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Stryker altrix User guide

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  • What are the three therapy modes available on the Stryker Altrix?
    What is the function of the 'Stand-by' button?
    How do I increase or decrease the water or patient temperature?
    What does the 'Graph' icon display?
    What is the function of the 'Help' icon?
    What alarm conditions can the Stryker Altrix detect?
8001-069-002 Rev AB.0 Refer to the Altrix Precision Temperature Management System Operations Manual for additional information.
card 1A
Quick start guide for
Altrix™ Precision Temperature Management System
Setup
Fill the reservoir
The removable reservoir is translucent for you
to see the water levels.
1. Fillthereservoirwithvelitersofsterile
distilledwater.Donotllpastthelllineto
avoidwateroverow.
2. If you remove the reservoir from the
controllertollitwithsteriledistilledwater,
replaceitbygentlyloweringthereservoir
backintoposition.Makesurethatitissecure.
Power on
1. Plugthepowercordintoawalloutlet.
2. TaptheStand-bybuttontostarttheproduct.
A
• Always use sterile distilled water or distilled water that
hasbeenpassedthroughalterlessthanorequalto0.22
micronswiththisproduct.
• Alwaysllthereservoirwithroomtemperaturesterile
distilled water to reduce the risk of burn.
• Donotoverllthereservoirtoavoidtheriskofwater
spillageandfall.
Caution
!
Quick start guide for
Altrix® Precision Temperature Management System
24/7 Altrix Clinical Support Line | 886.216.4851
8001-069-002 Rev AB.0 Refer to the Altrix Precision Temperature Management System Operations Manual for additional information.
card 2A
Connecting thermal transfer devices
Therearetwoconnectortypesfor
Stryker’sthermaltransferdevices:
Clik-TiteandColderstyle.
Pre-filling the thermal transfer devices
1. Openalloftheclampsontheconnectorhoseand
thermal transfer device.
2. Makesurethatthecontrollerispowered.
3. TaptheManualmodebutton.
4. TapConfirm.
5. Selectawatertemperaturethat
alignswithyourtargetpatient
temperature.Allowthewater
toflowfromthecontrollerinto
the thermal transfer device until
full.
6. TapConfirm.
Connecting patient
temperature probe
•AlignthereddotontheReusable
AdapterCable(B)tothecontroller
(A) probeportAorB.
•Connecttheplug(C)tothepatient
temperatureprobe.
Selecting primary probe
1. TaptheSettingsbutton.
2. TapSelectProbetodisplaythe
SelectPrimaryProbe(ProbeAor
ProbeB)screen
Note:Primaryprobewilldefault
to Probe A.
3. TapConrm.
Connecting patient
temperature output cable
Thisfeatureallowstheoperatorto
viewthetemperatureontheAltrix
systemandonaseparatedevice.
•Insertthereusablepatient
temperatureoutputcableintothe
patienttemperatureoutputport,
located in between the Probe A and
ProbeBports.
AlwaysuseStrykeraccessories.Failuretocomplywiththese
instructions may invalidate any or all warranties and may
negativelyaffecttheproduct'sEMCperformance.Thisalso
protectstheproductfromcardiacdebrillation.
Patient
temperature
probe
Reusable
adaptercable
Probeport
(AorB)
Colder
style
Clik-Tite
Caution
!
Alwayspre-fillthethermaltransferdevicewithsteriledistilled
waterordistilledwaterthathasbeenpassedthroughalterless
thanorequalto0.22micronsbeforeyouapplyittothepatient.This
istoreducetheriskofpressureinjuries.
Caution
!
8001-069-002 Rev AB.0 Refer to the Altrix Precision Temperature Management System Operations Manual for additional information.
card 3A
Initiation of therapy
Selecting a therapy mode
Youcanselectfromoneofthesethreemodes:
•Automatic(therapy)
•Manual(therapy)
•Monitor(non-therapy)
Automatic therapy
InAutomaticmode,thetherapycoolsorwarmsthepatienttoaselected
patienttargettemperature.Theproductcontinuallymeasuresthe
patienttemperatureandautomaticallyadjuststhewatertemperature
untiltheselectedpatienttargettemperatureisachieved.
Cooling
Warming
SelectAutomatictherapy
modeandconrm
PressEdit
SelectTargetTemperature
andconrm
SelectTargetTemperature
andconrm
SelectMax,Med,Min
andconrm
SelectMax,Med,Minor
Customandconrm
Quick start guide for
Altrix Precision Temperature Management System
8001-069-002 Rev AB.0 Refer to the Altrix Precision Temperature Management System Operations Manual for additional information.
card 4A
Manual therapy
InManualmode,theproductcontrolsthewatertemperatureonly.A
temperatureprobeisnotrequiredwhenoperatinginmanualmode.
Display the patient data graph
Todisplaythepatientdatagraph,tapthegraphicon.
Thepatientdatagraphstoresthefollowingvariables:
•Primarypatienttemperaturereading(A)
•Intermediatetargettemperature(B)
•Watertemperature(C)
•Powerlevel(D)
Pause therapy
•Topausetherapy,pressandholdthePauseTherapy
button for two seconds.
•Toresumetherapy,pressandholdthePauseTherapy
button for two seconds.
Stop therapy
•PressandholdtheStand-bybuttonfortwoseconds.
•Unplugtheproductfromthewalloutlet.
•Opentheclampsforapproximately10minutestoallow
the water to drain back into the controller.
•Closeclampstostopthewaterowanddetach
wrapsfromhoses.
A
B
C
D
Select Manual therapy mode
and conrm
Select desired water
temperature
8001-069-002 Rev AB.0 Refer to the Altrix Precision Temperature Management System Operations Manual for additional information.
card 5A
Product functions
Icon Name Function
Stand-by Pressandholdthebuttonfortwosecondstostoptherapyorpoweroff
Therapypaused Pressandholdthebuttonfortwosecondstopauseorresumetherapy
Viewtemperature SelecttemperaturedegreeinCelsiusorFahrenheit
Lock / unlock screen Pressandholdthebuttonfortwosecondstolockorunlockthegraphical
user interface
Audiopaused Pauseorresumetheaudibleindicatorwhenanalarmisactive.Silenceseach
alarmforve,tenorthirtyminutesdependingonthealarmcondition.This
buttonbreathes¹toindicatethatitisinapausedstate.
Automatictherapymode Coolsorwarmsthepatienttoaselectedpatienttargettemperature
Manualtherapymode Coolsorwarmsthewatertoaselectedwatertargettemperature
Monitoronlymode Displaysthecurrentpatienttemperature(notherapy)
Thegraphicaluserinterfaceshownisforreference
only.Theimageshowswhereyouwillseetheiconsand
buttons illuminate when they are active. At no time
will you see all of these icons at the same time.
Quick start guide for
Altrix Precision Temperature Management System
8001-069-002 Rev AB.0 Refer to the Altrix Precision Temperature Management System Operations Manual for additional information.
card 6A
Icon Name Function
Increase Increasesthewaterorpatienttemperatureby0.1°forcoolingorwarming
temperature
Note:Pressandholdtheincreasebuttontomovethetemperatureupfaster
Decrease Decreasesthewaterorpatienttemperatureby0.1°forcoolingorwarming
temperature
Note:Pressandholdthedecreasebuttontomovethetemperaturedown
Back Returnstothepreviousscreenorcancelanoperation
Editsettings,Exit,orCancel Editcurrentsettings,exit,orcancel
Conrmselection Acceptstheselectedsettings
NextorMore Changestothenextscreen,option,orsetting
Pageindicators(mayalso
appearvertical)
Indicatesthatthereismorethanonepageassociatedwiththescreentopic
forthepagethatiscurrentlydisplayed
Settings Displaysthesummaryofthecurrent,visual/audible,language, or
primaryprobesettings
Graph Graphicaldisplayoftheselecteditemssuchaspatienttemperature,target
temperature,watertemperature,andpowerlevel
Help Displayscontextualhelpscreensfortherapies,navigation,buttons,
and alarm screens
¹Breathe:Thebrightnessofthebuttonoriconwillgotoalowlightandthenincreasetoabrightlight.Thiscyclerepeats.
Product functions
(continued)
8001-069-002 Rev AB.0 Refer to the Altrix Precision Temperature Management System Operations Manual for additional information.
card 7A
Icon Function
Watertemperatureontarget,
solidgreenwhenactive,doesnot
breathe
Patienttemperatureontarget
PatientprobeAport,stabilized
PatientprobeBport,stabilized
Externaldevice,patientprobeA
Externaldevice,patientprobeB
Stand-by
Icon Function
Waterowdetected,ports1,2,or3
areactive,solidgreenwhenactive,
does not breathe
Coolingtherapy
Warmingtherapy
Currenttherapyduration
Total duration
Visual and audible tests
Targetpatientorwater
temperature
|
Product functions
(continued)
Quick start guide for
Altrix Precision Temperature Management System
8001-069-002 Rev AB.0 Refer to the Altrix Precision Temperature Management System Operations Manual for additional information.
card 8A
Alarms
Icon Name Alarm
priority Message Therapy
interrupted Check
Watertemperature
deviation
Medium,5
minute delay
Watertemperatureis±0.8°C(1.4°F)
outsideoftargettemperature
No Temporaryconditionuponstartup,additionofthermaltransferdevice,
oraddition of water
No water Medium,60
second delay
No water Yes Check for leaks
Addaminimumof2litersofsteriledistilledwaterordistilledwaterthat
hasbeenpassedthroughalterlessthanorequalto0.22microns
Nowaterow Medium,20
second delay
Noowdetected Yes Checkforleaksandobstructionsatconnections,hoses,andthermal
transfer devices
Checkwaterow Medium,10
minute delay
Reducedowdetected No TapConrm,ifthewaterportwasremovedintentionallyCheckforleaks
andobstructionsatconnections,hoses,andthermaltransferdevices
Checkpatientprobe
(AorB)
Medium Abnormalchangeinpatient
temperature
Yes Checkprobecondition,location,andconnections
Probeoradapter
malfunction(AorB)
Medium,30
second delay
Notemperaturesignaldetected Yes Checkprobeoradaptercablecondition,location,andconnections
Adaptercable
disconnected(AorB)
Medium,30
second delay
Adaptercablenotdetected Yes Reinserttheadaptercable.Ifdamaged,replacetheadaptercable
Patienttemperature
deviation
Medium Patienttemperatureis>±1.0°C
(0.9°F)outsideoftarget
temperature
No Checkpatientcondition,placementofthermaltransferdevices,andall
connections
Patienttemperature
deviation
Low Patienttemperatureis>±0.5°C
(0.9°F)outsideoftarget
temperature
No Checkpatientcondition,placementofthermaltransferdevices,andall
connections
Normothermia
deviation
Low Patienttemperatureisoutsideof
36.0°C(96.8°F)to38.0°C(100.4°F)
No Checkpatientcondition,placementofthermaltransferdevices,andall
connections
Therapypause Medium Therapyiscurrentlypaused Yes Toresume,pressandholdtheplay/pausefor2seconds
Batterylow Low Batteryislow No Maintenanceisrecommended.Ifbatteryisnotreplaced,theproductmay
notfunctiononthenextstartup.
Patienttemperature
output(AorB)
Low Patienttemperatureoutputis
inaccurateontheexternaldevice,
oroutsidesupportedrange
No Checkoutputadaptercableconnection.TapConrmtoreactivatethe
outputport.
Removefromuse
(RFU)
Medium Thesystemhaspoweredoffdueto
a malfunction
Yes Removetheproductfromuseimmediately.Notifytheappropriate
personnel.
Power Loss Medium Notapplicable Yes Checkpowercordconnection
Ifanyofthealarmconditionspersist,callmaintenance. Ifthepageindicatorsappearonthealarmscreen,therearemultipleactivealarms.Onlythehighestalarmisdisplayed.
8001-069-002 Rev AB.0 Refer to the Altrix Precision Temperature Management System Operations Manual for additional information.
card 9A
Quick start guide for
Altrix Precision Temperature Management System
Disinfecting
Disinfecting the internal water circuit and hoses every 14 days
UsetheKlorkleen® MedicaldisinfectanttabletsbyMedentech
(EPAregistrationnumber71847-2-106)beforefirstuse,atleast
every14days,andbeforestorage.Klorkleen Medicalhasbeen
validatedforinternalwatercircuitdisinfection.Makesurethat
youfollowthedisinfectantmanufacturer’sguidelinestoavoidthe
riskofinjury.Failuretofollowthedisinfectant’sinstructions may
void your warranty.
Caution
!• Alwaysusesteriledistilledwaterorwaterthathasbeenpassed
throughalterlessthanorequalto0.22micronswiththisproduct.
• Do not disinfect the internal water system with a thermal transfer
device attached as this may cause a leak.
• Donotusebleachoranyothercleaningordisinfectantagentsfor
internalcircuits.Thiscouldresultindamagetotheproduct.Only
useapproveddisinfectanttablets.
• Alwaysdraintheproductbeforedisinfectingtheinternalwater
circuit.Failuretodraintheproductmayreducetheeffectiveness
ofthedisinfectionprocess.
Tools required:
•2gallons(7.6L)ofsteriledistilledwaterthathasbeenpassedthrougha
filterlessthanorequalto0.22microns
•Personalprotectionequipment(PPE)asrecommendedbythedisinfectant
manufacturer’sinstructions
•Soft,lintfreecloth(2ormore)
•2 Klorkleen Medicaltablets(activeingredientissodium
dichloroisocyanturate (NaDCC);1874ppmdisinfectantsolutionwhen
dissolvedinonegallonof water)
•Servicetooladapterhose(8001-999-017)forColderstyleconnectorhoses
•Floordrainordrainpan
SeeProductillustrationonpage10ofthemanualforclaricationofproduct
componentnamesandlocations.
Draining the internal water circuit and hoses for disinfection
1. Unplugthepowercordfromthewalloutlet.
2. Placethecontrolleroveraoordrainordrainpan.
Note:Forbestresults,theoordrainshouldbewithinreachofawalloutlettopoweronthecontroller.
3. Todrainthecontroller,pulluponthecontrollerdrainplug(A)toopenthe
drain(Figure24).Leavethedrainopen. Figure 24
Note: Disinfection
oftheAltrix
internal water
system was
validatedusing
M. mucogenicum.
8001-069-002 Rev AB.0 Refer to the Altrix Precision Temperature Management System Operations Manual for additional information.
card 10A
Draining the internal water circuit and hoses for disinfection (cont.)
Figure 25 Figure 27 Figure 28
Figure 26
4. Connectahosetoeachport(Figure25).
5. Closetheconnectorendsofallthreehoses:
a. IfyouhaveColderstyleconnectorhoses,attachtheservicetool
adapterhose(8001-999-017)(Figure26).Completethisforallthree
hoses.
b. IfyouhaveClik-Titehoses,makesurethattheconnectorendsare
connectedandclosed(A),andclampsareopen(B).Completethisforall
threehoses(Figure27).
6. Tofullydrainthehoses,raiseallthehoses(Figure28)abovethe
connectionportsonthecontroller.
Note:Forbestperformance,hangthehosestokeepthemraised.Donot
lowerthehosesuntilyouhavecompletedthedisinfectionandrinsing
process.
7. Allow the controller and hoses to drain for a minimum of two minutes.
8. Pushdownonthedrainplugtoclosethedrain.
1. UsepersonalprotectionequipmentasrecommendedbytheKlorkleen
Medical disinfectantmanufacturer’sinstructionsforuse.
2. Put2Klorkleen Medicaltabletsintothereservoir.
3. Usingappropriatemeasuringequipment,filltheemptyreservoirwith1
gallon(3.8L)ofsteriledistilledwaterordistilledwaterthathasbeen
passedthroughalterlessthanorequalto0.22microns.
Note: Alwaysallowthedisinfectanttabletstocompletelydissolve
beforestartingthe20minutedisinfectioncycle.
4. Place the reservoir into the controller.
5. Disconnectthebottomhosefromthebottomrightport(Figure29).
6. Connect the bottom hose end to the hydraulic connector in the lid of the
reservoir(Figure30).
7. Plugthepowercordintoawalloutlet.
Figure 29 Figure 30
Disinfecting the internal water circuit and hoses
8001-069-002 Rev AB.0 Refer to the Altrix Precision Temperature Management System Operations Manual for additional information.
card 11A
Quick start guide for
Altrix Precision Temperature Management System
8. Press andholdtheStand-bybutton.
9. TaptheManualmodeicon.
10. TapConrm.
11. Setthewatertargettemperatureto25.0°C(77.0°F).
12. TapConrm.
13. Allowthecontrollertorunfor2minutestopurgeairfromthesystem.
14. Runthecontrollerfor20minutes.
15. After22minutes,turnthecontrolleroffbypressingandholdingthe
Stand-bybuttonfortwoseconds.
16. Unplugthepowercordfromthewalloutlet.
17. Placethecontrolleroveraoordrainordrainpan.
18. Removethereservoir.Pullforwardatanangle,andliftoutthe
reservoir.
19. Removethebottomhoseendfromthehydraulicconnectoradapterin
thereservoirlidbypushingdownonthecollar.
20. Emptywaterfromthereservoir,disposeofthewater
perhospitalprotocol.
21. Pulluponthecontrollerdrainplug(Figure31)
toopenthedrain.
22. Makesurethatall3hosesremainraisedabovetheconnectionports
fordraining.
23. Allow the controller and hoses to drain for a minimum of two minutes.
24. Pushdownonthecontrollerdrainplugtoclosethedrain.
25. Whenthecontrollerandhosesaredrained,continuetoRinsingthe
internal water circuit and hoses.
Disinfecting the internal water circuit and hoses (cont.)
Figure 31
8001-069-002 Rev AB.0 Refer to the Altrix Precision Temperature Management System Operations Manual for additional information.
card 12A
1. Usingappropriatemeasuringequipment,filltheemptyreservoirwith
1gallon(3.8L)ofsteriledistilledwaterordistilledwaterthathasbeen
passedthroughafilterlessthanorequalto0.22microns.
2. Place the reservoir into the controller.
3. Connect the bottom hose end to the hydraulic connector in the lid of the
reservoir(Figure32).
4. Plugthepowercordintoawalloutlet.
5. PressandholdtheStand-bybutton.
6. TaptheManualmodeicon.
7. TapConfirm.
8. Selectthewatertargettemperatureof25.0°C(77.0°F).
9. TapConfirm.
10. Allowthecontrollertorunfor2minutes topurge
air from the system.
11. Allow the controller to run for 5 minutes.
Note:Thetimerwillrunonthemain
display,followthecurrenttherapydurationtimer.
12. TapConrm.
13. After7minutes,turnthecontrolleroffbypressingandholdingthe
Stand-bybuttonfortwoseconds.
14. Unplugthepowercordfromthewalloutlet.
15. Placethecontrolleroverafloordrainordrainpan.
16.
Removethereservoir.Pullforwardatanangle,andliftoutthereservoir.
17. Removethebottomhoseendfromthehydraulicconnectoradapterin the
reservoirlidbypushingdownonthecollar.
18. Emptywaterfromthereservoir,disposeofthewaterperhospital
protocol.
19. Pulluponthecontrollerdrainplugtoopenthedrain.
20. Makesurethatall3hosesremainraisedabovetheconnectionports for
draining.
21. Allow the controller and hoses to drain for a minimum of two minutes.
22. Pushdownonthecontrollerdrainplugtoclosethedrain.
23. Wipetheinsideandoutsideofthereservoirandreservoirlid,withadry,
soft,lintfreecloth.
24. Place the reservoir into the controller.
25. Disconnectandstoretheservicetooladapterhosesfromallthreeofthe
hoses.(Ifapplicable,whenusedwithColderstylehoses.)
26. Storethepowercord,cables,andhoses.
Rinsing the internal water circuit and hoses
Figure 32
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