HOTDOG B270, B271 Pediatric Head Warming Wraps Instruction Manual

HOTDOG B270, B271 Pediatric Head Warming Wraps Instruction Manual

INTRODUCTION

HotDog Pediatric Head Warming Wraps are components of the HotDog Temperature Management System.
These instructions apply to the following catalog numbers:

HotDog Product Description| Patient Size| Catalog Number|
---|---|---|---
Small Pediatric Head Warming Wrap| ≤ 8 kg| B270| 2460
Large Pediatric Head Warming Wrap| > 8 kg| B271

Cables are provided separately.

INDICATIONS FOR USE

The HotDog Temperature Management System is intended to prevent or treat hypothermia and to provide warmth to patients. The System should be used in circumstances in which patients may not maintain a state of normothermia. The Pediatric Head Warming Wraps are intended for use with pediatric patients.
The System is intended primarily for use in hospitals and surgical centers including, without limitation, operating rooms, recovery rooms, emergency rooms, burn units and on other medical/surgical floors.
CONTRAINDICATIONS

• Do not warm ischemic or non-perfused tissue; thermal injury may result. Examples include tissue distal to aortic cross clamping, or when vasoconstrictive drugs would lead to severe, prolonged vasoconstriction.
• Do not warm patients receiving transdermal medication; increased drug delivery may occur.

WARNINGS

• Explosion Hazard – Do not use the HotDog Controller or Pediatric Head Warming Wrap in the presence of flammable anesthetics or oxygen-enriched environments such as hyperbaric chambers, oxygen tents, etc.
• Do not place the heated area of the Pediatric Head Warming Wrap under the patient.
• Inspect the Pediatric Head Warming Wrap prior to use for signs of damage or excessive wear such as cuts, holes, or loose electrical connections. If signs of wear are evident, do not use the Pediatric Head Warming Wrap until it is inspected by technical staff.
• Do not continue to use the Pediatric Head Warming Wrap if the over-temperature indicator and/or alarm continue to sound after reset.
• The Pediatric Head Warming Wrap is not sterile.

CAUTION
Federal law (USA) restricts this device to sale by or on the order of a licensed healthcare professional.
PRECAUTIONS

• Use under the direct supervision of a clinician.
• Monitor the patient’s vital signs regularly during warming according to institutional protocol. If vital sign instability occurs, notify the clinician.
• Exercise caution to avoid overheating when using multiple warming methods.
• Maintain contact between the patient and the labeled sensor on the Pediatric Head Warming Wrap.
• Do not fold the Head Warming Wrap black-side to black-side during use, as localized heat build-up may occur in the overlapped area.
• Always use a patient barrier, such as a disposable polypropylene bouffant cap, between the patient and the Pediatric Head Warming Wrap.
• Adjust placement of the Pediatric Head Warming Wrap during X-ray imaging as the white labeling and internal wiring located primarily along the edges of the Pediatric  ead Warming Wrap may appear in images.
• This device should not be disposed of with general waste at end of life. Follow local regulations for disposal. The device does not pose any potential hazard.
• Any serious incident that has occurred in relation to this device should be reported to the manufacturer and the competent authority of the country in which it occurred.

INSTRUCTIONS FOR USE

1. Select the correct size Pediatric Head Warming Wrap for the patient. Use the B270 for patients 8 kg or smaller. Use the B271 for pediatric patients weighing more than 8 kg.

2. Inspect the surface of the Pediatric Head Warming Wrap for damage (e.g., cuts, holes, loose electrical connections). Do not use the Pediatric Head Warming Wrap if it is damaged.

3. Open a polypropylene bouffant cap and apply to the front of the Pediatric Head Warming Wrap so that it covers the entire Warming Wrap as shown in Figures 1 and 2. It will serve as a thin barrier. Position the Head Warming Wrap so that the heated portion (black side) will face the patient.

4. Push down the center of the bouffant cap so there is space for the patient’s head. Ensure that the bouffant cap does not cover access to the controller cable connection. (see Figure 3)

5. Place the Head Warming Wrap around the patient’s head to ensure maximum contact between the wrap and head. Be sure the sensor is in contact with the patient, as indicated by the white target. Position as shown in Figure 4.

Warning: Do not place the heated area of the Pediatric Head Warming Wrap under the patient.

6. Adjust both formable edges of the wrap to hold it in the correct position and to ensure maximum patient contact. If there is extra wrap length, bend the formable edges to position the extra wrap on the patient’s shoulders, as shown in Figure 5.

7. Alternate Application: You can use Pediatric Head Warming Wraps (B270 and B271) as pediatric utility blankets. You can still use the same polypropylene bouffant cap as a thin barrier. Be sure that the black side of the Pediatric Head Warming Wrap is positioned toward the patient with the sensor in contact with the patient, as indicated by the white target. See Figure 6 for example of placement option as a pediatric utility blanket.

8. Insert one end of the electrical cable into the appropriate port on the HotDog Controller. Use only with HotDog controllers.
   Controller Model| Port
   ---|---
   WC0X| A
   WC5X| A or B
   WC71| A
   WC77| A, B, C or D

10. Insert the other end of the cable into the electrical connector on the Pediatric Head Warming Wrap.

11. Turn the HotDog Controller on and select the desired temperature setting to begin warming. The time to reach the set-point temperature from 23 C +/-2 C is less than 10 minutes. If the blanket does not reach the selected temperature within 10 minutes an alarm will sound. (Refer to the HotDog Controller User Manual.)

12. If the HotDog Controller alarm sounds when the Pediatric Head Warming Wrap is connected, do not use the Warming Blanket until the alarm condition is resolved. (Refer to the “Alarms” section.)

13. At the conclusion of warming, discard the bouffant cap and clean the Pediatric Head Warming Wrap as necessary. (See “Care and Maintenance” section below.)

CARE AND MAINTENANCE

• Do not continue to use HotDog Pediatric Head Warming Wraps beyond the labeled expiration date, found on the cable.
• Do not launder or sterilize as this may damage the Pediatric Head Warming Wrap.
• Do not immerse the Pediatric Head Warming Wrap in liquids.
• Do not use high-level disinfectants (e.g. 5lutaraldehyde and peracetic acid) or hydrogen peroxide-based solutions to clean the Pediatric Head Warming Wrap.
• Do not spray cleaning solutions into the electrical connector.
• Do not use cleaning or disinfection methods different from those recommended in the Instructions for Use without first checking with an authorized service representative to ensure that the proposed methods will not damage the equipment.
• Do not use the Pediatric Head Warming Wrap if it shows signs of damage or excessive wear such as cuts, holes, or loose electrical connectors. Technical staff should perform inspection, such as electrical leakage and resistance testing, to determine if it is safe for use.
• Do not disassemble the Pediatric Head Warming Wrap; the product contains no serviceable parts. If service is required, call an authorized service representative for assistance.
• Do not fold and crease the Pediatric Head Warming Wrap sharply or fold repeatedly in the same location.

Storage
Store the Pediatric Head Warming Wrap in a dry place, folded or on hanging hooks using the designated holes along the edges of the blanket. Do not allow the Pediatric Head Warming Wrap to be cut or crushed. If folding is the preferred method of storage, please fold loosely and ideally not always in the same manner. Repetitive folding, especially if done so in a tight manner, may damage internal components and effect the product’s longevity.
Cleaning—General
Clean and disinfect the Pediatric Head Warming Wrap between patient uses if it appears visibly soiled. If the Pediatric Head Warming Wrap is not visibly soiled, disinfection at the end of the operating day is recommended. Follow protocols for non-critical, non-sterile medical devices that may contact intact skin. Examples of similar devices include blood pressure cuffs, exam table covers, operating room table pads and surgical supports.
Hydrogen peroxide-based cleaning solutions are NOT recommended because the vapors degrade the conductive fabric heaters.
In general, alcohol-based disinfectants are easiest to use since they are fast-acting and can be sprayed or wiped on the wrap. Other cleaners that are compatible with the outer surfaces of the wrap include sodium hypochlorite (diluted bleach), phenolic germicidal detergent, and quaternary ammonium detergent. Iodinecontaining cleaners may cause
discoloration of the surface material and are therefore NOT recommended for routine cleaning. Dry thoroughly before use.
Caution:  Do not place the Pediatric Head Warming Wrap in an autoclave, sterilizer, automatic washer-disinfector or any other high temperature system as this may damage the product.
Cleaning & Disinfection Steps
The cleaning steps below are general recommendations and are not meant to replace hospital-specific cleaning protocols.

1. Do not allow cleaning fluids to get into the electrical connector.
2. If visible soiling is present, remove before applying a disinfectant. Scrub the affected area with detergent, using a soft brush or sponge to remove organic matter. Rinse  the surface of the wrap using dampened cloth. Do not immerse the wrap in liquids.
3. Apply a low- or intermediate-level disinfectant to the entire wrap by spraying or wiping. Follow the disinfectant manufacturer’s application instructions to ensure disinfection.
4. Dry thoroughly before use.

ALARMS
All alarm conditions are classified as Medium Priority Technical Alarms. If an alarm occurs, unplug the device to reset the controller. Check the Pediatric Head Warming Wrap and attempt to resolve the alarm. If Alarm Lights illuminate after a reset was performed, discontinue use and refer the system to Biomedical Engineering. Refer to Controller IFU for specific information on the Error Codes displayed.

DEFINITION OF SYMBOLS

HotDog is a trademark of Augustine Temperature Management, registered in the U.S. Patent & Trademark Office. Devices are protected by some or all of the following patents: (US Patents 7,543,344; 7,714,255; 7,851,729; 7,786,408; 8,062,343; 8,283,602; 8,604,391; 8,624,164; 8,772,676; 8,986,359; 9,962,122; 9,668,303; 10,154,543; 10,201,935; 10,206,248; 10,506,668; PCT Patent EP 2,062,460) .Other patents are pending.

©2021 Augustine Temperature Management, LLC.
All rights reserved.
**P/N 2581EU Rev G (12/2021)

**

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References

• hotdogwarming.com
• p65warnings.ca.gov

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