QUICK REFERENCE GUIDE: MTA7900Medi-Therm® III Hyper/Hypothermia System
SET UP• Fillthereservoirwithdistilledwaterperthe
Operator’sManual.
• Connectpower,turnMedi-ThermIIION,Medi-ThermIIIwillbeinSTANDBYmode.
• ApplyRapr•Round®BodyWrapstopatientwithoutclosingtheVelcro®-likeclosures.NOTE:Blueprintedlabelisawayfrompatient.
• Vestconnectstoonegrayhose.SeeFigure1.
• Legs:Connectonesetofclearhosesfromeachlegtogetherandtheothersettothesecondgrayhose.SeeFigure2.
• BESURETOCHECKANDOPENALLHOSECLAMPSPRIORTOUSE.RefertoFAQ#5tocheckwaterflow.
• Inserttemperatureprobeintopatient.
• ConnectpatienttemperatureprobetoadaptorandthentotheMedi-ThermIII.
• OncetheModeisselectedandthepadsarefilledwithwater,adjustandsecureVelcro®-likeclosures.
NOTE:WHENTHERAPYENDS,CLOSEALLHOSECLAMPSPRIORTODISCONNECTINGWRAPS.RECONNECTGRAYHOSESTOGETHER.
FIGURE 1
FIGURE 2AW 101274000 Rev. B
SKIN CARE• Routineskincareisrequiredtomaintainskinintegrity.
Documenttheskinintegritypriortoinitiationoftherapyperyourskincareprotocol.Frequencyofassessmentanddocumentationwillvarydependingontheindividualpatient.
• Manuallyturnandrepositionthepatientataminimumofeverytwo(2)hours.Checkthebodywrap(s)toensurethattheyarenotconstrictingthesofttissue.ReadjusttheVelcro®-likeclosuresasnecessary.
• Everytwo(2)hourscheckthatthepatient’sskinisindirectcontactwiththebodywrap(s)andnoteanychangeintheskinintegrityrelatedto:
Excessmoisture
Coloroftheepidermis
Skintexture(otherthanalreadynoted.)
• Drytheskinifexcessmoistureexists.
• Acircularpatternidenticaltothebodywrapsmaybeseenonthepatient’sskin:thispatterntypicallylastsfortheperiodoftimethebodywrapsareinplaceandresolvesafterthewrapshavebeendiscontinued.
AUTO MODES - COOLING
PresstheAUTObuttonuntiltheLEDlightindicatesthedesiredmode.
AUTORAPIDModecoolsthepatientasquicklyaspossible.SeeFigure3.
AUTOMODERATEModelimitsthewatertemperatureto15°C/27°Fbelowpatienttemperature.SeeFigure4.
AUTOGRADUAL Modelimitsthewatertemperatureto10°C/18°Fbelowpatienttemperature.SeeFigure5.
Select°C/°Ftemperaturescale
AdjusttheSetPointtothedesiredpatienttemperaturesettingperyourprotocol:____________°C/°Ffor___________hours
Assesspatientandreadjustwrapsifneeded.
NOTE:SetPointTemperatures(°C)areforexampleonly.PleaseusetheappropriateSet/Targettemperatureperyourprotocol.Patienttemperaturesshownareforillustrationpurposes.
AW 101274001 Rev. B
Auto Moderate Limited to 15°C below patient temperature
Auto Rapid Cools as rapidly as possible
Auto Gradual Limited to 10°C below patient temperature
QUICK REFERENCE GUIDE: MTA7900Medi-Therm® III Hyper/Hypothermia System
FIGURE 3 FIGURE 4 FIGURE 5
NOTE:WhenusingAUTO MODERATEorAUTO GRADUALwarming,changingthemodeorSetPointduringtherapymayaffectthedurationofthetherapy.
NOTE:SetPointTemperatures(°C)areforexampleonly.PleaseusetheappropriateSet/Targettemperatureperyourprotocol.Patienttemperaturesshownareforillustrationpurposes. AW 101274002 Rev. B
Select°C/°Ftemperaturescale
AdjusttheSetPointtothedesiredpatienttemperaturesettingperyourprotocol:____________°C/°Ffor____________hours
Assesspatientandreadjustwrapsifneeded.
PresstheAUTObuttonuntiltheLEDlightindicatesthedesiredmode.
AUTORAPIDModewarmsthepatientasquicklyaspossible.SeeFigure6.
AUTO MODERATEMode:Rateofwarmingisapprox.0.33°C/houror1.0°Cevery3hours.SeeFigure7.
AUTO GRADUALMode:Rateofwarmingisapprox.0.17°C/houror1.0°Cevery6hours.SeeFigure8.
AUTO MODES - WARMING
FIGURE 6
Auto Rapid Warms as rapidly as possible
RateofwarmingasdirectedbyprotocolsrequiresuserinterventiontoselectSetPointatappropriateintervals.
RATE CONTROLLED WARMING MODES
FIGURE 7 FIGURE 8
Auto Gradual (0.17°C/hr or 1.0°C every 6 hours)
Auto Moderate (0.33°C/hr or 1.0°C every 3 hours)
QUICK REFERENCE GUIDE: MTA7900Medi-Therm® III Hyper/Hypothermia System
FREQUENTLY ASKED QUESTIONS1. Why does the WATER temperature display continually fluctuate
during maintenance and warming in Automatic Mode?TheunitisdesignedtousethewatertowarmortocoolthepatientbasedontheSETPOINT.WhenthePATIENTtemperatureishigherthantheSETPOINT(see①inthefigureatright),theunitwillautomaticallylowertheWATERtemperaturetobringthePATIENTbacktotheSETPOINT.Inthesamemanner,whenthePATIENTtemperatureislowerthantheSETPOINT(see②inthefigureatright)theunitwillautomaticallywarmthewatertoincreasethePATIENTtemperature.
WhenthePATIENTreachesSETPOINT,itisnormalfortheWATERtemperaturetofluctuatesignificantlyaboveorbelowthePATIENTtemperatureasthemachinerespondscontinuouslytothePATIENTtemperaturevariation.
2. Why is my patient warming too quickly or too slowly in the Auto Gradual or Auto Moderate Modes?
TheMedi-ThermIIIunitisdesignedtocontrolthePATIENTtemperature±1.0°Cofthewarmingratethroughoutthetherapy.ItwillautomaticallyincreasethePATIENTtemperatureataspecificrateof0.33°C(MODERATE)or0.17°C(GRADUAL)perhour.Deviationsfromthiscouldbecausedbythefollowingconditions:
a.Patient-specificfactors,includingfever,shivering,seizures,etc.
b.Interruptionofthetherapy,e.g.adjustingtheSETPOINTduringtherapyorswitchingtootherModesintherapy.Whenthetherapyisinterrupted,theMedi-ThermIIIwillautomaticallyresetthetherapy,usingthecurrentPATIENTtemperature,andthismayimpactthedurationofthetherapy.Toavoidchangesinthedurationofthetherapy,do not changetheModeortheSETPOINTuntilthetherapyiscompleted.
(Questions continued on next page)
①②
AW 101274003 Rev. B
Graph is for illustration purposes only.
QUICK REFERENCE GUIDE: MTA7900Medi-Therm® III Hyper/Hypothermia System
QUICK REFERENCE GUIDE: MTA7900Medi-Therm® III Hyper/Hypothermia System
Gaymar Industries, Inc.10CentreDriveOrchardPark,NY14127-2295TollFree1.800.828.7341Fax1.800.993.7890International+1716.662.8636InternationalFax+1716.662.0730www.gaymar.com
AW 101274004 Rev. B
P/N: 101274000 Rev. B 06/10
3. What should I be concerned about if the WATER temperature drops more than 10°C (18°F) below the PATIENT temperature and SET POINT for more than 30 minutes during maintenance or warming?
AsustaineddropinWATERtemperatureindicatesthatthemachineisworkinghardtomaintainthePATIENTtemperatureattheSETPOINT.Thereareanumberofreasonswhythiscouldoccur,someofwhichmayhavemajorclinicalimplications.Conditionssuchasshivering,feverandseizuresmaygeneratealargeamountofheatandtheMedi-ThermIIIwilllowertheWATERtemperatureinanattempttomaintainPATIENTtemperatureatSETPOINT.IncreasedheatproductionmaynotmanifestasaPATIENTtemperatureincreaseifthemachinecanovercometheheatburdenbyloweringtheWATERtemperature.
4. Can I defibrillate my patient during temperature therapy?IfdefibrillationisrequiredduringtemperaturetherapyitisnotnecessarytoremovetheRapr•RoundVest.SimplyloosentheVelcro®-likeclosureandopenthevesttoexposethechest.Defibrillationcannotbeperformedthroughthewrap.Defibrillationpadsthatadheretotheskinmayremainontheskinunderthechestwraptoperformdefibrillationwithoutremovingthechestwrap.
5. How do I check the flow through the body wraps?(SeeFigure9):Withtheunitrunning,disconnectonegrayhosesetfromtheMedi-ThermIII.Iftheflowisnotobstructed,thealarmwillnotsound.Ifthereisanobstructiontotheflowthroughtheotherhose,thealarmwillsound.Youshouldthencheckforclosedclamps,and/orrepositionthebodywrapattachedtotheconnectedhoseuntilthealarmsilences.Reconnectthehosetothemachine.Repeattheprocedurewiththesecondhoseset.
For additional information, please review the MTA7900 Operator’s Manual.
FREQUENTLY ASKED QUESTIONS continued
FIGURE 9
