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Manual de Usuario y Servicio
Manual de Usuario y Servicio
USER MANUAL
CONVECTIVE AIR SYSTEM FOR
PREVENTION OF PERIOPERATIVE
HYPOTHERMIA OF THE PATIENT
CALIMA
CELSIUS MEDICAL SL¨ Ctra.-Torrejón-Ajalvir, Km. 5,2¨ 28864 Ajalvir ¨ Madrid (España) Pag.1 of 25
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CONTENTS
1. INTRODUCTION _____________________________________________________ 3
2 INDICATIONS FOR USE __________________________________________ 4
3 WARNINGS AND PRECAUTIONS __________________________________ 4
4 DESCRIPTION OF THE CALIMA™ THERMAL REGULATING SYSTEMS 7
5 INSTALLATION ________________________________________________ 10
6 MODES OF USE AND OPERATION ________________________________ 10
6.1 OPERATOR BUTTONS ___________________________________________ 10
6.2 NOTE ON OPERATING MODES AND ALARMS _____________________ 11
7 CLEANING AND INSTRUCTIONS _________________________________ 12
7.1 CLEANING _____________________________________________________ 12
8 SPECIFICATIONS _______________________________________________ 13
9 GUIDE TO POSSIBLE PROBLEMS AND SOLUTIONS ________________ 16
10 WARRANTY ___________________________________________________ 18
11 MANUFACTURER AND TECHNICAL SERVICE _____________________ 18
12 SYMBOL USED DEFINITION _____________________________________ 19
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1. INTRODUCTION
1.1 DEFINITION OF HYPOTHERMIA
Normal body temperature is around 37ºC, small variations cause small perspiration,
vasodilatation or vasoconstriction and shivering.
Central core body temperatures equal or less than 35ºC is considered hypothermia.
Temperatures up to 32ºC indicate moderate hypothermia or a safe hypothermic zone, in which
the heat conservation and heat production mechanisms such as peripheral vasoconstriction
and shivering are, generally, observed.
In temperatures between 32ºC and 24ºC there is a transition zone characterized by the
progressive depression of the tissue metabolism, appearance of a maximum vasoconstriction
and disappearing of shivering. Under 24ºC is very dangerous and is where hypothermia
occurs, in which a human being behaves like a poikilothermic entity, which means it adopts
the temperature of the environment around them. With care provided during the normal
preoperative stage, approximately half of the patient’s central temperature falls below 36ºC.
Of these approximately a third, their temperature falls below 35ºC during surgery.
1.2 REASONS FOR HYPOTHERMIA
Among the main reasons for hypothermia are:
1. Operating room temperature, around 21ºC.
2. Anaesthesia effect of the body temperature regulating system
3. Supply of cold intravenous fluids.
4. Open body cavities during surgical procedure.
5. Exposure to low temperatures.
6. Spinal injury trauma.
1.3 ACTIVE WARMING SYSTEMS
Active heating systems are undoubtedly the most effective in maintaining normothermia. The
heat transfer is proportional to the surface area being treated.
The CALIMA™ warmer is a "convective warm air" machine: The main characteristics of
these machines are that they allow heat to be directed onto the skin area, increasing the
transfer of heat by convection. The warm air reduces heat losses due to radiation by protecting
the body surface area in contact with the warming blanket. It maintains normothermia, and
decreases the adrenergic response, the incidence of shivering and increases thermal well-
being, which is why it is one of the most efficient systems for preventing hypothermia. It must
always be used with the appropriate disposable blanket to obtain the correct distribution of
heat is supplied to avoid possible injuries. Heating of the skin is more effective in the
presence of vasodilatation, which is why it is easier to maintain intra-operative normothermia
when patients are vasodilatated than to warm them up again in the postoperative phase when
hypothermic patients are vasoconstricted. The prevention of intra-operative hypothermia
should start with preheating at least 30-60 minutes before the anaesthetic is administered
because it is necessary to transfer substantial amounts of heat through the skin area to
decrease hypothermia as a result of redistribution.
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• This unit can suffer alterations during its normal usage, or when put into standby mode
operation, with the use of EFT above 1 kV (highly unlikely). In case that this event
occurs, the equipment should not be used until removal of the disturbance.
• The equipment is Class I, with reinforced insulation, so you need to be connected to a
mains socket outlet with grounding protection.
• In case of any malfunction due to interferences, it must be verified that the outcoming
air temperature in the nozzle does not exceed 54 ° C in any case
• The presence of portable and mobile RF communications equipment can affect the
operation of the equipment. It is recommended not to position the Calima near this
type of equipment or at least at an adequate distance (minimum 30 cm)
• Calima is classified as Class A suitable only for use in hospitals. The equipment is not
designed for use in a residential environment.
• The equipment may be affected by electromagnetic interference. To guarantee the
useful life of the equipment, it is necessary to comply with the warnings and
precautions defined in this manual.
• Any modification on the equipment is not permitted, and potentially dangerous, and
all modifications must be approved by the manufacturer. If the device is modified it
must be return to the manufacturer.
• Position the equipment in a way that it will be easy to remove the mains plug if
required.
• Caution should be taken when using this equipment in conjunction with patient fluid
irrigation, so that the hose and fluid lines do not come into contact, as this may cause
burning to the patient.
• Before using the unit, please confirm no mechanical damage to the heating unit
• The use of materials, such as water, gel or similar substances, between blanket and
patient, can reduce the effectiveness of the equipment and the patient's body
temperature.
• When using equipment, be aware the patient body or limbs can block airway pathways
and reduce the effectiveness of the heating device.
• The use of transcutaneous treatments (patches) can increase the drug supply with
potential patient harm.
• To disconnect the device, unplug the main power cable.
CAUTION
• Danger of explosion. Do not use the equipment in the presence of flammable gas.
• Do not submerge the unit under water or other cleaning products. Clean with a clean
and slightly damp cloth.
• Do not cover the equipment with cloths or other objects that can block the equipment’s
air vents or internal ventilation ducts. This can lead to deterioration of the equipment
due to overheating of its internal components.
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1. Handle.
2. Display panel.
3. Hose exit.
4. Fuses.
5. IV pole connection.
6. Switch ON/OFF.
7. Plug inlet for power cable.
8. Additional ground connection.
9. Hose placement clip.
5
6
7
8
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5 INSTALLATION
1. -Check that the machines voltage rating found on the identification label corresponds to the
country where it is to be used.
2. -Connect the machine to the electricity supply at the rear of the equipment and use the
power cable supplied.
3. -Connect the hose to the blanket ensuring it is pushed in all the way to the neck of the
connector. Please see the directions for use supplied on the label of the blanket supplied by
the manufacturer with the blanket.
4. - Turn on the mains power supply switch so the green indicator lights up.
At this point the blue background screen will come on.
5. - Press the on/off (standby) key on the machine display panel(the key in the centre of the
display panel).
The turbines will start to run and the machine will begin the heating process, until it reaches
the selected temperature and fan speed on the panel. Both settings are shown in the display at
all time.
When the difference between the set temperature and average temperature at the tip of the
tube is above 3ºC, the thermometer symbol of the display flashes while the system is working,
and stops when it is below 1ºC
1. On/off (standby)
2. AMB – Ambient room temperature
3. 38ºC - Low temperature
4. 43ºC – Medium temperature 9
5. 45ºC – 45ºC – (This is a boost setting than
runs for 45 minutes before dropping back
down automatically to 43 ºC.)
6. Low fan speed ≥ 9 m/s (*) 5 8
7. Medium fan speed ≥ 13 m/s (*) 4 7
8. High fan speed ≥ 16 m/s (*) 3 6
9. Display messages 2
1
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To operate the equipment, once the internal tests have been performed and the display
remains off, press the on/off button (1) located in the center of the keyboard, the machine will
switch to standby showing in the display "STAND BY".
NOTICE: When the computer is in "Stand by" status, the display LED is off, showing with a
slight but visible lighting the "Stand By" status.
Select the desired working temperature by pressing one of the 4 keys located on the front left
hand side of the display panel:
• Ambient
• Low: 38ºC
• High: 43ºC
• High/Boost: 45 ºC
Select the desired fan speed by pressing one of the 3 keys located on the front right hand side
of the display panel:
• Low speed
• Medium speed
• High speed
The recommended operating speed for each model of blankets is specified in the
corresponding instruction manuals.
To stop the machine, press the on/off key (1) (located at the centre of the display panel), so
that the machine switches to STANDBY mode, the screen will display STANDBY visible
with a slight but lighting.
NOTE: the machine will continue to blow ambient air for 10 or 20 seconds (depending on
software version) to ensure all the heat is dissipated from the machine.
To disconnect the machine completely, press the rear switch, turning the green light off.
6.2 NOTE ON OPERATING MODES AND ALARMS
The functioning of the machine does not depend on the type of blanket connected to it, as the
machine automatically controls the turbines to produce a constant and uniform air flow into
the blanket.
The temperature can be checked at any time by a temperature probe connected to the end of
the hose, temperatures measured at that point must equal the display temperature select with a
tolerance of± 1 °C
The user will have to be located to one meter in front of the control panel.
WARNING: When an audible alarm indicator beeps, the user must go immediately to the
above mentioned position.
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ALARMS
At start-up, the device performs an automatic auto-check sequence to verify the correct
operation of the audible alarms as well as the screen displays the safe device mode. See
Annex I and point 9 for the device alarms description
FIn the event of a liquids leaking inside the machine, do not attempt to dismantle the machine.
NOTE
Notify the technical service.
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8 SPECIFICATIONS
Physical characteristics
HEPA FILTER
• Particulate removal tested to 99.5% at 0.15 μ-0.2 μ MPPS according to EN1822-1
• Rated airflow capacity: 300 m3/h
• High efficiency classification H13 as per EN 1822
(It is mandatory to change filter every 1,000 hours of use, by Technical Service or qualified
personnel).
Weight of the machine
• Weight. 5.7 Kg IV Pole Bracket 0.265 Kg
Equipment life span
The equipment has a useful life of 10 years from the date of manufacture. Once accomplished,
the device should be treated as electrical waste.
Hose Blanket disposable connection specifications
• Length of the tube: 1800 mm
• Inner diameter of the tube: 55 mm
(Use only with CELSIUS MEDICAL’s blanket.)
Operational mode
Working temperature ranges at hose end attached to blanket
• Room temperature: Ambient
• Low temperature: 38°C ± 1°C
• Medium temperature: 43°C ± 1°C
• High/Boost temperature: 45°C± 1°C (for 45 minutes before dropping back
to 43 °C)
Working Fan Speeds
• Low: ≥ 9m/s
• Medium: ≥ 13m/s
• High: ≥ 16m/s
Speed values are minimum ones. The value for each one is according to the rule: Low fan
speed < Medium fan speed < High fan speed
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Device rating
• Supply voltage 100-120 Vac ≈ 220-240 Vac ≈
• Frequency 50/60 Hz 50/60 Hz
• Power Consumption Peak 1250 W 1250 W
• Power Consumption Average 1200W 1200W
• 2 retarded fuses 16 A 6A
Power cord:
• Calima 220-240 V:
o Connector C19 - 16 A-220V
o Plug Type F - 16 A - 220 V
o Cord: 14 AWG x 3, (1.5 mm x 3), length: 4 m
IMPORTANT: For connections from 220V to 240V and at 50 Hz, a supply network with
a maximum impedance Z max ≤ | 0.34 | Ω
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Safety system
Thermostat
• Two sensors in parallel control the temperature at the end of the hose, with an
accuracy ±1ºC
Electronic Alarm System
• If the temperature is above 48 ºC and below 54 ºC.During this time the system tries
to regulate the temperature to the set temperature.
• If the temperature is above 48 ºC and below 54 ºC for more than 1 minute, the
buzzer alarms continuously and then power is cut to both the turbine and heat
resistances after 3 minutes. The device then needs the power switch turning off
manually at the back of system.
• If the temperature is above 54 ºC at any time, the buzzer alarms and the power is
cut to both the turbine and heat resistances. The device then needs the power
switch turning off manually at the back of system.
Analogical Safety system
• Thermo fuse over temperature 93ºC on the heater block.
Sound pressure levels of alarms:
• High Priority Alarms: 80.5 dBA.
• Medium Priority Alarms: 78.5 dBA.
Over current protection
• Dual input fused lined
Electric risk classification
• Class I, Type BF
Fluid IngressProtection
• IPX2
Function Mode
• Device continuous mode
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Certification
• UL 60601-1; IEC 60601-1; IEC 60601-2; EN 55011; CAN/CSA-C22.2
Routine maintenance
• Filter must be replaced every 1000 operating hours. This change must be done by
the technical service or qualified personnel.
The machine is not turned on, the Ensure that the correct type of mains cable is
cable is not plugged into the machine properly connected to the ACinput module
or the AC outlet is not switched on or machine, or use a new cable.
faulty. The wrong plug may have
been used.
The switch light located at the back Press the switch located at the back of the
of the device is not ON deviceto turn it ON, and it will light up
green.
The display does
not turn on. The switch light still not turning ON Check the fuseson the back and replace
when pressed. them with new ones.
The switch light is ON but the device Press the ON/OFF button located on the
still does not work front display panel of the case
After pressing the ON/OFF Internal failure. Inform the technical service.
Button, the device still does not
work.
If the temperature of the heater Verify that the air grill located at the bottom
module exceeds the maximum of the device or the hose are not blocked.
temperature selected, the audible
excess temperature alarm is activated,
and the display light flashes.
High temperature
alarm The device does not regulate to the Internal failure. Inform the technical service.
set temperature and keeps alarming.
The excess temperature alarm persists The device goes from normal mode to
and the safety system activates. overtemp mode. Switch it off and unplug the
device. Inform the technical service.
After the filter’s life has come to an Replace the filter as described in the manual.
Filter change alarm end, message displayed on screen
“Replace Filter” .
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After the filter has been replaced, the Internal failure. Turn off and unplug the
problem persists device. Inform the technical service.
Audible intermittent alarm with the Check the filter is installed and close the
“no filter” message on the display. door correctly.
No filter alarm
If the problem persists there may be Turn off and unplug the machine. Inform
an internal fault in the machine. technical service
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10 WARRANTY
The machine is under warranty for 2 years. Users will not be charged for replacement parts
during this period.
Damage to the machine due to misuse or incorrect maintenance, are excluded from this
warranty. The accessories or consumables for the machine are excluded from this warranty.
The warranty is voided if:
• Has been manipulated inside.
• The malfunction was due to negligence in use by users.
• The device has been open
• Shock suffered by the unit
• The identification label has been damaged or tampered with.
All failures should be notified to the manufacturer to repair
NOTE F Before is sent to the manufacturer for repair, all devices must meet the following
requirements:
• Be properly disinfected.
• They must be accompanied by a return merchandise authorization (RMA) number
which must appear on the box along with the manufactures serial number.
• Be packaged properly
In case of any adverse reaction or incident contact Celsius Medical S.L. info@celsius-
medical.com
Telephone:+34 91 887 42 20
Fax:+34 91 887 44 44
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PROTECTION FUSES
DANGEROUS VOLTAGE
ALTERNATE CURRENT
Vac
IMPORTANT WARNING TO THE USER FOR SAFE USE OF
NOTE F THE MACHINE
PROTECTIVE EARTHING
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Table C.7
Recommended separation distances between portable and mobile RF communications devices.
For MACHINES AND SYSTEMS that are not for ESSENTIAL CARE
N.B. - At 80MHz, the separation distance for the highest frequency range is applied.
NOTE 2 - These guidelines cannot be applied in all situations. Electromagnetic propagation is subject to absorption and reflection by
structures, objects and people.
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Table C.8
Guide and manufacturer's declaration – electromagnetic emissions - for all MACHINES AND
SYSTEMS
The CALIMA™ air warming machine is designed for use in an electromagnetic environment such as the one specified
below. The client or user of the CALIMA warm air machine should make sure that they are used in this environment.
RF Emissions
Class S
CISPR Standard 11
Fluctuations Voltage/flickers
Complies
IEC Standard 61000-3-3
The EMISSIONS characteristics of this equipment make it suitable for use in industrial areas
and hospitals (CISPR 11 class A). If used in a residential environment (for which CISPR 11
Class B is normally required), this equipment may not offer adequate protection for radio
frequency communication services. The user may need to take mitigation measures, such as
relocating or reorienting the equipment.
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Table C.4
Guide and manufacturer's declaration –electromagnetic immunity - for all MACHINES AND
SYSTEMS
The CALIMA™ air warming machine is designed for use in an electromagnetic environment such as the one specified below. The
client or user of the CALIMA warm air machine should make sure that they are used in this environment.
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Table C.8
Guide and manufacturer's declaration –electromagnetic immunity - for all MACHINES AND
SYSTEMS
Guide and manufacturer's declaration – Electromagnetic immunity.
The CALIMA™ air warming machine is designed for use in an electromagnetic environment such as the one specified below.
The client or user of the CALIMA warm air machine should make sure that they are used in this environment.
Conducted RF 3V 3V
IEC Standard 61000- 0,15- MHz-80 MHz 0,15- MHz-
d = 1’17 p
4-6 6 V in ISM bands 80 MHz
between 0,15 MHZ 6 V in ISM
and 80 MHZ bands
80% AM at 1 kHz between 0,15
MHZ and 80 d = 1’17 p 80 MHz a 800 MHz
MHZ
80% AM at 1 d = 2’33 p 800 MHz a 2,5 GHz
kHz
Where P is the maximum output power assigned to
3 V/m 3 V/m the transmitter in watts (W) according to the
Broadcast RF 80 MHz a 2,7 GHz 80 MHz a 2,7 manufacturer of the transmitter and k is the
IEC Standard 61000- 80 % AMD at 1 kHz GHz recommended separation distance in metres (m).
4-3
80 % a 1GHz
The field intensities from the fixed RF transmitter, as
determined by an electromagnetic site study, should
be less than the compliance level in each frequency
range b.
Note 1 - At 80 MHz and 800 MHz, the highest frequency range is applied.
NOTE 2 - These guidelines cannot be applied in all situations. Electromagnetic propagation is subject to absorption and
reflection by structures, objects and people.
a.) The field intensities of fixed transmitters, such as base stations for radio telephones (cell / cable free) and mobile
terrestrial radio stations, amateur radio stations, AM/FM radio broadcasts and TV broadcasts cannot theoretically be
predicted with any precision. To assess an electromagnetic environment due to fixed RF transmitters, an electromagnetic
study should be considered. If the measurement of the field intensity in the area in which the CALIMA air machine is being
used exceeds the applicable RF compliance level above, the CALIMA air machine should be watched to confirm normal
operation. If abnormal operation is observed, additional measures may be necessary, such as reorientation or relocation of the
table.
b) The field intensity should be less than 3 V/m on the frequency range of 150 KHz to 80 MHz.
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