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The Level 1 H-1000 is a fast flow blood and fluid warmer, built for rapid infusion rather than for routine drip line warming. Fluid passes through a disposable countercurrent heat exchanger surrounded by a circulating water bath held at around 42 degrees Celsius, and reaches the patient near 40 degrees Celsius. Side poles carry pressure infusers or pumps so the whole arrangement stands as one unit at the head of the table.
The clinical case for a device like this is hypothermia, and specifically hypothermia caused by the treatment rather than by the injury. In major haemorrhage a patient receives refrigerated blood at speed, and infusing cold fluid fast drops core temperature quickly. Hypothermia then impairs clotting and worsens acidosis, which is the spiral that makes bleeding harder to stop. Warming the fluid at the rates actually being used is the point: a device that warms adequately at 50 ml per minute is of little help when the transfusion is running several times faster.
Countercurrent exchange is what makes that possible. The water flows along the heat exchanger in the opposite direction to the fluid, so a temperature difference is maintained along the whole length rather than being used up in the first few centimetres. That is why the device holds its delivered temperature as flow rises, and it is the reason a water bath warmer outperforms a dry plate at high flow.
Air is the other problem at speed, and the set carries a 170 micron screen filter with a gas vent on luer lock connections, changed every three hours or sooner if it clogs. The unit alarms on three conditions: add water, check disposables and water over temperature. It runs on distilled water in the bath. Supplied pre-owned.
| Brand | Smiths Medical |
| Range | Level 1 |
| Model | System 1000, H-1000 |
| Device type | Fast flow blood and fluid warmer |
| Warming method | Circulating water bath with countercurrent heat exchanger |
| Water bath temperature | About 42 degrees Celsius |
| Delivered fluid temperature | Near 40 degrees Celsius |
| Heat exchanger | Disposable anodised aluminium tube |
| Operator manual part number | 4533801 |
| Condition | Pre-owned |
Points to note before ordering
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As informações desta página são fornecidas a título indicativo e não substituem o aconselhamento de um profissional de saúde qualificado. Leia sempre as instruções do fabricante antes da utilização e verifique se o dispositivo é adequado ao doente e à terapia prescrita.
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