GE Healthcare Lullaby™ Warmer Maintenance and Service manual Lullaby™ Warmer Mainte nance and Service Manual -English 2042376- 001 Rev G Disclaimer © 2012 General Electric Company All rights reserved. General Electric Company reserves the right to make changes in specifications and features shown herein, or discontinue the product described at any time without notice or obligation. Contact your GE Representative for the most current information. Lullaby is a trademark owned by Datex-Ohmeda, Inc. GE and GE Monogram are trademarks of General Electric Company. All other company and product names mentioned may be trademarks of the companies with which they are associated. ПРЕДУПРЕЖДЕНИЕ Това упътване за работа е налично само на английски език. (BG) Ако доставчикът на услугата на клиента изиска друг език, задължение на клиента е да осигури превод. Не използвайте оборудването, преди да сте се консултирали и разбрали упътването за работа. Неспазването на това предупреждение може да доведе до нараняване на доставчика на услугата, оператора или пациентa в резултат на токов удар, механична или друга опасност. 警告 (ZH-CN) 本维修手册仅提供英文版本。 如果客户的维修服务人员需要非英文版本,则客户需自行提供翻译服 务。 未详细阅读和完全理解本维修手册之前,不得进行维修。 忽略本警告可能对维修服务人员、操作人员或患者造成电击、机械伤 害或其他形式的伤害。 警告 本服務手冊僅提供英文版本。 (ZH-HK) 倘若客戶的服務供應商需要英文以外之服務手冊,客戶有責任提供翻 譯服務。 除非已參閱本服務手冊及明白其內容,否則切勿嘗試維修設備。 不遵從本警告或會令服務供應商、網絡供應商或病人受到觸電、機械 性或其他的危險。 警告 本維修手冊僅有英文版。 (ZH-TW) 若客戶的維修廠商需要英文版以外的語言,應由客戶自行提供翻譯服 務。 請勿試圖維修本設備,除非 您已查閱並瞭解本維修手冊。 若未留意本警告,可能導致維修廠商、操作員或病患因觸電、機械或 其他危險而受傷。 UPOZORENJE Ovaj servisni priručnik dostupan je na engleskom jeziku. (HR) Ako davatelj usluge klijenta treba neki drugi jezik, klijent je dužan osigurati prijevod. Ne pokušavajte servisirati opremu ako niste u potpunosti pročitali i razumjeli ovaj servisni priručnik. Zanemarite li ovo upozorenje, može doći do ozljede davatelja usluge, operatera ili pacijenta uslijed strujnog udara, mehaničkih ili drugih rizika. VÝSTRAHA Tento provozní návod existuje pouze v anglickém jazyce. (CS) V případě, že externí služba zákazníkům potřebuje návod v jiném jazyce, je zajištění překladu do odpovídajícího jazyka úkolem zákazníka. Nesnažte se o údržbu tohoto zařízení, aniž byste si přečetli tento provozní návod a pochopili jeho obsah. V případě nedodržování této výstrahy může dojít k poranění pracovníka prodejního servisu, obslužného personálu nebo pacientů vlivem elektrického proudu, respektive vlivem mechanických či jiných rizik. ADVARSEL Denne service manual findes kun på engelsk. (DA) Hvis en kundes tekniker har brug for et andet sprog end engelsk, er det kundens ansvar at sørge for oversættelse. Forsøg ikke at servicere udstyret uden at læse og forstå denne servicemanual. Manglende overholdelse af denne advarsel kan medføre skade på grund af elektrisk stød, mekanisk eller anden fare for teknikeren, operatøren eller patienten. WAARSCHUWING Deze onderhoudshandleiding is enkel in het Engels verkrijgbaar. (NL) Als het onderhoudspersoneel een andere taal vereist, dan is de klant verantwoordelijk voor de vertaling ervan. Probeer de apparatuur niet te onderhouden alvorens deze onderhoudshandleiding werd geraadpleegd en begrepen is. Indien deze waarschuwing niet wordt opgevolgd, zou het onderhoudspersoneel, de operator of een patiënt gewond kunnen raken als gevolg van een elektrische schok, mechanische of andere gevaren. WARNING: This service manual is available in English only. (EN) If a customer’s service provider requires a language other than English, it is the customer’s responsibility to provide translation services. Do not attempt to service the equipment unless this service manual has been consulted and is understood. Failure to heed this warning may result in injury to the service provider, operator, or patient from electric shock, mechanical hazards, or other hazards. HOIATUS See teenindusjuhend on saadaval ainult inglise keeles (ET) Kui klienditeeninduse osutaja nõuab juhendit inglise keelest erinevas keeles, vastutab klient tõlketeenuse osutamise eest. Ärge üritage seadmeid teenindada enne eelnevalt käesoleva teenindusjuhendiga tutvumist ja sellest aru saamist. Käesoleva hoiatuse eiramine võib põhjustada teenuseosutaja, operaatori või patsiendi vigastamist elektrilöögi, mehaanilise või muu ohu tagajärjel. VAROITUS Tämä huolto-ohje on saatavilla vain englanniksi. (FI) Jos asiakkaan huoltohenkilöstö vaatii muuta kuin englanninkielistä materiaalia, tarvittavan käännöksen hankkiminen on asiakkaan vastuulla. Älä yritä korjata laitteistoa ennen kuin olet varmasti lukenut ja ymmärtänyt tämän huolto-ohjeen. Mikäli tätä varoitusta ei noudateta, seurauksena voi olla huoltohenkilöstön, laitteiston käyttäjän tai potilaan vahingoittuminen sähköiskun, mekaanisen vian tai muun vaaratilanteen vuoksi. ATTENTION Ce manuel d’installation et de maintenance est disponible uniquement en anglais. (FR) Si le technicien d’un client a besoin de ce manuel dans une langue autre que l’anglais, il incombe au client de le faire traduire. Ne pas tenter d’intervenir sur les équipements tant que ce manuel d’installation et de maintenance n’a pas été consulté et compris. Le non-respect de cet avertissement peut entraîner chez le technicien, l’opérateur ou le patient des blessures dues à des dangers électriques, mécaniques ou autres. WARNUNG Diese Serviceanleitung existiert nur in englischer Sprache. (DE) Falls ein fremder Kundendienst eine andere Sprache benötigt, ist es Aufgabe des Kunden für eine entsprechende Übersetzung zu sorgen. Versuchen Sie nicht diese Anlage zu warten, ohne diese Serviceanleitung gelesen und verstanden zu haben. Wird diese Warnung nicht beachtet, so kann es zu Verletzungen des Kundendiensttechnikers, des Bedieners oder des Patienten durch Stromschläge, mechanische oder sonstige Gefahren kommen. ΠΡΟΕΙΔΟΠΟΙΗΣΗ Το παρόν εγχειρίδιο σέρβις διατίθεται μόνο στα αγγλικά. (EL) Εάν ο τεχνικός σέρβις ενός πελάτη απαιτεί το παρόν εγχειρίδιο σε γλώσσα εκτός των αγγλικών, αποτελεί ευθύνη του πελάτη να παρέχει τις υπηρεσίες μετάφρασης. Μην επιχειρήσετε την εκτέλεση εργασιών σέρβις στον εξοπλισμό αν δεν έχετε συμβουλευτεί και κατανοήσει το παρόν εγχειρίδιο σέρβις. Αν δεν προσέξετε την προειδοποίηση αυτή, ενδέχεται να προκληθεί τραυματισμός στον τεχνικό σέρβις, στο χειριστή ή στον ασθενή από ηλεκτροπληξία, μηχανικούς ή άλλους κινδύνους. FIGYELMEZTETÉS Ezen karbantartási kézikönyv kizárólag angol nyelven érhető el. (HU) Ha a vevő szolgáltatója angoltól eltérő nyelvre tart igényt, akkor a vevő felelőssége a fordítás elkészíttetése. Ne próbálja elkezdeni használni a berendezést, amíg a karbantartási kézikönyvben leírtakat nem értelmezték. Ezen figyelmeztetés figyelmen kívül hagyása a szolgáltató, működtető vagy a beteg áramütés, mechanikai vagy egyéb veszélyhelyzet miatti sérülését eredményezheti. AÐVÖRUN Þessi þjónustuhandbók er aðeins fáanleg á ensku. Ef að þjónustuveitandi viðskiptamanns þarfnast annas tungumáls en (IS) ensku, er það skylda viðskiptamanns að skaffa tungumálaþjónustu. Reynið ekki að afgreiða tækið nema að þessi þjónustuhandbók hefur verið skoðuð og skilin. Brot á sinna þessari aðvörun getur leitt til meiðsla á þjónustuveitanda, stjórnanda eða sjúklings frá raflosti, vélrænu eða öðrum áhættum. AVVERTENZA Il presente manuale di manutenzione è disponibile soltanto in lingua inglese. (IT) (JA) Se un addetto alla manutenzione richiede il manuale in una lingua diversa, il cliente è tenuto a provvedere direttamente alla traduzione. Procedere alla manutenzione dell’apparecchiatura solo dopo aver consultato il presente manuale ed averne compreso il contenuto. Il mancato rispetto della presente avvertenza potrebbe causare lesioni all’addetto alla manutenzione, all’operatore o ai pazienti provocate da scosse elettriche, urti meccanici o altri rischi. このサービスマニュアルには英語版しかありません。 サービスを担当される業者が英語以外の言語を要求される場合、翻 訳作業はその業者の責任で行うものとさせていただªます。 このサービスマニュアルを熟読し理解せずに、装置のサービスを行 わないでください。 この警告に従わない場合、サービスを担当される方、操作員あるい は患者 さんが、感電や機械的又はその他の危険により負傷する可能性があ ります。 경고 본 ¼비스 매뉴얼은 영어로만 이용하실 수 있습니다. (KO) 고객의 ¼비스 제공자가 영어 이외의 언어를 요구할 경우, 번역 ¼비스를 제공하는 것은 고객의 책임입니다. 본 ¼비스 매뉴얼을 참조하여 숙지하지 않은 이상 해당 장비를 수리하려고 시도하지 마십시오. 본 경고 사항에 유의하지 않으면 전기 쇼크, 기계적 위험, 또는 기타 위험으로 인해 ¼비스 제공자, 사용자 또는 환자에게 부상을 입힐 수 있습니다. BRĪDINĀJUMS Šī apkopes rokasgrāmata ir pieejama tikai angļu valodā. (LV) Ja klienta apkopes sniedzējam nepieciešama informācija citā valodā, klienta pienākums ir nodrošināt tulkojumu. Neveiciet aprīkojuma apkopi bez apkopes rokasgrāmatas izlasīšanas un saprašanas. Šī brīdinājuma neievērošanas rezultātā var rasties elektriskās strāvas trieciena, mehānisku vai citu faktoru izraisītu traumu risks apkopes sniedzējam, operatoram vai pacientam. ĮSPĖJIMAS Šis eksploatavimo vadovas yra tik anglų kalba. (LT) Jei kliento paslaugų tiekėjas reikalauja vadovo kita kalba – ne anglų, suteikti vertimo paslaugas privalo klientas. Nemėginkite atlikti įrangos techninės priežiūros, jei neperskaitėte ar nesupratote šio eksploatavimo vadovo. Jei nepaisysite šio įspėjimo, galimi paslaugų tiekėjo, operatoriaus ar paciento sužalojimai dėl elektros šoko, mechaninių ar kitų pavojų. ADVARSEL Denne servicehåndboken finnes bare på engelsk. (NO) Hvis kundens serviceleverandør har bruk for et annet språk, er det kundens ansvar å sørge for oversettelse. Ikke forsøk å reparere utstyret uten at denne servicehåndboken er lest og forstått. Manglende hensyn til denne advarselen kan føre til at serviceleverandøren, operatøren eller pasienten skades på grunn av elektrisk støt, mekaniske eller andre farer. OSTRZEŻENIE Niniejszy podręcznik serwisowy dostępny jest jedynie w języku angielskim. (PL) Jeśli serwisant klienta wymaga języka innego niż angielski, zapewnienie usługi tłumaczenia jest obowiązkiem klienta. Nie próbować serwisować urządzenia bez zapoznania się z niniejszym podręcznikiem serwisowym i zrozumienia go. Niezastosowanie się do tego ostrzeżenia może doprowadzić do obrażeń serwisanta, operatora lub pacjenta w wyniku porażenia prądem elektrycznym, zagrożenia mechanicznego bądź innego. AVISO Este manual de assistência técnica encontra-se disponível unicamente em inglês. (PT-BR) Se outro serviço de assistência técnica solicitar a tradução deste manual, caberá ao cliente fornecer os serviços de tradução. Não tente reparar o equipamento sem ter consultado e compreendido este manual de assistência técnica. A não observância deste aviso pode ocasionar ferimentos no técnico, operador ou paciente decorrentes de choques elétricos, mecânicos ou outros. ATENÇÃO Este manual de assistência técnica só se encontra disponível em inglês. (PT-PT) Se qualquer outro serviço de assistência técnica solicitar este manual noutro idioma, é da responsabilidade do cliente fornecer os serviços de tradução. Não tente reparar o equipamento sem ter consultado e compreendido este manual de assistência técnica. O não cumprimento deste aviso pode colocar em perigo a segurança do técnico, do operador ou do paciente devido a choques eléctricos, mecânicos ou outros. ATENŢIE Acest manual de service este disponibil doar în limba engleză. (RO) Dacă un furnizor de servicii pentru clienţi necesită o altă limbă decât cea engleză, este de datoria clientului să furnizeze o traducere. Nu încercaţi să reparaţi echipamentul decât ulterior consultării şi înţelegerii acestui manual de service. Ignorarea acestui avertisment ar putea duce la rănirea depanatorului, operatorului sau pacientului în urma pericolelor de electrocutare, mecanice sau de altă natură. ОСТОРОЖНО! (RU) Данное руководство по техническому обслуживанию представлено только на английском языке. Если сервисному персоналу клиента необходимо руководство не на английском, а на каком-то другом языке, клиенту следует самостоятельно обеспечить перевод. Перед техническим обслуживанием оборудования обязательно обратитесь к данному руководству и поймите изложенные в нем сведения. Несоблюдение требований данного предупреждения может привести к тому, что специалист по техобслуживанию, оператор или пациент получит удар электрическим током, механическую травму или другое повреждение. UPOZORENJE Ovo servisno uputstvo je dostupno samo na engleskom jeziku. (SR) Ako klijentov serviser zahteva neki drugi jezik, klijent je dužan da obezbedi prevodilačke usluge. Ne pokušavajte da opravite uređaj ako niste pročitali i razumeli ovo servisno uputstvo. Zanemarivanje ovog upozorenja može dovesti do povređivanja servisera, rukovaoca ili pacijenta usled strujnog udara ili mehaničkih i drugih opasnosti. UPOZORNENIE Tento návod na obsluhu je k dispozícii len v angličtine. (SK) Ak zákazníkov poskytovateľ služieb vyžaduje iný jazyk ako angličtinu, poskytnutie prekladateľských služieb je zodpovednosťou zákazníka. Nepokúšajte sa o obsluhu zariadenia, kým si neprečítate návod na obluhu a neporozumiete mu. Zanedbanie tohto upozornenia môže spôsobiť zranenie poskytovateľa služieb, obsluhujúcej osoby alebo pacienta elektrickým prúdom, mechanické alebo iné ohrozenie. ATENCION Este manual de servicio sólo existe en inglés. (ES) Si el encargado de mantenimiento de un cliente necesita un idioma que no sea el inglés, el cliente deberá encargarse de la traducción del manual. No se deberá dar servicio técnico al equipo, sin haber consultado y comprendido este manual de servicio. La no observancia del presente aviso puede dar lugar a que el proveedor de servicios, el operador o el paciente sufran lesiones provocadas por causas eléctricas, mecánicas o de otra naturaleza. VARNING Den här servicehandboken finns bara tillgänglig på engelska. (SV) Om en kunds servicetekniker har behov av ett annat språk än engelska, ansvarar kunden för att tillhandahålla översättningstjänster. Försök inte utföra service på utrustningen om du inte har läst och förstår den här servicehandboken. Om du inte tar hänsyn till den här varningen kan det resultera i skador på serviceteknikern, operatören eller patienten till följd av elektriska stötar, mekaniska faror eller andra faror. OPOZORILO Ta servisni priročnik je na voljo samo v angleškem jeziku.· (SL) Če ponudnik storitve stranke potrebuje priročnik v drugem jeziku, mora stranka zagotoviti prevod.· Ne poskušajte servisirati opreme, če tega priročnika niste v celoti prebrali in razumeli.· Če tega opozorila ne upoštevate, se lahko zaradi električnega udara, mehanskih ali drugih nevarnosti poškoduje ponudnik storitev, operater ali bolnik. DİKKAT Bu servis kılavuzunun sadece ingilizcesi mevcuttur. (TR) Eğer müşteri teknisyeni bu kılavuzu ingilizce dışında bir başka lisandan talep ederse, bunu tercüme ettirmek müşteriye düşer. Servis kılavuzunu okuyup anlamadan ekipmanlara müdahale etmeyiniz. Bu uyarıya uyulmaması, elektrik, mekanik veya diğer tehlikelerden dolayı teknisyen, operatör veya hastanın yaralanmasına yol açabilir. This page is left blank intentionally. Table of Contents IMPORTANT SAFETY INFORMATION ------------------------------------------------------- XXI WARNINGS, CAUTIONS AND NOTES ----------------------------------------------------------------- XXI SYMBOLS ------------------------------------------------------------------------------------- XXIII ABOUT THIS MANUAL ---------------------------------------------------------------------- XXVI SCOPE AND INTENDED USERS --------------------------------------------------------------------- XXVI ORGANIZATION OF THIS MANUAL ----------------------------------------------------------------- XXVI CHAPTER 1 1.1 1.2 1.3 1.4 1.5 1.6 1.7 CHAPTER 2 2.1 2.2 2.3 CHAPTER 3 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 CHAPTER 4 CHAPTER 5 5.1 5.2 5.3 5.4 5.5 5.6 INTRODUCTION ----------------------------------------------------------------1 INDICATIONS FOR USE (INTENDED USE) ---------------------------------------------------- 1 MECHANICAL CONTROLS AND CABLE CONNECTIONS ------------------------------------ 2 CONTROLS AND DISPLAYS ------------------------------------------------------------------- 4 CONTROL MODES AND INDICATION -------------------------------------------------------- 6 DISPLAYS -------------------------------------------------------------------------------------- 8 SWITCHES AND KEYS ------------------------------------------------------------------------- 9 ALARMS AND INDICATION ------------------------------------------------------------------11 SYSTEM SETUP AND CHECKOUT PROCEDURES -------------------------- 16 MECHANICAL CHECKS-----------------------------------------------------------------------16 CONTROLLER CHECKS-----------------------------------------------------------------------20 ACCESSORIES CHECK ------------------------------------------------------------------------21 MAINTENANCE AND CLEANING -------------------------------------------- 22 REPAIR POLICY -------------------------------------------------------------------------------22 REQUIRED TOOLS AND PERSONNEL PROTECTION EQUIPMENT -------------------------22 MAINTENANCE SCHEDULE ------------------------------------------------------------------22 CLEANING INSTRUCTIONS ------------------------------------------------------------------23 CLEANING THE LULLABYTM WARMER-------------------------------------------------------25 CLEANING SOLUTIONS ----------------------------------------------------------------------27 CLEANING AND DISINFECTING INDIVIDUAL COMPONENTS------------------------------27 CLEANING OTHER COMPONENTS ----------------------------------------------------------28 TROUBLESHOOTING --------------------------------------------------------- 29 SYSTEM INSTALLATION PROCEDURE -------------------------------------- 36 REQUIRED TOOLS AND PERSONNEL PROTECTION EQUIPMENT (PPE) -------------------36 CONTENTS OF LULLABYTM WARMER PACKAGING -----------------------------------------36 UNPACKING THE SHIPPING BOX -----------------------------------------------------------38 PILLAR TO LEG ASSEMBLY AND HEIGHT ADJUSTMENT -----------------------------------40 ASSEMBLY OF PILLAR AND BED ------------------------------------------------------------44 ASSEMBLING THE PILLAR AND THE HOOD ------------------------------------------------46 Lullaby TM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. xiii 5.7 CONNECTING THE POWER CORD ----------------------------------------------------------49 5.8 MOUNTING THE ACCESSORIES -------------------------------------------------------------49 5.8.1 Mounting the IV pole --------------------------------------------------------------------50 5.8.2 Mounting the Monitor /Instrument Tray -----------------------------------------------51 5.8.3 Mounting the Utility Pole ----------------------------------------------------------------51 5.8.4 Mounting the Cylinder Holder and the Cylinder --------------------------------------52 5.8.5 Mounting the Drawer Assembly--------------------------------------------------------53 5.8.6 Mounting the Chest Tube Drainage Hanger ------------------------------------------54 5.8.7 Mounting the Tubing Management Arm ----------------------------------------------54 5.8.8 Mounting the Utility Post (3.5”) ---------------------------------------------------------55 5.8.9 Mounting the Basket Assembly --------------------------------------------------------55 5.8.10 Mounting the Resuscitation Bag Clip --------------------------------------------------55 5.8.11 Mounting the Retaining Clip ------------------------------------------------------------56 5.8.12 Assembling the slotted Bedside Panel -------------------------------------------------56 5.9 CHECKOUT PROCEDURES -------------------------------------------------------------------56 5.10 REPACKING THE WARMER WITHOUT SKD FOR LOCAL TRANSPORT ---------------------57 CHAPTER 6 6.1 6.2 6.3 6.4 CHAPTER 7 SYSTEM DISMANTLING PROCEDURE--------------------------------------- 58 DISMANTLING THE ACCESSORIES ----------------------------------------------------------58 DISMANTLING THE BASE AND BED ---------------------------------------------------------58 DISMANTLING THE HOOD ASSEMBLY ------------------------------------------------------59 DISMANTLING THE PILLAR TO LEG ASSEMBLY --------------------------------------------60 FIELD REPLACEABLE UNIT (FRU) REPLACEMENT PROCEDURES -------- 61 7.1 REPLACING THE PARTS OF THE LULLABYTM WARMER ------------------------------------61 7.1.1 Replacing the Hood Exterior (FRU Kit No: 2043936-001) -----------------------------61 7.1.2 Replacing the extrusions ----------------------------------------------------------------62 7.1.3 Replacing the hood spacer, hood top plate and observation lamp plate ----------63 7.1.4 Replacing the Front Bracket ------------------------------------------------------------64 7.1.5 Replacing the Front and Rear Covers --------------------------------------------------65 7.1.6 Replacing the PCB Wire Assembly (PWA) (FRU Kit No. 2043951-001) ---------------66 7.1.7 Replacing the Hood Support Plate and Rear Bracket (FRU KIT: 2043937-001) -----71 7.1.8 Replacing the Heater Assembly (FRU Kit No. 2043938-001) and Heater Cables (Part of FRU Kit No. 2043950-001 ------------------------------------------------------------------------75 7.1.9 Replacing the Heater Assembly (FRU Kit No. 2062274-001 for 230V, 2056782001for 115V and 2061250-001 for 100V ) and Heater Cables (Part of FRU Kit No. 2062276001 for 230V, 2062276-001 for 115V and 2062276-001 for 100V) -----------------------------79 7.1.10 Replacing the Heater Tube (FRU Kit No. 2045962-001) ------------------------------82 7.1.11 Replacing the Observation Lamp (FRU Kit No. 2043939-001) -----------------------83 7.1.12 Replacing the LED Observation Lamp (FRU Kit No. 2062275-001) ------------------84 7.1.13 Replacing the UI Sticker (Overlay Display), Probe protective cover and switches 85 7.1.14 Replacing the Bed tilt Mechanism (FRU Kit No. 2043943-001) ----------------------86 7.1.15 Replacing the Bed Base Assembly (FRU Kit No. 2043949-001) ----------------------91 xiv 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 7.1.16 Replacing the Front and Rear Covers of Height Skirt (Part of FRU Kit No. 2043952001) 91 7.1.17 Replacing the Castors (FRU Kit No. 2043945-001) and Leg Cap (Part of FRU Kit No. 2043952-001) ----------------------------------------------------------------------------------------91 7.1.18 Replacing the Mattress (FRU Kit No. 2045963-001), Clear Plexiglas Plate (FRU Kit No. 2043946-001) and X-ray Tray (FRU Kit No. 2043947-001) ----------------------------------92 7.1.19 Replacing the Bedside Panel (FRU Kit No. 2043948-001) ----------------------------92 7.1.20 Replacing the Plate Power Inlet --------------------------------------------------------93 7.1.21 Replacing the Pillar Rear Cover (Part of FRU Kit No. 2043952-001) -----------------94 7.1.22 Replacing the Cable Harness FRU (FRU Kit No. 2043950-001) ----------------------94 7.1.23 Replacing the Cable Harness FRU (FRU Kit No. 2062276-001 for 230V, 115V and for 100V) --------------------------------------------------------------------------------------------95 7.1.24 Replacing the SMPS FRU (2062282-001)-----------------------------------------------96 CHAPTER 8 FRU PARTS -------------------------------------------------------------------- 97 CHAPTER 9 ILLUSTRATED PARTS -------------------------------------------------------- 106 9.1 9.2 9.3 9.4 9.5 ELECTRICAL WIRING DIAGRAM ----------------------------------------------------------- 106 BLOCK DIAGRAM--------------------------------------------------------------------------- 108 HOOD ASSEMBLY -------------------------------------------------------------------------- 110 BASE ASSEMBLY --------------------------------------------------------------------------- 115 BED ASSEMBLY----------------------------------------------------------------------------- 121 CHAPTER 10 PRODUCT LABELS ------------------------------------------------------- 122 APPENDIX A ----------------------------------------------------------------------------------- 126 TEMPERATURE CONVERSION CHART ------------------------------------------------------------- 126 APPENDIX B ----------------------------------------------------------------------------------- 127 SPECIFICATIONS ------------------------------------------------------------------------------------- 127 Power Requirements ------------------------------------------------------------------------------ 127 Standards ------------------------------------------------------------------------------------------ 127 Classification--------------------------------------------------------------------------------------- 127 Operating Environment --------------------------------------------------------------------------- 128 Storage and transport conditions --------------------------------------------------------------- 128 User Control Settings ----------------------------------------------------------------------------- 128 Performance --------------------------------------------------------------------------------------- 128 Mechanical Specifications ------------------------------------------------------------------------ 129 Weight Bearing Capacity ------------------------------------------------------------------------- 129 APPENDIX C ----------------------------------------------------------------------------------- 130 ELECTROMAGNETIC COMPATIBILITY ------------------------------------------------------------- 130 APPENDIX D - CONFORMING TO STANDARDS AND DIRECTIVES ----------------------- 134 APPENDIX E – ASSEMBLING AND DISMANTLING THE MSB DRAWER ASSEMBLY ----- 135 Lullaby TM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. xv WARRANTY ----------------------------------------------------------------------------------- 138 GE SERVICE CENTERS ------------------------------------------------------------------------ 139 xvi 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Table of Figures Figure 1: LullabyTM Warmer------------------------------------------------------------------1 Figure 2: Front Oblique View-----------------------------------------------------------------2 Figure 3: Front View --------------------------------------------------------------------------2 Figure 4: Side View ---------------------------------------------------------------------------3 Figure 5: Back View ---------------------------------------------------------------------------3 Figure 6: Controls and Displays -------------------------------------------------------------4 Figure 7: Temperature Settings and Modes ------------------------------------------------4 Figure 8: Alarms and Indications ------------------------------------------------------------5 Figure 9: APGAR -------------------------------------------------------------------------------5 Figure 10: Manual Mode -------------------------------------------------------------------6 Figure 11: Baby Mode ----------------------------------------------------------------------7 Figure 12: Displays -------------------------------------------------------------------------8 Figure 13: Keys------------------------------------------------------------------------------9 Figure 14: Power Standby/ON Switch -------------------------------------------------- 10 Figure 15: Power Standby/ON Switch -------------------------------------------------- 10 Figure 16: Alarms ------------------------------------------------------------------------- 11 Figure 17: Global Alarm ------------------------------------------------------------------ 12 Figure 18: Check Baby Alarm ------------------------------------------------------------ 12 Figure 19: Probe Failure Indicator ------------------------------------------------------- 13 Figure 20: System/ Heater Failure Alarms --------------------------------------------- 14 Figure 21: OVR ---------------------------------------------------------------------------- 15 Figure 22: UVR ---------------------------------------------------------------------------- 15 Figure 23: Heat OFF Indicator ----------------------------------------------------------- 15 Figure 24: Power Failure Indicator ------------------------------------------------------ 16 Figure 25: Disconnecting the Power Cord ---------------------------------------------- 17 Figure 26: Power Cord -------------------------------------------------------------------- 17 Figure 27: Inspecting the LullabyTM Warmer ------------------------------------------- 17 Figure 28: Locking/Releasing Rear Caster Brakes ------------------------------------ 18 Lullaby TM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. xvii Figure 29: Inspecting the Bedside Panel ----------------------------------------------- 18 Figure 30: Inspecting the Bedside Panel Lock------------------------------------------ 18 Figure 31: Tilting the bed towards the pillar -------------------------------------------- 19 Figure 32: Tilting the bed away from the pillar ---------------------------------------- 19 Figure 33: Bed Position Parallel to Floor ------------------------------------------------ 19 Figure 34: Hood Swivel – right ----------------------------------------------------------- 19 Figure 35: Hood Swivel - left ------------------------------------------------------------- 19 Figure 36: Hood Lock --------------------------------------------------------------------- 19 Figure 37: Power Connection ------------------------------------------------------------ 20 Figure 38: Patient Probe Connection -------------------------------------------------- 20 Figure 39: Power Standby/ON Switch -------------------------------------------------- 20 Figure 40: Checking the Skin Probe ----------------------------------------------------- 21 Figure 41: Checking the Accessories---------------------------------------------------- 21 Figure 42: Opening the drawer --------------------------------------------------------- 21 Figure 43: The Hood ---------------------------------------------------------------------- 24 Figure 44: Removing the Plexiglas ------------------------------------------------------ 25 Figure 45: Removing the Mattress ------------------------------------------------------ 25 Figure 46: Removing the Plexiglas ------------------------------------------------------ 26 Figure 47: Cleaning With Ear Bud ------------------------------------------------------- 26 Figure 48: Removing the X-Ray Tray --------------------------------------------------- 26 Figure 49: Unpacking the LullabyTM Warmer shipper box ---------------------------- 38 Figure 50: Contents of LullabyTM Warmer shipper box -------------------------------- 39 Figure 51: Contents of LullabyTM Warmer shipper box -------------------------------- 39 Figure 52: Pillar Assembly---------------------------------------------------------------- 40 Figure 53: Leg Assembly ----------------------------------------------------------------- 41 Figure 54: The location of the screw holes on the leg assembly --------------------- 42 Figure 55: Pillar to Leg Assembly -------------------------------------------------------- 42 Figure 56: Bed Base Assembly ---------------------------------------------------------- 44 Figure 57: Bedside Panels Assembly ---------------------------------------------------- 45 Figure 58: Mattress, Clear Plexiglas Plate, and X-tray Tray Assembly 1 ------------- 45 xviii 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Figure 59: Pillar and Bed Assembly ----------------------------------------------------- 45 Figure 60: The Pillar and the Hood ------------------------------------------------------ 46 Figure 61: Printed Circuit Board Wire Assembly (PWA) -------------------------------- 48 Figure 62: Basic Warmer ----------------------------------------------------------------- 49 Figure 63: Mounting the IV Pole --------------------------------------------------------- 50 Figure 64: The Monitor Tray Assembly ------------------------------------------------- 51 Figure 65: Assembling the Monitor/Instrument Tray --------------------------------- 51 Figure 66: Mounting the Utility Pole----------------------------------------------------- 51 Figure 67: Setting the Rear Castor Brakes ---------------------------------------------- 52 Figure 68: Setting the Rear Castor Brakes ---------------------------------------------- 52 Figure 69: The Cylinder Holder ---------------------------------------------------------- 52 Figure 70: Fastening with Velcro -------------------------------------------------------- 52 Figure 71: Mounting Bracket ------------------------------------------------------------ 52 Figure 72: Mounting Cylinder ------------------------------------------------------------ 52 Figure 73: Mounting the Drawer Assembly -------------------------------------------- 53 Figure 74: Mounting the Chest Tube Drainage Hanger ------------------------------- 54 Figure 75: Mounting the Tubing Management Arm ----------------------------------- 54 Figure 76: Mounting the Utility Pole----------------------------------------------------- 55 Figure 77: Mounting the Basket Assembly --------------------------------------------- 55 Figure 78: Mounting the Resuscitation Bag Clip --------------------------------------- 55 Figure 79: Mounting the Resuscitation Bag Clip --------------------------------------- 56 Figure 80: Assembling the Slotted Bedside Panel ------------------------------------- 56 Figure 81: The heater hood with the components separated ------------------------ 61 Figure 82: Replacing the Rear Brackets and the Extrusions -------------------------- 62 Figure 83: Extrusions Replacing Hood Spacer, Top Plate, Observation Lamp Plate and --------------------------------------------------------------------------------- 63 Figure 84: Bracket and Extrusions ------------------------------------------------------ 64 Figure 85: Replacing Rear Covers ------------------------------------------------------- 65 Figure 86: Replacing LullabyTM Warmer PWA ------------------------------------------ 66 Figure 87: Replacing Heater Assembly ------------------------------------------------- 75 Lullaby TM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. xix Figure 88: Replacing Heater Assembly ------------------------------------------------- 79 Figure 89: Rear view of the Heater Assembly ------------------------------------------ 82 Figure 90: Front view of the Heater Assembly ----------------------------------------- 82 Figure 91: Replacing the Observation Lamp ------------------------------------------- 83 Figure 92: Replacing the Observation Lamp ------------------------------------------- 84 Figure 93: Replacing UI Sticker ---------------------------------------------------------- 85 Figure 94: Replacing Castors and Leg Cap --------------------------------------------- 91 Figure 95: Lowering the bedside Panel ------------------------------------------------- 92 Figure 96: Removing the bedside panel ------------------------------------------------ 92 Figure 97: Replacing the bedside Panel ------------------------------------------------ 92 Figure 98: Replacing the Plate Power Inlet --------------------------------------------- 93 Figure 99: Replacing the Cable Harness ------------------------------------------------ 94 Figure 100: Replacing the Cable Harness ------------------------------------------------ 95 Figure 101: Replacing the SMPS ---------------------------------------------------------- 96 Figure 102: Electrical Wiring Diagram --------------------------------------------------- 107 Figure 103: Block Diagram --------------------------------------------------------------- 109 Figure 104: Hood Assembly 1 ------------------------------------------------------------ 110 Figure 105: Hood Assembly 2 ------------------------------------------------------------ 110 Figure 106: Hood Assembly 3 ------------------------------------------------------------ 111 Figure 107: Hood Assembly 4 ------------------------------------------------------------ 111 Figure 108: Base Assembly 1 ------------------------------------------------------------ 115 Figure 109: Base Assembly 2 ------------------------------------------------------------ 116 Figure 110: Base Assembly 3 ------------------------------------------------------------ 117 Figure 111: Base Assembly 4 ------------------------------------------------------------ 118 Figure 112: Bed Assembly ---------------------------------------------------------------- 121 Figure 113: Mounting the Drawer Assembly with Base Leg Cover ------------------- 135 Figure 114: Latch Operation in Slider---------------------------------------------------- 135 Figure 115: Mounting the Drawer Assembly with the Drawer Clamp ---------------- 136 Figure 116: Mounting the Drawer Assembly with Base Leg Cover ------------------- 137 xx 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Important Safety Information Read the important safety information listed below. Operation Read through the entire manual before servicing the LullabyTM Warmer. As with all medical equipments, attempting to service this device without a thorough understanding may result in injury to the patient or the service personnel. This device should only be serviced by trained personnel. Complete the checkout procedure in this manual before servicing the LullabyTM Warmer. NOTE: If the LullabyTM Warmer fails any portion of the checkout procedures, it must be removed from use and repaired. Power supply In the event of main power failure the LullabyTM Warmer will enter into a power fail alarm condition. NOTE: The LullabyTM Warmer will display a single red LED in this condition on the right side of the control panel, refer to Alarms and Indication in Chapter 1. This audible alarm will give continuous single tone alarm and the LullabyTM Warmer will remain in this power fail mode until the main power is restored. Always disconnect the power source to the LullabyTM Warmer before performing service or maintenance procedures. Apply power only if you are specifically instructed to do so as part of the procedure. Service Only competent individuals trained in the repair of this equipment should attempt to service it as detailed in this manual. Detailed information for more extensive repairs is included in this manual solely for the purpose of users who already have a good knowledge of tools and test equipments, and also for the service representatives trained by GE Healthcare. Cleaning and General Do not service the warmer in the presence of flammable anesthetics as an explosion hazard could occur under such conditions. Additional precautions specific to certain procedures are found in the following pages of this manual. Warnings, Cautions and Notes This section introduces the various types of warnings, cautions information notes and symbols used in this guide that alert the users to the possible hazards and provides additional information. Symbol Description This symbol denotes “Caution, read accompanying documents.” This applies also to when the Caution symbol appears on an equipment label. It means additional information is found in the accompanying documents. A General Warning statement is used to inform the users of the equipment on possible risk or injury. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. xxi NOTE A NOTE provides additional information to clarify a point in the text. WARNING: As with all medical equipments, carefully route patient cabling to reduce the possibility of patient entanglement or strangulation. WARNING: Do not lean against the side of LullabyTM Warmer. Leaning against the side of the LullabyTM Warmer may cause it to tip over. WARNING: This device is for professional use only. NOTE CAUTION: US Federal Law restricts this device to sale by, or on order of, a licensed medical practitioner. CAUTION: Technical competence is required to service the LullabyTM Warmer. The procedures described in this manual should be performed by trained and authorized personnel only. Maintenance should only be undertaken by competent individuals who have knowledge and experience with devices of this nature. There are no user serviceable parts in the LullabyTM Warmer. Repairs should be undertaken only by qualified personnel. Genuine replacement parts manufactured or sold by GE Healthcare must be used for all repairs. Read through each step in every procedure before starting, any exceptions may result in a failure in safely completing the attempted procedure. NOTE: Additional copies of this manual are available on request from the GE Healthcare office listed on the inside back cover of this manual. Warnings, Cautions and Notes This section identifies general warnings, cautions and notes associated with the use of the LullabyTM Warmer. Symbol Description To avoid the risk of electrical shock, this equipment must only be connected to a supply mains with protective earth. To safely terminate the operation of the equipment, turn off the mains power switch and disconnect the supply cord from the equipment. Do not step on the device. Do not sit on the device. NOTE xxii Air always means medical grade gas. 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Symbols This section identifies the symbols that are displayed on the LullabyTM Warmer. Symbol Description Type B Equipment Functional Earth Terminal Protection Earth Terminal Alternating Current European Union Representative Refer to instruction manual/booklet Catalog Number or Orderable Part Number Serial Number Manufacturer Date of manufacture WEEE Symbol Prescription Device Label for United States. Do not reuse, single use only LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. xxiii Baby Mode Temperature Increase/Decrease Manual Mode Heater power indication in % bar graph displayed in intervals of every 20 %. APGAR Start/Pause APGAR Reset Alarm Silence Baby Temperature Heater/System Failure Skin Probe Failure /Disconnect Power Failure Observation Lamp xxiv 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Equipotential Stud Do not place the baby on the X-ray tray. Maximum load capacity. WARNING: For e.g., maximum load capacity should be less than 2.2 kg as shown in the figure. WARNING: Do not hang items on to the heater housing. WARNING: Pull the knob to swivel the heater hood. WARNING: Dovetail rail capacity (Maximum 14 kg). WARNING: Keep your head out of the way when the hood is being swiveled to the right or left. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. xxv About this Manual Scope and Intended Users This manual describes the features, installation, dismantling and replacing of the parts of the LullabyTM Warmer. The LullabyTM Warmer is used in hospital delivery rooms, hospital newborn nurseries, Pediatric Intensive Care Units (PICU) and Neonatal Intensive Care Units (NICU). For more details on how to operate the LullabyTM Warmer refer to the operations and maintenance manual. The intended users of this manual are service personnel trained by GE Healthcare. Organization of this Manual The organization of this manual is as follows: Important Safety Information: Provides important safety information for both the patient and care providers. Chapter 1 – Introduction: Describes the LullabyTM Warmer and the system’s indications for use. Chapter 2 - System Setup and Checkout Procedures: Describes procedures to set up and check out the LullabyTM Warmer prior to use. Chapter 3 - Maintenance and Cleaning: Provides information on performing maintenance and cleaning of the LullabyTM Warmer. Chapter 4 – Troubleshooting: Provides information on troubleshooting the LullabyTM Warmer. Chapter 5 – System Installation Procedure: Provides information on installing the LullabyTM Warmer. Chapter 6 – System Dismantling Procedure: Provides information about dismantling the LullabyTM Warmer. Chapter 7 – Field Replacing Unit (FRU) Replacement Procedure: Describes procedures to replace the FRUs of the LullabyTM Warmer. Chapter 8 – FRU Parts: Provides information about the FRU parts. Chapter 9 – Illustrated Parts: Provides diagrams of the assembled parts of the LullabyTM Warmer. Chapter 10 – Product Labels: Provides a list of labels that are present on the LullabyTM Warmer. Appendix A - General Use Items: Lists out the general use and accessories that may be used with the LullabyTM Warmer. Appendix B - Specifications: Provides information on power requirements and accessory outlets, standards, operating environment, storage conditions, user control settings, performance and mechanical specifications. Appendix C - Electromagnetic Compatibility (EMC): Provides information on the LullabyTM Warmer’s electromagnetic emissions and the electronic environment that is compatible with the use and operation of the LullabyTM Warmer. Appendix D - Conforming to Standards and Directives: Provides information on the European Council Directive and the disposal of electrical/electronic equipment. Back cover: Provides a geographically organized list of Datex-Ohmeda service centers. xxvi 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Chapter 1 Introduction LullabyTM Warmer includes: Heater assembly with Calrod® heater element Control panel Bed height configurable at three height settings Bed tilt Mattress Observation lamp Dovetail rail system Alarm and alarm silence X-ray tray APGAR timer Skin probe socket with protective cover Patient skin temperature probe Optional Feature includes: Drawer system with under bed storage Accessories Figure 1: LullabyTM Warmer 1.1 Indications for Use (Intended Use) Infant radiant warmers provide infrared heat in a controlled manner to neonates and infants who are unable to maintain appropriate thermo-regulation based on their own physiology. Infant radiant warmers may be used to facilitate the neonate’s transition to the external environment after birth or to provide a controlled open microenvironment in a hospital setting. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 1 1.2 Mechanical Controls and Cable Connections 5 6 1 1 1 2 3 7 1 4 8 1 1 Feature Description Number 1 Resuscitation bag (Optional) 2 Utility post 3.5” (Optional) clip 3 arm 4 Tubing management (Optional) Monitor/Instrument (optional) 5 Heater hood 6 IV pole (optional) 7 Basket assembly (optional) 8 Mattress 9 Slotted window panel (optional) 10 X-ray tray 11 Drawer package (Optional) 9 1 10 1 1 11 1 Figure 2: Front Oblique View 12 14 15 1 13 1 1 tray Feature Description Number 12 Control panel 16 13 Observation light switch 17 14 Hood swivel knob 15 Dovetail rail 16 Skin probe socket protective cover 17 Power standby/ON switch 18 Utility pole (Optional) 19 Drainage hanger assembly (optional) 20 Cylinder holder (optional) 18 19 1 1 20 with 1 Figure 3: Front View 2 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 21 Feature Number Description 21 Bedside panel 22 Bed tilt handle 23 Castor 24 Height skirt 22 23 23 24 Figure 4: Side View 27 Feature Number Description 25 Maneuvering handle and cord wrap 26 Power inlet plug 27 Electrical component enclosure 28 Equipotent stud 28 25 26 Figure 5: Back View LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 3 1.3 Controls and Displays Controls and displays explained in the following section include: Control Mode and Indication Displays Feature Switches and Keys Number Alarms and Indication 1 Alarms and indicators 3 Observation light switch 4 Control modes and indication 5 APGAR keys 6 Alarm silence indicator 5 7 Alarms silence key 6 7 8 Skin probe socket protective cover 8 9 Power Standby/ ON switch 4 3 with 9 Figure 6: Controls and Displays 1 2 5 3 4 6 7 8 Figure 7: Temperature Settings and Modes 4 Displays 2 1 2 Description 2042376-001 Rev G Feature Number 1 Description 2 Control temperature - Displayed in Degree Celsius 3 Baby Mode LED indicator 4 Baby Mode key - To select Baby Mode 5 Heater power indicator in % bar graph 6 Manual Mode indicator 7 Manual Mode key - To select Manual Mode 8 Temperature/Power increase/decrease keys Baby temperature - Displayed in Degree Celsius ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Feature Description Number 9 Global alarm 14 15 9 10 11 12 10 Check baby alarm 11 Heater failure alarm 12 Probe failure/ disconnect alarm 13 Power failure alarm 14 Alarm silence indicator 15 Alarm silence key 13 Figure 8: Alarms and Indications Feature Number 16 Description 17 APGAR start/pause 18 APGAR reset APGAR timer display 18 16 17 Figure 9: APGAR LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 5 1.4 Control Modes and Indication LullabyTM Warmer has two control modes, Manual Mode and Baby Mode (Baby Mode is also referred to as Servo Mode). In the Manual Mode, the warmer controls radiant heater output from a heater power percentage setting that the user enters using the control panel. In the Baby Mode, the warmer controls radiant heater output based on temperature readings from a probe attached to the baby’s skin and a set temperature the user enters using the control panel. 1.4.1 Manual Mode Illustration Description Manual Mode- Setting heater power Baby Temperature Display Manual Mode Indication Manual Mode Key Increase/ Decrease Keys Figure 10: Manual Mode LullabyTM Warmer starts in the Manual Mode with a default 100% heater output setting after a systematic power down. The Manual Mode is indicated by the green indicator located above the Manual Mode key as seen in the figure. The percentage of full heater output can be adjusted in 5% increments using the Temperature increase/decrease keys, which are between the two control mode keys. Heater output increments show up in the bar graph as lit up LEDs. The baby’s skin temperature may be monitored with a skin probe in Manual Mode. In Manual Mode this does not control heater output. If the user intends to use Manual Mode for a prolonged period of time, a skin probe should be attached to the baby. WARNING: Do not leave baby unattended while the LullabyTM Warmer is in Manual Mode. Whenever possible, use the warmer in the Baby Mode. The Manual Mode requires constant monitoring of the baby’s condition by the caregiver. 6 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 1.4.2 Baby Mode Illustration Description Baby Mode temperature. Baby Temperature Display Baby Mode Indicator Baby Mode Key Increase/ Decrease Keys Figure 11: Baby Mode LullabyTM Warmer – Adjusting the In the Baby Mode the warmer controls increase or decrease in the heater output to a desired baby set temperature entered by the user. Heater output is based on measured differences between the set temperature and the skin probe temperature reading. You can enter desired set temperatures from 30 – 38 °C using the Temperature increase/decrease keys, which are located between the two control mode keys. This value is shown in the set temperature display. The Baby’s actual temperature is shown in the upper display i.e. Baby Temperature display. The Baby Mode is indicated by the green indicator located above the Baby Mode key as seen in Figure 11. 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 7 1.5 Displays The LullabyTM Warmer has three displays and a bar graph. Illustration Description The displays on the control panel are explained as below: Baby temperature display indicates the temperature measured by the skin temperature probe. Baby Tempera ture Control Temperature % Power Bar graph Indicator APGAR Timer Global Alarm Check baby Indicator Figure 12: Displays 8 2042376-001 Rev G Note: The skin probe must be properly connected to the warmer and the baby for an accurate baby temperature measurement. Control temperature display indicates the control temperature the user selects in the Baby Mode. The baby temperature range is from 30.0 – 38.0°C. The control temperature display is not active in the Manual Mode. % Power bar graph indicates power level selected in increments of 5%. APGAR timer display indicates clocked time in minutes and seconds up to a maximum of 60 minutes. The APGAR timer will beep at 1, 5 and 10 minutes, and then every 5 minutes until clocked time of 60 minutes in total is reset to zero. ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 1.6 Switches and Keys Illustration Description Mode key: This key is used to select either the Manual or Baby Mode of operation. A green indicator illuminates above the key when the mode key is pressed. Increase/ Decrease Key Temperature/Power decrease keys: increase and These keys are used to set the radiant power level (%power) in the Manual Mode and to set the control temperature in the Baby mode. Alarm silence key: Baby Mode Manual Mode This key is used to silence the audible alarm. It silences all alarms except the system failure alarm. Reset Key Start/Hold switch: This switch activates the clocked timer. At the first instance of pressing this switch, the clocked timer is activated. At the second instance it holds the clocked timer. Alarm Silence Key Start/Hold Switch Figure 13: Keys LullabyTM Warmer At the third instance it again activates the clocked timer Reset Key: This key is used to reset the elapsed time to “00:00”. 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 9 Keys (Continued) Illustration Description Observation light standby/ON switch: This switch activates the observation light located in the heater hood. Observation Light Standby ON Switch Figure 14: Power Standby/ON Switch Power standby/ON switch: This switch turns on the heater located in the hood. Power Standby/ ON Switch Figure 15: Power Standby/ON Switch 10 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 1.7 Alarms and Indication All the alarms except the power failure alarm are alternating single tone alarms. The alarms are listed below: Global alarm Check Baby alarm Probe Failure alarm Heater/System Failure alarm Power Failure alarm The alarms are depicted in figure 16. Global Alarm Check Baby Alarm System/Heater Failure Power Failure Probe Failure /Disconnect Figure 16: LullabyTM Warmer Alarms 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 11 Illustration Description Global alarm: Global alarm accompanies all the alarms except the power failure alarm for visibility from a distance. Global Alarm Figure 17: Global Alarm Check Baby alarm: 1. Manual Mode: Global Alarm Check Baby Alarm Alarm silence key Figure 18: Check Baby Alarm 12 2042376-001 Rev G The Check Baby alarm activates in the Manual Mode of operation only when the heater output has been raised to an output level greater than 25% continuously for 12 minutes. The alternating single tone alarm is activated for this condition and heater output is reduced to 25%. Pressing the Alarm Silence key silences this alarm and resets the timer for another 12 minutes of operation and restores the heat level to previous setting. In the Manual Mode, with the skin probe connected, if the baby temperature display is greater than 40°C, the heater will cut-off and Check Baby alarm along with the baby temperature display will flash. ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Alarms and Indications (Continued) Illustration Description Check Baby alarm (continued): 2. Baby Mode: The Check Baby alarm activates if baby temperature deviates from the set temperature by ± 1°C. The heater will cut-off if the baby temperature exceeds the desired value by 1°C. An alternating single tone alarm is activated for this condition and the indicator, which is above the Check Baby symbol, will illuminate. Once the baby temperature is within 1°C of the set point, the alarm will reset and the heater will turn on once more. Pressing the Alarm Silence key silences this alarm; the visual indication will stay on until the baby temperature is within 1°C. In Baby Mode if the temperature of the baby stays at less than 30° C for more than 3 minutes, the Check Baby alarm activates with both audio and visual indication. The heater will also be cut-off. Pressing the silence key will mute the ProbeFailure/Disconnect Alarm: audible alarm,alarm switches off theduring visual The Probe Failure is active indication and restores the the Baby Mode of operation. controlled heating. The alarm turns on when the skin Global Alarm Probe Failure Indicator temperature probe fails, or is disconnected from the warmer. The red indicator above the probe failure symbol illuminates as seen in the figure 19. In Manual Mode, if the probe fails/ is removed or disconnected, heat is maintained with blank baby temperature display. In the Baby Mode, during probe failure the Probe Failure alarm illuminates with a single tone alternating alarm. The audio alarm alone can be muted for three minutes by pressing Alarm Silence key. Figure 19: Probe Failure Indicator LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 13 Illustration Description System/Heater Failure Alarm: System/Heater Failure alarm is a non-mutable alarm during which the heater is turned off and System Failure alarm indicator illuminates. An alternating single tone alarm is activated at this instance. The Heater will be cutoff, System Failure alarm and the indicator is illuminated as seen in Figure 20. The following errors are displayed on the set temperature display: Global Alarm System / Heater Failure Indicator Relay Failure Display Triac Failure Display Key Stuck Display Wrong Configuration Plug Display Figure 20: System/ Heater Failure Alarms 14 2042376-001 Rev G During power up process if there is a failure with relay, “rLy” is displayed on the set temperature display and with Triac failure, “trC” is displayed on the Set Temperature display as seen in Figure 20. If a key is stuck, “key” is displayed on the Set Temperature display. If there is a mismatch between the heater element and voltage configuration, “CFg” is displayed on the Set Temperature display as seen in Figure 20. During normal operation if there is an open circuit in heater line or if CPU hangs/fails, System Failure alarm is activated without any display. ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Over voltage and undervoltage indications. Illustration Description If the applied mains voltage exceeds the rated voltage by 10% for atleast 1 minute, “OVR” is displayed on the set temperature display as seen in Figure 21. The heating shall be cut off when “OVR” is displayed on the display WARNING: Do not leave baby unattended while “ovr” is displayed as heater will be turned off. Figure 21: OVR If the applied voltage is lower than the rated voltage by 10% for atleast 1 minute, “UVR” is displayed on the set temperature display as seen in Figure 22. In this condition, temperature monitoring and all other warmer functions are present. Figure 22: UVR Heat OFF indication: When the hood is rotated to either of the sides the heat level bar graph turns off and Heat OFF indicator flashes. NOTE: In the Heat OFF condition, audible alarms are absent. In this condition, temperature monitoring and all other warmer functions are present. Heat OFF Indicator Figure 23: Heat OFF Indicator LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 15 Power Failure Alarm: Power Failure alarm turns on when the external power source fails or is disconnected. When the Power Failure alarm turns on: A red indicator located above the Power Failure alarm symbol is illuminated as seen in Figure 24. A continuous audible alarm is activated at this instance. Power Failure Alarm Figure 24: Power Failure Indicator Chapter 2 System Setup and Checkout Procedures 2.1 Mechanical Checks WARNING :Before using the LullabyTM Warmer, read this manual. Attempting to use device without a thorough understanding of its operation may result in patient or user injury. WARNING :Do not perform the preoperational checkout procedure while the patient occupies the LullabyTM Warmer. WARNING:Complete the preoperational checkout procedure section of this manual before putting the LullabyTM Warmer into operation. If the LullabyTM Warmer fails any portion of the checkout procedure it must be removed from use and repaired. NOTE 16 Follow the checkout procedure and the hospital guidelines before admitting a new patient to the LullabyTM Warmer. 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Illustration Description Unplug the power cord from the wall socket, before performing the preoperational mechanical checks. Figure 25: Disconnecting the Power Cord Power Cord Examine the power cord for any signs of damage. Replace the cord if damage is evident. NOTE: Use the handle to wrap the power cord when the LullabyTM Warmer is being moved. Handle Figure 26: Power Cord Examine the warmer overall for any damaged or missing parts. NOTE: Figure 25 displays the warmer with all the accessories mounted. These accessories, (IV pole, Utility pole, Cylinder holder and Monitor/Instrument tray) are optional and are not supplied with the warmer. Figure 27: Inspecting the LullabyTM Warmer LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 17 Illustration 28A Description Follow the instructions given below to check the rear casters: 1. Lock the caster brakes as seen in Figure 28A and check that they hold the unit in place. 2. Release the brakes as seen in Figure 28B and check that the unit moves smoothly. 28B Figure 28: Locking/Releasing Rear Caster Brakes Check that all the casters are in firm contact with the floor and that the unit is stable by locking the caster brakes. Check the operation of the four bedside panels. Figure 29: Inspecting the Bedside Panel The bedside panels should lock securely in the upright position as seen in Figure 30. Figure 30: Inspecting the Bedside Panel Lock 18 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Illustration Description Figure 31: Tilting the bed towards the pillar Figure 32: Tilting the bed away from the pillar Checking the bed tilt Check the operation of the bed tilt by rotating the bed tilt handle towards the pillar and away from the pillar as seen in Figure 31 and Figure 32. When the rotation of the bed tilt handle is stopped, the bed should stay in position at any angle along its tilt path as seen in Figure 33. Figure 33: Bed Position Parallel to Floor Figure 34: Hood Swivel – right Figure 35: Hood Swivel - left Checking the heater hood swivel To check the operation of the heater hood swivel, pull the knob and swivel the heater hood on either side as seen in Figure 34 and Figure 35. Ensure that the heater hood locks automatically when: The heater hood is swiveled to the right and then brought back to its original position. The heater hood is swiveled to the left and then brought back to its original position. Figure 36: Hood Lock LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 19 2.2 Controller Checks WARNING :Do not use the LullabyTM Warmer in the presence of flammable anesthetics: an explosion hazard exists under these conditions. WARNING :Always connect the LullabyTM Warmer directly to a wall outlet. Connecting to a power strip or another piece of equipment may result in power failure errors. Illustration Description Connect the power cord to a rated AC wall socket and lock the caster brakes. NOTE: Power outlets are region specific. Figure 37: Power Connection Connect the patient probe to the jack on the control panel. NOTE: Insert the probe completely into the jack till you hear a click. Figure 38: Patient Probe Connection Switch on the Power Standby/ON switch located on the control panel. Check that: All the displays and indicators light Heater level bar graph is 100% Audible beeps will be heard Observation lamp illuminates on when the Observation Light Standby/ON switch is operated. Power Standby/ON Switch Figure 39: Power Standby/ON Switch 20 2042376-001 Rev G NOTE: Do not press any key on the control panel when switching on the LullabyTM Warmer. This will turn on the “System failure” alarm and “key” is displayed on the set temperature display (Refer to Alarms and Indications). ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Check the skin probe by placing it between your fingers and then verify the increase in baby temperature reading. Figure 40: Checking the Skin Probe 2.3 Accessories Check Illustration Description Check that the accessories are securely mounted as seen in Figure 41. Figure 41: Checking the Accessories If the drawer package is installed, check that all the drawers open and close freely as seen in Figure 42. Figure 42: Opening the drawer LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 21 Chapter 3 Maintenance and Cleaning WARNING:The heater, lights and surrounding areas are hot enough to cause skin burns. Unplug the LullabyTM Warmer and allow the heater to cool before dismantling or cleaning. WARNING:Always disconnect the power before performing service or maintenance procedures explained in this manual. Apply power only if you are specifically instructed to do so as part of the procedure. 3.1 Repair Policy Warranty repair and service should be performed by a GE Healthcare Service Representative or at the GE Healthcare Service and Distribution Center. To contact a GE Healthcare Service Representative, call the GE Healthcare Service Office listed in this manual. Do not use malfunctioning equipment, including equipment that does not pass the checkout procedure. Non-warranty repairs may be performed by a GE Healthcare Representative or by a competent, trained person who has experience in repairing devices of this nature. Refer to the list of service parts and for instructions on how to service and calibrate the LullabyTM Warmer in this manual. After service, follow the checkout procedures before using the LullabyTM Warmer. CAUTION:Detailed information for more extensive repairs is included in this manual solely for the convenience of users having proper knowledge, tools and test equipment, and for service representatives trained by GE Healthcare. 3.2 Required Tools and Personnel Protection Equipment Sl. No. 1 Description Standard service Tool Kit 2 Leakage Current Tester, Digital Multi Meter 3 Antistatic Mat 4 Anti- Static Wrist Strap 5 Safety shoes, safety gloves and safety glasses CAUTION: Always use the personnel protection equipment when installing, dismantling, servicing and conducting maintenance of the warmer. 3.3 Maintenance Schedule The LullabyTM Warmer should be maintained in accordance with the preventative maintenance procedures detailed in this manual. Service maintenance must be performed by a technically competent individual. 22 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 3.3.1 Operator maintenance This schedule lists the recommended times for regular maintenance. Always follow hospital and local regulations for required frequency of regular maintenance. Every week Clean and disinfect the LullabyTM Warmer as required, or before a new patient is admitted. 3.3.2 Service maintenance This schedule lists the minimum frequencies. Always follow hospital and local regulations for required frequencies. Annually Perform the electrical safety checks annually or when equipment is serviced or follow hospital and local regulations for required frequency of regular maintenance. Electrical Safety Tests Use an approved electrical safety analyzer to test the unit’s ground continuity and leakage current. For reliable leakage current readings, the ground resistance check should be performed first. Follow the servicing instructions supplied by the manufacturer of the electrical safety analyzer to verify the following: Ground Resistance Check Measure the resistance between the ground pin, on the line cord plug, and exposed metal of the electronic enclosure. The ground resistance must be less than 0.2 ohms. Note: Not all metal components are safety ground bonded. Only the heater reflector, heater duct, and center pillar are required to be safety ground bonded. When servicing involves disturbing the ground bonds of these components, the ground integrity should be verified. Earth Leakage and Chassis Leakage Current For 220—230—240 V AC rated devices: In normal condition and in all possible operating modes the earth leakage current shall be less than 500 microamperes. If required by local ordinances, in single fault condition and in all possible operating modes the earth leakage current shall be less than 1000 microamperes. Patient Lead Leakage Current For AC lead leakage current: In normal condition in all possible operating modes the patient lead leakage current shall be less than 100 microamperes. If required by local ordinances, in single fault condition in all possible operating modes the patient leakage current shall be less than 500 microamperes. NOTE: The isolation of the patient temperature probe is dependent upon the insulation of the baby temperature probe. These probes are 100% tested and do not require retesting. If desired, the patient temperature probe can be tested by wrapping it in foil or submerging 6 inches (15 cm) of the part of the probe that attaches to the patient in normal saline. Measurements shall be taken from the conducting medium. The patient lead leakage current limits listed above are applicable. 3.4 Cleaning Instructions NOTE These guidelines are designed to complement and do not replace hospital infection control policies. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 23 Important notes for consideration prior to cleaning: Recommended cleaning cycle of the LullabyTM Warmer is every one week or between babies or following hospital guidelines. Recommended cleaning cycle in addition to hospital guideline: Between Patients: • Weekly for patients occupying the bed longer than one week • When visible debris or discoloration is present Wear a gown and gloves as per the hospital policy. Prior to cleaning, remove any patient care equipment from drawers and shelves. Remove any accessory equipment for cleaning as well as the patient temperature probes. Empty the drawers and the shelves. Remove the accessories and the probes. Temperature probes must not be submerged in liquids. Discard the disposables. Use a soft cloth to apply cleaning solution to the temperature probes to disinfect them. These guidelines are designed to complement and are not meant to replace hospital infection control policies. Cleaning Instructions: After each patient use, follow your hospital’s infection control procedures for surface disinfection. Wipe down the surfaces of the LullabyTM Warmer with a soft cloth dampened with a cleaning solution. Refer to Section 3.6 Cleaning Solutions. Always follow the cleaning solution manufacturer’s direction for use. After completing air drying of cleaning solution, wipe all surfaces with a soft cloth to remove any cleaner residue. Illustration Description WARNING:Heating Element Protective Grid Do not clean the radiant heating element inside the protective grid. Figure 43: The Hood WARNING: Do not spray cleaning solution into the vents on the back of the heater assembly; this can damage the electronic components inside the LullabyTM Warmer. CAUTION:Electronic devices are susceptible to damage from discharges of static electricity. These devices are adequately protected, but can be damaged if the LullabyTM 24 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Warmer is dismantled beyond that recommended for cleaning and maintenance. WARNING:The heater, lights and surrounding areas are hot. 3.5 Cleaning the LullabyTM Warmer CAUTION:Use the cleaning solution sparingly on a cloth when cleaning the LullabyTM Warmer. Do not saturate the unit - excessive solution will damage the internal components. Step Illustration 1 Description Get together personal protection equipment. 2 Unplug the power cord. Move the LullabyTM Warmer to an area where you have adequate space to get around and clean. 3 Clean the surface of the LullabyTM Warmer using mild detergent solution applied with a damp cloth or sponge. 4 Do not allow liquids to seep into the electrical housing. 5 Remove all the accessories and the patient temperature probe. 6 Empty the drawers. Remove the four bedside panels; refer to Section 7.1.19 Replacing Bedside Panel. NOTE: The rear bedside panel can be removed only after tilting the bed away from the center pillar. 7 Figure 44: Removing the Plexiglas Remove the mattress from the bed as seen in Figure 45. 8 Figure 45: Removing the Mattress LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 25 Step Illustration Description Remove the clear Plexiglas plate by holding it at the slots as seen in Figure 46. 9 Figure 46: Removing the Plexiglas Wipe down component parts of the bed and the chassis base with recommended cleaning solution as per hospital infection control policy. Rinse and dry according to the cleaning agent manufacturer’s direction. 10 Figure 47: Cleaning With Ear Bud NOTE: To clean the areas which are not reachable, use cleaning acids such as cotton swabs, cleaning wipes or hospital suggested aids to ensure visible cleanliness of all areas. Remove the X-ray tray to clean it. 11 Figure 48: Removing the X-Ray Tray 12 Chemically disinfect and dry the control panel. 13 Chemically disinfect and dry the dovetail rails. 14 Remove the drawers, immerse in soap solution, wash and wipe after complete drying to remove residue. Also follow cleaning manufacturer’s instructions. 15 Inspect all visible surfaces of the LullabyTM Warmer. 16 Allow all parts to dry for 45 minutes before using the LullabyTM Warmer bed. Replace chemically disinfected component parts in the reversed order in which they were removed. Replace the temperature probes and the cleaned accessories. 17 18 19 26 Plug the power cord to a power outlet. 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Perform the system checkout procedure explained in Chapter 2 before using the LullabyTM Warmer. 20 3.6 Cleaning Solutions Use the only cleaning solutions (or chemical equivalents) listed below for cleaning. Generic Formulation Sodium Hypochlorite Maximum Concentration 0.5% Aqueous Solution Glutaraldehyde 2% Hydrogen Peroxide 6% Cavicide® 100% spray CAUTION:Do not use the following cleaners, they will damage the parts being cleaned: • Isopropyl Alcohol • Quaternary Ammonium (such as Virex) • Solvents (such as acetone) CAUTION:Do not spray cleaning solutions directly on the LullabyTM Warmer. CAUTION:Apply the cleaning solution with a clean sponge or cloth. Do not allow liquids to seep into the heater housing. CAUTION:Always dry the surfaces with a clean, damp, soft cloth to avoid scratches and remove any residue of the cleaning solution left after cleaning. 3.7 Cleaning and Disinfecting Individual Components Patient Probe (Reusable) CAUTION:Avoid placing excessive strain on the probe lead. When cleaning, be careful not to pull or bend the lead at the probe tip. Always remove the probe from the Lullaby TM Warmer by grasping the plug at the control panel. Do not pull on the probe lead. CAUTION:Do not apply cold sterilization or cleaning solutions to the probe connector. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 27 CAUTION:Do not autoclave or gas sterilize the skin temperature probe. Do not immerse the probe in liquid cleaners. These precautions will prevent damage to the probe. CAUTION:Do not allow cleaning fluid to leak into the probe and electrical connectors. This may damage the equipment. Step Description Determine if the patient probe is disposable or reusable: 1 2 NOTE Reusable probes use a separate, heat-reflecting patch, are gray and have a round metal disk at the patient end. Disposable probes come with a smaller heat reflecting patch already attached, are white and have no metal disk at the patient end. Clean the reusable patient temperature probe by gently wiping with a soft damp cloth containing a disinfecting agent safe for use on the probe materials. Always be sure to wipe dry all cleaning agents after cleaning. Disposable skin temperature probes cannot be cleaned and are intended for single patient use. 3.8 Cleaning Other Components CAUTION:Do not clean the LullabyTM Warmer with organic solvents, scouring compounds, strong acids, or strong bases. These compounds may damage the components. CAUTION:To minimize the generation of static electricity, do not polish the bedside panels with a dry cloth. CAUTION:Do not autoclave or gas sterilize any of the plastic parts. CAUTION:The area of the LullabyTM Warmer that comes into contact with iodophor solution will turn yellow due to staining. Iodine based solutions tend to discolor the surface of the LullabyTM Warmer. 28 NOTE Do not soak any component of the LullabyTM Warmer in cleaning solutions. Always wipe dry the components to remove traces of the cleaning solutions. Following these recommendations will extend the life of the components. NOTE Do not allow excess cleaning solution to seep between plastic parts (for example: between the side panels and the lock or the hinges) where it cannot be easily wiped dry with a cloth. 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Chapter 4 Troubleshooting There is no separate service mode in this equipment. During power up, the software will check all the safety critical functions. The following are the troubleshooting guidelines for the trained personnel: Symptom Likely causes Defective heater tube Action Replace heater tube FRU 2045962001–for 230 V Replace heater tube FRU – 2056723001 for 115 V Replace heater tube FRU – 2061076001 for 100 V Replace cable assembly heaterobservation lamp 2039891-001 in FRU 2043950-001 Defective cable assembly heater-observation lamp. NOTE: For Warmer with halogen lamp and transformer. Replace cable assembly heaterobservation lamp 2060529-001 in FRU 2062276-001 NOTE: For Warmer with SMPS and LED observation lamp. Heater Failure alarm Heater cable is disconnected from the PWA. Check if the heater tube resistance is above 100 ohms. Improper connection of connector P10 on the PWA. Connect heater-observation lamp cable to PWA (PCB Wire Assembly) If yes, replace heater tube 2044386001 Check the connection on the PWA Replace PWA FRU 2043951-001 The connector from the heater tube to the PWA is damaged. NOTE: For Warmer with halogen lamp and transformer. Replace PWA FRU 2062277-001 NOTE: For Warmer with SMPS and LED observation lamp System does not turn on. LullabyTM Warmer Power cord is not connected to the wall. socket. Connect the power cord to the wall socket 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 29 Symptom Likely causes Blown Fuse on power inlet cable harness Action Replace cable Harness Inlet cable 2039887-001 in FRU 2043950-001 NOTE: For Warmer with halogen lamp and transformer. Blown Fuse on PWA NOTE: For Warmer with SMPS and LED observation lamp. Transformer failure NOTE: For Warmer with halogen lamp and transformer. SMPS failure NOTE: for Warmer with SMPS and LED observation lamp Improper connection connector P2 on PWA of Replace fuse 4A fuse 2062278-001 for 230V Replace fuse 8A fuse 2062278-001 for 115V Replace fuse 10A fuse 2062278-001 for 100V Replace the transformer 001 in FRU 2043950-001 in FRU in FRU in FRU 2039947- Replace SMPS from FRU 2062282001 Check the connection on the PWA Replace PWA FRU 2043951-001 NOTE: For Warmer with halogen lamp and transformer. Defective PWA Replace PWA FRU 2062277-001 NOTE: For Warmer with SMPS and LED observation lamp Defective System Power Standby/ON switch harness Replace the System Power Standby/ON switch harness 2039889-001 in FRU 2043950-001 NOTE: For Warmer with halogen lamp and transformer. Improper connection connector P5 on PWA of Defective power inlet cable harness Check whether 240V configuration plug is used for 240V system and 120V for 120V system. Replace cable Harness Inlet cable 2039887-001 in FRU 2043950-001 Defective Push button key Replace PWA. Faulty configuration plug Push button key failure 30 2042376-001 Rev G Check the connection on the PWA ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Symptom Likely causes Jammed Push button Key Defective Observation lamp Lamp switch cable from the front panel to the PWA is disconnected. Action Replace PWA. Replace observation lamp. Check the connection of P1 on PWA Replace cable assembly heaterobservation lamp 2039891-001 in FRU 2043950-001 Defective lamp socket Observation NOTE: For Warmer with halogen lamp and transformer. Replace 2060529-001 in FRU 2062276-001 for all 3 configurations NOTE: For Warmer with SMPS and LED observation lamp Observation lamp does not glow Replace the observation lamp switch cable harness 2039890-001 in FRU 2043950-001 The lamp switch cable from the front panel to the PWA is damaged. NOTE: For Warmer with halogen lamp and transformer. Replace cable assembly 2060528001 in FRU 2062276-001 NOTE: For Warmer with SMPS and LED observation lamp. Replace cable assembly heaterobservation lamp 2039891-001 in FRU 2043950-001 Defective cable assembly heater-observation lamp NOTE: For Warmer with halogen lamp and transformer. Replace cable assy 2060529-001 in FRU 2062276-001 for all 230V, 115V, 100V NOTE: for Warmer with SMPS and LED observation lamp. Replace PWA FRU 2043951-001 Global Alarm indicator continues to be lit up. CPU failure NOTE: For Warmer with halogen lamp and transformer. Replace PWA FRU 2062277-001 NOTE: for warmer with SMPS and LED observation lamp LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 31 Symptom Likely causes Power cord connected to socket. is the not wall Either or both the fuses in the rear panel inlet are blown. Action Check if the Observation lamp lights up in LullabyTM Warmer after the power cord is connected to the wall socket. Replace cable Harness Inlet cable 2039887-001 in FRU 2043950-001 NOTE: For Warmer with halogen lamp and transformer. NOTE: for warmer with SMPS and LED observation lamp Replace 4A fuse in PWA from FRU 2062278-001 for 230V Replace 8A fuse in PWA from FRU 2062278-001 for 115V Replace 10A fuse in PWA from FRU 2062278-001 for 100V Config. plug is missing or defective If yes, Replace Config. plug 2039935-001 in FRU 2043950-001 Either or both the fuses in the PWA are blown Power failure alarm when the System Power is switched on. NOTE: For Warmer with halogen lamp and transformer. Fuse F1 on the PWA is defective. Replace PWA FRU 2043951-001 NOTE: For Warmer with halogen lamp and transformer. Replace the transformer 2039947001 in FRU 2043950-001 CR12 on the PWA is not lit. NOTE: For Warmer with halogen lamp and transformer. Replace SMPS from FRU 2062282001 NOTE: for warmer with SMPS and LED observation lamp Power switch cable from the front panel is disconnected from the PWA. Defective Light Switch 32 2042376-001 Rev G Improper connection connector P1 on PWA of Connect the cable assembly. Replace the light switch cable harness Check the connection on the PWA ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Symptom No Mobility Likely causes Transformer failure The connector from the heater tube to the PWA is damaged. SMPS failure (for warmer with SMPS and LED observation lamp to be added) Locked castor brake Action Replace the transformer Replace the PWA Damaged castor Replace the castor Defective probe Improper Skin Probe connection. Defective Skin Probe Replace probe Reconnect the Skin Probe Skin Probe connected. is not Replace SMPS from FRU 2062282001 Release the castor brake Replace the Skin Probe Connect the Skin Probe Replace PWA FRU 2043951-001 NOTE: For Warmer with halogen lamp and transformer. Defective PWA Replace PWA FRU 2062277-001 Skin Probe Failure NOTE: For Warmer with SMPS and LED observation lamp Replace PWA FRU 2043951-001 Defective probe jack on PWA NOTE: For Warmer with halogen lamp and transformer. Replace PWA FRU 2062277-001 NOTE: for warmer with SMPS and LED observation lamp Heater hood does not swivel Hood is not aligned to center Mechanism Jam Obstacle for mechanism Tilt Knob is loose Bed base does not tilt Damaged heater hood exterior LullabyTM Warmer tilting Align the heater hood to the center and pull the swivel Knob Replace with support plate assembly FRU Check for any obstacle in the path of the tilting mechanism Tighten the knob screw. Bed tilt mechanism failure Replace the Bed tilt mechanism Accident Loose screw Replace the exteriors Tighten the screw of cap Damaged accident due to an Replace the heater hood exteriors 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 33 Symptom Base leg cap loose When the LullabyTM Warmer is switched on, "key" is displayed on the Control Temperature display with alarm indication. Likely causes Broken leg cap or cannot tighten cap Action Replace the leg cap Loose screw Align cap and tighten the screw A key on the front panel was pressed when switching on LullabyTM Warmer. Check if any of the keys on the front panel is stuck. Do not press any key on the front panel when the system is being switched on. Check for jammed keys. Replace PWA FRU 2043951-001 One of the keys on the front panel is defective. NOTE: For Warmer with halogen lamp and transformer. Replace PWA FRU 2062277-001 NOTE: For Warmer with SMPS and LED observation lamp. Replace PWA FRU 2043951-001 When the LullabyTM Warmer is switched on, "rLy" is displayed on the Control Temperature display with alarm indication. The safety defective. relay is NOTE: For Warmer with halogen lamp and transformer. Replace PWA FRU 2062277-001 NOTE: For Warmer with SMPS and LED observation lamp Replace PWA FRU 2043951-001 When the LullabyTM Warmer is switched on, "trC" is displayed on the Control Temperature display with alarm indication. The heat control triace is defective. 34 2042376-001 Rev G Replace PWA FRU 2062277-001 NOTE: For Warmer with SMPS and LED observation lamp Config. Plug P9 is wrong or defective. When the LullabyTM Warmer is switched on, NOTE: For Warmer with halogen lamp and transformer. Replace Config. plug 2039935-001 in FRU 2043950-001 NOTE: For Warmer with halogen lamp and transformer. ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Symptom "CFg" is displayed on Control Temperature display. Likely causes The configuration switch is configured wrongly. Action Ensure the configuration switch SW1 on the PWA is configured as per the table. B A 230V OFF OFF 115V ON OFF 100V OFF ON NOTE: For Warmer with SMPS and LED observation lamp Swivel sensing cable not connected. Heater is cut off when Hood is at center position with system failure LED blinking without alarm. Connect Swivel sensing cable Replace Swivel sensing cable 2044356-001 in FRU 2043950-001 Swivel sensing cable is defective. NOTE: For Warmer with halogen lamp and transformer. Replace Swivel sensing cable 2060526-001 in FRU 2062276-001 NOTE: For Warmer with SMPS and LED observation lamp. Heater is cut off and the bargraph is not turned on when the hood is swiveled back to zero position. LullabyTM Warmer Limit switch actuated. is not Gently adjust the hood near zero position. 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 35 Chapter 5 System Installation Procedure LullabyTM Warmer system should be installed by qualified personnel. Follow the instructions carefully to ensure proper mounting and safe operation of the LullabyTM Warmer. 5.1 Required tools and Personnel Protection Equipment (PPE) CAUTION: Always use the personnel protection equipment when installing, dismantling, servicing and conducting maintenance of the warmer. 5.2 Contents of LullabyTM Warmer Packaging Verify the following are included in the main packaging box. Also refer to order list placed by the customer and to specific instructions before unpacking the box. Sl. No. 1 36 Description Standard service Tool Kit 2 Leakage Current Tester 3 Anti- Static Wrist Strap 4 Anti- Static Mat 5 Safety glasses, Safety gloves and Safety shoes 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Packaging Hood assembly Packing Box Bed assembly Packing Box Parts Description Hood assembly Bed Base assembly with X-ray tray Mattress Clear bed Bedside Panels Slotted Panel assembly Hardware Pouch Monitor assembly fastener pouch (Optional) Utility box Service manual Operator manual Height adjustment Pin Power cord Utility post 3.5” Leg and Pillar assembly Accessories Pouch (This contains probes and reflecting patches) LullabyTM Warmer Leg assembly Pillar assembly IV Pole assembly Utility Pole assembly Monitor assembly Drawer assembly MSB drawer assembly Cylinder Holder assembly Utility post 3.5” Basket assembly Slotted window panel Chest Tube drainage hanger XL (French) Cylinder Holder Pouch containing 1 reusable probe Package containing 50 heat reflecting patches Quantity 1 1 Optional M8X25 CSK Loctite screws M8 Nylock nut M8 tooth washer M5X16 Button head screw M5 flat washer M5 spring washer M5X12 skt Button head screw M5 flat washer M5 spring washer 1 1 4 1 10 (2 extra) 4 4 2 2 2 4 per set Optional 4 per set 4 per set 1 1 1 1 1 Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional 1 1 1 1 1 1 1 1 1 1 1 1 Optional 1 1 1 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 37 Laurel Orderable Accessories: Below table lists accessories which are not included in the packaging box and can be ordered from Laurel. Packaging Laurel Orderable Accessories 5.3 Parts Description Resuscitation bag clip Quantity Optional 1 Tubing management Optional 1 Retaining Clip Optional 1 Unpacking the shipping box The LullabyTM Warmer is shipped, dismantled in one box. After opening the box, check if all the contents are present. If any of the contents listed in the contents table is missing, contact your local customer care at the number provided at the end of this document. If it is a sea shipment, uncover the shipment foil and then proceed with the unpacking. Handle Top Cover Handle Strap Side Enclosure Figure 49: Unpacking the LullabyTM Warmer shipper box 38 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Figure 50: Contents of LullabyTM Warmer shipper box Leg Assembly Pillar Assembly Figure 51: Contents of LullabyTM Warmer shipper box Follow the instructions given below to unpack the warmer shipper box: 1. Cut open the six straps on wooden or eight straps on corrugated packing box. 2. Remove the lid and lift the side enclosure of the packing box. 3. If the packaging is seaworthy, cut the aluminum foil/shrink wrap. 4. Cut open the straps on the corrugation boxes and the accessories. 5. Separate the Hood, Bed packing boxes and accessories. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 39 6. Lift the leg assembly to separate it from the packing box. 7. To remove the two Cylinder Holders unscrew the (4 Qty) M8 nuts using a box spanner. NOTE 1. The pouch that contains the probes and heat reflecting patches is stuck on to the packing box that holds the hood. 2. The accessories listed are optional. Place an order to obtain the accessories. 3. When repacking the warmer refer to the Packaging Drawing Part number 2044144-002 / 2057688-001 for instructions to repack. 4. Preserve the packaging so that you can use it to repack the warmer when it is being transported locally. WARNING:In the assembled condition (Heater hood and bed assembled), the Lullaby TM Warmer should not be subjected to outdoor transport. 5.4 Pillar to Leg Assembly and Height Adjustment WARNING:Apply castor brakes before installing the Lullaby TM Warmer. Illustration Description To assemble the pillar and leg ensure you have the following: Handle Recliner Fulcru m Connecting rod Figure 52: Pillar Assembly 40 2042376-001 Rev G 1. 2. 3. 4. 5. 6. Pillar assembly Leg assembly CSK M8 loctite screws (Qty 6) 5 mm Hex key 3 mm Hex key Height adjustment Pin Warning: Do not lift the pillar assembly by holding onto the recliner or the connecting rod. Instructions to fix the pillar and leg assembly: 1. Place the leg assembly on the floor. ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 2. 3. 4. 5. Apply brakes on the rear castors. On the pillar assembly, remove the front and the rear skirts using 3mm hex key. Slide the pillar assembly over the leg assembly through the base ‘C’ support. Use the handle or fulcrum to lift the base assembly to the desired height. Note: To fix the warmer bed at the desired height, align the holes as described in the procedure to adjust the height of the warmer bed. 6. 7. Align the holes on the pillar assembly with the holes on the leg assembly. Insert the height adjustment pin into the height pin guide. Figure 53: Leg Assembly LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 41 Pillar to Leg Assembly and Height Adjustment (Continued) Illustration Lowest Height (880mm) Mid Height (950mm) Top Height (1020 mm) Figure 54: The location of the screw holes on the leg assembly Handle Pillar Figure 55: Pillar to Leg Assembly Description The bed can be adjusted to three desired heights, Lowest Height (880mm). Mid Height (950mm). Top Height (1020 mm). There is a difference of 70 mm between the consecutive heights. Note: The height levels mentioned here are measured from the floor to the surface of the mattress WARNING: - 42 1. Do not attempt to adjust the height of the bed after the hood and bed are fixed to the base assembly. 2. Always align the extreme screws before adjusting the middle one. 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Illustration Description Instructions to adjust height: 1. Remove the fasteners. 2. Press open the snap of height skirt. 3. Match the hole & insert the height adjustment pin for the required height. 4. Tighten the fasteners. 5. Press to assemble the snaps. Snap M8 (QTY 6) 6.Fasten the M5 screws. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 43 5.5 Assembly of Pillar and Bed Illustration Bed Base Tooth Washer Bed tilt Mechanism M8 Nyloc Nut Figure 56: Bed Base Assembly Description To assemble the Pillar and the bed ensure that you have the following: Bed base M8 Nyloc Nuts (Qty 4) Tooth washers (Qty 4) M8 Box Spanner Instructions to assemble the base and the bed: 1. Position the bed base assembly on the bed tilt mechanism as shown in Figure 56. 2. Fasten the M8 Nyloc nuts and the tooth washers (Qty 4) securely to the assembly. Note: Before fixing the bed base to the pillar assembly ensure that the bed tilt mechanism is in parallel to the floor. This will help you to install the bed without difficulty. 44 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Illustration Description Bedside Panel 3. Assemble the four bedside panels. Refer to 7.1.19, Replacing the Bedside Panel, to fix the four bedside panels. NOTE: Peel off the protective cover on the bedside panels before the unit is put into use. Figure 57: Bedside Panels Assembly Mattress Clear Plexiglas Plate X-ray Tray 4. Figure 58: Mattress, Clear Plexiglas Plate, and X-tray Tray Assembly 1 5. Place the clear Plexiglas plate and the mattress on to the bed base. Slide in the X-ray tray through slots firmly. NOTE: Peel off the protective cover on the clear Plexiglas plate before the unit is put into use. Figure 59: Pillar and Bed Assembly LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 45 5.6 Assembling the Pillar and the Hood Illustration 4 5 1 33 7 2 6 1. Hood Assembly 2. M8x25 CSK Screw 3. M5 spring washer and flat washer 4. M5 X16 Skt button head screws 5. M5 screws and washers 6. Pillar Rear cover 7. Hood Support Plate Figure 60: The Pillar and the Hood NOTE: For Warmer with halogen lamp and transformer. For Warmer with SMPS and LED observation light. 4 5 3 1 7 2 6 46 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Description WARNING:1. Two personnel are required to mount the hood assembly. 2. One personnel should hold the tip of the hood while the other person tightens the screws onto the hood. To assemble the pillar and the hood ensure you have the following: Hood assembly M8 x 25 CSK screws (Qty 2) M5 X16 Skt button head screw and washers (Qty 2 each) 5 mm Hex keys 3 mm Hex keys Screw caps Illustration LullabyTM Warmer Description Instructions to assemble the pillar and the hood: 1. Remove the pillar rear cover by unscrewing the (M5x6) screws. 2. Place the hood assembly on the pillar. 3. Fasten the M8x25 csk screws (Qty 2) through the holes in the pillar and the hood support plate. Do not fully tighten the screws. 4. Fasten the M5 X16 csk screws and washers (Qty 2 each) to the hood support plate through the holes in the rear of the hood support plate until washers are flattened. 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 47 NOTE: For Warmer with halogen lamp and transformer. NOTE: First tighten the M5 screws and then the M8 x 25 csk screws. 5. NOTE: For Warmer with SMPS and LED observation lamp. Refer to Figure 61. On the PWA (PCB Wire Assembly) fix the connector from: Observation lamp plug ‘P13’ to ‘J13’ connector on PWA. Heater cable plugs ‘P10’ to ‘J10’ on PWA. Heater earth G4 to be screwed as shown in Figure 61. Swivel sensor switch ‘P6’ to‘J6’ on PWA. NOTE: For a detailed figure, please refer section 7.1.6. Figure 61: Printed Circuit Board Wire Assembly (PWA) 48 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 6. Mount back the rear pillar cover using fasteners until washers are flattened. (M5 screws and washers each Qty 6). Figure 62 on the left shows the warmer with the Pillar and Hood assembled. Figure 62: Basic Warmer 5.7 Connecting the power cord Plug in the country specific power cord on the back of the LullabyTM Warmer. Refer to Figure 24 in the sections above for connecting the power cord. 5.8 Mounting the accessories WARNING: Overloading the shelves and accessory rails (dovetail rails) can affect the stability of the LullabyTM Warmer. Always try to evenly distribute the weight of accessories on both sides of the LullabyTM Warmer for a more balanced load. Limit the total load on the accessory rails to 28 kg. Do not mount more that 14 kg on a single rail. WARNING: Do not transport the LullabyTM Warmer with the drawer(s) open. WARNING: Overloading the drawers can affect the stability of the LullabyTM Warmer. Limit the load to 3 kg per drawer. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 49 5.8.1 Mounting the IV pole Illustration Description Mounting and Disengaging the IV Pole: 1. Loosen the mounting screw on the mounting block. 2. Place the IV pole in position on the dovetail rail. 3. Tighten the mounting screw. Mounting 4. To disengage the IV Pole Screw from the dovetail rail, loosen the mounting screw. IV Pole Dovetail Rail Mounting Block Figure 63: Mounting the IV Pole 50 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 5.8.2 Mounting the Monitor /Instrument Tray Illustration Description Mounting and Disengaging the Monitor /Instrument Tray: The Monitor/Instrument tray is delivered in an unassembled state. Mounting Block M5 Skt button Screw Figure 64: The Monitor Tray Assembly Monitor /Instrument Tray Mounting Screw Figure 65: Assembling the Monitor/Instrument Tray 5.8.3 Follow the instructions given below to assemble the Monitor/Instrument tray: 1. Assemble the monitor tray with tray bracket with M5 skt button head screws, spring and flat washers using 3 mm Hex key. (Qty 4). Fasteners are located in the utility box. 2. Loosen the mounting screw on the mounting block. 3. Place the Monitor/Instrument Tray in position on the rail as seen in Figure 65. 4. Tighten the mounting screw. 5. To disengage the Monitor /Instrument Tray from the rail, loosen the mounting screw. Note: Ensure that the weight label on the monitor tray is towards you and away from the center pillar when you fix the monitor tray. This is to ensure that the weight label is not hidden when ancillary equipment is placed on the monitor tray. Mounting the Utility Pole Illustration Description Mounting Screw Utility Pole Mounting Block Figure 66: Mounting the Utility Pole LullabyTM Warmer Mounting and Disengaging the Utility Pole: 1. Loosen the two mounting screws on the mounting block. 2. Place the Utility pole in position on the rail. 3. Tighten the two mounting screws. 4. To disengage the Utility pole from the rail, loosen the two mounting screws. 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 51 5.8.4 Mounting the Cylinder Holder and the Cylinder Illustration Description WARNING:1. Check that all the castors are in firm contact with the floor and that the LullabyTM Warmer is stable. 2. Lock the rear side castor brakes and check that they hold the LullabyTM Warmer in place as seen in Figure 67. Figure 67: Setting the Rear Castor Brakes Cylinder Holder M8x20 Socket button head screws Figure 68: Setting the Rear Castor Brakes Figure 69: The Cylinder Holder Figure 70: Fastening with Velcro Figure 71: Mounting Bracket 52 F 2042376-001 Rev G Follow the instructions given below to fix the cylinder holder: 1. Fix the cylinder holder onto the center pillar and fasten with M8 x20 socket button head screws. 2. Place the cylinder into the cylinder holder and fasten it with Velcro to hold it firmly. The following cylinders are recommended: Sizing Reference Dimensions Name (Length h x European E-size Diameter in mm) 750 X 97 Germany 3.5 liter 580 x 100 XXL (French) Cylinder 450 x 140 Mounting XL (French) Cylinder Cylinder: 1. Fix the Brackets on to the center pillar with M8x20 socket button head screws as shown in Figure 69. 2. Fix the cylinder holder onto the brackets with M8x 20 socket button head screws as shown in Figure 70. 3. Place the cylinder into the cylinder holder and fasten it with velcro to hold it firmly. NOTE: The Bracket and fasteners of XL cylinder mounting are wrapped along with the XL cylinder holder in shipping packaing. ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 5.8.5 Mounting the Drawer Assembly Illustration Drawer Assembly M5X12 Flex inside and pull to assemble/remove Base Leg Lower Drawer Washer M8 Fasteners Drawer Clamp Figure 73: Mounting the Drawer Assembly Description Follow the instructions given below to mount the drawer assembly: 1. 2. 3. 4. 5. 6. 7. Pull the lower drawer out of the drawer assembly by flexing the lower drawer inwards as shown in the above figure. Obtain clamps (Qty 2) and fasteners that are placed inside drawers. Loosely fasten the two drawer clamps to the base leg (M8 fasteners, Qty 4). Place the drawer assembly on the leg assembly and align the holes with screw holes in clamp. Align the screws diagonally. Fasten the drawer with clamps (M5 fasteners, Qty 4 Qty). Tighten all the screws. Replace the lower drawer into the drawer assembly by flexing it and pushing inside. NOTE: For the mounting procedure of MSB (mild steel blue) drawer refer to Appendix E. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 53 5.8.6 Mounting the Chest Tube Drainage Hanger Illustration Description Chest Tube Drainage Hanger Mounting Rail crew Mounting and Disengaging the Chest Tube Drainage Hanger: 1. Loosen the mounting screw on the mounting block. 2. Place the Chest Tube Drainage Hanger in position on the rail as seen in Figure 74. 3. Tighten the mounting screw. 4. To disengage the Chest Tube Drainage Hanger from the rail, loosen the mounting screw. CAUTION:Ensure the chest drainage Figure 74: Mounting the Chest Tube Drainage Hanger bottles are properly hung from the drainage hanger. 5.8.7 Mounting the Tubing Management Arm Illustration Description Tubing Management Arm Mounting crew Mounting and Disengaging the Tubing management Arm: 1. Loosen the mounting screw on the mounting block. 2. Place the Tubing management arm in position on the rail as seen in Figure 75. 3. Tighten the mounting screw. 4. To disengage the Tubing management arm from the rail, loosen the mounting screw. CAUTION:- Figure 75: Mounting the Tubing Management Arm Ensure the tubings have no kinks when placed in Tubing management arm. 54 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 5.8.8 Mounting the Utility Post (3.5”) Illustration Description Utility Post (3.5”) Mounting the Utility Post: 1. Mounting crew 2. 3. Loosen the mounting screw on the mounting block. Place the Utility post in position on the rail as seen in Figure 76. Tighten the mounting screw. Figure 76: Mounting the Utility Pole 5.8.9 Mounting the Basket Assembly Illustration Description Mounting the Basket Assembly: 1. Assemble the mounting block to Basket with the knob. Mounting 2. Loosen the mounting screw on the Screw Basket mounting block. Assembly 3. Place the Basket assembly in position on the rail as seen in Figure 77. 4. Tighten the mounting screw. Figure 77: Mounting the Basket Assembly 5.8.10 Mounting the Resuscitation Bag Clip Illustration Description Mounting the Resuscitation Bag Clip: 1. Insert the clip and turn to lock in the dovetail. Resuscitation Bag Clip Figure 78: Mounting the Resuscitation Bag Clip LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 55 5.8.11 Mounting the Retaining Clip Illustration Description Retaining Clip Mounting the Retaining Clip: 1. Insert the clip and turn to lock in the dovetail. Figure 79: Mounting the Resuscitation Bag Clip 5.8.12 Assembling the slotted Bedside Panel Illustration Description Slotted Bed Side Panel Figure 80: Assembling the Slotted Bedside Panel 5.9 Assembling the Slotted Bedside Panel: 1. Press the endpins in and lift the bedside panel out of the notches. Refer Operation and Maintenance manual for instructions. 2. Hold the Slotted bedside panel and guide the endpins into the notches located in the bed. 3. Release the endpins. 4. Ensure that the Slotted bedside panel is held in place firmly. Checkout Procedures After the LullabyTM Warmer is fully installed carry out the mandatory checkout procedures. Refer to 0 System Setup and Checkout Procedures. 56 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 5.10 Repacking the warmer without SKD for local transport The SKD kit should be assembled right at the customer site to avoid whole-unit transportation which may result in serious damage to product. When it is not feasible to assemble the SKD kit at the customer site, follow the below process for local transportation to avoid damages. Illustration Description Hood Removal: 1. Dismantle the hood. Refer 6.3: Dismantling the Hood Assembly. 2. Pack the hood assembly in a cardboard box and wrap it with straps tightly to avoid movement. Remove the four side panels Bed Side Panels Removal 1. Remove the four bed side-panels and wrap them in a bubble wrap. 2. Pack the panel assembly in the cardboard box and wrap it with straps tightly to avoid movement. CAUTION: Remove the dovetail accessories during transport. Place the warmer in a position where it does not touch any hard surface to avoid scratches during transport. Warmer to the desired location, check if there is any damage to its After moving the LullabyTM parts. Fix back the following LullabyTM Warmer parts: Hood Bed side panels Accessories After fixing the removed parts of the warmer, perform the checkout procedures explained in this manual. WARNING:In the assembled condition (Heater hood and bed assembled), the LullabyTM Warmer should not be subjected to outdoor transport. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 57 Chapter 6 System Dismantling Procedure WARNING:Before dismantling the warmer do the following: 1. Switch off the power supply. 2. Set the castor brakes. 6.1 Dismantling the Accessories The accessories should be dismantled first before dismantling any other part of the warmer. Follow the instructions given below to dismantle the accessories. 1. To remove all rail mounted accessories, refer to the corresponding installation section for instructions. 2. To remove the cylinder holder, follow the instructions given below: i. Loosen the Velcro and take the cylinder out of the cylinder holder. ii. Disengage the cylinder holder from the center pillar by unscrewing the mounting screws. 6.2 Dismantling the Base and Bed Before dismantling the bed tilt, ensure that the bed is parallel to the floor. Follow the instructions given below to dismantle the base to bed assembly: 1. Remove the mattress and the clear Plexiglas plate. 2. Slide the X-ray tray out of the slot. 3. Remove the front and side panels (Refer Section 7.1.19 Bedside Panel Replacement for procedure). Remove the bed base assembly by unscrewing the M8 Nyloc nuts (Qty 4), and tooth washers. 4. 58 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 6.3 Dismantling the Hood Assembly Follow the instructions given below to dismantle the pillar and the hood: Illustration LullabyTM Warmer Description 1. To remove the rear pillar cover, unscrew M5 screws (Qty 6). 2. On the PWA, unplug the following cables: a. heater b. observation lamp c. swivel sensor 3. To remove the hood assembly unscrew the M8 CSK screws (Qty 2) and M5 button head screws (Qty2). Refer to section, Assembling the Pillar and the Hood for details. 4. Remove the hood carefully. 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 59 6.4 Dismantling the Pillar to Leg Assembly When the warmer is being dismantled completely, the pillar and the leg assembly are the last components that should be dismantled. Ensure that the other accessories and other assemblies have been removed before you proceed to dismantle the pillar and leg assembly. Follow the instructions given below for dismantling the pillar and leg assembly. Note: Ensure that there are two people to dismantle the pillar to leg assembly. Instructions to dismantle the pillar to leg assembly: Refer section 5.4 Pillar to Leg Assembly and Height Adjustment for more details. 1. Unscrew the rear skirt. 2. Disengage the front skirt that is snapped to the rear skirt. 3. Locate the height adjustment pin into the guide pin hole. 4. Unscrew CSK M8 screws (Qty 6). 5. Ensure that one person supports the pillar while another removes the height adjustment pin. 6. Lift the handle and carefully slide out the leg assembly from the base support. 60 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Chapter 7 Field Procedures 7.1 Replaceable Unit (FRU) Replacement Replacing the Parts of the LullabyTM Warmer WARNING:Before replacing the Field Replacing Unit (FRU)s always do the following: 1. Switch off the power. 2. Set the castor brakes. 3. Remove the cylinders if they are mounted on to the LullabyTM Warmer. 4. Always use anti-static material and wear anti-static wrist strap, safety glasses, safety shoes and safety gloves while dismantling the LullabyTM Warmer to avoid possible damage due to static electricity and sharp edges. 7.1.1 Replacing the Hood Exterior (FRU Kit No: 2043936-001) WARNING: The heater assembly and the protective grid may still be hot if you dismantle the unit immediately after it has been in use. CAUTION: Do not touch the inside of the heater reflector. Imprints of fingers may reduce the output of the heater’s reflective surface. The temperature of the heater can be determined by holding the skin temperature probe against the heater. Note: Always perform the system checkout procedure and electrical safety check before returning the LullabyTM Warmer to use after performing repair. Illustration Figure 81: The heater hood with the components separated LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 61 Description Instructions to replace the hood exterior: 1. Disengage the hood assembly from the center pillar. Note 1: Refer to Section 6.3 Dismantling the hood. 2. Dismantle the existing parts and replace with new FRUs. Note 2: Refer to the following sections for detailed instructions. Note 3: Refer to 0 for Illustrated Parts. Note 4: If rear braket is supplied with hood exteriors 2043936-001, it should be treated as dummy and discarded. 7.1.2 Replacing the extrusions Illustration M5 Flat and Spring Washers Hood Extrusion M3 Hex Nut M5x16 Socket cap head screw Rear Bracket Teflon sheet Hood Extrusio M3 n Washer M3x12 Socket pan cross head screw Figure 82: Replacing the Rear Brackets and the Extrusions Description 62 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Instructions to remove the rear bracket and the extrusions: 1. 2. Dismantle hood assembly. Refer to 6.3 Dismantling the Hood Assembly. Remove the screw caps (8 caps) and unscrew the M5 screws to remove the hood rear and front covers. 3. Pull and hold the swivel actuator knob and then disengage the PWA hood harness through the hood pillar. 4. Unscrew the front bracket (4 screws) and slide out the heater, hood top plate and hood spacer plate. 5. Unscrew rear bracket (4 screws) to disengage hood extrusion. 2. Replace the hood extrusion with a new one. Instructions to reassemble the hood assembly: 1. Fasten the rear bracket with screws (4 screws). NOTE: Do not overtighten. Only bottom out the spring washer. 2. 3. 4. Replace the hood spacer plate, hood top plate and heater and fasten it with screws (4 screws). Pull and hold the swivel actuator knob and engage the PWA hood harness through the hood pillar. Fasten the hood rear and front covers with M5 screws and replace the screw caps. 7.1.3 Replacing the hood spacer, hood top plate and observation lamp plate Illustration Figure 83: Replacing Hood Spacer, Top Plate, Observation Lamp Plate and Extrusions LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 63 Description Remove the Hood assembly (refer to 6.3 Dismantling Hood) before you proceed with replacing the hood spacer, hood top plate and observation lamp plate. Instructions to replace the Hood Spacer: 1. Remove the front cover and front bracket. Refer to section 7.1.4, Replacing the Front Bracket and 7.1.5 Replacing the Front and Rear Covers. 2. Slide out the heater and the hood spacer. 3. Slide the new hood spacer and then the heater from front through bottom recess of extrusions until it connects with rear bracket. 4. Slide out the hood top plate from the front. 5. Slide in the new hood top plate from the front through the top recess of both extrusions until it connects with the rear bracket. 6. Unscrew the observation lamp plate. 7. Replace the old observation lamp plate with a new one and fasten it on to the top plate with M3 pan screws (Qty 2). 8. Fasten the front bracket and front cover to the hood. Note: Ensure that the Observation lamp cable runs through hood pillar before the Observation lamp plate is fixed. 7.1.4 Replacing the Front Bracket Illustration Hood Extrusi ons Washers Teflon Sheet Washers M3 Hex Nut M3x12 Pan Cross Head Screw M3 Washers Front Bracket Figure 84: Bracket and Extrusions 64 2042376-001 Rev G M5x16 Skt cap head screw ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Description Instructions to replace the front bracket: 1. Remove the front cover by removing the screw caps and unscrewing the M5 screws (Qty 4). 2. Unscrew the front bracket. 3. Separate the front bracket and the Teflon (if provided) sheet. 4. Replace the front bracket with a new one. 5. Fasten the front bracket and the Teflon (if provided) sheet using M3 pan screws, hex nuts (Qty 4) and washers (Qty 8). 6. Fix the bracket assembly to both hood extrusions using M5 Skt screws (Qty 4). 7. Fasten the front cover with screws and replace the screw caps. 7.1.5 Replacing the Front and Rear Covers Illustration Figure 85: Replacing Rear Covers Description Instructions to replace Front cover Follow the instructions given below to replace the front cover: 1. Remove the front cover by removing the screw caps and unscrewing the M5 pan screws (Qty 4). 2. Assemble the front cover to align with front bracket and fasten with screw caps and M5 pan screws (Qty 4). Instructions to replace Rear Cover 1. Remove the rear cover by removing the screw caps unscrewing the M5 pan screws (Qty 4). 2. Align the new rear cover with hood pillar and rear pillar 3. Fasten the rear cover with screw caps and M5 pan screws (Qty 4). LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 65 7.1.6 Replacing the PCB Wire Assembly (PWA) (FRU Kit No. 2043951-001) Illustration Description Instructions to replace LullabyTM Warmer PWA: Refer to the PWA PCB Layout in the following page. M5 button head Pillar Rear Cover M3x12 Pan Cross Recs Screw and Washers PWA Figure 86: Replacing LullabyTM Warmer PWA NOTE: For Warmer with halogen lamp and transformer 66 2042376-001 Rev G 1. Remove the pillar rear cover. 2. Disengage all the cable connectors. Refer to Figure 80. 3. Remove PWA by unscrewing fasteners M3 pan head (Qty 6). 4. Replace with new PWA and secure it with fasteners (Qty 6). 5. Engage all the cable assemblies to respective connectors as explained below: Connect the connector from the observation lamp switch P1 to J1 on the PWA. Connect the connector from the Power ON/standby switch P5 to J5 on the PWA. Connect the connector from the power inlet cable P2 to J2 on the PWA. Connect the connector from the observation lamp P13 to J13 on the PWA. Connect the connector from Heater cable P10 to J10 on the PWA. Swivel switches P6 to J6 on PWA. Heater earth G4 with M3 pan head screw on PWA. Config. plug P9 to J9 on PWA. Transformer input P7 to J7 and output P8 to J8 on PWA 6. Fix back the pillar cover. ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Replacing the PCB Wire Assembly (PWA) (FRU Kit No. 2062277-001) Illustration Description Instructions to replace Lullaby Warmer PWA: Refer to the PWA PCB Layout in the following page. M5 button head PWA Pillar Rear Cover M3x12 Pan Cross Recs Screw and Washers NOTE: For wamer with SMPS and LED observation lamp LullabyTM Warmer 1. Remove the pillar rear cover. 2. Disengage all the cable connectors. Refer to Figure 80. 3. 3. Remove PWA by unscrewing fasteners M3 pan head (Qty 6). 4. 4. Replace with new PWA and secure it with fasteners (Qty 6). 5. Engage all the cable assemblies to respective connectors as explained below: Connect the connector from the observation lamp switch P1 to J1 on the PWA. Connect the connector from the Power ON/standby switch P5 to J5 on the PWA. Connect the connector from the power inlet cable P2 to J2 on the PWA. Connect the connector from the observation lamp P13 to J13 on the PWA. Connect the connector from Heater cable P10 to J10 on the PWA. Swivel switches P6 to J6 on PWA. Heater earth G4 with M3 pan head screw on PWA. SMPS input P7 to J7 and SMPS output P8 to J8 on PWA. 6. Set the configuration switch as per the below table B A 230V OFF OFF 115V ON OFF 100V OFF ON 7. Insert the Fuses (2nos ) as per the given table below. F1 F2 230V 250V,4A 250V,4A 115V 250V,8A 250V,8A 100V 250V,10A 250V,10A 8. Fix back the pillar cover. 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 67 FOR 230V FOR 115V FOR 100V F2 F1 68 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer For Warmer with halogen lamp and transformer 1 2 3 4 5 6 10 9 8 7 1. J6- Hood Swivel Switch connector 2. J7- Transformer i/p connector 1. P6 3. J10- Heater connector 2. P7 4. J2- Power inlet connector 3. P10 5. G4- Ground from hood 4. P2 6. J13-Observation lamp connector 5. M3 Screw earth 7. J8-Transformer o/p connector 6. P13 8. J1-Observation lamp switch connector 7. P8 8. P1 9. J5-Power on/std by switch connector 9. P5 10. J9- Config plug connector LullabyTM Warmer 10. P9 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 69 For Warmer with SMPS and LED observation lamp 1. J6- Hood Swivel Switch connector 2. J7- Transformer i/p connector 3. J10- Heater connector 4. J2- Power inlet connector 5. G4- Ground from hood 6. J13-Observation lamp connector 7. J8-Transformer o/p connector 8. J1-Observation lamp switch connector 9. J5-Power on/std by switch connector 1. P6 2. P7 3. P10 4. P2 5. M3 Screw earth 6. P13 7. P8 8. P1 9. P5 10. SW1 10. Configuration Switch 70 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 7.1.7 Replacing the Hood Support Plate and Rear Bracket (FRU KIT: 2043937-001) Description of Parts: s Step 1. Illustration Instructions Remove the Heater Hood from the LullabyTM Warmer. Refer to the Heater Hood dismantling procedure in section 6.3. 2. Remove the two screw caps & its screws on top of the hood, which is shown as "A". 3. LullabyTM Warmer Turn the Heater Hood upside down, pull the swivel knob and rotate the hood support assembly to one end as shown. Now the two screw caps with the screw is visible in the position shown as 3A. Remove these two screw caps with the screws. 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 71 4. Remove the rear end cap hood from the hood assembly. 5. Remove the new M5X10 socket head cap screw with M5 Flat and Spring washers to disengage the retaining sleeve from the rear bracket assembly as shown. 6. 6A 7. 72 s 2042376-001 Rev G Pull the swivel knob and remove the cable harness assembly with retaining sleeve from the pillar as shown in fig 6A & 6B. 6B Note: While removing the harness if the connector gets stuck in the slot inside the pillar, slowly pull it back, rotate the harness & remove it again. Hold the heater hood firmly on both sides as shown and remove the four nos of M5X16 Socket head cap screws with M5 Spring washer & M5 Flat washer. CAUTION: - Two people are required for this activity; one FE and another can be an unskilled person. If the heater hood is not held firmly as shown, the Heater, Hood Spacer plate and Hood top plate will come off the assembly. ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 8. After removing the screws, separate the hood support assembly from the heater hood and harness as shown in Fig 8A & 8B. 8A 9. 8B Remove the teflon sheet (if provided) from the old Rear bracket assembly. CAUTION: -Discard the old Rear bracket assembly completely to avoid mix up before you assemble the new part. 10. Assemble the teflon sheet (if provided) into the new Rear bracket assembly (Same fasteners can be used). 11. Hold the heater hood firmly on both sides as shown & tighten all four screws with the corresponding tool. CAUTION: - Do not over tighten the screws, only bottom out the spring washer. CAUTION: - Two people are required for this activity, one FE & another can be unskilled person. If the heater hood is not held firmly as shown, the Heater, Hood Spacer plate and Hood top plate will come off the assembly. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 73 12. 12A 12B Route the cable harness assembly with retaining sleeve into the pillar as shown in fig 12A. Pull the swivel knob and insert the three pin connector with harness into the hood pillar, then route the two pin connector in the same way, then insert the retaining sleeve into the hood pillar with flange oriented as shown in fig 12B. Route both the harness by pushing simultaneously. Ensure that harness and connectors are not damaged. Note: While routing the harness if the connector gets stuck in the slot in the inside of the pillar, slowly pull it back, rotate the harness and route it again. 13. Assemble the retaining sleeve to the rear bracket assembly as shown Using M5X10 socket head cap screw with M5 Flat and Spring washers. 14. After tighten the screw, pull the cable assembly down from bottom side for the remaining length. 15. Close the rear hood cover. Mount the hood back on the unit using the new M8 Loctite Countersunk screws and M5 socket button head screws provided. 74 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 7.1.8 Replacing the Heater Assembly (FRU Kit No. 2043938-001) and Heater Cables (Part of FRU Kit No. 2043950-001 Illustration Figure 87: Replacing Heater Assembly NOTE: For Warmer with halogen lamp and transformer LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 75 Description Remove the Hood assembly (refer to 6.3 dismantling hood) before you carry out the procedure given below. Instructions to remove the Heater Assembly and cables: 1. 2. 3. 4. 5. 6. Remove the rear cover. Unscrew the swivel sensor cable from the hood support plate. Replace with a new swivel sensor cable and tighten the screws. Remove the front cover and front bracket. Unscrew the M5 fastener to disengage the retaining sleeve as shown in Fig. 86 A. Pull and hold the Swivel knob and remove the harness with retaining sleeve as shown in Fig. 86 B. 9A 7. 8. Unscrewing blue harness Releaseremoving the cables from the hood pipe and rear bracket. Carefully slide out the heater assembly from front side. 9. Remove and replace the Heater and the observation lamp cables as explained below: Disassemble the old cable harness from the heater assembly step by step as shown. 9A. Disconnect the blue color harness by unscrewing the screw. 9B. Disconnect the lamp holder by pulling it gently. 9B Disconnecting lamp holder Plug button location Removed plug button 76 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 9C. Remove the plug button and then disconnect the red color harness by unscrewing the screw. 9C 9D. Disconnect the green-yellow harness by unscrewing the nut, then unscrew all the three plastic clamps to completely disconnect the blue harness. 9D Plastic clamp Unscrewing green-yellow harness Note: All removed fasteners and the three plastic clamps are reusable (not to discard). Removed old harness assembly Caution: - Discard the old cable harness assembly completely to avoid mix up before you assemble the new part. Instructions to replace the Heater Assembly and cables. 1. Insert the new heater assembly from the front end of the hood. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 77 Note: Ensure that the observation lamp face the rear bracket when the heater assembly is inserted into the hood. 2. 3. 4. 5. 6. 78 Insert observation lamp cable and heater cable through the rear bracket and the hood pillar. Fasten the retaining sleeve to the rear bracket. Please follow step 5 in reverse for assembling the retaining sleeve. Put back the front bracket and the front cover (Refer to 7.1.2 Front Bracket Replacing Procedure). Assemble the rear cover. Mount the hood assembly on to the warmer. Connect the free end of the following cables to the PWA: a. Heater cables b. Observation lamp cable c. Swivel sensor cable 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 7.1.9 Replacing the Heater Assembly (FRU Kit No. 2062274-001 for 230V, 2056782-001for 115V and 2061250-001 for 100V ) and Heater Cables (Part of FRU Kit No. 2062276-001 for 230V, 2062276-001 for 115V and 2062276-001 for 100V) Illustration Figure 88: Replacing Heater Assembly NOTE: For warmer with SMPS and LED Observation lamp LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 79 Description Remove the Hood assembly (refer to 6.3 dismantling hood) before you carry out the procedure given below. Instructions to remove the Heater Assembly and cables: 1. Remove the rear cover. 2. Unscrew the swivel sensor cable from the hood support plate. 3. Replace with a new swivel sensor cable and tighten the screws. 4. Remove the front cover and front bracket. 5. Unscrew the M5 fastener to disengage the retaining sleeve as shown in Fig. 87 A. 6. Pull and hold the Swivel knob and remove the harness with retaining sleeve as shown in Fig. 87 B. 7. Release the cables from the hood pipe and rear bracket. 8. Carefully slide out the heater assembly from front side. 9. Remove and replace the Heater and the observation lamp cables as explained below: Disassemble the old cable harness from the heater assembly step by step as shown. 9A. Disconnect the blue color harness by unscrewing the screw. 9A Unscrewing blue harness removing 9B. Disconnect the lamp holder by pulling it gently. 9B Disconnecting lamp holder Plug button location Removed plug button 80 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 9C. Remove the plug button and then disconnect the red color harness by unscrewing the screw. 9C 9D. Disconnect the green-yellow harness by unscrewing the nut, then unscrew all the three plastic clamps to completely disconnect the blue harness. 9D Plastic clamp Unscrewing green-yellow harness Note: All removed fasteners and the three plastic clamps are reusable (not to discard). Removed old harness assembly Caution: - Discard the old cable harness assembly completely to avoid mix up before you assemble the new part. Instructions to replace the Heater Assembly and cables. 1. Insert the new heater assembly from the front end of the hood. Note: Ensure that the observation lamp face the rear bracket when the heater assembly is LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 81 inserted into the hood. 2. Insert observation lamp cable and heater cable through the rear bracket and the hood pillar. Fasten the retaining sleeve to the rear bracket. Please follow step 5 in reverse for assembling the retaining sleeve. Put back the front bracket and the front cover (Refer to 7.1.2 Front Bracket Replacing Procedure). Assemble the rear cover. Mount the hood assembly on to the warmer. Connect the free end of the following cables to the PWA: a. Heater cables b. Observation lamp cable c. Swivel sensor cable 3. 4. 5. 6. 7.1.10 Replacing the Heater Tube (FRU Kit No. 2045962-001) Illustration Neutral Wire Plug Button M5 PAN Head Screw Ground Wire Wire Clamps Live Wire Figure 89: Rear view of the Heater Assembly Nut, washer and spring for Reflector Cap Heater Assembly (Front Side) Heater Tube Reflector Cap M3 Reflector Cap Screw Figure 90: Front view of the Heater Assembly 82 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Description Instructions to replace the Heater Tube Follow the instructions given below to replace the heater tube: Separating the heater cables 1. 2. 3. 4. 5. 6. 7. 8. 9. 7.1.11 Separate heater assembly from hood assembly (Refer to Sectiom7.1.8: Replacing the Heater assembly and Cables). On the rear side of the heater, remove the plug button. Unscrew M5 screw and washer to disconnect Neutral wire (blue) of the heater cable. On the rear side of the heater, unscrew the M5 screw to disconnect the live wire (red) of the heater cable. Separate reflector cap by unscrewing M3 screws (Qty 4) springs, nut and washers. You have now disconnected the heater cables. Slide out heater tube and insert new tube. Replace reflector cap. Connect a new heater cable to the front and rear side of the Heater Tube with M5 screws and washers. Fix the reflector cap screws. Replacing the Observation Lamp (FRU Kit No. 2043939-001) Illustration Description Observation Lamp Plate Observation Lamp Circlip Instructions to replace Observation Lamp: 1. Remove the hood. (Refer to 6.3, Dismantling Hood, to dismantle the hood.) 2. Remove the Observation lamp cover from hood. 3. Disconnect the Observation lamp harness. 4. Press circlip towards center and remove it. 5. Replace existing lamp with new observation lamp. 6. Replace the circlip. 7. Connect the harness and replace observation lamp cover. Figure 91: Replacing the Observation Lamp NOTE: For Warmer transformer LullabyTM Warmer with halogen lamp and 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 83 7.1.12 Replacing the LED Observation Lamp (FRU Kit No. 2062275-001) Illustration Description Observation Lamp Plate Observation Lamp Circlip Instructions to replace Observation Lamp: 1. Remove the hood. (Refer to 6.3, Dismantling Hood, to dismantle the hood.) 2. Remove the Observation lamp cover from hood. 3. Disconnect the Observation lamp harness. 4. Press circlip towards center and remove it. 5. Replace existing lamp with new observation lamp. 6. Replace the circlip. 7. Connect the harness and replace observation lamp cover Figure 92: Replacing the Observation Lamp NOTE: For warmer with SMPS and LED observation lamp 84 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 7.1.13 Replacing the UI Sticker (Overlay Display), Probe and switches Illustration PWA Assembly M3 Screw protective cover Description Instructions to replace UI Sticker: 1. Remove rear cover of the pillar (6 fasteners). 2. Disengage all the connectors. 3. Remove the PWA assembly Center 4. To disengage the Pillar Observation and the Power Standby/ON switches, use a Protective flat screw driver to gently cover Power press the four snaps (on the switches) and then push the Standby/ON switches towards the Switch outside. 5. Remove the protective cover by disengaging M3 fastener (Qty 2) 6. Remove the existing UI sticker carefully. 7. Replace with new UI. Use the Observation and Power Standby/ON switch cut out Observation Light for location. ON/OFF Switch Note: Ensure that the LED holes on the UI sticker fit onto the LEDs on the center pillar. Figure 93: Replacing UI Sticker LullabyTM Warmer 8. Replace the switches, protective cover for probe socket, engage the PWA and connectors and fix the rear cover of the pillar. 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 85 7.1.14 Replacing the Bed tilt Mechanism (FRU Kit No. 2043943-001) Steps 1. Illustration 86 Description Before dismantling the bed tilt, ensure that the bed is parallel to the floor. 2. Disengage the bed assembly from the bed tilt mechanism by removing the 4 nuts and washers as seen in the figure. 3. Remove the bed assembly and keep it aside safely. 4. Unscrew all 4 screws from one side of the bed tilt mechanism as seen in the figure. 5. Unscrew all 4 screws from one side of the bed tilt mechanism as seen in the figure. 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Steps 6. Illustration Description On the same side, unscrew the screws (Qty 2) of the fulcrum. 7. Hold the fulcrum and bed tilt mechanism firmly, remove the fulcrum and keep it safely. 8. Hold the free end of the bed tilt mechanism and unscrew all the 4 screws from the other side as seen in the figure. 9. Remove the bed tilt mechanism safely from the unit. 10. Place the new bed tilt mechanism on a flat surface. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 87 Rotatory Part Not United Stationary Part Figure 1 Check if the stationary and rotatory parts of the bed tilt mechanism are united. If not, (as seen in figure 1) use the knob and rotate to unite them. After the stationary and rotatory parts unite, the bed tilt mechanism resembles figure 3. Knob 11. Figure 2 Rotatory Part United Stationary Part Figure 3 12. United Not United Check if the stationary and rotatory parts of the bed tilt mechanism are united on both sides. If not, rotate the arm on the preferred side until they unite as shown in figure 2. After the stationary and rotatory parts unite, the bed tilt mechanism resembles figure 3 Figure 1 Arm Figure 2 United Not united Figure 3 88 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 13. Fix the bed tilt mechanism to the fulcrum as seen in the figure. 14. Firmly hold the bed tilt mechanism and fasten all the 4 screws on both sides. 15. Reassemble the fulcrum to the center pillar by tightening the 2 lengthy bolts. (Partially tighten or tighten with hand). 16. Fix the bed tilt mechanism to the fulcrum by fastening the 4 screws. (Partially tighten or tighten with hand). 17. Measure the bed tilt mechanism on one side from the bottom of the stationary part to the ground level. Bottom of the Stationary Part of Bed Tilt Mechanism LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 89 18. Measure the other side from the bottom surface of the stationary part to the ground level. (The measured value of both sides should approximately be the same). If the value is same then skip step 19, if not follow step 19. 19. Adjust the fulcrum screws and make the distance same from the ground level for both the arms. 20. Fasten all the screws fully (bottom out the spring washer) which are tightened by hand previously. Fix the 2 knobs by fastening the screws. 21. 90 22 Using the knob, rotate the bed tilt mechanism and make the flat face of the bed tilt mechanism parallel to the ground. 23 Fix the bed assembly to the bed tilt mechanism and tighten all the 4 nuts. 24 Use the knob to rotate the bed tilt assembly to and fro to check if the bed assembly is rotating smoothly. 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 7.1.15 Replacing the Bed Base Assembly (FRU Kit No. 2043949-001) Instructions to replace Bed Base Assembly: 1. Dismantle the bed base assembly. Refer to 6.1, Dismantling Base and Bed 2. Place the new bed base on the Bed tilt mechanism. 3. Fasten M8 Nyloc Nuts (Qty 4). Replace the bedside panels, mattress, clear Plexiglas plate and X-ray tray on the bed assembly. Refer to the warmer installation procedure. 7.1.16 Replacing the Front and Rear Covers of Height Skirt (Part of FRU Kit No. 2043952-001) Instructions to replace the Front and Rear Covers of height Skirt: 1. 2. 3. 4. Unscrew rear cover screw and washers. Refer to section 6.4, dismantling base to leg Disengage the snap of covers. Replace with new cover. Secure rear cover with screw and washers. 7.1.17 Replacing the Castors (FRU Kit No. 2043945-001) and Leg Cap (Part of FRU Kit No. 2043952-001) NOTE: The castors may be replaced with the LullabyTM Warmer upright or carefully placed on its back. Illustration Description Tools required: M12 box spanner Instructions to replace Castors and Leg Cap: 1. Lock all the castors except the one that has to be replaced. 2. Lift the castor off the floor and use blocks to Leg Assembly support the leg near the castor you are replacing. Nyloc 3. Remove the screw caps to unscrew the leg cap Nut Washer Spring screws (Qty 2) and disengage leg cap. Leg Cap Screw 4. Unscrew Nyloc nut and washer to remove castor. 5. Replace new castor and place the washer and Leg nut; secure the castor to the leg by tightening the Cap screw. Follow the instructions below to replace the leg cap: 1. Hold the leg cap firmly in place. 2. Fix a screw cap and a screw on one side of the leg and fasten it till a hole is punched in the cap. Do not tighten the screw fully. 3. Fix the screw cap and the screw on the other side and fasten it. 4. Go back and fasten the screw that you fixed first. 5. Repeat the steps for the rest of the castors. Figure 94: Replacing Castors and Leg Cap Note 1: Castors should be replaced with corresponding with/without brake castors. Note 2: Ensure that the castors with brakes are fixed to the rear end of the leg assembly. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 91 7.1.18 Replacing the Mattress (FRU Kit No. 2045963-001), Clear Plexiglas Plate (FRU Kit No. 2043946-001) and X-ray Tray (FRU Kit No. 2043947001) Instructions to replace Mattress, Clear Plexiglas Plate and X-ray Tray: 1. Remove the four bedside panels. Refer to Section 7.1.19 Side Panel replacement. NOTE: The rear bedside panel can be removed only after tilting the bed away from the pillar. 2. 3. 4. 5. 6. 7.1.19 Remove the mattress from the bed. Remove the clear Plexiglas plate. Remove the existing tray and slide in the new tray in the slot provided in the direction indicated on tray. Replace the clear Plexiglas plate. Replace the mattress. Replacing the Bedside Panel (FRU Kit No. 2043948-001) Illustration Description Lowering the bedside panel: Follow the steps below to lower a bedside panel: 1. Figure 95: Lowering the bedside Panel 2. Lift the bedside panel up in the direction of the arrow and then pull the top edge away from the bed as seen in Figure 95. To raise a bedside panel, swing it up and allow it to latch into upright position. Removing the bedside panel: Press the end pins in, and lift the bedside panel out as seen in Figure 96. Replacing the bedside panel: Figure 96: Removing the bedside panel 1. 2. 3. Hold the bedside panel and guide the endpins into the notches located in the bed. Release the endpins. Ensure that the bedside panel is held in place firmly. Figure 97: Replacing the bedside Panel 92 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 7.1.20 Replacing the Plate Power Inlet Illustration NOTE: For Warmer with halogen lamp and transformer. NOTE: For Warmer with SMPS and LED observation lamp Figure 98: Replacing the Plate Power Inlet Description Instructions to replace Plate Power Inlet: 1. Remove the pillar rear top cover. 2. Remove the screws (4 numbers) to remove the power inlet plate from the pillar. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 93 3. 4. 5. 6. 7. 8. 9. 10. 11. 7.1.21 Separate the power inlet from plate. Remove the ground cable and the ground stud. Disconnect the connector from J2. Replace the old plate power inlet with a new one. Reconnect the connector to J2. Reconnect the ground cable and the ground stud. Connect the power inlet cable. Fasten the plate power inlet with screws. Fix the pillar rear top cover. Replacing the Pillar Rear Cover (Part of FRU Kit No. 2043952-001) Follow the instruction given below to replace the Pillar Rear Cover. Also refer to section 6.3, Dismantling hood. Instructions to replace Pillar Rear Cover: 1. Remove pillar rear cover by removing the screws (Qty 6). Refer to, 6.3, Dismantling Hood. 2. Replace the existing cover with a new one. 3. Fix back fasteners M5 button head screw (Qty 6) with washers. 7.1.22 Replacing the Cable Harness FRU (FRU Kit No. 2043950-001) Note: Prior to returning a warmer to use after performing repairs or calibration, always perform the service checkout procedure and electrical safety check. Illustration NOTE: For Warmer with halogen lamp and transformer. Figure 99: Replacing the Cable Harness 94 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Description Instructions to replace the cable harness: Follow the instructions given below to replace the cable harness: 1. Remove the pillar rear cover. 2. To replace the switch cable assemblies, disengage connectors and push the switch along with cable outside the control panel cutout. 3. Replace the old cable with a new one. 4. Guide the cable from the front side of the control panel cut-out. 5. Secure the connectors. 6. To replace the cables of the power inlet refer to 7.1.20 Replacing the Plate Power Inlet. 7. Refer to Replacing the Heater Assembly and Cables for replacing heater cables, observation lamp cables and the swivel sensor cable. Instructions to replace the transformer Follow the instructions given below to replace the transformer: 1. Disengage the transformer input and the transformer output connectors, 2. Remove the transformer screw and washer. 3. Fix the new transformer and secure with a screw and washer. 4. Secure the transformer input to ‘J7’ on the PWA and transformer output connector to ‘J8’ on the PWA. 7.1.23 Replacing the Cable Harness FRU (FRU Kit No. 2062276-001 for 230V, 115V and for 100V) Illustration NOTE: For Warmer with SMPS and LED observation lamp Figure 100: LullabyTM Warmer Replacing the Cable Harness 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 95 Description Instructions to replace the cable harness: Follow the instructions given below to replace the cable harness: 1. Remove the pillar rear cover. 2. To replace the switch cable assemblies, disengage connectors and push the switch along with cable outside the control panel cutout. 3. Replace the old cable with a new one. 4. Guide the cable from the front side of the control panel cut-out. 5. Secure the connectors. 6. To replace the cables of the power inlet refer to 7.1.20 Replacing the Plate Power Inlet. 7. Refer to Replacing the Heater Assembly and Cables for replacing heater cables, observation lamp cables and the swivel sensor cable. Instructions to replace the transformer Follow the instructions given below to replace the transformer: 5. Disengage the transformer input and the transformer output connectors, 6. Remove the transformer screw and washer. 7. Fix the new transformer and secure with a screw and washer. 8. Secure the transformer input to ‘J7’ on the PWA and transformer output connector to ‘J8’ on the PWA. 7.1.24 Replacing the SMPS FRU (2062282-001) Illustration Description Instructions to replace SMPS: M5X10 Fastener Figure 101: 96 2042376-001 Rev G Follow the instructions given below to replace the SMPS: 1. Remove the SMPS mounting bracket by removing the M5x10 fastener using M4 allen key. 2. Remove the SMPS from the mounting bracket. 3. Remove SMPS input cable assembly from the SMPS and place the new SMPS on the mounting bracket. 4. Insert the SMPS input cable assembly onto the SMPS. 5. Fasten the SMPS mounting bracket onto the warmer base assembly with the M5x10 fastener. Replacing the SMPS ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Chapter 8 FRU parts This section lists the orderable parts of the warmer. When placing an order for a FRU, mention the Service FRU Kit Number given in the table below. Note: Only the Service FRU kits are orderable and not the individual sub parts of the kits. Table 8a: FRU Parts Sl. Service FRU FRU No Kit Number description Kit Part description Qty Images Heater Assembly FRU Kit 2043938-001 NOTE:For Warmer with halogen Heater Assembly lamp and transformer Heater assembly FRU Kit 2062274-001 1 2 2045962-001 LullabyTM Warmer 1 NOTE:For Warmer with SMPS Heater Assembly and LED observation lamp Heater assembly FRU Kit 2061250-001 1 NOTE:For Warmer Heater Assembly with SMPS and LED observation lamp Heater assembly FRU Kit 2056782-001 1 1 NOTE:For Warmer with SMPS Heater Assembly and LED observation lamp Heater Tube FRU 230/240Volt Heater Tube IWS 6600540 Watt FRU Kit 0271-610 (LAUREL) 1 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 97 Heater Tube FRU Heater Tube IWS 66002056723-001 115V 540V FRU Kit 0271-610 (Laurel Heater Tube FRU Heater Tube IWS 66002061076-001 100V 540V FRU Kit 0271-611 (Laurel) 2043951-001 3 2062277-001 4 98 2043936-001 Warmer PWA PWA Assembly Assembly FRU Kit 1 NOTE: For M3 Crib Washer Warmer with halogen lamp M3 Spring Washer and transformer M3x12 Pan Screw 6 PWA assembly Warmer PWA M3 Crib Washer assembly FRU kit M3 spring washer NOTE:For Warmer M3*12 Pan screw with SMPS and LED observation Fuse 4A, 250 V 5*20MM lamp Fuse 8A, 250 V 5*20MM 1 6 Fuse 10A, 250 V 5*20MM Front End Cap, Hood 4 1 Rear End Cap, Hood 1 Hood Front Bracket ASM 1 Hood Rear Bracket ASM (To be discarded if present) 1 Hood Top Plate 1 Hood Spacer Plate 1 Plate, OBS Lamp 1 M3 Flat Washer 2 HOOD EXTERIOR FRU KIT 2042376-001 Rev G 6 6 6 6 4 4 ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Sl. Service FRU FRU Kit Part description No Kit Number description M3 Spring Washer 2 M3X12 PAN Crossrecs 2 M5 Flat Washer 8 M5 Spring Washer 16 M5X12 Socket Low Head Cap Screw M5X16 Socket Head Cap Screw 8 Hood Helicoil ASM 2 Hood Hanger, Label Hood Swivel Caution, Label 2 2 Screw Cap, Hood 8 Hood Support Assembly 1 Hood Rear Bracket Assembly Hood Support and Harness M20 Nut FRU Kit Spring, Swivel 2043937001 5 6 NOTE: For M8X25 CSK -Loctite Warmer with M5 Spring Washer halogen lamp and M5 flat washer transformer M5X16 Socket Button Head Hood harness Hood Support Assembly and support Hood Rear Bracket Assembly FRU kit M20 Nut 2062273Spring, Swivel NOTE:For 001 Warmer with M8X25 CSK -Loctite SMPS and LED M5 Spring Washer observation lamp M5 flat washer M5X16 Socket Button Head Observation Lamp FRU Kit Halogen Lamp NOTE: For 2043939-001 Warmer with halogen lamp and transformer LullabyTM Warmer Qty Images 8 1 1 1 2 2 2 2 1 1 1 1 2 2 2 2 1 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 99 Observation Lamp FRU Kit Observation LED lamp MR16, 3W 1 NOTE: For 2062275-001 Warmer with SMPS and LED observation lamp 7 8 9 2043946-001 Clear bed, FRU Clear Plexiglas Kit 1 2043947-001 X-ray Tray FRU X-ray tray Kit 1 2043942-001 Overlay Display Overlay Display (UI 14 04 08) FRU Kit 1 Harness configuration plug 1 230V Heater Cable & Retaining Sleeve 1 Assembly Cable Harness, FRU Kit, 230V Cable Assembly Lamp switch 10 100 1 NOTE: For Warmer Switch Cable Assembly 1 2043950-001 Warmer with halogen lamp and Transformer 1 transformer Cable Assembly Harness Inlet 1 Cable 2042376-001 Rev G M5 flat washer 1 M5 X40 skt cap screw 1 ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Cable, Hood Swivel Sense FUSE 5*20MM NONRESETTABLE 1A 250VAC 1 M3 flat Washer 2 M3 Spring Washer 2 M3X16 Socket Button Head 2 M5 External Tooth Washer 2 M5 Spring Washer 1 M5X12 Socket Button Head 1 M3 Crib Washer 1 M3 Spring Washer 1 M3X12 Pan screw 1 Fuse 5*20 mm 4.1 A 250VAC 1 2062276-001 Cable Harness, Heater Cable & Retaining Sleeve FRU Kit, 230V, Assembly 115V, 100V Cable Assembly Lamp switch NOTE: For Warmer Switch Cable Assembly Warmer with Cable Assembly Harness Inlet SMPS and LED Cable observation M5 flat washer lamp M5 X40 skt cap screw Cable, Hood Swivel Sense M3 flat Washer M3 Spring Washer M3X16 Socket Button Head M5 external tooth washer M5 Spring Washer M5X12 Socket Button Head M3 Crib Washer M3 Spring Washer M3X12 Pan screw LullabyTM Warmer 1 1 1 1 1 1 1 2 2 2 1 1 1 1 1 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 101 Sl. No Service FRU Kit Part description FRU Kit description Number M5X12 Socket Button Head Height Adjustment Assembly Lever Tilt Handle Grip Tilt Knob Base Leg Caps Ht Skirt Front M5 Spring Washer M5 Flat Washer Ht Skirt Rear M5x16 Socket Button Head Pillar Rear Cover Top 11 102 2043952001 Hardware Screw Caps and Spares M3 Flat washer FRU Kit M3 spring washer NOTE: For Fastener assembly kit Warmer Dovetail Display, Label with halogen Cylinder Label lamp and Utility Pole Label transformer Drawer, Under bed storage, Label X-Ray tray Label 1 2042376-001 Rev G Qty Images 12 1 2 2 4 1 13 13 1 1 1 8 8 1 2 2 2 3 1 X- Ray tray Label 2 1 Hood Swivel, Label Monitor Tray Label Hood hanger, label Probe Sleeve M3X8 Pan Cross recs ST 2.9 X 16 Pan head Cross recs 1 2 1 1 2 8 ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Sl. No 12 13 14 15 Service FRU Kit FRU Number description 2045963-001 2043943-001 2043945-001 2043949-001 16 2043948-001 17 2045965-001 18 2045964-001 19 2043952-001 LullabyTM Warmer Kit Part description Mattress 3300 IWS, FRU Kit Bed tilt Mechanism FRU Kit Qty Images Mattress With Thermoformed Cover 3300 1 Bed tilt Assembly M8X20 Socket Button Head M8 External Tooth Washer M8 Spring Washer Caster With Brake M12 X 35 hex socket screw M12 Nylock Nut 1 8 M12 Spring Washer 4 M12 Steel Plated Washer 4 Corner Block M8 External Tooth Washer M8 Nyloc Nut M5X10 M5 Flat Washer M5 Spring Washer Side Panel Assembly Side 6600 Side Panel Assembly Front 4 4 4 4 4 4 2 8 8 4 4 4 Castor FRU Kit Bed Base Assembly FRU Kit Bed Panel Assembly FRU Kit Probe Disp. LA005 10 Pk FRU Kit Patient Probe Reusable CP FRU Kit 2 Probe Disp La005 10 in a pack Patient Probe Reusable CP 1 Patch, Heat Reflecting, 50 in a pack, 0203-1980300 1 Heat 19 Reflecting Patches FRU Kit 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 103 Table 8b: FRU Accessories Sl. Service FRU FRU Kit Part description No Kit Number description Qty Images 1 1 IV Pole 2043931-001 Assembly IV Pole Assembly FRU Kit 1 2 Utility Pole 2043932-001 Assembly Utility Pole Assembly FRU Kit 3 Monitor Tray 2043933-001 Assembly Monitor Assembly FRU Kit 4 Drawer 2043934-001 Assembly FRU Kit 1 1 Drawer Assembly 1 MSB Drawer assembly 5 2 MSB Drawer 2055298-001 Assembly Drawer Clamp FRU Kit 4 M8 Washer 4 M8 Spring Washer M8X20 Socket screw Cylinder Holder 6 104 Button Cylinder M8X20 Socket Button Head 2043935-001 Holder FRU M8 Washer Kit M8 Spring Washer 2042376-001 Rev G head 4 1 2 2 2 ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Sl. No Service FRU FRU Kit Number description Kit Part description Qty 2 Cylinder Holder, XL 7 8 4 M8 Washer Cylinder Holder, 2050824-001 XL Assembly FRU M8 Spring Washer Kit M8X20 Socket Button Head 2050808-001 4 4 Bracket, Cylinder Holder 2 Basket 1 Basket Assembly Mounting Block FRU KIT 1 1 Knob 9 2050812001 Drainage Hanger FRU KIT Drainage Hanger FRU 1 10 2050816001 Post assembly, Utility FRU KIT Post Assembly, Utility 1 11 2050820001 Slotted Panel Assembly FRU Kit Slotted Assembly 1 6600-2150500 Resuscitation bag clip Assembly FRU Kit 6600-0670800 Tubing management arm Assembly FRU Kit 6600-0055851 Retainer Assembly Kit 12 13 14 LullabyTM Warmer Clip FRU Images Panel Resuscitation bag clip Assembly (Optional) 1 Tubing management Assembly (Optional) 1 Retainer Clip Assembly (Optional) 1 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 105 Chapter 9 Illustrated parts 9.1 Electrical Wiring Diagram NOTE: For Warmer with halogen lamp and transformer 106 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer NOTE: For Warmer with SMPS and LED observation lamp Figure 102: LullabyTM Warmer Electrical Wiring Diagram 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 107 9.2 Block Diagram NOTE: For Warmer with halogen lamp and transformer 108 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer NOTE: For Warmer with SMPS and LED observation lamp Figure 103: LullabyTM Warmer Block Diagram 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 109 9.3 Hood assembly 110 Figure 104: Hood Assembly 1 Figure 105: Hood Assembly 2 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Figure 106: Hood Assembly 3 Figure 107: Hood Assembly 4 LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 111 Hood Assembly (Continued) 112 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 113 114 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 9.4 Base assembly Figure 108: LullabyTM Warmer Base Assembly 1 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 115 Base Assembly (Continued) Figure 109: Base Assembly 2 NOTE: For Warmer with halogen lamp and transformer 116 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer NOTE: For Warmer with SMPS and LED observation lamp Figure 110: Base Assembly 3 NOTE: For Warmer with halogen lamp and transformer LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 117 NOTE: For Warmer with SMPS and LED observation lamp Figure 111: 118 2042376-001 Rev G Base Assembly 4 ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Base Assembly (Continued) Note: The parts in the list above are not orderable parts. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 119 Note: The parts in the list above are not orderable parts. 120 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer 9.5 Bed assembly Figure 112: Bed Assembly Note: The parts in the list above are not orderable parts. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 121 Chapter 10 Product Labels Label Number 2044288-001 Label Name Cylinder Label Label Number Label Name 2044291-001 IV Pole Label Label Number Label Name 2044346-001 Hood hanger Label Label Number Label Name 2044293-001 X-Ray Tray Label1 Label Number 2044289-001 Label Name Drawer under bed storage Label Number 2044290-001 Label Name Utility Pole Label Label Number Label Name 2044292-001 Monitor Tray Label Label Number Label Name 2044294-001 X-ray Tray Label2 122 2042376-001 Rev G Hood Swivel Caution Label 2045789-001 ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Product Labels (continued) Label Number Label Name Label Label Number Label Name Label Number Label Name 2044344-001 Hood swivel Label Label Number Label Name 2045819-001 IV Caution Label 2044175-001 Dovetail display 2044235-001 Rating plate Label Label Number Label Name 2061645-001 Warning Label Storage Condition Information Handling Precaution Information Label Number Label Name LullabyTM Warmer 2043931-001 Warmer FRU shipper Label 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 123 124 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Label Number Label Name LullabyTM Warmer 2044843-001 Warmer System shipper label 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 125 Appendix A Temperature Conversion Chart C F C F C F C F C F C F C F 20.0 68.0 27.0 80.6 33.0 91.4 35.8 96.4 37.0 98.6 38.2 100.8 41.0 105.8 21.5 70.7 27.5 81.5 33.5 92.3 35.9 96.6 37.1 98.8 38.3 100.9 41.5 106.7 22.0 71.6 28.0 82.4 34.0 93.2 36.0 96.8 37.2 99.0 38.4 101.1 42.0 107.6 22.5 72.5 28.5 83.3 34.5 94.1 36.1 97.0 37.3 99.1 38.5 101.3 42.5 108.5 23.0 73.4 29.0 84.2 35.0 95.0 36.2 97.2 37.4 99.3 38.6 101.5 43.0 109.4 23.5 74.3 29.5 85.1 35.1 95.2 36.3 97.3 37.5 99.5 38.7 101.7 43.5 110.3 24.0 75.2 30.0 86.0 35.2 95.4 36.4 97.5 37.6 99.7 38.8 101.8 44.0 111.2 24.5 76.1 30.5 86.9 35.3 95.4 36.5 97.7 37.7 99.9 38.9 102.0 44.5 112.1 25.0 77.0 31.0 87.8 35.4 95.7 36.6 97.9 37.8 100.0 39.0 102.2 45.0 113.0 25.5 77.9 31.5 88.7 35.5 95.9 36.7 98.1 37.9 100.2 39.5 103.1 26.0 78.8 32.0 89.6 35.6 96.1 36.8 98.2 38.0 100.4 40.0 104.0 26.5 79.7 32.5 90.5 35.7 96.3 36.9 98.4 38.1 100.6 40.5 104.9 126 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Appendix B Specifications Power Requirements 230 V ± 10%, 50/60 Hz models 4 Amps Power Requirements 115 V +/- 10%, 50/60 Hz 8 Amps 100V +/- 10%, 50/60 Hz 10 Amps Nominal Power Consumption 600 W Electrical safety Complies with IEC 60601-1 Standards Designed to meet requirements of: EN 60601-1:2006 EN 60601-2-21:2009 EN 60601-1-2:2007 EN 980:2008 EN 1041:2008 EN 60601-1-8:2007 and EN 60601-1-10:2008 EN 60601-1-6:2010 EN 62366:2008 EN 62304:2006 EN ISO 10993-1:2009 Classification Designed to meet requirements of: Type of protection against electric shock: Class I Degree of protection against electric shock: Type B Classification according to the degree of protection against ingress of IPX0 water: Category AP/APG equipment: Not AP/APG equipment Mode of operation: Continuous operation LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 127 Operating Environment 18OC — 30OC Temperature Humidity Pressure Air Velocity A relative humidity range of 30% — 75% 70 kPa — 106 kPa Up to 0.3 m/sec Storage and transport conditions Temperature Humidity - 40OC to +70OC A relative humidity range of 10% to 95% excluding condensation Pressure 50 kPa — 106 kPa User Control Settings Baby(Servo) Mode 30°C —38°C in 0.1°C increments. Manual Mode Indicates manual mode heat selection range from 0—100% in 5% increments Performance System Heater element 0 — 540 W Adjustable from 0 — 100% in twenty 5% increments Patient Temperature measurement accuracy ± 0.3°C @ 30°C — 40°C Temperature probe accuracy ± 0.1°C @ 30°C — 42°C Temp display Resolution Observation Light ±0.1°C NOTE: For Warmer with halogen lamp and transformer 50 W, 500 Lux at center of mattress; estimated life of 4000 hours. Observation Light NOTE: For Warmer with SMPS and LED observation lamp LullabyTM Warmer controller 128 2042376-001 Rev G 3W, 500 lux at center of mattress; estimated life of 4000 hours Self-test function performed at power on and continuously during normal operation ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Mechanical Specifications Height 1800 mm Width 655 mm Depth 1120 mm Weight (excluding accessories) 72 kg Mattress Size 462 x 640 x 25.4 mm Bed capacity 10 kg Bed Tilt ±15° Trendelenburg continuous tilt and Reverse Trendelenburg, Bed to floor (three fixed height 880, 950, 1020 mm settings) Weight Bearing Capacity The table below lists the maximum weight that the units of the Lullaby TM Warmer can carry. Storage drawer package Monitor/Instrument Tray Dovetail Utility Pole IV Pole Basket Assembly Cylinder Holder, XL Utility Post 3.5" LullabyTM Warmer Maximum 3 kg/drawer Maximum load 8 kg Maximum 14 kg/rail Maximum 6 kg Maximum 4 kg Maximum 1 kg Maximum 15 kg Maximum 2 Kgs 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 129 Appendix C Electromagnetic Compatibility ELECTROMAGNETIC COMPATIBILITY (EMC) Changes or modifications to this system not expressly approved by GEHealthcare could cause EMC failures with this or other equipment. This system is designed and tested to comply with applicable regulation regarding EMC and needs to be installed and put into service according to the EMC information stated as follows: CAUTION: Use of portable phones or other radio frequency (RF)- emitting equipment near the system could cause unexpected or adverse operation. CAUTION: The equipment or system should not be used adjacent to, or stacked with, other equipment. If adjacent or stacked use is necessary, the equipment or system should be tested to verify normal operation in the configuration in which it is being used. Electromagnetic Emission The LullabyTM Warmer is intended for use in the electromagnetic environment specified below. It is the responsibility of the customer or user to ensure that the LullabyTM Warmer is used in such an environment. Electromagnetic Emissions Emissions test Compliance Electromagnetic environment guidance RF emissions EN 55011 Group 1 The equipment uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. RF emissions EN 55011 Class A Harmonic Emissions EN 61000-3-2 Class A The equipment is suitable for hospital or clinic use only. The equipment should not be used on public, low-voltage power networks that supply domestic buildings. Voltage fluctuations/ Flicker emissions EN 61000-3-3 Complies 130 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Immunity Test IEC 60601 Test Level Electrostatic discharge (ESD)EN 61000-4-2 ±6kV contact ± 8kV air Electrical fast transient/burst EN 61000-4-4 ± 2kV supply line. for power Compliance level ±6kV contact ±8 kV air Electromagnetic guidance environment ±2kV for power supply ines Mains power quality should be that of a typical hospital environment. Floors should be wood, concrete or air ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 20 % ±1kV for input/ output line. ± 1kV for input/ output lines Surge EN 61000-4-5 ±1kV differential mode ±2kV common mode ±1kV differential mode ±2kV common mode Voltage dips, short interruptions and voltage variations on power supply input lines EN 61000-4-11 <5% UT (>95% dip in UT ) for 0.5 cycles 40% UT (60% dip in UT ) for 5 cycles 70% UT (30% dip in UT) for 25 cycles <5% UT (>95% dip in UT ) for 5 seconds Power frequency (50/60 Hz) magnetic field EN 61000-4-8 3A / m 3A / m Power frequency magnetic fields should be at levels of a typical hospital environment. Conducted RF EN 61000-4-6 3 V rms, 150kHz to 80MHz 3 V rms Interference could occur in the vicinity of equipment marked with the following symbol: Radiated RF EN61000-4-3 EN60601-2-21 3V / m, 80MHzto 2.5GHz 10V/ m, 3V / m, 10 V / m Mains power quality should be that of a typical hospital environment. <5% UT (>95% Mains power should be that of a dip in UT ) for typical hospital environment. If the 0.5 cycles equipment requires continued 40% UT (60% operation during power mains dip in UT ) for 5 interruptions, it is recommended cycles that the LullabyTM Warmer be 70% UT (30% powered from an uninterrupted dip in UT ) for power supply. 25 Cycles <5% UT (>95% dip in UT) for 5 seconds NOTE: UT is the a.c mains voltage prior to application of test level. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 131 Recommended separation distances between portable and mobile RF communications equipment and the LullabyTM Warmer The LullabyTM Warmer is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the LullabyTM Warmer can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the LullabyTM Warmer as recommended below, according to the maximum output power of the communications equipment. Separation distance according to frequency of transmit-ter (Meters) Rated maximum output power of transmitter(W) 3Vrms 3V/m 10V/m 3V/m 10V/m 0,01 0,12 0,12 0,04 0,23 0,07 0,1 0,38 0,38 0,11 0,73 0,22 1 1,2 1,2 0,35 2,3 0,7 10 3,8 3,8 1,11 7,3 2,2 100 12 12 1,11 23 7 For transmitters rated at a maximum output power not listed above, the recommended separation distance d in Meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. CE Marking Information Compliance The LullabyTM Warmer bears the CE mark, indicating its conformity with the provisions of the Council Directive 93/42/EEC, concerning medical devices and fulfills the essential requirements of Annex I of this directive. Any other directive(s) and all the standards the product complies to are listed in the general information of the operator’s manual. The country of manufacture can be found on the equipment labeling. The safety and effectiveness of this device has been verified against previously distributed devices. Although all the standards applicable to presently marketed devices may not be appropriate for prior devices (i.e. electromagnetic compatibility standards), this device will not impair the safe and effective use of those previously distributed devices. 132 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Recommendation Users should be aware of known RF sources, such as radio or TV stations and hand-held or mobile two-way radios, and consider them when installing a medical device or system. Be aware that adding accessories or components, or modifying the medical device or system may degrade the EMI performance. Consult with qualified personnel regarding changes to the system configuration. Operating the system near radio frequency (RF) electromagnetic interference (EMI) above the conditions defined in the EMC Standard EN60601-1-2 for Radiated Immunity (field strengths above 3 V/m) may cause malfunctions. Medical Electrical Equipment needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in this manual. Review the AAMI Committee Technical Information Report (TIR) 18, “Guidance on Electromagnetic Compatibility of Medical Devices for Clinical/Biomedical Engineers”. This guidance document provides a means to evaluate and manage the EMI environment in the hospital. The following actions can be taken to reduce the risk of medical device EMI and achieve EMC: • • • • • Assess the EMC environment of the healthcare facility (e.g., identify radio transmitters in around the facility) and identify areas where critical medical devices are used (e.g., ER, ICU, CCU, NICU). Increase the distance between sources of EMI and susceptible devices. Remove the devices that are highly susceptible to EMI. Lower the power transmitted from electrical and electronic equipment (EMI sources) under hospital control (i.e. paging systems).Label devices susceptible to EMI. Educate healthcare facility staff (nurses and doctors) to be aware of, and to recognize, potential EMI related problems. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 133 Appendix D - Conforming to Standards and Directives GE Healthcare has declared that this product conforms to 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 unsorted municipal waste and must be collected separately. Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment. 134 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Appendix E – Assembling and Dismantling the MSB Drawer Assembly Section 1: MSB Drawer Assembly 2047911-001 (FRU kit No.) with Base Leg Cover. Illustration Figure 113: Mounting the Drawer Assembly with Base Leg Cover Figure 114: Latch Operation in Slider Description Follow the instructions given below to mount the drawer assembly: 1. Operate the latches (refer Figure 114) on both sides of the lower drawer to completely detach the drawer from assembly. 2. Place the drawer assembly on the leg assembly and align the holes with screw holes in Base Leg Cover. Align the screws diagonally. 3. Fasten the drawer assembly with Base Leg Cover (M5 fasteners, Qty 4). 4. Tighten all the screws. 5. Replace the lower drawer into the drawer assembly by operating drawer slide latches as shown in Figure 114. Follow the instructions given below for drawer dismantling: 1. Remove the lower drawer from the drawer assembly. 2. Unscrew all fasteners from drawer enclosure. 3. Replace drawer assembly from base leg cover. Note: Clamps in FRU kit can be disposed if the base leg cover is present on the Warmer Section 2: MSB Drawer Assembly FRU kit No. 2055298-001 with Drawer Clamp. LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 135 Illustration M5 Screw, Flat washer and Spring washers (Qty 4 each) Upper drawer Drawer slide Lower Drawer Drawe r Clamp M8 Screw,Flat washer and Spring washers ( Qty 4 each) Figure 115: Mounting the Drawer Assembly with the Drawer Clamp Description Follow the instructions given below to mount the drawer assembly: 1. Pull the lower drawer out of the drawer assembly from the drawer slide as shown in Figure 115. 2. Place the drawer assembly on the drawer clamp and align the holes with screw holes. Align the screws diagonally. 3. Fasten the drawer assembly with the drawer clamp (M5 fasteners, Qty 4). 4. Tighten all the screws. 5. Replace the lower drawer into the drawer assembly by operating drawer slide latches as shown in Figure 114. Follow the instructions given below for drawer dismantling: 1. Remove the lower drawer from the drawer assembly. 136 2. Unscrew all fasteners from drawer enclosure. 3. Replace drawer assembly from the drawer clamp 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer Section 3: Drawer FRU kit No. 2043934-001 with Base Leg Cover. Illustration Upper drawer M5 Screw,Flat washer and Spring washers (Qty 4 each) Lower drawer Base Leg Cover M8 Screw, Flat washer and Spring washers ( Qty 4 each) Figure 116: Mounting the Drawer Assembly with Base Leg Cover Description Follow the instructions given below to mount the drawer assembly: 1. Pull the lower drawer out of the drawer assembly by flexing the lower drawer inwards as shown in Figure 116. 2. Place the drawer assembly on the leg assembly and align the holes with screw holes in Base Leg Cover. Align the screws diagonally. 3. Fasten the drawer assembly with Base Leg Cover (M5 fasteners, Qty 4). 4. Tighten all the screws. 5. Replace the lower drawer into the drawer assembly by flexing it and pushing inside. Follow the instructions given below for drawer dismantling: 1. Pull the lower drawer out of the drawer assembly by flexing the lower drawer inwards as shown in Figure 114. 2. Unscrew all fasteners from drawer enclosure. 3. Replace drawer assembly from base leg cover. Note: Clamps in FRU kit can be disposed if the base leg cover is present on the Warmer LullabyTM Warmer 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. 137 WARRANTY This product is sold by GE Healthcare under the warranties set forth in the following paragraphs. Such warranties are extended only with respect to the purchase of this Product directly from GE Healthcare or GE Healthcare’s Authorized Dealers as new merchandise 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 GE Healthcare to a GE Healthcare 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 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 GE Healthcare, or if the Product has been subject to abuse, misuse, negligence, or accident. GE Healthcare’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 GE Healthcare’s option, a Product, which is telephonically reported to the nearest GE Healthcare Field Service Support Center and which, if so advised by GE Healthcare, 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 charges prepaid, and which, upon GE Healthcare’s examination, is found not to conform with above warranties. GE Healthcare 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 herein-above set forth. GE Healthcare makes no warranty of merchantability or fitness for a particular purpose with respect to the product or parts thereof. FRUs will be available in the stock until seven (7) years after the production of the equipment is stopped. 138 2042376-001 Rev G ©2012 General Electric Company. All rights reserved. LullabyTM Warmer GE Service Centers North America Datex-Ohmeda, Inc. PO Box 7550 Madison, Wisconsin 53707-7550 USA Tel +800 345 2700 Europe, Middle East, Africa GE Healthcare P.O Box 900 FIN-0031 GE Finland Tel +3581039411 Fax +35891463310 Latin America Representatives GE Healthcare 3350 SW 148 Avenue uite 301 Miramar, Florida, 33027 USA Tel +1 954 744 5600 Brazil Only GE Healthcare Clinical Systems Equipmentos Medicos Ltda Av. Paulista, 37 – 13 Andar CEP: 01311-902- Cerqueira Cesar Sao Paulo, SP – Brazil Tel +55 11 3053 2500 Fax +55 11 3053 2573 Ohmeda Medical, A Division of Datex –Ohmeda Inc, A General Electric Company 8880 Gorman Road Laurel MD 20723 USA Made in India EC Representatitive GE Medical Systems SCS 283 Rue de la Minière 78530 BUC FRANCE Asia Representative GE Healthcare Maxdo Center No.8 Xing Yi Road, Hong Qiao Development Zone Shanghai, CHINA Tel +65 62773444 Australia 1300 722 229 China 800 810 8188 India 1 800 425 7255 Korea (02) 544 4564 South eastern Asia (65) 6277 34 Black on white A5 paper size Two (2) side print Coil Binding Printed in India