Instructions for use Isolette 8000 plus SW 5.n 177
Principles of operation
Therefore, if the incubator was previously operated in skin temperature mode, it is
switched to air temperature mode during kangaroo mode. The current incubator
temperature is automatically used as the air temperature setting, but is limited to
37 °C. All other settings (humidity, oxygen) remain unchanged and active.
If the incubator was previously operated in air temperature mode, the settings
remain unchanged.
Since, after switching to kangaroo mode, the door is opened and the infant
removed from the incubator, alarms triggered by opening the doors are no longer
meaningful. All alarms that would normally be activated by opening the access
panels are automatically delayed for the next 4 minutes:
– Low Air Temperature
– Low Humidity
– Low Oxygen %
If any of these alarms are active when the incubator is switched to kangaroo mode,
the alarm is inhibited for 4 minutes.
Activation of special kangaroo mode alarms
During kangaroo mode, the skin (and central) temperature of the infant can rise or
fall. The infant central or skin temperature must be monitored during kangaroo
mode. To monitor temperatures with as few nuisance alarms as possible, the
incubator activates additional alarms during operation in kangaroo mode:
– Central Skin Temp Low
– Peripheral Skin Temp Low
– Skin Temp Diff High
– Skin Temp Diff Low
However, immediately after switching to kangaroo mode, the kangaroo mode
alarms are delayed for 4 minutes. This delay allows the infant time to adapt to the
new environment.
16.2.2.4 Thermomonitoring
The term Thermomonitoring refers to the continuous measurement and display of a
central skin temperature and a peripheral skin temperature. Instead of the body
core temperature, a central skin temperature can be used, because it is measured
for the incubator skin temperature control.
The continuous display of the difference between these 2 temperatures permits
early detection of cold stress. However, heat stress, thermoregulation problems,
and, e.g., infections can also be more rapidly detected by displaying the 2
temperature values and evaluating their difference.
The Isolette 8000 plus trend display shows the trend histories of a maximum of 2
skin temperatures. The difference between central skin temperature and peripheral
skin temperature, which is essential for Thermomonitoring, can be displayed
continuously.
Also, trend analysis shows values from the past when explaining the development
of disease symptoms or the development of hypothermal stress. Values going back
a maximum of 24 hours can be accessed. The trend time scale is user-selectable in
intervals of 2, 4, 8, 12, and 24 hours.
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