Instructions for use

TI500 Globe-Trotter Neonatal

Transport System

WARNING
To properly use this medical device, read and
Model GT500
comply with these instructions for use.
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Trademarks

Trademark Trademark owner

CaviCide Metrex Research
Corporation
CSA Canadian
Standards
Association
FERNO Ferno-Washington,
Inc.
Globe- Dräger
Trotter™

The list of countries in which Dräger trademarks are registered can be found on the Dräger website. See
www.draeger.com/trademarks.
This page intentionally left blank.
Table of Contents
Section 1: Symbol Definition and Intended Use
Symbol Definition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Typefaces and Icons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Technical Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Section 2: Introduction, Features, and Specifications
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Pneumatic System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Pneumatic Module with Air Cylinder - Gas Flow Sequence. . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Pneumatic Module with Compressor - Gas Flow Sequence . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Transport Incubator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Modular Frame . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Variable Height Adjustable (VHA) Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Standard Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Optional Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Standard Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Cart Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
Optional Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
Device Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
Section 3: Precautions and Safety Tips
General Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Electrical Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Explosion Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Oxygen Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Electromagnetic Compatibility Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
System Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Ventilator Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Pneumatic Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Section 4: Installation and Functional Checkout
Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Scissor mount dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

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 Cylinder Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Pin-Index Style Cylinders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Functional Checkout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Electrical Checkout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Mechanical Checkout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Pneumatic Checkout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
System Checkout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
Section 5: Instructions for Use
Controls, Indicators and Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Blender Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Compressor Low Battery Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Instructions for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
General Tips and Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
To Use an External AC Power Source. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
To Use the Auxiliary Power Strip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
To Prepare the System for Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
Transport incubator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
Pneumatic Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
To Activate the Pneumatic Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
To Operate the System when Air Compressor Battery is Low . . . . . . . . . . . . . . . . . . . . . . . 5-9
To Assess Each Gas Cylinder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
To Monitor Gas Reserve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
To Administer Oxygen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
To Charge the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
To Check the Battery Condition After Charging the System . . . . . . . . . . . . . . . . . . . . . . . 5-11
To Use the Mechanical Ventilation Circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
To Use the Oxygen Analyzer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13
Infusion Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
Suction System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
Patient Monitor Securing Site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
Variable Height Adjustable Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15
To Remove the Frame from the VHA Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15
To Return the Frame to its Original Position on the VHA Cart . . . . . . . . . . . . . . . . . . . . . 5-15

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Section 6: Cleaning, Maintenance, and Replacement Parts
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
General Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
Steam Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
Cleaning Difficult to Access Areas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Disinfecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Cleaning the System Frame and the Pneumatic Module Surfaces . . . . . . . . . . . . . . . . . . . . . . . 6-2
Cleaning the Tie-Down Straps Used to Secure a Monitor or the Gas Hoses and
Power Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Cleaning and Sterilizing the Mechanical Ventilation Circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Disassembly for Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Assembly After Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Frame and Electrical Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Pneumatic Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Section 7: Troubleshooting
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 - 1

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 Section 1
Symbol Definition
and Intended Use
Symbol Definition
Below is a description of the typefaces, symbols and technical terms used in this manual.

Typefaces and Icons

This manual contains different typefaces and icons designed to improve readability and increase
understanding of its content. Note the following examples:
• Standard text—used for regular information.
• Boldface text—emphasizes a word or phrase.
• NOTE:—sets apart special information or important instruction clarification.
• The symbol below highlights a WARNING or CAUTION:
Warning and Caution

– A WARNING identifies situations or actions that may affect patient or user safety. Disregarding a
warning could result in patient or user injury.
– A CAUTION points out special procedures or precautions that personnel must follow to avoid
equipment damage.
• The symbol below indicates “Attention: Consult accompanying documents:”
Attention: Consult Accompanying Documents

• The symbol below indicates a “Type BF applied part:”

Type BF Applied Part

– The instrument provides a specified degree of protection against electric shock, particularly the
leakage current and reliability of the protective ground connection with a BF-type applied part.

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 – A BF-type applied part indicates an applied part isolated from all other parts of the instrument to
such a degree that the patient leakage current allowable in a single-fault condition is not
exceeded.
• The symbol below indicates “Caution: Electric shock hazard.”
Caution: Electric Shock Hazard

• The symbol below indicates the presence of AC power:

AC Power

• The symbol below indicates protective earth (ground):

Protective Earth (Ground)

• The symbol below indicates the On and Off position of a power switch:
On and Off

• This symbol indicates: CAUTION: for incubator stability, shelf loading must not exceed 15 lb (6.8 kg).

• This symbol indicates that if a single O2 cylinder is used, place it in the front gas cylinder support.

• This symbol indicates an electrostatic discharge (ESD) warning:

Electrostatic Discharge (ESD) Warning Sign

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 • The symbol below indicates “Phthalate present”:
Phthalate Present

• The symbol below indicates “Do not reuse”:

Do Not Reuse

Technical Definitions
• Air or O2 cylinder—A gas cylinder holding compressed gas, most frequently constructed of
aluminum or steel. The outlet has a pin and hole or thread pattern that is unique to the cylinder
contents.
• Alternating Current (AC) power—Hospital, line, or wall electrical power that characteristically
reverses its polarity at regular, recurring intervals.
• Canadian Standards Association (CSA)—An organization that sets Canadian equipment standards.
• Diameter Indexed Safety System (DISS)—A system of threaded pneumatic, fittings that are each
unique to a given gas.
• Direct Current (DC) power—Internal or battery electrical power that is unidirectional.
• Fraction of Inspired Oxygen (FiO2) concentration—The value often used to specify a physician-
ordered concentration of oxygen for delivery.
• Gas blender—A device used to mix different gases to a desired proportion of each gas. The blender
described in this manual mixes a combination of compressed breathing air (21% oxygen) and pure
oxygen (100% oxygen).
• Hand ventilator—A hand-operated device used for artificial ventilation.
• International Electrotechnical Commission (IEC)—An organization that sets international
equipment standards.
• Mechanical ventilator—A mechanically operated device used for artificial ventilation.
• Non-Interchangeable Screw Thread (NIST)—A method that specifies uniquely threaded pneumatic
fittings for gases.
• Pin Index Safety System—A system of matching high-pressure gas cylinders to their contents by
following a uniquely patterned pin and hole key pattern. For example, the combined sites of 1 and 5 are
for air, and the combined sites 2 and 5 are for oxygen gas.
• Pneumatic—Operation of a device by compressed gas.

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Intended Use
United States federal law restricts this device to sale by or on an order of a physician.
The TI500 Globe-Trotter Neonatal Transport System is intended for the transport of high risk premature,
low birth weight, or critically ill newborns between healthcare facilities. The means of transportation can
be either ground or airborne (rotary or fixed wing). The system is also suitable for either transport or
stationary care within the hospital. It includes up to three system components. These components include
a frame which houses the incubator and the pneumatic module assembly, and a facility for gas cylinder
storage. The system is arranged to serve as a complete unit for the care of an infant in need of
transportation.

Indications for Use

The TI500 Globe-Trotter Neonatal Transport System is intended for transport of high risk, premature,
low birth weight or critically ill newborns. It provides a means to control air temperature and oxygen
concentrations, to add relative humidity, and to provide resuscitation.

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 Section 2
Introduction, Features,
and Specifications
Introduction
SHOCK HAZARD:
Where the integrity of the external protective earth conductor arrangement is in doubt, operate
the equipment from its internal electrical power source. Failure to do so could result in personal
injury or equipment damage.
The TI500 Globe-Trotter Neonatal Transport System is a low profile neonatal transport system. The basic
configuration is comprised of:
• Pneumatic module
• Transport incubator (Model TI500)
• Modular frame
• Suction pump
• Various Variable Height Adjustable (VHA) carts
The incubator and pneumatic module are assembled on the modular frame, which mounts on a VHA cart.
The VHA cart only provides portability and variable height for the transport system; therefore the
modular frame can be lifted off the cart. All the transport components remain operational.
The incubator is located on the left side of the frame, and the pneumatic module is located on the right
side. The accessory shelf attaches to the rear of the frame and is located above the incubator. The
ratcheting strap secures the optional monitor to the shelf.
The suction pump is mounted on a holder and is secured to the rear of the pneumatic module. The
disposable suction bottle is secured to the rear of the pump.
An IV pump mounting frame is located at the rear of the pneumatic module. It is used to secure infusion
pumps with pole-style clamps.
The system accepts the UK or USA style, E- or D-size, aluminum or steel gas cylinders.

Pneumatic System
The pneumatic module is an integrated system that takes air and oxygen from gas cylinders or wall
sources. It provides ventilation and controls the flow of gas. The pneumatic module is available in two
versions, a compressor version and an Air cylinder version. In the compressor version, the air is cooled,
dried, and regulated as it exits the compressor. In both versions, 2-stage regulation reduces the cylinder
gas pressure. In both versions, the user selects the source (wall or gas cylinder) for each gas using check
valves. The module uses the source with the highest pressure. The blender mixes air and oxygen. It
supplies blended gas to the flow-control valve and to the patient gas inlet of the ventilator. In the Air

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 cylinder version, blended gas is also used to power the ventilator. In the compressor version, pure oxygen
is used to power the ventilator.
Test ports are integrated in the system to verify the air and O2 cylinder pressures and the external gas
input and output pressures. Check valves allow gas sources to be changed without loss of operating
pressure. Additional check valves ensure that gas follows a forward path to the blender in the pneumatic
module.
The pneumatic module also allows analysis of O2 using an oxygen analyzer.
The pneumatic module with Air cylinder includes two gas cylinder pressure gauges (for O2 and air). It
supports use of one Air cylinder and one O2 cylinder. The pneumatic module with compressor includes a
12 V air compressor with a battery to run the compressor and a power supply to charge the battery. It
includes a gas cylinder pressure gauge for O2 and an illuminated On/Off switch for the compressor. It
also supports use of two O2 cylinders.
Both versions can also be used with external 345 kPa (50 psi) ± 34 kPa (5 psi) sources of O2 or air. They
can be used with a combination of on-board, internal and external sources. Gauges are mounted on the
front of the pneumatic module and gas fittings on the rear. Fittings conform to NIST or DISS standards.

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Pneumatic Module with Air Cylinder—Gas Flow Sequence

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 Reference Description
A Air cylinder
B Air cylinder pressure
C Regulator, high pressure
D Air gauge
E Test port
F Regulator, internal with gauge
G Gas blender
H Air (DISS or NIST) inlet
I O2 cylinder
J O2 cylinder pressure
K Oxygen gauge
L Oxygen (DISS or NIST) inlet
M Blender pressure
N Flow control valve
O Ventilator gas (on/off)
P Mechanical ventilator
Q Ventilator pop-off
R Gauge port tube
S Exhalation valve tube
T Gauge port
U Exhalation valve
V Patient gas
W Oxygen sensor tee
X Oxygen analyzer
Oxygen Flow Sequence
Oxygen is fed through a check valve from the front gas cylinder, into the pneumatic module, and to an
adjustable 2-stage regulator. The O2 inlet of the blender is fed from the output of the O2 regulator or from
externally supplied O2 at the O2 fittings on the rear of the pneumatic module.
Air Flow Sequence
Air is fed through a check valve from the rear gas cylinder, into the pneumatic module, and to an
adjustable 2-stage air regulator. The air inlet of the blender is fed from the output of the air regulator or
from externally supplied air at the air fittings on the rear of the pneumatic module.
Blended Gas Sequence
For hand ventilation, the blender output is supplied to an external calibrated flow control valve that is
gravity-independent. For mechanical ventilation, a 2-way valve serves as the On/Off control for the
mechanical ventilator. Low pressure blended gas powers the mechanical ventilator, and uses that same
gas for patient gas. The output of the ventilator feeds the patient gas circuit. The patient circuit includes
an adjustable pop-off valve and an O2 sensor. The O2 sensor feeds O2 percentage information to the
oxygen analyzer.

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Pneumatic Module with Compressor—Gas Flow Sequence

2-5
 Reference Description
A Inlet filter
B Heat exchanger
C Air compressor
D Air Compressor Pressure
E Accumulator tank (60 psi +/- 2 psi)
F Pressure switch
G Test port
H Filter with auto-relief water drain
I Regulator, high pressure
J Air gauge (internal)
K Regulator, internal with gauge
L Air (DISS or NIST) inlet
M O2 cylinder
N O2 cylinder pressure
O O2 cylinder pressure gauge
Q Oxygen (DISS or NIST) inlet
R Gas blender
S Blended gas (50 psi)
T Flow control valve
U Valve for ventilator logic gas (on/off) & patient
gas
V Ventilator logic gas (on/off)
W Mechanical ventilator
X Ventilator pop-off
Y Gauge port
Z Exhalation valve tube
AA Gauge port
BB Exhalation valve
CC Patient gas
DD Oxygen sensor tee
EE Oxygen analyzer
Oxygen Flow Sequence
Oxygen is fed through check valves from either front or rear gas cylinders, into the pneumatic module,
and to an adjustable primary regulator. The secondary O2 regulator is fed from the output of the primary
regulator or by externally supplied gas at the rear gas fittings. The same circuit also feeds the logic gas to
the mechanical ventilator. The secondary O2 regulator is adjustable, has a built-in gauge, and includes a
5-micron inlet filter.
Air Flow Sequence
Room air is drawn into the compressor through the inlet filter. The compressor produces low-pressure air.
The air, cooled by a fan-equipped radiator, is then stored in an accumulator tank. The On/Off switch, and
a pressure switch that senses the accumulator pressure, control the compressor. An adjustable air
regulator with a built-in gauge feeds compressed air to the blender. The air regulator includes a 5-micron
port filter, a water trap, and an automatic drain valve with a discharge tube. The blender can also receive
air through the external fitting. In the blender, it is combined with O2 from the secondary O2 regulator.

2-6
 Blended Gas Sequence
For hand ventilation, the blender output supplies an external calibrated flow control valve that is gravity-
independent. For mechanical ventilation, a 4-way valve serves as the On/Off control for the mechanical
ventilator. One circuit of the 4-way valve provides the mechanical ventilator with low-pressure O2 as
logic gas. The other circuit of the 4-way valve provides blended gas as patient gas. The patient gas
includes an adjustable pop-off valve and an O2 sensor. The O2 sensor feeds O2 percentage information to
the oxygen analyzer. The patient circuit includes a gauge tube that feeds back to the mechanical
ventilator.

Transport Incubator
NOTE:
All models contain the Transport Incubator, Model TI500.
The Transport Incubator, Model TI500, permits transport of high-risk, premature, low birth-weight, or
critically ill newborns. It provides a means to control air temperature and to change O2 concentrations
and relative humidity. For additional information refer to the Transport Incubator, Model TI500,
Instructions for Use.

Modular Frame
The modular frame system includes the following:
• Overhead accessory shelf with tie-down strap
• Gas cylinder/yoke wrench
• Articulating wheel/handle for the gas cylinder valves
• Mounting bracket for mechanical ventilator valve
• End handle grip bars for lifting and maneuvering
• High-pressure tubes for delivering Air (pneumatic modules with Air cylinder only) and O2 to the
pneumatic module
• Strap to secure the power cable during transit or contain excess power cable while charging
• Strap to secure the O2 and air hoses when external gases are not in use

Variable Height Adjustable (VHA) Cart

The variable height cart provides portability and
variable height adjustment for the transport
system. For additional information, refer to the
separate instructions for use from the
manufacturer.
NOTE:
The incubator and pneumatic module and modular
frame are not dependent upon the cart for any
feature beyond portability and variable height.

2-7
Features
The Features subsection provides a list of the standard and optional features and available accessories for
the TI500 Globe-Trotter Neonatal Transport System.

Standard Features
The standard features for the TI500 Globe-Trotter Neonatal Transport System include:
• Mechanical ventilator (with blender)
• Transport incubator (Model TI500)
• Modular frame
• Suction Pump
• Accessory shelf
• Oxygen analyzer
• High hood

Optional Features
The optional features for the TI500 Globe-Trotter Neonatal Transport System are:
• Air compressor
• Variable height cart

Accessories
The accessories used on the TI500 Globe-Trotter Neonatal Transport System are:
• I V pole assembly
• Skin probes
• Patient ventilation circuits
• Mattress
• Mattress restraint straps
• Humidity pad

2-8
Specifications

Standard Features
Feature Dimension
120 V AC model external power requirements 110/120 V, 50/60 Hz
120 V AC outlet specifications Six, 10A breakers
120 V AC consumption < 480-W worst case (incubator, compressor char-
ger)
230 V AC model external power requirements 230 V, 50/60 Hz
230 V AC outlet specifications Six, 5A breakers
230-V consumption < 400-W worst case (incubator, compressor char-
ger)
Chassis leakage current limit (120 V AC 300 A
model)
Chassis leakage current limit (230 V AC 500 A
model)
Pneumatic module inlet pressure 345 kPa (50 psi) ± 34 kPa (5 psi)
Ventilator input pressure (pneumatic module 345 kPa (50 psi) ± 34 kPa (5 psi)
with Air cylinder version)
Ventilator input pressure (pneumatic module 345 kPa (50 psi) ± 34 kPa (5 psi)
with compressor version)
Pneumatic ventilator output 0 liters per minute (lpm) to 20 lpm
Operating temperature range (normal 10 °C (50 °F) to 30 °C (86 °F)
functioning)
Operating temperature range (limited use) 10 °C (50 °F) to 40 °C (104 °F)
Storage temperature range -20 °C (68 °F) to 60 °C (140 °F) ambient
Operating humidity range 0% to 95% relative humidity (RH) non-condensing
TI500 Globe-Trotter Neonatal Transport Sys- 129.5 cm (51")
tem length without VHA cart
TI500 Globe-Trotter Neonatal Transport Sys- 56.5 cm (22.3")
tem width without VHA cart
TI500 Globe-Trotter Neonatal Transport Sys- 58.4 cm (23")
tem height without VHA cart
TI500 Globe-Trotter Neonatal Transport Sys- 104.5 kg (230.2 lb)
tem weight (incubator and pneumatic module
with compressor) without gas cylinders, I.V.
poles, patient monitor, or VHA cart
TI500 Globe-Trotter Neonatal Transport Sys- 92.2 kg (203.2 lb)
tem weight (incubator and pneumatic module
without compressor) without gas cylinders, I.V.
poles, patient monitor, or VHA cart
Noise level inside the incubator without alarms <60 dBa
Noise level inside the incubator with alarms <80 dBa

2-9
Cart Features
Feature Dimension
VHA cart length Model 147A -101.6 cm (40")
Model 35IT - 200.6 cm (79")
VHA cart width Model 147A - 55.9 cm (22")
Model 35IT - 61 cm (24")
VHA cart height, low position Model 147A - 88.3 cm (32.8")
Model 35IT - 25.4 cm (10")
VHA cart height, high position Model 147A - 118.8 cm (46.8")
Model 35IT - 107 cm (42")
VHA cart weight Model 147A - 22.3 kg (51 lb)
Model 35IT - 36.3 kg (80 lb)

Optional Features
Feature Dimension
Air compressor DC power requirements 12 V DC, 11 A
Compressor output from regulator 20 lpm at 207 kPa (30 psi) ± 14 kPa (2 psi)
Compressor battery quantity and type One sealed, gel-type, and rechargeable
Compressor battery voltage 12 V DC (nominal)
Compressor battery charging time (from full 20 hours or less
discharge)
Compressor battery life expectancy Minimum 200 full charge/discharge cycles
Compressor battery size rating 20 A hours
Compressor battery run time (with full battery Minimum of 3 hours with the blender set at 21%
charge) oxygen at 10 L/min
Flow control valve output (pneumatic module 0 lpm to 15 lpm
with Air cylinder)
Flow control valve output (pneumatic module 0 lpm to 10 lpm
with compressor)
Service life 7 years

Device Classification
Classification according to EU Directive Class IIb
93/42/EEC
Protection class according to IEC 60601-1 I
Applied part Type BF
Continuous operation
Universal Medical Device Nomenclature Sys- 12-114
tem (UMDNS) code
Global Medical Device Nomenclature 35121
(GMDN) code

2 - 10
 Section 3
Precautions and Safety Tips
General Precautions
WARNING:
Federal Law (U.S.) restricts this device to sale by or on the order of a physician.

WARNING:
Only properly trained personnel, directed by an appropriately qualified physician aware of the
current known risks and benefits of infant transportation and use of the associated equipment,
should use the TI500 Globe-Trotter Neonatal Transport System. Use by untrained personnel or
unqualified physicians could result in personal injury or equipment damage.

WARNING:
Follow each product manufacturer instructions. Failure to do so could result in personal injury or
equipment damage.

WARNING:
This product has been validated with the accessories and options listed in this manual. It
complies with all relevant safety and performance requirements applicable to the device. Any
person or organization who makes an unauthorized modification, or incorporates an
unapproved attachment to the device, is responsible to ensure that the system still complies
with those requirements.
CAUTION:
Take care not to scratch or otherwise damage unprotected surfaces.
CAUTION:
Do not use harsh cleansers, solvents, or detergents. Equipment damage could occur.
CAUTION:
For incubator stability, shelf loading must not exceed 15 lb (6.8 kg) - if single O2 cylinder is
used, place in the front gas cylinder holder.

3-1
Electrical Precautions
SHOCK HAZARD:
The circuit breaker ensures that the maximum current capacity of the 230 V AC powered
system is 5 A; and the 120 V AC powered unit has a capacity of 10 A. To ensure grounding
reliability, plug the AC power cable into only a properly grounded, three-wire, hospital-grade, or
hospital use outlet. Failure to do so could result in personal injury or equipment damage.

SHOCK HAZARD:
When any of the electronics covers are removed, an electrical shock hazard exists. Only
qualified personnel should perform service. Servicing by unqualified personnel could cause
personal injury or equipment damage.

SHOCK HAZARD:
Do not reset a circuit breaker or replace a fuse without assessing and correcting what caused
the breaker or fuse to activate. Personal injury or equipment damage could occur.

SHOCK HAZARD:
When plugging in items other than items supplied with the system, check the total current
leakage to ensure that it does not exceed the acceptable limits. Failure to do so could result in
personal injury or equipment damage.

SHOCK HAZARD:
Before use, check ground continuity between the systems and the AC plug ground pin. To
ensure grounding reliability, connect the system power cable only to a properly grounded, three-
wire, hospital-grade, or hospital-use outlet of the proper voltage and frequency. Do not use
extension cords. Personal injury or equipment damage could occur.

SHOCK HAZARD:
If the system circuit breaker is activated, all non-battery-operated equipment ceases to operate.
The plugged-in components must not exceed the maximum total current draw of the system to
avoid activating the circuit breaker. Check the respective current draw of each system
component, and verify that the total system current draw does not exceed the specified
maximum draw. Failure to do so could result in personal injury or equipment damage.

SHOCK HAZARD:
Ensure that the AC output is of the appropriate voltage and ampere capacity. Some AC-
powered equipment is dependent on a sine-wave AC source. Inverters provide either a sine-
wave, a quasi-sinusoidal wave, or a square wave pattern. The incubator, suction pump,
compressor charger, and monitor require at least a quasi-sinusoidal wave pattern. Other
equipment could be sensitive to a non-sine wave AC source. Equipment damage could occur.

SHOCK HAZARD:
Unplug the power cable from its power source before performing any service or cleaning the
system. Failure to do so could result in personal injury or equipment damage.

3-2
 SHOCK HAZARD:
Do not expose the unit to excessive moisture. Personal injury or equipment damage could
occur.

Explosion Precautions
WARNING:
Do not use the TI500 Globe-Trotter Neonatal Transport System in the presence of flammable
anesthetics. Personal injury or equipment damage could occur.

WARNING:
Before performing electrical service procedures or changing any battery, shut off the O2
cylinders. Failure to do so could result in personal injury or equipment damage.

WARNING:
Switch off all gas sources, and bleed off remaining pressure. When performing cleaning or
maintenance procedures in an oxygen-enriched environment, a fire and explosion hazard
exists. Personal injury or equipment damage could occur.

Oxygen Precautions
WARNING:
Switch off the cylinder gas when it is not in use or when the system is connected to an external
gas source. Failure to do so could result in personal injury or equipment damage.

WARNING:
Improper use of supplemental oxygen can cause serious side effects, including blindness, brain
damage, and death. The risks vary with each infant. The attending physician prescribes the
method, concentration, and duration of oxygen administration. Failure to do so could result in
serious side effects to the infant.

WARNING:
If it is necessary to administer oxygen in an emergency, notify the attending physician
immediately. Failure to do so could result in infant injury or equipment damage.

WARNING:
Measure oxygen concentrations with a calibrated oxygen analyzer at intervals directed by the
attending physician. Failure to do so could result in infant injury or equipment damage.

WARNING:
Oxygen therapy requires that special care is taken to prevent fire. Any materials that burn in air,
and some that do not, are easily ignited, and burn rapidly in oxygen-enriched air. Accordingly,
for safety, keep all sources of ignition away from the incubator and out of the area where it is
being used. Failure to do so could result in personal injury or equipment damage.

3-3
 WARNING:
On high-pressure O2 cylinders, use only approved reducing or regulating valves marked for
oxygen service. Do not use these valves for air or gases other than oxygen since they could be
hazardous when returned to oxygen service. Operate such equipment strictly according to the
directions of the valve manufacturer. Failure to do so could result in personal injury or
equipment damage.

WARNING:
Although oxygen-compatible materials are used in the oxygen delivery system, take special
care when high-pressure oxygen, such as found in a medical O2 cylinder, is used. If their
ignition temperature is reached, violent ignition of oil, grease, greasy substances, small
particles or dust, dirt, or other particulate contaminants, even small particles of metal, could
occur in the presence of high-pressure oxygen. If the O2 cylinder valve is opened too rapidly, an
instantaneous increase in temperature could occur due to friction, particle acceleration, or
adiabatic compression. Serious personal injury or equipment damage could occur.

WARNING:
Keep oil, grease, greasy substances, dust, dirt, and other particulate contaminants away from
oxygen regulators, cylinder valves, tubing, and all other oxygen equipment. Failure to do so
could result in personal injury or equipment damage.

WARNING:
Always open the cylinder shut-off valves slowly and carefully. Failure to do so could result in
personal injury or equipment damage.

WARNING:
When installing new or replacement O2 cylinders, clear their outlet ports by cracking the
cylinder valve momentarily before attaching it to the equipment. Failure to do so could result in
personal injury or equipment damage.

WARNING:
Antistatic or electrically conductive hoses and tubing must not be used.

3-4
Electromagnetic Compatibility Precautions
General information on electromagnetic compatibility (EMC) pursuant to international EMC standard
IEC 60601-1-2:
Electromedical devices are subject to special precautionary measures concerning electromagnetic
compatibility (EMC) and must be installed and put into operation in accordance with the EMC
information provided in the technical documentation available from DrägerService.
Connector pins with an electrostatic discharge (ESD) warning sign should not be
touched and no connections should be made between these connectors without
implementing ESD protective measures. Such precautionary procedures may include
antistatic clothing and shoes, the touch of a ground stud before and during connecting
the pins or the use of electrically isolating and antistatic gloves. All staff involved in the
above shall receive instruction in these ESD precautionary procedures.
CAUTION:
Portable and mobile RF communications equipment can affect medical electrical equipment.

System Precautions
WARNING:
Compressed gas cylinders, such as air and oxygen, can become hazardous projectiles when
the gas releases rapidly due to damage or other causes. To prevent movement or damage from
shock or impact to the cart or incubator, securely fasten the cylinders. To prevent cylinder
movement, tighten the hold-down mechanism well. Failure to do so could result in personal
injury or equipment damage.

WARNING:
When the system is secured in a land ambulance, airplane, or helicopter, do not place anything
on the right-hand side of the frame. Doing so could prevent access to the on-board cylinders.
The cylinders are removed and installed from the right side of the frame. Allow for the needed
space. Failure to do so could result in personal injury or equipment damage.

WARNING:
Do not attach the self-inflating bag to the incubator wall. An increase in carbon dioxide (CO2)
and breathing work for the infant could result. Personal injury or equipment damage could
occur.

WARNING:
For safety, due to the weight and complexity of the system, two people of sufficient strength
must assemble and move the unit. Failure to use two people could result in personal injury or
equipment damage.

WARNING:
The battery pack weighs 18.1 kg (40 lb). To avoid personal injury, exercise care when
removing the battery tray.

3-5
 WARNING:
Do not place the TI500 Globe-Trotter Neonatal Transport System in service without each
component passing the respective manufacturer checkout procedure. Otherwise, personal
injury or equipment damage could occur.

WARNING:
Before clinical use, correct all sources of gas leakages. Failure to do so could result in personal
injury or equipment damage.

WARNING:
Use clean, dry gas. Failure to do so could result in personal injury or equipment damage.

WARNING:
Do not use a cylinder without first removing the vinyl wrapper. Never use an E- or D-size
cylinder missing its gas outlet wrapper without first “cracking” the gas cylinder valve to remove
any debris. For the proper method, consult the facility gas cylinder safety procedures. Failure to
do so could result in personal injury or equipment damage.

WARNING:
The cylinder gasket is the source of the seal. Use fresh cylinder gaskets. Failure to do so could
result in personal injury or equipment damage.

WARNING:
Protect the webbing of the patient monitor securing strap from sharp edges and heat. If the
webbing is cut or worn, replace it. Failure to do so could result in personal injury or equipment
damage.

WARNING:
Only facility-authorized personnel should troubleshoot and perform preventive maintenance on
the TI500 Globe-Trotter Neonatal Transport System. Troubleshooting and preventive
maintenance performed by unauthorized personnel could result in personal injury or equipment
damage.

WARNING:
Routine use of the TI500 Globe-Trotter Neonatal Transport System can result in the gradual
loosening of the screw fasteners. This loosening is important when used in a helicopter
environment where intense vibration is common. Assess the system components for signs of
loosened fasteners, and secure when necessary. Failure to do so could result in personal injury
or equipment damage.

WARNING:
Do not block the air vents on the sides of unit.
CAUTION:
Before transport, ensure that the frame is securely seated on the four alignment pins and that
the two locking blocks are secured over the frame. Failure to do so could result in equipment
damage.

3-6
 CAUTION:
Tightening the securing bolt on a misaligned cylinder permanently damages the yoke inlet and
keyed pins. Before securing the cylinder, align it correctly. Failure to do so could result in
equipment damage.
CAUTION:
Before placing the TI500 Globe-Trotter Neonatal Transport System in clinical use, ensure that it
is in optimal condition. The use of partially charged batteries and partially full gas cylinders
provides less operating time from the on-board battery and gas supplies for the system. Failure
to heed this caution could lead directly to equipment damage and indirectly to personal injury.

Ventilator Precautions
WARNING:
If the gas cylinder pressure display falls below 2068 kPa (300 psi), discontinue use of the
ventilator, and change to ventilation with a hand ventilator. Failure to do so could result in
personal injury or equipment damage.

WARNING:
During hand ventilation, the delivered oxygen is not being measured or displayed. Infant injury
or equipment damage could occur.

WARNING:
Manometers are a common means of assessing the amount of Peak Inspiratory Pressure (PIP)
and Positive End Expiratory Pressure (PEEP)/Continuous Positive Alveolar (Airway) Pressure
(CPAP) delivered. However, there can be great differences between the readings of different
manufacturer gauges. Pay particular attention when changing the sources of ventilation or
pressure gauges. The user is the final judge in assessing the adequacy of ventilation. Failure to
check the infant could result in personal injury or equipment damage.

WARNING:
When making oxygen adjustments, maintain the same total flow rate. Failure to do so could
result in inadvertent ventilator setting changes, namely PIP and PEEP/CPAP. Personal injury or
equipment damage could occur.

3-7
 WARNING:
The mechanical ventilation circuits and exhalation valve are specifically for use with the TI500
Globe-Trotter Neonatal Transport System. Do not substitute other products without first
ensuring proper operation. Personal injury or equipment damage could occur.

WARNING:
If the mechanical ventilator is used and the oxygen sensor is taken out of the sensor tee, close
the sensor port with the cap. Failure to do so could result in a large leakage in the ventilator
circuitry and improper ventilation. Patient injury or equipment damage could occur.
CAUTION:
Store the excess sensor cable. Failure to do so could result in equipment damage.

WARNING:
At cleaning and installation, inspect the ventilation circuit for damage. Discard damaged parts.
Failure to do so could result in adverse performance. Personal injury or equipment damage
could occur.

WARNING:
The ventilator included in the system is customized. It may not function in the same manner as
a standard mechanical ventilator. They are not interchangeable. Refer to the separate
instructions for use from the manufacturer. Failure to do so could result in personal injury or
equipment damage.
CAUTION:
Do not autoclave or pasteurize the mechanical ventilation block. Equipment damage could
occur.

Pneumatic Precautions
WARNING:
To continue pneumatic module operation when the compressor Low Battery indicator
activates, connect the system to AC power, or provide compressed air to the pneumatic module
using the external inlet fitting. If AC power or an external compressed air source is not available,
discontinue use of the ventilator, and change to ventilation with a hand ventilator. Failure to do
so could result in personal injury or equipment damage.

WARNING:
The gas provided from the pneumatic module is not heated or humidified. For humidification of
ventilation gas during transport, follow hospital practice. Failure to do so could result in infant
injury.

WARNING:
The pneumatic module acoustic alarm signals can be difficult to detect in a noisy environment,
such as during air transport. Frequently assess the pneumatic module to anticipate and correct
conditions resulting from a mechanical ventilator, air compressor, or gas blender condition.
Failure to do so could result in personal injury or equipment damage.

3-8
WARNING:
When conditions exist that result in a Blender alarm, the mechanical ventilator of the pneumatic
module can malfunction. Change the form of ventilation to a hand ventilator. Then replenish the
exhausted gas source by replacing the empty on-board cylinder or by providing gas to the
respective pneumatic module gas inlet fitting. Failure to do so could result in personal injury or
equipment damage.
CAUTION:
Use a filter and water trap on the system air input hose. The filter and water trap minimize the
possibility of particulate matter or condensed water entering the pneumatic module. Both debris
and water adversely affect operation of the pneumatic module.
CAUTION:
Store the air and oxygen hoses of the pneumatic module in a clean environment. Introduction of
fluid or debris into the pneumatic module gas inlets can result in equipment damage.
CAUTION:
Continued operation of the pneumatic module during the Gas Supply Failure alarm, of the
pneumatic module blender, consumes approximately 10 liters per minute (lpm). Continued
operation of the blender during this condition substantially reduces the operation time from a
cylinder supply source. Failure to heed this caution could lead directly to equipment damage
and indirectly to personal injury.

3-9
 This page intentionally left blank.

3 - 10
 Section 4
Installation and
Functional Checkout
Installation
The TI500 Globe-Trotter Neonatal Transport System is shipped in two cartons. One carton contains the
incubator and pneumatic module assembled on a modular frame. The variable height adjustable (VHA)
cart is in a separate carton.
CAUTION:
Take care not to scratch or otherwise damage unprotected surfaces.
1. Remove the equipment from the two cartons. Take care not to scratch or otherwise damage
unprotected surfaces.
2. Discard the packing material.
3. Assemble the unit (see “Assembly” on page 4-1).
4. Install the gas cylinders (see “Cylinder Installation” on page 4-3).
5. Perform the functional checks. Refer to “Functional Checkout” on page 4-5.

Assembly
WARNING:
For safety, due to the weight and complexity of the system, two people of sufficient strength
must assemble and move the unit. Failure to use two people could result in personal injury or
equipment damage.
1. Open the front access panel of the incubator hood, and remove the components.
2. Loosen the retention screw that secures the battery pack.

WARNING:
The battery pack weighs 18.1 kg (40 lb). To avoid personal injury, use care when removing the
battery tray.
3. Remove the battery pack, and connect the battery terminal leads.
NOTE:
The battery pack can only be removed and installed with the frame separated from the VHA cart.
4. Reinstall the battery pack, and tighten the retention screw.

4-1
 5. Secure the modular frame to the VHA cart.
For all VHA carts, except for Model 147A, refer to the
separate instructions for use from the manufacturer.

For Ferno-Washington cart, model 147A, perform the

following:
a. Position the VHA cart forward with the recessed
wheels on the left.
b. Pull the incubator locking handle on the cart to the
unlocked position.
c. Hook the retaining latch to the top frame of the
cart.
d. With a person at each end, ensure that the frame is securely seated on the four alignment pins.
e. Place the frame on the cart.
f. Release the retaining latch, and allow the incubator locking blocks to slide freely in place.
g. Visually confirm that the frame is locked to the cart.
6. Secure the optional infusion pumps to the IV pump mounting frame, and plug each pump power cable
into the system AC outlets.
NOTE:
Three open grommets exist at the head-end access panel. The hoses or cables must be disconnected
before removing or inserting the infant through the front door.
7. Secure the optional patient monitors on the shelf, and plug the monitors into the system AC outlets.
NOTE:
The user is responsible for completing and mailing the various manufacturer registration material.
8. Mount the oxygen cell on the sensor cord, and install it in the oxygen sensor tee. If necessary, refer to
the separate instructions for use from the manufacturer.
9. Store the excess cord in the port of the pneumatic module.

4-2
 Scissor mount dimensions

Cylinder Installation
WARNING:
Do not use a cylinder without first removing the vinyl wrapper. Never use an E- or D-size
cylinder missing its gas outlet wrapper without first “cracking” the gas cylinder valve to remove
any debris. For the proper method, consult the facility gas cylinder safety procedures. Failure to
do so could result in personal injury or equipment damage.

4-3
 WARNING:
When the system is secured in a land ambulance, airplane, or helicopter, do not place anything
on the right-hand side of the frame. Doing so could prevent access to the on-board cylinders.
The cylinders are removed and installed from the right side of the frame. Allow for the needed
space. Failure to do so could result in personal injury or equipment damage.
Pin-Index Style Cylinders
CAUTION:
Take care when placing the cylinders in their respective cylinder holders. Failure to do so could
result in equipment damage.
1. To install a cylinder:
a. Loosen the securing bolt on the cylinder yoke to accommodate the cylinder post valve.
b. Align each cylinder post valve so that the cylinder gas outlet is facing inward.
NOTE:
The gas yokes can be aligned to accept the varying diameters of the UK-style steel cylinders or the US-
style aluminum and steel cylinders.
c. Grasp the yoke assembly firmly.
d. Align the yoke to match the position of the respective style or composition of cylinder.
NOTE:
When installing the valve into the yoke, twist slightly at the base of the cylinder while gently pushing the
post valve forward into the yoke.
CAUTION:
Tightening the securing bolt to misaligned cylinder permanently damages the yoke inlet and
keyed pins. Before securing the cylinder, align it correctly. The cylinder gasket is the source of
the seal. Always use new cylinder gaskets. Failure to do so could result in equipment damage.
NOTE:
To tighten the securing bolt on the cylinder yoke, use the side of the ratchet wrench labeled On. To
loosen, use the Off side.
e. Using the On side of the ratchet wrench provided, tighten the securing bolt on the cylinder yoke
for the valve outlet.
f. Secure the cylinder with the straps.
2. To remove a cylinder:
a. Close the valve.
b. Remove the straps from the cylinder.
c. Using the Off side of the ratchet wrench, loosen the securing bolt on the cylinder yoke.
d. Perform the installation procedure in reverse order.

4-4
Functional Checkout
WARNING:
Do not place the TI500 Globe-Trotter Neonatal Transport System in service without each
component passing the respective manufacturer checkout procedure. Personal injury or
equipment damage could occur.
Before use, fully charge the electronic equipment found in the system, such as the air compressor (if
present), pumps, and monitors.
Before first placing the TI500 Globe-Trotter Neonatal Transport System into use and after disassembling
the unit for cleaning and maintenance, perform the functional checkout. To operate the components not
manufactured by Draeger Medical Systems, Inc., refer to their respective manufacturer user manuals.

Electrical Checkout
SHOCK HAZARD:
Ensure that the power source is compatible with the electrical specifications shown on each
component. For proper grounding reliability, plug the TI500 Globe-Trotter Neonatal Transport
System power cable only into a properly marked, hospital-grade receptacle. Do not use
extension cords. If any doubt exists as to the grounding connection, do not operate the
equipment. Personal injury or equipment damage could occur.
1. Plug the TI500 Globe-Trotter Neonatal Transport System power cable into an appropriate power
source, and verify that the AC indicator illuminates.
2. Ensure that components with this function indicate AC Charging mode, such as the incubator,
infusion pump, suction pump, or patient monitor.
3. Ensure that the retainer clip is engaged on the power cable.
4. Coil up the excess power cable and secure it in the associated strap.

Mechanical Checkout
CAUTION:
Ensure that the frame is firmly seated on the four alignment pins and that the two locking blocks
are secured before system use. Failure to do so could result in equipment damage.
1. Ensure that the patient monitors are well secured.
2. Verify that the system is clean and stocked with the necessary supplies.
3. Verify that the incubator locking handle, on the cart, operates freely so that the modular frame system
can be removed from the cart if necessary.
4. Inspect the tie-down straps, the cord, and the hose straps for wear. Replace, if necessary.
5. Visually inspect the system for worn, loose, or damaged components. Before use, replace or repair
damaged components.

4-5
Pneumatic Checkout
WARNING:
Before clinical use, correct all sources of gas leakages. Failure to do so could result in personal
injury or equipment damage.

WARNING:
Use clean, dry gas. Failure to do so could result in personal injury or equipment damage.

WARNING:
E- and D-size cylinders come standard with a vinyl wrapper over the gas outlet port to keep the
port clean. Do not use a cylinder without first removing the wrapper. Personal injury or
equipment damage could occur.

WARNING:
Never use an E- or D-size cylinder missing its gas outlet wrapper without first “cracking” the
cylinder valve to remove any debris. For a method, consult the facility gas cylinder safety
procedures. Failure to do so could result in personal injury or equipment damage.
CAUTION:
Store the air and oxygen hoses of the pneumatic module in a clean environment. Introduction of
fluid or debris into the pneumatic module gas inlets can result in equipment damage.
CAUTION:
A filter/water trap is recommended for use on the DISS or NIST gas-input hose to isolate
contaminants before they enter into the pneumatic module. Failure to do so could result in
equipment damage.
Checking on-board gas sources
NOTE:
The blender alarm sometimes activates during this procedure. This alarm occurs when only one gas
cylinder is turned on at a time. Disregard this alarm except during step 13.
1. Switch off the Ventilator Gas Source control.
2. Close the Flow Controller valve.
3. Ensure that the gas cylinders are properly installed and connected into their respective holders (see
“Cylinder Installation” on page 4-3).
4. For a system with an Air cylinder pneumatic module, confirm that each cylinder is full. For
compressor versions, go to step 5.
NOTE:
1200 psi is the recommended minimum for beginning transport. 300 psi is sufficient for testing.
a. Open the Air cylinder valve.
b. Confirm the cylinder pressure shown on the gauge of the pneumatic module.
c. Open the O2 cylinder.
d. Confirm the cylinder pressure shown on the gauge of the pneumatic module.

4-6
5. For a system with a compressor pneumatic module, confirm that each cylinder is full.
NOTE:
1200 psi is the recommended minimum for beginning transport. 300 psi is sufficient for testing.
a. Open one O2 cylinder.
b. Confirm the cylinder pressure shown on the gauge of the pneumatic module.
c. Close the open O2 cylinder.
d. Vent the system by opening the Ventilator Gas Source control and the Flow Controller valve,
until the pressure shown on the gauge drops to 0.
e. Switch off the Ventilator Gas Source control and close the Flow Controller valve.
f. Open the second O2 cylinder (compressor version only).
g. Confirm the cylinder pressure shown on the gauge of the pneumatic module.
NOTE:
1200 PSI is the recommended minimum for beginning transport. 300 PSI is sufficient for testing.
6. For a system with a compressor pneumatic module, confirm that the compressor operates.
a. Ensure that the Globetrotter is plugged into the AC mains.
b. Switch on the compressor. Then verify that the compressor cycles on, and remains on for at least
2 min. The compressor shuts off within 5 minutes.
NOTE:
If the compressor does not remain on for at least 2 minutes or does not shut off within 5 minutes, there is
a fault in the compressor system. Discontinue use of the Globe-trotter and contact DrägerService.
7. Switch on the Ventilator Gas Source control.
8. Set the Flow Controller valve to 3 lpm.
9. Switch on the oxygen analyzer.
10. Ensure that the oxygen sensor is in the sensor tee at the rear of the pneumatic module.
11. Switch on the ventilator, and adjust settings as directed by qualified personnel.
12. Verify the ventilator output according to the instructions for use for the ventilator.
13. Confirm that the blender and oxygen analyzer function.
a. Set the blender to 21%. Confirm that the oxygen analyzer shows 21% +/-3% within 2 minutes.
b. Set the blender to 100%. Confirm that the oxygen analyzer shows 100% +/-3% within 2 minutes.
c. Close the O2 cylinder valve. Confirm that the blender alarm activates within 2 minutes. Open the
O2 cylinder valve.
d. Switch off the compressor, if pneumatic module is equipped with a compressor. Confirm that the
blender alarm activates within 2 minutes. Switch on the compressor.
e. Close the Air cylinder valve, if pneumatic module is equipped with an Air cylinder. Confirm that
the blender alarm activates within 2 minutes. Open the Air cylinder valve.
14. Switch off the ventilator and oxygen analyzer.

4-7
 15. Confirm that the Flow Controller valve functions.
a. Close the Flow Controller valve. Manually verify that gas flow stops.
b. Open the Flow Controller valve to 3 lpm. Manually verify that gas flows.
c. Open the Flow Controller valve to 10 lpm. Manually confirm that gas flow is greater than 3 lpm.
16. Close all cylinder valves.
17. Switch off the compressor, if equipped.
18. After the gas stops flowing through the Flow Controller valve, switch off the Ventilator Gas Source
control and Flow Controller valve.
Checking external gas sources
NOTE:
The blender alarm activates during this procedure. This alarm occurs when only one gas cylinder is
turned on at a time. Disregard this alarm except during step 12.
1. Switch off the Ventilator Gas Source control.
2. Close the Flow Controller valve.
3. Clear the hoses of any debris.
a. Disconnect the air hose from the pneumatic module.
b. Attach the air hose to a source of medical-grade, compressed air (70 psi maximum).
c. Briefly purge the air hose while pointing the open end away from any personnel.
d. Disconnect the air hose from the air source.
e. For the oxygen hose, repeat the procedure using medical-grade oxygen.
4. Connect each hose from the appropriate central gas to the pneumatic module. Finger-tighten the
fitting of each hose.
5. Switch on the central gas supplies. Confirm the input pressures.
6. Switch on the Ventilator Gas Source control.
7. Set the Flow Controller valve to 3 lpm.
8. Switch on the oxygen analyzer.
9. Ensure that the oxygen sensor is in the sensor tee at the rear of the pneumatic module.
10. Switch on the ventilator, and adjust settings as directed by qualified personnel.
11. Verify the ventilator output according to the instructions for use for the ventilator.
12. Confirm that the blender and oxygen analyzer function.
a. Set the blender to 21%. Confirm that the oxygen analyzer shows 21% +/-3% within 2 minutes.
b. Set the blender to 100%. Confirm that the oxygen analyzer shows 100% +/-3% within 2 minutes.
13. Switch off the ventilator and oxygen analyzer.
14. Close all wall terminal units.
15. Switch off the compressor, if equipped.

4-8
 16. After the gas stops flowing through the Flow Controller valve, switch off the Ventilator Gas Source
control and Flow Controller valve.
17. Disconnect the hoses, and return them to their associated straps.

System Checkout
The TI500 Globe-Trotter Neonatal Transport System is a system of integrated components commonly
used to transport the acutely ill newborn. However, the pre-configured system does not replace the
responsibility of the user to include any additional equipment necessary for the care of the infant.
To complete the system checkout, each product used with the transport system must satisfy the
manufacturer functional checks.
Upon successful completion of each component checkout procedure, perform the following:
1. Plug the TI500 Globe-Trotter Neonatal Transport System into an appropriate AC power source.
2. Set the On/Off switch of the transport incubator to the On position so the incubator batteries can
maintain a full charge.
NOTE:
On/Off switch of the transport incubator is located on the power chassis on the left side.
3. Perform the Operational Checkout for the transport incubator (TI500). Refer to the separate
instructions for use from the manufacturer.

4-9
 This page intentionally left blank.

4 - 10
 Section 5
Instructions for Use
Controls, Indicators, and Connectors

NOTE:
This view is typical of the TI500 Globe-Trotter Neonatal Transport System.

5-1
 The major system components are listed in this table:
Reference Description
A TI500 Incubator
B Overhead accessory shelf
C I V pump mounting frame
D Pneumatic module
E, I Locking block
F Variable height cart (Model 147A shown)
G Recessed wheels
H Retaining latch
J Modular frame system
K Mechanical ventilation circuit couplings
L Exhalation valve holder
M Cable/hose strap

5-2
Alarms
An alarm is signaled whenever a condition, which could be potentially hazardous, is detected. This
section lists the TI500 Globe-Trotter Neonatal Transport System alarms.
Refer to the separate instructions for use from the manufacturer for alarms associated with the ventilator
and the accessories. For the incubator, refer to the Transport Incubator, Model TI500, Instructions for
Use.

Blender Alarms
When the blender detects the absence of a supply gas or a significant difference in the pressure in the gas
supplies, it produces the Blender alarm or Gas Supply Failure alarm.
CAUTION:
Continued operation of the pneumatic module during the Gas Supply Failure alarm, of the
pneumatic module blender, consumes approximately 10 litres per minute (lpm). Continued
operation under this condition substantially reduces the operation time from a gas cylinder
supply source. Failure to heed this caution could lead directly to equipment damage and
indirectly to personal injury.
During a Gas Supply Failure alarm, stop operation of the pneumatic module.

WARNING:
When conditions exist that result in a Blender alarm, the mechanical ventilator of the pneumatic
module can malfunction. Change the form of ventilation to a hand ventilator. Then replenish the
depleted gas source by replacing the on-board empty gas cylinder or by providing gas to the
respective pneumatic module gas inlet fitting. Failure to do so could result in patient injury or
equipment damage.
During a Blender alarm:
• Change the form of ventilation to a hand ventilator.
• Replace the empty gas cylinder, or provide gas to the respective external gas inlet fitting.

Compressor Low Battery Alarm

WARNING:
To continue operation of the pneumatic module when the compressor Low Battery indicator
activates, attach the system to AC power, or provide compressed air into the pneumatic
module. Use the NIST or DISS inlet fitting. If AC power or an external compressed air source is
not available, discontinue use of the ventilator, and change to ventilation with a hand ventilator.
Failure to do so could result in personal injury or equipment damage.
The compressor of the TI500 Globe-Trotter Neonatal Transport System uses a 20 Amp-hour battery.
Battery operational life is dependent upon many factors, such as:
• initial charge status of the battery
• oxygen setting
• gas flow rate

5-3
 When less than 30 min of battery operation remains, the Low Battery alarm is generated: an LED
flashes, and an acoustic alarm signal activates.

Instructions for Use

General Tips and Information

• When oxygen or air yokes are used, use the Pin-Index Safety System to avoid mismatching gas
types on UK- and US-style, high pressure, cylinder post valves.
• Fittings specific to the various international standards are available. The fittings include Diameter
Indexed Safety System (DISS), Non-Interchangeable Safety Thread (NIST), and those fittings
certified by the Canadian Standards Association (CSA).
• When the cylinder gas is introduced into the pneumatic module, internal oxygen and air
regulators reduce the pressure.
• Gas cylinders continue to deplete when the cylinders are left on and pressure feeding the gas
inlets is less than the pressure of the pneumatic module regulators.
• Ensure the system is connected to the correct voltage.

System
CAUTION:
Before placing the TI500 Globe-Trotter Neonatal Transport System in clinical use, ensure that it
is in optimal condition. The use of partially charged batteries and partially full gas cylinders
provides less operating time from the on-board battery and gas supplies on the system. Failure
to heed this caution could lead directly to equipment damage and indirectly to personal injury.
To minimize the time needed before placing the system back into clinical use, follow the sequence for
recharging the temporary supplies for the system. The supplies include batteries and gas cylinders.
Before clinical use, ensure that each device/component passes its recommended checkout procedure.

5-4
To Use an External AC Power Source

SHOCK HAZARD:
Before use, check ground continuity between the systems and the AC plug ground pin. To
ensure grounding reliability, connect the system power cable only to a properly grounded, three-
wire, hospital-grade, or hospital-use outlet of the proper voltage and frequency. Do not use
extension cords. Personal injury or equipment damage could occur.

SHOCK HAZARD:
If the system circuit breaker is activated, all non-battery-operated equipment ceases to operate.
To avoid activating the circuit breaker, the plugged-in components must not exceed the
maximum total current draw of the system. Check the current draw of each system component,
and verify that the total system current draw does not exceed the specified maximum draw.
Failure to do so could result in personal injury or equipment damage.

SHOCK HAZARD:
Ensure that the AC output is of the appropriate voltage and ampere capacity. Some AC-
powered equipment is dependent on a sine-wave AC source. Inverters provide either a sine-
wave, a quasi-sinusoidal wave, or a square wave pattern. The incubator, suction pump,
compressor charger, and monitor require at least a quasi-sinusoidal wave pattern. Other
equipment can be sensitive to a non-sine wave AC source. Equipment damage could occur.
NOTE:
Ambulances are often equipped with an inverter to provide AC power.
Compressor version pneumatic system
When the system is plugged into an appropriate AC power source, the On AC LED on the rear of the
pneumatic module illuminates. If the battery requires a charge and the system is plugged into an AC
power source, both the On AC LED and the In Use LED illuminate. The On AC LED always
illuminates when the system is plugged into an appropriate AC power source. The In Use LED
illuminates if the system is plugged into an AC power source and the battery requires charging. It also
illuminates when the air compressor is in use.
Air cylinder version pneumatic system
When the system is plugged into an appropriate AC power source, the AC indicator on the front of the
pneumatic module illuminates.

5-5
 To Use the Auxiliary Power Strip

WARNING:
Do not reset a circuit breaker or replace a fuse without assessing and correcting what caused
the breaker or fuse to activate. Personal injury or equipment damage could occur.
The AC power strip is on the rear of the pneumatic module. A 10 A circuit breaker is integral with the
120-V system power strip, and a 5 A circuit breaker is integral to the 230-V systems.
1. Plug the incubator, suction pump, and any optional equipment, such as patient monitor or infusion
pump, into these outlets for AC power in the hospital or ambulance.

SHOCK HAZARD:
When plugging in items other than items supplied with the system, check the total leakage
current. Ascertain that it does not exceed the acceptable limits. Failure to do so could result in
personal injury or equipment damage.
2. For devices not supplied with the system, ensure that the total leakage current does not exceed the
acceptable limits.
3. Ensure that the AC indicator is illuminated.
NOTE:
To charge the devices plugged into the outlets, the AC indicator must be illuminated.
To Prepare the System for Transport
Temporary, on-board, electric and pneumatic supplies, such as batteries and gas cylinders, can power the
pneumatic system. Additionally, external electric and pneumatic supplies can power the pneumatic
system during transport. External electric and pneumatic supplies include AC power and independent gas
sources.
For the individual battery recharge and use time of the transport system components, refer to the separate
instructions for use from the manufacturer.
To prepare the system for transport:

SHOCK HAZARD:
Unplug the power cable from its power source. Failure to do so could result in personal injury or
equipment damage.
1. Keep the incubator pre-warmed to 35 °C (95 °F) while on AC power.
2. Unplug the power cable from its power source.
3. Coil the power cable, and secure it in the power cable storage strap.
4. Detach the hoses from the external gas sources and gas inlet fittings.
5. Coil the hoses, and secure them in the hose storage strap.
6. Secure the system into the ambulance in accordance with the method defined for each type of vehicle
or mode of patient transport, such as air or land ambulance.

Transport incubator
Refer to the Transport Incubator, Model TI500, Instructions for Use to operate the incubator.

5-6
Pneumatic Module
WARNING:
The ventilator included in the system is customized. It may not function in the same manner as
a standard mechanical ventilator. They are not interchangeable. Refer to the separate
instructions for use from the manufacturer. Failure to do so could result in personal injury or
equipment damage.

WARNING:
The gas provided from the pneumatic module is not heated or humidified. For humidification of
ventilation gas during transport, follow the facility practice. Failure to do so could result in infant
injury or equipment damage.
CAUTION:
The gas output from the pneumatic module is dry. Evaluate the need for humidifying hand and
mechanical ventilators, especially in situations of extended duration. Adapt your methods to the
system. Failure to do so could result in equipment damage.

WARNING:
The acoustic alarm signals of the pneumatic module can be difficult to detect in a noisy
environment, such as during air transportation. Frequently assess the pneumatic module to
anticipate and correct conditions resulting from a mechanical ventilator, air compressor, or gas
blender condition. Failure to do so could result in injury or equipment damage.
NOTE:
It is normal for water to exit the condensate drain tube below the pneumatic module. This phenomenon
increases in humid climates and where extended use of the air compressor occurs, such as long transport,
low FiO2, and high gas flow.
To operate properly, the pneumatic module requires supplies of both oxygen and air at equal pressures.
Oxygen and air can be supplied from either on-board cylinders or from external sources, such as central
source medical oxygen and air or external cylinders. Gas supplied by on-board cylinders is regulated
within the pneumatic module. Gas supplied by external sources must be regulated externally in
accordance with the specifications table (“Specifications” on page 2-9). DISS and NIST fittings are
available for use of external sources.
Check-valves in the gas cylinder plumbing prevent gas supplied from external sources from depleting
through the cylinder fittings, even when no cylinder is connected. On modules with a compressor, they
also prevent the O2 cylinder with the higher pressure from cross-feeding into the cylinder with the lower
pressure.
Frequently assess the pneumatic module to anticipate and correct conditions resulting from a mechanical
ventilator, air compressor, or gas blender condition.
During a short or extreme current draw in the DC circuit, a 10 A circuit breaker, that is integral to the
compressor On/Off switch, interrupts 12-V compressor operation.
During a DC short, a 10 A fuse in the DC output line of the charger interrupts output.
During a short or extreme current draw in the AC charger circuit, a 2 A circuit breaker in the 120 V AC
charger or a 1 A circuit breaker in the 230 V AC system interrupts operation of the charger.

5-7
 To Activate the Pneumatic Module
When on-board cylinder gas supplies are in use, store the oxygen and air hoses for the pneumatic module
in a clean environment.
Before introducing an external gas source to the pneumatic module, prepare the hoses.
To prepare hoses for use with external gas sources
1. Unsnap the hose storage strap, and remove the air or oxygen hoses.
2. Uncoil each hose, and purge it with gas.
a. Disconnect the air hose from the pneumatic module.
b. Attach the air hose to a source of 345 kPa (50 psi) ± 34 kPa (5 psi) medical-grade, compressed air.
c. Briefly purge the air hose while pointing the open end away from any personnel.
d. Disconnect the air hose from the air source.
e. Repeat steps a through d using medical-grade oxygen in step b for the oxygen hose.

WARNING:
Use a filter and water trap on the system air input hose. The filter and water trap minimize the
possibility of particulate matter or condensed water entering the pneumatic module. Both debris
and water can adversely affect operation of the pneumatic module. Failure to do so could result
in equipment damage and patient injury.
3. Use a filter and water trap on the air input hose.
4. Attach the hoses to their associated inlet fitting.
5. Switch on the external gas supply, and switch off the corresponding on-board gas source.
To Activate the Pneumatic Module
1. Install and open the air and/or O2 cylinders, as required.
2. Ensure that the power cable for the pneumatic module is connected to a power source.
3. Switch on the compressor, if equipped, using the On/Off switch. If not using a compressor, Go to step
5.
4. Allow a few seconds for the system to develop enough pressure to charge the accumulator tank.
NOTE:
A pressure switch controls the compressor to maintain accumulator pressure at 414 kPa (60 psi) ± 34 kPa
(5 psi). The compressor motor runs intermittently, even though the On/Off switch and circuit breaker are
continuously illuminated.
5. Switch on the On/Off switch on the Ventilator Gas Source on the pneumatic module.
6. Switch on the oxygen analyzer.
NOTE:
The Blender alarm of the pneumatic module remains active until there are appropriate supplies of both
gases.

5-8
To Operate the System When the Air Compressor Battery is Low

WARNING:
To continue operation of the pneumatic module when the compressor Low Battery indicator
activates, attach the system to AC power, or provide compressed air into the pneumatic
module. Use the NIST or DISS inlet fitting. If AC power or an external compressed air source is
not available, discontinue use of the ventilator, and change to ventilation with a hand ventilator.
Failure to do so could result in personal injury or equipment damage.
1. Attach the system to AC power, or provide compressed air into the pneumatic module by way of the
NIST or DISS inlet fitting.
2. If AC power or an external compressed air source is not available, discontinue use of the ventilator,
and change to ventilation with a hand ventilator.
To Assess Each Gas Cylinder

WARNING:
If the gas cylinder pressure display falls below 2068 kPa (300 psi), discontinue use of the
ventilator, and change to ventilation with a hand ventilator. Failure to do so could result in
personal injury or equipment damage.
1. Switch on the gas cylinder.
2. If the cylinder contents are 2068 kPa (300 psi) or less, replace the cylinder.
3. If the cylinder contents are greater than 2068 kPa (300 psi), anticipate the duration of future
operation, and act accordingly.
4. Switch off the gas cylinder.
5. To bleed off any remaining gas, open the flow control valve, and wait until the flow of gas stops.
6. Restock the other necessary supplies expected to be used during the transport.
To Monitor Gas Reserve

WARNING:
The ventilation equipment relies on a pressured gas source for operation. Do not allow the
cylinder pressure to fall below 2068 kPa (300 psi). Regulator output could become
unpredictable, and could adversely affect operation of the pneumatic module. For ease in
monitoring the cylinder reserve, use the air, when present, and oxygen gauges. If the pressure
falls below 2068 kPa (300 psi), discontinue use of the ventilator, and change to ventilation with
a hand ventilator. Failure to do so could result in personal injury or equipment damage.
NOTE:
Ambulances are often equipped with additional gas cylinders that contain their own regulator. The
ambulance has a hospital-like central gas outlet configuration. However, if these sources are considered
to be part of the system gas supply, the transport operator retains the responsibility for assessing the
volume of gas reserves. Gas inlet fittings, specified by regulatory agencies, exist for air and oxygen. For
inlet gas pressure requirements, refer to “Specifications” on page 2-9.
1. Use the air, when present, and oxygen gauges to monitor the gas cylinder reserve.
2. If the pressure falls below 2068 kPa (300 psi), discontinue use of the ventilator, and change to
ventilation with a hand ventilator.

5-9
 To Administer Oxygen
For stable oxygen delivery, attach a ventilation circuit to the patient.

WARNING:
Improper use of supplemental oxygen can cause serious side effects including blindness, brain
damage, and death. The risks vary with each infant. The attending physician prescribes the
method, concentration, and the duration of oxygen administration. Failure to do so could result
in patient injury or equipment damage.

WARNING:
Measure oxygen concentrations with a calibrated oxygen analyzer at intervals directed by the
attending physician. Failure to do so could result in patient injury or equipment damage.

WARNING:
Oxygen therapy requires special care to prevent fire. Any materials which burn in air, and some
that do not, are easily ignited, and burn rapidly in oxygen-enriched air. Accordingly for safety,
keep all sources of ignition away from the incubator and out of the area in which it is being used.
Failure to do so could result in personal injury or equipment damage.

WARNING:
If oil, grease, or greasy substances come in contact with oxygen under pressure, a
spontaneous, and violent ignition could occur. Keep these substances away from the incubator
and out of the area in which it is being used. Failure to do so could result in personal injury or
equipment damage.

WARNING:
On high-pressure O2 cylinders, use only approved reducing or regulating valves marked for
oxygen service. Do not use these valves for air or gases other than oxygen since they can be
hazardous when returned to oxygen service. Operate such equipment strictly in accordance
with the directions of the valve manufacturer. Failure to do so could result in personal injury or
equipment damage.
To administer oxygen, use either the flow control valve or mechanical ventilator fresh gas flow as the
source.
The flow control valve has detent positions on the knob control. The valve has detents at 1/4, 1/2, 1, 2, 3,
4, 5, 6, 8, 10, and 15. Combined ventilator and auxiliary flow control rates are limited to 30 lpm.
NOTE:
Specifications are ± 10% due to the manufacturer variance.
Specifications of Typical-Size Gas Cylinders
Dimensions
Cylinder Size Contents Weight, empty
(Diameter x Length)
D (aluminum) 11.4 cm (4.5") x 28 cm (11") 360 l 2 kg (4.5 lb)
UK-type E 9.7 cm (3.8") x 80.8 cm (31.8") 580 l 5.2 kg (11.5 lb)
E (aluminum) 10.8 cm (4.25") x 73.7 cm (29") 640 l 3.8 kg (8.5 lb)
E (steel) 10.2 cm (4") x 73.7 cm (29") 640 l 5.6 kg (12.5 lb)

5 - 10
To Charge the Battery
1. Unsnap the AC power cable from the power cable strap.
NOTE:
Use only an AC outlet capable of sustaining the system operation. It must also be certified for the
environment of system use, such as hospital-grade or Federal Aviation Administration (FAA)-approved.
2. Uncoil the AC power cable to the length required to reach an appropriate AC outlet.
3. Plug the AC power cable into an appropriate AC outlet. Verify that the system AC indicator, located
on the front of the pneumatic module, illuminates. For compressor versions of the pneumatic module,
verify that the air compressor On AC indicator, located on the rear of the pneumatic module,
illuminates.
To Check the Battery Condition after Charging the System
1. Check the condition of the battery before the first use of the TI500 Globe-Trotter Neonatal Transport
System, after running beyond a Low Battery alarm, and at least every three months.
a. Set the blender to 21%.
b. Turn the ventilator gas source to ON.
c. Turn the flow control valve clockwise to full on.
d. Observe that the compressor runs for 3 hours.
2. If the Low Battery indicator, or the Low Battery alarm comes on before completing the check of the
battery condition:
a. Switch off the compressor.
b. Place the unit on charge for 20 hours.
c. After the unit is charged, check the condition of the battery again (refer to step 1).
d. If it fails after the second charge cycle, replace the battery before putting the system back into
service.

5 - 11
 To Use the Mechanical Ventilation Circuits

WARNING:
The mechanical ventilation circuits and exhalation valve are specifically for use with the TI500
Globe-Trotter Neonatal Transport System. Do not substitute other products without first
ensuring proper operation. Patient injury or equipment damage could occur.
The mechanical ventilator circuit exhausts gas outside the incubator environment to help maintain the
incubator heat. The mechanical ventilation circuit is attached to the incubator wall to limit movement of
the ET tube and to help prevent accidental disconnection. Mechanical ventilation tubing is routed inside
the incubator wall to protect it from disconnection or kinking.
A disposable ventilation circuit is included with each TI500 Globe-Trotter Neonatal Transport System.
Refer to separate instructions for use.

Mechanical
To ventilation Airway
gauge suction
(MV) block
barb port

To
patient
port
Airway
connector

Incubator
Cover
walls
plug
Valve
drive
tube

Exhalation
valve Use the cover plug for testing the MV function only.

5 - 12
To Use the Oxygen Analyzer
An oxygen analyzer is mounted in the upper, left-hand corner of the pneumatic module. The
manufacturer design and function of the oxygen analyzer is unaltered.
To use and care for the oxygen analyzer, refer to separate instructions for use from the manufacturer.
Sensor

WARNING:
If the oxygen sensor is removed from the sensor tee, cap the sensor port. Failure to do so could
result in a large leakage in the ventilator circuitry and improper ventilation. Patient injury or
equipment damage could occur.

WARNING:
If the mechanical ventilator is used, the oxygen sensor must be in the sensor tee, or the sensor
port cap must be securely installed. Failure to do so could result in patient injury or equipment
damage.
The sensor port, mounted above the mains power sockets on the rear of the pneumatic module, contains
the sensor tee.
To measure oxygen concentration in the ventilation circuit:
1. Install the sensor in the sensor port on the rear of the
pneumatic module.
2. Connect the O2 analyzer cable to the sensor.
3. Tighten the capture nut.
CAUTION:
Store the excess sensor cable. Failure to do so could
result in equipment damage.
4. To protect the sensor cable, secure the excess cable.
Battery
For easy access, the battery is located on the rear of the
oxygen analyzer. For replacement and maintenance
instructions, refer to the separate instructions for use from
the manufacturer.
Calibration
Refer to the separate instructions for use from the manufacturer.

5 - 13
Infusion Devices
To use infusion pumps, refer to separate instructions for use from the manufacturer.
To install infusion pumps:
1. Using the infusion pump mounting frame at the rear of the pneumatic module, secure the infusion
pumps with pole clamps. Orient the infusion pumps so they remain inside the rear of the frame.
2. Route the IV tubing between the incubator hood and the pneumatic module. Then route the IV tubing
into the right-hand, tubing grommet located on the front access panel.
NOTE:
Three additional open grommets exist at the head-end access panel. Using these grommets requires
disconnecting the IV tubing before moving the infant through the front access panel.
3. To protect the tubing to the infant, and to avoid hampering the mechanical ventilation block, coil any
excess IV tubing inside the incubator.

Suction System
The suction pump is mounted on a holder at the rear of the pneumatic module. The disposable suction
bottle is secured to the rear of the pump.
For device use, cleaning, and maintenance, refer to separate instructions for use from the manufacturer.
A fully charged internal battery sustains the unit for 90 minutes. When the system is connected to an AC
power source, a charger provides continuous operation. The pump On/Off switch is a rocker switch at the
top of the pump. Adjust the pressure using the vacuum control knob located to the right of the pump
On/Off switch. To increase the pressure, turn the knob clockwise. To decrease the pressure, turn the knob
counterclockwise. A vacuum gauge built into the pump and located left of the On/Off switch displays the
pressure in cm Hg and inch (") Hg increments.
The suction tubing enters any open incubator grommet. However, use of the head-end access panel
grommets requires disconnecting the tubing before removing or inserting the infant through the front
access panel.

Patient Monitor Securing Site

The accessory shelf is located above the incubator and is 71 cm
(28") wide x 26 cm (10") deep. To use the accessory shelf and
tiedown strap, refer to separate instructions for use from the
manufacturer of the Transport Incubator Model TI500.

5 - 14
Variable Height Adjustable Cart
To secure the Variable Height Adjustable (VHA)
cart into a FERNO Model 175 ambulance
fastener system, refer to “Assembly” on page
4-1, step 5.
To Remove the Frame from the VHA Cart
1. Pull back the spring-loaded locking handle.
2. Hook the retaining latch over the top tube of
the cart.
3. With an attendant at each end, firmly grasp
the end grip bars of the frame.
4. Lift the modular frame straight up and off the VHA cart.
5. Place the frame on a level, clean surface capable of supporting its weight.
6. Secure the frame to the new surface.
To Return the Frame to its Original Position on the VHA Cart
1. Position the four holes in the frame over the four pins on the VHA cart.
2. To secure the frame to the VHA cart, release the locking handle.
3. Visually confirm that the frame is firmly seated on the four alignment pins and that the two locking
blocks are secured over the frame.

5 - 15
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5 - 16
 Section 6
Cleaning, Maintenance,
and Replacement Parts
Cleaning
WARNING:
Follow the product manufacturer instructions. Failure to do so could result in personal injury or
equipment damage.

WARNING:
Switch off all gas sources, and bleed off remaining pressure. When performing cleaning or
maintenance procedures in an oxygen-enriched environment, a fire and explosion hazard
exists. Personal injury or equipment damage could occur.

SHOCK HAZARD:
Before cleaning, unplug the unit from its power source. Failure to do so could result in personal
injury or equipment damage.

SHOCK HAZARD:
Do not expose the unit to excessive moisture that would allow for liquid pooling. Personal injury
or equipment damage could occur.
CAUTION:
Do not use harsh cleansers/detergents such as scouring pads or heavy-duty grease removers.
Equipment damage could occur.
CAUTION:
Do not use alcohol to clean the incubator hood. Crazing could occur.

General Cleaning
If there is no visible soilage with possible body fluids, we recommend that you clean the unit with a mild
detergent and warm water. If disinfection is desired, use a combination cleanser/disinfectant as explained
in “Disinfecting” on page 6-2.
Thoroughly clean the system after each transportation of an infant. Before cleaning, remove all solid
wastes and contaminants from each item. When using any cleaning agent, follow the directions of the
manufacturer.

Steam Cleaning
Do not use any steam cleaning device on the unit. Excessive moisture can damage mechanisms in this
unit.

6-1
Cleaning Difficult to Access Areas
To remove difficult spots or stains, we recommend that you use standard household cleansers and a soft
bristle brush. To loosen heavy, dried-on soil, saturate the spot first.

Disinfecting
• Use an intermediate level tuberculocidal cleanser/disinfectant, such as CaviCide Surface
Disinfectant/Decontaminant Cleaner to disinfect. Disinfect only after the unit is empty and
disassembled (see “Disassembly for Cleaning” on page 6-3).
NOTE:
For the US market only, use only an intermediate level tuberculocidal cleanser/disinfectant registered by
the Environmental Protection Agency (EPA).
• Dilute the disinfectant as specified on the manufacturer label.
• Thoroughly dry the unit before putting it back into use.
• After removing all solid wastes and contaminants from the disassembled parts, refer to the respective
cleaning procedures for the individual parts.

Cleaning the System Frame and the Pneumatic Module Surfaces

To ease cleaning and preserve appearance, the system frame and pneumatic module are made of
aluminum or stainless steel with a powder-coat paint finish.
1. Clean the surface with a mild detergent and warm water followed by the use a surface disinfectant or
a combination detergent/disinfectant. Take care not to scratch the surface.
2. Wait 5 - 10 minutes, and then wipe dry.

Cleaning the Tie-Down Straps Used to Secure a Monitor or the Gas Hoses and
Power Cable
The tie-down straps are constructed of nylon.
1. Use a mild detergent and warm water to release soil. If necessary, soak the straps.
2. Follow the cleaning with a surface disinfectant.
3. Before use, allow the tie-down straps to dry completely.

Cleaning and Sterilizing the Mechanical Ventilation Circuit

NOTE:
The mechanical ventilator tubing contained inside the pneumatic module, such as the gas output, airway
pressure, and exhalation valve, does not require cleaning or sterilization. These tubes are an extension of
the tubing inside the mechanical ventilator, and are not in contact with the patient.

6-2
 WARNING:
The ventilation circuit is disposable and is intended for single patient use only. Do not reuse.

WARNING:
At cleaning and installation, inspect the ventilation circuit for damage. Discard damaged parts.
Failure to do so could result in adverse performance. Personal injury or equipment damage
could occur.
Clean the mechanical ventilation block with a mild detergent and warm water. Inspect for cracks.
CAUTION:
Do not autoclave or pasteurize the mechanical ventilation block. Equipment damage could
occur.
Use a cold (liquid) sterilization solution to sterilize the mechanical ventilation block.

Disassembly for Cleaning

The major components of the TI500 Globe-Trotter Neonatal Transport System are removable for service
or preventive maintenance.
1. Refer to the Transport Incubator (Model TI500) Instructions for Use.
2. Follow the cleaning instructions provided in the Transport Incubator (Model TI500) Instructions for
Use.

Assembly After Cleaning

1. Refer to the Transport Incubator (Model TI500) Instructions for Use.
2. Follow the manufacturer checkout procedure (see “Functional Checkout” on page 4-5).

Disposal (For countries subject to the EU directive 2002/96/EC)

This device is subject to EU Directive 2002/96/EC (WEEE). In order to comply with its registration
according to this directive, it may not be disposed of at municipal collection points for waste electrical
and electronic equipment. Dräger Medical has authorized a company to collect and dispose of this device.
To initiate take-back or for further information, visit us on the Internet at www.draeger-medical.com and
navigate to the DrägerService area where you will find a link to "WEEE". If you have no access to our
website, contact your local Dräger Medical Organization.

6-3
Maintenance
WARNING:
Only facility-authorized personnel should troubleshoot and perform preventive maintenance on
the TI500 Globe-Trotter Neonatal Transport System. Troubleshooting and preventive
maintenance performed by unauthorized personnel could result in personal injury or equipment
damage.

WARNING:
Routine use of the TI500 Globe-Trotter Neonatal Transport System can result in the gradual
loosening of the screw fasteners. This loosening is especially important when used in a
helicopter where intense vibration is common. Assess the system components for signs of
loosened fasteners, and secure when necessary. Failure to do so could result in personal injury
or equipment damage.

WARNING:
At the end of the life of the TI500 Globe-Trotter Neonatal Transport System, safely dispose of
the unit per local requirements. Failure to do so could result in personal injury.
For disposal of consumable or defective parts, refer to “Disposal (For countries subject to the EU
directive 2002/96/EC)” on page 6-3.
To minimize the time needed before placing the system back into clinical use, follow the sequence for
recharging the temporary supplies for the system. The supplies include batteries and gas cylinders.

Frame and Electrical Power

Qualified service personnel from Dräger Medical should perform the following frame and electrical
power checks at least annually:
• Evaluate the frame for signs of excessive wear and any loose hardware.
• Check the tie-down strap. If it is frayed or cut, replace it.
• Inspect the electrical cords for wear, and replace as necessary.
• Inspect each mains power socket for the ability to securely seat a plug.
• Verify that the AC and DC power indicators function.

Pneumatic Module
Perform the following pneumatic module maintenance at the specified intervals:
• Evaluate the high-pressure inlet gas hoses at least every 12 months for signs of fatigue. Also ensure
that each hose is leak-free when connected to an external gas source.
• For the oxygen analyzer, replace the 3 AA batteries every 12 months or as recommended by the
manufacturer. Refer to the separate instructions for use from the manufacturer.
For compressor-based systems, perform the following:
• Replace the compressor inlet filter annually.
• Replace the 12V, rechargeable battery every 2 years.

6-4
Replacement Parts
The serial number for the TI500 Globe-Trotter Neonatal Transport System is located in the back of the
pneumatic module. All pieces of equipment received from Dräger at the time of purchase are keyed to
this serial number. When corresponding about the system or its components, refer to the serial number.
For a list of parts and accessories for the various system models, refer to the table on page 6-5. Qualified
service personnel should install or replace items not shown here.
Accessories
Part Number Description
MU20508 TI500 Globe-Trotter Neonatal Transport System Model GT500
MU04999 Replacement strap assembly, power cable
MU09042 Handle, valve, removable, with chain
MU04792 Wrench, ratchet, modification, 9/16" hex
MU04852 Replacement block assembly, ventilation, mechanical
MU16753 Cart, height adjustable
MU04501 I.V. pole assembly, transport system
Consumables
Part Number Description
MU04991 Filter, compressor inlet
MU04771 Ventilation circuit, mechanical, disposable, case of 20
MP01442 Oxygen sensor, MX300
13 358 04 Battery, AA, for MX300
MU16052 Battery, 12V, rechargeable
MU10918 Suction bottle, 800cc, box of 20
Optional components
Part Number Description
MU24474 MVP-10 kit
For a list of parts and accessories not manufactured by Dräger, refer to the separate instructions for use
from the manufacturer. For more information about the MX300, refer to the instructions for use from the
manufacturer. For more information about the MVP-10k or MVP-10k1, refer to the instructions for use
from the manufacturer.

6-5
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6-6
 Section 7
Troubleshooting
Troubleshooting
WARNING:
Only facility-authorized personnel should troubleshoot the TI500 Globe-Trotter Neonatal
Transport System. Troubleshooting by unauthorized personnel could result in personal injury or
equipment damage.
For optimal performance, only qualified service personnel should service the items manufactured by
Dräger Medical in the TI500 Globe-Trotter Neonatal Transport System. For customers requiring service
outside of the US, contact your local, factory-authorized Dräger Medical distributor or subsidiary.
To confirm the manufacturer current service and warranty agreement, refer to the product literature
accompanying the item.
For troubleshooting of the TI500 Globe-Trotter Neonatal Transport System, refer to the table on page 7-1.
If you cannot localize the fault, remove the unit from service, and refer it to qualified service personnel.
Troubleshooting
Symptom Possible Cause Remedy
With one gas source active, the Residual opposing gas is still Turn the blender to 60%, and
Blender alarm does not acti- present in the pneumatic module. vent the residual gas with the
vate. flow control valve.
With both gas sources on, the The source gas is exhausted, or Replace the source gas with an
Blender alarm activates. the output pressure is too low. adequate source.
The gas regulators are not Sample the outlet pressures, and
matched. adjust accordingly.
The air compressor DC circuit Assess the air compressor DC
breaker is tripped. circuit, and reset it.
The cylinder pressure falls at a The seal is damaged. Replace the seal.
rate of >1379 kPa (200 psi)
over 5 min with the leakage
test.
The securing bolt and coupling Tighten the securing bolt, but do
are loose. not over-tighten.

7-1
 Symptom Possible Cause Remedy
The air compressor restarts The water-relieving diaphragm Clean the bowl and diaphragm
within 2 min during the leak- and the seal in the air filter/regu- with mild soap and water, dry,
age test. lator assembly do not seat. coat with a drop of oxygen-safe
lubricant, and assemble.
The internal check valve is dam- Refer the system to qualified ser-
aged on the Diameter Indexed vice personnel.
Safety System (DISS) or Non-
Interchangeable Safety Thread
(NIST) inlet
The air compressor valves or the Refer the system to qualified ser-
pressure switch is damaged. vice personnel.
Gas is felt or heard escaping The internal check valve is dam- Refer the system to qualified ser-
from the DISS or NIST fittings aged. vice personnel.
when the on-board cylinders
or the air compressor are in
use.
Gas is felt or heard escaping The check valve is damaged. Refer the system to qualified ser-
from a cylinder yoke when the vice personnel.
DISS or NIST gas input is in
use.
The blender setting is not The oxygen analyzer is out of Calibrate the oxygen analyzer.
within 5% of the oxygen ana- calibration.
lyzer reading.
The blender is out of calibration. Contact the manufacturer.
The air compressor does not No breathing air is in use, and the This condition is normal. Ensure
activate with the On/Off accumulator tank is fully that the air compressor activates
switch turned on and illumi- charged. by allowing the consumption of
nated. air.
The air compressor does not The circuit breaker switch is Assess, and reset the circuit
activate with the On/Off tripped. breaker switch.
switch turned on but not illu-
minated.
The battery is fully discharged. Recharge the unit.
The external DC source is not Validate the presence and polar-
present, or the polarity is ity of the external DC source.
reversed.
The On AC LED on the com- The AC circuit breaker is Assess, and reset the AC circuit
pressor charger is not lit when tripped. breaker.
the system is plugged into AC
power.
AC power is not present. Ensure that the plug is secured
and fully seated in the receptacle.

7-2
 Symptom Possible Cause Remedy
The In Use LED on the battery The internal battery charger fuse Refer the system to qualified ser-
charger does not illuminate is blown. vice personnel.
when the system is plugged
into AC power and the air
compressor is active.
The gas cylinder post valve The yoke is not aligned with the Firmly grip the yoke assembly,
does not readily fit in the gas cylinder. and maneuver it into position.
yoke.
A loud compressor noise is The inlet filter is loose or Assess, reset, or replace the inlet
heard. cracked. filter.
The variable height adjustable The orientation of the VHA cart Verify that the recessed wheel
(VHA) cart does not attach in is wrong. end is positioned on the left side.
the FERNO 175 Ambulance
Fastening System.
The spacing of the FERNO 175 Refer to the separate instructions
Ambulance Fastening System is for use from the manufacturer for
wrong. adjustment.

7-3
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7-4
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7-5
These instructions for use only apply to
TI500 Globe-Trotter Neonatal Transport
System Model GT500
with the Serial No.:
If no Serial No. has been filled in by Dräger,
these instructions for use are provided for gen-
eral information only and are not intended for
use with any specific machine or device.
This document is provided for customer informa-
tion only, and will not be updated or exchanged
without customer request.

Manufacturer Distributed in US by

Draeger Medical Systems, Inc. Draeger, Inc.

3135 Quarry Road 3135 Quarry Road
Telford, PA 18969 Telford, PA 18969
U.S.A. U.S.A.
(215) 721-5400 (215) 721-5400
(800) 4DRAGER (800) 4DRAGER
(800 437-2437) (800 437-2437)
FAX (215) 723-5935 FAX (215) 723-5935
http://www.draeger.com http://www.draeger.com

MU06154 RI16 – GA 6016.011 en

© Draeger Medical Systems, Inc.
Edition: 20 – 2018-01
(Edition: 1 – 2001-08)
Dräger reserves the right to make modifications
to the equipment without prior notice.