INCUBATOR DRAGER CALEO WITH MATTRESS

MAINTAINS PRECISE, CONSTANT TEMPERATURE AND HUMIDITY Infants with extremely low birth weights are particularly prone to hypothermia. When these infants experience heat loss, physiological responses create a demand that exceeds normal physiological equilibrium. This is because the infant needs to expend energy and metabolize oxygen to produce heat. This thermal imbalance can cause heat loss, leading to a chain reaction with long-term effects such as hypothermia. Hypothermia can cause a drop in blood pressure, reduce plasma volume and cardiac output.2 If left unchecked, this can lead to permanent tissue and brain damage, and even death. For a fragile newborn, a difference of one degree can change everything. The Caleo's thermoregulation capabilities have been clinically documented to meet the specific needs of premature babies. While the ideal is to be able to keep the premature baby in an environment protected from any disturbance, in reality, clinicians need to have access to the baby to carry out the necessary care. This can significantly affect the baby. For example, in premature babies weighing less than 1,500 g, peripheral and core temperatures would drop during care for 15 to 45 minutes, and it would then take up to two hours for the baby to return to his or her initial temperature. The ultimate aim of closed care is to create such a stable environment that very low-weight babies can maintain a constant body temperature. This state is called the thermally neutral zone. Because of the inability of these infants to withstand temperature variations, the Caleo has been designed with advanced technologies to stabilize the internal environment during procedures. The following charts illustrate these capabilities. GOOD ACCESS FOR THE BABY WITHOUT COMPROMISING THE ENVIRONMENT During a nursing shift, many care procedures may need to be performed, such as placing an umbilical catheter, intubating, performing a chest X-ray, handling infusions, repositioning and suctioning, requiring the incubator to be repeatedly opened to access the baby. Exclusive JumboPorts™, 40% larger than portholes, allow easy access to the infant during procedures. The Caleo directly compensates for the drop in temperature caused by opening, creating a new type of double air curtain that keeps temperature and humidity stable, even during routine procedures. The double air curtain enables Caleo to maintain thermal stability better than any other system tested. BE READY FOR THE NEXT PATIENT As there is usually no advance warning of the admission of very low-weight infants, a warm incubator must be available at all times for an unannounced delivery.5 For this reason, an incubator capable of rapid heating is essential. In an in vitro comparison of heating devices, the Caleo proved to heat faster and retain heat and humidity better, even when the access portholes were open. PROVIDING THE IDEAL HUMIDITY Humidity inside the incubator is essential to avoid transepidermal water loss (TEWL) in premature babies. The table below illustrates the exponential relationship between gestational age and TEWL on the first day after birth. In very premature infants, TEWL decreases progressively, and the difference in TEWL between the most premature and full-term infants decreases with age. Even four weeks after birth, TEWL is still twice as high in the former. INSTANT DETECTION OF TEMPERATURE VARIATIONS On the thermograph of a premature baby, there are significant temperature differences between different parts of the body. The infant's core temperature is not the same in all tissues and organs, and the brain is generally the hottest. A single-point temperature reading indicates how well a baby is able to maintain this temperature, but does not provide information on the energy expended for this thermoregulation. Only Caleo offers true ThermoMonitoring, measuring, documenting and displaying both core and peripheral temperature. So you can see the precise moment when a baby is at risk of hypothermia, and remedy the situation in time. HEAT BALANCE, EASY TO LEARN Dräger has created Heat Balance, a simple, interactive way for caregivers to learn about the different types of heat loss that can affect a baby, and how to use the Caleo's settings to create the most thermally neutral environment possible. This training tool simulates the thermal equilibrium of infants in an incubator, and shows the impact of different types of heat loss and gain. Based on known physical algorithms for heat loss and documented clinical experience, it shows how the Caleo maintains thermal stability. The program also shows the importance of all parameters in balancing the temperature of premature babies. As the Heat Balance is a smartphone app, it can be used anywhere and anytime for training purposes. ENABLING FAMILY-CENTRED CARE Research shows that family-centered care has significant benefits for the premature baby7 , including improved well-being, better mental health prognosis, reduced length of stay and better parent-infant bonding. The Caleo offers a kangaroo mode, allowing you to continue monitoring baby's temperature during contact care, and adjusting the temperature in the incubator according to baby's temperature to allow a smooth return to an ideal environment. - Low height adjustment (80 cm / 31.5 inches) for mothers in wheelchairs following childbirth or Caesarean section. - Large access windows to allow parents easy access to the infant in a closed care environment, enabling them to participate in their child's care. - Large, unobstructed hood for good visibility of the baby. The cover material is scratch-resistant and designed with rounded corners to eliminate visual distortion. - A cocoon-like shape, less intimidating and more welcoming for parents experiencing the ICU for the first time. The monitor can be moved out of the way, away from the mother's face, for a more human connection. A QUIET ENVIRONMENT Low noise levels in the NICU are essential for the healthy development of premature babies. The Caleo represents a major step forward, not least because it keeps noise levels as low as possible. It is designed to reduce disturbances that can interrupt natural sleep rhythms, impact nervous system development and cause cochlear damage. - A silent cabin: the Caleo and all its components have been designed to operate silently and at a low interior noise level (less than 47 dbA). It allows low air velocity around the infant (less than 8 cm/s), which means a quiet environment with minimal ambient noise. A study conducted by Duke University showed that the Caleo was significantly quieter than any other incubator tested. - An intelligent alarm: the sound comes from a loudspeaker located at a distance from the infant and is designed to gradually accelerate like a chime. The intelligent alarm can be set to 8 different sound levels and identified by different colored lights. - Silent portholes: unlike most incubator portholes, which are so noisy they disturb the baby, the Caleo's portholes are ultra-quiet when opened and closed. - Quiet tilting: the Caleo can be tilted to keep the cabin away from sources of draughts and noise in the NICU. Quiet height adjustment: the Caleo's height adjustment mechanism is extremely quiet, allowing discreet adjustment between shifts. FACILITATING CORRECT POSITIONING The correct positioning of an infant is essential for its postural development and subsequent locomotor functions. Caleo positioning accessories help babies maintain a stable posture despite gravity - SoftBed mattress - designed specifically to reduce pressure on the infant's skin, the mattress is made of visco-elastic foam and features a breathable cover that is comfortable for the baby in the bassinet. - Hug it, the Nest and Pillows - these accessories are specially designed to provide physiological stability, containment and support for the baby. They can also provide additional support for the clinician during procedures. MANAGING LIGHT LEVELS As you'd expect, bright light is not part of the in utero environment. If light is required for care, light levels must be kept under control for the baby's well-being. - A suitable lamp cover: provides effective protection against unwanted and dangerous light, mimicking the natural environment of premature babies and providing the safe haven they need to live and develop. - 3 dimming levels: the Caleo features a dimming range on the control panel to reduce lighting during night shifts. -Discover Dräger's other offerings like the Circadian Lighting System, which simulates the variation of sunlight throughout the day and helps maintain the circadian rhythms so important to you and your patients. The Caleo also has features that reduce unnecessary contact with the baby, which would constitute additional stimuli. We've configured these options for maximum ease of use, so you can concentrate on what's important: the baby. Access portholes: the Caleo features ultra-light, easy-to-use doors on both sides. - Side doors: these large doors on the short sides of the Caleo can be opened, providing additional access for procedures such as ultrasound. - The hood: in an emergency, it can be raised from either side. - Removable mattress: allows easy access to the baby if necessary, even when the Caleo is in an inclined position. - Integrated X-ray tray: allows easy access to the baby without disturbing him or her. - Exclusive JumboPorts™: 40% larger than ordinary portholes, they open silently and are ergonomically designed to facilitate care during a procedure. The centrally positioned porthole opening mechanism makes it easy to open both portholes simultaneously with a single hand or elbow. - Tilt function: allows gentle tilting at the touch of a button. -Adjustable height: allows smooth adjustment from either side. - Positionable control panel: you can position the control panel where it best serves your workflow. ASEPSIS AND SAFETY MEASURES Hygiene in the incubator is imperative. That's why one of the key objectives in designing the Caleo was to protect the baby from nosocomial infections. - Closed-loop humidity system: prevents airborne microorganisms from entering the incubator. - High-temperature cleaning mode: the 110° C high-temperature cleaning mode disinfects the unit and removes residual water from the internal mechanism. - Narrow closures and a rounded cockpit prevent bacteria from accumulating in delicate areas. - Minimal design in terms of parts: with just 11 components in total, it facilitates cleaning and enables systematic disinfection. SAFETY FEATURES When designing the Caleo, priority was given to protecting the baby through safety measures. Special functions and mechanisms have been implemented to avoid aggravating the baby's stress and allow caregivers to concentrate on day-to-day care. -Automatic self-tests: the Caleo tests all electronic systems, sensors and functions. It is monitored every eight minutes, ensuring the safety of the entire system. - High-quality sensors: the quality of Dräger sensors guarantees the reliability of the measured values displayed: "you see what you really have". - No higher temperatures: thanks to the innovative double air curtain concept, there's no need for higher temperatures to achieve excellent performance with minimal warm-up times. - Heat-shield technology: limits outlet temperature to a maximum of 45°C, guaranteeing a maximum surface temperature of 43°C on all tangible parts. -Unobstructed portholes: tilting the bed does not obstruct the portholes as the entire capsule moves, giving access in any position. - Wall locks: the caregiver cannot leave the incubator without locking the walls, as a spring mechanism prevents them from remaining upright if not locked.