®

P/N 10484-000 11/98

TM
Medi-Therm II
Hyper/Hypothermia Machine
MTA5900 Series

www.gaymar.com
Manual Mode
Automatic Mode
Monitor Mode

LISTED 303L

STANDARD [NORME]
R
C22.2 No. 125 RISK
CLASS [CATEGORIE DE
RISQUES] NO. 2G Operator's Manual
P/N 10484-000 11/98
Before you begin . . . Medi-Therm II

P/N 10484-000 11/98

Important
Table of Contents
U. S. Federal law restricts this device to sale
Section Description Page by or on the order of a physician.
1.0 Safety Precautions .................................. 1 Read and understand this Medi-Therm II
2.0 Description .............................................. 2 Operating Manual and all Safety Precautions
3.0 Features .................................................... 3 (see section 1.0, page 1 and section 8.0,
4.0 Operator Control Panel ...................... 4 pp. 14-15) prior to using the Medi-Therm II
Hyper/Hypothermia Machine.
5.0 Start-up Procedure ................................ 6
6.0 Shutdown Procedure ............................ 7
7.0 Modes of Operations ............................ 8
Manual Mode ........................................... 8

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Automatic Mode .................................. 10
Monitor Mode ...................................... 12
8.0 Patient Safety ......................................... 14 Receiving Inspection
9.0 Care of Medi-Therm II ....................... 16
10.0 Alerts/Troubleshooting ...................... 18 Refer to the Medi-Therm II Service Manual for
11.0 Blankets/Accessories ........................... 20 Receiving Inspection and Check-out Procedures.
12.0 Customer Training ............................... 20 If you have any questions, contact Gaymar's
13.0 Warranty ................................................ 20 Technical Service Department for assistance.

Telephone:
Toll free 1 800 828-7341
Direct (716) 662-2551
Illustrations
Fax:
Figure Description Page Toll free 1 800 993-7890
Direct (716) 662-0748
1 Medi-Therm II System ......................... 2
2 Medi-Therm II Features ...................... 3
3 Medi-Therm II Control Panel ............ 4
4 Pinch Clamps .......................................... 6
5 Quick-disconnects ................................ 6
6 Clik-Tite Connector ............................ 6
7 Float .......................................................... 7
8 Manual Mode .......................................... 9
9 Automatic Mode ................................. 10
10 Monitor Mode ..................................... 12
11 Probe Check Well ............................... 17

Medi-ThermTM is a trademark of Gaymar Industries, Inc.

Clik-Tite® is a registered trademark of Gaymar Industries, Inc.
© Copyright 1998. Gaymar Industries, Inc. All rights reserved.
Medi-Therm II Safety Precautions

P/N 10484-000 11/98

1.0 Safety Precautions WARNING
Read and understand this operating manual and
all precautions listed below prior to using the • Keep the area between the patient and the
Medi-Therm II Hyper/Hypothermia Machine. blanket dry. Excessive moisture may result in
skin damage.
• Do not tip machine over without first draining
DANGER the water out and unplugging the power cord.
Damage to the machine or electrical shock
Do not use the Medi-Therm II machine in can result.
the presence of flammable anesthetics.
Risk of explosion can result. • Repairs should be performed by qualified
personnel such as certified biomedical electronics
technicians or certified clinical engineers familiar
with repair practices for servicing medical devices,
and in accordance with the Medi-Therm II Service

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WARNING
Manual. Do not attempt repairs to Gaymar
• If the patient’s temperature is not responding or medical equipment unless you possess these skills.
does not reach the prescribed temperature in the Damage to the machine or malfunction
prescribed time or deviates from the prescribed may otherwise result.
temperature range, notify the attending physician
promptly. Failure to notify the physician
promptly may result in serious injury or
death.
CAUTION
• Power interruption will cause the Medi-Therm II
machine to go into a standby mode, resulting in no • Fill with distilled water only. Failure to use
therapy to the patient. Follow instructions for distilled water may result in poor machine
desired mode to resume operation. Failure to performance. Do not use alcohol. Alcohol may
resume therapy could result in serious injury accelerate blanket deterioration. Do not operate
or death. without water, since damage to internal
• When performing the PROBE CHECK (p. 18, components may result. Do not overfill.
10.1.2, item 4), use a protective sheath on the Overfilling may result in overflow because the
probe. Failure to use a sheath could result in water in the blanket drains back into the machine
cross-contamination. when the machine is turned off.

• A physician’s order is required for setting blanket • Place a dry absorbent sheet between the patient
and the blanket when using all-vinyl blankets.
temperature and for continued use of equipment.
Moisture may accumulate which may result
At least every 20 minutes or as directed by a
in skin damage.
physician, check patient’s temperature and skin
condition of areas in contact with blanket; also,
check blanket water temperature. Pediatric,
temperature-sensitive, and operating room
patients should be checked more frequently.
Failure to monitor patient may result in
skin damage or inappropriate patient
temperature.
• Avoid placing additional heat sources between the
patient and blanket. Skin damage may result.
• Prevent excessive and/or prolonged tissue
pressure and shearing forces, especially over
boney prominences. Skin damage may result.

1
Description Medi-Therm II

P/N 10484-000 11/98

control panel

YSI 400 series or equivalent

patient probe

connector hose

®
Hyper/Hypothermia
blanket

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Medi-Therm II
machine

pinch
clamp

LY
PP
SU

LY
PP
SU

®
Clik-Tite connector

®
Quick-disconnects Clik-Tite connectors and
on machine end representative hose clamps

Figure 1—Medi-Therm II Hyper/Hypothermia System

2.0 Description
This manual describes the operation of the Medi-Therm The Medi-Therm II machine, Hyper/Hypothermia blanket,
II Hyper/Hypothermia machine. connector hose, and patient probe comprise the
Medi-Therm II system (fig. 1).
The Medi-Therm II Hyper/Hypothermia machine
provides a means of regulating patient temperature by Please read and understand the precautions on page 1
supplying temperature-controlled water through a and the following operating instructions before
connector hose to a Gaymar Hyper/Hypothermia blanket. attempting to use the Medi-Therm II system. In addition,
The companion blanket provides the interface for heating we recommend you request in-service training from your
or cooling the patient. A patient probe senses patient Gaymar representative.
temperature.

2
Medi-Therm II Features

P/N 10484-000 11/98

3.0 Features
Please familiarize yourself with the location and purpose
of the features (fig. 2) before reading the start-up
procedures or attempting to operate the Medi-Therm II
Machine.

Operator Control Panel

Water Fill Opening Identifies displays, indicators, and
Lift cover. Fill unit with distilled controls used in Medi-Therm II
water until green band on float is operation (pp. 4-5).
fully visible (p. 7)

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Patient Probe Jack
Operating Instructions Accepts patient probe plug
& Precautions connecting patient probe to
Condensed instructions are located machine (pp. 10, 12). Use
on the cover of the water fill opening YSI 400 series probe or
and on the rear-facing side of the equivalent.
Operator Control Panel's sloped
surface.

Blanket Connections &

Probe Check Well
Quick-disconnects facilitate
connection to blanket water
supply (p. 6). PROBE CHECK
well verifies patient probe
(p. 18).

ON/OFF Switch
(Circuit Breaker)
Controls power to
Medi-Therm II.

Figure 2—Medi-Therm II features

3
 Operator Control Panel Medi-Therm II

P/N 10484-000 11/98

Medi-Therm II
ΠSTATUS: Flow-OK Heat In-Temp Cool

 ALERT SELECT MODE Ž  TEMPERATURE

TO CONTROL BLANKET TEMPERATURE:
CHECK WATER FLOW CONNECT BLANKET(S) °C
PRESS MANUAL BUTTON
MANUAL SET DESIRED BLANKET TEMP.
°F
CHECK PATIENT PROBE
Blanket Patient
ADD WATER
TO CONTROL PATIENT TEMPERATURE:
°C/°F
CONNECT BLANKET(S)
REMOVE FROM USE NOW INSERT PATIENT PROBE
MACHINE SHUT DOWN AUTO PRESS AUTO BUTTON Set Point
SET DESIRED PATIENT TEMP.

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TO MONITOR PATIENT TEMPERATURE:
(NO THERAPY)
TEST SILENCE INSERT PATIENT PROBE
MONITOR PRESS MONITOR BUTTON
LIGHTS ALARM

Figure 3—Medi-Therm II Control Panel

4.0 Operator Control Panel  ALERT SECTION

The control panel is divided into sections according to ALERT indicators light when some form of operator
function and use. The principal panel sections are action is required. In addition to the visual indicator, an
identified in figure 3. audible alarm may sound. ALERT controls allow the
Medi-Therm II operator to test panel lights or to silence
ΠSTATUS SECTION the audible alarm.
STATUS displays light to indicate both the machine’s flow
CHECK WATER FLOW indicates the flow of water to
status and how the blanket water temperature is being
the blanket has been restricted.
controlled to reach the desired temperature setting.
STATUS displays function in both MANUAL and AUTO
CHECK PATIENT PROBE indicates the patient probe is
modes.
sensing an abnormal patient temperature (below 32°C
[89.6°F] or above 45°C [113°F]). It may indicate the
FLOW-OK indicates blanket water is flowing adequately.
patient probe has become dislodged, an incorrect probe
is being used, or a probe has become defective. An
HEAT indicates blanket water is being heated.
audible alarm accompanies this alert.
The maximum blanket temperature is:
• MTA5900 ......... 41°C (105.8°F) ADD WATER indicates the water reservoir is filled to
• MTA5901 ......... 41°C (105.8°F) less than the recommended level.
• MTA5942 ......... 42°C (107.6°F)
REMOVE FROM USE NOW / MACHINE
IN-TEMP indicates the Medi-Therm II is controlling SHUTDOWN indicates the Medi-Therm II has shut
temperature at the desired setting. down due to blanket water temperature exceeding either
the high or the low limit. An audible alarm accompanies
COOL indicates blanket water is being cooled. Minimum this alert. Remove the Medi-Therm II machine from
blanket temperature is 4°C (39.2°F). use immediately.

4
 Medi-Therm II Operator Control Panel

P/N 10484-000 11/98

TEST LIGHTS confirms that all indicator lights and digital  TEMPERATURE SECTION
displays are working, and that the audible alarm is
TEMPERATURE displays identify BLANKET, PATIENT, and
functioning. The displays flash and the audible alarm
SET POINT temperatures. Temperature may be set and
sounds as long as the TEST LIGHTS button is pressed.
displayed in either degrees Celsius (°C) or Fahrenheit
(°F). *
SILENCE ALARM temporarily silences the audible alarm.
The alarm will reactivate in approximately 5 minutes if
BLANKET indicates the actual temperature of the water
the condition persists.
being delivered to the blanket. This display is illuminated
NOTE: The SILENCE ALARM button will not function if when MODE is set to either MANUAL or AUTO.
the REMOVE FROM USE NOW / MACHINE
SHUTDOWN indicator is lit. PATIENT indicates actual patient temperature as sensed
by the probe connected to the patient probe jack. This
display is illuminated when MODE is set to MANUAL,
Ž MODE SECTION AUTO, or MONITOR and a patient probe is plugged into
the PATIENT PROBE jack.

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The SELECT indicator lights when a choice of operating
modes is required. MODE buttons select the desired
SET POINT indicates the desired SET POINT
operating mode. Patient therapy is provided in either
temperature. When operating in MANUAL mode,
MANUAL or AUTO mode. A third mode, MONITOR, may
pressing the SET POINT button (“∇” or “∆”) sets the
be used to monitor patient temperature without
desired BLANKET water temperature. When in AUTO
providing therapy. After the mode button is pressed, the
mode, pressing the SET POINT button sets the desired
indicator at the top of the mode button lights.
patient temperature.
MANUAL selects the manual mode of operation. In
°C/°F displays the temperature in either degrees Celsius
MANUAL mode, the operator must observe patient
(°C) or Fahrenheit (°F). Pressing the °C/°F button will
temperature and adjust the blanket water set point
display the corresponding indicator. *
temperature to obtain the desired results.

AUTO selects the automatic mode of operation. In

AUTOMATIC mode, the operator sets the desired
temperature and the patient temperature is automatically
regulated to the operator specified set point.
* Some models do not have the °C/°F feature.
MONITOR selects the monitor mode of operation. In
MONITOR mode, the operator may monitor patient
temperature without providing therapy.

5
Start-up Procedure Medi-Therm II

P/N 10484-000 11/98

5.0 Start-up Procedure Return
For your convenience, condensed versions of the
following instructions have been permanently mounted
on the cover of the water fill opening and on the rear- N N
UR UR
facing side of the Operator Control Panel's sloped RE
T
RE
T

LY Y
PP PL
surface. RE
T UR
N
SU
RE
T UR
N
S UP

LY LY
PP PP
SU SU

Perform the following start-up procedure each time the

Medi-Therm II system is placed in operation:
Supply

5.1 Close Pinch Clamps

Figure 5—Quick-disconnects
Pinch clamps are provided on both the connector and
blanket hoses to prevent water spillage when blankets are

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changed (fig. 4).

Close the pinch clamps on the connector hose and collar to snap back into position. Check to make
Hyper/Hypothermia blanket. sure the fitting is fully engaged by tugging firmly on
the hose fitting.

b. Attach the two Clik-Tite connectors (fig. 6) on the

connector hose to the blanket. Insert the male fitting
into the female. When fittings are fully seated, snap
the locking ring into place to assure a positive lock.

Figure 4—Pinch Clamps

5.2 Attach Blanket

Attach the Hyper/Hypothermia blanket to the
Medi-Therm II machine (fig. 1):

a. Connect a Gaymar Model DBK9 connector hose to

the Medi-Therm II machine. The hose is ten feet long. Figure 6—Clik-Tite Connector
It has quick-disconnect (metal) fittings for the
Medi-Therm II machine end and Clik-Tite® (plastic)
connectors for the blanket end.

To connect the hose, attach one quick-disconnect 5.3 Open All Pinch Clamps
fitting to the RETURN machine connection (top) and Open all pinch clamps on the connector hose and the
one to the SUPPLY (bottom). See figure 5. To insure Hyper/Hypothermia blanket.
a tight connection, push the retaining collar toward
the cabinet and insert the quick-disconnect fitting Failure to open the pinch clamps will prevent water flow
firmly. While holding the fitting, allow the retaining and will trigger the CHECK WATER FLOW alert.

6
Medi-Therm II Start-up Procedure / Shutdown Procedure

P/N 10484-000 11/98

5.4 Check Water Level 5.6 Perform Indicator Light Test
Check to make sure water is at the proper level by Since machine indicators are essential to proper machine
raising the cover on the water fill opening. Fill with operation, you should test the indicator lights each time
distilled water until the green band on the float is fully the machine is placed in operation. Perform this test by
visible (fig. 7). pressing and holding the TEST LIGHTS button.

While holding the TEST LIGHTS button down, verify the

following occurs:

• the right and left halves of the display panel light

alternately;
• the four status legends (FLOW-OK, HEAT, IN-TEMP,
and COOL) light;
Figure 7—Float, showing proper water level • the ALERT legend and its four (triangular)

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indicators light;

CAUTION • the three mode legends and SELECT heading

light;
• Add distilled water only. Failure to use distilled • the three temperature displays (BLANKET,
water may result in poor machine performance. PATIENT, and SET POINT) indicate 888, 888.8, and
• Do not use alcohol, which may accelerate 888.8, respectively;
blanket deterioration. • the two temperature control legends (“°C” and
• Do not operate without water, since damage “°F”) * and the two lines connecting SET POINT
to internal components may result. to both the BLANKET and PATIENT display light;

• Do not overfill. Overfilling may result in • the audible alarm sounds.

overflow because the water in the blanket drains
back into the machine when the machine is If any indicator does not light, or the alarm does
turned off. not sound, remove the machine from use.

This completes the start-up procedures for the

Medi-Therm II machine. Please proceed to sections 7.0
5.5 Connect Power/Turn Machine On through 7.3 for the operating instructions for MANUAL,
If the machine is not already plugged in, insert the power AUTO and MONITOR modes.
cord plug into a properly grounded AC receptacle at this
time. Press the ON/OFF Switch to the ON position.
6.0 Shutdown Procedure
When first turned on, the Medi-Therm II enters its
When therapy is completed, turn off the Medi-Therm II
standby mode:
machine. Close pinch clamps before disconnecting the
• the ON/OFF switch will light; blanket.
• the machine will beep once;
• the SELECT heading will light;
• the BLANKET, PATIENT, and SET POINT
temperature displays will show dashes; and
* Some models do not have the °C/°F feature.
• the “°C” or “°F” indicator will light, depending
on the scale last selected. *

NOTE: If the ADD WATER indicator lights, add distilled

water until the green band on the float is visible.

7
Modes of Operation / Manual Mode Medi-Therm II

P/N 10484-000 11/98

7.0 Modes of Operation 7.1 Manual Mode
Read and understand the contents of these Operating (To Control Patient Temperature)
Instructions and associated precautions before using the
When operating in the MANUAL mode, the Medi-Therm
Medi-Therm II machine. Any application of the Hyper/
II machine regulates the BLANKET water temperature to
Hypothermia System must be under the direction of the
the selected SET POINT. A temperature sensor within the
attending physician.
machine monitors water temperature, and the machine
heats or cools the blanket water as required to bring it
WARNING to the SET POINT temperature.

• If the patient's temperature is not responding or In MANUAL mode, the operator must observe the
does not reach the prescribed temperature in the patient’s temperature and manually adjust the blanket
prescribed time or deviates from the prescribed temperature to obtain the desired results.
temperature range, notify the attending physician
promptly. To operate in MANUAL mode:

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Failure to notify the physician promptly
may result in serious injury or death.
 Perform all start-up procedures (pp. 6-7).
• Power interruption will cause the Medi-Therm II
 Press the MANUAL mode button. The upper
window on the MANUAL button will light.
machine to go into a standby mode (see item 5.5,
p. 7), resulting in no therapy to the patient. Follow The BLANKET display will indicate blanket water
instructions for desired mode to resume temperature. The SET POINT display will indicate
operation. the default temperature (32°C [89.6°F]) at start-
up, until selecting the SET POINT temperature in
Failure to resume therapy could result in step 4 below.
serious injury or death.
Ž If desired, change the temperature scale by
pressing the “°C/°F” button. *
The Medi-Therm II machine is designed to operate in
three (3) modes:  Adjust the SET POINT display to the prescribed
blanket temperature setting by pressing the “∇”
• MANUAL (blanket temperature control), or “∆” button to decrease or increase the SET
• AUTO (automatic patient temperature control), and POINT.
• MONITOR (patient temperature monitoring).
The STATUS display will indicate HEAT or COOL while the
Some applications may require a second blanket in order machine is heating or cooling the blanket water. When
to achieve additional or more rapid heating or cooling. the blanket temperature stabilizes (within 1°C [1.8°F] of
For these situations, a second blanket may be connected the SET POINT temperature), the IN-TEMP indicator will
to the machine. The rate of patient heating or cooling may light indicating that the desired blanket water
also be increased by positioning half- and full-size blankets temperature is being maintained.
so that greater body surface is in contact with the
blankets. NOTE: When the Medi-Therm II machine is turned on,
the machine set point defaults to 32°C (89.6°F)
NOTE: When connecting a second blanket to the when MANUAL mode is selected, or 37°C
Medi-Therm II machine, check the water level (98.6°F) when AUTO mode is selected.
(see Start-up Procedure, pp. 6-7) prior to
connecting the additional blanket. Once a SET POINT temperature for a mode has
been selected, it is retained for that mode until
the SET POINT temperature is changed or the
machine has been turned off. The SET POINT
temperature in one mode does not affect
the SET POINT temperature in another
mode.

* Some models do not have the °C/°F feature.

8
Medi-Therm II Modes of Operation / Manual Mode

P/N 10484-000 11/98

Medi-Therm II
STATUS: Flow-OK Heat In-Temp Cool

ALERT SELECT MODE

 TEMPERATURE
TO CONTROL BLANKET TEMPERATURE:
CHECK WATER FLOW CONNECT BLANKET(S) °C
PRESS MANUAL BUTTON
MANUAL SET DESIRED BLANKET TEMP.
°F

CHECK PATIENT PROBE
Blanket Patient
ADD WATER
TO CONTROL PATIENT TEMPERATURE:
Ž °C/°F
CONNECT BLANKET(S)
REMOVE FROM USE NOW INSERT PATIENT PROBE
MACHINE SHUT DOWN AUTO PRESS AUTO BUTTON Set Point
SET DESIRED PATIENT TEMP.

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TO MONITOR PATIENT TEMPERATURE:
(NO THERAPY)
TEST
LIGHTS
SILENCE
ALARM
MONITOR
INSERT PATIENT PROBE
PRESS MONITOR BUTTON 

Figure 8—Manual Mode

WARNING securely to prevent accidental dislodgment.

Insert plug end of patient probe into PATIENT
 At least every 20 minutes, or as directed by
a physician, check the patient’s temperature
PROBE jack. Make sure probe plug is fully seated.
The MANUAL mode switch must be pressed.
and skin condition of areas in contact with Use YSI 400 Series Probes or equivalent.
blanket; also check BLANKET WATER If in doubt that the correct probe is being used
temperature display. and is operating properly, perform a PROBE
CHECK test (p. 18, 10.1.2, item 4).
Failure to monitor patient may result
in skin damage or inappropriate Patient temperature will be indicated on the
patient temperature. PATIENT temperature display.
If the patient probe senses an abnormal patient
temperature (below 32°C [89.6°F] or above
45°C [113°F]), the CHECK PATIENT PROBE alert
NOTE: While operating in the MANUAL mode, the
will light and an audible alarm will sound. This
patient probe may be used to monitor the
condition may indicate the patient probe has
patient’s temperature.
become dislodged, an incorrect probe is being
To use this Medi-Therm II feature, insert sensing used, or the probe has become defective (see
end of patient probe into patient and tape Alerts, pp. 18-19).

9
Modes of Operation / Automatic Mode Medi-Therm II

P/N 10484-000 11/98

Medi-Therm II
STATUS: Flow-OK Heat In-Temp Cool

ALERT SELECT MODE ’ TEMPERATURE

TO CONTROL BLANKET TEMPERATURE:
CHECK WATER FLOW CONNECT BLANKET(S) °C
PRESS MANUAL BUTTON
MANUAL SET DESIRED BLANKET TEMP.
°F

CHECK PATIENT PROBE
Blanket Patient
ADD WATER
TO CONTROL PATIENT TEMPERATURE:
°C/°F
CONNECT BLANKET(S)
REMOVE FROM USE NOW INSERT PATIENT PROBE
MACHINE SHUT DOWN AUTO PRESS AUTO BUTTON Set Point
SET DESIRED PATIENT TEMP.

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TO MONITOR PATIENT TEMPERATURE:

‘
(NO THERAPY)
TEST SILENCE INSERT PATIENT PROBE
MONITOR PRESS MONITOR BUTTON
LIGHTS ALARM

Figure 9—Automatic Mode

7.2 Automatic Mode Ž

(To Control Patient Temperature)
When operating in the AUTO mode, the Medi-Therm II
automatically regulates the patient’s temperature to the
 Press the AUTO mode button. The upper
window on the AUTO button will light.
selected SET POINT. The machine constantly compares
NOTE: To prevent accidental triggering of the
actual patient temperature with the SET POINT value, and
CHECK PATIENT PROBE alert, place
automatically adjusts the BLANKET water temperature so
probe in patient and wait five (5)
that the desired patient temperature is achieved.
minutes before pressing AUTO mode
button.
To operate in AUTO mode:

 Perform all start-up procedures (pp. 6-7). The BLANKET display will indicate blanket water
temperature. The PATIENT display will indicate
‚ Insert sensing end of patient probe into patient
and tape securely to prevent accidental
patient temperature. The SET POINT
temperature will indicate the default
dislodgment. temperature (37°C [98.6°F]) at start-up, until
selecting the SET POINT temperature in step 6
Ž PROBE
Insert plug end of patient probe into PATIENT
jack.
(p. 11).

NOTE: Make sure probe plug is fully seated.  Ifpressing

desired, change the temperature scale by
the “°C/°F” button. *
Use YSI 400 series probes or
equivalent. If in doubt that the
correct probe is being used and is
* Some models do not have the °C/°F feature.
operating properly, perform a PROBE
CHECK test (p. 18, 10.1.2, item 4).

10
Medi-Therm II Modes of Operation / Automatic Mode

P/N 10484-000 11/98

‘ Adjust the SET POINT display to the prescribed
patient temperature setting by pressing the “∇”
or “∆” button to decrease or increase the SET
POINT.

NOTE: When the Medi-Therm II machine is turned

on, the machine set point defaults to 32°C
(89.6°F) when MANUAL mode is selected or
37°C (98.6°F) when AUTO mode is selected.

Once a SET POINT temperature for a mode

has been selected, it is retained for that
mode until the SET POINT temperature is
changed or the machine has been turned
off. The SET POINT temperature in

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one mode does not affect the SET
POINT temperature in another mode.

WARNING

’ • At least every 20 minutes, or as directed by a

physician, check the patient’s temperature
and skin condition of areas in contact with
blanket; also check BLANKET WATER
temperature display.
Failure to monitor patient may result in
skin damage or inappropriate patient
temperature.

• If the patient probe senses an abnormal

patient temperature (below 32°C [89.6°F] or
above 45°C [113°F]), therapy will stop, the
CHECK PATIENT PROBE alert will light and an
audible alarm will sound.
This condition may indicate the patient
probe has become dislodged, an
incorrect probe is being used, or the
probe has become defective (see Alerts,
pp. 18-19).

NOTE: The PATIENT temperature display will flash when

the patient’s temperature is more than 1°C
(1.8°F) from the SET POINT temperature. Such
flashing occurs only in the AUTO mode.

11
Modes of Operation / Monitor Mode Medi-Therm II

P/N 10484-000 11/98

Medi-Therm II
STATUS: Flow-OK Heat In-Temp Cool

ALERT SELECT MODE TEMPERATURE

TO CONTROL BLANKET TEMPERATURE:
CHECK WATER FLOW CONNECT BLANKET(S) °C
PRESS MANUAL BUTTON
MANUAL SET DESIRED BLANKET TEMP.
°F
CHECK PATIENT PROBE
Blanket Patient
ADD WATER
TO CONTROL PATIENT TEMPERATURE:
°C/°F
CONNECT BLANKET(S)
REMOVE FROM USE NOW INSERT PATIENT PROBE
MACHINE SHUT DOWN AUTO PRESS AUTO BUTTON Set Point
SET DESIRED PATIENT TEMP.

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TO MONITOR PATIENT TEMPERATURE:
(NO THERAPY)
TEST
LIGHTS
SILENCE
ALARM
MONITOR
INSERT PATIENT PROBE
PRESS MONITOR BUTTON 


Figure 10—Monitor Mode

Ž
7.3 Monitor Mode  Press the MONITOR mode button. The upper
(Patient Temperature Monitoring, window on the MONITOR button will light. The
No Therapy) patient’s temperature will be displayed.

Press MONITOR mode when no patient temperature  Ifpressing

desired, change the temperature scale by
the “°C/°F” button. *
therapy is required, but monitoring of patient
temperature is desired.
NOTE: If the patient probe senses an abnormal
To operate in MONITOR mode: patient temperature (below 32°C

 Perform steps 5.4, 5.5, and 5.6 of the Start-up

Procedure (pp. 6-7).
[89.6°F] or above 45°C [113°F]), the
CHECK PATIENT PROBE alert will light
and sound an audible alarm.
‚ Insert sensing end of patient probe into patient This condition may indicate the
and tape securely to prevent accidental
patient probe has become dislodged, an
dislodgment.
incorrect probe is being used, or a
Ž Insert plug end of patient probe into the
PATIENT PROBE jack.
probe has become defective (see Alerts,
pp. 18-19).
Make sure probe plug is fully seated.
REMEMBER . . . in MONITOR mode, no therapy is
Use YSI 400 Series Probes or equivalent.
provided.
If in doubt that the correct probe is being used
and is operating properly, perform a PROBE
CHECK test (p. 18, 10.1.2, item 4). * Some models do not have the °C/°F feature.

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Medi-Therm II

P/N 10484-000 11/98

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13
Patient Safety Medi-Therm II

P/N 10484-000 11/98

8.0 Patient Safety WARNING
Use the Medi-Therm II Hyper/Hypothermia machine only
under the direction of a physician. • A physician’s order is required for setting blanket
temperature and for continued use of equipment.
Review the following precautions and procedures prior At least every 20 minutes, or as directed by a
to each application: physician, check patient’s temperature and skin
condition of areas in contact with blanket; also,
check blanket water temperature. Pediatric,
DANGER temperature-sensitive and operating room
patients should be checked more frequently.
Do not use the Medi-Therm II machine in the Failure to monitor patient may result in
presence of flammable anesthetics. skin damage or inappropriate patient
temperature.
Risk of explosion can result.

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PEDIATRICS - The temperatures of infants and
children are more responsive to surface heating
and cooling than adults. The smaller the patient,
the more pronounced the effect because of
WARNING
their higher ratio of skin contact area to body
mass.
• If the patient’s temperature is not responding or
TEMPERATURE-SENSITIVE PATIENTS -
does not reach the prescribed temperature in the
Patients with impaired peripheral blood
prescribed time or deviates from the prescribed
circulation caused by vascular diseases and
temperature range, notify the attending physician
patients who are incapacitated may be more
promptly.
sensitive to temperature changes than patients
Failure to notify the physician promptly with more normal circulation.
may result in serious injury or death.
OPERATING ROOM PATIENTS - Patients with
• Power interruption will cause the Medi-Therm II poor circulation associated with inadequate
machine to go into a standby mode, resulting in heart function, reduction in blood volume, and
no therapy to the patient. Follow instructions for constriction of peripheral blood vessels may
desired mode to resume operation. deviate from the normal response to the
external application of heat and cold.
Failure to resume therapy could result in
serious injury or death. • Avoid placing additional heat sources between the
patient and blanket.
• The Medi-Therm II machine is provided with a
means of checking rectal/esophageal temperature Skin damage can result.
probes. When performing the PROBE CHECK
Heat applied by the blanket can result in a rise
(p. 18, 10.1.2, item 4), use a disposable protective
in skin temperature at the areas of contact. The
sheath on the probe.
additional heat rise due to electrosurgical
Failure to use sheath could result in currents flowing to the dispersive electrode
cross-contamination. could be sufficient to cause tissue injury. Each
thermal effect by itself may be completely safe,
but the additive effect may be injurious.1 Keep
(continued next column)
additional heat sources from between the
patient and the blanket.
(continued next page)

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Medi-Therm II Patient Safety

P/N 10484-000 11/98

WARNING REFERENCES

• Prevent excessive and/or prolonged tissue 1 Gendron, F. G. Unexplained Patient Burns. Chap. 5,
pressure and shearing forces, especially over p. 87, Quest Publishing Co., 1988.
boney prominences. 2 Scott, Stewart M. Thermal Blanket Injury in the
Skin damage may result. Operating Room. Arch. Surg.,Vol. 94, p. 181, Feb.
1967; Crino, Marjanne H. Thermal Burns Caused
Localized skin injury due to tissue compressed by Warming Blankets in the Operating Room.
between boney prominences and fluid filled Clinical Workshop, Vol. 29, pp. 149-150, Jan-Feb
channels has occurred during prolonged 1980; Gendron, Francis G. Journal of Clinical
cardiovascular procedures at blanket Engineering. Vol. 5, No. 1, pp. 19-26, January-
temperatures well below the scientifically March 1980; Moritz, A.R. and Henriques, Jr., "F.C.
established epidermal burn injury threshold.2 Studies of Thermal Injury II." In The Relative
Local ischemia can follow the application of Importance of Time and Surface Temperature in the
pressures exceeding capillary pressure resulting Causation of Cutaneous Burns. Am. J. Path., 23:695,

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in tissue necrosis. This local effect may be 1947; Stoll, Alice M. and Chianta, Maria A. Method
enhanced by generalized impairment of the and Rating System for Evaluation of Thermal
circulation, local shearing forces and increased Protection. Aerospace Medicine,Vol. 40, No. 11,
metabolic demand because of temperature pp. 1232-1238, Nov. 1969; Stewart, T. P. and
elevation. Pathological changes may begin in two Magnano, S. Burns or Pressure Ulcers in the Surgical
(2) hours. Patient. Decubitus, Vol. 1, pp. 36-40, 1988.

• Keep the area between the patient and the 3 Llorens, Alfred S. Reaction to Povidone-Iodine
blanket dry. Surgical Scrub, Scrub Associated with Radical Pelvic
Operation. Am. J. Obstet. Gynecol., pp. 834-835,
Excessive moisture may result in skin Nov. 14, 1974; Hodgkinson, Darryl J., Irons,
damage. George B. and Williams, Tiffany J. Chemical Burns
The application of heating or cooling may affect and Skin Preparation Solutions. Surgery,
the toxicity of solutions. Prep solutions have Gynecology & Obstetrics, Vol. 17, pp. 534-536,
been reported to injure the skin when allowed Oct. 1978.
to remain between patients and water
circulating heating blankets during prolonged
procedures.3

CAUTION

• Place a dry absorbent sheet between the patient

and the blanket when using all-vinyl blankets.
Moisture may accumulate which may result
in skin damage.

A dry absorbent sheet placed between the

patient and the Hyper/Hypothermia Blanket will
provide a sanitary barrier and absorb
perspiration. It will also promote more uniform
distribution of heat. Vinyl blankets with
nonwoven fabric surfaces do not require an
absorbent sheet when using the nonwoven side.

15
Care of Medi-Therm II Medi-Therm II

P/N 10484-000 11/98

9.0 Care of Medi-Therm II NOTE:
As with any precision equipment, proper care and • The Medi-Therm II control panel and top surfaces
maintenance will insure proper performance and can be cleaned with a soft cloth lightly dampened
reliability. The following routine maintenance procedures with isopropyl alcohol.
will help insure dependable Medi-Therm II operation.
• Clean up any accidental spills immediately—use a
cloth lightly dampened with isopropyl alcohol.
9.1 Machine Care
• You may check for clarity of fluid by viewing
WARNING water flowing through clear vinyl blanket.

Do not tip machine over without first draining

the water out and unplugging the power cord. 9.2 Blanket Care
• Allow the blanket to remain connected to the
Damage to the machine or electrical shock
Medi-Therm II machine for about 10 minutes
can result.
after the machine has been turned off. This will

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allow most of the water to drain back into the
machine.
CAUTION • Standard blankets should be cleaned with a damp
cloth and mild detergent. If blankets must be
• Add distilled water only.
sterilized, use any cold sterilization means, except
• Failure to use distilled water may result in alcohol. Exposure to harsh chemicals will cause
poor machine performance. blankets to lose flexibility and reduce their
resistance to cracking.
• Do not use alcohol. Alcohol may accelerate
• When storing standard blankets, they should be
blanket deterioration. Alcohol is flammable.
rolled loosely. (Do not allow to freeze.) Single-
• Do not operate without water, since damage to patient use blankets should be discarded after
internal components may result. use.

• Do not overfill. Overfilling may result in overflow • Standard blankets can often be repaired using a
because the water in the blanket drains back into vinyl patch kit. Do not return blankets to factory
the machine when the machine is turned off. for repair.

• When filling an empty Medi-Therm II machine,

add a small amount of germicidal or sanitizer
9.3 Probe Care
solution to the water (MTA33 liquid, or • Do not autoclave. If probe must be sterilized, use
equivalent). Carefully follow manufacturer’s any cold sterilization means except alcohol, which
recommended concentration to prevent algae may accelerate probe deterioration. Always wipe
growth within the Medi-Therm II system and dry.
Hyper/Hypothermia blanket. • Reusable probes may be cleaned with a damp
Do not use too much concentrate, since it will cloth and mild detergent. Always wipe dry.
result in “foaming,” which can reduce the blanket Exposure to harsh chemicals will cause probe to
efficiency and may damage the circulating pump. lose flexibility and resistance to cracking.
• Disposable probes should be discarded after use.
• Do not use bleach. Bleach will damage the
heating element, which could result in excessive
leakage.

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Medi-Therm II Care of Medi-Therm II

P/N 10484-000 11/98

9.4 Probe Check Well Care 9.5 Quick Disconnects
The PROBE CHECK WELL should be cleaned with a small The quick-disconnects joining the connector hose to the
tubular brush and detergent, and then wiped with a machine may become difficult to engage. This problem can
commercial disinfectant. be eliminated by applying a silicone base or light machine
oil to the outside of the male connector prior to
DANGER engagement.

When performing the PROBE CHECK,

9.6 Draining Machine
use a protective sheath on the probe. It is not necessary to drain the Medi-Therm II machine
(Becton-Dickinson catalog 3700 oral sheath after each use. However, periodic draining is
or equivalent. recommended at least once a month.
Failure to use a sheath could result in To lower the water level, close both pinch clamps on the
cross-contamination. connector hose. Place the end with both Clik-Tite

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connectors into a sink or pail. Open the pinch clamp.
Press the ON/OFF switch to ON and press MANUAL mode
button. The machine will pump the water reservoir
empty. Press ON/OFF button to OFF when CHECK WATER
FLOW lights. After the water is pumped out, do not leave
the machine on or it may overheat.

Preventive maintenance and service procedures are

described in the Medi-Therm II Service Manual. These
procedures should be performed by qualified personnel
such as certified biomedical electronics technicians or
certified clinical engineers.

Figure 11—Probe Check Well

17
Alerts / Troubleshooting Medi-Therm II

P/N 10484-000 11/98

10.0 Alerts/ Troubleshooting 10.1.2 Check Patient Probe
Most Medi-Therm II operating problems are minor and Indicates that the patient probe is sensing below 32°C
can be corrected by the operator. The following are alerts (89.6°F) or above 45°C (113°F), and is not a normal
and troubleshooting details. patient temperature.

WARNING
WARNING

Repairs should be performed by qualified If CHECK PATIENT PROBE light comes on, therapy
personnel such as certified biomedical electronics will stop (in AUTO mode only), status lights will go
technicians or certified clinical engineers familiar out, and no additional heating or cooling will
with repair practices for servicing medical devices, occur until the problem is corrected.
in accordance with the Medi-Therm II Service
Manual. Do not attempt repairs to the
Medi-Therm II machine unless you possess these

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skills. 1. CHECK PATIENT PROBE audible alarm can be
silenced for five minutes while diagnosing
Damage to the machine, malfunction, or problem by pressing SILENCE ALARM.
electrical shock may otherwise result.
2. CHECK PATIENT PROBE alert may sound if
machine is placed in MANUAL, AUTO, or
MONITOR mode before patient probe has been
10.1 Alerts inserted in patient, since probe will be sensing
The Medi-Therm II machine has both visual and audible room temperature. Place probe in patient and
alert indicators to help you identify machine or operator wait five (5) minutes before pressing MANUAL,
caused problems. An explanation of these signals and AUTO, or MONITOR mode button.
their probable causes follow. Perform corrective action in 3. Check probe to make sure it has not become
the sequence listed. dislodged from patient. Reinsert and tape
securely if required. Wait five (5) minutes before
10.1.1 Check Water Flow pressing AUTO mode button.
Circulation of water through the blanket has been
4. Perform PROBE CHECK:
restricted. Air bubbles in the blanket may remain
stationary although water is flowing; a few bubbles do not a. Insert probe into protective sheath and
adversely affect operation of the blanket. then into PROBE CHECK WELL on front
of machine base (fig. 11).
To locate and correct the source of low flow:
1. Check that hoses are fully inserted and seated WARNING
into one RETURN (top) and one SUPPLY (bottom)
connector on the machine. When performing the PROBE CHECK,
(See Start-up Procedure, p. 6.) use a protective sheath on the probe.
2. Check that all pinch clamps are fully open. Failure to use a sheath could
3. Check that hoses are not kinked or pinched off. result in cross-contamination.
Make sure blanket is flat and not creased. If a
blanket is used with patient in sitting position,
flow may be pinched off.
b. Operate machine in MANUAL mode with a
4. Confirm that water supply is at proper level. blanket connected. Adjust SET POINT
temperature to between 33°C (91.4°F) and
5. Turn off machine. Close all pinch clamps.
37°C (98.6°F). Wait until machine
Disconnect blanket from connector hose. Direct
temperature stabilizes (IN-TEMP lights and
connector hoses into water fill opening, start
patient temperature display stabilizes).
machine, and select MANUAL or AUTO mode.
Blanket and patient temperature displays
Open connector pinch clamps. If there is still no
should read within 2°C (3.6°F) of each
flow, turn machine off and remove from use.

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Medi-Therm II Alerts / Troubleshooting

P/N 10484-000 11/98

other. If not, patient probe may be defective 10.2 Troubleshooting
or incorrect probe is being used.
10.2.1 Blanket Will Not Heat
Use only YSI 400 Series probes or
equivalent. 1. Check that water is circulating through the blanket.
If there is no circulation, the CHECK WATER FLOW
c. If probe appears defective, try another alert should light. If CHECK WATER FLOW is lit, refer
probe and repeat PROBE CHECK. If a new, to Alerts section (pp. 18-19) for corrective measures.
correct probe does not meet this test, Do not fold blankets.
remove machine from use and notify your
medical equipment repair department. 2. Check that the temperature control is operating by
pressing the MANUAL mode button and then
adjusting the SET POINT temperature to at least 2°C
(3.6°F) above the indicated blanket temperature.
10.1.3 Add Water
This should cause the HEAT indicator to light.
Check to make sure water is at the proper level by

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raising the cover on the water fill opening. If green band 10.2.2 Blanket Will Not Cool
on float is not visible, fill with distilled water until the 1. Check to see if water is circulating through the
green band is visible (fig. 7). If green band on float is blanket. If there is no circulation to the blanket, the
visible, do not add water—remove machine from use and CHECK WATER FLOW alert should light. If CHECK
notify your medical equipment repair department. WATER FLOW is lit, refer to Alerts section (pp. 18-19)
for corrective measures. Do not fold blankets.
CAUTION
2. Check that rear and side air vents are not blocked.
• Add distilled water only. Inlet and exhaust grills should be kept clear and clean
Failure to use distilled water may result in poor to allow air to circulate freely.
machine performance.
• Do not use alcohol. Alcohol may accelerate 3. Check that the temperature control is operating by
blanket deterioration. changing the SET POINT temperature to at least 2°C
(3.6°F) below the indicated blanket temperature.
• Do not operate without water. Damage to This should cause the COOL indicator to light.
internal components may result.
• Do not overfill. Overfilling may result in overflow 10.2.3 Machine Will Not Turn On
because the water in the blanket drains back into 1. Make sure the power cord is plugged in.
the machine when the machine is turned off.
2. Reset the ON/OFF switch (circuit breaker) by
turning it first off, then on.
3. If the machine still does not turn on, remove
10.1.4 Remove From Use Now machine from service and notify your medical
Machine Shutdown equipment repair department.
This alert indicates that the machine has shut down due
to the blanket water temperature exceeding the high or 10.2.4 On/Off Switch Is Turned On, But
low limit, or if a system error is detected. Remove Control Panel Is Dark And No
machine from use immediately. Notify your medical Operating Sound Is Coming From
equipment repair department.
Machine
Remove machine from use and notify your medical
equipment repair department.

19
Blankets/Accessories / Customer Service / Warranty Medi-Therm II

P/N 10484-000 11/98

11.0 Blankets/Accessories 12.0 Customer Training
Adult and pediatric size blankets are available in all vinyl In-service training is recommended and can be arranged
or vinyl with nonwoven fabric surfaces. through your Gaymar Representative. Comprehensive
repair and maintenance training is also available through
SINGLE PATIENT USE BLANKETS, PLASTIC Gaymar Technical Services (for telephone numbers, see
WITH NONWOVEN FABRIC back cover).
DHP810 O.R. Table and General Use
DHP812 Pediatric General Use 13.0 Warranty
The Medi-Therm II Hyper/Hypothermia machine is
DHP813 Adult General Use warranted free of defects in material and workmanship
for a period of two (2) years under the terms and
conditions of the Gaymar warranty in place at the time of
SINGLE PATIENT USE BLANKETS, ALL VINYL purchase. The compressor portion of the machine carries
DHP901 Adult General Use a five (5) year prorated warranty. Contact Gaymar

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Technical Service if you have questions about warranty or
DHP902 Pediatric General Use repair.
DHP903 Adult General Use (Narrow)

SINGLE PATIENT USE BLANKETS, ALL VINYL

WITH NONWOVEN FABRIC
DHP911 Adult General Use
DHP912 Pediatric General Use

REUSABLE BLANKETS, HEAVY DUTY VINYL

HP7010 Adult General Use
HP7020 Pediatric General Use

All blankets require reusable DBK9 connector hoses.

ACCESSORIES
DBK9 10 foot Connector Hose
HBX8 10 foot Hose Extension
PAT101 Adult Reusable Probe
(YSI 400 series)
PAT102 Pediatric Reusable Probe
(YSI 400 series)
DP400 Disposable Probe, Adult and Pediatric
(YSI 400 series)
ADP10 Reusable Probe Adaptor
MTA33 Germicide/Algaecide

20
 Medi-Therm II

www.gaymar.com P/N 10484-000 11/98

 P/N 10484-000 11/98
www.gaymar.com
®

GAYMAR INDUSTRIES, INC.

10 Centre Drive
Orchard Park, NY
14127-2295

Phone:
1 800 828-7341
(716) 662-2551

FAX:
1 800 993-7890
(716) 662-0748