INT-R778-EN-6-08-19 MA1200-xx Mistral-Air-User Manual English
INT-R778-EN-6-08-19 MA1200-xx Mistral-Air-User Manual English
INT-R778-EN-6-08-19 MA1200-xx Mistral-Air-User Manual English
Original instructions
Version: INT/R778-EN/6-08/19
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Contents
1 General information..................................................................................................................... 5
1.1 About this manual.................................................................................................................. 5
1.2 Indications for use..................................................................................................................5
1.3 Contact................................................................................................................................... 5
1.4 FAQ and training....................................................................................................................5
1.5 Warranty................................................................................................................................. 6
1.6 Authorisation of personnel..................................................................................................... 6
1.7 Warning, caution and note.....................................................................................................6
1.8 Disclaimer and intellectual property statement...................................................................... 6
3 Description..................................................................................................................................17
3.1 Overview of the Mistral-Air® Warming Unit (MA1200).........................................................17
3.2 Overview of the Mistral-Air® Warming Unit (MA1200-QC).................................................. 18
3.3 Overview of the control panel.............................................................................................. 18
3.4 Visual and audible warning systems....................................................................................19
3.4.1 Technical alarm............................................................................................................ 19
3.4.2 Overtemperature alarm................................................................................................ 20
3.4.3 Microcontroller watchdog alarm................................................................................... 20
3.4.4 Filter replacement indicator.......................................................................................... 21
3.4.5 Temporarily audible alarm suppression....................................................................... 21
5 Set up.......................................................................................................................................... 27
5.1 Transport and storage..........................................................................................................27
5.2 Connecting the power supply cord...................................................................................... 27
5.3 Attaching the mounting parts............................................................................................... 27
6 Operation.....................................................................................................................................31
6.1 Safety instructions before operation.................................................................................... 31
6.2 Connecting the Mistral-Air® QC Hose (MA1200-1018 & MA1200-1018XL) to the
device....................................................................................................................................... 31
7 Maintenance................................................................................................................................ 34
7.1 Cleaning................................................................................................................................35
7.2 Corrective maintenance....................................................................................................... 35
7.2.1 Replacing the Mistral-Air® Filter (MA1200-1001).........................................................35
7.2.2 Replacing the Mistral-Air® Hose (MA1100-1018 & MA1100-1018XL)......................... 37
7.2.3 Replacing the Mistral-Air® QC Hose (MA1200-1018 & MA1200-1018XL)................... 39
7.2.4 Replacing the power cord............................................................................................ 40
8 Troubleshooting......................................................................................................................... 42
9 Specifications............................................................................................................................. 43
9.1 Specifications of the device................................................................................................. 43
10 Electromagnetic compatibility................................................................................................ 45
10.1 Electromagnetic immunity.................................................................................................. 45
10.2 Electromagnetic emissions.................................................................................................46
10.3 Recommended separation distances................................................................................. 47
1.3 Contact
The Surgical Company International B.V. doing business as The 37Company:
The 37Company
Beeldschermweg 6F
NL-3821 AH Amersfoort
The Netherlands
1.5 Warranty
For the warranty provisions, refer to the website: http://www.the37company.com.
Warning!
A "warning" tells you that there is a risk of personal injury or death.
Caution!
A "caution" tells you that:
• there is a risk of damage to the device, and/or
• there is a risk of damage to other equipment.
2.1 Contra-indications
• Only apply heat to intact skin and do not apply heat directly to open wounds.
• Do not apply the warming system to ischemic limbs.
1. Use caution and consider discontinuing use on patients during vascular surgery when an
artery is clamped to an extremity (i.e. aortic cross-clamping).
2. Use caution and monitor closely if used on patients with severe peripheral vascular
disease.
2.2 Warnings
Warning!
• Do not use the device when it is damaged or when the Mistral-Air® Blanket is damaged.
Thermal injury may result.
• Do not allow the patient to lie on or contact the hose with the skin when the device is
active. Thermal injury may result.
• Do not use the Mistral-Air® Blanket to transfer or move the patient. Injury to the patient
may result.
• To prevent tipping when mounting to an IV-pole, mount the device at a height at which
the IV-pole is stable. Injury may occur. Before usage, assess the stability by placing the
IV-pole on a surface at an angle of 10° from the horizontal plane with brakes activated.
The IV-pole may not overbalance, or move. Also passing over a 10 mm threshold may
not result in overbalancing. Mass and position of center of gravity are provided in this
IFU for theoretical analysis. The 37Company cannot provide maximum mounting height
prescriptions for different wheel base diameters, numbers of castors (either with brakes
or not) and configurations of other equipment mounted to the IV pole.
• Do not use the device without a Mistral-Air® Blanket connected to it (no free hosing).
Thermal injury may result.
• Do not use the device and blankets near flammable anesthetics and/or in oxygen-
enriched environment, to avoid the risk of explosion or fire.
• Check patient’s temperature and skin condition at least every 15 minutes, or according
to institutional protocol.
• Do not cover the patient’s thorax with our Mistral-Air® Blankets during cardioversion or
defibrillation therapy.
• Applying air with a temperature above the normothermic core body temperature range
(36 – 37.5°C) incorporates the risk of hyperthermia. Depending on the selected set
2.3 Cautions
Caution!
• Do not use a sharp object to press the buttons on the control panel.
• The device must be mounted securely, or placed on a stable flat surface before use to
prevent the device from falling.
• To ensure stability when mounted to a trolley the device may only be mounted to a
Mistral-Air® Adjustable Pole (MA5200).
• Do not immerse the device in liquids. Otherwise, the device can be damaged.
• Stay in viewpoint of the control panel when the device is performing the self-test and
selecting the set-point. See Turning on the device on page 32.
• In case of an alarm, check for any obstruction of the air flow; ensure that the blanket and
the hose are not folded, the inlet is free (not blocked) and no tools/equipment are placed
on the blanket. If the device continues to alarm, take the device out of use and contact
the hospital service department or the local supplier.
• Do not place the device on a carpet because it could block the air inlet and reduce the
performance.
• The heating device does not contain an alarm system with an interruption of power
supply/supply mains alarm condition. This means that in case of a power failure, there
will be no alarm.
• The device is not equipped with an isolating switch. Temporary interruption of the supply
mains will render the device in standby mode and discontinue treatment.
Protected against ingress of solid objects larger than 12.5 mm and water falling as
a spray at an angle up to 60° from the vertical axis (according to IEC 60429).
Connect the device to an earthed socket only. Risk of electrical shock exists if the
equipment is not connected to a properly grounded receptacle.
No free hosing.
Warning!
Hose nozzle MUST be connected to a compatible forced air blanket or
thermal injury may occur.
Warning!
Do not use the device distal to arterial cross clamping or with a patient with
an ischemic limb.
Serial number
Manufacturer
AC voltage
Equipotentiality
Repair is required.
Replace filter.
Prior to use, the user needs to check that the device (including the power cord and
the hose) is undamaged. In the event of damage do not use the device.
Warning!
Plug the device into an earthed mains socket.
Manufacturer
Warning!
Do not use the device distal to arterial cross clamping or with a patient with
an ischemic limb.
CE marking of conformity
1. Control panel
2. Mounting clamp
3. Mounting options
(accessory)
4. Appliance inlet
5. Equipotential pin
6. Data connection
7. Mains cover
8. Filter (air inlet)
9. Hose
The device can be controlled by using the control panel at the front top of the device. The back of
the device is equipped with a universal mounting clamp, a sealed data connector, an appliance
inlet and an equipotential pin. The air flow output is by default set to normal and can be adjusted
by the technical department to a low fan duty cycle, resulting in 10% lower air flow output. It can be
expanded with a mounting accessory set as shown in the image above to offer various mounting
options, see Accessories and disposables on page 22.
For more device specifications, see Specifications on page 43.
1. Control panel
2. Mounting clamp
3. Mounting options
(accessory)
4. Appliance inlet
5. Equipotential pin
6. Data connection
7. Mains cover
8. Filter (air inlet)
9. Removable hose
1. Standby button
2. Temperature selection indicators
3. Overtemperature alarm LED
4. Technical alarm LED
5. Filter replacement indicator LED
6. Temperature selection + and –
buttons
7. Fan only/ambient air indicator
8. Temporarily audible alarm
suppression button
Caution!
If this alarm occurs, check for anything blocking the air flow path. If the technical alarm
continues, take the device out of use and contact the hospital service department or the
local supplier.
Caution!
If this alarm occurs, check for anything blocking the air flow path. Ensure that the blanket is
not folded and do not place tools/equipment on the blanket which could result in a blocked
air flow. Ensure that the air inlet is free. If the overtemperature alarm continues, take the
device out of use and contact the hospital service department or the local supplier.
Caution!
If this alarm occurs, send the device to a certified service department for technical support.
Warning!
• Do not place the device above, or in the bed with the patient. Thermal injury may occur.
• When placing the device on a surface, make sure the surface is horizontal, solid and
clean. Do not place the device on a carpet because it could block the air inlet and
reduce the performance.
• The device must be mounted securely, or placed on a stable flat surface before use to
prevent the device from falling.
• To prevent tipping when mounting to an IV-pole, mount the device at a height at which
the IV-pole is stable. Injury may occur. Before usage, assess the stability by placing the
IV-pole on a surface at an angle of 10° from the horizontal plane with brakes activated.
The IV-pole may not overbalance, or move. Also passing over a 10 mm threshold may
not result in overbalancing. Mass and position of center of gravity are provided in this
IFU for theoretical analysis. The 37Company cannot provide maximum mounting height
prescriptions for different wheel base diameters, numbers of castors (either with brakes
or not) and configurations of other equipment mounted to the IV pole.
The image below shows the position of the center of gravity in relation to the center of
the pole clamp.
In the standard configuration, the device can be mounted to an IV pole or ISO rail using the
universal clamp on the back of the device (see figures below). It is also possible to place the
device on a table without reducing the air flow rate.
Caution!
When mounting the device to the Mistral-Air® Adjustable Pole, make sure that the hose is
protected by the wheelbase of the trolley. Otherwise, damage to the hose may occur after
impact.
The device can be mounted onto the Mistral-Air® Adjustable Pole (MA5200):
Warning!
• When using bed hooks, only mount the device to a horizontal secured surface. Do
not mount the device to a tilting non-secured surface. The device may fall and pull the
blanket from the patient.
The device has various mounting options using the versatile Mistral-Air® mounting accessory set.
See Attaching the mounting parts on page 27 for more details about attaching the mounting
parts.
Warning!
• Do not use the device with any forced air disposables other than Mistral-Air® Blankets.
Thermal injury may result.
• Do not cover the patient’s thorax with our Mistral-Air® Blankets during cardioversion or
defibrillation therapy.
• Avoid direct contact between a blanket and a laser. Although the blankets are flame
retardant per 16 CFR Part 1610 (Standard for the flammability of clothing textiles)
class 1, compliance with ISO 11810:2015 (classification for the laser resistance) is not
demonstrated.
Caution!
Be careful not to scratch the front of the device.
5. Optional: Click the Handles into the sliders of the Cover and
tighten them at the 2 indicated locations using the last 2 of the
5 M4x16 3 mm hexagon screws.
Warning!
If the Handles are attached, always attach the Bed
support knobs for stability (see step 6).
Caution!
Use screws with a diameter which is small enough
(max. M6) not to damage the threads of the Cover plate
holes.
Warning!
When using the device, first read the warnings in Warnings on page 8.
The device is intended to be used only by trained clinicians. Intended patient population: adults
and pediatric patients.
The clinical areas are: operating room, recovery room, anaesthetic room, intensive care unit,
medical/surgical floors and emergency room. Mainly used during the entire perioperative pathway
(pre-, per-, and postoperative period).
See Connecting the power supply cord on page 27 if the power supply cord is not yet
connected to the device.
Caution!
Stay in viewpoint of the control panel when the device is performing the self-test and
selecting the set-point.
1. Activate the device by pressing the standby button. The LED turns green.
2. The device will now perform a self-test, which includes a flash of all the LED's and a short
beep. When a LED or the audible beep fails, take the device out of use for repair.
3. After the self-test, which lasts several seconds, the device will start blowing air at the default
temperature setting of 38°C.
Caution!
To remove all power from the device, the mains power cord must be removed from the
electrical receptacle.
Warning!
• Maintenance may only be performed by trained biomedical technicians or engineers.
Both user groups must be trained by certified trainers from The 37Company.
• Preventive maintenance needs to be performed on an annual basis. Please refer to the
Mistral-Air® technical manual for maintenance, repair and calibration instructions. The
Mistral-Air® technical manual is available for download at the business partner menu of
the The 37Company website.
Caution!
Clinical users may not repair or open the device in the event of a malfunction. This can
damage the appliance and will invalidate the warranty.
Have the device serial number ready when you contact the hospital service department or the local
supplier for technical support. The serial number is located on the label on the back of the device.
Before performing maintenance, consult the device insulation diagram below.
Warning!
• Before you clean the device, disconnect the power supply cord to eliminate the risk of
electrocution.
• Do not use dripping wet cloths.
• Do not use ketones (MEK, acetone, etc.) or abrasive cleaners.
• Do not use alcohol based cleaners (except isopropyl alcohol and ethanol).
• Do not use acid based cleaners.
• Do not use oxidizing cleaners.
• Do not exceed the concentration specified by the manufacturer; or use premixed
solutions.
• Do not use steam sterilization (autoclave) or dry heat to sterilize the device.
• Do not immerse the device in liquids. Otherwise, the device can be damaged.
• Make sure that fluids cannot enter the electrical areas of the device.
• Do not place the device upside down, or on its sides.
• Clean the hose at ambient temperature and make sure the hose is dry before use.
Damage to the hose or device may occur.
Warning!
Maintenance may only be performed by trained biomedical technicians or engineers. Both
user groups must be trained by certified trainers from The 37Company.
Caution!
Be careful not to scratch the front of the device.
3. Remove the two screws of the filter cap with a 4 mm hex key.
6. Place the replacement filter in the filter cap with the rubber
seal facing up.
Warning!
Changing the 1.8 m long hose for a 3 m long hose reduces the temperature of the air
transferred to the patient with at least 1.9 °C.
6. Pierce the hose with a sharp object at the location where the
screw must be attached. Apply and tighten the screw that fixes
the hose.
7. Dispose the replaced hose according to hospital protocol.
Warning!
Before performing corrective maintenance (see Corrective maintenance on page 35),
disconnect the power supply cord to eliminate the risk of electrocution. There are
electrically live parts within the device when it is connected to a power supply.
Caution!
Be careful not to scratch the front of the device.
Changing the 1.8 m long hose for a 3 m long hose reduces the temperature of the air
transferred to the patient with at least 1.9 °C.
Warning!
To attach the hose with a quick connector, firmly press the hose connector until the
connector is fully depressed. Check to ensure the connector is securely locked on the
blower.
Warning!
• Use of accessories, transducers and cables other than those specified or provided by
The 37Company of this equipment could result in increased electromagnetic emissions
or decreased electromagnetic immunity of this equipment and result in improper
operation.
• Before performing corrective maintenance (see Corrective maintenance on page 35),
disconnect the power supply cord to eliminate the risk of electrocution. There are
electrically live parts within the device when it is connected to a power supply.
Caution!
Be careful not to scratch the front of the device.
The device does not switch on. Unplugged or damaged power Make sure power cord is
cord plugged in and is undamaged.
Replace cord if necessary.
No power to outlet Confirm power to outlet.
Dimensions 16 cm x 35 cm x 40 cm (l x w x h)
Weight 5.2 kg
High temperature safety limit < 56°C (Compliant with IEC 80601-2-35)
The essential performance of the Mistral-Air Warming System is: when supplying air to the patient
“the Maximum CONTACT SURFACE TEMPERATURE” must be below the safe temperature limits
according to IEC 80601-2-35: 2009 + C1:2012 +C2:2015, Clause 201.11.1.2.1.102.
Warning!
• Use of accessories, transducers and cables other than those specified or provided by
The 37Company of this device could result in increased electromagnetic emissions or
decreased electromagnetic immunity of this device and result in improper operation.
• Use of this device adjacent to or stacked with other equipment should be avoided
because it could result in improper operation. If such use is necessary, this device and
the other equipment should be observed to verify that they are operating normally.
• Portable RF communications equipment (including peripherals such as antenna
cables and external antennas) should be used no closer than 30 cm to any part of the
device, including cables specified by the manufacturer. Otherwise, degradation of the
performance of this device could result.
• The Emissions characteristics of this device make it suitable for use in industrial areas
and hospitals (CISPR 11 class A). If it is used in a residential environment (for which
CISPR 11 class B is normally required) this device might not offer adequate protection
to radio-frequency communication services. The user might need to take mitigation
measures, such as relocating or reorienting the device.
• It is possible that a technical alarm is triggered at a 30% dip. Degradation does not
affect ESSENTIAL PERFORMANCE and BASIC SAFETY and is therefore compliant.
Refer to Troubleshooting on page 42 and Specifications of the device on page 43 for a
solution.
• This device complies with IEC 60601-1-2:2014 for electromagnetic compatibility.
However, if electromagnetic interference with nearby devices is experienced, the user is
encouraged to take one or more of the following measures:
• Isolate the offending device.
• Reorient or relocate this device.
• Increase the distance between the interfering device and this device.
• Use another mains socket.
If electromagnetic incompatibility is still experienced, please contact your distributor.
Surge ± 1 kV L-N
EN-IEC61000-4-5 (2014)
± 2 kV L-PE / N-PE
Voltage dips, short interruptions and voltage variations on power 0% UT for 0.5 cycle
supply input lines
0% UT for 1 cycle
EN-IEC 61000-4-11 (2004)
70% UT for 25/30 cycles
Radiated RF 3 V/m
EN-IEC 61000-4-3 (2006) + A1 (2008) + A2 (2010)
Electrical transient conduction along supply lines Not applicable (system not
ISO 7637-2 (2004) intended for use in vehicles)
RF emissions Group 1
CISPR 11 (2015)
RF emissions Class A
CISPR 11 (2015)
Rated maximum 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
output power of
transmitter (W)
0.01 0.12 0.12 0.24
For transmitters rated at a maximum output power not listed above, the recommended separation
distance d in metres (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.