Incubator Ohmeda Ohio CAREPLUS 3000 User MANUAL

Ohio® Care Plus®
Series 1000/2000
Incubator
Operation and Maintenance Manual
TableResponsibility
User of Contents
This Product will perform in conformity with the description thereof contained in
this operating manual and accompanying labels and/or inserts, when assembled,
operated, maintained and repaired in accordance with the instructions provided.
This Product must be checked periodically. A defective Product should not be used.
Parts that are broken, missing, plainly worn, distorted or contaminated should be
replaced immediately. Should such repair or replacement become necessary, Ohmeda
recommends that a telephone or written request for service advice be made to the
nearest Ohmeda Regional Service Center. This Product or any of its parts should not
be repaired other than in accordance with written instructions provided by Ohmeda
and by Ohmeda trained personnel. The Product must not be altered without the prior
written approval. The user of this Product shall have the sole responsibility for any
malfunction which results from improper use, faulty maintenance, improper repair,
damage, or alteration by anyone other than Ohmeda.
Caution .S. Federal and Canadian law restrict this device to sale by or on the order of a
U
licensed medical practitioner.
0086
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600-0291-000 001
Table of Contents
General Precautions
Warnings..................................................................................................................................................................... iii
Cautions...................................................................................................................................................................... iii
1/Introduction
Introducing the Ohio Care Plus Incubator.................................................................................................. 1-1
2/Getting Started
Mounting the Care Plus on the cabinet ...................................................................................................... 2-2
3/General Information
Operating modes................................................................................................................................................. 3-1
The air control (manual) mode............................................................................................................ 3-1
The optional patient control mode.................................................................................................... 3-2
Controls and displays.......................................................................................................................................... 3-4
Alarms....................................................................................................................................................................... 3-6
Cable connections and mechanical controls...........................................................................................3-10
4/Preoperative Checkout Procedure

Mechanical checks............................................................................................................................................... 4-1
Accessory checks.................................................................................................................................................. 4-2
Controller checks.................................................................................................................................................. 4-3
Operational checks.............................................................................................................................................. 4-6
5/Using the Incubator

Basic operating procedure................................................................................................................................ 5-2
Responding to alarms......................................................................................................................................... 5-5
Air circulation alarm................................................................................................................................. 5-6
Control temperature alarm................................................................................................................... 5-6
High air temperature alarm.................................................................................................................. 5-6
Patient temperature alarm (Patient control models only)......................................................... 5-7
Probe failure alarm (Patient control models only)........................................................................ 5-7
Power failure alarm.................................................................................................................................. 5-8
System failure alarm................................................................................................................................ 5-8
Additional operating procedures................................................................................................................... 5-8
Accessing the patient.............................................................................................................................. 5-8
Raising and lowering the hood.........................................................................................................5-10
Trendelenburg and reverse Trendelenburg positioning-tilt handle models....................5-11
Administering oxygen .........................................................................................................................5-12
Using the optional humidifier............................................................................................................5-14
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Table of Contents
6/Maintaining the Incubator
Cleaning schedule............................................................................................................................................... 6-1
Disassembling the incubator for a complete cleaning........................................................................... 6-2
Cleaning and disinfecting individual components.................................................................................. 6-6
Humidifier.................................................................................................................................................... 6-6
Patient Probe.............................................................................................................................................. 6-7
Controller assembly................................................................................................................................. 6-8
Porthole........................................................................................................................................................ 6-9
Compartment Temperature Probe..................................................................................................... 6-9
Other Clear Plastic Parts......................................................................................................................... 6-9
Lower unit (mattress, mattress tray, base platform cover, etc.)................................................ 6-9
Oxygen inlet............................................................................................................................................... 6-9
Cabinet......................................................................................................................................................... 6-9
7/Service Procedures
Repair Policy........................................................................................................................................................... 7-1
Maintenance schedule....................................................................................................................................... 7-1
Operator maintenance........................................................................................................................... 7-1
Service maintenance............................................................................................................................... 7-2
Troubleshooting incubator problems.......................................................................................................... 7-2
8/Illustrated Parts
Base platform and cover assembly................................................................................................................ 8-1
Appendix
Care Plus specifications.......................................................................................................................................... 1
Electrical specifications.............................................................................................................................. 1
Performance specifications....................................................................................................................... 2
Safety specifications.................................................................................................................................... 4
Environmental specifications................................................................................................................... 4
Electromagnetic Compatibility (EMC) Specifications...................................................................... 4
Mechanical specifications.......................................................................................................................... 5
Additional Safety Information............................................................................................................................. 6
Glossary....................................................................................................................................................................... 7
Warranty
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Table of Precautions
General Contents
Warnings
Before using the Ohio Care Plus Incubator, read through this entire manual. As with all
medical equipment, attempting to use this device without a thorough understanding of
its operation may result in patient or user injury. This device should only be operated
by personnel trained in its operation under the direction of qualified medical personnel
familiar with the risks and benefits of this type of device. Additional precautions
specific to certain procedures are found in the text of this manual.
Complete the “Pre-operative Checkout Procedures” section of this manual before

putting the unit into operation. If the incubator fails any portion of the checkout
procedure it must be removed from use and repaired.
Do not use the Care Plus in the presence of flammable anesthetics; an explosion
hazard exists under these conditions.
Always disconnect the power before performing service or maintenance procedures

detailed in this manual. Apply power only if you are specifically instructed to do so as
part of the procedure.
Thoroughly air dry the incubator after cleaning it with flammable agents. Small
amounts of flammable agents, such as ether, alcohol or similar cleaning solvents left in
the incubator can cause a fire.
Cautions
Only competent individuals trained in the repair of this equipment should attempt to
service it as detailed in the Service Manual (Stock Number 6600-0292-000).
Detailed information for more extensive repairs is included in the service manual solely
for the convenience of users having proper knowledge, tools and test equipment, and
for service representatives trained by Ohmeda.
This Product will perform in conformity with the description thereof contained in this
operating manual and accompanying labels and/or inserts, when assembled, operated,
maintained and repaired in accordance with the instructions provided. This Product must
be checked periodically. A defective Product should not be used. Parts that are broken,
missing, plainly worn, distorted or contaminated should be replaced immediately. Should
such repair or replacement become necessary, Ohmeda recommends that a telephone or
written request for service advice be made to the nearest Ohmeda Regional Service Center.
This Product or any of its parts should not be repaired other than in accordance with written
instructions provided by Ohmeda and by Ohmeda trained personnel. The Product must
not be altered without the prior written approval. The user of this Product shall have the sole
responsibility for any malfunction which results from improper use, faulty maintenance,
improper repair, damage, or alteration by anyone other than Ohmeda..
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Table of Contents
Notes
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1/Introduction
In this section
Introducing the Ohio® Care Plus® Incubator.............................................................................................. 1-1
How to use this manual..................................................................................................................................... 1-2
Introducing the Ohio Care Plus Incubator

Thank you for selecting the Ohio Care Plus Incubator. The Care Plus adapts to your
patient’s needs with: manual and optional patient operating modes; an optional
passive humidifier; an oxygen inlet; removable inner wall; and zero or ten degree
bed positions.
From its comprehensive series of alarms and quiet operation, to unique oval portholes
for greater lateral access, the Care Plus offers both security and convenience. Its
familiar styling integrates into the existing nursery environment.
Ohio® Care Plus® Incubator is a registered trademark of Ohmeda.
CI.23.001
Figure 1-1
The Ohio Care Plus Incubator
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600-0291-000 001
1-1
1/Introduction
Care Plus technology
The Care Plus combines microprocessor technology, a unique hood design with front
to back air flow, and an optional humidifier to stabilize patient temperature:
• The microprocessor responds immediately to temperature changes, minimizing the
temperature fluctuations of older, analog incubators.
• Heated air circulated along the hood wall, or between the optional double walled
hood, warms the surfaces surrounding the infant, reducing radiant heat loss.
• Limiting air movement around the infant reduces convective and evaporative heat
loss. Humidifying the air further reduces evaporative heat loss.
WARNING Before using the Ohio Care Plus Incubator, read through this entire manual.
As with all medical equipment, attempting to use this device without a
thorough understanding of its operation may result in patient or user injury.
What warnings and cautions mean
No matter what part of this manual you are using, you should always be familiar with
the cautions and warnings that appear throughout this manual. Warningsalert you to
conditions and actions that can cause injury. Cautions point out conditions or actions
that may damage the incubator.
Please also take a moment to review the User Responsibility Statement on the
inside of the front cover; it describes what is expected of you to maintain the Care
Plus Incubator. Also read the Warranty on the back cover; it outlines Ohmeda’s
responsibility in case of a functional defect.
Symbols used in this manual
An attention symbol in the left hand column alerts you to a warning or a caution in the
text. The attention symbol looks like this:
Just as on the controller panel, we use arrow heads to represent the temperature
switches:
M Increase the control temperature
? Decrease the control temperature
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1-2
2/Getting Started
WARNINGS Safely mounting or dismounting the Care Plus Incubator requires two people.
Remove the controller unit before mounting or dismounting the incubator.
Do not place the incubator in direct light. Exposing the infant or the incubator
to direct radiation from the sun or incandescent lighting may cause the infant
to overheat.
Items not covered in this chapter
If your system uses any accessories or external monitoring devices (phototherapy

light, blender, etc.), follow the mounting instructions in the operation and maintenance
manual for the device.
In this section
Mounting the Care Plus on the cabinet ...................................................................................................... 2-2
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600-0291-000 001
2-1
2/Getting Started
Mounting the Care Plus on the cabinet
WARNING: Safely mounting or dismounting the Care Plus Incubator requires two people.
1. Install the four mounting knobs.
WARNING If mounting hardware is not securely fastened, the incubator could tip off
the stand.
CAUTION When handling the controller, avoid bumping the fan or the heater. If these items
are knocked out of alignment, the fan can grate against the heater or the base.
2. Install the controller. Lift the levers on the controller and slide it into the incubator
as shown in Figure 2-2. Push the levers down to lock the controller in place.
3. Refer to section 4 in this manual to perform preoperative checkout procedures.
Controller
CI.23.002
Controller
Lever
Mounting
Knob
Figure 2-1
Mounting the Care Plus Incubator
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2-2
In this section
Operating modes................................................................................................................................................. 3-1
The air control (manual) mode............................................................................................................ 3-1
The patient control (servo) mode....................................................................................................... 3-2
Controls and displays.......................................................................................................................................... 3-4
Alarms....................................................................................................................................................................... 3-6
Cable connections and mechanical controls...........................................................................................3-10
Operating modes
The Care Plus has two operating modes: the air control (or manual) mode, which
adjusts heater output to achieve a target air temperature; and the patient control
(or servo) mode, which adjusts the incubator temperature to achieve a target infant
skin temperature. In both modes, the target temperature appears in the Control
Temperature display on the front of the controller and can be adjusted using the
temperature switches (? and M).
To distinguish between control temperatures in the different modes, this manual uses
the term “air control temperature” for the control temperature in the air control mode
and the term “patient control temperature” for the control temperature in the patient
control mode.
Note: This section briefly mentions displays, controls, and alarms that play a
significant role in the air control and patient control modes. For further information,
refer to the
appropriate section “Controls and displays” or “Alarms.”
The air control (manual) mode

The air control mode compares the air temperature to the air control temperature to
determine if the heater should be switched on or off. If the air temperature is too high,
the heater switches off. If the air temperature is too low, the heater switches on.
Air control temperature
The air control mode lets you enter air control range temperatures from 20 to 37°C
(68.0 to 98.6°F) using the temperature switches (? and M). Pressing the Override
switch when the air control temperature is 37°C (98.6°F) lets you increase the air
control temperature to 39.0°C (102.2°F).
Control temperature alarm
The control temperature alarm triggers if the air temperature exceeds a normal range
air control temperature by more than 1.5°C (2.7°F) or if the air temperature falls more
than 3.0°C (5.4°F) below the air control temperature. For air control temperatures
above 37°C, the control temperature alarm triggers if the air temperature exceeds the
air control temperature by more than 1.0°C (1.8°F).
To avoid unnecessary alarms, the control temperature alarm does not trigger during
the first 30 minutes after power is switched on and for 15 minutes after you change
the air control temperature or enter the air control mode from the patient control
mode. During this period, normal incubator alarm routines verify proper operation and
switch off the heater if the air temperature exceeds certain default safety limits: 38°C
(100.4°F) for control temperatures below 37°C (98.6°F) and 40°C (104.0°F) for control
temperatures above 37°C.
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3-1
Patient probe (Care Plus 2000 only)
In the air control mode, the patient probe has no affect on incubator operation;
connecting the probe simply displays the patient temperature for your information.
The patient control mode (Care Plus 2000 only)

In the patient control mode, the control temperature (patient control temperature)
corresponds to the desired patient skin temperature. To reach an incubator
temperature that will maintain the desired skin temperature the incubator control
system loops through the program shown in Figure 3-1. This program compares the
patient control temperature setting to the actual patient temperature and raises or
lowers the incubator temperature depending on whether the infant is hot or cold. The
incubator temperature that maintains the desired skin temperature is referred to as the
DET (Desired Environmental Temperature). The maximum DET that the incubator will
maintain is 39.0°C (102.2°F).
You can reduce the time required to reach the DET by preheating the incubator in
the air control mode before entering the patient control mode. The closer the air
temperature gets to the actual air temperature required to maintain the desired infant
skin temperature, the sooner the incubator will stabilize the infant’s temperature in the
patient control mode. When you switch to the patient control mode, the previous air
control temperature becomes the initial DET. The incubator automatically adjusts the
DET using the three stage patient control mode program, shown in Figure 3-1.
The first stage of the loop checks to make sure that the patient probe is reporting
a reasonable patient temperature before making any adjustments. If the patient
temperature is less than 30°C (86.0°F) or above 42°C (107.6°F), the incubator assumes
that the patient probe has detached from the infant, the patient temperature alarm
triggers, the heater shuts off, and the DET remains unchanged.
The second stage of the loop calculates the PTG (Patient Temperature Gradient), the
difference between the actual patient temperature and the selected patient control
temperature, to determine if the infant is hot or cold. If the infant is too cold (PTG <
-0.5°C), the heater switches On. If the infant is too hot (PTG > 0.5°C), the heater shuts
down. The patient temperature continues to be checked every three seconds.
The third stage calculates the change in the patient temperature over the previous ten
minute period. If the infant temperature differs from the patient control temperature
setting by 0.2°C or more, and this difference has not decreased by at least 0.2°C
during the last ten minute period, the DET will be adjusted. To prevent large incubator
temperature swings and to allow time for the patient to respond to changes in the
incubator temperature, the magnitude of the change in the DET depends on the PTG.
Patient control temperature range
The patient control mode lets you enter air control temperatures from 35.0 to 37.0°C
(95.0 to 98.6°F) using the temperature switches (? and M). An internal
adjustment lets you increase the patient control temperature to 37.5°C (99.5°F).
Patient temperature alarm
Patient temperature alarm monitoring runs concurrently with the control loop. A patient
temperature alarm triggers if the patient temperature differs from the patient control
temperature by more than 1.0°C (1.8°F), or 0.5°C (0.9°F) with an internal adjustment.
Additional alarm routines verify proper operation and switch off the heater if the air
temperature exceeds 40.0°C (104.0°F).
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600-0291-000 001
3-2
Repeat first stage

PT = Patient Temperature
PCT = Patient Control Temperat
PTG = PT-PCT
Start No DPT = Current PT - PT 10 min.
previous
Yes 1) Switch heater off Yes

Is the PT 2) Activate alarm Have 10 min
<30°C? Assume probe 3) Keep DET constant passed? Start
is dislodged third Stage 3
stage
Stage 1
No
No Yes
Is the
PTG³0°C?
Infant is Infant is
Yes cold hot
Is the PT
>42°C? Assume probe
is dislodged
Yes Yes
Is the DPT³ DET change Is the DPT£
No 0.2°C? = 0 -0.2°C?
No No
Is the PTG Yes Supply
<-0.5°C? maximum heat DET DE
Infant is PTG Change PTG Chang
cold -0.5°C 0.3°C 0.5°C -0.3°C
-0.4°C 0.3°C 0.4°C -0.3°C
-0.3°C 0.2°C 0.3°C -0.2°C
No
-0.2°C 0.1°C 0.2°C -0.1°C
Stage 2 -0.1°C 0.0°C 0.1°C -0.0°C
-0.0°C 0.0°C 0.0°C -0.0°C
Yes
Is the PTG > Supply no heat
0.5°C? Infant is
hot
Calculate new DET

No New DET = Old DET + Change
CI.02.068
Figure 3-1
Patient control mode logic diagram
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3-3
Controls and displays
CI.23.014
Care Plus® 1000
CI.23.003
Care Plus® 2000
Figure 3-2
Controls and displays
Patient temperature
During normal operation, the patient temperature display shows the temperature
sensed at the patient probe tip, in Celsius or Fahrenheit. The patient probe must be
properly connected to the incubator and the infant for an accurate patient temperature
measurement.
Temperatures between 22.0 and 42.0°C (71.6 and 107.6°F) are displayed to the
nearest 0.1°C or °F. Temperatures above this range result in a HHHH temperature
display. Temperatures below this range cause LLLL to be displayed.
Depressing the Enable switch for more than five seconds tests the temperature
monitoring system. If the monitoring system is functioning correctly, 25.05°C ±0.2°C
replaces the patient temperature during the test.
Air temperature
During normal operation, the air temperature display shows the internal incubator
temperature.
Air temperatures between 5 and 50.0°C (41 and 122°F) are displayed to the nearest
0.1°C or °F.
Depressing the Enable switch for more than five seconds tests the temperature
monitoring system. If the monitoring system is functioning correctly, 37.95°C ±0.2°C
replaces the air temperature during the test.
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3-4
Control temperature
During normal operation, the control temperature display shows the control
temperature (air or patient) selected by the operator. When you first power up the unit
or if you enter the patient control mode, the control temperature flashes and a prompt
tone sounds until you enter a control temperature.
In the air control mode, the control temperature range is 20 to 39.0°C (68 to 102.2°F).
Air control temperatures above 37.0°C (98.6°F) require the use of the Override switch.
In the patient control mode, the control temperature range is 35 to 37°C (95.0 to 98.6°F).
Note: Qualified service personnel can configure maximum patient temperature to 37.5°C.
During a system failure alarm, the appropriate error code appears in the control
temperature display.
Depressing the Enable switch for more than five seconds replaces the control
temperature with the percentage of the rated line voltage supplied by the power outlet.
Four LED displays illuminate to show the average heater power over
the last minute as a percentage of the maximum output (100%, 75%,
50% and 25%). In the example, the average heater power is 75% of the
100%
maximum power.
75%
50%
25% The alarm silence switch has two functions. Pressing the switch
silences all audible alarms except for the system failure and power
failure alarms. The length of the alarm silence period depends on the
alarm condition as detailed in the “Alarms” section. The alarm silence
indicators (next to the switch) illuminates for the duration of the alarm
silence period.
Depressing alarm silence switch for five seconds or longer illuminates

all control panel LEDs and causes “188.88” to appear in the
temperature displays. The alternating, two tone alarm also activates.
The °F/°C switch changes the temperature displays from degrees

Celsius to degrees Fahrenheit and vice versa.
°F / °C
Pressing the Enable switch activates the temperature switches (? and
M), the mode switches, and the Override switch for approximately 12
seconds. The enable indicator illuminates when these switches are
active. If the indicator goes out, you must press the Enable switch
again to reactivate these switches.
Pressing the Air Control switch selects the air control mode of
operation and illuminates the Air Control indicator (next to Control
Temperature display). To prevent accidental mode changes, you must
press the Enable switch to activate the Air Control switch. The audible
alarm sounds briefly when the mode of operation is changed.
Note: The incubator defaults to the air control mode when power is first
applied.
3-5
600-0291-000 001
3-5
The Override switch lets you select air control temperatures higher
>37°C than 37.0°C (98.6°F). To raise the air control temperature above
37°C, increase the control temperature to 37°C, press the Enable
switch, press the Override switch, and then increase the air control
temperature. The maximum set temperature is 39°C. The override
indicator remains illuminated to indicate that the air control temperature
exceeds 37.0°C.
Pressing the Patient Control switch selects the Patient control mode of
operation and illuminates the Patient Control indicator (next to Control
Temperature display). To prevent accidental mode changes, you must
press the Enable switch to activate the Patient Control switch. The
audible alarm sounds briefly when the mode of operation is changed.
The first time that you select the patient control mode, the control
temperature display also flashes and an operator prompt tone sounds
until you enter a control temperature.
These switches adjust the control temperature. To prevent accidental

changes, you must press the Enable switch to activate these switches.
These switches remain active as long as the enable indicator is
illuminated, approximately 12 seconds after the last switch is pressed.
The power switch is located on the right side of the controller

assembly, adjacent to the power cord socket. It switches the incubator
power On and Off. Two circuit breakers, located within the controller,
limit the maximum current drawn by the incubator. If the circuit breaker
trips, remove the unit from use and contact qualified service personnel
for repair.
Alarms
Note: All silenceable alarms are preceded by a 30 second operator prompt tone.
Seven LEDs on the left side of the control panel illuminate for various alarm conditions.
Each visual indicator is accompanied by an audio signal.
Alarm
Air Circulation
Patient Temp Probe Failure
Control Temp System Failure

CI.02.215
High Air Temp Power Failure
Figure 3-3
Alarm indicators
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3-6
What the audible tone tells you about the alarm
The audio tone varies with the alarm’s priority: power failure and system failure alarms
cannot be silenced; an alternating two tone alarm indicates a critical alarm that triggers
automatic heater shutdown; an intermittent single tone alarm is used for all other
alarms.
Silencing an alarm
With the exception of the power and system failure alarms, all audio alarms can be
silenced by pressing the Alarm Silence switch. At the end of the silence period, the
audio alarm reactivates unless the alarm condition has been resolved. The alarm
silence period ends prematurely if another alarm triggers. When two or more alarms
trigger, their respective indicators illuminate, and the audio signal sounds for the
highest priority alarm.
Patient temperature alarm (Care Plus 2000 only)
The patient temperature alarm is only active in the patient control mode of operation.
The alarm activates when the difference between the patient temperature and
the control temperature is greater than 1.0°C (1.8°F) and resets when the patient
temperature returns to within 0.8°C (1.4°F) of the control temperature.
Patient probe readings above 42.0°C or below 30.0°C trigger an alternating two tone
alarm and automatic heater shutdown.
Note: Service personnel can configure the alarm to trigger if the difference exceeds
0.5°C and to reset when the difference is less than 0.3°C.
The control temperature alarm is only active in the air control mode. The alarm triggers
when the air temperature exceeds the control temperature by more than 1.5°C, (2.7°F)
or falls more than 3.0°C (5.4°F) below the control temperature. This alarm is inactive for
30 minutes after the incubator is first switched on. It is also inactive for 15 minutes after
either a mode or control temperature change.
High air temperature alarm
The high air temperature alarm warns of abnormally high incubator air temperatures
and automatically switches Off the heater. This alarm is produced by a circuit that is
independent of microprocessor temperature monitoring.
The high temperature alarm is not self resetting. After the alarm has been activated, it
must be manually reset even if the alarm condition has been resolved.
The alarm activation temperature varies with the mode of operation:
Mode Control Temperature Alarm Limit
Patient Control All Settings 40.0°C (104.0°F)
Air Control 20.0 to 37.0°C 38.0°C (100.0°F)

37.0° to 39.0°C 40.0°C (104.0°F)
Air circulation alarm
The air circulation alarm triggers when air flow inside the unit ceases or is restricted.
This could be caused by a blower motor failure, or a missing fan. When this alarm
occurs, the heater is automatically shut down.
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3-7
Probe failure alarm
In either operational mode, a disconnected air temperature sensor triggers the probe
failure alarm. In the patient control mode, the probe failure alarm can also be caused
by an open or a short circuit in the patient probe.
When a probe failure alarm triggers, the heater automatically shuts down. The
temperature displays indicate the cause of the alarm; if the air temperature sensor
is disconnected, the air temperature display flashes 00.0; if the patient probe is
disconnected or malfunctioning, the patient temperature display flashes HHHH or LLLL
respectively.
System failure alarm
The system failure alarm automatically shuts off the heater and triggers an alternating
two tone alarm if an electrical failure is detected. This alarm cannot be silenced. An
error code may replace the control temperature to give specific information on the
nature of the failure.
Power failure alarm
A battery operated power failure alarm activates when the external power source
fails or is accidentally disconnected. The battery powers the nonsilenceable audible
alarm and the microprocessor for up to 10 minutes during a power failure. If power is
restored within 10 minutes, the previous mode of operation and control temperatures
are recalled.
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3-8
Audio Alarm Heater
Alarm* Signal† Mode Possible Causes Silence Status
Probe Failure Alternating All Disconnected air 1 min. Off

two tone temperature sensor
Alternating Pat. Patient probe disconnected, 1 min. Off

two tone open or shorted (patient
control mode)
Control Intermittent Air Air temperature is 1.5°C 15 min. @

Temperature single tone above or 3.0°C below control
temperature
System Alternating All Electrical malfunction or Cannot Off

Failure two tone excessive EMI^ in the silence
hospital environment. Note
the error code and switch the
power off. Wait ten seconds
and switch the unit back on.
If the system failure reoccurs,
remove the incubator from use.
Air Circulation Alternating All See the “Troubleshooting” 5 min. Off

Failure two tone section in Chapter 7.
Patient Intermittent Pat. The difference between the 15 min. @

Temperature single tone patient temperature and the
(Care Plus control temperature exceeds
2000 only) 1.0°C&
Intermittent Pat. The difference between the 5 min. @

single tone patient temperature and the
control temperatures exceeds
2.0°C
Alternating Pat. Patient temperature is above 1 min. Off

two tone 42.0°C or below 30.0°C
High Air Alternating All In the air control mode without 5 min. Off
Temperature two tone override: the air temperature
exceeds 38.0°C
In the patient control or the air

control mode with override: the
air temperature exceeds 40.0°C
Power Failure Intermittent All Power outage while the power Cannot Off
single tone switch is on. silence
* If a nonsilenceable alarm is present with no alarm indicator illuminated and the heater is shut down, a microprocessor
failure may have occurred.
^ Electro Magnetic Interference from other electrical equipment.
@ Heater output is dependent on the patient temperature and the control temperature setting, in the patient control mode
and on the control temperature setting in the air control mode. Output will also vary with the ambient room temperature,
patient condition, etc.
& Service personnel can adjust patient alarm to trigger if the difference exceeds 0.5°C.
† All silenceable alarms are preceded by a 30 second operator prompt tone.
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3-9
Cable connections and mechanical controls
Portholes
Air Temp. Sensor

Front Door Latch
Tilt Handle
MAX 1000 mL
MIN
CI.23.004
Figure 3-4
The front of the incubator
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600-0291-000 001
3-10
Iris Port Holes
Tubing Access
Covers
Filter Mounting
Knobs
(Cord Wrap) Controller
Latches
Patient Probe
Humidifier Connector
Fill Tray (Model 2000 only)
(optional)
Air Temperature
Sensor
CI.23.005
Connector
Figure 3-5
The left side of the incubator
3-11
600-0291-000 001
3-11
Hood Tilt
Release
Power
W WARNINGS: Fire hazard. Keep matches, lighted cigarettes Oxygen Concentration Chart
must be disconnected prior to removing bed platform. Replace filter every three (3)
and all other sources of ignition out of theAir
room in which
Heater thehot.
may be months.
incubator is located. Textiles, oils, and other combustibles are Average oxygen
?
easily ignited and burn with great intensityThe
in front door inner
air enriched withwall must be in place whileOxygen
a patient
input
concentration range
oxygen. occupies the incubator.
5L/min 25-45%
Possible explosion hazard. Do not use in theUse only Ohmeda skin temperature probe.
flammable anesthetics.
presence
fully
of
The humidity reservoir, or humidity reservoir plugs, 10L/min
inserted for correct incubator operation, even
must be
if the
35-55% m
Oxygen concentrations higher than 40% can increase the risk 15L/min 45-75%
humidifier
of retrolental fibroplasia. It is possible that feature is not used.
even concentrations Ohmeda
Use only
of 40% or less (formerly considered safe) could hospital grade grounded power receptacle.
be dangerous NOTE: Oxygen concentration levels in this Columbia MD 21046 1801
for some infants. Therefore, arterial blood Wgas measurements
CAUTION: U.S. Federal and Canadian law restrcts thisare intended as a reference only.
chart Made in USA Oxygen Inlet: Ensure the Controller
are extremely important for regulation of the concentration U.S. Pat. No. 4,936,824
device to sale byofor on the order of a licensed Actual
medicalconcentrations should be checked is sealed and latched prior to
inspired oxygen when in an oxygen enriched environment.
practitioner. with an oxygen analyzer. ?
administering oxygen.
Oxygen Inlet
Power Oxygen
Switch Inlet
CI.23.006
Power Input
Figure 3-6
The right side of the incubator
3-12
600-0291-000 001
3-12
WARNINGS Do not perform the preoperative checkout procedure while a patient occupies
the incubator.
Complete the “Preoperative Checkout Procedures” section of this manual

before putting the unit into operation. If the incubator fails any portion of the
checkout procedure it must be removed from use and repaired.
In this section
Mechanical checks............................................................................................................................................... 4-1
Accessory checks.................................................................................................................................................. 4-2
Controller checks.................................................................................................................................................. 4-3
Operational checks.............................................................................................................................................. 4-6
Mechanical checks
WARNING Disconnect the power cord for the mechanical portion of the preoperative
checkout procedure.
1. Disconnect the power cord for the Care Plus Incubator for the mechanical portion
of the preoperative checkout procedure.
2. Examine the power cord for damage. Replace the power cord if damage is
evident.
3. Examine the incubator for obvious signs of damage.
4. Lock the two front casters and check that the unit is held in place. Release the
locks and verify the unit moves smoothly.
5. On the cabinet, open the cabinet front doors (if present) and verify that the four
incubator mounting knobs that attach the Care Plus to the cabinet are secured
tightly in place.
6. Rotate both front door latches toward the center of the incubator, verify the red
stamp is visible on both latches, and lower the door. Make sure that the inner wall
is securely fastened to the door.
WARNING The front door inner wall must be in place while a patient occupies
the incubator.
4-1
600-0291-000 001
4-1
7. Make sure that the front door is securely fastened to the incubator.
8. Check that the mattress and the mattress tray are properly installed. Verify that
you must lift the tray slightly to slide it out of the hood. This prevents the tray from
sliding out accidentally. Slide the mattress tray back into the hood.
9. Check the portholes. Open the portholes by pressing on the latch. The cover
should swing open. If arm cuffs are installed, the elastic cuff band should fit into
the groove around the porthole without obstructing the cover. Close the porthole
and verify that the mounting posts hold the porthole securely to the hood and that
the latch holds the porthole closed.
10. If the optional inner wall is installed, check that it is securely attached to the outer
wall. To attach the inner wall, insert the two outside inner wall fasteners in the key
holes in the inner wall and slide them along the slots until the wall is in position.
Lock the wall in place by snapping the two inside fasteners into the holes in the
middle of the inner wall.
11. Check that the tubing access covers are also installed on either side of the hood.
12. Check the hood tilt latch. Open the front door. Rotate the hood back approximately
30 degrees, until it locks into position. Push against the hood and make sure that
it is held in place. To close the hood, support the hood and release the hood latch
by pushing back on the release tab. Gently lower the hood.
13. Close the front door and rotate the latches upward. Verify that the red stamp on
the latch is masked by the opaque patch on the hood.
14. Check the operation of the tilt mechanism. Rotate the tilt handles down to raise
the bed until it locks in position, then rotate the handles up to return the bed to its
original position.
15. Check that the controller is latched in position. The controller latches should be all
the way down, parallel with the sides of the controller.
16. Locate the humidifier fill tray (if present) on the underside of the base. Slide the
fill tray out. Verify that the seals are in good condition and that there is no obvious
damage to any of the humidifier components. Slide the humidifier back in and
push until it locks in position. Push it back until you feel slight resistance, then
push harder till it snaps into position. Otherwise, verify that the plugs are in place.
17. Unscrew the two filter mounting knobs on the rear of the incubator, lift off the
vented filter cover panel and check the condition of the filter. If the filter is dirty, has
been used with an infectious patient, or has been in use for three months, it must
be replaced. When you replace the filter, mark the date on the label supplied with
the replacement filter. Affix the label to the side of the incubator.
Accessory checks
1. Check that all accessories are securely mounted.
2. Check the operation of any accessories with reference to the appropriate

operation and maintenance manuals.
3. Set up any required suction or gas supply systems. Check them for leaks as
outlined in the appropriate operation and maintenance manuals.
4-2
600-0291-000 001
4-2
Controller checks
WARNING Do not use the Care Plus in the Presence of flammable anesthetics; an
explosion hazard exists under these conditions.
Patient Control Mode and Patient Probe

(available on Care Plus 2000 only)
Note: The Enable switch must be pressed to activate the temperature adjustment, the
Override or the control mode switches. These switches remain active as long as the
enable indicator is illuminated (approximately 12 seconds after the last time one of
these switches is pressed).
Note: If the patient probe reading is below 22.0°C (71.6°F), LLLL appears in place of
the patient temperature.
Note: All silenceable alarms are preceded by a 30 second operator prompt tone.
1. Make sure the power cord is connected to the socket on the right side of the
controller.
2. Plug the patient probe into the labeled connection on the left side of the controller.
3. Line up the air temperature sensor connectors. Plug the air temperature sensor
into the labeled connection on the left side of the controller.
4. Route the patient probe cord through the tubing access cover and place the
patient probe inside the incubator.
5. Plug the power cord into an appropriately rated power source (see rating plate for
proper voltage, etc.).
6. Switch the power On and verify the following sequence:

a. An alternating two tone audible alarm sounds for approximately five seconds, all
the indicators illuminate and “188.88” appears in the three temperature displays.
b. All indicators are extinguished except for the air control and the enable
indicators. The temperature displays change to show from left to right:
Patient Air Control
Temperature Temperature Temperature
XX.XX (software 60H (AC frequency; 39.0°C (maximum
version, for ex:01.01) 50H for 50 Hz units) air control temperature)
c. An operator prompt tone sounds, and the control temperature display flashes
“33.0°C”. The operator prompt tone will sound every two seconds until a control
temperature is entered by pressing one of the temperature switches (? or M).
d. If the system failure alarm sounds, note the error code and switch off the
unit. Wait ten seconds and switch the unit back on. If the system failure alarm
recurs, remove the incubator from use. Then, call for service.
4-3
600-0291-000 001
4-3
7. Adjust the control temperature to silence the prompt tone.
8. Check display illumination and the audible alarm by depressing the Alarm Silence
switch until all the indicator LEDs illuminate and “188.8” appears in the three
temperature displays (approximately five seconds). An audible alarm will sound.
9. Check the Enable switch. Press the Enable switch. The enable indicator should
illuminate and go out after approximately 12 seconds. Verify that pressing the
temperature switches (? and M) has no effect when the enable indicator is
extinguished.
10. Check the analog to digital calibration and the line voltage. Depress the Enable
switch until the temperature displays show, from left to right (approximately five
seconds):
Patient Air Control

Temperature Temperature Temperature
25.05°C (±0.2°C) 37.95°C (±0.2°C) From 09.00 to 11.00

(low calibration point) (high calibration point) (Service use only)
Note: An audible alarm will sound to indicate that the actual temperatures are not
displayed.
11. Check the patient probe. Warm the patient probe by placing it between your
fingers. Verify that the displayed patient temperature increases. If you have an
ASTM approved thermometer, accurate to ±0.1°C, place the thermometer and
the patient probe in a glass of warm water. Stir the water and wait several minutes
until the thermometer reading stabilizes. Verify that the patient temperature shown
on the control panel is within 1°C of that shown on the thermometer. Replace the
probe if the difference exceeds 1°C.
12. Check the normal range of air control temperatures. Press the Enable switch to
activate the temperature switches (? and M). The enable indicator will illuminate.
Press and hold the ? switch. Verify that the lowest control temperature attainable
is 20.0°C. If the enable indicator has gone out, press the Enable switch again.
Depress the M switch and verify that the air control temperature cannot be set
above 37.0°C.
13. Check the extended range of air control temperatures. With the control
temperature set to 37.0°C, sequentially press the Enable and Override switches.
The enable indicator should illuminate and the override indicator should blink.
Depress the M switch and verify that the maximum air control temperature is now
39.0°C. The override indicator will blink as long as the control temperature setting
remains at, or above, 37.0°C.
14. Check the °F/°C switch. Adjust the control temperature to 36.0°C and press the
°F/°C switch. Verify that the control temperature is now displayed as 96.8°F. Press
the switch a second time to return to a Celsius display.
4-4
600-0291-000 001
4-4
15. Switch to the patient control mode of operation. Press the Enable and the Patient
Control switches and verify the following sequence:
a. The enable and the patient control indicators illuminate.
b. The control temperature display flashes “36.5°C”and an operator prompt tone
sounds every two seconds. Adjust the control temperature to silence the prompt
tone. The enable indicator will be extinguished approximately 12 seconds after
the last time one of the temperature switches (? and M) is pressed.
Note: A patient temperature alarm will be triggered if the patient probe temperature
differs from the control temperature by more than 1.0°C. If the probe temperature is
below 30.0°C or above 42.0°C the heater will not switch On.
16. Check the range of patient control temperatures. Press the Enable switch to
activate the temperature switches (? and M). The enable indicator will illuminate.
Press and hold the ? switch. Verify that the lowest control temperature attainable
is 35.0°C. If the enable indicator has gone out, press the Enable switch again.
Depress the M switch. Verify that the patient control temperature cannot be set
above 37.0°C.
Note: The maximum patient control temperature can be raised to 37.5°C by internal
adjustments specified in the service manual.
17. Check the patient temperature alarm. Press the Enable switch and adjust the
patient control temperature until it exceeds the patient temperature by more than
1.0°C. An alarm should sound, the patient temperature should flash and the patient
temperature alarm indicator should illuminate. Press the Enable switch and adjust
the patient control temperature until it is within 0.8°C of the patient temperature. The
alarm should cancel.
Note: Service personnel can configure the alarm to trigger if the difference exceeds
0.5°C and to reset when the difference is less than 0.3°C.
18. Check the probe failure alarm.

a. Unplug the patient probe from the controller. Verify that an alternating two tone
alarm sounds, the probe failure LED illuminates, HHHH flashes in the patient
temperature display and the heater power LEDs are extinguished. Plug the
probe back in and verify that the alarm cancels.
b. Unplug the air temperature sensor from the controller by pushing in the back
of connector while pulling back on the “T” handles. Verify that an alternating
two tone alarm sounds, 00.0°C flashes in the air temperature display, the probe
failure LED illuminates, and the heater power LEDs are extinguished. Align the
connectors and plug the air temperature sensor back into the controller. Verify
that the alarm cancels.
4-5
600-0291-000 001
4-5
19. Check the power failure alarm and the battery backed memory. Verify that you are still
in the patient control mode. Adjust the patient control temperature to 36.0°C. Switch
to the air control mode and adjust the control temperature to 35.0°C. Unplug the
incubator. An intermittent, nonsilenceable alarm should sound and the power failure
LED should illuminate. All other displays and indicators will be extinguished. Wait
two minutes and plug the incubator back in. Verify that the alarm cancels and the
unit returns to the air control mode of operation with a control temperature of 35.0°C.
Switch to the patient control mode and verify a control temperature of 36.0°C.
Note: A fully charged battery should supply the power failure alarm for
approximately 10 minutes. If the alarm is tested for the full 10 minutes the incubator
must be run for at least two hours to recharge the battery before it is used with a
patient. Total recharge time is 8 to 10 hours.
20. Check the Alarm Silence switch. Unplug the air temperature sensor and press the
Alarm Silence switch. Verify that the alarm is silenced for one minute. Reconnect
the air temperature sensor.
Note: The functionality of the remainder of the alarms is continually checked by the
microprocessor software during normal operation. If a fault occurs in any of this
circuitry, an indicator lights and a tone is sounded.
Computer independent circuitry continuously measures and compares the incubator

temperature with a factory set level. Visual and audible alarms are activated and the
heater is shut-off if the incubator temperature exceeds this pre-set level, independent of
the software.
Additionally, a computer independent “watchdog” circuit will reset the computer, turn off
the heater, and activate the alarms in the event of a microprocessor failure or software
error.
Operational checks
1. Make sure that the incubator is in the air control mode.
2. Verify that the front door, the portholes and the hood are closed.
3. Set the control temperature as close to the air temperature as possible. Allow the
air temperature reading to stabilize. Verify that the air temperature remains within
0.5°C of the control temperature for five minutes after stabilization.
4-6
600-0291-000 001
4-6
WARNINGS Complete the “Preoperative Checkout Procedure” section of this manual
before putting the unit into operation. If the incubator fails any portion of the
checkout procedure it must be removed from use and repaired.
Do not leave the patient unattended when using the incubator. Check
the patient’s temperature at least every half hour. For maximum patient
monitoring over an extended period of time, select the patient control mode
of operation.
Residual ether or similar gases exhaled by a post surgical patient may be

decomposed by the heater to produce formaldehyde.
The optional patient probe is not isolated from earth ground. Any additional
equipment used with the Care Plus must comply with UL 544, CSA 22.2, IEC
601, and VDE 750.
Do not use the Care Plus or the in the presence of flammable anesthetics; an
explosion hazard exists under these conditions.
Using an incubator with a fan motor that has worn parts can produce
unacceptable noise levels within the incubator.
Direct sunlight or other radiant heat sources can cause an increase in

incubator temperature to dangerous levels.
CAUTIONS Proper temperature control depends on continuous, unobstructed air circulation.

Do not cover air circulation openings around the bed as obstruction will result in
loss of air circulation, loss of heat, and carbon dioxide buildup.
Do not mount or rest a radiant warmer or incandescent light on or over the

incubator hood; ineffective heating and damage to the hood may result. If using
incandescent phototherapy lamps, check manufacturer’s recommended minimum
distance to hood.
Note: Because the mattress tray is radiopaque, x-ray plates must be placed directly
under the infant.
In this section
Basic operating procedure................................................................................................................................ 5-2
Responding to alarms......................................................................................................................................... 5-5
Air circulation alarm................................................................................................................................. 5-6
Control temperature alarm................................................................................................................... 5-6
High air temperature alarm.................................................................................................................. 5-6
Patient temperature alarm.................................................................................................................... 5-7
Probe failure alarm................................................................................................................................... 5-7
Power failure alarm.................................................................................................................................. 5-8
System failure alarm................................................................................................................................ 5-8
Additional operating procedures................................................................................................................... 5-8
Accessing the patient.............................................................................................................................. 5-8
Raising and lowering the hood.........................................................................................................5-10
Trendelenburg and reverse Trendelenburg positioning..........................................................5-11
Administering oxygen .........................................................................................................................5-12
Using the optional humidifier............................................................................................................5-14
5-1 5-1
600-0291-000 001
Basic operating procedure
This section tells you how to setup and use the incubator in the air and the patient
control modes.
For more detailed information on humidifier setup, oxygen administration, opening and
closing the door, or Trendelenburg or reverse Trendelenburg positioning, refer to the
section “Additional operating procedures” at the end of this chapter.
WARNINGS Always set the brakes before placing a patient in the incubator.
On units equipped with a humidifier the humidifier must be installed for

proper incubator operation, even if you do not plan to use the humidifier.
1. Verify that the air temperature probe is connected to the controller and that the
humidifier or the hole plugs are installed. Plug the incubator into a power outlet
and set the caster brakes. If desired, fill the humidifier (if present), position the
mattress tilt, and set up any additional equipment.
2. Use the temperature switches (? and M) to enter the control temperature. The
normal range for air control temperatures is 20.0 to 37.0°C.
3. To select a control temperature above 37.0°C, adjust the control temperature

to 37.0°C, make sure the enable indicator is still illuminated, and press the
Override switch. If the enable indicator has gone out, the Enable switch has to be
depressed before the Override switch will function.
4. Select either Celsius or Fahrenheit temperature readings with the °F/°C switch.
5-2 5-2
600-0291-000 001
5. For optional patient control mode operation, connect the patient probe. For air
control mode operation, the patient probe is optional. Connect it only if you wish to
display patient skin temperature.
a. If you plan to use the patient control mode, use steps 2 and 3, as appropriate,
to preheat the incubator to the air temperature required to maintain the desired
skin temperature.
b. Place the metal side of the skin temperature probe on the patient’s skin over the
liver area of the infant’s abdomen. Attach reusable probes with a heat reflecting
patch. Remove the paper protecting the hypoallergenic adhesive of the Heat
Reflective Patch and secure the skin temperature probe to the patient’s skin with
the adhesive side of the patch (Figure 5-1). Do not remove the heat reflecting
foil.
c. If the patient is prone, place the skin temperature on the patient’s back, where
it will not be against the mattress. If the probe is between the patient and the
mattress, it will produce false readings.
WARNING Intimate contact between the skin temperature probe tip and the patient’s skin
must be maintained to assure accurate skin temperature measurement. Under
or over heating may result from poor contact between the skin temperature
probe and the patient. Check this attachment regularly to assure the patient’s
safety.
CAUTION Avoid placing excessive strain on the skin temperature probe lead. Always remove
the probe from the patient by grasping and removing the heat reflective patch first,
then remove the probe from the patient or the patch. Always remove the probe by
grasping the plug at the panel. Do not pull on the probe lead.
d. Connect the skin temperature probe to the unit.
Note: The disposable probe comes with the heat reflecting pad attached.
Heat Reflecting Patch

with Reflective Side
Facing Up
White Paper Protector
Patient Probe (Place the

metal side in contact with
the infants skin)
CI.02.006
Figure 5-1
Attaching the patient probe to the infant
5-3 5-3
600-0291-000 001
e. Route the wire through the left tubing access cover and plug the probe
connector into the side of the controller. Refer to Figure 5-2.
If the ambient temperature is less than 22.0°C (71.6°F), LLLL appears in place of
the patient temperature until you attach the probe to the infant.
WARNINGS Use only the Reusable Ohmeda skin temperature probe (Stock No.
0208-0697-700) and Heat Reflective Patches (Stock No. 0203-1980-300, 50/
pkg) or the disposable probe (Stock No. 6600-0208-700,10/pkg; Stock No.
6600-0196-700, 50/pkg) to monitor the patient’s skin temperature. Use of other
manufacturer’s probes may affect the accuracy of equipment operation and the
electrical safety of the patient.
In incubators equipped with radiant or phototherapy lamps, the skin

temperature probe should be located on the patient’s skin in an area which
is directly in the path of the radiant heat. It should not be attached to an
area which is shielded from the radiant heat or between the patient and the
mattress. Large temperature gradients and very long servo response times will
result from improper probe placement.
Rectal temperatures must never be used to control a patient’s temperature.
Air Temperature
Sensor
Patient Probe
Patient Probe
Connector
CI.23.007
Air Temperature Sen-

sor Connector
Figure 5-2
Connecting the patient probe to the Care Plus 2000 incubator
5-4 5-4
600-0291-000 001
6. If you plan to use the patient control mode, verify that the incubator has warmed
up to the Desired Environmental Temperature. Then press the Enable switch
followed by the Patient Control switch:
a. The patient control and the enable indicators illuminate.
b. The control temperature display flashes “36.5°C” and an operator prompt tone
sounds every two seconds. The alarm will continue to sound until you enter a
control temperature. The heater will not operate unless a control temperature is
entered.
Note: When patient control mode operation first begins, a patient temperature
alarm may trigger. Silence the alarm and attend the patient. This alarm triggers
normally if the patient probe temperature differs from the control temperature
by more than 1.0°C. If the probe temperature is below 30.0°C or above 42.0°C,
the heater will not switch On.
Responding to alarms
WARNINGS Excessive EMI levels in the hospital environment can trigger the system
failure alarm. Note the error code and switch off the unit. Wait ten seconds
and switch the unit back on. If the system failure alarm recurs, remove the
incubator from use.
If an alarm is silenced, closely monitor the patient.
Note: Refer to the troubleshooting section in Chapter 7 for problems that do not
involve an alarm indicator.
Many things can trigger alarms. For example: a patient’s condition may change; a
patient probe may detach; or a change in the control temperature may increase the
difference between the control temperature and the monitored temperature (air or
patient) to an unacceptable level.
If an alarm triggers:
• Evaluate the patient
Attend the infant.
• Identify the alarm
Check the indicators to identify the active alarm. When two or more alarms are
active, their respective indicators illuminate. If an indicator illuminates, look the
alarm up alphabetically in this section. If two or more alarms have been triggered,
the audio signal sounds for the highest priority alarm.
• Silencing the alarm
If desired, silence the alarm. At the end of the silence period the audio alarm
reactivates unless the alarm condition has been resolved. The length of the alarm
silence period depends on the alarm. Power failure and system failure alarms
cannot be silenced.
Another alarm prematurely ends the alarm silence period.
• 30 second operator Prompt tone
All silenceable alarms are preceded by a 30 second operator prompt tone,

in order to minimize disturbance to the infant.
5-5 5-5
600-0291-000 001
Air circulation alarm
Air is not circulating through the incubator. The most common cause is a missing fan
or a fan that is not rotating.
If the alarm continues, stop using the incubator and call for service.

The air temperature is 1.5°C above or 3.0°C below the air control temperature (air
control mode alarm).
The control temperature alarm is automatically silenced for 30 minutes after you switch
on the unit and for 15 minutes after you change the control temperature or switch to
the air control mode.
1. Evaluate the patient:

• Opening the incubator door causes some heat loss.
• If the incubator starts out cold, or you make a large change in the control
temperature, the incubator may take longer than the automatic alarm silence
period to warm up.
2. If the alarm continues, stop using the incubator and call for service.
High air temperature alarm

The air temperature exceeds fixed limits:
Control High Temperature

Mode Temperature Alarm Limit
Patient Control Entire Range 40.0°C (104.0°F)
Air Control 20.0 to 37.0°C 38.0°C (100.4°F)

(68.0 to 98.6°F)
37.0 to 39.0°C 40.0°C (104.0°F)

(98.6 to 102.2°F)

• Have you changed the air control temperature? In the air control mode,
decreasing the control temperature below 37.0°C decreases the alarm limit
from 40°C to 38°C. Making this change while the incubator temperature
exceeds 38°C triggers the alarm.
• Have you changed operating modes? The same thing can happen if you switch
from the patient control mode (alarm limit 40°C) to the normal air control mode
(alarm limit 38°C).
2. Press the alarm silence button and monitor the patient. This alarm does not self
cancel if the temperature falls below the alarm limit. You must press alarm silence
to reset it.
3. If the alarm recurs, stop using the incubator and call for service.
5-6 5-6
600-0291-000 001
Patient temperature alarm (Care Plus 2000 only)
The patient temperature differs from the patient control temperature by more than
1.0°C or the patient temperature is outside the 30.0 to 42.0°C range (patient control
mode alarm).
Note: Service personnel can adjust this alarm to trigger at a temperature difference of
0.5°C

• Opening the incubator door causes some heat loss.
• Control temperature changes can temporarily increase the difference between
the patient and the control temperatures.
2. Make sure that the patient probe is properly connected to the patient: the metal
side of the probe must make good contact with the infant’s skin. With a reusable
probe, you must also attach a separate reflecting patch. Make sure the metal side
of the patch faces up.
3. If HHHH or LLLL appears in the patient temperature display while the patient probe
is properly connected to the patient, replace the patient probe.
Probe failure alarm (Care Plus 2000 models only)

One of the temperature sensors is disconnected or contains an open or shorted circuit.
In the air control mode:
1. If 00.0 appears in the air temperature display, plug the air temperature sensor into
the controller.
In the patient control mode:
1. If 00.0 appears in the air temperature display, plug the air temperature sensor into
the controller.
2. Make sure that the patient probe is plugged into the controller.
3. If HHHH or LLLL appears in the patient temperature display and the patient probe
is plugged into the controller, replace the patient probe.
5-7 5-7
600-0291-000 001
Power failure alarm
The incubator is switched on, but it is not getting any power.
1. Make sure that one end of the power cord is plugged into the controller and that
the other end of the cord is plugged into a power outlet.
2. Plug another device into the outlet to verify that the power outlet has power.
3. Replace the power cord.
System failure alarm

Excessive EMI levels in the hospital environment can trigger the system failure alarm.
Note the error code and switch off the unit. Wait ten seconds and switch the unit back
on. If the system failure alarm recurs, remove the incubator from use. Then, call for
service.
Additional operating procedures

This section provides more information on opening the hood, using the humidifier, and
administering oxygen.
Accessing the patient

Opening the front door:
Opening the front door gives you total access to the patient without affecting the air
flow. To lower the door, rotate the door latches down (Figure 5-3).
WARNINGS Do not leave the infant unattended while the front door or the portholes are
open.
When opening or closing the front door or the portholes, make sure that the
infant, any clothing, the monitoring leads, etc., are completely within the
confines of the bed.
Opening the porthole:
To open a porthole, press in on the latch until the porthole opens. To close a porthole,
push the cover shut until the latch clicks into position.
5-8 5-8
600-0291-000 001
Porthole Latch
Door Latch
CI.23.004
Figure 5-3
Opening the front door
Pulling out the mattress tray:
Pulling out the mattress tray facilitates procedures that require total access to the
infant. This can only be done when both tilt mechanisms are at their lowestposition.
Lower both tilt mechanisms, lift the tray slightly at the edge of the doorand gently pull
the tray out (Figure 5-4).
WARNINGS While sliding the mattress tray out, make sure the square tabs on the back
corners of the tray are engaged in the guide tracks at both ends of the
platform cover.
When sliding out the mattress tray, carefully guide any tubes or monitoring
leads through the tubing access covers. If there is insufficient slack or the
tubing gets stuck, the attached devices could accidentally disconnect or the
patient could be harmed.
CAUTION Do not operate the tilt mechanisms when the mattress tray is pulled out. The tilt
mechanism may jam as a result.
5-9 5-9
600-0291-000 001
Mattress
Tray
CI.23.008
Figure 5-4
Pulling out the mattress tray
Raising and lowering the hood

WARNING Do not raise the hood when a patient occupies the incubator. Raise the hood
only for hood disassembly and cleaning.
The hood can be raised to facilitate cleaning. The hood tilt latch on the right rear
corner of the incubator holds the hood open. To tilt the hood, push on the tab on the
hood latch and rotate the hood back until it locks in position. See Figure 5-5. To return
the hood to its normal position, support the hood and release the hood tilt latch by
pushing back the release tab on the latch. Then slowly lower the hood.
Press Here
Front Door
(Open Position) Hood Latch
CI.23.009
Figure 5-5
Raising the hood
5-10 5-10
600-0291-000 001
Trendelenburg and reverse Trendelenburg positioning-tilt handle
models
CAUTION Do not use the tilt handles to maneuver the incubator.
Tilt handles on the front of the unit, allow ten degree Trendelenburg (feet up) or reverse
Trendelenburg (head up) positioning.
Tilting the mattress:
1. Grasp the tilt handle on the side of the mattress that you wish to raise (Figure 5-6).
2. Rotate the tilt handle down until it locks in position to raise the corresponding side
of the mattress.
WARNING Verify that the mattress is locked in position before releasing the tilt handle.
Returning to the horizontal position:
To return the mattress to the horizontal position, rotate the handle up to lower
the mattress.
Portholes
Air Temp. Sensor

Front Door Latch
Tilt Handle
CI.23.004
Figure 5-6
Tilting the mattress
5-11 5-11
600-0291-000 001
Administering oxygen
WARNINGS Additional oxygen should only be administered under the direction of
qualified medical personnel.
The use of head boxes, hoods and oxygen inlets can increase the noise level
inside the incubator.
Remove all sources of ignition including smoking materials, and sources of

electrical discharge from the area when oxygen is in use. In the presence of
high oxygen concentrations, even relatively nonflammable items can ignite
and burn rapidly. Do not place auxiliary equipment producing sparks inside
the incubator. Even small quantities of highly flammable items (such as
organic cleaning solvents) may explode.
Ensure the controller is seated and latched prior to administering oxygen.
You can increase the internal incubator oxygen concentration by connecting an

oxygen source to the inlet on the right hand side of the incubator. Either pipeline or
regulated cylinder supplies may be used.
5-12 5-12
600-0291-000 001
Oxygen Inlet
CI.23.006
Figure 5-7
Connecting oxygen supplies
1. Connect the output of the oxygen flow meter to the inlet fitting on the right hand
rear corner of the incubator (Figure 5-7).
WARNING Always use a back pressure compensated flow meter to deliver oxygen to
the incubator. Other flow meters may not compensate for the back pressure
created by the oxygen inlet and could deliver incorrect flow rates.
2. Set up an oxygen analyzer to monitor the hood oxygen concentration. Position the
sampling tube or sensor near the center of the infant compartment. Route the tube
or sensor cable out the hood through one of the tubing access covers.
WARNINGS Monitor the oxygen concentration at a position near the infant’s head. The
concentration vs flow rate chart on the side of the incubator gives only
approximate concentrations to aid in setting the initial flow rate. It must not
be used in place of an oxygen analyzer.
Use an oxygen monitor whenever oxygen is being administered.

Concentration of inspired oxygen does not predictably determine the partial
pressure of oxygen in the blood; blood gas measurements are extremely
important for the regulation of inspired oxygen concentrations when
an oxygen enriched environment is necessary. Oxygen concentrations
above 40% can increase the risk of retrolental fibroplasia (retinopathy
of prematurity). Even concentrations of 40% or less oxygen (formerly
considered safe) could be dangerous to some infants. (See current edition
of “Standards and Recommendations on Hospital Care of Newborn Infants”
prepared by the Committee on Fetuses and Newborns of the American
Academy of Pediatrics.)
5-13 5-13
600-0291-000 001
3. Switch On the incubator. Unless the incubator is operational, there will be no air
flow to ensure adequate mixing inside the hood.
4. Set up the initial flow rate using the oxygen concentration table next to the oxygen
inlet. The chart will give you a general idea what flow rate will be required to
maintain the desired concentration. The actual concentration will vary with the
condition of the incubator air inlet filter, hood seals, door seals and the number of
open portholes, as well as the infant’s condition.
5. Wait 30 minutes and then check the oxygen concentration inside the unit, without
opening the hood. Adjust the flow rate if required. Allow 30 minutes between
adjustments for the new concentration to stabilize.
Using the optional humidifier

WARNING The humidifier must be installed for proper incubator operation, even if you
do not plan to use the humidifier.
The Care Plus offers three levels of humidification: none, low, and high. If you do not
want humidification, do not put water in the humidifier.
Even at the high setting, the humidifier reservoir holds more than enough water to last
for 24 hours.
1. Gently slide the humidifier out of the base. You will feel an initial resistance, but
apply a steady pull to avoid spilling its contents (Figure 5-8).
2. Set the humidifier down on a level surface and add water to the fill level indicated
on the label (1000 ml maximum).
Note: Do not fill the humidifier past the fill level. Filling past the fill level actually
DECREASES humidification.
3. Slide the humidifier back into the base.
4. Adjust the slide on the side of the humidifier to set the humidification level:
• For high humidification move the slide completely back.
• For low humidification move the slide completely forward.
Drain the humidifier when the unit is not in use. Disinfect the humidifier weekly or after
each patient. Refer to the section “Cleaning and disinfecting individual components” in
chapter 6 for disinfection instructions.
5-14 5-14
600-0291-000 001
Lid
Slide
Humidifier
CI.23.010
Figure 5-8
Using the humidifier
5-15 5-15
600-0291-000 001
Notes
5-16
600-0291-000 001
5-1
WARNINGS The heater is hot enough to cause skin burns. Unplug the incubator and
allow the heater to cool before disassembly or cleaning.
Always disconnect the power before performing service or maintenance

procedures detailed in this manual. Apply power only if you are specifically
instructed to do so as part of the procedure.
Thoroughly air dry the incubator after cleaning it with flammable agents.
Small amounts of flammable agents, such as ether, alcohol or similar
cleaning solvents left in the incubator can cause a fire.
Never oil or grease oxygen equipment unless a lubricant that is made and
approved for this type of service is used. Oils and grease oxidize readily, and
in the presence of oxygen, will burn violently.
In this section
Cleaning schedule............................................................................................................................................... 6-1
Disassembling the incubator for a complete cleaning........................................................................... 6-2
Cleaning and disinfecting individual components.................................................................................. 6-6
Humidifier.................................................................................................................................................... 6-6
Patient Probe (Reusable)........................................................................................................................ 6-7
Controller assembly................................................................................................................................. 6-8
Porthole........................................................................................................................................................ 6-9
Compartment Temperature Probe..................................................................................................... 6-9
Other Clear Plastic Parts......................................................................................................................... 6-9
Lower unit (mattress, mattress tray, base platform cover, etc.)................................................ 6-9
Oxygen inlet............................................................................................................................................... 6-9
Cabinet......................................................................................................................................................... 6-9
Cleaning schedule
This schedule lists the minimum frequencies. Always follow hospital and local
regulations for required frequencies.
Weekly or after each patient
Disinfect the humidifier if it was used.
Perform a complete cleaning and if necessary disinfect the entire incubator.
Check the air filter; replace the air filter after use with an infectious patient.
Check the front door and the porthole latches and hinges to make sure that they will
not open accidently.
Quarterly
Replace the air filter.
When the incubator is not in use, use standard analytical methods to make sure that
the infant compartment and any direct contact components, such as the humidifier
and the oxygen inlet, meet hospital cleanliness standards.
6-1 600-0291-000 001

6-1
Disassembling the incubator for a complete cleaning
If the incubator has been exposed to body fluids, check your hospital’s infection control
procedures. You may need to wear protective clothing and eye wear or use special
sterilization agents and cleaning procedures.
WARNING Disconnect the power cord before disassembling or reassembling the lower unit.
CAUTIONS Electronic devices in the microprocessor controller are susceptible to damage from
discharges of static electricity. These devices are adequately protected, but can be
damaged if the unit is disassembled beyond that recommended for cleaning and
maintenance.
Do not remove the air temperature sensor mounted to the rear hood wall; the air
temperature sensor must remain in the correct position for proper incubator operation.
1. Turn the power switch Off and unplug the unit from the power outlet.
2. If the incubator was previously on, allow it to cool for at least 30 minutes.
3. Remove the filter by unscrewing the two filter mounting knobs on either side of the
vented rear panel. Pull off the panel and remove the filter.
WARNING The air filter cannot be cleaned and must be replaced every three months, when
visibly dirty or after use with an infectious patient. If the air filter is exposed to
liquids or disinfectants, replace it with a new filter.
4. Unplug the power cord from the right side of the controller.
5. Unplug the air temperature sensor and the patient probe (if present) from the
controller.
6. Pull up on both controller latches and slide the controller forward, out of the lower unit.
Be careful not to bump the heater or the fan. They may grate against each other or the
base platform if they are knocked out of alignment.
7. Open the incubator door and tilt the hood back to its locked position. Remove the
inner wall by pressing up on the center of the wall until it flexes enough to free the two
inside inner wall fasteners from their holes, then slide the wall toward the incubator
so that the two outside inner wall fasteners slide along their keyhole slots and out the
large holes at the slot’s end. See Figure 6-1. If the optional rear inner wall is installed, it
may be removed in a way similar to the front inner wall.
6-2 600-0291-000 001

6-2
100
75% %
50%
25%
>3
7°
C
°F
/
°C
CI.23.038
Figure 6-1
Removing the inner wall
8. Lift out the mattress and the mattress tray (Figure 6-3).
9. Remove the tilt assemblies. See figure 6-2

1) Lift the tilt handle out of its slot.
2) Pull the tilt rod just a little up out its hole
3) Turn the handle down 90°
4) Tilt the assembly all the way back while turning it in another 90°
5) Grasp the rod where it enters the hole and pull it straight out.
10. Lift out the base platform cover.
11. Remove the optional humidifier. Slide the humidifier out from under the base.
Remove the seals on the portholes.
12. Remove the iris cuff by streching its elastic band off the frame and tightening
ring. Snap the tightening ring off the frame. Remove the gasket from the frame.
Push the frame out of the hood.
Reverse the steps for assembly. Replace the porthole seals. To install new arm
cuffs, slip the larger elastic ring over the housing of the porthole. To reattach the
inner wall, insert two outside inner wall fasteners in their keyhole slots and slide
the wall until the two inside inner fasteners pop into their holes.
6-3 600-0291-000 001

6-3
2
1 .5 cm
100%
75%
50%
25%
100%
75%
50%
25%
>37°
C
>37°
C
°F
/
°C
°F
/
°C
100%
75%
50%
25%
>37°
C
°F
/
°C
CI.23.033, 034, 035, 036, 037

4 5
100%
75%
50%
25% 100%
75%
50%
25%
>37°
C
>37°
C
°F
/
°C
°F
/
°C
Figure 6-2
Removing the tilt handle
6-4 600-0291-000 001

6-4
Mattress
Tilt
Assemblies
Mattress
Tray Base
Platform
Cover
Filter
Cover
Filter
Base Platform
Lid
Slide
100
75% %
50%
25%
Controller
>37
°C
CI.23.012
°F
/
°C
Humidifier
(optional)
Figure 6-3
Disassembling the lower unit
6-5 600-0291-000 001

6-5
Cleaning and disinfecting individual components
CAUTIONS Clean the incubator at least once a week or after each patient.
Do not clean the incubator with organic solvents, scouring compounds, strong
acids, or strong bases. These compounds may damage the incubator.
Divide the components according to cleaning methods. Methods other then those
detailed in this section may damage the incubator.
Humidifier
CAUTION Do not use peroxide or alcohol solutions to clean the humidifier tray.
Disassemble the humidifier. Clean the interior with a mild detergent-disinfectant

solution. Rinse and thoroughly dry the parts before reassembly. The humidifier may be
pressure steam sterilized up to a maximum of 15 minutes at 240° F (116° C) and
15 psig (103 kPa).
To avoide part distortion:
• Do not exceed 15 minute maximum
• Do not place parts on top of one another
• Place all items on a flat surface
• Rinse and dry all parts before sterilizing
6-6 600-0291-000 001

6-6
Patient Probe
CAUTIONS Avoid placing excessive strain on the probe lead. When cleaning, be careful not
to pull on or bend the lead at the probe tip. Always remove the probe from the
incubator by grasping the plug at the panel. Do not pull on the probe lead.
Do not apply cold sterilization or cleaning solutions to the probe connector.
Note: The reusable, Ohio patient temperature probe, Stock No. 0208-0697-700, is an
expendable part as specified in the warranty.
1. Determine if the patient probe is disposable or reusable:

• Reusable probes have black connectors and use a separate,
heat reflecting patch.
• Disposable probes have a white connectors and come with a
smaller heat reflecting patch already attached.
Note: Disposable skin temperature probes cannot be cleaned.
2. Clean the skin temperature probe by gently wiping with a soft damp cloth
containing a disinfecting agent safe for use on the probe materials.
The following lists some cleaning solutions that may be used safely:
Generic Formulation Maximum Concentration Level

Sodium Hypochlorite 0.5% Aqueous Solution
Glutaraldehyde 2%
Hydrogen Peroxide 6%
Iodophor Solution 0.27%
CAUTIONS Use of cleaning/disinfecting solutions containing chemicals not listed above

(i.e. alcohol, acetone, etc.), or chemicals in greater concentrations than those
listed above, may damage the probe.
Do not autoclave or gas sterilize the skin temperature probe. Do not immerse the
probe in liquid cleaner. Avoid placing excessive strain on the probe lead. Always
remove the probe by grasping the plug at the panel. Do not pull on the probe lead.
These precautions will avoid damage to the probe.
6-7 600-0291-000 001

6-7
Controller assembly
CAUTION If you fill the cleaning tank past the fill mark, cleaning solution can leak into the
controller electronics.
Controller parts that do not contact the infant
Wipe the front panel, the top cover, the side panels, and the rear panel with a damp
cloth and a mild detergent solution. Do not apply cleaning solutions onto or near the
probe connectors.
Heater and fan assembly
Remove any lint build up from the rear of the controller. Wipe the fan, the motor shaft
and the controller surfaces to which these items are mounted, with a cloth dampened in
the cleaning solution. Use a minimum amount of solution. Do not spray on the cleaning
solution or permit it to contact any electrical parts.
Alternatively, lower the back of the controller into the cleaning tank accessory. Refer to
Figure 6-5.
CAUTIONS Never substitute any other container for the controller cleaning tank
(Stock No. 6600-0202-500).
Do not clean the fan sensor with hydrogen peroxide.
Controller
Bulkhead
CI.02.018
Cleaning Tank
Figure 6-3
Cleaning the controller
CAUTIONS Do not autoclave or gas sterilize any of the plastic parts.
Do not use strong acids or strong bases on plastic parts.
6-8 600-0291-000 001

6-8
Porthole
The following cleaning agents are acceptable for cleaning and disinfecting the porthole:
Isopropyl Alcohol, 70% concentration
Hydrogen Peroxide, 6% concentration (such as Endo-Spor 100% strength)
Cavicide Spray, 100% concentration as sprayed from the can (active ingredients
- Diisobutylphenoxyethyl dimethyl benzyl ammonium chloride .25%, Isopropanol
14.85%).
Idophor Solution, 0.27% concentration (active ingredients - Polythoxy polypropoxy
polyethoxy ethanoliodine complex 9.10%, nonyl phenoxypoly [ethyleneoxy] ethanoliodine
8.74%, provides 1.6% minimum Titratable iodine, such as Wescodyne- mixed 2 fl. oz. to
1 gal. H2O) Note: this solution will stain porthole seals and bumpers yellow.
The following cleaning agents will damage the material being cleaned and are not
recommended:
Sodium Hypochlorite, 0.5% (bleach)
Quaternary Ammonium, 0.2% concentration (such as Virex)
Glutaraldehyde, 2% concentration (such as Cidex Plus)
Compartment Temperature Probe

Wipe the temperature probe with a cloth dampended with a mild detergent-disinfectant
solution, such as Cavicide™. Be sure to allow the probe to thoroughly dry before
putting the incubator back into operation.
Other Clear Plastic Parts

CAUTIONS To minimize the generation of static electricity, do not polish the incubator hood
with a dry cloth.
Do not autoclave or gas sterilize the mattress or any of the plastic parts.
Do not use strong acids or strong bases on plastic parts.
Clean the hood, the inner wall, and other clear plastic parts of the incubator with a
disinfectant-detergent. Make sure that the inner walls have been removed so that all
incubator surfaces are exposed.
Apply the cleaning solution with a clean cloth or sponge. Dry the plastic parts with a
clean damp soft cloth to avoid scratches.
Note: Do not allow excess cleaning solution to seep in between plastic parts (for
example: between the hood and porthole, or between the hood and the inner wall
retainers) where it can not be easily wiped dry with a cloth.
Lower unit (mattress, mattress tray, base platform cover, etc.)

Clean the base platform cover, the mattress and the mattress tray with a mild
detergent-disinfectant solution. The tilt mechanism parts in the patient compartment
can be cleaned by immersing them in soap and water or a mild detergent disinfectant
solution. Clean the exterior tilt controls by wiping down the exposed surfaces with a
cloth dampened with a mild detergent-disinfectant solution. Do not immerse exterior tilt
mechanism. Rinse and thoroughly dry the parts before reassembly.
Oxygen inlet
Clean the oxygen inlet with a mild cleaning solution or disinfectant.
Cabinet
Clean the cabinet with a mild cleaning solution. Apply the cleaning solution with a
clean cloth or sponge. Dry the cabinet with a clean, soft cloth.
6-9 600-0291-000 001

6-9
6/Maintaining
Notes the Incubator
6-10 600-0291-000 001

6-10
In this section
Repair Policy.............................................................................................................................................................................7-1
Maintenance schedule........................................................................................................................................................7-1
Operator maintenance...........................................................................................................................................7-1
Service maintenance...............................................................................................................................................7-2
Troubleshooting incubator problems..........................................................................................................................7-2
Repair Policy
Warranty repair and service must be performed by an Ohmeda Service Representative
or at the Ohmeda Service and Distribution Center. To contact an Ohmeda Service
Representative, call the nearest Ohmeda Regional Service Office listed on the back cover.
Do not use malfunctioning equipment. Make all necessary repairs or have the equipment
repaired by an Ohmeda Service Representative. Parts listed in the service manual, for this
product, may be repaired or replaced by a competent, trained person who has experience
in repairing devices of this nature. After repair, test the equipment to ascertain that it
complies with the published specifications.
CAUTIONS Only competent individuals trained in the repair of this equipment should attempt
to service it as detailed in the Service Manual (Stock Number 6600-0292-000).
Detailed information for more extensive repairs is included in the service manual solely
for the convenience of users having proper knowledge, tools and test
equipment, and for service representatives trained by Ohmeda.
Maintenance schedule
The unit should be maintained in accordance with the procedures detailed in the
Service Manual. Quarterly and two year maintenance must be performed by a technically
competent individual as described in the Repair Policy.
Operator maintenance
This schedule lists the minimum frequencies. Always follow hospital and local regulations
for required frequencies.
Weekly or After Each Patient
Disinfect the humidifier if used.
Clean the incubator and check the air filter. Disinfect the incubator if required or after use
with infectious patients.
Quarterly
Replace the air filter. When you replace the filter, mark the date on the label supplied with
the replacement filter and affix it to the filter cover panel.
Note: This is the minimum replacement frequency. The filter must also be replaced
whenever it appears dirty, or has been used with an infectious patient.
7-1
600-0291-000 001
7-1
Service maintenance
This schedule lists the minimum frequencies. Always follow hospital and local regulations
for required frequencies.
Quarterly
Perform the electrical safety and checkout procedure from the Service Manual. If
possible verify an acceptable sound level within the infant compartment. Every other
quarterly inspection, check the calibration as detailed in the Service Manual.
Every Two Years
Replace the battery. Inspect all seals and gaskets. Replace shock mounts and bushings.
Note: The battery is used to sound the power failure alarm and to power memory
circuits during a power failure.
Troubleshooting incubator problems

WARNINGS Excessive EMI levels in the hospital environment can trigger the system
failure alarm. Note the error code and switch off the unit. Wait ten seconds and
switch the unit back on. If the system failure alarm recurs, remove the incubator
from use.
If an alarm is silenced, closely monitor the patient.
Symptom Possible cause(s) Recommended action(s)
Controller does not Power is off or the power Connect the power cord.
energize cord is disconnected
Switch the power on.
Unit will not heat in Probe temperature Warm probe above 30°C
Patient Control Mode* below 30°C
All LEDs go out while Open circuit breaker For controllers with serial
the unit is in use numbers beginning with
HBJ and HCE, discontinue
use and call for service.
For all other controllers,

switch the power Off and
On to reset the unit. After
the second occurrence,
discontinue use and call
for service.
Mode control, Switches are not enabled Press the Enable switch to
temperature switches (enable indicator is out) activate the switches.
(? and M), or Override
switches do not respond Controller failure Discontinue use and call
for service.
* On units with patient control mode
7-2
600-0291-000 001
7-2
Symptom Possible cause(s) Recommended action(s)
HHHH or LLLL appears Patient probe jack Plug the patient probe
in the patient temperature not properly seated completely into the
display in the air control controller.
mode
Patient probe failure Replace the probe and

check the patient.
Alarm cannot be silenced Microprocessor failure Discontinue use and call

and all indicators are for service.
extinguished
System failure alarm Electrical failure Note the error code and
switch off the unit. Wait ten
seconds and switch the
unit back on. If the system
failure alarm recurs,
discontinue use and call
for service.
Probe failure alarm* Air probe disconnected in Reconnect the air

either mode. Air temp. temperature sensor
display reads 00.0
Patient probe disconnected Reconnect the patient

in patient control mode. probe.
Patient temp. display reads
HHHH
Patient probe malfunction Replace the patient probe.

in patient control mode.
Patient temp. display reads
HHHH
Control unit failure Discontinue use and call

for service.
Air circulation alarm Blower motor failure Discontinue use and call
for service.
Missing fan Reinstall fan
Power failure alarm The power cord is not Plug the power cord in.
plugged into a live power
outlet
The power cord is not

plugged into the controller
One or more indicators fail Electrical failure Discontinue use and call
for service.
Improper or no Disconnected RS-232 Reconnect RS-232 cable.

Serial String cable
Unable to achieve On units with humidifier Check humidifier

humidification level tray not properly installed
Unable to achieve On units without humidifier Check to see if plugs

O2 level plug in base missing are installed
7-3
600-0291-000 001
7-3
Notes
7-4
600-0291-000 001
7-4
8/Illustrated Parts
Base platform and cover assembly
Item Stock Number
6
3
5
100
75% %
50%
25%
CI.23.012
>37
°C
°F
/
°C

1. Mattress with cover.......................................................................................................... 6600-0152-500
2. Filter w/replacement date sticker............................................................................... 6600-0043-800
3. Humidifier, passive (complete, includes 4-7)*........................................................ 6600-0218-800
4. Humidifier fill tray............................................................................................................. 6600-0768-500
5. Humidifier slide................................................................................................................. 6600-0435-500
6. Humidifier lid..................................................................................................................... 6600-0434-500
7. Humidifier seal 2/pkg...................................................................................................... 6600-0220-800
* For Servo-Controlled Humidifier see manual 6600-0223-000
8-1 8-1
600-0291-000 001
8/Illustrated Parts
Notes
8-2 8-2
600-0291-000 001
Appendix
In this section
Care Plus specifications ....................................................................................................................................A-1
Electrical specifications ........................................................................................................................A-1
Performance specifications .................................................................................................................A-2
Safety specifications ..............................................................................................................................A-4
Environmental specifications .............................................................................................................A-4
Electromagnetic Compatibility (EMC) Specifications..................................................................A-4
Mechanical specifications......................................................................................................................A-5
Additional Safety Information ........................................................................................................................A-6
Glossary .................................................................................................................................................................A-7
Care Plus specifications

Electrical specifications
Power requirements
Designed to IEC 601-1 and IEC 601-2-19 specifications
120 Vac 50/60 Hz Models (115 Vac ± 10%, 5.7 Amps)

220 Vac 60 Hz Models (220 Vac ± 10%, 3.0 Amps)
220-230 Vac 50 Hz Models (220 Vac - 10%, 230 Vac + 10%, 3.0 Amps)
240 Vac 50/60 Hz Models (240 Vac ± 10%, 2.7 Amps)
Nominal power consumption
450 watts at maximum heater output
Line voltage compensation
Heat output compensated for line voltage fluctuations up to 10% of nominal line voltage.
Rated Current: 7 Amps

Trip Point: 9.8 Amps Minimum
Type: Manual Resetting
Model: ETA 41-06-P10 7 Amps
A-1 600-0291-000 001

A-1
Appendix
Performance specifications
Patient temperature measurement
Range Displayed: +22 to 42°C (71.6 to 107.6°F)

Accuracy*: ± 0.3°C (± 0.5°F) within a range of 30-42°C
Resolution: ± 0.1°C or °F
Probe Model Numbers: LA003, LA005 (disposable)

Probe Interchangeability: ± 0.1°C (± 0.2°F)
Air temperature measurement
Range Displayed: 5 to 50°C (41.0 to 122.0°F)

Resolution: ± 0.1°C or °F
Accuracy*: Varies over temperature range
Temperature Range Accuracy

5 to 22°C (41-71.6°F) ± 0.5°C (0.9°F)
22.0 to 42.0°C (71.6-107.6°F) ± 0.3°C (0.5°F)
42.0 to 50.0°C (107.6-122.0°F) ± 0.5°C (0.9°F)
Control temperature ranges
Patient Control Mode: 35.0 to 37.0°C (95.0 to 98.6°F), up to 37.5°C (99.5°F) with
internal adjustment
Air Control Mode: 20.0 to 37.0°C (68.0 to 98.6°F), up to 39.0°C (102.2°F) with control
panel Override switch.
Thermal performance
Temperature Rise Time*: Less than or equal to 20 min

Temperature Variability*: 0.2°C (0.4°F)
Temperature Overshoot*: Less than or equal to 0.8°C (1.4°F)
Note: * These terms are defined in the Glossary.
Alarms
Indicator and Nonsilenceable Audio Alarm

Power Failure
Indicator and Silenceable Single Tone Alarm

Difference between patient temperature and patient control temperature exceeds 1.0°C
patient control mode (can be adjusted to 0.5°C).
Air temperature is 1.5°C above or 3.0°C below air control temperature (air control
mode; Disabled for 15 minutes after control temperature change and for 30 minutes on
power up).
Indicator, Silenceable Two Tone Alarm and Heater Shutdown

Air temperature sensor disconnected (both modes)
Patient probe disconnected or malfunctioning (patient control mode)
Air circulation system failure
Patient temperature > 42.0°C or < 30.0°C
Air temperature > 38.0°C (air control mode w/o Override)
A-2 600-0291-000 001

A-2
Appendix
Air temperature > 40.0°C (patient control mode or air control mode with Override)
Indicator, Nonsilenceable Two Tone Alarm, Heater Shutdown and Possible Error Code
System failure
Operator prompt tone
Intermittent audio tone sounds when the unit is first switched On and when the
patient control mode is first selected. Tone is silenced when control temperature is
entered. The heater will not operate until a control temperature has been entered. On
controllers with serial numbers beginning with HBJ, this 30 second tone also precedes
all silenceable alarms.
Proportional heat control
Features zero voltage switching to minimize radiated and conducted EMI. Heater
power compensated for line voltage fluctuations of up to 10% of the nominal voltage.
Air velocity over mattress
Less than 35 cm/sec.
Noise level within unit
Less than 60 Decibels, A weighted
100
75 70 High Setting 60
%RH
52
CI.02.067
(Incubator)50 Low Setting
35
25 20 Empty Reservoir12
0
30 35 39
Incubator Temperature (°C)

Note: RH values shown above may vary by ±10%
Humidifier specifications
Specification test conditions used to collect data:

Room temperature: 25°C
Room humidity: 50% RH
Readings taken two hours after reaching temperature equilibrium without an infant in
the incubator.
A-3 600-0291-000 001

A-3
Appendix
Oxygen concentration within unit
25 to 45% with 5 l/min. oxygen input

Carbon dioxide concentration within unit
Less than 0.5% when a 4% carbon dioxide, 96% air mixture is fed into the infant
compartment at rate of 0.75 l/min (simulated infant occupancy).
Safety specifications
Isolation voltage
2500 Vrms 60 Hz from the patient probe to the ac phase and neutral lines for one
minute.
IEC 601-1 Class I Equipment

m IEC 601-1 Type B Isolation
Mode of Operation: Designed for continuous operation.
Protection against ingress of water: Not protected.
WARNING The patient probe is not isolated from earth ground. Any additional equipment
used with the Care Plus must comply with IEC 601-1
Leakage current
Power supply: 120V 50/60 Hz

Leakage current: less than 300 µA
Power supply: 220/240 V 50/60 Hz

Leakage current: less than 500 µA
Self test
The microprocessor performs self test and software verification functions when the
power is first switched On.
Environmental specifications
Operating Temperature Range: 20 to 30°C (68 to 86°F)
Storage Temperature Range: -25 to 60°C (-13 to 140°F)
Operating and Storage Pressure Range: 500 to 1060 hPa
Operating and Storage Relative Humidity Range: 0 to 95%
Electromagnetic Compatibility (EMC) Specifications

All models meet the requirements as specified in IEC 601-1-2
Collateral Standard Electromagnetic Compatibility - Requirements and Tests.
A-4 600-0291-000 001

A-4
Appendix
Mechanical specifications
Incubator with cabinet
Height: 135.9 cm (53.5 in)

Depth: 64.8 cm (25.5 in)
Width: 88.9 cm (35.0 in)
Weight: 84.04 kg (185 lbs)
Casters: 3 inch diameter, 2 locking, 2 non-locking
Height
to bed: 92 cm (36 in.)
Incubator only
Height: 62.2 cm (24.5 in)

Depth: 61.5 cm (24.2 in)
Width: 83.1 cm (32.7 in)
Mattress: 34.8 x 65.0 cm (13.7 x 25.6 in)
Maximum Load: 30 lbs. (13.6 kg)
Tilt Positions:
Two Position: 0 degrees or 10 degrees
A-5 600-0291-000 001

A-5
Appendix
Additional Safety Information
Statements
This device should only be operated by personnel trained in its operation and familiar
with the risks and benefits of this type of device.
WARNING To avoid the risk of electrical shock, this equipment must only be connected to a
supply mains with protective earth.
WARNING The computer or RS-232 monitor’s user program must continuously check
the data link. The program should constantly verify connection to the warmer
controller and check for updated data.
No additional tasks are required to power down the device after clinical use, other than
turning off the unit.
Isolation of the unit from the supply mains can be achieved by turning off the device
with the power switch.
WARNING Electrical shock hazard: Before servicing, always unplug the unit from wall power.
Symbols
The following symbols appear on the unit:
Symbol Description
Consult accompanying documents.
Specifications
The product is designed to meet a life span of 7 years. However, with proper
maintenance and repairs, the service life can be extended as long as service parts are
available.
The maximum patient weight is 40 kg (88 lbs).
Directives
Ohmeda Medical, a division of Datex-Ohmeda, Inc., has declared that this product
conforms with the European Council Directive 93/42/EEC Medical Device Directive
when it is used in accordance with the instructions provided in the Operation and
Maintenance Manual.
This symbol indicates that the waste of electrical and electronic equipment must not
be disposed as an unsorted municipal waste and must be collected separately. Please
contact an authorized representative of the manufacturer for information concerning
the decommissioning of your equipment.
A-6 600-0291-000 001

A-6
Appendix
Glossary
Note: A Note provides additional information to clarify a point in the text.
Important: An Important statement is similar to a Note but used for greater emphasis.
CAUTION: A CAUTION statement is used when the possibility of damage to the

equipment exists.
WARNING: A WARNING statement is used when the possibility of injury to the patient
or the operator exists.
Accuracy: As stated in the performance specifications, the assigned accuracy of the

equipment; including all the system components from the sensors to the display.
Desired Environmental Temperature (DET): The air temperature required to maintain the
infant’s temperature at the patient control temperature (patient control mode).
Air Control Mode: Manual Mode of operation. The incubator air temperature is
maintained at the air control temperature.
Incubator Temperature: The air temperature measured at a point 10 centimeters

(4 inches) above the center of the mattress.
Patient Control Mode: Servo Mode of operation. The incubator changes the DET to
maintain the desired patient skin temperature.
Patient Probe: The Ohio patient temperature probe, model LA003, or the Ohmeda skin
temperature probe, model LA005.
Temperature Rise Time: The time required for the incubator temperature to rise 11°C.
Temperature Equilibrium: The condition where the average incubator temperature does
not vary by more than 0.2°C in a one hour period.
Temperature Variability: The maximum difference between the incubator temperature

and the average incubator temperature during temperature equilibrium.
Temperature Overshoot: The number of degrees by which the maximum incubator

temperature exceeds the average incubator temperature at temperature equilibrium
following a change in the air control temperature (air control mode).
m Type B electrical equipment

y Protective ground IV Pole is not a handle
x Functional ground

Lower IV Pole to 143 cm
Max during transport
~ Alternating Current (AC)
Air Circulation Failure
Patient Temperature
Probe Failure
Air Temperature
System Failure
Control Temperature
Power Failure
Alarm
Air Control Mode
Controls
Patient Control Mode
Upper IV Pole: 2.3 kg Max Enable
Lower IV Pole: 12 kg Max Raise Temperature
Lower Temperature
Consult accompanying
documents.
A-7 600-0291-000 001

A-7
Appendix
A-8 600-0291-000 001

A-8
Appendix
Warranty
This Product is sold by Ohmeda under the warranties set forth in the following paragraphs.
Such warranties are extended only with respect to the purchase of this Product directly from
Ohmeda or Ohmeda’s Authorized Dealers as new merchandise and are extended to the Buyer
thereof, other than for the purpose of resale.
For a period of twelve (12) months from the date of original delivery to Buyer or to Buyer’s
order, but in no event for a period of more than two years from the date of original delivery
by Ohmeda to an Ohmeda Authorized Dealer, this Product, other than its expendable
parts, is warranted to be free from functional defects in materials and workmanship and
to conform to the description of the Product contained in this operation manual and
accompanying labels and/or inserts, provided that the same is properly operated under the
conditions of normal use, that regular periodic maintenance and service is performed and
that replacements and repairs are made in accordance with the instructions provided. This
same warranty is made for a period of thirty (30) days with respect to expendable parts. The
foregoing warranties shall not apply if the Product has been repaired other than by Ohmeda
or in accordance with written instructions provided by Ohmeda, or altered by anyone other
than Ohmeda, or if the Product has been subject to abuse, misuse, negligence, or accident.
Ohmeda’s sole and exclusive obligation and Buyer’s sole and exclusive remedy under the
above warranties is limited to repairing or replacing, free of charge, at Ohmeda’s option,
a Product, which is telephonically reported to the nearest Ohmeda Field Service Support
Center and which, if so advised by Ohmeda, is thereafter returned with a statement of the
observed deficiency, not later than seven (7) days after the expiration date of the applicable
warranty, to the Ohmeda Service and Distribution Center during normal business hours,
transportation charges prepaid, and which, upon Ohmeda’s examination, is found not
to conform with above warranties. Ohmeda shall not be otherwise liable for any damages
including but not limited to incidental damages, consequential damages, or special damages.
There are no express or implied warranties which extend beyond the warranties hereinabove
set forth. Ohmeda makes no warranty of merchantability or fitness for a particular purpose with
respect to the product or parts thereof.
A-9 600-0291-000 001

W-1
A-9
World Headquarters EC Representative
GE Healthcare GE Medical Systems
9900 West Innovation Drive 283 Rue de la Miniere
Wauwatosa, WI 53226-4856 78530 BUC - FRANCE
USA
Tel 1 800 345 2700
Europe, Middle East, Africa Germany

GE Healthcare GE Medical Systems Information Technologies GmbH
P.O. Box 900 Munzinger Str. 3-5
FIN-00031 GE 79111 Freiburg
Finland Tel. 49 761 4543 570
Tel +358 10 39411 Fax 49 761 4543 571
Fax +358 9 146 3310 Service 0800 4343258
Latin America Representatives Asia Representative

GE Healthcare GE Healthcare
3350 SW 148 Avenue Shanghai GE (China) Hi-tech Park
Suite 301 No1 Huatuo Road, Zhangjiang Hi-tech Park Pudong, Shanghai,
Miramar, Florida, 33027 P.R.China 201203
USA 上海GE中国科技园
Tel + 1 954 744 5600 地址：中国上海市浦东张江高科技园华佗路1号, 201203
Tel + (8621) 38777888
Fax + (8621) 38777402
Brazil Only
GE Healthcare Clinical Sytems Equipamentos Médicos Ltda
Australia 1300 722 229
Av. Paulista, 37 - 13º andar
CEP: 01311-902 - Cerqueira César China 800 810 8188
São Paulo, SP - Brasil India 1 800 425 7255
Tel +55 11 3053 2500 Korea (02) 1544 4564
Fax +55 11 3053 2573 South Eastern Asia (65) 6277 3444
Ohmeda Medical, Care Plus 1000 2000 6600-0291-000

a Division of Datex-Ohmeda, Inc., Revision 001
Operation and Maintenance Manual Language: English
a General Electric Company
8880 Gorman Road
Printed in USA
Laurel MD 20723 Copyright 2001 by Datex-Ohmeda, Inc.
USA All rights reserved.
To reorder this manual, order kit: Printing instructions:
• 6600-0591-800 (US) Black on white
8.5” x 11” paper size
Two (2) sides print
Three (3) hole punch
Stapled or shrink wrapped

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Ohio® Care Plus®

4/Preoperative Checkout Procedure

5/Using the Incubator

Complete the “Pre-operative Checkout Procedures” section of this manual before

Always disconnect the power before performing service or maintenance procedures

Introducing the Ohio Care Plus Incubator

Ohio® Care Plus® Incubator is a registered trademark of Ohmeda.

What warnings and cautions mean

Symbols used in this manual

M Increase the control temperature

? Decrease the control temperature

Items not covered in this chapter

If your system uses any accessories or external monitoring devices (phototherapy

1. Install the four mounting knobs.

3. Refer to section 4 in this manual to perform preoperative checkout procedures.

The air control (manual) mode

Air control temperature

Control temperature alarm

The patient control mode (Care Plus 2000 only)

Patient control temperature range

Patient temperature alarm

Repeat first stage

Yes 1) Switch heater off Yes

Calculate new DET

Depressing alarm silence switch for five seconds or longer illuminates

The °F/°C switch changes the temperature displays from degrees

These switches adjust the control temperature. To prevent accidental

The power switch is located on the right side of the controller

Patient Temp Probe Failure

Control Temp System Failure

High Air Temp Power Failure

Patient temperature alarm (Care Plus 2000 only)

Control temperature alarm

High air temperature alarm

The alarm activation temperature varies with the mode of operation:

Mode Control Temperature Alarm Limit

Patient Control All Settings 40.0°C (104.0°F)

Air Control 20.0 to 37.0°C 38.0°C (100.0°F)

Air circulation alarm

System failure alarm

Power failure alarm

Probe Failure Alternating All Disconnected air 1 min. Off

Alternating Pat. Patient probe disconnected, 1 min. Off

Control Intermittent Air Air temperature is 1.5°C 15 min. @

System Alternating All Electrical malfunction or Cannot Off

Air Circulation Alternating All See the “Troubleshooting” 5 min. Off

Patient Intermittent Pat. The difference between the 15 min. @

Intermittent Pat. The difference between the 5 min. @

Alternating Pat. Patient temperature is above 1 min. Off

In the patient control or the air

^ Electro Magnetic Interference from other electrical equipment.

† All silenceable alarms are preceded by a 30 second operator prompt tone.

Air Temp. Sensor

Iris Port Holes

Complete the “Preoperative Checkout Procedures” section of this manual

3. Examine the incubator for obvious signs of damage.

2. Check the operation of any accessories with reference to the appropriate

Patient Control Mode and Patient Probe

6. Switch the power On and verify the following sequence:

Patient Air Control

25.05°C (±0.2°C) 37.95°C (±0.2°C) From 09.00 to 11.00

18. Check the probe failure alarm.

Computer independent circuitry continuously measures and compares the incubator

Residual ether or similar gases exhaled by a post surgical patient may be