Reference Guide

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