5000 series warmers
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- 1. nice Netech Medical Systems Pvt. Ltd
- 2. Presentation Flow COMPANY OVERVIEW CLINICAL ASPECTS OF nice 5000 SERIES OPEN CARE SYSTEM PRODUCT OVERVIEW TROUBLESHOOTING
- 3. Company INFO Established in the year 1997 Group of highly skilled professionals 4000+ highly satisfied customers Deep penetration in NICU and respiratory domain User friendly range of products With deep skills and high end technology , we always strive for growth and delighted customers
- 4. Timeline-nice Neotech 2005 First New Factory Unit 1 Opened Increase in production Line 2001 Registered as Pvt ltd Production started for different models 2013 Second New Factory Unit 2 Opened 1999 Neotech Logo Designed Designed first incubator & open care prototype 2003 Export to Vietnam 2009- 2011 CE certification for products 2015 125+skilled employee strong firm Multiple range of NICU products 1997 Started Neotech Medical Systems with 2 employees First Infant Radiant Warmer
- 5. Why nice Neotech ? User friendly range of products Customized solutions Ethical Business practices Stringent quality control management Complete customer satisfaction
- 6. Why Open Care Systems are Used? Supplement Heat Loss via four modes of heat loss(refer next slide) Assist Thermoregulation Body warming by providing Far IR radiant heat Ensure baby is stabilized after birth INFANT RADIANT WARMERS WITH PHOTOTHERAPY & RESUSCITATION
- 7. MODES OF HEAT LOSS: Conduction Heat Loss: Direct heat transfer from skin to object Convection Heat Loss: (i) Heat loss through air flow (ii) Also depends on Air Temperature Radiant Heat Loss: Direct transfer by electromagnetic radiation in infrared spectrum (i) Heat gained by radiation from external radiant energy source. (ii) Heat lost by radiation to cooler walls of incubator. Evaporation Heat Loss: Heat loss when water evaporates from skin and respiratory track. Depends on maximum relative humidity of surrounding Less Humidity = More Evaporation Heat Loss(watts/meter square) Evaporation: 60-80 watts/meter square Radiation: 50 watts/meter square Convection: 25 watts/meter square Evaporation: Negligible Total Heat Loss: 135-155 watts/meter square
- 8. Electromagnetic Spectrum Infrared Spectrum
- 9. Effects of Far IR in Infant body Far Infrared Rays are invisible waves of energy They have the ability to penetrate all layers of the infant body, penetrating into the inner-most regions of the tissues, muscles and bone. Far Infrared Rays very gently increases blood flow by expanding the capillaries that carry blood. It also increases oxygenation and regeneration of the blood. Far Infrared boosts the immune system, increasing the amount of white blood cells and killer T-cells. Far Infrared can also increase the processing enzyme activity in digestive tract, as well as boost metabolism.
- 10. Types of heaters Quartz A quartz heater is a type of infrared heater. The heating comes from a heating element encased inside a quartz tube. The element produces a wavelength of infrared radiation. The quartz protects the heating element and stops convection heat from escaping. Far IR Infrared Infrared radiation is a type of electromagnetic radiation just below the frequency of visible light. Pretty much everything emits infrared radiation. The hotter something is, the more infrared it emits. Every molecule also absorbs infrared at a certain wavelength. When a molecule absorbs infrared energy, it heats up. The IR rays ,by deep penetration in skin, ensures the growth of cells by stimulating it.
- 11. Ceramic Heaters Ceramic heaters are heaters that generate heat by passing electricity through heating wires embedded in ceramic plates. The ceramic coating tend to crack over a period of time and can fall over the baby causing havoc Tubular Heater A tubular heater is designed from metal tubing. There are chances of heat loss and heat conduction in relative heating methods. compared with other heating methods like resistance heating , infrared heating. The heating pipe has higher cost due to metal material . Types of heaters(Contd.)
- 12. Benefits of Heater QUARTZ Instant Heating Cost efficient Far IR heating stimulates skin cells Long life Does not crack CERAMIC Takes time to heat Not cost effective No Far IR heating Cracks in a period of time (ceramic coating) TUBULAR Risk of fire High operating cost Delay in heating No Far IR heating Far IR Heating stimulates the cells of the baby by skin penetration and in turn helps growth of baby
- 13. Phototherapy System Bilirubin is a neurotoxic breakdown product of red blood cell haemoglobin which if allowed to concentrate in the blood causes the yellow skin coloration associated with jaundice and can result in irreversible brain damage. Exposing the affected infant to light at the blue end of the visible spectrum(450-495nm) has been shown to reduce the concentration of bilirubin by causing it to become more soluble and therefore more easily excreted from the body. outcom e The Phototherapy provides light of suitable wave-length and intensity for the treatment of hyperbilirubinaemia.
- 14. Resuscitation Substantial physiologic changes occur in the transition from fetal to extra uterine life including: The role of the placenta in gas exchange is taken over by the lungs. Changes from fluid-filled to air filled lungs. Dramatic increase in blood flow to the lungs with reversal, then closure of intra and extra cardiac shunts. Assistance to breathe at birth Prevent neonatal death Prevent Adverse longterm neurodevelopmental sequelae Failure or disruption of these changes may result in further difficulties with resuscitation in the newborn infant The need for resuscitation of the newborn infant at birth cannot always be anticipated or predicted. Benefit
- 15. A range of Baby friendly equipments 6 Layer security Introducing nice Netech 5000 series Open Care Systems Designed to perfection for your baby
- 16. nice 5000 series Open Care Systems Models nice 5000 RP Open Care System Servo skin, Air and manual mode Apgar timer LED Phototherapy unit Resuscitator with PIP & PEEP O2 driven Venturi slow suction nice 5000 R Open Care System Servo skin, Air and manual mode Apgar timer Resuscitator with PIP & PEEP O2 driven Venturi slow suction nice 5000 P Open Care System Servo skin, Air and manual mode Apgar timer LED Phototherapy unit O2 driven Venturi slow suction Nice 5000 Infant Radiant Warmer Servo skin, Air and manual mode Apgar timer Large LED display
- 17. Micro controller based electronics 6 Layer security Servo Skin ,Air and Manual mode controls LED Phototherapy with timer cut off Resuscitation with safe PIP and PEEP Calibration Free temperature probe High Intensity Quartz Heating element for effective radiation Halogen Observational Lamp Parabolic reflector for uniform heating Memory Backup restores previously entered data in case of power failure Comprehensive alarms and safety cut off Instant warming and uniform heating Short wave heater ensures instant warming Automatic safety heater cutoff at 39 C at any mode APGAR Timer O2 activated venturi suction Auxiliary oxygen Keypad Lock Features
- 18. How to operate? Control Panel Operation Operating Modes Alarms Heater Module Bed Platform Operation Side Panel Operation X-ray procedure LED Phototherapy Manual Resuscitation Suction System Auxiliary oxygen
- 19. Control Panel Operation 1 Skin Temperature Display 1 7 Decrease Key 2 Skin/Air Set Temperature Display 1 8 Increase Key 3 Fahrenheit Indicator 1 9 APGAR Kay 4 Centigrade Indicator 2 0 C/F Conversion Key 5 Skin Probe Failure Indicator 2 1 Lock Key 6 Air Probe Failure Indicator 2 2 Heater Output Indicator 7 Heater Failure Indicator 2 3 Skin mode indicator 8 Skin/Air >39C Indicator 2 4 APGAR Timer Indicator 9 System Failure Indicator 2 5 Mute ON Indicator 10 Power Failure Indicator 2 6 Manual Timer Indicator 11 Lock Indicator 2 7 Air Temperature Low Indicator 12 APGAR/Manual Timer Indicator 2 8 Air Temperature High Indicator 13 Air mode Indicator 2 9 Skin Temperature Low Indicator 14 Manual Mode indicator 3 0 Skin Temperature High Indicator 15 Mode Key 3 1 Alarm Indicator 16 Mute Key 3 2 Air temperature Display
- 20. Resuscitation Panel 1)Gas Supply Flow rate Set the Flow rate at 5 - 7 LPM in the Flow Meter 2)Setting the Maximum Pressure Occlude PEEP knob and turn PIP control fully clockwise adjust maximum pressure control knob clockwise or counterclockwise to set desired maximum pressure 3)Setting the Peak Inspiratory Pressure (PIP) Occlude the PEEP knob, turn PIP control knob counter-clockwise until the desired peak inspiratory pressure is set. 1 2 3
- 21. Operating Modes Manual Mode Operation The environment temperature in bed platform area is manually control by varying the percentage of heater output. Manual Timer Setting Press Mode key and change into Manual Mode then Press Combination of Mute Key and increase ()/Decrease () Key Set the Manual Timer (1 min 15 min) % of Heater output Setting Press increase ()/Decrease () switch to adjust the % of Heater Output in 10% increments. Manual timer alarm for 15 min by default, as an indication to monitor the patient temperature at a time the heater output is reduced.
- 22. Skin Mode Operation Note: The skin temperature probe must be properly attached before choosing Skin mode operation. The user must select a Skin control temperature (Set required Temperature) when the Infant Radiant Warmer is used in the Skin mode. How to set temperature in skin mode? The Skin control temperature is adjusted by pressing the increase () and decrease () switches. The temperature can be adjusted from 32C to 38C. APGAR Timer: The APGAR display indicates the APGAR timer select in the APGAR Mode. Operating