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