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Heater-Cooler System 3T Operating Instructions

Heater-Cooler System 3T Operating Instructions
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Heater-Cooler System 3T Operating Instructions

Product catalog summary
Introduction
The Heater-Cooler System 3T is designed for cardiopulmonary bypass procedures up to 6 hours, featuring three independent temperature control circuits. It is non-sterile and intended for clinical and maintenance personnel with detailed operational instructions.
Safety
Key safety measures include reading instructions before use, maintaining a 70 cm clearance to prevent overheating, and avoiding explosive environments. Modifications are prohibited, and only approved accessories should be used.
System Description
The system includes features and components such as a control panel for managing circuits. It has independent controls for cardioplegia and patient circuits.
Preparing for a Procedure
Instructions cover device preparation, including disinfection, tubing connection, and water tank filling, emphasizing proper setup for effective operation.
Using During a Procedure
Guidelines include device positioning, external device connections, and control usage during procedures, with steps for procedure completion.
Maintenance
Routine maintenance includes cleaning, disinfecting, and water quality monitoring, with a schedule and checklists to ensure optimal condition.
Technical Specifications
Specifications include part numbers, electromagnetic compatibility, and warranty details.
Troubleshooting
Common warnings and error codes are explained, with troubleshooting steps for the aerosol collection set.
Filtered Water Requirement
Tap water must be filtered to meet bacterial retention standards, ensuring device safety and effectiveness.
Specifications
Hydrogen peroxide limits for adults and neonates are specified, with procedural safety notes on temperature monitoring and system failure contingencies.
Electrical Safety
Electrical system modifications are prohibited, and the device should be connected to a hospital-quality power source.
Integration Recommendations
Operators should integrate maintenance activities into the facility’s schedule to prevent bacterial growth.
Critical Tasks
Tasks such as using the ACS and replacing it after disinfection are critical to prevent aerosol emissions.
Control Panel
The control panel manages temperature settings and displays tank temperatures and water levels.
Water Level Display
Water levels are indicated by color-coded segments, with operation halting if levels are critically low.
General Technical Requirements
The system should operate in ambient temperatures between 10°C and 30°C, with specific electrical and vacuum requirements.
Materials Needed
Tubing sets and a backup heater-cooler are recommended.
Disinfection and Maintenance
Regular disinfection and monitoring of water quality are necessary, with maintenance verified before each use.
Connecting Procedural Tubing
Proper disinfection of connectors and fittings is essential before connecting tubing.
Power and Equalization Connections
Correct connection of potential equalization and power cables is crucial to prevent electrical hazards.
Aerosol Collection Set Connection
The set should be replaced every 7 days, with proper connection to the heater-cooler and vacuum source.
Pre-Operation Checks
Ensure the device is on a level surface, connections are secure, and the aerosol collection set is less than 7 days old.
Priming the Circuit
Adjust temperature settings and prime external circuits before use.
Device Controls During Procedure
Check vacuum levels and adjust temperature settings as needed.
Completing a Procedure
Ensure the patient is not in the room before draining circuits and disconnecting tubing.
Emptying and Disposing of the Aerosol Collection Set
Use PPE and follow hospital policies for disposal.
Conducting Required Maintenance
Regular cleaning and disinfection are crucial, with documentation as per regulations.
Maintenance Schedule and Checklists
Tasks are scheduled daily, weekly, monthly, and annually.
Cleaning and Disinfecting Procedures
Use approved disinfectants for cleaning device surfaces and tubing connectors.
Water Circuit Disinfection
Disinfect every 14 days, following specific procedures and using approved disinfectants.
Technical Specifications
Dimensions, operating conditions, and electrical specifications are detailed.
Disinfection and Water Preservation
Effective disinfection and water preservation are achieved with hydrogen peroxide use.
Specifications and Procedures
Key procedures include using an Aerosol Collection Set and maintaining vacuum gauge readings.
Aerosol Collection Set Effectiveness
Testing shows significant reduction in particle emissions and microbial aerosol emissions.
Environmental Considerations
The system uses a CFC-free refrigerant, aligning with environmental standards.
Icons and Labels
The device complies with EU Directive 93/42/EEC and includes regulatory symbols.
Part Numbers and Accessories
Detailed part numbers are provided for components, with compatibility guaranteed.
Electromagnetic Compatibility (EMC)
The system meets EMC standards, with specific immunity test levels and emission limits.
Conclusion
The Heater-Cooler System 3T is a highly effective medical device, designed with rigorous specifications for safety and performance.
Troubleshooting
Warnings and error codes are explained, with corrective measures provided.
Troubleshooting Procedures for Vacuum Issues
Steps are provided for addressing vacuum issues, with contact information for service technicians.
Returning a Used Aerosol Collection Container
Instructions are provided for returning containers, with specific guidelines for U.S. and international customers.
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Catalog excerpts

Heater-Cooler System 3T Operating Instructions-1

Heater-Cooler System 3T Operating Instructions

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Heater-Cooler System 3T Operating Instructions-2

Heater-Cooler System 3T • Operating Instructions Copyright © 2007-2020 LivaNova Deutschland GmbH Lindberghstrasse 25 D-80939 Munich, Germany Tel.: Fax: All rights reserved, especially the right to reproduction and distribution as well as translation. No part of this document may be reproduced – by photocopy, microfilm or any other process – nor may any part of it be stored, edited, duplicated or distributed by electronic means without the written permission of LivaNova Deutschland GmbH. Trademarks used in these operating instructions: The name “Stöckert®” is a registered trademark. Minncare®...

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Heater-Cooler System 3T Operating Instructions-3

Heater-Cooler System 3T • Table of contents System description 3.1 General description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 3.2 Structure of the heater-cooler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Preparing the heater-cooler for a procedure 4.1 General technical requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 4.2 Conducting any required disinfection and maintenance . . . . . . . . . . . . . . . . . 36 4.3 Connecting the procedural tubing . . . . . ....

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Heater-Cooler System 3T Operating Instructions-4

Heater-Cooler System 3T • Table of contents 6.1 General maintenance precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 6.2 Maintenance schedule and checklists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94 6.3 Cleaning and disinfecting external surfaces, connectors, and fittings . . . . . . 99 6.4 Disinfecting the water circuits every 14 days . . . . . . . . . . . . . . . . . . . . . . . . . 104 6.5 Monitoring the tank water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 6.6 Changing the water and adding...

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Heater-Cooler System 3T Operating Instructions-5

1 Introduction This chapter provides an overview of the device, including indications for use and contraindications. This chapter also provides an explanation of each chapter, technical terms and symbols used in this operating manual, and a definition of the filtered water required for use in the heater-cooler.

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Heater-Cooler System 3T Operating Instructions-6

Heater-Cooler System 3T • Introduction Introduction 1.1 Introduction 1.1.1 Device summary The Heater-Cooler System 3T is an independent 3-circuit-heating/cooling system which is suitable for continuous use. The heater-cooler has three circuits that you control from the control display panel: Cardioplegia circuit, whose temperature can be controlled from independent heating and cooling tanks. Patient 1 circuit and patient 2 circuit, which can be used with the oxygenator and/or the single-use heating/cooling blanket. The temperature for these two circuits can be controlled from one heating/cooling...

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Heater-Cooler System 3T Operating Instructions-7

Heater-Cooler System 3T • Introduction Introduction 1.1.2 Indications for use The Heater-Cooler System 3T is used to circulate water through heat exchangers to warm or cool a patient during cardiopulmonary bypass procedures lasting 6 hours or less. 1.1.3 Contraindications There are no known contraindications for the Heater-Cooler System 3T. The attending physician is solely responsible for the use of the system. 1.1.4 Legal disclaimer LivaNova Deutschland GmbH will not assume any liability for any injuries and/or damage to property caused by failure to observe the safety or operating instructions...

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Heater-Cooler System 3T Operating Instructions-8

Heater-Cooler System 3T • Introduction Introduction 1.1.6 Symbols used in these operating instructions WARNING Indicates a hazardous situation that, if not avoided, could result in death or serious injury. CAUTION Indicates a hazardous situation that, if not avoided, could result in minor or moderate injury. NOTICE Indicates a hazardous situation that, if not avoided, may result in damage to the device or other property. Important Indicates information considered important but not hazard related. NOTE: Provides additional information that can help you better understand a specific instruction...

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Heater-Cooler System 3T Operating Instructions-9

Heater-Cooler System 3T • Introduction Introduction 1.1.7 The chapters in these operating instructions 1 This chapter provides an overview of the device, including indications for use, contraindications. This chapter also provides an explanation of each chapter, technical terms and symbols used in this operating manual, and a definition of the filtered water required for use in the heater-cooler. This chapter provides general safety information that you must follow to ensure safe and effective use. Additional safety information, such as Warnings and Cautions, are included throughout the instructions...

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Heater-Cooler System 3T Operating Instructions-10

Heater-Cooler System 3T • Introduction Introduction Using the heater-cooler during a procedure This chapter provides instructions for positioning the heater-cooler in the OR and using the heater-cooler’s controls during a procedure. This chapter also provides the basic steps you will conduct after a procedure. This chapter provides instructions for the routine maintenance that is part of the operating conditions for the heater-cooler. This applies to the routine maintenance performed by the responsible organization as defined in IEC 60601-1 or the equivalent national standard, as well as to the...

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Heater-Cooler System 3T Operating Instructions-11

Heater-Cooler System 3T • Introduction Introduction 1.1.8 Terminology and abbreviations Terminology Abbreviated term Full term Stöckert Heater-Cooler System 3T Stöckert S5 System, modular heart-lung machine Sorin Compact 5 System, compact heartlung machine Abbreviations Abbreviated term Full term Allowable Limit Controller Area Network (CAN bus) Colony Forming Unit Electromagnetic Compatibility Registration number of the United States Environmental Protection Agency (applies to the United States only) Heart-Lung Machine Non-tuberculous Mycobacteria Operating Room Radio Frequency Unique Device...

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Heater-Cooler System 3T Operating Instructions-12

Heater-Cooler System 3T • Introduction Introduction 1.1.9 Requirement for filtered tap water Tap water used to fill the heater-cooler must be filtered using the following filter and specifications: Disposable Pall-Aquasafe water filter with an 0.2 μm membrane (Pall part reference in the U.S.: “AQINA”; “AQIN” in other countries) or a filter of equivalent performance that meets the requirements for bacterial retention of Brevundimonas diminuta to ≥ 107 CFU/cm2 of effective filtration area.1 For instructions on filter management and disposal after the specified use period please refer to the manufacturer’s...

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