not cover normal wear and tear and maintenance items and specifically excludes hoses warming blankets roll stands or any other accessory items or equipment used with the Convective Warmer Subject to the conditions of and upon compliance with this Limited Warranty the Manufacturer will repair or replace at its option without charge except for a minimal charge for postage and handling any Convective Warmer not including accessories which is defective if a claim is made during such one year period The following conditions procedures and limitations apply to the Manufacturer s obligation under this warranty A Parties Covered by this Warranty This warranty extends only to the Original Pu
27. SECTION12 gt Specifications Guidelines Product Safety Convective Warming Blanket Flammability EMC Enclosure Protection Convective Warmers EN 60601 1 UL 2601 1 NFPA 702 16 CFR 1610 EN 60601 1 2 FCC 47 CFR Part 15 Class B IEC 60529 IP Code IPX1 ASTM F2196 02 Drop Test Compliance EN 60601 1 Physical Dimensions Height Overall 30 cm 11 75 inches Width Overall 24 cm 9 5 inches Depth Overall 19 cm 7 5 inches Weight Overall 6 8 Kg 15 lbs Air Flow Filtration System 8 4 to 12 7m sec 1650 to 2500 feet min 1 59 to 2 41 cm min 56 2 to 85 2 cf min 0 2 micron filter Maximum Height on I V Pole 117 cm 46 inches Shipping Durability Vibration and Drop Compliant with ISTA 1A and 2A Environmental Temperature Humidity Operation 10 C to 40 C 10 to 95 non condensing Transportation 18 C to 60 C 5 to 95 non condensing Storage 5 C to 40 C 5 to 95 non condensing Thermal Temperature Hose End Temperature Over Temperature Alarm Forced Air Over Temperature Protection Electrical 36 1 C 97 F 2 F 40 1 C 104 F 2 F 44 TPC 111 F 2 F 36 C 39 1 C 102 F 2 F 40 C 43 1 C 109 F 2 F 44 C A7 1 C 117 F 2 F Type Supply Power Input 100V 115V 230V Protection Against Electrical Shock 100 VAC 50 60 Hz 9 00 Amps 115 VAC 50 60 Hz 8 05 Amps 230 VAC 50 60 Hz 4 0 Amps Class 1 Equipment Type BF E
28. Test 3 High 44 C Temperature Test This test verifies the High temperature readings 1 Press the High button D and allow the temperature to stabilize for at least 5 minute 2 After the temperature has stabilized verify that the High temperature readings appear as 44 C Test 4 Medium 40 C Temperature Test 1 Press the Medium button 8 and allow the temperature to stabilize for at least 5 minutes 2 After the temperature has stabilized verify that the Medium temperature readings appear as 40 C EQUATOR Convective Warmer Operator s Manual 25 SECTION 8 Maintenance Test 5 Low 36 C Temperature Test 36 1 Press the Low button 5 and allow the temperature to stabilize for at least 5 minutes 2 After the temperature has stabilized verify that the Low temperature readings appear as 36 C Test 6 Low 36 C Over Temperature and Under Temperature Test 1 Press the OFF button and then press the ON button The device will restart and proceed through the self test sequence 2 If the device is hot let it cool to approximately 30 C before proceeding 36 3 Press and hold the LOW button n on the front panel for approximately 8 seconds until the Low button LED starts to flash 4 Asthe temperature increases verify that the following events occur Between 32 C and 34 C the Under Temperature LED k stops flashing Between 38 C and 40 C the Over Temperature alarm sounds the Over Temperature
29. The list below includes low level disinfectants that are commonly used in the medical community and high level disinfectants that are claimed by the manufacturer The effectiveness of these listed disinfectants should be validated using the hospital procedures The following disinfectant agents can be used without causing damage to the enclosure Low Level Disinfectants fantastik All Purpose Cleaner High Level Disinfectants 1 5696 Phenol e g Sporicidin 3 496 Glutaraldehyde e g CIDEX Plus 10 Bleach solution 96 Ammonia solution Surface disinfectants compatible with plastic or metal materials 9 Rinsing of the disinfectant residue should be done using a soft cloth or sponge as the applicator Replace the Air Filter F3 5000 Replace the air filter every 12 months or sooner if required Note Always perform functional tests after replacing the air filter WARNINGS Do not change the air filter while the convective warmer is operating Risk of thermal injury exists if the device is operating EQUATOR Convective Warmer Operator s Manual 23 SECTION 8 Maintenance 1 Disconnect the MAINS power cord from both the electrical receptacle and from the rear of the convective warmer 2 Remove the convective warmer from the pole if pole mounted and lay it on its side a 3 Remove the four small Phillips head screws on the bottom securing the filter in place 4 Discard the old filter assembly filte
30. anket SW 2018 Multi Access Convective Warming Blanket 1 Place the blanket on the patient with the opening over the patient s head a and the perforated side against the ient s skin patient s SKIN x LE Milit 2 Carefully tear along the perforations at either the left or right center panels b of the blanket to access the surgical site 3 Fold the panel back c remove the paper backing from the adhesive strip d and fasten the panel to the top of the blanket Tm B 16 EQUATOR Convective Warmer Operator s Manual APPENDIX B gt Position the Convective 4 Remove the paper backing from the adhesive strips e and tape the blanket to prevent air flow on the surgical site 5 If desired carefully lay the clear head drape loosely over the Warming patients s head Note Do not cover the patient s head with clear drape if the patient is not intubated and ventilated 6 Continue with Step 4 on page 16 to attach the hose to the blanket
31. anual This manual uses the following text and text conventions Convention Description Note A Note statement alerts the user to important information that requires attention CONTRAINDICATION A Contraindication statement alerts the user to conditions when the device should not be used WARNING A Warning statement alerts the user to conditions that may cause death or serious injury to the patient or user CAUTION A Caution statement alerts the user to conditions that may cause malfunction failure or damage to the device EQUATOR Convective Warmer Operator s Manual SECTION 2 Description SECTION 2 Description The EQUATOR Convective Warming system consists of a high flow convective warmer with hose end temperature control a convective warming blanket and accessories The convective warmer draws ambient temperature air through a particulate air filter The filtered air is warmed to a selected temperature The warmed air enters the convective warming blanket through the hose and is distributed through delivery channels Perforations on the patient side of the air delivery channels in the blanket gently disperse warm air over the patient The convective warmer has three outlet temperature settings which provide flexibility in patient treatment 36 C 40 C and 44 C These three temperature settings are servo controlled by thermistors placed at the end of the hose where the hose connects to the convec
32. ated by the shaded panels on the positioning diagram Adjust the flap s to maximize coverage Tuck any excess flap under the blanket 5 Continue with Step 4 on page 16 to attach the hose to the blanket B 4 EQUATOR Convective Warmer Operator s Manual APPENDIX B gt Position the Convective Warming Blanket SW 2007 Tube Convective Warming Blanket 1 Place the blanket around the patient with the perforations facing toward the patient a 2 Tie the drawstrings together b 3 Continue with Step 4 on page 16 to attach the hose to the blanket EQUATOR Convective Warmer Operator s Manual B 5 APPENDIX B Position the Convective Warming Blanket SW 2008 Sterile Cardiac Convective Warming Blanket WARNINGS Do not use the SW 2008 convective warming blanket if the package is damaged or open Sterility may be compromised and may cause death or serious injury 1 Place the blanket on top of the patient a with the perforated side against the patient s skin 2 Position the blanket with the hose facing up and the collar ring accessible b 3 Position the clear window c over the groin area to allow access to the region if needed 4 Remove the paper backing d from the adhesive strip and press the adhesive strip e firmly against the patient and bed to secure Connect the SW 2008 Hose The hose for the cardiac blanket attaches differently than other blankets 5 Connect the blanket
33. ctions provided in the Instructions for Use supplied with the compatible convective warming blanket in addition to this Operator s Manual Convective warming blankets can only be used in conjunction with the EQUATOR convective warmer EQ 5000 and the Snuggle Warm convective warmer SW 4000 For the safe operation of the blankets the user must follow all warnings cautions and instructions provided in the Instructions for Use supplied with the compatible convective warmer in addition to this Operator s Manual Always start therapy on the lowest non ambient temperature setting to prevent thermal injury Increase the temperature setting if required using core body temperature and cutaneous response of skin in contact with the convective warming blanket as indicators To prevent thermal injury do not use the highest temperature setting when treating patients who have decreased sensation are nonsensate or have poor perfusion Monitor patient s body core temperature vital signs and observe cutaneous response at regular intervals to prevent thermal injury If erythema or instability in vital signs is evident decrease the temperature setting or discontinue use of convective warming therapy To prevent thermal injury in hypotensive or hypoperfused patients observe cutaneous response more frequently Reduce the temperature setting or discontinue use of convective warming therapy if instability in vital signs or erythema occurs
34. e 5 Index 1 H Handle 2 Hose 3 attach to the blanket 16 B 6 B 7 B 10 B 11 install 10 Hose end temperature display 13 Hose nozzle 3 Hose retainer clip 3 attach clip to hose 10 Hose selection A 1 LV pole mounting hight restriction 11 Indicators 12 Intended use 1 M Maintenance after every use 22 every 12 months 23 Modes of operation 12 13 Mount to convective warmer cart 11 Mount to LV pole 11 mounting hight restriction 6 11 N Non Warranty work 31 Oo Operating Instructions 14 Operating the EQUATOR Convective Warmer 17 Ordering information C 1 Over Temperature Alarm Indicator 13 P Parts ordering information C 1 Performance specifications 34 Physical specifications 33 Pole clamp 3 Position convective warming blanket B 1 Index 2 Index Power cord install 11 store 19 Power cord lock 3 Power cord receptacle 3 Power OFF button 13 Power ON button 13 R Replace air filter 23 cord wrap 28 sheet clip 28 S Safety information 5 Service 31 contacts 32 Set up for use 14 Sheet clip attach to sheets 16 replace 28 Specifications 33 electrical 33 environmental 33 performance 33 physical 33 thermal 33 Standard compliance guidelines 33 Storage 19 SW5 HOSE7 hose selection A 1 A 2 A 3 verify set up 14 SW5 HOSE N hose selection A 2 verify set up 14 Symbols 35 System specifications 33 T Temperature display hose end 13 Thermal specifications 33 Thermistor cable 3
35. ective Warmer Operator s Manual SECTION 6 Operating Instructions Attaching the Older Style Sheet Clip 1 Slide the sheet clip lock h away from the jaws like opening ri 2 Insert the sheet into the open jaws i and slide the sheet clip lock h E towards the opening until it clicks and locks in place Note Proper attachment of the sheet clip to the sheet under the patient is essential to the proper function of the sheet clip assembly hi pou The weight of the patient on the sheet helps hold the hose in place when the sheet clip is used Step 6 Using the Convective Warmer CONTRAINDICATIONS Thermal injury may occur if convective warming therapy is applied to lower extremities during aortic cross clamping procedures Thermal injury may occur if convective warming therapy is applied to ischemic limbs WARNINGS Grounding reliability can only be achieved when the MAINS power cord is connected to a properly grounded receptacle Risk of electrical shock exists if the equipment is not connected to a properly grounded receptacle resulting in death or serious injury to the patient or user Exposed conductor on the MAINS power cord can cause an electrocution hazard Remove the device from service if the MAINS power cord has exposed wires Do not operate the Convective Warmer in the presence of a flammable anesthetic mixture with air oxygen or nitrous oxide The risk of explosion exists if the device i
36. ectrical safety check must be performed by competent personnel authorized by the institution to perform such testing These tests include but are not limited to leakage current ground bond test and hypot Refer to the EFQUAT OR Convective Warmer Service Manual PN 4533902 GB for further information about electrical safety testing Perform electrical safety checks on a routine basis according to institutional policy EQUATOR Convective Warmer Operator s Manual 11 SECTION 5 e Operation SECTION 5 Operation Operation of the EQUATOR Convective Warmer is monitored and controlled by the control panel This section describes the control panel and the modes of operation Control Panel The Control Panel provides the following controls indicators and displays used during operation of the convective warmer 1 Power ON OFF Buttons 2 Temperature Setting Buttons 3 Operation Indicators 4 Temperature Display On some convective warmers the control panel may contain the Elapsed Time Display 5 This function displays in hours h hours the cumulative time use of the convective warmer P000 e V tU Wt 3 D Ca amd 12 EQUATOR Convective Warmer Operator s Manual SECTION 5 gt Operation Controls Indicators and Displays The following table defines each control indicator and display and the modes of operation Control Indicator Definition Power ON Button The green button powers ON the convecti
37. een Power ON button a to turn the convective warmer ON The convective warmer performs its self test EQUATOR Convective Warmer Operator s Manual SECTION 6 Operating Instructions 3 Verify that the self test completes in the following order The indicators for Ambient Air 36 C 40 C 44 C b and Under Temperature c light up at the same time The Disconnect indicator d flashes three times The Over Temperature indicator e flashes and an audible beep sounds indicating the ending of the self test 4 Press the 36 C Temperature Setting during or after the self test The temperature setting may be increased as tolerated by the patient Note If no temperature setting is selected the device will blow ambient air until a temperature is selected 5 Monitor the patient s temperature and vital signs continuously Visually examine the heated skin surface at regular intervals Adjust the temperature setting or discontinue therapy as required Step 7 After Use 1 Press and release the orange Power OFF button f to turn the convective warmer off 2 Remove the hose from the convective warming blanket f Note Dispose of the convective warming blankets in a safe manner according to local guidelines for disposal of contaminated medical waste 3 Perform routine cleaning after each use Refer to Section 8 Maintenance for more details 4 Coil the power cord wrap the cord wrap around the coiled power cord
38. ents occur Between 40 C and 42 C the Under Temperature LED h stops flashing Between 46 C and 48 C the Over Temperature alarm sounds the Over Temperature LED p lights the motor stops and the control panel displays the temperature at which the Over Temperature alarm was activated Test 9 Ambient Over Temperature Test 1 Press the OFF button and then press the ON button The device will restart and proceed through the self test sequence 2 If the device is hot let it cool to approximately 44 C before proceeding Se 3 Press and hold the Ambient button on the control panel until the Ambient button LED starts to flash 4 As the temperature increases verify that the following events occur Between 46 C and 48 C the Over Temperature alarm sounds the Over Temperature LED y lights the motor stops and the control panel displays the temperature at which the Over Temperature alarm was activated 5 Press the OFF button EQUATOR Convective Warmer Operator s Manual 27 SECTION 9 Accessories SECTION 9 Accessories This section contains procedures to install and replace the cord wrap and the sheet clip Cord Wrap CW 5000 1 Disconnect the MAINS power cord from both the electrical receptacle and from the rear of the convective warmer 2 Slip the cord wrap over the end of the power cord c that plugs into the convective warmer 3 Pull the cord wrap tightly d Sheet Clip
39. escription Dimensions hose Compatible Convective Warmers Blanket Selection SW 2009 66cm W x 94cm L SW5 HOSE7 EQUATOR model EQ 5000 Pediatric Underbody 26 W x 37 L l l White Snuggle Warm model SW 4000 Convective Warming includes the non inflating Blanket flaps SW 2010 203 2cm W x 76 2cmL SW5 HOSE7 EQUATOR model EQ 5000 Small Upper Body 80 W x 30 L White Snuggle War m9 model SW 4000 Convective Warming Blanket SW 201 1 101 6cm Wx 137 1cm L SW5 HOSE7 EQUATOR model EQ 5000 Large Pediatric 40 W x 54 L White le Warm F Underbody includes the non inflating augi Manns made Sed DOO Convective Warming flaps Blanket SW 2013 101 6cm W 203 2cmL SW5 HOSE7 EQUATOR model EQ 5000 Adult Underbody 40 W 80 L White Convective Warming Blanket Snuggle Warm model SW 4000 continued A 3 EQUATOR Convective Warmer Operator s Manual APPENDIX A Convective Warming Blanket Identification Chart Convective Warming Description Dimensions Hose Compatible Convective Warmers Blanket Selection SW 2014L 101 6cm W 203 2cmL SW5 HOSE7 EQUATOR model EQ 5000 E E a Left Lateral Access 40 W 80 L White Snuggle Warm model SW 4000 i gt Convective Warming
40. eshooting Possible Cause Solution Under Temperature indicator illuminates The temperature at the hose end is below the temperature selected on the control panel Wait until the air temperature reaches the selected temperature The Disconnect indicator illuminates and the heater and motor have stopped operating The hose and or the thermistor cable are not properly connected a Check the hose and thermistor cable connections Note When the cable is disconnected zeros 00 appear in the display When the hose is disconnected the temperature still appears in the display b If they are connected correctly and the condition continues remove the convective warmer from service Contact Smiths Medical or your local Smiths Medical distributor Electromagnetic interference to other devices This equipment has been tested and found to comply with the limits for medical devices to IEC 601 1 2 EN 60601 1 2 These limits are designed to provide reasonable protection against harmful interference in a typical medical installation This equipment generates uses and can radiate radio frequency energy If it is not installed and used in accordance with the instructions it may cause harmful interference to other devices in the vicinity However there is no guarantee that interference will not occur in a particular installation If this equipment does cause harmful interference to other devices which can be determined by turning the
41. he patient is not intubated and ventilated Continue with Step 4 on page 16 to attach the hose to the blanket 2004 Lower Body Convective Warming Blanket Place the blanket on the patient with the perforated side against the patient s skin Remove the paper backing c from the adhesive strip and tape the blanket to the patient to prevent air flow on the surgical site c Tuck the blanket flap d under the patient s feet If desired place a light weight blanket over the convective warming blanket Continue with Step 4 on page 16 to attach the hose to the blanket B 3 APPENDIX B Position the Convective Warming Blanket SW 2005 Neonate to Small Child Convective Warming Blanket and SW 2006 Preemie to Neonate Convective Warming Blanket Review the following blanket positioning diagrams to determine which method to use for each age group Abdomen Chest Access Leg Access Full Coverage Preemie to Neonate 6 to 12 Months 12 to 30 Months 1 Place the blanket on the operating room table or bed with all flaps a extended to the side and the hose retainer b facing up 2 Fold the flap s over the perforations on the blanket at the location of the surgical site as indicated by the white panels on the positioning diagram 3 Lay the patient in the center of the blanket as indicated by the positioning diagram 4 Place the remaining flap s over the patient as indic
42. install 10 EQUATOR Convective Warmer Operator s Manual Index Thermistor receptacle 3 Troubleshooting 20 does not start 20 no air flow 20 no heat 20 noisy 20 self test fails 20 strong air flow 20 weak air flow 20 U Under Temperature Indicator 13 USA and Canada service contacts 32 Using the EQUATOR Convective Warmer 17 W Warnings 5 Warranty 29 EQUATOR Convective Warmer Operator s Manual Index 3
43. ion Convective Warmer Components Snuggle Warm Convective Warming Blankets Accessories Important Safety Information Assembly Instructions Step 1 Unpack the Convective Warmer Step 2 Attach the Hose to the Convective Warmer Step 3 Install the Convective Warmer Assemble the Convective Warmer Cart Mount to an I V Pole Install the Power Cord Step 4 Perform Electrical Safety Tests Operation Control Panel Controls Indicators and Displays Operating Instructions Step 1 Set Up for Use Step 2 Determine the Convective Warming Blanket Size Step 3 Position the Convective Warming Blanket Step 4 Attach the Hose to Convective Warming Blanket Step 5 Attach the Sheet Clip to the Sheet Under the Patient Step 6 Using the Convective Warmer Step 7 After Use Storage Troubleshooting Maintenance Clean the Convective Warmer and Hose Replace the Air Filter F3 5000 Functional Tests Test 1 Self Test Sequence Test 2 Disconnect Indicator Test Test 3 High 44 C Temperature Test Test 4 Medium 40 C Temperature Test Test 5 Low 36 C Temperature Test Test 6 Low Over Temperature and Under Temperature Test Test 7 Medium Over Temperature and Under Temperature Test Test 8 High Over Temperature and Under Temperature Test Test 9 Ambient Over Temperature Test EQUATOR Convective Warmer Operator s Manual oa RUNN Contents Contents 9 Accessories Cord Wrap CW 5000 Sheet Clip SC 5000 10
44. ive warmer Do not place the convective warmer directly under a faucet or use a faucet sprayer to rinse Never spray cleaning or other fluids into openings on the convective warmer or into the external connectors Medical devices require specific material characteristics to perform as intended These characteristics have been verified for single use only Any attempt to re process the device for subsequent re use may adversely affect the integrity of the device or lead to deterioration in performance Federal U S A law restricts this device to sale by or on the order of a physician 8 EQUATOR Convective Warmer Operator s Manual SECTION SECTION 4 Assembly Instructions 4 Assembly Instructions The EQUATOR Convective Warmer must be assembled and tested by authorized Smiths Medical personnel an authorized distributor of Smiths Medical or competent personnel prior to placing the convective warmer in service Read through the instructions completely prior to assembling the convective warmer The following steps describe how to assemble and do preliminary set up of the convective warmer Step 1 Unpack the Convective Warmer 1 Check the contents and verify that all components are present If any parts are missing or damaged do not use the convective warmer Contact Smiths Medical for replacement parts Refer to the following list of components that are part of the convective warmer EQUATOR Convective Warmer Ope
45. lanket Appendix B Position the Convective Warming Blanket describes how to position the convective warming blanket Refer to Appendix B for the procedure to position the specific convective warming blanket being used EQUATOR Convective Warmer Operator s Manual 15 SECTION 6 Operating Instructions Step 4 Attach the Hose to Convective Warming Blanket WARNINGS The hose nozzle MUST be connected to a Snuggle Warm convective warming blanket Do not treat patients with the hose alone Thermal injury may occur 1 Insert the hose nozzle a into the collar ring b 2 Ensure the hose barb c snaps into the collar ring b 3 If the hose has locking tabs d secure the hose to the convective warming blanket using the hose retainer wings e The hose tabs will protrude through the retainer wings e Step 5 Attach the Sheet Clip to the Sheet Under the Patient Two types of sheet clips are available Use the method appropriate for your clip Attaching the New Style Sheet Clip 1 Squeeze the handles f on the sheet clip to open the jaws like opening 2 Insert the sheet into the open jaws g and release the handles to lock in place Note Proper attachment of the sheet clip to the sheet under the patient is essential to the proper function of the sheet clip assembly The weight of the patient on the sheet helps hold the hose in place when the sheet clip is used 16 EQUATOR Conv
46. ment or it will be immediately returned as received Additional Documentation Upon request Smiths Medical will provide the following documentation Circuit diagrams Components parts list s Description of function Service and calibration instructions EQUATOR Convective Warmer Operator s Manual 31 SECTION 11 Service Disposal Information Observe national and local codes or requirements for disposal of contaminated materials and for recycling solid waste materials that may impact the environment Service Contacts Please know the serial number of the convective warmer when you contact the service department The serial number is located on the rear of the convective warmer Contact your Smiths Medical Technical Service Department or Smiths Medical distributor at 32 USA Canada Smiths Medical ASD Inc 160 Weymouth Street Rockland MA 02370 USA USA Canada 1 800 258 5361 International 1 781 878 8011 European Representative Smiths Medical International Ltd 1500 Eureka Park Lower Pemberton Ashford Kent TN25 4BE UK Tel 44 0 1233 722100 Australian Representative Smiths Medical Australasia Pty Ltd 61 Brandl Street Eight Mile Plains OLD 4113 Australia Tel 61 0 7 3340 1300 Fax 61 0 7 3340 1399 New Zealand Tel O 800 444 200 www smiths medical com EQUATOR Convective Warmer Operator s Manual SECTION 12 Specifications System Specifications Standard Compliance
47. non compatible convective warmers may cause damage to the convective warming blanket and thermal injury to the patient Convective warming blankets can only be used in conjunction with the EQUATOR convective warmer EQ 5000 and the Snuggle Warm convective warmer SW 4000 For the safe operation of the blankets the user must follow all warnings cautions and instructions provided in the Instructions for Use supplied with the compatible convective warmer in addition to this Operator s Manual The following chart provides the description dimensions and hose requirements and list of compatible convective warmers for the Snuggle Warm convective warming blankets Convective Warming Description Dimensions Hose s Compatible Convective Warmers Blanket Selection Ca SW 2001 101 6cm W x 203 2cm L SW5 HOSE7 EQUATORS model EQ 5000 Si Adult Full Body 40 W x 80 L White Snuggle Warm model SW 4000 Convective Warming includes the non inflating Blanket foot drape SW 2002 101 6cm W x 146 1cm L SW5 HOSE7 EQUATOR model EQ 5000 3 Pediatric Full Body 40 W x 57 5 L White Snuggle Warm model SW 4000 Convective Warming includes the non inflating Blanket foot drape o5 SW 2003 203 2cm W x 101 6cm L S W5 HOSE7 EQUATOR model EQ 5000 Upper Body 80 W x 40 L White amp J Convective Warming includes the non inflating SHOOT em madel SA00 Blanket flaps continued A 1 EQUATO
48. r b and gasket c 5 Remove and discard the four standoffs d 6 Install the four replacement standoffs 7 Inspect the new filter gasket to be sure it is clean and unmarked 8 Inspect the filter mating surface to be sure it is clean 9 Install the new filter assembly using the original screws Functional Tests Perform functional tests after replacing the air filter or opening the convective warmer enclosure Perform all 9 functional tests in the order they are presented in the following pages Be sure to read through each test to obtain an understanding of the steps involved in each individual procedure before starting Note When performing any forced over temperature check always start with the device turned OFE Test 1 Self Test Sequence The self test sequence checks that the automatic self test functions properly when the device is turned ON 1 Press the ON button and allow the device to complete its self test sequence 2 During the self test sequence check the control panel to verify that all of the push button Light Emitting Diodes LEDs and the Under Temperature LED h are lit and at the same time that the following sequence occurs Temperature Thermistor Open Circuit check OK Flash Safety Thermistor Open Circuit check OK Flash Open Heater Detector Circuit check OK Flash Safety Thermistor Over Temperature check OK Flash t and BEER 24 EQUATOR Convec
49. rator s Manual Power Cord Hose Sheet Clip Assembly Cord Wrap Note After unpacking all the contents recycle packaging material according to hospital policy for recyclable materials EQUATOR Convective Warmer Operator s Manual 9 SECTION 4 Assembly Instructions Step 2 Attach the Hose to the Convective Warmer 1 Attach the hose a to the air outlet Push the hose firmly into the outlet 2 Move the retainer clip b next to the hose Then lift the clip up over the lip of the hose connector c to secure the hose to the air outlet 3 Connect the thermistor cable from the hose to the thermistor receptacle d Align the three prongs in the thermistor with the three holes in the receptacle then turn the knurled knob clockwise on the thermistor to secure it in the receptacle Step 3 Install the Convective Warmer The convective warmer can be placed on a flat hard surface mounted to an I V pole or mounted to the EQUATOR Convective Warmer cart Assemble the Convective Warmer Cart 1 Place the pole a on the wheels 2 Insert washers 2 and bolt b and tighten A l 3 Place the convective warmer c on the pole and turn the clamp to ha m E tighten E lc 4 Check the tightness of the convective warmer to ensure it is securely HC clamped to the pole a i z b43 t l EQUATOR Convective Warmer Operator s Manual SECTION 4 Assembly Instructions WARNINGS Do not mo
50. rchaser of the Convective Warmer This warranty does not extend to subsequent purchasers The Original Purchaser may be medical personnel a hospital or institution which purchases Convective Warmers for treatment of patients The Original Purchaser should retain the invoice or sales receipt as proof as to the actual date of purchase B Warranty Performance Procedure Notice of the claimed defect must be made in writing or by telephone to the Manufacturer as follows Customer Service Department Smiths Medical ASD Inc 160 Weymouth Street Rockland MA 02370 800 258 5361 Notice to the Manufacturer must include date of purchase model and serial number and a description of the claimed defect in sufficient detail to allow the Manufacturer to determine and facilitate any repairs which may be necessary AUTHORIZATION MUST BE OBTAINED PRIOR TO RETURNING THE CONVECTIVE WARMER If authorized the Convective Warmer must be properly and carefully packaged and returned to the Manufacturer postage prepaid Any loss or damage during shipment is at the risk of the sender C Conditions of Warranty The warranty is void if the Convective Warmer has been 1 repaired by someone other than the Manufacturer or its authorized agent 2 altered so that its stability or reliability is affected 3 misused or 4 damaged by negligence or accident Misuse includes but is not limited to use not in compliance with the Operator s Manual or use with non approved accesso
51. re Setting Button 13 Anesthetic use warning 5 17 Assembly instructions 9 Australian Representative 32 B Blanket contact surface temperatures 34 determine size 15 A 1 dimensions A 1 discard contaminated waste 19 identification chart A 1 position on patient 15 B 1 Cautions 8 Clean the enclosure 22 Clean the hose 22 Components description 2 ordering information C 1 Contact surface temperatures 34 Contents list 9 Contraindications 5 17 Control panel 2 description 12 Controls 12 Convective Warmer description 2 Convective warmer cart assemble 10 EQUATOR Convective Warmer Operator s Manual Convective warming blanket description 3 determine size 15 A 1 dimensions A 1 discard contaminated waste 19 identification chart A 1 position on patient 15 B 1 Conventions used in manual 1 Cord wrap replace 28 D Description accessories 4 convective warming blankets 3 EQUATOR Convective Warmer 2 Dimensions convective warming blankets A 1 Disconnect Indicator 13 Disposal information blankets 19 electrical device 32 Elapsed time display 12 Electrical Safety Tests 11 Electrical specifications 33 Electromagnetic environmental recommendations 34 Environmental specifications 33 EQUATOR Convective Warmer assembly 9 description 2 install 10 operating 17 using 17 European Representative 32 F Flammable anesthetic warning 5 17 Functional Tests 24 G Grounding reliability 5 17 Guidelines for safe us
52. rflow through the blanket Airflow obstruction may result in insufficient patient warming and loss of therapy 2 Position the patient on top of the blanket b Place the patient s head in the non inflated head section c and center the body on the blanket Note Do not allow the patient s arms to extend outside the blanket d as they may obstruct airflow through the blanket 3 Select one of the three entry ports Fold the port then tear away the cardboard center in the collar ring e 4 Fold the entry port back to open the collar ring and insert the hose nozzle f into the collar ring Refer to Step 4 on page 16 for more information 5 Continue with Step 5 on page 16 to attach the sheet clip EQUATOR Convective Warmer Operator s Manual B 11 APPENDIX B Position the Convective Warming Blanket SW 2014L Left and SW 2014R Right Lateral Access Convective Warming Blanket Note Images in the following procedure show how to position the SW 2014L Left Lateral Access blanket To position the a SW 2014R Right Lateral Access blanket follow the sequence of steps with the patient and blanket in the opposite direction 9 a7 ley 1 Place the blanket on the patient a with the perforated l side against the patient s skin FAI FA 2 Remove the paper backing from
53. ries Removal or damage to the Convective Warmer s serial number will invalidate this warranty EQUATOR Convective Warmer Operator s Manual 29 SECTION 10 Limited Warranty D Limitations and Exclusions Repair or replacement of the Convective Warmer or any component part thereof is the EXCLUSIVE remedy offered by the Manufacturer The following exclusions and limitations shall apply 1 No agent representative or employee of the Manufacturer has authority to bind the Manufacturer to any representation or warranty expressed or implied 2 THERE IS NO WARRANTY OF MERCHANTABILITY OR FITNESS OR USE OF THE CONVECTIVE WARMER FOR ANY PARTICULAR PURPOSE 3 The Convective Warmer can only be used under the supervision of medical personnel whose skill and judgment determine the suitability of the Convective Warmer for any particular medical treatment 4 All recommendations information and descriptive literature supplied by the Manufacturer or its agents are believed to be accurate and reliable but do not constitute warranties The Manufacturer disclaims responsibility for the suitability of the Convective Warmer for any particular medical treatment or for any medical complications resulting from the use of the Convective Warmer The Manufacturer shall not be responsible for any incidental damages or consequential damages to property loss of profits or loss of use caused by any defect or malfunction of the Convective Warmer This wa
54. rming Blanket always keep the arms at the patient s side Do not allow the patient s arms to extend outside the blanket as they may obstruct airflow through the blanket Airflow obstruction may result in insufficient patient warming and loss of therapy When replacing the hose always disconnect the thermistor cable attached to the old hose Be sure to attach the hose and thermistor cable from the new hose prior to using the device Never allow the use of two hoses where one hose is inserted in the air outlet of the device while the thermistor cable from another hose is connected to the device Failure to replace the hose without replacing the associated thermistor cable may result in an uncontrolled temperature that may cause a serious burn to the patient Always place the perforated side of the convective warming blanket the side with small holes towards the patient Failure to do so may result in thermal injury Do not use a convective warming blanket over transdermal medications as this may lead to increased drug delivery that may result in patient injury or death The convective warming blanket is for single use only Reusing the blanket may increase the risk of cross contamination Use with the EQUATOR convective warmer EQ 5000 and the Snuggle Warm convective warmer SW 4000 Using non compatible convective warmers may cause damage to the convective warming blanket and thermal injury to the patient continued EQUATOR
55. rranty gives the Original Purchaser specific legal rights and the Original Purchaser may have other legal rights which may vary from state to state 30 EQUATOR Convective Warmer Operator s Manual SECTION I Service SECTION 11 Service All service must be performed by Smiths Medical or competent personnel Service by any other person or organization voids the warranty and transfers liability for malfunctions of the device to the servicing organization WARNINGS The convective warmer must be calibrated by competent personnel authorized by Smiths Medical Failure to calibrate the device correctly may result in thermal injury to the patient To prevent fire hazard and possible damage to the convective warmer use only fuses specified Only competent personnel knowledgeable in the safety procedures required for servicing live primary MAINS parts shall be allowed to open the enclosure Non Warranty Work Devices received that are no longer under warranty can be returned for repair at a cost The device will be promptly inspected and a verbal estimate of the repair cost will be provided A purchase order will be required from the original purchaser consistent with the verbal estimate A written estimate will be provided upon request Before returning the EQUATOR Convective Warmer for service contact Smiths Medical for a Returned Goods Authorization Note The convective warmer must be cleaned and disinfected for repair ship
56. s operated in a potentially explosive environment Always start therapy on the lowest non ambient temperature setting to prevent thermal injury Increase the temperature setting if required using core body temperature and cutaneous response of skin in contact with the convective warming blanket as indicators To prevent thermal injury do not use the highest temperature setting when treating patients who have decreased sensation are nonsensate or have poor perfusion Monitor patient s body core temperature vital signs and observe cutaneous response at regular intervals to prevent thermal injury If erythema or instability in vital signs is evident decrease the temperature setting or discontinue use of convective warming therapy continued EQUATOR Convective Warmer Operator s Manual 17 SECTION 6 Operating Instructions WARNINGS continued To prevent thermal injury in hypotensive or hypoperfused patients observe cutaneous response more frequently Reduce the temperature setting or discontinue use of convective warming therapy if instability in vital signs or erythema occurs If Over Temperature audible alarm sounds and or red Over Temperature alarm indicator illuminates discontinue use of the convective warmer to prevent thermal injury to the patient Remove the device from service Contact Smiths Medical or your local Smiths Medical distributor If the convective warmer does not perform its self test properly fails
57. t SW 2016 Full Body Split Access Convective Warming Blanket B 15 SW 2018 Multi Access Convective Warming Blanket B 16 SW 2019 Poncho Convective Warming Blanket B 18 SW 2001 Adult Full Body Convective Warming Blanket and SW 2002 Pediatric Full Body Convective Warming Blanket 1 Place the blanket on the patient with the perforated side against the patient s skin 2 Tuck the blanket flap a under the patient s feet 3 If desired place a light weight blanket over the convective warming blanket 4 Continue with Step 4 on page 16 to attach the hose to the Cr t SW 2002 blanket SW 2001 B 2 EQUATOR Convective Warmer Operator s Manual APPENDIX B gt Position the Convective Warming Blanket SW 2003 Upper Body Convective Warming Blanket 6 SW EQUATOR Convective Warmer Operator s Manual Place the blanket on the patient with the perforated side against the patient s skin Remove the paper backing from the adhesive strip a and tape the blanket to the patient to prevent air flow on the surgical site Tuck the blanket flap b under the patient s outstretched arms If desired place a light weight blanket over the convective warming blanket If desired carefully lay the clear head drape loosely over the patients s head Note Do not cover the patient s head with clear drape if t
58. the adhesive strips b and tape the blanket to prevent air flow on the surgical QN site i i b 3 Carefully tear along the perforation c to separate the panel used to secure the blanket to the arm d 4 Wrap the panel under the patient s arm d aH ll EQUATOR Convective Warmer Operator s Manual B 12 APPENDIX B gt Position the Convective Warming Blanket 5 Remove the paper backing from the adhesive strip at the top of the blanket e and fasten the panel to the adhesive strip e 8 CU 6 Continue with Step 4 on page 16 to attach the hose to the 0L blanket MA EQUATOR Convective Warmer Operator s Manual B 13 APPENDIX B Position the Convective Warming Blanket SW 2015 Upper Underbody Convective Warming Blanket 1 Place the blanket on the table with the perforated side facing up a 2 Position the patient on top of the blanket b Place the patient s head in the non inflated head section c and the body centered on the blanket with both arms extended 3
59. tive Warmer Operator s Manual SECTION 8 Maintenance on 3 Check that all the LEDs turn off except the Ambient button Y LED and that the motor continues to run 4 The self test is completed If the self test sequence did not complete properly refer to the EQUAT OR Convective Warmer Service Manual Test 2 Disconnect Indicator Test 1 If necessary press the OFF button then press the ON button Wait for the self test to complete 2 Disconnect the hose thermistor cable from the rear of the device Verify that the Disconnect LED lights the alarm beeps and the motor stops 3 Press the OFF button and then press the ON button o The self test should stop on the first test 4 Reconnect the thermistor cable The self test should continue to completion 5 Disconnect the hose from the rear of the device Verify that the Disconnect LED ep lights the alarm beeps and the motor stops 6 Reconnect the hose Verify that the Disconnect LED turns off and the device continues to run 7 Press the High button J Wait for the temperature to rise to approximately 30 C 8 Disconnect the hose from the rear of the device Verify that the Disconnect LED e lights the alarm beeps and the motor stops 9 Reconnect the hose Verify that the Disconnect LED 7 turns off the motor restarts and the temperature continues to increase toward 44 C 9 10 Press the Ambient button W
60. tive warming blanket A fourth temperature setting delivers ambient temperature air The temperature indicated on the control panel is the temperature of the air being delivered to the blanket at the end of the hose A control thermistor adjusts the power applied to the heater to maintain the selected temperature This enables the system to maintain the selected temperature under variations in ambient temperature A safety thermistor provides a signal to a separate high temperature comparison circuit The safety thermistor activates and causes an alarm if the temperature exceeds the set point The safety circuit provides an independent means of shutoff which discontinues power to the heater and motor This prevents patient exposure to excessive temperatures Convective Warmer Components Front View 1 Handle used to lift and move the convective warmer o 2 Control Panel contains controls and displays used during operation 2 EQUATOR Convective Warmer Operator s Manual SECTION 2 Rear View 1 Thermistor Receptacle connection for the thermistor cable 2 Pole Clamp mounts the convective warmer on a pole 3 Air Outlet opening where the hose attaches to the convective warmer 4 HoseRetainer Clip secures the hose to the air outlet 5 Power Cord Lock secures the power cord to the receptacle 6 Power Cord Receptacle connector for the power cord Rear View with Hose Attached 7 Thermistor Cable connection from the
61. ually inspect the convective warmer to ensure there is no visible damage or deterioration of the enclosure such as cracks or deterioration of the labels and power cord Do not clean if there is a defect Contact Smiths Medical or your local Smiths Medical distributor Immerse a soft cloth or sponge as an applicator into the cleaning solution consisting of mild liquid detergent soap and warm tap water mixture Squeeze out excess solution so that the applicator is not dripping Wipe or scrub the entire surface of the enclosure and control panel Use a soft brush to clean the power cord if necessary Rinse a separate soft cloth or sponge in room temperature running potable water Squeeze out excess water so that the applicator is not dripping Wipe all of the aforementioned surfaces Repeat rinsing the cloth or sponge several times with fresh running water during this process to insure all visible residue is removed Dry the item with a hand towel or soft cloth Visually inspect the convective warmer and its components to insure that they have been thoroughly cleaned Repeat cleaning procedure if necessary EQUATOR Convective Warmer Operator s Manual SECTION 8 Maintenance 7 After thoroughly cleaning the convective warmer perform disinfection if required 8 If it is hospital policy to perform disinfection as part of reprocessing then follow your institution s guidelines for disinfecting of the surfaces of non critical medical devices
62. ult Full Body Convective Warming Blanket SW 2002 Pediatric Full Body Convective Warming Blanket SW 2003 Upper Body Convective Warming Blanket SW 2004 Lower Body Convective Warming Blanket SW 2005 Neonate to Small Child Convective Warming Blanket SW 2006 Preemie to Neonate Convective Warming Blanket SW 2007 Tube Convective Warming Blanket SW 2008 Sterile Cardiac Convective Warming Blanket SW 2009 Pediatric Underbody Convective Warming Blanket SW 2010 Small Upper Body Convective Warming Blanket SW 2011 Large Pediatric Underbody Convective Warming Blanket SW 2013 Adult Underbody Convective Warming Blanket SW 2014L Left Lateral Access Convective Warming Blanket SW 2014R Right Lateral Access Convective Warming Blanket SW 2015 Upper Underbody Convective Warming Blanket SW 2016 Full Body Split Access Convective Warming Blanket SW 2018 Multi Access Convective Warming Blanket SW 2019 Poncho Convective Warming Blanket SW5 HOSE7 Hose Assembly 2 1 m 7 ft SW5 HOSE N eonatal Hose 1 5 m 5 ft F3 5000 Filter Assembly Accessories Product Description CW 5000 Cord Wrap SC 5000 Sheet Clip Assembly RC 5000 Rolling Cart C 1 EQUATOR Convective Warmer Operator s Manual Index Numerics 36 C Temperature Setting Button 13 40 C Temperature Setting Button 13 44 C Temperature Setting Button 13 A Accessories 4 ordering information C 1 replace 28 Additional documentation 31 After Use 19 Air filter replace 23 Air outlet 3 Ambient Air Temperatu
63. unt the convective warmer higher than 117cm 46 on the IV pole For convenience 117cm 46 is indicated by a black mark on the power cord Mounting the convective warmer above 117cm 46 may result in instability of the pole and cause tipping that may injure the patient or user Ensure that the convective warmer l V pole mounting clamp is properly tightened before each use Failure to securely mount the convective warmer onto the I V pole may cause it to slide down the I V pole and injure the patient or user Mount to an I V Pole Note Do not place the convective warmer higher than 117cm 46 from the floor 1 Place the convective warmer on the pole and turn the clamp d to tighten 2 Check the tightness of the Convective Warmer to ensure it is securely clamped to the pole WARNINGS e Grounding reliability can only be achieved when the MAINS power cord is connected to a properly grounded receptacle Risk of electrical shock exists if the equipment is not connected to a properly grounded receptacle resulting in death or serious injury to the patient or user Install the Power Cord 1 Insert the plug on the power cord e into the power cord receptacle on the rear of the convective warmer 2 Push the power cord lock over the plug to secure it in the receptacle N Step 4 Perform Electrical Safety Tests Perform all applicable electrical safety tests as required per institutional procedure El
64. ve warmer Power OFF Button The orange button powers OFF operating components of the convective warmer Note To remove all power from the convective warmer the MAINS power cord must be removed from the electrical receptacle Ambient Air Temperature Setting Button When selected the heater is turned off and the motor still operates air flows 36 C Temperature Setting Button When selected the air temperature is set to 36 C at the hose end 40 C Temperature Setting Button When selected the air temperature is set to 40 C at the hose end 44 C Temperature Setting Button When selected the air temperature is set to 44 C at the hose end Over Temperature Alarm Indicator If the hose end temperature is more than 3 C 1 C above the selected temperature the indicator illuminates a continuous audible alarm sounds and the heater and motor shut off e Te Under Temperature Indicator If the hose end temperature is more than 3 C 1 C below the selected temperature this indicator flashes Disconnect Indicator If the thermistor cable or the hose is not attached properly this indicator illuminates an audible alarm sounds and repeats approximately every five seconds and the heater and motor shut off If the heater has an open wire circuit this indicator illuminates an audible alarm sounds and repeats approximately every five seconds the heater shuts off but the motor continues to
65. ve warmer Do not operate the convective warmer in the presence of a flammable anesthetic mixture with air oxygen or nitrous oxide The risk of explosion exists if the device is operated in a potentially explosive environment continued EQUATOR Convective Warmer Operator s Manual 5 SECTION 3 Important Safety Information WARNINGS continued To prevent fire hazard and possible damage to the convective warmer use only fuses specified Only competent personnel knowledgeable in the safety procedures required for servicing live primary MAINS parts shall be allowed to open the enclosure Ensure that the convective warmer IV pole mounting clamp is properly tightened before each use Failure to securely mount the convective warmer onto the I V pole may cause it to slide down the I V pole and injure the patient or user Do not mount the convective warmer higher than 117cm 46 on the IV pole For convenience 117cm 46 is indicated by a black mark on the power cord Mounting the convective warmer above 117cm 46 may result in instability of the pole and cause tipping that may injure the patient or user Do not change the air filter while the convective warmer is operating Risk of thermal injury exists if the device is operating This device can only be used in conjunction with a Snuggle Warm convective warming blanket For the safe operation of this device the user must follow all warnings cautions and instru
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