Professional Documents
Culture Documents
TCM II
OperatOrs Manual
1 TERUMO 1005
1 TERUMO 1005
Sarnsw
TCM II
Operators Manual
Cautions
Proper surgical procedures and techniques are the responsibility of the medical profession.
It is the operator’s responsibility to use, check, and maintain this device according to the labels
of the product, accompanying instruction manuals, and any revisions of the labeling or instruc~
tions that may be subsequently issued.
Service Policy
Contact Sarns Service, your local 3M subsidiary or your authorized Sarns distributor and
describe the problem before attempting to service or return this device. Instructions will then be
given for correcting the problem or returning the device and a Returned Goods (RG) number
will be issued,
Returned devices must be packaged with adequate protection against shipping damage. Include a
note describing theproblem, stating the RG number, and giving the name, address, and tele-
phone number of a person to contact for additional information.
Outside the United States, please contact your local 3M subsidiary, your authorized Sarns
distributor or the International Department at Sarns.
2
Table of Contents
Product Definition
Description
Indications
LAU‘I' Contraindications
Warnings
Precautions
Preparation
10 Checking Ice And Water
10 Connecting Equipment
11 Starting And Priming The System
Operation
13 Using The System
14 Resolving Alarm Conditions
15 Correcting Equipment Problems
16 Using The Ice Maker
Maintenance
17 Setup
18 Sanitization Procedure
18 Cleaning and Sanitizing Procedure
18 Clean the Coils
19 Descaling Procedure
19 Decontamination Procedure
20 Periodic Operator Checks
20 Sarns Service Checks
21 Accessories
22
Inspection And Repair Record
Product Description
23 Specifications
25 Functional Description
27 Theory Of Operation
3
4
Product Definition
The SarnsTM TCM II is indicated for controlling and Grounding reliability can only be achieved when this
monitoring patient temperature. equipment is connected to'an equivalent receptacle
marked “Hospital Use” or “Hospital Grade” which has
been inspected for proper grounding.
Contraindications
Use care when handling the Temperature Display
This device is not designed sold, or intended for use Module; the controls, displays, or circuitry may be
except as indicated. damaged if the module is dropped, struck> or immersed
in water.
Warnings Use only Cage Klenz [00, Process LCS and S—Klenz as
cleaning agents, following the manufacturer’s direc-
It is the operator’s responsibility to use the SarnsTM tions and safety precautions.* Do not exceed the
TCM II and any attached equipment according to the recommended strength to prevent corrosion damage.
manufacturer’s instructions and good medical prac—
tices. To avoid corrosion, do not allow the chlorine level to
exceed 10 ppm.
The SarnsTM TCM H is not completely automatic;
responsibility for monitoring patient temperatures and
Do not use chemical solvents such as alcohol, ether,
rate of temperature change remains with the operator.
acetone, etc. in or on any part of the system as such
To obtain accurate temperature readings, use only solvents may be destructive to the device. Do not spill
anesthetics on the system or accessories as chemicals
probes specified by Sarns for use with the Temperature
Probe Module. such as Foranc (isofluoranc) may be destructive.
Take care when displaying the alarm setting. Depress- Remove any lint from the refrigeration coils to prevent
ing the alarm switch for more than 1 second will damaging the ice maker. Take care when cleaning the
change the alarm setting, refrigeration coils as the coils have sharp edges.
5
Controls and Displays
Main Unit
A. System Power Switch turns the system power on B. Ice Maker Switch turns the ice maker on and off
and off and serves as a circuit breaker for the and serves as a circuit breaker for the compressor.
system. When the ice maker switch is on, the compressor
cycles on and offas needed to make and maintain
an ice block.
6
Controls and Displays
STANDBY CDDLDOWN
ICE MAKING
H.
ICE NIAKING Indicator Lamp fights when the ice J. Gradient Switch limits the water temperature in Maintain
making fimction is active. or Rewarrn modes to no more than 6°C or 10°C above the
temperature read by Probe G. This switch is designed for
Water Temperature Display shows the output water use with a venous temperature probe. When the Gradient
temperature switch is inactive, the maximum rewarrn temperature is
automatically 42°C.
Cardioplegia Water Switch allows momentary display
of the cardiopleg'ia outlet water temperature on the Water K. DEFROST Mode) Switch circulates warm water
Temperature display. through the large tank until the water reaches 20°C; then
the unit automatically reverts to Standby mode.
STANDBY (Mode) Switch selects a neutral mode in
which temperatures may read but valves, pumps, and The following alarms have specific warning indications: a red
heaters are not operating (except during startup when the LED lights to indicate the specific alarm condition and, except
valves open to allow internal priming). for the Low Flow to Blanket warning, a two-second buzzer
sounds.
COOLDOWN (Mode) Switch opens valves to circulate
cold Water from the large tank. - L. H10 > 42°C LED lights to warn that the water tempera—
ture is at or above 425°C. The heaters are automatically
MAINTAIN (Mode) Switch begins warming water or turned off. The light and bumer warnings will continue
adding cold Water to attain and maintain an operator— until the temperature is below 42°C.
selected temperature.
M. Pump Not Primed LED lights to warn that the main
Maintain Temperature Display shows the selected pump is not primed. The light and buzzer warnings will
maintain temperature. During startup, this display shows continue (or reoccur) until the pump is primed and
the software version and then 25°C. restarted by pressing Cooldown, Maintain, Rewarm or
Defrost.
MAINTAIN TEMPERATURE Switches raise or lower
the maintain temperature setting within a range of N. Low Flow to Blanket LED lights to warn that the water
O“-42"C. flow for the blanket is low.
REWARM (Mode) Switch activates the heaters to warm 0. Service LED lights to warn that the temperature display
water at a maximum rate up to 42°C and circulates the and temperature control m be malfunctioning.
warm water.
7
Controls and Displays
1 2 3 - - -
use I RPM
I I LARGE
TANK SMALL
TANK LARGE
SMALLTo
mg @@Q
j 7” ”2/ 7L 9L
Figure 3: Cardioplegia Panel
A. Cardioplegia Switch (CPG) starts or stops the D. SMALL TANK Switch sets the system to deliver
water Circulating pump. Flow parameters are water from the small tank to the cardioplegia water
determined by the speed and water circuit selected. outlet.
B. Speed Switch (RPM) selects the cardioplegia E. LARGE T0 SMALL Switch sets the system to
pump Speed. LED l lights for low speed, LED 2 recirculate water from the large tank to the small
lights for medium speed, and LED 3 lights for high tank.
speed.
To display the water temperature, use the Cardioplegia
C. LARGE TANK Switch sets the system to deliver Water switch on the main panel.
water from the large tank to the curdioplegia water
outlet.
8
Controls and Displays
Temperature Display Module C. Probe LED lights to identify which probe’s information
is being displayed.The LEDs for Probes A, B, or C also
flash to indicate alarms. lithe alarm limits for two
probes are exceeded, both probe LEDs will flash; if one
of these probes is also selected for display, its LED will
flash at a higher rate.
9
Preparation
Connecting Equipment
Figure 6: Bracket
10
10
10
Preparation
Insert the temperature probes into the sockets on the :1?ltaggefr??in?§ and capacrty as indicated on
back of the system (see Figure 7). Each letter, A, D, G, a na pae a '
etc, corresponds to a Probe Label on the remote unit. 3. Turn the System Power and Ice Maker on.
Write the intended use of the probe on the correspond-
ing Probe Label. Do not use permanent ink markers or Check the Startup Conditions
coloring pens as they can stain the writing surface. 1. During the self test period, check that:
Use a mild solvent or soft eraser to remove markings. - The buzzer sounds and the LEDs light for 3
seconds.
- The buzzer stops and all the LEDs go off for 1
second.
‘ The software version appears on the Maintain and
Water Temperature displays for 3 seconds.
11
11
11
Preparation
Starting and Priming the System (Continued) Test the Temperature Probe Modules
Depress the TEST switch; the displays must read
Prime the Attached Equipment
25” i .4°C. If the readings fall outside this range,
contact Sarns Service. Release the test switch and
displays should show probe information if the probes
Precaution: The unit must be properly primed; are connected.
running the pumps and heaters with the device
dry will damage them.
Set the Alarm Limits
Remove air from the entire system including attached Select Probe A, B, or C; the probe LED will light. To
equipment: ' set a high or low alarm limit, depress the appropriate
alarm switch [or over one second and the numbers
1. Run in Cooldown mode until air bubbles disappear appearing on the top display will cycle through the
from the external tubing. selection range. When the desired number appears,
release the alarm switch to set the new alarm limit.
2. Turn the Cardioplegia on in Large Tank mode and
run until all air’bubbles disappear in the external
tubing. Turn the Cardioplegia off. Check the Remote Controls
3. Run in Rewarm mode to remove air from the Try the Maintain Up and Down switches. Change
modes and check that modes function when using the
internal warming circuit. If air bubbles appear in
remote unit and that the proper LEDs light on the
the external tubing, immediately change back to
remote and main panels.
the Cooldown mode until the air bubbles disap—
pear. Then alternate between Cooldown and
If the unit does not respond properly to the above ,fi\_
Rewarm modes until the unit will operate in
Rewarm mode without external air bubbles. checks, do not use it; contact Sarns Service, your local
3M subsidiary or your authorized Sarns distributor.
Return to Standby mode.
12
12
12
Operation
Using the System desirable to very slowly raise or lower the patient
temperature, By setting several Maintain tempera—
tures, each a limited number of degrees warmer or
\Varnings: It is the operator’s responsibility to cooler than the existing water temperature, the
use the SarnsTM TCM II and any attached equip- change in water temperature can be slowed down
ment according to the manufacturer’s instructions or varied considerably depending on the number of
and good medical practices. Maintain settings and the temperature difference
between the settings. Maintain mode can not
The SarnsT'v TCM II is not completely automatic; increase the rate of temperature change
responsibility for monitoring patient temperatures
and rate of temperature change remains with the Use Gradient Rewanning to control the rate of
operator. , rewarm. Select a gradient of6° or 10" on the main
panel. Check that Probe G is measuring the venous
Do not depress the alarm switch for more than 1 blood temperature. Use the Rewarm mode for a
second or the alarm setting will be changed. maximum water temperature of 42°C or set a Maintain
temperature limit (on the main panel) and then use the
Maintain mode.
Note: Following standard practices for electronic
devices, monitor this equipment closely when it is NOTE: If there is an error condition for Probe G,
exposed to intense electrical noise or fluctuating line the gradient selection will not flirtation; instead, the
unit will revert to Rewarm mode or Maintain mode
voltage. Strong electromagnetic fields radiated from
equipment elsewhere in the operating room (particu- without the gradient.
larly defibrillators and electrocautery devices) or
fluctuations in AC line voltage may compromise For cardioplegia, use the Large Tank or Small Tank for
performance or damage the equipment. pressurized—water heat exchangers and the Large to
Small Tank for drop-in heat exchangers.
Mode Selection
Use the Standby mode at any time to stop the pumps Additional Ice
and heaters; this mode allows temperature monitoring
without the selection of Cooldown, Maintain or A 50 lb. supply of ice should be sufficient for one case.
Rewarm modes. Two hours between cases should be allotted for the
compressor to partially replenish the ice supply; see
Use the Cooldown mode for maximum cooling. “Using the Ice Maker”.
Use the Rewarm mode for warming to a maximum of To add ice to either tank during surgery, remove only
42°C. an equivalent amount of water from the large tank by
using the arterial water drainage line.
Use the Maintain mode to both cool or warm to a set
water temperature and to maintain that water tempera— Note: During surgery, do not drain equipment
ture:
attached to the system; as the ports are internally
- Maintain mode may be set and initiated after connected to a common water source, draining the
starting in either Cooldown or Rewarm mode; attached equipment may drain the entire system.
however, begin the Maintain mode before reaching
the desired body temperature to prevent warming Keep the tank covers in place during operation to help
or cooling beyond the desired temperature. minimize temperature loss and keep debris out of the
water. Do not stand or sit on the unit; weight may
. Maintain mode may be used to begin cooling or break the top.
warming; beginning in the Maintain mode avoids
the possibility of waiting too long to initiate the
Maintain mode and thus overshooting the desired Precaution: The water level in the large tank
must never rise above the maximum level as
temperature.
water may damage the inside of the unit; this
- Maintain mode with several settings may be used water level should not drop below the minimum
for a sequence of water temperature changes to level as there may be a loss of system perfor-
approximate rate control. In some cases it may be mance (see maximum—minimum label).
13
13
Operation
When an alarm condition occurs, first try the suggested procedure. If the alarm condition continues, do not use
the equipment; contact Sarns Service, your local 3M subsidiary or your authorized Sarns distributor. Whenever
there is a major problem with the system, use an alternate source of water and means of temperature monitoring i
until the situation is corrected.
H20 > 42°C Warning Switch to Cooldown mode until the water temperature reaches a satisfactory level:
the warning LED will go out and the buzzer wilt stop when the temperature drops
below 42°C. Return to Rewarm mode if desired.
if this warning should activate with a minimal load, such as only a blanket
attached, set the unit in Maintain mode at about 40 degrees until the additional
equipment is attached.
Pump Not Primed Warning It adequate water, try selecting any mode which will activate the main pump
(Cooldown, Maintain. Rewarm or Defrost). If the alarm continues, check for leaks.
Add water when necessary. Turn the power Off for two seconds and then back On.
Use Cooldown. Cardioplegia and Flewarm to complete priming the system. Reset
the controls and continue using the unit.
Low Flow to Blanket Warning Check for leaks, kinks, or blockage in the tubing for the blanket.
Service Warning if the Water Temperature display shows zero during this warning, do not use
Maintain and Gradient Rewarm modes as temperature will increase to 42° C.
Monitor the patient and water temperature closely to protect the patient and to
assess the conditions of the unit; the surgical team must decide whether to
continue using the SarnsTM TCM II or to change to an alternate source of water,
Recurrence of Startup Check the startup conditions are correct. Reset controls; continue using the unit.
Temperature Display Module Unplug the remote from the main. Gradient rewarming may be continued although
panel blank due to problem with the venous blood temperature will not be displayed.
the module
14
14
14
Operation
6° or 10° gradient LEDs not Check the Temperature Probe in the G socket for proper connection.
functioning properly.
Startup does not occur on Check the cord connection. See that it is properly connected to the main
Temperature Display Module. unit.
Check:
Remote screen goes blank.
- Cord connection. If the cord is disconnected from the socket, the
Display Module may be reconnected: insert the plug in the socket; turn
the System Power OE and then On in order to repeat startup for both
the main and the display unit; reset all the modes, temperatures, and
alarms on the main and remote panels.
Other Problems: First attempt to correct the situation by turning the System Power Off and
back On. If the problem continues, contact Sarns Service, your local 3M
subsidiary or your authorized Sarns distributor.
15
15
15
Operation
Using the Ice Maker Check the ice block. A large block of ice should
be formed around the cold plate. lce should
surround the ice sensor. There should be 1 to
Up to ten hours before use:
1. Remove any attached equipment. Turn the System 1-1/2 in. (2,5 to 3,8 cm) of water between the front
and rear of the tank and the ice block. The sides of
Power and Ice Maker On.
the ice block may touch the tank.
Use the Defrost mode to melt the ice of of the
Icc may be saved for 48 hours. After 48 hours,
cold plate and sensor; excess ice or uneven or high follow the Cleaning and Sanitizing Procedure in
ice buildup around the ice sensor may cause poor the Maintenance Section. The unit may be stored
cooling performance, premature compressor indefinitely only when cleaned and drained.
shutoff or damage the pump.
To replenish ice between surgical procedures:
Note: The Defrost mode can only be entered
through the Standby mode. Note: Defrost is not necessary when an operator is
monitoring the ice maker.
When the water temperature reaches 20°C, the unit
1. Turn the Ice Maker On and selcct Standby mode.
will automatically go into Standby mode. After
about a 4 minute delay, the compressor will turn
on. 2. Fill the large tank to the maximum level with fresh
cold water and replace the cover. The Ice Making
Turn the System Power off once the compressor LED will light to indicate ice is being made.
has started. Leave the Ice Maker On; the ice
3.
sensor will automatically turn the compressor of Check to see the sensor has turned the compressor
when an adequate amount of ice is made. of when an adequate supply of ice is made.
16
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16
Frequency Maintenance Procedures Duration - Connect each set of In and Out ports with about
2 ft. (0,6 m) of tubing; include a ball type valve
Daily Sanitlze (Test Chlorine) 5 min
Weekly Clean and Sanitize 30 min and drainage line in the cardioplegia and arterial
water circuits.
Every 3 Months Clean coils 20 min
Every 6 Months Descale 1 hour ~ Position the unit near a sink or floor drain.
For excessive biofilm Decontaminate (which descales, 2-6 hours Fill and Prime
cleans, decontaminates and
sanitizes) - Fill the large tank to the maximum level with cold
water, fill the small tank with cold water until it
For adequate control of microbial contamination and begins to overflow into the large tank.
scale buildup as well as routine maintenance, each of - Turn the unit on and run in the Cooldown mode to
the above procedures must be performed at the re— remove air from the external tubing.
quired frequency. To prevent bacterial growth, test and - Select Defrost. Turn the Cardioplegia on in Large
adjust the chlorine level daily. Cleaning should always Tank mode and run until all air disappears from
be followed by sanitizing; field studies indicate that the external tubing. Turn the Cardioplegia off.
performing one procedure without the other may - Run in Rewarm mode. If air bubbles appear in the
actually increase bacteria levels. Without routine external tubing, immediately change back to the
cleaning and sanitization, excessive biofilrn may form, Cooldown rnode until the air bubbles disappear.
requiring a prolonged decontamination procedure. The Then alternate between Cooldown and Rewarrn
descaling procedure reduces hard water deposits from modes until the unit will operate in Rewann mode
without external air bubbles. Return to Standby
affecting
unit. the operating efficiency and safety of the mode.
Whenever “close the circuits”, “fill and prime”, or Precautions: The system must be properly
“drain” are mentioned in the cleaning, descaling or primed; running the pumps and heaters with the
decontamination procedures, follow the detailed steps device dry will damage them.
provided below.
Use only Cage Klenz 1 00, Process LCS and
Close the Circuits S-Klenz as cleaning agents, following the
5:529 HIV-Ii: manufacturer’s directions and safety precautions.*
Do not exceed the recommended strength to
prevent corrosion damage.
17
17
Maintenance
Per Setup, closc circuits. Fill and prime if necessary. - Replace the panels. Connect the unit to wall power
Select Defrost; turn the Cardioplegia on with
large to Small Tank mode and 3 RPM.
18
18
_———______————_W1
Maintenance
Descale more frequently in areas with a high mineral Decontaminate whenever biofilm is evident, which
content in the water supply. may be noticeable by a discoloration or cloudiness in
the external fluid lines.
Descale - Add 20-30 lbs. of ice to the large tank (or make a
full block of ice); add ice to small tank.
‘ Test for chlorine. Remove chlorine prior to - Fill tanks and prime.
descaling; drain, fill and prime per Setup. - Select Defrost; turn the Cardioplegia on with
- Select Defrost; turn the Cardioplcgia on with Large to Small Tank mode and 3 RPM.
Large to Small Tank mode and 3 RPM. - To S 8“C water, slowly add [1 oz. of Process LCS
- To _<_ 8°C water, slowly add 11 oz. of S—chnz to the sanitizer to the large tank (eleven pumps from the
large tank (eleven pumps of the 1 oz. dispenser); 1 oz. dispenser). Run for at least 1 hour, adding
run for 15 minutes.
ice if necessary to keep the water below 20°C.
- Select Rewarm and Small Tank modes; run 15 - Select Rewarrn and Small Tank modes. Run for at
minutes. least 1 hour.
19
19
19
Maintenance
H20 > 42"C Warning It is recommended that the entire system have a
maintenance inspection every six months to ensure
1. Operate the unit in Rewarm mode until up to 42°C; proper operation. Maintenance inspections and repairs
check with a measuring device that the water outlet are to be conducted only by Sarns Service, your local
temperature remains below 42°C. 3M subsidiary or your authorized Sarns distributor.
20
20
20
Maintenance
Accessories
The following accessories are available for use in setting up the SamsTM TCM II and attached equipment for
operation and for use in cleaning the unit.
Water Fitting for Out 1/4 in. (6,4 mm) 1 1 6053010 78-8065-7422-8
1/4 in. (6,4 mm) 1 1 61 31 O1 0 78-8066-7437-6
Water Fitting for In
Barbed Connector 1/4 in. (6,4 mm) 2 25321 02 9 26~1 008-1 827-2
Hose Clamps 5 25325020 26-1008-4380-9
These modules include directions for installation or replacement by a Certified Clinical Engineer, Biomedical Engineer,
Biomedical Electrical Technician, or those trained to service Sams equipment.
TEMPERATURE PROBES
Any YSl (Yellow Springs Instrument) 400 Series Probe or Sarns equivalent probe.
21
21
21
Maintenance
(4%
22
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22
Product Description
Specifications
Electrical
Power Supply Catalog Number Catalog Number
4415 4416
*Note: SarnsTM TCM Il amperage specifications are applicable to normal clinical operating
conditions. Normal clinical operating conditions do not include making ice in Maintain mode
when the water in the large tank is 2 20° C.
Dimensions
Main Unit
Height: 34.5 in. (87,6 cm]
Width: 20 in. (50,8 cm)
Depth: 29.5 in. (74,9 cm)
Weight: 294 lbs. (133,4 kg) with the tanks empty
386 lbs. (175,1 kg) with the tanks full
Iemgerature lemperature
Display Unit Embe Modules
Height: 8-3/4 in. (22,2 cm) 9 in. (22,9 cm)
Width: 5-1/2 in. (14,0 cm) 5-3/4 in. (14,6 cm)
Depth: 2-1/2 in. (6,4 cm) 2-1/2 in. (6,4 cm)
23
23
23
Product Description
Specifications (Continued)
Performance
Ice Supply
If the large tank is filled to the maximum level with 25°C water, the Ice Maker can provide a
maximum of 50 lbs (22,7 kg) in 8 hours.
If the large tank is filled to the maximum level with 3°C water, the Ice Maker can provide a
minimum of33.5 lbs (15,1 kg) in 3 hours,
10° gradient = rewarm water temperature is held to a maximum of 10°C more than the incoming
venous blood temperature.
*Note: Performance will be different with both a heat exchanger and a blanket being supplied water at the same
time.
24
24
24
Product Description Blanket in
Functional Description
Main Unit
0.1 ora
Heaters L'Jn
The main unit, which supplies water for both blood
heat exchangers and blankets, has five modes of Blanke: Out
operation. The Standby mode allows temperature
Figure 11: Maintain Mode
readouts without the pump or heaters running. In
Cooldown mode (see Figure 9) the pump draws (Set Temperature Greater Than or
through the ice water tank for maximum cooling. In Equal to Water Temperature)
Rewarm mode (see Figure 10) the pump draws water
Small Large
past the heaters for maximum warming to 42°C. In Tank Tank Blanket In
Maintain mode (see Figures 11, 12 and 13) the opera-
tor selects a water temperature; water is drawn either
past the heaters or from the ice vrater tank to attain and
maintain the selected temperature. In Defrost mode
(see Figure 14) the pump draws water past the heater
and recirculates it through the large tank. To prevent
accidentally defrosn'ng the unit, Defrost mode must be
entered from Standby mode. In all five modes the
_>
outlet water temperature appears on the digital display. 9
Blanket Out
Figure 12: Maintain Mode
Small Large Blanket ll'l (Set Temperature Slightly Less Than
Tank Tank
Water Temperature)
Small .arge Blanket in
Tank Tank
Blanket Out
Main Water in
Small Lar 93
Tank Tank
Blanket Out
Heater
Manifold
Blanket Out
Figure 14: Defrost Mode
25
25
25
Product Description
Functional Description (Continued) Figure 16) pumps water from the small tank to external
outlets for use with pressurized-water heat exchangers;
The SarnsTM TCM 11 includes various safety features. this allows independent cardioplegia cooling. A Large
During startup, the unit automatically runs a self test to Small Tank mode (see Figure 17) recirculates water
on the system’s internal functions and opens the valves from the large to the small tank and back for use with
to prime the pump. It alerts the operator by sounding drop-in heat exchangers.
an alarm and lighting warning indicators if it detects
overtemperature of the water, an unprimed pump, low
flow for the blanket or an internal temperature sensor
failure. A system monitor circuit checks for computer
problems; if a problem is detected, the pump heaters 5m" Laws
are stopped and the unit attempts to repeat startup. Tank Tank
The Ice. Maker can build at least 19 lbs. (8,6 kg) supply
of ice in 3 hours or it can produce an entirely new
supply of 50 lbs. (22,7 kg) in 8 hours. The Defrost
mode will turn Off the compressor, defrost until the
water temperature reaches 20°C, and reactivate the
compressor to build an ice supply which is evenly
distributed around the cold plate.
Smal Large
Tank Tank
Caralo Out
Figure 15: Large Tank CPG Figure 17: Large to Small CPG
26
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26
Product Description
Functional Description (Continued) correct valves and electric heaters to adjust the water
temperature. The microprocessors also translate the
Temperature Display Module probe measurements for digital display.
The Temperature Display Module may be used to
When a gradient relative to the venous blood tempera—
monitor the temperature of the patient or extracorpo-
real circuit. Temperature probes are connected to a ture is used for rewarming, microprocessors measure
Temperature Probe Module, which is installed in the the difference between venous blood temperature and
water temperature and control the valves and heaters to
rear of the system. One Temperature Probe Module maintain the correct differential.
will translate information from three probes for display
on the three digital displays. Up to nine temperature
readings are available with the use of three Tempera— The'Sarnsl'M TCM II is designed to provide protection
against excessively high temperatures. The maximum
ture Probe Modules and nine temperature probes.
Probe Display switches are used to select which temperature available for operator selection is limited
probe’s information will be displayed. LEDs, next to to 42°C. The software compares the primary and
alphabetically marked labels, indicate which probe has redundant temperature probes in the heaters to verify
temperature accuracy; the software will give an alarm
been selected. These labels have an erasable writing
and shut off the heaters if the temperature reaches
surface for marking the probe location in the patient or
extracorporeal circuit. High and low temperature 425 “C. [n the event of sofiwate failure, a completely
alarm limits may be set for one probe per module. separate monitoring system with an emergency circuit
will shut off the heaters at 43.0°C.
Gradient rewarming frees the operator from constant
monitoring and setting of temperatures. When Probe The ice maker is a compressor type refrigeration
G is measuring the venous blood temperature, gradient system which uses Tetrafluoroethane (121—1343) for the
rcwarming may be used to limit the warming rate of refrigerant gas, The water freezes onto a cold plate
water to 6° or 10" above the temperature of the venous located in the large tank. A sensor, near the cold plate,
blood. Selecting a gradient while in Rewarm mode turns off the compressor when approximately 50 lbs. of
limits the maximum water temperature to 42°C; ice has collected. The microprocessor disables the
selecting a gradient while in Maintain mode allows the compressor when in Defrost mode.
operator to select a maximum water temperature lower
than 42°C. For Cardioplegia Water Supply, water is l) drawn by a
pump from a water reservoir, supplied to an external
The Temperature Display Module’s remote control port, and returned; or 2) drawn from the large water
function duplicates the main unit cooling, warming, reservoir, supplied to a small water reservoir, and
and maintain controls and the cardioplegia pump On/ returned to the large reservoir. The pump operates at
Off switch. The module may be mounted on a vertical three speeds to change the water flow rate. The mode
pole up to 7.5 ft. (2,3 m) from the main unit; the and speed selections are activated by the cardioplegia
switch.
remote controls allow convenient operation of the main
unit while monitoring temperatures.
For patient temperature monitoring, a thermistor, at the
For safety, the Test switch may be used to check the tip of each telethermometer probe, senses external
temperature. When there is a shift in the external
temperature conversion circuitry and displays. A
temperature, the electrical resistance of the thermistor
remote monitor circuit automatically checks for
internal problems; it will cause all the panel lights to changes accordingly. This resistance change is mea—
go off if a problem is detected. sured by the Temperature Probe Modules, and trans—
mitted for display.
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Limited Warranty
Sams warrants that this product will be free from defects in workmanship or
material for one year from the date of shipment. This warranty does not apply to
filters, light bulbs, fuses, or other expendable items, or to those parts damaged by
improper use, accident, improper maintenance or unauthorized repair.
Limitation of Remedies As your exclusive remedy in case of a defect in workmanship or material, Sarns will
repair or replace free of charge, or at Sarns option, return the purchase price of, any
part or unit found to be defective in workmanship or material during one full year
from the date of shipment.
This remedy does not apply to filters, light bulbs, fuses or expendable items, or to
those parts damaged by improper use, accident, improper maintenance or unautho—
rized repair. Such parts will be repaired or replaced at service rates in effect at that
time.
Sarns shall not be liable under any circumstances for any consequential, incidental or
indirect damages or expenses associated with this product or its use. This exclusion
does not apply to claims for personal injury by a third party.
Customers
Ifa warranty condition develops, contact Sarns Service, your local 3M
subsidiary or your authorized Sams distributor. This warranty gives you
specific legal rights. You may have other rights as well, which vary from
state to state in the USA.
Outside the United States, please contact your authorized Sarns distributor regarding
local warranty conditions or contact the International Department at Sams:
NOTE: All returned goods must have a Returned Goods (RG) number prior to
return.
Sarus
3M Health Care
6200 Jackson Road
Ann Arbor, Michigan 48103—9300
USA. Printed in U.S.A. 34-9998—99446 RIB
(313) 663-4145 or (800) 262-3304 ©3M, 1994 December, 1994
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