WARMING BLANKETS INSTRUCTIONS FOR USE

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WARMING BLANKETS INSTRUCTIONS FOR USE INTRODUCTION HotDog Warming Blankets and optional Disposable Sheets are part of the HotDog Patient Warming System. These instructions apply to the following catalog numbers: HotDog Product Description Catalog Number Qty/Pkg Warming Blanket, Lower Body B103 B503 1 Warming Blanket, Full Body B104 B504 1 Warming Blanket, Multi-Position B105 B505 1 INDICATIONS FOR USE Warming Blanket, Torso B110 B510 1 Disposable Sheet S104 1 HotDog Warming Blanket cables are provided separately. The HotDog Patient Warming System is intended to prevent or treat hypothermia and to provide warmth to patients. The HotDog Patient Warming System should be used in circumstances in which patients may not maintain a state of normothermia. The HotDog Patient Warming System is intended primarily for use in hospitals and surgical centers including, without limitation, operating, recovery and emergency rooms and on medical/surgical floors. CONTRAINDICATIONS DO NOT warm ischemic or non-perfused tissue; thermal injury may result. Examples include tissue distal to aortic cross clamping, or when vasoconstrictive drugs would lead to severe, prolonged vasoconstriction. DO NOT warm patients receiving transdermal medication; increased drug delivery may occur. WARNINGS EXPLOSION HAZARD DO NOT use the HotDog Controller or Warming Blankets in the presence of flammable anesthetics or oxygen-enriched environments such as hyperbaric chambers, oxygen tents, etc. DO NOT place Warming Blankets under the patient. Inspect Warming Blankets prior to use for signs of damage or excessive wear such as cuts, holes, or loose electrical connections. If signs of wear are evident, do not use the Warming Blanket until it is inspected by technical staff. DO NOT continue to use the HotDog Patient Warming System if the over-temperature indicator and/or alarm continue to sound after reset. DO NOT place Warming Blankets under straps that are used to secure the patient to the OR table. HotDog Warming Blankets and Disposable Sheets are not sterile. Use only with HotDog Controller Models WC0X or WC5X.

Instructions for Use: HotDog TM Warming Blankets & Disposable Sheets Page 2 CAUTION Federal law (USA) restricts this device to sale by or on the order of a licensed healthcare professional. PRECAUTIONS Use under the direct supervision of a clinician. Monitor the patient s vital signs regularly during warming according to institutional protocol. If vital sign instability occurs, notify the clinician. Exercise caution when using multiple warming methods. The risk of skin irritation caused by pooling of surgical prep solutions under the patient may increase with warming; follow surgical prep solution instructions. Maintain contact between the patient and the labeled sensor on the Warming Blanket. DO NOT fold the Warming Blanket black-side-to-black-side during use as localized heat build-up may occur in the overlapped area. Always use a barrier (e.g., HotDog Disposable Sheet, thin bed sheet, patient gown) between the patient and the Warming Blanket. Adjust placement of the Warming Blanket during X-ray imaging as the white labeling and internal wiring located primarily along the edges of the Warming Blankets may appear in images. INSTRUCTIONS FOR USE Follow BEST practices to achieve optimal results, as described in part MT302 BEST Results Poster (downloadable at hotdogwarming.com). 1. Inspect the Warming Blanket for damage (e.g., cuts, holes, loose electrical connections). Do not use the Warming Blanket if it is damaged. 2. Place a suitable barrier (e.g., HotDog Disposable Sheet, thin bed sheet, patient gown) over the patient. Follow the instructions on the HotDog Disposable Sheet labeling to ensure proper positioning. 3. Place the Warming Blanket on top of the barrier, ensuring the heated portion of the Warming Blanket (black side) faces the patient. On blankets with unheated areas, the heated portions of the blankets are marked with the heating area symbol. (See Definition of Symbols section.) Warning: DO NOT place the Warming Blanket under the patient, and DO NOT roll or fold heated (black) sides of blankets together during use. 4. Ensure patient is in contact with the Warming Blanket temperature sensor (indicated by a white target). 5. Position and secure the Warming Blanket following the instructions below for the applicable blanket model. The purple sides of the blanket may be folded back on one another to facilitate effective positioning.

Page 3 Instructions for Use: HotDog TM Warming Blankets & Disposable Sheets Blanket Model Blanket Positioning/Securement Instructions Lower Body The Warming Blanket should maintain its position without securement. If necessary, tape, Velcro straps, or reusable straps may be used to secure the blanket as long as it doesn t Full Body create excessive pressure on the patient. Multi-Position Torso Secure the Warming Blanket to the patient using the included multi-position reusable straps, Velcro straps or tape. Connect blanket segments together using the button and loop connector located on the inside of the blanket segments. Fit the button and loop together to secure the two sections. Position the Warming Blanket on the patient, maintaining as much contact as possible between the blanket and the patient s chest, arms and shoulders. Tuck the unheated insulated flaps around the patient s neck and shoulders. 6. Insert one end of the electrical cable into the appropriate port on the HotDog Controller. Controller Model WC0X WC5X Port A A or B 7. Insert the other end of the cable into the electrical connector on the Warming Blanket. 8. Turn the HotDog Controller on and select the desired temperature setting to begin warming. The time to reach the set-point temperature from 23 C +/-2 C is less than 10 minutes. If the blanket does not reach the selected temperature within 10 minutes, an alarm will sound (Refer to the HotDog Controller User Manual.) 9. If the HotDog Controller alarm sounds when the Warming Blanket is connected, do not use the Warming Blanket until the alarm condition is resolved. (Refer to the Alarms section.) 10. At the conclusion of warming, remove the barrier and clean the Warming Blanket as necessary. (See Care and Maintenance section below.) CARE AND MAINTENANCE DO NOT continue to use HotDog Warming Blankets beyond the labeled expiration date. DO NOT launder or sterilize as this may damage the Warming Blanket. DO NOT immerse the Warming Blanket in liquids. DO NOT use high-level disinfectants (e.g. gluteraldehyde, and peracetic acid) or hydrogen peroxide-based solutions to clean the Warming Blanket. DO NOT spray cleaning solutions into the electrical connector. DO NOT use cleaning or disinfection methods different from those recommended in the Instructions for Use without first checking with an authorized service representative to ensure that the proposed methods will not damage the equipment. DO NOT use the Warming Blanket if it shows signs of damage or excessive wear such as cuts, holes, or loose electrical connectors. Technical staff should perform inspection, such as electrical leakage and resistance testing, to determine if it is safe for use. DO NOT disassemble the Warming Blanket; the product contains no serviceable parts. If service is required, call an authorized service representative for assistance.

Instructions for Use: HotDog TM Warming Blankets & Disposable Sheets Page 4 Storage Store the Warming Blanket in a dry place, folded or on hanging hooks using the designated holes along the edges of the blanket. Do not allow the blanket to be cut or crushed. Cleaning General Clean and disinfect the Warming Blanket between patient uses if it appears visibly soiled. If the Warming Blanket is not visibly soiled, disinfection at the end of the operating day is recommended. Follow protocols for noncritical, non-sterile medical devices that may contact intact skin. Examples of similar devices include blood pressure cuffs, exam table covers, operating room table pads and surgical supports. In general, alcohol-based disinfectants are easiest to use since they are fast-acting and can be sprayed or wiped on the blanket. Other cleaners that are compatible with the outer surfaces of the blanket include sodium hypochlorite (diluted bleach), phenolic germicidal detergent, and quaternary ammonium detergent. Iodine-containing cleaners may cause discoloration of the surface material and are, therefore, NOT recommended for routine cleaning. Hydrogen peroxide-based cleaning solutions are NOT recommended because the vapors degrade the conductive fabric heaters. Dry thoroughly before use. Caution: DO NOT place the Warming Blanket in an autoclave, sterilizer, automatic washer-disinfector or any other high temperature system as this may damage the product. Cleaning & Disinfection Steps The cleaning steps below are general recommendations and are not meant to replace hospital-specific cleaning protocols. 1. DO NOT allow cleaning fluids to get into the electrical connector. 2. If visible soiling is present, remove before applying a disinfectant. Scrub the affected area with detergent, using a soft brush or sponge to remove organic matter. Rinse the surface of the blanket using a dampened cloth. Do not immerse the blanket in liquids. 3. Apply a low- or intermediate-level disinfectant to the entire blanket by spraying or wiping. Follow the disinfectant manufacturer s application instructions. 4. Dry thoroughly before use. ALARMS All alarm conditions are classified as Medium Priority Technical Alarms. If an alarm occurs, unplug the device to reset the controller. If Alarm Lights illuminate after a reset is performed, discontinue use and refer the system to Biomedical Engineering. Refer to HotDog Controller IFU for specific information on the Error Codes displayed.

Page 5 Instructions for Use: HotDog TM Warming Blankets & Disposable Sheets DEFINITION OF SYMBOLS Do not Place Under Patient This Side Down This Side Up Attention, consult accompanying documents. Heating Area BF Patient Applied Part according to IEC60601-1. Serial Number Reference Number Lot Number Manufacture Date A Use only with HotDog Patient Warming Controller. B Store as directed in instructions for use. Temperature Sensor Keep Dry Conforms to European Medical Device Directive 93/42/EEC. Transport and Storage Humidity Range Transport and Storage Temperature Range Return to Authorized Representative Natural Latex Free Not Sterile Protect from sharp objects. Discontinue use if product is cut or damaged. Do not use after YYYY-MM-DD Manufacturer IPX2 Protected against dripping water when tilted up to 15 ; Vertically dripping water shall have no harmful effect when the enclosure is tilted at an angle up to 15 from its normal position. (The Controller) Manufactured by: Augustine Temperature Management, LLC 6581 City West Parkway Eden Prairie, MN 55344 USA TEL 952.465.3500 FAX 952.465.3501 www.hotdogwarming.com EU Authorized Representative: Tel: (31) (0) 70 345-8570 Fax: (31) (0) 70 346-7299 HotDog is a trademark of Augustine Temperature Management, registered in the U.S. Patent & Trademark Office. Patents Pending. 2017 Augustine Temperature Management, LLC. All rights reserved. P/N 1718EN Rev I (09/2017)