DRAGER CALEO INCUBER WITH MATTRESS

DRAGER CALEO INCUBER WITH MATTRESS
IT MAINTAINS A PRECISE AND CONSTANT TEMPERATURE AND HUMIDITY

Infants with extremely low birth weight are at particular risk for hypothermia. When these infants experience heat loss, physiological responses create a demand that exceeds the normal physiological balance. This is because the infant needs to expend energy and metabolize oxygen to produce heat.

This thermal imbalance can cause heat loss and lead to a chain reaction with long-term effects such as hypothermia. Hypothermia can cause a drop in blood pressure, reduced plasma volume, reduced cardiac output.2 If left unchecked, it can cause permanent tissue and brain damage, or even death.

For a fragile newborn, a difference of one degree can change everything. The thermoregulation capabilities of Caleo have been clinically documented to meet the specific needs of the premature baby.

While the ideal is to be able to keep the preterm infant in an environment protected from disturbance, in practice, clinicians need access to the baby to perform the necessary care. This can significantly affect the baby. For example, in preterm infants weighing less than 1,500 g, peripheral and core temperatures would drop during care for 15 to 45 minutes and it would take up to two hours for the baby to return to its initial temperature.

The ultimate goal of closed care is to create an environment so stable that very low birth weight babies can maintain a constant body temperature. This state is called the thermally neutral zone. Because of the inability of these infants to tolerate temperature fluctuations, the Caleo was designed with advanced technologies to stabilize the internal environment during procedures. The following graphs outline these capabilities.

GOOD ACCESSIBILITY OF THE BABY WITHOUT COMPROMISING THE ENVIRONMENT

During a nursing shift, many care procedures may be performed, such as umbilical catheterization, intubation, chest x-rays, IV manipulation, repositioning and suctioning, requiring repeated opening of the incubator to access the baby. Exclusive JumboPorts™, 40% larger than portholes, provide easy access to the infant during procedures.

The Caleo directly compensates for the temperature drop due to the opening, by creating a new type of dual air curtain that helps maintain stable temperature and humidity, even during routine procedures. The dual air curtain allows the Caleo to maintain thermal stability better than any other system tested.

BE READY FOR THE NEXT PATIENT

Since very low birth weight infants are usually not given advance notice, a warm incubator should be available at all times for unexpected deliveries.5

That’s why it’s essential to have an incubator that can heat up quickly. In an in vitro comparison of warming devices, the Caleo was found to heat up faster and retain heat and humidity better, even when the access ports were open.

PROVIDING THE IDEAL HUMIDITY
Humidity inside the incubator is essential to prevent transepidermal water loss (TEWL) in preterm infants. The table below illustrates the exponential relationship between gestational age and TEWL on the first day after birth. In very preterm infants, TEWL gradually decreases and the difference in TEWL between the most preterm and full-term infants decreases with age. Even at four weeks after birth, TEWL is still twice as high in the former.
INSTANT DETECTION OF TEMPERATURE VARIATIONS
On a preterm infant's thermograph, significant temperature differences are observed in different parts of the body. The infant's core temperature is not the same in all tissues and organs and the brain is usually the warmest. Single-point temperature measurement indicates how well a baby is able to maintain that temperature, but does not provide information on the energy expended for thermoregulation. Only Caleo offers true ThermoMonitoring by measuring, documenting and displaying both core and peripheral temperature. This means you can see the exact moment a baby is at risk of hypothermia and take timely action.
HEAT BALANCE, EASY TO LEARN
Dräger has created Heat Balance, a simple and interactive way for caregivers to learn about the different types of heat loss that can affect babies and how to use the Caleo settings to create the most thermally neutral environment possible.
This training tool simulates the thermal balance of infants in an incubator and shows the impact of different types of heat loss and heat gain. Based on known physical algorithms for heat loss and documented clinical experience, it demonstrates how Caleo maintains thermal stability. This program also demonstrates the importance of all parameters to balance the temperature of preemies.
As Heat Balance is a smartphone app, it can be used anywhere and at any time for training.
ENABLING FAMILY-CENTRED CARE
Research shows that family-centered care has significant benefits for the preemies7, including improved well-being, better mental health outcomes, reduced length of stay, and better parent-infant bonding. The Caleo offers a kangaroo mode that allows you to continue to monitor the baby’s temperature during contact care and adjusts the temperature in the incubator according to the baby’s temperature to allow for a smooth return to an ideal environment.
• Low height adjustment (80 cm / 31.5 inches) for mothers in wheelchairs following childbirth or cesarean section.
• Large access windows to allow parents easy access to the infant in a closed care environment, allowing them to participate in their child's care.
• Large unobstructed hood to allow good visibility of the baby. The cover material is scratch-resistant and designed with rounded corners to eliminate visual distortion.
• A cocoon shape, less intimidating and more welcoming for parents experiencing the intensive care unit for the first time. The monitor can be moved out of the way, thus moving the technique away from the mother's face for a more human connection.
A QUIET ENVIRONMENT
Low noise levels in the Neonatal Intensive Care Unit are essential for the healthy development of premature babies. The Caleo represents a major advancement in particular because it keeps the noise level as low as possible. It is designed to reduce disturbances that can disrupt natural sleep rhythms, impact nervous system development, and cause cochlear damage.
• Quiet interior: Caleo and all its components have been designed to operate quietly and at a low interior noise level (less than 47 dbA). It allows for low air speeds around the infant (less than 8 cm/s), which means a quiet environment with minimal ambient noise. A study conducted by Duke University showed that Caleo was significantly quieter than all other incubators tested.
• Smart alarm: The sound comes from a speaker located at a distance from the infant and is designed to gradually accelerate like a chime. The smart alarm can be set to 8 different sound levels and identified by different colored lights.
• Quiet windows: Unlike most incubator windows, which are so noisy that they disturb the baby, the Caleo windows are ultra-quiet when opening and closing.
• Quiet tilt: The Caleo can be tilted to keep the cabin away from sources of drafts and noise in the NICU. Quiet height adjustment: The Caleo height adjustment mechanism is very quiet and allows for discreet adjustments to be made between shifts.
FACILITATE PROPER POSITIONING
Proper positioning of the infant is essential for postural development and the resulting locomotor functions. Caleo positioning accessories help the baby maintain a stable posture despite gravity
• SoftBed mattress – specifically designed to reduce pressure on the infant’s skin, the mattress is made from memory foam and has a breathable cover that is comfortable for the baby in their bassinet.
• Hug it, the Nest and Pillows – these accessories are specially designed to provide physiological stability, containment and support for the baby. They can also provide additional support to the clinician during procedures. MANAGING LIGHT LEVELS Bright light is not part of the in utero environment, as you might expect. If light is required for care, light levels must be controlled for the baby’s well-being.
• A suitable lamp cover – provides effective protection from unwanted and hazardous light, mimicking the natural environment of premature babies and providing them with the safe haven they need to live and develop.
• 3-level dimming: the Caleo has a dimming range on the control panel to reduce lighting during night shifts. •Discover other Dräger offerings like the Circadian Lighting System, which simulates the changing sunlight throughout the day and helps maintain the circadian rhythms that are so important to you and your patients.
The Caleo also has features that reduce unnecessary contact with the baby, which would otherwise provide additional stimuli. We have configured these options for maximum ease of use, so you can focus on what matters most: the baby. •Access Portholes: The Caleo has lightweight, easy-to-use doors on both sides. •Side Doors: These large doors on the short sides of the Caleo open, providing additional access for procedures such as ultrasounds.
•The Hood: In an emergency, it can be lifted from either side.
•The Removable Mattress: Allows easy access to the baby when needed, even when the Caleo is in a reclined position.
•The Integrated X-ray Tray: Allows easy access to the baby without disturbing the baby.
• Exclusive JumboPorts™: 40% larger than standard portholes, they open silently and are ergonomically designed to facilitate patient care during surgery. The centrally positioned porthole opening mechanism makes it easy to open both ports simultaneously with one hand or elbow.
• Tilt function: Allows for smooth tilting at the touch of a button. • Adjustable height: Allows for smooth adjustment from either side.
• Positionable control panel: The control panel can be positioned where it best serves your workflow.
ASEPSIS AND SAFETY MEASURES
Hygiene in the incubator is therefore imperative. This is why one of the key objectives in the design of the Caleo was to protect the baby from nosocomial infections.
• Closed-loop humidity system: prevents microorganisms present in the air from entering the cabin.
• High-temperature cleaning mode: the high-temperature cleaning mode at 110°C disinfects the unit and removes residual water in the internal mechanism.
• Tight closures and rounded-corner cabin prevent bacteria from accumulating in delicate areas.
• Minimal design in terms of parts: with only 11 components in total, it facilitates cleaning and allows systematic disinfection.
SAFETY FEATURES
When designing the Caleo, priority was given to protecting the baby through safety measures. Special functions and mechanisms have been implemented to avoid adding to the baby’s stress and allow caregivers to concentrate on daily care. • Automatic self-tests: Caleo tests all electronic systems, sensors and functions. It is monitored every eight minutes, ensuring the safety of the entire system.
• Quality sensors: The quality of Dräger sensors guarantees the reliability of the measured values ​​displayed: “you see what you really have.”
• No higher temperatures: Thanks to the innovative double air curtain concept, there is no need for higher temperatures to achieve excellent performance with minimal warm-up times.
• Heat shield technology: It limits the outlet temperature to a maximum of 45 °C, ensuring a maximum surface temperature of 43 °C on all tangible parts. • Unobstructed portholes: The tilt of the bed does not obstruct the portholes because the entire capsule moves, giving access in any position.
• Wall locks: The caregiver cannot leave the incubator without locking the walls because a spring mechanism prevents them from remaining upright if they are not locked.